Category: Nevin Manimala

Sci Rep. 2021 Mar 31;11(1):7263. doi: 10.1038/s41598-021-86660-x.

ABSTRACT

Cross-training is a high-intensity functional training (HIFT) with multiple workout modalities. Despite the increasing number of studies in HIFT, there is still no validated test to measure its specific performance. It would also be advisable to determine whether selected cross-training workouts can implement a stimulus corresponding to maximize aerobic work. For these reasons, the purpose of our study was to evaluate the repeatability and reliability of Fight Gone Bad (FGB) workout and to assess its relationship with aerobic fitness. Twenty-one cross-training participants (9 females) finished the study protocol which included three two-day measurement sessions separated by 10 days. During each session, participants had their body composition measured, and they performed two exercise tests. The first test was an incremental cycling test to measure aerobic fitness, and the second was a cross-training specific FGB workout performed the next day. Reliability and repeatability were calculated from the three measurements. The total FGB Score (FGB_TOTAL) showed excellent reliability (ICC 0.9, SEM 6%). Moreover, FGB_TOTAL was strongly correlated with aerobic fitness (i.e., time to exhaustion (T_exh, R² = 0.72), maximal workload (W_max, R² = 0.69), time to gas exchange threshold (T_GET, R² = 0.68), and peak oxygen uptake (VO_2peak, R² = 0.59). We also found that agreement between standardized FGB and standardized aerobic performance indices such as T_exh, VO_2peak, W_max, maximum heart rate, T_GET, and workload at gas exchange threshold was high by the Bland-Altman method. In conclusion, FGB is a reliable test that can be used in order to measure changes in cross-training performance caused by an intervention. Moreover, FGB is strongly correlated to aerobic fitness.

PMID:33790372 | DOI:10.1038/s41598-021-86660-x

Sci Rep. 2021 Mar 31;11(1):7297. doi: 10.1038/s41598-021-86787-x.

ABSTRACT

Our aim was to assess the accuracy of the obtained posterior tibial slope (PTS) with a fixed angle cutting block. 247 TKAs in 213 patients were reviewed. We included 104 Legion Prosthesis, 76 U2 Knee Prosthesis, 46 NexGen LPS-Flex Prosthesis, and 21 Vanguard Knee System products. Preoperative and postoperative PTS were measured via expanded lateral tibia radiographs. For postoperative PTS, the Legion group had significantly smaller slopes than the U2 Knee group and Vanguard group. However, there was no significant difference between the Legion and NexGen groups, and no significant difference among the NexGen, U2 Knee, and Vanguard groups. Multiple linear regression showed that the different tibial lengths and preoperative PTS had statistically significant effects on postoperative PTS. However, there were weak correlations between the tibial length and PTS, and between preoperative and postoperative PTS. For TKA, although the PTS is not completely consistent with the angle of the cutting block, using conventional tibial bone resection technology with different tibial cutting instrumentations provided by various manufacturers in TKA can obtain safe PTS.

PMID:33790376 | DOI:10.1038/s41598-021-86787-x

Sci Rep. 2021 Mar 31;11(1):7262. doi: 10.1038/s41598-021-86166-6.

ABSTRACT

Butyrate is the primary energy source for colonocytes and is essential for mucosal integrity and repair. Butyrate deficiency as a result of colonic dysbiosis is a putative factor in ulcerative colitis (UC). Commensal microbes are butyrogenic, while others may inhibit butyrate, through hydrogenotropic activity. The aim of this study was to quantify butyrogenic and hydrogenotropic species and determine their relationship with inflammation within the colonic mucus gel layer (MGL). Mucosal brushings were obtained from 20 healthy controls (HC), 20 patients with active colitis (AC) and 14 with quiescent colitis (QUC). Abundance of each species was determined by RT-PCR. Inflammatory scores were available for each patient. Statistical analyses were performed using Mann-Whitney-U and Kruskall-Wallis tests. Butyrogenic R. hominis was more abundant in health than UC (p < 0.005), prior to normalisation against total bacteria. Hydrogenotropic B. wadsworthia was reduced in AC compared to HC and QUC (p < 0.005). An inverse correlation existed between inflammation and R. hominis (ρ – 0.460, p < 0.005) and B. wadsworthia (ρ – 0.646, p < 0.005). Other hydrogenotropic species did not widely colonise the MGL. These data support a role for butyrogenic bacteria in UC. Butyrate deficiency in UC may be related to reduced microbial production, rather than inhibition by microbial by-products.

PMID:33790336 | DOI:10.1038/s41598-021-86166-6

Sci Rep. 2021 Mar 31;11(1):7283. doi: 10.1038/s41598-021-86649-6.

ABSTRACT

Hexaminolevulinate (HAL) induced Protoporphyrin IX (PpIX) fluorescence is commonly used to differentiate cancer cells from normal cells in vivo, as for instance in blue light cystoscopy for bladder cancer diagnosis. A detailed approach is here provided to use this diagnostic principle ex vivo in an immunosensor device, towards enabling non-invasive cancer diagnostic from body fluids, such as urine. Several factors susceptible to affect the applicability of HAL-assisted diagnosis in body fluids were tested. These included the cell viability and its impact on PpIX fluorescence, the storage condition and shelf life of HAL premix reagent, light exposure (360-450 nm wavelengths) and its corresponding effect on both intensity and bleaching of the PpIX fluorescence as a function of the microscopy imaging conditions. There was no significant decrease in the viability of bladder cancer cells after 6 h at 4 °C (student’s t-test: p > 0.05). The cellular PpIX fluorescence decreased in a time-dependent manner when cancer cells were kept at 4 °C for extended period of time, though this didn’t significantly reduce the fluorescence intensity contrast between cancer and non-cancer cells kept in the same condition for 6 h. HAL premix reagent kept in long term storage at 4 °C induced stronger PpIX fluorescence than reagent kept in the – 20 °C freezer. The PpIX fluorescence was negatively affected by repeated light exposure but increased with illumination intensity and exposure time. Though this applied to both healthy and cancer cell lines, and therefore did not statistically improved the differentiation between cell types. This study revealed important experimental settings that need to be carefully considered to benefit from the analytical potential of HAL induced fluorescence when used in technologies for the diagnosis of cancer from body fluids.

PMID:33790357 | DOI:10.1038/s41598-021-86649-6

Sci Rep. 2021 Mar 31;11(1):7310. doi: 10.1038/s41598-021-86853-4.

ABSTRACT

Treating patients with COVID-19 is expensive, thus it is essential to identify factors on admission associated with hospital length of stay (LOS) and provide a risk assessment for clinical treatment. To address this, we conduct a retrospective study, which involved patients with laboratory-confirmed COVID-19 infection in Hefei, China and being discharged between January 20 2020 and March 16 2020. Demographic information, clinical treatment, and laboratory data for the participants were extracted from medical records. A prolonged LOS was defined as equal to or greater than the median length of hospitable stay. The median LOS for the 75 patients was 17 days (IQR 13-22). We used univariable and multivariable logistic regressions to explore the risk factors associated with a prolonged hospital LOS. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were estimated. The median age of the 75 patients was 47 years. Approximately 75% of the patients had mild or general disease. The univariate logistic regression model showed that female sex and having a fever on admission were significantly associated with longer duration of hospitalization. The multivariate logistic regression model enhances these associations. Odds of a prolonged LOS were associated with male sex (aOR 0.19, 95% CI 0.05-0.63, p = 0.01), having fever on admission (aOR 8.27, 95% CI 1.47-72.16, p = 0.028) and pre-existing chronic kidney or liver disease (aOR 13.73 95% CI 1.95-145.4, p = 0.015) as well as each 1-unit increase in creatinine level (aOR 0.94, 95% CI 0.9-0.98, p = 0.007). We also found that a prolonged LOS was associated with increased creatinine levels in patients with chronic kidney or liver disease (p < 0.001). In conclusion, female sex, fever, chronic kidney or liver disease before admission and increasing creatinine levels were associated with prolonged LOS in patients with COVID-19.

PMID:33790365 | DOI:10.1038/s41598-021-86853-4

Sci Rep. 2021 Mar 31;11(1):7241. doi: 10.1038/s41598-021-86492-9.

ABSTRACT

Two species of scallop, Austrochlamys natans (“Ostión del Sur”) and Zygochlamys patagonica (“Ostión patagonico”) are presently exploited in the southern part of the Magallanes Province (MP). The lack of clarity in taxonomic identification and ecological aspects is generating both erroneous extraction statistics and an unperceived harvesting pressure on A. natans and Z. patagonica. We aim to discriminate these Magallanes scallops accurately, improve our understanding of their complex natural history and discuss possible implications for their management and conservation status, given the current fisheries statistics. To achieve these goals, we present a complete review of the historical identification of the Magallanes scallop and a multi-locus molecular phylogeny which allowed us to recover the phylogenetic position of A. natans. We sampled 54 individuals from five localities across the southern Pacific coast of the MP. We calculated the depth of the byssal notch (BND) and shell height (VH) ratio from morphological characters and conducted phylogenetic reconstructions with mitochondrial (12S and 16S) and nuclear markers (28S) using Bayesian and maximum likelihood analyses. Both morphology and molecular phylogeny identified two distinct entities, Z. patagonica and a distinct, highly divergent lineage that corresponds to A. natans. Our study provides integrative evidence to alert the current fishery management and the need for further conservation studies.

PMID:33790335 | DOI:10.1038/s41598-021-86492-9

Sci Rep. 2021 Mar 31;11(1):7298. doi: 10.1038/s41598-021-86316-w.

ABSTRACT

Oral squamous cell carcinoma (OSCC), the most common type of head and neck cancers, is associated with high recurrence, metastasis, low long-term survival rates and poor treatment outcome. As deregulated miRNA expression plays a crucial role in malignant transformation and cancer progression, the present study is aimed at profiling the miRNA expression pattern in OSCC and developing a new miRNA prognostic signature for oral cancer. MiRNA expression profiling was performed using MiRNA microarray in 30 tumor and 18 normal samples. MiRNA signature obtained was validated with quantitative real time PCR (qRT-PCR) in 144 tumor and 36 normal samples. The potential targets, clinical implications and prognostic value of the miRNA signature were elucidated by various bioinformatics and statistical analyses. Microarray profiling identified a set of 105 miRNAs to be differentially expressed in OSCC, out of which a subset of 19 most dysregulated miRNAs were validated by qRT-PCR. In silico analysis revealed the signature miRNAs to be involved in various cancer associated pathways. Up-regulation of miR-196a, miR-21, miR-1237 and downregulation of miR-204, miR-144 was associated with poor prognosis of OSCC patients. The mir-196a/miR-204 expression ratio emerged as best predictor for disease recurrence and patient survival. Altogether, our study identified a miRNA signature for OSCC with prognostic significance.

PMID:33790326 | DOI:10.1038/s41598-021-86316-w

Sci Rep. 2021 Mar 31;11(1):7246. doi: 10.1038/s41598-021-86431-8.

ABSTRACT

This study examined temporal trend, seasonality, and geographical variations of legionellosis incidence and mortality in Japan. This nationwide observational study used the Japanese Vital Statistics and Infectious Diseases Weekly Report (1999-2017) data to calculate legionellosis crude and age-adjusted incidence and mortality rates per 100,000 population by age and sex. Incidence was compared among the 4 seasons and regional incidence among 47 prefectures. Of 13,613 (11,194 men) people with legionellosis in Japan, 725 (569 men) were fatal. Increasing incidence trend occurred from 0.0004 (1999) to 1.37 (2017) per 100,000 population. People aged ≥ 70 years accounted for 43.1% overall; men’s age-adjusted incidence rate was consistently approximately five times higher than for women. Significantly higher incidence occurred in summer than in winter (p = 0.013). Geographically, highest incidence (≥ 2.0 per 100,000 population) occurred in Hokuriku District, with increasing trends in Hokkaido and middle-part of Japan. Estimated fatality rates decreased consistently at 5.9% (95% confidence interval: – 8.1, – 3.5) annually, from 1999 to 2017, with no trend change point. Increasing legionellosis incidence occurred in Japan during 1999-2017, with declining estimated fatality rates. In this aging society and warming world, disease clinical burden may further deteriorate in future due to increasing incidence trends.

PMID:33790327 | DOI:10.1038/s41598-021-86431-8

J Neurosci. 2021 Mar 22:JN-RM-1993-20. doi: 10.1523/JNEUROSCI.1993-20.2021. Online ahead of print.

ABSTRACT

A visual object is characterized by multiple visual features, including its identity, position and size. Despite the usefulness of identity and nonidentity features in vision and their joint coding throughout the primate ventral visual processing pathway, they have so far been studied relatively independently. Here in both female and male human participants, the coding of identity and nonidentity features was examined together across the human ventral visual pathway. The nonidentity features tested included two Euclidean features (position and size) and two non-Euclidean features (image statistics and spatial frequency content of an image). Overall, identity representation increased and nonidentity feature representation decreased along the ventral visual pathway, with identity outweighing the non-Euclidean but not the Euclidean features at higher levels of visual processing. In 14 convolutional neural networks (CNNs) pretrained for object categorization with varying architecture, depth, and with/without recurrent processing, nonidentity feature representation showed an initial large increase from early to mid-stage of processing, followed by a decrease at later stages of processing, different from brain responses. Additionally, from lower to higher levels of visual processing, position became more underrepresented and image statistics and SF became more overrepresented compared to identity in CNNs than in the human brain. Similar results were obtained in a CNN trained with stylized images that emphasized shape representations. Together, by measuring the coding strength of object identity and nonidentity features together, our approach provided a new tool for characterizing feature coding in the human brain and the correspondence between the brain and CNNs.SIGNIFICANCE STATEMENTThis study examined the coding strength of object identity and four types of nonidentity features along the human ventral visual processing pathway and compared brain responses with those of 14 CNNs pretrained to perform object categorization. Overall, identity representation increased and nonidentity feature representation decreased along the ventral visual pathway, with some notable differences among the different nonidentity features. CNNs differed from the brain in a number of aspects in their representations of identity and nonidentity features over the course of visual processing. Our approach provides a new tool for characterizing feature coding in the human brain and the correspondence between the brain and CNNs.

PMID:33789916 | DOI:10.1523/JNEUROSCI.1993-20.2021

J Chest Surg. 2021 Apr 5;54(2):88-98. doi: 10.5090/jcs.20.102.

ABSTRACT

BACKGROUND: This study aimed to develop a new risk prediction model for operative mortality in a Korean cohort undergoing heart valve surgery using the Korea Heart Valve Surgery Registry (KHVSR) database.

METHODS: We analyzed data from 4,742 patients registered in the KHVSR who underwent heart valve surgery at 9 institutions between 2017 and 2018. A risk prediction model was developed for operative mortality, defined as death within 30 days after surgery or during the same hospitalization. A statistical model was generated with a scoring system by multiple logistic regression analyses. The performance of the model was evaluated by its discrimination and calibration abilities.

RESULTS: Operative mortality occurred in 142 patients. The final regression models identified 13 risk variables. The risk prediction model showed good discrimination, with a c-statistic of 0.805 and calibration with Hosmer-Lemeshow goodness-of-fit p-value of 0.630. The risk scores ranged from -1 to 15, and were associated with an increase in predicted mortality. The predicted mortality across the risk scores ranged from 0.3% to 80.6%.

CONCLUSION: This risk prediction model using a scoring system specific to heart valve surgery was developed from the KHVSR database. The risk prediction model showed that operative mortality could be predicted well in a Korean cohort.

PMID:33790059 | DOI:10.5090/jcs.20.102