Oral Dis. 2021 Apr 4. doi: 10.1111/odi.13867. Online ahead of print.
NO ABSTRACT
PMID:33813775 | DOI:10.1111/odi.13867
Biometrics. 2021 Apr 4. doi: 10.1111/biom.13468. Online ahead of print.
ABSTRACT
Cell migration, the process by which cells move from one location to another, plays crucial roles in many biological events. While much research has been devoted to understand the process, most statistical cell migration models rely on using time-lapse microscopy data from cell trajectories alone. However, the cell and its associated nucleus work together to orchestrate cell movement, which motivates a joint analysis of coupled cell-nucleus trajectories. In this paper we propose a Bayesian hierarchical model for analyzing cell migration. We incorporate a bivariate angular distribution to handle the coupled cell-nucleus trajectories, and introduce latent motility status indicators to model a cell’s motility as a time-dependent characteristic. An MCMC algorithm is provided for practical implementation of our model, which is used on real experimental data from MDA-MB-231 and NIH 3T3 cells. Through the fitted models, deeper insights into the migratory patterns of these experimental cell populations are gained, and their differences are quantified. This article is protected by copyright. All rights reserved.
PMID:33813733 | DOI:10.1111/biom.13468
Eur Geriatr Med. 2021 Apr 4. doi: 10.1007/s41999-021-00489-1. Online ahead of print.
ABSTRACT
PURPOSE: Delirium is common and associated with poor outcomes, partly due to underdetection. We investigated if the delirium screening tool 4 A’s test (4AT) score predicts 1 year mortality and explored the sensitivity and specificity of the 4AT when applied as part of a clinical routine.
METHODS: Secondary analyses of a prospective study of 228 patients acutely admitted to a Medical Geriatric Ward. Physicians without formal training conducted the index test (the 4AT); a predefined cut-off ≥ 4 suggested delirium. Reference standard was delirium diagnosed by two geriatricians using the Diagnostic and Statistical Manual of Mental Disorders 5 (DSM-5). We calculated hazard ratios (HR) using Cox regression based on the groups 4AT = 0, 1-3, 4-7 and ≥ 8, first unadjusted, then adjusted for the covariates age, comorbidity, and personal activities of daily living. We calculated sensitivity, specificity, and the area under the receiver operating curve (AUC).
RESULTS: Mean age of patients was 86.6 years, 139 (61.0%) were female, 78 (34.2%) had DSM-5 delirium; of these, 56 had 4AT-delirium. 1 year mortality was 27.6% (63 patients). Compared to 4AT score 0, the group 4AT ≥ 8 had increased 1 year mortality (HR 2.86, 95% confidence interval 1.28-6.37, p = 0.010). The effect was reduced in multiadjusted analyses (HR 1.69, 95% confidence interval 0.70-4.07, p = 0.24). Sensitivity, specificity, and AUC were 0.72, 0.84, and 0.88, respectively.
CONCLUSIONS: 4AT ≥ 8 indicates increased mortality, but the effect was reduced in multiadjusted analyses. 4AT had acceptable sensitivity and specificity when applied as a clinical routine.
PMID:33813725 | DOI:10.1007/s41999-021-00489-1
J Robot Surg. 2021 Apr 3. doi: 10.1007/s11701-021-01235-2. Online ahead of print.
ABSTRACT
Obesity is an independent risk factor for postoperative morbidity and mortality in laparoscopic colorectal surgery (LCRS). The technological advantages of robotic colorectal surgery (RCRS) may allow surgeons to overcome the limitations of LCRS in obese patients, but it is largely unknown if this translates to superior outcomes. The aim of this study was to compare perioperative, postoperative and short-term oncological outcomes in obese (BMI ≥ 30.0 kg/m2) and non-obese (BMI < 30 kg/m2) patients undergoing RCRS in a university teaching hospital. Demographic, perioperative and postoperative data along with short-term oncological outcomes of obese and non-obese patients that underwent RCRS for both benign and malignant colorectal disease were identified from a prospectively maintained database. A total of 107 patients (34 obese, 73 non-obese) underwent RCRS over a 4-year period. No statistically significant differences in the incidence of complications, 30-day reoperation, 30-day mortality, conversion to open surgery, anastomotic leak or length of inpatient stay were demonstrated. Obese patients had a significantly higher rate of surgical site infection (SSI) (p < 0.0001). Short-term oncological outcomes in both groups were favourable. There was no statistically significant difference in median duration of surgery between the two cohorts. The results demonstrate that obese patients undergoing RCRS in this institution experience similar outcomes to non-obese patients. These results suggest that RCRS is safe and feasible in obese patients and may be superior to LCRS in this cohort, where the literature suggests a higher complication rate compared to non-obese patients. The inherent advantages of robotic surgical platforms, such as improved visualisation, dexterity and ergonomics likely contribute to the improved outcomes in this challenging patient population.
PMID:33813713 | DOI:10.1007/s11701-021-01235-2
Environ Sci Pollut Res Int. 2021 Apr 4. doi: 10.1007/s11356-021-13644-9. Online ahead of print.
ABSTRACT
Concentrations of As, Cd, Cr, Cu, Hg, Mn, Ni, Pb, Zn, and Fe measured at forty locations in the Boka Kotorska Bay were used to monitor the spatial and temporal quality of sediment and to assess surface sediment contamination over the last 15 years. This ecological geochemistry assessment was made using two classes of pollution indices: single indices concerning the investigated elements (contamination factor (Cf)) and integrated indices concerning the locations (pollution load index (PLI), potential ecological risk index (RI), mean effects range median quotient (MERMQ), toxic risk index (TRI), contamination severity index (CSI)). The distribution of all indices was geostatistically mapped and several hotspots were identified. Based on the indices applied in the risk assessment, the mean contribution of individual metal species to the total risk was determined and presented in the following order: Cd > Hg > As > Pb > Ni > Cu > Cr > Zn. This study revealed that Cd and Hg were at the top of the risk list among the examined elements. The temporal distribution of Hg has shown a decreasing trend during the period 2005-2019, while the presence of Cd in the Bay environment is of major concern. The results revealed that the most polluted part of the investigated area was Tivat bay within the Boka Kotorska Bay. Multivariate statistical analysis of pollution indices resulted in multicollinearity, which enabled the use of a reduced number of indices with an acceptable risk estimation.
PMID:33813708 | DOI:10.1007/s11356-021-13644-9
Updates Surg. 2021 Apr 3. doi: 10.1007/s13304-021-01048-w. Online ahead of print.
ABSTRACT
In thoracic surgery, disposable instruments are significant drivers of cost. There is variation in disposable instrument use among surgeons. It was hypothesized that a “passive awareness” intervention (displaying a pricing list of disposable instruments in the operating theater) would decrease operative costs. A current price list of disposable instruments used in thoracoscopic lobectomy was displayed in the thoracic surgery operating theater. Consecutive patients who underwent thoracoscopic lobectomy 6 months prior to price list display (Period 1) and 6 months following price list display (Period 2) were analyzed. Descriptive statistics were used to describe case distribution and lobectomy costs. T test and linear regression were used to examine the impact of surgeon, lobe removed, and time period. Over the study period, 71 patients underwent thoracoscopic lobectomy (Period 1: n = 36, Period 2: n = 35). Median per-lobectomy disposables cost decreased from $2063.22 (Interquartile range [IQR] $788.49) in Period 1 to $1885.92 (IQR $552.26) in Period 2; p = 0.03. There was a significant reduction in the median number of “high cost disposables” between Periods 1 and 2 (5.5-5.0, respectively; p = 0.04). In multiple linear regression, there was a decrease in total per-lobectomy cost of $286.21 (p = 0.03) and a decrease in stapler cartridge cost of $266.89 (p = 0.03) when controlling for surgeon and lobe. There was a significant reduction in disposable instrument expenditure per thoracoscopic lobectomy following posting of instrument costs in the operating theater. These findings suggest that a simple passive awareness intervention is effective in influencing surgeon behavior to reduce disposable instrument costs.
PMID:33813691 | DOI:10.1007/s13304-021-01048-w
Aging Clin Exp Res. 2021 Apr 3. doi: 10.1007/s40520-021-01842-x. Online ahead of print.
ABSTRACT
BACKGROUND: Postoperative delirium (POD) is a relevant and underdiagnosed complication after cardiac surgery that is associated with increased intensive care unit (ICU) and hospital length of stay (LOS). The aim of this subgroup study was to compare the frequency of tested POD versus the coded International Statistical Classification of Diseases and Related Health Problems (ICD) diagnosis of POD and to evaluate the influence of POD on LOS in ICU and hospital.
METHODS: 254 elective cardiac surgery patients (mean age, 70.5 ± 6.4 years) at the University Hospital Bonn between September 2018 and October 2019 were evaluated. The endpoint tested POD was considered positive, if one of the tests Confusion Assessment Method for ICU (CAM-ICU) or Confusion Assessment Method (CAM), 4 ‘A’s Test (4AT) or Delirium Observation Scale (DOS) was positive on one day.
RESULTS: POD occurred in 127 patients (50.0%). LOS in ICU and hospital were significantly different based on presence (ICU 165.0 ± 362.7 h; Hospital 26.5 ± 26.1 days) or absence (ICU 64.5 ± 79.4 h; Hospital 14.6 ± 6.7 days) of POD (p < 0.001). The multiple linear regression showed POD as an independent predictor for a prolonged LOS in ICU (48%; 95%CI 31-67%) and in hospital (64%; 95%CI 27-110%) (p < 0.001). The frequency of POD in the study participants that was coded with the ICD F05.0 and F05.8 by hospital staff was considerably lower than tests revealed by the study personnel.
CONCLUSION: Approximately 50% of elderly patients who underwent cardiac surgery developed POD, which is associated with an increased ICU and hospital LOS. Furthermore, POD is highly underdiagnosed in clinical routine.
PMID:33813686 | DOI:10.1007/s40520-021-01842-x
Eur J Pediatr. 2021 Apr 4. doi: 10.1007/s00431-021-04060-9. Online ahead of print.
ABSTRACT
The study aimed to evaluate the plasma copeptin levels in children with pulmonary arterial hypertension associated with congenital heart disease (PAH-CHD), to assess the predictive value of plasma copeptin level for adverse outcomes, and to correlate its levels with various data in these patients. We included 25 children with PAH-CHD as group I and 25 children with CHD and no PAH as group II. Twenty-five healthy children of matched age and sex served as the control group. Patients were evaluated by echocardiography and right heart catheterization. The plasma level of copeptin was also measured. All patients were followed up for death or readmission for 1 year. Plasma copeptin levels were significantly higher in group I compared to group II and the control group and were correlated with increasing severity of PAH. The best cutoff of plasma copeptin level to predict poor prognosis in group I was ≥24.2 ng/ml with a sensitivity of 90% and a specificity of 80%. There was a statistically significant positive correlation between plasma copeptin levels and mean pulmonary pressure, pulmonary vascular resistance, and pulmonary blood flow, while there was a statistically significant negative correlation between plasma copeptin levels and right ventricular diastolic function.Conclusion: Plasma copeptin levels are elevated in children with PAH-CHD and found to be a good predictive marker for the severity of PAH and poor prognosis in these children. What is Known: •PH is a life-threatening condition that can lead to right ventricular failure and death. •We need a non-invasive easy biomarker that can identify PH children with unfavorable prognosis who needed further intervention. What is New: •It is the first study that assessed the prognostic value of plasma copeptin levels in children with PAH-CHD. •We found that copeptin is an accurate dependable biomarker for predicting poor outcomes in children with PAH-CHD who needed extensive further intervention.
PMID:33813676 | DOI:10.1007/s00431-021-04060-9
Cogn Res Princ Implic. 2021 Apr 3;6(1):26. doi: 10.1186/s41235-021-00285-2.
ABSTRACT
Collective intelligence (CI) is said to manifest in a group’s domain general mental ability. It can be measured across a battery of group IQ tests and statistically reduced to a latent factor called the “c-factor.” Advocates have found the c-factor predicts group performance better than individual IQ. We test this claim by meta-analyzing correlations between the c-factor and nine group performance criterion tasks generated by eight independent samples (N = 857 groups). Results indicated a moderate correlation, r, of .26 (95% CI .10, .40). All but four studies comprising five independent samples (N = 366 groups) failed to control for the intelligence of individual members using individual IQ scores or their statistically reduced equivalent (i.e., the g-factor). A meta-analysis of this subset of studies found the average IQ of the groups’ members had little to no correlation with group performance (r = .06, 95% CI -.08, .20). Around 80% of studies did not have enough statistical power to reliably detect correlations between the primary predictor variables and the criterion tasks. Though some of our findings are consistent with claims that a general factor of group performance may exist and relate positively to group performance, limitations suggest alternative explanations cannot be dismissed. We caution against prematurely embracing notions of the c-factor unless it can be independently and robustly replicated and demonstrated to be incrementally valid beyond the g-factor in group performance contexts.
PMID:33813669 | DOI:10.1186/s41235-021-00285-2
Acta Parasitol. 2021 Apr 3. doi: 10.1007/s11686-021-00382-8. Online ahead of print.
ABSTRACT
PURPOSE: Prevention of ocular surface (OS) Demodex infestation plays an important role in OS hygiene and variety of factors may be associated with it, in which diabetes mellitus (DM) or dry eye disease (DED) has caught the attention of most scholars. However, there has been no research on whether there was a potential interaction between DM and DED in the process of OS Demodex infestation. This cross-sectional study was implemented in Zhujiang Hospital of Southern Medical University.
METHODS: Ophthalmologic interviews, questionnaires, and examinations were conducted. Factors including general information, DM status, dry eye condition, etc. were collected to study the correlation of DM and DED on OS Demodex infestation.
RESULTS: After statistical analysis, we found that both DM (P < 0.001) and DED (P = 0.013 < 0.05) are closely associated with OS Demodex infestation. Compared with DED, DM has higher priority association with OS Demodex infestation, and patients with both diseases have a significant higher risk of OS Demodex infestation (R = 0.197, P < 0.001). Meanwhile, age (R = 0.299, P < 0.001) and hypertension (P < 0.05) were also correlated with OS Demodex infestation.
CONCLUSION: This study provides a new evidence-based basis for clinical prevention and management of OS Demodex infestation.
PMID:33813654 | DOI:10.1007/s11686-021-00382-8