Binary Regression Research Articles

The influence of set speed on the attack efficacy of the outside hitter in elite male volleyball

The purpose of this study was twofold: a) to analyze if the set speed can predict the attack efficacy of the outside hitter; and b) if the team level is a predictor of set speed and attack efficacy. A total of 32 games of elite competitions were observed, and 260 attack actions performed by the outside hitters from six national teams were analyzed throughout the Kinovea Software. Independent-sample t-tests were conducted and, when differences between groups were significant (i.e., p < .050), those variables were included in the model as covariates. Additionally, to analyze the predictor variables of efficacy, logistic binary regression and linear regression were used. Results showed that the better the reception, the higher the set speed; however, neither the set speed nor the team level predict the attack efficacy. Thus, it can be concluded that the individual performance of the outside hitter should be developed instead the set speed. Notwithstanding, to increase the speed of the game, teams should improve the receptor efficacy. It is important for teams to find a set speed that balances the benefit of a faster set with the need for control and accuracy from the outside hitter. Keywords: Volleyball; sports performance; kinovea software; side-out phase; game model.

Comparing cervical cerclage, pessary and vaginal progesterone for prevention of preterm birth in women with a short cervix (SuPPoRT): A multicentre randomised controlled trial.

Cervical cerclage, cervical pessary, and vaginal progesterone have each been shown to reduce preterm birth (PTB) in high-risk women, but to our knowledge, there has been no randomised comparison of the 3 interventions. The SuPPoRT "Stitch, Pessary, or Progesterone Randomised Trial" was designed to compare the rate of PTB <37 weeks between each intervention in women who develop a short cervix in pregnancy. SuPPoRT was a multicentre, open label 3-arm randomised controlled trial designed to demonstrate equivalence (equivalence margin 20%) conducted from 1 July 2015 to 1 July 2021 in 19 obstetric units in the United Kingdom. Asymptomatic women with singleton pregnancies with transvaginal ultrasound cervical lengths measuring <25 mm between 14+0 and 23+6 weeks' gestation were eligible for randomisation (1:1:1) to receive either vaginal cervical cerclage (n = 128), cervical pessary (n = 126), or vaginal progesterone (n = 132). Minimisation variables were gestation at recruitment, body mass index (BMI), and risk factor for PTB. The primary outcome was PTB <37 weeks' gestation. Secondary outcomes included PTB <34 weeks', <30 weeks', and adverse perinatal outcome. Analysis was by intention to treat. A total of 386 pregnant women between 14+0 and 23+6 weeks' gestation with a cervical length <25 mm were randomised to one of the 3 interventions. Of these women, 67% were of white ethnicity, 18% black ethnicity, and 7.5% Asian ethnicity. Mean BMI was 25.6. Over 85% of women had prior risk factors for PTB; 39.1% had experienced a spontaneous PTB or midtrimester loss (>14 weeks gestation); and 45.8% had prior cervical surgery. Data from 381 women were available for outcome analysis. Using binary regression, randomised therapies (cerclage versus pessary versus vaginal progesterone) were found to have similar effects on the primary outcome PTB <37 weeks (39/127 versus 38/122 versus 32/132, p = 0.4, cerclage versus pessary risk difference (RD) -0.7% [-12.1 to 10.7], cerclage versus progesterone RD 6.2% [-5.0 to 17.0], and progesterone versus pessary RD -6.9% [-17.9 to 4.1]). Similarly, no difference was seen for PTB <34 and 30 weeks, nor adverse perinatal outcome. There were some differences in the mild side effect profile between interventions (vaginal discharge and bleeding) and women randomised to progesterone reported more severe abdominal pain. A small proportion of women did not receive the intervention as per protocol; however, per-protocol and as-treated analyses showed similar results. The main study limitation was that the trial was underpowered for neonatal outcomes and was stopped early due to the COVID-19 pandemic. In this study, we found that for women who develop a short cervix, cerclage, pessary, and vaginal progesterone were equally efficacious at preventing PTB, as judged with a 20% equivalence margin. Commencing with any of the therapies would be reasonable clinical management. These results can be used as a counselling tool for clinicians when managing women with a short cervix. EU Clinical Trials register. EudraCT Number: 2015-000456-15, clinicaltrialsregister.eu., ISRCTN Registry: ISRCTN13364447, isrctn.com.

Large Language Model-Based Natural Language Encoding Could Be All You Need for Drug Biomedical Association Prediction.

Analyzing drug-related interactions in the field of biomedicine has been a critical aspect of drug discovery and development. While various artificial intelligence (AI)-based tools have been proposed to analyze drug biomedical associations (DBAs), their feature encoding did not adequately account for crucial biomedical functions and semantic concepts, thereby still hindering their progress. Since the advent of ChatGPT by OpenAI in 2022, large language models (LLMs) have demonstrated rapid growth and significant success across various applications. Herein, LEDAP was introduced, which uniquely leveraged LLM-based biotext feature encoding for predicting drug-disease associations, drug-drug interactions, and drug-side effect associations. Benefiting from the large-scale knowledgebase pre-training, LLMs had great potential in drug development analysis owing to their holistic understanding of natural language and human topics. LEDAP illustrated its notable competitiveness in comparison with other popular DBA analysis tools. Specifically, even in simple conjunction with classical machine learning methods, LLM-based feature representations consistently enabled satisfactory performance across diverse DBA tasks like binary classification, multiclass classification, and regression. Our findings underpinned the considerable potential of LLMs in drug development research, indicating a catalyst for further progress in related fields.

Parental support and exclusive breastfeeding at 3 months in West Java, Indonesia: a mixed-methods approach.

The exclusive breastfeeding (EBF) rate in Indonesia is lower than expected. Among the key factors affecting breastfeeding practices, paternal support has been suggested. To explore the role of paternal support in EBF failure among 3-month-old infants. This sequential mixed-methods study, part of an ongoing cohort study in West Java in early 2022, included 225 infants. The parents of 3-month-old infants were interviewed. Paternal support was assessed using a 15-point validated questionnaire for a total score of 15-60 points. Multivariate binary regression was used to determine adjusted odds ratios (aORs). The qualitative exploration was based on in-depth interviews (IDIs) and forum group discussions (FGDs) following the quantitative survey. Of the 225 infants, 52.2% were no longer EBF. High paternal support (greater than the mean score) of breastfeeding was determined in 52.9% of cases (mean± standard deviation, 38.7±6.7 for the overall population vs. 37.5±6.3 and 40.2±6.8 for infants who were and were not EBF at 3 months of age, respectively). Low paternal support was associated with an increased EBF failure rate (aOR, 2.84; 95% confidence interval [CI], 1.46-5.54). Other variables that remained as predictors in the final model were a low birth rate (aOR, 7.35; 95% CI, 1.73-31.20), negative maternal attitude (aOR, 3.31; 95% CI, 1.63-6.75), lower self-efficacy (aOR, 4.82; 95% CI, 2.43-9.57), and lower maternal education level (aOR, 2.87; 95% CI, 1.03- 8.03). The IDIs and FGD observed the importance of the father's support of the mother and EBF. The qualitative exploration revealed a lack of knowledge about EBF as a parental support barrier. Paternal support is important for EBF. Paternal involvement in EBF planning encouraged themother to continue. Plans that include fathers in breastfeeding education may help increase paternal support.

Neonatal BCG Vaccination for Prevention of Allergy in Infants: The MIS BAIR Randomised Controlled Trial.

The beneficial off-target effects of Bacille Calmette-Guérin (BCG) vaccination potentially include protection against allergy. In the MIS BAIR trial, we aimed to determine whether neonatal BCG vaccination reduces atopic sensitisation and clinical food allergy in infants. In this randomised controlled trial, 1272 neonates were allocated to BCG-Denmark vaccine (0.05 mL intradermal dose) or no BCG at birth. Randomisation was stratified by recruitment site, mode of delivery and plurality of birth. The primary outcome was the incidence of atopic sensitisation determined by skin prick test at 1 year of age. Food allergy was determined by 3-monthly online questionnaires and oral food challenges. Data were analysed by intention-to-treat using binary regression. gov (NCT01906853). Atopic sensitisation during the first year of life was 22.9% among infants in the BCG group and 18.9% in the control group (adjusted risk difference (aRD) 3.8% (95% CI -1.5 to 9.1) after multiple imputation). Clinical food allergy was similar between infants in the BCG and control groups (9.8% vs. 9.6%; aRD 0.2, 95% CI -3.4 to 3.8). An interaction was observed between the primary outcome and maternal history of BCG vaccination. No interaction was observed for the additional prespecified potential effect modifiers tested (sex, delivery mode, family history of any allergy, season of birth, hepatitis B vaccination at randomisation, BCG scar and age at BCG administration). Neonatal BCG-Denmark vaccination does not protect against atopic sensitisation or clinical food allergy in the first year of life.

Phase Angle as Surrogate Marker of Muscle Weakness in Kidney Transplant Candidates Referred to Prehabilitation.

Phase angle (PhA), a marker of nutritional status obtained by bioelectrical impedance analysis (BIA), is associated with the integrity of cell membranes. Damage to muscle fiber membranes can impact muscle strength, which is related to adverse outcomes in adults with advanced chronic kidney disease (CKD). The main objective of this study was to determine the usefulness of the PhA in identifying muscle weakness in candidates for kidney transplants (KTs). Secondly, it aimed to examine the associations of PhA with other parameters of body composition, exercise performance, and muscle structure. Sensitivity, specificity, and area under the receiver operating characteristics curve were used to evaluate the PhA (index test) as a biomarker of muscle weakness. Muscle strength was estimated with maximal voluntary isometric contraction of the quadriceps (MVCI-Q) of the dominant side. Muscle weakness was defined as MVIC-Q < 40% of body weight. A total of 119 patients were evaluated (mean age 63.7 years, 75.6% men). A phase angle cut-off of 5.1° was identified to classify men with a higher likelihood of having low muscle strength in upper limbs (MVIC-Q 40% of their body weight). Male KT candidates with PhA < 5.1° had poorer exercise capacity, lower muscle strength, less muscle mass, and smaller muscle size. A PhA < 5.1° was significantly associated with an eight-fold higher muscle weakness risk (OR = 8.2, 95%CI 2.3-29.2) in a binary regression model adjusted by age, frailty, and hydration status. Remarkably, PhA is an easily obtainable objective parameter in CKD patients, requiring no volitional effort from the individual. The associations of PhA with aerobic capacity, physical activity, muscle mass, and muscle size underscore its clinical relevance and potential utility in the comprehensive evaluation of these patients.

CoNPL: Consistency training framework with noise-aware pseudo labeling for dense pose estimation

Dense pose estimation faces hurdles due to the lack of costly precise pixel-level IUV labels. Existing methods aim to overcome it by regularizing model outputs or interpolating pseudo labels. However, conventional geometric transformations often fall short, and pseudo labels may introduce unwanted noise, leading to continued challenges in rectifying inaccurate estimations. We introduced a novel Consistency training framework with Noise-aware Pseudo Labeling (CoNPL) to tackle problems in learning from unlabeled pixels. CoNPL employs both weak and strong augmentations in a shared model to enhance robustness against aggressive transformations. To address noisy pseudo labels, CoNPL integrates a Noise-aware Pseudo Labeling (NPL) module, which consists of a Noise-Aware Module (NAM), and Noise-Resistant Learning (NRL) modules. NAM identifies misclassifications and incorrect UV coordinates using binary classification and regression, while NRL dynamically adjusts loss weights to filter out uncertain samples, thereby stabilizing learning from pseudo labels. Our method demonstrates a + 2.0% improvement in AP on the DensePose-COCO benchmark across different networks, achieving state-of-the-art performance. On the Ultrapose and DensePose-Chimps benchmark, our method also demonstrates a + 2.7% and + 3.0% improvement in AP.

The Lifelines Cohort Study: Prevalence of Tinnitus Associated Suffering and Behavioral Outcomes in Children and Adolescents.

Tinnitus in children and adolescents is relatively unexplored territory. The available literature is limited and the reported prevalence of tinnitus suffering varies widely due to the absence of a definition for pediatric tinnitus. The impact on daily life seems to be lower than in the adult population. It is unclear if children who suffer from tinnitus, like adults, also experience psychological distress like anxiety or depressive symptoms. A better understanding of tinnitus in children and its impact on daily life could provide more insight into the actual size of the problem and could give direction for future studies to investigate the cause of progression of tinnitus. A cross-sectional study was performed using the Dutch Lifelines population-based cohort of people living in the north of the Netherlands. A total of 4964 children (4 to 12 years of age) and 2506 adolescents (13 to 17 years of age) were included. The presence of tinnitus suffering and behavioral outcomes were assessed with a single-item question and the Child Behavioral Checklist or the Youth Self Report questionnaire respectively. The associations of behavioral outcomes and tinnitus suffering were analyzed using univariate binary regressions. The prevalence of tinnitus suffering in children was 3.3 and 12.8% in adolescents. Additionally, 0.3% of the children and 1.9% of the adolescents suffered a lot or extremely of their tinnitus. Externalizing and internalizing problems were associated with tinnitus in adolescents. Internalizing problems were associated with tinnitus in children. The prevalence of tinnitus suffering in this sample of the general population is comparable to other population-based studies. A low percentage of children (0.3%) or adolescents (1.9%) suffered a lot or extremely of their tinnitus. Tinnitus suffering is associated with all behavioral outcome subscales in adolescents and with internalizing problems in children, although the effect sizes were very small. Future research should focus on achieving a consensus for the definition of pediatric tinnitus and on the development of a validated outcome measure.

Volcanic jets to commercial jets: synopsis and diagnosis

Aircraft encounters with volcanic ash have caused significant damage over the past 40 years, resulting in particular attention being given to the issue. We analyzed the volcanic ash-aircraft encounter database published by the USGS. We added new volcanic eruptions and parameters such as eruption types, and dry–wet. Then, we applied standard and advanced statistical methods.Over 130 encounters have been documented in the mentioned database, with volcanic ash causing severe abrasions to the windshield, airframe, wings, and engine components. In nine cases, aircraft engines failed. We applied the binary regression analysis and some laboratory melting experiments on volcanic ash. Besides phreatomagmatism, we use the term external water in this work to describe meteoric water that enters volcanic plumes through precipitation or melting ice on ice-capped volcanoes. We demonstrated that engine failure occurs when our regression analyses undergo dry-to-wet conditions. In other words, statistically, there is a positive correlation between wet ash encounters with aircraft and engine failure incidents. Moreover, experiments conducted at 900 °C and under 40 bar pressure showed increased sintering in the dry sample, while melting textures were more prevalent in hydrated samples. We concluded that despite the various eruptive dynamics of volcanic ash, the introduction of external water into the volcanic plumes, probably causing instantaneous hydration of volcanic ash, is a common factor in engine failure incidents. Thus, we have identified the reasons behind engine failures during encounters between aircraft and volcanic ash and the specific damage that can occur depending on the type of eruption involved.

Sleep disorder experienced by healthcare nurses after terminating Zero-COVID-19 policy

ObjectiveMedical staff, especially nurses, suffered great anxiety and stress from the COVID-19 pandemic, which negatively affected their sleep quality. In this study, we aimed to analyze the sleep quality of nursing staff after terminating the Zero-COVID-19 policy in China.Methods506 participants were involved in our study. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the sleep status of the participants. Binary regression was performed to evaluate the impact factors related to sleep difficulty.ResultsThe majority of participants (96.44%) suffered from sleep disturbances. There were significant differences in age, education level and front-line activity between participants with good sleep quality and sleep difficulty. Younger age (16–25 years old) was independently associated with less sleep difficulty, while front-line activity was independently associated with severe sleep difficulty.ConclusionSleep disorder was very common among nurses after ending the Zero-COVID-19 policy in China. More front-line nurses suffered severe sleep difficulty in particular, which should be worthy of attention.

Study on Foaming Agent Foam Composite Index (FCI) Correlation with High Temperature and High Pressure for Unconventional Oil and Gas Reservoirs

In the process of unconventional oil and gas reservoir exploitation, it is difficult to reduce drilling fluid lost in natural fractures, enhance the CO2 displacement effect and reduce foam drainage gas recovery costs. In most cases, foaming agents can solve these problems in a low-cost way in a short period of time. Foaming agent screening and evaluation is the key to this technology. However, there are few experimental tests used in the evaluation of foaming agent properties that match the actual unconventional oil or gas well conditions of high temperature and high pressure. Using the actual temperature and pressure conditions of a wellbore, the foaming capacity and half-life of two common foaming agents were systematically evaluated by using the high-temperature and high-pressure visual foam properties evaluation device (UPMX-500), in which the foaming agent’s volume concentration was 3‰ in a simulated formation water with a pH of 6 and salinity of 9 × 104 mg/L. The high-temperature (40 °C, 60 °C, 80 °C, 100 °C) and high-pressure (0.1 MPa, 6.0 MPa, 8.0 MPa, 10.0 MPa) effect on the foaming capacity and half-life was analyzed. Binary linear regression of pressure and temperature was carried out, taking the foam composite index as the target and using a formula with high correlation. The results showed that the foam composite index (FCI) of the two foaming agents was positively correlated with pressure and temperature. The correlation of UT-7 was FCI = 64.1196T + 735.713p − 2066.2, the correlation of HY-3K was FCI = 62.5523T + 7220.391p − 2415.6, and the coefficients of determination were 0.9799 and 0.9895, respectively, with an error of less than 10%. This correlation equation can provide a reference for accurately predicting the foaming capacity of foaming agents under high-temperature and high-pressure conditions and can also be used to optimize foaming agents or to qualitatively evaluate results for the efficient exploitation of unconventional oil and gas reservoirs.

Association between exposure to smoke from cooking fuels and anaemia among women of reproductive age in Ghana

In low- and middle-income countries, indoor air pollution (IAP) is a serious public health concern, especially for women and children who cook with solid fuels. IAP exposure has been linked to a number of medical conditions, including pneumonia, ischemic heart disease, stroke, chronic obstructive pulmonary disease (COPD), lung cancer, and anaemia. Around 500 million women of reproductive age (WRA) suffer from anaemia globally, with an estimated 190 million cases in sub-Saharan Africa (SSA). This study, which is based on prior research, investigates the relationship between IAP exposure and anaemia among WRA in Ghana. A diverse sample of 2,406 WRA living in Ghana were interviewed, of which 58.06% were anaemic and used high-pollutant fuels for cooking. Age, place of residence, region, education level, religion, ethnicity, wealth index, type of drinking water, type of toilet facility, and type of cooking fuels were all found to be significantly linked with anaemic state by bivariate analysis. Type of cooking fuels utilized, age, region of residence, and the type of residence were shown to be significant predictors of anaemia status using sequential binary logit regression models. The results emphasise the critical need for efforts to promote the usage of clean cooking fuel in an attempt to lower anaemia prevalence in Ghana. To reduce dependency on solid fuels for cooking, initiatives should promote the use of cleaner cooking fuels and enhance the socioeconomic status of households. These interventions could have significant public health effects by reducing the burden of anaemia and improving maternal and child health outcomes due to the prevalence of anaemia among WRA. Overall, this study sheds light on the relationship between IAP exposure and anaemia in Ghana and highlights the demand for focused public health initiatives to address this serious health problem.

Supplementation of Clostridium butyricum LV1 lyophilised powder to cottonseed protein concentrate basal diets improves growth, intestinal microbiota, and immunity of Litopenaeus vannamei

Clostridium butyricum (CB) is a strictly anaerobic gram-positive probiotic. In this study, CB strain (LV1) was extracted from the intestine of Litopenaeus vannamei for preparing CB lyophilised powder (CBLP, 5.6 × 108 CFU/g) by freeze-drying method, with the aim to explore the effect of CB LV1 lyophilised powder on the growth, intestinal microbiota, and immunity of Litopenaeus vannamei after substitution of fishmeal with cottonseed protein concentrate (CPC). Six isonitrogenous and isolipid diets were formulated with 25% fishmeal in the positive control (FM) and 40% fishmeal replaced by CPC in the negative control (CBLP 0). CBLP was added to the CBLP 0 group at 3 × 105 CFU/g (CBLP 1), 1.2 × 106 CFU/g (CBLP 2), 4.8 × 106 CFU/g (CBLP 3), and 1.92 × 107 CFU/g (CBLP 4), respectively. The results showed that the CBLP 3 group had the highest weight gain rate and specific growth rate (P > 0.05). Serum superoxide dismutase and acid phosphatase activities were remarkably enhanced in the CBLP 2, CBLP 3, and CBLP 4 groups (P < 0.05). CBLP supplementation improved the intestinal digestive enzyme activity. The addition of CBLP optimized the structure of the intestinal microbiota, increased the beneficial bacteria, and reduced the potentially pathogenic bacteria. Chao1, ACE, and Sob indices were elevated in the CBLP 2, CBLP 3, and CBLP 4 groups (P < 0.001). Relish, PO, eIF4E1α, and IGF1 gene expressions were remarkably elevated in the CBLP 3 group (P < 0.01). CBLP further improved the intestinal morphological structure and enhanced the disease resistance. Muscle phenylalanine, histidine, and tyrosine contents were remarkably elevated in the CBLP 1 and CBLP 2 groups (P < 0.05). In conclusion, supplementation of CBLP in CPC basal diets improved the growth, intestinal microbiota, and immunity of Litopenaeus vannamei. Binary regression analysis of SGR indicated that the appropriate addition level of CBLP was 8.79 × 106 CFU/g.

Examining contraceptive utilization behavior in Pakistani women

BackgroundThere is a dearth of research examining the couple characteristics in determining contractive utilization behavior in developing countries. This study fills the gap by analyzing the roles of women’s intra-household bargaining power and spousal age differentials in predicting contraceptive utilization behavior in Pakistani women.MethodsA sample of 13,331, excluding pregnant and sexually inactive married women aged 15–49, was extracted from the Pakistan Demographic and Health Survey 2017–18. The dataset is cross-sectional. Exploratory analysis was used to examine the pattern of contraceptive knowledge, types of contraceptive utilization, and intention to use contraceptives among women. Furthermore, binary regressions were employed to examine the association of women's intrahousehold bargaining power and spousal age difference with contraceptive utilization without and after accounting for all potential covariates.ResultsOnly 33% of women use contraceptives, while 30% express an intention to use contraceptives in the future. Almost all women (98%) knew about modern contraceptives. Compared to same-age couples, higher odds of current contraceptive use are observed among women whose husbands are at least 20 years older than them or whose husbands are young to them. The odds of the intention to use contraceptives tend to increase with the increase in spousal age difference. Women’s intra-household bargaining is a significant predictor of current contraceptive utilization and intention to use contraceptives.ConclusionFindings underscore the importance of considering the couple’s characteristics in reproductive healthcare programming and policies.RecommendationGreater women's intra-household bargaining power and smaller spousal age differences are associated with higher contraceptive usage. Empowering women and promoting their decision-making authority within households can enhance reproductive health outcomes.

O-276 Implantation failure is not associated with seven different vaginal bacterial community-state types; however, a distinct signature, including Ureaplasma parvum, is strongly linked to treatment failure

Abstract Study question Is microbial diversity or vaginal bacterial composition associated with embryonic implantation in women undergoing frozen-thawed embryo transfer? Summary answer While global diversity measures of microbial composition do not correlate with positive implantation, specific taxa may serve as predictors of treatment outcomes. What is known already Clinical studies have indicated a reduced likelihood of embryo implantation in women diagnosed with microbial dysbiosis. The application of Next-Generation Sequencing for microbiota analysis has significantly advanced our understanding of vaginal microbiome composition. Recent studies have proposed distinct vaginal microbiome patterns as potential predictors of IVF treatment success or failure. However, the evidence regarding the biological basis of test algorithms (such as the independent association of distinct community state types with outcomes) and the reliability of diagnostic test performance (including replicability and external validity) in predicting implantation success or failure in women undergoing embryo transfer remains less robust. Study design, size, duration In a prospective, single-centre observational cohort study (05/2017-03/2019, NCT03507673, local ethical approval reference no.18-005), conducted at a university-affiliated centre for reproductive medicine in Germany, vaginal swab samples were collected from infertile, asymptomatic female patients (n = 260), aged 18-45, undergoing frozen-thawed embryo transfer. Patients, each contributing a single treatment cycle, received sequential oral estradiol and oral estradiol/dydrogesterone in an HRT regimen for FET. Vaginal swabs were taken from baseline visit before transfer day and stored at –80 °C. Participants/materials, setting, methods 16S rRNA gene amplicon sequencing was performed targeting V3/V4 hypervariable region using Illumina MiSeq platform. Raw data assembly, filtering and taxonomic assignment were performed using mothur against EzBioCloud database. Statistical analyses, and visualization were conducted using R. Community structure via hierarchical clustering, alpha and beta diversity, and indicator species via LefSe analysis were assessed. Main results and the role of chance Based on a hierarchical clustering using the 25 most abundant bacterial taxa, seven separate community state types (CSTs) being either dominated by species of the genus Lactobacillus (CST-A, CST-B, CST-C, CST-E, CST-G) or Gardnerella (CST-F) or presenting a variable community composition (CST-D) were identified. A community state type dominated by Lactobacillus fornicalis was found in a small fraction of women and enhanced resolution among the Gardnerella genus impacts CST definitions in this sample. Embryonic implantation had no significant association to either alpha diversity measures or CST distribution; likewise, the previously suggested ratio of relative abundances of Lactobacillus iners vs. Lactobacillus crispatus was not associated with implantation. Lactobacillus fornicalis is positively linked to implantation, while Lactobacillus iners and Ureaplasma parvum were linked to implantation failure: above 50% relative abundance of Lactobacillus fornicalis, was associated with 75% positive implantation. Conversely, just 0.5% relative abundance of Ureaplasma parvum was associated with a decrease in implantation rate to approximately 20%. LefSe and binary regression analysis identified a relatively rare (6% in our sample) microbiome signature, mostly from CST-C (Lactobacillus iners dominated) with a very low likelihood of implantation, with Ureaplasma parvum as the common denominator. Limitations, reasons for caution Studies on the vaginal microbiome in IVF face issues such as study design variability, small sample-sizes, limited control for temporal dynamics, and patient heterogeneity. Attempts at establishing causal relationships through interventional studies in IVF have been limited and inconclusive. Understanding the microbiome’s functional aspects is crucial for reproductive outcome elucidation. Wider implications of the findings Current study findings don’t confirm previously reported associations between common vaginal bacterial CSTs and outcome. Therefore, screening for vaginal microbiome composition in asymptomatic women with subfertility is not recommended outside research. Signatures/taxae with an independent and strong negative association with implantation are likely to be rare yet deserve further attention. Trial registration number NCT03507673

P-278 The impact of previous pituitary suppression protocols on IVF outcomes in patients with endometriosis undergoing freeze-all approach

Abstract Study question Do embryological parameters and live birth rates differ in patients with endometriosis undergoing freeze-all approach when GnRH-antagonist protocol or progestin primed pituitary suppression(PPOS) was preferred? Summary answer When comparing the GnRH antagonist protocol, the PPOS protocol was associated with more usable cleavage stage embryos but with a similar live birth rate. What is known already Optimal COH protocol for patients with endometriosis is still controversial. Initially, the GnRH agonist protocol was hypothesized to be superior because it was assumed to increase pregnancy rates by improving the inflammatory process of endometriosis. However, available data represented similar pregnancy rates in GnRH antagonist and GnRH agonist protocols. Recently, progestins have been used for suppression of endogenous LH surge instead of GnRH analogs in COH for various indications. Since, recent data indicates that utilization of progestins for more than eight days can reduce the inflammatory process of endometriosis, PPOS protocol might be employed in this patient group. Study design, size, duration This retrospective cohort study conducted at Bahçeci Health Group between January 2021-January 2023. Inclusion criteria were female age between 20-44 years, patients with endometrioma diagnosed by transvaginal ultrasonography and freeze-all cycles. Exclusion criteria were pre-implantation genetic testing (PGT) cycles, patients with uterine myoma distorting the endometrial cavity, congenital uterine anomaly and presence of hydrosalpinx.Each patient was included only once. A total of 607 patients;407 in GnRH antagonist group and 200 in PPOS group were recruited. Participants/materials, setting, methods The study analyzed the embryological parameters and live birth rates undergoing freeze-all cycles. COH was performed with recombinant FSH or HMG at a starting dose 150-300 IU depending on ovarian reserve and body mass index (BMI). LH surge was controlled by a flexible GnRH antagonist or fixed PPOS protocol. Primary outcome for embryological parameters were usable cleavage embryo after OS and live birth after the first frozen embryo transfer (FET) cycles. Main results and the role of chance Female age in PPOS group was older than GnRH antagonist group (33.3±4.9 vs.32.4±4.8,p=0,02).Other demograhic characteristics were similar among two groups.Total gonadotrophin dose and duration of stimulation in PPOS group were lower than antagonist group (2602.3±1083.5 vs.2866.9±1147.9 IU, p = 0,002 and 10.86±1.77 vs. 11.59±1.82 days, p &amp;lt; 0.001). No significant difference regarding endocrinological parameters of OS and number of oocytes retrieved, mature oocyte, maturation and fertilization rates was found in two groups. However, the number of day 3 usable embryos were higher in the PPOS group than GnRH antagonist group (4.66±4.38 vs. 3.84±3.72 p = 0.04). There was no difference in the cancellation rates. A total of 478 FET cycles of 607 were evaluated; 323 in GnRH antagonist and 255 in PPOS group. No significant difference in FET cycle and embryological characteristics was found in two groups. The clinical pregnancy rate, miscarriage rate, live birth rate and multiple pregnancy rates per transfer were comparable between the two groups [59.1% (191/323) vs. 59.4% ( 92/155) p = 0,963;17.3%(33/191) vs 0.9%(10/92) p = 0,16; 48.6%(157/323) vs. 52.9% (82/155) p = 0,379; 7.3%(14/191) vs.10.9% (10/92) p = 0317, respectively].Multivariate binary regression analysis revealed that female age, embryo day embryo quality.number of embryos transferred were significant independent factors for live birth but not the PPOS vs GnRH antagonist. Limitations, reasons for caution Although we used regression models to adjust all possible confounders, it was a retrospective study with its intrinsic limitations. Further prospective RCTs are warranted. Wider implications of the findings Although cleavage stage usable embryo was significantly higher in PPOS group,the pregnancy outcomes were comparable between groups.Those results suggest that theoretical advantages of progestin in preceding OS does not seem to present a significant difference on live birth,but should be confirmed with prospective trials within cohort of women with endometriosis. Trial registration number not applicable ( retrospective study)

THRIVE, ASTRAL, and iScore scales for predicting prognosis of mechanical thrombectomy in patients with acute ischemic stroke.

To validate the predictive performance of the THRIVE, ASTRAL, and iScore scales for clinical functional outcomes following mechanical thrombectomy (MT) for acute ischemic stroke (AIS). A total of 111 patients meeting the inclusion criteria were included in this study, with 59 (53.2%) having a good prognosis and 52 (46.8%) having a poor prognosis. MedCalc software was applied to plot receiver operating characteristic (ROC) curves, calculate the area under the curve (AUC), and compare the predictive efficacy of the three scales two by two using Delong text. Statistical significance was defined as Pc < 0.05. Logistic binary regression multifactorial analysis revealed that iScore is one of the poor predictors of prognosis in patients with MT. The AUC values for the THRIVE, ASTRAL, and iScore scales in predicting prognosis after MT were found to be 0.713, 0.738, and 0.820, respectively. The iScore is a reliable tool for assessing the poor prognosis of MT in patients with AIS.

MUSHROOM PRODUCTION BY SMALL-SCALE FARMERS: AN APPROACH TO ECONOMIC EMPOWERMENT AND REDUCING HUNGER AMONG RURAL HOUSEHOLDS IN NORTH CENTRAL NIGERIA

The study was carried out to investigate mushroom production by small-scale farmers as an approach to economic empowerment and reducing hunger among rural households in North Central Nigeria. The study used 389 respondents sampled through multi-stage sampling technique from three States and the Federal Capital Territory. Descriptive and inferential statistics (Binary logit regression model and Binomial test) were used to analyse the data. Results showed that the majority of the respondents were males (59.13%), married (53.47%), with the average age of 37.37 years, a mean household size of five persons and a mean educational level of 14years. They were mostly into farming (32.90%) and at full- time level (77.63%). The farmers earned an average annual income of N360,539.85 and N426,092.55 before and after adding mushroom to their farming activities and were satisfied with the proceeds from mushroom production. Strategies such as establishing and participating in cooperative groups (mean = 3.55), development of improved mushroom growing materials (mean = 3.40) and extension agents training of farmers on input use for mushroom production (mean = 3.30) were advocated to increase mushroom production. Socio-demographic characteristics such as gender, marital status, age, educational level, household size and farm status positively influence the income earned by farmers from mushroom production. It is recommended that there is need for a robust extension programme to be carried out on farmers training on the use of inputs.

Musculoskeletal disorders and related risk factors among Iranian farmers: applying Protection Motivation Theory

Introduction: Musculoskeletal disorders (MSDs) are one of the main occupational health problems worldwide. Among different careers, the farming profession is highly prone to MSDs. A variety of factors to prevent MSDs can be named such as preventive behaviors. To determine the factors in health-related behaviors, protection motivation theory (PMT) is widely accepted as a framework. Therefore, the present study is an attempt to determine the MSD preventive factors using PMT in farmers in rural areas of Tuyserkan County. Methods: This was a cross-sectional study among 285 farmers living in Tuyserkan County in 2021. The farmers were selected through cluster random sampling from 54 health houses affiliated with the health center of the county. In the next stage, the participants were selected through simple random sampling. Data gathering was done online using a questionnaire of the constructs of PMT and a Nordic questionnaire. The collected data were analyzed in SPSS 24 using linear and binary regression tests. Results: The mean work experience of the farmers was 22.11 years, and the activity in 81.8% of the participants was in standing and sitting positions. In addition, 55.4% of the participants had at least one of the MSD symptoms and the most common symptoms were back pain (67%) and pain in the knee area (35.5%). The majority of farmers did not observe MSD alleviation behaviors. The variables perceived susceptibility, fear, self-efficacy, and behavior had protective effects against MSDs in the farmers; while, monthly income, age, work hours per day, and type of activity had intensifying effects on MSDs. Conclusions: Farming is recognized as a risky job for health and several evidences show a relationship between failure to perform preventive behaviors and the prevalence of MSDs. Given the paucity of studies using health education theories and models to examine the factors in MSDs, the present study employed the PMT framework to examine MSD factors in farmers.

Research on the Coupling Effect of Water and Fertilizer on Maize under Multi-Objective Conditions and Its Application Scenarios

It is of great significance to establish maize water and fertilizer application schemes under multi-objective conditions to improve water- and fertilizer-use efficiency, reduce agricultural greenhouse gas emissions, and promote sustainable agricultural developments. This study aims to analyze the effects of different water and fertilizer combinations on the summer maize yield, water-use efficiency, and field N2O flux and to determine the optimal water and fertilizer application scheme for summer maize. Field experiments were conducted in 2023, with a total of 15 different combinations of upper and lower limits of irrigation and fertilizer levels. A binary quadratic regression model based on the yield, water-use efficiency, and N2O emission flux was constructed. The fast non-dominated sorting genetic algorithm III (NSGA-III) was employed for verification and solution finding to simulate the optimal water and fertilizer regime. The results indicate that with increasing water and fertilizer applications, the field N2O emission flux gradually increases. The summer maize yield and water-use efficiency show a trend of initially increasing and then decreasing. Compared to fertilization, irrigation has a more significant impact on the summer maize yield and water-use efficiency, while fertilization notably influences the field N2O emission flux to a greater extent. Using NSGA-III, the simulated optimal water and fertilizer combination showed no significant difference in the yield and water-use efficiency compared to the actual optimal water–fertilizer irrigation combination (moderate water and moderate fertilizer), with a 3.12% increase in the field N2O emission flux, a 15.30% decrease in the irrigation amount, and an 11.90% reduction in the fertilizer application. In conclusion, employing the optimized water and fertilizer combination can reduce agricultural irrigation and fertilization while ensuring crop yields, providing theoretical support for the green, efficient, and sustainable development of the summer maize industry.