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Nevin Manimala Statistics

Allometric equations for selected Acacia species (Vachellia and Senegalia genera) of Ethiopia

Carbon Balance Manag. 2021 Nov 2;16(1):34. doi: 10.1186/s13021-021-00196-1.

ABSTRACT

BACKGROUND: Allometric equations are used to estimate biomass and carbon stock of forests. In Ethiopia, despite the presence of large floral diversity, only a few site-specific allometric equations have been developed so far. This study was conducted in the Omo-Gibe woodland of south-western Ethiopia to develop an allometric equation to estimate the Above-ground Biomass (AGB) of the four Acacia species (Senegalia polyacantha, Vachellia seyal, Vachellia etbaica and Vachellia tortilis). Fifty-four (54) Acacia trees were sampled and measured within 35 temporarily established square plots. In each plot, dendrometric variables were measured to derive the models based on combinations of Diameter at Breast Height (DBH), height, and wood density as predictor variables. Model performance was evaluated using goodness-of-fit statistics. The biomass was compared using four allometric biomass models that have been widely used in the tropics.

RESULTS: The model containing DBH alone was more accurate to estimate AGB compared to the use of multiple predictor variables. This study, therefore, substantiated the importance of site-specific allometric equations in estimating the AGB of Acacia woodlands. This is because a site-specific allometric equation recognizes the environmental factors, vegetation types and management practices.

CONCLUSIONS: The results of this study contribute to a better understanding of allometric equations and an accurate estimate of AGB of Acacia woodlands in Ethiopia and similar ecosystems elsewhere.

PMID:34727268 | DOI:10.1186/s13021-021-00196-1

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Nevin Manimala Statistics

Investigation of SRP9 protein expression in breast cancer

Mol Biol Rep. 2021 Nov 2. doi: 10.1007/s11033-021-06910-z. Online ahead of print.

ABSTRACT

BACKGROUND: Signal recognition particle (SRP) promotes co-translational translocation of the proteins through or into the endoplasmic reticulum membrane and it also has elongation arrest function. SRP9 is one of the six protein subunits of SRP and functions in elongation arrest activity by forming a heterodimeric structure with SRP14. It is one of the substrates of ADAR, which has been found to have a role in breast cancer. This study was conducted to investigate the SRP9 protein expression in normal and tumor tissues of patients with breast cancer and determine its prognostic significance.

METHODS AND RESULTS: A total of 32 female patients who were diagnosed as having primary breast cancer and underwent surgery were included in the study. Western Blotting was performed to detect SRP9 protein expression levels in normal and tumor tissue samples. Clinical and pathologic characteristics were analyzed to assess the prognostic significance. SRP9 protein expression was statistically higher in the breast cancer tissue samples compared to normal matched tissue, and the mean SRP9 protein expression levels of breast cancer tissue normal tissue samples were 1.019 ± 1.011 and 0.551 ± 0.456, respectively (p = 0.001). SRP9 protein expression levels in tumor tissue of patients with lymph node metastasis, tumor size > 2 cm, estrogen receptor-positive, progesterone receptor-positive, and HER-2 negative were statistically higher than in normal tissue (p < 0.05).

CONCLUSIONS: It is vital to clarify the roles of molecules such as SRP9 in understanding the pathogenesis of breast cancer. In our study, we showed that SRP9 expression increased in breast cancer and was associated with disease-related parameters.

PMID:34727289 | DOI:10.1007/s11033-021-06910-z

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Nevin Manimala Statistics

The effect of clinical education on optimizing self-care by dental students in Switzerland

Swiss Dent J. 2021 Nov 2;132(3). Online ahead of print.

ABSTRACT

Students, who may begin their dental education with sub-optimal oral self-care practices, are taught they should motivate patients to clean interdentally and reduce/stop smoking. To better understand their internalization of these concepts, students were surveyed at two distinct time points. Student cohorts from four Swiss universities were asked to complete an interdental cleaning/smoking habit questionnaire at the beginning of their pre-clinical education (n = 110) and again a year later, when beginning treatment of patients (n = 115). A local cohort (n = 28) was observed for comparison. All subjects participated voluntarily and anonymously. Interdental cleaning ≥ 3 times per week was performed by 48% first-year and 43% secondyear students in Basel, 60% and 76% in Bern, 60% and 70% in Geneva, 41% and 49% in Zurich, and 29% in the local cohort. Logistic regression using gender, class year and school as explanatory variables showed gender (p < 0.001) and school (p = 0.018) influenced cleaning frequency, with the odds being 3.16 [95% CI: 1.76, 5.67] times higher for females to perform interdental cleaning ≥ 3 times per week. Smoking was reported both years in numbers too low to analyze. Approximately 29% of the local cohort and 52% of the first-year students displayed an interdental cleaning frequency congruent with oral health recommendations. Adequate cleaning frequency increased for second-year students to 58%, which was not significant. Further study is needed to determine why more dental students do not themselves clean interdentally.

PMID:34726362

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Nevin Manimala Statistics

Nanofiber could deliver lactic acid bacteria to the intestine of ruminant in vitro experiment

J Anim Physiol Anim Nutr (Berl). 2021 Nov 2. doi: 10.1111/jpn.13660. Online ahead of print.

ABSTRACT

This study investigates the use of nanofiber microcapsules produced by electrostatic spinning as a carrier for the delivery of lactic acid bacteria (LAB) to the intestine of ruminants. We hypothesized that the LAB encapsulated into nanofiber microcapsules can be delivered to a ruminant’s intestinal tract with little effect on the rumen fermentation and related bacteria. The in vitro experiment included three treatments: control group; 0.01g Lactobacillus acidophilus NCFM (L. acidophilus NCFM) encapsulated in nanofiber microcapsules by electrostatic spinning group (ELAN, 2.0 × 1011 CFU/g); and 0.01g L. acidophilus NCFM powder group (LANP, 2.0 × 1011 CFU/g), each incubated with 30 ml of buffer rumen fluid for 48h to determine the effect on rumen fermentation, then the abundance of L. acidophilus NCFM in the intestine was estimated using the modified in vitro three-step procedure. Treatment responses were statistically analysed using one-way ANOVA. The results showed that compared to the control, the ELAN group had a significant increase in pH (p < 0.05), while the LANP group had a non-significant decrease in pH (p > 0.05). LANP and ELAN groups had no significant influence on total volatile fatty acid and individual volatile fatty acids (p > 0.05), apart from isobutyric acid of both groups, which reduced (p < 0.05). ELAN group had a decreasing trend of gas production and dry matter digestion, while the LANP group increased them significantly (p < 0.05). During the 16h and 48h rumen incubation, compared with control, there was no significant change in all bacteria in the ELAN group (p > 0.05), while the LANP group increased the relative abundance levels of S. bovis, S. ruminantium, M. elsdenii, F. succinogenes, B. fibrisolvens, Lactobacillus, L. acidophilus NCFM (p < 0.05). In the intestinal part, compared with control, the relative abundance of L. acidophilus NCFM in the ELAN group increased significantly (p < 0.05), while the result was not observed in the LANP group. We concluded based on our findings that L. acidophilus NCFM could be protected by nanofiber microcapsules and delivered to the intestinal site with little influence on the rumen fermentation and bacterial community, suggesting nanofiber microcapsules prepared by electrospinning technology could be used as a carrier for rumen-protected study.

PMID:34726311 | DOI:10.1111/jpn.13660

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Nevin Manimala Statistics

10-Year Survival Outcomes following Radical Nephroureterectomy with a Risk Stratified approach using prior Diagnostic Ureteroscopy-A Single Institution Observational Retrospective Cohort Study

BJU Int. 2021 Nov 2. doi: 10.1111/bju.15627. Online ahead of print.

ABSTRACT

OBJECTIVE: Evaluate long-term oncologic outcomes of patients with upper tract urothelial carcinoma (UTUC) undergoing radical nephroureterectomy (RNU) and the impact of diagnostic ureteroscopy (URS) on survival outcomes.

MATERIALS AND METHODS: A retrospective analysis of all consecutive patients undergoing RNU for suspected UTUC at a UK tertiary referral centre from a prospectively maintained database. The primary outcome measures were 5 and 10 years CSS. The secondary outcomes were: Overall Survival (OS), Recurrence Free Survival (RFS), impact of prior diagnostic URS on OS, CSS and intra-vesical Recurrence Free Survival (IV-RFS) and predictors of intra-vesical recurrence. Statistical analysis was performed in R using the ‘survminer’ and ‘survival’ packages. The Kaplan-Meier method was used to calculate survival functions and expressed in graphical form. Uni-/multivariate survival analyses were performed using the Cox proportional hazard regression model. Statistical significance in this study was set as P < 0.05 RESULTS: 422 patients underwent RNU with confirmed UTUC. The median follow-up of patients with confirmed UTUC was 9.2 (IQR:5.6yrs-12.7 yrs). The 5- and 10-year Cancer Specific survival was 70.5% [95%CI:65.9%-74.9%] and 67.1% [95%CI:62.4%-71.6%] respectively. OS and CSS were similar in diagnostic URS cohort and direct RNU cohort (OS; HR [95% CI] 1.04 [0.78-1.38]; p-0.46), (CSS; HR [95% CI] 0.96 [0.68-1.34]; p-0.81). IV-RFS was superior for the direct RNU cohort [95% CI] 1.94, [1.19-3.17]; p-0.008. On a multivariate analysis Prior URS, T2 stage, proximal ureter tumours and a prior bladder cancer history were predictors of metachronous bladder recurrence CONCLUSION: This single centre retrospective cohort study reports long-term oncological outcomes of RNU with a median follow up of 9.2 years, serving as a reference standard in counselling patients following an RNU. Stage and grade of the NU specimen were the only 2 studied factors that appeared to adversely impact long-term CSS and OS. Our results suggest that the risk of intravesical recurrence is increased nearly two-fold in patients who have had a diagnostic URS prior to RNU. Prior URS however does not appear to adversely impact long term CSS and OS. The authors would suggest that a risk-stratified approach be adopted, wherein diagnostic URS are offered only in equivocal cases.

PMID:34726325 | DOI:10.1111/bju.15627

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Open-label pilot study of ethosuximide as adjunctive therapy for relieving abdominal pain related to Irritable Bowel Syndrome

J Clin Pharm Ther. 2021 Nov 2. doi: 10.1111/jcpt.13556. Online ahead of print.

ABSTRACT

WHAT IS KNOWN AND OBJECTIVES: There is clear evidence for an association between irritable bowel syndrome (IBS) and visceral hypersensitivity. This clinical study aimed to assess the adjunct role of ethosuximide, an antiepileptic drug with T-type calcium channel blocking activity, in the relieving of IBS-related abdominal pain.

METHODS: This is a prospective, 3-month, randomized and controlled study of parallel groups. Fifty outpatients who met the inclusion criteria participated in the trial. Patients were allocated randomly: 25 received mebeverine 135 mg three times daily (t.i.d), whereas the other 25 received mebeverine 135 mg t.i.d and ethosuximide 500 mg t.i.d. At baseline and 12 weeks after starting the drug, patients were evaluated by a gastroenterologist. Serum tumour necrosis factor-alpha (TNF-alpha), interleukin-6 (IL-6), interleukin-8 (IL-8), faecal myeloperoxidase and faecal neutrophile gelatinase-associated lipocalin (NGAL) levels were tested before and after treatment. The Numeric Pain Rating Scale (NRS) was assessed before and after three months of therapy.

RESULTS AND DISCUSSION: After 12 weeks, the ethosuximide group showed a statistically and significantly greater reduction in the serum levels of TNF-α, IL-6, IL-8, faecal myeloperoxidase and faecal NGAL in comparison with the control group after the treatment. Moreover, the ethosuximide group showed a statistically significant decrease in NRS compared with the mebeverine group.

WHAT IS NEW AND CONCLUSION: Ethosuximide could be a promising adjunct to antispasmodics in the treatment of IBS patients. Trial registration identifier: NCT04217733.

PMID:34726293 | DOI:10.1111/jcpt.13556

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Nevin Manimala Statistics

The relationship between COVID-19 and HLA in kidney transplant recipients, an evaluation of predictive and prognostic factors

Clin Transplant. 2021 Nov 2:e14525. doi: 10.1111/ctr.14525. Online ahead of print.

NO ABSTRACT

PMID:34726292 | DOI:10.1111/ctr.14525

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Nevin Manimala Statistics

A joint model for multivariate longitudinal and survival data to discover the conversion to Alzheimer’s disease

Stat Med. 2021 Nov 2. doi: 10.1002/sim.9241. Online ahead of print.

ABSTRACT

Alzheimer’s disease (AD) is an incurable and progressive disease that starts from mild cognitive impairment and deteriorates over time. Examining the effects of patients’ longitudinal cognitive decline on time to conversion to AD and obtaining a reliable diagnostic model are therefore critical to the evaluation of AD prognosis and early treatment. Previous studies either assess patients’ cognitive impairment through a single cognitive test or assume it changes linearly across time, thereby leading to an incomplete measure of cognitive decline or overlooking the subtle trajectory pattern of patients’ cognitive impairment. This study develops a new joint model to address these shortcomings. First, a dynamic factor analysis model is adopted to characterize cognitive impairment through multiple cognitive measures in a comprehensive manner. Second, a spline-based random coefficient model is proposed to reveal possibly nonlinear trajectories of patients’ cognitive decline. Finally, a proportional hazard model is considered to examine the effects of time-invariant markers and time-variant cognitive impairment on AD hazards. A Bayesian approach coupled with spline approximation techniques and MCMC methods is developed to conduct statistical inference. The application of the proposed method to the Alzheimer’s Disease Neuroimaging Initiative study provides new insights into the prevention of AD and shows a high prediction capacity of the proposed method.

PMID:34726280 | DOI:10.1002/sim.9241

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Nevin Manimala Statistics

Medial tunica degeneration of the ascending aortic wall is associated with specific microRNA changes in bicuspid aortic valve disease

Mol Med Rep. 2021 Dec;24(6):876. doi: 10.3892/mmr.2021.12516. Epub 2021 Nov 2.

ABSTRACT

Ascending aortic diameter is not an accurate parameter for surgical indication in patients with bicuspid aortic valve (BAV). Thus, the present study aimed to identify specific microRNAs (miRNAs/miRs) and their expression levels in aortic wall aneurysm associated with BAV according to severity of medial degeneration and to elucidate the association between the tissue expression levels of the miRNAs with their expression in plasma. Aortic wall and blood specimens were obtained from 38 patients: 12 controls and 26 patients with BAV with ascending aortic aneurysm. Of the patients with BAV, 19 had cusp fusions of right and left, 5 of right and non‑coronary, and 2 of left and non‑coronary. Two groups of patients were identified according to the grade of medial degeneration (MD): Low‑grade D group (LGMD) and high‑grade MD group (HGMD). Expression level of miR‑122, miR‑130, miR‑718 and miR‑486 were validated by reverse transcription‑quantitative PCR in plasma and tissue samples. MD grade was found to be independent from the BAV phenotype. The HGD group showed increased expression levels of MMP‑9 and MMP‑2, and an increase in the number of apoptotic cells. Tissue expression levels of miR‑718 and miR‑122 were lower in the LGMD and HGD groups compared with expression in the control group; the HGD group showed increased levels of miR‑486. Plasma expression levels of miR‑122 were decreased in the LGMD and HGD groups, and miR‑718 was only reduced in the HGD group. On the contrary, expression of miR‑486 was increased in the LGMD and HGD groups. The data suggested that miR‑486 may be considered as a non‑invasive biomarker of aortic wall degeneration. Dysregulation of this putative biomarker may be associated with high risk of dissection and rupture in patients with BAV.

PMID:34726256 | DOI:10.3892/mmr.2021.12516

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Nevin Manimala Statistics

Diversity in Academic Laryngology: An Evaluation of Academic Advancement and Research Productivity

Laryngoscope. 2021 Nov 2. doi: 10.1002/lary.29918. Online ahead of print.

ABSTRACT

BACKGROUND: Diversity within the medical profession with respect to sex and racial minorities has been shown to have a positive effect on health and healthcare. Characterization of a field is key to evaluating trends and the advancement of diversity in an otolaryngology subspecialty.

STUDY DESIGN: Observational study.

METHODS: A comprehensive list of all the academic laryngologists was compiled from the Accreditation Council for Graduate Medical Education accredited otolaryngology residency programs in 2020. The last 20 past presidents of the American Laryngological Association (ALA) and American Broncho-Esophogological Association (ABEA) were analyzed. Academic rank and years in practice were determined from departmental websites, with online search tools used as secondary resources. The h-index was utilized as a measure of research productivity. Regression analysis was performed to analyze these variables.

RESULTS: There are 184 academic laryngologists in the 124 programs. The majority of the population is Caucasian 76.6% (141/184), followed by Asian 16.3% (30/184), African American 4.34% (8/184), and then Hispanic 1% (2/184). There are 47 full professors with 83% Caucasian, 14.1% Asian, and 2.1% African American and 91.5% male and only 8.5% female. Past ALA presidents were 90% male and for the ABEA 75% male. H-index revealed a statistically significant difference between Caucasian and African American colleagues [P value (<.0005)].

CONCLUSIONS: Minorities are disproportionately underrepresented in laryngology. Women are less likely to be in leadership roles in laryngology and become full professors. Laryngology lags behind other surgical specialties in the representation of minorities and women. Continued efforts should be made to increase diversity in the field of laryngology, especially in regard to underrepresented minorities.

LEVEL OF EVIDENCE: N/A Laryngoscope, 2021.

PMID:34726277 | DOI:10.1002/lary.29918