Format zorgpad Voeding bij kanker

Het zorgpad ‘Voeding bij kanker’ beschrijft het (logistiek) pad dat de oncologische patiënt doorloopt binnen de voedingszorg vanaf het moment dat screening op behoefte aan voedingszorg plaatsvindt en verwijzing naar de diëtist tot en met follow-up of palliatieve fase. Hierbij zijn het format en de indeling aangehouden van de IKNL-formats van (niet-)tumorspecifieke zorgpade

Molecular Phylogeny of the Small Ermine Moth Genus Yponomeuta (Lepidoptera, Yponomeutidae) in the Palaearctic

The small ermine moth genus Yponomeuta (Lepidoptera, Yponomeutidae) contains 76 species that are specialist feeders on hosts from Celastraceae, Rosaceae, Salicaceae, and several other plant families. The genus is a model for studies in the evolution of phytophagous insects and their host-plant associations. Here, we reconstruct the phylogeny to provide a solid framework for these studies, and to obtain insight into the history of host-plant use and the biogeography of the genus.DNA sequences from an internal transcribed spacer region (ITS-1) and from the 16S rDNA (16S) and cytochrome oxidase (COII) mitochondrial genes were collected from 20-23 (depending on gene) species and two outgroup taxa to reconstruct the phylogeny of the Palaearctic members of this genus. Sequences were analysed using three different phylogenetic methods (parsimony, likelihood, and Bayesian inference).Roughly the same patterns are retrieved irrespective of the method used, and they are similar among the three genes. Monophyly is well supported for a clade consisting of the Japanese (but not the Dutch) population of Yponomeuta sedellus and Y. yanagawanus, a Y. kanaiellus-polystictus clade, and a Rosaceae-feeding, western Palaearctic clade (Y. cagnagellus-irrorellus clade). Within these clades, relationships are less well supported, and the patterns between the different gene trees are not so similar. The position of the remaining taxa is also variable among the gene trees and rather weakly supported. The phylogenetic information was used to elucidate patterns of biogeography and resource use. In the Palaearctic, the genus most likely originated in the Far East, feeding on Celastraceae, dispersing to the West concomitant with a shift to Rosaceae and further to Salicaceae. The association of Y. cagnagellus with Euonymus europaeus (Celastraceae), however, is a reversal. The only oligophagous species, Y. padellus, belongs to the derived western Palaearctic clade, evidence that specialisation is reversible

Filaments in observed and mock galaxy catalogues

Context. The main feature of the spatial large-scale galaxy distribution is an intricate network of galaxy filaments. Although many attempts have been made to quantify this network, there is no unique and satisfactory recipe for that yet. Aims. The present paper compares the filaments in the real data and in the numerical models, to see if our best models reproduce statistically the filamentary network of galaxies. Methods. We apply an object point process with interactions (the Bisous process) to trace and describe the filamentary network both in the observed samples (the 2dFGRS catalogue) and in the numerical models that have been prepared to mimic the data.We compare the networks. Results. We find that the properties of filaments in numerical models (mock samples) have a large variance. A few mock samples display filaments that resemble the observed filaments, but usually the model filaments are much shorter and do not form an extended network. Conclusions. We conclude that although we can build numerical models that are similar to observations in many respects, they may fail yet to explain the filamentary structure seen in the data. The Bisous-built filaments are a good test for such a structure.Comment: 13 pages, accepted for publication in Astronomy and Astrophysic

Relationship between muscular extensibility, strength and stability and the transmission of impacts during fatigued running.

The aim was to analyse the relationship between isokinetic strength, dynamic stability, muscular extensibility and impacts transmission during fatigued running. Low- and high-frequency impacts related to body movements and the severity of impacts, respectively were assessed in 17 male recreational runners, before and after a treadmill running fatigue protocol, using a triaxial accelerometry system. High-frequency impacts in the tibia were negatively correlated to the knee angle at which the quadriceps peak torque was reached (p = 0.014), and also to the extensibility of the hamstrings and soleus (p = 0.001 and p = 0.023, respectively). The increases of high-frequency impacts in tibia caused by fatigue were positively related to the knee angle at which the hamstrings peak torque was reached (p = 0.001) and to stability after landing (p = 0.007). The attenuation of high-frequency impacts was positively related to hamstrings/quadriceps ratio of strength (p = 0.010) and to stability (p = 0.006). Limiting possible deficits in hamstring and soleus range of motion, improving stability after landing, developing hamstring and quadriceps strength in elongated muscle range, and maintaining a balanced ratio of hamstring/quadriceps strength could help to reduce the injury risk in running

Lysine blockage of milk proteins in infant formula impairs overall protein digestibility and peptide release

During heat processing of milk and dairy products, for example infant formula, the Maillard reaction occurs. In vitro and animal studies suggest that Maillard reaction induced lysine blockage impairs protein digestibility. Most studies that investigate the effect of glycation on protein digestion use a mixture of isolated milk protein with reducing sugars. In this study, infant formulas with 6.5%, 8.4%, 11.2%, 14.8%, 20.8%, and 44.5% of blocked lysine (BL) were digested in an in vitro infant digestion model and tested for protein hydrolysis and peptide release. OPA (o-phthalaldehyde) assay was used to assess the degree of protein hydrolysis. SDS-PAGE was conducted to monitor the hydrolysis of specific proteins. Peptides formed after gastric and intestinal digestion were identified by LC/MS. Protein hydrolysis of the 6.5% BL sample was significantly higher after 10 minutes of intestinal digestion compared to all other samples. Most differences were observed after intestinal digestion. A significant change in peptide patterns was observed for the 45% BL sample resulting in a relatively higher number of peptides with more than 14 amino acids. Mainly casein-derived peptides were affected. Overall, the average peptide length was significantly increased for the 44.5% BL glycated product (on average 10.2 amino acids for 6-21% BL vs. 11.4 amino acids for 45% BL; p < 0.001). In conclusion, glycation of milk proteins in an infant formula product can impair overall protein digestibility. These findings emphasize the importance of mild processing and having low BL levels in infant formula to ensure optimal digestion of proteins.</p

Detection of cosmic filaments using the Candy model

We propose to apply a marked point process to automatically delineate filaments of the large-scale structure in redshift catalogues. We illustrate the feasibility of the idea on an example of simulated catalogues, describe the procedure, and characterize the results. We find the distribution of the length of the filaments, and suggest how to use this approach to obtain other statistical characteristics of filamentary networks.Comment: 11 pages, 8 figures. Updated to match the published version in Astronomy and Astrophysic

Identifying the severely injured benefitting from a specific level of trauma care in an inclusive network:A multicentre retrospective study

Introduction: Defining major trauma (MT) with an Injury Severity Score (ISS) &gt; 15 has limitations. This threshold is used for concentrating MT care in networks with multiple levels of trauma care. Objective: This study aims to identify subgroups of severely injured patients benefiting on in-hospital mortality and non-fatal clinical outcome measures in an optimal level of trauma care. Methods: A multicentre retrospective cohort study on data of the Dutch National Trauma Registry, region South West, from January 1, 2015 until December 31, 2019 was conducted. Patients ≥ 16 years admitted within 48 h after trauma transported with (H)EMS to a level I trauma centre (TC) or a non-level I trauma facility with a Maximum Abbreviated Injury Scale (MAIS) ≥ 3 were included. Patients with burns or patients of ≥ 65 years with an isolated hip fracture were excluded. Logistic regression models were used for comparing level I with non-level I. Subgroup analysis were done for MT patients (ISS &gt; 15) and non-MT patients (ISS 9–14). Results: A total of 7,493 records were included. In-hospital mortality of patients admitted to a non-level I trauma facility did not differ significantly from patients admitted to the level I TC (adjusted Odds Ratio (OR): 0.94; 95% confidence interval (CI) 0.68–1.30). This was also applicable for MT patients (OR: 1.06; 95% CI 0.73–1.53) and non-MT patients (OR: 1.30; 95% CI (0.56–3.03). Hospital and ICU LOS were significantly shorter for patients admitted to a non-level I trauma facilities, and patients admitted to a non-level I trauma facility were more likely to be discharged home. Findings were confirmed for MT and non-MT patients, per injured body region. Conclusion: All levels of trauma care performed equally on in-hospital mortality among severely injured patients (MAIS ≥ 3), although patients admitted to the level I TC were more severely injured. Subgroups of patients by body region or ISS, with a survival benefit or more favorable clinical outcome measures were not identified. Subgroups analysis on clinical outcome measures across different levels of trauma care in an inclusive trauma network is too simplistic if subgroups are based on injuries in specific body region or ISS only.</p

Non-homogeneous polygonal Markov fields in the plane: graphical representations and geometry of higher order correlations

We consider polygonal Markov fields originally introduced by Arak and Surgailis (1989). Our attention is focused on fields with nodes of order two, which can be regarded as continuum ensembles of non-intersecting contours in the plane, sharing a number of features with the two-dimensional Ising model. We introduce non-homogeneous version of polygonal fields in anisotropic enviroment. For these fields we provide a class of new graphical constructions and random dynamics. These include a generalised dynamic representation, generalised and defective disagreement loop dynamics as well as a generalised contour birth and death dynamics. Next, we use these constructions as tools to obtain new exact results on the geometry of higher order correlations of polygonal Markov fields in their consistent regime.Comment: 54 page