1,953 research outputs found
A simulation model to investigate impacts of facilitating quality data within organic fresh food supply chains
Demand for and production of organic fresh food play an increasing role worldwide. As a result, a growing amount of fresh fruits and vegetables has to be transported from predominantly rural production regions to customers mostly located in urban ones. Specific handling and storage conditions need to be respected along the entire supply chain to maintain high quality and product value. To support organic food logistics operations, this work investigates benefits of facilitating real-time product data along delivery and storage processes. By the development of a simulation-based decision support system, sustainable deliveries of organic food from farms to retail stores are investigated. Generic keeping quality models are integrated to observe impacts of varying storage temperatures on food quality and losses over time. Computational experiments study a regional supply chain of organic strawberries in Lower Austria and Vienna. Results indicate that the consideration of shelf life data in supply chain decisions allow one to reduce food losses and further enables shifting surplus inventory to alternative distribution channels
A validation of the Oswestry Spinal Risk Index
Purpose
The purpose of this study was to validate the Oswestry Spinal Risk Index (OSRI) in an external population. The OSRI predicts survival in patients with metastatic spinal cord compression (MSCC).
Methods
We analysed the data of 100 patients undergoing surgical intervention for MSCC at a tertiary spinal unit and recorded the primary tumour pathology and Karnofsky performance status to calculate the OSRI. Logistic regression models and survival plots were applied to the data in accordance with the original paper.
Results
Lower OSRI scores predicted longer survival. The OSRI score predicted survival accurately in 74% of cases (p = 0.004).
Conclusions
Our study has found that the OSRI is a significant predictor of survival at levels similar to those of the original authors and is a useful and simple tool in aiding complex decision making in patients presenting with MSC
Diacerein retards cell growth of chondrosarcoma cells at the G2/M cell cycle checkpoint via cyclin B1/CDK1 and CDK2 downregulation
BACKGROUND: Chondrosarcoma is characterized for its lack of response to conventional cytotoxic chemotherapy, propensity for developing lung metastases, and low rates of survival. Research within the field of development and expansion of new treatment options for unresectable or metastatic diseases is of particular priority. Diacerein, a symptomatic slow acting drug in osteoarthritis (SYSADOA), implicates a therapeutic benefit for the treatment of chondrosarcoma by an antitumor activity. METHODS: After treatment with diacerein the growth behaviour of the cells was analyzed with the xCELLigence system and MTS assay. Cell cycle was examined using flow cytometric analysis, RT-PCR, and western blot analysis of specific checkpoint regulators. The status for phosophorylation of mitogen-activated protein kinases (MAPKs) was analyzed with a proteome profiler assay. In addition, the possible impact of diacerein on apoptosis was investigated using cleaved caspase 3 and Annexin V/PI flow cytometric analysis. RESULTS: Diacerein decreased the cell viability and the cell proliferation in two different chondrosarcoma cell lines in a dose dependent manner. Flow cytometric analysis showed a classical G2/M arrest. mRNA and protein analysis revealed that diacerein induced a down-regulation of the cyclin B1-CDK1 complex and a reduction in CDK2 expression. Furthermore, diacerein treatment increased the phosphorylation of p38α and p38β MAPKs, and Akt1, Akt2, and Akt 3 in SW-1353, whereas in Cal-78 the opposite effect has been demonstrated. These observations accordingly to our cell cycle flow cytometric analysis and protein expression data may explain the G2/M phase arrest. In addition, no apoptotic induction after diacerein treatment, neither in the Cal-78 nor in the SW-1353 cell line was observed. CONCLUSIONS: Our results demonstrate for the first time that the SYSADOA diacerein decreased the viability of human chondrosarcoma cells and induces G2/M cell cycle arrest by CDK1/cyclin B1 down-regulation
Good neurological outcome despite very low regional cerebral oxygen saturation during resuscitation - a prospective preclinical trial in 29 patients
Background Noninvasive regional cerebral oxygen saturation (rSO2) measurement
using near-infrared spectroscopy (NIRS) might inform on extent and duration of
cerebral hypoxia during cardiopulmonary resuscitation (CPR). This information
may be used to guide resuscitation efforts and may carry relevant early
prognostic information. Methods We prospectively investigated non-traumatic
out-of-hospital cardiac arrest (OHCA) patients on scene. NIRS was started
either during CPR or shortly after (<2 min) return of spontaneous circulation
(ROSC) by emergency medical service (EMS). Outcome was determined at intensive
care unit (ICU) discharge and 6 months after cardiac arrest. Results A total
of 29 OHCA patients were included. In 23 patients NIRS was started during CPR
and in 6 patients immediately after ROSC. 18 (62.1 %) patients did not reach
ROSC. Initial rSO2 during CPR was very low (<50 % in all 23 patients, < 30 %
in 19 of 23 patients) with no significant difference between patients
achieving ROSC and those who did not. Of five patients with ROSC, in whom NIRS
was recorded during CPR, two reached a good six-months outcome (initial rSO2
22 %) and three died during the ICU stay (initial rSO2 15, 16 and 46 %). In
six patients with NIRS started immediately after ROSC (<2 min), rSO2 was
substantially higher (54–85 %) than in patients during CPR (p = 0.006).
Discussion and conclusion Initial frontal brain rSO2 determined by NIRS during
CPR was generally very low and recovered rapidly after ROSC. Very low initial
rSO2 during CPR was compatible with good neurological outcome in our limited
cohort of patients. Further studies are needed to assess in larger cohorts and
more detail the implications of very low initial rSO2 during CPR on scene
Do student learning styles translate to different Testing styles ?
Professors seem to be more aware of different student learning styles than ever before and are utilizing various teaching techniques in order to appeal to different students in their classes. Unfortunately, presenting materials is only one side of the coin, while the other side—assessment—has not received the same amount of attention. After all, if teachers can agree that students have different methods for learning, does it not stand to reason that they have different methods of reproducing this knowledge as well? This article makes a case for more diverse assessment techniques within the same course, connecting our knowledge on individual learning styles to a theory of ‘‘testing styles.’’ By allowing students to choose between different formats for participation, exams, and other assignments, educators acknowledge students’ individual styles and allow them to show what they really know as opposed to how well they take tests. The author’s major claims are supported by the results of an experimental design that tests the connection between learning styles and students’ performances in different testing formats. The article also includes findings taken from a survey on students’ experiences with and hopes for different assessment techniques
On the Breeds of Cattle—Historic and Current Classifications
Classification of cattle breeds contributes to our understanding of the history of cattle and is essential for an effective conservation of genetic diversity. Here we review the various classifications over the last two centuries and compare the most recent classifications with genetic data. The classifications devised during the 19th to the late 20th century were in line with the Linnaean taxonomy and emphasized cranial or horn morphology. Subsequent classifications were based on coat color, geographic origin or molecular markers. Several theories were developed that linked breed characteristics either to a supposed ancestral aurochs subspecies or to a presumed ethnic origin. Most of the older classifications have now been discarded, but have introduced several Latin terms that are still in use. The most consistent classification was proposed in 1995 by Felius and emphasizes the geographic origin of breeds. This is largely in agreement with the breed clusters indicated by a biochemical and molecular genetic analysis, which reflect either groups of breeds with a common geographic origin or single breeds that have expanded by export and/or crossbreeding. We propose that this information is also relevant for managing the genetic diversity of cattl
IST Austria Thesis
In the here presented thesis, we explore the role of branched actin networks in cell migration and antigen presentation, the two most relevant processes in dendritic cell biology. Branched actin networks construct lamellipodial protrusions at the leading edge of migrating cells. These are typically seen as adhesive structures, which mediate force transduction to the extracellular matrix that leads to forward locomotion. We ablated Arp2/3 nucleation promoting factor WAVE in DCs and found that the resulting cells lack lamellipodial protrusions. Instead, depending on the maturation state, one or multiple filopodia were formed. By challenging these cells in a variety of migration assays we found that lamellipodial protrusions are dispensable for the locomotion of leukocytes and actually dampen the speed of migration. However, lamellipodia are critically required to negotiate complex environments that DCs experience while they travel to the next draining lymph node. Taken together our results suggest that leukocyte lamellipodia have rather a sensory- than a force transducing function. Furthermore, we show for the first time structure and dynamics of dendritic cell F-actin at the immunological synapse with naïve T cells. Dendritic cell F-actin appears as dynamic foci that are nucleated by the Arp2/3 complex. WAVE ablated dendritic cells show increased membrane tension, leading to an altered ultrastructure of the immunological synapse and severe T cell priming defects. These results point towards a previously unappreciated role of the cellular mechanics of dendritic cells in T cell activation. Additionally, we present a novel cell culture based system for the differentiation of dendritic cells from conditionally immortalized hematopoietic precursors. These precursor cells are genetically tractable via the CRISPR/Cas9 system while they retain their ability to differentiate into highly migratory dendritic cells and other immune cells. This will foster the study of all aspects of dendritic cell biology and beyond
A decision support system to facilitate collaborative supply of food cooperatives
Food cooperatives are gaining popularity due to consumers’ desire to eat healthy and source locally. Mainly run by private citizens, such groups present an interesting additional income source to regional organic farmers. However, small order quantities and substantial logistics efforts challenge operations. To facilitate efficient and sustainable food transports from farms to food cooperatives, this work investigates impacts of collaborative logistics activities through the development of a simulation and optimization-based decision support system. Results of computational experiments considering fresh food transports in Austria highlight potentials of such joint activities. Particularly, if orders are infrequent and quantities small, collaboration results in a substantial reduction of travel distances and reduces the number of required vehicles. Nevertheless, delivered food quality may deteriorate as consolidating shipments results in longer travel durations as well as additional loading and unloading activities
An Easy-to-Use Prognostic Model for Survival Estimation for Patients with Symptomatic Long Bone Metastases
BACKGROUND: A survival estimation for patients with symptomatic long bone metastases (LBM) is crucial to prevent overtreatment and undertreatment. This study analyzed prognostic factors for overall survival and developed a simple, easy-to-use prognostic model. METHODS: A multicenter retrospective study of 1,520 patients treated for symptomatic LBM between 2000 and 2013 at the radiation therapy and/or orthopaedic departments was performed. Primary tumors were categorized into 3 clinical profiles (favorable, moderate, or unfavorable) according to an existing classification system. Associations between prognostic variables and overall survival were investigated using the Kaplan-Meier method and multivariate Cox regression models. The discriminatory ability of the developed model was assessed with the Harrell C-statistic. The observed and expected survival for each survival category were compared on the basis of an external cohort. RESULTS: Median overall survival was 7.4 months (95% confidence interval [CI], 6.7 to 8.1 months). On the basis of the independent prognostic factors, namely the clinical profile, Karnofsky Performance Score, and presence of visceral and/or brain metastases, 12 prognostic categories were created. The Harrell C-statistic was 0.70. A flowchart was developed to easily stratify patients. Using cutoff points for clinical decision-making, the 12 categories were narrowed down to 4 categories with clinical consequences. Median survival was 21.9 months (95% CI, 18.7 to 25.1 months), 10.5 months (95% CI, 7.9 to 13.1 months), 4.6 months (95% CI, 3.9 to 5.3 months), and 2.2 months (95% CI, 1.8 to 2.6 months) for the 4 categories. CONCLUSIONS: This study presents a model to easily stratify patients with symptomatic LBM according to their expected survival. The simplicity and clarity of the model facilitate and encourage its use in the routine care of patients with LBM, to provide the most appropriate treatment for each individual patient. LEVEL OF EVIDENCE: Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence
Mesenchymal chondrosarcoma: prognostic factors and outcome in 113 patients. A European Musculoskeletal Oncology Society study
BACKGROUND:
Mesenchymal chondrosarcoma (MCS) is a distinct, very rare sarcoma with little evidence supporting treatment recommendations.
PATIENTS AND METHODS:
Specialist centres collaborated to report prognostic factors and outcome for 113 patients.
RESULTS:
Median age was 30 years (range: 11-80), male/female ratio 1.1. Primary sites were extremities (40%), trunk (47%) and head and neck (13%), 41 arising primarily in soft tissue. Seventeen patients had metastases at diagnosis. Mean follow-up was 14.9 years (range: 1-34), median overall survival (OS) 17 years (95% confidence interval (CI): 10.3-28.6). Ninety-five of 96 patients with localised disease underwent surgery, 54 additionally received combination chemotherapy. Sixty-five of 95 patients are alive and 45 progression-free (5 local recurrence, 34 distant metastases, 11 combined). Median progression-free survival (PFS) and OS were 7 (95% CI: 3.03-10.96) and 20 (95% CI: 12.63-27.36) years respectively. Chemotherapy administration in patients with localised disease was associated with reduced risk of recurrence (P=0.046; hazard ratio (HR)=0.482 95% CI: 0.213-0.996) and death (P=0.004; HR=0.445 95% CI: 0.256-0.774). Clear resection margins predicted less frequent local recurrence (2% versus 27%; P=0.002). Primary site and origin did not influence survival. The absence of metastases at diagnosis was associated with a significantly better outcome (P<0.0001). Data on radiotherapy indications, dose and fractionation were insufficiently complete, to allow comment of its impact on outcomes. Median OS for patients with metastases at presentation was 3 years (95% CI: 0-4.25).
CONCLUSIONS:
Prognosis in MCS varies considerably. Metastatic disease at diagnosis has the strongest impact on survival. Complete resection and adjuvant chemotherapy should be considered as standard of care for localised disease
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