Category: Statistics

Int J Emerg Med. 2023 Nov 30;16(1):87. doi: 10.1186/s12245-023-00563-4.

ABSTRACT

BACKGROUND: The use of intravenous fluid therapy in patients with major trauma in prehospital settings is still controversial. We conducted an umbrella review to evaluate which is the best volume expansion in the resuscitation of a hemorrhagic shock to support the development of major trauma guideline recommendations.

METHODS: We searched PubMed, Embase, and CENTRAL up to September 2022 for systematic reviews (SRs) investigating the use of volume expansion fluid on mortality and/or survival. Quality assessment was performed using AMSTAR 2 and the Certainty of the evidence was assessed with the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach.

RESULTS: We included 14 SRs investigating the effects on mortality with the comparisons: use of crystalloids, blood components, and whole blood. Most SRs were judged as critically low with slight overlapping of primary studies and high consistency of results. For crystalloids, inconsistent evidence of effectiveness in 28- to 30-day survival (primary endpoint) was found for the hypertonic saline/dextran group compared with isotonic fluid solutions with moderate certainty of evidence. Pre-hospital blood component infusion seems to reduce mortality, however, as the certainty of evidence ranges from very low to moderate, we are unable to provide evidence to support or reject its use. The blood component ratio was in favor of higher ratios among all comparisons considered with moderate to very low certainty of evidence. Results about the effects of whole blood are very uncertain due to limited and heterogeneous interventions in studies included in SRs.

CONCLUSION: Hypertonic crystalloid use did not result in superior 28- to 30-day survival. Increasing evidence supports the scientific rationale for early use of high-ratio blood components, but their use requires careful consideration. Preliminary evidence is very uncertain about the effects of whole blood and further high-quality studies are required.

PMID:38036955 | DOI:10.1186/s12245-023-00563-4

Langmuir. 2023 Nov 30. doi: 10.1021/acs.langmuir.3c02385. Online ahead of print.

ABSTRACT

Antimicrobial resistance (AMR) is on an upsurge as more and more broad-spectrum antibiotics are being used haphazardly, resulting in imbalances in the ecosystem and disrupting common/systematic clinical protocols. To combat this issue, metal-organic framework embedded zinc-copper-benzenedicarboxylate@calcium alginate composite beads (Zn-Cu-BDC@CA CBs) were synthesized and utilized for the adsorption of tetracycline (TC) from water. The surface morphology, presence of functional groups, surface area, and thermal stability of Zn-Cu-BDC@CA CBs were evaluated by field emission scanning electron microscopy (FESEM), Fourier transform infrared spectroscopy (FTIR), Brunauer-Emmett-Teller (BET), and thermal gravimetric analysis (TGA), respectively. Batch adsorption experiments were also carried out to optimize the adsorption performance of Zn-Cu-BDC@CA CBs for TC by adjusting the key parameters, including pH of the solution, contact time, adsorbent dosage, temperature, and initial concentration of TC. From the RSM model, 96.8% removal of TC takes place under the optimum conditions (pH = 7.3, mass = 17.2 mg, concentration = 21.3 ppm, time = 3.4 h, and temperature = 31.8 °C), which aligns closely with the experimental batch study, where the addition of 20 mg of adsorbent to a 20 mL TC solution (20 mg/L) at a pH of 7 and a temperature of 27 °C yielded an impressive TC removal efficiency of 96.55% within 180 min. Zn-Cu-BDC@CA CBs possess homogeneous adsorption surfaces, and TC is adsorbed via monolayer chemisorption, according to the results derived from the Langmuir isotherm model and pseudo-second-order kinetic model. The thermodynamic analysis indicated that the adsorption process is both endothermic and spontaneous. In their entirety, the synthesized Zn-Cu-BDC@CA CBs exhibit certain operational advantages, such as simple separation, satisfactory adsorption performance, and decent recyclability, indicating their viability for industrial application of elimination of TC residues from aquatic environments.

PMID:38036945 | DOI:10.1021/acs.langmuir.3c02385

Psychooncology. 2023 Nov 30. doi: 10.1002/pon.6258. Online ahead of print.

NO ABSTRACT

PMID:38036931 | DOI:10.1002/pon.6258

Ann Surg Oncol. 2023 Nov 30. doi: 10.1245/s10434-023-14637-3. Online ahead of print.

ABSTRACT

BACKGROUND: The benefit of primary tumor resection in distant metastatic small bowel neuroendocrine tumors (SBNETs) is controversial, with treatment-based morbidity not well-defined. We aimed to determine the impact of primary tumor resection on development of disease-specific complications in patients with metastatic well-differentiated SBNETs.

PATIENTS AND METHODS: A retrospective analysis was performed of patients diagnosed with metastatic well-differentiated jejunal/ileal SBNETs at a single tertiary care cancer center from 1980 to 2016. Outcomes were compared on the basis of treatment selected at diagnosis between patients who underwent initial medical treatment or primary tumor resection.

RESULTS: Among 180 patients, 71 underwent medical management and 109 primary tumor resection. Median follow-up was 116 months. Median event-free survival did not differ between treatment approaches (log-rank p = 0.2). In patients medically managed first, 16/71 (23%) required surgery due to obstruction, perforation, or bleeding. These same complications led to resection at presentation in 31/109 (28%) surgically treated patients. Development of an obstruction from the primary tumor was not associated with disease progression/recurrence (HR 1.14, 95% CI 0.75-1.75) with all patients recovering postoperatively. Ongoing tumor progression requiring secondary laparotomy was associated with worse mortality (HR 7.51, 95% CI 3.3-16.9; p < 0.001) and occurred in 20/109 (18%) primary tumor resection and 7/16 (44%) initially medically treated patients.

CONCLUSIONS: Rates of event-free survival among patients with metastatic SBNETs do not differ on the basis of primary tumor management. The development of an obstruction from the primary tumor was not associated with worse outcomes with all patients salvaged. Regardless of initial treatment selected, patients with metastatic SBNET should be closely followed for early signs of primary tumor complications.

PMID:38036927 | DOI:10.1245/s10434-023-14637-3

Neuroinformatics. 2023 Nov 30. doi: 10.1007/s12021-023-09648-0. Online ahead of print.

ABSTRACT

The international neuroscience community is building the first comprehensive atlases of brain cell types to understand how the brain functions from a higher resolution, and more integrated perspective than ever before. In order to build these atlases, subsets of neurons (e.g. serotonergic neurons, prefrontal cortical neurons etc.) are traced in individual brain samples by placing points along dendrites and axons. Then, the traces are mapped to common coordinate systems by transforming the positions of their points, which neglects how the transformation bends the line segments in between. In this work, we apply the theory of jets to describe how to preserve derivatives of neuron traces up to any order. We provide a framework to compute possible error introduced by standard mapping methods, which involves the Jacobian of the mapping transformation. We show how our first order method improves mapping accuracy in both simulated and real neuron traces under random diffeomorphisms. Our method is freely available in our open-source Python package brainlit.

PMID:38036915 | DOI:10.1007/s12021-023-09648-0

Environ Sci Pollut Res Int. 2023 Dec 1. doi: 10.1007/s11356-023-31130-2. Online ahead of print.

ABSTRACT

Microplastic (MP) contamination in commercially sold spirulina products has not been previously investigated. In this study, 29 spirulina samples in various packaging types were purchased from different brands and origins to assess the presence of MPs. Microplastic analysis was conducted using microscopic and μ-Raman techniques. To ascertain whether the content is indeed spirulina and make a comparison with the MP level, C-Phycocyanin levels were also analyzed. A total of 251 MP-like particles were observed. Out of the 29 examined packaged spirulina brands, 26 showed potential MPs upon visual inspection, with 35 particles confirmed as MPs (73% of the analyzed particles). The mean abundance of MPs was estimated at 13.77 ± 2.45 MPs/100 g dw. Powdered spirulina had a higher but not statistically significant MP abundance (17.34 ± 4.22 MPs/100 g dw) compared to capsule/tablet forms (10.43 ± 2.45 MPs/100 g dw). Fragments accounted for 38.3% while fibers constituted 61.7% of the identified MPs, with sizes ranging from 0.07 to 2.15 mm for fragments and 0.19 to 5.691 mm for fibers. The color distribution of MPs in spirulina samples was predominantly blue (52.8%), followed by black (25.4%), white (10.9%), and others (10.9%). Ten synthetic polymers and cellulose were identified through μ-Raman analysis, with polypropylene (31.6%) and polystyrene (8.3%) being the most prevalent. The correlation between C-Phycocyanin and MPs concentrations, was not found statistically significant. The abundance and composition of MPs were found to be influenced by packaging and processing stages. Identifying potential sources of MPs in spirulina products and evaluating their risks to human health is crucial.

PMID:38036911 | DOI:10.1007/s11356-023-31130-2

Environ Sci Pollut Res Int. 2023 Dec 1. doi: 10.1007/s11356-023-30974-y. Online ahead of print.

ABSTRACT

We present the results of an in situ study of a set of blood parameters in adult marsh frogs (Pelophylax ridibundus (Pallas 1771) from populations inhabiting the largest system of rice fields in Bulgaria, the Tsalapitsa rice fields (TRF), under chronic stress conditions. This study was conducted in spring 2022 to assess the health status of TRF frogs compared to that of frogs occupying a reference site (RS). Furthermore, this study also compared the results obtained for the TRF population with those obtained in a study conducted at the exact same location with P. ridibundus individuals in 2013 (Zhelev et al. 2018). This comparison highlights the potential effects of persistent use of agrochemicals (pesticides and fertilizers) on the marsh frogs of later generations. Our results suggest that the general health of marsh frogs in the polluted site (PS) in southern Bulgaria has severely deteriorated. Frogs of both sexes were anemic with weakened immune systems compared to those living in the RS. The long-term use of agrochemicals in the PS affected males to a greater extent than it did females. Statistically significant hypochromia was observed in males, combined with general leukopenia, neutrophilia, lymphopenia, monocytosis, eosinophilia, and higher neutrophil/lymphocyte (N/L) ratios.

PMID:38036908 | DOI:10.1007/s11356-023-30974-y

Metabolomics. 2023 Nov 30;20(1):2. doi: 10.1007/s11306-023-02065-z.

ABSTRACT

INTRODUCTION: In metabolomics, the investigation of associations between the metabolome and one trait of interest is a key research question. However, statistical analyses of such associations are often challenging. Statistical tools enabling resilient verification and clear presentation are therefore highly desired.

OBJECTIVES: Our aim is to provide a contribution for statistical analysis of metabolomics data, offering a widely applicable open-source statistical workflow, which considers the intrinsic complexity of metabolomics data.

METHODS: We combined selected R packages tailored for all properties of heterogeneous metabolomics datasets, where metabolite parameters typically (i) are analyzed in different matrices, (ii) are measured on different analytical platforms with different precision, (iii) are analyzed by targeted as well as non-targeted methods, (iv) are scaled variously, (v) reveal heterogeneous variances, (vi) may be correlated, (vii) may have only few values or values below a detection limit, or (viii) may be incomplete.

RESULTS: The code is shared entirely and freely available. The workflow output is a table of metabolites associated with a trait of interest and a compact plot for high-quality results visualization. The workflow output and its utility are presented by applying it to two previously published datasets: one dataset from our own lab and another dataset taken from the repository MetaboLights.

CONCLUSION: Robustness and benefits of the statistical workflow were clearly demonstrated, and everyone can directly re-use it for analysis of own data.

PMID:38036896 | DOI:10.1007/s11306-023-02065-z

Nat Methods. 2023 Nov 30. doi: 10.1038/s41592-023-02101-9. Online ahead of print.

ABSTRACT

Although the subcellular dynamics of RNA and proteins are key determinants of cell homeostasis, their characterization is still challenging. Here we present an integrative framework to simultaneously interrogate the dynamics of the transcriptome and proteome at subcellular resolution by combining two methods: localization of RNA (LoRNA) and a streamlined density-based localization of proteins by isotope tagging (dLOPIT) to map RNA and protein to organelles (nucleus, endoplasmic reticulum and mitochondria) and membraneless compartments (cytosol, nucleolus and cytosolic granules). Interrogating all RNA subcellular locations at once enables system-wide quantification of the proportional distribution of RNA. We obtain a cell-wide overview of localization dynamics for 31,839 transcripts and 5,314 proteins during the unfolded protein response, revealing that endoplasmic reticulum-localized transcripts are more efficiently recruited to cytosolic granules than cytosolic RNAs, and that the translation initiation factor eIF3d is key to sustaining cytoskeletal function. Overall, we provide the most comprehensive overview so far of RNA and protein subcellular localization dynamics.

PMID:38036857 | DOI:10.1038/s41592-023-02101-9

Nat Methods. 2023 Nov 30. doi: 10.1038/s41592-023-02069-6. Online ahead of print.

ABSTRACT

Complete, telomere-to-telomere (T2T) genome assemblies promise improved analyses and the discovery of new variants, but many essential genomic resources remain associated with older reference genomes. Thus, there is a need to translate genomic features and read alignments between references. Here we describe a method called levioSAM2 that performs fast and accurate lift-over between assemblies using a whole-genome map. In addition to enabling the use of several references, we demonstrate that aligning reads to a high-quality reference (for example, T2T-CHM13) and lifting to an older reference (for example, Genome reference Consortium (GRC)h38) improves the accuracy of the resulting variant calls on the old reference. By leveraging the quality improvements of T2T-CHM13, levioSAM2 reduces small and structural variant calling errors compared with GRC-based mapping using real short- and long-read datasets. Performance is especially improved for a set of complex medically relevant genes, where the GRC references are lower quality.

PMID:38036856 | DOI:10.1038/s41592-023-02069-6