Non-technical skills for neurosurgeons: An international survey

IntroductionNeurosurgery is considered a technically demanding specialty; nonetheless, it also requires non-technical skills (NTSs) to reach mastery.Research questionThis study seeks to understand how important NTSs are perceived by neurosurgeons across diverse roles and socio-economic backgrounds. The objective is to identify key NTSs and explore their role in surgical precision, teamwork, and collaboration.Material and methodAn international survey involving 372 neurosurgeons from various socio-economic and cultural contexts was conducted. The extensive sample and inclusive methodology provide a comprehensive perspective on the perceived importance of NTSs in neurosurgery.ResultsThe survey results highlight the universal significance of NTSs among neurosurgeons. Attention to detail, humility, and self-awareness are considered essential for surgical precision, effective teamwork, and collaboration. The findings underscore the necessity for integrated training programs that combine NTSs with technical skills.Discussion and conclusionThe study emphasizes the importance of effective training methods such as simulations, mentorship, and role-playing in equipping neurosurgeons to navigate the complexities of their profession. Future research should focus on optimizing teaching methods for NTSs, comparing traditional courses, online modules, and hybrid training programs. Addressing the global disparity in neurosurgical care, particularly in low- and middle-income countries, is crucial for improving patient outcomes worldwide

Gene methylation profiles of normal mucosa, and benign and malignant colorectal tumors identify early onset markers

<p>Abstract</p> <p>Background</p> <p>Multiple epigenetic and genetic changes have been reported in colorectal tumors, but few of these have clinical impact. This study aims to pinpoint epigenetic markers that can discriminate between non-malignant and malignant tissue from the large bowel, i.e. markers with diagnostic potential.</p> <p>The methylation status of eleven genes (<it>ADAMTS1</it>, <it>CDKN2A</it>, <it>CRABP1</it>, <it>HOXA9</it>, <it>MAL</it>, <it>MGMT</it>, <it>MLH1</it>, <it>NR3C1</it>, <it>PTEN</it>, <it>RUNX3</it>, and <it>SCGB3A1</it>) was determined in 154 tissue samples including normal mucosa, adenomas, and carcinomas of the colorectum. The gene-specific and widespread methylation status among the carcinomas was related to patient gender and age, and microsatellite instability status. Possible CIMP tumors were identified by comparing the methylation profile with microsatellite instability (MSI), <it>BRAF</it>-, <it>KRAS</it>-, and <it>TP53 </it>mutation status.</p> <p>Results</p> <p>The mean number of methylated genes per sample was 0.4 in normal colon mucosa from tumor-free individuals, 1.2 in mucosa from cancerous bowels, 2.2 in adenomas, and 3.9 in carcinomas. Widespread methylation was found in both adenomas and carcinomas. The promoters of <it>ADAMTS1</it>, <it>MAL</it>, and <it>MGMT </it>were frequently methylated in benign samples as well as in malignant tumors, independent of microsatellite instability. In contrast, normal mucosa samples taken from bowels without tumor were rarely methylated for the same genes. Hypermethylated <it>CRABP1, MLH1</it>, <it>NR3C1</it>, <it>RUNX3</it>, and <it>SCGB3A1 </it>were shown to be identifiers of carcinomas with microsatellite instability. In agreement with the CIMP concept, MSI and mutated <it>BRAF </it>were associated with samples harboring hypermethylation of several target genes.</p> <p>Conclusion</p> <p>Methylated <it>ADAMTS1</it>, <it>MGMT</it>, and <it>MAL </it>are suitable as markers for early tumor detection.</p

Fertility and Viability of Pollen Grains of Taraxacum officinale Wigg. s.l. (Asteraceae, Magnoliopsida) in a Gradient of an Anthropogenically Transformed Environment

Abstract: The fertility and viability of pollen grains of two morphological forms of Taraxacum officinale Wigg. s.l. were estimated. These forms compose common coenopopulations growing in various coenotic and edaphic conditions. The forms studied possess developed gynoecia—a large number of fertile pollen grains capable of germinating under certain temperature conditions. This fact points to the amphimictic properties of the plants. Comparison of the data on the fraction of fertile pollen grains and seed productivity allows assuming that some seeds develop without fertilization. This can be considered as evidence of the apomictic properties of plants. Therefore, the presence of facultative apomixis in the species considered was confirmed indirectly in our work. The fertility of pollen grains was shown to be a characteristic of the male gametophyte that was more environmentally dependent than its viability. Under favorable conditions, the share of fertile pollen grains in f. dahlstedtii and f. pectinatiforme differ insignificantly. Under stress, the differences between the dandelion forms by this index increase. This can be considered as a mechanism of adaptation to adverse environmental factors. The revealed differentiation of the morphological forms of dandelions by the index of pollen grain fertility suggests that edaphic and coenotic stresses increase the differences between them in the degree of apomictic and amphimictic properties. The morphological forms of dandelions, by realizing two reproductive strategies under stress, ensure both the abundance and the genetic heterogeneity of the coenopopulations. The morphological forms studied do not differ in the proportion of viable pollen grains. This index increases in the gradient of coenotic competition only to a certain extent, which can be considered as a manifestation of the properties of the facultative apomict. © 2020, Pleiades Publishing, Inc

Aboveground phytomass and rate of plant debris decomposition in herbaceous communities exposed to soil pollution with heavy metals

Consideration is given to production and decomposition processes in herbaceous communities exposed to chemical pollution with heavy metals in the Middle Urals. High variation in the aboveground phytomass of agrobotanical groups (legumes, forbs, grasses) is due to spatial heterogeneity of soil pollution levels and consequent changes in the species composition of plant communities in the areas studied. Therefore, nonparametric statistical methods have been used (Kruskal–Wallis test with subsequent pairwise comparisons by Wilcoxon–Mann–Whitney with Bonferroni correction for multiple comparisons). The phytomass of legumes remains unchanged in the increasing pollution gradient, while the contribution of forbs to the total phytomass decreases and that of grasses increases. Soils rich in nutrient elements can maintain a high rate of plant debris decomposition, counterbalancing the adverse effect of increased heavy metal concentrations on relevant processes. The balance between production and mineralization processes provides for the sustainable, long-term existence of herbaceous communities under conditions of intense pollution of the natural environment. © 2016, Pleiades Publishing, Ltd

Development and comparison of a real-time PCR assay for detection of Dichelobacter nodosus with culturing and conventional PCR: harmonisation between three laboratories

<p>Abstract</p> <p>Background</p> <p>Ovine footrot is a contagious disease with worldwide occurrence in sheep. The main causative agent is the fastidious bacterium <it>Dichelobacter nodosus</it>. In Scandinavia, footrot was first diagnosed in Sweden in 2004 and later also in Norway and Denmark. Clinical examination of sheep feet is fundamental to diagnosis of footrot, but <it>D. nodosu</it>s should also be detected to confirm the diagnosis. PCR-based detection using conventional PCR has been used at our institutes, but the method was laborious and there was a need for a faster, easier-to-interpret method. The aim of this study was to develop a TaqMan-based real-time PCR assay for detection of <it>D. nodosus </it>and to compare its performance with culturing and conventional PCR.</p> <p>Methods</p> <p>A <it>D. nodosus-</it>specific TaqMan based real-time PCR assay targeting the 16S rRNA gene was designed. The inclusivity and exclusivity (specificity) of the assay was tested using 55 bacterial and two fungal strains. To evaluate the sensitivity and harmonisation of results between different laboratories, aliquots of a single DNA preparation were analysed at three Scandinavian laboratories. The developed real-time PCR assay was compared to culturing by analysing 126 samples, and to a conventional PCR method by analysing 224 samples. A selection of PCR-products was cloned and sequenced in order to verify that they had been identified correctly.</p> <p>Results</p> <p>The developed assay had a detection limit of 3.9 fg of <it>D. nodosus </it>genomic DNA. This result was obtained at all three laboratories and corresponds to approximately three copies of the <it>D. nodosus </it>genome per reaction. The assay showed 100% inclusivity and 100% exclusivity for the strains tested. The real-time PCR assay found 54.8% more positive samples than by culturing and 8% more than conventional PCR.</p> <p>Conclusions</p> <p>The developed real-time PCR assay has good specificity and sensitivity for detection of <it>D. nodosus</it>, and the results are easy to interpret. The method is less time-consuming than either culturing or conventional PCR.</p