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Nevin Manimala Statistics

Correlation between generalised joint hypermobility and temporomandibular joint disc displacement in adolescent patients: Magnetic Resonance Imaging study

Eur J Paediatr Dent. 2022 Jun;23(2):106-110. doi: 10.23804/ejpd.2022.23.02.05.

ABSTRACT

AIM: Temporomandibular disorders (TMD), in particular disc displacement, are recognised to have a multifactorial aetiology. Ligamentous laxity has been suggested as a potential risk factor for TMD. Ligamentous laxity can lead to generalised joint hypermobility (GJH) involving multiple joints, including the temporomandibular joint (TMJ). The aim of this work is to evaluate the correlation between GJH and disc displacement (DD) assessed on magnetic resonance images (MRI) of the TMJ in adolescent patients.

MATERIALS: The study was included 40 adolescent patients (10-16 years), divided into two groups, a Study Group (SG), composed of 20 subjects with GJH, and a Control Group (CG), composed of 20 subjects without GJH. The GJH was assessed by the Beighton test with a threshold value of ≥ 4. The severity of the TMD was determined using the Fonseca Questionnaire and a clinical evaluation of the type of TMD. The condylar-discal relationship and the condylar mobility of the TMJ were evaluated by MRI. Pearson’s χ2 Test was performed for the analysis of the statistical correlation.

CONCLUSION: This study suggests that adolescents with GJH have a greater risk of developing TMJ disc displacement, especially disc displacement without reduction.

PMID:35722845 | DOI:10.23804/ejpd.2022.23.02.05

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Nevin Manimala Statistics

Early extraction of the first permanent molars: a five-year follow-up study

Eur J Paediatr Dent. 2022 Jun;23(2):111-115. doi: 10.23804/ejpd.2022.23.02.04.

ABSTRACT

AIM: Early extraction of first permanent molars (FPMs) is generally considered successful when the second permanent molar and premolar come into contact, regardless of whether the patient has a healthy occlusion. In this study, we aimed to investigate cases in which early extraction had a successful prognosis.

METHODS: Study design: Pre-extraction orthopantomograms of children whose one or more FPMs were extracted were examined retrospectively. Post-extraction parameters such as status of the extraction gap, any other diastema formation, and midline shift were evaluated clinically and radiographically. For the dental age estimations, development levels of the teeth were scored using the Demirjian method and the developmental status of a particular tooth was calculated in years based on tables given by Willems et al. [2001]. The ICON index was used to determine the orthodontic treatment needs of patients.

STATISTICS: Descriptive analyses and the Kruskal-Wallis test were used for the statistical analysis of the data.

CONCLUSION: Early extraction of FPM should be considered successful when there is no formation of any other diastema in the relevant quadrant, midline shift, or orthodontic treatment needs due to extraction.

PMID:35722841 | DOI:10.23804/ejpd.2022.23.02.04

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Nevin Manimala Statistics

Exploring uptake of HIV/STI knowledge and safer sex-efficacy in an arts-based sexual health workshop among Northern and Indigenous adolescents in the Northwest Territories, Canada

AIDS Care. 2022 Jun 19:1-6. doi: 10.1080/09540121.2022.2089617. Online ahead of print.

ABSTRACT

ABSTRACTLimited research has evaluated sexual health promotion projects with adolescents living in Arctic regions. The study objective was to examine changes in STI knowledge and safer sex efficacy among youth in the Northwest Territories (NWT), Canada who participated in arts-based sexual health workshops. We used a pre/post-test design with a convenience sample of students aged 13-18 years recruited from 17 NWT communities. We conducted summary statistics and comparisons between pre and post-test scores using paired t-tests. Among participants (n = 610), we found statistically significant increases in STI knowledge overall (mean difference = 3.9; p < 0.001) and across gender and age stratifications. There were statistically significant increases in safer sex efficacy overall (mean difference = 0.9, p < 0.001), across genders, and among participants: aged <15 years, in rural communities, reporting food insecurity, reporting dating violence, and Indigenous youth. No statistically significant differences in safer sex efficacy were observed among participants who were aged ≥15, sexually active, reporting consistent condom use, and using drugs/alcohol. Findings signal the promise of youth-targeted, arts-based sexual health workshops for improving STI knowledge and safer sex efficacy among adolescents in the NWT. Further research can explore how safer sex efficacy may be shaped by age, substance use, and sexual experience to inform tailored interventions.

PMID:35722818 | DOI:10.1080/09540121.2022.2089617

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Nevin Manimala Statistics

Microscopic Over-under Versus Medial Tympanoplasty for Larger Tympanic Membrane Perforations

Ear Nose Throat J. 2022 Jun 19:1455613221107150. doi: 10.1177/01455613221107150. Online ahead of print.

ABSTRACT

OBJECTIVES: To identify the differences in hearing, anatomical success rate, functional success rate, and complications between over-under tympanoplasty and medial tympanoplasty procedures.

METHODS: The clinical data of patients with tympanic membrane perforation repaired by medial tympanoplasty between January 2011 and December 2016 and by over-under tympanoplasty between January 2017 and December 2020 were retrospectively analyzed. We evaluated the differences between medial tympanoplasty and over-under tympanoplasty.

RESULTS: The overall success rate of over-under tympanoplasty was higher than that of medial tympanoplasty (90.76% vs 81.31%). In large perforations, the success rate of over-under tympanoplasty was higher than that of medial tympanoplasty (89.80% vs 71.43%). There was no statistically significant difference in the success rate between the two treatment groups for moderate perforations. Furthermore, there was no statistically significant difference in the incidence of complications between the two groups (P = .2637).

CONCLUSIONS: Over-under tympanoplasty is more suitable for large perforations of the tympanic membrane and has a higher success rate as compared to medial tympanoplasty.

PMID:35722803 | DOI:10.1177/01455613221107150

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Nevin Manimala Statistics

Metabolic profiling of lysophosphatidylcholines in chlorpromazine hydrochloride- and N-acetyl-p-amino-phenoltriptolide-induced liver injured rats based on ultra-performance liquid chromatography quadrupole time-of-flight mass spectrometry

Hum Exp Toxicol. 2022 Jan-Dec;41:9603271221108320. doi: 10.1177/09603271221108320.

ABSTRACT

Chlorpromazine hydrochloride (CH) and N-acetyl-p-amino-phenoltriptolide (APAP) are typical acentral dopamine receptor antagonists and antipyretic analgesics in clinical applications, respectively. However, it has been reported that these 2 drugs could cause liver damage. Lysophosphatidylcholines (LPCs) have multiple physiological functions and are metabolized primarily in the liver, where it undergoes significant changes when the liver is damaged. In the study, 15 LPCs in the rat serum with CH- and APAP-induced liver injury were quantified based on ultra-performance liquid chromatography quadrupole time-of-flight mass spectrometry, and multivariate statistical analyses including principal component analysis (PCA) and orthogonal partial least squares discriminate analysis (OPLS-DA) were combined to understand CH- and APAP-induced liver injury from the perspective of LPC metabolic profiling. The quantitative results showed that there were significant changes in 10 LPCs and 5 LPCs after CH- and APAP-administration, separately. The results of PCA and OPLS-DA indicated that CH- and APAP-induced liver injury could be well distinguished by the LPC metabolic profiling, and 7 LPCs and 1 LPC biomarkers that could characterize CH- and APAP-induced liver damage in turn had been screened. This study will not only provide a new perspective for the clinical diagnosis of CH- and APAP-induced liver injury, but also offer a reference for further study of their hepatotoxicity mechanisms.

PMID:35722787 | DOI:10.1177/09603271221108320

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Nevin Manimala Statistics

The effect of direct-acting antiviral regimens and telemedicine on the treatment of inmates with hepatitis C virus infection in Israeli prisons

Sci Prog. 2022 Apr-Jun;105(2):368504221105173. doi: 10.1177/00368504221105173.

ABSTRACT

BACKGROUND: Direct-acting antiviral (DAA) regimens and telemedicine services are both options for treating hepatitis C virus (HCV) within the prison setting. We aimed to compare factors associated with HCV treatment success over the past decade in Israeli prisons, specifically the influence of DAAs and telemedicine.

METHODS: We retrospectively reviewed the medical records of inmates with HCV infection in Israeli prisons from 2010 through 2020. Demographic, clinical, and laboratory data were recorded, including treatment regimens and success rates.

RESULTS: A total of 273 inmates were treated; mean age 45 ± 9.36 years; 98.2% males; 63.9% with a history of drug abuse. Advanced fibrosis was documented in 42.9%. The most common genotypes were 1 (46%) followed by 3 (40.7%). Interferon-based regimens were given to 68 inmates between 2010 and 2017. DAA agents were introduced in 2016, with pan-genotype regimens being exclusively used since 2019. Telemedicine services were used in 140 patients (51.3%), starting in February 2019. The sustained viral response (SVR) rate with interferon-based therapy was 78.8% and 98.8% with DAA treatment, giving an overall SVR of 93.2%. This difference between regimens proved to be the only statistically significant predictor of treatment success. The number of prisoners being treated with DAAs increased exponentially after telemedicine was introduced. Comparable SVR rates were achieved with either in-person or telemedicine consultation.

CONCLUSION: Screening of this high-risk population and using telemedicine for treatment may be an effective strategy for the elimination of HCV from the prison population.

PMID:35722762 | DOI:10.1177/00368504221105173

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Nevin Manimala Statistics

Utilizing stratified generalized propensity score matching to approximate blocked randomized designs with multiple treatment levels

J Biopharm Stat. 2022 Jun 19:1-27. doi: 10.1080/10543406.2022.2065507. Online ahead of print.

ABSTRACT

Conducting causal inference in settings with more than one treatment level can be challenging. Classical methods, such as propensity score matching (PSM), are restricted to only a binary treatment. To extend propensity score methods beyond a binary treatment, generalized propensity score methods have been proposed, with generalized propensity score matching (GPSM) standing as the multi-level treatment analog to PSM. One drawback of GPSM is it is only capable of emulating a completely randomized trial (CRT) design and not the more efficient blocked randomized trial design. Motivated by the desire to emulate the more efficient design, we expand on GPSM estimating literature and develop a new estimator incorporating relevant stratifying variables into the GPSM framework. We examine the variance estimation methods available for GPSM and demonstrate how to extend the estimator to one where stratifying variables are included. While it would be straightforward to include relevant stratifying variables as covariates in the propensity score estimation, our method provides for researchers to conduct retrospective analyses more consistently with the prospective experiment they would have designed if permitted. Namely, our method permits researchers to approximate a stratified randomized trial as opposed to the CRT otherwise obtainable by GPSM. We apply our proposed method to an analysis of how the number of children in a household affects systolic blood pressure in adults. We conduct a simulation study assessing how the relationship between response, treatment, and strata affect the performance of our method and compare the results to non-stratified GPSM.

PMID:35722726 | DOI:10.1080/10543406.2022.2065507

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Nevin Manimala Statistics

Subsequent Musculoskeletal Injury Incidence Are Similar Between General Infection and COVID-19 among High School Athletes in the Unites States Despite Higher Illness Incidence During Academic years 2019-2020 and 2020-2021

J Orthop Sports Phys Ther. 2022 Jun 19:1-25. doi: 10.2519/jospt.2022.11200. Online ahead of print.

ABSTRACT

OBJECTIVE: 1) Describe overall illness, and COVID-19-specific illness in high school athletes in the 2019-2020 and 2020-2021 academic school years; and 2) describe and assess the risk of musculoskeletal injury following general infection, and after COVID-19.

DESIGN: Ecological study.

METHODS: High schools (6 states; 176 high schools) were matched between the 2019-2020 and 2020-2021 academic school years, based on 2020-2021 high school sport participation. Illness and injury data were collected from the high school athletic trainers. Illness was stratified by overall illness, general infection, and COVID-19. Injuries following moderate or severe infections or COVID-19 were recorded. Illness and injury incidence rate per 100 athletes per year with 95% confidence intervals (95% CI) were calculated. Negative binomial models comparing injury following general infections and COVID-19 infections were calculated.

RESULTS: 98,487 and 72,521 athletes participated in the 2019-2020 and 2020-2021 years. Illness incidence rate was less in the 2019-2020 [0.30 (95% CI: 0.27-0.34)] than 2020-2021 [1.1 (1.0-1.2)] year, resulting in a difference of 0.8 (95% CI: 0.7, 0.9). COVID-19 incidence rate was 0.52 (0.47-0.58) in the 2020-2021 year. Injury following general infection incidence rate was 27.9 injuries (21.4-34.5) per 100 athletes in 2019-2020, and 22.5 injuries (19.3-25.7) per 100 athletes in 2020-2021. There was no difference in injury risk following general infection and COVID-19 [Rate Ratio: 1.2 (95% CI: 0.7-2.4)].

CONCLUSIONS: The incidence rate for all illnesses in high school athletes was slightly (0.8) greater in the 2020-2021 academic compared to the 2019-2020 year. Most of the incidence increase was due to infections and COVID-19. Subsequent injury incidence following moderate and severe infections were similar between years and between general infections and COVID-19.

PMID:35722758 | DOI:10.2519/jospt.2022.11200

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Nevin Manimala Statistics

Model-based pulse pileup and charge sharing compensation for photon counting detectors: A simulation study

Med Phys. 2022 Jun 20. doi: 10.1002/mp.15779. Online ahead of print.

ABSTRACT

PURPOSE: We aim at developing a model-based algorithm that compensates for the effect of both pulse pileup (PP) and charge sharing (CS), and evaluate the performance using computer simulations.

METHODS: The proposed PCP algorithm for PP and CS compensation cascaded models for CS and PP we previously developed, maximizes Poisson log-likelihood, and uses an efficient 3-step exhaustive search. For comparison, we also developed LCP algorithm that combines models for a loss of counts (LC) and CS. Two types of computer simulation, slab-based and CT-based, were performed to assess the performance of both PCP and LCP with 200 mA and 800 mA, (300 μm)2 x 1.6 mm cadmium telluride detector, and a deadtime of 23 ns. A slab-based assessment used a pair of adipose and iodine with different thicknesses, attenuated x-rays, assessed the bias and noise of the outputs from one detector pixel; a CT-based assessment simulated a chest/cardiac scan and a head-and-neck scan using 3-D phantom and noisy cone-beam projections.

RESULTS: With the slab simulation, the PCP had little or no biases when the expected counts was sufficiently large, even though a probability of count loss (PCL) due to deadtime loss or pulse pileup was as high as 0.8. In contrast, the LCP had significant biases (>±2 cm of adipose) when the PCL was higher than 0.15. Biases were present with both PCP and LCP when the expected counts were less than 10-120 per datum, which was attributed to the fact that the maximum-likelihood did not approach the asymptote. The noise of PCP was within 8% from Cramér-Rao lower bounds for most cases, when no significant bias was present. The two CT studies essentially agreed with the slab simulation study. PCP had little or no biases in the estimated basis line integrals, reconstructed basis density maps, and synthesized monoenergetic CT images. But the LCP had significant biases in basis line integrals when x-ray beams passed through lungs and near the body and neck contours, where the PCL were above 0.15. As a consequence, basis density maps and monoenergetic CT images obtained by LCP had biases throughout the imaged space.

CONCLUSION: We have developed the PCP algorithm that uses the PP-CS model. When the expected counts were more than 10-120 per datum, the PCP algorithm was statistically efficient and successfully compensates for the effect of the spectral distortion due to both PP and CS providing little or no biases in basis line integrals, basis density maps, and monoenergetic CT images regardless of count-rates. In contrast, the LCP algorithm, which models a loss of count due to pileup, produces severe biases when incident count-rates are high and the PCL is 0.15 or higher. This article is protected by copyright. All rights reserved.

PMID:35722721 | DOI:10.1002/mp.15779

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Nevin Manimala Statistics

Associations between morphological parameters and ruptured anterior communicating artery aneurysm: A propensity score-matched, single center, case-control study

Interv Neuroradiol. 2022 Jun 19:15910199221108308. doi: 10.1177/15910199221108308. Online ahead of print.

ABSTRACT

BACKGROUND: To identify an association between morphological parameters and the rupture risk of anterior communicating artery (ACoA) aneurysms using propensity score matching (PSM).

METHODS: Data for 109 patients with ACoA aneurysms treated from January 2018 to October 2021 were reviewed; 94 patients were enrolled. The geometrical parameters of the ACoA aneurysms were measured and calculated using three-dimensional reconstructed digital subtraction angiography images. The aneurysms’ morphological parameters were analyzed using a propensity score for six factors (age, sex, excess alcohol intake, smoking, hypertension, diabetes mellitus). Univariate logistic regression was used to analyze the relationship between the aneurysms’ morphological parameters and rupture risk.

RESULTS: Twenty-five patients each with or without ruptured aneurysms were selected. After matching, no statistically significant differences were seen between the groups in their baseline characteristics. Aneurysm neck size (p = 0.038) was higher in the unruptured group than that in the ruptured group, and the dome-to-neck ratio (D/N; p = 0.009) and aspect ratio (AR; p = 0.003) were higher in the ruptured group than those in the unruptured group. Univariable logistic regression analysis demonstrated that ACoA aneurysm rupture was associated with AR (odds ratio: 8.047; 95% confidence interval: 1.569-41.213; p = 0.012) and D/N (odds ratio: 4.253; 95% confidence interval: 1.228-14.731; p = 0.022). The areas under the receiver operating characteristic curves for AR and D/N were 0.746 and 0.715, respectively.

CONCLUSIONS: After PSM, ACoA aneurysms with higher AR and D/N, and smaller neck size were more likely to rupture. AR may be a much more important predictor of aneurysm rupture than other predictors.

PMID:35722707 | DOI:10.1177/15910199221108308