Thoracic manifestations of tularaemia: a case series.

BACKGROUND: Tularaemia is a zoonotic disease caused by Francisella tularensis, a highly virulent bacterium that affects humans and small wild animals. It is transmitted through direct contact with infected animals or indirectly through contaminated soil, water or arthropod bites (e.g. ticks). Primary thoracic manifestations of tularaemia are infrequent and, therefore, a diagnostic challenge for clinicians. METHODS: We report six tularaemia cases with exclusively thoracic involvement diagnosed in a clinic for pulmonary diseases in Bavaria between 10/2020 and 02/2022. RESULTS: All patients lived or were active in rural areas, four reported a recent tick bite. All patients presented with thoracic lymphadenopathy and pulmonary tumours or consolidations; all underwent bronchoscopy with EBUS-TBNA of lymph nodes, three lung biopsies as well. Five patients showed inflammatory changes in the endobronchial mucosa. The main histological findings were necrotic epithelioid granulomas with remarkable granulocyte infiltration. All cases were identified by positive serology, five by PCR (here identification of F.t. ssp. Holarctica) from biopsy as well. As first-line therapy, oral ciprofloxacin was given (5/6); in 2/6 cases, a combination of quinolone-rifampicin was given. CONCLUSIONS: Pulmonary tularaemia may occur after tick bites and without extrathoracic manifestations. In patients who present with thoracic lymphadenopathy and pulmonary consolidations and who are exposed to increased outdoor activities, tularaemia should be included in the diagnostic pathway. Histologically, the presence of neutrophil-granulocyte infiltrations might help to distinguish tularaemia from other granulomatous infections, e.g. tuberculosis. The combination of quinolone-rifampicin rather than i.v. gentamicin reduced length of hospital stay in two patients.

Long-term forest monitoring reveals constant mortality rise in European forests.

European forests are an important source for timber production, human welfare, income, protection and biodiversity. During the last two decades, Europe has experienced a number of droughts which have been exceptional within the last 500 years, both in terms of duration and intensity. These droughts seem to leave remarkable imprints on the mortality dynamics of European forests. However, systematic observations on tree decline, with emphasis on a single species, has been scarce so far so that our understanding of mortality dynamics and drought occurrence is still limited at a continental scale. Here, we make use of the ICP Forest crown defoliation dataset, permitting us to retrospectively monitor tree mortality for all major conifers, major broadleaves, as well as a pooled dataset of minor tree species in Europe. In total, we analysed more than three million observations gathered during the last 25 years and employed a high-resolution drought index which can assess soil moisture anomaly based on a hydrological water-balance and runoff model. We found overall and species-specific increasing trends in mortality rates, accompanied by decreasing soil moisture. A generalized linear mixed model identified a previous-year soil moisture anomaly as the most important driver of mortality patterns in conifers, but the response was not uniform across the numerous analysed plots. We conclude that mortality patterns in European forests are currently reaching a concerning upward trend which could be further accelerated by global change-type droughts in the near future.

Evaluation of corn hybrids for silage grown in different locations / Avaliação de híbridos de milho para silagem cultivados em diferentes locais

The aim of this study was to evaluate the yield, morphometric and chemical characteristics, and the digestibility of various corn hybrids cultivated in different locations for silage production. Four corn hybrids were grown: P2866H, P3456H, P30R50VYH and P4285YHR, in four locations, defined as farm A; B; C and D. The hybrid P4285YHR presented the highest plant and ear insertion heights (2.72m, 1.52m respectively), with a minimum registered height of 2.63 m and 1.42 m, for plant and ear insertion height, and for that reason it presented the highest yield of fresh biomass (78,089kg ha-1). The TND values showed trend very close to that observed in the DISMS of the whole-plant, with hybrid P3456H presenting the highest estimated value (68.74%), and the hybrid P4285YHR the lowest among them (65.25%). In general, lower fibrous carbohydrates and lignin content, higher fibrous carbohydrates content, together with satisfactory grains participation in the plant structure led to a greater dry matter digestibility. Hybrids with lower plant heights do not necessarily have lower dry biomass yields, but hybrids of greater height and with high stem and leaf participation tend to have a higher aFDN content and less dry matter digestibility.(AU)

O objetivo deste estudo foi avaliar o desempenho produtivo e as características morfométricas e químicas, além da digestibilidade de diferentes híbridos de milho cultivados em diferentes locais para produção de silagem. Foram cultivados quatro híbridos de milho: P2866H, P3456H, P30R50VYH e P4285YHR, em quatro locais, definidos como propriedades A; B; C e D. O híbrido P4285YHR apresentou as maiores alturas de planta e de inserção de espiga (2,72m, 1,52m, respectivamente), com altura mínima registrada, nos diferentes locais, de 2,63m e 1,42m, para altura de planta e inserção de espiga, e, por isso, apresentou o maior rendimento de biomassa fresca (78.089kg ha-1). Os valores calculados de NDT mostraram tendência muito próxima àquela observada na DISMS da planta inteira, tendo o híbrido P3456H apresentado o maior valor estimado (68,74%), e o híbrido P4285YHR o menor entre eles (65,25%). Em geral, menores concentrações de carboidratos fibrosos e lignina, maior teor de carboidratos fibrosos, juntamente com satisfatória participação de grãos na estrutura da planta, conduzem a uma maior digestibilidade da matéria seca. Híbridos com menores alturas de planta não necessariamente apresentam menores rendimentos de biomassa seca, mas híbridos de maior altura e com alta participação de colmo e folhas tendem a apresentar maior teor de aFDN e menor digestibilidade da matéria seca.(AU)

Effect of sealing on the feed out face of trench silos on the performance of confined calves / [Efeito da vedação na porção inicial de silos trincheiras sobre o desempenho de novilhos confinados]

This study aimed to evaluate the productive performance, dry matter intake, apparent digestibility and ingestive behavior of feedlot calves fed corn silage from the feed out face of trench silos with different types of sealing. The animals were divided into three treatments with four repetitions: Conventional seal - double-sided polyethylene of 110µm thickness; Double-sided seal - double-sided polyethylene of 200µm thickness; and Double seal - composed of double face polyethylene with a thickness of 80µm superimposed on a polyamide translucent vacuum film with a thickness of 20µm. The use of double face sealing provided 12.63% increase in average daily gain and improved food conversion by 0.62 percentage points. The apparent digestibility of the diet with double-face sealing system silage was 4.30% higher than the diet with double-face sealing silage and 11.00% higher than the diet with conventional sealing silage. It is recommended to use the double face sealing with 200µm polyethylene and double face sealing with 80µm thick polyethylene on top of a 20µm thick polyamide translucent vacuum film.(AU)

Objetivou-se avaliar o desempenho produtivo, o consumo de matéria seca, a digestibilidade aparente e o comportamento ingestivo de novilhos confinados, alimentados com silagem de milho da porção inicial de silos do tipo trincheira, conservada sob distintos tipos de vedação. Os animais foram divididos em três tratamentos, com quatro repetições: vedação convencional - polietileno tipo dupla face, com espessura de 110µm; vedação dupla face - polietileno tipo dupla face, com espessura de 200µm; e dupla vedação - polietileno tipo dupla face, com espessura de 80µm sobreposto a um filme vácuo translúcido de poliamida, com espessura de 20µm. O uso da vedação dupla face proporcionou incremento de 12,63% no ganho de peso médio diário e melhorou em 0,62 ponto percentual a conversão alimentar. A digestibilidade aparente da dieta com silagem do sistema de vedação dupla face foi 4,30% superior em relação à dieta com silagem da dupla vedação e 11,00% superior à dieta com silagem da vedação convencional. Recomenda-se a utilização tanto da vedação dupla face com polietileno de 200µm quanto da dupla vedação com polietileno tipo dupla face, com espessura de 80µm, sobreposto a um filme vácuo translúcido de poliamida com espessura de 20µm.(AU)

Production and nutritional quality of black oat forage grown in different population stands under a successive cutting regime / [Produção e qualidade nutricional da forragem de aveia-preta cultivada em diferentes estandes populacionais sob regime de cortes sucessivos]

The present study aimed to evaluate the agronomic productive and qualitative traits of forage of black oats grown in different stands of plants. The experimental design was a 2 x 2 factorial randomized complete block design consisting of four treatments, two plant stands (175 and 350 plants m2) associated with two successive cutting periods (vegetative and full vegetative) and four replications. The stand of plants did not influence the production of dry biomass; with 175 plants m2, we obtained a compensatory effect by the greater number of tillers m2-1 and/or tiller plant-1. The population stand influenced the chemical parameters, where 175 plants m2 resulted in forage with higher contents of hemicellulose and total digestible nutrients and a lower content of neutral detergent fiber. In the comparison between cuts, the first cut compared to the second presented higher values of crude protein (26.53%). It is recommended that the black oat be cultivated with a population stand of 175 plants m2 for generating an increase in the number of tillers m2-1 and tillers plant-1, in addition to improving the in situ dry matter digestibility of the whole plant, without causing reduction of production of dry biomass per unit area.(AU)

O presente trabalho objetivou avaliar as características agronômicas produtivas e qualitativas da forragem da aveia-preta submetida ao cultivo com diferentes estandes populacionais. O delineamento experimental foi de blocos ao acaso, em esquema fatorial 2 x 2, composto por quatro tratamentos, sendo dois estandes (175 e 350 plantas m2), associado a duas épocas de corte sucessivas (vegetativo e pleno vegetativo) e a quatro repetições. Os estandes populacionais não influenciaram a produção de biomassa seca, pois, com 175 plantas m2, obteve-se efeito compensatório por maior número de perfilhos m2-1 e/ou perfilho planta-1. O estande populacional influenciou os parâmetros bromatológicos, o qual, com 175 plantas m2, gerou produção de forragem com maiores teores de hemicelulose e de nutrientes digestíveis totais e um menor teor de fibra em detergente neutro. Na comparação entre os cortes, o primeiro corte, comparado ao segundo corte, apresentou maiores valores de proteína bruta (26,53%). Recomenda-se a aveia-preta cultivada com estande populacional de 175 plantas m2 por gerar aumento do número de perfilhos m2-1 e perfilhos planta-1, além de melhorar a digestibilidade in situ da matéria seca da planta inteira, sem causar redução de produção de biomassa seca por unidade de área.(AU)

Fiber composition and digestibility of fodder in different ryegrass fields submitted to different harvesting management systems / [Composição da fibra e digestibilidade da forragem de diferentes cultivares de azevém submetidos a diferentes sistemas de manejo de colheita]

This essay aims to evaluate the composition of fiber in neutral detergent, digestibility of plant components, as well as ruminal disappearance rate of fodder dry matter from five ryegrass fields submitted to different cut systems for the production of haylage. The experimental design was the randomized blocks one, at a 5 x 3 factorial scheme, with five cultivars (cv.) of ryegrass Lolium multiflorum (cv. Barjumbo, cv. BarHQ, cv. Ribeye, cv. Potro and cv. Willians) associated with three harvesting management systems: 1- single harvesting system at a pre-floral stage; 2 - double harvesting system, with a cut at vegetative stage and another at pre-floral stage; and 3 - triple harvesting system, with a cut at vegetative stage, a cut at full vegetative stage and a cut at pre-floral stage, with three repetitions each. Similarities were noticed on the results of fodder digestibility of different fields, however, cv. Potro presented a higher ruminal disappearance rate after 48 hours, with 69.27%. Generally, the harvesting management system with the increase of ryegrass cut frequency determined increments on the percentage of lignin and the reduction in the concentration of total nutrients and dry matter digestibility of the resulting hylage.(AU)

O objetivo do presente trabalho foi avaliar a composição da fibra em detergente neutro, digestibilidade dos componentes da planta, bem como a taxa de desaparecimento ruminal da matéria seca da forragem de cinco cultivares de azevém submetidos a diferentes sistemas de cortes para produção de silagem pré-secada. O delineamento experimental foi em blocos ao acaso,, em um fatorial 5 x 3, sendo cinco cultivares de azevém Lolium multiflorum (cv. Barjumbo, cv. BarHQ, cv. Ribeye, cv. Potro e cv. Willians) associados a três sistemas de manejo de colheita: 1 - sistema com única colheita no estádio de pré-florescimento; 2 - sistema com uma colheita no estádio vegetativo e outra no estádio de pré-florescimento; e 3 - sistema com uma colheita no estádio vegetativo, uma no estádio pleno vegetativo e outra no estádio de pré-florescimento, com três repetições cada. Notou-se similaridade entre os resultados de digestibilidade da forragem entre os cultivares, porém o cv. Potro apresentou a maior taxa de desaparecimento ruminal após 48 horas, com 69,27%. De maneira geral, o sistema de manejo de colheita mostrou que o aumento do número de cortes do azevém determinou incrementos nos teores de lignina e redução na concentração de nutrientes digestíveis totais e da digestibilidade da matéria seca nas silagens pré-secadas resultantes.(AU)

European S1 guidelines on the management of lichen planus: a cooperation of the European Dermatology Forum with the European Academy of Dermatology and Venereology.

Lichen planus (LP) is a chronic inflammatory and immune-mediated disease that affects the skin, hair, nails and mucous membranes. Although there is a broad clinical spectrum of lichen planus manifestations, the skin and oral cavity remain the major sites of involvement. A group of European dermatologists with a long-standing interest and expertise in lichen planus has sought to define therapeutic guidelines for the management of patients with LP. The clinical features, diagnosis and possible medications that clinicians can use, in order to control the disease, will be reviewed in this manuscript. The revised final version of the lichen planus guideline was passed on to the European Dermatology Forum (EDF) for a final consensus with the European Academy of Dermatology and Venereology (EADV).

Yeast culture in the diet of feedlot steers: performance, carcass traits and feeding behavior / Cultura de leveduras na dieta de novilhos confinados: desempenho, características da carcaça e comportamento ingestivo

This study aimed to evaluate the performance, apparent digestibility of diet, ingestive behavior which occurred in two moments, carcass traits, being evaluated constituent and non-carcass components, and also the effect the yeast culture could promote in the peripheral temperature of rumen, hull and body temperature. The diets consisted of a constant ratio of 50% forage (maize silage) and 50% concentrate. Thirty-six steers, ½ Angus Nelore, with average age of 11 months and average initial body weight of 339.5±10kg were used in the experiment. The inclusion of yeast culture promoted a higher daily dry matter intake (8.83 vs 9.35kg day-1) and, consequently, a better daily weight gain (1,143 vs. 1,325kg day-1) in the initial feedlot phase, with no difference in other periods. The apparent digestibility of the diet containing yeast culture was higher than the control diet (69.69 versus 68.32%, respectively), and its use did not interfere with the feeding behavior of the animals. Based on our findings, supplementation with yeast culture may bring positive results in the initial feedlot phase.(AU)

O objetivo deste estudo foi avaliar o desempenho; a digestibilidade aparente da dieta; o comportamento oral ingestivo, o qual ocorreu em dois momentos, as características de carcaça, sendo avaliados componentes integrantes e não integrantes da carcaça; bem como o efeito que a cultura de leveduras pudesse promover perante a temperatura periférica de rúmen, casco e temperatura corpórea, sendo aferida por meio da temperatura retal. As dietas foram constituídas em uma constante relação de 50% de volumoso (silagem de milho) e 50% de concentrado. Utilizaram-se no experimento 36 novilhos, ½ sangue Angus Nelore, com idade média de 11 meses e peso vivo médio inicial de 339,5 ± 10kg. O uso de cultura de leveduras promoveu maior consumo diário de matéria seca (8,83 contra 9,35 kg dia-1) e consequentemente melhor ganho de peso diário (1,143 contra 1,325kg dia-1) na fase inicial do confinamento, não havendo diferença nos demais períodos. A digestibilidade aparente da dieta que continha cultura de leveduras foi superior à da dieta controle (69,69 contra 68,32%, respectivamente), e seu uso não interferiu no comportamento ingestivo dos animais. Com base nos resultados do presente estudo, a suplementação com cultura de leveduras pode trazer resultados positivos na fase inicial de confinamento.(AU)

Performance, carcass characteristics and ingestive behavior of steers fed with silages of different maize hybrids / Desempenho, características da carcaça e comportamento ingestivo de novilhos alimentados com silagens de diferentes híbridos de milho

The objective of this study was to evaluate the performance, carcass characteristics and ingestive behavior of feedlot steers fed with three maize hybrids: Maximus VIP3, Defender VIP and Feroz VIP. The experiment lasted 112 days, weighing animals four times, every 28 days. The experimental diets were formulated and constituted by maize silage and pelletized ration in a 50:50 ratio (dry basis). Regardless of the hybrid used, there was an increase in the intake of dry matter with the advance in feedlot evaluation period (9.15, 9.14, 9.35 and 9.59kg day-1, in the first, second, third and fourth weighing, respectively). The type of maize hybrid silage influenced weight gain of animals differently, with a final mean of 1.413kg for animals fed with Maximus VIP3, 1,375kg for those fed with Defender VIP and 1,184kg for those fed with Feroz VIP. The animals fed with Feroz VIP hybrid silage showed higher carcass gain efficiency and were more active in the number of times they went to the feeder. Although the three evaluated hybrids resulted in good animal performance, the carcass characteristics did not change; nevertheless, the hybrid Maximus VIP3 is recommended for its superior bromatological composition.(AU)

O objetivo deste trabalho foi avaliar desempenho, características da carcaça e comportamento ingestivo de novilhos terminados em confinamento alimentados com silagens dos híbridos de milho: Maximus VIP3, Defender VIP e Feroz VIP. O experimento teve duração de 112 dias, sendo quatro pesagens a cada 28 dias. As dietas experimentais foram formuladas e constituídas por silagem de milho e ração peletizada em proporção de 50:50, na base seca. Independentemente do híbrido utilizado, houve aumento conforme avanço na fase de terminação (9,15; 9,14; 9,35 e 9,59kg dia-1, na primeira, segunda, terceira e quarta pesagens, respectivamente). A distinção da silagem de milho determinou diferença no ganho de peso dos animais, com média final de 1,413kg para os animais tratados com Maximus VIP3, 1,375kg para os tratados com Defender VIP e 1,184 para aqueles alimentados com Feroz VIP. Os animais alimentados com silagem do híbrido Feroz VIP apresentaram maior eficiência de ganho de carcaça e foram mais ativos ao número de vezes em ir ao comedouro. Apesar dos três híbridos avaliados proporcionarem bons resultados relacionados ao desempenho animal, as características da carcaça não sofreram alterações; mesmo assim, recomenda-se o híbrido Maximus VIP3 por sua superioridade bromatológica.(AU)

Digestibilidade do amido e comportamento ingestivo de novilhos confinados sob efeito de doses de complexo enzimático em dietas de alta densidade energética / Digestibility of starch and ingestive behavior of feedlot steers by effect of enzymatic complex doses in high-energy diets

O objetivo do presente trabalho foi avaliar a conversão alimentar, a digestibilidade do amido, o comportamento ingestivo e o escore de sobras da dieta e de fezes de novilhos confinados, suplementados com doses do complexo enzimático (0; 2,5; 5,0 e 7,5g animal-1 dia-1) e alimentados com dieta constituída por 85% de grão de milho e 15% de núcleo proteico, vitamínico e mineral, na base seca, isenta de forragem. O delineamento experimental foi o de blocos ao acaso contendo quatro tratamentos e quatro repetições. Trinta e dois novilhos inteiros, ½ sangue Angus Nelore, com idade média de 12 meses e peso vivo médio inicial de 422kg, foram confinados por um período de 77 dias. Cada grama de inclusão de complexo enzimático melhorou a conversão alimentar em 0,1652%, reduziu a matéria seca das fezes em 0,4648% e o tempo de ingestão de água em 0,0068 horas dia-1. A máxima digestibilidade do amido foi alcançada na dose de 5,08g animal-1 dia-1. A inclusão progressiva do complexo enzimático à dieta de alta densidade energética promoveu melhoria na conversão alimentar, redução na matéria seca das fezes e diminuição do tempo de ingestão de água. A dose de 5g animal-1 dia-1 do complexo enzimático aumentou a digestibilidade do amido.(AU)

The objective was to evaluate the feed conversion, starch digestibility, ingestive behavior, diet leftover score and feces score of steers supplemented with doses of enzyme complex (0; 2.5; 5.0 and 7 .5g animal -1 day -1 ) fed with roughage-free diet composed of a mixture of 85% whole corn grain and 15% protein-mineral-vitamin mix, on a dry matter basis. A completely randomized block design was adopted, consisting of four treatments and four replicates. Thirty-two ½ Angus ½ Nellore crossbred steers at an average age of 12 months, with an average initial weight of 422kg, were kept in a feedlot for 77 days. Each gram of enzyme complex inclusion improved feed conversion in 0.1652%, decreased feces dry matter in 0,4648% and time of water intake in 0.0068 hours day -1 . The maximum starch digestibility was reached in the dose of 5,08g animal -1 day -1 . The gradual inclusion of enzyme complex promoted improvement in feed conversion, reduction in the dry matter of feces and redution in the time of water intake. The enzyme complex dose of 5.0g animal -1 day -1 increased the starch digestibility.(AU)

The SASE1 X-ray beam transport system.

SASE1 is the first beamline of the European XFEL that became operational in 2017. It consists of the SASE1 undulator system, the beam transport system, and the two scientific experiment stations: Single Particles, Clusters, and Biomolecules and Serial Femtosecond Crystallography (SPB/SFX), and Femtosecond X-ray Experiments (FXE). The beam transport system comprises mirrors to offset and guide the beam to the instruments and a set of X-ray optical components to align, manipulate and diagnose the beam. The SASE1 beam transport system is described here in its initial configuration, and results and experiences from the first year of user operation are reported.

Density and time scaling effects on the velocity autocorrelation function of quantum and classical dense fluid para-hydrogen.

We report the results of a ring polymer molecular dynamics study of the Kubo velocity autocorrelation function of a quantum fluid as para-hydrogen aimed at the comparison with its classical counterpart. Quite different density conditions were considered for both the classical and quantum cases, in order to compare the two systems before and after the dynamical crossover typically undergone by the velocity autocorrelation function (VAF) of fluids at densities around the triple point, where the shape of the function changes from a monotonic to an oscillatory behavior with a negative minimum. A detailed study of the phase diagram of classical para-hydrogen was necessary for a reasonable choice of the classical states to be taken into consideration, in the spirit of the classical principle of corresponding states. The shape of the quantum and classical VAF was thoroughly analyzed, exhibiting at all studied densities clear differences that might be taken as evidence of quantum effects. We show that these differences are substantially reduced by applying a state-dependent time scaling with respect to a reference time identified with the inverse of the collision rate. An even better coincidence in shape is found by comparing the two systems at slightly non-corresponding reduced densities, suggesting that the quantum system behaves almost like the classical one, but at systematically less dense reduced states of the latter. We also find an unexpected and quite interesting density trend of the collision rate of both classical and quantum para-hydrogen, which accounts for the effectiveness of the scaling throughout the explored density range. The mean kinetic energy and the diffusion coefficients are also discussed in some detail.

Review: Neuropathology of non-tau frontotemporal lobar degeneration.

Frontotemporal dementia (FTD) is a heterogeneous clinical syndrome associated with frontotemporal lobar degeneration (FTLD) as a relatively consistent neuropathological hallmark feature. However, the discoveries in the past decade of many of the relevant pathological proteins aggregating in human FTD brains in addition to several new FTD causing gene mutations underlined that FTD is a diverse condition on the neuropathological and genetic basis. This resulted in a novel molecular classification of these conditions based on the predominant protein abnormality and allows most cases of FTD to be placed now into one of three broad molecular subgroups; FTLD with tau, TAR DNA-binding protein 43 or FET protein accumulation (FTLD-tau, FTLD-TDP and FTLD-FET respectively). This review will provide an overview of the molecular neuropathology of non-tau FTLD, insights into disease mechanisms gained from the study of human post mortem tissue as well as discussion of current controversies in the field.

Cross-sectional increase of adherence to multidisciplinary tumor board decisions.

BACKGROUND: Cancer research has made great progress in the recent years. With the increasing number of options in diagnosis and therapy the implementation of tumorboards (TUBs) has become standard procedure in the treatment of cancer patients. Adherence tests on tumor board decisions are intended to enable quality assurance and enhancement for work in tumor boards in order to continuously optimize treatment options for cancer patients. METHODS: Subject of this study was the adherence of the recommendations made in three of 14 tumorboards, which take place weekly in the Center for Integrated Oncology (CIO) at the University Hospital Bonn. In total, therapy recommendations of 3815 patient cases were checked on their implementation. A classification into four groups has been made according to the degree of implementation. A second classification followed regarding the reasons for differences between the recommendation and the therapy which the patient actually received. RESULTS: The study showed that 80.1% of all recommendations in the three TUBs were implemented. 8.3% of all recommendations showed a deviance. Most important reasons for the deviances were patient wish (36.5%), patient death (26%) and doctoral decision, due to the patient's comorbidities or side effects of the treatment (24.1%).Interestingly, deviance in all three tumor boards in total significantly decreased over time. CONCLUSIONS: Aim of the study was to clarify the use of tumor boards and find approaches to make them more efficient. Based on the results efficiency might be optimized by increased consideration of patients` preferences, improved presentation of patient-related data, more detailed documentation and further structuring of the tumor board meetings.

Pore space extraction and characterization of sack paper using µ-CT.

We show that attenuation X-ray microcomputed tomography (µ-CT) offers a route to extract the three-dimensional pore space of paper reliably enough to distinguish samples of the same kind of paper. Here, we consider two sack kraft papers for cement bags with different basis weights and thicknesses. Sample areas of approximately 5 mm2 with a resolution of 1.5 µm are considered, i.e. sizes that exceed sample areas of 2 mm2 for which the pore structure was previously studied in the literature. The image segmentation is based on indicator kriging as a local method that removes ambiguities in assigning voxels as pore or as fibre. The microstructures of the two samples are statistically compared in terms of descriptors such as sheet thickness, porosity, fractions of externally accessible pores and mean geodesic tortuosity. We demonstrate that a quantitative comparison of samples in terms of porosity and thickness requires a common definition of the sheet surfaces. Finally, the statistical pore space analysis based on the µ-CT scans reliably reveals structural differences between the two paper samples, but only when several descriptors are used. LAY DESCRIPTION: This paper is a seemingly abundant material. Its intrinsic porosity enables a vast number of commercial applications. Particularly packing products, e.g. cement bags, often incorporate sack kraft paper due to its high porosity and its additional mechanical strength. A direct quantification of the porosity of sack kraft papers is, hence, particularly desirable. However, experimental quantification of paper porosity or its pore network properties is difficult and often highly indirect. A nondestructive statistical analysis of the 3D microstructure holds the promise to directly assess the pores. In particular, X-ray microcomputed tomography (µ-CT), frequently with sub-µm resolution, has been established as a method to study the fibre and pore structure of paper. The question arises, whether statistical analysis of the microstructure based on µ-CT imaging is sufficient to reliably distinguish between different sack kraft papers. Here, we explore whether the pore structure of paper can be extracted and statistically analysed for larger sample areas despite the fact that a larger sample size directly translates into a lower resolution of the µ-CT scan. We expect that a large sample size increases the region of interest on the basis of which samples can be better distinguished. A lowered resolution poses a severe challenge for the reliable identification of voxel data as pores or as fibres, because the contrast between paper fibres (made of cellulose) and air, which is established due to X-ray absorption, is weak. We show that we can reliably assign each voxel by using an indicator kriging as a two-step method. This method performs an initial voxel identification based on the overall distribution of measured grey values and refines the identification by inspecting the local environment of each voxel. For the pore space extracted in such a way, we can then compute quantities that are related to the geometry and connectivity properties of the pores. Furthermore, we address a paper-born challenge for such an analysis, i.e. we cannot always unambiguously tell whether a pore is located inside the paper sheet or at the surface of the paper. The way the paper surfaces are extracted from the microstructure decisively determines the final specifications of the predicted properties. A significant distinction of the samples is only possible when comparing the properties of the pore network.

Interdisciplinary working in public health research: a proposed good practice checklist.

Background: Guidance on how different disciplines from the natural, behavioural and social sciences can collaborate to resolve complex public health problems is lacking. This article presents a checklist to support researchers and principle investigators to develop and implement interdisciplinary collaborations. Methods: Fourteen individuals, representing 10 disciplines, participated in in-depth interviews to explore the strengths and challenges of working together on an interdisciplinary project to identify the determinants of substance use and gambling disorders, and to make recommendations for future interdisciplinary teams. Data were analysed thematically and a checklist was derived from insights offered by participants during interview and discussion among the authors on the implications of findings. Results: Participants identified 18 scientific, interactional and structural strengths and challenges of interdisciplinary research. These findings were used to develop an 18-item BASICS checklist to support future interdisciplinary collaborations. The five domains of the checklist are: (i) Blueprint, (ii) Attitudes, (iii) Staffing, (iv) Interactions and (v) Core Science. Conclusion: Interdisciplinary work has the potential to advance public health science but the numerous challenges should not be underestimated. Use of a checklist, such as BASICS, when planning and managing projects may help future collaborations to avoid some of the common pitfalls of interdisciplinary research.

Características produtivas e nutricionais do feno de trigo cultivado em dois níveis de adubação nitrogenada e estádios de colheita / Productive and nutritional characteristics of wheat hay cultivated in two nitrogen fertilization levels and harvest stages

O objetivo do presente trabalho foi avaliar a produção de fitomassa fresca e de fitomassa seca, assim como a composição física e bromatológica do feno do trigo cultivar BRS Umbu sob efeitos de dois níveis de adubação nitrogenada (120kg ha-1 e 180kg ha-1) e dois estádios fenológicos de colheita (pré-florescimento e grão farináceo). O delineamento experimental foi blocos ao acaso, em esquema fatorial 2x2, composto por quatro tratamentos com quatro repetições. Não houve interação (P>0,05) entre os níveis de adubação nitrogenada e os estádios fenológicos de colheita para todas as variáveis. A produção de fitomassa seca (P<0,05) nos estádios de grão farináceo e pré-florescimento foi de 10.171 e 4.982kg ha-1, respectivamente. A maior dose de N incrementou a produção de fitomassa seca em 775kg ha-1. Houve aumento da participação de espigas com o avanço do ciclo, apresentando-se 43,0% e 16,2% nos estádios grão farináceo e pré-florescimento, respectivamente. No estádio fenológico de pré-florescimento, a participação de folha verde foi superior (37,1% contra 9,8% da MS total). O feno colhido em estádio de grão farináceo apresentou menores teores de proteína bruta e fibra em detergente neutro. Os fenos produzidos apresentaram características distintas, o que permite seu uso em diferentes estratégias de alimentação de ruminantes.(AU)

The objective was to evaluate the production of the fresh and dry weight, physical and chemical composition of wheat hay, cv. BRS UMBU, under effects of two levels of nitrogen fertilization (120kg ha-1 and 180kg ha-1) and two harvest stages (pre-flowering and grain dough). The experimental design was randomized blocks in factorial 2X2, composed of four treatments with four replications. There was no interaction (p>0.05) between the levels of nitrogen fertilization and growth stages of harvest for all variables. The production of dry matter in the dough stage and pre-flowering were 10.171 and 4.982kg ha-1, respectively. The higher N rates increased the production of dry matter of 775kg ha-1. There was increased participation of spikes with the advancement of the cycle, presenting 43.0% and 16.2% in the dough stage and pre-flowering, respectively. In the growth stage of pre-flowering, the share of green leaf was higher (37.1% against 9.8% of the total MS). The hay harvested at dough stage had lower NDF and CP levels. Thus, each treatment presented favorable characteristics allowing its use in different strategies in ruminant nutrition.(AU)

Genetic divergence among corn hybrids and combining ability for agronomic and bromatological traits of silage.

We assessed the impact of genetic divergence and the ability to combine corn hybrids used for the production of silage on the agronomic and bromatological traits of silage quality. We evaluated 18 corn hybrids used as genitors in a circulant diallel scheme in which each genitor hybrid participated in 9 hybrid combinations, and evaluated 100 treatments [18 genitor hybrids, 81 diallelic hybrids, and a commercial check hybrid (DKB330)] in a triple lattice 10 x 10 experimental design in two environments in Brazil. Genetic variability was adequate among the corn silage hybrids, and we can recommend the use of genitors 2B688 and P30B39 for the formation of a base population for intrapopulational breeding. The P30P34 hybrid is the best for intrapopulational breeding when aiming for silage with high protein content, low fiber content, and higher in vitro digestibility. Interpopulational breeding directed at improving silage digestibility can use a combination of genitors P30P34 and AS1572, but AS1572 and P30K64 are the most recommended. Hybrids 2B688, P30P34, and SG6015 are considered the most genetically distant of the others hybrids, and have desirable combining potential; therefore, they are important genitors for the formation of new segregated populations for improving corn silage.