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Nevin Manimala Statistics

Drought tolerance assessment of citron watermelon (Citrullus lanatus var. citroides (L.H. Bailey) Mansf. ex Greb.) accessions based on morphological and physiological traits

Plant Physiol Biochem. 2022 Apr 4;180:106-123. doi: 10.1016/j.plaphy.2022.03.037. Online ahead of print.

ABSTRACT

Long-term cultivation of citron watermelon under water-constrained environments in sub-Saharan Africa resulted in the selection and domestication of highly tolerant genotypes. However, information on the magnitude of variation for drought tolerance in citron watermelon is limited for the effective selection of suitable genotypes for breeding. The objective of this study was to determine variation for drought tolerance among South African citron watermelon landrace accessions for selection and use as genetic stock for drought-tolerance breeding in this crop and closely-related cucurbit crops. Forty genetically differentiated citron watermelon accessions were grown under non-stress (NS) and drought-stress (DS) conditions under glasshouse environment. Data of physiological (i.e., leaf gas exchange and chlorophyll fluorescence parameters) and morphological traits (i.e., shoot and root system architecture traits, and fruit yield) were collected and subjected to various parametric statistical analyses. The accessions varied significantly for assessed traits under both NS and DS conditions which aided classification into five groups, namely; A (highly drought-tolerant), B (drought-tolerant), C (moderate drought-tolerant), D (drought-sensitive) and E (highly drought-sensitive). Drought-tolerant genotypes produced more fruit yield with less water compared with drought-sensitive genotypes. Several physiological and morphological parameters correlated with fruit yield under DS condition namely: instantaneous water-use efficiency (r = 0.97), leaf dry weight (r = 0.77), total root length (r = 0.46) and root dry weight (r = 0.48). The following accessions, namely: WWM-46, WWM-68, WWM-41(A), WWM-15, WWM-64, WWM-57, WWM-47, WWM-37(2), WWM-79, WWM-05 and WWM-50) were identified as highly drought-tolerant and recommended for drought-tolerance breeding in this crop or related cucurbit crops such as sweet dessert watermelon.

PMID:35405428 | DOI:10.1016/j.plaphy.2022.03.037

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Nevin Manimala Statistics

A new active contraction model for the myocardium using a modified hill model

Comput Biol Med. 2022 Mar 24;145:105417. doi: 10.1016/j.compbiomed.2022.105417. Online ahead of print.

ABSTRACT

This study develops a new hybrid active contraction model for myocardial dynamics abstracted from sarcomere by combining the phenomenologically active-stress based Hill model and the micro-structurally motivated active strain approach. This new model consists of a passive branch and a parallel active branch that consists of a serial passive element for active tension transmission and a contractile unit for active tension development. This rheology represents an additive decomposition of the total stress into a passive and active response. The active stress is formulated following the active strain approach based on the sliding filament theory by multiplicatively decomposing the stretch of the contractile element into a fictitious and an active part. The length-dependence and force-velocity are further incorporated in the active strain. We estimate the passive stiffness of the serial passive element using literature data, which is 250 kPa, then the active stress is computed from the serial passive element in the active branch because of its force transmission structure. This one-dimensional contraction model is further generalized to three dimensions for modelling myocardial dynamics. Our results demonstrate that the proposed active contraction model has a high descriptive capability for various experiments, including both isometric and isotonic contraction compared to existing active strain approaches. We also show that it can simulate physiologically accurate cardiac dynamics in humans. The excellent agreement with experimental data and a local sensitivity study highlight the importance of length-dependence and force-velocity in the active strain approach. Our results further show that there exists a tight interaction between the length-dependence and force-velocity relationships. This new hybrid model serves as a step forward in personalized cardiac modelling using an active-strain based contraction model and has the potential to understand the multi-scale coupling in active contraction according to the sliding filament theory.

PMID:35405401 | DOI:10.1016/j.compbiomed.2022.105417

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Early adulthood overweight and obesity and risk of premenopausal ovarian cancer, and premenopausal breast cancer including receptor status: prospective cohort study of nearly 500,000 Danish women

Ann Epidemiol. 2022 Apr 8:S1047-2797(22)00048-5. doi: 10.1016/j.annepidem.2022.03.013. Online ahead of print.

ABSTRACT

PURPOSE: To assess the association between higher than normal BMI and incidence of premenopausal ovarian and breast cancers.

METHODS: This prospective cohort study included 461,646 women registered in the Danish Medical Birth Registry with self-reported early adulthood BMI ≥18.5 kg/m2, without a history of cancer. We used Cox proportional hazards regression models to estimate the hazard ratios (HRs) with 95% confidence intervals (95% CIs) of premenopausal epithelial ovarian cancer, breast cancer, estrogen receptor positive and negative, HER2 positive and negative breast cancers according to BMI.

RESULTS: Compared with normal weight, obesity was associated with higher rates of premenopausal ovarian cancer (HR=1.95, 95% CI 1.19-3.21) when adjusted for parity, use of hormonal contraception, family history of ovarian and/or breast cancer, other cancer, and calendar year. Obesity was associated with lower rates of premenopausal breast cancer (HR=0.77, 95% CI 0.68-0.87) when adjusted for parity, use of hormonal contraception, family history of ovarian and/or breast cancer, any other cancer, calendar year, smoking, and highest achieved education. The associations were strongest with estrogen receptor positive premenopausal breast cancers. Results according to HER2 status were similar to overall results for premenopausal breast cancer.

CONCLUSIONS: Obesity was associated with higher incidence of premenopausal ovarian cancer and lower incidence of premenopausal breast cancer.

PMID:35405346 | DOI:10.1016/j.annepidem.2022.03.013

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Nevin Manimala Statistics

Outcomes of Cervical Disc Replacement in Patients With Neck Pain Greater Than Arm Pain

Spine J. 2022 Apr 8:S1529-9430(22)00147-4. doi: 10.1016/j.spinee.2022.04.001. Online ahead of print.

ABSTRACT

BACKGROUND CONTEXT: Although anterior cervical discectomy and fusion (ACDF) is believed to positively impact a patient’s radicular symptoms as well as axial neck pain, the outcomes of cervical disc replacement (CDR) with regards to neck pain specifically have not been established.

PURPOSE: Primary: to assess clinical improvement following CDR in patients with neck pain greater than arm pain. Secondary: to compare the clinical outcomes between patients undergoing CDR for predominant neck pain (pNP), predominant arm pain (pAP), and equal neck and arm pain (ENAP).

STUDY DESIGN: Retrospective review of prospectively collected data PATIENT SAMPLE: Patients who had undergone one- or two-level CDR for the treatment of degenerative cervical pathology and had a minimum of 6-month follow-up were included and stratified into three cohorts based on their predominant location of pain: pNP, pAP, and ENAP.

OUTCOME MEASURES: Patient-reported outcomes (PROs): Neck Disability Index (NDI), Visual Analog Scale (VAS) neck and arm, Short Form 12-Item Physical Health Score (SF12-PHS), Short Form 12-Item Mental Health Score (SF12-MHS), minimal clinically important difference (MCID).

METHODS: Changes in PROs from preoperative values to early (<6 months) and late (≥6 months) postoperative timepoints were analyzed within each of the three groups. The percentage of patients achieving MCID was also evaluated.

RESULTS: 125 patients (52 pNP, 30 pAP, 43 ENAP) were included. The pNP cohort demonstrated significant improvements in early and late NDI and VAS-Neck, early SF-12 MCS, and late SF-12 PCS. The pAP and ENAP cohorts demonstrated significant improvements in all PROMs, including NDI, VAS-Neck, VAS-Arm, SF-12 PCS, and SF-12 MCS, at both the early and late timepoints. No statistically significant differences were found in the MCID achievement rates for NDI, VAS-Neck, SF-12 PCS, and SF-12 MCS at the late timepoint amongst the three groups.

CONCLUSIONS: CDR leads to comparable improvement in neck pain and disability in patients presenting with neck pain greater than arm pain and meeting specific clinical and radiographic criteria.

PMID:35405338 | DOI:10.1016/j.spinee.2022.04.001

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Nevin Manimala Statistics

A Retrospective review on the timing of Glasgow Coma Score documentation in a trauma database: implications for patient care, research, and performance metrics

World Neurosurg. 2022 Apr 8:S1878-8750(22)00457-0. doi: 10.1016/j.wneu.2022.04.019. Online ahead of print.

ABSTRACT

INTRODUCTION: The Glasgow Coma Score (GCS) is intended to be an objective, reliable measure of a patient’s mental status. It is included as a metric for trauma registries, having implications for performance metrics and research. Our study compared the GCS recorded in the trauma registry (GCS-1) to that recorded in the neurosurgery consultation (GCS-2).

METHODS: This retrospective review compared GCS-1 to GCS-2. The Trauma Injury Severity Score (TRISS) method was used to calculate probability of survival (POS) for patients using both GCS-1 and GCS-2.

RESULTS: GCS-1 significantly differed from GCS-2 (6.69 vs 7.84, ± 2.553, p<.001). There were 172 (37.55%) patients with a GCS-1 of 3 and 87 (19.00%) with a GCS-2 of 3 (Chi-square p<0.001). The probability of survival (POS) calculated using TRISS methodology with GCS-1 (POS-1) was 74.7% ± 26.6% compared to GCS-2 (POS-2), which was 79.3% ± 24.4%. There was a statistically significant difference in the means of POS-2 and POS-2 (p<0.001). The actual observed survival rate for the cohort was 71.0% (325/458).

CONCLUSION: The immediate GCS recorded on patient arrival after trauma differs significantly from the GCS recorded at later times. This significantly altered the probability of survival as calculated by the TRISS methodology. This could have profound effects on risk-adjusted benchmarking, assessments of quality of care and injury-severity stratification for research. More studies into the optimal timing of GCS recording or changes in GCS ant their impact on survival is warranted.

PMID:35405314 | DOI:10.1016/j.wneu.2022.04.019

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Presence of a Posterior Wall Sign in the Treatment of Femoroacetabular Impingement Syndrome: A Matched Comparative Cohort Analysis at Minimum 2-Year Follow-Up

J Arthroplasty. 2022 Apr 8:S0883-5403(22)00393-X. doi: 10.1016/j.arth.2022.04.002. Online ahead of print.

ABSTRACT

BACKGROUND: Acetabular retroversion may predispose to more severe Femoroacetabular Impingement Syndrome (FAIS) and early labral damage given impaction of the femoral head-neck junction on the retroverted acetabular rim. The cross-over sign (COS), posterior wall sign (PWS), and ischial spine sign (ISS) are markers of acetabular retroversion (AR) on plain radiographs.

METHODS: Patients who underwent primary hip arthroscopy for FAIS from 01/2012 to 12/2018 with a positive PWS were matched 1:1 by age, gender, and BMI to controls with a negative PWS. Pre- and postoperative patient-reported outcomes (PROs; HOS-ADL, HOS-SS, mHHS and iHOT-12) were compared using independent t-tests. Achievement of a Patient Acceptable Symptom State (PASS) or Minimal Clinically Important Difference (MCID) was compared using Fisher’s exact.

RESULTS: 275 patients with a positive PWS and 275 controls were included in the final analysis. Majority of patients (64%) were female, average age, and BMI of 37.6 (SD 8.6) and 25.1 (SD 4.4), respectively. PROs improved significantly for both groups from preoperatively to 2-years postoperatively. There were no statistically significant differences (P≥0.05) in PROs or achievement of MCID or PASS. On subgroup analysis, patients with all three positive signs had significantly lower postoperative PROs, and lower rates of achievement of MCID and PASS.

CONCLUSION: Patients with an isolated PWS achieve similar outcomes following hip arthroscopy at 2-years. However, patients with a concomitant PWS, ISS, and COS demonstrate less favorable outcomes, suggesting the need for increased perioperative counseling and potential evaluation for planned concurrent or serial open procedures such as periacetabular osteotomy.

PMID:35405263 | DOI:10.1016/j.arth.2022.04.002

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Clinical aspects of Helicobacter heilmannii-associated gastritis in patients with dyspepsia: A systematic review and meta-analysis

Microb Pathog. 2022 Apr 8:105518. doi: 10.1016/j.micpath.2022.105518. Online ahead of print.

ABSTRACT

BACKGROUND: The clinical relevance of Helicobacter heilmannii (H. heilmannii) infection in patients with upper gastrointestinal diseases is not yet fully understood. The main purpose of this study was to evaluate the clinical, endoscopic, histopathological, and therapeutic features of H. heilmannii.

METHODS: To retrieve the relevant studies, we conducted a comprehensive systematic search of global databases such as the ISI Web of Science, PubMed, Scopus, Embase, and Google Scholar. After confirming the studies based on the inclusion criteria statistical analysis was performed using Comprehensive Meta-Analysis software.

RESULTS: In our study, the prevalence of infection with H. heilmannii was measured at 1.9% (95% CI: 0.8-4.2). The prevalence of H. heilmannii in Asian population was higher than Western countries (3.1% vs. 1.2%, respectively). Interestingly, the frequency of coinfection with both H. pylori and H. heilmannii was 15.4% (95% CI: 5.2-37.6). The most common endoscopic findings were chronic gastritis, hyperplasia, and erosion. In addition, our results showed that in people infected with this bacterium, gastric inflammation is typically chronic, focal, and less active than Helicobacter pylori (H. pylori) gastritis. Conventional treatment of H. pylori can lead to the eradication of H. heilmannii.

CONCLUSION: In general, H. heilmannii infection is significantly associated with mild chronic gastritis and can be treated with standard anti-H. pylori treatment.

PMID:35405277 | DOI:10.1016/j.micpath.2022.105518

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Geogenic manganese and iron in groundwater of Southeast Asia and Bangladesh – Machine learning spatial prediction modeling and comparison with arsenic

Sci Total Environ. 2022 Apr 8:155131. doi: 10.1016/j.scitotenv.2022.155131. Online ahead of print.

ABSTRACT

Naturally occurring, geogenic manganese (Mn) and iron (Fe) are frequently found dissolved in groundwater at concentrations that make the water difficult to use (deposits, unpleasant taste) or, in the case of Mn, a potential health hazard. Over 6000 groundwater measurements of Mn and Fe in Southeast Asia and Bangladesh were assembled and statistically examined with other physicochemical parameters. The machine learning methods random forest and generalized boosted regression modeling were used with spatially continuous environmental parameters (climate, geology, soil, topography) to model and map the probability of groundwater Mn > 400 μg/L and Fe > 0.3 mg/L for Southeast Asia and Bangladesh. The modeling indicated that drier climatic conditions are associated with a tendency of elevated Mn concentrations, whereas high Fe concentrations tend to be found in a more humid climate with elevated levels of soil organic carbon. The spatial distribution of Mn > 400 μg/L and Fe > 0.3 mg/L was compared and contrasted with that of the critical geogenic contaminant arsenic (As), confirming that high Fe concentrations are often associated with high As concentrations, whereas areas of high concentrations of Mn and As are frequently found adjacent to each other. The probability maps draw attention to areas prone to elevated, concentrations of geogenic Mn and Fe in groundwater and can help direct efforts to mitigate their negative effects. The greatest Mn hazard is found in densely populated northwest Bangladesh and the Mekong, Red and Ma River Deltas of Cambodia and Vietnam. Widespread elevated Fe concentrations and their associated negative effects on water infrastructure pose challenges to water supply. The Mn and Fe prediction maps demonstrate the value of machine learning for the geospatial prediction modeling and mapping of groundwater contaminants, as well as the potential for further constituents to be targeted by this novel approach.

PMID:35405246 | DOI:10.1016/j.scitotenv.2022.155131

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Validation of Salivary Glucose as a Screening Tool of Diabetes Mellitus

Rom J Intern Med. 2022 Apr 11. doi: 10.2478/rjim-2022-0005. Online ahead of print.

ABSTRACT

Background: Improved prognosis and delay of clinical complications in Diabetes mellitus can be ensured by early screening and regular monitoring after diagnosis. This requires venipuncture at regular intervals of time causing anxiety and discomfort to the patient. Hence, development of a painless, non-invasive procedure is desirable for which saliva is a potential tool. Also, this would provide an easy and cost-effective means for large scale screening and epidemiological intervention. Aim: To measure fasting plasma glucose (FPG) and compare and correlate with salivary glucose levels in normal and diabetic individuals. Also, the correlation between glycated hemoglobin (HbA1c) and salivary glucose is studied in the diabetics and controls. Methods: Blood and salivary glucose was estimated by GOD-POD method and glycated hemoglobin by HPLC. Statistical analysis was done on SPSS 16. Mean, Standard deviation, independent t test, ANOVA (f test), Pearson’s correlation coefficient along with regression analysis was carried out and comparison was done between the control and diabetic groups and the different subgroups within the diabetic group. Results:A significant difference between the salivary glucose levels in subjects indicating that a deranged glycemic status is reflected in saliva. Also, salivary glucose increases in proportion to an increase in the FPG and HbA1C of the diabetics. The regression coefficient was calculated and a formula was derived for prediction of FPG and HbA1c using salivary glucose. Conclusion: Saliva can be used as a screening tool for diabetes. Standardization of the technique and setting up a reference range will also make it useful in diagnosing diabetes mellitus.

PMID:35405049 | DOI:10.2478/rjim-2022-0005

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Serum 25(OH) vitamin D level in Relapsing-Remitting Multiple Sclerosis and clinically isolated syndrome groups

Horm Mol Biol Clin Investig. 2022 Apr 11. doi: 10.1515/hmbci-2021-0074. Online ahead of print.

ABSTRACT

OBJECTIVES: Vitamin D is an important regulator of the immune system, and it has been shown that deficiency of vitamin D is significant environmental factor in some immune-mediated diseases such as Multiple Sclerosis (MS). In this study, we have compared serum 25 hydroxyvitamin (OH) D levels in Relapsing-Remitting Multiple Sclerosis (RRMS), clinically isolated syndrome (CIS), and control groups.

METHODS: Forty patients with CIS and 60 patients who have been diagnosed RRMS between age 18-45, respectively, and followed up at Pamukkale University Faculty of Medicine, Department of Neurology, and 60 healthy individuals have been included in this study. Serum 25(OH) vitamin D, calcium, phosphorus, alkaline phosphatase, parathormone, insulin, and fasting blood glucose levels were studied for all three groups.

RESULTS: A statistically significant difference was determined in the comparison of three groups for mean 25(OH) vitamin D levels. In the intergroup comparison of mean 25(OH) vitamin D; mean 25(OH) vitamin D level was determined to be statistically significantly lower in both RRMS and CIS groups compared to control group (p<0.05).

CONCLUSIONS: Since vitamin D deficiency poses a problem from the early stage of disease spectrum in both CIS patients and MS patients, 25(OH) vitamin D level should be routinely controlled, and replacement should be administered upon any deficiency state.

PMID:35405046 | DOI:10.1515/hmbci-2021-0074