Category: Nevin Manimala

Endocr Connect. 2023 Dec 1:EC-23-0363. doi: 10.1530/EC-23-0363. Online ahead of print.

ABSTRACT

OBJECTIVE: Pituitary dysfunction following mild traumatic brain injury can have serious physical and psychological consequences making diagnosis and treatment essential. To the best of our knowledge, this study is the first to study the prevalence of pituitary dysfunction following mild traumatic brain injury in an all-female population following detailed endocrinological work up after screening for pituitary dysfunction in female athletes.

DESIGN: Retrospective cohort study.

METHODS: Hormone screening blood tests, including serum blood values for thyroid-stimulating hormone, free thyroxin, insulin-like growth factor 1, prolactin, cortisol, follicle stimulating hormone, luteinizing hormone, oestrogen, and progesterone were taken in 133 female athletes. Results were repeatedly outside the reference value in 88 women necessitating further endocrinological evaluation. Two of those were lost to follow up and further endocrinological evaluation was performed in 86 participants.

RESULTS: Six women (4.6%, n = 131) were diagnosed with hypopituitarism, four (3.1%) with central hypothyroidism and two with growth hormone deficiency (1.5%). Ten women (7.6%) had hyperprolactinemia, four (3.1%) of them had prolactinoma. Medical treatment was initiated in 13 (9.9%) women. Significant prognostic factors were not found.

CONCLUSIONS: As 12.2% of female athletes with a history of mild traumatic brain injury had pituitary dysfunction (hypopituitarism 4.6%, hyperprolactinemia 7.6%), we conclude that pituitary dysfunction is an important consideration in post-concussion care. Hyperprolactinemia in the absence of prolactinoma may represent pituitary or hypothalamic injury following mild traumatic brain injury.

PMID:38078923 | DOI:10.1530/EC-23-0363

Traffic Inj Prev. 2023 Dec 11:1-9. doi: 10.1080/15389588.2023.2287405. Online ahead of print.

ABSTRACT

Objective: Develop corridor-level network screening models to identify high-risk corridors where safety improvements could be implemented to reduce fatal and injury (FI) crashes. Methods: A novel corridor definition focused on context classification and lane count was developed and applied to urban and suburban four-lane divided arterial roadways in Florida. Negative binomial regression models were developed for multi- and single-vehicle crashes using 80% of the corridors (training set). Crash frequency predictions were obtained from the developed corridor models and similar site-level models from the Highway Safety Manual (HSM) models for the remaining 20% of the corridors (testing set). Results from all models were adjusted using the empirical Bayes (EB) method. Results: A total of 130 corridors were identified across seven counties. These corridors contained approximately 349 km (217 miles) of roadway and experienced 11,437 multi-vehicle and 746 single-vehicle crashes that resulted in fatalities or injuries from 2017 to 2021. After applying the HSM site-level models and the developed corridor-level models to the testing set (both with and without EB adjustments), the corridor-level models with EB adjustments were the most accurate for corridor crash prediction. Applying the corridor-level models with EB adjustments to the testing set gave a predicted value of 386.44 crashes/year, which was the closest to the observed crash frequency of 383.20 crashes/year. From the corridor-level models, a 3.48-km (2.16-mile) high-risk corridor in Miami-Dade County was identified and analyzed site-by-site using the HSM methodology to identify specific sites within the corridor where safety improvements could provide the most FI crash reductions. Conclusions: The corridor-level models were more accurate and statistically reliable than similar HSM models while being less data intensive. They also only required corridor-level data rather than data for each intersection and segment. By using readily available data, the methods in this paper can be easily replicated by agencies to develop their own network screening corridor-level models and expedite the identification of corridors in need of safety improvements to reduce FI crashes. Existing site-level network screening methods can be used to supplement the developed corridor-level methodology by identifying high-risk sites within identified high-risk corridors.

PMID:38078886 | DOI:10.1080/15389588.2023.2287405

Am J Respir Crit Care Med. 2023 Dec 11. doi: 10.1164/rccm.202306-1107OC. Online ahead of print.

ABSTRACT

RATIONALE: Passenger lymphocyte syndrome (PLS) may complicate minor ABO mismatched lung transplantation (LuTX) via donor-derived red cell antibody-induced hemolysis.

OBJECTIVES: To ascertain the incidence and specificity of PLS-relevant antibodies amongst the study population as well as the dynamics of hemolysis parameters and the transfusion requirement of patients with or without PLS were the main objectives of this study.

METHODS: In this cohort study, 1011 patients who received LuTX between January 2010 and June 2019 were studied retrospectively. Prospectively, 87 LuTX (July 2019 to June 2021) were analyzed. Post-operative ABO antibody and hemolytic marker determinations, transfusion requirement, and duration of post-operative hospital care were analyzed. Retrospectively, blood group A recipients of O grafts with PLS were compared to those without.

MEASUREMENTS AND MAIN RESULTS: PLS affected 18.18% (retrospective) and 30.77% (prospective) of A recipients receiving O grafts, 5.13% of B recipients of O grafts, and 20% of AB patients receiving O transplants. Anti-A and anti-A1 were the predominant PLS-inducing antibodies, followed by anti-B and anti-A,B. Significantly lower hemoglobin values (median 7.4 versus 8.3 g/dL; p=0.0063) and an approximately twice as high percentage of patients requiring blood transfusions were seen in PLS. No significant differences in other laboratory markers, duration of hospital stay or other complications after LuTX were registered.

CONCLUSIONS: Minor ABO incompatible LuTX recipients are at considerable risk of developing clinically significant PLS. Post-transplant monitoring combining red cell serology and hemolysis marker determination appears advisable not to overlook hemolytic episodes which necessitate antigen-negative transfusion therapy.

PMID:38078854 | DOI:10.1164/rccm.202306-1107OC

Front Genet. 2023 Nov 23;14:1286561. doi: 10.3389/fgene.2023.1286561. eCollection 2023.

ABSTRACT

Polygenic risk score (PRS) predictions often show bias toward the population of available genome-wide association studies (GWASs), which is typically of European ancestry. This study aimed to assess the performance differences of ancestry-specific PRS and test the implementation of multi-ancestry PRS to enhance the generalizability of low-density lipoprotein (LDL) cholesterol predictions in the East Asian (EAS) population. In this study, we computed ancestry-specific and multi-ancestry PRSs for LDL using data obtained from the Global Lipid Genetics Consortium, while accounting for population-specific linkage disequilibrium patterns using the PRS-CSx method in the United Kingdom Biobank dataset (UKB, n = 423,596) and Taiwan Biobank dataset (TWB, n = 68,978). Population-specific PRSs were able to predict LDL levels better within the target population, whereas multi-ancestry PRSs were more generalizable. In the TWB dataset, covariate-adjusted R ² values were 9.3% for ancestry-specific PRS, 6.7% for multi-ancestry PRS, and 4.5% for European-specific PRS. Similar trends (8.6%, 7.8%, and 6.2%) were observed in the smaller EAS population of the UKB (n = 1,480). Consistent with R ² values, PRS stratification in EAS regions (TWB) effectively captured a heterogenous variability in LDL blood cholesterol levels across PRS strata. The mean difference in LDL levels between the lowest and highest EAS-specific PRS (EAS_PRS) deciles was 0.82, compared to 0.59 for European-specific PRS (EUR_PRS) and 0.76 for multi-ancestry PRS. Notably, the mean LDL values in the top decile of multi-ancestry PRS were comparable to those of EAS_PRS (3.543 vs. 3.541, p = 0.86). Our analysis of the PRS prediction model for LDL cholesterol further supports the issue of PRS generalizability across populations. Our targeted analysis of the EAS population revealed that integrating non-European genotyping data with a powerful European-based GWAS can enhance the generalizability of LDL PRS.

PMID:38075701 | PMC:PMC10704094 | DOI:10.3389/fgene.2023.1286561

Front Genet. 2023 Nov 23;14:1285274. doi: 10.3389/fgene.2023.1285274. eCollection 2023.

ABSTRACT

Objective: According to the 2020 data from the World Health Organization (WHO), cancers stand as one of the foremost contributors to global mortality. Revealing novel cancer risk factors and protective factors is of paramount importance in the prevention of disease occurrence. Studies on the relationship between chemokines and cancer are ongoing; however, due to the coordination of multiple potential mechanisms, the specific causal association remains unclear. Methods: We performed a bidirectional Mendelian randomization analysis to explore the causal association between serum chemokines and pan-carcinoma. All data is from the GWAS catalog and IEU Open GWAS database. The inverse-variance weighted (IVW) method is primarily employed for assessing the statistical significance of the findings. In addition, the significance threshold after the multiple hypothesis test (Bonferroni) was 0.0013, and the evidence of a potential association was considered if the p-value < 0.05, but remained greater than Bonferroni’s threshold. Results: The results indicate that CCL1 (odds ratio, OR = 1.18), CCL2 (OR = 1.04), CCL8 (OR = 1.36), CCL14 (Colorectal, OR = 1.08, Small intestine, OR = 0.77, Lung, OR = 1.11), CCL15 (OR = 0.85), CCL18 (Breast, OR = 0.95, Prostate, OR = 0.96), CCL19 (Lung, OR = 0.66, Prostate, OR = 0.92), CCL20 (Lung, OR = 0.53, Thyroid, OR = 0.76), CCL21 (OR = 0.62), CCL22 (OR = 2.05), CCL23 (OR = 1.31), CCL24 (OR = 1.06), CCL27 (OR = 1.49), CCL28 (OR = 0.74), CXCL5 (OR = 0.95), CXCL9 (OR = 3.60), CXCL12 (Breast, OR = 0.87, Small intestine, OR = 0.58), CXCL13 (Breast, OR = 0.93, Lung, OR = 1.29), CXCL14 (Colon, OR = 1.40) and CXCL17 (OR = 1.07) are potential risk factors for cancers. In addition, there was a reverse causal association between CCL1 (OR = 0.94) and CCL18 (OR = 0.94) and breast cancer. Sensitivity analysis results were similar. The results of the other four MR Methods were consistent with the main results, and the leave-one-out method showed that the results were not driven by a Single nucleotide polymorphism (SNP). Moreover, there was no heterogeneity and pleiotropy in our analysis. Conclusion: Based on the two-sample MR Analysis method, we found that chemokines might be upstream factors of cancer pathogenesis. These results might provide new insights into the future use of chemokines as potential targets for cancer prevention and treatment. Our results also provide important clues for tumor prevention, and changes of serum chemokine concentration may be recognized as one of the features of precancerous lesions in future clinical trials.

PMID:38075694 | PMC:PMC10702354 | DOI:10.3389/fgene.2023.1285274

Front Genet. 2023 Nov 24;14:1215493. doi: 10.3389/fgene.2023.1215493. eCollection 2023.

ABSTRACT

Introduction: The selection of antiseizure medication usually requires a trial-and-error process. Our goal is to investigate whether genetic markers can predict the outcome of perampanel (PER) use in patients with epilepsy. Method: The studied participants were selected from our previous epilepsy genetics studies where whole exome sequencing was available. We reviewed the medical records of epilepsy patients older than 20 years old treated with PER. The outcome of PER treatment included the response to PER, the occurrence of any adverse drug reaction (ADR), the presence of behavior ADR, and the ability to adhere to PER for more than 1 year. We investigated the association between the rare variants of the glutamate receptor genes and the outcomes of PER use. Result: A total of 83 patients were collected. The gene group burden analysis showed that enriched genetic variants of the glutamate receptor gene group were statistically significantly associated with the occurrence of ADR, while the glutamate ionotropic receptor delta type subunit had a nominal association with the occurrence of ADR. The gene collapse analysis found that GRID1 had a nominal association with the occurrence of ADR and GRIN3A had a nominal association with the occurrence of behavior ADR. However, these nominal associations did not remain statistically significant once adjusted for multiple testing. Discussion: We found that enriched rare genetic variants of the glutamate receptor genes were associated with the occurrence of ADR in patients taking PER. In the future, combining the results of various pharmacogenetic studies may lead to the development of prediction tools for the outcome of antiseizure medications.

PMID:38075685 | PMC:PMC10704178 | DOI:10.3389/fgene.2023.1215493

Chem Sci. 2023 Nov 21;14(47):13908-13914. doi: 10.1039/d3sc04466a. eCollection 2023 Dec 6.

ABSTRACT

Surface intermediate species and oxygen vacancy-assisted mechanism over CeO₂ catalyst in the direct dimethyl carbonate (DMC) synthesis from carbon dioxide and methanol are suggested by means of transient spectroscopic methodologies in conjunction with multivariate spectral analysis. How the two reactants, i.e. CO₂ and methanol, interact with the CeO₂ surface and how they form decisive surface intermediates leading to DMC are unraveled by DFT-based molecular dynamics simulation by precise statistical sampling of various configurations of surface states and intermediates. The atomistic simulations and uncovered stability of different intermediate states perfectly explain the unique DMC formation profile experimentally observed upon transient operations, strongly supporting the proposed oxygen vacancy-assisted reaction mechanism.

PMID:38075668 | PMC:PMC10699564 | DOI:10.1039/d3sc04466a

Data Brief. 2023 Nov 14;51:109805. doi: 10.1016/j.dib.2023.109805. eCollection 2023 Dec.

ABSTRACT

Most seaplanes used for aircraft operations in territorial waters are classified into three main types, namely floatplanes, flying boats, and amphibians. Among these, the floatplane stands out as it replaced its landing gear with two floating pontoons, known as the catamaran floater, on which the fuselage rests. Therefore, this research presented a data article on resistance testing to predict force and moment along the x, y, and z axes for a 1:10 scale model of the catamaran floater. Test data encompassed variations in trim angles 0°, -1°, and -2°, and speed ranging from 1 to 6 m/s. The results of the resistance testing are presented in the form of descriptive statistics and shown through two graphs. The first graph described the relationship between the catamaran floater’s speed and the corresponding force generated. The second graph illustrated the correlation between the catamaran floater’s speed and moment generated.

PMID:38075614 | PMC:PMC10700570 | DOI:10.1016/j.dib.2023.109805

J Trop Med. 2023 Nov 30;2023:2289552. doi: 10.1155/2023/2289552. eCollection 2023.

ABSTRACT

OBJECTIVE: Malaria during pregnancy is a priority area for malaria research and control as pregnant women represent a high risk group for severe malaria, and the presentation of malaria during pregnancy varies according to the level of transmission in the area; so the aim of this study is to determine the prevalence rates of malaria parasite among pregnant women attending to Saudi Kassala Teaching hospital in Kassala state, 2022.

METHODS: A cross-sectional study was carried out in Saudi Kassala Teaching hospital in Kassala State. This study involved one hundred and eighty-five blood samples collected from pregnant women who was then examined by using blood films and ICT for malaria, and the data were collected by a structured questionnaire and analyzed using SPSS version 21.

RESULTS: The prevalence of malaria among pregnant women was 2.2% (95% CI: 0.006-0.054). There was no significant difference among the different age groups with respect to the prevalence of malaria (P value = 0.483). The prevalence of malaria in rural residency was 2.2%, and this was significantly more common than the urban residency (P value = 0.021). When compared across the gestational trimesters, there was no significant difference between them (P value = 0.518). The number of gravidity is not related to malaria infection (P value = 0.737). The presence of symptom compliant of malaria during pregnancy does not suggest the presence of malaria (P value = 0.152). No difference was found between the different educational levels with respect to the prevalence of malaria (P value = 0.362). The result showed that there was 1 (0.5%) negative result in ICT which was positive in blood film for malaria (BFFM) and there were 3 (1.6%) positive malaria parasites by both methods in all 185 samples with statistically insignificant differences (P = 0.703).

CONCLUSION: Plasmodium falciparum was only species detected in this study. Malaria among pregnant women was more prevalent in rural areas. However, other factors such as age, gestational age, gravidity, and educational level do not affect the prevalence of malaria in pregnant women. The presence of symptomatic compliant of malaria during pregnancy does not suggest the presence of malaria. The use of ICT or BFFM has similar diagnostic outcome for malaria in pregnancy.

PMID:38075586 | PMC:PMC10703523 | DOI:10.1155/2023/2289552

World J Clin Cases. 2023 Nov 26;11(33):7980-7986. doi: 10.12998/wjcc.v11.i33.7980.

ABSTRACT

BACKGROUND: Postpartum depression (PPD) is a common psychological disease among puerperal women, and postpartum pelvic floor dysfunction is a common disease among pregnant women. The occurrence of postpartum pelvic floor dysfunction will increase the incidence of PPD.

AIM: To explore the therapeutic effect of integrated traditional Chinese and Western medicine nursing combined with electrical stimulation of pelvic floor muscles and the rectus abdominis on PPD.

METHODS: From April 2020 to January 2022, 100 parturients with a rectus abdominis muscle separation distance > 2.0 cm who underwent reexamination 6 wk after delivery at our hospital were selected as the research subjects. According to the random number table method, the patients were divided into either an observation group (n = 50) or a control group (n = 50). There was no significant difference in the general data between the two groups (P > 0.05). Both groups were treated by electrical stimulation. The observation group was additionally treated by integrated traditional Chinese and Western medicine nursing. A self-designed Depression Knowledge Questionnaire was used to evaluate the awareness of knowledge on depression in all patients 3 wk after intervention. The Hamilton Depression Scale (HAMD) was used to evaluate the depression before intervention and 1 wk and 3 wk after intervention, and the Morisky Medication Adherence Scale (MMAS-8) was used to evaluate the medication compliance. SPSS19.0 was used for statistical analyses.

RESULTS: The rate of awareness of knowledge on depression in the observation group was significantly higher than that of the control group (P < 0.05). The scores of MMAS-8 were comparable between the two groups before intervention (P > 0.05), but were significantly higher in the observation group than in the control group at 1 wk and 3 wk after intervention (P < 0.05). The HAMD scores were comparable between the two groups before intervention (P > 0.05), but were significantly lower in the observation group than in the control group at 1 wk and 3 wk after intervention (P < 0.05).

CONCLUSION: Integrated traditional Chinese and Western medicine nursing combined with electrical stimulation of pelvic floor muscles and the rectus abdominis is effective in the treatment of postpartum depression and worthy of clinical promotion.

PMID:38075581 | PMC:PMC10698394 | DOI:10.12998/wjcc.v11.i33.7980