Long-term Studies Research Articles

Lived Experiences of Patients After Colorectal Cancer and Permanent Colostomy: A Parallel-Design Mixed-Methods Study.

To identify the lived experiences, quality of life (QoL), and level of ostomy adjustment (OA) in patients after colorectal cancer with a permanent colostomy (PC). In this parallel-design mixed-methods study, the researchers interviewed 14 patients after colorectal cancer whose PC was created more than 1 year prior. Qualitative data were interpreted using hermeneutic interpretive phenomenological design. Quantitative data were collected with the Stoma QoL Scale and OA Inventory-23. The mean age of the participants was 61.5 (SD, 10.0) years, and the mean PC duration was 7.7 (SD, 5.0) years. Mean QoL and OA scores were just above the median. Three superordinate themes consisting of nine themes emerged from the analysis: (1) early experiences (acceptance, medical problems, and emotional changes); (2) long-term experiences (physiologic experiences, psychosocial experiences, economic experiences, and coping strategies); (3) feelings and expectations about the future (worries and expectations). Even individuals who have been living with a PC for a long time may not be fully adapted to the process and may not have internalized lifestyle changes. Nurses should provide support to individuals with a PC through routine follow-ups, social support, and facilitative healthcare strategies regardless of the length of time since PC creation.

Characterization of arterial wave reflection phenomena during a long-term swine experiment of sepsis and resuscitation

Characterization of arterial wave reflection phenomena during a long-term swine experiment of sepsis and resuscitation

A facile and scalable fabrication procedure for PVDF-PDA/PEI/SiO2 hollow fiber composite ultrafiltration membranes: Integration of co-deposition and cross-linking

Polyvinylidene fluoride (PVDF) membranes, widely used for their stability, face limitations due to the hardly adjustable pore size in nanoscale and inherent hydrophobicity. To address this, we proposed a co-deposition method incorporating dopamine (DA), polyethyleneimine (PEI), and silicon dioxide (SiO2) nanoparticles with glutaraldehyde cross-linking for precise regulation of pore size and hydrophilicity in PVDF hollow fiber membranes. Notably, the pore diameter reduced from 119.0 ± 3.55 nm to 18.4 ± 0.36 nm, while the contact angle decreased from 107.7° to 40.9°. This simultaneous regulation led to a high-performance PDA/PEI/SiO2-PVDF hydrophilic ultrafiltration membrane with a rejection rate exceeding 99% for 20 nm nanoparticles in a long-term simulated separation experiment while achieving a significant protein permeability of 97% in BSA permeation experiments. Additionally, the membrane demonstrated exceptional long-term stability, offering a novel approach for tuning the performance of ultrafiltration/microfiltration membranes.

Soil Nitrogen Fertility Influences the Growth and Yield of American Elderberry but Is Less Impactful than Genotype and Environment on Other Horticultural Characteristics

A long-term horticultural experiment was conducted at two geographically distinct sites in southern Missouri in 2011–15 to study the response of American elderberry [Sambucus nigra (L.) subsp. canadensis (L.) Bolli] to various soil nitrogen (N) fertilizer levels. Three commercially available elderberry cultivars (‘Adams II’, ‘Bob Gordon’, and ‘Wyldewood’) were used. The three cultivars were each assigned to 16 of 48 four-plant plots in a completely randomized manner at each site. Four replications of four N fertilizer treatments (0, 56, 112, 169 kg⋅ha−1 N) were randomly assigned to each cultivar’s plots and applied for 4 years (2012–15). Fruit yields, plant growth, phenology, and pest incidence were determined each year. Fruit quality was assessed by analyzing basic juice characteristics as well as organic acids, carbohydrates, anthocyanins, and polyphenols from 2012–14 samples. Leaf tissue analysis determined the plants’ mineral contents in 2012–14. Most factors evaluated were significantly affected by site, year, and cultivar, whereas the effects of N fertilizer treatment were less definitive. Fruit yields and plant growth increased with increasing N levels. For example, plants fertilized with 0, 56, 112, and 169 kg⋅ha−1 N produced 123, 137, 155, and 161 fruiting cymes per plot (5.8 m2), respectively. The eriophyid mite incidence was higher on fertilized plants, but other pests were not influenced by the N treatment. Basic fruit juice characteristics (soluble solids, pH, titratable acidity, polyphenols) were not influenced by the N treatment, whereas total anthocyanins were statistically higher in unfertilized plants. Levels of organic acids and carbohydrates in juice varied statistically among N treatments, but patterns were difficult to discern. Leaf N concentrations were correlated with N fertilizer levels—2.75% N with the highest fertilizer level compared with 2.55% N in unfertilized plants. Leaf levels of most other macronutrients varied, but consistent patterns did not emerge, and none of the micronutrients was different among N treatments. Although elderberry plants responded positively to increased N fertilizer levels in terms of plant growth and fruit yield, genetics (cultivar) and environment (site, year) were more influential on most other experimental factors evaluated.

Longitudinal profiles of the vaginal microbiota of pre-, peri-, and postmenopausal women: preliminary insights from a secondary data analysis.

Menopause is often accompanied by lowered Lactobacillus spp. relative abundance and increased abundance of diverse anaerobic/aerobic bacteria in the vaginal microbiota due in part to declines in estrogen. These microbiota are associated with urogenital symptoms and infections. In premenopause, vaginal microbiota can fluctuate rapidly, particularly with menstrual cycles and sexual activity; however, the longitudinal dynamics of vaginal microbiota are understudied in peri- and postmenopause. We described vaginal community stability across reproductive stages. Pre- (n = 83), peri- (n = 8), and postmenopausal (n = 11) participants provided twice-weekly mid-vaginal samples (total, 1,556; average, 15 per participant) over 8 weeks in an observational study. Composition of the vaginal microbiota was characterized by 16S rRNA gene amplicon sequencing, and a community state type (CST) was assigned to each sample. Clustering of longitudinal CST profiles, CST transition rates, duration of low-Lactobacillus/high bacterial diversity CSTs, and other metrics of bacterial community dynamics were assessed across reproductive stages. The proportion of participants with longitudinal CST profiles characterized by low-Lactobacillus CSTs was similar among pre- (38.6%), peri- (37.5%), and postmenopausal (36.4%) participants (P = 0.69). CST transition rates between consecutive samples were 21.1%, 16.7%, and 14.6% for pre-, peri-, and postmenopausal participants, respectively (P = 0.49). Low-Lactobacillus CST tended to persist for at least 4 weeks, irrespective of reproductive stage. Findings from this small yet frequently sampled cohort revealed vaginal bacterial fluctuations over 8 weeks that were similar across reproductive stages. Larger and longer-term studies based on these preliminary data could provide insights into the influence of microbiota dynamics on urogenital outcomes during menopause.

Sparsentan: A First-in-Class Dual Endothelin and Angiotensin II Receptor Antagonist.

To provide an overview of the guidelines on the management of immunoglobulin A nephropathy (IgAN) and focal segmental glomerulosclerosis (FSGS), review the evidence for sparsentan, and discuss its place in therapy. A literature search was conducted using MEDLINE, EMBASE, and clinicaltrials.gov using the search terms "sparsentan" and "RE-021" up to the end of Jun 2023. English studies were included if they evaluated the pharmacology, pharmacokinetics, efficacy, and safety of sparsentan in human subjects. Information from the Food and Drug Administration (FDA) and manufacturer's monograph were also extracted. In comparison with irbesartan, sparsentan reduced urine protein-to-creatinine ratio (UPCR) in both IgAN (-49.8% vs -15.1% at interim 36 weeks) and FSGS (-44.8% vs -18.5% at 8 weeks). Hypotension and edema were the most common adverse events in the sparsentan groups. Hepatotoxicity appears to be comparable between sparsentan and irbesartan in short-term results. Sparsentan provides a new option for patients with IgAN who are otherwise at high risk of progressive kidney disease. Continued FDA approval is dependent on long-term study results on renal function decline and safety. Sparsentan reduces proteinuria in IgAN and FSGS, and has expedited approval by the FDA for IgAN in patients at risk of rapid disease progression, generally at urine protein-to-creatinine ratio (UPCR) ≥1.5 g/g. Interim results from PROTECT and results from DUET showed promise for improving proteinuria in IgAN and FSGS. Long-term renal function benefit and safety data are pending.

Nutritional interventions and BMI dynamics: A comprehensive analysis of growth outcomes in pediatric populations

Introduction: This review article emphasizes the significance of Body Mass Index (BMI) and insulin-like growth factor-1 (IGF1) in evaluating pediatric growth outcomes, particularly for those at risk of undernutrition. The review explores the long-term health consequences of early BMI trajectories, especially their association with cardiometabolic profiles in adulthood. The article also examines the correlation between BMI, insulin-like growth factor 1 (IGF-1), and growth velocity, focusing on their complex interactions in malnourished and obese pediatric populations. Methods: A comprehensive literature search was conducted using PubMed, Google Scholar, and Scopus from 1985 to 2024, focusing on BMI, height growth velocity, IGF1 levels, and the effects of nutritional interventions on pediatric growth outcomes. Studies were included if they focused on children aged 0-18 years and evaluated the impact of BMI and/or nutritional interventions on growth outcomes, with English language articles being prioritized. Review Results: A total of 15 studies involving 4737 participants were analyzed. The review highlights significant findings including the normalization of growth hormone (GH)-IGF axis post nutritional rehabilitation in malnourished children, the rapid response of IGF-1 levels to nutritional interventions, and the influence of protein-rich diets on catch-up growth. Studies also showed that early nutritional support, particularly through human milk, significantly affects IGF-1 levels and that dietary protein intake correlates with IGF-I concentrations and growth in toddlers. Long-term studies indicated that severe malnutrition can have enduring metabolic effects, necessitating sustained nutritional strategies. Discussion: The review highlights the significance of early nutritional support and its impact on IGF-1 levels, which are crucial for healthy growth trajectories. The findings advocate for careful monitoring of early growth rates to optimize long-term health outcomes and stress the importance of adequate protein intake during early childhood. Conclusions: A balanced approach to nutrition, focusing on the interplay between BMI, growth velocities, and IGF1 levels, is crucial in pediatric care. Strategic nutritional interventions, especially those rich in protein, can effectively manage growth outcomes across different BMI categories and improve health trajectories in pediatric populations. This review underscores the need for comprehensive strategies to address nutritional deficiencies and manage growth effectively from infancy through adolescence

Significantly Enhanced Nitrate and Phosphorus Removal by Pyrite/Sawdust Composite-Driven Mixotrophic Denitrification with Boosted Electron Transfer: Comprehensive Evaluation of Water-Gas-Biofilm Phases during a Long-Term Study.

Further reducing total nitrogen (TN) and total phosphorus (TP) in the secondary effluent needs to be realized effectively and in an eco-friendly manner. Herein, four pyrite/sawdust composite-based biofilters were established to treat simulated secondary effluent for 304 days. The results demonstrated that effluent TN and TP concentrations from biofilters under the optimal hydraulic retention time (HRT) of 3.5 h were stable at <2.0 and 0.1 mg/L, respectively, and no significant differences were observed between inoculated sludge sources. The pyrite/sawdust composite-based biofilters had low N2O, CH4, and CO2 emissions, and the effluent's DOM was mainly composed of five fluorescence components. Moreover, mixotrophic denitrifiers (Thiothrix) and sulfate-reducing bacteria (Desulfosporosinus) contributing to microbial nitrogen and sulfur cycles were enriched in the biofilm. Co-occurrence network analysis deciphered that Chlorobaculum and Desulfobacterales were key genera, which formed an obvious sulfur cycle process that strengthened the denitrification capacity. The higher abundances of genes encoding extracellular electron transport (EET) chains/mediators revealed that pyrite not only functioned as an electron conduit to stimulate direct interspecies electron transfer by flagella but also facilitated EET-associated enzymes for denitrification. This study comprehensively evaluates the water-gas-biofilm phases of pyrite/sawdust composite-based biofilters during a long-term study, providing an in-depth understanding of boosted electron transfer in pyrite-based mixotrophic denitrification systems.

Tethered Alkylammonium Dications as Electrochemical Interface Modifiers: Chain Length Effect on CO2 Reduction Selectivity at Industry-Relevant Current Density.

The electrochemical reduction of CO2 (CO2RR) has the potential to be an economically viable method to produce platform chemicals synergistically with renewable energy sources. Copper is one of the most commonly used electrocatalysts for this purpose, as it allows C-C bond formation, yielding a broad product distribution. Controlling selectivity is a stepping stone on the way to its industrial application. The kinetics of the reaction can be modified to favor the rates of certain products quickly and inexpensively by applying additives such as ionic liquids and coelectrolytes that directly affect the electrocatalytic interface. In this work, we propose tethered tetraalkylammonium salts as double-charged cationic modifiers of the electrochemical double layer to control CO2RR product selectivity. A novel setup comprising a gas diffusion electrode (GDE) flow cell coupled with real-time mass spectroscopy was used to study the effect of a library of the selected salts. We emphasize how the length of an alkyl linker effectively controls the selectivity of the reaction toward C1, C2, or C3 products at high relevant current densities (Jtotal = -400 mA cm-2) along with the inhibition of the parasitic hydrogen evolution reaction. Standard long-term experiments were performed for quantitative validation and stability evaluation. These results have broad implications for further tailoring an effective catalytic system for selective CO2 reduction reaction.

Impact of Electrochemical Impedance Spectroscopy Dataset Curation on Solid Oxide Cell Degradation Assessment

Abstract Electrochemical impedance spectroscopy (EIS) has become a standard measurement technique for detecting degradation in single cells and stacks of solid oxide cells (SOCs). Depending on the experimental setup and test equipment, instabilities and unexpected results can be observed in EIS measurements. For example, in the low-frequency range, instabilities can be induced by feed gas flow fluctuations. Another phenomenon are parasitic, inductive impedances that degrade the high-frequency range. To compensate for such influences in large EIS data sets, we propose a specially developed EIS data curation pipeline. Based on the results of its application, we demonstrate the impact on the quantitative and qualitative attribution of electrochemical processes from EIS using equivalent circuit modeling and distribution of relaxation times. Furthermore, the substantial differences in the temporal evolution of the latter during long-term experiments are highlighted for EIS measurements obtained at the SOC stack and single cell level. In addition, the significant misestimation of aging rates, especially with respect to the fuel electrode and the high-frequency series resistance, is shown when comparing EIS measurements, few of which exhibit a parasitic inductive impedance.

One year of active moss biomonitoring in the identification of PAHs in an urbanized area-prospects and implications.

Classical monitoring of air pollution provides information on environmental quality but involves high costs. An alternative to this method is the use of bioindicators. The purpose of our work was to evaluate atmospheric aerosol pollution by selected polycyclic aromatic hydrocarbons conducted as part of annual active biomonitoring ("moss-bag" technique) with the use of three moss species: Pleurozium schreberi, Sphagnum fallax, and Dicranum polysetum. The gas chromatography-mass spectrometry (GC-MS) was utilized to determine certain 13 polycyclic aromatic hydrocarbons (PAHs). Three seasonal variations in PAH concentrations have been observed as a result of the study. A fire on the toilet paper plant caused an increase of five new compounds: benzo(k)fluoranthene (BkF), benzo(a)pyrene (BaP), indeno(1.2.3)-cd_pyrene (IP), dibenzo(a.h)anthracene (Dah), and benzo(g.h.i)perylene (Bghi) in proximity after 8months of exposure compared to previous months. The effect of meteorological conditions on the deposition of PAHs (mainly wind direction) in mosses was confirmed by principal component analysis (PCA). Dicranum polysetum moss accumulated on average 26.5% more PAHs than the other species, which allows considering its broader use in active biomonitoring. The "moss-bag" technique demonstrates its feasibility in assessing the source of PAH air pollution in a long-term study. It is recommended to use this biological method as a valuable tool in air quality monitoring.

Comparison of dual-plane micro-drop injection of botulinum toxin type A with two traditional methods for treating hypertrophic scars in the tension zone: A long-term clinical application study.

Patients with hypertrophic scarring tend to experience recurrence after treatment, which often occurs in areas of the body with high skin tension. To evaluate better treatments aimed at reducing the risk of scar recurrence in areas of high skin tension. Patients were randomly divided into the following three treatment groups: botulinum toxin type A (BTA) via dual-plane micro-drop injections, triamcinolone acetonide (TAC) suspension, and CO2 via fractional CO2 laser. Interventions were implemented in all three groups once a month for three consecutive sessions. After the final treatment, scarring was evaluated at 1, 3, 6, 12, and 24 months using the Patient and Observer Scar Assessment Scale (POSAS). The 3-month POSAS score for each scar indicator in the treatment groups was significantly lower than that in the preoperative groups (p < 0.001). The scar score in the TAC group decreased at 3 months and increased thereafter. For other groups, the scar score continually decreased at all time points according to the Patient Scar Assessment Scale. Based on the Observer Scar Assessment Scale, the scar score continuously decreased at all time points in the BTA group; in the TAC group, it decreased at 1 month and increased thereafter; and in the CO2 group, the scar score decreased at 3 months and subsequently stabilized. All three treatment methods were effective. However, the BTA group experienced a reduced risk of scar recurrence and maintained long-term treatment effects.

Deltoid ligament injuries: A review of the anatomy, diagnosis and treatments.

Ankle sprains remain the most common soft tissue injury presenting to Emergency Departments. Recently, there has been increased awareness and reporting of deltoid ligament injuries in association with injuries to the lateral ligament complex as well as with fibula fractures. This article reviews the currently available literature on the anatomy of the deltoid ligament, clinical and radiological diagnosis of injuries to the deltoid ligamentand treatment recommendations. A literature review was conducted for keywords associated with deltoid ligament injuries. MEDLINE, PubMed and Embase databases were utilised for this search. Articles were included if involving an adult population, were English-language, were related to deltoid ligament injuries (with or without associated injuries)and reported on patho-anatomy, clinical or radiological diagnosisor treatment methods. A total of 93 articles were assessed for relevance from the database search, and 47 were included after the removal of irrelevant articles and duplicates. Several studies reported on the clinical findings of deltoid ligament injury, as well as the radiographic analysis. Arthroscopy was considered the gold standard of diagnosis, with authors reporting on the potential benefit of performing arthroscopic repair or reconstruction at the same time. There were no studies that provided a system for the classification of deltoid ligament injuryor larger studies of treatment pathways. Long-term studies of the incidence of instability in deltoid ligament injuries were not available. There is limited evidence available regarding deltoid ligament injuries, particularly in terms of treatment options, either in isolation or with concomitant injuries. Long-term follow-up studies are needed to obtain more accurate data on the number of complications. Level IV.

Blood pressure monitoring in elderly migraineurs starting an anti-CGRP monoclonal antibody: a real-world prospective study.

While monoclonal antibodies (mAbs) targeting the CGRP pathway have revolutionized migraine management due to their improved tolerance and adherence, concerns remain about their potential impact on blood pressure (BP), especially in older patients, due to CGRP-mediated vasodilation blockade. Given the growing use of these therapies in older populations, assessing their cardiovascular (CV) safety is of paramount importance. This multicentric observational prospective study focused on migraine sufferers aged ≥ 60 who began erenumab, galcanezumab, or fremanezumab for prevention. Baseline, three-month, and twelve-month BP measurements were collected. Changes in antihypertensive medication and "Newly or Worsened Hypertensive" patients (NWHP) were assessed. Among 155 patients receiving anti-CGRP mAbs (40 Erenumab, 47 Galcanezumab, 68 Fremanezumab), 42.5% had hypertension history and 39% were on antihypertensive treatment. No significant systolic or diastolic BP changes occurred at any time point compared to baseline (all p > 0.05), with no differences between the three groups. After one year, 20/155 (12.9%) patients were considered NWHP; 11/20 had prior hypertension, and 5/11 adjusted antihypertensive therapy. Among 9/20 newly hypertensive patients, 5/9 had a single measurement above the normal threshold with no requirement for new pharmacological therapy. A higher baseline BP value was associated with increased BP (p = 0.002). The study concludes that treatment with anti-CGRP mAbs over one year does not significantly affect BP in patients aged ≥ 60, nor does it increase the incidence of hypertension compared to general population trends. Nonetheless, continuous monitoring and further long-term studies are necessary to fullya scertain the cardiovascular safety of these medications in the elderly.

Future proofing a long-term agricultural experiment for decades to come: Relocation and redesign

We took land encroachment for urban development that threatened a 60-year-old field experiment as an opportunity to transport and redesign an entire experiment to more effectively address contemporary challenges. The field experiment comprised long-term pH plots, established for agronomic demonstration in 1961, but used over the years for both applied and fundamental research. We redesigned the experimental layout to add strength to the statistical design through randomisation. Continuation and enrichment of the long-term pH experimental platform lends a unique resource for microbiome research per se. Here we have provided a rationale for why the decision was made to move the soils from the former Woodlands Field pH experiment. Moving soil on the scale of a field experiment requires costs and benefits to be weighed up in that the realisation of the transfer costs and the costs for the ongoing maintenance can outweigh the costs of a new experimental set up or indeed closing the experiment and walking away. It is important to recognise that much of the value is in assets that are not monetary. Considerations include the availability of a site suitable from a biophysical perspective but also considering ownership and future access. The topsoil (0–20 cm to plough depth) was moved to a new location in a similar environment and within the same soil association. The soil was disturbed under very dry conditions and placed back into the earth in the new location within 90 minutes, and thus as near to normal cultivation as possible. Additional plots were added to the experiment that will be amended to the pH treatments in the long-term experiment providing an exciting opportunity to assess how soil microbial communities change over time. Soil samples taken 2 years after the relocation of the soils indicate that the soil pH gradient (4.5–7.5) has been maintained. Safeguarding this long-term resource on soil pH helps us to predict the impacts of changed practice with regard to liming on productivity and also to address wider contemporary and future issues surrounding net zero, food security and soil protection.

Evolution repeats itself in replicate long-term studies in the wild.

The extent to which evolution is repeatable remains debated. Here, we study changes over time in the frequency of cryptic color-pattern morphs in 10 replicate long-term field studies of a stick insect, each spanning at least a decade (across 30 years of total data). We find predictable "up-and-down" fluctuations in stripe frequency in all populations, representing repeatable evolutionary dynamics based on standing genetic variation. A field experiment demonstrates that these fluctuations involve negative frequency-dependent natural selection (NFDS). These fluctuations rely on demographic and selective variability that pushes populations away from equilibrium, such that they can reliably move back toward it via NFDS. Last, we show that the origin of new cryptic forms is associated with multiple structural genomic variants such that which mutations arise affects evolution at larger temporal scales. Thus, evolution from existing variation is predictable and repeatable, but mutation adds complexity even for traits evolving deterministically under natural selection.

Effect of Barley and Oat Consumption on Immune System, Inflammation and Gut Microbiota: A Systematic Review of Randomized Controlled Trials.

The aim of this systematic review was to investigate the effects of whole grain Avena sativa and Hordeum vulgare L., or their isolated fractions, on immune and inflammatory functions, as well as their influence on gut microbiota. A structured literature search was undertaken in line with PRISMA guidelines. Randomized controlled trials (RCTs) that investigated the effects of oats or barley consumption in adults and reported ≥ 1 of the following: C-reactive protein (CRP), tumor necrosis factor (TNF-α), interleukin-6 (IL-6), IL-2, IL-8, IL-18, lipopolysacharide binding protein (LBP) or gut microbiota-related outcomes, were included. A total of 16 RCTs were included, among which 6 studies recruited metabolically at-risk population, including individuals with overweight and obesity, metabolic syndrome or hypercholesterolemia. Additionally, 3 trials involved young healthy population, 5 trials targeted older individuals (aged over 50years), and 2 studies encompassed populations with other disease states. A total of 1091 individuals were included in the evaluation of short-term (up to 14days) and long-term (beyond 14days, up to 90days) supplementation with oats or barley-based products. 9 studies measured inflammatory biomarkers and 5 of them reported significant reductions, specifically in long-term studies. Notably, no evidence of anti-inflammatory benefits was found in healthy individuals, whereas studies involving metabolically at-risk populations showed promising reductions in inflammation. 13 studies measured the impact on gut microbiota, and collectively suggest that oats and barley food products can influence the composition of gut microbiota, associated in some cases with metabolic improvements. Oats and barley consumption may confer anti-inflammatory effects in metabolically at-risk populations and influence gut microbiota outcomes. However, no anti-inflammatory benefits were observed in healthy individuals. Results from this systematic review suggests caution in interpreting findings due to limited trials and variations in interventions and health conditions.

Long-term outcomes associated with subcutaneous implantable cardioverter-defibrillators in patients with hypertrophic cardiomyopathy

Abstract Background In patients with Hypertrophic Cardiomyopathy (HCM) S-ICD is usually the preferred option as pacing is generally not indicated. However, limited data are available on its current practice adoption and long term follow-up. Purpose The present study was designed to examine in a multicenter, open-label, long-term study, the patient’s selection process for S-ICD implantation, the short and long term complications, the appropriate shock (AS) rates, shock efficacy and outcome. Methods Consecutive HCM patients with an S-ICD implanted between 2013 and 2021 in 3 international centers were enrolled in this prospective observational study. Baseline, procedural and follow-up data together with clinical evaluation, ECG, echocardiography, and telemetry checks of the S-ICD were regularly collected. Results Seventy patients (64% males) were enrolled, implanted at 41±15 years, 62 (89%) in primary prevention with a mean ESC SCD risk score of 4,5±1.9%: 25 (40%) at low risk, 17 (27%) at intermediate and 20 (33%) at high risk. Patients were followed-up for 5.1±2.3 years (327 person-years). Notably, 25 (36%) were followed for more than 6 years up to 10 years. Two patients (3%) received an appropriate shock on ventricular fibrillation and 17 (24%) were diagnosed with a de-novo atrial fibrillation, sub-clinical in 6 (9%). One TIA and 2 strokes were reported. Inappropriate shocks occurred in 4 patients (6%), all before Smart-Pass algorithm implementation. Eight patients experienced device related adverse events (11%). Conclusions S-ICDs in HCM patients followed for over 5 years showed to be effective in the conversion of VF in 2 ESC SCD high risk patients (3%) and useful in the detection of sub-clinical AF in 6 (9%). S-ICDs are implanted in patients with an overall low-intermediate ESC SCD risk, probably reflecting both the inclusion of additional risk markers (i.e extensive LGE, reduced EF and apical aneurism) and the physician perception of low device-related complications S-ICD is generally safe, but greater scrutiny may be required to avoid overtreatment in HCM patients with milder risk profiles.Real world use and candidacy of S-ICDAppropriate and inappropriate shocks

Soil Organic Carbon Dynamics in the Long-Term Field Experiments with Contrasting Crop Rotations

Trends in soil organic carbon (SOC) were analyzed in the soils from the oldest Czech long-term field experiment, the Prague-Ruzyně Long-Term Fertilizer Experiment, conducted on Haplic Luvisol since 1955. The aim of the work was to compare the long-term dynamics of SOC in contrasting crop rotations and different fertilization regimes. The trial design includes two crop rotations (CR): simple CR with two-year rotation of sugar beet and spring wheat, and multi-crop rotation (MCR) with nine crops. Four fertilization treatments were chosen for SOC analysis: unfertilized control, only mineral fertilization (NPK), farmyard manure application (FYM), as well as FYM and NPK application. SOC content was significantly affected by both fertilization and crop rotation practices. In the simple CR, both the unfertilized control and the NPK treatment exhibited a consistent decline in SOC content over the study period, with percentages decreasing from an initial 1.33% in 1955 to 1.15% and 1.14%, respectively. Although the FYM and FYM + NPK treatments showed an increase in SOC content in the 1990s, a gradual decline was recorded in the last two decades. This decrease was not observed in MCR: positive C balances were recorded in all treatments within MCR, with the largest increase in SOC stock occurring when NPK was combined with FYM. In contrast, over the last decade, C balances have decreased in simple CR for all treatments except FYM. This trend coincides with changes in the local climate, particularly rising temperatures. The results indicate that diversified crop rotations and FYM fertilization are effective in mitigating the negative impacts of changing environmental conditions on SOC stocks.

Levels of circulating tumor DNA correlate with tumor volume in gastro-intestinal stromal tumors: an exploratory long-term follow-up study.

Patients with gastro-intestinal stromal tumors (GISTs) undergoing tyrosine kinase inhibitor therapy are monitored with regular computed tomography (CT) scans, exposing patients to cumulative radiation. This exploratory study aimed to evaluate circulating tumor DNA (ctDNA) testing to monitor treatment response and compare changes in ctDNA levels with RECIST 1.1 and total tumor volume measurements. Between 2014 and 2021, six patients with KIT proto-oncogene, receptor tyrosine kinase (KIT) exon-11-mutated GIST from whom long-term plasma samples were collected prospectively were included in the study. ctDNA levels of relevant plasma samples were determined using the KIT exon 11 digital droplet PCR drop-off assay. Tumor volume measurements were performed using a semi-automated approach. In total, 94 of 130 clinically relevant ctDNA samples were analyzed. Upon successful treatment response, ctDNA became undetectable in all patients. At progressive disease, ctDNA was detectable in five out of six patients. Higher levels of ctDNA correlated with larger tumor volumes. Undetectable ctDNA at the time of progressive disease on imaging was consistent with lower tumor volumes compared to those with detectable ctDNA. In summary, ctDNA levels seem to correlate with total tumor volume at the time of progressive disease. Our exploratory study shows promise for including ctDNA testing in treatment follow-up.