Statistical Database Research Articles

Resource budget model with Duffing oscillator for dynamics of synchronized biennial-bearing olives in the Levant

We develop and analyze a temporally continuous spatially lumped resource budget model to explain the dynamics of synchronized biennial-bearing olives in the Levant, specifically focusing on Syria, the region’s foremost olive-producing country. The model is a time-continuous counterpart of the celebrated resource budget model. It consists of a Duffing oscillator coupled with a dynamical model of pollination with an external force propelling olive growth by photosynthesis. The reference data are obtained from statistical databases of international organizations and our own observation systems in Jordan, a country neighboring Syria, providing a wealth of information to refine the model structure. An intensive review of Syria’s modern history involving significant shifts in agricultural policy and social stability leads to a conclusion that the model should comprehend the anomaly of olive yield interacting with socio-political factors as an autonomous behavior. The conventional mathematical methodology analyzes the model’s characteristics, such as solutions’ non-negativity, boundedness, and stability. The system is stable during pollination off-season but may become unstable and unbounded during pollination on-season, which is a property that the time-discrete resource budget model cannot reproduce. A significant finding is that coupling individual fruit trees by anemophily is not essential in synchronization, overturning earlier studies in the literature. The values of model parameters that best fit the historical data of olive yield in Syria result in bounded chaos. With alternative parameter values, the model could exhibit periodic oscillation, instability, or blowing up, as clearly shown in bifurcation diagrams.

Analysis of the Level of Agricultural Development in Kazakhstan: Identifying Agro-Hubs

The study examines Kazakhstan's agricultural sector and its potential for developing resilient agro-hubs, focusing on identifying regions that can contribute to the country's long-term agricultural growth. The purpose of this study is to examine essential agricultural indicators, including gross agrarian output, gross crop production, gross livestock production, and agricultural services, in order to identify regions with the potential for agro-hub development. The methodology includes Pearson correlation analysis of data collected from national agricultural reports and regional statistical databases. Data for the study were gathered from national agricultural reports and regional statistical databases, which provide quantitative measures of agricultural output, crop yields, livestock production, and farming services. Results indicate the strongest correlations between Kostanay and North Kazakhstan (0.995 for Gross Agricultural Output and 0.996 for Crop Production, p < 0.001). Additionally, significant alignment in crop production was observed between Almaty and South Kazakhstan (0.969, p = 0.007), whereas weaknesses in agricultural services were noted, particularly in Kyzylorda and Zhambyl, with a negative correlation. The results highlight the northern and southern regions' potential for forming agro-hubs supported by solid production indicators. The study provides strategic recommendations for policymakers to foster regional collaboration, enhance productivity, and promote sustainable agricultural development across Kazakhstan. Future research will focus on improving infrastructure and developing collaborative agricultural initiatives within agro-hubs to strengthen Kazakhstan's agricultural sector resilience.

Harnessing probabilistic neural network with triple tree seed algorithm-based smart enterprise quantitative risk management framework

Enterprise risk management (ERM) frameworks convey vital principles that help create a consistent risk management culture, irrespective of employee turnover or industry standards. Enterprise Management System (EMS) are becoming a popular research area for assuring a company’s long-term success. Statistical pattern recognition, federated learning, database administration, visualization technology, and social networking are all used in this field, which includes artificial intelligence (AI), data science, and statistics. Risk assessment in EMS is critical for enterprise decision-making to be effective. Recent advancements in AI, machine learning (ML), and deep learning (DL) concepts have enabled the development of effective risk assessment models for EMS. This special issue seeks groundbreaking research articles that showcase the application of applied probability and statistics to interdisciplinary studies. This study offers Improved Metaheuristics with a Deep Learning Enabled Risk Assessment Model (IMDLRA-SES) for Smart Enterprise Systems. Using feature selection (FS) and DL models, the provided IMDLRA-SES technique estimates business risks. Preprocessing is used in the IMDLRA-SES technique to change the original financial data into a usable format. In addition, an FS technique based on oppositional lion swarm optimization (OLSO) is utilized to find the best subset of features. In addition, the presence or absence of financial hazards in firms is classified using the triple tree seed algorithm (TTSA) with a probabilistic neural network (PNN) model. The TTSA is used as a hyperparameter optimizer to improve the efficiency of the PNN-based categorization. An extensive set of experimental evaluations is performed on German and Australian credit datasets to illustrate the IMDLRA-SES model’s improved performance. The performance validation of the IMDLRA-SES model portrayed a superior accuracy value of 95.70% and 96.09% over existing techniques.

Trends in Enterobacterales Bloodstream Infections in Children.

Enterobacterales bloodstream infections (E-BSI) cause a significant burden of disease in children and are associated with antimicrobial resistance. We assessed temporal changes in the population-based incidence of E-BSI in children in Queensland, Australia. We conducted a cohort study of incidents of E-BSI occurring in children in Queensland between 2000 and 2019, with a total population of 19.7 million child years. Infections were linked to clinical outcomes in hospital admissions and vital statistics databases. We estimated age- and sex-standardized E-BSI incidence rates over time. Secondary outcomes included the proportion of extended-spectrum β-lactamase phenotypes per year, hospital length of stay, and mortality. We identified 1980 E-BSI in 1795 children. The overall age- and sex-standardized incidence rate was 9.9 cases per 100 000 child years, which increased from 7.3 to 12.9 over the period studied, an increase of 3.9% (95% confidence interval: 3.1-4.7) per year. There were 3.6 cases of E. coli bloodstream infection per 100 000 child years, increasing annually by 4.7% (3.5-5.9). The Salmonella sp. bloodstream infection incidence was 3.0 cases per 100 000 child years, which increased from 2013 by 13.7% (3.8-24.3) per year. The proportion of extended-spectrum β-lactamase E. coli increased over time. Mortality and length of stay were higher among children with comorbidities than those without (4.0% vs 0.3%, and 14 vs 4 days, respectively, P < .001). The age- and sex-standardized incidence of E-BSI almost doubled in Queensland children over 2 decades, driven by increases in Salmonella sp. and E. coli. Increasing resistance of E. coli should prompt the inclusion of children in antimicrobial clinical trials.

Estimated Carbon Savings from Changing Surgical Trends in Primary Elective Total Hip Arthroplasty in England: A Retrospective Observational Study.

The National Health Service (NHS) in England has set a target to be net zero for carbon emissions by 2045. The aim of this study was to investigate how changes in key aspects of clinical practice over the last 8 years have contributed towards reducing the per-patient carbon footprint of elective total hip arthroplasty (THA). This was a retrospective analysis of administrative data. Data were extracted from the Hospital Episode Statistics database for all adult (≥ 17 years), primary, elective THA procedures conducted in England from 1 April, 2014 to 31 March, 2022. The estimated carbon footprint for key elements of the surgical pathway were calculated based on data from Greener NHS and the Sustainable Healthcare Coalition. Data were available for 537,441 THA procedures conducted during the study period. The per-patient carbon footprint associated with the primary THA (index) procedure fell by around 25% from 2014/15 to 2021/22. Length of stay was by far the largest contributor to this decline, falling from 169.1 kgCO2e to 117.6 kgCO2e per patient from 2014/15 to 2021/22. Absolute declines in the carbon footprint associated with emergency readmissions, revisions and outpatient attendances were more modest. If all patients in all years had the 2021/22 average carbon footprint, then carbon equivalent to powering 19,976 UK homes for 1year would have been saved. Improving per-patient efficiency of surgery is likely to contribute towards meeting the NHS's net-zero target whilst also helping to improve patient outcomes, reduce costs and cut waiting lists.

Canadian Dietary Intakes Assessed by Nutrient Profiling Models and Association with Mortality and Cardiovascular Disease.

Purpose: Nutrient profiling (NP) ranks foods according to nutritional composition and underpins policies (e.g.,front-of-package (FOP) labelling). This study aimed to evaluate Canadian adults' dietary intakes using proposed Canadian FOP "high-in" labelling thresholds and international NP models (i.e.,Ofcom, FSANZ, and Nutri-Score) and examine the association between intakes using international NP models and all-cause mortality and cardiovascular disease (CVD).Methods: Intakes from the Canadian Community Health Survey-Nutrition (CCHS-Nutrition) 2004 and 2015 were given NP scores and assessed against FOP thresholds. CCHS-Nutrition 2004 was linked with death records (Canadian Vital Statistics Database, n = 6767) and CVD incidence and mortality (hospital Discharge Abstract Database, n = 6420) until December 2017.Results: Foods that would require FOP labels, should there be such regulation in Canada, contributed 38% of calories. Association between NP scores and mortality was significant for Ofcom, FSANZ, and Nutri-Score (hazard ratio (HR) in highest quintile (lowest quality): 1.73, 95%CI [1.20-2.49], 1.59[1.15-2.21], and 1.75[1.18-2.59], respectively), and for CVD incidence, among males (HR in highest quintile: 2.11[1.15-3.89], 1.74[1.07-2.84], and 2.29[1.24-4.24], respectively).Conclusions: Canadians had moderately healthy intakes. NP systems could discriminate between low and high dietary quality such that adults with the lowest diet quality were more likely to experience all-cause mortality and CVD events (for males).

Development and validation of a population-based risk algorithm for premature mortality in Canada: the Premature Mortality Population Risk Tool (PreMPoRT)

IntroductionTo develop and validate the Premature Mortality Population Risk Tool (PreMPoRT), a population-based risk algorithm that predicts the 5-year incidence of premature mortality among the Canadian adult population.MethodsRetrospective cohort analysis...

Lithuanian women in Ravensbrück concentration camp

In the Lithuanian historical memory, imprisonment in Nazi concentration camps (the best known to Lithuanians is Stutthof concentration camp) is entrenched as a largely male experience. This led to the fact that not only the experience of women prisoners has faded, but also the memory of other concentration camps. The most important of these, in researching women’s experiences in Nazi captivity, is Ravensbrück concentration camp. The aim of this paper is to analyse the information available in the memorial’s internal database and online archives about Lithuanian women in Ravensbrück, not only on the basis of statistical data but also by presenting at least partially reconstructed biographies. The results of the research showed that most women of Lithuanian and Polish origin (often this origin was difficult to distinguish) related to Lithuania, the majority of whom were imprisoned in Ravensbrück, were young workers, born between 1920 and 1926, voluntarily or forcibly deported to Germany for works, having committed a certain offence. Also, women of Jewish (9), East Slavic (5), German and (2) Latvian (1) origin, born or having Lithuanian citizenship were imprisoned in Ravensbrück. Thus, a large number of women were brought to Ravensbrück not directly from Lithuania or another place of residence, but already while being in Germany. The fate of only a few women whose records of death from alleged exhaustion or murder at the end of the war have survived is known. Many women survived not only Ravensbrück but also other concentration camps and prisons, where the remaining information (prisoner cards) and post-war documents of German authorities about foreigners who came to Germany during the war have already helped to reconstruct the biographies of some women and can be used in the future while conducting research on prisoners from Lithuania and in other concentration camps.

An analysis of the burden of liver cirrhosis: Differences between the global, China, the United States and India.

Cirrhosis continues to be the most common cause of chronic liver disease-related deaths globally, which puts significant strain on global health. This report aims to investigate the patterns of cirrhosis in China, the United States, India and worldwide from 1990 to 2019 through an epidemiological analysis of the disease utilizing data from the Global Burden of Disease Study (GBD) 2019 database. Download the GBD database's statistics on liver cirrhosis deaths and Disability-Adjusted Life Years for the years 1990-2019 worldwide as well as for China, the United States and India. Utilize techniques like age-period-cohort interaction, decomposition analysis, study of health inequities, Joinpoint model and Bayesian Average Annual Percentage Change model to process the data. The main age group affected by cirrhosis disease, according to the results, is 50-69 years old. According to the Joinpoint model, there has been a negative worldwide Average Annual Percent Change (AAPC) in the burden of cirrhosis between 1990 and 2019. Only the USA's AAPC is positive out of the three nations that were evaluated (albeit its 95% confidence interval spans 0). These are China, India and the United States. Forecasting models indicate that the prevalence of cirrhosis will keep rising in the absence of government action. According to decomposition analysis, the main factors contributing to the rising burden of cirrhosis are population ageing and size, whereas changes in the disease's epidemiology slow the disease's growth. Research on health disparities indicates that, between 1990 and 2019, there was a downward trend in health disparities between various locations. Health organizations across different areas should take aggressive measures to address the worrisome prevalence of cirrhosis.

Venous thromboembolism risk in amyotrophic lateral sclerosis: a hospital record-linkage study

BackgroundVenous thromboembolism (VTE) can occur in amyotrophic lateral sclerosis (ALS) and pulmonary embolism causes death in a minority of cases. The benefits of preventing VTE must be weighed against the...

Relationship between ethnicity and multidisciplinary intervention for young people with rheumatic and musculoskeletal diseases

There is growing recognition of the impact of societal factors on health throughout a patient's lifespan. The COVID-19 pandemic has exposed the impact of racial disparity on health outcomes. We aimed to investigate the association between ethnicity and the multidisciplinary team (MDT) interventions for young people (YP) with complex care needs. This retrospective, single-centre, cross-sectional study was conducted within the department of adolescent and young adult rheumatology at University College Hospital, London, between August 2019 and August 2021. We extracted demographic, clinical and laboratory data. The index of multiple deprivation was extracted from the Office for National Statistics database. R software was used for analysis. We identified 310 YP referred to the MDT with a median age of 18 years (interquartile range 17-19). The female patient to male patient ratio was 2.4. Over a third of our cohort were from deprived areas. Comparison between Black, Asian and minority ethnic (BAME) and White ethnic groups revealed significant differences in terms of referral for pain optimisation (p=0.006), social support (p<0.00001), and adherence and non-clinic attendance (p=0.0004). Our findings reveal the importance of quality data for early identification and support of vulnerable YP, particularly those from BAME communities.

Comparative assessment of simple and detailed energy performance models for urban energy modelling based on digital twin and statistical typology database for the renovation of existing building stock

The renovation wave calls for an integrated, participatory, and neighbourhood to neighbourhood approach tailored to the local environments. This can be hindered by the lack of geometric and performance input data about the existing building stock. A parametric digital urban building energy modelling (UBEM) tool was developed for local municipalities to automate calculations for comprehensive renovation strategies utilizing public databases specifically at the neighbourhood level. This article compares the accuracy of two energy performance calculation models (seasonal heat balance method and hourly resistance–capacitance method) used within the tool to detailed energy simulation software and measured energy consumption data of existing group of residential buildings in a same neighbourhood. The accuracy for estimating the total primary energy demand was roughly below 10 % for both simplified models. The seasonal calculation method showed consistent overestimation of space heating, depending on building characteristics. Solar and internal heat gains significantly affect the accuracy of simplified heat balance calculations, particularly in well-insulated buildings, while the more detailed 5R1C lumped capacitance hourly method provides improved accuracy for space heating demand. The comparison of uniform (proportional) and project based window area distribution used in the calculation models showed only marginal difference. The study validated simple seasonal and 5R1C hourly calculation methods using data from an apartment building neighbourhood with 22 apartment buildings. Despite larger deviations in the case of individual buildings, the average deviation from measured heating demand was only around 3 %, the seasonal method slightly overestimating and the 5R1C hourly method slightly underestimating the measured values. The primary energy demand including typical values of domestic hot water and household electricity was overestimated by both simplified methods due to lower electricity and water consumption in reality although the difference was below 7 % for the entire district. This concludes that pooling the building envelope heat loss calculation on a district level improves accuracy on average allowing better assessment of comparative renovation strategies.

Mapping the Hidden Terrain of Hepatocellular Carcinoma: Exploring Regional Differences in Incidence and Mortality across Two Decades by Using the Largest US Datasets.

Background: There is an observed variation in the burden of hepatocellular carcinoma (HCC) across different US populations. Our study aims to comprehensively assess variations in HCC incidence and mortality rates across different regions of the US. Understanding these geographical differences is crucial, given prior evidence indicating variations in the incidence of viral hepatitis and metabolic dysfunction-associated steatotic liver disease and varying access to curative HCC treatment among states. Methods: HCC age-adjusted incidence rates between 2001 and 2021 were obtained from the United States Cancer Statistics (USCS) database (which covers approximately 98% of the US population). HCC age-adjusted mortality rates between 2000 and 2022 were obtained from the National Center of Health Statistics (NCHS) database (covering approximately 100% of the US population). The rates were categorized by US geographical region into West, Midwest, Northeast, and South. Incidence rates were also categorized by race/ethnicity. Time trends [annual percentage change (APC) and average APC (AAPC)] were estimated by using Joinpoint Regression via the weighted Bayesian Information Criteria (p < 0.05). Results: Between 2001 and 2021, there were 491,039 patients diagnosed with HCC in the US (74.2% males). The highest incidence rate per 100,000 population was noted in the West (7.38), followed by the South (6.85). Overall incidence rates increased between 2001 and 2015 and then significantly decreased until 2021 (APC = -2.29). Most cases were in the South (38.8%), which also had the greatest increase in incidence (AAPC = 2.74). All four geographical regions exhibited an overall similar trend with an increase in incidence over the first 10-15 years followed by stable or decreasing rates. While stratification of the trends by race/ethnicity showed slight variations among the regions and groups, the findings are largely similar to all race/ethnic groups combined. Between 2000 and 2022, there were 370,450 patients whose death was attributed to HCC in the US (71.6% males). The highest mortality rate per 100,000 population was noted in the South (5.02), followed by the West (4.99). Overall mortality rates significantly increased between 2000 and 2013 (APC = 1.90), then stabilized between 2013 and 2016, and then significantly decreased till 2022 (APC = -1.59). Most deaths occurred in the South (35.8%), which also had the greatest increase in mortality (AAPC = 1.33). All four geographical regions followed an overall similar trend, with an increase in mortality over the first 10-15 years, followed by stable or decreasing rates. Conclusions: Our analysis, capturing about 98% of the US population, demonstrates an increase in HCC incidence and mortality rates in all geographical regions from 2000 to around 2014-2016, followed by stabilizing and decreasing incidence and mortality rates. We observed regional variations, with the highest incidence and mortality rates noted in the West and South regions and the fastest increase in both incidence and mortality noted in the South. Our findings are likely attributable to the introduction of antiviral therapy. Furthermore, demographic, socioeconomic, and comorbid variability across geographical regions in the US might also play a role in the observed trends. We provide important epidemiologic data for HCC in the US, prompting further studies to investigate the underlying factors responsible for the observed regional variations in HCC incidence and mortality.

Association between surgical admissions, cognition, and neurodegeneration in older people: a population-based study from the UK Biobank

Previous studies have shown that major surgical and medical hospital admissions are associated with cognitive decline in older people (aged 40-69years at recruitment), which is concerning for patients and caregivers. We aimed to validate these findings in a large cohort and investigate associations with neurodegeneration using MRI. For this population-based study, we analysed data from the UK Biobank collected from March 13, 2006, to July 16, 2023, linked to the National Health Service Hospital Episode Statistics database, excluding participants with dementia diagnoses. We constructed fully adjusted models that included age, time, sex, Lancet Commission dementia risk factors, stroke, and hospital admissions with a participant random effect. Primary outcomes were hippocampal volume and white matter hyperintensities, both of which are established markers of neurodegeneration, and exploratory analyses investigated the cortical thickness of Desikan-Killiany-Tourville atlas regions. The main cognitive outcomes were reaction time, fluid intelligence, and prospective and numeric memory. Surgeries were calculated cumulatively starting from 8years before the baseline evaluation. Of 502 412participants in the UK Biobank study, 492 802participants were eligible for inclusion in this study, of whom 46 706underwent MRI. Small adverse associations with cognition were found per surgery: reaction time increased by 0·273ms, fluid intelligence score decreased by 0·057correct responses, prospective memory (scored as correct at first attempt) decreased (odds ratio 0·96 [95% CI 0·95to 0·97]), and numeric memory maximum correct matches decreased by 0·025in fully adjusted models. Surgeries were associated with smaller hippocampal volume (β=-5·76mm³ [-7·89to-3·64]) and greater white matter hyperintensities volume (β=100·02 mm³ [66·17to 133·87]) in fully adjusted models. Surgeries were also associated with neurodegeneration of the insula and superior temporal cortex. This population-based study corroborates that surgeries are generally safe but cumulatively are associated with cognitive decline and neurodegeneration. Perioperative brain health should be prioritised for older and vulnerable patients, particularly those who have multiple surgical procedures. The Australian and New Zealand College of Anaesthetists (ANZCA) Foundation and the University of Sydney.

The Impact of Internal Migration on HIV/AIDS Transmission in Tanzania

This study examines the complex and dynamic relationship acting between the internal migration and the spread of HIV/AIDS in Tanzania. The study uses the Tanzania HIV/AIDS and Malaria indicators Survey (2011-2012) data extracted from the National Bureau of Statistics database. The study applied multivariate and logistic regression to analyze the determinants of HIV/AIDS prevalence in Tanzania. The study found that there are marginal differentials in the HIV/AIDS prevalence between migrants and non-migrants, but considering gender-wise differences the trend is substantially significant. The infection rate is higher to migrants aged thirty and above (17.3% for male and 17.5% for female) and with no education. The study also found that the HIV/AIDS prevalence is higher for non-agricultural occupations dominated by females while males account high percentage for non-working group. This study is important to government and stakeholders for addressing the dynamic interactions, policies and programs established to reduce the migration to the spread of the HIV/AIDS. Also, this study show how the different forms of migration influence the spread of HIV/AIDS. As a suggestion, the pilot program could be crucial and cost-effective for addressing factors contributing to the spread of HIV/AIDS.

Incidence Trends in Upper Gastrointestinal Cancer in Young Adults: A Nationwide Time-Trend Analysis Using 2001-2019 US Cancer Statistics Databases.

Upper gastrointestinal (UGI) cancers, comprising malignancies of the esophagus, stomach, duodenum, pancreas, liver, biliary tract, and gallbladder, are the second leading cause of cancer-related mortality in the United States and are associated with significant comorbidities. Recent studies show a disproportionate rise in pancreatic and stomach cancer among young adults. This study aims to use a nationwide, population-based cohort to (i) evaluate the trend of all UGI cancer as an aggregate and (ii) examine the role of demographics, histology, and tumor stage in UGI cancer incidence among young adults. Individuals diagnosed with UGI cancer in the United States from 2001 to 2019 were identified and obtained from the Surveillance, Epidemiology, and End Results-National Program of Cancer Registries database. The primary outcomes were incidence rates of UGI cancer (calculated per 100,000, age-adjusted to the year 2000 US population), stratified by sex and age (< 55 years for young adults and ≥ 55 years for older adults). Trends, annual percentage change, and average annual percentage change were calculated using the parametric method. Sensitivity analysis was performed according to primary site and histology; further analysis examining race and cancer stage was performed in the young adult subgroup. A total of 2,333,161 patients with UGI cancer were identified. Most cases were male, and 14.3% were < 55 years of age. Incidence of UGI cancer increased most in women younger than 55 years, driven primarily by pancreatic and stomach cancers, as well as neuroendocrine tumor and gastrointestinal stromal tumor histology. African American race and localized tumors and malignancy with distant spread are also contributing to the disparate increase among young women. UGI mortality rates have not changed significantly in young adults. The overall incidence rate of upper gastrointestinal cancer is increasing significantly in young women compared with men. Increased endoscopic procedures and disparate exposure to risk factors are likely contributing to these trends.

Mitigating Stunting in Semarang City, Indonesia: A Comprehensive Approach to Better Health and Well-Being

Background: Among the 29 districts and 6 cities in Central Java, Semarang City stands out as the urban area with the most substantial reduction in stunting prevalence over a year (2021-2022), from 21,3% to 10.4%, while numerous regions continue to grapple with challenges in lowering rates of stunting. Aims: This study aims to investigate Semarang City's comprehensive strategy for mitigating stunting. Methods: This study used a qualitative case study approach. Utilizing focus group discussions (FGD) and document analysis, representatives from 16 diverse sectors, including health, education, religion, social services, food security, and more, engaged in discussions to synchronize activities and policies to achieve the common goal of stunting reduction. Simultaneously, a comprehensive document analysis was conducted, reviewing relevant documents, reports, and policies across 16 districts in Semarang City. Data analysis employed Miles et al.'s interactive model, involving data condensation, display, and conclusion drawing/verification. Results: The success of stunting reduction in Semarang City is highlighted by relevant regulations, an updated and accurate statistical database, intensive cross-sector coordination, and a synchronized effort across diverse sectors. Furthermore, the city's prudent financial planning is evident through sufficient and on-target budget allocations dedicated to stunting reduction programs. Conclusion: The research the importance of ongoing commitment, adaptability, and collaborative efforts to achieve the ambitious goal of zero stunting by 2024 in Semarang City, suggesting future studies focus on program effectiveness and long-term sustainability.

The variation in post-endoscopy upper gastrointestinal cancer rates among endoscopy providers in England and associated factors: a population-based study.

Post-endoscopy upper gastrointestinal cancer (PEUGIC) is an important key performance indicator for endoscopy quality. We examined variation in PEUGIC rates among endoscopy providers in England and explored associated factors. The was a population-based, retrospective, case-control study, examining data from National Cancer Registration and Analysis Service and Hospital Episode Statistics databases for esophageal and gastric cancers diagnosed between 2009 and 2018 in England. PEUGIC were cancers diagnosed 6 to 36 months after an endoscopy that did not diagnose cancer. Associated factors were identified using multivariable logistic regression analyses. The national PEUGIC rate was 8.5%, varying from 5% to 13% among endoscopy providers. Factors associated with PEUGIC included: female sex (odds ratio [OR] 1.29 [95%CI 1.23-1.36]); younger age (age >80 years, OR 0.52 [0.48-0.56], compared with ≤60 years); increasing comorbidity (Charlson score >4, OR 5.06 [4.45-5.76]); history of esophageal ulcer (OR 3.30 [3.11-3.50]), Barrett's esophagus (OR 3.21 [3.02-3.42]), esophageal stricture (OR 1.28 [1.20-1.37]), or gastric ulcer (OR 1.55 [1.44-1.66]); squamous cell carcinoma (OR 1.50 [1.39-1.61]); and UK national endoscopy accreditation status - providers requiring improvement (OR 1.10 [1.01-1.20]), providers never assessed (OR 1.24 [1.04-1.47]). PEUGIC rates varied threefold among endoscopy providers, suggesting unwarranted differences in endoscopy quality. PEUGIC was associated with endoscopy findings known to be associated with upper gastrointestinal cancer and a lack of national endoscopy provider accreditation. PEUGIC variations suggest an opportunity to raise performance standards to detect upper gastrointestinal cancers earlier and improve outcomes.

Impactos das Atividades Agrícolas em Área de Amazônia Legal: Análise Espaço-Temporal das Mudanças de Cobertura do Solo entre 1985 e 2022

The Brazilian Forest Code stipulates the conservation of 80% of forested areas on rural properties as legal reserves. However, in recent decades, the expansion of agricultural areas has resulted in significant alterations to land use and cover. The objective of this investigation is to analyze the changes and transformations that have occurred in land use and coverage in the city of Sinop-MT, which is derived from the occupation of the Brazilian Legal Amazon. The spatio-temporal change between the years 1985 and 2022 was investigated. The methodology employed to obtain the maps was through the MapBiomas Platform. Socioeconomic reports were collected from the Brazilian Institute of Geography and Statistics (IBGE) database. The results indicated that agriculture in the region advanced significantly between 1995 and 2005, corresponding to the economic boom under the Real Plan. This period saw a surge in territorial expansion in the northern region of Mato Grosso, which was encouraged by the federal government. This expansion led to high rates of deforestation. Nevertheless, in 2004, monitoring programs were initiated with the objective of containing deforestation in the Legal Amazon. This resulted in the cessation of agricultural expansion between the years 2005 and 2022.

Load Management Among Professional Hockey Goalies: A Retrospective Cohort Study.

Load management is a sports science concept describing the execution of well-established training principles to measure athletic workloads and enhance performance. The term 'load management' has become common in sports media to refer to a much wider range of scenarios, including the idea that by limiting regular season workload for athletes, their health and playoff performance will improve. Varying links between load and performance have been demonstrated in baseball and soccer. The purpose of this study was to objectively assess the impact of regular season workload on postseason performance among National Hockey League (NHL) goalies. NHL goalies with lighter regular season workloads will perform better in postseason appearances. Retrospective cohort. Level 3. NHL goalies with a minimum of 20 regular season games played and 3 playoff game appearances in the same season since 2013-2014 were eligible for inclusion. All regular season and postseason workload and performance metrics were collected from publicly available statistical databases. Workload outcomes included games started, minutes played, and shots faced. Performance outcomes included goals against average, save percentage, goals saved above average, and quality start percentage. Multivariable linear regression was used to determine whether regular season workload predicted postseason performance, when controlling for age and injury status. A total of 51 goalies contributed 111 goalie-seasons to the analysis. The results of the primary model indicated that regular season workload explained only 6.8% of the variance in postseason performance, and that this relationship was not significant (R2 = 0.068; F(5,92) = 1.335; P = 0.26). Based on data from 6 full seasons, there is no evidence to support a specific regular season game limit among NHL goalies with the aim of improved performance. Individualized workload plans may be more appropriate than a single league-wide standard.