Publications by authors named "Reisch L"

We argue for systematically integrating behavioral sciences and urban planning to develop a joint agenda for research and planning practice. By viewing urban form as a critical choice architecture for making people’s choices more climate-friendly, this approach may unlock new pathways for higher liveability of cities.

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Greenhouse gas emissions from the food system constitute about one-third of the global total, hence mitigation in this sphere of human activity is a vital goal for research and policy. This study empirically tests the effectiveness of different interventions to reduce the carbon footprint of food choices made on food-delivery apps, using an incentive-compatible online randomized controlled trial with 4,008 participants. The experiment utilized an interactive web platform that mimics popular online food-delivery platforms (such as Just Eat) and included three treatment conditions: a sign-posted meat tax, a carbon-footprint label, and a choice-architecture intervention that changed the order of the menu so that the lowest carbon-impact restaurants and dishes were presented first.

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Article Synopsis
  • Deep learning enhances computer-aided diagnosis systems by utilizing pathologists' viewing patterns through generated heatmaps, guiding training without needing individual case annotations.
  • The proposed model, a U-Net with a pre-trained ResNet-18 encoder, significantly outperforms traditional methods in detecting areas of interest in melanoma diagnosis, achieving higher precision, recall, F1-score, and Intersection over Union.
  • Clinical evaluations by dermatopathologists confirm the model's effectiveness in mimicking diagnostic behavior and accurately pinpointing critical regions, demonstrating that heatmaps can improve diagnostic accuracy, streamline annotations, and support training for new pathologists.
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Introduction: Recommender systems, digital tools providing recommendations, and digital nudges increasingly affect our lives. The combination of digital nudges and recommender systems is very attractive for its application in preventing overweight and obesity. However, linking recommender systems with personalised digital nudges has a potential yet to be fully exploited.

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  • PNN (perineuronal nets) are important structures in the brain that are linked to inhibitory neurons and undergo changes with age and neurological disorders.
  • A study analyzed PNN in the hippocampus of patients with temporal lobe epilepsy (TLE) vs. controls, finding increased PNN density in TLE patients, especially those with hippocampal sclerosis (HS).
  • Higher PNN density in TLE patients was associated with better memory performance, suggesting PNN play a role in memory formation and may indicate precocious aging in epileptic conditions.
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Childhood obesity is a complex disorder that appears to be influenced by an interacting system of many factors. Taking this complexity into account, we aim to investigate the causal structure underlying childhood obesity. Our focus is on identifying potential early, direct or indirect, causes of obesity which may be promising targets for prevention strategies.

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Article Synopsis
  • The study wanted to see if feeling good (psychosocial well-being) or being impulsive about emotions is better at helping teens choose healthier foods.
  • Researchers looked at data from over 2,000 European teens, asking about their food choices and feelings.
  • They found that working on controlling impulsive feelings might help teens eat less sugary and fatty foods more than just focusing on feeling good.
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  • The incidence of melanoma cases has been rising, and studies show significant disagreement among pathologists when diagnosing intermediate melanocytic lesions.
  • Researchers aimed to explore which pathologist characteristics influence their likelihood of diagnosing these lesions as higher or lower grade and identifying invasive melanoma.
  • Data was analyzed from two national studies involving 338 pathologists, looking at various factors like demographics, experience, and specialty training, to understand how these characteristics affect diagnostic tendencies.
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The digital environment can pose health risks through exposure to unhealthy content. Yet, little is known about its relation to children's cognitive functioning. This study investigates the association between digital media (DM) exposure and children's cognitive functioning.

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Background: A standardized pathology management tool for melanocytic skin lesions may improve patient care by simplifying interpretation and categorization of the diverse terminology currently extant.

Objective: To assess an online educational intervention that teaches dermatopathologists to use the Melanocytic Pathology Assessment Tool and Hierarchy for Diagnosis (MPATH-Dx), a schema collapsing multiple diagnostic terms into 5 classes ranging from benign to invasive melanoma.

Methods: Practicing dermatopathologists ( 149) from 40 US states participated in a 2-year educational intervention study (71% response rate).

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This study used cross-sectional UK Biobank data to estimate the influence of active and passive commuting modes and commuting distance on cardiovascular disease (CVD) -related biomarkers as measures of health outcomes. The analysis applied logistic regression to assess the risk of exhibiting individual biomarker values outside a predefined reference interval and standard linear regression to estimate the relation between commuting practices and a composite CVD index. The study sample comprised 208,893 UK Biobank baseline survey participants aged 40 to 69 who use various modes of transport to commute to work at least once a week.

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Detection of melanocytes serves as a critical prerequisite in assessing melanocytic growth patterns when diagnosing melanoma and its precursor lesions on skin biopsy specimens. However, this detection is challenging due to the visual similarity of melanocytes to other cells in routine Hematoxylin and Eosin (H&E) stained images, leading to the failure of current nuclei detection methods. Stains such as Sox10 can mark melanocytes, but they require an additional step and expense and thus are not regularly used in clinical practice.

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Diagnostic error can be defined as deviation from a gold standard diagnosis, typically defined in terms of expert opinion, although sometimes in terms of unexpected events that might occur in follow-up (such as progression and death from disease). Although diagnostic error does exist for melanoma, deviations from gold standard diagnosis, certainly among appropriately trained and experienced practitioners, are likely to be the result of uncertainty and lack of specific criteria, and differences of opinion, rather than lack of diagnostic skills. In this review, the concept of diagnostic error will be considered in relation to diagnostic uncertainty, and the concept of overdiagnosis in melanoma will be presented and discussed.

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Importance: A standardized pathology classification system for melanocytic lesions is needed to aid both pathologists and clinicians in cataloging currently existing diverse terminologies and in the diagnosis and treatment of patients. The Melanocytic Pathology Assessment Tool and Hierarchy for Diagnosis (MPATH-Dx) has been developed for this purpose.

Objective: To revise the MPATH-Dx version 1.

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Background: Active mobility and public transport increase physical activity (PA) levels. With varying intensity and effectiveness, European cities implement Sustainable Urban Mobility Plans (SUMPs) to spur transport-related PA. Therefore, we aim to examine drivers and barriers to SUMP implementation and assess its influence on PA across European cities.

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Background: Physical inactivity rates have remained high worldwide since 2001. Public policies are an essential upstream lever to target individual physical activity (PA) behaviour. However, implementers have different strategies and face implementation challenges that are poorly understood.

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Although pathologists have their own viewing habits while diagnosing, viewing behaviors leading to the most accurate diagnoses are under-investigated. Digital whole slide imaging has enabled investigators to analyze pathologists' visual interpretation of histopathological features using mouse and viewport tracking techniques. In this study, we provide definitions for basic viewing behavior variables and investigate the association of pathologists' characteristics and viewing behaviors, and how they relate to diagnostic accuracy when interpreting whole slide images.

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Importance: Medical second opinions are common, although little is known about the best processes for obtaining them. This study assesses whether knowledge of a prior physician's diagnosis influences consulting physicians' diagnoses.

Objective: To measure the extent to which dermatopathologists' diagnoses are influenced by prior diagnostic information from another dermatopathologist.

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Article Synopsis
  • Anteromedial temporal lobe structures play a key role in processing faces and their emotional expressions, but the impacts of left versus right temporal lobe resections on these processes are still not completely understood.
  • A study compared 39 patients with unilateral temporal lobe resections (18 on the left, 21 on the right) to 20 healthy controls in recognizing facial identity and emotions, noting that right TLR patients had difficulty with facial recognition and required stronger expressions for accurate emotion identification.
  • The findings indicated that right temporal lobe damage was linked to impaired face processing abilities, supported by reduced BOLD responses in specific brain areas during fMRI scans, emphasizing the right anteromedial temporal lobe's unique role in
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Importance: Despite evidence of overdiagnosis of in situ and invasive melanoma, neither the perceptions of practicing dermatopathologists about overdiagnosis nor possible associations between perceptions of overdiagnosis and diagnostic practices have been studied.

Objective: To examine practicing US dermatopathologists' perceptions of melanoma overdiagnosis as a public health issue, and to associate diagnostic behaviors of dermatopathologists with perceptions of melanoma overdiagnosis.

Design, Setting, And Participants: This survey study included 115 board-certified and/or fellowship-trained dermatopathologists and their diagnostic interpretations on a set of 18 skin biopsy cases (5 slide sets comprising 90 melanocytic skin lesions).

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Background: Previous studies of second opinions in the diagnosis of melanocytic skin lesions have examined blinded second opinions, which do not reflect usual clinical practice. The current study, conducted in the USA, investigated both blinded and nonblinded second opinions for their impact on diagnostic accuracy.

Methods: In total, 100 melanocytic skin biopsy cases, ranging from benign to invasive melanoma, were interpreted by 74 dermatopathologists.

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Enhanced visual cortex activation by negative compared to neutral stimuli is often attributed to modulating feedback from the amygdala, but evidence from lesion studies is scarce, particularly regarding differential effects of left and right amygdala lesions. Therefore, we compared visual cortex activation by negative and neutral complex scenes in an event-related fMRI study between 40 patients with unilateral temporal lobe resection (TLR; 19 left [lTLR], 21 right [rTLR]), including the amygdala, and 20 healthy controls. We found preserved hemodynamic emotion modulation of visual cortex in rTLR patients and only subtle reductions in lTLR patients.

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Taxing sugar-sweetened beverages (SSB) is seen as a win-win situation for governments. It is argued that SSB taxes are relatively easy to implement from a practical perspective compared to for example other nutrition policies. However, the implementation of SSB taxation laws does not happen by itself.

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Across many parts of the world, people increasingly eat out-of-home. Simultaneously, many people strive to eat a healthier diet, but it remains unclear to what extent and how eating out helps or hinders people in achieving their dietary goals. The present study investigated how characteristics of the physical micro-environment in out-of-home food outlets (e.

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