Peroral endoscopic myotomy: is it better to perform it in naive patients or as second-line therapy? Results of an open-label-controlled study in 105 patients.

Background: Whether Peroral Endoscopic Myotomy (POEM) can be proposed as a second-line treatment in patients with achalasia remains to be confirmed in real-life series.

Objective: This study aimed to compare the efficacy, feasibility and safety of POEM between treatment-naïve patients and patients who had prior endoscopic or surgical therapies for achalasia.

Methods: All consecutive patients who underwent a POEM procedure for achalasia in our centre from June 2015 to September 2018 were included in this retrospective study.

CMF-Net: craniomaxillofacial landmark localization on CBCT images using geometric constraint and transformer.

Accurate and robust anatomical landmark localization is a mandatory and crucial step in deformation diagnosis and treatment planning for patients with craniomaxillofacial (CMF) malformations. In this paper, we propose a trainable end-to-end cephalometric landmark localization framework on Cone-beam computed tomography (CBCT) scans, referred to as CMF-Net, which combines the appearance with transformers, geometric constraint, and adaptive wing (AWing) loss. More precisely: (1) we decompose the localization task into two branches: the appearance branch integrates transformers for identifying the exact positions of candidates, while the geometric constraint branch at low resolution allows the implicit spatial relationships to be effectively learned on the reduced training data.

Ephrin-B1 regulates the adult diastolic function through a late postnatal maturation of cardiomyocyte surface crests.

The rod-shaped adult cardiomyocyte (CM) harbors a unique architecture of its lateral surface with periodic crests, relying on the presence of subsarcolemmal mitochondria (SSM) with unknown role. Here, we investigated the development and functional role of CM crests during the postnatal period. We found in rodents that CM crest maturation occurs late between postnatal day 20 (P20) and P60 through both SSM biogenesis, swelling and crest-crest lateral interactions between adjacent CM, promoting tissue compaction.

Drivers of Perceived Nuisance Growth by Aquatic Plants.

Mass developments of macrophytes occur frequently worldwide and are often considered a nuisance when interfering with human activities. It is crucial to understand the drivers of this perception if we are to develop effective management strategies for ecosystems with macrophyte mass developments. Using a comprehensive survey spanning five sites with different macrophyte species in four countries (Norway, France, Germany and South Africa), we quantified the perception of macrophyte growth as a nuisance among residents and visitors, and for different recreational activities (swimming, boating, angling, appreciation of biodiversity, appreciation of landscape and birdwatching).

Metal Organic Framework Glasses: A New Platform for Electrocatalysis?

Metal organic framework (MOF) glasses are a coordination network of metal nodes and organic ligands as an undercooled frozen-in liquid, and have therefore broadened the potential of MOF materials in the fundamental research and application scenarios. On the road to deploying MOF glasses as electrocatalysts, it remains several basic scientific hurdles although MOF glasses not only inherit the structural merits of MOFs but also endow with active catalytic features including concentrated defects, metal centers and disorder structure etc. The research on the ionic conductivity, catalytic stability and reactivity of MOF glasses has yielded scientific insights towards its electrocatalytic applications.

Reference Probe for TcpO at Rest: A Systematic Review.

(1) Background: Transcutaneous oxygen pressure (TcpO) is used to determine the severity of lower extremity arterial disease (LEAD). Many authors used a ratio of limb to chest TcpO, also called the regional perfusion index (RPI), which should be independent of variations in oxygen delivery and reflective of local limb oxygen supply. The relevance of a reference probe-positioned TcpO electrode is debated.

A Comparison of Techniques for Class Imbalance in Deep Learning Classification of Breast Cancer.

Tools based on deep learning models have been created in recent years to aid radiologists in the diagnosis of breast cancer from mammograms. However, the datasets used to train these models may suffer from class imbalance, i.e.

Microvascular assessment of fascio-cutaneous flaps by ultrasound: A large animal study.

Blood perfusion quality of a flap is the main prognostic factor for success. Microvascular evaluation remains mostly inaccessible. We aimed to evaluate the microflow imaging mode, MV-Flow, in assessing flap microvascularization in a pig model of the fascio-cutaneous flap.

Cutting-edge molecular modelling to unveil new microscopic insights into the guest-controlled flexibility of metal-organic frameworks.

Metal-organic frameworks are a class of porous solids that exhibit intriguing flexibility under stimuli, leading often to reversible giant structural changes upon guest adsorption. DUT-49(Cu) and MIL-53(Cr) are fascinating flexible MOFs owing to their guest-induced breathing and negative gas adsorption behaviors respectively. Molecular simulation is one of the most relevant tools to examine these phenomena at the atomistic scale and gain a unique understanding of the physics behind them.

Role of metalloproteases in the CD95 signaling pathways.

CD95L (also known as FasL or CD178) is a member of the tumor necrosis family (TNF) superfamily. Although this transmembrane ligand has been mainly considered as a potent apoptotic inducer in CD95 (Fas)-expressing cells, more recent studies pointed out its role in the implementation of non-apoptotic signals. Accordingly, this ligand has been associated with the aggravation of inflammation in different auto-immune disorders and in the metastatic occurrence in different cancers.

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Contribution of immunotherapy in the treatment of advanced biliary tract cancer Biliary tract cancers (BTC) are rare tumors with a poor prognosis. Their treatment, at an advanced stage, relies on combinations of chemotherapies, which have a limited range and duration of benefit. Immunotherapy has emerged in recent years as a new therapeutic approach for BTC.

Multidisciplinary management of posterior fossa dural arteriovenous fistula: A single-center experience.

Purpose: The management of posterior fossa dural arteriovenous fistulas (pfDAVFs) is challenging. Here, we show how multidisciplinarity leads to their successful management, even in complex cases.

Methods: All pfDAVFs managed from 2010 to 2019 at our center were reviewed.

Stable Isotope Probing-RNA Strategy to Study Plant/Fungus Interactions.

The use of stable-isotope probing (SIP) allows tracing specific labeled substrates into fungi leading to a better understanding of their role in biogeochemical cycles and their relationship with their environment. Stable isotope probing combined with ribosomal RNA molecule, conserved in the three kingdoms of life, and messenger RNA analysis permits the linkage of diversity and function. Here, we describe two methods designed to investigate the interactions between plants and their associated mycorrhizal compartment by tracing carbon flux from the host plant to its symbionts.

High Verdet Constant Glass for Magnetic Field Sensors.

Due to the high transparency, high Verdet constant, as well as easy processing properties, rare-earth ion-doped glasses have demonstrated great potential in magneto-optical (MO) applications. However, the variation in the valence state of rare-earth ions (Tb to Tb) resulted in the decreased effective concentration of the paramagnetic ions and thus degraded MO performance. Here, a strategy was proposed to inhibit the oxidation of Tb into Tb as well as improve the thermal stability by tuning the optical basicity of glass networks.

CD1 and MR1: An update after a long-awaited reunion.

CD1 molecules and the MHC-related protein 1 (MR1) present lipid and small molecule antigens, respectively, for T cell surveillance. The biology of these molecules, the antigens they present, and the T cells that respond to them were recently discussed during the 12 International CD1-MR1 Meeting held in Gothenburg, Sweden.

Multi-genome metabolic modeling predicts functional inter-dependencies in the Arabidopsis root microbiome.

Background: From a theoretical ecology point of view, microbiomes are far more complex than expected. Besides competition and competitive exclusion, cooperative microbe-microbe interactions have to be carefully considered. Metabolic dependencies among microbes likely explain co-existence in microbiota.

Intervention during the Perinatal Period: Synthesis of the Clinical Practice Guidelines from the French National College of Midwives.

These clinical practice guidelines from the French National College of Midwives (CNSF) are intended to define the messages and the preventive interventions to be provided to women and co-parents by the different professionals providing care to women or their children during the perinatal period. These guidelines are divided into 10 sections, corresponding to 4 themes: 1/ the adaptation of maternal behaviors (physical activity, psychoactive agents); 2/ dietary behaviors; 3/ household exposure to toxic substances (household uses, cosmetics); 4/ promotion of child health (breastfeeding, attachment and bonding, screen use, sudden unexplained infant death, and shaken baby syndrome). We suggest a ranking to prioritize the different preventive messages for each period, to take into account professionals' time constraints.

Domestic Exposure to Chemicals in Household Products, Building Materials, Decoration, and Pesticides: Guidelines for Interventions During the Perinatal Period from the French National College of Midwives.

Introduction: We are exposed to numerous pollutants inside our homes. The perinatal period represents a particular window of vulnerability during which these exposures can have negative health effects over a more or less long term. The objective of this article is to formulate guidelines for health care professionals and intended for parents to reduce exposure to chemical pollutants at home, based on the scientific literature and already existing guidelines.

Encapsulation of DHA oil with heat-denatured whey protein in Pickering emulsion improves its bioaccessibility.

This study compared the bioaccessibility of docosahexaenoic acid (DHA) provided encapsulated or unencapsulated within a food matrix. DHA oil was composed of DHA-enriched triacylglycerols prepared as Pickering emulsion by encapsulation with heat-denatured whey protein isolate particles and then incorporated into homogenized liquid egg to get omelets. The effect of encapsulation was analyzed by using a static in vitro digestion model of the adult, which digestive fluid enzymes have also been characterized by proteomics.

Involvement of Transporters in Intestinal Drug-Drug Interactions of Oral Targeted Anticancer Drugs Assessed by Changes in Drug Absorption Time.

(1) Background: Oral targeted anticancer drugs are victims of presystemic pharmacokinetic drug−drug interactions (DDI). Identification of the nature of these DDIs, i.e.