Preparation Time Research Articles

Minimizing preparation time for repeated prolonged deep-inspiration breath holds during breast cancer irradiation using pre-oxygenation with high flow nasal oxygen and voluntary hyperventilation.

Deep inspiration breath-holds (DIBHs) reduce heart and lung toxicity during breast cancer radiotherapy. Consecutive DIBHs are stressful, time-consuming and leads to position changes. Pre-oxygenation using high flow nasal oxygen (HFNO) and hyperventilation prolongs DIBHs (L-DIBHs). We examined the effect of hyperventilation time on the duration of L-DIBHs. Additionally, to minimize total treatment time the feasibility of several successive L-DIBHs was examined. The method imposed 3 minutes of hyperventilation at 16 breaths per minute with preoxygenation using HFNO, in prone position. In the first phase, the effect of preparation time on the length of the breath-hold was investigated. The aim of the second phase was to investigate the feasibility of shorter preparation times before the second and third L-DIBH in the case of three consecutive L-DIBHs of 2 minutes. There is a positive but weak correlation between preparation time and L-DIBH duration. With either 3 min 30 second or 6 minutes 20 seconds (depending on fitness) of voluntary hyperventilation duration, 93% of subjects could hold three consecutive L-DIBHs for over 2 minutes. The median duration of the third and last L-DIBH was 3 min 17 s (SD 1 min 4 s). A weak relationship exists between the hyperventilation time and L-DIBH duration. Repeating L-DIBHs with shorter preparations is achievable, resulting in a shorter total time required. It is possible to perform a repeated L-DIBH for breast cancer irradiation using HFNO.

Comparative Study on the Application Effects of Optimized Frozen Section Procedure in Oral Cancer Surgery.

Objective. To investigate the application effects of optimizing the frozen section procedure in oral cancer surgery. Methods. A total of 45 oral cancer patients undergoing surgery were selected as the control group, operated from January 2020 to May 2021, without optimization of the frozen section procedure. Another 45 oral cancer patients undergoing surgery were selected as the experimental group, operated from June 2021 to December 2022, with the optimized frozen section procedure. The differences in the excellent rate of sections, the preparation time, the frozen report time and the accuracy rate between the two groups were compared. Results. In terms of the excellent rate of sections, the optimized procedure group was (44/45) 97.8%, which was higher than the conventional group (40/45) 88.9%; the preparation time and frozen report time in the optimized procedure group were (9.2 ± 0.7) min, and (26.4 ± 2.2) min, respectively, both shorter than those in the conventional group were (12.3 ± 1.3) min, and (31.8 ± 2.7) min, (p < 0.05); the accuracy rate of the frozen report, the optimized procedure group was (43/45) 95.6%, which was higher than the conventional group (40/45) 88.9%. Conclusion. Optimizing the frozen section procedure in oral cancer surgery can achieve desirable results, conducive to improving slide quality, reducing preparation time, and overall frozen report time. It is worthy of promotion.

A rare primary cutaneous myoepithelial carcinoma in the axilla accompanied by lymph node metastasis: A case report.

Primary cutaneous myoepithelial carcinoma is an extremely rare tumor, and to the best of our knowledge, it has never been reported to occur in the axilla. Furthermore, the pathological and clinical factors of cutaneous myoepithelial carcinoma are poorly understood and may considerably affect prognosis and treatment. Here, we report a case of a 44-year-old male patient who was diagnosed with primary cutaneous myoepithelial carcinoma in the axilla accompanied by extensive lymph node metastasis. After an enlarged resection of the left axillary mass, axillary lymph node dissection, and the administration of postoperative chemotherapy and local radiotherapy, there were no signs of tumor recurrence or metastasis. At the time of manuscript preparation, the patient was recurrence-free. This case may contribute to the clinical management, diagnosis, and treatment of primary cutaneous myoepithelial carcinoma.

Differences in the rates of admission and major orthopedic surgery care between Turkish and displaced children injured in a major earthquake.

The burden of displacement makes child refugees, asylum seekers, and migrant children less resistant to medical problems. On February 6, 2023, the southeast and the southcentral regions of Türkiye were struck by two sequential large earthquakes. The study aimed to analyze the characteristics of musculoskeletal injuries and the initial orthopedic surgery data resulting from the earthquake and compare the differences between Turkish and displaced children, particularly those who underwent major musculoskeletal interventions at the four state hospitals of the Adana metropolitan region. The retrospective study analyzed the medical records of the survivors admitted to the four general hospitals run by the government in the Adana, Türkiye metropolitan area between February 06, 2023, and February 13, 2023, the first seven days following the earthquake. The analysis data included age, gender, nationality, time of admission, types and localization of injuries, and treatment methods. The number of cases under 18 years of age requiring orthopedic intervention was 969. The distribution of the cases based on nationality was as follows: there were 517 Turkish (53.35%), 371 Syrian (32.71%), and 81 children of unknown nationality (CUN) (8.36%). The files show that the patients requiring surgery, including fasciotomy, fracture surgery, and amputation (n = 281), were mainly treated at the level I trauma center (n = 171, 60.85%). In terms of the daily distribution of admissions based on the type of musculoskeletal injuries, the admissions of children with foot fractures in the first days were significantly increased (p = 0.0134). Regarding surgery rates, the fracture surgery and fasciotomy rates were significantly higher in cases admitted earlier. (p < 0.0001 and p = 0.0009, respectively). In terms of nationality, there were no significant differences regarding the date of admission, the number of cases who underwent amputations, and the discharge number and types. The study revealed that after the severe earthquake disaster, the state hospitals of the Adana metropolitan region provided unbiased healthcare for all the region's children. Regarding orthopedic care, the response was given accordingly in this particular disaster, highlighting that level I trauma centers should always be ready for such intensity due to the short preparation time in case of a severe disaster.

Cold Plasma Techniques for Sustainable Material Synthesis and Climate Change Mitigation: A Review

In recent years, the emission of greenhouse gases (GHGs) has increased significantly, contributing to global warming. Among these GHGs, CH4, CO2, and CO are particularly potent contributors. Remediation techniques primarily rely on materials capable of capturing, storing, and converting these gases. Catalytic processes, particularly heterogeneous catalysis, are essential to chemical and petrochemical industries as well as environmental remediation. Due to the growing demand for catalysts, efforts are being made to reduce energy consumption and make technologies more environmentally friendly. Green chemistry emphasizes minimizing the use of hazardous reactants and harmful solvents in chemical processes. Achieving these principles should be paired with processes that reduce time and costs in catalyst preparation while improving their efficiency. Non-thermal plasma (NTP) has been widely used for the preparation of supported metal catalysts. NTP has attracted significant attention for its ability to improve the physicochemical properties of catalysts, enhancing process efficiency through low-temperature operation and shorter processing times. NTP has been applied to various catalyst synthesis techniques, including reduction, oxidation, metal oxide doping, surface etching, coating, alloy formation, surface treatment, and surface cleaning. Plasma-prepared transition-metal catalysts offer advantages over conventionally prepared catalysts due to their unique material properties. These properties enhance catalytic activity by lowering the activation energy barrier, improving stability, and increasing conversion and selectivity compared to untreated samples. This review demonstrates how plasma activation modifies material properties and, based on extensive literature, illustrates its potential to combat climate change by converting CO2, CH4, CO, and other gases, showcasing the benefits of plasma-treated materials and catalysts. A succinct introduction to this review outlines the advantages of plasma-based synthesis and modification over traditional synthesis techniques. The introduction also highlights the various types of plasma and their physical characteristics across different factors. Additionally, this review addresses methods by which materials are synthesized and modified using plasma. The latter section of this review discusses the use of non-thermal plasma for greenhouse gas mitigation, covering applications such as the dry reforming of CH4, CO and CH4 oxidation, CO2 reduction, and other uses of plasma-modified catalysts.

Effect of peer facilitation in anatomy small group curriculum on academic performance and retention: A pilot study.

Peer-assisted learning and group facilitation have been proven to foster active participation in small-group learning, and these effective teaching modalities have been shown to enhance learning outcomes. This study introduced a student peer facilitator role in an anatomy small-group curriculum for pre-clerkship medical students and explored its impact on academic performance and retention. Students were required to rotate through this facilitator role and lead their small group during their designated sessions. Data collection methods included pre-course and post-course surveys, individual quiz grades, and retention quizzes sent 1 month after each quiz. Overall, the data revealed a significant increase in the overall combined quiz averages across the curriculum for facilitators compared to participants despite having no notable increase in preparation time (p = 0.004). While facilitators scored significantly higher on the course quizzes, the slight increase in their average retention quiz scores was not significant. This study was unable to identify any significant benefits to retention for either facilitators or participants. In all, this study suggests that a peer facilitation paradigm can be an effective educational modality for medical students, and future studies should explore ways to improve knowledge retention through this role.

Impact of training dairy farm personnel on milking routine compliance, udder health, and milk quality

Among various farm procedures, an appropriate milking routine is crucial for reducing mastitis and enhancing milk safety and quality. However, inadequate compliance with milking routines remains a primary factor contributing to variability of milk quality among herds. Training farm workers is essential for ensuring compliance with milking routines, which directly impacts milk quality and udder health. In this study, we aimed to assess the impact of a training session on dairy farm workers' understanding of the milking routine, behavioral changes during milking, and subsequent effects on milk quality and udder health. Farm workers (n = 112) from 16 commercial dairy farms in Michigan and Ohio participated in the project. The training session was delivered using an active learning approach prioritizing group discussions, and focused on the pathogenesis, identification, and risk factors for mastitis, and the rationale and importance of each step in the milking routine. Pre- and post-training evaluations were conducted to measure changes in knowledge, parlor evaluations were performed to determine behavioral change, and data from clinical mastitis cases and bulk tank somatic cell count were used to estimate udder health and milk quality. Segmented and linear mixed regression analyses were used to assess the impact of the training intervention. Participants were mostly milking technicians (61.1%) with 70% of them having less than 1 year of experience and a median tenure in their jobs of 9 mo. Knowledge of the milking routine increased from 49.3% to 67.6% of correct answers after training. Based on parlor evaluations, the pre-milking disinfectant contact time increased by 9 s per cow. The percentage of milkings with inadequate preparation time decreased from 69% (before training) to 48% (after training). The proportion of insufficient teat coverage during post-milking disinfection decreased from 9.8% (77 out of 782) before training to 5.9% (34 out of 572) after training. There was a significant increase in clinical mastitis cases during the immediate week after the training. Additionally, the upward trend in bulk tank somatic cell count was halted. Our results suggest an improvement in overall mastitis identification and milk quality, underscoring the importance of targeted training programs for farm workers in improving milking routine compliance, enhancing milk quality, and promoting better udder health.

Rapid preparation and mechanism investigation of covalent organic framework membranes by 3D printing based on electrostatic spraying

Covalent organic framework (COF) has great advantages in the field of membrane separation, but the efficient and convenient preparation of COF membranes is still a challenge. Herein, we propose a novel method with green solvent for the preparation of COF membranes based on electrostatic spraying, which can be successfully prepared within 10 min, forming the TpPa COF with a pore size of 1.8 nm. Molecular dynamics simulations demonstrate that electrostatic spraying enhances the reaction rate by lowering the energy barrier and increasing the movement of reacting monomers. Atomization of the solvent in electrostatic spraying causes the rapid volatilization of the solvent, resulting in supersaturation of the generated TpPa, precipitation and crystallization, and promotes the formation of TpPa COF structure. The optimal COF membrane for the separation of Congo red wastewater is prepared by adjusting the voltage, concentration, and spraying time, with selectivity of Na2SO4 for Congo Red attaining 118 and water permeance reaching 70.2 L m-2 h-1 bar-1. This work not only elaborates the membrane preparation mechanism in the electrostatic spraying process, but also greatly shortens the time of COF membrane preparation compared to the traditional method (2–3 days), which contributes to the possibility for practical application of COF membranes.

Should Zoo Food Be Chopped for Ruffed Lemurs? It's Not so Black and White.

Whole food diets in zoos have the potential to reduce microbial contamination and keeper preparation time, whilst also reducing food nutrient breakdown. Given these benefits, it is important to determine whether there is any value in chopping up food. Lemurs (Family Lemuridae) are common in zoos, with over 7500 individuals housed globally. Given their regular occurrence in collections, plus the high incidence of frugivory, lemurs are an excellent taxon to investigate food presentation effects on behavior. A study was undertaken at Beale Wildlife Park on a group of four black-and-white ruffed lemurs (Varecia variegata) to investigate food presentation and preference. Animal behavior was recorded using instantaneous focal sampling at 60 s intervals to record state behaviors and continuous focal sampling to record event behaviors in 1-h sessions. Food preference was done by recording the first three food items consumed by individual lemurs. Overall, food manipulation was significantly increased during whole food presentation allowing the lemurs to display species-specific behaviors. Feeding and foraging were highest during very chopped food condition and inactivity was lowest in very chopped food presentation. When looking at aggressive interactions, there was an increase in stealing and locomotion with food during whole food presentation, whereas biting and startle were lower. Proving high-value food items chopped and low-value food items whole could reduce aggression while reduce aggression seen over high-value food items. For food preference, sweet potato was consistently in the top three food items for all lemurs, with beetroot being the second most-picked food item. This suggests that these individuals have a strong preference for food items high in carbohydrates. Keeper preparation time was significantly reduced during whole food preparation. Further research assessing a wider range of zoo-housed species would be beneficial to assess the effects of food presentation on behavior.

Strategi Penerapan Media Pembelajaran Sesuai Perspektif Kurikulum Merdeka di MAN Binjai Sumatera Utara

This research aims to explore: First, evaluate the level of understanding and ability of MAN Binjai teachers in implementing learning media that supports the principles of the Independent Curriculum. Second, knowing the strategies that can be implemented to optimize the use of learning media in accordance with the Independent Curriculum at MAN Binjai. Third, knowing the obstacles faced in implementing learning media at MAN Binjai, knowing the strategies that can be implemented to optimize the use of learning media in accordance with the Independent Curriculum at MAN Binjai. This research method is a qualitative type with a descriptive approach. The instruments used in this research were observation, interviews and documentation studies. The location of this research is MAN Binjai, North Sumatra. This research data analysis uses three steps, data reduction, data presentation and conclusion drawing. The research results show that: First, the implementation of the independent curriculum at MAN Binjai includes the implementation of intracurricular learning, extracurricular learning, and the Pancasila Rahmatan Lil Al-Amin (P5RA) Student Profile Strengthening Project. This independent curriculum emphasizes freedom to think, innovate, learn independently and creatively, as well as the freedom to feel happy. Second, the planning strategy for using interactive digital learning media at MAN Binjai begins with intensive training for teachers to integrate technology in their teaching process. The use of digital media also helps students develop technological skills which are very important in the modern era. The research results show that the use of interactive digital learning media at MAN Binjai has increased student engagement, expanded access to learning, and developed their digital skills. Third, the obstacles faced by Technological Infrastructure: One of the main obstacles is the availability of adequate technological infrastructure. Training Limitations: Despite intensive training, there are still challenges in obtaining adequate training for all teachers. Teacher Readiness and Willingness: Not all teachers have the same readiness in adopting and integrating digital learning media. Insufficient Content: Sometimes, the availability of appropriate and quality content to support project-based learning can be a challenge. Time Limitations: Implementing interactive digital learning media requires additional time for preparation and development of learning content. Student Engagement: While digital learning media can increase student engagement, there are also challenges in ensuring that all students can access and use the technology effectively.

Application of digital guide plate in repairing mandibular defects with free fibular myocutaneous flap

Objective:Exploring the clinical application effect of a series of digital designed guide plates in the repair of mandibular defects with free fibular muscle flap. Methods:A total of 32 patients who underwent fibular muscle flap repair of mandibular defects in the Head and Neck Tumor Surgery Department of Xi'an Jiaotong University Stomatological Hospital were selected as the research subjects. They were divided into a guide plate assisted group（16 cases） and a conventional surgery group（16 cases） according to the different surgical methods. The guide plate assisted group completed the surgery with the assistance of a digital design series of guide plates, while the conventional surgery group served as the control. Record the preparation and shaping time of two groups of fibular myocutaneous flaps, evaluate the surgical effect at least 6 months after surgery, and conduct a patient satisfaction survey. Use SPSS 16.0 software package to statistically process the data. Results:The preparation and shaping time of the fibular muscle flap in the guide plate assisted group were significantly shorter than those in the conventional surgery group（P<0.05）. The excellent and good rate（87.5%） of the guide plate assisted group in evaluating the surgical effect was significantly higher than that of the conventional surgery group（75.0%）（P<0.05）. The satisfaction scores of patients in the guide plate assisted group for facial shape and bite function recovery were significantly higher than those in the conventional surgery group（P<0.05）, while there was no significant statistical difference in the satisfaction scores of pronunciation function recovery between the two groups（P>0.05）. Conclusion:The design of digital guide plates can improve the accuracy of repairing mandibular defects with fibular flaps, shorten the preparation and shaping time of fibular flaps, restore good facial appearance and bite relationship of patients, and improve satisfaction. It is worth promoting and applying in clinical practice, but the design accuracy still needs to be continuously improved.

A temporal–spectral fusion transformer with subject-specific adapter for enhancing RSVP-BCI decoding

The Rapid Serial Visual Presentation (RSVP)-based Brain–Computer Interface (BCI) is an efficient technology for target retrieval using electroencephalography (EEG) signals. The performance improvement of traditional decoding methods relies on a substantial amount of training data from new test subjects, which increases preparation time for BCI systems. Several studies introduce data from existing subjects to reduce the dependence of performance improvement on data from new subjects, but their optimization strategy based on adversarial learning with extensive data increases training time during the preparation procedure. Moreover, most previous methods only focus on the single-view information of EEG signals, but ignore the information from other views which may further improve performance. To enhance decoding performance while reducing preparation time, we propose a Temporal-Spectral fusion transformer with Subject-specific Adapter (TSformer-SA). Specifically, a cross-view interaction module is proposed to facilitate information transfer and extract common representations across two-view features extracted from EEG temporal signals and spectrogram images. Then, an attention-based fusion module fuses the features of two views to obtain comprehensive discriminative features for classification. Furthermore, a multi-view consistency loss is proposed to maximize the feature similarity between two views of the same EEG signal. Finally, we propose a subject-specific adapter to rapidly transfer the knowledge of the model trained on data from existing subjects to decode data from new subjects. Experimental results show that TSformer-SA significantly outperforms comparison methods and achieves outstanding performance with limited training data from new subjects. This facilitates efficient decoding and rapid deployment of BCI systems in practical use.

Simulation With Arena: Optimization Of Delivery Times In Quick Commerce Of A Company In The Building Materials Sector

Background: E-commerce is a business model that has been gaining a lot of ground in recent years because it offers customers greater convenience, making it possible to make a purchase from anywhere using an electronic device connected to the internet. Despite offering benefits not only to the customer, but also to companies, along with these advantages come problems related to the time it takes from purchase to delivery. The purpose of this article is to indicate the main complications faced in the process of preparing and delivering orders to meet the lead time proposed for the market and to present a solution to the bottleneck. Materials and Methods: The research used experimental and quantitative methodology, using the Arena platform to manipulate numerical data and test variable hypotheses by measuring the resulting effects. Results: In the end, we concluded that it is possible to meet the customer's expected preparation time without facing bottlenecks during the process. Conclusion: In this way, the Arena software contributes to the process optimization method, showing the bottlenecks and achieving the process objective, given that the company's goal was to reduce the total time it took for the order to pass through the system

The administration of immune checkpoint inhibitors via an elastomeric pump versus conventional intravenous infusion: an economic perspective

BackgroundRecent studies have underscored the potential of innovative administration methods to mitigate the capacity burden on healthcare systems, without compromising the quality of care. This study assessed and compared the resource utilization and associated costs of two distinct administration modes of immune checkpoint inhibitors: the innovative elastomeric pump and conventional intravenous infusion. This comparison can inform sustainable healthcare practices and healthcare decision-making to optimize treatment efficiency in an era of escalating healthcare demands.MethodsIn this micro-costing study, data on resource use and time allocation for drug preparation and administration were collected using an observational, non-interventional study design. Data were registered at the oncology daycare unit and hospital pharmacy. Cost categories included drug acquisition, disposable materials, healthcare professional time for drug administration, drug preparation, and patient time spent at the oncology day care unit.ResultsDrug administration through the elastomeric pump resulted in substantially lower healthcare costs when compared to conventional infusion, particularly due to reduced labor and chair time. The elastomeric pump reduced the total chair time by 78% and nurse time by 55%. Total average costs (excluding drug costs) were €103,47 and €77.99 for conventional infusion and the elastomeric pump, respectively, showcasing potential savings of €25.48 (P < 0.001) per administration.ConclusionsThis study demonstrated that the elastomeric pump not only offers substantial cost savings but also enhances the treatment capacity of the oncology day care unit. These findings support the adoption of the elastomeric pump in clinical settings as a cost-saving and efficient alternative to conventional infusion.Trial registrationThis study has been registered in the National Trial Register (NTR), with the reference number NTR NL9473. Registration date: 05-05-2021.

Comparative Study of Lycopene-Loaded Niosomes Prepared by Microfluidic and Thin-Film Hydration Techniques for UVB Protection and Anti-Hyperpigmentation Activity.

Niosomes are employed for their improved physical properties and stability and as a controlled delivery system. However, their large-scale production and different preparation methods affect their physical properties. The microfluidic method represents a novel approach to the preparation of niosomes that enables precise control and decreases the preparation time and steps compared to alternative methods. The UVB protection and anti-hyperpigmentation activities of lycopene-loaded niosomes prepared by microfluidic (MF) and novel conventional thin-film hydration (THF) methods were compared. Extract powders from tomatoes (T), carrots (C), and mixed red vegetables (MR) were utilized to prepare lycopene-rich extract-entrapped niosomes. The resulting niosome formulations were characterized by particle size, polydispersity index (PDI), zeta potential, FT-IR spectra, entrapment efficiency, lycopene-release profile, permeation, and stability. The lycopene extract-niosome formulations were evaluated for their potential to provide UVB protection to human keratinocytes (HaCaT) and for their anti-melanogenesis effects on B16F10 melanoma cells. The results indicated that niosomes prepared by the MF method exhibited high uniformity and homogeneity (reflected by a low PDI value) and maintained smaller sizes when processed through a chip utilizing a hydrodynamic flow-focusing (HFF) platform compared to THF niosomes. The release kinetics of all lycopene-niosome formulations followed the Korsmeyer-Peppas model. The FT-IR spectra indicated that lycopene was incorporated into the niosome bilaminar membrane. Moreover, niosomes obtained from MF demonstrated enhanced stability during heating-cooling cycles, along with high UVB protection and anti-melanogenesis effects. Therefore, these developed niosome preparation methods could be effectively applied to topical products.

Spatial proteomics of single cells and organelles on tissue slides using filter-aided expansion proteomics.

Hydrogel-based tissue expansion combined with mass spectrometry (MS) offers an emerging spatial proteomics approach. Here, we present a filter-aided expansion proteomics (FAXP) strategy for spatial proteomics analysis of archived formalin-fixed paraffin-embedded (FFPE) specimens. Compared to our previous ProteomEx method, FAXP employed a customized tip device to enhance both the stability and throughput of sample preparation, thus guaranteeing the reproducibility and robustness of the workflow. FAXP achieved a 14.5-fold increase in volumetric resolution. It generated over 8 times higher peptide yield and a 255% rise in protein identifications while reducing sample preparation time by 50%. We also demonstrated the applicability of FAXP using human colorectal FFPE tissue samples. Furthermore, for the first time, we achieved bona fide single-subcellular proteomics under image guidance by integrating FAXP with laser capture microdissection.

Rapid and Effective Determination of Ethyl Glucuronide in Hair by Micro Extraction by Packed Sorbent (MEPS) and LC-MS/MS.

Ethyl glucuronide (EtG) in hair is a reliable biomarker of alcohol consumption habits. Due to its small concentration incorporated into hair, analytical methods sensitive enough to reliably quantify EtG in this matrix are required. Sample preparation is critical in hair analysis, especially for EtG, for which extraction efficiency and matrix effect can strongly influence the results; furthermore, miniaturized methods are sought, to reduce solvent use and times of sample preparation. A micro extraction by packed sorbent (MEPS) procedure coupled to a high-performance liquid chromatography-tandem mass spectrometry method was developed and validated for quantitation of EtG in human hair samples. Fifty milligrams of hair samples were cut into snippets and extracted in water. The cleanup of the extract was carried out by using a MEPS syringe packed with anion exchange sorbent (SAX); all parameters for conditioning, washing, loading and eluting steps were optimized and the eluted aqueous volume was directly injected in the LC-MS/MS system operating in the negative ionization mode. The method was fully validated assessing LOD, LOQ, calibration curve, repeatability, accuracy, matrix effect and carryover. The method was subsequently applied to QCs and authentic hair samples. The developed MEPS method is quick and effective, with low solvent purchase and discard costs, allowing the differentiation between social drinkers and chronic excessive alcohol consumers, according to the cut-offs established by the Society of Hair Testing (SoHT).

Play as practice? Comparative analysis of preparation period and match adjustments in a basketball team's performance.

In basketball, successful performance relies on the optimal use of top-down strategic guidance by coaches and bottom-up adjustments by players, requiring a preparation plan consistent with match demands. The aim of this study was to analyze the strategic-tactical tendencies between a basketball team's preparation and match performance phases for a U16 men's national team during a continental tournament. The team was composed by 12 players (aged 16 ± 0.4) with at least three years of participation in basketball competitions. Data from team strategy (the playbook), team practices, and match performance were integrated through a common set of variables in a decision support framework, the Team Learning Cycle (TLC). The influence of situational variables with respect to preparation and match performance consistency and efficiency was also investigated. The preparation phase significantly emphasized small-sided games focused on group-tactics-based attacks, combining offense and defense, usually in the set offense. During the matches, the set offense was also significantly prioritized. The frequency of group-tactics-based attacks increased relative to team plays from the group phase to the elimination phase (p < 0.05). Efficiency generally improved during close matches, suggesting successful team strategy learning and tactical autonomy from preparation to matches. Using consistency and efficiency together provided for an effective evaluation of a team's preparation-performance relationship. This evidence underscores the importance of sensitive monitoring methods for establishing accurate associations between preparation and performance. Coaches can use this systematic procedure to critically examine their use of preparation time relative to match performance. Additionally, basketball managers may find that TLC-related evidence supports evaluating coaches' multi-dimensional skills from a broader perspective than simply winning rates, offering a more objective and comprehensive assessment of coaching effectiveness.

Immediate Diagnosis of Breast Carcinoma on Core Needle Biopsy Using Ex Vivo Fluorescence Confocal Microscopy: Feasibility in a One-Stop Breast Clinic Workflow

Background: In the one-stop breast clinic setting, breast cytology traditionally provides immediate diagnosis of carcinoma. Fluorescence confocal microscopy (FCM) is an emerging optical technique enabling ex vivo analysis of breast biopsies in real-time. This study represents the first proof of concept for integrating FCM imaging into the routine workflow of breast core needle biopsies (CNB) at Gustave Roussy’s one-stop breast clinic. Methods: Fifty women with breast masses underwent consecutive enrollment. Biopsies were stained with acridine orange and fast green, followed by imaging using the Vivascope 2500M-G4 (FCM). Interpretation was conducted by two pathologists in real time (PT1) or postoperatively (PT2). Concordance with definitive histology, the duration of the FCM protocol, and its impact on conventional histopathology, immunohistochemistry, and FISH analyses were evaluated. Results: In our study of 50 biopsies, a concordant diagnosis of malignancy was performed using FCM on the malignant cases at definitive histology in 93.5% (29/31 cases) and in 90.3% (28/31 cases) according to PT1 and PT2, respectively. When the FCM suspicious cases were added, FCM identified 100% (31/31 cases) and 96.7% (30/31 cases) of the malignant cases according to PT1 and PT2, respectively. A notable false positive case was identified as a complex sclerosing lesion. The median time for sample preparation (including tissue reception) was 5 min, while the median time for imaging acquisition with interpretation was 3 min for PT1, but 1 min required for interpretation alone by PT2. Histopathological alterations were not more prevalent in FCM-imaged biopsies compared to conventionally treated biopsies. The immunophenotyping and molecular assessment of tissue were preserved after FCM protocol. Conclusions: FCM shows promise as a new histological method for the immediate diagnosis of breast carcinoma on core needle biopsies in a one-stop clinic setting, while also preserving tissue specimens for final histology.

Cardiovascular Response and Locomotor Demands of Elite Basketball Referees During International Tournament: A Within- and Between-Referee Analysis.

There is little knowledge about within- and between-referee variation (WBRV) in cardiovascular responses (CVR) and locomotor game demands (LMD). Thus, the primary aim of this study was to assess the WBRV of CVR and LMD in male basketball referees during elite international games in preparation [e.g., warm-up (WU) and re-warm-up (R-WU)] and active game phases. The secondary aim was to explore quarter-by-quarter differences in CVR and LMD. Thirty-five international male referees took part in this study (age, 40.4 ± 5.4 years; body height, 184.9 ± 5.7 cm; body weight, 85.1 ± 7.5 kg; BMI, 24.0 ± 1.7 kg × m-2; fat%, 18.8 ± 4.7% and VO2max, 50.4 ± 2.2 L × kg-1 × min-1. In total, 76 games (e.g., 228 officiating cases) were analyzed during the FIBA elite men's competition. They officiated 4.5 games on average (range 3-9 games). Each referee used the Polar Team Pro system to measure CVR [e.g., heart rate (HR), time spent in different HR intensity categories] and LMD (e.g., distance covered, maximal and average velocity, and number of accelerations). Results showed that the referees had bigger WBRV during the active and preparation (e.g., W-U than R-WU) phase when variables of higher CVR and LMD intensity were observed (e.g., time spent at higher HR zones, distance covered in higher speed zones). The WBRV, CVR, and LMD were higher during WU than R-WU. Moreover, the referees had a lower CVR and LMD in the second half. In conclusion, the referees should establish and follow consistently a game-to-game preparation routine and attempt to spread their on-court preparation time equally within the crew. A half-time preparation routine should be improved to re-establish a sufficient activation level similar to that achieved in pre-game preparation.