Tag: statistics

Sports Biomech. 2023 May 3:1-14. doi: 10.1080/14763141.2023.2207554. Online ahead of print.

ABSTRACT

The modularisation of sports science curricula allows students to individualise degrees to fit their interests and aspirations via elective modules. The aim of this study was to explore the factors which influence sports science students’ elective biomechanics enrolment decisions. A total of 45 students completed an online survey focussing on personal and academic characteristics which may influence enrolment decisions. Significant differences were found for three personal characteristics. Biomechanics module enrolees were more positive in their self-concept of subject ability, had a greater like for their previous subject experience, and displayed a higher agreement in requiring the knowledge for future career aspirations. Although, statistical power was reduced when respondents were categorised into demographic sub-groups, exploratory analysis highlighted self-concept of subject ability may differentiate female students’ enrolment, while previous subject experience may distinguish male students’ enrolment and academic entry route students’ enrolment. Undergraduate sports science core biomechanics modules should consider adopting learning pedagogies which help to increase individual students’ self-concept of ability and inspires them to recognise the value of biomechanics in their potential career aspirations.

PMID:37132254 | DOI:10.1080/14763141.2023.2207554

Blood Press. 2023 Dec;32(1):2203267. doi: 10.1080/08037051.2023.2203267.

ABSTRACT

Purpose: A limited number of studies have suggested a nonlinear association between spot urine (SU) sodium concentration and office blood pressure (BP). We examined how SU sodium concentration and dietary salt obtained from a food frequency questionnaire are associated with more accurately measured home BP in a large, nationwide population sample.Materials and methods: We included 1398 participants in cross-sectional and 851 participants in 11-year longitudinal analyses. We investigated associations between baseline salt/sodium variables and (i) baseline and follow-up home BP; and (ii) prevalent and incident hypertension with linear and logistic regression models.Results: We observed positive associations (β ± standard error) between salt/sodium variables and BP in unadjusted models. SU sodium concentration associated with baseline systolic (0.04 ± 0.01, p < 0.001) and diastolic (0.02 ± 0.01, p < 0.001) BP and follow-up systolic (0.03 ± 0.01, p = 0.003) and diastolic (0.02 ± 0.01, p < 0.001) BP. Dietary salt intake was associated with baseline (0.52 ± 0.19, p = 0.008) and follow-up (0.57 ± 0.20, p = 0.006) systolic BP. Compared to the lowest quintile of SU sodium concentration, the highest quintile had greater odds of prevalent hypertension (odds ratio [OR] 1.57, 95% confidence interval [CI] 1.12-2.19) and the second highest quintile with incident hypertension (OR 1.86, 95% CI 1.05-3.34). Unadjusted odds of incident hypertension were higher in the highest as compared to the lowest quintile of dietary salt intake (OR 1.83, 95% CI 1.01-3.35). After adjustments for sex, age, plasma creatinine concentration and alcohol intake, none of the aforementioned associations remained statistically significant. We found no evidence of a J-shaped association between the salt/sodium variables and BP or hypertension.Conclusion: SU sodium concentration and dietary salt intake are associated with home BP and hypertension only in some of the unadjusted models. Our results underscore that feasible estimation of sodium intake remains challenging in epidemiology.

PMID:37132246 | DOI:10.1080/08037051.2023.2203267

Proc Biol Sci. 2023 May 10;290(1998):20222531. doi: 10.1098/rspb.2022.2531. Epub 2023 May 3.

ABSTRACT

Male sexual ornaments often evolve rapidly and are thought to be costly, thus contributing to sexual size dimorphism. However, little is known about their developmental costs, and even less about costs associated with structural complexity. Here, we quantified the size and complexity of three morphologically elaborate sexually dimorphic male ornaments that starkly differ across sepsid fly species (Diptera: Sepsidae): (i) male forelegs range from being unmodified, like in most females, to being adorned with spines and large cuticular protrusions; (ii) the fourth abdominal sternites are either unmodified or are converted into complex de novo appendages; and (iii) male genital claspers range from small and simple to large and complex (e.g. bifurcated). We tracked the development of 18 sepsid species from egg to adult to determine larval feeding and pupal metamorphosis times of both sexes. We then statistically explored whether pupal and adult body size, ornament size and/or ornament complexity are correlated with sex-specific development times. Larval growth and foraging periods of male and female larvae did not differ, but the time spent in the pupal stage was ca 5% longer for sepsid males despite emerging 9% smaller than females on average. Surprisingly, we found no evidence that sexual trait complexity prolongs pupal development beyond some effects of trait size. Evolving more complex traits thus does not incur developmental costs at least in this system.

PMID:37132233 | DOI:10.1098/rspb.2022.2531

Phys Act Nutr. 2023 Mar;27(1):9-15. doi: 10.20463/pan.2023.0002. Epub 2023 Mar 31.

ABSTRACT

PURPOSE: This study aims to examine the physical activity and eating habits of elite athletes to identify changes in their weight and participation levels in competitions pre- and post-COVID-19, and to establish a database of the abovementioned factors for the post-COVID-19 period.

METHODS: This study surveyed 913 elite adult athletes from 22 sports. They were divided into two groups: weight loss athletes’ group (WLG) and non-weight loss athletes’ group (NWLG). In addition to demographic factors, the questionnaire included questions about physical activity, sleep, and eating habits pre- and post-COVID-19 pandemic. The survey included 46 questions requiring short subjective answers. Statistical significance was set at p&lt;0.05.

RESULTS: In the post-COVID-19 pandemic period, physical activity and sitting decreased in athletes of both groups. The difference in the number of meals consumed by both groups varied, and the number of tournaments the athletes participated in decreased for all sports. The success or failure of weight loss is essential for maintaining athletes’ performance and health.

CONCLUSION: Coaches play an important role in investigating and managing the weight loss regimen of athletes during crisis situations like a pandemic. Additionally, athletes must find the best way to maintain their competencies to the standards set before COVID-19. Adhering to such a regimen will have the greatest impact on their tournament participation in the post-COVID-19 pandemic period.

PMID:37132206 | DOI:10.20463/pan.2023.0002

Diabetes Metab Res Rev. 2023 May 2:e3649. doi: 10.1002/dmrr.3649. Online ahead of print.

ABSTRACT

BACKGROUND: Most interventions to prevent foot ulcers in people with diabetes do not seek to reverse the foot abnormalities that led to the ulcer. Foot-ankle exercise programs target these clinical and biomechanical factors, such as protective sensation and mechanical stress. Multiple RCTs exist investigating the effectiveness of such programs, but these have never been summarised in a systematic review and meta-analysis.

METHODS: We searched the available scientific literature in PubMed, EMBASE, CINAHL, Cochrane databases and trial registries for original research studies on foot-ankle exercise programs for people with diabetes at risk of foot ulceration. Both controlled and non-controlled studies were eligible for selection. Two independent reviewers assessed the risk of bias of controlled studies and extracted data. Meta-analysis (using Mantel-Haenszel’s statistical method and random effect models) was performed when >2 RCTs were available that met our criteria. Evidence statements, including the certainty of evidence, were formulated according to GRADE.

RESULTS: We included a total of 29 studies, of which 16 were RCTs. A foot-ankle exercise programme of 8-12 weeks duration for people at risk of foot ulceration results in: (a) no increase or decrease risk of foot ulceration or pre-ulcerative lesion (Risk Ratio (RR): 0.56 (95% CI: 0.20-1.57)); (b) no increase or decrease risk of adverse events (RR: 1.04 (95% CI: 0.65-1.67)); (c) not increase or decrease barefoot peak plantar pressure during walking (Mean Difference (MD): -6.28 kPa (95% CI: -69.90-57.34)); (d) no increase or decrease health-related quality of life (no meta-analysis possible). Likely results in increases in ankle joint and first metatarsalphalangeal joint range of motion (MD: 1.49° (95% CI: -0.28-3.26)) may result in improvements in neuropathy signs and symptoms (MD: -1.42 (95% CI: -2.95-0.12)), may result in a small increase in daily steps in some people (MD: 131 steps (95% CI: -492-754)), and may not increase or decrease foot and ankle muscle strength and function (no meta-analysis was possible).

CONCLUSIONS: In people at risk of foot ulceration, a foot-ankle exercise programme of 8-12 weeks duration may not prevent or cause diabetes-related foot ulceration. However, such a programme likely improves the ankle joint and first metatarsalphalangeal joint range of motion and neuropathy signs and symptoms. Further research is needed to strengthen the evidence base, and should also focus on the effects of specific components of foot-ankle exercise programs.

PMID:37132203 | DOI:10.1002/dmrr.3649

Am J Psychiatry. 2023 May 3:appiajp20220459. doi: 10.1176/appi.ajp.20220459. Online ahead of print.

ABSTRACT

OBJECTIVE: This study assessed the efficacy and safety of a 14-day treatment course of once-daily zuranolone 50 mg, an investigational oral positive allosteric modulator of the γ-aminobutyric acid type A (GABA_A) receptor, for the treatment of major depressive disorder.

METHODS: Patients 18-64 years of age with severe major depressive disorder were enrolled in this randomized, double-blind, placebo-controlled trial. Patients self-administered zuranolone 50 mg or placebo once daily for 14 days. The primary endpoint was change from baseline in total score on the 17-item Hamilton Depression Rating Scale (HAM-D) at day 15. Safety and tolerability were assessed by incidence of adverse events.

RESULTS: Of 543 randomized patients, 534 (266 in the zuranolone group, 268 in the placebo group) constituted the full analysis set. Compared with patients in the placebo group, patients in the zuranolone group demonstrated a statistically significant improvement in depressive symptoms at day 15 (least squares mean change from baseline HAM-D score, -14.1 vs. -12.3). Numerically greater improvements in depressive symptoms for zuranolone versus placebo were observed by day 3 (least squares mean change from baseline HAM-D score, -9.8 vs. -6.8), which were sustained at all visits throughout the treatment and follow-up periods of the study (through day 42, with the difference remaining nominally significant through day 12). Two patients in each group experienced a serious adverse event; nine patients in the zuranolone group and four in the placebo group discontinued treatment due to adverse events.

CONCLUSIONS: Zuranolone at 50 mg/day elicited a significantly greater improvement in depressive symptoms at day 15, with a rapid time to effect (day 3). Zuranolone was generally well tolerated, with no new safety findings compared with previously studied lower dosages. These findings support the potential of zuranolone in treating adults with major depressive disorder.

PMID:37132201 | DOI:10.1176/appi.ajp.20220459

Int J Surg. 2023 May 4. doi: 10.1097/JS9.0000000000000323. Online ahead of print.

ABSTRACT

BACKGROUND: Standards for reporting surgical adverse events vary widely within the scientific literature. Failure to adequately capture adverse events hinders efforts to measure the safety of healthcare delivery and improve the quality of care. The aim of the present study is to assess the prevalence and typology of perioperative adverse event reporting guidelines among surgery and anesthesiology journals.

MATERIALS AND METHODS: In November 2021, three independent reviewers queried journal lists from the SCImago Journal & Country Rank (SJR) portal (www.scimagojr.com), a bibliometric indicator database for surgery and anesthesiology academic journals. Journal characteristics were summarized using SCImago, a bibliometric indicator database extracted from Scopus journal data. Quartile 1 (Q1) was considered the top quartile and Q4 bottom quartile based on the journal impact factor. Journal author guidelines were collected to determine whether adverse event reporting recommendations were included and, if so, the preferred reporting procedures.

RESULTS: Of 1,409 journals queried, 655 (46.5%) recommended surgical adverse event reporting. Journals most likely to recommend adverse event reporting were: 1) by category surgery (59.1%), urology (53.3%), and anesthesia (52.3%); 2) in top SJR quartiles (i.e. more influential); 3) by region, based in Western Europe (49.8%), North America (49.3%), and the Middle East (48.3%).

CONCLUSIONS: Surgery and anesthesiology journals do not consistently require or provide recommendations on perioperative adverse event reporting. Journal guidelines regarding adverse event reporting should be standardized and are needed to improve the quality of surgical adverse event reporting with the ultimate goal of improving patient morbidity and mortality.

PMID:37132189 | DOI:10.1097/JS9.0000000000000323

J Gerontol A Biol Sci Med Sci. 2023 May 3:glad113. doi: 10.1093/gerona/glad113. Online ahead of print.

ABSTRACT

BACKGROUND: Long term care facilities (LTCFs) are constantly working to reduce sources of infectious pathogens to improve resident care. LTCF residents are particularly susceptible to healthcare associated infections (HAIs), many of which originate from the air. An advanced air purification technology (AAPT) was designed to comprehensively remediate volatile organic compounds (VOCs) and all airborne pathogens including all airborne bacteria, fungi and viruses. The AAPT contains a unique combination of proprietary filter media, high dose ultraviolet germicidal irradiation (UVGI), and high efficiency particulate air (HEPA) filtration.

METHODS: The AAPT was installed in a LTCF’s heating, ventilation and air conditioning (HVAC) ductwork and two floors were studied: the study floor with comprehensive AAPT remediation and HEPA filtration and the control floor with only HEPA filtration. VOC loading and airborne and surface pathogen loading were measured in five locations on both floors. Clinical metrics such as HAI rates were also studied.

RESULTS: There was a statistically significant 98.83% reduction in airborne pathogens, which are responsible for illness and infection, 89.88% reduction in VOCs and a 39.6% reduction in HAIs. Surface pathogen loading was reduced in all locations except one resident room where the detected pathogens were linked to direct touch.

CONCLUSIONS: The removal of airborne and surface pathogens by the AAPT led to a dramatic reduction in HAIs. The comprehensive removal of airborne contaminants has a direct positive impact on resident wellness and quality of life. It is critical that LTCFs incorporate aggressive airborne purification methods with their current infection control protocols.

PMID:37132185 | DOI:10.1093/gerona/glad113

Immunotherapy. 2023 May 2. doi: 10.2217/imt-2022-0262. Online ahead of print.

ABSTRACT

Aims: To describe the health-related quality of life (HRQoL) of melanoma brain metastasis (MBM) patients throughout the first 18 weeks of ipilimumab-nivolumab or nivolumab treatment. Materials & methods: HRQoL data (European Organisation for Research and Treatment of Cancer’s Core Quality of Life Questionnaire, additional Brain Neoplasm Module, and EuroQol 5-Dimension 5-Level Questionnaire) were collected as a secondary outcome of the Anti-PD1 Brain Collaboration phase II trial. Mixed linear modeling assessed changes over time, whereas the Kaplan-Meier method was used to determine median time to first deterioration. Results: Asymptomatic MBM patients treated with ipilimumab-nivolumab (n = 33) or nivolumab (n = 24) maintained baseline HRQoL. MBM patients with symptoms or leptomeningeal/progressive disease treated with nivolumab (n = 14) reported a statistically significant trend toward improvement. Conclusion: MBM patients treated with either ipilimumab-nivolumab or nivolumab did not report a significant deterioration in HRQoL within 18 weeks of treatment initiation. Clinical trial registration: NCT02374242 (ClinicalTrials.gov).

PMID:37132182 | DOI:10.2217/imt-2022-0262

Stat Med. 2023 May 2. doi: 10.1002/sim.9757. Online ahead of print.

ABSTRACT

In this paper, we propose robust meta-analysis procedures for individual studies that report a broad range of robust summary statistics for a two-sample problem. Summary statistics of individual studies could be presented in different forms including full data, medians of the two samples, the Hodges-Lehman and Wilcoxon estimates of the location shift parameters. Data synthesis is made under both fixed-effect and random-effect meta-analysis models. We systematically compare these robust meta-analysis procedures via simulation studies to meta-analysis procedure based on sample means and variances from individual studies under a wide range of error distributions. We show that the coverage probabilities of the robust meta-analysis confidence intervals are quite close to the nominal confidence level. We also show that mean square error (MSE) of the robust meta-analysis estimator is considerably smaller than that of the non-robust meta-analysis estimator under the contaminated normal, heavy tailed and skewed error distributions. The robust meta-analysis procedures are then applied to platelet count reduction for malaria infected patients in Ghana.

PMID:37132169 | DOI:10.1002/sim.9757