Category: Statistics

Environ Sci Pollut Res Int. 2023 Jul 27. doi: 10.1007/s11356-023-28902-1. Online ahead of print.

ABSTRACT

Metals exposure has gained increasing attention in the hypertension prevention. However, previous studies have focused on the impacts of single or separated metals on hypertension, and the critical metals contributing to the prevalence of hypertension are still under discussion. We collected data from 5092 participants across three consecutive National Health and Nutrition Examination Survey (NHANES) circles (2011-2016). Weighted logistic regression, weighted quantile sum (WQS) regression, quantile-based g-computation (QGC), and Bayesian kernel machine regression (BKMR) analyses were conducted to evaluate the combined and individual effects of 15 urinary metals, as well as to identify the critical metals on the development of hypertension. In our study, the weighted prevalence of hypertension was 37.9%, and the average age was 47.42 years. Manganese, uranium and tin were found as the independent risk factors for hypertension, while barium, lead, and thallium were found to have protective effects against hypertension. Lead, barium, tungsten, uranium, and tin were determined as critical elements for the prediction of hypertension. No significant interaction relationship was detected between multiple metals. There might be potential positive combined effects of urinary metal mixture on hypertension. Tungsten, uranium, and tin were positively associated with hypertension while lead and barium were negatively associated with hypertension. The underlying mechanisms of urinary metal exposure on the risk of hypertension deserve further investigations.

PMID:37498425 | DOI:10.1007/s11356-023-28902-1

Environ Monit Assess. 2023 Jul 27;195(8):1001. doi: 10.1007/s10661-023-11587-x.

ABSTRACT

Air pollution is the change in air composition that disrupts human health and environmental balance. Although natural and anthropogenic processes include crustal movements, photosynthesis, and plant and animal emissions, other sources of contamination also include industrial operations, transportation activities, household resources, and the chemical and metal industries. Thus, biomonitoring can be employed as a quick, affordable, and efficient method for estimating air pollution. In this study, some inorganic pollutants were detected using olive trees (Olea europaea L.) at eleven different points, depending on the traffic density in Artvin, Turkey. Trace element concentrations (Cr, Ti, Fe, Ni, Co, Cu, Zn, Pb, Al, and Mn) were measured in soil once a year and seasonally in plant samples with ICP-OES. Furthermore, basic component analyses total carbon (TC), total nitrogen (TN), total hydrogen (TH), and total sulfur (TS) were done with an elemental analyzer, total chlorophyll contents with a portable chlorophyll meter, and morphological and particle-based plant analyses with SEM-EDS. The pollution levels of these metals were calculated using the enrichment factor (EF) and geoaccumulation index (I_geo) parameters. Furthermore, the accuracy and validity tests of the analyses for trace metals were tested by applying certified reference materials (CRM) (ERM-CD281) for the plant samples and CRM (LGC-6187) for soil samples. Results indicated that soil trace element pollution distributions were ranked according to the following descending order: Fe (37,873.33 mg/kg) > Al (13,300 mg/kg) > Mn (1101.33 mg/kg) > Ti (353.5 mg/kg) > Zn (252.86 mg/kg) > Cu (87.77 mg/kg) > Cr (30.52 mg/kg) > Pb (19.65 mg/kg) > Ni (17.07 mg/kg) > Co (7.65 mg/kg). Moreover, air pollution from anthropogenic sources substantially increased average trace metal concentrations and sulfur emissions in autumn and winter. The average highest values of Fe (321.08 mg/kg) > Al (304.05 mg/kg) > Mn (32.75 mg/kg) > Zn (31.01 mg/kg) > Cu (17.92 mg/kg) > Ti (11.07 mg/kg) Cr (2.57 mg/kg) > Ni (17.07 mg/kg) were found in leaf samples taken from the roadside in autumn and winter. According to the EF and I_geo values, the main polluting trace elements in the soil were Zn, Cu, and Pb, while in the plant, these were detected as Fe, Al, Ti, Cr, Ni, and Cu. Kruskal-Wallis and correlation analysis statistically supported this relationship among metals. Results show that olive leaves are an effective bioindicator for detecting urban air pollution.

PMID:37498404 | DOI:10.1007/s10661-023-11587-x

Neurol Sci. 2023 Jul 27. doi: 10.1007/s10072-023-06975-7. Online ahead of print.

ABSTRACT

BACKGROUND: Evusheld (EVS) was authorized by FDA and EMA as pre-exposure prophylaxis (PrEP) in people at high risk of severe Covid-19 outcomes, including people with Multiple Sclerosis (pwMS) on B-cell depleting (BCD) therapies-such as Ocrelizumab (OCR). In this population, no data on possible adverse drug reactions (ADRs) to EVS, B-lymphocytes (CD20 +) counts pre- and post-EVS injection, and comparison of percentage increase of IgG antibodies directed against SARS-CoV-2 trimeric spike protein (anti-TSP IgG) post-EVS and Covid-19 vaccine was available. The aim of this study was to better characterize the efficacy and safety profile of EVS in pwMS on BCD agents.

METHODS: 17 pwMS on OCR agreed to receive EVS as PrEP for Covid-19. Sera samples were collected before the first dose of Covid-19 vaccine (T0), 4 weeks after the second dose (T1), 4 weeks after third dose (T2), immediately before (T3) and 4 weeks after (T4) EVS.

RESULTS: Covid-19 vaccine ADRs were mild-to-moderate, whereas no ADRs were reported after EVS injection. A significant increase of anti-TSP IgG was found only at T0-T1 (Z = -3.059, p = .002) and T3-T4 (Z = -3.621, p < .001) time-points. The median percentage increase between T3-T4 was significantly higher with respect to the T0-T1(Z = -3.296, p = .001) and T1-T2 (Z = -3.059, p = .002) time-points.

CONCLUSIONS: These results further support EVS safety and efficacy in boosting anti-TSP IgG titers in pwMS on OCR, with a statistically greater increase than that observed after completion of a full Covid-19 vaccine cycle, plus a booster dose.

PMID:37498399 | DOI:10.1007/s10072-023-06975-7

Clin Exp Rheumatol. 2023 Jul 24. doi: 10.55563/clinexprheumatol/srma43. Online ahead of print.

ABSTRACT

OBJECTIVES: The prevalence and outcome of mixed connective tissue disease-associated pulmonary arterial hypertension (MCTD-PAH) has not been well understood. Our aim was to review the current knowledge on the prevalence, severity, and mortality of MCTD-PAH. We also aimed to examine the prevalence trend of MCTD-PAH over the years.

METHODS: PubMed/Medline, Embase, Scopus and Web of Science electronic databases were searched for the published randomised controlled clinical trials (RCTs) and observational/original studies on PAH in patients with MCTD from January 1972 to December 2020.

RESULTS: The results were pooled using random-effects meta-analysis based on DerSimonian and Laird method. A total of 983 patients from eight studies were included in the meta-analysis (K=8, n=983). Pooled prevalence of PAH in MCTD patients was 12.53% [95% CI 8.30-18.48%] with significant level statistical heterogeneity (tau2=0.30, tau=0.55, i2 83.3%, H=2.13 Q(df,7)=31.90, p=0.001). There was no association between PAH and female gender or age. The percentage of deaths in MCTD patients due to PAH varied and reached up to 81.8%.

CONCLUSIONS: This is the first systematic review and meta-analysis investigating the prevalence of PAH in patients with MCTD and it revealed an overall prevalence of PAH in patients with MCTD of 12.53%. Our results showed trends of reduced prevalence of MCTD-PAH over last four decade, reconfirmed the lower prevalence rate in recent studies, but revealed an increased mortality rate. We also determined the low impact of the age, gender, and interstitial lung disease on MCTD-PAH.

PMID:37497727 | DOI:10.55563/clinexprheumatol/srma43

Curr Med Imaging. 2023 Jul 27. doi: 10.2174/1573405620666230727111222. Online ahead of print.

ABSTRACT

BACKGROUND: Dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) is considered a promising method in lung lesion assessment.

METHODS: Sixty-four patients with single pulmonary lesions (SPLs) received DCE-MRI at 3.0 T. Of them, 49 cases were diagnosed with lung cancer, and 15 with benign pulmonary nodules (8 inflammatory nodules, 5 tuberculosis, and 2 abscesses). SPLs were quantitatively analyzed to determine the pulmonary lesions-related perfusion parameters, including reflux constant (Kep), volume transfer constant (Ktrans), the maximum slope of increase (MaxSlope), extravascular extracellular space volume fraction (Ve), apparent diffusion coefficient (ADC), the initial area in the signal intensity-time curve (IAUGC), and contrast-enhancement ratio (CER). In addition, a Student’s t-test was conducted to calculate statistical significance regarding the quantitatively analyzed perfusion parameters in benign SPLs compared to malignant SPLs. The area under (AUC) the receiver operating characteristic (ROC) curve was studied to investigate the performance of perfusion parameters in diagnosing lung cancer.

RESULTS: Values of Ktrans, Kep, Ve, MaxSlope, and IAUGC increased within malignant nodules relative to benign nodules (Ktrans: 0.21 ±0.08 vs. 0.73 ±0.40, P = 0.0001; Kep: 1.21 ±0.66 vs. 1.83 ±0.90, P = 0.0163; Ve: 0.24 ±0.08 vs. 0.47 ±0.18, P < 0.0001; MaxSlope: 0.09 ±0.14 vs. 0.28 ±0.29, P = 0.0166; IAUGC: 0.18 ±0.09 vs. 0.55 ±0.34, P = 0.0001). Meanwhile, malignant nodules presented higher ADC than benign nodules (0.0016 ±0.0006 vs. 0.0012 ±0.0003, P = 0.0019). Ktrans and IAUGC showed the best diagnostic performance with AUCs [1.0, 95%CI (0.99-1.0); 0.93, 95%CI(0.85-1.0), respectively].

CONCLUSION: Malignant pulmonary lesions had higher values of Ktrans, Ve, Kep, MaxSlope, and IAUGC compared to benign pulmonary lesions. Overall, perfusion parameters of DCE-MRI facilitate discrimination between benign from malignant pulmonary nodules.

PMID:37497704 | DOI:10.2174/1573405620666230727111222

Analyst. 2023 Jul 27. doi: 10.1039/d3an00786c. Online ahead of print.

ABSTRACT

Analysis of volatile organic compounds (VOC) within exhaled breath is subject to numerous sources of methodological and physiological variability. Whilst breathing pattern is expected to influence the concentrations of selected exhaled VOCs, it remains challenging to investigate respiratory rate and depth accurately in awake subjects. Online breath sampling was performed in 20 mechanically ventilated patients using proton transfer reaction time-of-flight mass spectrometry (PTR-ToF-MS). The effect of variation in respiratory rate (RR) and tidal volume (TV) on the VOC release profiles was examined. A panel of nineteen VOCs were selected, including isoprene, acetone, propofol, volatile aldehydes, acids and phenols. Variation in RR had the greatest influence on exhaled isoprene levels, with maximum and average concentrations being inversely correlated with RR. Variations in RR had a statistically significant impact on acetone, C3-C7 linear aldehydes and acetic acid. In comparison, phenols (including propofol), C8-C10 aldehydes and C3-C6 carboxylic acids were not influenced by RR. Isoprene was the only compound to be influenced by variation in TV. These findings, obtained under controlled conditions, provide useful guidelines for the optimisation of breath sampling protocols to be applied on awake patients.

PMID:37497696 | DOI:10.1039/d3an00786c

Acta Psychiatr Scand. 2023 Jul 27. doi: 10.1111/acps.13596. Online ahead of print.

ABSTRACT

INTRODUCTION: Psychotic-like experiences (PLE) have been associated with the subsequent emergence of psychotic disorders as well as several other domains of psychopathology. In this twin study, we estimated the genetic and environmental correlations between PLE and 10 personality disorders (PD).

METHODS: Diagnoses of 10 PDs according to the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and PLE from the Composite International Diagnostic Interview (CIDI) were retrieved for 2793 young adult twins from the Norwegian Twin Registry. Risk for having a PD and PLEs was modeled using item response theory. Biometric twin models were fitted to estimate the genetic and environmental correlations between PDs and PLEs. Co-twin control analysis was performed to estimate additional within-family risk for PLEs when having a PD.

RESULTS: Phenotypic overlap between PDs and PLEs ranged from 14% to 44% in males and from 11% to 39% in females, with the highest overlap for borderline PD in both sexes. In general, we found higher genetic correlations (r = 0.14-0.72) than environmental correlations (r = 0.06-0.28) between PDs and PLEs. The highest genetic correlations between PLE and PDs were found for borderline (r = 0.72), paranoid (r = 0.56), schizotypal (r = 0.56) and antisocial PD (r = 0.49).

CONCLUSION: We found that the co-occurrence between PDs and PLE is the best explained by shared genetic determinants, with minor contributions from environmental factors. Interestingly, borderline PD was highly genetically correlated with PLE, warranting molecular genetic studies of this association.

PMID:37497694 | DOI:10.1111/acps.13596

Hum Fertil (Camb). 2023 Jul 27:1-12. doi: 10.1080/14647273.2023.2238898. Online ahead of print.

ABSTRACT

With the growing challenge of abandoned surplus embryos in the ART arena, and the limited traction of embryo donation as a viable embryo disposition choice, it is important to better understand barriers to wider adoption of this opportunity. We aim to learn about perspectives and experience of participants in directed and non-identified embryo donation programmes. This was a longitudinal cohort survey study, of all participants in an embryo donation programme in a single university affiliated clinic between 2016 and 2020. Clinical data were extracted from counselling reports. Based on these data, non-identified online questionnaires were constructed and refined via Delphi procedure for face and content validity. Sixty-five online questionnaires were emailed between March-April 2021. Descriptive statistics, cross-tabulation, Fisher’s exact test and t-test were used for analyses. Source of patient awareness, factors influencing the decision-making process, patient perspective and satisfaction were explored. The response rate was 67.2%. Most participants in the non-identified programme learned of it through their treating physicians, whereas most participants in the directed programme learned of it online. The main driver to donate across both cohorts was wanting to give others the opportunity to experience the joy of parenthood. Overall, 45% described moderate to marked difficulty in decision making related to donating their embryos, and this did not differ between cohorts. Non-identified donors reported feeling highly attached to the donated embryos more often than directed donors. Level of satisfaction was higher in the directed donation programme. Participants were more satisfied following directed than non-identified donation, and some even consider their counterparts as extended family. Our findings should be validated in various settings, and on larger samples.

PMID:37497652 | DOI:10.1080/14647273.2023.2238898

Vet Med Sci. 2023 Jul 27. doi: 10.1002/vms3.1230. Online ahead of print.

ABSTRACT

BACKGROUND: Biosecurity-based interventions are important health strategies for the control of infectious disease and improve productivity in broiler. There are various reasons why broilers die at the early stages of production; however, biosecurity measures are crucial in reducing the risk of disease prevalence and can therefore affect the overall deaths in a flock for a specific period (crude mortality rate [CMR]).

OBJECTIVES: This study was designed to determine the current biosecurity situation on small-scale broiler farms in Bangladesh and its relationship to the CMR during the early stages of production.

METHODS: A cross-sectional observational study was conducted on small-scale broiler farms (N = 57) located in peri-urban areas of Chattogram and Pabna districts of Bangladesh. Descriptive and predictive statistical analyses were performed to estimate the frequency of categorical variables and their effect on CMR.

RESULTS: The findings indicated that around 80% of small-scale broiler farms lacked adequate biosecurity measures. Both on day 1 (p = 0.012) and on days 2-14 (p = 0.003), flocks with inadequate biosecurity had considerably higher median CMRs. Farms that were near the neighbourhood used wood shavings as bedding, offered tube well/shallow well or supply line water, maintained a brief empty period (≤5 days) before introducing new flocks and began using antibiotics on day 1 all had significantly higher CMR at both days 1 and 2-14.

CONCLUSIONS: The findings point to the necessity of implementing stringent biosecurity measures in broiler production in locations where there is a shortage, which can lower the burden of arbitrary antibiotic usage and will lower total production costs due to crude mortality and management-related issues.

PMID:37497647 | DOI:10.1002/vms3.1230

Korean J Orthod. 2023 Jul 25;53(4):263-275. doi: 10.4041/kjod22.243. Epub 2023 Jun 27.

ABSTRACT

OBJECTIVE: To investigate the effects of maxillary orthodontic expansion on the alveolar bone tissue in adult patients treated with aligners by using cone-beam computed tomography.

METHODS: Thirty patients (22 females and 8 males; mean age: 36.3 years) were treated with Invisalign^® aligners. Cone-beam computed tomography and digital models were obtained before (T0) and after (T1) upper arch expansion. The bone thicknesses in the cervical, middle, and apical areas of the incisors, canines, premolar, and first molars were buccally and palatally measured, totaling 96 areas and 2,880 measurements. The buccolingual inclinations and transverse measurements of the teeth were obtained from digital models to correlate them with the bone changes. The statistical tests used were Student’s t-test, analysis of variance, and Pearson’s correlation tests (p < 0.05).

RESULTS: From the 96 areas evaluated, 84 revealed an increase or stability in the alveolar bone thickness and twelve displayed significant bone loss. Bone changes did not correlate with the tooth inclination and transverse measurements.

CONCLUSIONS: Within the limitation of the present study, mild levels of upper arch expansion obtained with Invisalign^® aligners in adult patients did not result in any clinically significant loss of alveolar bone thickness.

PMID:37497583 | DOI:10.4041/kjod22.243