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Maritime studies, encompassing a range of disciplines, increasingly rely on advanced data analytics, particularly in the context of navigation. As technology advances, the statistical averaging of large datasets has become a critical component of these analyses. However, recent studies have highlighted discrepancies between statistical predictions and observable realities, especially in high-stress environments like port approach procedures conducted by marine pilots. This study analyzed physiological responses recorded during simulation exercises involving experienced marine pilots. The focus was not on the specific outcomes of the simulations but on the potential faults arising from conventional statistical signal processing, particularly mean-centered approaches. A large dataset of signals was generated, including one signal with a dominant characteristic intentionally designed to introduce imbalance, mimicking the uneven distribution of real-world data. Initial analysis suggested that the average physiological response of the pilots followed an S-shaped curve, indicative of a psycho-physiological reaction to stress. However, further post hoc analysis revealed that this pattern was primarily influenced by a single participant's data. This finding raises concerns about the generalizability of the S-curve as a typical stress response in maritime pilots. The results underscore the limitations of relying solely on conventional statistical methods, such as mean-centered approaches, in interpreting complex datasets. The study calls into question the validity of standardizing data interpretations based on dominant characteristic curves, particularly in environments as intricate as maritime navigation. The research highlights the need for a re-evaluation of these methods to ensure more reliable and nuanced conclusions in maritime studies. This study contributes to the ongoing discourse on data interpretation in maritime research, emphasizing the critical need to re-assess conventional statistical signal processing techniques. By recognizing the potential pitfalls in data generalization, the study advocates for more robust analytical approaches to better capture the complexities of real-world maritime challenges., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Košir, Svetina, Perkovič, Dimc, Brcko and Žagar.)

Background: In patients who require venom immunotherapy (VIT), there is a need to identify underlying mast cell (MC) disorders since these may affect the risk and severity of future sting reactions and the long-term effectiveness of VIT., Methods: 1319 individuals with Hymenoptera venom allergy (HVA) who needed VIT from referral centers in Slovenia, Austria, Croatia, and Poland underwent examination for KIT p.D816V in peripheral blood leukocytes (PBL) using a highly sensitive PCR test and tryptase genotyping by digital droplet PCR. We also included 183 control individuals with large local reactions (LLRs) to Hymenoptera stings and with asymptomatic sensitization to Hymenoptera venoms., Results: 285 of 1319 individuals recommended for VIT (21.6%) were positive for KIT p.D816V in PBL, preferably those who present with severe reaction (33.9% [n = 207 of 610] with Ring-Messmer grade 3-4 vs. 11% [n = 78 of 709] with Grade 1-2; p < .0001), whereas only 1.3% (n = 2 of 152) of controls with LLR and none with asymptomatic sensitization (n = 31) had KIT p.D816V. KIT p.D816V allelic burden was higher in those with severe reaction (median 0.018% [n = 207] in Grade 3-4 vs. 0.001% [n = 78] in Grade 1-2; p < .0001), and the majority had normal baseline serum tryptase levels (69% [n = 196 of 285]). All KIT p.D816V-positive individuals (n = 41) who underwent bone marrow (BM) biopsy were found to have underlying clonal diseases, principally BM mastocytosis. HαT was also associated with severe HVA and symptoms (p < .01), and remarkably, 31.0% (n = 31 of 100) were found to have concomitant KIT p.D816V. Concomitant HαT and KIT p.D816V showed an additive effect, and having both was associated with the highest risk for severe HVA, even higher than having either HαT or KIT p.D816V alone (OR = 3.8; p < .01)., Conclusions: By employing prospective universal tryptase genotyping and examination for KIT p.D816V in PBL in large HVA populations, we have demonstrated a high burden of clonal MC disorders and HαT in patients who require VIT., (© 2024 The Authors. Allergy published by European Academy of Allergy and Clinical Immunology and John Wiley & Sons Ltd.)

Hereditary α tryptasemia (HαT) is an autosomal dominant trait characterized by increased TPSAB1 copy number (CN) encoding α-tryptase. The determination of HαT is being discussed as an important biomarker to be included in risk assessment models and future diagnostic algorithms for patients with mastocytosis and anaphylaxis. Due to the complex genetic structure at the human tryptase locus, genetic testing for tryptase gene composition is presently notably limited and infrequently pursued. This study aimed to develop, optimise and validate a multiplex droplet digital PCR (ddPCR) assay that can reliably quantify α- and β-tryptase encoding sequences in a single reaction. To optimise the ddPCR conditions and establish an amplitude-based multiplex ddPCR assay, additional primers and probes, a thermal gradient with varying annealing temperatures, different primers/probe concentrations, and various initial DNA quantities were tested. Results obtained from all 114 samples analysed using multiplex ddPCR were identical to those obtained through the use of original duplex assays. Utilizing this multiplex ddPCR assay, in contrast to conducting distinct duplex ddPCRs, presents noteworthy benefits for tryptase genotyping. These advantages encompass a substantial threefold decrease in material costs and considerable time savings. Consequently, this approach exhibits high suitability and particularly captures interest for routine clinical implementation., (© 2024. The Author(s).)

The main objective of the present study was to investigate factors related to seafarers' mental health. A sample of seafarers from 12 countries participated in the study. A list of stressors was used to assess both perception of exposure to these stressors and their subjective significance. The Symptom Checklist (SCL-90) was used to assess seafarers' mental health on 5 of 9 subscales: Depression, Anxiety, Hostility, Interpersonal Sensitivity, and Somatisation. Three significant findings emerged from the analyses. The first was that 3 types of stressors contribute significantly to mental health problems: (1) environmental factors (eg, vibration), (2) social problems (eg, bullying, homesickness, working alone), and (3) health problems (eg, physical injuries, viruses, and the illnesses). The second finding was that both stress and mental health issues determine seafarers' motivation for their work and their consideration regarding leaving the maritime industry. The third finding was that factors contributing to seafarers' consideration of leaving the industry were mainly related to social stressors such as isolation from family and friends, cultural differences at work, demands from supervisors, and bullying. Factors such as bad weather, working shifts, length of employment contract or a ban on disembarkment in ports were found to be relatively less important for seafarers as factors toward considering leaving the industry. The implications of these findings are discussed., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

The study examined the use of maladaptive coping strategies such as conflict, avoidance and self-blame in predicting anxiety and depression in couples undergoing IVF procedure. The target group consisted of 80 couples who started the IVF treatment at the Division of Obstetrics and Gynaecology, Ljubljana's University Medical Centre in Slovenia. The participants completed three scales: S/T Anxiety Inventory, CES Depression Scale, and Marital Coping Inventory. The results showed increased rates of depression compared to the normative population; 18% of women and 14% of men reported mild to moderate depression or the possibility of major depression. Women showed higher anxiety scores than men. Coping strategies predicted both depression and anxiety, with self-blame being the most toxic one. The study showed that self-blame is a coping strategy that should be properly addressed in the couples at the very outset of IVF treatment, to decrease emotional disorders and increase the likability of a succesful IVF medical procedures.

The purpose of this study is to analyse data from the marine pilots' bio-sensor readings to determine how experience affects their biometrical response during the port approach. The experiences play a significant role in the participant's decision-making process and correlate with the repetitions. Through the repetitions of the experimental task, the participants gain experience, which correlates with the biometrical response, e.g., heart rate, electrodermal activity, etc. After exposing the two experience-distinct groups of participants to the same simulated port-approaching task, their collected biometric data is analysed and discussed. The results show that biometrical readings of the less experienced participants typically vary compared to that of the experienced participants, who take the simulated task more seriously. The study also yields insight into the workload process, involving disturbing factors during the task.

We propose a new exercise, the abdominal rise on the ball, to replace the traditional crunch in exercise programs. The aim of this study is to compare the activity of the abdominal muscles when performing an ARB with the same activity when performing a traditional crunch. Twenty healthy adults participated in the study. Surface electromyography (EMG) was recorded from the upper and lower rectus abdominis (URA, LRA), internal oblique (IO), external oblique (EO), transversus abdominis (TrA), and erector spinae (ES). EMG values were normalized to maximal voluntary isometric contraction. A paired t -test, nonparametric Wilcoxon test and correlation coefficient were used for statistical analysis. The normalized EMG values of EO, TrA and ES, were statistically significantly higher during the abdominal rise on the ball compared to the traditional crunch, while URA, LRA and IO were significantly lower during the abdominal rise on the ball compared to the traditional crunch. TrA, EO and IO are sufficiently activated during an abdominal rise on a ball, so the exercise could be deemed effective for strengthening these muscles.

Purpose: The purpose of this study was to investigate the benefits of vision training with visual evoked potentials (VEP) biofeedback in amblyopia after the critical period in 8 to 17-year (11.5 ± 3.1) old children., Methods: Ten participants with monocular amblyopia after the critical period underwent a 10-week, 20-session vision training program with the Retimax Vision Trainer device. During each session, the participants were instructed to be as focused as possible onto the fixation point in the middle of the screen. The size of the fixation point and the pitch of the background sound were changing according to VEP parameters and thus provided the participants real-time feedback of their visual performance., Results: The mean BCVA improvement across our group was 0.12 LogMAR (p < 0.01). There was also a significant increase in contrast sensitivity to the FACT chart across all spatial frequencies (all p < 0.05). Electrophysiologic data revealed higher steady-state visual evoked potentials (SS-VEP) amplitudes and correspondingly lower fixation point values in the last 2 weeks of training compared to the first 2 weeks (both p < 0.01). Due to unexplainably low VEP amplitude levels in later trainings compared to those in the beginning in two participants, we have not found a significant correlation between the increase in BCVA and the increase in SS-VEP amplitude (p = 0.88). At the follow-up at 2 and 12 months following the end of training, both BCVA and contrast sensitivity remained within the levels achieved at the end of training. In some participants, however, no improvement of BCVA was observed., Conclusions: The tested vision training approach demonstrates modest but stable improvement of psychophysical parameters as well as objective characteristics in amblyopia after the critical period. Real-time SS-VEP can be used as an objective parameter to monitor participants' attention during vision training stimulation.

Objective: To identify the prevalence of and to determine the risk factors for developing a fear of childbirth (tokophobia)., Methods: We evaluated 191 pregnant women during Parenting and Childbirth Classes. Participants were approached when attending Parenting and Childbirth Classes between June 2014 and September 2014 and were asked to complete several questionnaires related to depression (CES-D), anxiety (STAI X1 and X2), satisfaction with life (SWLS), delivery expectation/experience (W-DEQ), and specific fears., Results: Most (90%) of the responders were nulliparous. As many as 75% of the participants reported low to moderate tokophobia, whereas 25% exhibited high or very high fear of childbirth. Pathological fear occurred in 1.6% of the participants. The most significant was the fear of having an episiotomy followed by fear of having no control on the situation and fear of pain. An association exists between a preferred elective cesarean birth and tokophobia., Conclusions: The results draw attention to the need for early detection and treatment of fear of childbirth. The data may help identifying women at risk that require prenatal psychological intervention.

Objective: Many studies addressing age-related changes in driving performance focus on comparing young vs. older drivers, which might lead to the biased conclusion that driving performance decreases only after the age of 65. The main aim of the study was to show that changes in driving performance are progressive throughout the adult years., Methods: A sample of 351 drivers aged 20 to 80 was assessed for their reaction times while driving between road cones. The drivers were exposed to 2 conditions varying according to task complexity. In single task conditions, the drivers performed a full stopping maneuver at a given signal; in dual task conditions, the drivers were distracted before the signal for stopping maneuver was triggered. Reaction times were compared across conditions and age groups., Results: The results showed that both reaction times and variability of driving performance increased progressively between the ages of 20 and 80. The increase in both reaction times and variability was greater in the complex task condition. The high-performing quarter of elderly drivers performed equally well or better than younger drivers did., Conclusions: The data clearly supported the claim that driving performance changes steadily across age groups: both mean reaction time and interindividual variability progressively increase with age. In addition, a significant group of older drivers was identified who did not show the expected age-related decrease in performance. The findings have important implications, suggesting that in relation to driving, aging is a progressive phenomenon and may lead to variety of driving performance; age-related studies of driving performance should put more emphasis on investigating changes across the whole driver age range rather than only comparing younger and older drivers.

Background: Post-traumatic growth (PTG) refers to the process of attributing meaning to traumatic events and positive changes in life after facing trauma. A number of studies have already demonstrated that demographic- and coping-approaches related variables predict PTG, yet little is known about whether PTG may be predicted by family processes such as flexibility, cohesion, communication and satisfaction. The main purpose of the study therefore was to determine whether family-related factors predict PTG above and beyond demographic variables and coping related processes., Subjects and Methods: The study included 190 women, breast-cancer patients, aged 31 to 83 years. Their educational level was representative of the educational level in the population of this age range. The Participants were members of the Oncology Patients Society. Post traumatic growth index, FACES-IV - family relationships scale, coping response inventory, demographic, and illness-related questionnaires were administered after informed consent was obtained. The PTG index was used as an outcome measure., Results: Congruent with previous findings, analyses yielded weak correlations between demographic- and illness-related variables, and PTG. Also congruent with previous findings, approach related coping strategies were found to predict PTG, R squared =0.16, p<0.001. In addition to previous findings, family related factors predicted unique proportion of variance on PTG, p<0.05, with communication having positive and satisfaction negative load on PTG., Conclusions: Results showed that family related factors predicted PTG above and beyond coping-related strategies and demographics. Communication, however, seems to mediate the association between satisfaction and PTG. Theoretical concerns and practical implications are discussed.

Oxidative stress is an important pathogenic factor of cancer and cardiovascular, metabolic and degenerative diseases. On the other hand, mild oxidative stress, as in case of physical exercise, can increase the antioxidant defense system. However, the mechanisms underlying such desirable effects of mild oxidative stress are not well understood, because the production of hydroxyl radical, the most aggressive oxygen free radical, was not yet evaluated under physiological circumstances. Therefore, in this study, we evaluated the overall production of hydroxyl radical using blood samples of ten healthy male students before and 1 h after ergometry. One h before exercise, they took salicylic acid (1g) orally so that hydroxyl radical was trapped with salicylic acid, yielding a measurable reaction product, 2,3-dihydroxybenzoic acid. Oxidative stress response to exercise was also evaluated in the volunteers without premedication by measuring serum peroxides and total antioxidant capacity of serum. These parameters of oxidative stress were then correlated with physical performance of the subjects. Ergometry caused an increase of the plasma hydroxyl radical level by 37.5% (p < 0.05), whereas the levels of total serum peroxides did not change significantly. Total serum antioxidant capacity, measured as uric acid equivalents, was higher after ergometry by 39.7% (p < 0.05), and was in positive correlation (r = 0.81) with anaerobic threshold, an indicator of physical condition. Hence, ergometry induces hydroxyl radical production and systemic oxidative stress response in the healthy subjects. Egometry could be used to study physiological oxidative stress response and to improve antioxidant defense capacities in humans.

Learning of class inclusion by 5-year-olds in response to empirical and logical explanations of an adult's answers was examined. Contrary to the view that young children possess an empirical bias, 5-year-olds learned more, and continued learning for longer, when given logical explanations of correct answers than when given empirical explanations. Once children discovered how to solve the problems, they showed few regressions. Many children in the microgenetic experiment followed the path of change anticipated from previous cross-sectional studies, but children in the cross-sectional part of the study seemed to follow a different path. Reasons for the superior effectiveness of the logical explanations were discussed.

Aim: To define trends in age-adjusted acute myocardial infarction mortality and morbidity in women and men in the city of Zagreb, Croatia, in the period 1979-2001., Methods: Acute myocardial infarctions occurring in both men and women at ages between 25 and 74 years were analyzed by using 1979-2001 data from the Acute Myocardial Infarction Population-based Register for the City of Zagreb, Croatia. The patients with myocardial infarction were identified retrospectively from the hospital discharge reports and death certificates in Zagreb hospitals and the Croatian Statistical Bureau., Results: Over the period of 23 years, a total of 25,359 cases of acute myocardial infarction were registered in the city of Zagreb (18,345 men and 7,014 women). The age-adjusted attack rate for men was the lowest in 1981 (170 per 100,000 population) and the highest in 1993 (274 per 100,000 population), with a decreasing trend toward 2001. The rate for women was between 49 per 100,000 population in 1979 and 86 per 100,000 population in 1993, with a decreasing trend afterwards. Between 1993 and 2001, the rate for men decreased by 68.6% and for women by 62.8% (P=0.370). The age-adjusted mortality rate showed more pronounced changes and was much higher for men then for women. The rates per 100,000 population among men varied between 80 and 140, and among women between 20 and 40. Between 1993 and 2001, the age-adjusted myocardial infarction mortality rates decreased by 56.3% and 52.5% in men and women, respectively (P=0.670). The age-adjusted prehospital mortality rate for men was much higher than the hospital mortality rate and had an obvious decreasing trend since 1993. Both rates were much lower for women. Twenty-eight-day case-fatality rate for men ranged from 38.5% to 49.1%, and from 39.0% to 64.0% for women. It did not change much in men during the observed period. Women younger than 45 years had a significantly greater risk of a fatal heart attack, whereas the risk was greater for men in the older age groups (55-74 years)., Conclusion: The age-adjusted attack rates, mortality rates, prehospital death rates, and case-fatality rates showed a definite decline since the early 1990s for both men and women, but the decline was greater for men.

A design that included both microgenetic and cross-sectional components was used to examine 135 Slovenian children's acquisition of matrix completion proficiency and compare microgenetic and age-related changes on the task. The microgenetic analyses indicated that children's errors became increasingly variable shortly before they discovered the correct strategy, that the correct strategy became dominant quite quickly following its initial use, that improvements in matrix completion performance generalized to conservation, and that amount of learning correlated positively with IQ. The microgenetic/cross-sectional comparison, which involved contrasting the changes that occurred over seven experimental sessions with the changes that occurred between ages 6 and 7 years, indicated that the two patterns of change were highly similar.

Because stabilization of arsenite in water samples during transit and storage is troublesome, this work deals with a method to prevent this by on-site selective coprecipitation of arsenite with dibenzyldithiocarbamate and recovery of the coprecipitate by filtration through a 0.45-microm membrane filter. In the laboratory arsenic on the filter is quantitatively released by oxidation of arsenite to arsenate with H2O2 (6%) in alkaline medium (8 mmol L(-1) NaOH) at elevated temperature (85 degrees C) for 30 min followed by ultratrace determination by routine HGAFS and ICP-MS. It is shown that arsenate contamination of the coprecipitate is so low that arsenate concentrations three orders of magnitude higher than the arsenite concentration do not interfere; this is essential, because arsenate is usually the dominant arsenic species in water. Because significant preconcentration can be achieved in the solution obtained from the leached filter (normally a factor 20 but easily increased to 100) very low detection limits can be obtained (only limited by the purity of the materials and the cleanliness of working); a realistic limit of determination is 0.01 microg L(-1) arsenite. The procedure was used for the determination of arsenite in two ground waters from an ash depository site in the Salek valley (Slovenia). The matrix contained some elements at very high levels but this did not impair the efficiency of arsenite coprecipitation. The results obtained by use of HGAFS and ICP-MS were not significantly different at the 5% level for sub-microg L(-1) arsenite concentrations.