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Na voljo sta dva načina iskanja: enostavno in napredno. Enostavno iskanje lahko zajema niz več besed iz naslova, povzetka, ključnih besed, celotnega besedila in avtorja, zaenkrat pa ne omogoča uporabe operatorjev iskanja. Napredno iskanje omogoča omejevanje števila rezultatov iskanja z vnosom iskalnih pojmov različnih kategorij v iskalna okna in uporabo logičnih operatorjev (IN, ALI ter IN NE). V rezultatih iskanja se izpišejo krajši zapisi podatkov o gradivu, ki vsebujejo različne povezave, ki omogočajo vpogled v podroben opis gradiva (povezava iz naslova) ali sprožijo novo iskanje (po avtorjih ali ključnih besedah).

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251.
Nontargeted urinary profiling strategy for endocrine-disrupting chemicals in women with ovarian malignancies
Helena Plešnik, Žan Rekar, Stefanela Stevanović, Irma Virant-Klun, Senka Imamović-Kumalić, Mateja Sladič, Darja Mazej, Janja Snoj Tratnik, Milena Horvat, Tina Kosjek, 2025, izvirni znanstveni članek

Povzetek: Endocrine-disrupting chemicals (EDCs), includingknown and unknown parent compounds, their metabolites, andtransformation products, are pervasive in daily life, posingincreasing risks to human health and the environment. Thisstudy employed a high-resolution mass spectrometry-basednontargeted screening approach, integrating polar (HILIC) andreversed-phase separations to expand the chemical space coverageand, supported by open-science tools and resources, evaluatedurinary chemical profiles to assess internal EDC exposure. Among106 annotated biomarkers of exposure, six exhibited significantlyhigher normalized intensities in patients with ovarian malignanciescompared to healthy controls (p < 0.05). This suggests theirgreater exposure to phthalates (diethylhexyl phthalate and diethylphthalate), pesticides (metolachlor metabolite and 4-nitrophenol), a UV filter (benzophenone-1), and an industrial byproduct (4-methyl-2-nitrophenol). These compounds may interfere with hormonal regulation, potentially contributing to cancer development.While these findings highlight potential differences in internal EDC exposure, the study primarily demonstrates the applicability ofnontargeted urinary profiling for chemical exposure assessment. By providing new insights into EDCs burden and its pathologicalimplications, this work contributes to advancing next-generation chemical risk assessment within the European Partnership for theAssessment of Risks from Chemicals initiative and supports the development of preventive strategies to mitigate environmentalcancer risks
Ključne besede: ovarian cancer, biomarkers, exposure, nontargeted screening, high-resolution mass spectrometry, analytical coverage, reversed-phase, HILIC
Objavljeno v DiRROS: 02.12.2025; Ogledov: 137; Prenosov: 73
.pdf Celotno besedilo (4,13 MB)
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252.
TTN:c.12478del in proximal I-band of titin represents a common molecular cause of dilated cardiomyopathy in Slovenian patients
Nina Vodnjov, Andraž Cerar, Aleš Maver, Borut Peterlin, Karin Writzl, 2025, izvirni znanstveni članek

Povzetek: Background Titin truncating variants (TTNtv-s) are the most common genetic cause of dilated cardiomyopathy (DCM). Only rare TTNtv-s in the constitutively expressed exons of the A-band of the protein titin are associated with DCM according to the guidelines, however, studies in large cohorts of patients with DCM suggest that the region where TTNtv-s are associated with DCM is wider, extending at least into the I-band. The aim of this study was to describe the molecular pathology of TTNtv-s in Slovenian patients with cardiomyopathy and to clinically characterise the most recurrent TTNtv. Results We collected all TTNtv-s identified in patients with cardiomyopathy using next-generation sequencing genetic testing between 2010 and July 2024, resulting in 42 unique variants identified in 54 patients. The TTN:c.12478del variant, affecting not the A-band but the proximal I-band, specifically the cardiac-specific N2Bus region, was found to be the most recurrent variant, present in seven (11.6%) probands with DCM. Genetic characterisation revealed a probable founder origin of the variant. Clinical characterisation of these probands revealed a phenotype consistent with DCM and severely reduced left ventricular ejection fraction in all probands. Three (43%) of the probands had atrial fibrillation and/or non-sustained ventricular tachycardia. Based on literature reports and evidence supporting the pathogenicity of the TTN:c.12478del variant affecting the proximal I-band, we classified all rare TTNtv-s in constitutively expressed exons of the I-band as (likely) pathogenic. Therefore, 33 (78.6%) TTNtv-s were classified as (likely) pathogenic (13 in the I-band, affecting 19 probands and 20 in the A-band affecting 25 probands), meaning that TTNtv-s were identified in 44 genotype-positive Slovenian probands with DCM, explaining 73.3% of the molecular pathology of DCM. Conclusion We report an almost threefold higher diagnostic yield of TTNtv-s in probands with DCM compared to previously reported findings in cohorts of patients with DCM from other populations. We also highlight the need for screening for rare TTNtv-s in the constitutively expressed exons of the I-band and for TTN:c.12478del in patients with DCM in this geographical region.
Ključne besede: Titin, TTNtv, I-band, TTN:c.12478del, dilated cardiomyopathy, DCM
Objavljeno v DiRROS: 02.12.2025; Ogledov: 131; Prenosov: 61
.pdf Celotno besedilo (1,14 MB)
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253.
The role of intraoperative monitoring in target selection in deep brain stimulation : a single centre study
Sandro Ibrulj, Dejan Georgiev, Žiga Samsa, Polona Mušič, Mitja Benedičič, Maja Trošt, 2025, izvirni znanstveni članek

Povzetek: Introduction Intraoperative microelectrode recording (MER) and intraoperative test stimulation may provide vital information for optimal electrode placement and clinical outcome in movement disorders patients treated with deep brain stimulation (DBS). The aims of this retrospective study were to determine (i) how often the planned (imaging based) placements of electrodes were changed due to MER and intraoperative test stimulation in Parkinson’s disease (PD), dystonia and essential tremor (ET) patients; (ii) whether the frequency of repositioning changed over time; (iii) whether patients’ age or disease duration (in PD) influenced the frequency of repositioning. Methods Data on the planned and the final placement of 141 electrodes in 72 consecutive DBS treated patients (52 PD, 11 dystonia, 9 ET) was collected over the first 8 years of DBS implementation in a single center. An association between the rate of electrode repositioning and the patients’ age, disease duration and the time/year of implementation was explored. Results Analysis of all targets showed a change in final electrode placement in 39.7 % (56/141); 39.8 % (41/103) in PD, 40.9 % (9/22) in dystonia and 37.5 % (6/16) in ET. Annual analysis showed a decrease in rate of repositioning between the centre’s first and eighth year (p = 0.013) of implementation. No correlation was found between electrode repositioning rate and patient age (p = 0.42) nor disease duration (p = 0.09) in PD. Conclusion This retrospective analysis confirms the benefit of MER and intraoperative test stimulation during DBS surgery in determining the final electrode position during the early / initial period of implementing the procedure. Our findings show a learning curve in successful preoperative planning in our centre achieved through experience.
Ključne besede: deep brain stimulation, intraoperative monitoringa, asleep DBS
Objavljeno v DiRROS: 02.12.2025; Ogledov: 129; Prenosov: 56
.pdf Celotno besedilo (882,64 KB)
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254.
Long-term effect and reasons for switching and combining device-aided therapies in Parkinson’s Disease
Dejan Georgiev, Maja Trošt, 2025, pregledni znanstveni članek

Povzetek: Introduction. In the advanced stages of Parkinson’s disease (PD), when standard drug adjustments fail to sufficiently improve patients’ quality of life, device-aided therapies (DATs) such as deep brain stimulation (DBS), continuous subcutaneous apomorphine infusion (CSAI), levodopa-carbidopa intestinal gel infusion (LCIG), levodopa-carbidopa-entacapone intestinal gel infusion, or continuous subcutaneous foslevodoa-foscarbidopa infusion are beneficial in the long run. However, sometimes patients need to switch or combine DATs due to either adverse events or loss of efficacy. Aim of study. The aim of this article was to summarise the existing data on the long-term efficacy and adverse events of DATs, and to review the data on the rationale and efficacy for switching or combining DATs in advanced PD. State of the art. A total of 50 studies on the long-term efficacy of DBS (N = 28), LCIG (N = 12), CSAI (N = 10) and 13 studies on switching and combining DATs were included in this review. Although the DATs show a favourable long-term effect on the main motor and non-motor symptoms of PD they all feature specific adverse events that need to be considered when deciding which DAT to offer to a particular patient. Occasionally, switching or combining DATs is recommended, e.g. if the first DAT shows inadequate symptom control, or due to adverse events. The choice of the second DAT depends above all on the main problems of the first DAT being correctly recognised. Clinical implications. DATs are a safe and long-term effective option for the treatment of advanced PD. Switching and/or combining DATs is recommended for patients in whom the first treatment option is not optimal. Future directions. Future studies are warranted to address the unresolved issues related to long-term efficacy, side effect profile and switching and combination of DATs in multicentric studies and using advanced analytical approaches such as machine learning.
Ključne besede: advanced Parkinson’s Disease, device-aided therapies, long-term effect of device-aided therapies
Objavljeno v DiRROS: 02.12.2025; Ogledov: 117; Prenosov: 58
.pdf Celotno besedilo (310,56 KB)
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255.
Presentation, management, and outcome of tick-borne encephalitis in patients referred to infectious diseases or neurology
Jana Gulin, Lučka Marija Neudauer, Nataša Kejžar, Fajko Bajrović, Stefan Collinet-Adler, Daša Stupica, 2025, izvirni znanstveni članek

Povzetek: Background: In Slovenia, patients with suspected tick-borne encephalitis (TBE) were historically referred to infectious diseases (ID), but during the COVID-19 pandemic, there were increased referrals to neurology. This study compared the clinical management of TBE patients between ID specialists and neurologists and assessed patients’ outcomes. Methods: We retrospectively reviewed the clinical, laboratory, and imaging data of 318 adult patients with TBE managed by ID (n = 256; 80.5%) and neurology (n = 62; 19.5%) at a tertiary centre in Slovenia between March 2020 and September 2022 to explore variations in diagnostic and therapeutic approaches by specialty and to assess the severity and outcome of acute illness. Results: Patients referred to ID or neurology did not differ regarding their basic demographic and epidemiologic characteristics or basic laboratory parameters. However, patients referred to neurology more often presented with severe illness, including impaired consciousness and/or focal neurological signs (72.6% vs. 55.5%; p < 0.001). ID specialists used head imaging before lumbar puncture (6.6% vs. 64.5%; p < 0.001), performed microbiological tests other than for TBE (16.0% vs. 51.6%; p < 0.001), and empirically prescribed antimicrobials less often than neurology (5.1% vs. 22.6%; p < 0.001). When adjusting for age, sex, comorbidities, vaccination status, and the severity of acute illness, clinical outcomes were similar between the two groups of patients, but those with more severe acute illness had higher odds for incomplete recovery. Conclusions: Differences in clinical presentation between ID and neurology referrals could only partially explain the narrower diagnostic and therapeutic approach used by ID, which, given the study design, was not associated with adverse outcomes. Additionally, in patients with clinical characteristics suggestive of TBE in endemic areas, tremor in the absence of other focal neurological signs or impaired consciousness may not necessitate head imaging before lumbar puncture. Future prospective studies could help to optimise the management of this clinical syndrome.
Ključne besede: tick-borne encephalitis, clinical management, neuroimaging, outcomes, lumbar puncture
Objavljeno v DiRROS: 02.12.2025; Ogledov: 157; Prenosov: 50
.pdf Celotno besedilo (353,23 KB)
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256.
Episiotomy and innervation zones of the external anal Sphincter : a case series investigating the impact on neurological patterns
Kristina Drusany Starič, Gregor Norčič, Giorgia Campo, Rosario Emanuele Carlo Distefano, 2025, izvirni znanstveni članek

Povzetek: Objective: To investigate the impact of mediolateral episiotomy on the innervation zones of the External Anal Sphincter (EAS) in the absence and presence of direct muscular injury. Methods: This case series examined four primiparous women, including three who underwent vaginal deliveries with mediolateral episiotomy and one cesarean section case for reference. Pre- and post-delivery assessments utilized surface electromyography (sEMG) and endoanal ultrasound to evaluate changes in the EAS’s innervation zones and obstetrical EAS injuries, alongside the Wexner score for fecal incontinence. Results: Mediolateral episiotomy can alter the innervation pattern of the EAS, with a significant reduction in innervation zones observed in the episiotomy cases compared to the reference cesarean section case. This alteration was evident even in the absence of visible EAS injury, suggesting episiotomy’s potential to disrupt EAS functionality. Notably, the Wexner score indicated varying degrees of fecal incontinence among the episiotomy cases. Conclusion: Mediolateral episiotomy may impact the EAS’s innervation pattern, highlighting the importance of considering individual innervation zones in episiotomy planning. While the integration of sEMG into routine clinical practice is still evolving, this study underscores its potential as an additional tool for assessing neural integrity, particularly in cases of anal sphincter injury and reconstruction. Future research should explore the dynamics of re-innervation and the correlation between vascular injury and reduced innervation zones to enhance patient-specific care in pelvic floor dysfunction
Ključne besede: episiotomy, external anal Sphincter, innervation zones, surface electromyography, fecal incontinence
Objavljeno v DiRROS: 02.12.2025; Ogledov: 101; Prenosov: 50
.pdf Celotno besedilo (5,75 MB)
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257.
Heterozygous BTNL8 variants in individuals with multisystem inflammatory syndrome in children (MIS-C)
Evangelos Bellos, Dilys Santillo, Pierre Vantourout, Heather R. Jackson, Amedine Duret, Henry Hearn, Yoann Seeleuthner, Estelle Talouarn, Stephanie Hodeib, Harsita Patel, Tadej Avčin, Katarina Vincek, 2024, izvirni znanstveni članek

Povzetek: Multisystem inflammatory syndrome in children (MIS-C) is a rare condition following SARS-CoV-2 infection associated with intestinal manifestations. Genetic predisposition, including inborn errors of the OAS-RNAseL pathway, has been reported. We sequenced 154 MIS-C patients and utilized a novel statistical framework of gene burden analysis, “burdenMC,” which identified an enrichment for rare predicted-deleterious variants in BTNL8 (OR = 4.2, 95% CI: 3.5–5.3, P < 10−6). BTNL8 encodes an intestinal epithelial regulator of Vγ4+γδ T cells implicated in regulating gut homeostasis. Enrichment was exclusive to MIS-C, being absent in patients with COVID-19 or bacterial disease. Using an available functional test for BTNL8, rare variants from a larger cohort of MIS-C patients (n = 835) were tested which identified eight variants in 18 patients (2.2%) with impaired engagement of Vγ4+γδ T cells. Most of these variants were in the B30.2 domain of BTNL8 implicated in sensing epithelial cell status. These findings were associated with altered intestinal permeability, suggesting a possible link between disrupted gut homeostasis and MIS-C-associated enteropathy triggered by SARS-CoV-2.
Ključne besede: human diseases genetics, Infectious diseases and host defense, innate immunity and inflammation, SARS-Cov-2
Objavljeno v DiRROS: 02.12.2025; Ogledov: 203; Prenosov: 104
.pdf Celotno besedilo (6,23 MB)
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258.
259.
Taxonomy of digital twins for power grids
Tanja Pavleska, 2026, izvirni znanstveni članek

Povzetek: Digital twins (DTs) are increasingly adopted in the energy sector, yet existing conceptual frameworks and maturity models remain largely generic, limiting their usefulness for power grid applications with stringent requirements for resilience, security, and lifecycle integration. This paper proposes an upgraded taxonomy of DTs tailored to power grid systems, extending earlier generic frameworks and aligning them with the ISO/IEC30186:2025 maturity model. The taxonomy introduces domain-specific dimensions, including cyber-physical security integration, intelligence level, and multi-layered data architectures, while ensuring compatibility with internationally standardized maturity aspects. A comprehensive literature analysis and co-occurrence study underpin the revisions, ensuring both methodological rigor and relevance to current research and practice. The taxonomy’s analytical and practical value is demonstrated through its application to three real-world DT use cases: KOEN (generation-focused), Elvia (distribution-focused), and Bentley OpenUtilities (lifecycle-integrated). Comparative benchmarking across these cases highlights both commonalities and context-dependent maturity profiles, confirming that DT maturity is not absolute but shaped by organizational objectives, technical architectures, and sectoral priorities. The taxonomy also enables scenario-based reasoning and role-specific insights, supporting cybersecurity analysis, operational decision-making, and business risk evaluation. By combining academic rigor, sector-specific focus, and alignment with international standards, the proposed taxonomy offers a replicable framework for assessing and improving DT maturity in power grids. An interactive tool, openly available on GitHub, further supports its practical application by enabling benchmarking, visualization, and recommendations. In this way, the work contributes both to scholarly discourse on DT conceptualization and to the practical adoption of maturity frameworks by utilities, regulators, and technology providers.
Ključne besede: taxonomy, power grids, digital twin, co-occurrence analysis
Objavljeno v DiRROS: 02.12.2025; Ogledov: 83; Prenosov: 43
.pdf Celotno besedilo (6,27 MB)
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260.
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