Publications by authors named "Widmer J"

Cyanobacteria and their toxins can have multiple effects on agricultural productivity and water bodies. Cyanotoxins can be transported to nearby crops and fields during irrigation and may pose a risk to animal health through water sources. Spatial and temporal variations in cyanotoxin concentrations have been reported for large freshwater sources such as lakes and reservoirs, but there are fewer studies on smaller agricultural surface water bodies.

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  • The current method for assessing pedicle screw loosening relies heavily on radiation-emitting imaging, which can be unreliable in certain cases.
  • The authors propose a new, radiation-free technique using vibroacoustic sensing that involves exciting the vertebrae with vibrations and measuring them with a sensitive sensor attached to the screw.
  • The new method has been validated through simulations and physical tests on cadaveric lumbar spine specimens, achieving high sensitivity and specificity in detecting loose implants.
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Most processes of life are the result of polyvalent interactions between macromolecules, often of heterogeneous types and sizes. Frequently, the times associated with these interactions are prohibitively long for interrogation using atomistic simulations. Here, we study the recognition of N6-methylated adenine (mA) in RNA by the reader domain YTHDC1, a prototypical, cognate pair that challenges simulations through its composition and required timescales.

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  • Metabolic-bariatric surgery (MBS) is the best treatment for obesity, but many patients experience recurrent weight gain after Roux-en-Y gastric bypass (RYGB), leading to associated health issues; gastric pouch resizing (GPR) offers a low-risk solution for this weight regain.
  • A study involving 48 patients who underwent GPR after RYGB showed significant weight stabilization over time, with a mean follow-up indicating an improvement in BMI and resolution of obesity-related health conditions in more than half of the participants.
  • The procedure was determined to be safe, with low rates of complications, and patients reported high satisfaction levels, making GPR a worthwhile option for those struggling with weight regain post-surgery.
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  • * A deep learning pipeline was developed, utilizing 555 manually annotated bi-planar radiographs, focusing on segmenting vertebral bodies and pelvic landmarks through a trained U-Net architecture.
  • * The pipeline showed promising results, achieving a 61% success rate in predicting Cobb angles and maintaining high agreement with expert measurements, indicating its potential for effective spinal analysis.
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Objective: Endoscopic spine surgery is an emerging technique of minimally invasive spine surgery. However, headache, seizure, and autonomic dysreflexia are possible irrigation-related complications following full-endoscopic lumbar discectomy (FELD). Pressure elevation through fluid irrigation may contribute to these adverse events.

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Background Context: Pedicle screw instrumentation is widely used in spine surgery. Axial screw misplacement is a common complication. In addition to the recognized neurovascular risks associated with screw misplacement, the biomechanical stability of misplaced screws remains a subject of debate.

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  • Endoscopic ultrasound (EUS) is an important tool for evaluating pancreatic lesions, but its accuracy is not very high, prompting the development of a convolutional neural network (CNN) to improve diagnosis of pancreatic cystic neoplasms (PCN) and pancreatic solid lesions (PSL).
  • The CNN was trained on a large dataset from four international centers, comprising over 126,000 images, and successfully distinguished between different types of pancreatic lesions with high accuracy.
  • The results showed the CNN achieved over 99% accuracy for normal pancreatic tissue and PCNs, while distinguishing between pancreatic ductal adenocarcinoma (P-DAC) and neuroendocrine tumors (P-NET) at 94% accuracy, pointing to the
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Unlabelled: Diabetic ketoacidosis (DKA) is one of the most serious complications of type 1 diabetes mellitus. Its treatment requires fluid and electrolyte replacement and insulin. Hypophosphatemia as a complication of treatment has been scarcely evaluated.

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Background: Neoadjuvant therapy (NAT) is increasingly being used for pancreatic ductal adenocarcinoma (PDAC) treatment. However, its specific effects on carcinoma cells and the tumor microenvironment (TME) are not fully understood. This study aims to investigate how NAT differentially impacts PDAC's carcinoma cells and TME.

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Anastomotic leakage (AL) is the leaking of non-sterile gastrointestinal contents into a patient's abdominal cavity. AL is one of the most dreaded complications following gastrointestinal surgery, with mortality rates reaching up to 27%. The current diagnostic methods for anastomotic leaks are limited in sensitivity and specificity.

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Purpose: To analyze the effect of endplate weakness prior to PLIF or TLIF cage implantation and compare it to the opposite intact endplate of the same vertebral body. In addition, the influence of bone quality on endplate resistance was investigated.

Methods: Twenty-two human lumbar vertebrae were tested in a ramp-to-failure test.

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Purpose: The linear-stapled (LSA) and the circular-stapled anastomosis (CSA) are the two most commonly performed techniques for the gastrojejunostomy (GJ) during laparoscopic Roux-en-Y gastric bypass (RYGB). This study compared the outcome after both techniques with special focus on postoperative morbidity using the comprehensive complication index (CCI).

Methods: Five hundred eighty-eight patients operated between 01/2010 and 12/2019 were included in the final analysis and divided in two cohorts according to the surgical technique of the GJ (LSA (n = 290) or CSA (n = 298)).

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Background And Aims: Obesity is a growing healthcare challenge worldwide and a significant risk factor for liver failure as seen with non-alcoholic steatohepatitis (NASH). Combining metabolic-bariatric surgery (MBS) with liver transplantation (LT) appears as attractive strategy to treat both, the underlying liver disease and obesity. However, there is an ongoing debate on best timing and patient selection.

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Spinal fusion is the most common surgical treatment for the management of degenerative spinal disease. However, complications such as screw loosening lead to painful pseudoarthrosis, and are a common reason for revision. Optimization of screw trajectories to increase implant resistance to mechanical loading is essential.

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Study Design: Biomechanical cadaveric study.

Objective: The goal of this study was to analyze the effects of an endoscopic transpedicular approach with different drill diameters (6 and 8 mm) and compare them with the intact native side. In addition, the influence of bone quality on the resistance of the pedicle was investigated.

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  • Posterior and transforaminal lumbar interbody fusion (PLIF, TLIF) are common spinal fusion surgeries, but the load distribution among components like the cage, dorsal construct, and biological tissue is not well understood.
  • This study aimed to measure the forces on intervertebral cages during axial compression, comparing setups with and without posterior instrumentation across different fusion methods.
  • Results showed that without posterior instrumentation, intervertebral cages experienced over 50% of the axial load, while the addition of posterior instrumentation significantly reduced the load absorbed by the cages across various compression levels.
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Background: To report on a concept of liver assessment during ex situ hypothermic oxygenated perfusion (HOPE) and its significant impact on liver utilization.

Methods: An analysis of prospectively collected data on donation after circulatory death (DCD) livers, treated by HOPE at our institution, during a 11-year period between January 2012 and December 2022.

Findings: Four hundred and fifteen DCD Maastricht III livers were offered during the study period in Switzerland, resulting in 249 liver transplants.

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Case: Three patients with low-grade spondylolisthesis were treated with vertebropexy, a new surgical technique that replaces rigid fusion with ligamentous stabilization. Clinical outcomes, functional radiographs, and magnetic resonance imaging were used to document the early clinical results of this biomechanically established and promising new surgical method.

Conclusion: Vertebropexy may be a valuable alternative to rigid fusion in the treatment of low-grade degenerative spondylolisthesis.

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Backgroud Context: Pedicle screws are commonly used for posterior fixation of the lumbar spine. Inaccuracy of screw placement can lead to disastrous complications.

Purpose: As fluoroscopic assisted pedicle screw instrumentation is the most frequently used technique, the aim of this study was to assess the specificity, sensitivity and accuracy of intraoperative fluoroscopy to detect mediolateral screw malpositioning.

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Aim: Haemophilic pseudotumours are complications in patients with haemophilia A or B and result from locally repetitive bleeding, mainly in the musculoskeletal system. Abdominal haemophilic pseudotumours are exceptionally rare but may cause severe complications. This systematic review aimed to evaluate therapy strategies for symptomatic abdominal haemophilic pseudotumours.

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Healthy, untreated cows of nine dairy herds from the Swiss Canton Tessin were analyzed three times within one year to identify the most abundant species of the intramammary bacteriome. Aseptically collected milk samples were cultured and bacteria identified using MALDI-TOF. Of 256 cows analyzed, 96% were bacteriologically positive and 80% of the 1,024 quarters were positive for at least one bacterial species.

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  • Factors driving freshwater salinization syndrome (FSS) include inputs of salt ions, erosion rates, hydrologic cycles, rising water temperatures, and ecosystem recovery potential.
  • These factors operate in distinct stages that lead to failures in critical ecosystem functions, such as providing clean drinking water, supporting agriculture, and maintaining biodiversity.
  • Future research should focus on diagnosing, predicting, and addressing FSS using the identified state factors and their stages.
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Background Context: Posterior decompression with spinal instrumentation and fusion is associated with well-known complications. Alternatives that include decompression and restoration of native stability of the motion segment without fusion continue to be explored, however, an ideal solution has yet to be identified.

Purpose: The aim of this study was to test two different synthetic lumbar vertebral stabilization techniques that can be used after unilateral total facetectomy.

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Atomistic simulations of biological processes offer insights at a high level of spatial and temporal resolution, but accelerated sampling is often required for probing timescales of biologically relevant processes. The resulting data need to be statistically reweighted and condensed in a concise yet faithful manner to facilitate interpretation. Here, we provide evidence that a recently proposed approach for the unsupervised determination of optimized reaction coordinate (RC) can be used for both analysis and reweighting of such data.

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