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At least 19 recordsLinked to original sources

PubMed1979

Trend analysis of jaw jerk action potential-amplitude data.

The amplitude of the jaw jerk action potential (MSP) is a parameter with potential diagnostic value. It has apparently a large and irregular variation which has not yet been subjected to a thorough analysis. It is important to know if samples of MSP contain trends. The occurrence of trends indicates that the average value is influenced in a principally different way by changes in the number of observations per sample than if trends do not occur. If, for instance, there is a positive linear trend in the data, this means that the average value is larger if the number of observations is small. Samples of MSPs therefore were recorded, using surface EMG electrodes in the masseter and the anterior temporal muscles of young and elderly subjects, and subjected to trend analysis. Trends of the 1--4th grade occurred in 51% of the samples. Both positive and negative linear trends were found and had about the same frequency. The trend components were, however, randomly distributed. Comparisons between groups may therefore be made without the claim of trend-free samples. This significantly facilitates the use of the parameter MSP-amplitude, since it is difficult to obtain samples which have a normal and identical distribution.

Action Potentials↗

PubMed1979

Secular trends in human growth, maturation, and development.

Rates of growth during childhood have increased considerably during the past 50-100 years. Because they are associated with increased rates of maturation, these size increases are maximal at ages when recently measured groups are pubescent but those measured in the past had not reached pubescence. Large secular increases in rates of growth and maturation have occurred in all developed countries but not in many other countries. There have been secular increases in recumbent length at birth in Italy and France but little change in the United States. The secular increase in childhood stature is much more obvious, being about 1.5 cm/decade for 12-year-old children, although for young adults the secular increase in stature has been about 0.4 cm/decade in most developed countries. In the United States these trends have been similar for blacks and whites during childhood but greater for black men than white men. Similarly, secular trends in birth weights have been small, but there have been large trends for children (about 1.5 kg/decade for 12-year-olds). These secular changes in size have been associated with an acceleration of maturation that is most evident in the 0.3 years/decade advancement in age at menarche. This advancement has now ceased in Norway and England. The changes in body proportions during recent decades are less marked than those in body size. Leg length, particularly the length of the thigh, seems to have increased more than stature in men but not women; chest circumference has increased more rapidly than stature in each sex. The relationships between stature and weight have changed in different ways in various national groups. Similarly, the relative changes in head length and head breadth vary with the groups studied. Few sets of data allow conclusions about possible secular trends in body composition, but subcutaneous fat thicknesses have increased, especially at the upper percentiles. Also strength, which reflects muscle mass, has increased absolutely, although it has decreased relative to stature. Undoubtedly the secular trend is due to various factors; the identification of causes is necessarily speculative. Changes in nutrition alone could not account for the trends which exceed the original socioeconomic differentials. In the United States, there have been per capita increases in the intake of protein and fat from animal sources, decreases in carbohydrates and fat from vegetable sources, and little change in caloric intake. It is not clear that these changes constitute better nutrition. The secular trends could reflect environmental improvements, specifically changes in health practices and living conditions leading to improvements in mortality rates and life expectancy. These factors are interrelated with those concerning family size. Also genetic factors, especially heterosis, may have played a small role in causing the secular trends...

Body Composition↗

PubMed1975

Time trends and periodic cycles in REM sleep eye movements.

Eye movements during REM sleep episodes were tabulated in 16 young adults. REM episodes were then broken down into four ranges according to length in min: (1) 11.0-21.3; (2) 21.7-29.7; (3) 30.0-42.3; (4) 42.7 or longer. These data were then analyzed for linear and quadratic trends. Eight episodes had a significant linear trend, 10 had a significant quadratic trend, 7 had both linear and quadratic trends, while 12 had no trend. The residuals from the best-fitting polynomial curve were then subject to a spectral analysis. In addition, 2 long periods of pre-sleep wakefulness (approximately 2 h each) were also analyzed. In general, the spectral analysis revealed the dominant presence of a slow cycle (period of 10 min to about 30 min) the exact period of which varied according to the length of the REM episode. A binomial probability test indicated that the presence of slow cycles was significant in REM episodes except for those in the 21-30 min range. For the episodes of wakefulness, a dominant slow cycle was found in both cases. The results give the impression of similarity in the periodic organization of eye movements during REM sleep and waking. The data also indicated that an ultradian (70-150 min) cycle was present in eye movements during sleep and waking. Further, the finding of a decrease in eye movements before sleep onset, coupled with previous reports of an increase in eye movement after sleep onset, indicate the presence of a circadian cycle.

Adolescent↗

PubMedDate not supplied

The growth of London schoolchildren 1904-1966: an analysis of secular trend and intra-county variation.

Height and weight were measured on 299,303 children involved in eleven London County Council Surveys dating from 1904 to 1966. This paper describes the historical background to these surveys, the secular trend towards increasing heights and weights and a decreasing age at menarche, and the variation of height and weight between parts of the county. All the surveys were cross-sectional, but that of 1966 included yearly velocity data on 13,806 children. Means for height and weight by age and sex were adjusted to the exact half year to allow comparison of all surveys. Menarcheal age was determined by probit analysis on status quo data in 1954, 1959 and 1966. Intra-county comparisons were based on the Divisional Index of the nine Area Health Divisions of the County. The results indicate an end to the positive secular trend for height and weight at about the same time as the previously reported end to a decreasing age of menarch in London girls. Intra-county comparisons indicated different rates of secular trend within different areas favouring those children who were the smallest and lighest in 1949. The end of the secular trend is thought to be due to genetic factors and intra-county changes to improve environmental conditions.

Adolescent↗

PubMed2025

Medical genetics and genomics residency programs: Trends in applications, match rates, and matriculation from 2015 to 2024.

PURPOSE: This report analyzes Medical Genetics and Genomics (MGG) training trends from 2015 to 2024. Understanding such trends is vital for developing targeted recruitment and workforce development initiatives. METHODS: Matriculation data from the American Board of Medical Genetics and Genomics (ABMGG) and publicly available data from the National Resident Matching Program (NRMP) Main Residency and Specialty Matches were reviewed. Descriptive statistics and linear regression analysis were used to compare growth among MGG training pathways and to analyze trends. RESULTS: From 2015 to 2024, there has been a small, but not statistically significant, increase in the total number of individuals who have matched into categorical MGG, combined Pediatrics (Peds)-MGG, and combined Internal Medicine (IM)-MGG residency programs as a whole. This has been driven by an increase in the number of matches to combined Peds-MGG programs. Matriculation into training programs has exceeded the number of matches in categorical MGG as some positions have been filled outside of the NRMP Match. The average match rate for all applicants in categorical MGG (87%) has been higher than that for Peds-MGG (52%). CONCLUSION: Growth in applicants to combined programs and matriculation into residency programs after the NRMP Match has been promising; however, these increases are not enough to fulfill growing workforce demands.

Internship and Residency↗

PubMed1978

Increases in laryngeal cancer in Britain and Australia in relation to alcohol and tobacco consumption trends.

The incidence of laryngeal and oesophageal cancers has recently risen in Britain and Australia, particularly in younger people, after many decades of steady decline. In view of accruing evidence that head-and-neck cancers are causally related to alcohol and tobacco consumption, particularly in combination, it seems that the upsurge in consumption of alcohol and cigarettes after the 1939-45 war is now reflected in the increases in these two cancers, particularly in young women. The time-trends in sex-specific mortality from cancers of the larynx and oesophagus throughout this century, in both Britain and Australia, show strong correlations with alcohol consumption. By reference to inter-country differences in consumption trends, to differences in consumption of alcohol and cigarettes, to sex differences in cigarette consumption, to trends in types of alcoholic drink consumed, and to the mortality experienced of successive generations, the evidence that alcohol is causally related to laryngeal cancer is strengthened.

Adult↗

PubMed1977

A review of directionality trends in the horizontal dimension as a function of innate and environmental factors.

This report reviews research on directionality trends in the horizontal dimension. The literature reviewed shows that such trends are predominantly a function of handedness and acquired reading-writing habits and that innate directional tendencies of left-handers are more influenced by acquired habits than those of right-handers. It is suggested that these trends may reflect some aspect of lateralization of cerebral function and that in mature adults the mixed-dominance left-handers are more influenced by environmental factors than are right-handers. Suggestions for future research include utilization of larger samples of left-handers and employment of longitudinal studies which systematically vary handedness and reading and writing habits. It is also suggested that controls for lateral dominance should be established. In addition it is suggested that reading and writing habits can be broken down into component parts and that their influence on directionality should be examined.

Adolescent↗

PubMed2026

Temporal Trends and Spatial Variation in Preterm Prelabour Rupture of Membranes: A Population-Based Study.

OBJECTIVE: To describe the temporal trends in Preterm prelabour rupture of membranes (PPROM) in metropolitan France and the geographical distribution at the administrative division level. DESIGN: Exploratory population-based study using administrative data of the French National Health Data System. SETTING: Metropolitan France, 2015 to 2023. POPULATION: Pregnancy with a diagnosis of PROM before 37 SA. METHODS: Annual crude incidence of PPROM was calculated by dividing the number of pregnancies with PPROM diagnosis by the number of live births recorded during the same period. Annual trend was estimated by a binomial negative mixed model. Smoothed standardised incidence ratios were estimated based on a BYM2 model, which accounts for spatial variability between departments. MAIN OUTCOME: PPROM cases, defined as pregnancies with first hospitalizations with a diagnosis of PROM before 37 weeks. RESULTS: Over the study period, we included 150 615 PPROM cases representing 16 735 (±596) per year. Incidence of PPROM cases showed an ascending trend over time (incidence rate ratio 1.023 per year; 95% CI: 1.017-1.030) with an annual crude incidence ranging from 2.2% in 2015 to 2.7% in 2023. A decrease in the incidence was observed in 2020 relative to other years (incidence rate ratio 0.903, 95% CI: 0.887-0.920). A map of smoothed SIRs of PPROM cases at the French administrative division level revealed geographical inequalities. CONCLUSIONS: This first population-based study describing PPROM cases in metropolitan France paves the way for further studies to explore environmental hypotheses. Identifying temporal and geographical disparities in PPROM incidence is relevant to public health policy and practice as such disparities argue for the development of targeted prevention strategies in high-risk areas.

French national health data system↗

PubMed2026

Comprehensive in silico genomics analysis of global trends and host-specific emergence of aminoglycoside resistance in Staphylococcus aureus: a One-Health perspective.

BACKGROUND: Aminoglycosides remain clinically valuable against Staphylococcus aureus. Aminoglycoside resistance in S. aureus represents a critical One Health concern and is primarily driven by aminoglycoside-modifying enzymes (AMEs), which are frequently plasmid-encoded. Although regional studies have provided valuable insights, the global epidemiology of aminoglycoside resistance determinants remains poorly characterized because comprehensive data integrating human, animal, and environmental reservoirs are still lacking. This study addresses this gap by analyzing over 110,000 S. aureus genomes (2000-2025) to map the global resistome, quantify temporal and host-specific trends, and assess the association between genetic determinants and phenotypic resistance. METHODS: We performed a retrospective One Health meta-analysis of 110,309 S. aureus genomes collected between 2000 and 2025 from 128 countries. Genomes were quality-filtered and aminoglycoside resistance determinants were identified using NCBI AMRFinderPlus (v4.0.23). Multilocus sequence typing and host-source harmonization (Human, Animal, Environment, Unknown) enabled clonal and reservoir stratification. Temporal trends in gene prevalence and resistance burden were modeled with robust regression. Geographic and host-associated structuring of key genes was assessed via χ2 and enrichment tests. Machine-learning models (elastic-net, random forests, XGBoost) were benchmarked for minimum inhibitory concentration (MIC) prediction via nested cross-validation, with performance evaluated by mean absolute error, RMSE, and SHAP-based feature importance. All analyses were conducted in R and Python using publicly available, de-identified genomic data. RESULTS: Aminoglycoside resistance-associated genes were dominated by modifying enzyme determinants, with ant(6)-Ia, ant(9)-Ia, aph(3')-IIIa, sat4, aadD1, and aac(6')-Ie/aph(2'')-Ia occurring in 14-22% of isolates worldwide. Temporal analysis revealed significant declines in several major determinants, most notably ant(9)-Ia (-2.22 percentage points per year, p < 0.001), whereas apmA exhibited a non-significant decreasing trend in animal isolates. Host structuring was marked: human clinical isolates concentrated common determinants, while animal and environmental isolates harbored rare alleles (apmA, spw, str, spd). Geographic mapping confirmed near-universal distribution of common genes but focal restriction of rare ones. Publicly available phenotypic data indicated strong activity of amikacin, whereas gentamicin showed a distinct resistant subpopulation that closely corresponded with AME gene carriage. Genotype-phenotype analyses demonstrated strong concordance, with gene-rich complements predicting resistant MIC strata and absence of determinants predicting susceptibility. Analysis across different gene classes revealed frequent co-occurrence of aminoglycoside resistance genes with determinants from other classes, such as mecA, blaZ, and MLS_B, embedding them within multidrug-resistant (MDR) genomic contexts. CONCLUSION: Over 25 years, the prevalence of aminoglycoside resistance-associated genes in S. aureus has declined for several common determinants, while rare veterinary-linked alleles are emerging in animal isolates. Strong genotype-phenotype concordance supports genomic prediction for gentamicin and amikacin, where MIC data are available, although phenotypic confirmation remains essential. The frequent co-occurrence of aminoglycoside resistance genes with other antimicrobial resistance determinants indicates their integration within co-occurrence patterns of MDR genes, defined here as clusters of co-occurring resistance genes often carried on shared mobile genetic elements. These patterns highlight the need for integrated One Health surveillance combining clinical, veterinary, and environmental monitoring with plasmid-context resolution to anticipate emerging threats.

Aminoglycosides↗

PubMed2025

Global burden of peripheral arterial disease (1990-2021), global burden trends and the impact of blood lead on peripheral arterial disease: a multidimensional analysis based on NHANES, GBD, and Mendelian randomization.

OBJECTIVE: Peripheral arterial disease (PAD) is a common cardiovascular disease that it is an important reason for the decline of patients' quality of life and the increase of family economic burden. To systematically evaluate the association between environmental lead exposure and peripheral arterial disease (PAD) and to characterize the global distribution of PAD disease burden, while exploring differences among regions with varying socioeconomic development. METHODS: Using data from the National Health and Nutrition Examination Survey (NHANES), the Global Burden of Disease (GBD) database, and genome-wide association studies (GWAS), we employed multivariable logistic regression to examine the link between lead exposure and PAD. Mendelian randomization (MR) was used to infer causality, and we analyzed PAD disease burden trends across countries of differing income levels. RESULTS: The burden on PAD patients worldwide shows a downward trend. In high SDI and high middle SDI countries, the burden of PAD gradually decreases, while in low middle SDI and low SDI countries, the burden of PAD gradually decreases. After adjusting for potential confounders, a significant dose-response relationship was observed between blood lead levels and PAD risk (OR = 1.04, 95% CI: 1.00-1.09). This association was more pronounced among males (OR = 1.07, 95% CI: 1.05-1.09), individuals with higher education (OR = 1.24, 95% CI: 1.16-1.32), and patients with hypertension (OR = 1.07, 95% CI: 1.05-1.09). MR analysis supported a causal link between lead exposure and PAD. Global trend analysis indicated that PAD burden is declining in high-income countries but rising in low-income regions, highlighting significant health inequities. CONCLUSION: Environmental lead exposure is significantly associated with increased PAD risk, with notable differences in population susceptibility. These findings underscore the necessity of environmental exposure control and tailored prevention strategies to enhance cardiovascular health worldwide.

Humans↗

PubMedDate not supplied

The dynamics of trends in drug use in Australia.

Drug use tends to follow cycles. Monitoring may be used to establish the trends over time and to analyse their dynamics. An approach is described which establishes the stage of adoption or discontinuance of drug use in the community and a method for the prediction of future trends. Monitoring in New South Wales from 1971 to 1973 provided data which are analysed to show that alcohol was in the phase of majority adoption and tobacco had reached a plateau, but with the worrying anomaly that heavy use among young people continued to rise. Sedatives and analgesics had also reached a plateau stage of use. The data on marijuana are subject to more than one interpretation, but in any case point to a continuing rapid increase in use; predictions are made about future trends. Hallucinogens seemed to be in the phase of late adoption and stimulants to have entered a phase that is of particular interest, discontinuance. Narcotics seemed to be in the phase of late majority adoption.

Adolescent↗

PubMed1979

Independence of convergence and divergence: norms, age trends, and potentiation in mechanized prism vergence tests.

Motor-driven prism stereoscope vergence tests, base in break, base in recovery, base out break, and base out recovery, repeated three times (BIB, BIR, BOB, BOR X 3) were given to three separate groups. Two instruments with different speeds were used. Repeated testing shows a slight trend to convergence in slower machines. The results from both machines are still comparable. Means are similar to previously published norms from hand-turned instruments, but the variance of scores is about twice as large and there is an eso trend at near. The motor drive aids discrimination, since Ss who are capable can now follow with smooth vergences over a wider range. In general, there is no substantial trend with age between 3 and 25 years other than those which may be due to decreasing response times. Vergence scores can be adequately reduced to two independent factors, loading on convergence and divergence, respectively, which suggests that there are two processes varying independently in maturation and therapy as well as assessment.

Adolescent↗

PubMed1977

[Trends in tuberculosis hospital and sanatorium beds throughout the world (1960-1975)].

The most important problem facing phthisiologists in the past was how to ensure a sufficient number of sanatorium beds for the management of tuberculosis patients, their rehabilitation and the prevention of transmission of infection by isolating them. There is considerable evidence today, however, that the results obtained with ambulatory treatment are as good as those following in-patient treatment. The latter is now considered unnecessary as it serves merely to prolong duration of the patient's incapacity and to increase the cost of treatment. The presentation of the available information on the trend of beds designated for tuberculosis aims at stimulating the new approach to efficient control of the disease so as to prevent the misuse of available resources. During the period 1960-1965 there were more than 870000 tuberculosis beds reported in the world. Between 1970 and 1975, the number of tuberculosis beds was reduced to 609000. The average percentage of tuberculosis beds to the existing total bed complement was 8.4 in 1960-1uberculosis bed density"--was 3.9 and 3.1 respectively, for the two periods. Owing to the very large variety of reporting systems and sometimes to their defective patterns, international comparisons are hazardous. In general, there is a considerable declining trend in the tuberculosis bed density, in countries with a high initial level, whereas in other countries an upwards trend is sometimes to be found. The analysis of the particular patterns of tuberculosis bed density is difficult, as in many countries the still existing high bed density is actually a combined tuberculosis and respiratory diseases bed density. In countries with a well developed network of institutional units, treatment costs account for approximately half the total cost of the tuberculosis control programme. In a broad public health sense bed strategy is becoming increasingly important since apart from the substantial capital cost of institutional facilities, it also influences both the pattern of service rendered and the use of resources available.

Africa↗

PubMed2026

Artificial intelligence in genitourinary oncology: publication trends and systematic review.

OBJECTIVE: To conduct an analysis of publication trends and a systematic review of randomized controlled trials (RCTs) to characterize the current state of artificial intelligence (AI) use in genitourinary (GU) oncology, as AI has emerged as a transformative tool in healthcare with potential applications in diagnostics, treatment planning, and prognostication. METHODS: We searched the Medical Literature Analysis and Retrieval System Online (MEDLINE), Excerpta Medica dataBASE (EMBASE; Ovid), and Cumulative Index to Nursing and Allied Health Literature (CINAHL) Ultimate for studies related to AI and GU oncology, excluding non-English papers, non-human studies, review articles, and articles using AI solely for manuscript writing. Publication trends were analysed from 2013 to 2023 and categorized by study design and cancer type. RCTs were evaluated through systematic review using Covidence (Veritas Health Innovation Ltd, Melbourne, Victoria, Australia) for screening and data extraction. Two reviewers independently assessed all studies, with risk of bias (RoB) evaluated using the Cochrane RoB 2.0 tool. RESULTS: Of 2409 articles identified, 1220 met inclusion criteria. These included 962 retrospective articles, 175 prospective studies, 79 studies with combined retrospective/prospective methods, and four RCTs. Studies most commonly addressed prostate (n = 923), renal (n = 274), and urothelial (n = 194) cancers. Publications grew from 14 in 2013 to 362 in 2023, with substantial acceleration in 2019. Four RCTs were identified - one in urothelial cancer and three in prostate cancer. Two RCTs evaluated AI-based diagnostics, demonstrating improved performance over conventional methods; the remaining two RCTs evaluated AI in prognostication and treatment planning, showing improved gains in imaging interpretation and operational efficiency. RoB varied across studies, primarily related to randomisation and deviations from intended interventions. CONCLUSIONS: Artificial intelligence research in GU oncology has grown, although high-level evidence from RCTs remains limited. Existing trials underscore AI's promise in diagnostics, prognostication, and treatment planning, and the rapidly evolving nature of this field warrants continued prospective investigation.

Humans↗

PubMed2014

Annual research review: Secular trends in child and adolescent mental health.

BACKGROUND: Child and adolescent mental health problems are common, associated with wide-ranging functional impairments, and show substantial continuities into adult life. It is therefore important to understand the extent to which the prevalence of mental health problems has changed over time, and to identify reasons behind any trends in mental health. SCOPE AND METHODOLOGY: This review evaluates evidence on whether the population prevalence of child and adolescent mental health problems has changed. The primary focus of the review is on epidemiological cross-cohort comparisons identified by a systematic search of the literature (using the Web of Knowledge database). FINDINGS: Clinical diagnosis and treatment of child and adolescent psychiatric disorders increased over recent decades. Epidemiological comparisons of unselected population cohorts using equivalent assessments of mental health have found little evidence of an increased rate of ADHD, but cross-cohort comparisons of rates of ASD are lacking at this time. Findings do suggest substantial secular change in emotional problems and antisocial behaviour in high-income countries, including periods of increase and decrease in symptom prevalence. Evidence from low- and middle-income countries is very limited. Possible explanations for trends in child and adolescent mental health are discussed. The review also addresses how cross-cohort comparisons can provide valuable complementary information on the aetiology of mental illness.

Adolescent↗

PubMed1979

An analysis of topic areas and topic trends in the Community Mental Health Journal from 1965 through 1977.

A content analysis of all (N = 604) published articles in the Community Mental Health Journal from 1965 through 1977 was performed (a) to provide a cross-sectional view of the community mental health field, and (b) to identify topic trends over time. Sixty-one content categories were used to classify topic areas. Results revealed major and growing emphases on organizing for the delivery and measuring of the effects of mental health service systems. Topics found to be increasing in relative frequency over time included training, measurement and research methodology, and intervention; those decreasing included planning and needs assessment, therapy, and suicide. Topic areas were compared with key characteristics of the field. Topic trends were interpreted in terms of open systems theory.

Community Mental Health Services↗

PubMed1979

Prognosis, trend and prediction in patient management.

A survey was conducted to get to know the 'state of the art' in trend prediction as a basis for optimal therapy, with emphasis on research being done in the countries of the European Community. Special areas of interest are quantitative prognosis (prognostic indices), the detection and use of trends in the patient's state, the use of models in prediction and their possible use for deciding which therapy is optimal for a specific patient. An extensive list of centres working in these fields as well as an extensive reference list is included.

Computers↗

PubMed2025

A One Health perspective: Genomic insights into temporal trends of antimicrobial resistance and zoonotic transmission risks in Escherichia coli from human and swine.

Antimicrobial resistance (AMR) poses a significant challenge within the One Health framework. By integrating genomic data from 824 E. coli isolates obtained from 22 swine farms in southwestern China with 8432 publicly available genomes from human and swine sources, this study provides comprehensive insights into the temporal trends and divergence of AMR in human and swine E. coli populations, the risk of AMR transmission from swine to human, and the evolutionary mechanisms underlying the human adaptation of ST2 strains. The results revealed an overall increase in AMR until approximately 2016, followed by a subsequent decline. However, resistance to tetracyclines, quinolones, and phenicols continues to exhibit an upward trend, highlighting the urgency of enhancing regulatory measures targeting these drugs. Horizontal gene transfer play pivotal roles in shaping distinct AMR profiles in human and swine strains. ST2 E. coli was identified as a major carrier of AMR in both human and swine, and also served as the primary reservoir of blaNDM-5 within the human-associated lineage. During evolution, ST2 E. coli underwent significant genetic changes, including the enrichment of blaNDM-5 and remodeling of virulence factors, facilitating its transition from a generalist lineage colonizing both human and swine to a human-adapted lineage.

Humans↗