Groups In Age Research Articles

Multiple effects of weather on common waxbill group foraging and social behavior

Abstract The weather poses challenges for wildlife. Environmental challenges can be responded to at the group level by social animals, but the influence of weather on group behavior is poorly understood. We investigated how weather affects behavior in a gregarious species by monitoring common waxbills (Estrilda astrild) in a large mesocosm during 5 yr. We found seasonal patterns in collective foraging, aggressiveness, and the structure of the social network, usually showing 2 cycles per year: one peaking in Spring and a smaller one peaking in late Summer. Controlling for seasonality, we found behavioral changes related to increased energy demands in colder and/or cloudier days, such as more frequent and larger foraging groups that resulted in less-structured social networks. Rain and wind disturb movement, and we found that, on rainy days, foraging group journeys became briefer and more synchronous, resulting in stronger associations between individuals and less-structured networks, and that on windy days foraging groups were less frequent, larger, and with more within-group aggression. The results show that the weather has more varied effects than anticipated on ecologically relevant group behavior. We discuss how such weather-related effects can improve predictions of how social animals will react to environmental changes.

An international perspective on young stroke incidence and risk factors: a scoping review

BackgroundStroke among younger age groups is increasing globally. While there is a focus on research conducted on people under 65 years who have had a stroke, there is a paucity of data on the incidence and risk factors of stroke among younger people (≤ 30 years). This scoping review examines evidence on incidence and risk factors for perinatal, paediatric and young adult stroke globally.MethodsThe review was guided by the Joanna Briggs Institute’s scoping review methodology. A systematic search was conducted on 23rd March 2022 across Medline Ovid, Embase, PsycINFO and Cumulative Index to Nursing and Allied Health Literature (CINAHL). The eligibility criteria included all study designs providing information on the incidence and risk factors of stroke among young people (≤ 30 years) in the last ten years.ResultsA total of 5750 articles were identified. After screening, 471 articles (224 cohort studies (47.6%), 164 case studies/case series (34.8%), 35 reviews (7.4%), 30 case-control (6.4%) and 18 combinations of designs (3.8%) were included. There was data from 50 different countries, 199 studies were from high-income countries, upper and middle income (n = 38), lower middle-income (n = 39), low-income (n = 3) countries, international study (n = 7) and a further 185 articles did not state the country of research. Most of the studies (63%) focused on risk factors while incidence constituted 37%. Incidence data were reported heterogeneously across studies, leading to an inability to synthesise data. The three most frequently reported risk factors for perinatal stroke were infections, cardiac conditions, and intrapartum factors. Vasculopathies, infection and cardiac conditions accounted for most reported risk factors for paediatric stroke, while chronic conditions such as diabetes mellitus, vasculopathies and cardiac conditions accounted for the most reported risk factors among young adults.ConclusionThis review has highlighted different stroke risk factors for each age cohort of people under 30 years. The low number of epidemiological studies suggests that further research of this type is needed to fully understand the incidence and risk factors in young stroke. A standardised reporting of age groupings of incidence data is imperative to enable the comparison of data from different geographical locations.

Can cycling compensate the distributional inequity of public service facilities? Evidence from Shenzhen, China

Most traditional studies measure accessible equity of public service facilities (PSFs) statically, and tend to neglect travelling scope disparities among people with different travelling abilities and conditions. This study offers a new perspective for dynamically assessing the actual occupancy of PSFs from both the provision and demand sides. Taking Shenzhen as an example, and employing big data on shared-bike orders, we explored the compensation mechanism of cycling for the distributional inequity of PSFs, with a two-phase measurement framework. First, the Gini index and Lorenz curve were adopted to compare the distributional equality of the grids’ originally-allocated PSFs (based on the division of block-scale grids) and their cycling-accessed PSFs (based on delineation of the cycling scope with shared-bike orders). Second, a spatial lag model was established to reveal the exact factors affecting the ability to improve the PSF occupancy through cycling. The results showed that cycling compensated the distributional inequity of PSFs. This compensation effect varied among groups of different ages, genders, and incomes. Moreover, mixed land use and the low density of trunk roads promoted this compensation. These findings can provide decision-makers with references for future PSF planning in Shenzhen, and other similar cities worldwide.

A Global Overview of SVA—Spatial–Visual Ability

This study examines the global literature that looks at spatial–visual abilities (SVA) while considering the numerous differential studies, methods of evaluation designed over a century, and multiple external influences on its development. The dataset was retrieved from Google Scholar and publisher databases such as Elsevier, Taylor & Francis, Springer, etc. Only factual reports and bibliographic reviews were included in an analysis of a total of 87 documents. Each study of SVA is classified based on information, country, year, and age groupings. SVA has been extensively studied in the areas of “STEM (Science, Technology, Engineering and Mathematics) fields”, “demographic factors” and “other activities”. “Spatial visualisation” or “visual ability” is the term employed to refer to the cognitive ability that allows one to comprehend, mentally process, and manipulate three-dimensional visuospatial shapes. One of the most crucial distinct abilities involved is spatial aptitude, which aids in understanding numerous aspects of everyday and academic life. It is especially vital for comprehending scientific concepts, and it has been extensively studied. Nearly all multiple-aptitude assessments include spatial ability. It is determined that over the past two decades, the study of SVA has gained momentum, most likely because of information being digitised. Within the vast reservoir of spatial-cognition research, the majority of the studies examined here originate from the United States of America, with less than a quarter of the studies based in the Asia–Pacific region and the Middle East. This paper presents a comprehensive review of the literature on the assessment of SVA with respect to sector, year, country, age and socio-economic factors. It also offers a detailed examination of the use of spatial interventions in educational environments to integrate spatial abilities with training in architecture and interior design.

A study on the physical aging characteristics of the older people over 70 years old in China.

In China, with the increase of life expectancy and the decrease of fertility rate, the aging problem has become increasingly prominent, and the physical problems of the older people over 70 years are the key and difficult problems. Based on the interactive logic between the aging problem and the older people health, in the study, a questionnaire survey and a nationwide physical fitness test were carried out on the older people over 70, to divide into different age groups (70-74 years old, 75-79 years old, 80-84 years old, 85 years old and older) and different genders. There were 8,400 valid samples, and 1,050 persons in each group. One-way ANOVA was used to compare the differences among groups of different ages, and a broken line chart was drawn to discuss the aging characteristics of various physical indexes of the older people over 70 in China. (1) Body morphology: male waist circumference, male waist-to-height ratio and female BMI showed a gradual downward trend with the increase of age; (2) Physiological function: male and female vital capacity showed a decreasing trend with the increase of age, while female pulse pressure showed a gradual upward trend. (3) Physical quality: the indicators of male and female muscle strength, flexibility quality, aerobic endurance and balance showed a downward trend with the increase of age. Vital capacity, flexibility quality, muscle strength, aerobic endurance, balance ability and so on, decreased significantly with the growth of age. 80 years old is the inflection point of the rapid decline of various indicators. Blood pressure, silent pulse, BMI, waist-to-hip ratio, waist-to-height ratio and other indicators did not change regularly with age. Indicators such as blood pressure, BMI, waist-to-hip ratio and waist-to-height ratio were in the high-risk range of metabolic diseases and cardiovascular and cerebrovascular diseases. The study conducted physical fitness test on the older people over 70 years old in 7 geographical regions of China, which is the first nationwide physical fitness test for the older people, which is an extension and expansion of the national physical fitness monitoring system, and also shows that the test indicators involved in the "Health fitness scale" are simple and feasible. And the study added a series of test data over 70 years old, which is the basis for scientific and reasonable formulation of physical fitness evaluation standards for the older people, and is of great significance for improving the national physical fitness database and grasping the dynamic changes of national physical health status, and providing data support for scientific guidance of physical exercise for the older people.

The roles of ACE I/D and ACTN3 R577X gene variants in heat acclimation

Roles of genes in heat acclimation (HA, repeated exercise-heat exposures) had not been explored. ACE I/D and ACTN3 R577X genetic polymorphisms are closely associated with outstanding exercise performances. This study investigated whether the two polymorphisms influenced the response to HA. Fifty young Han nationality male subjects were selected and conducted HA for 2 weeks. Exercise indicators (5-km run, push-up and 100-m run) were tested and rest aural thermometry (RTau) was measured before and after HA. ACE gene was grouped by I homozygote and D carrier, and ACTN3 gene was grouped by R homozygote and X carrier. Results showed that there were no differences between groups in age, body mass index, exercise indicators and RTau before HA. After HA, RTau of ACE I homozygote was lower than that of D carrier [F(1, 48) = 9.12, p = 0.004, η = 0.40]. Compared with RTau before HA, that of I homozygote decreased after HA (Δ = −0.26 °C, 95 % CI -0.34–0.18, p < 0.001), while that of D carrier did not change. There was a ACE gene × HA interaction in RTau [F(1, 48) = 14.26, p < 0.001, η = 0.48]. No effect of ACTN3 gene on RTau was observed. For exercise indicators, there were no differences between groups after HA, and no gene × HA interactions were observed. There may be a strong interaction of ACE gene and HA in the change of rest core temperature. I homozygote may have an advantage on improving heat tolerance.

Microvascular recovery with ultrasound in myocardial infarction post-PCI trial.

Persistent microvascular obstruction (MVO) after successful percutaneous coronary intervention (PCI) in acute ST segment elevation myocardial infarction (STEMI) has been well-described. MVO predicts lack of recovery of left ventricular function and increased mortality. Sonothrombolysis utilizing diagnostic ultrasound induced cavitation of commercially available microbubble contrast has been effective at reducing infarct size and improving left ventricular ejection fraction (LVEF) when performed both pre- and post-PCI. However, the effectiveness of post-PCI sonothrombolysis alone after successful PCI has not been demonstrated. A prospective randomized controlled trial was performed in 50 consecutive consenting patients with anterior STEMI who underwent a continuous microbubble infusion immediately following successful PCI. Intermittent high mechanical index (MI) impulses were applied only in the sonthrombolysis group. Delayed enhancement magnetic resonance imaging (MRI) was performed at 48h and again at 6-8weeks to assess for differences in infarct size, LVEF, and MVO. There were no differences between groups in age, gender, and cardiovascular risk factors. Significant (>2 segments) MVO following successful PCI was observed in 66% of patients. Although sonothrombolysis reduced the extent of MVO acutely, there were no differences in infarct size, LVEF, or extent of MVO by MRI at 48h. Twenty-eight patients returned for a follow up MRI at 6-8weeks. LVEF improved only in the sonothrombolysis group (∆LVEF 7.81±4.57% with sonothrombolysis vs. 1.77±7.02% for low MI only, p=.011). Post-PCI sonothrombolysis had minimal effect on reducing myocardial infarct size but improved left ventricular systolic function in patients with acute anterior wall STEMI.

A Retrospective Study of R±DHAX Regimen versus R-CHOP Regimen First-Line Treatment of Elderly Patients with Newly Diagnosed Diffuse Large B-Cell Lymphoma

To investigate the clinical efficacy and prognosis of Rituximab combined with DHAX and CHOP regimen in the first-line treatment of elderly patients with newly diagnosed diffuse large B-cell lymphoma (DLBCL). A total of 36 elderly patients with DLBCL who were admitted and treated with 3 of more courses of treatment from August 2011 to August 2021 were retrospectively analyzed, and they were divided into rituximab±DHAX (R±DHAX) regimen group (18 cases) and rituximab±CHOP (R-CHOP) regimen group (18 cases) according to the treatment plan, and clinical features, efficacy and survival of the patients were observed. Compared with R-CHOP group, patients of the R±DHAX group were older, and had worse performance status and higher IPI score, the differences between two groups in age, ECOG score and IPI score were statistically significant ( P =0.005 P =0.018, P =0.035), but there were no significant differences beween two groups in gender, whether there were B symptoms, whether LDH was elevated, whether there was extranodal involvement, cell origin, bone marrow infiltration, and whether rituximab was combined ( P =0.738, P =1, P =0.315, P =0.305, P =0.413, P =0.177, P =0.711, P =0.229). The efficacy could be evaluated in 36 cases, including CR 14 (38.9%), PR 17 (47.2%), PD 5 (13.9%), and ORR of 86.1% (31/36). There were no statistically significant differences in CR［(27.8%（5/18） vs 50.0%（9/18）; P >0.05］ and PR ［44.4%（8/18） vs 50.0%（9/18）; P >0.05］ of R±DHAX group and R-CHOP group, there was statistically significant difference in ORR［72.2%（13/18） vs 100.0%（18/18）; P =0.045］ between two groups. The 1-year OS of R±DHAX group and R-CHOP group was (38.9±11.5%)% and (94.4±7.4%)%, respectively, 2-year OS was (16.7±8.8)% and (72.2±10.6)%, respectively, and the differences between two groups were statistically significant ( P =0.001, P =0.002). The median survival time in the R±DHAX group was 11 months(95%CI :8.9-13.1), and the median survival time in the R-CHOP group was not reached, and there was a statistically significant difference between the groups (P < 0.001). For elderly DLBCL patients, R±DHAX may not be superior to R-CHOP in OS, and ECOG score, IPI score and age may affect the survival of elderly DLBCL patients. However, R±DHAX regimen is safe, tolerable and has a certain efficacy, which can be used as one of the clinical treatment options for elderly DLBCL.

A comparison of Mersilene tape versus braided suture in transvaginal cervical cerclage: A retrospective case-control study.

Previous studies have indicated that there is an association between cervical cerclage and type of suture material. However, it is still unclear which suture material can provide the greatest benefit to patients who have undergone cerclage. This study investigated the effect of two different suture materials (Mersilene tape vs braided suture) used for transvaginal cervical cerclage placement on maternal outcomes of women with cervical insufficiency. In this retrospective case-control study, 170 women who underwent history-, ultrasound-, or physical examination-indicated transvaginal cervical cerclage were categorized according to suture materials used for cerclage: a total of 96 received Mersilene tape and 74 received braided suture. Study participants received a transvaginal cervical cerclage before 28 weeks and were followed up until delivery to assess pregnancy and neonatal outcomes. The primary outcome was gestational age at delivery. Secondary outcomes included preterm premature rupture of membranes (PPROM), premature rupture of membranes (PROM), chorioamnionitis, neonatal survival rate, and neonatal morbidity. Out of 170 eligible women, 74 (43.5%) received braided suture while 96 (56.5%) received Mersilene tape. Baseline characteristics were similar between the two groups. The group that received braided suture had a lower incidence of gestational age at delivery <37 weeks (29.2% vs 54.2%, P = 0.046), PPROM (9.5% vs 21.9%, P = 0.029) and PROM (17.6% vs 32.3%, P = 0.028) compared to the group that received Mersilene tape. However, there were no significant differences between the two groups in average gestational age at delivery, the rate of gestational age at delivery <24, <28, <32, and < 34 weeks, chorioamnionitis, and neonatal survival rate, as well as neonatal morbidity. Compared to Mersilene tape, the utilization of braided suture has been significantly associated with a reduction in the incidence of gestational age at delivery <37 weeks, as well as a decreased risk of PPROM and PROM. However, the use of braided sutures did not result in discernible differences in the rates of chorioamnionitis or adverse neonatal outcomes.

The Kangâmiut dykes in West Greenland: markers of the tectono-metamorphic evolution of the southern Nagssugtoqidian orogen and its foreland

The general extent and structural evolution of the southern Nagssugtoqidian orogen of West Greenland were first described by Hans Ramberg who based much of his paper on the deformation of the regional Kangâmiut dyke swarm. The southern boundary is marked by a transition from undeformed, discordant dykes in the south to highly deformed dykes and host rocks to the north. Our analysis of the southern Nagssugtoqidian orogen and its southern foreland uses a comprehensive compilation of available data and covers the area from Sisimiut in the north to Alanngua, south of Maniitsoq. This represents almost the entire c. 200 km latitudinal extent of the Kangâmiut dyke swarm and encompasses the complete range of Nagssugtoqidian overprint on these dykes and their country rocks. South of Itillip Ilua (Itilleq), the structural and metamorphic overprints on the dykes exhibit a considerable range in both intensity and P–T conditions between and even within outcrops. In contrast, north of Itillip Ilua, the rocks show more systematic gradual increases in the degree of structural overprints and metamorphic grade, culminating in the Ikertooq thrust zone where granulite facies rocks are brought southwards over amphibolite facies rocks. Currently, available age data from the Nagssugtoqidian orogen permits the identification of two metamorphic episodes at c. 1850–1800 Ma and c. 1780–1720 Ma. These groups of metamorphic ages are supported by recent 40Ar–39Ar ages from dykes in the same area, which cluster at c. 1860 Ma and c. 1740 Ma, respectively. Albeit geographically sporadic, both age intervals support a subdivision of the Nagssugtoqidian structural and metamorphic overprints across the southern Nagssugtoqidian orogen and its foreland into two distinguishable temporal phases. Further geochronological investigations may well, however, find these two phases to be part of a tectonic continuum. For now, it is thought that the older event records south-directed thrusting over the foreland and concomitant loading of this crust, at least as far south as Maniitsoq. This c. 1860–1800 Ma crustal shortening and thrusting likely also closed a depositional basin located at the current latitude of Ikertooq, which could have formed during an early-orogenic extensional event that enabled and accompanied the c. 2035 Ma emplacement of Kangâmiut dykes. Up to 50–100 Ma later, a younger (c. 1780–1720 Ma) phase of shearing and thrusting mainly affected the Itillip Ilua – Ikertooq area and likely overprinted elements of the former event. This local younger overprint generated a separate trend of distinctly northward-increasing deformation and metamorphism.

Urinary syndecan-1 in dogs anesthetized with isoflurane or sevoflurane: A randomized, prospective study.

Syndecan-1 (SDC1) is an established marker of endothelial glycocalyx shedding. Most research on SDC1 has focused on plasma or serum concentrations, and little is known about urine concentrations. Measure urinary SDC1 concentrations in dogs undergoing anesthesia with either sevoflurane or isoflurane and assess the effects of anesthesia duration and IV crystalloids on urinary SDC1 concentrations. Thirty-one client-owned dogs undergoing anesthesia for magnetic resonance imaging (MRI) with or without surgery for suspected intervertebral disk disease (IVDD) were used. Dogs with suspected IVDD were randomized to undergo anesthesia with either sevoflurane or isoflurane. Urine was collected before and immediately after anesthesia for the analysis of SDC1. Urinary creatinine concentrations also were measured, and the ratio of urinary SDC1 to urinary creatinine (USCR) was used to account for dilution. Median (range) USCR was significantly higher after anesthesia compared with baseline for all groups combined (P < .05). No significant difference was found between the groups for age, sex, weight, and type of anesthesia. Multiple regression analysis of the effect of the independent variables inhalant type, age, weight, sex, anesthesia time, surgery, and quantity of IV fluids on the dependent variable SDC1 found that only the quantity of IV fluids significantly predicted a change (P < .001). The total volume of lactated Ringer's solution administered to anesthetized dogs may affect USCR. Further investigations are warranted to evaluate the relationship between IV fluids and SDC1.

Elastic Stable Intramedullary Nailing in Length Stable Versus Unstable Pediatric Femoral Shaft Fractures: A Comparison of Clinical, Radiographic, and Pedobarographic Outcomes.

Pediatric diaphyseal femoral fracture (PDFF) is one of the most common injuries requiring hospitalization. Elastic stable intramedullary nailing (ESIN) is commonly used for PDFFs in ages 5 to 11. The optimal treatment method for length unstable PDFF is a subject of ongoing debate. This study aimed to compare clinical, radiographic, and pedobarographic outcomes of ESIN between length stable and unstable PDFF. We retrospectively reviewed patients undergoing ESIN treatment for isolated PDFF between 2016 and 2021. Exclusion criteria were (1) history of ipsilateral or contralateral lower extremity fractures, (2) highly comminuted or segmental fractures, (3) body weight >50kg, and (4) comorbidities affecting bone quality, range of motion, or neurologic status. The patients were divided into 2 groups according to length stability. Clinical, radiographic, and pedobarographic data were then assessed to compare groups. Twenty-five patients were included (17 length stable and 8 length unstable PDFF) with a mean age of 73.6±17.8 months. There was no significant difference between groups in age, side of injury, body weight, follow-up duration, and nail-canal diameter ratio. Mean deformity in the fracture site in the early postoperative x-rays was not significantly different between groups ( P =0.661). After a mean follow-up of 27.8±14.2 months (range, 12-67), there was no significant difference in mechanical axis deviation, distal femur joint orientation angle, or limb-length discrepancy in both groups. The pedobarographic assessment revealed that the length unstable group had a significantly higher external foot progression angle in the injured extremity (9.8°±6.9° vs. 1.3°±5.6°, P =0.031). However, the length stable group had no significant difference in the foot progression angle (4.9°±5° vs. 3°±4.3°, P =0.326). There was no significant difference in either group for other pedobarographic parameters. ESIN is a safe and effective option for length-unstable PDFF, yet attention should be paid to the rotational alignment. Although significant external rotation deformity occurs in length-unstable PDFF, it has no implications for the other pedobarographic parameters. Level IV.

#1149 Long-COVID in hemodialysis patients: a matched case-control prospective study

Abstract Background and Aims Long-COVID is defined as persistent symptoms after COVID-19 infection. It has been reported that up to 40% of COVID-19 survivors experience long-COVID (O'Mahoney et al. The Lancet, 2023). We aim to determine if hemodialysis (HD) patients experience long-COVID. Method HD patients diagnosed with COVID-19 via RT-PCR test were enrolled from January to April 2022 from 4 clinics in New York City. COVID-19 Yorkshire Rehabilitation Scale (C19-YRS) was administered at baseline (i.e., as soon as possible after diagnosis), and 1 and 6 months after baseline. C19-YRS measures symptoms such as dyspnea, fatigue, decreased cognition, etc. before and after COVID-19 infection. Pre-COVID symptom severity at baseline was used as the comparator when determining differences between pre- and post-COVID periods. Controls were also enrolled as symptoms resembling long-COVID symptoms are prevalent in HD patients who did not have COVID-19 (e.g., fatigue, lowered quality of life, cognitive impairment). Controls were matched to case patients by age (&amp;lt;50 years, 50-70 years, &amp;gt;70 years), vintage (&amp;lt;1 year, 1-5 years, &amp;gt;5 years), sex, and race. In control patients, a modified C19-YRS that excluded questions specifically around COVID-19 infection was administered at the time of enrollment, and 1 and 6 months thereafter. Symptom severity is graded from 0-10 (10 being the worst) and global health score is reported with 10 being the best. Patient demographic and clinical data were obtained from medical records. Paired t-tests tests were used to examine differences in symptom severity pre- and post-COVID-19 infection in case patients. Unpaired t-tests or Chi-squared tests were used to examine differences at each time point in cases and controls. Linear and generalized mixed models were used to examine the effect of time on continuous and discrete long-COVID symptom severity, respectively. Results We studied 30 patients, 15 cases and 15 controls. There were no significant differences between the two groups in age, vintage, sex, race, ethnicity, diabetes, or hypertension (Table 1a). Baseline C19-YRS was administered 43 ± 24 days (range 9-108) after COVID-19 diagnosis. Five patients were hospitalized because of COVID-19 infection. C19-YRS results are shown in Table 1b. Compared to the pre-COVID period, case patients experienced significantly increased dyspnea at baseline; anxiety, depression, and dyspnea at 1 month; fatigue and dyspnea at 6 months. Further, fatigue and ability to perform personal care worsened in case patients from baseline to 6 months. Compared to the cases, controls had significantly higher global health scores at 1 month and a lower prevalence of dyspnea at rest and fatigue at 6 months. Conclusion Following COVID-19 infection, patients report worsening long-COVID symptoms compared to (a) the pre-COVID period and (b) matched controls, specifically fatigue, dyspnea at rest, and decreased perceived health. Further studies are warranted to investigate the long-term consequences of long-COVID in HD patients.

#2454 Meeting guideline goals at hemodialysis patients impact their survival?

Abstract Background and Aims The Institute of Medicine (IOM) defines clinical practice guidelines as "statements that include recommendations, intended to optimize patient care, that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options". First publication of Clinical Guidelines by the National Kidney Foundation (NKF), addressing good clinical practice in hemodialysis, was published in 1998. The aim of the present study was to investigate the influence of adherence to current guidelines of Mineral and Bone Disorders, Anemia and Adequacy of Dialysis, on their survival in patients undergoing hemodialysis. Method This is a single center retrospective study of 113 chronic hemodialysis patients (79 males and 34 females), with median age 70 years (56, 78), median duration on hemodialysis 52 months (21, 95). Based on whether or not they met the KDIGO guidelines’ targets for anemia, bone disease, dialysis adequacy, and the targets of all three guidelines during the last three years, patients were divided in two groups: group A with the patients who met the goals of the guidelines and group B with the patients who did not meet the goals. Clinical and biochemical parameters were compared among the groups of patients as well as hemodialysis adequacy (Kt/V). The survival analysis of the patients was calculated by Kaplan-Meier, while the possible effect of any parameter on survival was also evaluated with Cox-Regression. Results There was significant difference between the two groups in age, phosphorous (P), PTH, Kt/V, URR and Alb. There was no significant difference between the two groups in sex, duration of HD, Hemoglobin (Hg), Calcium (Ca++), Hypertension and Diabetes (Table). In Cox analyses, patient survival was associated with delivered dialysis dose (single pool Kt/V, p=0.044). There was no significant difference between the two groups when we compare the adherence to guidelines for MBD (p=0.507) and anemia (p=0.394). There was no statistical difference when we compare the achievement of targets of all three guidelines (p=0.796). We identified as an independent risk factor for patient survival the serum albumin (p&amp;lt;0.001). Patient survival was better with higher dialysis dose and adequate serum albumin level. Conclusion Clinical guidelines are useful tools for good clinical practice for hemodialysis patients. Adherence to clinical guidelines regarding dialysis adequacy is an independent risk factor for better survival of patients undergoing hemodialysis.

#226 Outcome of intermittent hemodialysis vs. continuous kidney replacement therapy for acute kidney injury: observational prospective multi-center study

Abstract Background and Aims Continuous hemodialysis in hemodynamically stable acute kidney injury (AKI) patients may impact outcome differently compared to intermittent hemodialysis, although this issue is controversial. We look at differences in AKI outcomes between patients treated with intermittent hemodialysis (IHD) and patients treated with continuous kidney replacement therapy (CKRT) modalities in in Kuwait. Method Clinically and hemodynamically stable adult inpatients with native kidneys (i.e., did not need inotropic support or mechanical ventilation) who received IHD or CKRT for AKI, in seven public hospitals in Kuwait between 1/January to 31/December 2021 were recruited. CKRT was selected due to lack of access to water treatment in patients wards in some of the participating hospitals. Demographics, comorbidities, dialytic and non-dialytic management data, and 30-day kidney and patient outcome data for, were prospectively collected and analyzed. Results Total number of AKI patients not on inotropic support and not mechanically ventilated who received dialysis during study period was 229 (age: 59.9 years; males: 60.3%; baseline eGFR: 56 ml/min). IHD (group 1) was performed in 27.1% of the cohort whereas CKRT (group 2) was performed in 72.9%. There was no statistically significant difference between the two groups in age (58.4 for IHD and 59.9 for CKRT, p=0.6), baseline eGFR (55 ml/min for IHD and 56.4 for CKRT, p=0.8), sex ratio, incidence of diabetes, hypertension or cardiovascular disease, or cause of AKI. However, renin angiotensin aldosterone system inhibitors (RAASi) were precipitating factors for AKI more significantly in the IHD group (25.8% vs. 6% for CKRT, P ≤ 0.001). Intensive care unit (ICU) contributed 21% of cases (14.5% for IHD and 23.4% for CKRT, insignificant p value of 0.1). Also, there was no statistically significant difference in receiving intravenous fluids between the two groups (71% for IHD vs. 71.5% for CKRT, p=0.8), however, more patients in the IHD group received diuretics (62.9% vs 43.1% for CKRT, p=0.008). Dialysis vascular access was right internal jugular vein in 59% (75.8% FOR IHD vs. 52.7% for CKRT) followed by femoral vein in 35% of cases (19.4%). Extracorporeal membrane oxygenation (ECMO) was used in only two cases in the CKRT group. Of the total cohort, 21.8% died, with no difference between the two groups (16.1% for IHD vs 24% for CKRT, p=0.2). Partial recovery was higher in IHD group (30.8% vs.17.3%, p=0.046) and complete recovery higher in CKRT group 33.1% vs 13.5%, p=0.009). eGFR at 30 days was 53.2 ml/min with no statistically significant difference between the two groups (44.6 for IHD vs 56.1 for CKRT, p=0.15). Conclusion The IHD group and the CKRT group were statistically similar in basic characteristics and received similar lines of management, except for the diuretics. At 30 days, they had similar death rates but CKRT group had higher rates of complete recovery than the IHD group. This is in line with published literature that suggest CKRT may not improve mortality but may improve kidney recovery.

The effect of web based reproductive health education on sexual myths and risky behaviours in university students: a randomised controlled trial

ABSTRACT This study aimed to assess the effect of web-based reproductive health education provided to university students in Turkey on their belief in sexual myths and risky behaviours. A randomised controlled trial was conducted in a state university between March-October 2021 with 96 students. The web-based health education was developed using the ADDIE (Analysis, Design, Development, Implementation, Evaluation) model, and was delivered by means of a special platform. An intervention group of 48 students received 5 modules of education, while a control group of 48 students received none. Performance on two scales measuring information gained and risk behaviours, and sexual myths, respectively, was assessed at the beginning of the study and 5 weeks following the intervention. A statistically significant difference was observed between the two groups on both scales at the final evaluation. Additionally, a significant difference was observed in final sexual myths evaluation scores between the intervention and control groups for sexual orientation, age and sexuality, masturbation, sexual violence, sexual intercourse, and sexual satisfaction, as subdimensions of the sexual myths scale. Our findings suggest that web-based reproductive health education can be effective in reducing sexual myths and increasing knowledge about risky behaviours among university students relevant to sexual and reproductive health in young adults.

Global burden and socioeconomic impact of knee osteoarthritis: a comprehensive analysis.

To report the trend changes of the prevalence, incidence, and disability-adjusted life years (DALYs) of knee osteoarthritis (KOA) according to age, sex, sociodemographic index (SDI), and income. This analysis used estimates from the broader Global Burden of Disease (GBD) study 2019, which covered 201 countries from 1990 to 2019. National prevalence, incidence, and DALYs were shown by using ggplot2 and maps packages. Five-year intervals were used for age groupings. The Commonwealth and the World Bank income classifications were used for income grouping. Globally, there were ~364.58 million prevalent cases (females: 225.16 million), 29.51 million incident cases (females: 17.53 million), and 11.53 million DALYs (females: 7.09 million) due to KOA in 2019. The Western Pacific Region had a high endemicity of ~7,319.87 cases per 100,000 people (7.64%). Japan's prevalence rate (12,610.12 cases per 100,000 population) was 10 times that of Somalia (1,178.23) in 2019. In 200 countries (except the United Arab Emirates), the prevalence, incidence, and DALY rates of KOA in 2019 were higher among females than among males and increased with age up to the oldest age group. The prevalence was highest in the high-middle SDI countries, and the incidence and DALYs were highest in the middle SDI countries. There was a large burden of KOA worldwide, with some notable intercountry variation. Some countries had 10 times the burden of other countries. Increasing population awareness regarding the prevalence, incidence, and DALYs of KOA with a focus on the population in the Western Pacific Region is needed, particularly for older females. informs health policy development, and contributes to improving the efficiency, equity, and effectiveness of healthcare systems.

Clinical characteristics of children on prolonged mechanical ventilation due to different primary diseases

To investigate the differences in clinical characteristics among children on prolonged mechanical ventilation (PMV) due to different primary diseases. A retrospective analysis was performed on the clinical data of 59 pediatric patients requiring PMV from July 2017 to September 2022. According to the primary disease, they were divided into respiratory disease (RD) group, central nervous system (CNS) group, neuromuscular disease (NMD) group, and other disease group. The four groups were compared in terms of general information, treatment, and outcome. There were significant differences among the four groups in age, body weight, Pediatric Logistic Organ Dysfunction-2 (PELOD-2) score, Pediatric Risk of Mortality III (PRISM Ⅲ) score, analgesic and sedative treatment, nutrition supply, rehabilitation treatment, tracheotomy, successful ventilator weaning, and outcomes (P<0.05). Compared with the RD group, the CNS group and the other disease group had a significantly higher age and a significantly higher proportion of children receiving rehabilitation treatment, and the CNS group had a significantly higher proportion of children receiving tracheotomy (P<0.008). Compared with the other disease group, the CNS group and the NMD group had significantly lower PELOD-2 and PRISM III scores, and the CNS group had a significantly higher proportion of children with successful ventilator weaning and a significantly higher proportion of children who were improved and discharged (P<0.008). There are differences in clinical characteristics among children receiving PMV due to different etiologies. Most children in the RD group have a younger age, and children in the CNS group have a relatively good prognosis.

Fat-free mass predictive equation using multifrequency bioelectrical impedance data in adolescent soccer athletes: development and cross-validation

ObjectivesThis study aimed to develop and cross-validate a fat-free mass (FFM) predictive equation using multifrequency bioelectrical impedance analysis (BIA) data in adolescent soccer athletes. MethodsMale adolescent soccer athletes (n = 149; 13–19 y old) were randomly sorted using Excel and independently selected for development group (n = 100) or cross-validation group (n = 49). The FFM reference values were determined using dual-energy X-ray absorptiometry. Single-frequency BIA was used to plot tolerance ellipses. Multifrequency-BIA raw data were used as independent variables in regression models. Student's independent t-test was used to compare development and cross-validation groups. Stepwise multiple regression was used to develop the FFM predictive equation. Bland-Altman plots, Lin's concordance correlation coefficient, according to McBride criteria, precision, accuracy, and standard error of estimate (SEE) were calculated to evaluate the concordance and reliability of estimates. Bioelectrical impedance vector analysis was plotted to assess hydration status. ResultsNo differences (P > 0.05) were observed between development and validation groups in chronological age, anthropometric data, bioelectrical impedance data, and FFM values obtained using dual-energy X-ray absorptiometry. Bioelectrical impedance vector analysis tolerance showed that all participants presented adequate hydration status compared to the reference population. The new FFM predictive equation developed and validated: FFM (kg) = −7.064 + 0.592 × chronological age (y) + 0.554 × weight (kg) + 0.365 × height²/resistance (cm²/Ω), presented R² = 0.95; SEE = 1.76 kg; concordance correlation coefficient = 0.95, accuracy = 0.98, and strength of concordance = 0.99. ConclusionsThe present study developed and cross-validated an FFM predictive equation based on multifrequency bioelectrical data providing substantial FFM accuracy for male adolescent soccer athletes.

Analysis of the relationship between mild cognitive impairment and serum klotho protein and insulin-like growth factor-1 in the elderly.

Mild cognitive impairment (MCI) is a mild memory or cognitive impairment. To explore the relationship between serum klotho (K1) protein and insulin-like growth factor-1 and mild cognitive impairment in the elderly in order to provide accurate and appropriate indicators for clinical diagnosis and treatment of MCI. This randomized stratified study adopted a multistage cluster sampling method. 161 elderly patients with mild cognitive impairment were included as the MCI group, and 161 healthy people matched with the MCI group in gender, age and education were selected as the control group. The levels of serum K1 protein and insulin-like growth factor-1 in the MCI group were lower than those in the control group (P< 0.05). Both IGF-1 and K1 had predictive value for MCI (P< 0.05). The area under the curve (AUC) of IGF-1 for predicting MCI was 0.859 (95% CI: 0.790∼0.929), and the AUC of K1 for predicting MCI was 0.793 (95% CI: 0.694∼0.892). The value of joint prediction of the two indicators was the highest, with an AUC of 0.939 (95% CI: 0.896-0.993). High serum K1 and insulin-like growth factor-1 are the protective factors of cognitive impairment in MCI patients. Both IGF-1 and serum K1 proteins have predictive value for MCI, and the combination of the two indicators has the highest predictive value.