Over the time period from 2006 to 2017, consecutive patients operated on at the University Medical Center Rostock participated in the comprehensive biobanking and tumor-modelling approach known as the HROC collection. Samples were collected using strict standard operating procedures including blood (serum and lymphocytes), tumor tissue (vital and snap frozen), and adjacent normal epithelium. Patient and tumor data including classification, molecular type, clinical outcome, and results of the model establishment are the essential pillars. Overall, 149 patient-derived xenografts with 34 primary and 35 secondary cell lines were successfully established and encompass all colorectal carcinoma anatomic sites, grading and staging types, and molecular classes. The HROC collection represents one of the largest model assortments from consecutive clinical colorectal carcinoma (CRC) cases worldwide. Statistical analysis identified a variety of clinicopathological and molecular factors associated with model success in univariate analysis. Several of them not identified before include localization, mutational status of K-Ras and B-Raf, MSI-status, and grading and staging parameters. In a multivariate analysis model, success solely correlated positively with the nodal status N1 and mutations in the genes K-Ras and B-Raf. These results imply that generating CRC tumor models on the individual patient level is worth considering especially for advanced tumor cases with a dismal prognosis.

We propose to extend demographic multistate models by adding a behavioural element: behavioural rules explain intentions and thus transitions. Our framework is inspired by the Theory of Planned Behaviour. We exemplify our approach with a model of migration from Senegal to France. Model parameters are determined using empirical data where available. Parameters for which no empirical correspondence exists are determined by calibration. Age-and period-specific migration rates are used for model validation. Our approach adds to the toolkit of demographic projection by allowing for shocks and social influence, which alter behaviour in non-linear ways, while sticking to the general framework of multistate modelling. Our simulations yield that higher income growth in Senegal leads to higher emigration rates in the medium term, while a decrease in fertility yields lower emigration rates.Keywords: international migration; life course modelling; Theory of Planned Behaviour; multistate modelling; microsimulation; agent-based modelling IntroductionFor policymakers and researchers alike, it is of paramount interest to be able to predict how people make demographically relevant decisions. In this paper, we present a novel approach to projection by incorporating decision-making and interaction between individuals in a demographic projection model. We use an individual-based model rather than a population-based model such as the popular cohort-component model. For an overview of approaches to forecasting migration, see Bijak (2011), as well as other recent contributions from Hatton and Williamson (2011), Azose and Raftery (2013), and Abel and Sander (2014. This individual-based micro perspective enables us to incorporate behavioural mechanisms and social processes that influence demographic behaviour and population change into our model. We can thus predict the effect of external shocks, such as policy changes, by making the causal mechanism through which shocks alter behaviour explicit. Comparing model predictions with empirical outcomes facilitates the subsequent drawing of conclusions on the plausibility of the assumed behavioural mechanism. In this way, the model can be improved gradually over time, by refining the parameters and functional forms of its main component, in this case the decision-making on international migration.In the model, as in real life, demographically relevant decisions are embedded in the human life course. Choices are motivated by aspirations and preferences in different domains of life, such as work and family, and constrained by available resources (not only financial, but also cognitive and social resources, and time). We take into consideration that people do not have perfect foresight and usually lack the time and cognitive abilities to acquire the full and unbiased information necessary to make a rational choice. Preferences vary over the life course, as do both the availability of and need for resources, because of events or changing conditions (e.g., available social support). As a result, t...

BACKGROUND: Objective, reliable and easy screening for peripheral artery disease (PAD) is essential to confirm the diagnosis and initiate the respective treatment. Therefore, a new non-invasive hyperspectral camera (TIVITA ® Tissue) was tested in patients with and without PAD. OBJECTIVE: It was hypothesized that the oxygenation parameters of the TIVITA ® Tissue correlate to established modalities for detection of PAD and allow differentiation between individuals with and without PAD. METHODS: Evaluation of tissue oxygenation was performed in the angiosome of the medial plantar artery in 25 healthy young people and in 24 patients with and 25 patients without PAD in comparable age. Thereby, superficial oxygenation (StO 2 ) and near-infrared (NIR) perfusion index were measured with the TIVITA ® Tissue. Additionally, the ankle-brachial-index (ABI), the complaint free walking distance and the vascular quality of life were assessed and demographic data were obtained from all participants. RESULTS: TIVITA ® Tissue analysis revealed significantly reduced StO 2 and NIR perfusion index in PAD compared to healthy young participants and patients without PAD. StO 2 and NIR perfusion index positively correlated with ABI, the complaint free walking distance and the vascular quality of life score. CONCLUSIONS: In summary, this new hyperspectral imaging camera bears great potential for PAD screening as well as for follow up.

What is the emigration rate of a country, and how reliable is that figure? Answering these questions is not at all straightforward. Most data on international migration are census data on foreign-born population. These migrant stock data describe the immigrant population in destination countries but offer limited information on the rate at which people leave their country of origin. The emigration rate depends on the number leaving in a given period and the population at risk of leaving, weighted by the duration at risk. Emigration surveys provide a useful data source for estimating emigration rates, provided that the estimation method accounts for sample design. In this study, emigration rates and confidence intervals are estimated from a sample survey of households in the Dakar region in Senegal, which was part of the Migration between Africa and Europe survey. The sample was a stratified two-stage sample with oversampling of households with members abroad or return migrants. A combination of methods of survival analysis (time-to-event data) and replication variance estimation (bootstrapping) yields emigration rates and design-consistent confidence intervals that are representative for the study population.

The psychological state of parents during the critical phase, after a diagnosis of deafness has been made for their child, has to be considered. Even after an initial phase of shock, parents seemed to be stressed to an extent that required therapeutic intervention.