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Abstract This study introduces a novel approach to visibility modelling, focusing on PM1 concentration, its chemical composition, and meteorological conditions in two distinct Polish cities, Zabrze and Warsaw. The analysis incorporates PM1 concentration measurements as well as its chemical composition and meteorological parameters, including visibility data collected during summer and winter measurement campaigns (120 samples in each city). The developed calculation procedure encompasses several key steps: formulating a visibility prediction model through machine learning, identifying data in clusters using unsupervised learning methods, and conducting global sensitivity analysis for each cluster. The multi-layer perceptron methods developed demonstrate high accuracy in predicting visibility, with R values of 0.90 for Warsaw and an RMSE of 1.52 km for Zabrze. Key findings reveal that air temperature and relative humidity significantly impact visibility, alongside PM1 concentration and specific heavy metals such as Rb, Vi, and Cd in Warsaw and Cr, Vi, and Mo in Zabrze. Cluster analysis underscores the localized and complex nature of visibility determinants, highlighting the substantial but previously underappreciated role of heavy metals. Integrating the k-means clustering and GSA methods emerges as a powerful tool for unravelling complex mechanisms of chemical compound changes in particulate matter and air, significantly influencing visibility development.

This study aimed to analyse and evaluate the antimicrobial activity and phenolic compounds in the leaf extracts of five Artemisia species (A. alba, A. annua, A. campestris, A. pontica, and A. vulgaris), of which A. annua is of significant medical importance. Although many Artemisia plants are well known from ethnobotanical and phytochemical studies, the biological activity of Artemisia species against phytopathogenic strains is scarcely investigated. Therefore, the presence of phenolic compounds and the antimicrobial activity of dichloromethane-methanol (1:1) leaf extracts of five Artemisia species against phytopathogenic fungi and bacteria were analysed. The phenolic compounds were determined by liquid chromatography mass spectrometry (LC-MS). In total, 13 phenolic compounds and quinic acid were identified and quantified. Chlorogenic acid was the dominant compound in all the samples, while the second dominant compounds were rutin in the A. alba, A. campestris, and A. pontica extracts, vitexin in A. annua, and esculin in the A. vulgaris extracts. Antifungal activity was tested against 12 micromycetes a using mycelial growth assay and the microdilution method. Antibacterial activity was tested against 18 bacterial strains using the well diffusion and microdilution methods. In each test, the highest activity was shown for the extracts of different Artemisia species. The most sensitive micromycetes were Monillinia laxa, Penicillium citreonigrum, and Botrytis cinerea, while Fusarium graminearum B1 was the most resistant. The analysed extracts showed moderate antibacterial activity only against Xanthomonas campestris pv. campestris compared with all the other tested phytopathogens. The study shows that the leaf extracts of certain Artemisia species contain phenolic compounds and showed moderate antimicrobial activity against some species of fungi and bacteria.

Abstract Design patterns provide a systematic way to convey solutions to recurring modeling challenges. This paper introduces design patterns for hybrid modeling, an approach that combines modeling based on first principles with data-driven modeling techniques. While both approaches have complementary advantages there are often multiple ways to combine them into a hybrid model, and the appropriate solution will depend on the problem at hand. In this paper, we provide four base patterns that can serve as blueprints for combining data-driven components with domain knowledge into a hybrid approach. In addition, we also present two composition patterns that govern the combination of the base patterns into more complex hybrid models. Each design pattern is illustrated by typical use cases from application areas such as climate modeling, engineering, and physics.

ABSTRACTClostridioides difficile causes a range of debilitating intestinal symptoms that may be fatal. It is particularly problematic as a hospital-acquired infection, causing significant costs to the health care system. Antibiotics, such as vancomycin and fidaxomicin, are still the drugs of choice for C. difficile infections, but their effectiveness is limited, and microbial interventions are emerging as a new treatment option. This paper focuses on alternative treatment approaches, which are currently in various stages of development and can be divided into four therapeutic strategies. Direct killing of C. difficile (i) includes beside established antibiotics, less studied bacteriophages, and their derivatives, such as endolysins and tailocins. Restoration of microbiota composition and function (ii) is achieved with fecal microbiota transplantation, which has recently been approved, with standardized defined microbial mixtures, and with probiotics, which have been administered with moderate success. Prevention of deleterious effects of antibiotics on microbiota is achieved with agents for the neutralization of antibiotics that act in the gut and are nearing regulatory approval. Neutralization of C. difficile toxins (iii) which are crucial virulence factors is achieved with antibodies/antibody fragments or alternative binding proteins. Of these, the monoclonal antibody bezlotoxumab is already in clinical use. Immunomodulation (iv) can help eliminate or prevent C. difficile infection by interfering with cytokine signaling. Small-molecule agents without bacteriolytic activity are usually selected by drug repurposing and can act via a variety of mechanisms. The multiple treatment options described in this article provide optimism for the future treatment of C. difficile infection.

Case summary A 4-year-old female neutered Scottish Fold shorthair cat was presented for further investigation of circling towards the right. MRI of the brain revealed an extensive, right-sided temporal muscle lesion with associated frontotemporal bone osteolysis, intracranial, extra-axial extension along the calvarial convexity with severe pachy- and leptomeningeal thickening and contrast enhancement, and an intra-axial space-occupying lesion in the right piriform lobe. The regional lymph nodes were moderately enlarged. Cytology of the right parotid lymph node and the temporal muscle was performed and histiocytic sarcoma (HS) was diagnosed. The owners elected euthanasia. Relevance and novel information HS of the central nervous system (CNS) is a very rare neoplastic condition in cats. Although a few case reports mention MRI, to our knowledge, the characterisation of MRI features of feline CNS HS have not been investigated in detail. Therefore, the aim of this case report was to describe the MRI characteristics in a feline HS involving not only the CNS, but also the fronto-temporal bone, temporal muscle and the regional lymph nodes. In particular, aggressive neoplastic bone invasion was a novel finding.

To meet global food demands sustainably, it is necessary to safeguard finite natural resources and reduce harmful emissions to the environment. Nutrients in biowastes are often not managed appropriately. Instead, they can be recovered, recycled into bio-based fertilizers (BBFs) and reincorporated into food production systems. This review addresses three critical issues for developing and adopting new BBFs, focusing on the European context: (1) BBFs should match the agronomic efficiency of mineral fertilizers. We propose that the agronomic efficiency of BBFs can be increased through pre-treating the inputs in biowaste transformation processes (e.g., anaerobic digestion), chemical treatments of existing BBFs, organo-mineral combinations, and soil placement strategies. (2) Production and use of new BBFs is not free of environmental impacts, and these are influenced by regional conditions. (3) Public perception and end-user preferences play a significant role in the adoption of BBFs. Therefore, it is vital to address the requirements of end-users of BBFs. Our findings indicate that for widespread adoption, BBFs need sufficient and reliable nutrient amounts and crop-adequate ratios, as well as competitive pricing. A key advantage of BBFs over mineral fertilizers is their ability to improve soil fertility. However, farmers also require fertilizers that can be handled and applied with existing machinery and offer the practicality of commercial products. Another important aspect is the willingness of consumers to buy products fertilized with BBFs. Designing and promoting BBFs requires a careful assessment of environmental impacts and regional conditions, as the sustainability of BBFs depends on factors like energy sources and biowaste transport distances. Ultimately, the goal is to promote a circular economy and not just to substitute mineral fertilizers with new products. This review aims to guide researchers, policymakers, and stakeholders by highlighting key innovations and addressing critical barriers.

ABSTRACT Surveillance schemes for methicillin-resistant Staphylococcus aureus (MRSA) are widely established at the national and international levels. Due to the simple standardization of the protocol, mainly isolates from bloodstream infections are used. However, the limitations of this simple surveillance system are well described. We conducted a comprehensive analysis of MRSA isolates in a large Slovenian region over 5 years to identify the optimal sample group for assessing the overall MRSA diversity. At the same time, this study provides to date non-available molecular characterization of Slovenian MRSA isolates. A total of 306 MRSA isolates from various sources were sequenced and phenotypically tested for resistance. The isolates exhibited significant molecular diversity, encompassing 30 multi locus sequence type (MLST) sequence types (STs), 39 ST-SCCmec genetic lineages, 49 spa types, and 29 antibiotic resistance profiles. Furthermore, the isolate pool comprised 57 resistance genes, representing 22 resistance mechanisms, and 96 virulence genes. While bloodstream isolates, commonly used in surveillance, provided insights into frequently detected clones, they overlooked majority of clones and important virulence and resistance genes. Blood culture isolates detected 21.3% spa types, 24.1% resistance phenotypes, and 28.2% MLST-SCCmec profiles. In contrast, strains from soft tissues demonstrated superior genomic diversity capture, with 65.3% spa types, 58.6% resistance phenotypes, and 71.8% MLST-SCCmec profiles. These strains also encompassed 100.0% of virulence and 82.5% of resistance genes, making them better candidates for inclusion in surveillance programs. This study highlights the limitations of relying solely on bloodstream isolates in MRSA surveillance and suggests incorporating strains from soft tissues to obtain a more comprehensive understanding of the epidemiology of MRSA.IMPORTANCEIn this study, we investigated the diversity of methicillin-resistant Staphylococcus aureus (MRSA), a bacterium that can cause infections that are difficult to treat due to its resistance to antimicrobial agents. Currently, surveillance programs for MRSA mainly rely on isolates from bloodstream infections, employing a standardized protocol. However, this study highlights the limitations of this approach and introduces a more comprehensive method. The main goal was to determine which group of samples is best suited to understand the overall diversity of MRSA and to provide, for the first time, molecular characterization of Slovenian MRSA isolates. Our results suggest that including MRSA strains from soft tissue infections rather than just blood infections provides a more accurate and comprehensive view of bacterial diversity and characteristics. This insight is valuable for improving the effectiveness of surveillance programs and for developing strategies to better manage MRSA infections.

Background: Neuropathic adverse events occur frequently in linezolid-containing regimens, some of which remain irreversible after drug discontinuation. Objective: We aimed to identify and validate a host RNA-based biomarker that can predict linezolid-associated neuropathy before multidrug-resistant/rifampicin-resistant tuberculosis (MDR/RR-TB) treatment initiation and to identify genes and pathways that are associated with linezolid-associated neuropathy. Methods: Adult patients initiating MDR/RR-TB treatment including linezolid were prospectively enrolled in 3 independent cohorts in Germany. Clinical data and whole blood RNA for transcriptomic analysis were collected. The primary outcome was linezolid-associated optic and/or peripheral neuropathy. A random forest algorithm was used for biomarker identification. The biomarker was validated in an additional fourth cohort of patients with MDR/RR-TB from Romania. Results: A total of 52 patients from the 3 identification cohorts received linezolid treatment. Of those, 24 (46.2%) developed peripheral and/or optic neuropathies during linezolid treatment. The majority (59.3%) of the episodes were of moderate (grade 2) severity. In total, the expression of 1,479 genes differed significantly at baseline of treatment. Suprabasin (SBSN) was identified as a potential biomarker to predict linezolid-associated neuropathy. In the validation cohort, 10 of 42 (23.8%) patients developed grade ≥3 neuropathies. The area under the curve for the biomarker algorithm prediction of grade ≥3 neuropathies was 0.63 (poor; 95% confidence interval: 0.42 – 0.84). Conclusions: We identified and preliminarily validated a potential clinical biomarker to predict linezolid-associated neuropathies before the initiation of MDR/RR-TB therapy. Larger studies of the SBSN biomarker in more diverse populations are warranted.

Environmentally benign pH-indicating wound dressing comprised of carbohydrates chitosan (CH) and pectin (P), and anthocyanin grape (AG) dye is created via layer-by-layer assembly. Cotton fabric coated with eight bilayers of (CH-AG)4/(P-AG)4 deposited 1.97 % AG-dye. It exhibited a visible and immediate color change from pink to violet-blue while increasing its pH value from 6 to pH 7, matching the turning pH point of healing into an infected wound. Color transition of AG-dye in water-based buffers, tested by VIS-spectroscopy, shows the same color change when the pH value increased from 6 to 7. This coating imparts excellent antimicrobial activity against Gram-positive bacteria Staphylococcus aureus and yeast Candida albicans, moderate antibacterial activity against Gram-negative Escherichia coli bacteria, and no cytotoxicity on human fibroblast cells (MRC-5). This research proposes a sustainable, low-cost, and simple method for obtaining smart wound dressing that provides real-time monitoring of the wound pH.

Abstract Background Hemp (Cannabis sativa) is a crop with a wide range of uses, from the production of fiber and seeds to the secondary metabolites for medicinal purposes. In addition, it is characterized by high biomass yield and the ability to accumulate heavy metals, which makes this plant convenient for phytoremediation purposes. In this study, the effect of applying exogenous biodegradable chelating agents, citric acid (CA) and nitrilotriacetic acid (NTA), to zinc-contaminated soil on zinc (Zn) uptake by two industrial hemp varieties ‘Felina 32’ and ‘Monoica’ was studied. The effect of CA and NTA on available Zn in soils was investigated using an ‘in pot’ experiment under controlled conditions. The effect of both tested compounds on soil microbial activity was simultaneously evaluated. Results After the application of NTA at a concentration of 5 mmol L−1, a > threefold increased accumulation of Zn in the above-ground parts was recorded in the ‘Felina 32’ variety. In the ‘Monoica’ variety, the levels of Zn in the above-ground parts were increased > twofold. NTA affected the soil microbiome negatively, causing decreased enzyme activity (in ‘Monoica’ planted soil) and induced respiration (in ‘Monoica’ and especially in ‘Felina 32’ planted soil). On the other hand, CA application did not lead to significantly increased Zn levels in any of the studied hemp varieties. Together with CA’s negative effects on some soil enzymes, CA enhanced urease activity, dehydrogenase and several respiration types for the ‘Felina 32’ variety and exerted less detrimental effect on the soil microbiome. No toxic effects from increased Zn uptake and accumulation in experimental plants were detected, accounting for the unchanged physiological stress markers (levels of photosynthetic pigments and proline in leaves, chlorophyll fluorescence parameters) and selected growth traits of the above-ground organs and root system. Conclusions From the studied varieties, ‘Felina 32’ seems to be more suitable for Zn-phytoextraction because of its higher tolerance to increased Zn levels, higher biomass production and Zn accumulation capacity. Our results indicate the potential of using the ‘Felina 32’ variety in NTA-assisted Zn phytoextraction from contaminated soils. Graphical Abstract

Abstract One of the most relevant challenges for healthcare providers during the COVID– 19 pandemic has been assuring the continuity of care to patients with complex health needs such as people living with rare diseases (RDs). The COVID–19 pandemic accelerated the healthcare sector’s digital transformation agenda. The delivery of telemedicine services instead of many face-to-face procedures has been expanded and, many healthcare services not directly related to COVID-19 treatments shifted online remotely. Many hospitals, specialist centres, patients and families started to use telemedicine because they were forced to. This trend could directly represent a good practice on how care services could be organized and continuity of care could be ensured for patients. If done properly, it could boast improved patient outcomes and become a post COVID-19 major shift in the care paradigm. There is a fragmented stakeholders spectrum, as many questions arise on: how is e-health interacting with ‘traditional’ healthcare providers; about the role of the European Reference Networks (ERNs); if remote care can retain a human touch and stay patient centric. The manuscript is one of the results of the European Brain Council (EBC) Value of Treatment research project on rare brain disorders focusing on progressive ataxias, dystonia and phenylketonuria with the support of Academic Partners and in collaboration with European Reference Networks (ERNs) experts, applying empirical evidence from different European countries. The main purpose of this work is to investigate the impact of the COVID-19 pandemic on the continuity of care for ataxias, dystonia and phenylketonuria (PKU) in Europe. The analysis carried out makes it possible to highlight the critical points encountered and to learn from the best experiences. Here, we propose a scoping review that investigates this topic, focusing on continuity of care and novel methods (e.g., digital approaches) used to reduce the care disruption. This scoping review was designed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) standards. This work showed that the implementation of telemedicine services was the main measure that healthcare providers (HCPs) put in place and adopted for mitigating the effects of disruption or discontinuity of the healthcare services of people with rare neurological diseases and with neurometabolic disorders in Europe.

Background: This article delves into an in-depth analysis of the statistically significant differences in AI support levels for project management between SMEs and large enterprises. The research was conducted based on a comprehensive survey encompassing a sample of 473 SMEs and large Slovenian enterprises. Methods: To validate the observed differences, statistical analysis, specifically the Mann–Whitney U test, was employed. Results: The results confirm the presence of statistically significant differences between SMEs and large enterprises across multiple dimensions of AI support in project management. Large enterprises exhibit on average a higher level of AI adoption across all five AI utilization dimensions. Specifically, large enterprises scored significantly higher (p < 0.05) in AI adopting strategies and in adopting AI technologies for project tasks and team creation. This study’s findings also underscored the significant differences (p < 0.05) between SMEs and large enterprises in their adoption and utilization of AI technologies for project management purposes. While large enterprises scored above 4 for several dimensions, with the highest average score assessed (mean value 4.46 on 1 to 5 scale) for the usage of predictive Analytics Tools to improve the work on the project, SMEs’ average levels, on the other hand, were all below 4. SMEs in particular may lag in incorporating AI into various project activities due to several factors such as resource constraints, limited access to AI expertise, or risk aversion. Conclusions: The results underscore the need for targeted strategies to enhance AI adoption in SMEs and leverage its benefits for successful project implementation and strengthen the company’s competitiveness.

Abstract The latest trends in improving the performance properties of soils contaminated with potentially toxic elements (PTEs) relate to the possibility of using raw additives, including halloysite nanotubes (HNTs) due to eco-friendliness, and inexpensiveness. Lolium perenne L. was cultivated for 52 days in a greenhouse and then moved to a freezing–thawing chamber for 64 days. HNT addition into PTE-contaminated soil cultivated with grass under freezing–thawing conditions (FTC) was tested to demonstrate PTE immobilization during phytostabilization. The relative yields increased by 47% in HNT-enriched soil in a greenhouse, while under FTC decreased by 17% compared to the adequate greenhouse series. The higher PTE accumulation in roots in HNT presence was evident both in greenhouse and chamber conditions. (Cr/Cd and Cu)-relative contents were reduced in soil HNT-enriched-not-FTC-exposed, while (Cr and Cu) in HNT-enriched-FTC-exposed. PTE-immobilization was discernible by (Cd/Cr/Pb and Zn)-redistribution into the reducible fraction and (Cu/Ni and Zn) into the residual fraction in soil HNT-enriched-not-FTC-exposed. FTC and HNT facilitated transformation to the residual fraction mainly for Pb. Based on PTE-distribution patterns and redistribution indexes, HNT’s role in increasing PTE stability in soils not-FTC-exposed is more pronounced than in FTC-exposed compared to the adequate series. Sphingomonas, Acidobacterium, and Mycobacterium appeared in all soils. HNTs mitigated FTC’s negative effect on microbial diversity and increased Planctomycetia abundance.

The Faculty of Economics and Business (FEB UM) initiated a project to align its undergraduate study program with sustainable development principles. This involved mapping the Sustainable Development Goals (SDGs) within the curriculum, using recommended keywords and faculty assessments. The exercise aimed to objectively showcase current sustainability integration and to identify areas for enhanced sustainable practice infusion. The method entailed both the direct and indirect consideration of SDG content. This endeavor heightened faculty awareness and enthusiasm for incorporating the SDGs, highlighting the significance of aligning academic programs with global sustainability objectives. This study has offered a framework for similar institutions aiming to boost sustainability through curriculum mapping and active faculty engagement.

This study, conducted at two university-based infectious disease clinics, included 216 patients with chronic hepatitis C. The primary objective was to assess the positive and negative predictive values, sensitivity, and specificity of achieving a sustained virological response (SVR) at 4 weeks compared to 12 weeks post-therapy. The results demonstrated a maximum sensitivity of 100% for achieving SVR at 12 weeks after reaching SVR at 4 weeks for all analyzed genotypes, except for genotype 1b treated with EBR/GZR therapy, where the specificity was 75%. Additionally, younger age and less advanced liver fibrosis were identified as independent predictors of achieving a sustained virological response at both 4 and 12 weeks. The significant normalization of various biochemical parameters was observed after treatment, indicating an overall improvement in liver function. This study suggests that shortening the monitoring period to 4 weeks might be effective for younger patients without significant fibrosis, potentially reducing loss to follow-up, which is a critical issue in HCV treatment. These findings align with the “test and treat” approach. Further research is needed to confirm these findings and incorporate them into official guidelines, which could simplify and enhance the effectiveness of HCV treatment protocols, aiding global efforts to eliminate HCV as a public health issue by 2030.

Growing volumes of textile waste and heavy metal pollution of water are emerging environmental challenges. In an attempt to tackle these issues, a non-woven sorbent based on jute fibers was fabricated by recycling the textile waste from the carpet industry. The influence of contact time, concentration, pH and temperature on the sorption of lead and copper ions from aqueous solutions was studied. In order to enhance the sorption capacity of the non-woven material, in situ synthesis of polyaniline (PANI) in the presence of TiO2 nanostructures was performed. The contribution of TiO2 nanoparticles and TiO2 nanotubes to the uniformity of PANI coating and overall sorption behavior was compared. Electrokinetic measurements indicated increased swelling of modified fibers. FTIR and Raman spectroscopy revealed the formation of the emeraldine base form of PANI. FESEM confirmed the creation of the uniform nanocomposite coating over jute fibers. The modification with PANI/TiO2 nanocomposite resulted in a more than 3-fold greater sorption capacity of the material for lead ions, and a 2-fold greater absorption capacity for copper ions independently of applied TiO2 nanostructure. The participation of both TiO2 nanostructures in PANI synthesis resulted in excellent cover of jute fibers, but the form of TiO2 had a negligible effect on metal ion uptake.

Understanding multiphase flow through porous media is integral to geologic carbon storage or hydrogen storage. The current modelling framework assumes each fluid present in the subsurface flows in its own continuously connected pathway. The restriction in flow caused by the presence of another fluid is modelled using relative permeability functions. However, dynamic fluid interfaces have been observed in experimental data, and these are not accounted for in relative permeability functions. In this work, we explore the occurrence of fluid fluctuations in the context of sizes, locations, and frequencies by altering the viscosity ratio for two-phase flow. We see that the fluctuations alter the connectivity of the fluid phases, which, in turn, influences the relative permeability of the fluid phases present.

The carried-out experiment aimed to assess the influence of ash derived from the thermochemical conversion of feathers (AGF) as a soil amendment, and Dactylis glomerata L. as a test plant in aided phytostabilization of soil strongly contaminated by Cu, Cd, Pb and Zn. The influence of AHG on the chemical properties of soil (pH as well as total and CaCl2-extracted heavy metals) as well as the plant yield and concentration of heavy metals in the roots and shoots. The applied soil amendment influenced an increase in the pH values of soil (by 0.4 units) and a reduction in CaCl2-extractable forms of Zn (25%), Cu (23%), Cd (20%) and Pb (12%), as well as total forms of Cu (35%), Zn (35%), Pb (20%) and Cd (17%) in the soil. The plant yield of the shoots of Dactylis glomerata L. following the application of AGF was 31% higher when compared to the control series. The roots of the tested plant in the AGF series contained higher values of the analyzed heavy metals in relation to the shoots, which was especially visible in the case of Pb (more than twice as high) and Cd (37%).

Idiosyncratic drug-induced liver injury (DILI) is an unpredictable reaction of individuals exposed to a certain drug, and drug-induced autoimmune hepatitis (DIAIH) presents a DILI phenotype that mimics idiopathic autoimmune hepatitis (AIH) when considering the clinical, biochemical, serological and histological parameters. We present a case report of a 48-year-old male who was hospitalized due to severe hepatocellular liver injury two months after self-treatment with a muscle-building dietary supplement based on arginine-alpha-ketoglutarate, L-citrulline, L tyrosine, creatine malate and beet extract. His immunology panel was positive with increased IgG levels, and radiologic methods showed no signs of chronic liver disease. He underwent corticosteroid treatment with adequate response. After therapy withdrawal, a clinical relapse occurred. Seven months after the initial presentation, liver MR suggested initial cirrhotic changes in the right liver lobe. A liver biopsy revealed abundant lymphoplasmacytic infiltrate with piecemeal necrosis and grade 2 fibrosis. He responded well to the corticosteroid treatment again, and was further treated with low-dose prednisone without additional relapses. Several years later, further management confirmed the presence of liver cirrhosis with no histological or biochemical signs of disease activity. DIAIH is a DILI phenotype that is difficult to distinguish from idiopathic AIH despite a wide armamentarium of diagnostic methods. It should always be considered among the differential diagnoses in patients presenting with hepatocellular liver injury.

Nosečnost je za ženske občutljivo obdobje, ki ga spremljajo pomembne fiziološke in duševne spremembe tako na čustveni kot na biološki, tj. hormonski ravni. Anksioznost je v obdobju tako velikih sprememb do neke mere normalen in prilagoditveni odgovor na situacijo. Vendar pa nekatere nosečnice izkusijo visoko raven anksioznosti, ki doseže stopnjo klinično pomembne motnje. Anksiozne motnje, ki se v peripartalnem obdobju najpogosteje pojavljajo, so generalizirana anksiozna motnja, panična motnja, fobije, obsesivno-kompulzivna motnja in posttravmatska stresna motnja. Pretekla anamneza razpoloženjskih in/ali anksioznih motenj je med najmočnejšimi napovedovalci razvoja peripartalne anksioznosti. Čeprav raziskovalno zanimanje za anksiozne motnje v peripartalnem obdobju narašča in vemo več o značilnostih in diagnosticirani ravni, pa so dokazi o klinični obravnavi – tako farmakološki kot nefarmakološki – še vedno omejeni. Tveganje in korist uvedbe farmakološkega zdravljenja vedno individualno pretehtamo. Prepoznavanje in obravnava anksioznosti med nosečnostjo sta bistvenega pomena in delujeta preventivno za psihiatrične motnje po porodu. Poporodna anksioznost matere lahko tudi pomembno ovira proces navezovanja matere in otroka, kar posredno tudi vpliva na razvoj otroka. Pri nosečnicah, ki so v psihiatrično obravnavo že vključene zaradi obravnavane duševne motnje, pa je sledenje, podpora in dobro interdisciplinarno sodelovanje lečečega psihiatra in ginekološke službe nujno potrebno.