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Nevin Manimala Statistics

Prevalence of Cardiovascular Risk Factors in Rural Kenya-2023: Vihiga II

West J Nurs Res. 2024 Jun 2:1939459241256580. doi: 10.1177/01939459241256580. Online ahead of print.

ABSTRACT

BACKGROUND: The aim of this study was to estimate the prevalence of cardiovascular disease (CVD) risk factors among adults in Vihiga County, Western Kenya.

METHODS: A cross-sectional population-based study was completed. Participants (n = 575) were selected at the household level using a systematic random sample, and sociodemographic, anthropometrical, clinical, and biochemical data were collected.

RESULTS: The sample consisted of 71.8% women and 28.2% men. The prevalence of high blood pressure (BP) was 56.4%. A greater proportion of women (62.8%) had low levels of high-density lipoprotein (HDL) compared with men (44.7%) (odds ratio [OR], 2.99; 95% CI, 1.59-5.64). High triglyceride levels were more prevalent in men (16.4%) compared with women (15.4%) (OR, 0.37; 95% CI, 0.19-0.71). Based on average waist to hip ratio, abdominal obesity was significantly higher in women (55.4%) compared with men (27.6%) (OR, 2.62; 95% CI, 1.52-4.49). Low levels of physical inactivity were prevalent in women (36.3%) at significantly higher proportions compared with men (22.7%) (OR, 1.73; 95% CI, 1.02-2.92). Women used tobacco at significantly lower proportions (0.5%) compared with men (27.2%) (OR, 0.01; 95% CI, 0.00-0.06). A higher proportion of women (47.9%) rated their general health as poor compared with men (37.1%), a statistically significant difference (OR, 2.0; 95% CI, 1.23-3.28).

CONCLUSION: The prevalence of CVD risk factors, such as hypertension, obesity, dyslipidemia, low physical activity, and tobacco use indicates the urgent need for comprehensive health promotion programs to improve public health in rural areas of Kenya.

PMID:38824396 | DOI:10.1177/01939459241256580

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Nevin Manimala Statistics

Nursing researchers’ concern about research activities during the COVID-19 pandemic: A secondary analysis of longitudinal survey data in Japan

Res Nurs Health. 2024 Jun 1. doi: 10.1002/nur.22403. Online ahead of print.

ABSTRACT

The coronavirus disease (COVID-19) pandemic has negatively affected research activities across various fields. This study aimed to determine nursing researchers’ concerns about research activities during the COVID-19 pandemic in Japan and subsequent changes brought on by it. For this study, we conducted descriptive statistics and text mining analyses using data from two surveys conducted by the Japan Academy of Nursing Science (JANS) in the early days of the pandemic (first survey: mid-2020) and after 2 years (second survey: early 2022). Concerns about research activities were observed in 89% and 80% of the nursing researchers in the first and second surveys, respectively. Furthermore, concerns about “Difficulty in collecting research data” and “Content and quality of your research” were stronger in the second survey. Text mining analyses revealed that in the first survey, they were concerned about environmental changes and restrictions when proceeding with research during the COVID-19 pandemic, which was unfamiliar at the time. In the second survey, after overcoming environmental changes in the early stages of the pandemic, nursing researchers’ concerns shifted to anxiety about the future, such as concerns about degree acquisition, employment and career advancement, and research results. The current study highlights various concerns among nursing researchers regarding research activities that have evolved over time during the pandemic. Academic societies must flexibly construct support measures for nursing researchers when a new infectious disease occurs. Such measures should be sensitive to the prevailing social circumstances and the evolving needs of researchers.

PMID:38824392 | DOI:10.1002/nur.22403

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Nevin Manimala Statistics

Accelerated phase retrieval using adaptive support and statistical fringe processing of phase estimates

Opt Lett. 2024 Jun 1;49(11):3158-3161. doi: 10.1364/OL.522321.

ABSTRACT

A technique for accelerated multiple-plane phase retrieval is demonstrated by creating adaptive support through the statistical analysis of phase estimates. Its technical advantage arises from, what we believe to be, the first time use of both phase estimates and a statistical metric, enabling the fast generation of noise-robust support masks. This results in a fourfold improvement in convergence speed when compared to the conventional multiple-plane method. Evaluating data fitting performance with fewer intensity recordings showed that using four or more recordings resulted in accurate fitting, three recordings caused overfitting, and two recordings led to underfitting for the test object waves used. In principle, the adaptive support strategy based on the statistical analysis of phase estimates may be applied to other iterative phase retrieval methods.

PMID:38824352 | DOI:10.1364/OL.522321

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Nevin Manimala Statistics

Quantum beam splitter based on free charged particles

Opt Lett. 2024 Jun 1;49(11):3042-3045. doi: 10.1364/OL.525697.

ABSTRACT

It is well known that the beam splitter is an integral part of many classical and quantum devices. The use of beam splitters in quantum technologies is currently particularly relevant. The emergence of new types of beam splitters provides new statistical characteristics of the separated photon beam and their control and new possibilities for use in various devices. This Letter presents a new, to the best of our knowledge, type of beam splitter based on free charged particles. This type of beam splitter has all the properties of a linear beam splitter with its reflection coefficient R, transmission coefficient T, and phase shift ϕ, which are presented in a simple analytical form. This type of beam splitter has interesting application prospects.

PMID:38824323 | DOI:10.1364/OL.525697

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Nevin Manimala Statistics

Engineering dynamical photon blockade with Liouville exceptional points

Opt Lett. 2024 Jun 1;49(11):3026-3029. doi: 10.1364/OL.523210.

ABSTRACT

We investigate the dynamical blockade in a nonlinear cavity and demonstrate the connection between the correlation function g(2)(t) and system parameters in the entire nonlinear region. Utilizing the Liouville exceptional points (LEPs) and quantum dynamics, a near-perfect single-photon blockade (1PB) can be achieved. By fine-tuning system parameters to approach the second-order LEP (LEP2), we improved single-photon statistics in both weak and strong nonlinearity regimes, including a significant reduction of g(2)(t) and a pronounced increase in the single-photon occupation number. In the strong nonlinearity region, the maximum photon population may correspond to stronger antibunching effect. Simultaneously, the time window and period of blockade can be controlled by selecting detuning based on the LEP2. Furthermore, the 1PB exhibits robustness against parameter fluctuations, and this feature can be generalized to systems for implementing single-photon sources with nonharmonic energy levels.

PMID:38824319 | DOI:10.1364/OL.523210

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Nevin Manimala Statistics

Key Opinion Leaders’ Interviews to Inform the Future of Benefit-Risk Planning in the Medical Total Product Life Cycle of Global Pharmaceutical and Medical Device Organizations

Drug Saf. 2024 Jun 1. doi: 10.1007/s40264-024-01442-4. Online ahead of print.

ABSTRACT

BACKGROUND AND OBJECTIVES: Key opinion leader (KOL) interviews were conducted by the Benefit-Risk Assessment Planning (BRAP) Taskforce to seek expert opinion mainly from industry and regulatory bodies, about the current status and future direction of benefit-risk assessment (BRA) planning in the lifecycle of medical product development. The findings from these interviews are intended to help communication concerning planning for BRA between industry and regulators and shape future guidance.

METHODS: Key opinion leader interviews consisted of 5 questions related to BRA planning, which were administered to volunteers (mainly clinicians and statisticians) within a pool of experienced pharmaceutical and medical device professionals representing academia, industry, regulatory agencies and a patient group. The interviewees’ responses to the 5 questions were summarized. To analyze the qualitative data, a Coding System was developed to label themes arising from the interviews. The key findings from the interviews were summarized into a Master Template. A quantitative analysis based on descriptive statistics was also conducted.

RESULTS: Of the 27 interviewees, there were 11 professionals from regulatory agencies, 11 from industry, 4 from academia and 1 from a patient advocacy group. Key findings based on the comments provided by 48% of the interviewees indicated the need of incorporating BRA into other (e.g., existing) processes with the importance of alignment between processes being stressed in the comments provided by 59% of the interviewees. Commencing BRA early in the product lifecycle was emphasized in comments provided by 44% of the interviewees. Among other needs identified were an appropriate contextualization of benefits and risks (based on comments provided by 41% of interviewees) through adoption of an integrated approach with structured support by regulatory agencies and a need for understanding the audience with better communication of benefit-risk (BR) among all stakeholders (based on comments provided by 44% of the interviewees). Almost all comments provided by interviewees (96%) highlighted the importance of utilizing patient experience/preference to guide new product development and BRA. Comments provided by 74% of the interviewees expressed the need to understand patient tolerance for risk and trade-offs, with a majority (78%) of interviewees highlighting how to gather information, and 59% stressing the need for the selection and development of appropriate methodologies as important considerations for enhancing the quality and relevance of the data collected from patients.

CONCLUSIONS: Interviewees indicated that BRA should commence early in the medical product development and inform decision-making throughout the product lifecycle. Better planning and integration of BRA into existing processes within industry would be valuable. The importance of incorporating the patient voice into BRA and medical product development was emphasized. Other key findings from the KOL interviews included a need for improved communication of BR information, and establishment of methodologies for performing BRA and soliciting patient input.

PMID:38824267 | DOI:10.1007/s40264-024-01442-4

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Nevin Manimala Statistics

Is diet related to skin condition? A Mendelian randomization study

Arch Dermatol Res. 2024 Jun 1;316(6):328. doi: 10.1007/s00403-024-03103-z.

ABSTRACT

Observational studies have revealed associations between various dietary factors and skin conditions. However, the causal relationship between diet and skin condition is still unknown. Data on 17 dietary factors were obtained from the UK Biobank. Data on four skin conditions were derived from the UK Biobank and another large-scale GWAS study. Genetic predictions suggested that the intake of oily fish was associated with a lower risk of skin aging (OR: 0.962, P = 0.036) and skin pigmentation (OR: 0.973, P = 0.033); Tea intake was associated with a lower risk of skin pigmentation (OR: 0.972, P = 0.024); Salad/raw vegetables intake was associated with a lower risk of keratinocyte skin cancer (OR: 0.952, P = 0.007). Coffee intake was associated with increased risk of skin aging (OR: 1.040, P = 0.028); Pork intake was associated with increased risk of skin aging (OR: 1.134, P = 0.020); Beef intake was associated with increased risk of cutaneous melanoma (OR: 1.013, P = 0.016); Champagne plus white wine intake was associated with increased risk of cutaneous melanoma (OR: 1.033, P = 0.004); Bread intake was associated with increased risk of keratinocyte skin cancer (OR: 1.026, P = 0.013). Our study results indicate causal relationships between genetically predicted intake of oily fish, tea, salad/raw vegetables, coffee, pork, beef, champagne plus white wine, and bread and skin conditions.

PMID:38824251 | DOI:10.1007/s00403-024-03103-z

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Nevin Manimala Statistics

Effectiveness of physiotherapy in children with functional constipation

Pediatr Surg Int. 2024 Jun 1;40(1):147. doi: 10.1007/s00383-024-05733-w.

ABSTRACT

PURPOSE: The objective was to compare the immediate effects of pharmacological versus physiotherapy intervention versus a combination of physiotherapy and pharmacological treatment, as well as the quality of life and the recurrence of symptoms in children with functional constipation after 3 months.

METHODS: A total of 69 children with functional constipation between the ages of 5 and 14 years of either gender were assessed and randomly assigned to one of three groups: Group A, B, and C. Visual Analogue Scale, Bristol Stool Form Scale, frequency of defecation, PedsQL GI symptom scale, and PedsQL Generic Core Scale were used as outcome measures. Pharmacology was used to treat Group A, physiotherapy was used to treat Group B, and a combination of both was used to treat Group C.

RESULTS: The study revealed statistically significant results on Visual Analogue Scale, Bristol Stool Form Scale, and frequency of defecation in all groups. However, no significant changes were observed on the PedsQL GI symptom scale and the Generic Core scale in Group A, whereas significant changes were observed in Groups B and C.

CONCLUSION: In this study, we found that there were significant differences in the short- and long-term effects across all groups. More changes occurred in Group C than in Groups A and B.

PMID:38824249 | DOI:10.1007/s00383-024-05733-w

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Nevin Manimala Statistics

Surgery versus no surgery in platinum-sensitive relapsed ovarian cancer: final overall survival analysis of the SOC-1 randomized phase 3 trial

Nat Med. 2024 Jun 1. doi: 10.1038/s41591-024-02981-0. Online ahead of print.

ABSTRACT

Surgery for platinum-sensitive, relapsed ovarian cancer (PSROC) is widely practiced but had contradictory survival outcomes in previous studies. In this multicenter, open-label, phase 3 trial, women with PSROC, and having had one previous therapy and no platinum-based chemotherapy (platinum-free interval) of 6 months or more, were randomly assigned to either the surgery group (182 patients) or the no-surgery group (control) (175 patients). Patients with resectable diseases were eligible according to the international model (iMODEL), combined with a positron emission tomography-computed tomography imaging. Overall survival (OS) and progression-free survival were coprimary endpoints in hierarchical testing, and a significantly longer progression-free survival with surgery was previously reported. Final analysis of OS was planned at data maturity of 59%. Between 19 July 2012 and 3 June 2019, 357 patients were enrolled. Median follow-up was 82.5 months. Median OS was 58.1 months with surgery and 52.1 months for control (hazard ratio (HR) 0.80, 95% confidence interval (CI) 0.61-1.05, P = 0.11). The predefined threshold for statistical significance was not met, but prespecified sensitivity analysis was performed. Overall, 61 of 175 (35%) patients in control had crossed over to surgery following subsequent relapse, and adjusted HR for death in the surgery group compared with control was 0.76, 95% CI 0.58-0.99. In subgroup analysis of relapse sites by imaging, median survival was not estimable in the surgery group and was 69.5 months in control in patients with <20 sites (HR 0.69, 95% CI 0.46-1.03). Patients with a complete resection had the most favorable outcome, with a median OS of 73.0 months. Twenty-four of 182 (13.2%) patients remained relapse free and alive >60 months in the surgery group as compared with five of 175 (2.9%) patients in the control group. In patients with PSROC, surgery did not increase OS in the intention-to-treat population but resulted in a prolongation of survival following adjustment of crossover.ClinicalTrials.gov registration: NCT01611766 .

PMID:38824243 | DOI:10.1038/s41591-024-02981-0

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Nevin Manimala Statistics

Her-2/neu gene amplification and its correlation with other prognostic factors in Iranian breast cancer patients

Mol Biol Rep. 2024 Jun 1;51(1):718. doi: 10.1007/s11033-024-09667-3.

ABSTRACT

BACKGROUND: Breast cancer is one of the most common diseases in females, arising from overexpression of a variety of oncogenes like HER2/neu. The amplification rate of this gene is variable in different breast cancer patients. In this study, the amplification of the HER2/neu oncogene was distinguished in breast cancer patients and its correlation with prognostic factors. Also, the simultaneous effect of prognostic factors on the occurrence of a specific prognostic factor was investigated.

MATERIALS AND METHODS: The multiplex PCR technique was used to assay the amplification of the HER2/neu oncogene in breast cancer patients. After extracting DNA from 100 tumor tissue and 8 normal breast tissue samples, the amplification of the HER2/neu gene was distinguished by the co-amplification of a single-copy reference gene, γ-IFN, and the target gene HER2/neu in the PCR reaction and using the Gel analyzer software. SPSS 23 and STATA 9.1 software were used for statistical analysis.

RESULTS: The HER2/neu gene was amplification in 30% of the tumor samples. The statistical analysis showed a statistically significant relationship between HER2/neu gene amplification and progesterone receptors. Amplification of the HER2/neu gene significantly increases the chance of lymph node involvement. Also, the amplification of this gene in tumors with histological grade II tissue is more than grade I.

CONCLUSION: The amplification of the HER2/neu gene can be used as an independent prognostic factor in predicting lymph node involvement and histological grade in breast cancer patients.

PMID:38824224 | DOI:10.1007/s11033-024-09667-3