Category: Nevin Manimala

Scand J Med Sci Sports. 2022 Jul 8. doi: 10.1111/sms.14206. Online ahead of print.

ABSTRACT

Over the last few years there has been considerable increase in scientific knowledge about women’s football. However, the tactical and tactical-strategic aspects have not yet been sufficiently covered in scientific literature. Therefore, this work proposed the following aims: to describe how the offensive phase is produced in women’s football, to identify the significant statistical criteria that may be modulating success in attack, and finally to propose different predictive success models, with the ultimate aim of passing this knowledge on to the applied field. The observational methodology was used, one of the most appropriate methodologies for the analysis of motor behaviors in sport. The units of analysis collected and analysed were 6,063 attacks carried out during the FIFA Women’s World Cup Canada 2015 and France 2019. The available results demonstrate that, on the one hand, offensive team actions are ineffective (almost 70% finish unsuccessfully), but criteria such as the start form of the attack, zone of ball possession, partial match result or ball possession time are statistically significant criteria that modulate attack success (goal, shot or pass into the area). Lastly, the multivariate results allow us to propose a theoretical model, passing the probability of success from 31% in the absence of a model, to a theoretical auction probability of 52.6%, based on fast attacks with the intervention of few players, and with possession zone in the opposite field. These results could be directly transferred to the practical field where trainers and technical bodies can put this information into practice in training sessions or matches.

PMID:35801395 | DOI:10.1111/sms.14206

Exp Dermatol. 2022 Jul 8. doi: 10.1111/exd.14641. Online ahead of print.

ABSTRACT

Mycosis fungoides (MF) is a subtype of cutaneous T cell lymphoma (CTCL). Topical or systemic treatment with psoralen, such as 8-methoxypsoralen (8-MOP), followed by ultraviolet A (UVA) irradiation (PUVA therapy) is an effective phototherapy for early-stage MF. However, the efficacy of PUVA therapy for advanced-stage MF is not satisfactory, and the ideal combination partner for PUVA therapy has not yet been found. In this study, we developed a new mouse model of CTCL in which efficacy of PUVA was detected and further evaluated the efficacy of combination treatment of PUVA and mogamulizumab, an anti-CCR4 monoclonal antibody. Cytotoxicity of PUVA therapy against HH cells, a CTCL cell line, was observed in vitro. The cytotoxicity was dependent on both 8-MOP and UVA. Using HH cells, we developed a mouse model in which HH cells were subcutaneously inoculated in the ear. In this model, PUVA therapy suppressed tumor growth with statistical significance, while 8-MOP or UVA alone did not. Combination therapy of PUVA and mogamulizumab showed greater antitumor activity than either monotherapy with statistical significance. In the histological analysis of the tumor tissue, PUVA accelerated tumor necrosis and then induced the infiltration inflammatory cells in the necrotic area, suggesting that these cells served as effector cells for mogamulizumab. This combination therapy is expected to be a beneficial option for CTCL therapy.

PMID:35801380 | DOI:10.1111/exd.14641

Aust Endod J. 2022 Jul 8. doi: 10.1111/aej.12656. Online ahead of print.

ABSTRACT

The study aimed to determine whether inhibitory effects of fibroblast growth factor 2 (FGF2) on mineralisation in dental pulp (DP) cultures were associated with changes in the expression of genes regulating phosphate balance (Enpp1, Ank, Slc20a2, Alpl, Phospho1, and Xpr1). DP cultures growing under mineralisation-inducing conditions were exposed to FGF2 and inhibitors of the FGFR and MEK/ERK1/2 signaling pathways. Mineralisation, culture cellularity, and gene expression were examined at various time points. Statistical analysis was performed using analysis of variance followed by the Holm-Šídák test. Control cultures exhibited transient increases in Enpp1 and Ank, continuous increases in Alpl, Phospho1, and Xpr1, and continuous decreases in Slc20a2. FGF2 increased Enpp1, Ank, and Slc20a2 and decreased Alpl, Phospho1, and Xpr1, whereas the FGF2 withdrawal and inhibition of FGFR and MEK/ERK1/2 exerted opposite effects. These changes suggest that FGF2-mediated decreases in mineralisation could be functionally coupled to the altered regulation of phosphate formation and transport.

PMID:35801357 | DOI:10.1111/aej.12656

Turk J Anaesthesiol Reanim. 2022 Jun;50(3):219-224. doi: 10.5152/TJAR.2022.21108.

ABSTRACT

OBJECTIVE: Local anaesthetics administered into the peritoneal cavity have been successfully used for post-operative pain relief in minimally invasive laparoscopic procedures. We intended to study and compare nebulized intraperitoneal ropivacaine with and without nalbuphine, with a placebo for post-operative pain relief in these surgeries.

METHODS: A prospective, randomized double-blinded study was conducted over a period of 1 year after institutional ethical clearance, in patients undergoing elective laparoscopic cholecystectomy. Subjects were randomized into 3 groups (S: saline, R: ropivacaine, RN: ropiva- caine plus nalbuphine). The pain was assessed in the post-operative period using NRS scores (up to 24 hours). Kruskal-Wallis test was used for comparison, P < .05 was considered significant. Time to first rescue analgesia, total opioid requirement, and side effects were also recorded.

RESULTS: Groups were similar in terms of demographic data. Patients in the placebo group reported higher NRS scores than the other 2 study groups till 4 hours post-operative (earlier rescue analgesia). The addition of nalbuphine did not cause any statistically significant improvement in post-operative pain relief (NRS) as compared to ropivacaine administered alone. Intraperitoneal ropivacaine nebulization had no significant adverse effect as compared to placebo.

CONCLUSIONS: Ropivacaine nebulization with or without nalbuphine is more effective than placebo for post-operative pain relief after lapa- roscopic cholecystectomy without significant side effects. Addition of nalbuphine to ropivacaine nebulization does not significantly improve pain relief after laparoscopic cholecystectomy.

PMID:35801329 | DOI:10.5152/TJAR.2022.21108

Diabetes Obes Metab. 2022 Jul 8. doi: 10.1111/dom.14806. Online ahead of print.

ABSTRACT

IMPORTANCE: Early identification and prediction of incident heart failure (HF) is important due to severe morbidity and mortality.

OBJECTIVE: This study aimed to predict onset HF among patients with diabetes.

DESIGN, SETTING, AND PARTICIPANTS: A time-varying Cox model was derived from ACCORD clinical trial to predict the risk of incident HF, defined by hospitalization for HF (HHF). External validation was performed on patient level data from the Harmony Outcome trial and Chronic Renal Insufficiency Cohort (CRIC) study. The model was transformed into integer-based scoring algorithm for 10-year risk evaluation.

EXPOSURES: A stepwise algorithm identified and selected predictors from demographic characteristics, physical examination, laboratory results, medical history, medication, and healthcare utilization, to develop a risk prediction model.

MAIN OUTCOMES AND MEASURES: The main outcome was incident HF, defined by HHF. C statistics and Brier score were used to assess model performance.

RESULTS: A total of 9,649 diabetic patients free of HF were used, with median follow-up of 4 years and 299 incident hospitalization of HF events. The model identified several predictors for the 10-year HF incidence risk score “DM-CURE”: socio-Demographic (education, age at T2DM diagnosis), Metabolic (HbA1c, SBP, BMI, HDL), diabetes-related Complications (MI, revascularization, cardiovascular medications, neuropathy, hypertension duration, albuminuria, UACR, ESKD), and healthcare Utilization (all-cause hospitalization, ER visits) for Risk Evaluation. Among them, the strongest impact factors for future HF were age at T2DM diagnosis, healthcare utilization, and cardiovascular disease-related variables. The model demonstrated good discrimination (C statistic: 0.838, 95% CI: 0.821-0.855) and calibration (Brier score: 0.006, 95% CI: 0.006-0.007) in the ACCORD data and a good performance in the validation data (Harmony: C statistic: 0.881, 95% CI: 0.863-0.899; CRIC: C statistic: 0.813, 95% CI: 0.794-0.833). The 10-year risk of incident HF increased in a graded fashion, from ≤1% in quintile 1 (score ≤ 14), 1-5% in quintile 2 (score 15-23), 5-10% in quintile 3 (score 24-27), 10-20% in quintile 4 (score 28-33), and ≥20% in quintile 5 (score >33).

CONCLUSIONS AND RELEVANCE: The DM-CURE model and score were useful for population risk stratification of incident HHF among patients with T2DM and can be easily applied in clinical practice. This article is protected by copyright. All rights reserved.

PMID:35801340 | DOI:10.1111/dom.14806

Turk J Anaesthesiol Reanim. 2022 Jun;50(3):173-177. doi: 10.5152/TJAR.2022.21121.

ABSTRACT

OBJECTIVE: Postoperative atrial fibrillation is commonly seen after cardiac surgery. One of the contributing factors is mediastinal shed blood and inflammation. Cell salvage techniques can reduce allogenic blood transfusion and reduce inflammation. The aim of this study was to investigate the reduction of postoperative atrial fibrillation by using the cell-salvage system.

METHODS: Patients who underwent isolated coronary artery bypass graft surgery (n = 498) were analyzed retrospectively in 2 groups. Postoperative atrial fibrillation group (n = 75) and non-postoperative atrial fibrillation group (n = 423). Preoperative and postoperative demographic and clini- cal data were compared between the 2 groups, respectively. Postoperative atrial fibrillation and possible contributing factors were analyzed with multinomial logistic regression analysis.

RESULTS: In the postoperative atrial fibrillation group, the patients’ age and European System for Cardiac Operative Risk Evaluation (Euroscore) were higher than in the non-postoperative atrial fibrillation group (P = .001 and P = .003, respectively). Postoperative intensive care unit stay and hospital stay were longer in the postoperative atrial fibrillation group than in the non-postoperative atrial fibrillation group (P = .001 and P = .046, respectively). There were no statistical differences in mortality between groups. The incidence of postoperative atrial fibrillation decreased with the use of cell saver system and low Euroscore.

CONCLUSION: The use of a cell salvage device intraoperatively and during the early postoperative period can decrease the incidence of postop- erative atrial fibrillation group.

PMID:35801322 | DOI:10.5152/TJAR.2022.21121

JNCI Cancer Spectr. 2022 Jul 1;6(4):pkac030. doi: 10.1093/jncics/pkac030.

ABSTRACT

BACKGROUND: It is unknown how body fat distribution modulates the cardiometabolic risk of testicular cancer survivors after cisplatin-based chemotherapy.

METHODS: For 455 patients enrolled in the Platinum Study at Memorial Sloan Kettering Cancer Center, visceral (VAT) and subcutaneous (SAT) adipose tissue was quantified on prechemotherapy computed tomography. The VAT-to-SAT ratio was calculated as a quantitative measure of central adiposity. Endpoints were incidence of new posthemotherapy cardiometabolic disease (new antihypertensive, lipid-lowering, or diabetes medication), and postchemotherapy Framingham risk scores. Cox models and linear regression with interaction terms were applied. Postchemotherapy body fat distribution was analyzed in 108 patients. All statistical tests were 2-sided.

RESULTS: The baseline median age was 31 years (interquartile range [IQR] = 26-39 years), body mass index (BMI) was 26 kg/m2 (IQR = 24-29 kg/m2), and the VAT-to-SAT ratio was 0.49 (IQR = 0.31-0.75). The median follow-up was 26 months (IQR = 16-59 months). Higher prechemotherapy VAT-to-SAT ratios inferred a higher likelihood of new cardiometabolic disease among patients with a BMI of 30 kg/m2 or greater (age-adjusted hazard ratio = 3.14, 95% confidence interval = 1.02 to 9.71, P = .047), but not other BMI groups. The prechemotherapy VAT-to-SAT ratio was associated with postchemotherapy Framingham risk scores in univariate regression analysis (exp(β)-estimate: 2.10, 95% confidence interval = 1.84 to 2.39, P < .001); in a multivariable model, this association was stronger in younger vs older individuals. BMI increased in most patients after chemotherapy and correlated with increases in the VAT-to-SAT ratio (Spearman r = 0.39, P < .001).

CONCLUSIONS: In testicular cancer survivors, central adiposity is associated with increased cardiometabolic risk after cisplatin-based chemotherapy, particularly in obese or young men. Weight gain after chemotherapy occurs preferentially in the visceral compartment, providing insight into the pathogenesis of cardiovascular disease in this population.

PMID:35801305 | DOI:10.1093/jncics/pkac030

Int Wound J. 2022 Jul 7. doi: 10.1111/iwj.13888. Online ahead of print.

ABSTRACT

Oral antibiotics (OAB), probiotics, prebiotics, and synbiotics are reported to be effective for preventing postoperative infection following colorectal surgery, but the comparative effectiveness between them has not been studied. To compare these interventions through a network meta-analysis. Ovid Medline, Embase, and the Cochrane Controlled Register of Trials (CENTRAL) were searched from inception to January 1, 2022 without any language restriction. Two reviewers independently screened the retrieved articles, assessed risk of bias, and extracted information from the included randomised controlled trials (RCTs). The primary outcome was infection rate, and the secondary outcome was anastomotic leakage rate. 4322 records were retrieved after literature search, and 20 RCTs recruiting 3726 participants were finally included. The analysis showed that usual care (UC) + Synbiotics ranked the most effective treatment (SUCRA = 0.968), UC + OAB ranked the second (SUCRA = 0.797), and UC + IAB ranked the third (SUCRA = 0.678) for preventing postoperative infection rate, but only UC + OAB achieved statistical significance. UC + OAB was the most effective treatment (SUCRA = 0.927) for preventing anastomotic leakage rate. Our study confirmed that preoperative administration of OAB was associated with lower infection rate and anastomotic leakage rate than placebo and UC alone. However, the beneficial effect of probiotics and synbiotics should still be investigated by large-scale randomised controlled trials.

PMID:35801293 | DOI:10.1111/iwj.13888

Disaster Med Public Health Prep. 2022 Jul 8:1-5. doi: 10.1017/dmp.2022.128. Online ahead of print.

ABSTRACT

OBJECTIVES: This study examined the characteristics of severe patients after the Great East Japan Earthquake in 2011.

METHODS: Cases in the Futaba area were extracted using the dispatch database of the doctor helicopter and flight-nurse records from March 11, 2008, till March 10, 2014. The period before March 11, 2011, was defined as ‘pre-earthquake’ and the period after March 11, 2011, as ‘post-earthquake’ to compare the recorded data.

RESULTS: Of the 128 total recorded cases, 78 were dispatched during the pre-earthquake period and 50 during the post-earthquake period. The number of patients with physical trauma following the earthquake included 4 patients (33.3%) in 2011, 7 patients (43.7%) in 2012, and 13 patients (59.1%) in 2013. However, the increase in number of requests was not statistically significant (P = 0.33). All 4 incidents of physical trauma in 2011, and 3 out of 7 incidents in 2012, occurred at the power plants. A total of 4 incidents occurred at decontamination worksites in 2013.

CONCLUSIONS: It is of primary importance for hospitals to anticipate physical trauma cases during the reconstruction phase following a disaster, and develop a system for patients with physical trauma in the short- and long-term.

PMID:35801286 | DOI:10.1017/dmp.2022.128

Arch Physiother. 2022 Jul 7;12(1):19. doi: 10.1186/s40945-022-00140-7.

ABSTRACT

OBJECTIVE: To compare the effects of neuromuscular training (NMT) to a quadriceps strength training (QT) program on co-contraction index (CCI) of knee muscles in patients with knee osteoarthritis (OA).

METHODS: Sixty-six knee OA patients with varus malalignment were recruited from the physiotherapy outpatient department of the university. After baseline measurements, they were randomly assigned into two groups: NMT (n = 33) and QT (n = 33). Patients in NMT group received neuromuscular exercises whereas QT group received conventional strengthening exercises for a period of 12 weeks, three times per week. Electromyographic (EMG) activity of quadriceps, hamstring and gastrocnemius muscle was evaluated during treadmill walking before and after 12 weeks of intervention period and CCI of medial quadriceps-medial hamstring (med QH), lateral quadriceps-lateral hamstring (lat QH), medial quadriceps-medial gastrocnemius (med QG) and, lateral quadriceps and lateral gastrocnemius (lat QG) was calculated.

RESULTS: There was a significantly greater reduction in CCI of med QH (p = 0.02) and lat QH (p = 0.01) in the NMT group than the QT group. Whereas both NMT and QT led to statistically similar reductions in CCI of med QG (p = 0.08) and lat QG (p = 0.66).

CONCLUSION: Findings of this study suggest that NMT led to a greater reduction in CCI of knee muscles than QT which indicates that enhanced sensori-motor control attained by NMT could reduce knee loading in knee OA patients with varus malalignment.

PMID:35799287 | DOI:10.1186/s40945-022-00140-7