Congenital anomalies of the kidney and urinary tract (CAKUT) are a major cause of pediatric renal failure, but the molecular mechanisms driving these conditions are not yet fully understood. Fibroblast Growth Factor 23 (FGF23) and its co-receptor α-KLOTHO play crucial roles in regulating calcium and phosphate homeostasis in adult kidneys, but their roles in kidney development and the pathogenesis of CAKUT remain unclear. Because of that, we analyzed the spatial and temporal expression of FGF23 and α-KLOTHO in normal fetal kidney development and CAKUT using an immunofluorescence technique. Our results demonstrate a dynamic pattern of FGF23 and α-KLOTHO expression in healthy kidney development, with FGF23 levels decreasing and α-KLOTHO levels increasing with gestational age. Also, we showed that FGF23 expression was significantly reduced in horseshoe (HKs) and duplex kidneys (DKs), while α-KLOTHO expression remained unchanged across all CAKUT conditions. Based on our results, we suggest that altered FGF23 expression in CAKUT contributes to disease pathogenesis and may represent a potential therapeutic target.

Studies dealing with injury occurrence in basketball refereeing are scarce. The aim of this preliminary investigation was to retrospectively observe injury occurrence and analyze some specific predictors of injury in high-level basketball referees. The participants were basketball referees from Croatia and Bosnia and Herzegovina (all males, n=39, 25–45 years of age, with more than 5 years of experience in basketball refereeing). Data were collected via structured, previously validated questionnaire, and the variables included specific sociodemographic factors, basketball refereeing factors, and medical (injury-related) factors. Differences between injured and noninjured referees were calculated via t tests and chi-square tests, whereas associations between predictors and injury occurrence (criterion) were evaluated via logistic regression for binarized criterion. Injury occurrence was relatively low, with only 15% of referees reporting an injury during the previous competitive season. A higher level of basketball refereeing (more advanced competitive level) was associated with a greater likelihood of being injured (OR=1.44, 95% CI: 1.02–1.98). Additionally, referees who used dietary supplements were more likely to be injured during the previous competitive season (OR=1.51, 95% CI: 1.01–2.05). Although preliminary, the results emphasize the need for structured prevention strategies and support systems tailored specifically to the challenges of high-level officiating.

Abstract Background Rapid changes and dynamic markets significantly impact the way businesses operate. Many companies fail to adapt and innovate their business models, which jeopardises their sustainability. Managers, as key decision-makers, play a pivotal role in the innovation process, whereby their entrepreneurial competencies directly influence various dimensions of business model innovation. Objectives The main aim of this study is to examine the impact of entrepreneurial competencies on the new value proposition dimension of business model innovation (BMI), exploring competencies such as opportunity recognition, analytical thinking, innovativeness, tenacity, and passion for work. It investigates how these competencies contribute to developing new offerings and new channels, attracting new customers and markets, and building new customer relations. Methods/Approach The study is conducted on a sample of 267 managers of medium and large companies across various industries in Bosnia and Herzegovina. The data were analysed using Structural Equation Modelling (SEM). Results The results show that different entrepreneurial competencies have a significant impact on various aspects of a new value proposition. Conclusions The study contributes to a deeper understanding of the influence of different entrepreneurial competencies on new value proposition dimensions within BMI. Managers who effectively utilise these competencies can enhance their companies’ value propositions, thereby increasing competitiveness and business success.

Stray dogs may be highly exposed to vector-borne pathogens (VBP), including zoonotic agents, and therefore may pose a high risk of spreading infection to other animals and humans. Our study is the first large-scale prevalence study of VBP in stray dogs in Canton Sarajevo, Bosnia and Herzegovina. During the period 2016–2018, a total of 3720 blood samples of stray dogs were screened by the SNAP 4Dx plus test for antibodies against Anaplasma spp., Ehrlichia spp., B. burgdorferi s.l., and D. immitis. The 910 dogs (910/3720, 24.46%) were seropositive for one or more CVBPs. The proportion of seropositive dogs against one, two, or three pathogens was 864 (23.23%), 43 (1.15%), and 3 (0.08%), respectively. The most prevalent canine VBP was Anaplasma spp. (21.59%), followed by B. burgdorferi s.l. (2.47%) and Ehrlichia spp. (1.13%). The lowest prevalence was recorded for D. immitis (0.5%). The number of seropositive dogs older than 1 year was 704 (704/2497, 28.19%), while the number of dogs younger than 1 year was 206 (206/1223, 16.84%). The most common dual coinfection detected was with Anaplasma spp. and B. burgdorferi s.l. (26/3720, 0.7%). The results show that stray dogs are exposed to at least one of these four CVBD pathogens. Since some of these pathogens cause zoonoses, controlling these infections is crucial for both veterinary and public health. These findings highlight the need for continuous serological monitoring of CVBD pathogens in stray dogs due to their risks to animal and human health.

Objectives: To assess amide proton transfer weighted (APTw) MR imaging capabilities in differentiating high-grade glial tumors across alpha-thalassemia/mental retardation X-linked (ATRX) expression, tumor-suppressor protein p53 expression (p53), O6-methylguanine-DNA methyltransferase promoter (MGMTp) methylation, isocitrate dehydrogenase (IDH) status, and proliferation marker Ki-67 (Ki-67 index) as a preoperative diagnostic aid. Material & Methods: A total of 42 high-grade glioma WHO grade 4 (HGG) patients were evaluated prospectively (30 males and 12 females). All patients were examined using conventional MRI, including the following: T1w-MPRAGE pre- and post-contrast administration, conventional T2w and 3D FLAIR, and APTw imaging with a 3T MR scanner. Receiver operating characteristic (ROC) curves were calculated for the APTw% mean, median, and max signal for the different molecular biomarkers. A logistic regression model was constructed for combined mean and median APTw% signals for p53 expression. Results: The whole-tumor max APTw% signal could significantly differentiate MGMTp from non-MGMTp HGG, p = 0.035. A cutoff of 4.28% max APTw% signal yielded AUC (area under the curve) = 0.702, with 70.6% sensitivity and 66.7% specificity. The mean/median APTw% signals differed significantly in p53 normal versus p53-overexpressed HGG s: 1.81%/1.83% vs. 1.15%/1.18%, p = 0.002/0.006, respectively. Cutoffs of 1.25%/1.33% for the mean/median APTw% signals yielded AUCs of 0.786/0.757, sensitivities of 76.9%/76.9%, and specificities of 50%/66.2%, p = 0.002/0.006, respectively. A logistic regression model with a combined mean and median APTw% signal for p53 status yielded an AUC = 0.788 and 76.9% sensitivity and 66.2% specificity. ATRX-, IDH- wild type (wt) vs. mutation (mut), and the level of Ki-67 did not differ significantly, but trends were found: IDH-wt and low Ki-67 showed higher mean/median/max APTw% signals vs. IDH-mut and high Ki-67, respectively. ATRX-wt vs. mutation showed higher mean and median APTw% signals but lower max APTw% signal. Conclusions: APTw imaging can potentially be a useful marker for the stratification of p53 expression and MGMT status in high-grade glioma in the preoperative setting and potentially aid surgical decision-making.

Despite significant advances in knowledge and the development of guidelines, the management of hypoplastic left heart syndrome (HLHS) remains highly variable. A structured questionnaire was circulated across European Association of Paediatric & Congenital Cardiology (AEPC) affiliated centres. The aims were to evaluate standards in pre-operative assessment, types of surgery, follow-up and medical practices in children with HLHS. Thirty-one centres from 20 countries completed the survey. Delivery of babies with HLHS occurred in co-located maternity hospitals in 74% of centres; 29% were planned for spontaneous onset of labour, while 54% decided on a case-by-case basis. The preferred initial palliation was a right ventricle-pulmonary artery conduit in 55% of cases, modified Blalock-Thomas Taussig shunt (mBTTS) in 35%, and hybrid in 15% of cases. Timing for Glenn varied from 3 to 6 months of age and preoperative examination varied greatly: 65% performed cardiac catheterization and only 19% performed cardiac magnetic resonance. Stage III palliation was performed at a highly variable interval (2—6 years of age), nearly always employing an extracardiac conduit. Fenestration was routinely performed in 61% and reserved for borderline cases in 39%. All the centers adopted warfarin for the first 3–12 months after Fontan completion, and continued if a fenestration was present, while in non-fenestrated aspirin was left by most centers (e.g. 68%). However, there was a high disparity in the use of heart failure medications (e.g. in interstage I-II 35% use ACE-inhibitors, and only 26% digoxin). Follow-up practice also varied widely with only 60% employing specific protocols. Conclusion: This first multi-centre European survey from 31 centres from 20 different European countries highlighted a high practice variation in HLHS management across all the stages of Single Ventricle (Fontan) palliation. Major variations pertained to pre- and post-surgical investigations, surgical strategy for stage I and III, medical treatment regimens, and follow-up programs. What is Known: • Hypoplastic left heart syndrome (HLHS) remains one of the most complex and challenging congenital cardiac defects to manage. • Investigating the management of children with HLHS across different European centres can facilitate study of the most effective management strategies. What is New: • Significant variation in HLHS management were reported in relation to pre- and post-surgical examinations, surgical strategy at stage I and III, medical treatment regimens, and follow-up programs. • Greater standardisation of imaging and diagnostic evaluation, medical treatment and follow-up surveillance may improve outcomes for these vulnerable patients and warrants further study. Supplementary Information The online version contains supplementary material available at 10.1007/s00431-025-06175-9.

This research investigates the efficiency of two methods for extracting bioactive compounds from fig leaves (Ficus carica) using different solvents. Dried fig leaves were used as  extraction material. The focus is on Soxhlet extraction and Ultrasound-assisted extraction (UAE) methods. Also, two different solvents, methanol and ethanol, were used for extractions. Given that the enzyme ficin is one of the significant bioactive compounds in fig leaf latex, the aim was to explore and determine which method and solvent gives a higher extraction yield and better preservation of thermolabile components such as this enzyme. The results show that Soxhlet extraction provides a higher total extract yield and requires a longer extraction time. In this study, the highest yields of 12.3% were obtained using the methanol solvent using the Soxhlet method compared to ultrasonic extraction which showed a lower yield of 6.4%. In contrast to that, ultrasound-assisted extraction (UAE) yields a higher-quality extract in a shorter extraction time. However, due to the high temperatures required for Soxhlet extraction, denaturation of ficin occurs, which leads to the formation of a dry extract without the presence of this enzyme. Ultrasound-assisted extraction (UAE) method does not require high temperatures, which enables the preservation of ficin and the formation of a mucilaginous extract due to the presence of enzymes. Due to the temperature sensitivity of bioactive compounds, the choice of extraction method significantly affects the stability and quality of the final extract.

Agency, pertaining to planning and executing actions, is a core feature of the political landscape. Our study examines the temporal dynamics of agentic language in political online discourse during the 2020 U.S. Congressional Elections, spanning 180 days before and after Election Day, and before the Capitol Hill riots. We coded 495,252 messages posted by Democratic and Republican candidates on Twitter for agentic language, which was more prevalent in tweets of politicians who won elections. Temporal analyses revealed increased agency as critical political events approached, whether a planned democratic event (Election Day) or a sudden disruptive protest (Capitol riots). The study enhances our understanding of the role of agency expression in political social media communication. Politicians may strive to evoke agency among voters to encourage political engagement, and voters may be cautioned by our results about this subtle (possibly unaware) manipulative strategy.

Enterprise Resource Planning (ERP) systems streamline business operations, yet many projects fail due to complexity. This research aims to predict ERP project outcomes using machine learning to identify key success and failure factors. The dataset initially contained 1,000 rows and 9 columns, but it was preprocessed to enhance data quality for machine learning analysis. It includes ERP project data from various industries, covering industry type, project scale, budget and time overruns, team experience, and technical challenges. The study applies logistic regression, decision trees, support vector machine and random forests to evaluate predictor significance. Findings reveal patterns that help forecast high-risk projects, providing project managers with a proactive decision-making framework. The results of this research offer insights into ERP project risk assessment and mitigation, enhancing strategic planning in enterprise environments.

Background/Objectives: In consideration of the significance of the pursuit of training-induced neuroplastic changes in the stroke population, who are reliant on neurorehabilitation treatment for the restoration of neuronal function, the objectives of this trial were to investigate fMRI paradigms for acute stroke patients with ataxic symptoms, to follow up on changes in motor function and balance due to recovery and rehabilitation, and to investigate the different effects of two treatment methods on neuronal plasticity. Methods: Therefore, fMRI-paradigms foot tapping and the motor imagery (MI) of a balancing task (tandem walking) were employed. Results: The paradigms investigated were suitable for ataxic stroke patients to monitor changes in neuroplasticity while revealing increased activity in the primary motor cortex (M1) and the cerebellum over 3 months of treatment. Furthermore, analysis of the more complex balance task revealed augmented activation of association areas due to training. Coordination exercises, constituting a specific treatment of ataxic symptoms, indicate more consolidated brain activations, corresponding to a faster motor learning process. Activation within Brodmann Area 7 has been prominent among all paradigms, indicating a special importance of this region for coordinative functions. Conclusions: Further studies are needed to confirm our results in larger patient groups. Clinical Trial Registration: German Clinical Trials Registry (drks.de). Identifier: DRKS00020825. Registered 16.07.2020.

Plants exhibit remarkable adaptability to environmental stresses, with epigenetic modifications playing a key role in stress memory and adaptation. This review explores how epigenetic mechanisms influence hormonal regulation in plants, shaping growth, development, and stress responses. Specifically, we focus on the roles of DNA methylation, histone modifications, and small RNAs in modulating auxin, abscisic acid (ABA), gibberellin (GA), and jasmonic acid (JA) pathways. These pathways influence the plant’s ability to cope with abiotic and biotic stresses and can be inherited by progeny, enhancing stress resilience across generations. By understanding the epigenetic regulation of these hormones, we aim to provide insights into how epigenetic priming can be harnessed in crop improvement to address the challenges posed by climate change.

In this paper, the results of indoor radon level measurements in thirteen single-family houses, on different floors, are presented. The measurement was performed using the AlphaE radon metre device, and in each house, the measurements lasted six days, on average. The mean values of the radon activity concentration were in the range of 32.32-525.65 and 18.41-185.25 Bq m-3 for the ground floor and first floor rooms, respectively. The results of the statistical analyses on the variation of the radon level have shown that in nine houses (69 %), there is a significant difference in radon levels, with higher levels on the ground floor compared to the first floor. The variations of the radon levels during the night and daytime hours were also statistically analysed.