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Predictors of stroke volume improvement with AV-optimized conduction system pacing in patients with AV dromotropathy
Anja Zupan Mežnar, Tadej Žlahtič, Miha Mrak, Maja Ivanovski, David Žižek, 2026, other scientific articles

Abstract: Aims: Patients with first-degree atrioventricular (AV) block and mechanical AV dyssynchrony can present with heart failure (HF)- like symptoms. AV-optimized conduction system pacing (CSP) can improve haemodynamics and symptoms, but selection criteria remain uncertain. We aimed to identify electrocardiographic and echocardiographic predictors of an acute haemodynamic response to AV-optimized CSP in symptomatic first-degree AV block. Methods and Results: Nineteen patients (mean age 60.5 ± 21.1 years; 37% female) with symptomatic first-degree AV block underwent baseline electrocardiography and echocardiography followed by AV-optimized conduction system pacing and repeat echocardiographic assessment. Electrocardiographic parameters (PR interval, P wave duration/PR interval ratio) and echocardiographic indices (E/A wave confluence, A-Q interval, and DFT/RR ratio) were tested for association with change in left ventricular stroke volume (LVSV). The mean PR interval was 395 ± 61 ms, the mean A-Q interval 155 ± 65 ms, and the mean DFT/RR ratio 0.34 ± 0.1. E/A wave confluence was present in 15 patients (79%). AV-optimized pacing increased LVSV by 7.8 ± 3.9 ml, corresponding to an 11.8 ± 5.7% relative increase (P < .01). Echocardiographic parameters were associated with LVSV response, including A-Q interval (r = 0.63, P = .004), DFT/RR ratio (r = −0.59, P = .008), and E/A wave confluence (r = 0.57, P = .01). Electrocardiographic parameters were not associated with LVSV change. Conclusions: Echocardiographically assessed mechanical AV dyssynchrony, rather than electrocardiographic parameters, is associated with an acute haemodynamic response to pacing. Echocardiographic evaluation may help identify patients with prolonged PR interval who could benefit from AV-optimized CSP.
Keywords: atrioventricular dyssynchrony, atrioventricular conduction block, conduction system pacing, atrioventricular optimization
Published in DiRROS: 08.04.2026; Views: 200; Downloads: 150
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A methodology for multi-label algorithm selection in constrained multiobjective optimization
Andrejaana Andova, Jordan Cork, Tea Tušar, Bogdan Filipič, 2025, original scientific article

Abstract: Algorithm selection in optimization is often done by considering a single best-performing algorithm per problem. However, sometimes multiple algorithms perform comparably well on the same optimization problem, and in such cases, it would be appropriate to consider all of them as best performing. Hence, this work proposes an algorithm selection methodology that enables the identification and prediction of multiple algorithms as best performing. More specifically, the methodology involves first identifying the best-performing algorithms using statistical tests that show when the algorithms perform comparably well. Then, these algorithms are set as targets to machine learning models that can predict multiple algorithms as best performing. Finally, an evaluation measure is introduced to assess the performance of the algorithm selection models. The proposed methodology is applied to constrained multiobjective optimization.
Keywords: spatial signal encoding, exploratory landscape analysis, constrained multiobjective optimization
Published in DiRROS: 23.03.2026; Views: 231; Downloads: 145
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Optimizing OPM-MEG sensor layouts using the sequential selection algorithm with simulated sources and individual anatomy
Urban Marhl, Rok Hren, Tilmann Sander, Vojko Jazbinšek, 2026, original scientific article

Abstract: Magnetoencephalography (MEG) based on optically pumped magnetometers (OPMs) offers the flexibility to position sensors closer to the scalp, which improves the signal-to-noise ratio compared to conventional superconducting quantum interference device (SQUID) systems. However, the spatial resolution of OPM-MEG critically depends on sensor placement, especially when the number of sensors is limited. In this study, we present a methodology for optimizing OPM-MEG sensor layouts using each subject’s anatomical information derived from individual magnetic resonance imaging (MRI). We generated realistic forward models from reconstructed head surfaces and simulated magnetic fields produced by equivalent current dipoles (ECDs). We compared multiple simulation strategies, including ECDs randomly distributed across the cortical surface and ECDs constrained to regions of interest. For each simulated magnetic field map (MFM) database, we applied the sequential selection algorithm (SSA) to identify sensor positions that maximized information capture. Unlike previous approaches relying on large measurement databases, this simulation-driven strategy eliminates the need for extensive pre-existing recordings. We benchmarked the performance of the personalized layouts using OPM-MEG datasets of auditory evoked fields (AEFs) derived from real whole-head SQUID-MEG measurements. Our results show that simulation-based SSA optimization improves the coverage of cortical regions of interest, reduces the number of sensors required for accurate source reconstruction, and yields sensor configurations that perform comparably to layouts optimized using measured data. To evaluate the quality of estimated MFMs, we applied metrics such as the correlation coefficient (CC), root-mean-square error, and relative error. Our results show that the first 15 to 20 optimally selected sensors (CC > 0.95) capture most of the information contained in full-head MFMs. Additionally, we performed source localization for the highest auditory response (M100) by fitting equivalent current dipoles and found that localization errors were < 5 mm. The results further indicate that SSA performance is insensitive to individualized head geometry, supporting the feasibility of using representative anatomical models and highlighting the potential of this approach for clinical OPM-MEG applications.
Keywords: medical imaging, magnetoencephalography, sensor optimization
Published in DiRROS: 17.02.2026; Views: 369; Downloads: 190
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Optimisation of a sample preparation method for the determination of multi-elemental compositions in human hair by triple quadrupole ICP-MS analysis
Agneta Annika Runkel, Marta Jagodic Hudobivnik, Igor Živković, Polona Klemenčič, Darja Mazej, Milena Horvat, 2026, original scientific article

Abstract: Monitoring toxic elements has a long tradition in Slovenia due to historical mining. More recently, attention has shifted to essential elements, since both deficiencies and excesses can harm health. Regular monitoring of (non-)essential elements supports risk assessment and policymaking. While urine and blood are common biomonitoring matrices, hair offers a non-invasive alternative that reflects exposure over several months, though standardised methodologies for hair analysis remain limited. This study aimed to develop and validate a sensitive and robust analytical method for the determination of 29 elements in human hair, addressing key challenges in sample preparation and contamination control. We developed a sensitive and robust method for the determination of 29 elements (Ag, Al, As, Ba, Ca, Cd, Co, Cr, Cu, Fe, Hg, K, Mg, Mn, Mo, Na, Ni, P, Pb, Rb, S, Sb, Se, Sn, Sr, Ti, U, V, and Zn) in 3 cm segments of human hair that involves a washing procedure with acetone and Milli-Q water, microwave digestion with 65% HNO3, and analysis with Triple Quadrupole Inductively Coupled Plasma Mass Spectrometry (ICP-MS/MS). Evaluation of preparation steps revealed stainless-steel scissors as a major contamination source. Glass digestion vessels were unsuitable for several elements due to high detection limits and relative standard deviations. The optimised method reduced analytical variability and improved sensitivity compared to published protocols. This validated method enables reproducible multi-elemental analysis in hair, highlights overlooked contamination risks, and is now applied in human biomonitoring studies to strengthen exposure assessment and standardisation efforts.
Keywords: determination of elements, optimization, human biomonitoring
Published in DiRROS: 27.01.2026; Views: 322; Downloads: 208
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Optimizing foamed glass production with machine learning
Uroš Hribar, Sintija Stevanoska, Christian Leonardo Camacho Villalón, Matjaž Spreitzer, Jakob Koenig, Sašo Džeroski, 2025, original scientific article

Abstract: Foamed glass is a lightweight material commonly used for insulation. However, optimizing its properties remains a challenge due to the large number of synthesis parameters involved in its production. While previous studies have investigated synthesis conditions, a comprehensive study applying machine learning approaches is lacking in the literature. In this paper, we apply machine learning methods, i.e., random forests of predictive clustering trees and a multilayer perceptron, training them on 124 experimental data points to accurately predict the apparent density and closed porosity of foamed glass. We then apply a multiobjective optimization algorithm together with the multilayer perceptron to find optimal values for the process parameters used in foamed glass production. Our results show that the combination of machine learning and multiobjective optimization is an effective proxy for the development of novel foamed glass materials.
Keywords: process optimization, machine learning, foamed glass
Published in DiRROS: 18.11.2025; Views: 642; Downloads: 255
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Potential for improving the environmental sustainability of natural aggregates production (Slovenian case study)
Janez Turk, Anja Kodrič, Rok Cajzek, Tjaša Zupančič Hartner, 2025, original scientific article

Abstract: The environmental performance of natural aggregates for concrete and road construction, extracted from a dolomite quarry, was investigated. Environmental hotspots were identified, and potential optimization measures to further reduce the environmental footprint were proposed. The natural aggregates extracted from the dolomite quarry have relatively low GWP and a low environmental footprint in general. The GWP of 1 tonne of natural aggregates used in concrete production is 1.13 kg CO2 equiv., while for 1 tonne of aggregates used in road construction, it is 0.97 kg CO2 equiv. The dolomite rock in the quarry in question is tectonically fractured, such that very intensive extraction is not required, taking into account the blasting of the rock and further processing. The use of non-road mobile machinery is already optimized. Additional reductions in environmental impact could be achieved by powering the screening process exclusively with electricity from renewable sources, such as a photovoltaic system. In this context, integrating on-site battery storage systems might present a promising solution for addressing the seasonal mismatch between solar energy generation and processing demands.
Keywords: rock extraction, global warming potential, environmental impact, optimization, sensitivity
Published in DiRROS: 15.10.2025; Views: 553; Downloads: 289
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