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Nevin Manimala Statistics

Explainable AI in Genomics: Transcription Factor Binding Site Prediction with Mixture of Experts

ArXiv [Preprint]. 2025 Jul 18:arXiv:2507.09754v2.

ABSTRACT

Transcription Factor Binding Site (TFBS) prediction is crucial for understanding gene regulation and various biological processes. This study introduces a novel Mixture of Experts (MoE) approach for TFBS prediction, integrating multiple pre-trained Convolutional Neural Network (CNN) models, each specializing in different TFBS patterns. We evaluate the performance of our MoE model against individual expert models on both in-distribution and out-of-distribution (OOD) datasets, using six randomly selected transcription factors (TFs) for OOD testing. Our results demonstrate that the MoE model achieves competitive or superior performance across diverse TF binding sites, particularly excelling in OOD scenarios. The Analysis of Variance (ANOVA) statistical test confirms the significance of these performance differences. Additionally, we introduce ShiftSmooth, a novel attribution mapping technique that provides more robust model interpretability by considering small shifts in input sequences. Through comprehensive explainability analysis, we show that ShiftSmooth offers superior attribution for motif discovery and localization compared to traditional Vanilla Gradient methods. Our work presents an efficient, generalizable, and interpretable solution for TFBS prediction, potentially enabling new discoveries in genome biology and advancing our understanding of transcriptional regulation.

PMID:40709306 | PMC:PMC12288655

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Nevin Manimala Statistics

Subfecundity and associated factors among pregnant mothers receiving antenatal care at public health facilities in Ambo town Oromia region, Ethiopia: a cross-sectional study

Front Glob Womens Health. 2025 Jul 10;6:1506481. doi: 10.3389/fgwh.2025.1506481. eCollection 2025.

ABSTRACT

BACKGROUND: Subfecundity is defined by a time to pregnancy of more than 12 months with unprotected sexual intercourse. Despite many couples experiencing psychological, social, and economic effects as a consequence of subfecundity, it has been inadequately explored in Ethiopia.

OBJECTIVE: Since there is limited information available in Ethiopia on subfecundity and no further studies have been conducted in the study area, this study will serve as input. Therefore, this study aimed to assess the magnitude of subfecundity and associated factors in Ambo town.

METHODS: A cross-sectional study was employed using systematic sampling to select 368 pregnant mothers. Data were collected through face-to-face interviews using a pre-tested structured questionnaire supplemented with a review of medical records. Bivariate and multivariable logistic regression were performed to identify factors associated with subfecundity. The statistical significance was declared using 95% CI, with a p-value <0.05.

RESULT: A total of 361 mothers (21.3%, 95% CI: 17.20-25.50) were interviewed, resulting in a response rate of 98%. Subfecundity was more likely among mothers aged >35 years (AOR = 3.74, 95% CI: 1.38-10.18), menstrual cycle irregularities (AOR = 3.15, 95% CI: 1.66-5.98), those whose coital frequency was 1 day per week (AOR = 4.77 95% CI: 2.22-10.23), mothers with primigravida (AOR = 2.29, 95% CI: 1.18-4.41), those who used contraceptives (AOR = 1.87, 95% CI: 1.02-3.50), and those who were stressed before conceiving (AOR = 1.95, 95% CI: 1.03-3.70).

CONCLUSION: This study found that the prevalence of subfecundity was 77% (21.3%, 95% CI: 17.2-25.5), which is slightly higher than previous findings in Ethiopia. Subfecundity was more likely among mothers age >35, those with primigravida, mothers who experienced menstruation irregularities, those whose coital frequency was less than twice per week, mothers using an injectable contraceptive method, and those who were stressed before the current pregnancy. Thus, health professionals should provide information for women at preconception care clinics, sexual and reproductive health clinics, and family planning clinics to those who wish to become pregnant before the age of 35 years to increase the frequency of coital practice, decrease stress, and encourage treatment for menstruation irregularities.

PMID:40709289 | PMC:PMC12287065 | DOI:10.3389/fgwh.2025.1506481

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Nevin Manimala Statistics

White matter microstructure mediates the association between cardiorespiratory fitness and cognitive performance in older adults

Alzheimers Dement (N Y). 2025 Jul 24;11(3):e70125. doi: 10.1002/trc2.70125. eCollection 2025 Jul-Sep.

ABSTRACT

INTRODUCTION: Age-related cognitive decline occurs, in part, due to diminishing white matter integrity. Higher cardiorespiratory fitness (CRF) is associated with better cognitive performance, but the neurobiological mechanisms underlying this association remain uncertain. Previous magnetic resonance imaging (MRI) studies have suggested that CRF-related changes in white matter microstructure might prevent or slow age-related cognitive decline, but have been limited by small sample sizes and methodological limitations. Specifically, most prior studies used tensor-based diffusion-weighted MRI metrics, which are insensitive to complex white matter architectures, including crossing fibers.

METHODS: Here, we leveraged a novel analysis framework capable of resolving individual fiber populations at the within-voxel level-fixel-based analysis (FBA)-to analyze three metrics of white matter organization from diffusion-weighted MRI scans: fiber density (FD), fiber cross-section (FC), and their combined measure (FDC). Using a cross-sectional sample of 636 cognitively unimpaired older adults aged 65 to 80 years (mean age = 69.8 years; 71% female), we hypothesized that FBA metrics would be associated with CRF and that this variation in FBA metrics would mediate associations between CRF and cognitive performance.

RESULTS: In whole-brain analyses, higher CRF was associated with greater FD, FC, and FDC. Furthermore, these FBA-derived metrics statistically mediated the relationship between CRF and cognitive performance in the domains of visuospatial abilities, processing speed, working memory, and executive function/attentional control, but not episodic memory.

DISCUSSION: These findings highlight the potential for CRF in the preservation of multiple aspects of cognition as a function of white matter micro- and macro-structural properties. Our results provide novel insights into the neurobiological mechanisms of fitness-related cognitive resilience.

HIGHLIGHTS: Higher cardiorespiratory fitness (CRF) is linked to better white matter integrity in older adults.Fixel-based analysis reveals CRF associations with fiber density and cross-section.White matter properties mediate CRF effects on cognition, excluding episodic memory.Findings suggest CRF supports cognitive resilience via white matter organization.

PMID:40709285 | PMC:PMC12287842 | DOI:10.1002/trc2.70125

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Nevin Manimala Statistics

Attention-deficit/hyperactive disorder pre-adulthood and later adverse health outcomes: The 1987 Finnish birth cohort study

Res Sq [Preprint]. 2025 Jul 15:rs.3.rs-6967034. doi: 10.21203/rs.3.rs-6967034/v1.

ABSTRACT

Whereas attention-deficit/hyperactive disorder (ADHD) is correlated with later risk of depression, anxiety, and substance misuse, the relationship with other health endpoints is uncertain. In a full-nation birth cohort study, we used a phenotype-wide approach to explore the influence of an ADHD diagnosis in childhood/adolescence with later disease and injury. Comprising 53147 (25731 female) children born in a single year, the 1987 Finnish Birth Cohort was generated from linkage of routinely collected data. Using international classification disease codes, ADHD diagnosis was captured from in- and out-patient hospital records up to age 18 years and study members continued to be surveilled for other diagnoses until 2020 (aged 33 years). In logistic regression analyses, effect estimates were adjusted for education achievement, family socioeconomic status, and multiple comparisons. Pre-adulthood, 0.43% (N = 228) of study members were diagnosed with ADHD. In people with ADHD relative to population controls, there was a heightened risk of developing all 17 specific health endpoints examined. Of these, only 5 reached statistical significance after correction for socioeconomic status, education, and multiple comparison (odds ratio; 99.7%): substance abuse disorders (2.27; 1.28, 3.81), mood disorders (2.46; 1.50, 3.90), neurotic disorders (2.12; 1.25, 3.43), epilepsy (4.65; 1.86, 9.75), and poisoning (2.30; 1.02, 4.51). In the present study, children and adolescents with ADHD had an increased future burden of psychological and neurological conditions but not somatic disorders.

PMID:40709270 | PMC:PMC12288527 | DOI:10.21203/rs.3.rs-6967034/v1

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Impact of COVID Pandemic on Financial Burdens in Metro and Non-Metro Regions: Findings from a Cross-Sectional Survey

Res Sq [Preprint]. 2025 Jul 15:rs.3.rs-6874039. doi: 10.21203/rs.3.rs-6874039/v1.

ABSTRACT

Purpose : The impact of the COVID-19 pandemic on employment and various financial burden domains has not been well researched, particularly in vulnerable populations. This study examined the impact of the pandemic among those living in an Ohio metro county compared to a non-metro county on employment and financial concerns. Methods : We conducted a survey between June and November 2020 and collected participants’ demographics, employment status, perceived financial status, and health-related conditions. Multivariable logistic regression models assessed the association between regions of residence (metro or non-metro) and various perceived financial concerns. Findings : Among the 6,123 respondents with complete data, the average age was 55.7 years, 67.2% were female, 87.1% were white non-Hispanic, and 30.2% lived in a non-metro county. Compared to those living in metro counties, non-metro respondents had significantly higher odds of reporting not having full- or part-time employment right before the start of the lockdown (aOR=1.24; 95% CI 1.02-1.52) and significantly higher odds of being unpaid for a full- or part-time job (aOR=1.5; 95%CI 1.23-1.84) during the pandemic. Region of residence did not significantly differ in terms of employment loss or concern regarding financial outcomes. Conclusions : Although metro and non-metro residents did not differ in employment loss due to the COVID-19 pandemic, non-metro residents had a higher likelihood of not having a full- or part-time job prior to the pandemic and remained more likely to be unpaid during the pandemic. However, nonmetro residents reported fewer financial concerns, although statistically insignificant, highlighting potential differences in perception and cognitive processes.

PMID:40709267 | PMC:PMC12288524 | DOI:10.21203/rs.3.rs-6874039/v1

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Nevin Manimala Statistics

Are cannabis policy changes associated with alcohol use patterns? Evidence for age-group differences based on primary care screening data

Addiction. 2025 Jul 24. doi: 10.1111/add.70134. Online ahead of print.

ABSTRACT

BACKGROUND AND AIMS: In California, USA, adult cannabis legalization (ACL) was passed in 2016, with implementation of legal sales commencing in 2018. This study examined whether these policy changes were associated with changes in alcohol use patterns and explored age-group differences.

DESIGN: We examined monthly rates of positive alcohol screens in primary care patients in California from 2015 to 2019. Using an interrupted time series design and autoregressive integrated moving average (ARIMA) models, changes were evaluated in the overall sample and stratified by age groups (21-34, 35-64 and 65+) across two key intervention points for ACL: 9 November 2016 (ACL passage) and 1 January 2018 (ACL implementation). Time-varying confounders of seasonality and autocorrelation were controlled for.

SETTING: California, United States; Kaiser Permanente Northern California Healthcare System.

PARTICIPANTS: Across the study period, n = 8 028 627 screenings were completed for n= 3 525 493 unique patients aged 21+ .

MEASUREMENTS: Aggregated monthly rates of patients exceeding daily limits, weekly limits, exceeding both daily and weekly limits and frequent heavy episodic drinking (HED), based on current US guidelines set by the National Institute on Alcohol Abuse and Alcoholism.

FINDINGS: Statistically significant, gradual declines in rates of both exceeding weekly alcohol limits [estimate (95% confidence interval [CI]) of slope change = -0.013(-0.019 to -0.008), P < 0.001] and frequent HED followed ACL passage [estimate (95% CI) of slope change = -0.015(-0.024 to -0.005), P = 0.003]. ACL implementation was generally not associated with further changes, suggesting changes after ACL passage were sustained over time. Age-group patterns varied: young adults (21-34) demonstrated an immediate increase, followed by a statistically significant gradual decline in rates of HED post-ACL passage [estimate (95% CI) of slope change = -0.096(-0.160, -0.033), P = 0.003], as well as an immediate decrease post ACL implementation; adults 35-49 showed consistent declines in step and slope in rates of frequent HED post ACL passage; adults 50-64 showed an immediate increase in rates of exceeding weekly limits [estimate (95% CI) of step change = 0.167(0.036-0.297), P = 0.012], with gradual declines in the other drinking limits; adults 65 + had small, gradual decreases. In addition, exploratory analyses in 18-20-year-olds showed gradual increases in rates of frequent HED post ACL passage, but the P value was not significant after Bonferroni correction.

CONCLUSIONS: Cannabis policy changes in California, USA, appear to be linked to age-specific changes in alcohol use, with moderate reductions, particularly among middle-aged adults. Findings were associative in nature and causality could not be determined.

PMID:40708086 | DOI:10.1111/add.70134

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Impact of monomer contamination of isopropanol during post-rinsing on the accuracy of dental models fabricated by vat photopolymerization

J Prosthodont. 2025 Jul 24. doi: 10.1111/jopr.70011. Online ahead of print.

ABSTRACT

PURPOSE: The aim of this study was to investigate the impact of an increasing level of monomer contamination of isopropanol (isopropyl alcohol [IPA]) during post-rinsing on the dimensional stability of test samples produced by vat photopolymerization. The effect of resin deposits due to insufficient post-rinsing on the accuracy (volume, mean, and maximum deviation) of additive manufacturing workflows was investigated, which has received limited attention in studies on accuracy.

MATERIALS AND METHODS: Forty test specimens (four groups, n = 10) were produced from a commonly used resin for dental model fabrication and underwent post-rinsing in IPA with different levels of monomer contamination (0, 10, 20, and 30 wt%). The dimensional stability was assessed by comparing the optical scan of the produced test specimens with the original digital design. Both the volume of the deposited resin and the effect of different model shapes (inner edges, smooth surfaces, and outer edges) on deposition were investigated. Statistical evaluation was performed using the Kruskal-Wallis test and Dunn’s test for pairwise comparisons with Holm correction. To simulate clinical conditions, 20 dental models (four groups, n = 5) were produced, post-processed, and examined using a scanning method.

RESULTS: No significant deviations in specimen dimensions occurred when the monomer contamination was 0%-10%. In the range of 10%-20% contamination, a few significant deviations occurred in the area of sharp inner edges, “inside structures” and small structures (diameter <1000 µm). At contamination levels of 30%, significant deviations were observed eventually in all measured areas.

CONCLUSIONS: This study showed that, contrary to the manufacturer’s specifications, the IPA should only be replaced during post-rinsing if the monomer contamination of the rinsing solution is >20%. At contamination levels of 10%-20%, post-rinsing of components with large smooth surfaces without sharp edges (e.g., custom trays) is possible without significant deformation. Only for components with very small, sharp-edged, or inverted structures is it advisable to replace the IPA from a contamination level of 10%.

PMID:40708085 | DOI:10.1111/jopr.70011

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Nevin Manimala Statistics

Long-term optical coherence tomography changes and visual outcomes after vitrectomy for epiretinal proliferation: lamellar holes and full-thickness macular holes

Int J Retina Vitreous. 2025 Jul 24;11(1):83. doi: 10.1186/s40942-025-00711-3.

ABSTRACT

BACKGROUND: Epiretinal proliferation (ERP) is an extension of preretinal tissue, creating a thin, semi-translucent layer of fibrous tissue on the retina. ERP has been recently associated with degenerative lamellar macular holes (DLMH) and full-thickness macular holes (FTMH). The proposed surgery for patients has been vitrectomy and ERM peeling, but there is no consensus on whether DLMH is a stable condition or should be resolved with surgical treatment. The purpose was to investigate optical coherence tomography (OCT) changes and visual outcomes of degenerative LMH and FTMH secondary to ERP after pars plana vitrectomy (PPV) and internal limiting membrane (ILM) peeling.

METHODS: This retrospective case series evaluated 14 eyes with DLMH and eight eyes with FTMH. All 22 eyes were associated with ERP and treated with PPV with ILM peeling. Best-corrected visual acuity (BCVA, in logMAR), OCT findings, including presence of foveal bump and ellipsoid zone integrity, were documented. Wilcoxon signed-rank tests were used for numerical data. Statistical significance was based on a value of p < 0.05.

RESULTS: Among the 14 DLMH cases, the mean Snellen equivalent VA was 20/75 at baseline; 20/59 at the 4-12-month postoperative period; and 20/56 at the final follow-up visit. For the eight FTMH cases, the mean Snellen equivalent VA was 20/94 at baseline; 20/45 at the 4-12-month postoperative period; and 20/38 at the final follow-up visit. Compared to baseline VA, FTMH cases demonstrated a statistically significant improvement in the 4-12-month postoperative VA (p < 0.05) and in the final postoperative VA (p < 0.05). Among all cases, a strong correlation was observed between baseline logMAR and change in logMAR from baseline to final follow-up (R2 = 0.671).

CONCLUSION: This study demonstrated that surgical intervention led to improved visual and anatomic outcomes in patients with DLMH and FTMH, with a correlation between baseline VA and postoperative visual outcomes. The results suggest that patients with worse preoperative VA experienced the greatest benefit in visual outcome from PPV and ILM peeling. Future studies would look at the timing of when to ideally intervene to improve anatomic and visual outcomes.

PMID:40708062 | DOI:10.1186/s40942-025-00711-3

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Reliability of ultrasound-based measurements for tongue-palate distance and tongue thickness assessment in healthy individuals

Eur J Med Res. 2025 Jul 25;30(1):672. doi: 10.1186/s40001-025-02934-4.

ABSTRACT

OBJECTIVE: The morphology of the tongue and its relationship with the hard palate play an important role in the rehabilitation of patents with temporomandibular joint disorders (TMD). This study aimed to evaluate the intra-and inter-evaluator reliability of ultrasound measurements of tongue-palate distance and tongue thickness in healthy individuals.

METHODS: Thirty healthy volunteers were assessed using a Mindray ultrasound device with a C5-1s probe. Two trained evaluators conducted two measurement sessions 1 week apart. Pearson or Spearman correlation analyses and intraclass correlation coefficients (ICCs) were used to determine measurement reliability.

RESULTS: The ICCs for tongue-palate distance were 0.745 (intra-evaluator) and 0.611 (inter-evaluator). For tongue thickness, the ICCs were 0.855 (intra-evaluator) and 0.730 (inter-evaluator). Individual evaluator reliability was consistent: Evaluator A showed ICCs of 0.761 (distance) and 0.862 (thickness); Evaluator B showed ICCs of 0.788 (distance) and 0.841 (thickness). All correlations were statistically significant (p < 0.05).

CONCLUSION: Ultrasound provides a reliable method for quantifying tongue-palate distance and tongue thickness in healthy subjects. These measures could support clinical assessment and rehabilitation planning for conditions such as TMD.

PMID:40708056 | DOI:10.1186/s40001-025-02934-4

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Neuromuscular exercise in addition to celecoxib versus celecoxib alone for symptomatic and radiographic knee osteoarthritis: a randomized controlled trial

BMC Sports Sci Med Rehabil. 2025 Jul 24;17(1):213. doi: 10.1186/s13102-025-01263-7.

ABSTRACT

BACKGROUND: Neuromuscular exercise (NEXA) and celecoxib each are effective for treating knee osteoarthritis (OA), but the potential benefits of combination therapy remain unclear. The aim of this study was to investigate the effects of NEXA in addition to celecoxib compared to celecoxib alone on pain and physical function in patients with symptomatic and radiographic knee OA.

METHODS: A prospective, assessor-blinded, two-arm, superiority randomised controlled trial. Sixty participants with Kellgren and Lawrence (KL) grade 2-3 symptomatic knee OA were included and randomly assigned 1:1 to undergo 12 weeks NEXA and celecoxib or to receive celecoxib 200 mg once daily alone. The primary outcomes were visual analog scale (VAS) and total Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score at 6 months. The secondary outcomes included the Knee injury and Osteoarthritis Outcome Score (KOOS), six-minute walk test, and Timed Up and Go (TUG) test at 3 months and 6 months.

RESULTS: At 6 months, the between-group differences in the VAS score (mean difference, -10.30; 95% CI, -19.38 to -1.23; P = 0.026) and total WOMAC score (mean difference, -10.40; 95% CI, -15.54 to -5.27; P < 0.001) were statistically in favour of the NEXA and celecoxib group. There was evidence that NEXA in addition to celecoxib were superior to celecoxib alone for KOOS symptoms score (P = 0.040), KOOS activities of daily living score (P < 0.001), KOOS sport and recreation score (P = 0.014), KOOS quality of life score (P = 0.036), six-min walk test (P = 0.006), and TUG test (P = 0.001) at 6 months. The NEXA and celecoxib group achieved significantly higher proportions of patients above the minimal clinically important difference in total WOMAC score (78.6% vs. 51.9% for absolute improvement; 75% vs. 37% for relative improvement) at 6 months.

CONCLUSIONS: Compared with celecoxib alone, there was a beneficial effect of NEXA in addition to celecoxib on pain and physical function in patients with symptomatic and radiographic knee OA at 6 months.

TRIAL REGISTRATION: ChiCTR-IOR-14,005,414, 31/10/2014.

PMID:40708052 | DOI:10.1186/s13102-025-01263-7