Categories
Nevin Manimala Statistics

Application of Sarcosaprophagous Insects to Estimate the Postmortem Interval in 11 Cases

Fa Yi Xue Za Zhi. 2021 Jun;37(3):332-337. doi: 10.12116/j.issn.1004-5619.2021.410201.

ABSTRACT

Objective To test the feasibility and accuracy of with sarcosaprophagous insects postmortem interval (PMI) estimation with sarcosaprophagous insects and provide references for estimation practice. Methods Eleven cases confirmed by the detection results, with complete entomological evidence were selected. The insect species, estimation results and true results involved in the cases were statistically analyzed and compared. Results Thirteen species of insects were found at the criminal scene, including Chrysomya megacephala (Fabricius), Chrysomya rufifacies (Macquart), Chrysomya nigripes (Aubertin), Lucilia sericata (Meigen), Hydrotaea spinigera Stein, Muscina stabulans (Fallén), Sarcophagid (species were not identified), Megaselia scalaris (Loew), Hermetia illucens (Linnaeus), Saprinus splendens (Paykull), Creophilus maxillosus (Linnaeus), Dermestes maculatus (De Geer) and Necrobia ruficollis (Fabricius). The PMI of all eleven cases was within the range of estimated PMI. The estimated results of 72.73% cases were on the same day of the true results. Conclusion Sarcosaprophagous insects can estimate the PMI simply and conveniently. In cases where the PMI is within the time range of one generation of flies or beetles, the estimation results are relatively accurate. However, the estimation is less accurate when the PMI is beyond the time range.

PMID:34379901 | DOI:10.12116/j.issn.1004-5619.2021.410201

Categories
Nevin Manimala Statistics

Use of dimethylformamide to cryopreserve alpaca semen previously incubated with collagenase

Reprod Domest Anim. 2021 Aug 11. doi: 10.1111/rda.14003. Online ahead of print.

ABSTRACT

The objective of this study was to evaluate the effect of collagenase and two final dimethylformamide (DMF) concentrations (4 and 7%) on alpaca frozen-thawed sperm quality. A total of 25 ejaculates from 5 alpaca were obtained using electroejaculation. Each individual ejaculate was evaluated and then diluted 4:1 in a solution of 1 mg/ml collagenase in HEPES-TALP medium and incubated for 4 min at 37°C. Subsequently, samples were diluted in TRIS-fructose-citric acid-egg yolk and cooled to 5°C. Then, each sample was divided in two aliquots and DMF at final concentration of 4 or 7% was added, equilibrated for 1 h at 5°C and frozen over liquid nitrogen vapors. A Kruskal Wallis test was used to evaluate sperm morphometry and Completely Random Block designs were used to analyze sperm motility, viability, membrane function and acrosome status. After collagenase incubation, none of the samples showed thread formation and sperm parameters were preserved. Non-progressive motile sperm were higher (p < 0.05) in equilibrated samples (4% DMF: 31.8±8.3% and 7% DMF: 36.3±11.8%) compared to raw (10.1±4.3%) and frozen-thawed semen (4% DMF: 9.7±1.8% and 7% DMF: 7.5±3.2%). Sperm membrane function, membrane integrity and intact acrosomes were higher (p < 0.05) in raw semen (40.1±12.2%, 94.6±3.2% and 91.3±8.1%) compared to frozen-thawed samples (4% DMF: 19.8±4.7%, 53.2±2.7%, 65.7±8.7% and 7% DMF: 20.4±4.5%, 54.1±1.4%, 64.6±9.1%). Length of the sperm head was lower in frozen-thawed samples, being statistically different with 4% DMF compared to pre-freezing samples. The ratio between acrosome and head areas was greater (p < 0.05) in frozen-thawed samples. Incubation of raw alpaca semen with collagenase decreased the thread formation without affecting sperm quality. Frozen of collagenase treated alpaca semen with 4 or 7% DMF did not preserve the sperm parameters in thawed samples.

PMID:34379864 | DOI:10.1111/rda.14003

Categories
Nevin Manimala Statistics

Effect of Probiotics Supplementation on Disease Progression, Depression, General Health and Anthropometric Measurements in Relapsing-Remitting Multiple Sclerosis Patients: A Systematic Review and Meta-analysis of Clinical Trials

Int J Clin Pract. 2021 Aug 11:e14724. doi: 10.1111/ijcp.14724. Online ahead of print.

ABSTRACT

BACKGROUND: Probiotics may have a promising role in chronic autoinflammatory diseases. The current systematic review and meta-analysis investigated the effects of probiotics on disease progression, depression, general health and anthropometric measurements in Relapsing-Remitting Multiple Sclerosis (RRMS) patients.

METHODS: The English literature search was performed using PubMed, Scopus, Web of Science, and the Central Cochrane Library through January 2021. Random effect models were used to synthesize quantitative data by STATA14 .

RESULTS: From a total of 152 identified entries, four trials were included in quantitative synthesis (n=213; 106 as intervention, 107 as control). An additional six studies with the same structure and different markers were also systematically reviewed. The pooled effect size showed that Expanded Disability Status Scale (EDSS) (WMD=-0.43; 95% CI=-0.65, -0.20; P<0.001), Beck Depression Inventory-Ⅱ (BDI-Ⅱ) (WMD=-3.22; 95% CI=-4.38, -2.06; P<0.001) and General Health Questionnaire (GHQ) (WMD=-4.37; 95% CI=-6.43, -2.31; P<0.001) were improved following probiotics supplementation. However, body weight and body mass index did not statistically change.

CONCLUSION: Our findings revealed that probiotics supplementation can improve disease progression, suppress depression, and general health in MS patients; although, further investigations may be needed.

PMID:34379879 | DOI:10.1111/ijcp.14724

Categories
Nevin Manimala Statistics

Examining the relationship between nurses’ fear levels and insomnia during the COVID-19 pandemic in Turkey

Perspect Psychiatr Care. 2021 Aug 11. doi: 10.1111/ppc.12927. Online ahead of print.

ABSTRACT

PURPOSE: This study was conducted to examine the relationship between nurses’ fear levels and their insomnia, influencing sociodemographic factors during the COVID-19 pandemic.

DESIGN AND METHODS: This study utilized cross-sectional methods and the data were collected between July 15 and August 15, 2020. In the data collection, “Socio-demographic question form,” “Covid-19 Fear Scale,” and “Bergen Insomnia Scale” tools were used. Descriptive statistics, numbers, percentages, independent samples t test, analysis of variance test, and correlation were used on the Statistical Package for Social Science (SPSS) 22.0 package program in evaluating the research data. Ethical approval was obtained from the Ethics Committee of Batman University.

FINDINGS: A positive correlation was found between COVID-19 Fear Scale and the Bergen Insomnia Scale (r = .392; p = .001). The relationship between COVID-19 Fear and Bergen Insomnia Scale score averages and nurses’ educational status, income level, shift working status, the status of their relatives being diagnosed with COVID-19, the state of being satisfied with the management of the pandemic process by the Ministry of Health, the situation of having resources in the settings where they work, the status of being in quarantine was statistically significant (p < .05).

CONCLUSION: The relationship between the nurses’ fear levels of COVID-19 and their insomnia levels was moderate.

PRACTICE IMPLICATIONS: The results of this study are important in terms of understanding the nurses’ fear and insomnia during the pandemic and provide data support for the proper interventions. Also, nurses working in Turkey may call for more attention and support from policymakers during the COVID-19 pandemic.

PMID:34379794 | DOI:10.1111/ppc.12927

Categories
Nevin Manimala Statistics

Editorial: does anti-TNF ‘treatment persistence’ always equate to ‘effective treatment’? Only objective disease assessments can answer the question. Authors’ reply

Aliment Pharmacol Ther. 2021 Sep;54(5):720-721. doi: 10.1111/apt.16535.

NO ABSTRACT

PMID:34379834 | DOI:10.1111/apt.16535

Categories
Nevin Manimala Statistics

Acute sarcopenia changes following hospitalization: influence of pre-admission care dependency level

Age Ageing. 2021 Aug 9:afab163. doi: 10.1093/ageing/afab163. Online ahead of print.

ABSTRACT

INTRODUCTION: Hospitalization is associated with acute changes in sarcopenia status in older people, but the influencing factors are not fully understood. Pre-admission care dependency level as a risk factor has not yet been investigated.

OBJECTIVE: Evaluate if pre-admission care dependency level is an independent predictor of sarcopenia changes following hospitalization.

SETTING AND SUBJECTS: Data came from the Sarcopenia 9+ EAMA Project, a European prospective multi-centre study. For this study, 227 hospitalised older people were included from four different hospitals in Belgium, Spain and Poland, between 18 February 2019 and 5 September 2020.

METHODS: Sarcopenia status at admission and discharge were calculated using a combined score (desirability value) based on muscle mass (calf circumference), strength (grip) and function (walking speed). Ratio of admission to discharge status was the outcome (desirability ratio; 1.00 meaning no difference). Predictor variable was the pre-admission care dependency level, classified into three groups: independent older people living at home, dependent older people living at home and older people living in a care home. Linear regression models were applied, considering potential confounders.

RESULTS: Mean desirability ratio for dependent older people living at home (‘middle dependent group’) was lower (0.89) compared to independent older people (0.98; regression coefficient -0.09 [95% CI -0.16, -0.02]) and care home patients (1.05; -0.16 [95% CI -0.01, -0.31]). Adjusting for potential confounders or using another statistical approach did not affect the main results.

CONCLUSION: Dependent older people living at home were at higher risk of deterioration in sarcopenia status following hospitalization. In-depth studies investigating causes and potential interventions of these findings are needed.

PMID:34379741 | DOI:10.1093/ageing/afab163

Categories
Nevin Manimala Statistics

fuPCR as diagnostic method for the detection of rare fungal pathogens, such as Trichosporon, Cryptococcus and Fusarium

Med Mycol. 2021 Aug 11:myab045. doi: 10.1093/mmy/myab045. Online ahead of print.

ABSTRACT

Fungal respiratory tract colonisation is a common finding in patients with hematologic neoplasms due to immunosuppression inherent in the diseases and exacerbated by therapy. This greatly increases the risk of fungal infections of the lungs, which is associated with significant mortality. Therefore, reliable diagnostic methods with rapidly available results are needed to administer adequate antifungal therapy.We have established an improved method for fungal DNA extraction and amplification that allows simultaneous detection of fungal families based on a set of multiplexed real time PCR reactions (fuPCR). We analysed respiratory rinses and blood of 94 patients with haematological systemic diseases by fuPCR and compared it with the results of culture and serological diagnostic methods. 40 healthy subjects served as controls.Regarding Candida species, the highest prevalence resulted from microbiological culture of respiratory rinses and from detection of antibodies in blood serum in patients (61% and 47%, respectively) and in the control group (29% and 51%, respectively). Detection of other pathogenic yeasts, such as Cryptococcus and Trichosporon, and moulds, such as Fusarium, was only possible in patients by fuPCR from both respiratory rinses and whole blood and serum. These fungal species were found statistically significantly more frequent in respiratory rinses collected from patients after myeloablative therapy for stem cell transplantation compared to samples collected before treatment (p<<0.05i>).The results show that fuPCR is a valuable complement to culturing and its inclusion in routine mycological diagnostics might be helpful for early detection of pathophysiologically relevant respiratory colonisation for patients with hematologic neoplasms.

LAY ABSTRACT: We validated a set of PCR reactions (fuPCR) for use in routine diagnostic. In contrast to culture and serological methods, only by fuPCR pathogenic yeasts (Cryptococcus and Trichosporon) and moulds (Aspergillus and Fusarium) were detected in respiratory rinses and blood of haematological patients.

PMID:34379780 | DOI:10.1093/mmy/myab045

Categories
Nevin Manimala Statistics

Demographic and socioeconomic inequalities in ideal cardiovascular health: A systematic review and meta-analysis

PLoS One. 2021 Aug 11;16(8):e0255959. doi: 10.1371/journal.pone.0255959. eCollection 2021.

ABSTRACT

BACKGROUND: In 2010, the American Heart Association introduced a new concept of ideal cardiovascular health (CVH) defined as the simultaneous presence of 7 favorable CVH metrics (smoking, diet, physical activity, body mass index, blood pressure, total cholesterol, and fasting blood glucose). The objective of this study was to conduct a systematic literature review and meta-analysis of studies examining the prevalence of ideal CVH, and each of the ideal CVH metrics as well as the relationship between socio-demographic determinants and ideal CVH.

METHODS: A comprehensive literature search was conducted in Medline and Scopus databases for studies published between 1 January 2010 and 30 June 2020. A total of 50 studies including 2,148,470 participants were analyzed. Associations were estimated using DerSimonian-Laird random-effect models. Heterogeneity was investigated through subgroup analyses, Q-test, and I2 statistics.

RESULTS: This study showed a low prevalence of ideal CVH defining as 6 and 7 ideal metrics (3.3%). Among seven ideal CVH metrics, smoking was the best metric (71%), while the poorest CVH metric was a healthy diet (5.8%). Gender was a statistically significant moderator of ideal smoking (81% in females and 60% in males) and ideal blood pressure (42% in females and 30% in males). Females and young adults had better CVH status compared to males and older adults. Also, more educated and better-off individuals had a greater number of ideal CVH metrics.

CONCLUSIONS: To the best of our knowledge, this is the first systematic review on the relationship between participants’ socioeconomic status and ideal CVH. The results suggest that the prevalence of ideal CVH and most metrics was unsatisfactory. In order to achieve the improvement of the CVH metrics and the overall ideal CVH, nationwide prevention efforts at the population and individual levels are urgently needed.

PMID:34379696 | DOI:10.1371/journal.pone.0255959

Categories
Nevin Manimala Statistics

Severe Sepsis: The Fragile Anatomy of Crude Mortality

Clin Infect Dis. 2021 Aug 11:ciab677. doi: 10.1093/cid/ciab677. Online ahead of print.

ABSTRACT

Clinical trials of severe sepsis that target crude (total) mortality as an end point do not have sufficient power to detect differences in mortality due to the intervention. We aim to discuss the importance of including the subcomponents of crude mortality in study design; estimate how sample size requirements change based on the proportion of attributable mortality; and how minor changes from predicted outcomes can affect results. We derived statistical curves to illustrate our points.

PMID:34379735 | DOI:10.1093/cid/ciab677

Categories
Nevin Manimala Statistics

Structured patterns of activity in pulse-coupled oscillator networks with varied connectivity

PLoS One. 2021 Aug 11;16(8):e0256034. doi: 10.1371/journal.pone.0256034. eCollection 2021.

ABSTRACT

Identifying coordinated activity within complex systems is essential to linking their structure and function. We study collective activity in networks of pulse-coupled oscillators that have variable network connectivity and integrate-and-fire dynamics. Starting from random initial conditions, we see the emergence of three broad classes of behaviors that differ in their collective spiking statistics. In the first class (“temporally-irregular”), all nodes have variable inter-spike intervals, and the resulting firing patterns are irregular. In the second (“temporally-regular”), the network generates a coherent, repeating pattern of activity in which all nodes fire with the same constant inter-spike interval. In the third (“chimeric”), subgroups of coherently-firing nodes coexist with temporally-irregular nodes. Chimera states have previously been observed in networks of oscillators; here, we find that the notions of temporally-regular and chimeric states encompass a much richer set of dynamical patterns than has yet been described. We also find that degree heterogeneity and connection density have a strong effect on the resulting state: in binomial random networks, high degree variance and intermediate connection density tend to produce temporally-irregular dynamics, while low degree variance and high connection density tend to produce temporally-regular dynamics. Chimera states arise with more frequency in networks with intermediate degree variance and either high or low connection densities. Finally, we demonstrate that a normalized compression distance, computed via the Lempel-Ziv complexity of nodal spike trains, can be used to distinguish these three classes of behavior even when the phase relationship between nodes is arbitrary.

PMID:34379694 | DOI:10.1371/journal.pone.0256034