Cardiovascular disease (CVD) is the biggest cause of sickness and mortality worldwide in both males and females. Clinical statistics demonstrate clear sex differences in risk, prevalence, mortality rates, and response to treatment for different entities of CVD. The reason for this remains poorly understood. Non-coding RNAs (ncRNAs) are emerging as key mediators and biomarkers of CVD. Similarly, current knowledge on differential regulation, expression, and pathology-associated function of ncRNAs between sexes is minimal. Here, we provide a state-of-the-art overview of what is known on sex differences in ncRNA research in CVD as well as discussing the contributing biological factors to this sex dimorphism including genetic and epigenetic factors and sex hormone regulation of transcription. We then focus on the experimental models of CVD and their use in translational ncRNA research in the cardiovascular field. In particular, we want to highlight the importance of considering sex of the cellular and pre-clinical models in clinical studies in ncRNA research and to carefully consider the appropriate experimental models most applicable to human patient populations. Moreover, we aim to identify sex-specific targets for treatment and diagnosis for the biggest socioeconomic health problem globally.

INTRODUCTION: Gastrointestinal symptoms in irritable bowel syndrome (IBS) have been correlated with psychological factors using retrospective symptom assessment. However, real-time symptom assessment might reveal the interplay between abdominal and affective symptoms more reliably in a longitudinal perspective. The aim was to evaluate the association between stress and abdominal pain, using the Experience Sampling Method (ESM) as a real-time, repeated measurement method. METHODS: Thirty-seven patients with IBS (26 women; mean age 36.7 years) and 36 healthy controls (HC; 24 women; mean age 31.1 years) completed an electronic ESM during 7 consecutive days. Abdominal pain and stress were scored on an 11-point Numeric Rating Scale at a maximum of 10 random moments each day. RESULTS: Abdominal pain scores were 2.21 points higher in patients with IBS compared with those in HC (P < 0.001), whereas stress levels did not differ significantly (B: 0.250, P = 0.406). In IBS, a 1-point increase in stress was associated with, on average, 0.10 points increase in abdominal pain (P = 0.017). In HC, this was only 0.02 (P = 0.002). Stress levels at t = −1 were not a significant predictor for abdominal pain at t = 0 in both groups, and vice versa. DISCUSSION: Our results demonstrate a positive association between real-time stress and abdominal pain scores and indicate a difference in response to stress and not a difference in experienced stress per se. Furthermore, an in-the-moment rather than a longitudinal association is suggested. This study underlines the importance of considering the individual flow of daily life and supports the use of real-time measurement when interpreting potential influencers of abdominal symptoms in IBS.

Introduction: A Holter blood pressure monitoring is a basic method for the diagnosis and evaluation of hypertension therapy. Hypertension in children and adolescents is defined as an increase of systolic/diastolic pressure, which is equal, or above 95th percentile blood pressure for sex, age, and height. Aim: The aim of this study is to analyze the etiology of arterial hypertension (AH) in the pediatric population. Methods: Research had descriptive and retrospective character. During the period from March 2006 to April 2020, 1527 registered continuous Holters of blood pressure were analyzed. Data were taken from the medical documentation of patients that were hospitalized on Pediatric Clinic (register of continuous Holter of blood pressure). Results: Out of the total number of registered and analyzed patients 833 were male (54.5%) with dominant age 15–19 years of life 774 (50.6%), school-age children 660 (43.2%), preschool children 93 (6.1%). We had 902 (59%) first registrations and 626 (41%) control registrations. AH was verified in 52 patients (387 records of continuous Holter of blood pressure were performed to them). Primary AH was verified in 27 patients and secondary AH in 25 patients. Forty patients (76.9%) were treated with monotherapy while combined therapy was used in 12 (23.1%) of cases. Renal cause was in 28% patients, endocrine in 24%, cardiovascular in 24%, neurological in 16%, and rheumatic in 8% of patients with secondary AH. Conclusion: Continuous Holter of blood pressure represents useful diagnostic method and method of control of high blood pressure in children and adolescents. It should be routine method in everyday pediatric clinical practice especially in pediatric cardiology.

Contemporary wireless networks dramatically enhance data rates and latency to become a key enabler of massive communication among various low-cost devices of limited computational power, standardized by the Long-Term Evolution (LTE) downscaled derivations LTE-M or narrowband Internet of Things (NB IoT), in particular. Specifically, assessment of the physical-layer transmission performance is important for higher-layer protocols determining the extent of the potential error recovery escalation upwards the protocol stack. Thereby, it is needed that the end-points of low processing capacity most efficiently estimate the residual bit error rate (BER) solely determined by the main orthogonal frequency-division multiplexing (OFDM) impairment–carrier frequency offset (CFO), specifically in small cells, where the signal-to-noise ratio is large enough, as well as the OFDM symbol cyclic prefix, preventing inter-symbol interference. However, in contrast to earlier analytical models with computationally demanding estimation of BER from the phase deviation caused by CFO, in this paper, after identifying the optimal sample instant in a power delay profile, we abstract the CFO by equivalent time dispersion (i.e., by additional spreading of the power delay profile that would produce the same BER degradation as the CFO). The proposed BER estimation is verified by means of the industry-standard LTE software simulator.

BACKGROUND Stroke volume response during stress is a major determinant of functional status in heart failure and can be measured by two-dimensional (2-D) volumetric stress echocardiography (SE). The present study hypothesis is that SE may identify mechanisms underlying the change in stroke volume by measuring preload reserve through end-diastolic volume (EDV) and left ventricular contractile reserve (LVCR) with systolic blood pressure and end-systolic volume (ESV). METHODS We enrolled 4,735 patients (age 63.6 ± 11.3 yrs, 2800 male) referred to SE for known or suspected coronary artery disease (CAD) and/or heart failure (HF) in 21 SE laboratories in 8 countries. In addition to regional wall motion abnormalities (RWMA), force was measured at rest and peak stress as the ratio of systolic blood pressure by cuff sphygmomanometer/ESV by 2D with Simpson's or linear method. Abnormal values of LVCR (peak/rest) based on force were ≤1.10 for dipyridamole (n=1,992 patients) and adenosine (n=18); ≤2.0 for exercise (n=2,087) or dobutamine (n=638). RESULTS Force-based LVCR was obtained in all 4,735 pts. Lack of stroke volume increase during stress was due to either abnormal LVCR and/or blunted preload reserve, and 57 % of patients with abnormal LVCR nevertheless showed increase in stroke volume. CONCLUSIONS Volumetric SE is highly feasible with all stresses, and more frequently impaired in presence of ischemic RWMA, absence of viability and reduced coronary flow velocity reserve. It identifies an altered stroke volume response due to reduced preload and/or contractile reserve.

Abstract In this investigation, we have synthesized YbxY1-xF3 solid solutions by fluorination of yttrium and ytterbium sesquioxides with ammonium hydrogen difluoride. According to the XRD analysis, all synthesized YbxY1-xF3 samples have an orthorhombic crystal structure belonging to the β-YF3 structural type. The refinement of crystal structure was done by the Rietveld method within the Pnma space group using the TCH pseudo-Voigt function. The anisotropic peak broadening was analyzed, and the average apparent crystallite size is about 50 nm with a small anisotropy of shape, while the significant microstrain that is highly anisotropic is present in all samples. The temperature-dependent magnetic susceptibility was analyzed by applying the model of a free ion perturbed by the crystal field. We have obtained the effective magnetic quantum numbers Mieff of four Kramer's doublets of Yb3+ ion along with the entire crystal field splitting of the 2F7/2 manifold of Yb3+ in YF3. The acquired maximum energy splitting of the ground level is about 150 K in our most diluted samples. The field-dependent isothermal magnetization measurements were carried out at various temperatures and analyzed by classical Langevin function. Results obtained from magnetic measurements show that all YbxY1-xF3 (x ≠ 0) solid solutions exhibit pure paramagnetic behavior in the whole temperature range from 2 to 300 K, with a predominant antiferromagnetic exchange interactions.

Increasing changes in the market have caused companies to turn largely to lowering all unnecessary costs in order to be competitive. Competitiveness is a concept that is being explored progressively. This paper offered a way to measure enterprise competitiveness. Competitiveness testing was conducted on companies in the field of food industry in Bosnia and Herzegovina (B&H). A systematic sample was used. The collected data were analysed by factor analysis. Out of a total of 8 dimensions used, the factor analysis performed a reduction of these dimensions and led to the final 6 dimensions that determine the competitiveness of companies in the field of food industry in B&H. The obtained results showed that these dimensions stand out from others and represent the competitiveness of the company. These dimensions are: cost competition, price competition, product and business process innovation, customer satisfaction, delivery reliability and organisational learning. This research will help managers of companies in the food industry in B&H to improve market competitiveness. The methodology used in this paper will help other companies to improve competitiveness and achieve better results in the market.

Bamboo has been widely utilized as a load bearing material in building construction since ancient times by taking advantage of its excellent mechanical performances under loading as well as its low density and rapid growth. Applications of bamboo to engineering, architecture, and infrastructure require an in-depth understanding of the relationship between its morphology and mechanics, including how this regularly spaced segmental structure adapts to taking the applied loads. However, previous research on buckling behavior of structural bamboo considered it as a homogenous tube without multiscale structural features, and no reasonable explanation for the regular segment length was proposed. Here, we have implemented representative volume elements within the framework of finite element analysis to study the mechanical response of a bamboo culm under axial compressive load and systematically investigated how the bamboo's hierarchical structural features (e.g., gradient fiber distribution, periodic nodes, and others) contribute to its compression capacity. We find that column buckling is a critical failure mode that leads to the collapse of the entire structure, which can be disastrous. We observe that the gradient fiber distribution pattern along the radial direction significantly contributes to its strength. We find that the occurrence of fiber deviation at the node region reduces the strength of bamboo. Nevertheless, our results show that structural features such as external ridge and internal diaphragm play the role of reinforcement while the effect is more significant for bamboo than other plants with similar node appearance. Our work provides structural insights into the outstanding mechanics of bamboo. Such information could provide a guide for engineers to predict the material mechanics according to its structure, design bamboo-inspired composite materials, and construct high-performance architectures with bamboo accordingly.

Reptiles, especially turtles, are becoming increasingly popular as pets. The haematological evaluation of turtles is an irreplaceable diagnostic tool in veterinary practice. However, the morphologic distinctiveness of turtle blood limits the use of electronic cell-counting devices, making time-consuming, manual counting techniques and evaluation of blood smears necessary. Many samples are dispatched to a laboratory over long distances, where a delay of 24 h or more may occur. At weekends, this interval may exceed 48 h. The objective of the present study was to determine the effect of storage duration at refrigerator temperature (4 °C) on the counts of red blood cells (RBC) and white blood cells (WBC), and on the mean corpuscular volume (MCV) and packed cell volume (PCV) in blood samples from healthy adult red-eared sliders. Blood samples were collected by venipuncture from the occipital venous sinus from six apparently healthy adult red-eared sliders, aged 2 to 4 years. Blood samples were analysed immediately after sampling to obtain the baseline value (BV) of the red blood cell count, white blood cell count and packed cell volume percentage. Blood was stored at 4 °C and the haematological analyses were performed after 24h, 48h and 72h. The results showed the same level of stability for RBC and WBC count, and MCV values during 72 hours of storage at 4 °C and for PCV during 48 hours. Handling of blood samples, and duration of storage of the blood samples can significantly influence the results/values of haematological tests. Consequently, the obtained values of the determined haematological parameters of improperly stored or handled blood samples can give a misleading interpretation of the results on the animal’s health status.

Abstract Just recently, the literature has established the existence of a dark side with regard to customer orientation (CO) in terms of sales performance. However, no clear position is presented about the possible dark side of CO when it comes to B2B relational outcomes, preventing managers from knowing when to accentuate/suppress CO activities. The aim of this study is to examine the relational consequences of suppliers' CO seen through the customers' lenses, and to investigate the moderating role of perceived emotional value in a professional service relationship context. A conceptual model anchored in value and relationship marketing theories is tested on a sample of 226 professional service firms' business customers, using the PROCESS routine. The study finds that perceived CO is related to satisfaction with the relationship and with relationship performance in an inverted U-shaped form, while satisfaction is positively related to relationship performance. We show that, although preferring to receive CO from their supplier, customers might want a relationship that is not as intense/comprehensive as the one that the supplier aims to achieve. The study unfolds emotional value as a moderating mechanism that can prevent the diminishing effect of CO activities.

Cell-to-cell communication is a fundamental process in every multicellular organism. In addition to membrane-bound and released factors, the sharing of cytosolic components represents a new, poorly explored signaling route. An extraordinary example of this communication channel is the direct transport of mitochondria between cells. In this review, we discuss how intercellular mitochondrial transfer can be used by cancer cells to sustain their high metabolic requirements and promote drug resistance and describe relevant molecular players in the context of current and future cancer therapy.

OBJECTIVE Sensing the effects of alcohol consumption in real time could offer numerous opportunities to reduce related harms. This study sought to explore accuracy of gait-related features measured by smartphone accelerometer sensors on detecting alcohol intoxication (breath alcohol concentration [BrAC] > .08%). METHOD In a controlled laboratory study, participants (N = 17; 12 male) were asked to walk 10 steps in a straight line, turn, and walk 10 steps back before drinking and each hour, for up to 7 hours after drinking a weight-based dose of alcohol to reach a BrAC of .20%. Smartphones were placed on the lumbar region and 3-axis accelerometer data was recorded at a rate of 100 Hz. Accelerometer data were segmented into task segments (i.e., walk forward, walk backward). Features were generated for each overlapping 1-second windows, and the data set was split into training and testing data sets. Logistic regression models were used to estimate accuracy for classifying BrAC ≤ .08% from BrAC > .08% for each subject. RESULTS Across participants, BrAC > .08% was predicted with a mean accuracy of 92.5% using logistic regression, an improvement from a naive model accuracy of 88.2% (mean sensitivity = .89; specificity = .92; positive predictive value = .77; and negative predictive value = .97). The two most informative accelerometer features were mean signal amplitude and variance of the signal in the x-axis (i.e., gait sway). CONCLUSIONS We found preliminary evidence supporting use of gait-related features measured by smartphone accelerometer sensors to detect alcohol intoxication. Future research should determine whether these findings replicate in situ.

Tracking a liquid or food bolus in videofluoroscopic images during X-ray based diagnostic swallowing examinations is a dominant clinical approach to assess human swallowing function during oral, pharyngeal and esophageal stages of swallowing. This tracking represents a highly challenging problem for clinicians as swallowing is a rapid action. Therefore, we developed a computer-aided method to automate bolus detection and tracking in order to alleviate issues associated with human factors. Specifically, we applied a stateof-the-art deep learning model called Mask-RCNN to detect and segment the bolus in videofluoroscopic image sequences. We trained the algorithm with 450 swallow videos and evaluated with an independent dataset of 50 videos. The algorithm was able to detect and segment the bolus with a mean average precision of 0.49 and an intersection of union of 0.71. The proposed method indicated robust detection results that can help to improve the speed and accuracy of a clinical decisionmaking process.

The predictive factors of violence between married couples or adolescents are well-known. However, less is known about the factors relating to intimate violence among college students. This study examined sociodemographic variables (age, duration of relationship, and relationship satisfaction), impulsivity, and empathy as predictors of dating violence, using data from 474 female college students from the University of Mostar, Bosnia and Herzegovina. The sample completed online the Conflict Tactics Scale 2 Short Form, the Interpersonal Reactivity Index, and the Short Impulsive Behavior Scale. The results indicated a higher prevalence of victimization than perpetration for psychological aggression. The obtained data showed that younger women and those in longer relationships, as well as those unsatisfied with their relationship, are more prone to experience psychological victimization or perpetration. Relationship satisfaction was also shown to be a predictor of physical perpetration causing injury. Impulsivity facets were found to have a differential weight in explaining dating violence. Empathy was shown to be a significant predictor of dating victimization, specifically “perspective taking” for psychological victimization and empathic concern for sexual victimization. These results suggest the need to develop specific interventions and prevention programs focused on relationship satisfaction, impulsivity, and empathy.