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Nevin Manimala Statistics

Impact of right ventriculotomy on cardiac function after pulmonary valve sparing repair of tetralogy of Fallot and double outlet right ventricle with pulmonary stenosis

Cardiol Young. 2024 Apr 11:1-8. doi: 10.1017/S1047951124000532. Online ahead of print.

ABSTRACT

OBJECTIVES: Pulmonary valve-sparing repair of tetralogy of Fallot and double outlet right ventricle with pulmonary stenosis has the advantage of reduced incidence of late pulmonary valve regurgitation and better-preserved cardiac function. However, a right ventriculotomy is sometimes necessary in order to adequately relieve subvalvular pulmonary stenosis. We aimed to compare postoperative cardiac function and patients’ symptoms between pulmonary valve-sparing repair with and without right ventriculotomy.

MATERIALS AND METHODS: We retrospectively collected data from electronic medical records of Ramathibodi Hospital from 1st January 2013 to 31st October 2023. Patients diagnosed with tetralogy of Fallot and double outlet right ventricle with pulmonary stenosis who underwent pulmonary valve-sparing repair were included. Patients who underwent other types of repairs and whose medical record data were significantly missing were excluded. Demographic data, operative, and postoperative details were collected and reviewed.

RESULTS: There were 49 patients included in our study with 10 patients undergoing pulmonary valve-sparing repair with and the other 39 without right ventriculotomy. Before-discharge echocardiographic parameters were generally similar between both groups (tricuspid annular plane systolic excursion = 0.9 versus 0.89 cm, P = 0.737; pressure gradient across pulmonary valve across pulmonary valve = 24 versus 19 mmHg, P = 0.275; left ventricular end-systolic volume index = 17.84 versus 19.19 ml/m2, P = 0.437; left ventricular end-diastolic volume index = 63.79 versus 61.13 ml/m2, P = 0.436). Patients’ symptoms were also not statistically different. There was no early and late death up to the end date of our study.

CONCLUSIONS: Right ventriculotomy in pulmonary valve-sparing repair did not result in worse postoperative cardiac function and symptoms. This suggested that the previously thought-to-be hazardous incision could be strongly considered if mandated.

PMID:38602093 | DOI:10.1017/S1047951124000532

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Nevin Manimala Statistics

Jump height ingenerated by countermovement and arm swing better correlates with proagility shuttle run tests but not with change of direction deficits in collegiate female athletes

J Sports Med Phys Fitness. 2024 Apr 10. doi: 10.23736/S0022-4707.24.15691-5. Online ahead of print.

ABSTRACT

BACKGROUND: Jumping and linear sprinting performances show a moderate correlation with change of direction (COD) ability. However, the extent of these correlations remains unknown through statistical analysis. Thus, this study statistically compared correlation coefficients between COD, COD deficit (CODD), and jumping and linear sprint performances.

METHODS: National-level basketball (29) and baseball (18) intercollegiate female athletes performed 20-m linear sprint, proagility (5-10-5) test, squat jump (SJ), countermovement jump with (CMJarm) and without (CMJ) arm swing and modified reactive strength index (RSImod). Correlation analysis was used to assess factors correlated with COD performance and CODD; subsequently, correlation coefficient comparison test was used to determine better correlations with COD and CODD performance.

RESULTS: CMJ (r=-0.483) and CMJarm (r=-0.446) had stronger correlations with 10-m COD (both, P<0.018) than with 10-m linear sprint (r=0.431, P=0.002). For 20-m COD, RSImod, CMJ, and CMJarm (r=-0.491–0.543, P<0.001) better correlated with 20-m COD than with 20-m linear sprints (r=0.436, P=0.002), while RSI (both r=-0.317, P<0.030) and SJ (r=-0.359, r=-0.293, P=0.046) were weakly correlated with 10- and 20-m COD. The differences in correlation coefficients for RSImod, CMJ, and CMJarm were not significant in both 10- and 20-m COD. Ten-meter linear sprint performance only correlated with 10-m CODD, while no correlation was observed with 20-m CODD.

CONCLUSIONS: Stronger correlations of RSImod, CMJ, and CMJarm with 10-/20-m COD than with linear sprinting, RSI, and SJ suggest that training focused on improving countermovement and arm swings with jumping may enhance COD performance in female athletes.

PMID:38602034 | DOI:10.23736/S0022-4707.24.15691-5

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Nevin Manimala Statistics

Optical coherence tomography (OCT) and OCT-angiography in syndromic versus non-syndromic USH2A-associated retinopathy

Eur J Ophthalmol. 2024 Apr 11:11206721241247421. doi: 10.1177/11206721241247421. Online ahead of print.

ABSTRACT

PURPOSE: To compare non-syndromic and syndromic forms of USH2A-related retinitis pigmentosa (RP) by means of structural optical coherence tomography (OCT) and OCT-angiography (OCTA).

METHODS: Observational, cross-sectional, multicenter study. All patients underwent best corrected visual acuity (BCVA) measurement, OCT (Spectralis HRA + OCT, Heidelberg Engineering) and OCTA (OCT DRI Topcon Triton, Topcon Corporation). We compared subfoveal choroidal thickness (SCT), choroidal vascularity index (CVI), presence of cystroid macular edema (CME), macular vessel density (VD) at the superficial and deep capillary plexa, as well as VD of the radial peripapillary capillary (RPC) network, between syndromic and non-syndromic patients with USH2A-associated retinopathy.

RESULTS: Thirty-four eyes from 18 patients (7 females) were included. Thirteen patients (72.2%) were affected by Usher syndrome type 2, whereas the remaining 5 subjects (27.8%) had non-syndromic retinitis pigmentosa (nsRP). Syndromic patients were younger than nsRP (p = 0.01) and had a worse visual acuity than those with the exclusively retinal phenotype. Patients with Usher syndrome type 2 had a higher prevalence of CME and a thicker choroid compared to nsRP, although these results were not statistically significant (p = 0.775 and p = 0.122, respectively). Similarly, none of the other quantitative OCT and OCTA parameters was statistically different between the two groups.

CONCLUSIONS: Despite their younger age, patients with Usher syndrome type 2 displayed similar choroidal and microvascular changes compared to those with nsRP.

PMID:38602021 | DOI:10.1177/11206721241247421

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Nevin Manimala Statistics

Effects of Aerobic Exercise Training on Cerebral Pulsatile Hemodynamics in Middle-aged Adults with Elevated Blood Pressure/Stage-1 Hypertension

J Appl Physiol (1985). 2024 Apr 11. doi: 10.1152/japplphysiol.00689.2023. Online ahead of print.

ABSTRACT

Mechanisms behind the protective effects of aerobic exercise on brain health remain elusive but may be vascular in origin and relate to cerebral pulsatility. This pilot study investigated the effects of 12 wks aerobic exercise training on cerebral pulsatility and its vascular contributors (large artery stiffness, characteristic impedance) in at-risk middle-aged adults. 28 inactive middle-aged adults with elevated blood pressure or stage 1 hypertension were assigned to either moderate/vigorous aerobic exercise training (AET) for 3 d/wk or no-exercise control (CON) group. Middle cerebral artery (MCA) pulsatility index (PI), large artery (i.e., aorta, carotid) stiffness, and characteristic impedance were assessed via Doppler and tonometry at baseline, 6, and 12 wks, while cardiorespiratory fitness (VO2peak) was assessed via incremental exercise test and cognitive function via computerized battery at baseline and 12 wks. VO2peak increased 6% in AET and decreased 4% in CON (p<0.05). Proximal aortic compliance increased (p=0.04, partial η2=0.14) and aortic characteristic impedance decreased (p=0.02, partial η2=0.17) with AET but not CON. Cerebral pulsatility showed a medium-to-large effect size increase with AET, although not statistically significant (p=0.07, partial η2=0.11) compared to CON. Working memory reaction time improved with AET but not CON (p=0.02, partial η2=0.20). Our data suggest 12-wk AET elicited improvements in central vascular hemodynamics (e.g. proximal aortic compliance and characteristic impedance) along with apparent, paradoxical increases in cerebral pulsatile hemodynamics.

PMID:38601998 | DOI:10.1152/japplphysiol.00689.2023

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Nevin Manimala Statistics

Causes of death: the uncertainty behind the numbers

Ned Tijdschr Geneeskd. 2024 Apr 8;168:D8059.

ABSTRACT

When a person dies in the Netherlands it is legally required to report the cause of death. In most cases however, there is uncertainty when classifying causes of death. Additional postmortem diagnostics such as a CT scan or autopsy do not always provide absolute certainty. Data on causes of death can be used to determine what are, on a population level, relevant health problems. One must be cautious to fully rely on these data for making policy or financing healthcare and research. Firstly, incorrectly classifying the cause of death can give a distorted view of the underlying causes. Secondly, relevant health problems, such as obesity, might be overlooked in the statistics when they are not clearly a cause of death.

PMID:38601991

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Nevin Manimala Statistics

Effect of Olive Oil Hydrogel as a Fat Replacer in Beef Meatballs

Food Technol Biotechnol. 2024 Mar;62(1):110-118. doi: 10.17113/ftb.62.01.24.8134.

ABSTRACT

RESEARCH BACKGROUND: Meat and meat products are essential sources of dietary saturated fatty acids. However, excessive consumption of meat and meat products may be harmful to human health. The study evaluates the effect of fat replacement with hydrogels (olive oil in water emulsions gelled by gelatine) in meatballs.

EXPERIMENTAL APPROACH: The effect of replacing fat with different ratios of hydrogel (control, 25 (F25), 50 (F50), 75 (F75) and 100 % (F100)) on the chemical (fatty acids and thiobarbituric acid reactive substances (TBARS)) and physical (cooking loss, diameter reduction, fat retention, water retention, colour and texture analysis) characteristics of the meatballs were analyzed.

RESULTS AND CONCLUSIONS: The fat content of raw meatball samples was reduced from (31.2±2.2) to (10.5±0.4) % in the sample with the highest fat substitution (F100). The energy levels of the F100 samples were almost 56 % lower than of the control group. Monounsaturated fatty acids (MUFAs) represented the dominant group in all substitution rates of the meatballs, followed by saturated fatty acids (SFAs) and finally polyunsaturated fatty acids (PUFAs). Among the raw meatball samples, the highest oxidation occurred in the F50 and F100 groups. However, it was determined that the difference between F25 and F75 and the difference between control and F75 were not statistically significant (p˃0.05). When the cooked samples were compared, the highest thiobarbituric acid (TBA) value was found in the F50 sample, followed by the F100 and F75 samples. The difference between the mean values of springiness and cohesiveness of the samples was not significant (p˃0.05). The hardness value of samples decreased significantly (p˂0.001) with >75 % fat replacement.

NOVELTY AND SCIENTIFIC CONTRIBUTION: It can be concluded that the oil replacement rate that may satisfy consumer demand without impairing the product technological and chemical quality should be <75 %. As the fat replacement ratio increases, the SFA content of cooked meatballs decreases, while the MUFA and PUFA contents increase. Considering the positive effects of reducing the intake of SFAs and increasing the intake of unsaturated fatty acids on non-communicable diseases such as cardiovascular diseases, fat replacement in meatballs is important for future developments.

PMID:38601965 | PMC:PMC11002449 | DOI:10.17113/ftb.62.01.24.8134

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Nevin Manimala Statistics

Causal Artificial Intelligence Models of Food Quality Data

Food Technol Biotechnol. 2024 Mar;62(1):102-109. doi: 10.17113/ftb.62.01.24.8301.

ABSTRACT

RESEARCH BACKGROUND: The aim of this study is to emphasize the importance of artificial intelligence (AI) and causality modelling of food quality and analysis with ‘big data’. AI with structural causal modelling (SCM), based on Bayesian networks and deep learning, enables the integration of theoretical field knowledge in food technology with process production, physicochemical analytics and consumer organoleptic assessments. Food products have complex nature and data are highly dimensional, with intricate interrelations (correlations) that are difficult to relate to consumer sensory perception of food quality. Standard regression modelling techniques such as multiple ordinary least squares (OLS) and partial least squares (PLS) are effectively applied for the prediction by linear interpolations of observed data under cross-sectional stationary conditions. Upgrading linear regression models by machine learning (ML) accounts for nonlinear relations and reveals functional patterns, but is prone to confounding and failed predictions under unobserved nonstationary conditions. Confounding of data variables is the main obstacle to applications of the regression models in food innovations under previously untrained conditions. Hence, this manuscript focuses on applying causal graphical models with Bayesian networks to infer causal relationships and intervention effects between process variables and consumer sensory assessment of food quality.

EXPERIMENTAL APPROACH: This study is based on the data available in the literature on the process of wheat bread baking quality, consumer sensory quality assessments of fermented milk products, and professional wine tasting data. The data for wheat baking quality were regularized by the least absolute shrinkage and selection operator (LASSO elastic net). Bayesian statistics was applied for the evaluation of the model joint probability function for inferring the network structure and parameters. The obtained SCMs are presented as directed acyclic graphs (DAG). D-separation criteria were applied to block confounding effects in estimating direct and total causal effects of process variables and consumer perception on food quality. Probability distributions of causal effects of the intervention of individual process variables on quality are presented as partial dependency plots determined by Bayesian neural networks. In the case of wine quality causality, the total causal effects determined by SCMs are positively validated by the double machine learning (DML) algorithm.

RESULTS AND CONCLUSIONS: The data set of 45 continuous variables corresponding to different chemical, physical and biochemical variables of wheat properties from seven Croatian cultivars during two years of controlled cultivation were analysed. LASSO regularization of the data set yielded the ten key predictors, accounting for 98 % variance of the baking quality data. Based on the key variables, the quality predictive random forest model with 75 % cross-validation accuracy was derived. Causal analysis between the quality and key predictors was based on the Bayesian model shown as a DAG graph. Protein content shows the most important direct causal effect with the corresponding path coefficient of 0.71, and THMM (total high-molecular-mass glutenin subunits) content was an indirect cause with a path coefficient of 0.42, and protein total average causal effect (ACE) was 0.65. The large data set of the quality of fermented milk products included binary consumer sensory data (taste, odour, turbidity), continuous physical variables (temperature, fat, pH, colour) and three grade classes of products by consumer quality assessment. A random forest model was derived for the prediction of the quality classification with an out-of-bag (OOB) error of 0.28 %. The Bayesian network model predicts that the direct causes of the taste classification are temperature, colour and fat content, while the direct causes of the quality classification are temperature, turbidity, odour and fat content. The key quality grade ACE of temperature -0.04 grade/°C and 0.3 quality grade/fat content were estimated. The temperature ACE dependency shows a nonlinear type as negative saturation with the ‘breaking’ point at 60 °C, while for fat ACE had a positive linear trend. Causal quality analysis of red and white wine was based on the large data set of eleven continuous variables of physical and chemical properties and quality assessments classified in ten classes, from 1 to 10. Each classification was obtained in triplicate by a panel of professional wine tasters. A non-structural double machine learning (DML) algorithm was applied for total ACE quality assessment. The alcohol content of red and white wine had the key positive ACE relative factor of 0.35 quality/alcohol, while volatile acidity had the key negative ACE of -0.2 quality/acidity. The obtained ACE predictions by the unstructured DML algorithm are in close agreement with the ACE obtained by the structural SCM.

NOVELTY AND SCIENTIFIC CONTRIBUTION: Novel methodologies and results for the application of causal artificial intelligence models in the analysis of consumer assessment of the quality of food products are presented. The application of Bayesian network structural causal models (SCM) enables the d-separation of pronounced effects of confounding between parameters in noncausal regression models. Based on the SCM, inference of ACE provides substantiated and validated research hypotheses for new products and support for decisions of potential interventions for improvement in product design, new process introduction, process control, management and marketing.

PMID:38601958 | PMC:PMC11002446 | DOI:10.17113/ftb.62.01.24.8301

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Nevin Manimala Statistics

Association between gut microbiota and autoimmune cholestatic liver disease, a Mendelian randomization study

Front Microbiol. 2024 Mar 27;15:1348027. doi: 10.3389/fmicb.2024.1348027. eCollection 2024.

ABSTRACT

BACKGROUND: Previous studies have suggested that the gut microbiota (GM) is closely associated with the development of autoimmune cholestatic liver disease (ACLD), but limitations, such as the presence of confounding factors, have resulted in a causal relationship between the gut microbiota and autoimmune cholestatic liver disease that remains uncertain. Thus, we used two-sample Mendelian randomization as a research method to explore the causal relationship between the two.

METHODS: Pooled statistics of gut microbiota from a meta-analysis of genome-wide association studies conducted by the MiBioGen consortium were used as an instrumental variable for exposure factors. The Pooled statistics for primary biliary cholangitis (PBC) and primary sclerosing cholangitis (PSC) were obtained from the R9 version of the FinnGen database (https://r9.finngen.fi/). Inverse-variance Weighted (IVW), cML-MA, MR-Egger regression, Weighted median (WME), Weighted mode (WM), and Simple mode (SM) were used to detect the association between intestinal flora and the causal relationship between intestinal flora and ACLD, in which IVW method was dominant, was assessed based on the effect indicator dominance ratio (odds ratio, OR) and 95% confidence interval (CI). Sensitivity analysis, heterogeneity test, gene pleiotropy test, MR pleiotropy residual sum and outlier test (MR-PRESSO) were combined to verify the stability and reliability of the results. Reverse Mendelian randomization analysis was performed on gut microbiota and found to be causally associated with ACLD.

RESULTS: The IVW results showed that the relative abundance of the genus Clostridium innocuum group, genus Butyricicoccus, and genus Erysipelatoclostridium was negatively correlated with the risk of PBC, that is, increased abundance reduced the risk of PBC and was a protective, and the relative abundance of the genus Eubacterium hallii was positively correlated with the risk of PSC, which is a risk factor for PSC. Family Clostridiaceae1 and family Lachnospiraceae were negatively correlated with the risk of PSC, which is a protective factor for PSC.

CONCLUSION: This study found a causal relationship between gut microbiota and ACLD. This may provide valuable insights into gut microbiota-mediated pathogenesis of ACLD. It is necessary to conduct a large-sample randomized controlled trial (RCT) at a later stage to validate the associated role of the relevant gut microbiota in the risk of ACLD development and to explore the associated mechanisms.

PMID:38601930 | PMC:PMC11004368 | DOI:10.3389/fmicb.2024.1348027

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In vitro evaluation of the binding activity of novel mouse IgG1 opsonic monoclonal antibodies to Mycobacterium tuberculosis and other selected mycobacterial species

J Clin Tuberc Other Mycobact Dis. 2024 Apr 1;35:100435. doi: 10.1016/j.jctube.2024.100435. eCollection 2024 May.

ABSTRACT

Antimicrobial resistance alongside other challenges in tuberculosis (TB) therapeutics have stirred renewed interest in host-directed interventions, including the role of antibodies as adjunct therapeutic agents. This study assessed the binding efficacy of two novel IgG1 opsonic monoclonal antibodies (MABs; GG9 & JG7) at 5, 10, and 25 µg/mL to live cultures of Mycobacterium tuberculosis, M. avium, M. bovis, M. fortuitum, M. intracellulare, and M. smegmatis American Type Culture Collection laboratory reference strains, as well as clinical susceptible, multi-drug resistant, and extensively drug resistant M. tuberculosis strains using indirect enzyme-linked immunosorbent assays. These three MAB concentrations were selected from a range of concentrations used in previous optimization (binding and functional) assays. Both MABs bound to all mycobacterial species and sub-types tested, albeit to varying degrees. Statistically significant differences in MAB binding activity were observed when comparing the highest and lowest MAB concentrations (p < 0.05) for both MABs GG9 and JG7, irrespective of the M. tuberculosis resistance profile. Binding affinity increased with an increase in MAB concentration, and optimal binding was observed at 25 µg/mL. JG7 showed better binding activity than GG9. Both MABs also bound to five MOTT species, albeit at varied levels. This non-selective binding to different mycobacterial species suggests a potential role for GG9 and JG7 as adjunctive agents in anti-TB chemotherapy with the aim to enhance bacterial killing.

PMID:38601919 | PMC:PMC11004620 | DOI:10.1016/j.jctube.2024.100435

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Nevin Manimala Statistics

Synaptic density patterns in early Alzheimer’s disease assessed by independent component analysis

Brain Commun. 2024 Mar 26;6(2):fcae107. doi: 10.1093/braincomms/fcae107. eCollection 2024.

ABSTRACT

Synaptic loss is a primary pathology in Alzheimer’s disease and correlates best with cognitive impairment as found in post-mortem studies. Previously, we observed in vivo reductions of synaptic density with [11C]UCB-J PET (radiotracer for synaptic vesicle protein 2A) throughout the neocortex and medial temporal brain regions in early Alzheimer’s disease. In this study, we applied independent component analysis to synaptic vesicle protein 2A-PET data to identify brain networks associated with cognitive deficits in Alzheimer’s disease in a blinded data-driven manner. [11C]UCB-J binding to synaptic vesicle protein 2A was measured in 38 Alzheimer’s disease (24 mild Alzheimer’s disease dementia and 14 mild cognitive impairment) and 19 cognitively normal participants. [11C]UCB-J distribution volume ratio values were calculated with a whole cerebellum reference region. Principal components analysis was first used to extract 18 independent components to which independent component analysis was then applied. Subject loading weights per pattern were compared between groups using Kruskal-Wallis tests. Spearman’s rank correlations were used to assess relationships between loading weights and measures of cognitive and functional performance: Logical Memory II, Rey Auditory Verbal Learning Test-long delay, Clinical Dementia Rating sum of boxes and Mini-Mental State Examination. We observed significant differences in loading weights among cognitively normal, mild cognitive impairment and mild Alzheimer’s disease dementia groups in 5 of the 18 independent components, as determined by Kruskal-Wallis tests. Only Patterns 1 and 2 demonstrated significant differences in group loading weights after correction for multiple comparisons. Excluding the cognitively normal group, we observed significant correlations between the loading weights for Pattern 1 (left temporal cortex and the cingulate gyrus) and Clinical Dementia Rating sum of boxes (r = -0.54, P = 0.0019), Mini-Mental State Examination (r = 0.48, P = 0.0055) and Logical Memory II score (r = 0.44, P = 0.013). For Pattern 2 (temporal cortices), significant associations were demonstrated between its loading weights and Logical Memory II score (r = 0.34, P = 0.0384). Following false discovery rate correction, only the relationship between the Pattern 1 loading weights with Clinical Dementia Rating sum of boxes (r = -0.54, P = 0.0019) and Mini-Mental State Examination (r = 0.48, P = 0.0055) remained statistically significant. We demonstrated that independent component analysis could define coherent spatial patterns of synaptic density. Furthermore, commonly used measures of cognitive performance correlated significantly with loading weights for two patterns within only the mild cognitive impairment/mild Alzheimer’s disease dementia group. This study leverages data-centric approaches to augment the conventional region-of-interest-based methods, revealing distinct patterns that differentiate between mild cognitive impairment and mild Alzheimer’s disease dementia, marking a significant advancement in the field.

PMID:38601916 | PMC:PMC11004947 | DOI:10.1093/braincomms/fcae107