Category: Statistics

Int J Gynaecol Obstet. 2022 Aug 22. doi: 10.1002/ijgo.14415. Online ahead of print.

ABSTRACT

OBJECTIVE: To find whether mild forms of placenta creta (MPC) are more common in placentas delivered by cesarean section for non-anatomical indications than in placentas from vaginal deliveries.

METHODS: This is a retrospective clinical study. MPC was diagnosed histologically by the presence of myometrial fibers in the decidua basalis or parietalis or in direct contact with the Rohr fibrinoid or chorionic villi. After excluding 111 cases at high risk for anatomical PC, placentas from 830 consecutive cesarean deliveries (Group 1) were retrospectively statistically compared to 907 placentas from vaginal deliveries (Group 2).

RESULTS: Statistically significant differences were found in 6 independent clinical and 7 placental phenotypes: More frequent preeclampsia, abnormal fetal heart rate tracing and umbilical artery dopplers, hypercoiled umbilical cord, diffuse post uterine pattern of chronic hypoxic placental injury, and clusters of avascular or mineralized chorionic villi were found in Group 1, while preterm delivery, induction of labor and histological patterns related to stillbirth were observed in Group 2.

CONCLUSION: MPC diagnosed in placentas from cesarean sections performed for non-anatomical indications is not statistically significantly more common than in those after vaginal delivery. Therefore, MPC may feature similar diagnostic correlations and portend similar prognosis for future pregnancies.

PMID:35993138 | DOI:10.1002/ijgo.14415

Zool Res. 2022 Sep 18;43(5):827-842. doi: 10.24272/j.issn.2095-8137.2022.014.

ABSTRACT

During faunal studies of psammophilic ciliates along the coast of Qingdao, China, several marine karyorelictean species were isolated. Among them, four species within the genus Remanella were investigated, including two species new to science: i.e., R. rugosa, Remanella elongata sp. nov., Remanella aposinica sp. nov., and R. unicorpusculata. Remanella rugosa has been reported several times, but this study is the first to provide detailed morphological characters and phylogenetics. Remanella elongata sp. nov. can be distinguished from its congeners by the presence of complex cortical granules, fewer macronuclei, and longer body size. Remanella aposinica sp. nov. differs from its congeners by having 14-17 right lateral ciliary rows and 24-37 dikinetids of intrabuccal kinety. Poorly known Remanella rugosa var. unicorpusculata (Kahl, 1933) Foissner, 1996 should be elevated from subspecies to species level, Remanella unicorpusculata (Foissner, 1996) stat. nov., based on detailed redescriptions with statistical data, living morphology, infraciliature, and species definitions. Small subunit (SSU) rDNA was sequenced for the four species, and phylogenetic analysis revealed that all known taxa in Remanella formed the outline branch to the genus Loxodes with moderate to high bootstrap support among Remanella lineages.

PMID:35993134 | DOI:10.24272/j.issn.2095-8137.2022.014

Clin Transl Radiat Oncol. 2022 Aug 3;36:106-112. doi: 10.1016/j.ctro.2022.08.001. eCollection 2022 Sep.

ABSTRACT

BACKGROUND: The microscopic tumor extension before, during or after radiochemotherapy (RCHT) and its correlation with the tumor microenvironment (TME) are presently unknown. This information is, however, crucial in the era of image-guided, adaptive high-precision photon or particle therapy.

MATERIALS AND METHODS: In this pilot study, we analyzed formalin-fixed paraffin-embedded (FFPE) tumor resection specimen from patients with histologically confirmed squamous cell carcinoma (SCC; n = 10) or adenocarcinoma (A; n = 10) of the esophagus, having undergone neoadjuvant radiochemotherapy followed by resection (NRCHT + R) or resection (R)]. FFPE tissue sections were analyzed by immunohistochemistry regarding tumor hypoxia (HIF-1α), proliferation (Ki67), immune status (PD1), cancer cell stemness (CXCR4), and p53 mutation status. Marker expression in HIF-1α subvolumes was part of a sub-analysis. Statistical analyses were performed using one-sided Mann-Whitney tests and Bland-Altman analysis.

RESULTS: In both SCC and AC patients, the overall percentages of positive tumor cells among the five TME markers, namely HIF-1α, Ki67, p53, CXCR4 and PD1 after NRCHT were lower than in the R cohort. However, only PD1 in SCC and Ki67 in AC showed significant association (Ki67: p = 0.03, PD1: p = 0.02). In the sub-analysis of hypoxic subvolumes among the AC patients, the percentage of positive tumor cells within hypoxic regions were statistically significantly lower in the NRCHT than in the R cohort across all the markers except for PD1.

CONCLUSION: In this pilot study, we showed changes in the TME induced by NRCHT in both SCC and AC. These findings will be correlated with microscopic tumor extension measurements in a subsequent cohort of patients.

PMID:35993091 | PMC:PMC9385880 | DOI:10.1016/j.ctro.2022.08.001

Vet World. 2022 Jun;15(6):1550-1556. doi: 10.14202/vetworld.2022.1550-1556. Epub 2022 Jun 27.

ABSTRACT

BACKGROUND AND AIM: Infectious bovine rhinotracheitis (IBR) is an infectious disease widely distributed globally and is considered the main cause of various reproductive and respiratory tract diseases in cattle and buffaloes. This study aimed to estimate seroprevalence and determine risk factors associated with the presentation of IBR in the municipality of Sotaquirá, Boyacá (Colombia).

MATERIALS AND METHODS: A descriptive cross-sectional study with simple random sampling was performed, and the sample size was 1,000 cattle. Blood samples were obtained by coccygeal venipuncture and processed through indirect enzyme-linked immunosorbent assay using the Synbiotics^® kit (Zoetis, New Jersey, USA) with a sensitivity and specificity of 96% and 98%, respectively. Data were processed using the statistical program EpiInfo^® (Centers for Disease Control and Prevention; Atlanta, Georgia).

RESULTS: A high seroprevalence of 57.5% was established. Seroprevalence was the highest in cattle >4 years of age (65.0% apparent seroprevalence [AS]; 67% true seroprevalence [TS]) and in the Holstein breed (65.5% AS; 67.8% TS). The breed and age of the animals were significantly associated with each other. The Holstein breed, age group >4 years, uncertified semen, and fetal death were established as risk factors for IBR. In comparison, the age groups of <1 and 1-2 years and the Normande breed were established as protective factors against the bovine herpesvirus-1 virus.

CONCLUSION: Management factors, such as livestock from other owners and animal purchases, which affect disease presentation, are evident. The implementation and development of novel prevention and control measures for IBR at the national level are necessary.

PMID:35993084 | PMC:PMC9375214 | DOI:10.14202/vetworld.2022.1550-1556

Vet World. 2022 Jun;15(6):1595-1600. doi: 10.14202/vetworld.2022.1595-1600. Epub 2022 Jun 30.

ABSTRACT

BACKGROUND AND AIM: Acute kidney injury (AKI) is associated with a grave prognosis. A clinical assessment of kidney function can be performed based on the glomerular filtration rate (GFR). Cystatin C (CysC) can indicate the GFR or kidney function and its measurement is currently performed using immunological methods such as nephelometry, immunoturbidimetry, and enzyme-linked immunosorbent assays in human medicine. However, these techniques are not specific for use in veterinary medicine. This study aimed to validate an immunoturbidimetric assay for serum CysC (sCy) in dogs, determine the sCy reference intervals for healthy dogs, evaluate sCy stability in serum samples, and compare sCy with serum creatinine (sCr) in healthy dogs and dogs with AKI.

MATERIALS AND METHODS: Forty-three dogs were divided into a control group (n = 19) and an AKI group (n = 24). An immunoturbidimetric method including commercially available human CysC calibrated with canine CysC was used to evaluate canine serum samples.

RESULTS: An average recovery of 97% was observed for canine serum samples. The reference interval for CysC in healthy dogs was 0.57-1.29 mg/L. The sCy concentration in dogs with AKI was significantly higher (2.82 ± 1.46 mg/L) than in healthy dogs (0.93 ± 0.18 mg/L). Statistical analysis confirmed a strong correlation between sCy and sCr (r = 0.94; p < 0.05) in dogs with AKI.

CONCLUSION: The immunoturbidimetric method of evaluating sCy yielded satisfactory results and can be used for canine samples when a species-specific calibrator is used. Furthermore, sCy is a reliable marker of renal dysfunction in dogs. It is best to store samples for sCy evaluation at temperatures between 4°C and 8°C.

PMID:35993081 | PMC:PMC9375203 | DOI:10.14202/vetworld.2022.1595-1600

Vet World. 2022 Jun;15(6):1408-1412. doi: 10.14202/vetworld.2022.1408-1412. Epub 2022 Jun 8.

ABSTRACT

BACKGROUND AND AIM: Diabetes mellitus is a carbohydrate metabolism disorder produced mainly by a deficit in insulin production or insulin resistance. The homeostatic model assessment (HOMA) is a broad method for estimating insulin resistance and β-cell function. This study aimed to evaluate the stages of insulin resistance using non-linear HOMA index analysis in normoglycemic normal weight and obese canines.

MATERIALS AND METHODS: Insulin resistance was evaluated using the mathematical HOMA non-linear model in canines with different body and glycemic conditions. Forty canines were studied, including 20 normoglycemic normal weight canines and 20 normoglycemic obese canines. Chi-square statistical test was applied, in which the body condition and HOMA non-linear index were evaluated. The Spearman correlation test was conducted to evaluate the glycemic and insulin variables in both types of canines.

RESULTS: The Spearman correlation presented a correlation between increased blood glucose levels and insulin in obese canines, with a correlation of 0.79, while no significant changes in insulin were found in normal weight canines with different blood glucose levels, with a correlation of -0.11. The analysis of the non-linear HOMA index showed significant differences between non-linear HOMA insulin resistance in normal weight and obese canines, with a Chi-square statistic of 16.9424 and p = 0.000039. Canine with increased HOMA 2 showed higher levels of insulin with increasing blood glucose compared to those with normal HOMA 2.

CONCLUSION: The HOMA 2 is a marker for evaluating increased insulin resistance in obese dogs and can be used to determine patients at risk for glycemic alterations.

PMID:35993079 | PMC:PMC9375204 | DOI:10.14202/vetworld.2022.1408-1412

Vet World. 2022 Jun;15(6):1423-1429. doi: 10.14202/vetworld.2022.1423-1429. Epub 2022 Jun 9.

ABSTRACT

BACKGROUND AND AIM: Maedi-visna is a chronic viral disease of sheep with worldwide distribution causing substantial economic losses to the small ruminant industry. Pneumonia and mastitis are the main manifestations of the disease. This study aimed to investigate the occurrence of maedi-visna virus (MVV) in sheep using histopathology and nested polymerase chain reaction (PCR) techniques and also to estimate the seroprevalence of small ruminant lentiviruses (SRLVs) in sheep and goats using commercially available enzyme-linked immunosorbent assay (ELISA).

MATERIALS AND METHODS: Lung tissue samples from 380 sheep were collected and fixed in 10% formalin for histopathology and molecular diagnosis of MVV. Separately, 806 serum samples were randomly collected from 633 sheep and 173 goats to detect the seroprevalence of SRLVs using ELISA.

RESULTS: The results showed that 4.7% of lung samples (n=190) were positive by both histopathology and nested PCR, 5.8% (n = 380) were positive by histopathology only (have lymphoid follicular hyperplasia), and 7.4% (n = 190) were positive by nested PCR only. Statistical analysis revealed a moderate agreement between the two tests (Kappa=0.451, n = 190). Serology results revealed that sheep and/or goats herd prevalence was 59.8% (n = 87), while individual seroprevalence in sheep (40.1%, n = 633) was significantly higher than that in the other six countries and also significantly higher than that in goats (18.5%, n = 173) (at p < 0.05).

CONCLUSION: The moderate statistical agreement between nested PCR and histopathological diagnosis of MVV in formalin-fixed paraffin-embedded sheep lung tissue samples (Kappa=0.451, n = 190) suggests combining both tests for more sensitive MVV detection in sheep lung samples. SRLVs seropositivity in sheep was significantly higher than in goats, thus, it is of high concern and urges the inquiry into the economic impact of the disease and the financial benefit of adopting eradication measures.

PMID:35993078 | PMC:PMC9375225 | DOI:10.14202/vetworld.2022.1423-1429

Vet World. 2022 Jun;15(6):1506-1514. doi: 10.14202/vetworld.2022.1506-1514. Epub 2022 Jun 18.

ABSTRACT

BACKGROUND AND AIM: Salmonellosis is an infectious disease that often occurs in chickens and is caused by Salmonella enteritidis. The use of antibiotics to prevent this disease can result in the development of resistance in pathogenic bacteria, in addition to the presence of antibiotic residues in consumed carcasses. Red ginger (Zingiber officinale var. rubrum) has active compounds that potentially act as immunomodulators which increase specific and non-specific immune responses through the induction of cytokine production. This study was conducted to determine the effects of red ginger powder mixed in feed for starter and finisher broiler chickens, based on the evaluation of the expression of immunoglobulin A (IgA), histopathologic description of the ileum and cecum, IgA, and immunoglobulin Y (IgY) expression in the spleen, and the isolation count of S. enteritidis in fresh fecal samples.

MATERIALS AND METHODS: A total of 100 starter and 100 finisher Cobb broiler chickens were divided into four groups, designated as T0, T1, T2, and T3, respectively: Group T0 was fed commercial feed with no added 2% red ginger powder or S. enteritidis induction, and served as a negative control; Group T1 was inoculated with a 0.25 mL S. enteritidis oral induction (1 × 10⁷ colony-forming unit [CFU] [0.5 McFarland standard]), and served as a positive control; Group T2 was fed with feed containing 2% red ginger powder; while Group T3 was fed with feed containing 2% red ginger powder and was orally inoculated with S. enteritidis with a dose similar to T1. The normal feed was given on the 1^st-7^th days. The mixture of 2% red ginger powder was given on the 7^th-15^th days. The S. enteritidis was induced on the 15^th day (1 × 10⁷ CFU). Necropsy was performed on the 16^th day and tissues were fixed in 10% formalin and routinely processed for histopathologic and immunohistochemical analyses. The data were analyzed using a one-way analysis of variance test, Tukey’s analysis, and the Mann-Whitney U non-parametric statistical analysis test.

RESULTS: The 2% red ginger powder was found to significantly (p < 0.05) increase IgA expression and additionally decrease tissue damage in the cecum and ileum. It also increased IgA and IgY expression in the spleen. In addition, a decrease was observed in the S. enteritidis number isolated from finisher fresh feces, but none was found in the isolated starter fresh feces.

CONCLUSION: These findings indicate that the addition of red ginger powder to chicken feed is a potential natural immunomodulator against S. enteritidis infection.

PMID:35993070 | PMC:PMC9375218 | DOI:10.14202/vetworld.2022.1506-1514

Vet World. 2022 Jun;15(6):1438-1448. doi: 10.14202/vetworld.2022.1438-1448. Epub 2022 Jun 12.

ABSTRACT

BACKGROUND AND AIM: Fasciolosis is a significant problem in veterinary and public health, causing huge economic losses. Epidemiological studies of fasciolosis in dairy cattle in Indonesia are few and existing reports primarily focus on prevalence. This study aimed to determine the prevalence, risk factors, and infection intensity of fasciolosis in dairy cattle in Boyolali, Indonesia.

MATERIALS AND METHODS: This cross-sectional study included 400 dairy cattle from 72 household farms in eight subdistricts. Fecal samples (n=400) were examined using the Flukefinder^® kit and the simple sedimentation technique was the gold standard for fasciolosis. In-person interviews using questionnaires collected data on farmers, farms, and animal characteristics. Chi-square and logistic regression analyses were performed to evaluate the associated risk factors for fasciolosis, and p < 0.05 was considered statistically significant.

RESULTS: The overall prevalence of fasciolosis in dairy cattle in Boyolali, Indonesia, was 16.50% (95% confidence interval [CI] 12.85-20.15) at the animal level (n = 400), whereas 40.28% at household farms (n = 72) level (95% CI 18.67-51.88). The relative sensitivity and specificity of the Flukefinder^® kit compared with those of the gold standard were 79.49% and 92.52%, respectively, with a moderate agreement (kappa=0.59; p < 0.001). Fasciolosis was more likely in cattle originating from the Mojosongo subdistrict than from other subdistricts (odds ratio (OR)=5.28, 95% CI 1.22-22.94); from farms that did not process manure versus from those that did (OR = 3.03, 95% CI 1.43-4.71); and with farmers that had never attended extension programs compared with those who had (OR = 4.72, 95% CI 1.99-11.19). Studied cattle were mostly affected by light Fasciola spp. infections (92.4%, 95% CI 77.8-100%) followed by moderate (6.1%, 95% CI 0-22.2%) and heavy (1.5%, 95% CI 0-5.6%) infections.

CONCLUSION: Fasciolosis is prevalent in dairy cattle in Boyolali, Indonesia. Control efforts should target the high-risk Mojosongo subdistrict, emphasize the importance of processing manure, and encourage farmers to attend extension programs. Flukefinder^® is a practical on-site diagnostic kit for fasciolosis in Indonesian dairy farms. Parasite species identification and a malacological survey of intermediate hosts of Fasciola spp. in the farming environment are required for further research.

PMID:35993064 | PMC:PMC9375217 | DOI:10.14202/vetworld.2022.1438-1448

Biomed Res Int. 2022 Aug 12;2022:2719016. doi: 10.1155/2022/2719016. eCollection 2022.

ABSTRACT

OBJECTIVE: To explore the application of pulmonary ultrasound in visual nursing of artificial airway in patients with acute respiratory distress syndrome (ARDS).

METHODS: Seventy-eight ARDS patients with mechanical ventilation admitted from February 2021 to January 2022 were included and divided into the intervention group and the control group. The control group was given routine airway nursing, and the intervention group was given visual airway nursing management through lung ultrasound. The arterial blood gas analysis indexes, mechanical ventilation time, ICU treatment time, total hospitalization time, aspiration, and the incidence of ventilator-associated pneumonia (VAP) were compared between the two groups.

RESULTS: After treatment, PaO₂, PaCO₂, SPO₂, and oxygenation indexes were significantly improved compared with those before treatment, and the indexes in the intervention group were better than those in the control group after treatment, and the differences were statistically significant (P < 0.05). The mechanical ventilation time (5.39 ± 0.68 vs. 7.92 ± 0.59 days), ICU treatment time (8.05 ± 1.14 vs. 10.71 ± 1.16 days), and total hospitalization time (12.05 ± 2.20 vs. 15.68 ± 2.18 days) in the intervention group were significantly shorter than those in the control group (P < 0.05). The incidences of aspiration (2.56% vs. 15.38%) and VAP (5.13% vs. 20.51%) in the intervention group was significantly lower than that in the control group (P < 0.05).

CONCLUSION: The application of visual artificial airway management assisted by lung ultrasound in ARDS patients can shorten the treatment time and hospitalization time of mechanical ventilation, reduce the incidence of aspiration and VAP, and improve the prognosis of patients.

PMID:35993058 | PMC:PMC9391190 | DOI:10.1155/2022/2719016