Nevin Manimala

Breast Cancer Res Treat. 2022 Nov 17. doi: 10.1007/s10549-022-06802-1. Online ahead of print.

ABSTRACT

PURPOSE: We estimated the cost-effectiveness of 4 radiotherapy modalities to treat early breast cancer in the UK. In a subgroup of patients eligible for all modalities, we compared whole-breast (WB) and partial breast (PB) radiotherapy delivered in either 15 (WB15F, PB15F) or 5 fractions (WB5F, PB5F). In a subgroup ineligible for PB radiotherapy, we compared WB15F to WB5F.

METHODS: We developed a Markov cohort model to simulate lifetime healthcare costs and quality-adjusted life years (QALYs) for each modality. This was informed by the clinical analysis of two non-inferiority trials (FAST Forward and IMPORT LOW) and supplemented with external literature. The primary analysis assumed that radiotherapy modality influences health only through its impact on locoregional recurrence and radiotherapy-related adverse events.

RESULTS: In the primary analysis, PB5F had the least cost and greatest expected QALYs. WB5F had the least cost and the greatest expected QALYs in those only eligible for WB radiotherapy. Applying a cost-effectiveness threshold of £15,000/QALY, there was a 62% chance that PB5F was the cost-effective alternative in the PB eligible group, and there was a 100% chance that WB5F was cost-effective in the subgroup ineligible for PB radiotherapy.

CONCLUSIONS: Hypofractionation to 5 fractions and partial breast radiotherapy modalities offer potentially important benefits to the UK health system.

PMID:36396774 | DOI:10.1007/s10549-022-06802-1

Sci Rep. 2022 Nov 17;12(1):19800. doi: 10.1038/s41598-022-24361-9.

ABSTRACT

Random walks are common in nature and are at the basis of many different phenomena that span from neutrons and light scattering to the behaviour of animals. Despite the evident differences among all these phenomena, theory predicts that they all share a common fascinating feature known as Invariance Property (IP). In a nutshell, IP means that the mean length of the total path of a random walker inside a closed domain is fixed by the geometry and size of the medium. Such a property has been demonstrated to hold not only in optics, but recently also in the field of biology, by studying the movement of bacteria. However, the range of validity of such a universal property, strictly linked to the fulfilment of equilibrium conditions and to the statistical distributions of the steps of the random walkers, is not trivial and needs to be studied in different contexts, such as in the case of biological entities occupied in random foraging in an open environment. Hence, in this paper the IP in a virtual medium inside an open environment has been studied by using actual movements of animals recorded in nature. In particular, we analysed the behaviour of a grazer mollusc, the chiton Acanthopleura granulata. The results depart from those predicted by the IP when the dimension of the medium increases. Such findings are framed in both the condition of nonequilibrium of the walkers, which is typical of animals in nature, and the characteristics of actual animal movements.

PMID:36396773 | DOI:10.1038/s41598-022-24361-9

Environ Sci Pollut Res Int. 2022 Nov 18. doi: 10.1007/s11356-022-24018-0. Online ahead of print.

ABSTRACT

In recent times, reduced graphene oxide has gained more attention in various fields. In our study, a direct synthesis of reduced graphene oxide using a novel carbon-rich agro-waste from Pennisetum glaucum was used. Ferrocene acted as an oxidizing agent during thermal degradation at 300 °C for 15 and 20 min to promote graphene oxide and reduced graphene oxide formation. The X-ray diffraction peak at 2θ indicating a shift from 16.86 to 24.28°, presence of functional groups like -OH stretching, -C = C-, C = O, C-O, and C-OH by Fourier transmission infrared spectroscopy, prominent D and G bands at 1308 cm^-1 and 1578 cm^-1 by Raman spectra and UV-visible spectroscopy peak shift from 235 to 245 nm (π-π*, C = C bonds) confirmed the reduction of graphene oxide to reduced graphene oxide. The average particle size values 233.3 nm for graphene oxide and 63.57 nm for reduced graphene oxide illustrate the nanoscale range of our synthesized material. The negative zeta potential values in the range – 45.5 mV and – 29.5 mV for graphene oxide and its reduced forms infer the dispersion stability along with surface oxygen group presence. We have also highlighted the formation of graphene oxide quantum dots by magnetic stirring and confirmed by UV transilluminator and photoluminescence spectra. The photodegradation efficiency was optimized using central composite design for dosage, dye concentration, pH, and time for both malachite green and reactive blue dye. The kinetic studies report pseudo-first-order kinetic model for catalytic degradation and statistical Analysis of variance proved the significance of the process for p value < 0.05. Thus, the synthesized graphene materials could be used as a potential candidate for environmental applications.

PMID:36396762 | DOI:10.1007/s11356-022-24018-0

Environ Sci Pollut Res Int. 2022 Nov 17. doi: 10.1007/s11356-022-24168-1. Online ahead of print.

ABSTRACT

Bottom sediments deposited in retention tanks (RTs) located on two urban streams (Oliwski and Strzyza) in the central part of Gdansk (Poland) were analysed for polycyclic aromatic hydrocarbons’ (PAHs) content. PAHs were extracted from samples with methylene chloride, then the extracts were subjected to clean-up applying the solid phase extraction (SPE) method. Quantitative and qualitative determination of 16 PAHs was performed with the use of gas chromatography/mass spectrometry technique. A multi-dimensional approach was applied to analyse PAHs’ spatial distribution, source, and contamination status. Potential sources of PAHs were verified using isomer ratios supported by a statistical approach. The Σ16PAHs (in mg/kg d.w.) ranged from 1.95 ± 0.64 to 20.4 ± 6.8 for RTs located on the Oliwski Stream and from 0.50 ± 0.17 to 8.6 ± 2.9 for RTs located on the Strzyza Stream. PAHs detected in bottom sediments were mainly composed of 4- and 5-ring compounds. PAH isomer ratios such as Phen/Anth, Flth/Pyr, B(a)A/B(a)A + Chry, Inpy/Inpy + B(ghi)P, Flth/Flth + Pyr, Anth/Anth + Phen, and Flth/Flth + Pyr suggested delivery pathways for biomass, coal, and petroleum combustion. Petrogenic PAHs related to fuel leaks from cars were not detected. Statistical analyses confirmed traffic and heating system sources, while factor analysis (FA) pointed out the abrasion of wasting parts of vehicles. Based on threshold levels presented in sediment quality guidelines (SQGs), in most cases, PAHs were at low levels with occasional negative biological effects on organisms. Only sediments deposited in two RTs located on the Oliwski Stream presented harmful features for sediment-dwelling organisms. The risk assessment performed accordingly to the Σ16PAHs presented a moderate and high risk for biota. This study not only reflects the direct threat related to PAH content in bottom sediments, but also highlights the overall pollution of an area, considered to be a recreational part of the city (Oliwski Stream catchment). The findings of this study highlight the need to launch preventative methods to protect the area against pollution from heating system emission and traffic.

PMID:36396761 | DOI:10.1007/s11356-022-24168-1

Sci Rep. 2022 Nov 17;12(1):19790. doi: 10.1038/s41598-022-23920-4.

ABSTRACT

The production and leaf quality of Telfairia occidentalis in Cameroon are gravely threatened by leaf spot disease. A field study was conducted in July 2019 and 2020 to determine the influence of tillage systems and sowing dates on the incidence of Telfairia occidentalis leaf spot caused by Phoma sorghina. A randomized block design with three replications and four planting dates was used. The soil physicochemical properties were also determined. Data for disease incidence were registered once every two weeks and submitted to generalized linear model for statistical analysis. The means were separated by Duncan’s multiple range test at a 95% confidence interval. Calculations for disease incidence and statistical analysis were conducted using the Microsoft Excel program and SPSS version 23, respectively. Statistical analysis revealed that the zero tilled field generally registered a lower leaf spot disease incidence than the tilled field, which was highly significant (p ≤ 0.05). In addition, the second sowing date in the zero tilled field proved to be better in terms of low disease incidence than other sowing dates employed in the study. Therefore, to minimize the devastating effects of leaf spot disease, zero tillage coupled with the second sowing date could be exploited.

PMID:36396737 | DOI:10.1038/s41598-022-23920-4

Sci Rep. 2022 Nov 17;12(1):19777. doi: 10.1038/s41598-022-24242-1.

NO ABSTRACT

PMID:36396704 | DOI:10.1038/s41598-022-24242-1

Sci Rep. 2022 Nov 17;12(1):19809. doi: 10.1038/s41598-022-23901-7.

ABSTRACT

Deep learning allows automatic segmentation of teeth on cone beam computed tomography (CBCT). However, the segmentation performance of deep learning varies among different training strategies. Our aim was to propose a 3.5D U-Net to improve the performance of the U-Net in segmenting teeth on CBCT. This study retrospectively enrolled 24 patients who received CBCT. Five U-Nets, including 2Da U-Net, 2Dc U-Net, 2Ds U-Net, 2.5Da U-Net, 3D U-Net, were trained to segment the teeth. Four additional U-Nets, including 2.5Dv U-Net, 3.5Dv5 U-Net, 3.5Dv4 U-Net, and 3.5Dv3 U-Net, were obtained using majority voting. Mathematical morphology operations including erosion and dilation (E&D) were applied to remove diminutive noise speckles. Segmentation performance was evaluated by fourfold cross validation using Dice similarity coefficient (DSC), accuracy, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV). Kruskal-Wallis test with post hoc analysis using Bonferroni correction was used for group comparison. P < 0.05 was considered statistically significant. Performance of U-Nets significantly varies among different training strategies for teeth segmentation on CBCT (P < 0.05). The 3.5Dv5 U-Net and 2.5Dv U-Net showed DSC and PPV significantly higher than any of five originally trained U-Nets (all P < 0.05). E&D significantly improved the DSC, accuracy, specificity, and PPV (all P < 0.005). The 3.5Dv5 U-Net achieved highest DSC and accuracy among all U-Nets. The segmentation performance of the U-Net can be improved by majority voting and E&D. Overall speaking, the 3.5Dv5 U-Net achieved the best segmentation performance among all U-Nets.

PMID:36396696 | DOI:10.1038/s41598-022-23901-7

Sci Rep. 2022 Nov 17;12(1):19782. doi: 10.1038/s41598-022-23362-y.

ABSTRACT

We conducted a prospective single-arm interventional study of the treatment efficacy of ultrasound-guided fascia hydrorelease (US-FHR) on the coracohumeral ligament (CHL) of patients with global limitation of shoulder range of motion (ROM) without local inflammation. The primary outcome was the change in passive ROM (pROM) of external rotation (ER) after first US-FHR. Secondary outcomes included the change in pROM of other directions from baseline, the pain visual analogue scale (pVAS) at the timepoints after each procedure (first, second US-FHR and rehabilitation) as well as the change in the Shoulder Pain and Disability Index (SPADI) from the first to the second visit. Eleven patients underwent US-FHR. The pROM of ER after the 1st US-FHR changed by a median of 7.1° (p < 0.01). There was a statistically significant improvement in the pROM of flexion, extension, abduction, external rotation, and internal rotation from baseline to each timepoints. The pVAS at rest showed no significant improvement, although the pVAS at maximal ER showed a trend towards improvement. The SPADI score decreased by a median of 13.4 (p < 0.01). No adverse events were observed. US-FHR on the CHL with or without rehabilitation might be an effective, less invasive treatment for patients with global limitation of shoulder ROM.

PMID:36396688 | DOI:10.1038/s41598-022-23362-y

J Matern Fetal Neonatal Med. 2022 Nov 17:1-4. doi: 10.1080/14767058.2022.2145878. Online ahead of print.

ABSTRACT

OBJECTIVE: To evaluate the association between serum folate levels during pregnancy and prenatal depression and the extent to which obesity may modify this relationship.

METHODS: This secondary data analysis leveraged data from a previous study of pregnant Kaiser Permanente Northern California participants who completed a survey and provided a serum sample between 2011 and 2013. Serum folate was assessed using the Center for Disease Control’s Total Folate Serum/Whole Blood Microbiological Assay Method. A score of 15 or greater on the Center for Epidemiologic Studies Depression Scale was defined as prenatal depression. We used Poisson regression to estimate risk of prenatal depression given prenatal serum folate status (low/medium tertiles vs. high tertile) in the full sample and in subsamples of women with pre-pregnancy body mass index in the (a) normal range and (b) overweight/obese range.

RESULTS: Of the sample, 13% had prenatal depression. Combined low/medium folate tertiles was associated with prenatal depression (adjusted relative risk [aRR] = 1.97, 95% confidence interval [CI]: 0.93-4.18), although results did not reach statistical significance. This relationship was stronger among women with overweight/obesity than women with normal weight (aRR: 2.61, 95% CI: 1.01-6.71 and aRR: 1.50, 95% CI: 0.34-6.66, respectively).

CONCLUSION: Results suggest an association between lower pregnancy folate levels and prenatal depression that may be stronger among women with overweight or obesity. Future studies need to clarify the temporal sequence of these associations.

PMID:36396611 | DOI:10.1080/14767058.2022.2145878

Oral Surg Oral Med Oral Pathol Oral Radiol. 2022 Sep 8:S2212-4403(22)01121-X. doi: 10.1016/j.oooo.2022.08.013. Online ahead of print.

ABSTRACT

OBJECTIVE: The present study was conducted to explore the allele frequencies of MICA gene Exon-5 transmembrane and to measure the circulatory MICA levels in various histologic grades of patients with oral submucous fibrosis (OSF) compared to healthy individuals.

STUDY DESIGN: We enrolled a total of 595 patients for this cross-sectional study and divided them into 2 groups: healthy controls (n = 320) and patients with OSF (n = 275). Further, patients with OSF were subdivided based on their histologic gradings. The genomic DNA was extracted followed by a polymerase chain reaction and genotyping using the ABI Prism DNA Sequencer (ThermoFisher Scientific, Inc., Waltham, MA, USA).

RESULTS: Our study showed that the A5 allele of the MICA gene in the Exon-5 region conferred significant risk for patients with OSF. With reference to the histologic gradings of OSF, we found that the MICA gene conferred statistically significant risk among patients with grade III OSF. On the other hand, the A8 allele of MICA gene in the Exon-5 region conferred significant protection among the overall OSF cohort and in the grade III of histologic grade. Finally, the circulatory human MICA levels were found to have a stepwise increase from grade I toward grade III in patients with OSF.

CONCLUSION: Our results suggested that the A5 allele in MICA might confer risk for the progression of OSF among the South Indian ethnic population.

PMID:36396592 | DOI:10.1016/j.oooo.2022.08.013