Category: Nevin Manimala

Prev Vet Med. 2021 Jul 8;194:105427. doi: 10.1016/j.prevetmed.2021.105427. Online ahead of print.

ABSTRACT

Determining whether porcine reproductive and respiratory syndrome virus (PRRSV) is circulating within a breeding herd is a longstanding surveillance challenge. Most commonly, piglets in farrowing rooms are sampled to infer the PRRSV status of the sow herd, with sample size based on the expectation of hypergeometric distribution and piglet selection based on simple random sampling (SRS), i.e., randomly selecting individuals from a population in a manner that all individuals have equal chance of being selected. Conceptually straightforward, the assumptions upon which it is based (homogeneous population and independence of individuals) rarely hold in modern swine facilities. Alternative approaches for sample selection include two-stage stratified sampling (2SS), i.e., randomly selecting litters (first stratum) and randomly selecting piglets (second stratum) within selected litters, and risk-based sampling (RBS), i.e., selecting litters with a higher risk of having viremic piglets, and randomly selecting pigs within those litters. The objectives of this study were to 1) characterize the pattern of distribution of PRRSV-viremic piglets in farrowing rooms and 2) compare the efficiency of SRS, 2SS, and RBS for the detection of PRRSV-viremic piglets. In 12 sow farms, serum samples were collected from all 4510 piglets in 422 litters housed in 23 farrowing rooms and tested for PRRSV RNA. At the population level, the distribution of PRRSV-viremic pigs was analyzed for population homogeneity and spatial clustering. At the litter level, litter size and sow parity were evaluated as risk factors. A non-homogeneous distribution of PRRSV-viremic piglets was observed in nearly all farrowing rooms (15/16), and spatial clustering detected on 11 occasions (11/16). Simulated sampling based on farrowing room data determined that 2SS required 1-to-25 fewer samples than SRS to detect ≥ 1 viremic piglet in 13 of 16 rooms and the same number of samples in 3 rooms. RBS required 1-to-7 fewer samples than 2SS to detect ≥ 1 viremic piglet in 7 of 16 rooms, the same number of samples in 6 rooms, and 1 more sample in 3 rooms. Notably, SRS was less efficient than either 2SS or RBS in detecting PRRSV-viremic piglets in farrowing rooms, regardless of the confidence level. It may be concluded that the core assumptions upon which most current surveillance methods are based do not hold in modern farrowing room facilities. Simulation-based sample size tables for SRS and 2SS are provided.

PMID:34271476 | DOI:10.1016/j.prevetmed.2021.105427

Bioresour Technol. 2021 Jul 8;338:125516. doi: 10.1016/j.biortech.2021.125516. Online ahead of print.

ABSTRACT

In this study, olive mill waste (OMW) and natural mineral amendments were co-composted to evaluate the compost maturity efficiency. The results were modelled by Feed-Forward Neural Networks (FF-NN) and Elman-Recurrent Neural Networks (ER-NN) and compared Response Surface Methodology (RSM). According to RSM produced a prediction error of more than 10% while Neural Networks (NNs) models were <2%. From, multi-objective optimization, the most suitable materials were expanded vermiculite and pumice with overall desirabilities of 0.60 and 0.56, respectively. The optimum amendment ratios were achieved with 14.3% of expanded vermiculite and 16.0% of pumice for OMW composting. Multivariate Analysis of Variance (MANOVA) results indicated that the materials had a strong effect on composting in parallel with the optimization results. NNs were predictors with superior properties to model the composting processes, can be used as modeling tools in many areas that are difficult and costly to perform new experiments.

PMID:34271499 | DOI:10.1016/j.biortech.2021.125516

J Psychiatr Res. 2021 Jul 8;141:287-292. doi: 10.1016/j.jpsychires.2021.06.033. Online ahead of print.

ABSTRACT

INTRODUCTION: Cytokines might play a key role in the pathophysiology of major depressive disorder (MDD). The speed of onset of depressive episodes has been discussed as an important clinical parameter in MDD. The aim of this study was to investigate a potential influence of the speed of onset of the depressive episode on cytokine serum levels.

METHOD: Serum level of the cytokines interleukin (IL)-2, IL-4, IL-6, IL-8, IL-10, tumor necrosis factor alpha (TNF-α), interferon-gamma (IFN-γ) granulocyte and monocyte colony stimulating factor (GM-CSF) were measured in a total of 92 patients with MDD that did not respond to at least one previous antidepressant treatment. Patients were retrospectively divided in two groups: Faster (≤4 weeks) and slower (>4 weeks) onset of the depressive episode defined as the time passing from the first depressive symptoms to a full-blown depressive episode by using information from a clinical interview.

RESULTS: We found significantly lower serum levels of IL-2, IL-4, IL-6, IL-10, TNF-α and IFN-γ in patients with a faster onset compared to patients with a slower onset of the depressive episodes. Furthermore, lower cytokine serum levels of IL-2, IL-8, IL-10 and IFN-γ were found in patients with a shorter duration (less than 6 months) compared to a longer duration (6-24 months) of the current depressive episode. This effect on cytokines was independent from the effect of the speed of onset of the depressive episode.

CONCLUSIONS: Patients with faster onset of the depressive episode might represent a biological subtype of MDD with lower serum levels of IL-2, IL-4, IL-6, IL-10, TNF-α and IFN-γ.

PMID:34271459 | DOI:10.1016/j.jpsychires.2021.06.033

Int J Nurs Stud. 2021 Jun 13;121:104002. doi: 10.1016/j.ijnurstu.2021.104002. Online ahead of print.

ABSTRACT

BACKGROUND: Healthcare workers are at high risk of developing mental health issues during the coronavirus disease 2019 (COVID-19) pandemic. However, there is a need for a full picture of mental health problems with comprehensive analysis among healthcare workers during the COVID-19 pandemic.

OBJECTIVE: This review aimed to systematically identify the mental health problems among healthcare workers in various countries during the COVID-19 pandemic.

DESIGN: Systematic review and meta-analysis.

METHODS: A systematic literature search was performed of the following databases: PubMed, Academic Search Complete, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, MEDLINE Complete, and SocINDEX. The last date of our search was November 2, 2020. We included all cohort, case-control and cross-sectional studies and used the Joanna Briggs Institute tool to assess their quality. A meta-analysis was performed to synthesize the pooled prevalence of mental health problems using a random-effects model. Heterogeneity was measured using the I² statistic and Egger’s test was used to assess publication bias.

RESULTS: A total of 38 studies were identified that reported the mental health problems of healthcare workers during the COVID-19 pandemic. The distribution of healthcare workers analyzed in this review included 27.9% doctors, 43.7% nurses, and 7.0% allied health workers. The pooled prevalence of mental health problems for post-traumatic stress disorder, anxiety, depression, and distress was 49% (95% confidence interval [CI]: 22-75%), 40% (95% CI: 29-52%), 37% (95% CI: 29-45%), and 37% (95% CI: 25-50%), respectively.

CONCLUSION: This review yielded evidence that estimated the global prevalence of mental health problems among healthcare workers during the COVID-19 pandemic. Post-traumatic stress disorder was the most common mental health disorder reported by healthcare workers during the COVID-19 pandemic, followed by anxiety, depression, and distress. Additional studies remain necessary to assess the appropriate management strategies for treating and preventing mental health disorders among healthcare workers during the pandemic.

PMID:34271460 | DOI:10.1016/j.ijnurstu.2021.104002

Int J Paleopathol. 2021 Jul 13;34:155-162. doi: 10.1016/j.ijpp.2021.06.010. Online ahead of print.

ABSTRACT

OBJECTIVE: To analyse the oral conditions of pre-Hispanic mummies from Gran Canaria (5th-11th centuries AD), comparing the results with published data from the non-mummified population.

MATERIALS: 440 teeth and 764 alveoli of 30 adult mummies.

METHODS: Macroscopic examination of pathological and non-pathological features of the oral cavity, using standardized criteria.

RESULTS: The mummies reveal frequent dental caries (11.8%), especially affecting molars (27.6%), a high prevalence of calculus (66.3%) and periodontal disease (34.9%). The average wear is characterized by extensive dentine exposure. Periapical lesions (10.6%) and antemortem tooth loss (AMTL) (15.9%) are common. A high percentage of individuals exhibit linear enamel hypoplasia (LEH) (84%). Except for periodontitis, the data indicate the absence of significant statistical differences between the mummies and the skeletonized sample.

CONCLUSIONS: The profile of the dental pathologies of the mummies indicates a carbohydrate-rich diet that contained abrasive grit from the stone querns used to grind cereals. Comparison of the oral conditions of mummified and skeletonized remains shows no differences in access to food resources, reinforcing the recent rejection of the traditional interpretation of the mummies as the pre-eminent status group of Canarian society.

SIGNIFICANCE: This is the first study to delve into the oral conditions of pre-Hispanic mummified remains from Gran Canaria. The results have implications for the framing of research questions based on the social status of these mummies.

LIMITATION: The preserved sample of mummified remains of ancient Canarians is small.

SUGGESTION FOR FURTHER RESEARCH: Comparative analysis from a diachronic perspective would improve understanding of the historical development of ancient Canarians.

PMID:34271409 | DOI:10.1016/j.ijpp.2021.06.010

Musculoskelet Sci Pract. 2021 Jul 10;55:102429. doi: 10.1016/j.msksp.2021.102429. Online ahead of print.

ABSTRACT

BACKGROUND: Since the contribution of the lumbar multifidus(LM) is not well understood in relation to non-specific low back pain(LBP), this may limit physiotherapists in choosing the most appropriate treatment strategy.

OBJECTIVES: This study aims to compare clinical characteristics, in terms of LM function and morphology, between subacute and chronic LBP patients from a large clinical practice cohort compared to healthy controls.

DESIGN: Multicenter case control study.

METHOD: Subacute and chronic LBP patients and healthy controls between 18 and 65 years of age were included. Several clinical tests were performed: primary outcomes were the LM thickness from ultrasound measurements, trunk range of motion(ROM) from 3D kinematic tests, and median frequency and root mean square values of LM by electromyography measurements. The secondary outcomes Numeric Rating Scale for Pain(NRS) and the Oswestry Disability Index(ODI) were administered. Comparisons between groups were made with ANOVA, p-values<0.05, with Tukey’s HSD post-hoc test were considered significant.

RESULTS: A total of 161 participants were included, 50 healthy controls, 59 chronic LBP patients, and 52 subacute LBP patients. Trunk ROM and LM thickness were significantly larger in healthy controls compared to all LBP patients(p < 0.01). A lower LM thickness was found between subacute and chronic LBP patients although not significant(p = 0.11-0.97). All between-group comparisons showed no statistically significant differences in electromyography outcomes (p = 0.10-0.32). NRS showed no significant differences between LBP subgroups(p = 0.21). Chronic LBP patients showed a significant higher ODI score compared to subacute LBP patients(p = 0.03).

CONCLUSIONS: Trunk ROM and LM thickness show differences between LBP patients and healthy controls.

PMID:34271415 | DOI:10.1016/j.msksp.2021.102429

J Psychiatr Res. 2021 Jul 6;141:276-286. doi: 10.1016/j.jpsychires.2021.07.001. Online ahead of print.

ABSTRACT

BACKGROUND: Re-establishing societal norms in the wake of the COVID-19 pandemic will be important for restoring public mental health and psychosocial wellbeing as well as economic recovery. We investigated the impact on post-pandemic adjustment of a history of mental disorder, with particular reference to obsessive-compulsive (OC) symptoms or traits.

METHODS: The study was pre-registered (Open Science Framework; https://osf.io/gs8j2/). Adult members of the public (n = 514) were surveyed between July and November 2020, to identify the extent to which they reported difficulties re-adjusting as lockdown conditions eased. All were assessed using validated scales to determine which demographic and mental health-related factors impacted adjustment. An exploratory analysis of a subgroup on an objective online test of cognitive inflexibility was also performed.

RESULTS: Adjustment was related to a history of mental disorder and the presence of OC symptoms and traits, all acting indirectly and statistically-mediated via depression, anxiety and stress; and in the case of OC symptoms, also via COVID-related anxiety (all p < 0.001). One hundred and twenty-eight (25%) participants reported significant adjustment difficulties and were compared with those self-identifying as “good adjusters” (n = 231). This comparison revealed over-representation of those with a history or family history of mental disorder in the poor adjustment category (all p < 0.05). ‘Poor-adjusters’ additionally reported higher COVID-related anxiety, depression, anxiety and stress and OC symptoms and traits (all p < 0.05). Furthermore, history of mental disorder directly statistically mediated adjustment status (p < 0.01), whereas OC symptoms (not OC traits) acted indirectly via COVID-related anxiety (p < 0.001). Poor-adjusters also showed evidence of greater cognitive inflexibility on the intra-extra-dimensional set-shift task.

CONCLUSION: Individuals with a history of mental disorder, OC symptoms and OC traits experienced greater difficulties adjusting after lockdown-release, largely statistically mediated by increased depression, anxiety, including COVID-related anxiety, and stress. The implications for clinical and public health policies and interventions are discussed.

PMID:34271458 | DOI:10.1016/j.jpsychires.2021.07.001

Sci Total Environ. 2021 Jul 10;796:148950. doi: 10.1016/j.scitotenv.2021.148950. Online ahead of print.

ABSTRACT

Boundary layer height (BLH) plays an important role in regulating global weather/climate, as well as the dispersion and transportation of pollutants. Until now, however, the attribution and contributions of different controlling factors to BLH long-term variability and trends have not been quantified on a global scale. The long-term radiosonde dataset was used in this study to retrieve global BLH climatology; seasonal, diurnal, long-term variation and trends were analyzed over a 39-year period (1980-2018). Statistical results show that the global distribution of the BLH and its trend have apparent day-night differences. BLH during daytime is deeper during clear-sky conditions compared to cloudy sky conditions, indicating a significant effect of clouds; BLH during nighttime is deeper under cloudy conditions. BLH was also found to vary over different land types; dry and hot soil exhibits a deeper BLH than those of wet and cool soil. The long-term variation and trend of BLH are highly influenced by near-surface meteorological parameters. In particular, based on multiple linear stepwise regression models and the contribution calculation method, this investigation initiatively quantifies the influences of meteorological parameters on global BLH long-term variation and trend. Our results emphasized that a 10 m wind speed (WS) and low tropospheric stability (LTS) have significant contributions to long-term BLH variation; WS and LTS anomalies alternately dominated the contribution of the diurnal cycle of the BLH anomaly. Annual BLH recorded an average increasing trend (38.9-42.1 m/decade), and LTS is more dominant than WS from a contribution perspective, especially for increased BLH anomaly. Contributions from near-surface temperature (T) and relative humidity (RH) also play important roles. However, a decreasing WS trend dominated the decreased trends of BLH anomaly, accounting for nearly 40% of the total contribution.

PMID:34271389 | DOI:10.1016/j.scitotenv.2021.148950

Soc Sci Med. 2021 Jul 2;284:114196. doi: 10.1016/j.socscimed.2021.114196. Online ahead of print.

ABSTRACT

This paper examines the interrelationship between suicide, health, socioeconomic, and psychosocial factors in contributing to suicide in older adults in rural Australia. Drawing on a coronial dataset of suicide cases and a mixed methods sociological autopsy approach, our study integrated a quantitative analysis of 792 suicide cases with a qualitative analysis of medico-legal reports from 30 cases. The sociological autopsy provided novel insights into the entanglement of policy and service provision at the state-level with individual end-of-life decisions. Particular attention is drawn to age and gendered dimensions of suicide, especially in relation to health and social issues. The study showed a continuity between suicide and the patterning of an individual’s life course, including experiences and consequences of inequality and marginality; a desire to meet culturally-normative ideals of autonomy; and a fragmented, under-funded, and intimidating social care system that offered limited options.

PMID:34271402 | DOI:10.1016/j.socscimed.2021.114196

Eur J Obstet Gynecol Reprod Biol. 2021 Jun 24;264:25-30. doi: 10.1016/j.ejogrb.2021.06.025. Online ahead of print.

ABSTRACT

OBJECTIVES: The aim of this study was to measure the impact of innovative pelvic floor muscle training (iPFMT) on Quality-Adjusted Life Years (QALYs) in women with stress urinary incontinence (SUI) treated by duloxetine.

STUDY DESIGN: This analysis is part of the DULOXING study conducted between February 2019 and 2020. The control group received oral duloxetine treatment (40 mg BID), and the experimental group received oral duloxetine treatment (40 mg BID) and iPFMT with lumbopelvic stabilization. SUI was analysed at baseline and in the final period according to the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF). The QALYs gained were calculated by multiplying life expectancy (LE) by a weighting factor (QALYs = LE * WF).

RESULTS: The study included 158 women, of whom 129 were fully analysed (81.6%). The mean life expectancy was 26.3 ± 11.8 years for the control group and 29.0 ± 11.7 years for the experimental group. The mean baseline ICIQ-UI SF scores were 15.2 ± 1.7 vs 15.1 ± 1.5, and the final ICIQ-UI SF scores were 9.8 ± 4.2 vs 8.3 ± 3.8, in the control vs the experimental group, respectively (p < 0.05). The mean baseline WF was 0.27 ± 0.08 vs 0.28 ± 0.07, and the final WF was 0.53 ± 0.20 vs 0.60 ± 0.18, in the control vs the experimental group, respectively (p < 0.05). Before treatment, the number of QALYs during life expectancy in the control vs the experimental group was 7.53 ± 4.24 vs 8.30 ± 4.01. The number of QALYs during life expectancy in control vs the experimental group increased following treatment: 15.03 ± 7.63 vs 17.90 ± 7.86 (p < 0.05).

CONCLUSIONS: Combination treatment with duloxetine and iPFMT statistically significantly increased the number of QALYs and reduced the degree of urinary incontinence in women with stress urinary incontinence.

PMID:34271362 | DOI:10.1016/j.ejogrb.2021.06.025