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Nevin Manimala Statistics

In Silico Approaches in Predictive Genetic Toxicology

Methods Mol Biol. 2026;2986:565-586. doi: 10.1007/978-1-0716-4976-3_26.

ABSTRACT

In silico toxicology methods facilitate clear interpretation of the observed experimental genetic toxicity trends and provide faster, more economical, and animal-free tools for the benefit of environmental and human health in conjunction with other relevant in vitro and in vivo methods. Regulatory agencies are emphasizing the use of computational approaches to predict genetic toxicity to reduce the use of animals in toxicity testing of chemicals. Combination of in vivo (existing data), in vitro, high-throughput, and content screening data together with computational predictions might improve the predictive confidence in the genotoxicity assessment. This is an immensely difficult task, and twenty-first-century toxicology will not become animal-free overnight but is likely to use relevant and reliable computational approaches that will evolve and adapt to best use these scientific and technological advances. Expert-based, statistical QSAR models, and read-across are the most commonly used computational methodologies, and each predictive model adheres to the OECD QSAR validation principle along with an expert review system to conclude. The key steps involved in the in silico genotoxicity prediction are identification of the problem, data collection, generation of chemical descriptors, construction of the Q/SAR model, internal/external validation of the model, statistical evaluation of the models, and optimization of modeling parameters to further enhance SAR performance, updating a validated model with new chemical sets and finally reporting and documentation of the complete study. This chapter describes various in silico toxicology approaches and standardized protocols for conducting genetic toxicity predictions of chemicals and also highlights various parameters for the validation of the prediction results obtained from QSAR models.

PMID:41273701 | DOI:10.1007/978-1-0716-4976-3_26

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Nevin Manimala Statistics

In Vitro Cytogenetic Assays: Chromosomal Aberrations and Micronucleus Tests

Methods Mol Biol. 2026;2986:109-137. doi: 10.1007/978-1-0716-4976-3_6.

ABSTRACT

Chromosome damage is a critical indicator of genetic damage relevant to environmental and clinical studies. Detailed descriptions of the protocols used for the detection of chromosomal aberrations induced by genotoxic agents in vitro in both the presence and absence of rat liver-derived metabolizing systems are given in this chapter. Structural chromosomal aberrations that can be observed and quantified at metaphases are described here. For the detection of chromosomal damage (fragments or whole chromosome) in interphase, the micronucleus test can be used and a description of this test is also presented. Criteria for determining a positive result using appropriate statistical methods are also described.

PMID:41273681 | DOI:10.1007/978-1-0716-4976-3_6

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Nevin Manimala Statistics

Evaluating the association of transferring governance of correctional health care services with overdose and all-cause mortality: a retrospective cohort study in British Columbia, Canada

Health Justice. 2025 Nov 22. doi: 10.1186/s40352-025-00389-7. Online ahead of print.

ABSTRACT

BACKGROUND: In many jurisdictions world-wide, the government agency that manages prisons also provides prison health care services. However, the World Health Organization (WHO) and United Nations (UN) have recommended that health ministries provide prison health care. In Canada, the province of British Columbia (BC) transferred responsibility for correctional health services to the health ministry in accordance with this guidance. The objective of this study was to estimate the association between the transfer in BC and all-cause and overdose mortality within 1 year of release from prison.

METHODS: We used a retrospective cohort study design employing the difference-in-differences (DiD) method to compare mortality among formerly-incarcerated people in the pre- and post-transfer periods against a matched community control group to control for province-wide trends in mortality. The data source was a longitudinal linkage of administrative databases. The DiD effect was estimated with survival time-to-event models.

RESULTS: In the formerly-incarcerated group (N = 6912), all-cause (3.7% vs 2.6%) and overdose (2.7% vs 1.7%) mortality in the first-year post-release decreased from the pre-transfer period to the post-transfer period, while mortality risk changed little in the community control group (N = 6881) during this time period (all-cause: 0.7% vs 0.9%; overdose: 0.4% vs 0.4%). The transfer was associated with statistically significant reductions in the hazards of all-cause mortality (DiD HR: 0.52, 95% CI: [0.32, 0.83]) and overdose mortality (DiD HR: 0.51, 95% CI: [0.26, 0.99]) in the first-year post-release.

CONCLUSIONS: This study provides empirical evidence in support of WHO and UN guidance and indicates that the delivery of correctional health services by community health authorities may reduce deaths, particularly overdose deaths, among people released from correctional centres.

PMID:41273663 | DOI:10.1186/s40352-025-00389-7

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Nevin Manimala Statistics

Survival in Brazilian Patients with Friedreich´s Ataxia

Cerebellum. 2025 Nov 22;24(6):182. doi: 10.1007/s12311-025-01936-6.

ABSTRACT

Friedreich’s Ataxia (FRDA) is a progressive condition leading to reduced life expectancy in European/North American cohorts, but little is known about Latin American cohorts. Herein, we assessed FRDA survival data from a large Brazilian reference center (UNICAMP). We conducted a retrospective study including patients with FRDA followed at UNICAMP between 1998 and 2025. For those patients who died, we recorded age at death. For those alive or lost to follow-up, we considered the age at last visit. Potential prognostic markers (sex, age at onset, presence of cardiomyopathy and diabetes) were explored. Statistics was carried out using Kaplan-Meier curves and log-rank tests. We gathered information on 151 patients, 24 of which died (15.9%), 125 were still alive (82.7%) and 2 were lost to follow-up (1.3%). For those who died, the mean age at death was 33 ± 10.7 years. The cause of death was known for 12 out of the 24 patients: cardiac in 7, pulmonary in 3, diabetic ketoacidosis in 1 and sepsis in 1. Shorter life expectancy was found: in men relative to women (Mean age: 54.0 yo vs. 56.8 yo, p = 0.03), in patients with classical relative to late-onset (Mean age: 52.2 yo vs. 71.0 yo, p < 0.01) and in patients with cardiomyopathy relative to those without it (Mean age: 50.8 yo vs. 65.0 yo, p < 0.01). FRDA impacts life expectancy and death is primarily from cardiac and pulmonary causes. Male sex, early onset and presence of cardiomyopathy are negative survival prognostic markers.

PMID:41273607 | DOI:10.1007/s12311-025-01936-6

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Nevin Manimala Statistics

Brain Volume Correlations and Machine Learning Classification in Epilepsy Diagnosis

Adv Exp Med Biol. 2026;1487:395-403. doi: 10.1007/978-3-032-03398-7_37.

ABSTRACT

Epilepsy is a neurological disorder associated with complex structural and functional changes in the brain. Although volumetric brain measurements can present an indication of ictal characteristics, the complex nature and variability of volumetric differences in the epileptic brain pose challenges for consistent interpretation and generalization. In this regard, his study investigates the relationship between brain region volumes and epilepsy diagnosis, utilizing MRI structural data from individuals with diagnosed epileptic conditions and healthy controls. As such specific brain regions were measured, and correlation analysis was conducted along with statistical Mann-Whitney U testing. These analyses revealed significant differences in brain volumes between healthy participants and those with epilepsy, particularly in regions implicated in seizure generation and propagation. Subsequently, machine learning classifiers were employed to differentiate individuals based on these brain metrics, alongside with demographic and clinical details, with the Support Vector Machines (SVM) and K-Nearest Neighbors (KNN) classifiers demonstrating the highest classification accuracy. These findings underscore the potential of brain volume metrics as biomarkers for epilepsy and highlight the utility of machine learning models in navigating the complexities of epilepsy diagnosis.

PMID:41273579 | DOI:10.1007/978-3-032-03398-7_37

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Nevin Manimala Statistics

State and Trait Anxiety in Patients with Neurological Diseases During COVID Pandemic

Adv Exp Med Biol. 2026;1487:351-359. doi: 10.1007/978-3-032-03398-7_34.

ABSTRACT

INTRODUCTION: Patients with neurological diseases frequently experience anxiety that may exacerbate during the COVID-19 pandemic due to social isolation and prevailing conditions in every society. The purpose of this research study was to explore state and trait anxiety among patients with neurological diseases during the period of COVID-19.

MATERIAL AND METHOD: In the present study were enrolled 100 patients with neurological diseases who visited for regular re-evaluation the outpatient clinics of a private hospital in Attica. Data were collected by the method of interview using the State-Trait Anxiety Inventory Scale-STAI, which included patients’ characteristics. The level of statistical significance was set at p < 0.05.

RESULTS: Of the 100 participants, 62% were female, while 52% of the sample was over 60 years old. In terms of anxiety, 50% had scores less than 34.5 and 38 (median) on the scale of state and trait anxiety, respectively (range 20-80). These values indicate moderate to low levels of state and trait anxiety. Statistically significantly higher state and trait anxiety was experienced by patients who were less informed about their disease (p = 0.008 and p = 0.014, respectively) and those who wished to receive information about the pandemic via mass media (p = 0.027 and p = 0.035, respectively). Statistically significantly higher trait anxiety was reported by single patients (p = 0.037), and those experiencing intra-family conflicts (p = 0.008), while higher state anxiety was reported by patients who had mobility problems and other illnesses (p = 0.050 and p = 0.044, respectively).

CONCLUSIONS: The coronavirus disease 2019 (COVID-19) is a public health issue of global interest and a challenge to address anxiety.

PMID:41273576 | DOI:10.1007/978-3-032-03398-7_34

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Nevin Manimala Statistics

Exploring Greek University Students’ Stress: Stressors, Reactions to Stressors, Management Strategies, Impact on Well-Being

Adv Exp Med Biol. 2026;1487:263-274. doi: 10.1007/978-3-032-03398-7_27.

ABSTRACT

Stress has negative effects on University students’ mental health and academic progress. The aim of this study was to investigate Greek University students’ stress. Specifically, the levels of students’ stress, the reactions to stressors, the management strategies, and the impact of stress on student well-being were investigated. The study sample was recruited from the student community of Greek public Universities (all levels of study and from different academic fields). Students were invited to participate in online research on social media and were given the hyperlink leading to a Google Form. Data collection was carried out in November 2020, during the COVID-19 lockdown in Greece. Participating students were asked to complete the following five questionnaires: 1. Questionnaire of demographic and other characteristics (gender, age, level/year of study, smoking habits, marital status, if they work, if they live alone), 2. Student-Life Stress Inventory (Revised-SSI-R), 3. Perceived Stress Scale (PSS), 4. World Health Organisation-Five Well-Being Index (WHO-5), and 5. Brief COPE (an abbreviated version of the COPE Inventory).The study involved 610 students (433 women, 71.0%), aged 18-65 years (average age 23.29 years, SD 6.77 years). Specifically, 478 were undergraduate students (78.4%), 101 Master’s students (16.5%), and 31 PhD students (5.1%), 94.1% were unmarried, 9.5% worked, 35.2% were living alone, and 18.4% were smokers. Overall, students’ stress was assessed as mild for 149 of the students (24.4%), moderate for 313 students (51.3%), and severe for 148 students (24.3%). Results demonstrated that stressors, such as the feeling of pressure, changes in life, and self-imposed factors threaten normal student life. Also, differences were found in the perception of stress, the reaction to it, its management according to students’ gender/year/level of study/work/living conditions, and the negative impact of stress on students’ well-being. Linear regression analysis showed that well-being, as measured by the WHO-5, could be predicted by the overall scale of the SSI-R, and more specifically, this impact was negative. A statistically significant function was found [F (1,609) = 104.263, p < 0.001], R2 = 0.146. These findings highlight the need for competent counseling and psychological support bodies in the Universities, to reduce the negative stressors, and build students’ resilience and stress management skills.

PMID:41273569 | DOI:10.1007/978-3-032-03398-7_27

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Nevin Manimala Statistics

Electronic Media Use and Symptoms of Attention-Deficit/Hyperactivity Disorder in Greek Adolescents

Adv Exp Med Biol. 2026;1487:253-261. doi: 10.1007/978-3-032-03398-7_26.

ABSTRACT

Electronic media such as mobile phones, social media, computers, televisions, and video games are dominant in adolescents’ lives. There is a growing concern that rising rates of electronic media use may be related to behavioral and emotional problems. The aim of the present study was to examine associations of adolescents’ electronic media use with attention-deficit/hyperactivity disorder (ADHD) symptoms. Study participants were 99 adolescents (39 males, 60 females), 12-18 years old, as well as 93 parents (12 fathers and 81 mothers). Internet addiction was evaluated by the Internet Addiction Test (IAT) and behavioral/emotional problems by the Achenbach System of Empirically Based Assessment. Parents reported on their adolescent’s attention and hyperactivity problems on the ADHD Rating Scale-5. Electronic media used by the adolescents were computer (40.4%), tablet (44.4%), PlayStation (40.4%), Facebook (43.4%), whereas 72.7% had an account on social networks. They watched TV from 0 to over 4 h every day; specifically, 51.5% from 0 to 2 h, while only 1% over 4 h. Most of them (78.8%) used internet daily, 28.3% used internet about 6-10 h, and 24.2% used it over 20 h to watch videos on YouTube (20,2%), searched for school information (14,1%), connected with social media (13.1), played games (12.1%), looked for information on products and services (12.1%), etc. Eighty respondents (80.8%) were average internet users (IAT < 40), 19 (19.2%) had possible addiction (IAT 40-69), while no one (0%) had severe addiction (IAT ≥ 70). The Internet Αddiction scale was found to have statistically significant correlations with many of the subscales of the Achenbach questionnaire and the attention-deficit subscale of the ADHD questionnaire.Statistically significant positive correlations were found between possible internet addiction with rule-breaking behavior, problems like thought, externalization, behavioral, obsessive-compulsive behavior, and post-traumatic stress. Results suggest that misuse of electronic media may be related to ADHD traits among Greek adolescents. As rates of electronic media use among teenagers are increasing, these findings should be taken into account to protect the social, cognitive, and psychological health of adolescents. Effective interventions are needed to target specific types of electronic media use in adolescence.

PMID:41273568 | DOI:10.1007/978-3-032-03398-7_26

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Nevin Manimala Statistics

State and Trait Anxiety Before and After Extracorporeal Shock Wave Lithotripsy (ESWL)

Adv Exp Med Biol. 2026;1487:223-238. doi: 10.1007/978-3-032-03398-7_23.

ABSTRACT

Urolithiasis, as defined by the presence of one or more stones in the urinary tract, is a common disease, affecting up to 20% of the global population. Extracorporeal shock wave lithotripsy (ESWL) is a minimal invasive intervention for the medical management of urolithiasis. Despite the short duration of this noninvasive procedure, patients may experience anxiety.Purpose of the study was to explore state and trait anxiety before and after ESWL as well as the associated factors.

METHODS AND MATERIAL: In the present cross-sectional study, 100 patients who underwent ESWL (60 men and 40 women) in a public hospital during the period 2023-2024 were enrolled. The data collection was carried out via interviews using the State-Trait Anxiety Inventory (STAI) scale which included patients’ characteristics.

RESULTS: Of the 100 participants, the majority were men (60%), over 60 years of age (41%) and of secondary education level (47%). The mean value of the two scores was 50.9 for state and 56.1 for trait anxiety before ESWL which indicates moderate anxiety levels. After ESWL, no statistically significant change in state and trait anxiety scores was observed (p = 0.186 and p = 0.387, respectively). A statistically significant association was observed between state anxiety before ESWL and gender (p = 0.048), whether patients had other diseases (p = 0.042), and how well they were informed about ESWL (p = 0.043). Regarding trait anxiety, a statistically significant association was observed with gender (p = 0.018), their profession (p = 0.050), and how well they were informed about ESWL (p = 0.041). In terms of trends, a statistically significant interaction was observed between time and the profession of patients (p = 0.002) for the state anxiety and patients’ family history of lithiasis (p = 0.002) for the trait anxiety.

CONCLUSION: Before ESWL, patients experience moderate anxiety (state, trait) with no statistically significant changes after. Reducing the anxiety of patients undergoing ESWL is beneficial.

PMID:41273565 | DOI:10.1007/978-3-032-03398-7_23

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Nevin Manimala Statistics

Minimum Redundancy Maximum Relevance Feature Selection-Application on Single-Cell RNA Sequencing Dataset

Adv Exp Med Biol. 2026;1487:213-221. doi: 10.1007/978-3-032-03398-7_22.

ABSTRACT

Variable selection is crucial in statistical problems involving functional data, as it enhances prediction accuracy by filtering out irrelevant features. While selecting the most relevant variables is important, focusing solely on relevance can result in redundancy, negatively affecting model efficiency. The minimum Redundancy Maximum Relevance (mRMR) method addresses this by balancing relevance and redundancy using mutual information to evaluate variable relationships. Herein, we evaluate the mRMR method on a dataset of a single-cell RNA sequencing from Parkinson’s disease (PD) patients. We analyze and compare two different classification algorithms in terms of their performance in predicting the target variable and the computational time required. Additionally, we investigate the performance of these algorithms on the same dataset without feature selection, analyzing and comparing the results.

PMID:41273564 | DOI:10.1007/978-3-032-03398-7_22