Notes

Usefulness of permanent magnetic stimulation with regard to women stress bladder control problems: a new meta-analysis.
6days). The average annual cost/patient was €58.3K. Key cost drivers were treatment (€28.2K; 39.5% of total HCRU within one year of MM diagnosis) and hospitalisations (€22.2K; 48.6% of total HCRU costs in first year). Monthly treatment-related costs increased from LOT1 (€2.447K) and LOT5 + (€7.026K); only 9% of patients received LOT5 + . At LOT4 + , 37 distinct regimens were identified. Hospitalisation costs were higher in patients with stem cell transplantation than total population, particularly in the first year.

This study showed a high economic burden of MM in France (€72.37K/patient/year in the first year) and the diversity of regimens used in late-line treatments.
This study showed a high economic burden of MM in France (€72.37 K/patient/year in the first year) and the diversity of regimens used in late-line treatments.Guidelines of economic evaluations suggest that probabilistic analysis (using probability distributions as inputs) provides less biased estimates than deterministic analysis (using point estimates) owing to the non-linear relationship of model inputs and model outputs. However, other factors can also impact the magnitude of bias for model results. We evaluate bias in probabilistic analysis and deterministic analysis through three simulation studies. The simulation studies illustrate that in some cases, compared with deterministic analyses, probabilistic analyses may be associated with greater biases in model inputs (risk ratios and mean cost estimates using the smearing estimator), as well as model outputs (life-years in a Markov model). find more Point estimates often represent the most likely value of the parameter in the population, given the observed data. When model parameters have wide, asymmetric confidence intervals, model inputs with larger likelihoods (e.g., point estimates) may result in less bias in model outputs (e.g., costs and life-years) than inputs with lower likelihoods (e.g., probability distributions). Further, when the variance of a parameter is large, simulations from probabilistic analyses may yield extreme values that tend to bias the results of some non-linear models. Deterministic analysis can avoid extreme values that probabilistic analysis may encounter. We conclude that there is no definitive answer on which analytical approach (probabilistic or deterministic) is associated with a less-biased estimate in non-linear models. Health economists should consider the bias of probabilistic analysis and select the most suitable approach for their analyses.Size-specific dose estimates (SSDE) are the latest topic of interest in patient radiation-dose studies in computed tomography (CT). The aim of this study is to calculate and evaluate the doses (SSDE) by measuring the effective diameter (ED) of cross-sectional images collected during CT examinations of the chest and abdomen in Moroccan hospitals. Doses (SSDE) were calculated based on cross-sectional images by measuring the effective diameters of 75 patients in both examinations (45 for the thorax and 30 for the abdomen). Specific conversion factors for (ED) were used to convert the registered CTDIvol to SSDE, according to the instruction in the American Association of Physicists (AAPM) Report 204. In thoracic CT, the CTDIvol and SSDE values ranged from 5.8 to 10.7 mGy (mean 8.08) and 9.55 to 15.37 mGy (mean 12.13), respectively. For abdominal CT, CTDIvol and SSDE values ranged from 4.8 to 12.2 mGy (mean 7.95) and 8.01 to 14.15 mGy (mean 11.31), respectively. The results show that the SSDE is a useful tool and could potentially educate CT operators on its effective use as a way to optimize radiation dose instead of CTDIvol, in particular to establish diagnostic reference levels.Digital pathology (DP) is changing pathology departments dramatically worldwide, yet globally, few departments are presently digitalized for the full diagnostic workflow. Denmark is also on the road to full digitalization countrywide, and this study aim to cover experiences during the implementation process in a national context. Thus, quantitative questionnaires were distributed to all pathology departments in Denmark (n = 13) and distributed to all professions including medical clinical directors, medical doctors (MD) and biomedical laboratory scientists (BLS). For a qualitative perspective, we interviewed four employees representing four professions. Data were collected in 2019-2020. From the questionnaire and interviews, we found strategies differed at the Danish departments with regards to ambitions, technological equipment, workflows, and involvement of type of professions. DP education was requested by personnel. Informants were in general positive toward the digital future but mainly had concerns regarding the political pressure to integrate DP before technological advances are sufficient for maintaining rational budgets, workflows, and for sustaining diagnostic quality. This study is a glance on the Danish implementation process in its early stages from personnel's point of view. It shows the complexity when large new workflow processes are to be implemented countrywide and with a large diversity of stakeholders like managers, MD, BLS, IT-professionals, and authorities. To ensure best technological and economical solutions and to maintain-or even optimize-diagnostic quality with DP and workflow alignment, we suggest superior inter- and intradepartmental communication. When implementing DP countrywide, a national working group is warranted with the variety of stakeholders represented.
Drawing on correlations between the mechanomyographic (MMG) and the force signal, we devised a novel approach based on MMG signal analysis to detect voluntary activation (VA) of the synergistic superficial heads of the quadriceps muscle. We hypothesized that, after a fatiguing exercise, the changes in the evoked MMG signal of each quadriceps head would correlate with the changes in the level of VA in the whole quadriceps.

Twenty-five men underwent a unilateral single-leg quadriceps exercise to failure. Before and after exercise, VA was assessed by interpolated-twitch-technique via nerve stimulation during and after maximum voluntary contraction (MVC). The force and MMG signal were recorded from vastus lateralis, vastus medialis, and rectus femoris. The MMG peak-to-peak was calculated and the voluntary activation index (VA
), defined as the superimposed/potentiated MMG peak-to-peak ratio, was determined from the MMG signal for each head.

VA
presented a very high intraclass correlation coefficient (0.981-0.998) and sensitivity (MDC
0.42-6.97%). MVC and VA were decreased after exercise in both the exercising [MVC-17(5)%, ES -0.92; VA -7(3)%, ES -1.90] and the contralateral limb [MVC -9(4)%, ES -0.48; VA -4(1)%, ES -1.51]. VA
was decreased in both the exercising [~ -9(6)%, ES -1.77] and contralateral limb [~ -3(2)%, ES -0.57], with a greater decrease in VA
noted only in the vastus medialis of the exercising limb. Moderate-to-very high correlations were found between VA
and VA (R-range 0.503-0.886) before and after exercise.

VA
may be implemented to assess VA and provide further information when multiple synergistic muscle heads are involved in fatiguing exercises.
VAMMG may be implemented to assess VA and provide further information when multiple synergistic muscle heads are involved in fatiguing exercises.Modified Leeming and Notman agar medium (mLNA) has been widely utilized to grow lipophilic fungi belonging to the genus Malassezia. We developed a new artificial-sebum-containing mLNA to obtain higher yields of Malassezia species. The olive oil in mLNA was replaced with an artificial sebum composed of triglyceride (triolein), diglyceride (glyceryl distearate), fatty acids (palmitic acid, myristic acid, pentadecanoic acid, and oleic acid), and squalene. Furthermore, the Tween 60 was replaced with self-emulsifying glyceryl stearate. Nine human-associated Malassezia species grew well on the artificial-sebum-containing mLNA, and the most predominant fungus on human skin, Malassezia restricta, exhibited double wet cell weight in artificial sebum-containing mLNA compared to wet cell weight in standard mLNA.During dynamic and time-constrained sporting tasks performers rely on both online perceptual information and prior contextual knowledge to make effective anticipatory judgments. It has been suggested that performers may integrate these sources of information in an approximately Bayesian fashion, by weighting available information sources according to their expected precision. In the present work, we extended Bayesian brain approaches to anticipation by using formal computational models to estimate how performers weighted different information sources when anticipating the bounce direction of a rugby ball. Both recreational (novice) and professional (expert) rugby players (n = 58) were asked to predict the bounce height of an oncoming rugby ball in a temporal occlusion paradigm. A computational model, based on a partially observable Markov decision process, was fitted to observed responses to estimate participants' weighting of online sensory cues and prior beliefs about ball bounce height. The results showed that experts were more sensitive to online sensory information, but that neither experts nor novices relied heavily on prior beliefs about ball trajectories in this task. Experts, but not novices, were observed to down-weight priors in their anticipatory decisions as later and more precise visual cues emerged, as predicted by Bayesian and active inference accounts of perception.This case describes a 77-year-old woman with dysregulated type II diabetes, presenting with a prosthetic joint infection and bacteremia. Computed tomography (CT) of the pelvis and sacrum revealed manifest periprosthetic collections, suggestive of a septic arthritis with loosening of the hip prosthesis. Synovial fluid grew Fannyhessea vaginae, identified by matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS). To our knowledge, this is the first report of a prosthetic joint infection due to this organism.
Substance misuse may be elevated in some individuals with autism spectrum disorder (ASD). As yet, however, little is known about the association between autistic traits (AT) and substance use/misuse in adults. This study examined the association between AT and binge drinking (BD) among individuals in Japan.

Data were analyzed from 1452 individuals aged 18 and above collected during an online survey in February 2021. Self-reported information was obtained on BD assessed as consuming 5 or more (males) or 4 or more (females) drinks containing any kind of alcohol within a 2-h period. AT were assessed with the Japanese version of the Autism Spectrum Quotient - the AQ-J-10. Logistic regression analysis was used to examine associations.

The prevalence of past-month BD was significantly higher in individuals with AT compared to those without AT (42.7% > 27.6%). In a fully adjusted analysis that controlled for mental health (anxiety, depression) and attention-deficit/hyperactivity disorder symptoms, individuals with AT had significantly higher odds for BD once a week or more often (OR 1.54, 95%CI 1.04-2.29). AT were also associated with significantly higher odds for BD among women (OR 2.27, 95%CI 1.08-4.76), and those aged 18-34 (OR 2.37, 95%CI 1.09-5.18) and aged 60 and above (OR 2.15, 95%CI 1.02-4.53).

Individuals with AT have higher odds for BD. Increased efforts to detect alcohol use/misuse in adults with AT and AT in adults misusing alcohol may be efficacious in efforts to manage symptoms and eliminate harmful alcohol misuse.
Individuals with AT have higher odds for BD. Increased efforts to detect alcohol use/misuse in adults with AT and AT in adults misusing alcohol may be efficacious in efforts to manage symptoms and eliminate harmful alcohol misuse.
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