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Nevin Manimala Statistics

Measuring Internet Gaming Disorder and Gaming Disorder: A Qualitative Content Validity Analysis of Validated Scales

Assessment. 2021 Nov 2:10731911211055435. doi: 10.1177/10731911211055435. Online ahead of print.

ABSTRACT

Numerous instruments have been developed to measure gaming-related health problems based on “internet gaming disorder” (IGD) in the third section of the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) and “gaming disorder” (GD) in the International Classification of Diseases (11th rev.). However, the criteria in the manuals tend to be operationalized in numerous diverse ways, which can make screening outcomes incomparable. A content validity analysis is needed to reassess the relationships between the diagnostic criteria and the items that operationalize them. The IGD and GD criteria were divided into sematic components. A qualitative content validity analysis was carried out for all items employed by the 17 instruments that claim to measure either construct by their criteria in English. In all but one instrument, the operationalizations did not include all criterion components. There were two main reasons found for this: the components had simply been left out or had been alternatively modified into other components. Criteria that were vaguely described in the manuals were sources of lower content validity items. The study implies that many of the problems in IGD and GD measurement derive from criteria operationalization and original manual descriptions. The conclusion provides practical recommendations that researchers can apply to improve the content validity of their measurement.

PMID:34726084 | DOI:10.1177/10731911211055435

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Nevin Manimala Statistics

Blood Pressure and Cardiovascular Disease in Older Patients With Diabetes: Retrospective Cohort Study

J Am Heart Assoc. 2021 Nov 2:e020999. doi: 10.1161/JAHA.121.020999. Online ahead of print.

ABSTRACT

Background Blood pressure (BP) targets in elderly patients with diabetes remain unclear. We evaluated the association between BP and cardiovascular disease in elderly patients with diabetes without cardiovascular disease or heart failure. Methods and Results We performed a retrospective cohort study of 225 563 elderly (aged ≥65 years) patients with diabetes without cardiovascular disease or heart failure from 2009 to 2017 using the National Health Information Database. We divided the participants by systolic BP (SBP) and diastolic BP. Primary composite outcomes were stroke, myocardial infarction, heart failure, and all-cause death analyzed by Cox proportional hazards regression analysis adjusted for baseline covariates. During a median follow-up of 7.76 years, the incidence rate of primary composite outcomes was 26.62 per 1000 person-years. In multivariable Cox proportional hazard modeling, the risk of the primary outcome had a U-curved association with SBP/diastolic blood pressure with a nadir between 120 and 129 mm Hg/65 and 69 mm Hg, respectively. Hypertension medication was associated with lower risk of primary composite outcomes in SBP ≥140 mm Hg (P for interaction for SBP <0.001) and diastolic blood pressure ≥90 mm Hg (P for interaction for diastolic blood pressure=0.018). In participants aged ≥80 years, SBP ≥160 mm Hg was only a marginally higher risk for primary composite outcomes (hazard ratio=1.11; 95% CI, 0.98-1.24). Conclusions In this large sample of older Korean patients with diabetes, cardiovascular events were more common in people with resting SBP or diastolic BP ≥140 or 95 mm Hg, respectively, and also more common in people with resting SBP or diastolic BP <120 or 65 mm Hg, respectively.

PMID:34726076 | DOI:10.1161/JAHA.121.020999

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Nevin Manimala Statistics

Precision Synthesis of Conjugated Polymers Using the Kumada Methodology

Acc Chem Res. 2021 Nov 2. doi: 10.1021/acs.accounts.1c00556. Online ahead of print.

ABSTRACT

ConspectusSince the discovery of conductive poly(acetylene), the study of conjugated polymers has remained an active and interdisciplinary frontier between polymer chemistry, polymer physics, computation, and device engineering. One of the ultimate goals of polymer science is to reliably synthesize structures, similar to small molecule synthesis. Kumada catalyst-transfer polymerization (KCTP) is a powerful tool for synthesizing conjugated polymers with predictable molecular weights, narrow dispersities, specific end groups, and complex backbone architectures. However, expanding the monomer scope beyond the well-studied 3-alkylthiophenes to include electron-deficient and complex heterocycles has been difficult. Revisiting the successful applications of KCTP can help us gain new insight into the CTP mechanisms and thus inspire breakthroughs in the controlled polymerization of challenging π-conjugated monomers.In this Account, we highlight our efforts over the past decade to achieve controlled synthesis of homopolymers (p-type and n-type), copolymers (diblock and statistical), and monodisperse high oligomers. We first give a brief introduction of the mechanism and state-of-the-art of KCTP. Since the extent of polymerization control is determined by steric and electronic effects of both the catalyst and monomer, the polymerization can be optimized by modifying monomer and catalyst structures, as well as finding a well-matched monomer-catalyst system. We discuss the effects of side-chain steric hindrance and halogens in the context of heavy atom substituted monomers. By moving the side-chain branch point one carbon atom away from the heterocycle to alleviate steric crowding and stabilize the catalyst resting state, we were able to successfully control the polymerization of new tellurophene monomers. Inspired by innocent role of the sterically encumbered 2-transmetalated 3-alkylthiophene monomer, we introduce the treatment of hygroscopic monomers with a bulky Grignard compound as a water-scavenger for the improved synthesis of water-soluble conjugated polymers. For challenging electron-deficient monomers, we discuss the design of new Ni(II)diimine catalysts with electron-donating character which enhance the stability of the association complex between the catalyst and the growing polymer chain, resulting in the quasi-living synthesis of n-type polymers. Beyond n-type homopolymers, the Ni(II)diimine catalysts are also capable of producing electron-rich and electron-deficient diblock and statistical copolymers. We discuss how density functional theory (DFT) calculations elucidate the role of catalyst steric and electronic effects in controlling the synthesis of π-conjugated polymers. Moreover, we demonstrate the synthesis of monodisperse high oligomers by temperature cycling, which takes full advantage of the unique character of KCTP in that it proceeds through distinct intermediates that are not reactive. The insight we gained thus far leads to the first example of isolated living conjugated polymer chains prepared by a standard KCTP procedure, with general applicability to different monomers and catalytic systems. In summarizing a decade of innovation in KCTP, we hope this Account will inspire future development in the field to overcome key challenges including the controlled synthesis of electron-deficient heterocycles, complex and high-performance systems, and degradable and recyclable materials as well as cutting-edge catalyst design.

PMID:34726058 | DOI:10.1021/acs.accounts.1c00556

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Nevin Manimala Statistics

Spatio-temporal epidemiology of emergency medical requests in a large urban area. A scan-statistic approach

Geospat Health. 2021 Oct 28;16(2). doi: 10.4081/gh.2021.1043.

ABSTRACT

Pre-hospital care is provided by emergency medical services (EMS) staff, the initial health care providers at the scene of disaster. This study aimed to describe the characteristics of EMS callers and space-time distribution of emergency requests in a large urban area. Descriptive thematic maps of EMS requests were created using an empirical Bayesian smoothing approach. Spatial, temporal and spatio-temporal clustering techniques were applied to EMS data based on Kulldorff scan statistics technique. Almost 225,000 calls were registered in the EMS dispatch centre during the study period. Approximately two-thirds of these calls were associated with an altered level of patient consciousness, and the median response time for rural and urban EMS dispatches was 12.2 and 10.1 minutes, respectively. Spatio-temporal clusters of EMS requests were mostly located in central parts of the city, particularly near the downtown area. However, high-response time clustered areas had a low overlap with these general, spatial clusters. This low convergence shows that some unknown factors, other than EMS requests, influence the high-response times. The findings of this study can help policymakers to better allocate EMS resources and implement tailored interventions to enhance EMS system in urban areas.

PMID:34726036 | DOI:10.4081/gh.2021.1043

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Nevin Manimala Statistics

Intramuscular fat in gluteus maximus for different levels of physical activity

Sci Rep. 2021 Nov 1;11(1):21401. doi: 10.1038/s41598-021-00790-w.

ABSTRACT

We aimed to determine if gluteus maximus (GMAX) fat infiltration is associated with different levels of physical activity. Identifying and quantifying differences in the intramuscular fat content of GMAX in subjects with different levels of physical activity can provide a new tool to evaluate hip muscles health. This was a cross-sectional study involving seventy subjects that underwent Dixon MRI of the pelvis. The individuals were divided into four groups by levels of physical activity, from low to high: inactive patients due to hip pain; and low, medium and high physical activity groups of healthy subjects (HS) based on hours of exercise per week. We estimated the GMAX intramuscular fat content for each subject using automated measurements of fat fraction (FF) from Dixon images. The GMAX volume and lean volume were also measured and normalized by lean body mass. The effects of body mass index (BMI) and age were included in the statistical analysis. The patient group had a significantly higher FF than the three groups of HS (median values of 26.2%, 17.8%, 16.7% and 13.7% respectively, p < 0.001). The normalized lean volume was significantly larger in the high activity group compared to all the other groups (p < 0.001, p = 0.002 and p = 0.02). Employing a hierarchical linear regression analysis, we found that hip pain, low physical activity, female gender and high BMI were statistically significant predictors of increased GMAX fat infiltration.

PMID:34725385 | DOI:10.1038/s41598-021-00790-w

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Nevin Manimala Statistics

Scientific reports controlling droplet splashing and bouncing by dielectrowetting

Sci Rep. 2021 Nov 1;11(1):21410. doi: 10.1038/s41598-021-00771-z.

ABSTRACT

Stopping droplets from bouncing or splashing after impacting a surface is fundamental in preventing cross-contamination, and the spreading of germs and harmful substances. Here we demonstrate that dielectrowetting can be applied to actively control the dynamics of droplet impact. Moreover, we demonstrate that dielectrowetting can be used to prevent droplet bouncing and suppress splashing. In our experiments, the dielectrowetting effect is produced on a flat substrate by two thin interdigitated electrodes connected to an alternating current potential. Our findings show that the strength of the electric potential can affect the dynamic contact angle and regulate the spreading, splashing and receding dynamics at the right time-scales.

PMID:34725382 | DOI:10.1038/s41598-021-00771-z

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Nevin Manimala Statistics

A novel method quantifying caries following orthodontic treatment

Sci Rep. 2021 Nov 1;11(1):21347. doi: 10.1038/s41598-021-00561-7.

ABSTRACT

This retrospective pilot study used a newly developed evaluation tool to assess the prevalence and incidence of White Spot Lesions (WSL) before and after multibracket appliance (MB) therapy. Digital photographs of 121 adolescent patients (63 ♂, 58 ♀) with metal brackets were analyzed retrospectively before and after MB therapy. The labial surfaces of anterior teeth, canine teeth, and premolars in the upper (UJ) and lower jaws (LJ) were evaluated using the Enamel Decalcification Index (EDI) by Banks and Richmond (Eur J Orthod, 16(1):19-25, 1994, levels 0-3) and a specially developed digitally scaled graticule with concentric circles to quantify the extent of WSL (in %). The statistical data analysis was based on crosstabulations and logistic regression. Before MB, 69.4% of the patients presented at least one WSL and 97.5% after, an increase of 28.1%. Before MB, 18.4% of the tooth surfaces (TS) showed an EDI level of 1-3. After MB, 51.8% of the TS featured WSL. 18.2% of the TS showed a WSL to the extent of ≥ 20-100% before and 52.3% after MB. The incidence in the UJ (71-79%) as well as the LJ (64-76%) was highest for the first and second premolars and lowest for LJ incisors (22-35%). The probability for developing a new distal WSL is higher than developing gingival, mesial or occlusal WSL. Labial MB therapy drastically increases the risk of developing WSL. We verified a concise quantification of the extent of labial WSL with the evaluation index.

PMID:34725354 | DOI:10.1038/s41598-021-00561-7

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Nevin Manimala Statistics

Attributes of the food and physical activity built environments from the Southern Cone of Latin America

Sci Data. 2021 Nov 1;8(1):291. doi: 10.1038/s41597-021-01073-9.

ABSTRACT

Previous studies have shown the influence of the physical and social environments on the development of obesity and non-communicable diseases (NCD). An obesogenic environment promotes higher dietary energy intakes and sedentary behaviors while limiting opportunities or incentives for active living. This paper presents a dataset with key attributes of the food and physical activity built environment, including green spaces, quality of streets and sidewalks, and different types of food retail outlets in four cities of the Southern Cone of Latin America. A total of 139 representative neighborhoods randomly selected from: Marcos Paz and Bariloche (Argentina), Temuco (Chile) and Canelones-Barros Blancos (Uruguay) were evaluated, where standardized community walks were conducted for direct observation of the built environment. This dataset will contribute valuable data to the evaluation of obesogenic environments in the region, and could be linked to additional ecological information about risk factors for NCDs and socio-economic features from other sources. Understanding environmental influences on cardiovascular risk factors and individual habits may help explain NCD outcomes and plan urban policies.

PMID:34725368 | DOI:10.1038/s41597-021-01073-9

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Nevin Manimala Statistics

PECULIARITIES OF THE PREVALENCE OF INTRAUTERINE INFECTIONS AT THE PRESENT STAGE

Wiad Lek. 2021;74(9 cz 1):2213-2217.

ABSTRACT

OBJECTIVE: The aim: According to the literature sources to summarize statistics on the prevalence of intrauterine infection and its impact on pregnancy and the condition of newborns at the present stage.

PATIENTS AND METHODS: Materials and methods: The article analyzes 35 literature sources (scientific publications) from 2000 to 2021, indexed in international scientometric database and covers the incidence of intrauterine infections in countries with different income levels, as well as their impact on pregnancy, childbirth and the condition of newborns.

CONCLUSION: Conclusions: The main task of obstetrics and gynecology at the present stage is to reduce reproductive losses, which necessitates further study of the etiology of IUI, especially in low- and middle-income countries. The screening for IUIs during pregnancy is cost-effective because treatment of the effects of IUIs requires disproportionately greater resources.

PMID:34725303

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Nevin Manimala Statistics

Experimental quantum simulation of superradiant phase transition beyond no-go theorem via antisqueezing

Nat Commun. 2021 Nov 1;12(1):6281. doi: 10.1038/s41467-021-26573-5.

ABSTRACT

The superradiant phase transition in thermal equilibrium is a fundamental concept bridging statistical physics and electrodynamics, which has never been observed in real physical systems since the first proposal in the 1970s. The existence of this phase transition in cavity quantum electrodynamics systems is still subject of ongoing debates due to the no-go theorem induced by the so-called A2 term. Moreover, experimental conditions to study this phase transition are hard to achieve with current accessible technology. Based on the platform of nuclear magnetic resonance, here we experimentally simulate the occurrence of an equilibrium superradiant phase transition beyond no-go theorem by introducing the antisqueezing effect. The mechanism relies on that the antisqueezing effect recovers the singularity of the ground state via exponentially enhancing the zero point fluctuation of system. The strongly entangled and squeezed Schrödinger cat states of spins are achieved experimentally in the superradiant phase, which may play an important role in fundamental tests of quantum theory and implementations of quantum metrology.

PMID:34725347 | DOI:10.1038/s41467-021-26573-5