Tag: statistics

Cureus. 2025 Jun 10;17(6):e85677. doi: 10.7759/cureus.85677. eCollection 2025 Jun.

ABSTRACT

BACKGROUND: Caudal nerve blocks are commonly used for inguinal surgeries in children but can lead to complications, such as prolonged weakness. The ilioinguinal/iliohypogastric (ILIH) nerve block is an alternative that is used less frequently. This study aimed to compare the effectiveness of these techniques in pediatric patients (ages six months to 12 years) undergoing inguinal surgery.

METHODS: A double-blinded, randomized controlled trial was conducted with 20 pediatric patients undergoing inguinal surgery under general anesthesia. Group 1 (n = 8) received a caudal block, while Group 2 (n = 12) received an ILIH block. Pain was assessed using the Face, Legs, Activity, Cry and Consolability (FLACC) and Numeric Rating score (NRS). The primary outcomes included pain reduction and the use of rescue analgesia.

RESULTS: The mean age of Group 1 was 2.13 years (SD=1.356), while that of Group 2 was 3.67 years (SD=1.303). The pain scores were 1.75 (SD=2.235) and 1.25 (SD=1.658) (p=0.792) at 30 minutes post-surgery in the Post Anesthesia Care Unit (PACU), 0.50 (SD=0.756) versus 0.08 (SD=0.289) (p=0.792) at PACU discharge, a score of zero versus 0.58 (SD=0.900) (p=0.792) at two hours post-operation for Group 1 and Group 2 respectively. Pain scores were similar at three hours, six hours, and at ward discharge. On day two at home, Group 1 reported a score of 0.25 (SD=0.707) compared to 0.33 (SD=0.778) in Group 2 (p=0.792). The use of rescue analgesia was higher in the caudal group, but the difference was statistically insignificant (p=0.7055). The block to ward discharge time was similar: 283 (SD=102.182) minutes versus 309.83 (SD=79.409) minutes for Group 1 and Group 2, respectively (p=0.746).

CONCLUSION: Both caudal and ILIH blocks provided similar analgesic effects for pediatric inguinal surgery. More extensive studies are needed to confirm this conclusion.

PMID:40642709 | PMC:PMC12242709 | DOI:10.7759/cureus.85677

Cureus. 2025 Jun 9;17(6):e85664. doi: 10.7759/cureus.85664. eCollection 2025 Jun.

ABSTRACT

Introduction Compulsive buying disorder (CBD), also referred to as compulsive buying-shopping disorder, shopping addiction, oniomania, or pathological buying, is characterized by excessive and poorly controlled preoccupations, urges, or behaviors related to shopping and spending. Digitalization in e-commerce and payment systems has made indulgence in shopping easier than ever. CBD is a growing concern, especially in the younger generation. Aim To determine the prevalence of CBD and its associated factors among undergraduate medical students. Methodology A cross-sectional study was done among undergraduate medical students in a tertiary college in Chengalpattu district, Tamil Nadu, India. A total of 300 students participated in the study. A pretested semi-structured questionnaire was used to collect socio-demographic details and information on factors associated with CBD. A validated scale was used to assess CBD. Data analysis was done using IBM SPSS Statistics for Windows, Version 25 (IBM Corp., Armonk, NY). Results The prevalence of CBD was found to be 68/300 (22.6%) among the undergraduate medical students. A total of 26/103 (25.2%) males were affected compared to 42/197 (21.3%) female students. Being tempted to buy during deals and offers, social media influence, and not having a habit of saving money were found to be significantly associated with CBD. Conclusion CBD is an often-overlooked behavioral concern in academic settings, and its presence is highlighted in this study. These findings underscore the influence of social media, peers, and strategic deals by e-commerce services on students’ purchasing habits. Interventions to identify and treat CBD in the early stages are important to prevent long-term financial and psychological consequences.

PMID:40642701 | PMC:PMC12241713 | DOI:10.7759/cureus.85664

Cureus. 2025 Jun 10;17(6):e85679. doi: 10.7759/cureus.85679. eCollection 2025 Jun.

ABSTRACT

Background Pemphigus is a rare autoimmune blistering disorder characterized by involvement of the skin and mucous membranes, primarily due to autoantibodies targeting desmogleins. Emerging evidence has pointed to a potential pathogenic role of antimuscarinic acetylcholine receptor (anti-M-AChR) antibodies and reported a correlation between their titers and pemphigus disease activity. However, data on this association, particularly in relation to different phases of pulse therapy in the Indian context, remain limited. Aim This study aimed to evaluate the correlation between anti-M-AChR antibody titers and pemphigus disease activity at baseline and after Phase I of dexamethasone-cyclophosphamide/azathioprine pulse therapy. Materials and methods This prospective longitudinal observational study included newly diagnosed cases of pemphigus confirmed through histopathology and direct immunofluorescence from April 2019 to March 2021. Pemphigus Disease Area Index (PDAI) scores were recorded, and eligible patients received dexamethasone-cyclophosphamide or dexamethasone-azathioprine pulse therapy as appropriate. Results A total of 29 patients were enrolled: 23 (79%) with pemphigus vulgaris, five (17%) with pemphigus foliaceus, and one (3.4%) with pemphigus erythematosus. Patient ages ranged from 21 to 69 years, with a male-to-female ratio of 0.7:1. By the end of Phase I therapy, 20 patients (69%) completed follow-up. The mean baseline anti-M-AChR antibody titer was 76.48 ± 48.12 U/mL, which decreased to 53.61 ± 30.97 U/mL after Phase I. At that point, PDAI scores showed a moderate correlation with anti-M-AChR antibody levels (r = 0.51, p = 0.02). The reduction in antibody titers from baseline to the end of Phase I was statistically significant (p = 0.05). Conclusions While serum anti-M-AChR antibody titers may not reliably indicate disease activity at the time of diagnosis, their levels appear to reflect changes in disease activity following treatment. This suggests their potential use as a prognostic marker during the course of therapy.

PMID:40642697 | PMC:PMC12242711 | DOI:10.7759/cureus.85679

Cureus. 2025 Jun 9;17(6):e85666. doi: 10.7759/cureus.85666. eCollection 2025 Jun.

ABSTRACT

Introduction The COVID-19 pandemic has led to a high number of survivors with persistent symptoms, such as dyspnea, long after recovery. It is important to understand the association between the severity of the initial COVID-19 infection and the persistence of dyspnea to guide patient management and rehabilitation planning. Methods This cross-sectional analysis involved adult patients who had recovered from laboratory-confirmed COVID-19 infection. Patients were stratified into groups by the severity of their acute infection (mild, moderate, severe) based on the WHO Clinical Progression Scale. Persistent dyspnea was measured with a validated dyspnea scale. Statistical analysis was conducted to examine the association between COVID-19 severity and severity of dyspnea, adjusting for potential confounders. Results A total of 385 individuals took part in the study, where 217 people (56%) fell within the 30 to 39 years age bracket, while female participants constituted 52% (200 individuals). The respondents were primarily widowed people who had received secondary education (n = 119, 31%, and n = 118, 31% respectively). A total of 141 participants were current smokers, while 145 participants reported never smoking. Among the study participants, 73 experienced asthma (19%), and hypertension affected 68 individuals (18%). The COVID-19 severity of patients spanned from mild (n = 144, 37%) to critical (n = 78, 20%), and 51% of patients received hospital care (n = 197). Research findings indicated that dyspnea symptoms and advancement in the disease are closely linked (r = 0.521, p < 0.05). People who got oxygen therapy had higher clinical scores than those who did not (p = 0.01). When comparing the ICU patients to other patients, no important differences were noticed (p = 0.05). Recovery was felt very minimally in the results. According to regression analysis, changes in the patient’s clinical condition were highly associated with dyspnea, as shown by a β value of 0.521 and p < 0.001. Conclusion The intensity of COVID-19 infection strongly correlates with both the enduring nature and severity of dyspnea in adults who have recovered from the disease. Post-COVID follow-up and rehabilitation programs require strong evidence behind them to support patients who have experienced severe COVID-19 infections.

PMID:40642682 | PMC:PMC12241829 | DOI:10.7759/cureus.85666

BMC Psychol. 2025 Jul 10;13(1):769. doi: 10.1186/s40359-025-03122-z.

ABSTRACT

BACKGROUND: Globally, cancer is a complex disease that, if not detected and treated early, can lead to death. The diagnosis of cancer typically causes a profound crisis in the lives of those affected, leading to psychological challenges. People living with cancer tend to exhibit suicidal behaviours due to the difficult nature of the disease.

OBJECTIVE: The primary aim of this study was to determine the prevalence and factors influencing Suicidal behaviours among adults living with cancer at Korle Bu Teaching Hospital, Ghana.

METHOD: A convenience sampling method was employed to collect data from cancer patients at Korle Bu Teaching Hospital. Data were gathered using structured questionnaires and the Columbia-Suicide Severity Rating Scale (C-SSRS). Descriptive and inferential statistics, including frequency tables, percentages, and regression analysis with Stata 17, were used for data analysis.

RESULTS: The study found that 57.2% of participants reported suicidal ideation, 14.1% had attempted suicide, and 11.3% had planned suicide. Age, sex, educational level, income, occupational status, and marital status were significantly associated with suicidal behaviour (p-value < 0.001). Multivariate logistic regression results shows that patients who experienced recent significant life changes were 15 times more likely to experience suicidal ideation (AOR: 15.0, 95% CI: 9.1-22.9, p < 0.001), twice as likely to have a suicidal plan (AOR: 2.0, 95% CI: 1.0-3.1, p = 0.001), and over five times more likely to attempt suicide (AOR: 5.41, 95% CI: 2.22-6.07, p < 0.001) compared to those who did not experience significant life changes. In Addition, patients who believed they were a burden to others were over three times more likely to experience suicidal ideation (AOR: 3.3, 95% CI: 1.15-4.59, p < 0.001), five times more likely to have a suicidal plan (AOR: 5.0, 95% CI: 3.07-8.13, p < 0.001), and three times more likely to attempt suicide (AOR: 3.0, 95% CI: 2.1-5.3, p < 0.001) compared to those who did not feel this way.

CONCLUSION: This study reveals a high prevalence of suicidal behaviours among cancer patients, with many reporting suicidal ideation, attempts, and plans. Socio-demographic factors, including age, sex, educational level, income, occupational status, and marital status, were linked to higher suicide risk. To achieve SDG 3, particularly Target 3.4 (promoting mental health and well-being) and Target 3.8 (ensuring universal health coverage), the Ghana Health Service and the Ministry of Health should integrate mental health support into routine cancer care.

PMID:40640971 | DOI:10.1186/s40359-025-03122-z

Trop Med Health. 2025 Jul 11;53(1):92. doi: 10.1186/s41182-025-00752-2.

ABSTRACT

BACKGROUND: Shaped by its colonial origins, tropical medicine sustains inequitable power dynamics in global health, sidelining low-middle-income countries (LMICs) in critical decision-making processes over research agendas and priorities. Editorial boards of tropical medicine journals, dominated by scholars from high-income countries (HICs), risk reinforcing power imbalances and excluding context-driven expertise from endemic regions. This study examines the diversity of editorial boards across gender, geographic, socioeconomic, and geopolitical dimensions to assess systemic inequities.

METHOD: A systematic search of the National Library of Medicine (NLM) catalog was conducted via a targeted strategy between October and December 2024. After screening 153 journals for title relevance and applying exclusion criteria based on publication status, availability of editorial information, and global scope, 24 journals were selected. Data on 2,226 editorial board members were extracted from journal and institutional websites. Data on gender, country of affiliation (classified by World Bank income/regions), and geopolitical groups (G7, G20, BRICS) were extracted from public sources. Gender determination used a sequential approach (journal descriptions, Genderize.io, and consensus). Descriptive statistics were used to perform the analysis.

RESULTS: The editorial board comprised 2,226 members, 66% male, 31.2% female, and 2.8% undetermined, from 120 nations. The regional contributions included Europe and Central Asia (21.9%), North America (20.9%), East Asia and the Pacific (16.6%), and Latin America and the Caribbean (16.2%), whereas Sub-Saharan Africa (11.2%), South Asia (9.7%), and the Middle East and North Africa (3.4%) were underrepresented. Over half (52.8%) were affiliated with high-income countries. Geopolitically, 40.3% were from the G7, 67.1% were from the G20, and 24.2% were from the BRICS. Some journals showed skewing, with 85.2% North American representation and 90.3% East Asia-Pacific dominance.

CONCLUSION: Tropical medicine editorial boards are steeped in systemic inequities that echo colonial legacies, with the overrepresentation of HICs and men limiting LMIC perspectives and local expertise. This imbalance undermines research relevance and ethical integrity by prioritizing Global North agendas over the needs of populations most affected by tropical diseases. To address these disparities, substantial reforms are essential. Strategies such as instituting DEI (Diversity, Equity and Inclusion), creating targeted mentorship programs for LMIC researchers, and enforcing transparent, bias-resistant recruitment practices are important. Such measures will create a more inclusive editorial landscape that aligns research priorities with global health needs, promoting equitable and contextually relevant solutions.

PMID:40640968 | DOI:10.1186/s41182-025-00752-2

Infect Dis Poverty. 2025 Jul 10;14(1):64. doi: 10.1186/s40249-025-01313-9.

NO ABSTRACT

PMID:40640966 | DOI:10.1186/s40249-025-01313-9

Genome Biol. 2025 Jul 10;26(1):200. doi: 10.1186/s13059-025-03671-x.

ABSTRACT

BACKGROUND: Substantial efforts have been dedicated to exploring the link between genetic regulation and the proteome, informing studies of complex trait mechanisms. Most of these efforts have been limited to populations of European ancestry.

RESULTS: We conduct an Olink protein quantitative trait locus (pQTL) analysis on 1245 proteins involving 1033 self-identified African American (AA) and 1764 non-Hispanic White (NHW) participants from the Women’s Health Initiative and Framingham Heart Study. For replication of candidate pQTLs, we use data from 534 self-identified AA adults from the Jackson Heart Study and protein genome-wide association analysis statistics from the UK Biobank Pharma Proteomics Project, including 54,219 participants, of whom 931 are of African ancestry. In total, we identify and validate 5103 pQTLs (4496 or 88% cis- and 602 or 12% trans-pQTLs) for 983 proteins. Among these, 195 are previously unreported, with most (166 or 85%) identified in our AA sample, many of which were essentially monomorphic in European reference populations. Several of these newly identified African ancestry-specific pQTLs have been reported in ClinVar; our results suggest impact on circulating protein levels, potentially bolstering evidence for clinical significance. We identify a “cis pQTL hotspot” within the leukocyte receptor gene cluster on human chromosome 19q13.4. We also provide examples where a particular cis-pQTL, identified through conditional analysis, offers biological insights into an overlapping GWAS signal for disease susceptibility.

CONCLUSIONS: The identification of previously undescribed African ancestry-specific pQTLs contributes to understanding protein genetic regulation and highlights the significance of proteomic analysis in diverse populations.

PMID:40640959 | DOI:10.1186/s13059-025-03671-x

J Eat Disord. 2025 Jul 10;13(1):131. doi: 10.1186/s40337-025-01326-7.

ABSTRACT

BACKGROUND: Premenstrual syndrome (PMS) is a common issue that impacts many women, and a well-balanced diet can help alleviate PMS symptoms. Evidence suggests that dietary factors and eating disorders may influence PMS severity, yet the specific relationships remain unclear. This study aimed to evaluate the association of specific dietary components and eating behaviors with PMS symptoms.

METHODS: This cross-sectional study was conducted on 252 women with PMS who were referred to healthcare centers in Qazvin province. Data concerning PMS, dietary factors, and eating disorders were collected using online questionnaires, including the premenstrual symptoms screening tool (PSST), 3-day dietary recall, and Eating Attitudes Test-26 (EAT-26) questionnaires. Statistical analysis utilized ANOVA and chi-square tests. The adequacy of the sample was evaluated using the Kaiser-Meyer-Olkin (KMO) test. To examine the relationship between eating disorders, dietary factors, and PMS symptoms, multivariable linear regression analysis was conducted. Statistical significance was set at p < 0.05.

RESULTS: According to the PSST, 28.7% of individuals reported mild severity, 21.9% reported moderate severity, and 49.4% reported severe severity. The study revealed that higher sodium (p = 0.003, OR = 1.000, 95% CI = [1.000, 1.001]), vitamin D (p = 0.044, OR = 1.298, 95% CI = [1.007, 1.674]), and vitamin C intake were positively linked to increased psychological PMS symptoms, (p = 0.036, OR = 1.006, 95% CI = [1.000, 1.012]) while magnesium showed a negative association with these symptoms. Also, sodium and vitamin D intake were significantly associated with increased physical symptoms (p < 0.05). Individuals with eating disorders showed higher rates of severe PMS symptoms, though differences were not statistically significant (p > 0.05).

CONCLUSION: These findings highlight the potential influence of specific nutrients on PMS severity. This insight could inform dietary recommendations for managing PMS symptoms, providing young women with potential non-pharmacological options to relieve discomfort.

PMID:40640956 | DOI:10.1186/s40337-025-01326-7

BMC Sports Sci Med Rehabil. 2025 Jul 10;17(1):191. doi: 10.1186/s13102-025-01248-6.

ABSTRACT

BACKGROUND: Instability core training (ICT) has been widely used in various sports as a training method to enhance athletes’ balance ability and athletic performance. The study aimed to examine the impact of ICT performed on unstable surfaces (BOSU balls, Swiss balls, and Wobble boards) versus traditional core training (TCT) performed on stable surfaces (floor and bench) on balance ability and paddling performance among young male Chinese kayakers.

METHOD: A randomized controlled trial (RCT) recruited 63 eligible kayakers aged 16-19 years from the Nanchang Yao Lake kayaking training base in Jiangxi province, China. Participants were randomly assigned to the ICT group and the TCT group. Both groups completed a 12-week core training program consisting of 1-h sessions, 3 times/week. Static balance ability was assessed using the Flamingo Balance Test (FBT), while dynamic balance ability was measured using the Star Excursion Balance Test (SEBT). Paddling parameters were evaluated using the average stroke power and stroke rate for the men’s K-1 200 m land dynamometer/ergometer sprint tests. Statistical analyses were conducted via multivariate analysis of variance (MANOVA), with the significance level set at P < 0.05.

RESULTS: The analysis for within-group effects demonstrated statistically significant improvements in static balance ability, dynamic balance ability, average stroke power, and stroke rate variables between the pre-test and post-test in both the ICT and TCT groups (p < 0.05). No statistically significant differences were observed in the pre-test (p > 0.05) for between-group effects. In contrast, statistically significant differences were found between the ICT and TCT groups in the post-test for all balance ability and paddling parameter variables (p < 0.05).

CONCLUSION: The findings suggest that while TCT significantly improves balance ability and paddling performance, ICT is more effective than TCT over a 12-week intervention among young male Chinese kayakers. Therefore, it can replace TCT, as it promotes better improvement in balance ability and paddling parameters for young male Chinese kayakers.

TRIAL REGISTRATION: The full name of the registry: Effect of instability resistance training on balance, core muscle strength, and athletic performance. The trial registration number is NCT06432595. The date of registration is 07/01/2024. The trial registration platform is ClinicalTrials.gov PRS ( https://clinicaltrials.gov/ ).

PMID:40640954 | DOI:10.1186/s13102-025-01248-6