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Interactive responses to temperature and salinity in larvae of the Asian brush-clawed crab Hemigrapsus takanoi: relevance for range expansion into the Baltic Sea, in the context of climate change
Get PDFWe studied the potential of a recently introduced species, the Asian brush-clawed crab (Hemigrapsus takanoi), to expand its distribution range further into the Baltic Sea. H. takanoi has been documented in the southwestern Baltic Sea since 2014. The ability to persist and further expand into the Baltic Proper will depend on their potential to sustain all stages of their complex life cycle, including pelagic larvae, under the Baltic Sea's conditions. Range limits may be established by the tolerance to low salinity, which in addition may be affected by water temperature. A key question is whether local populations at the distribution limit (within the Baltic Sea) show increased tolerance to low salinities and hence promote further expansion. We quantified the combined effects of salinity (10–33 PSU) and temperature (15–24 °C) on larval development in four populations of H. takanoi (two from the Baltic and two from the North Sea). We found substantial differences in larval performance between the populations from the Baltic and North Seas. Larvae from the North Sea populations always showed higher survival and faster development compared with those from the Baltic Sea. Only weak evidence of elevated tolerance towards low salinity was found in the larvae from the Baltic Sea populations. In addition, larvae from the population located near the range limit showed very low survival under all tested salinity-temperature combinations and no evidence of increased tolerance to low salinity. There was no apparent genetic differentiation among the studied populations in the mitochondrial cytochrome c oxidase subunit one gene (COI) implying high connectivity among the populations. In conclusion, the weak evidence of low salinity tolerance in Baltic Sea populations, and poor larval performance for the population located near the range limit, coupled with limited genetic differentiation suggest that subsidies are needed for populations to persist near the range limit. Alternatively, ontogenetic migrations would be required to sustain those populations. Monitoring efforts are needed to elucidate the underlaying mechanisms and document potential future range expansions
Active afforestation of drained peatlands is not a viable option under the EU Nature Restoration Law
Get PDFThe EU Nature Restoration Law (NRL) is critical for the restoration of degraded ecosystems and active afforestation of degraded peatlands has been suggested as a restoration measure under the NRL. Here, we discuss the current state of scientific evidence on the climate mitigation effects of peatlands under forestry. Afforestation of drained peatlands without restoring their hydrology does not fully restore ecosystem functions. Evidence on long-term climate benefits is lacking and it is unclear whether CO2 sequestration of forest on drained peatland can offset the carbon loss from the peat over the long-term. While afforestation may offer short-term gains in certain cases, it compromises the sustainability of peatland carbon storage. Thus, active afforestation of drained peatlands is not a viable option for climate mitigation under the EU Nature Restoration Law and might even impede future rewetting/restoration efforts. Instead, restoring hydrological conditions through rewetting is crucial for effective peatland restoration
Cryoablation of atrial fibrillation in “very severe” obese patients (BMI ≥ 40): Indications, feasibility, procedural safety and efficacy, and clinical outcome (the ICE‐Obese Extreme)
Get PDFBackground
Management of atrial fibrillation (AF) in very severe obese patients is challenging. Cryoballoon ablation (CBA) represents an effective rhythm control strategy. However, data in this patient group were limited.
Methods
Highly symptomatic AF patients with body mass index (BMI) ≥ 40 kg/m2 who had failed antiarrhythmic drug therapy and electrocardioversion and failure to achieve targeted body‐weight‐reduction underwent CBA.
Results
Data of 72 very severe obese AF patients (Group A) and 129 AF patients with normal BMI (Group B, BMI < 25 kg/m2) were consecutively collected. Group A had significantly younger age (60.6 ± 10.4 vs. 69.2 ± 11.2 years), higher BMI (44.3 ± 4.3 vs. 22.5 ± 1.6 kg/m2). Procedural pulmonary vein isolation (PVI) was successful in all patients (2 touch‐up ablation in Group A). Compared to Group B, Group A had similar procedural (61.3 ± 22.6 vs. 57.5 ± 19 min), similar fluoroscopy time (10.1 ± 5.5 vs. 9.2 ± 4.8 min) but significantly higher radiation dose (2852 ± 2095 vs. 884 ± 732 µGym2). We observed similar rates of real‐time‐isolation (78.6% vs. 78.5%), single‐shot‐isolation (86.5% vs. 88.8%), but significantly longer time‐to‐sustained‐isolation (53.5 ± 33 vs. 43.2 ± 25 s). There was significantly higher rate of puncture‐site‐complication (6.9% vs. 1.6%) in Group A. One‐year clinical success in paroxysmal AF was (Group A: 69.4% vs. Group B: 80.2%; p < .001), in persistent AF was (Group A: 58.1% vs. Group B: 62.8%; p = .889). In Re‐Do procedures Group A had a numerically lower PVI durability (75.0% vs. 83.6%, p = .089).
Conclusion
For very severe obese AF patients, CBA appears feasible, leads to relatively good clinical outcome
PAIN2.0: study protocol for a multicentre randomised controlled trial to evaluate the efficacy of a 10-week outpatient interdisciplinary multimodal pain therapy to manage recurrent pain for patients with risk factors of developing chronic pain in Germany
Get PDFBackground
Up to 27% of the German population suffers from recurrent or persistent pain (lasting more than three months). Therefore, prevention of chronic pain is one major object of pain management interventions. The aim of this nationwide, multicentre, randomised controlled trial is to evaluate the efficacy of a 10-week ambulatory (outpatient) interdisciplinary multimodal pain therapy (A-IMPT) for patients with recurrent pain and at risk of developing chronic pain. This project was initiated by the German Pain Society (Deutsche Schmerzgesellschaft e.V.) and the public health insurance provider BARMER. It is currently funded by the German Innovation Fund (01NVF20023). The study PAIN2.0 focuses on reducing pain intensity and pain-related disability and investigates whether this intervention can improve physical activity, psychological well-being, and health literacy.
Methods
PAIN2.0 is designed as a multicentre 1:1 randomised controlled trial with two parallel groups (randomisation at the patient level, planned N = 1094, duration of study participation 12 months, implemented by 22 health care facilities nationwide). After 6 months, patients within the control group also receive the intervention. The primary outcomes are pain intensity and pain-related impairment, measured as Characteristic Pain Intensity (PI) and Disability Score (DS) (Von Korff), as well as patient-related satisfaction with the intervention. Secondary outcomes are the number of sick leave days, sickness allowance, treatment costs, psychological distress, health-related quality of life, and catastrophizing. The effects of the intervention will be analysed by a parallel-group comparison between the intervention and control groups. In addition, the long-term effects within the intervention group will be observed and a pre-post comparison of the control group before and after the intervention will be performed.
Discussion
Recurrent or persistent pain is common in the German population and causes high costs for patients and society. The A-IMPT aims to improve pain and pain-related impairments in pain patients at risk of chronification, thereby reducing the risk of developing chronic pain with its high socioeconomic burden. This new therapy could easily be integrated into existing therapy programs if positively evaluated.
Trial registration
The trial PAIN2.0 has been registered in the German Clinical Trials Register (DRKS) since 21/11/2022 with the ID DRKS00030773
Emotional processing impairments in patients with insula lesions following stroke
Get PDFFunctional imaging has helped to understand the role of the human insula as a major processing network for integrating input with the current state of the body. However, these studies remain at a correlative level. Studies that have examined insula damage show lesion-specific performance deficits. Case reports have provided anecdotal evidence for deficits following insula damage, but group lesion studies offer a number of advances in providing evidence for functional representation of the insula. We conducted a systematic literature search to review group studies of patients with insula damage after stroke and identified 23 studies that tested emotional processing performance in these patients. Eight of these studies assessed emotional processing of visual (most commonly IAPS), auditory (e.g., prosody), somatosensory (emotional touch) and autonomic function (heart rate variability). Fifteen other studies looked at social processing, including emotional face recognition, gaming tasks and tests of empathy. Overall, there was a bias towards testing only patients with right-hemispheric lesions, making it difficult to consider hemisphere specificity. Although many studies included an overlay of lesion maps to characterise their patients, most did not differentiate lesion statistics between insula subunits and/or applied voxel-based associations between lesion location and impairment. This is probably due to small group sizes, which limit statistical comparisons. We conclude that multicentre analyses of lesion studies with comparable patients and performance tests are needed to definitively test the specific function of parts of the insula in emotional processing and social interaction
Tooth Brushing Learning Methods: Differential or Conventional? – A Randomized Controlled Clinical Trial
Get PDFIntroduction: Proper tooth brushing is a complicated process for children. Therefore, the aim of this study was to investigate the effect of differential learning to improve tooth brushing in children. Methods: In this prospective, controlled, single-blinded, randomized clinical trial, 58 children between 3 and 8 years of age (mean: 5.7 ± 1.5 years; 29 female) were randomly assigned to test or control group through the child’s self-drawing of an unlabeled envelope from a box. All children received oral hygiene instructions and information in these sealed envelopes and were asked to follow the corresponding instructions at home for 28 days. Children in the test group received instructions with exercises using the differential learning method, whereas the children in the control group received the usual tooth brushing instructions. Results: At baseline and planned follow-ups after 4 and 12 weeks, plaque and gingival indices (QHI, PBI) were recorded in both groups by 2 calibrated and blinded investigators. At baseline, there were no significant differences between the test and control groups regarding plaque and gingival indices (QHI: 4.1 ± 0.5 vs. 4.1 ± 0.4; p = 0.7; PBI: 0.6 ± 0.3 vs. 0.6 ± 0.3; p = 0.7). At the 1st and 2nd follow-up, both groups showed improved oral health indices, but there was an overall better improvement in the test group. While the difference in gingival indices was statistically significant in the 1st recall (PBI/test: 0.1 ± 0.2 vs. control: 0.3 ± 0.2; p < 0.001), the difference in plaque indices was not (QHI/test: 2.1 ± 0.9; control: 2.6 ± 0.9; p = 0.07). At the 2nd recall (mean week = 19.5 weeks), the test group showed statistically significant and clinically relevant better oral health indices than the control group (2nd recall, QHI/test: 2.1 ± 0.9 vs. control: 3.2 ± 1; p < 0.001; PBI/test: 0.1 ± 0.2 vs. control: 0.5 ± 0.2; p < 0.001). Conclusion: In conclusion, differential learning leads to oral hygiene improvement in children with high caries risk and initially poor oral hygiene, which was superior to the conventional learning method through repetition in the medium term
Comparative analysis of THz signal emission from bilayer heterostructures: Wideband and high-frequency THz signal advantage of PtBi-based emitter
Get PDFSpintronic THz emitters have attracted much attention due to their desirable properties, such as affordability, ultra-wideband capability, high efficiency, and tunable polarization. In this study, we investigate the characteristics of THz signals, including their frequency, bandwidth, and amplitude, emitted from a series of heterostructures with ferromagnetic (FM) and nonmagnetic (NM) materials. The FM layer consists of a wedge-shaped CoFeB layer with a thickness of 0 to 5 nm, while the NM materials include various metals such as Pt, Au, W, Ru, Pt%92Bi%8, and Ag%90Bi%10 alloys. Our experiments show that the emitter with the Pt-NM layer has the highest amplitude of the emitted THz signal. However, the PtBi-based emitter exhibits a higher central THz peak and wider bandwidth, making it a promising candidate for broadband THz emitters. These results pave the way for further exploration of the specific compositions of Pt1−x Bix for THz emitter design, especially with the goal of generating higher frequency and wider bandwidth THz signals. These advances hold significant potential for applications in various fields such as high-resolution imaging, spectroscopy, communications, medical diagnostics, and more
The impact of differential learning on oral hygiene in children: A single blinded randomized controlled clinical trial
Get PDFBackground: Proper tooth brushing is a complicated process for children.
Aim of the study: was to investigate the effect of home-based differential learning to improve daily tooth brushing in children.
Study Design: In this prospective, controlled, single-blinded, randomized clinical trial, 58 children (age: 5.7 ± 1.5 years; 29 female) were randomly assigned to test or control groups through the child's self-drawing of an unlabeled envelope from a box. All children received oral hygiene instructions and information in these sealed envelopes and were asked to follow the corresponding instructions at home for 28 days. Children in the test group received instructions with exercises using the differential learning method, whereas the children in the control group received the usual tooth brushing instructions. At baseline and planned follow-ups after 4 and 12 weeks, plaque and gingival indices (QHI, PBI) were recorded in both groups by 2 calibrated and blinded investigators.
Results: At baseline, there were no significant differences between the test and control groups regarding plaque and gingival indices (QHI: 4.1 ± 0.5 vs. 4.1 ± 0.4; p = 0.7; PBI: 0.6 ± 0.3 vs. 0.6 ± 0.3; p = 0.7). At the 1st and 2nd follow-up, both groups showed improved oral health indices, but there was an overall better improvement in the test group. While the difference in gingival indices was statistically significant in the 1st recall (PBI/test: 0.1 ± 0.2 vs. control: 0.3 ± 0.2; p < 0.001), the difference in plaque indices was not (QHI/test: 2.1 ± 0.9; control: 2.6 ± 0.9; p = 0.07). At the 2nd recall (mean week = 19.5 weeks), the test group showed statistically significant and clinically relevant better oral health indices than the control group (2nd recall, QHI/test: 2.1 ± 0.9 vs. control: 3.2 ± 1; p < 0.001; PBI/test: 0.1 ± 0.2 vs. control: 0.5 ± 0.2; p < 0.001).
Conclusion: In conclusion, differential learning leads to oral hygiene improvement in children with high caries risk and initially poor oral hygiene, which was superior to the conventional learning method through repetition in the medium term.Hintergrund: Richtiges Zähneputzen ist für Kinder ein komplizierter Vorgang.
Ziel der Studie: Ziel dieser Studie war es, die Wirkung des häuslichen differenziellen Lernens zur Verbesserung des Zähneputzens bei Kindern zu untersuchen.
Studienaufbau: In dieser prospektiven, kontrollierten, einfach verblindeten, randomisierten klinischen Studie wurden 58 Kinder (Alter: 5,7 ± 1,5 Jahre; 29 weiblich) nach dem Zufallsprinzip einer Test- oder Kontrollgruppe zugewiesen, indem das Kind selbst einen unbeschrifteten Umschlag aus einer Box zog. Alle Kinder erhielten in diesen versiegelten Umschlägen Mundhygieneanweisungen und -informationen und wurden gebeten, die entsprechenden Anweisungen 28 Tage lang zu Hause zu befolgen. Die Kinder der Testgruppe erhielten Anweisungen mit Übungen nach der Methode des differenzierten Lernens, während die Kinder der Kontrollgruppe die üblichen Zahnputzanweisungen erhielten. Zu Beginn der Studie und bei den geplanten Nachuntersuchungen nach 4 und 12 Wochen wurden die Plaque- und Gingiva-Indizes (QHI, PBI) in beiden Gruppen von zwei kalibrierten und verblindeten Untersuchern erfasst.
Ergebnisse: Bei Studienbeginn gab es keine signifikanten Unterschiede zwischen der Test- und der Kontrollgruppe hinsichtlich der Plaque- und Gingiva-Indizes (QHI: 4,1 ± 0,5 vs. 4,1 ± 0,4; p = 0,7; PBI: 0,6 ± 0,3 vs. 0,6 ± 0,3; p = 0,7). Bei der 1. und 2. Nachuntersuchung wiesen beide Gruppen verbesserte Mundgesundheitsindizes auf, aber es gab eine insgesamt bessere Verbesserung in der Testgruppe. Während der Unterschied bei den Gingiva-Indizes beim ersten Recall statistisch signifikant war (PBI/Test: 0,1 ± 0,2 vs. Kontrolle: 0,3 ± 0,2; p < 0,001), war der Unterschied bei den Plaque-Indizes nicht signifikant (QHI/Test: 2,1 ± 0,9; Kontrolle: 2,6 ± 0,9; p = 0,07). Beim 2. Recall (mittlere Woche = 19,5 Wochen) zeigte die Testgruppe statistisch signifikant und klinisch relevant bessere Mundgesundheitsindizes als die Kontrollgruppe (2. Recall, QHI/Test: 2,1 ± 0,9 vs. Kontrolle: 3,2 ± 1; p < 0,001; PBI/Test: 0,1 ± 0,2 vs. Kontrolle: 0,5 ± 0,2; p < 0,001).
Schlussfolgerung: Zusammenfassend lässt sich sagen, dass differenzielles Lernen bei Kindern mit hohem Kariesrisiko und anfänglich schlechter Mundhygiene zu einer Verbesserung der Mundhygiene führt, die der herkömmlichen Lernmethode durch Wiederholung mittelfristig überlegen war
Body surface scan anthropometrics are associated with grip strength in the general population
Get PDFBackground and aim
Body shape and anthropometrics are well-known risk factors for cardiovascular diseases (CVD) and mortality. Hand-grip strength (HGS) is also a meaningful marker of health and a promising predictor of CVD and mortality. There is a lack of studies that have systematically investigated associations between body shape and anthropometrics with HGS. In a population-based study, we investigated if anthropometric markers derived from 3D body scanning are related to HGS.
Methods and results
We used the data of 1,599 individuals aged 36 to 93 years, who participated in the Study of Health in Pomerania. A total of 87 anthropometric markers, determined by a 3D body scanner, were included in the analysis. Anthropometric measurements were standardized and used as exposure variables. HGS was measured with a hand dynamometer and used as outcome. Sex-stratified linear regression models adjusted for age and height were used to relate standardized anthropometrics and HGS. Anthropometric markers were ranked according to -log-p-values.
In men, left and right forearm circumference, left arm length to neck (C7), left forearm length, and forearm-fingertip length were most strongly related to HGS. In women, right forearm circumference, forearm-fingertip length, shoulder breadth, left forearm circumference, and right wrist circumference showed the most significant associations with HGS. The final prediction models contained 13 anthropometric markers in males (R2=0.54) and eight anthropometric markers in females (R2=0.37).
Conclusions
The identified parameters may help estimate HGS in the clinical setting. However, studies in clinical settings are essential to validating our findings
Brain oscillatory processes related to sequence memory in healthy older adults
Get PDFSequence memory is subject to age-related decline, but the underlying processes are not yet fully understood. We analyzed electroencephalography (EEG) in 21 healthy older (60–80 years) and 26 young participants (20–30 years) and compared time-frequency spectra and theta-gamma phase-amplitude-coupling (PAC) during encoding of the order of visually presented items. In older adults, desynchronization in theta (4–8 Hz) and synchronization in gamma (30–45 Hz) power did not distinguish between subsequently correctly and incorrectly remembered trials, while there was a subsequent memory effect for young adults. Theta-gamma PAC was modulated by item position within a sequence for older but not young adults. Specifically, position within a sequence was coded by higher gamma amplitude for successive theta phases for later correctly remembered trials. Thus, deficient differentiation in theta desynchronization and gamma oscillations during sequence encoding in older adults may reflect neurophysiological correlates of age-related memory decline. Furthermore, our results indicate that sequences are coded by theta-gamma PAC in older adults, but that this mechanism might lose precision in aging