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41.
Priporočila za obravnavo bolnikov s pljučnim rakom
Martina Vrankar, Nina Boc, Izidor Kern, Aleš Rozman, Karmen Stanič, Tomaž Štupnik, Mojca Unk, Maja Ebert Moltara, Vesna Zadnik, Katja Adamič, Jernej Benedik, Marko Bitenc, Jasna But-Hadžić, Anton Crnjac, Marina Čakš, Dominik Časar, Eva Ćirić, Tanja Čufer, Ana Demšar, Rok Devjak, Goran Gačevski, Marta Globočnik Kukovica, Kristina Gornik-Kramberger, Maja Ivanetič Pantar, Marija Ivanović, Urška Janžič, Staša Jelerčič, Veronika Kloboves-Prevodnik, Mile Kovačević, Luka Ležaič, Mateja Marc-Malovrh, Katja Mohorčič, Loredana Mrak, Igor Požek, Nina Turnšek, Bogdan Vidmar, Dušanka Vidovič, Gregor Vlačić, Ana Lina Vodušek, Rok Zbačnik, Ivana Žagar, 2023, professional article

Abstract: Leta 2019 so bila objavljena Priporočila za obravnavo bolnikov s pljučnim rakom, ki so v slovenski prostor vnesla prepotrebno poenotenje diagnostike in zdravljenja z namenom izboljšanja preživetja bolnikov s pljučnim rakom. Posodobitev Priporočil tri leta po izidu izvirnika prinaša največ novosti v poglavju o sistemskem zdravljenju bolnikov s pljučnim rakom. To kaže na izjemen napredek na področju razumevanja onkogeneze in biologije pljučnega raka ter s tem razvoja novih zdravil. Breme pljučnega raka ostaja veliko, saj je pljučni rak pri nas in v svetu še vedno najpogostejši vzrok smrti zaradi raka. Za vsako peto smrt zaradi raka je odgovoren pljučni rak. Skoraj tretjina bolnikov s pljučnim rakom ne prejme specifičnega onkološkega zdravljenja, bodisi zaradi slabega stanja zmogljivosti, spremljajočih bolezni ali obsega bolezni. Polovica bolnikov ima ob diagnozi razsejano bolezen, zaradi česar izboljšanje preživetja z malimi koraki sledi napredku v zdravljenju bolnikov s pljučnim rakom. Ti podatki nas opominjajo, da se bomo morali za velike premike v obravnavi bolnikov s pljučnim rakom lotiti drugačnih pristopov. Kot najbolj obetavno se ponuja zgodnje odkrivanje bolezni, ko so možnosti ozdravitve pljučnega raka najboljše. Zapisana Priporočila so usmeritev za obravnavo bolnikov s pljučnim rakom. Le s sodobnim multidisciplinarnim pristopom obravnave lahko bolniku ponudimo zdravljenje, ki mu omogoča najboljši izhod prognostično neugodne bolezni.
Keywords: pljučni rak, priporočila
Published in DiRROS: 27.07.2023; Views: 382; Downloads: 136
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42.
The deformation of alkali-activated materials at an early age under different curing conditions
Mark Češnovar, Katja Traven, Vilma Ducman, 2021, original scientific article

Abstract: The production of alkali-activated materials (AAMs) is known for its environmentally friendly processing method, where several amorphous-rich aluminosilicate material sources combine with an alkali media solution to form solid, ceramic-like materials. In terms of the Si:Al, Na(K):Al, and Na(K):H2O ratios, the theory of AAM formation is quite well developed, but some open questions in the technology process remain, especially with regards to the means of curing, where the generation of defects can be persistent. Knowing that deformation is extremely high in the early ages, this study investigates the effects of temperature and moisture on shrinkage behavior within the first 72 h of AA pastes made from ladle (LS) and electric arc furnace (EAF) slag and activated by sodium silicate (Na2SiO3). The method to determine the deformation of alkali-activated slag-based materials, in terms of both autogenous and drying shrinkage, was based on the modified ASTM C1698-19 standard for the measurement of autogenous shrinkage in cement pastes. Autogenous deformation and strain were measured in four samples, using the standard procedure at room temperature, 40 and 60°C. Furthermore, using an adjusted method, nine samples were characterized for strain and partial surface pressure, while drying at room temperature, 40, or 60°C at a relative humidity of 30 or 90%. The results show that the highest rate of autogenous shrinkage occurred at a temperature of 60°C, followed by drying shrinkage at 60°C and 30% relative humidity, owing to the fact that the rate of evaporation was highest at this moisture content. The study aimed to provide guidance regarding selection of the optimal curing set in order to minimize deformations in slag-based alkali-activated materials. In the present case, curing at a temperature of around 40°C under lower moisture conditions for the first 24 h provided optimal mechanical properties for the slags investigated. The methodology might also be of use for other aluminosilicate sources such as metakaolin, fly ash, and mineral wool–based alkali-activated materials.
Keywords: alkali-activated materials, slag, drying, autogenous shrinkage, partial surface pressure, curing deformation
Published in DiRROS: 03.07.2023; Views: 372; Downloads: 134
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43.
Environmental and biological impact of fly ash and metakaolin-based alkali-activated foams obtained at 70°C and Fired at 1,000°C
Cristina Leonelli, Janez Turk, Giovanni Dal Poggetto, Michelina Catauro, Katja Traven, Alenka Mauko Pranjić, Vilma Ducman, 2022, original scientific article

Abstract: Alkali-activated foams (AAFs) are inorganic porous materials that can be obtained at temperatures well below 100° C with the use of inorganic wastes as aluminosilicate precursors. In this case, fly ash derived from a Slovenian power plant has been investigated. Despite the environmental benefits per se, due to saving of energy and virgin materials, when using waste materials, it is of extreme importance to also evaluate the potential leaching of heavy metal cations from the alkali-activated foams. This article presents an environmental study of a porous geopolymer derived from this particular fly ash, with respect to the leachability of potentially hazardous elements, its environmental toxicity as determined by biological testing, and the environmental impact of its production. In particular, attention was focused to investigate whether or not 1,000 °C-fired alkali- activated fly ash and metakaolin-based foams, cured at 70 °C, are environmentally friendlier options compared to unfired ones, and attempts to explain the rationale of the results were done. Eventually, the firing process at 1,000 ° C, apart from improving technical performance, could reinforce heavy metal cation entrapment within the aluminosilicate matrix. Since technical performance was also modified by addition of different types of activators (K-based or Na-based), as well as by partial replacement of fly ash with metakaolin, a life cycle assessment (LCA) analysis was performed to quantify the effect of these additions and processes (curing at 70 ° C and firing at 1,000 °C) in terms of global warming potential. Selected samples were also evaluated in terms of leaching of potentially deleterious elements as well as for the immobilization effect of firing. The leaching test indicated that none of the alkali-activated material is classified as hazardous, not even the as-received fly ash as component of new AAF. All of the alkali-activated foams do meet the requirements for an inertness. The highest impact on bacterial colonies was found in samples that did not undergo firing procedures, i.e., those that were cured at 70 °C, which induced the reduction of bacterial Enterococcus faecalis viability. The second family of bacteria tested, Escherichia coli, appeared more resistant to the alkaline environment (pH = 10–12) generated by the unfired AAMs. Cell viability recorded the lowest value for unfired alkali-activated materials produced from fly ash and K-based activators. Its reticulation is only partial, with the leachate solution appearing to be characterized with the most alkaline pH and with the highest ionic conductivity, i.e., highest number of soluble ions. By LCA, it has been shown that 1) changing K-based activators to Na-based activators increases environmental impact of the alkali-activated foams by 1%–4% in terms of most of the impact categories (taking into account the production stage). However, in terms of impact on abiotic depletion of elements and impact on ozone layer depletion, the increase is relatively more significant (11% and 18%, respectively); 2) replacing some parts of fly ash with metakaolin also results in relatively higher environmental footprint (increase of around 1%–4%, while the impact on abiotic depletion of elements increases by 14%); and finally, 3) firing at 1,000°C contributes significantly to the environmental footprint of alkali- activated foams. In such a case, the footprint increases by around one third, compared to the footprint of alkali-activated foams produced at 70 ° C. A combination of LCA and leaching/toxicity behavior analysis presents relevant combinations, which can provide information about long-term environmental impact of newly developed waste-based materials.
Keywords: alkali activated materials, geopolimers, leaching, LCA
Published in DiRROS: 20.06.2023; Views: 272; Downloads: 158
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44.
Microstructural characterization of alkali-activated composites of lightweight aggregates (LWAs) embedded in alkali-activated foam (AAF) matrices
Katja Traven, Wolfgang Wisniewski, Mark Češnovar, Vilma Ducman, 2022, original scientific article

Abstract: Alkali-activated composites of lightweight aggregates (LWAs, with beneficial insulating properties) and alkali-activated foams (AAFs, higher added value products due to their production from waste materials at well below 100 ◦C) allow for the expectation of superior properties if a chemical bonding reaction or mechanical interlocking occurs during production. However, the interfaces between LWAs and an AAF have not been studied in detail so far. Chemical reactions are possible if the LWA contains an amorphous phase which can react with the alkaline activators of the AAF, increase the bonding, and thus, also their mechanical strengths. These, in turn, allow for an improvement of the thermal insulation properties as they enable a further density reduction by incorporating low density aggregates. This work features a first-detailed analyses of the interfaces between the LWAs’ expanded polystyrene, perlite, expanded clay and expanded glass, and the alkali-activated foam matrices produced using industrial slags and fly ash. Some are additionally reinforced by fibers. The goal of these materials is to replace cement by alkali-activated waste as it significantly lowers the environmental impact of the produced building components.
Keywords: alkali activated materials/geopolymers, light weight aggregates, SEM
Published in DiRROS: 20.06.2023; Views: 346; Downloads: 178
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45.
Sproščanje dejavnikov imunogene celične smrti HMGB1 in ATP iz celičnih linij se povečuje s časom po obsevanju
Urša Kešar, Tanja Jesenko, Boštjan Markelc, Katja Uršič Valentinuzzi, Maja Čemažar, Primož Strojan, Gregor Serša, 2023, published scientific conference contribution abstract

Keywords: miši, obsevanje, radioterapija
Published in DiRROS: 19.06.2023; Views: 305; Downloads: 143
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46.
Imunoterapija z bakteriofagi, ki na plaščnih proteinih predstavljajo tumorski peptid MAGE-A1 za zdravljenje malignega melanoma
Nuša Brišar, Katja Šuster, Simona Kranjc Brezar, Andrej Cör, 2023, published scientific conference contribution abstract

Keywords: imunoterapija, melanom, bakteriofagi
Published in DiRROS: 19.06.2023; Views: 340; Downloads: 147
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47.
Dinamika dolžine telomerov v levkocitih po zdravljenju z obsevanjem pri raku dojk
Tanja Marinko, Sara Redenšek Trampuž, Ana Trstenjak, Vita Dolžan, Katarina Trebušak Podkrajšek, Katja Goričar, 2023, published scientific conference contribution

Abstract: Obsevanje je del standardnega zdravljenja bolnic z rakom dojk. Odgovor na zdravljenje z obsevanjem je pri vsakem posamezniku drugačen in je odvisen tudi od genetskih dejavnikov. Eden od novejših genetskih označevalcev odgovora na obsevanje je dolžina telomerov. Telomeri ščitijo kromosome pred krajšanjem in vzdržujejo genomsko stabilnost. Rezultati naše raziskave kažejo, da se dinamika spreminjanja dolžine telomerov takoj po zdravljenju z obsevanjem in v šestih mesecih po obsevanju pri bolnicah z neinvazivnim rakom dojk spreminja in bi lahko služila kot biološki označevalec odgovora na obsevanje. Molekularni mehanizmi, povezani s tem procesom, ostajajo zaenkrat večinoma neraziskani.
Keywords: rak dojk, obsevanje, onkološko zdravljenje
Published in DiRROS: 16.06.2023; Views: 339; Downloads: 131
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48.
Fizikalni modeli imunoterapije in radioterapije
Damijan Valentinuzzi, Martina Vrankar, Katja Uršič Valentinuzzi, Mojca Unk, Olga Gordeeva, Alen Hadžić, Gregor Serša, Maja Čemažar, Robert Jeraj, 2023, published scientific conference contribution

Abstract: V prispevku bomo predstavili rezultate fizikalnih modelov imunoterapije, ki smo jih razvili v programski skupini Medicinska fizika na Fakulteti za matematiko in fiziko Univerze v Ljubljani. Glavni cilj raziskav je bila prepoznava bioloških značilnosti tumorjev, od katerih je odvisen odziv na zdravljenje s protitelesi receptorja programirane celične smrti l (angl. anti-programmed-death-1 (anti-PD-1)). Posebno pozornost smo namenili meritvam modelskih parametrov ter preverbi rezultatov modeliranja, kar je eden izmed predpogojev za uspešno translacijo modeliranja v rutinsko predklinično in klinično prakso. Predstavili bomo tudi načrte za prihodnost, tj. modeliranje kombinacije anti-PD-1 in radioterapije.
Keywords: imunoterapija, radioterapija, medicinska fizika, tumorji
Published in DiRROS: 16.06.2023; Views: 371; Downloads: 96
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49.
Sustainable alkali-activated slag binders based on alternative activators sourced from mineral wool and glass waste
Majda Pavlin, Katja Koenig, Jakob Koenig, Uroš Javornik, Vilma Ducman, 2022, original scientific article

Abstract: In the present study, four different locally available waste glass materials (bottle glass-BG, glass wool-GW, stone wool-SW and cathode-ray tube glass-CRTG) were treated with hot concentrated potassium hydroxide (KOH) in order to obtain alternative alkali activators (AAAs). We evaluated the suitability of the solutions obtained for use as AAAs in the production of AAMs. AAMs were prepared using electric arc furnace slag and selected AAAs with a higher content of dissolved Si. We evaluated the performance of the AAMs in comparison to that of slags activated with KOH or potassium-silicate (K-silicate). The compressive strength of the AAMs prepared with KOH-based AAAs were high when Si and Al were simultaneously abundant in the AAA (9.47 MPa when using the activator sourced from the CRTG), and low with the addition of KOH alone (1.97 MPa). The AAM produced using commercial K-silicate yielded the highest compressive strength (27.7 MPa). The porosity of the KOH-based AAM was lowest when an alternative BG-based activator was used (24.1%), when it was similar to that of the AAM prepared with a K-silicate. The BG-based activator had the highest silicon content (33.1 g/L), and NMR revealed that Si was present in the form of Q0, Q1 and Q2. The concentrations of toxic trace elements in the AAAs used for alkali activation of the slag were also determined, and leaching experiments were performed on the AAMs to evaluate the immobilisation potential of alkali-activated slag. In the SW AAAs the results show acceptable concentrations of trace and minor elements with respect to the regulations on waste disposal sites, while in the activators prepared from BG, CRTG and GW some elements exceeded the allowable limits (Pb, Ba, Sb, and As).
Keywords: alkali activated materials/geopolymers, alternative activators, NMR, leaching
Published in DiRROS: 08.06.2023; Views: 303; Downloads: 196
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50.
Digitalization of culturally significant buildings: ensuring high-quality data exchanges in the heritage domain using OpenBIM
Laurens Jozef Nicolaas Oostwegel, Štefan Jaud, Sergej Muhič, Katja Malovrh Rebec, 2022, original scientific article

Abstract: Cultural heritage building information models (HBIMs) incorporate specific geometric and semantic data that are mandatory for supporting the workflows and decision making during a heritage study. The Industry Foundation Classes (IFC) open data exchange standard can be used to migrate these data between different software solutions as an openBIM approach, and has the potential to mitigate data loss. Specific data-exchange scenarios can be supported by firstly developing an Information Delivery Manual (IDM) and subsequently filtering portions of the IFC schema and producing a specialized Model View Definition (MVD). This paper showcases the creation of a specialized IDM for the heritage domain in consultation with experts in the restoration and preservation of built heritage. The IDM was then translated into a pilot MVD for heritage. We tested our developments on an HBIM case study, where a historic building was semantically enriched with information about the case study’s conservation plan and then checked against the specified IDM requirements using the developed MVD. We concluded that the creation of an IDM and then the MVD for the heritage domain are achievable and will bring us one step closer to BIM standardisation in the field of digitised cultural buildings.
Keywords: HBIM, IFC, MVD, IDM, conservation plan, FOSS
Published in DiRROS: 07.06.2023; Views: 252; Downloads: 122
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