Religion und Bildungserfolg in Westdeutschland unter besonderer Berücksichtigung von Diasporaeffekten.

Die in der quantitativen Bildungssoziologie nahezu verschwundene Kategorie der Religionszugehörigkeit greifen wir auf und fragen, ob und wie diese auch heute noch den Bildungserwerb beeinflusst. Dabei konzentrieren wir uns zunächst auf klassische Erklärungen zu Differenzen in der Lebensführung von Protestanten und Katholiken, auf spezifisches Verhalten in der Diaspora und auf mögliche Selektionseffekte sowie auf muslimische Religionszugehörigkeit als "Bright Boundary" in Verbindung mit der "Stereotype Threat Theory". Zur empirischen Überprüfung werden Daten aus dem Sozio-oekonomischen Panel (SOEP) der Jahre 1997 bis 2011 zum Schulbesuch von 13- bis 16-Jährigen in Westdeutschland unter Verwendung von linearen Wahrscheinlichkeitsmodellen mit festen Effekten für Kreise analysiert. Nach Kontrolle sozialstruktureller Merkmale lassen sich keine statistisch signifikanten Differenzen zwischen Katholiken, Protestanten und Muslimen beobachten. Protestanten und Katholiken haben höhere Gymnasialquoten, wenn sie sich in einer regionalen Minderheitensituation befinden. Dies lässt sich am ehesten auf selektive Mobilität der Eltern zurückführen. (DIPF/Autor)Current research on the relevance of religious affiliation for educational success is scarce in Germany. We address this gap and look at differences among Protestants, Catholics, and Muslims regarding educational success. We focus on West Germany, where both Christian denominations are more or less equal in size overall, but with strong regional variations. According to relevant literature, differences in educational success by religion might be due to specific values and beliefs, or minority status (diaspora), yet parts of the population in a diaspora might be highly selective due to spatial mobility. Muslims might be less successful, as the Islamic religion is seen as a "bright boundary" in the German context, which impedes assimilation. To test these hypotheses, we use data from the German Socio-Economic Panel Study (SOEP) collected between 1997 and 2011. The dependent variable is enrolment in the most prestigious secondary school type ("Gymnasium") at the ages of 13 to 16. We use linear probability models to estimate school attendance with fixed effects for districts. Altogether, Catholics, Protestants, and Muslims do not differ in educational success if we control for parents\u27 socioeconomic status. In the case of the two Christian denominations, belonging to a regional minority leads to higher success. There are strong hints that this is caused by parents\u27 spatial mobility. (DIPF/Autor

Disease Manifestations in Mucopolysaccharidoses and Their Impact on Anaesthesia-Related Complications—A Retrospective Analysis of 99 Patients

Patients with mucopolysaccharidoses (MPS) frequently require anaesthesia for diagnostic or surgical interventions and thereby experience high morbidity. This study aimed to develop a multivariable prediction model for anaesthesia-related complications in MPS. This two-centred study was performed by retrospective chart review of children and adults with MPS undergoing anaesthesia from 2002 until 2018. We retrieved the patients’ demographics, medical history, clinical manifestations, and indication by each anaesthesia. Multivariable mixed-effects logistic regression was calculated for a clinical model based on preoperative predictors preselected by lasso regression and another model based on disease subtypes only. Of the 484 anaesthesia cases in 99 patients, 22.7% experienced at least one adverse event. The clinical model resulted in a better forecast performance than the subtype-model (AICc 460.4 vs. 467.7). The most relevant predictors were hepatosplenomegaly (OR 3.10, CI 1.54–6.26), immobility (OR 3.80, CI 0.98–14.73), and planned major surgery (OR 6.64, CI 2.25–19.55), while disease-specific therapies, i.e., haematopoietic stem cell transplantation (OR 0.45, CI 0.20–1.03), produced a protective effect. Anaesthetic complications can best be predicted by surrogates for advanced disease stages and protective therapeutic factors. Further model validation in different cohorts is needed

Intraoperative impaired cerebrovascular autoregulation and delayed neurocognitive recovery after major oncologic surgery: a secondary analysis of pooled data

Cerebral blood flow is tightly regulated by cerebrovascular autoregulation (CVA), and intraoperative impairment of CVA has been linked with perioperative neurocognitive disorders. We aim to assess whether impairment of CVA during major oncologic surgery is associated with delayed neurocognitive recovery (DNCR) postoperatively. We performed a secondary analysis of prospectively collected data. Patients were included if they had undergone complete pre- and postoperative neuropsychological assessments, continuous intraoperative measurement of CVA, and major oncologic surgery for visceral, urological, or gynecological cancer. Intraoperative CVA was measured using the time-correlation method based on near-infrared-spectroscopy, and DNCR was assessed with a neuropsychological test battery. A decline in cognitive function before hospital discharge compared with a preoperative baseline assessment was defined as DNCR. One hundred ninety-five patients were included in the analysis. The median age of the study population was 65 years (IQR: 60-68); 11 patients (5.6%) were female. Forty-one patients (21.0%) fulfilled the criteria for DNCR in the early postoperative period. We found a significant association between impaired intraoperative CVA and DNCR before hospital discharge (OR = 1.042 [95% CI: 1.005; 1.080], p = 0.028). The type of surgery (radical prostatectomy vs. other major oncologic surgery; OR = 0.269 [95% CI: 0.099; 0.728], p = 0.010) and premedication with midazolam (OR = 3.360 [95% CI: 1.039; 10.870], p = 0.043) were significantly associated with the occurrence of DNCR in the early postoperative period. Intraoperative impairment of CVA is associated with postoperative neurocognitive function early after oncologic surgery. Therefore, intraoperative monitoring of CVA may be a target for neuroprotective interventions. The initial studies were retrospectively registered with primary clinical trial registries recognized by the World Health Organization (ClinicalTrials.gov Identifiers: DRKS00010014, 21.03.2016 and NCT04101006, 24.07.2019)

Anaesthesia-Relevant Disease Manifestations and Perianaesthetic Complications in Patients with Mucolipidosis—A Retrospective Analysis of 44 Anaesthetic Cases in 12 Patients

Mucolipidosis (ML) type II, intermediate, and III are lysosomal storage disorders with progressive multiorgan manifestations predisposing patients to a high risk of perioperative morbidity. The aims of the study were to systematically assess disease manifestations relevant to anaesthesia as well as anaesthesia-related complications. This retrospective study includes ML patients who underwent anaesthesia in two centres between 2008 and 2022. We reviewed patients’ demographics, medical history, disease manifestations, as well as procedure- and outcome-related data. A total of 12 patients (7 MLII, 2 ML intermediate, 3 MLIII) underwent 44 anaesthesia procedures (per patient: median 3, range 1–11). The median age was 3.3 years (range 0.1–19.1). At least one complication occurred in 27.3% of the anaesthesia procedures. The vast majority of complications (94%) occurred in children with MLII and ML intermediate. A predicted difficult airway was found in 100% and 80% of the MLII and ML intermediate patients, respectively. Accordingly, most complications (59%) occurred during the induction of anaesthesia. Altogether, respiratory complications were the most frequent (18%), followed by difficult airway management (14%). The risk for anaesthesia-related complications is alarmingly high in patients with ML, particularly in those with MLII and ML intermediate. Multidisciplinary risk–benefit analysis and thoughtful anaesthesia planning are crucial in these patients

CNS Manifestations in Mucolipidosis Type II—A Retrospective Analysis of Longitudinal Data on Neurocognitive Development and Neuroimaging in Eleven Patients

Mucolipidosis type II (MLII), an ultra-rare lysosomal storage disorder, manifests as a fatal multi-systemic disease. Mental inhibition and progressive neurodegeneration are commonly reported disease manifestations. Nevertheless, longitudinal data on neurocognitive testing and neuroimaging lack in current literature. This study aimed to provide details on central nervous system manifestations in MLII. All MLII patients with at least one standardized developmental assessment performed between 2005 and 2022 were included by retrospective chart review. A multiple mixed linear regression model was applied. Eleven patients with a median age of 34.0 months (range 1.6–159.6) underwent 32 neurocognitive and 28 adaptive behaviour assessments as well as 14 brain magnetic resonance imagings. The scales used were mainly BSID-III (42%) and VABS-II (47%). Neurocognitive testing (per patient: mean 2.9, standard deviation (SD) 2.0) performed over 0–52.1 months (median 12.1) revealed profound impairment with a mean developmental quotient of 36.7% (SD 20.4) at last assessment. The patients showed sustained development; on average, they gained 0.28 age-equivalent score points per month (confidence interval 0.17–0.38). Apart from common (63%) cervical spinal stenosis, neuroimaging revealed unspecific, non-progressive abnormalities (i.e., mild brain atrophy, white matter lesions). In summary, MLII is associated with profound developmental impairment, but not with neurodegeneration and neurocognitive decline

Correction: Cerebral Hemodynamics in Patients with Hemolytic Uremic Syndrome Assessed by Susceptibility Weighted Imaging and Four-Dimensional Non-Contrast MR Angiography.

[This corrects the article DOI: 10.1371/journal.pone.0164863.]

Investigation of microstructures in naturally and experimentally deformed reference clay rocks using innovative methods in scanning electron microscopy

The application of ion-beam milling techniques to clays allows investigation of the porosity at nm resolution using scanning electron microscopy (SEM). Imaging of pores by SEM of surfaces prepared by broad ion beam (BIB) gives both qualitative and quantitative insights into the porosity and mineral fabrics in 2D representative cross-sections. The combination of cryogenic techniques with ion-beam milling preparation (BIB and FIB, focused ion beam) allows the study of pore fluids in preserved clay-rich samples. Characterization of the pore network is achieved, first, using X-ray computed tomography to provide insights into the largest pore bodies only, which are generally not connected at the resolution achieved. Secondly, access to 3D pore connectivity is achieved by FIB-SEM tomography and the results are compared with 2D porosity analysis (BIBSEM) and correlated with bulk porosity measurements (e.g. mercury injection porosimetry, MIP). Effective pore connectivity was investigated with an analog of MIP based on Wood’s metal (WM), which is solid at room temperature and allows microstructural investigation of WM-filled pores with BIB-SEM after injection. Combination of these microstructural investigations at scales of ,1 mm with conventional stressstrain data, and strain localization characterized by strain-fields measurement (DIC – digital image correlation) on the same sample offers a unique opportunity to answer the fundamental questions: (1) when, (2) where, and (3) how the sample was deformed in the laboratory. All the methods above were combined to study the microstructures in naturally and experimentally deformed argillites. Preliminary results are promising and leading toward better understanding of the deformation behavior displayed by argillites in the transition between rocks and soils