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Inspired by the uses and gratifications theory, this study examines the role of closed women's Facebook groups in mediating the relationship between various forms of loneliness and perceived gratification among Israeli women. We surveyed 521 female participants to explore the mediating effect of engagement on loneliness and perceived gratification. Our findings suggest that these closed Facebook groups serve as significant platforms for interaction and personal disclosure, thereby contributing to the perceived importance of these groups in members' lives. However, the results also show that these groups may not effectively alleviate socialemotional loneliness, and increased engagement within these groups does not significantly influence the relationship between loneliness and perceived gratification. In contrast, these groups act as alternative support systems for women experiencing family loneliness, with a heightened sense of gratification correlating with active participation. Despite these findings, the study reveals the limitations of these groups in addressing all forms of loneliness, underscoring the vital role of offline interactions. Therefore, these results highlight the need to further explore the interplay between online and offline spaces in shaping women's experiences of loneliness and perceived gratification. The study also suggests that additional research is necessary to examine the applicability of these findings across different cultural contexts and a broader range of online groups. [ABSTRACT FROM AUTHOR]

Carbon Dioxide Removals (CDR) and Carbon Capture and Storage (CCS) have received a lot of attention as a tool to mitigate climate change and reach climate neutrality. Bioenergy with Carbon Capture and Storage (BECCS) is seen as one of the more promising CDRs, and from 2026, the Danish utility Ørsted is establishing the first BECCS plants in Denmark. We present a case study of BECCS by installing CCS at a biomass‐fired CHP plant and the aim is to quantify the CDR potential and carbon dynamics of the BECCS system. Moreover, the study aims to quantify the emissions related to capturing and store CO2. The GHG emissions from CCS including heat, electricity, transport and storage are approximately 100 kgCO2/t stored CO2 and the carbon payback time of the BECCS system is 3–4 years relative to leaving the wood in the forest or at processing industries. The main driver of the payback time is the additional use of biomass to operate CCS which shifts the timing of CO2 emissions more towards the present. The additional biomass use also increases supply chain emissions, and on top of that, only 90% of the direct CO2 emissions from the CHP plant are captured. The study illustrates the importance of temporal scope in assessing the CDR potential of BECCS. With continuous use of biomass, GHG emissions are 207 kgCO2/t stored CO2 in year 1 and −742 kgCO2/t stored CO2 in year 99. This study reveals inconsistencies in the assessment of the CDR potential of BECCS in the literature. There is a considerable need for further research within this field to assess how BECCS can contribute to mitigating climate change and on the appropriate scale of BECCS deployment. [ABSTRACT FROM AUTHOR]

This study, conducted in Germany and Israel in May 2022, compares German and Israeli news media consumption concerning the Russian–Ukrainian war using a structured online questionnaire. A total of 1,310 and 509 valid questionnaires were completed in Germany and Israel, respectively, examining differences in how news consumers used media to access information. Specifically, objective and subjective proximity to Ukraine and Ukrainians, interest in politics and media perceptions were examined as potential predictors of use patterns of various media. For most variables, Germans and Israelis similarly sought news about the war, especially in mainstream news media. In Israel, objective and subjective proximities to Ukraine were the most significant predictors for consuming mainstream news media, with interest in politics and media trust being less important. In Germany, the latter factors predicted mainstream news media consumption more strongly than ties and subjective proximity, while trust in the mainstream media was not a significant predictor. Finally, the authors found that the lower the trust in mainstream media, the larger the volume of social media consumption about the war. [ABSTRACT FROM AUTHOR]

Introduction: For diagnosing malnutrition as an important modifiable risk factor in surgical cancer patients, GLIM criteria offer a standardised diagnostic pathway. Before assessing malnutrition, it is suggested to screen for malnutrition with an implemented screening tool, i.e., the NRS-2002. Validated data regarding the applied screening tool and its relevance for predicting outcome parameters in surgical patients is sparse. Methods: 260 patients undergoing major abdominal surgery for cancer were retrospectively analysed. Between January 2017 and December 2019, patients were prospectively screened for malnutrition with the Nutritional Risk Score 2002 (NRS). Irrespective of their screening result malnutrition was assessed with GLIM criteria using CT scan at lumbar level 3 for measuring skeletal muscle mass (GLIM MMCT). Patients with negative screening results (NRS ≤2) were analysed regarding their malnutrition assessment and outcome parameters. Results: Thirty four of 67 patients with NRS ≤2, posing no risk for malnutrition, were diagnosed malnourished according to GLIM MMCT (n = 34, 50.7%). 19 patients (55.9%) with NRS ≤2 and malnutrition according to GLIM had at least one complication, 12 patients (35.3%) had a severe complication (Clavien-Dindo grade ≥ 3a), in 26.5% re-laparotomy was necessary, readmission within 1 month in 20.6% of patients, and length of hospital stay was 18.76 ± 12.66, which was in total worse in outcome compared to the whole study group (n = 260). Patients with NRS ≤2 but diagnosed malnourished by GLIM were at significant higher risk to develop a severe complication (OR 2.256, 95% CI: 1.038–4.9095, p = 0.036) compared to patients with NRS ≤2 but not being diagnosed malnourished. The risk for overall complications was significantly increased in patients with malnutrition diagnosed by the GLIM criteria using MMCT (OR 2.028, 95% CI: 1.188–3.463, p = 0.009). Patients screened at risk with NRS ≥3 and diagnosed malnourished by GLIM were also at significant higher risk for developing complications (OR 1.728, 95% CI: 1.054–2.832, p = 0.029). Conclusion: GLIM MMCT is suitable for diagnosing malnutrition and estimating postoperative risk in gastrointestinal cancer patients. Nutritional assessment only in patients with NRS >2 may bear the risk to miss malnourished patients with high risk for poor clinical outcome. In every patient undergoing major cancer surgery, regular assessment of nutritional status regardless of screening result should be performed exploiting CT body composition analysis. [ABSTRACT FROM AUTHOR]

Three-dimensional tumor models have gained significant importance in bladder cancer (BCa) research. Organoids consisting of different cell types better mimic solid tumors in terms of 3D architecture, proliferation, cell–cell interaction and drug responses. We developed four organoids from human BCa cell lines with fibroblasts and smooth muscle cells of the bladder, aiming to find models for BCa research. The organoids were characterized in terms of cytokeratins, vimentin, α-actin and KI67 by immunoreactivity. Further, we studied ligand-dependent activation of the Wnt/β-catenin pathway and investigated the responses to anti-tumor therapies. The organoids mimicked the structure of an inverse bladder wall, with outside urothelial cells and a core of supportive cells. The cytokeratin staining patterns and proliferation rate were in conjunction with the origins of the BCa cells. RT-112 even showed stratification of the epithelium. Treatment with Wnt10B led to increased β-catenin (active) levels in high-grade organoids, but not in low-grade BCa cells. Doxorubicin treatment resulted in clearly reduced viability (10–30% vs. untreated). In contrast, the effectivity of radiotherapy depended on the proliferation status of BCa cells. In conclusion, cell-line-based organoids can form bladder-like structures and reproduce in vivo features such as urothelial differentiation and stratification. Thus, they can be useful tools for functional studies in BCa and anti-cancer drug development.

BackgroundLow anterior resection for rectal cancer is commonly associated with a diverting stoma. In general, the stoma is closed 3 months after the initial operation. The diverting stoma reduces the rate of anastomotic leakage as well as the severeness of a potential leakage itself. Nevertheless, anastomotic leakage is still a life-threatening complication and might reduce the quality of life in the short and long term. In case of leakage, the construction can be converted into a Hartmann situation or it could be treated by endoscopic vacuum therapy or by leaving the drains. In recent years, endoscopic vacuum therapy has become the treatment of choice in many institutions. In this study, the hypothesis is to be evaluated, if a prophylactic endoscopic vacuum therapy reduces the rate of anastomotic leakage after rectal resections.MethodsA multicenter parallel group randomized controlled trial is planned in as many as possible centers in Europe. The study aims to recruit 362 analyzable patients with a resection of the rectum combined with a diverting ileostoma. The anastomosis has to be between 2 and 8 cm off the anal verge. Half of these patients receive a sponge for 5 days, and the control group is treated as usual in the participating hospitals. There will be a check for anastomotic leakage after 30 days. Primary end point is the rate of anastomotic leakages. The study will have 60% power to detect a difference of 10%, at a one-sided alpha significance level of 5%, assuming an anastomosis leakage rate of 10%–15%.DiscussionIf the hypothesis proves to be true, anastomosis leakage could be reduced significantly by placing a vacuum sponge over the anastomosis for 5 days.Trial registrationThe trial is registered at DRKS: DRKS00023436. It has been accredited by Onkocert of the German Society of Cancer: ST-D483. The leading Ethics Committee is the Ethics Committee of Rostock University with the registration ID A 2019–0203.

IntroductionAntibody mediated rejection (ABMR) is the most common cause of long-term allograft loss in kidney transplantation (KT). Therefore, a low human leukocyte antigen (HLA) mismatch (MM) load is favorable for KT outcomes. Hitherto, serological or low-resolution molecular HLA typing have been adapted in parallel. Here, we aimed to identify previously missed HLA mismatches and corresponding antibodies by high resolution HLA genotyping in a living-donor KT cohort.Methods103 donor/recipient pairs transplanted at the University of Leipzig Medical Center between 1998 and 2018 were re-typed using next generation sequencing (NGS) of the HLA loci -A, -B, -C, -DRB1, -DRB345, -DQA1, -DQB1, -DPA1, and -DPB1. Based on these data, we compiled HLA MM counts for each pair and comparatively evaluated genomic HLA-typing with pre-transplant obtained serological/low-resolution HLA (=one-field) typing results. NGS HLA typing (=two-field) data was further used for reclassification of de novo HLA antibodies as “donor-specific”.ResultsBy two-field HLA re-typing, we were able to identify additional MM in 64.1% (n=66) of cases for HLA loci -A, -B, -C, -DRB1 and -DQB1 that were not observed by one-field HLA typing. In patients with biopsy proven ABMR, two-field calculated MM count was significantly higher than by one-field HLA typing. For additional typed HLA loci -DRB345, -DQA1, -DPA1, and -DPB1 we observed 2, 26, 3, and 23 MM, respectively. In total, 37.3% (69/185) of de novo donor specific antibodies (DSA) formation was directed against these loci (DRB345 ➔ n=33, DQA1 ➔ n=33, DPA1 ➔ n=1, DPB1 ➔ n=10).ConclusionOur results indicate that two-field HLA typing is feasible and provides significantly more sensitive HLA MM recognition in living-donor KT. Furthermore, accurate HLA typing plays an important role in graft management as it can improve discrimination between donor and non-donor HLA directed cellular and humoral alloreactivity in the long range. The inclusion of additional HLA loci against which antibodies can be readily detected, HLA-DRB345, -DQA1, -DQB1, -DPA1, and -DPB1, will allow a more precise virtual crossmatch and better prediction of potential DSA. Furthermore, in living KT, two-field HLA typing could contribute to the selection of the immunologically most suitable donors.