Publications by authors named "Widmer A"

Spatially divergent natural selection can drive adaptation to contrasting environments and thus the evolution of ecotypes. In perennial plants, selection shapes life history traits by acting on subsequent life stages, each contributing to fitness. While evidence of adaptation in perennial plants is common, the expression of life history traits is rarely characterized, limiting our understanding of their role in adaptive evolution.

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  • Digital health apps have been prescribed since 2019, aiding in health monitoring, symptom recognition, and patient care.
  • The 2023 Digital Care Act aims to fully integrate these apps into medical practices.
  • Utilizing AI in health apps can enhance diagnosis, improve treatment efficiency, and promote personalized patient care.
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Background: The environment of healthcare institutions plays a major role in the transmission of multidrug resistant organisms (MDRO) and likely in subsequent healthcare-associated infections (HAIs). Probiotic cleaning products are a novel option for environmental cleaning. They represent a sustainable and biodegradable alternative to conventional chemical disinfectants for controlling microbial bioburden, and preventing pathogen transmission in hospital environments.

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Local adaptation to contrasting environmental conditions along environmental gradients is a widespread phenomenon in plant populations, yet we lack a mechanistic understanding of how individual agents of selection contribute to this evolutionary process. Here, we developed a novel evolutionary functional-structural plant (E-FSP) model that recreates local adaptation of virtual plants along an environmental gradient. First, we validate the model by testing if it can reproduce two elevational ecotypes of Dianthus carthusianorum occurring in the Swiss Alps.

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  • About 50% of individuals with long-term catheters experience encrustations and bladder stones, making prophylaxis essential, yet no standardized models currently exist for testing preventive measures.
  • Researchers developed an in-vitro model to evaluate catheter encrustations by incubating catheters in various media with different bacterial strains and assessing the encrustations formed after six weeks.
  • Results showed that the highest encrustation occurred with Pseudomonas aeruginosa, even in sterile urine, indicating that the model, despite lacking human factors, effectively assesses factors influencing catheter encrustation.
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The implementation of isolation precautions for patients with suspected Coronavirus Disease 2019 (COVID-19) and pending test results is resource intensive. Due to the limited availability of single-bed rooms at our institution, we isolated patients with suspected COVID-19 together with patients without suspected COVID-19 on-site in multiple-bed rooms until SARS-CoV-2-test results were available. We evaluated the likelihood of SARS-CoV-2 transmission to individuals sharing the room with patients isolated on-site.

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  • The study aimed to investigate how patient-dependent factors affect the microbial composition of surgical-site infections (SSIs), analyzing data from over half a million patients in Switzerland.
  • Researchers identified key predictors, with age, body mass index (BMI), and duration of surgery being significant factors influencing the types of bacteria found in SSIs, particularly noting a shift from Staphylococcus spp. to Enterobacterales and Enterococcus spp. in older patients and those with longer surgeries.
  • The findings suggest that understanding patient characteristics can help in predicting and managing SSIs, and the research includes an online tool for applying the machine learning model in other healthcare contexts.
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Importance: Preoperative skin antisepsis is an established procedure to prevent surgical site infections (SSIs). The choice of antiseptic agent, povidone iodine or chlorhexidine gluconate, remains debated.

Objective: To determine whether povidone iodine in alcohol is noninferior to chlorhexidine gluconate in alcohol to prevent SSIs after cardiac or abdominal surgery.

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  • This study aimed to determine if administering surgical antimicrobial prophylaxis (SAP) reduces the risk of surgical site infections (SSI) following low-risk cholecystectomies (LR-CCE).
  • It analyzed data from 44,682 patients who underwent elective LR-CCE at Swiss hospitals, finding that 74% received SAP and experienced a significantly lower SSI rate of 1.1% compared to those who did not receive SAP.
  • The results suggest that routine use of SAP before LR-CCE could decrease SSI rates by 50%, indicating potential benefits for patients undergoing this type of surgery.
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The millions of specimens stored in entomological collections provide a unique opportunity to study historical insect diversity. Current technologies allow to sequence entire genomes of historical specimens and estimate past genetic diversity of present-day endangered species, advancing our understanding of anthropogenic impact on genetic diversity and enabling the implementation of conservation strategies. A limiting challenge is the extraction of historical DNA (hDNA) of adequate quality for sequencing platforms.

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The contribution of non-additive genetic effects to the genetic architecture of fitness and to the evolutionary potential of populations has been a topic of theoretical and empirical interest for a long time. Yet, the empirical study of these effects in natural populations remains scarce, perhaps because measuring dominance and epistasis relies heavily on experimental line crosses. In this study, we explored the contribution of dominance and epistasis in natural alpine populations of Arabidopsis thaliana for 2 fitness traits, the dry biomass and the estimated number of siliques, measured in a greenhouse.

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Aims: This study evaluated an approach to establishing a comprehensive nationwide surveillance system for Clostridioides difficile infection in Switzerland. We report the results of patient-related surveillance and calculate the incidence rate of C. difficile infection in Switzerland in 2022.

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  • A study analyzed 451 historic MRSA isolates from Switzerland, collected between 1965 and 1987, to uncover evolutionary patterns and resistance factors compared to modern MRSA samples and international genomes.
  • The researchers found 17 unique sequence types (STs), including five new STs, indicating a mix of both previously known and novel genetic variations.
  • The dominant type identified among early isolates was ST247-MRSA-I, showing early MRSA strains were primarily from clonal complex 8, while other complexes began appearing from 1980 onwards, highlighting changes in MRSA diversity over time.
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Type 1 diabetes mellitus (T1DM) is characterized by insulin deficiency leading to hyperglycemia and several metabolic defects. Insulin therapy remains the cornerstone of T1DM management, yet it increases the risk of life-threatening hypoglycemia and the development of major comorbidities. Here, we report an insulin signaling-independent pathway able to improve glycemic control in T1DM rodents.

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Metabolic syndrome (MetSx) and its chronic disease consequences are major public health concerns worldwide. Between-meal snacking may be a modifiable risk factor. We hypothesized that consuming tree nuts as snacks, versus typical carbohydrate snacks, would reduce risk for MetSx in young adults.

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Objectives: The aim of this study was to evaluate antibiotic prescribing of medium-to-high prescribing primary care physicians being followed up after the completion of a Swiss national intervention trial of antibiotic prescription audit and feedback in the first SARS-CoV-2 pandemic year.

Methods: We used health insurer based claims data to calculate monthly antibiotic prescription rates per 100 consultations (primary endpoint) and applying interrupted time series (ITS) analysis methods, we estimated the immediate (step change) and sustained effects (slope) of the SARS-CoV-2 epidemic in 2020 on antibiotic prescribing compared to the pre-pandemic trial period from 2017-2019.

Results: We analysed data of 2945 of 3426 physicians (86.

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  • - The study in Switzerland assessed the effectiveness of a targeted intervention program aimed at reducing surgical site infection (SSI) rates in eight hospitals, alongside existing SSI surveillance, from 2013 to 2020.
  • - Researchers included over 10,000 patients undergoing cardiac, colon, or hip/knee surgeries and focused on optimizing hair removal, skin disinfection, and antimicrobial prophylaxis as preoperative measures.
  • - Results showed a decrease in overall SSI rates post-intervention, with a significant reduction for cardiac surgeries, demonstrating the program's effectiveness in lowering infection rates.
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Background: Distinguishing between arginine vasopressin (AVP) deficiency and primary polydipsia is challenging. Hypertonic saline-stimulated copeptin has been used to diagnose AVP deficiency with high accuracy but requires close sodium monitoring. Arginine-stimulated copeptin has shown similar diagnostic accuracy but with a simpler test protocol.

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Aims Of The Study: Remdesivir has shown benefits against COVID-19. However, it remains unclear whether, to what extent, and among whom remdesivir can reduce COVID-19-related mortality. We explored whether the treatment response to remdesivir differed by patient characteristics.

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As sessile, photoautotrophic organisms, plants are subjected to fluctuating sunlight that includes potentially detrimental ultraviolet-B (UV-B) radiation. Experiments under controlled conditions have shown that the UV-B photoreceptor UV RESISTANCE LOCUS 8 (UVR8) controls acclimation and tolerance to UV-B in Arabidopsis thaliana; however, its long-term impact on plant fitness under naturally fluctuating environments remain poorly understood. Here, we quantified the survival and reproduction of different Arabidopsis mutant genotypes under diverse field and laboratory conditions.

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Various initiatives for undergraduates from historically underrepresented backgrounds attempt to address disparities in the completion of science, technology, engineering, mathematics (STEM) degrees and the pursuit of careers in scientific research. Intensive research training programs for historically underrepresented undergraduates may include multiple components, such as authentic research experiences, advising and mentoring, supplemental curriculum, and financial assistance. Following comprehensive support during program participation, the post-program transition may present a vulnerable period in students' career trajectories.

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