Nevin Manimala

PLoS Med. 2021 Oct 18;18(10):e1003834. doi: 10.1371/journal.pmed.1003834. Online ahead of print.

ABSTRACT

BACKGROUND: Food biodiversity, encompassing the variety of plants, animals, and other organisms consumed as food and drink, has intrinsic potential to underpin diverse, nutritious diets and improve Earth system resilience. Dietary species richness (DSR), which is recommended as a crosscutting measure of food biodiversity, has been positively associated with the micronutrient adequacy of diets in women and young children in low- and middle-income countries (LMICs). However, the relationships between DSR and major health outcomes have yet to be assessed in any population.

METHODS AND FINDINGS: We examined the associations between DSR and subsequent total and cause-specific mortality among 451,390 adults enrolled in the European Prospective Investigation into Cancer and Nutrition (EPIC) study (1992 to 2014, median follow-up: 17 years), free of cancer, diabetes, heart attack, or stroke at baseline. Usual dietary intakes were assessed at recruitment with country-specific dietary questionnaires (DQs). DSR of an individual’s yearly diet was calculated based on the absolute number of unique biological species in each (composite) food and drink. Associations were assessed by fitting multivariable-adjusted Cox proportional hazards regression models. In the EPIC cohort, 2 crops (common wheat and potato) and 2 animal species (cow and pig) accounted for approximately 45% of self-reported total dietary energy intake [median (P10-P90): 68 (40 to 83) species consumed per year]. Overall, higher DSR was inversely associated with all-cause mortality rate. Hazard ratios (HRs) and 95% confidence intervals (CIs) comparing total mortality in the second, third, fourth, and fifth (highest) quintiles (Qs) of DSR to the first (lowest) Q indicate significant inverse associations, after stratification by sex, age, and study center and adjustment for smoking status, educational level, marital status, physical activity, alcohol intake, and total energy intake, Mediterranean diet score, red and processed meat intake, and fiber intake [HR (95% CI): 0.91 (0.88 to 0.94), 0.80 (0.76 to 0.83), 0.69 (0.66 to 0.72), and 0.63 (0.59 to 0.66), respectively; PWald < 0.001 for trend]. Absolute death rates among participants in the highest and lowest fifth of DSR were 65.4 and 69.3 cases/10,000 person-years, respectively. Significant inverse associations were also observed between DSR and deaths due to cancer, heart disease, digestive disease, and respiratory disease. An important study limitation is that our findings were based on an observational cohort using self-reported dietary data obtained through single baseline food frequency questionnaires (FFQs); thus, exposure misclassification and residual confounding cannot be ruled out.

CONCLUSIONS: In this large Pan-European cohort, higher DSR was inversely associated with total and cause-specific mortality, independent of sociodemographic, lifestyle, and other known dietary risk factors. Our findings support the potential of food (species) biodiversity as a guiding principle of sustainable dietary recommendations and food-based dietary guidelines.

PMID:34662340 | DOI:10.1371/journal.pmed.1003834

JMIR Res Protoc. 2021 Oct 18;10(10):e34211. doi: 10.2196/34211.

ABSTRACT

[This corrects the article DOI: 10.2196/26110.].

PMID:34662288 | DOI:10.2196/34211

Vital Health Stat 1. 2021 Oct;(189):1-29.

ABSTRACT

Objectives Medical coding, or the translation of healthcare information into numeric codes, is expensive and time intensive. This exploratory study evaluates the use of machine learning classifiers to perform automated medical coding for large statistical healthcare surveys.

PMID:34662269

J Environ Sci Health A Tox Hazard Subst Environ Eng. 2021 Oct 18:1-12. doi: 10.1080/10934529.2021.1989938. Online ahead of print.

ABSTRACT

Lead in drinking water occurs in drinking water distribution systems (DWDS) where lead pipes are used as service lines. Using data gathered from 4 different Canadian cities, we link drinking water quality to composition of corrosion scales obtained on exhumed lead pipes servicing those municipalities. The data presented encompasses a 10-year span and a detailed layer profile analysis of the solids present in lead bearing service lines; where different layers within the corrosion scale formed inside lead pipes are identified and thoroughly characterized. The results obtained clearly show that the corrosion layers in direct contact with drinking water are rich in lead oxides phases and aluminosilicates. In contrast, lead carbonates are the main phases present on corrosion scales in direct contact with the metallic lead pipe. This heterogeneity on phase distribution is correlated to the radial distance from the corrosion scales to the water/solid interphase and water quality servicing those municipalities. Statistical analysis suggests that dissolved Al, Mn, Cu, Ni, and As accumulate on the corrosion scales with preferential accumulation of specific elements heavily dependent on distinct municipality water quality.

PMID:34662261 | DOI:10.1080/10934529.2021.1989938

J Clin Oncol. 2021 Oct 18:JCO2100679. doi: 10.1200/JCO.21.00679. Online ahead of print.

ABSTRACT

PURPOSE: Whether triplet chemotherapy is superior to doublet chemotherapy in advanced biliary tract cancer (BTC) is unknown.

METHODS: In this open-label, randomized phase II-III study, patients with locally advanced or metastatic BTC and an Eastern Cooperative Oncology Group performance status of 0 or 1 were randomly assigned (1:1) to receive oxaliplatin, irinotecan, and infusional fluorouracil (mFOLFIRINOX), or cisplatin and gemcitabine (CISGEM) for a maximum of 6 months. We report the results of the phase II part, where the primary end point was the 6-month progression-free survival (PFS) rate among the patients who received at least one dose of treatment (modified intention-to-treat population) according to Response Evaluation Criteria in Solid Tumors version 1.1 (statistical assumptions: 6-month PFS rate ≥ 59%, 73% expected).

RESULTS: A total of 191 patients (modified intention-to-treat population, 185: mFOLFIRINOX, 92; CISGEM, 93) were randomly assigned in 43 French centers. After a median follow-up of 21 months, the 6-month PFS rate was 44.6% (90% CI, 35.7 to 53.7) in the mFOLFIRINOX arm and 47.3% (90% CI, 38.4 to 56.3) in the CISGEM arm. Median PFS was 6.2 months (95% CI, 5.5 to 7.8) in the mFOLFIRINOX arm and 7.4 months (95% CI, 5.6 to 8.7) in the CISGEM arm. Median overall survival was 11.7 months (95% CI, 9.5 to 14.2) in the mFOLFIRINOX arm and 13.8 months (95% CI, 10.9 to 16.1) in the CISGEM arm. Adverse events ≥ grade 3 occurred in 72.8% of patients in the mFOLFIRINOX arm and 72.0% of patients in the CISGEM arm (toxic deaths: mFOLFIRINOX arm, two; CISGEM arm, one).

CONCLUSION: mFOLFIRINOX triplet chemotherapy did not meet the primary study end point. CISGEM doublet chemotherapy remains the first-line standard in advanced BTC.

PMID:34662180 | DOI:10.1200/JCO.21.00679

Brain Behav. 2021 Oct 17:e2394. doi: 10.1002/brb3.2394. Online ahead of print.

ABSTRACT

OBJECTIVE: Vitamin B6 has been linked to a variety of probable roles, including anti-inflammatory, homocysteine-lowering, serotonin-regulating, and dopamine-lowering. In this study, we investigated the possible effect of vitamin B6 on bipolar disorder in manic episode with psychotic feature in a placebo-controlled double-blind clinical trial in a psychiatric hospital.

METHODS: This study was performed on 50 patients who were equally divided into two groups (each group included 25 patients) using 80 mg of vitamin B6 daily or placebo. At the beginning and end of the study, they were evaluated for lab tests, inflammatory biomarkers and level of blood homocysteine. Also, at the baseline and in weeks 2, 4, and 8, they were evaluated based on the anthropometric measurements, score obtained from the Young Mania Questionnaire, Mini-Mental State Examination (MMSE), and the Pittsburgh Sleep Questionnaire.

RESULTS: Accordingly, based on Yang Mania scoring scale, no significant difference was observed between the two groups receiving vitamin B6 and placebo (22.68 ± 5.39 vs. 21.80 ± 5.39 [p-value = .51]). Based on MMSE, significant improvement in cognitive status was obtained in group placebo compared to vitamin B6 group (25.24 ± 1.96 vs. 24.40 ± 3.25, respectively [p-value = .01]). At the Pittsburg scale (total, there was no statistically significant difference between the two groups receiving vitamin B6 and placebo (1.04 ± 0.20 vs. 0.48 ± 0.50 [p-value = .23]). Additionally, no significant difference was observed between the two groups regarding the anthropometric status.

CONCLUSIONS: According to this study, the daily dose of 80 mg of vitamin B6 for 8 weeks in patients with bipolar disorder in the manic episode with psychotic feature treated daily with lithium, was not associated with a significant improvement in mood status compared to the control-placebo group. It is recommended to perform similar studies in a multi-center manner with a larger sample size and longer duration.

PMID:34662000 | DOI:10.1002/brb3.2394

Plant Genome. 2021 Oct 18:e20159. doi: 10.1002/tpg2.20159. Online ahead of print.

ABSTRACT

High winter mortality limits biomass yield of lowland switchgrass (Panicum virgatum L.) planted in the northern latitudes of North America. Breeding of cold tolerant switchgrass cultivars requires many years due to its perennial growth habit and the unpredictable winter selection pressure that is required to identify winter-hardy individuals. Identification of causal genetic variants for winter survivorship would accelerate the improvement of switchgrass biomass production. The objective of this study was to identify allelic variation associated with winter survivorship in lowland switchgrass populations using bulk segregant analysis (BSA). Twenty-nine lowland switchgrass populations were evaluated for winter survival at two locations in southern Wisconsin and 21 populations with differential winter survivorship were used for BSA. A maximum of 10% of the individuals (8-20) were bulked to create survivor and nonsurvivor DNA pools from each population and location. The DNA pools were evaluated using exome capture sequencing, and allele frequencies were used to conduct statistical tests. The BSA tests revealed nine quatitative trait loci (QTL) from tetraploid populations and seven QTL from octoploid populations. Many QTL were population-specific, but some were identified in multiple populations that originated across a broad geographic landscape. Four QTL (at positions 88 Mb on chromosome 2N, 115 Mb on chromosome 5K, and 1 and 100 Mb on chromosome 9N) were potentially the most useful QTL. Markers associated with winter survivorship in this study can be used to accelerate breeding cycles of lowland switchgrass populations and should lead to improvements in adaptation within USDA hardiness zones 4 and 5.

PMID:34661986 | DOI:10.1002/tpg2.20159

ANZ J Surg. 2021 Oct 18. doi: 10.1111/ans.17275. Online ahead of print.

ABSTRACT

BACKGROUND: To describe our institutional experience in the management of locally advanced primary, and recurrent pelvic sarcoma through pelvic exenteration (PE).

METHODS: Patients undergoing PE for locally advanced primary or recurrent pelvic sarcoma between 2003 and 2017 were identified from a prospectively maintained database at a single quaternary referral hospital in Sydney, Australia were eligible for review. The primary outcomes measured were surgical resection margin and survival. Secondary outcome measures included 30-day morbidity, in hospital length of stay (LOS) and return to theatre.

RESULTS: There were 29 patients who underwent PE for pelvic sarcoma during the study period, with 55% (n = 16) having advanced primary tumours and 45% (n = 13) having recurrent disease. The R0 resection rate was 52% (n = 15); and five-year-survival of 38% (n = 11). The R0 resection was noted to be higher in patients having primary advanced tumours (56%) compared to those with recurrent disease (46%), however this failed to reach statistical significance in this cohort. There was no recorded 30-day mortality. Grade 3 or higher Clavien-Dindo complications were uncommon (14%), but more likely in patients undergoing surgery for recurrent disease (75%).

CONCLUSION: In our cohort of patients with locally advanced and recurrent disease, more than 50% achieved an R0 resection. Recurrent disease makes R0 resection more difficult and can lead to higher morbidity, need for 30-day re-intervention and longer in hospital LOS. PE surgery remains the only curative option for locally advanced, and recurrent sarcoma in the pelvis, and can be performed with acceptable survival and morbidity outcomes.

PMID:34661958 | DOI:10.1111/ans.17275

J Prosthodont. 2021 Oct 18. doi: 10.1111/jopr.13443. Online ahead of print.

ABSTRACT

PURPOSE: To compare the accuracy of printed to digital casts produced from various intraoral and extraoral scanners with different scanning technologies.

MATERIALS AND METHODS: A conventional stone cast was fabricated from the reference typodont cast and scanned with two intraoral scanners (TRIOS 3 version 1.4.7.5, and Dental Wings version 2.1.0.421), and two extraoral scanners (S600 Arti, Zirkonzahn, and Ceramill map 600, Amann Girrbach GmbH). All digital scans were saved in the form of STL files and measurements were calculated using Geomagic analysis software. Two types of measurements were assessed on the casts: tooth- and arch-level measurements. Absolute errors were calculated by subtracting the measurements on 3D-printed, digital, and conventional stone casts from the measurements on the reference typodont cast. One-way ANOVA was used for comparing different measurement errors between groups. Linear regression was performed to determine the association between different explanatory variables, and the average measurement errors (dependent variable) adjusted to reference cast measurements. Regression coefficients (B) and 95% confidence intervals (CI) were calculated.

RESULTS: For both 3D printed, and digital casts, Dental Wings showed significantly greater error compared to other scanners and to the conventional stone cast at all measurements except AL (in the 3D printed modality only), while conventional casts showed the lowest error. Error was significantly higher in intraoral than extraoral scanners (B = 0.009, 95% CI = 0.005, 0.02), and in arch level measurements than tooth level measurements (B = 0.03, 95% CI = 0.01, 0.04), and significantly lower in 3D printed than digital casts (B = -0.04, 95% CI = -0.05, -0.04). There were no statistically significant differences between measurement errors of both arches (maxillary and mandibular arches).

CONCLUSIONS: Extraoral scanners showed higher accuracy than intraoral scanners, and 3D-printed casts showed higher accuracy than their digital counterparts. Dental Wings scanner had the greatest measurement error. This article is protected by copyright. All rights reserved.

PMID:34661950 | DOI:10.1111/jopr.13443

Ying Yong Sheng Tai Xue Bao. 2021 Sep;32(9):3213-3222. doi: 10.13287/j.1001-9332.202109.013.

ABSTRACT

Continuous rain disaster is a kind of complex disaster with high frequency in the Basin area of Sichuan Province. Continuous rainy weather may appear in every growing stage of rice, with consequences on the yield and quality. Based on the meteorological data of 105 meteorological stations between 1981 and 2019, combining the observation data of rise production, agricultural statistics and the basic geographic information, we quantitatively evaluated and compared the continuous-rain disasters in the whole growth period and the four growth stages (sowing-jointing, jointing-booting, booting-early filling, mid-late filling-maturity) between transplanted rice and direct-seeded rice in the basin area of Sichuan Province. The results showed that the disaster index of continuous-rain for rice was higher in the sowing-jointing stage and the mid-late filling-maturity stage, higher in the northern and southwest edges of the basin, and lower in the middle, western and southern basin. The area with high-risk was relatively limited, which concentrated in the northern edge of the basin and scattered in the southern region of the basin. The low-risk area was the most widely distributed, which concentrated in the western and central parts of the basin. The total area of high-disaster areas for transplanted rice was 2.4 times as large as that for direct-seeded rice.

PMID:34658207 | DOI:10.13287/j.1001-9332.202109.013