Percentage Of Females Research Articles

Clinical Trials in Nail Psoriasis: Cross-Sectional Analysis of the Current State of Research

Introduction: Nail involvement occurs in approximately 90% of patients with cutaneous psoriasis and in isolation in 5%-10% of patients. There is an unmet need for diagnostic and therapeutic algorithms for nail psoriasis (NP), partially due to limited number of clinical trials. Methods: The ClinicalTrials.gov, the EU, the Australian New Zealand, and the World Health Organization International Clinical Trials Registries were queried for the term “nail psoriasis”. Trial data characteristics were collected and analyzed. Results: One-hundred-twelve clinical trials were included, with mean trial length 46.7 weeks, and mean number of participants 272.7. Medications were most often studied in 97 (86.6%) trials, followed by lasers in 7 (6.3%) trials. NP Severity Index score was the most often studied outcome measure in 91 (84.3%) trials, and only 56 (52.8%) trials assessed adverse events. Only 3 (2.83%) trials included children, and many clinical trials excluded patients ages 65+ and 85+. Results were posted for 46 (41.4%) trials with mean participant age 45.1 years, mean percentage of females of 38.3%, and 87.8% of participants being White. Conclusion: Our findings highlight a need for clinical trials assessing efficacy and long-term therapeutic safety with a broad range of age groups and increased representation of minorities and female patients.

Awareness of the General population about Influenza Vaccine in Tabuk, Saudi Arabia

Objectives: Increasing national influenza vaccination rates continues to be a challenge for Saudi Arabia. Therefore, the purpose of this study was to explore the Saudi public perceptions toward seasonal influenza vaccination and their association with the rate of vaccination. Methods: This is a descriptive cross-sectional study. The study includes the general population in Tabuk, Northern Saudi Arabia. The study includes Saudi and none Saudi who speaks Arabic or English, from any age group (18-60 years), male or female, any level of education (from primary to university or more) and low, moderate or high socioeconomic level. Results: Regarding to gender, the study showed that the largest percentage of the study members are male with a percentage of (63.3 %), while there is a percentage of (36.6%) females. According to” Received influenza vaccine” there are (63.3%) of the respondents chose (Yes) and (36.6%) of the respondents chose (No). according to” Influenza vaccination is effective in preventing influenza infection” there are (53.3%) of the respondents chose (Yes), (26.66%) of the respondents chose (No) and (20%) chose (Don’t Know). Conclusion: The findings of this study suggest that the rate of seasonal influenza vaccination is moderate among the Saudi population, which necessitates the launching of public awareness campaigns about the importance of the seasonal influenza vaccine.

Trends in socioeconomic disparities in urban heat exposure and adaptation options in mid-size U.S. cities

There is ample evidence that Environmental Justice communities experience high levels of extreme heat. However, it is unknown how disparities in urban heat exposure and adaptation options change over time. This study investigates socioeconomic disparities over time in urban heat exposure and adaptation options in eight mid-sized Northeastern cities. We ask: How were socioeconomic factors associated with heat exposure and adaptation options over time? We analyzed disparities at the census block group level and census block level, respectively. At the census block group level, we ran spatial regression models between socioeconomic variables, including race, income, gender, and age, and heat exposure and adaptation variables, including land surface temperature, normalized different vegetation index (NDVI), tree cover, and air conditioning ownership rate. We found that: Low median household income is always associated with high LST and low NDVI from 1990 to 2020; Low percentage of females is always associated with high LST and low NDVI from 1990 to 2020. High percentage of POC is associated with high LST in 2010 and 2020, but not in 1990 and 2000; Low median household income and low percentage of elderly are associated with lower tree cover; High percentage of POC, low percentage of elderly, and low median household income are associated with lower AC rates. In analysis at the census block level by city, we found that disparities in urban heat exposure between predominantly POC and predominantly white communities increased in most cities during 1990-2020. Predominantly POC communities consistently have lower vegetation cover over time in most cities. Disparities in vegetation cover per unit area increased in most cities, whereas disparities in vegetation cover per capita decreased in most cities. Our findings of the trends in disparities in heat exposure and adaptation are useful for forecasting disparities in the future. These findings also suggest that interventions should prioritize cities with increasing disparities in heat exposure and adaptation.

Exploring trimethylamine n-oxide's role in coronary microvascular dysfunction and prognostic outcomes in ST-elevation myocardial infarction patients

Abstract Background Coronary microvascular dysfunction (CMD) subsequent to ST-elevation myocardial infarction (STEMI) is increasingly recognized as a determinant of adverse clinical prognoses. Despite its significance, CMD diagnosis is rare in clinical settings, mainly due to its complexity and technical challenges. Considering these challenges, this study endeavors to explore the diagnostic potential of Trimethylamine N-oxide (TMAO), a metabolite derived from gut microbiota. TMAO has been implicated in the pathogenesis of endothelial dysfunction and atherosclerosis, suggesting its utility as a novel biomarker for CMD and determining prognosis. Purpose To investigate the association between TMAO levels and CMD in STEMI patients, evaluating TMAO's utility as a biomarker for CMD and prognosis predictor. Methods In this prospective, observational study, 210 STEMI patients were enrolled. At the 3-month follow-up, these patients were subjected to comprehensive coronary physiology assessments, including measurements of coronary flow reserve (CFR), fractional flow reserve (FFR), and the index of microcirculatory resistance (IMR) via utilization of pressure-temperature sensor-tipped wires. CMD was diagnosed in patients presenting with an IMR ≥ 25 or a CFR < 2.0, alongside an FFR > 0.80. Levels of TMAO, C-reactive protein (CRP), and brain natriuretic peptide (BNP), along with other traditional biomarkers were measured at baseline, 3 and 12-month follow-up. Using the Delong test and Youden index to find optimal TMAO cutoffs for CMD detection, due to no predefined TMAO threshold. The primary endpoint was the incidence of CMD at 3 months, with the secondary endpoint being major adverse cardiovascular and cerebrovascular events (MACCE) at 12 months. Results Among enrolled patients, 85 (40.5%) were female, with a median age of 65 (IQR: 58-76). TMAO's baseline receiver operating characteristic (ROC) curve area was 0.55 (95% CI: 0.46-0.64; p=0.426), improving to 0.80 (95% CI: 0.73-0.87; P<0.001) at 3-month follow-up. An optimal TMAO cutoff of 3.91 μM achieved 75% sensitivity (95% CI: 0.63-0.86) and 82% specificity (95% CI: 0.76-0.88), outperforming BNP and CRP with ROC areas of 0.62 and 0.67, respectively. Patients were divided into low (n=140) and high (n=70) TMAO groups at the 3.91 μM threshold. A higher percentage of females was noted in the high TMAO group (55.7% vs. 32.9%; p<0.001). Clinical characteristics and risk factors like stroke and CAD history showed no significant differences across TMAO groups. Multivariable logistic regression revealed TMAO levels at 3 months as an independent predictor for CMD. A cubic spline curve indicated a marked increase in CMD odds with TMAO between 3 and 6 μM.The Incidence of MACCE was significantly higher in patients with a TMAO≥3.91 (41.4% vs 10.7%; p < 0.001). Conclusion Elevated TMAO levels 3 months post-STEMI are significantly associated with increased CMD risk, and significantly predict MACCE.TMAO as a Biomarker for CMD and MACCETMAO Cubic Spline Analysis for CMD Odds

Access to urban community mental health services: does geographical distance play a role?

Mental health challenges are a pressing concern in Australia, which account for a significant portion of the disease burden and economic costs, yet a substantial number of those affected do not utilise necessary professional support. This study evaluates distance decay effect on adults' community mental health services in North Metropolitan Western Australia and explores factors influencing service use. Data were extracted from the Mental Health Information Data Collections including the records of consumers receiving face-to-face services from the Community Mental Health Clinics in the North Metro Health Service during March 2022 to March 2023. Additionally, socio-demographic information for each suburb and population data were obtained from the Australian Bureau of Statistics. The distance between residential suburbs and clinic locations was calculated. Descriptive statistics were used to describe the characteristics of the study population. A hierarchical linear regression analysis was used to explore whether the distance of suburb to the nearest community clinic was related to service utilisation. A total of 3,453 consumers received direct services across the North Metro Health Service Community Mental Health Clinics. Findings highlighted the impact of proximity to clinics on service utilisation, with suburbs closer to clinics exhibiting higher visit rates (p = 0.004). The data also showed a strong positive correlation between gender (percentage of females in the suburb) and living in socially and economically disadvantaged areas with consumer visits per thousand residents. These findings underscore the importance of addressing accessibility barriers and tailoring mental health services to meet the diverse needs of the community.

Decreased Incidence of Radial Artery Vasospasm Using a Distal Transradial Approach in Diagnostic Cerebral Angiography: A Comparison of 200 Consecutive Cases.

Radial artery vasospasm is a common complication of radial artery catheterization. During the implementation of distal transradial approach (dTRA), we observed a decreased incidence of radial artery vasospasm on radial artery angiography following access that was not well detailed in the literature. The purpose of this study was to characterize the phenomenon of radial artery vasospasm in the context of different radial artery access points for diagnostic cerebral angiography. We retrospectively reviewed consecutive patients undergoing diagnostic cerebral angiography from September 2023 to March 2024. Hundred conventional transradial approach (cTRA) and 100 dTRA diagnostic cerebral angiograms were performed. Following sheath insertion, all angiographic runs were reviewed, and a classification scheme was used to detail radial artery vasospasm occurrence. Radial artery vasospasm was lower in the dTRA approach compared with the cTRA approach (P = .019). A change in radial artery diameter was noted in 47 (47%) patients in the cTRA group vs 28 (28%) patients in the dTRA group. Radial artery diameter distal to the sheath was smaller in the cTRA group (2.30 ± 0.41) compared with the dTRA group (2.42 ± 0.48) (P = .021). Patients with Grade II/III spasm were younger (58 years vs 62 years; P = .029) and had a higher percentage of females (77.3% vs 62.4%; P = .030). Grade II/III spasm patients had a higher percentage of the cTRA approach compared with the dTRA approach (62.7% vs 42.4%; P = .008). These procedures were significantly longer with Grade II/III procedure time of 18:00 minutes vs 15.59 minutes in the Grade I group. Number of vessels catheterized was not significantly different between groups (P = .262). dTRA for diagnostic cerebral angiography is associated with a lower incidence of radial artery vasospasm compared with cTRA. Operators seeking to obviate radial artery vasospasm may consider using the dTRA approach for diagnostic cerebral angiography.

The Relationship of Preseason Upper Extremity Function, Pain and Training on Normalized DIII Collegiate Swimming Performance.

Shoulder injuries comprise the largest proportion of swimming injuries and there is a large percentage of swimmers participating with pain. Therefore, it is assumed that shoulder pain decreases performance, but studies have not compared collegiate swimmers' performance with and without pain. 1) Determine if individual swimmer's shoulder pain and function are associated with a change in normalized swimming performance over a season.2) Determine if differences in normalized swimming performance exist among 3 collegiate teams. 3) Qualitatively describe and compare team's training regimes. Cross sectional study. Swimmers completed pre-(T1) and post-season (T2) surveys including pain ratings and shoulder function using the Kerlan-Jobe Orthopaedic Clinic (KJOC) shoulder and elbow questionnaire. Swimming times were obtained from published meet results. Coaches reported training programs through interviews and tracking logs. 52 NCAA Division III swimmers from 3 teams. Stepwise linear regression was used to determine if pain and function related to performance. Team demographics and normalized swimming performance (reduction in time per lap from season's beginning to end) were compared with ANOVAs with post-hoc tests. Initial KJOC scores, but not pain, related to individual swimming performance. Differences in team performance were found (p=0.006), with Team 3 having greatest reduction in time (1.01 sec/lap), lower percentage of females, a more experienced coach and a periodization schedule with large increases and decreases in yardage. There was a main effect (p=0.043) for baseline demographics with Team 3's swimmers being taller and having longer competitive experience. The initial KJOC score predicting swimming performance improvement demonstrates the need for athletic trainers to prioritize enhancement of pre-season function. Endurance training induced hypoalgesia and motivation may explain the lack of effect of shoulder pain on performance. Further research is needed to elucidate optimal periodization and dryland training.

Abundance, ecology and dispersal of wood bison (Bison bison athabascae Rhoads) in Yakutia

In 2006, 2011, 2013, and 2020, four groups of young wood bison, each made up of 30 individuals from Canada, were introduced to Yakutia. The bison began to reproduce at ages 2 to 3 in 2008. Their mating behavior was first noted in 2007 when they were 2 to 3 years old, and calving took place in the spring of 2008 when they were 3 to 4 years old. Between 2008 and 2023, 16 generations of calves were born from both Canadian and Yakutia-born bison. The percentage of females that gave birth varied each year, ranging from 46.2% to 92.3%, with an average of 69.3 ± 5.4%. In 2017 and 2018, some bison were released in the middle section of the Sinyaya River. By 2023, the total population of bison in the nurseries “Ust-Buotama,” “Tympynai,” and in free-ranging groups reached 348 individuals. We discuss the characteristics of pastures, plant nutrition, feeding, reproduction, reintroduction to the wild, and the distribution of bison in Yakutia and surrounding areas. Bison have adapted well to the region’s climate, which features long winters, short summers, and extremely low winter temperatures. Central Yakutia offers a broad ecological niche for bison, with shallow valley lands that have meadow and shrub vegetation. This environment supports the potential for successfully restoring the historical habitat of the Bison genus in Yakutia and nearby regions. To avoid inbreeding and preserve genetic diversity, it is crucial to regularly release animals into the wild and occasionally introduce new individuals from various parks in Canada.

Only incandescent light significantly decreases feeding of Anopheles funestus s.s. (Diptera: Culicidae) mosquitoes under laboratory conditions

Recent work has demonstrated that exposure to artificial light at night (ALAN) may alter mosquito feeding behavior and so must be considered a moderator of vector-borne disease transfer. Anopheles funestus mosquitoes are a primary malaria vector in sub-Saharan Africa, but no study to date has tested the impact of ALAN on their feeding behavior. Here we test if the exposure to commonly used household lights (compact fluorescent lights, light-emitting diodes, and incandescent lights) alters Anopheles funestus feeding. Mated, unfed female mosquitoes were exposed to a light treatment, at the onset of darkness, followed by a blood-feeding assay. The light treatments consisted of a 30-min light pulse of one of the three household lights, each in individual experimental containers, versus controls. All three household lights resulted in a reduction in the percentage of females taking a blood meal, but only mosquitoes exposed to incandescent light showed a statistically significant reduction in feeding of 19.6% relative to controls which showed a 42.8% feeding rate. Our results suggest that exposure to some household lights during the night may have an immediate inhibitory effect on Anopheles funestus feeding. By helping identify which light types lead to a suppression of feeding, the findings of this study could provide insight necessary to design household lights that can help minimize mosquito feeding on humans.

Influencing and Regulating the Estrous Cycle in Outbred CD1 Laboratory Mice (Mus musculus)

AbstractThe Whitten effect is a widely used tool for manipulating the mouse estrous cycle and generating reproductively active females within the laboratory setting. Typically, peak numbers of sexually receptive mice occur following exposure to male pheromones, resulting in a higher number of successful copulations on the third day after exposure. Although this method has improved efficiencies, the percentage of females mated and subsequently deemed to be pregnant/pseudopregnant remains relatively low, around 50%. In experiment 1, we aimed to 1) further understand cyclicity; 2) determine whether the initial cycle stage plays an importance on day 3 receptivity; and 3) identify any repetitive patterns/cycle stabilization. Mice (n = 27) were assigned to group cages according to cycle stage (proestrus, estrus, metestrus, diestrus). Experiment 2 was developed to determine an optimum treatment to promote receptivity by exposure to various pheromone stimuli. Mice (n = 45) were randomly assigned to 5 treatment groups (PBS-treated sham soiled bedding, male soiled bedding, live male, pregnant females, and lactating females). In both experiments, daily vaginal cytology was performed for 21 days to determine the cycle stage. Results from experiment 1 indicate that the initial cycle stage did not contribute to day 3 receptivity, although synchronization within several groups/cages was noted, and that the greatest numbers of estrous animals were obtained on days 6 and 7. Experiment 2 revealed that exposure to live males and lactating females both significantly improved receptivity compared with the PBS, male soiled bedding, and pregnant female groups. These results indicate that current strategies used for routine synchronization could be further improved through alternative housing regimens without compromising animal welfare.

Magnetic Resonance Imaging-Based Vertebral Bone Quality Score for Prediction of Cage Subsidence and Screw Loosening in Patients Undergoing Degenerative Lumbar Surgery: A Meta-analysis.

Poor bone quality is a risk factor for postoperative complications after degenerative lumbar fusion surgery. The magnetic resonance imaging-based vertebral bone quality (VBQ) score is a good tool for assessing bone quality, and this is the first meta-analysis performed to summarize the predictive value of the VBQ score for cage subsidence and screw loosening in patients undergoing degenerative lumbar surgery. Studies were comprehensively searched in electronic databases. The quality of the studies was assessed. The pooled sensitivity, specificity and summary receiver operating characteristic curve were calculated. Publication bias was assessed and meta-regression was conducted. We ultimately included 9 studies with a total of 1,404 patients with a mean age of 60.4 years and a percentage of females of 57.0%. According to the QUADAS-2 (Quality Assessment of Diagnostic Accuracy Studies 2) tool to assess methodological quality, the quality of the included studies was relatively low and risks of bias might exist. Results showed that a high VBQ was significantly associated with cage subsidence and screw loosening, and risk factor analysis revealed that the merged odds ratio was 5.37 for cage subsidence and 3.87 for screw loosening. With a VBQ cutoff value of 3.34±0.45, the pooled sensitivity and specificity for the diagnosis of postoperative complications were 0.75 and 0.75, respectively, and the area under the curve was 0.82 (95% confidence interval, 0.78-0.85). A high VBQ was associated with a high risk of cage subsidence and screw loosening in patients who underwent degenerative lumbar surgery. The VBQ score could be considered for identifying high-risk patients for further evaluation.

PRESET thrombectomy device outcomes in patients with acute ischemic stroke: A systematic review and meta-analysis.

Many devices are used to perform mechanical thrombectomy in the setting of large vessel occlusion acute ischemic stroke. We sought to evaluate the efficacy and safety of pRESET stent-retriever systems. We conducted a comprehensive systematic review and meta-analysis following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Relevant studies up to March 2024 were retrieved from PubMed, Scopus, Web of Science, and Embase databases. A total of 8 papers met the inclusion/exclusion criteria comprising a total of 1140 participants (average age 72.4 ± 11.9, female percentage (50%). Preintervention intravenous thrombolysis was utilized in 46.5% (range 32.9-65.4) of patients, with a median National Institute of Health Stroke Scale at presentation of 15 (range 0-38). The middle cerebral artery was the most commonly affected artery, with a prevalence of 76.4% (range 62.8-100). The pRESET stent-retriever systems demonstrated a first-passing effect rate of 53.4% [95% confidence interval [CI] 44.8; 61.7] and a final thrombolysis in cerebral infarction 2b-3 grade rate of 90.41% [95% CI 82.13; 95.08]. Ninety-day modified Rankin Scale (0-2) rate was 42.2% [95% CI 27.6; 58.4], and 90-day mortality rate was 15.1% [95% CI 9.8; 22.6]. Postintervention hemorrhage occurred at a rate of 28.6% [CI 17.2; 43.6]. Our systematic review and meta-analysis describes the efficacy of the pRESET stent retriever system in managing acute ischemic stroke patients. The pRESET device was found to have a similar safety and efficacy profile to other mechanical thrombectomy devices currently in use.

Ratio changes in blood-feeding and voltinism in black flies (Diptera: Simuliidae) over a latitudinal gradient in North America north of Mexico.

We explored how the ratio of blood-feeding behaviour-nonfeeding, bird feeding (ornithophily) and mammal feeding (mammalophily)-and voltinism (univoltine and multivoltine) vary over a latitudinal gradient from Alaska to Florida. These two fixed species traits were divided into five mutually exclusive combinations of trait states-nonfeeding/univoltine, ornithophilic/univoltine, mammalophilic/univoltine, ornithophilic/multivoltine and mammalophilic/multivoltine-within each of three datasets (north, east and west). We found a significant association between location (north, east and west) and trait state, which was driven by the large percentage of nonfeeding females in the north. When this trait state was removed, no significant differences were found for the remaining trait states and locations. Although the distribution of trait states did not differ between east and west datasets, the distribution with relation to 1° changes in latitude within each of these datasets showed distinct differences. In the east, both ornithophilic/univoltine and mammalophilic/univoltine species significantly increased with latitude, in proportion to the total species present. In contrast, the proportion of mammalophilic/multivoltine species decreased as latitude increased. Ornithophilic/multivoltine species in the east and the trait states in the west did not show any significant relationship to latitude.

Pain, Function and Quality of Life in Temporomandibular Disorder Patients With Different Disc Positions.

Whether pain, jaw function and quality of life are correlated with disc positions is controversial, and similar studies evaluating disc positions by magnetic resonance imaging (MRI) are very limited. This study evaluated the pain, mandibular function and quality of life of the temporomandibular disorders (TMDs) patients with different disc positions according to MRI, and the relationship among them. Three hundred and thirty-five participants were included. Patients completed questionnaires included the Numeric Rating Scale (NRS), Jaw Functional Limitation Scale 8-item (JFLS-8), the Generalised Anxiety Disorder 7-item (GAD-7), Patient Health Questionnaire 9-item (PHQ-9) and Oral Health Impact Profile for TMD (OHIP-TMD). MRI was conducted to evaluate these diagnoses, resulting in the identification of three distinct categories: normal positioning (NP), disc displacement with reduction (DDwR) and disc displacement without reduction (DDwoR). Participants had the mean age of 28.55 ± 11.10 years (80.90% women). DDwR and DDwoR had a higher percentage of females compared with NP. Significant differences existed among patients in all questionnaires. The DDwoR group had significantly the highest pain, functional limitation and the worst quality of life. Moreover, they experienced the most difficulties in chewing tough foods, yawning, experiencing pain and psychological discomfort. Moreover, the multivariate regression showed that age, female gender, diagnosis as DDwoR, GAD-7 and PHQ-9 were significantly linked to higher functional limitation. Worse quality of life was associated with age, diagnosis as DDwoR, GAD-7 and PHQ-9. Among patients with different disc positions, DDwoR showed the highest pain, functional limitation and the worst quality of life. Also, NP showed a proportion of chronic pain. Physical pain, psychological discomfort and chewing tough food were regarded as the most impaired. Women who experience anxiety and depression tended to have a higher propotion of dysfunction and a lower quality of life.

Response of maiden ewes to the ‘ram effect’ is a robust management practice and a candidate selection trait for enhanced reproductive performance in drylands

Management of reproduction that relies on naturally based solutions is extremely important to counter the negative perception around hormone-based interventions. In Mediterranean latitudes and wider regions of non-tropical drylands, sheep do not normally ovulate during spring but exposure to a ram can induce oestrus and ovulation. This study assesses the response of maiden Barbarine ewes in drylands to the ‘ram effect’ during springtime and estimates the genetic parameters of this response. The study uses a database documenting, for 24 consecutive years, the response of nulliparous 18-month-old ewes when mated after stimulation by the ‘ram effect.’ In addition to the oestrous and fertility database, a pedigree database was also available. Nearly half of the maiden ewes responded to the ‘ram effect,’ while 24% exhibited spontaneous reproductive activity and displayed oestrus during the first 14 days following the introduction of rams. Nearly 5% of females did not exhibit oestrus, and these animals are proposed for early culling. Average annual values of Normalised Difference Vegetation Index (NDVI), reflecting vegetation cover, and the percent of maiden ewes spontaneously cycling were positively correlated (P = 0.006). Interestingly, NDVI was negatively correlated with the percentage of anoestrus females that did not respond to the ‘ram effect’ but exhibited oestrus beyond the hypothetical time frame commonly used to describe it. Average fertility was 82.8% and was significantly affected by mating year, live weight at mating, and the response to the ‘ram effect.’ The highest fertility (88.39%) was for females spontaneously cycling at the time of ram introduction, and the lowest (83.35%) was for females coming into oestrus beyond the time frame for a ram-induced oestrus and ovulation. Heritability from a univariate logit-transformed analysis for fertility was 0.10 and the genetic correlation between fertility and the interval between ram introduction and oestrus was 0.26, suggesting that a shorter interval is associated with higher fertility. Thus, the interval between ram introduction and oestrus is a good candidate for selective breeding for high fertility of maiden ewes in drylands mated out-of-season using the ‘ram effect.’

A - 12 Neuropsychological Test Best Fit for Identifying on-the-Road Driving Behaviors in Normal and Abnormal Aging Populations: a Systematic Review

Abstract Objective This systematic review’s purpose is to identify neuropsychological assessments that are accurate at predicting driving behaviors in geriatric populations. The population included normal aging, mild cognitive impairment (MCI), and dementia. Data Selection PubMed and APA PsycNet databases were searched using two separate keyword searches: cognitive evaluation and driving behaviors and aging; neuropsychological test and driving behaviors and aging. The databases were searched March 10, 2024, and again on April 26, 2024. This yielded 278 articles. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method was used to identify articles. Articles were excluded if they did not have on-road driving behaviors or simulated driving behaviors, neuropsychological test, if the average participant age was not geriatric, or if it was a non-peer reviewed article. Data Synthesis After following PRISMA selections, eight articles were included, creating a combined sample size of 927 (Mean age = 74.16, SD = 2.38; mean years of education = 14.17, SD = 1.09; female percentage = 40.78). The test deemed most correlated were Neuropsychological Assessment Battery: Driving Scene Test, Clock Drawing, Useful Field of View, Trail making task, Mini-Mental State Exam, verbal and visual memory components from the Wechsler Memory Scale, Rey-Osterrieth Complex Figure, and Maze Navigation Task. Conclusion General cognitive screening tests as well as visuomotor, visual–spatial, visual attention and verbal and non-verbal memory tests highly correlate with real driving behaviors and accurately predict on-the-road driving behaviors. This indicates the cognitive and behavioral complexity of driving. Though these tests accurately predict driving behaviors, their abilities to do so may differ depending on cultural groups.

Thirty-five Years of Reporting of Sex and Race in Clinical Studies of U.S. FDA-Authorized Orthopaedic Devices.

At the U.S. Food and Drug Administration (FDA), the mission of the Center for Devices and Radiological Health (CDRH) is to ensure that all patients and providers have timely and continued access to safe, effective, and high-quality medical devices and safe radiation-emitting products. Although the CDRH has observed enrollment differences in some clinical trials, no systematic analysis has been conducted regarding enrollment differences in baseline demographics, to our knowledge. The CDRH has summarized information on study participants and their baseline demographics in public-facing documentation for all authorized medical devices that involved orthopaedic clinical studies from 1985 to 2020. Descriptive analyses and exploratory statistical testing have been conducted to investigate the reported percentages by sex and race compared with those reported in the U.S. National Census and the American Joint Replacement Registry (AJRR), respectively. We identified 94 submissions and corresponding combined clinical trials from 261 original clinical study arms with 34,193 participants. Most of the submissions reported age and sex, while only 36 submissions (38.3%) reported racial demographics. Among the 88 trials providing enrollment by sex, the female enrollment percentage ranged from 22.2% to 88.7%, with a mean of 55.0%. In the submissions that reported racial data (38.3%), White and Black patients had a mean enrollment of 89.2% (range, 64.8% to 98.7%) and 6.2% (range, 0.4% to 20.7%), respectively. The enrollment for other minority groups ranged from 0% to 3.0%. These clinical trials have shown numerically lower female representation (55.0%) but higher White representation (89.2%) than what has been reported in the AJRR. The other racial groups have participated much less than their corresponding percentages in the U.S. population, but they are similarly represented in the AJRR. The clinical trials supporting the FDA's authorization of orthopaedic devices had a wide range of sex and racial enrollments. It appears that female enrollment mirrors the percentage of women in the U.S. population. However, despite prior efforts, some racial groups are still underrepresented. The FDA has made a commitment to advancing health equity as part of the 2022-2025 Strategic Priorities of the CDRH. We hope that the results of this study will help health-care professionals make informed clinical decisions when using medical devices.

Frequency of Cerebral Aneurysm in patients with subarachnoid hemorrhage on CT Cerebral Angiography.

To determine the frequency of cerebral aneurysm in patients with subarachnoid haemorrhage on CT cerebral angiography. This prospective cross-sectional study was conducted at Department of Radiology, JPMC, Karachi from 5th June 2022 to 30th January 2023. Total 176 patients with subarachnoid haemorrhage irrespective of gender were selected. CT angiography of cerebral vessels was performed. Cerebral aneurysm was noted as per operational definition and recorded. Age range was from 18 to 60 years. Mean age was 39.516±6.77 years, Mean BMI 29.630±3.08 Kg/m2. and mean duration of symptoms was 7.721±2.40 days. Male patients were 80.1% and females were 19.9%. Cerebral aneurysm was observed in 91.4% female and 78.7% male patients. Aneurysmal percentage was slightly higher in younger (18-40 years) age group (84.2% vs 80.4%) as compared to older (40-60) age group but statistically not significant. Although total percentage of female was quite less 19.9% (n=35 vs n=141 male), in this lesser female percentage, aneurysmal detection was higher as compared to male gender (91.4% vs 78.7%). Distribution of aneurysms according to vessel involved was; 28.7% along anterior communicating artery, 28.3% related to middle cerebral artery and, 22.9% were along posterior communicating vessel. Rest was distributed among other vessels including tip of basilar artery. In Our study aneurysms was seen 81.3% in patients of subarachnoid hemorrhage having CT angiography at our center in Karachi Pakistan.

Emotion Regulation and Academic Burnout Among Youth: a Quantitative Meta-analysis

Emotion regulation (ER) represents an important factor in youth’s academic wellbeing even in contexts that are not characterized by outstanding levels of academic stress. Effective ER not only enhances learning and, consequentially, improves youths’ academic achievement, but can also serve as a protective factor against academic burnout. The relationship between ER and academic burnout is complex and varies across studies. This meta-analysis examines the connection between ER strategies and student burnout, considering a series of influencing factors. Data analysis involved a random effects meta-analytic approach, assessing heterogeneity and employing multiple methods to address publication bias, along with meta-regression for continuous moderating variables (quality, female percentage and mean age) and subgroup analyses for categorical moderating variables (sample grade level). According to our findings, adaptive ER strategies are negatively associated with overall burnout scores, whereas ER difficulties are positively associated with burnout and its dimensions, comprising emotional exhaustion, cynicism, and lack of efficacy. These results suggest the nuanced role of ER in psychopathology and well-being. We also identified moderating factors such as mean age, grade level and gender composition of the sample in shaping these associations. This study highlights the need for the expansion of the body of literature concerning ER and academic burnout, that would allow for particularized analyses, along with context-specific ER research and consistent measurement approaches in understanding academic burnout. Despite methodological limitations, our findings contribute to a deeper understanding of ER's intricate relationship with student burnout, guiding future research in this field.

Pain Perception and Anesthesia Requirements in Diode Laser vs. Traditional Methods for Second Stage Implant Exposure

Using a 940nm diode laser or traditional methods, second-stage implant exposure involves removing soft tissue above the dental implant to expose the implant fixture and complete the implant procedure. This study included twenty-three patients (43.5% of whom were males, and the female percentage was 56.5%), aged between 18 and 70 years, who had at least two implants (3-6 months after implant insertion). Implant exposure was performed in case 1, using the traditional methods of puncture, flap, or incision, and in case 2, using a 940 nm diode laser. The study took place in Baghdad, Iraq. The results showed that the average pain in the laser group was 1.48, which was less than the average pain in the traditional group, which was 3.70. The pain scores that patients immediately reported for the laser cases were between 0 and 3, while the pain scores for the conventional cases were higher, ranging from 2 to 6. This was statistically significant in favour of the laser cases. All patients using the traditional method required infiltration anaesthesia, while 20 patients were satisfied with topical anaesthesia in the diode laser cases; this was statistically significant, favouring the laser method. This study revealed that the 940 nm diode laser is more efficient than the conventional method regarding the patient's perception of pain and the need for infiltration anaesthesia.