How do patients with end-stage ankle arthritis decide between two surgical treatments?:A qualitative study

To examine how patients decide between ankle fusion and ankle replacement in end-stage ankle arthritis

The Blond Sailor.

Illustration of Sailor and woman hugging next to anchorhttps://scholarsjunction.msstate.edu/cht-sheet-music/10940/thumbnail.jp

Retinopathy of prematurity – update on screening, treatment, recent studies and long-term outcomes

Retinopathy of prematurity, short ROP, is still one of the leading causes of childhood blindness worldwide. The management of ROP, however, has changed tremendously during the last years. This article summarizes known risk factors for ROP, preventive measures and the updated version of the German recommendations for ROP-screening and treatment. A special focus is laid on new treatment options, in particular anti-VEGF treatment, as well as the post-operative and long-term follow-up after treatment. This article also emphasizes the need for joint data collection on an international level and presents the newly-developed initiative for a European wide data collection (EU-ROP) which will be introduced in 2021. All physicians treating ROP infants are welcome to join the EU-ROP initiative

Rechtliche Evaluierung des Behindertengleichstellungsrechts

Im Rahmen einer Evaluierung des im Jahr 2005 beschlossenen österreichischen Behindertengleichstellungspaketes wurden Vorschläge und Empfehlungen für folgende Fragestellungen der Behindertengleichstellungspolitik zusammengetragen: • Welche zusätzlichen Rechtsinstrumente sind sinnvoll, um die Behindertengleichstellung weiter zu entwickeln? • Wie kann der Zugang zum Behindertengleichstellungsrecht erleichtert werden? • Wie kann man bei privaten Versicherungen und Finanzdienstleistungen etwaige Benachteiligungen wegen einer Behinderung verhindern und der Rechtsschutz verbessert werden? • Wie kann das Instrument der Verbandsklage effizienter gestaltet werden? • Ist eine Adaptierung des Schlichtungsverfahrens erforderlich? Sind beim Schlichtungsverfahren Sanktionen möglich und sinnvoll? • Wie ist das Verhältnis der Diskriminierungsverbote im BGStG und BEinstG zum Gebot der „angemessenen Vorkehrungen“ für ArbeitgeberInnen in § 6 Abs 1a BEinstG? • Wie kann die Einrichtung der Behindertenanwaltschaft verbessert werden? Soll der Behindertenanwalt/die Behindertenanwältin zusätzliche Befugnisse bekommen? • Sollten für den Behindertenanwalt/die Behindertenanwältin Regelungen getroffen werden über die Bestellung, die Bezahlung sowie über seine Vertretung im Fall vorübergehender Verhinderung

A Neural Network Subgrid Model of the Early Stages of Planet Formation

Planet formation is a multi-scale process in which the coagulation of $\mathrm{\mu m}$-sized dust grains in protoplanetary disks is strongly influenced by the hydrodynamic processes on scales of astronomical units ($\approx 1.5\times 10^8 \,\mathrm{km}$). Studies are therefore dependent on subgrid models to emulate the micro physics of dust coagulation on top of a large scale hydrodynamic simulation. Numerical simulations which include the relevant physical effects are complex and computationally expensive. Here, we present a fast and accurate learned effective model for dust coagulation, trained on data from high resolution numerical coagulation simulations. Our model captures details of the dust coagulation process that were so far not tractable with other dust coagulation prescriptions with similar computational efficiency.Comment: 6 pages, 4 figures, accepted at the Machine Learning and the Physical Sciences workshop, NeurIPS 202

Origin and pathogenesis of nodular lymphocyte–predominant Hodgkin lymphoma as revealed by global gene expression analysis

The pathogenesis of nodular lymphocyte–predominant Hodgkin lymphoma (NLPHL) and its relationship to other lymphomas are largely unknown. This is partly because of the technical challenge of analyzing its rare neoplastic lymphocytic and histiocytic (L&H) cells, which are dispersed in an abundant nonneoplastic cellular microenvironment. We performed a genome-wide expression study of microdissected L&H lymphoma cells in comparison to normal and other malignant B cells that indicated a relationship of L&H cells to and/or that they originate from germinal center B cells at the transition to memory B cells. L&H cells show a surprisingly high similarity to the tumor cells of T cell–rich B cell lymphoma and classical Hodgkin lymphoma, a partial loss of their B cell phenotype, and deregulation of many apoptosis regulators and putative oncogenes. Importantly, L&H cells are characterized by constitutive nuclear factor {kappa}B activity and aberrant extracellular signal-regulated kinase signaling. Thus, these findings shed new light on the nature of L&H cells, reveal several novel pathogenetic mechanisms in NLPHL, and may help in differential diagnosis and lead to novel therapeutic strategies

Overview of the Nordic Seas CARINA data and salinity measurements

Water column data of carbon and carbon relevant hydrographic and hydrochemical parameters from 188 previously non-publicly available cruises in the Arctic, Atlantic, and Southern Ocean have been retrieved and merged into a new database: CARINA (CARbon IN the Atlantic). The data have been subject to rigorous quality control (QC) in order to ensure highest possible quality and consistency. The data for most of the parameters included were examined in order to quantify systematic biases in the reported values, i.e. secondary quality control. Significant biases have been corrected for in the data products, i.e. the three merged files with measured, calculated and interpolated values for each of the three CARINA regions; the Arctic Mediterranean Seas (AMS), the Atlantic (ATL) and the Southern Ocean (SO). With the adjustments the CARINA database is consistent both internally as well as with GLODAP (Key et al., 2004) and is suitable for accurate assessments of, for example, oceanic carbon inventories and uptake rates and for model validation. The Arctic Mediterranean Seas include the Arctic Ocean and the Nordic Seas, and the quality control was carried out separately in these two areas. This contribution provides an overview of the CARINA data from the Nordic Seas and summarises the findings of the QC of the salinity data. One cruise had salinity data that were of questionable quality, and these have been removed from the data product. An evaluation of the consistency of the quality controlled salinity data suggests that they are consistent to at least ±0.005

Immune modulation and prevention of autoimmune disease by repeated sequences from parasites linked to self antigens

Parasite proteins containing repeats are essential invasion ligands, important for their ability to evade the host immune system and to induce immunosuppression. Here, the intrinsic suppressive potential of repetitive structures within parasite proteins was exploited to induce immunomodulation in order to establish self-tolerance in an animal model of autoimmune neurological disease. We tested the tolerogenic potential of fusion proteins containing repeat sequences of parasites linked to self-antigens. The fusion constructs consist of a recombinant protein containing repeat sequences derived from the S-antigen protein (SAg) of Plasmodium falciparum linked to a CD4 T cell epitope of myelin. They were tested for their efficacy to control the development of experimental autoimmune encephalomyelitis (EAE), In addition, we used the DO11.10 transgenic mouse model to study the immune mechanisms involved in tolerance induced by SAg fusion proteins. We found that repeated sequences of P. falciparum SAg protein linked to self-epitopes markedly protected mice from EAE. These fusion constructs were powerful tolerizing agents not only in a preventive setting but also in the treatment of ongoing disease. The tolerogenic effect was shown to be antigen-specific and strongly dependent on the physical linkage of the T cell epitope to the parasite structure and on the action of anti-inflammatory cytokines like IL-10 and TGF-{beta}. Other mechanisms include down-regulation of TNF-{alpha} accompanied by increased numbers of FoxP3(+) cells. This study describes the use of repetitive structures from parasites linked to defined T cell epitopes as an effective method to induce antigen-specific tolerance with potential applicability for the treatment and prevention of autoimmune diseases

β-Hydroxy-β-Methylbutyrate Supplementation Promotes Antitumor Immunity in an Obesity Responsive Mouse Model of Pancreatic Ductal Adenocarcinoma

Pancreatic cancer (PDAC) is a deadly disease, exacerbated by obesity, which lacks effective therapeutic interventions. Most PDAC has a limited response to immune- and chemotherapy. Treating PDAC is made additionally challenging by the rapid emergence of muscle wasting and cachexia, which predict poor response to several therapies. We have found that dietary supplementation with β-hydroxy-β-methylbutyrate promotes immunosurveillance in PDAC tumors and protects muscle. This dietary supplement has the potential to be an important adjuvant in PDAC therapy, opening the doors to immunotherapy response