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1.
Prostate ; 84(10): 967-976, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38632701

RESUMO

BACKGROUND: Ribosome biogenesis is excessively activated in tumor cells, yet it is little known whether oncogenic transcription factors (TFs) are involved in the ribosomal RNA (rRNA) transactivation. METHODS: Nucleolar proteomics data and large-scale immunofluorescence were re-analyzed to jointly identify the proteins localized at nucleolus. RNA-Seq data of five prostate cancer (PCa) cohorts were combined and integrated with multi-dimensional data to define the upregulated nucleolar TFs in PCa tissues. Then, ChIP-Seq data of PCa cell lines and two PCa clinical cohorts were re-analyzed to reveal the TF binding patterns at ribosomal DNA (rDNA) repeats. The TF binding at rDNA was validated by ChIP-qPCR. The effect of the TF on rRNA transcription was determined by rDNA luciferase reporter, nascent RNA synthesis, and global protein translation assays. RESULTS: In this study, we reveal the role of oncogenic TF FOXA1 in regulating rRNA transcription within nucleolar organization regions. By analyzing human TFs in prostate cancer clinical datasets and nucleolar proteomics data, we identified that FOXA1 is partially localized in the nucleolus and correlated with global protein translation. Our extensive FOXA1 ChIP-Seq analysis provides robust evidence of FOXA1 binding across rDNA repeats in prostate cancer cell lines, primary tumors, and castration-resistant variants. Notably, FOXA1 occupancy at rDNA repeats correlates with histone modifications associated with active transcription, namely H3K27ac and H3K4me3. Reducing FOXA1 expression results in decreased transactivation at rDNA, subsequently diminishing global protein synthesis. CONCLUSIONS: Our results suggest FOXA1 regulates aberrant ribosome biogenesis downstream of oncogenic signaling in prostate cancer.


Assuntos
Fator 3-alfa Nuclear de Hepatócito , Neoplasias da Próstata , RNA Ribossômico , Humanos , Masculino , Neoplasias da Próstata/metabolismo , Neoplasias da Próstata/genética , Neoplasias da Próstata/patologia , RNA Ribossômico/genética , RNA Ribossômico/metabolismo , RNA Ribossômico/biossíntese , Fator 3-alfa Nuclear de Hepatócito/metabolismo , Fator 3-alfa Nuclear de Hepatócito/genética , Linhagem Celular Tumoral , Transcrição Gênica , Regulação Neoplásica da Expressão Gênica , Nucléolo Celular/metabolismo
2.
Artigo em Inglês | MEDLINE | ID: mdl-38470538

RESUMO

OBJECTIVE: Indicators of heart rate variability (HRV) have been used to assess the autonomic activity. However, the influence of obesity on HRV in these patients remains to be determined. This study aimed to examine how obesity (measured with the body mass index [BMI]) affects HRV and determine whether the effect varies among different psychiatric disorders. We recruited 3159 consecutive patients, including 1744 with schizophrenia, 966 with mood disorders, and 449 with anxiety disorders. Patients were divided into four groups based on BMI: underweight (< 18.5), normal weight (18.5-23.9), overweight (24-27.9), and obese (≥ 28). The cardiovascular status was assessed using several time- and frequency-based HRV indicators, measured via electrocardiogram signals recorded for 5 min. The mean BMI of the participants was 23.6 ± 4.0. The patients in the overweight and obese groups were 29.4% and 13.6% of the total, respectively. The HRV indicators were higher in underweight and normal-weight patients than in the overweight and obese ones. After stratification based on the psychiatric diagnosis, the patients with mood disorders showed lower HRV than those with schizophrenia or anxiety disorder in the normal-weight group. In contrast, in the overweight and obese groups the patients with mood disorders showed higher HRV than those with the other disorders. The HRV variables were significantly associated with BMI, and higher BMI was associated with higher heart rates and lower HRV. These results indicate that weight gain in psychiatric disorders is associated with an imbalance in autonomic nerve activity. However, the relationship between autonomic activity, weight gain, and psychiatric disorders warrants further investigation.

3.
Fa Yi Xue Za Zhi ; 40(1): 59-63, 2024 Feb 25.
Artigo em Inglês, Zh | MEDLINE | ID: mdl-38500462

RESUMO

Important forensic diagnostic indicators of sudden death in coronary atherosclerotic heart disease, such as acute or chronic myocardial ischemic changes, sometimes make it difficult to locate the ischemic site due to the short death process, the lack of tissue reaction time. In some cases, the deceased died of sudden death on the first-episode, resulting in difficulty for medical examiners to make an accurate diagnosis. However, clinical studies on coronary instability plaque revealed the key role of coronary spasm and thrombosis caused by their lesions in sudden coronary death process. This paper mainly summarizes the pathological characteristics of unstable coronary plaque based on clinical medical research, including plaque rupture, plaque erosion and calcified nodules, as well as the influencing factors leading to plaque instability, and briefly describes the research progress and technique of the atherosclerotic plaques, in order to improve the study on the mechanism of sudden coronary death and improve the accuracy of the forensic diagnosis of sudden coronary death by diagnosing different pathologic states of coronary atherosclerotic plaques.


Assuntos
Doença da Artéria Coronariana , Trombose Coronária , Placa Aterosclerótica , Humanos , Placa Aterosclerótica/complicações , Placa Aterosclerótica/patologia , Trombose Coronária/complicações , Trombose Coronária/patologia , Fatores de Risco , Doença da Artéria Coronariana/complicações , Morte Súbita Cardíaca/etiologia , Morte Súbita Cardíaca/patologia , Vasos Coronários/diagnóstico por imagem , Vasos Coronários/patologia
4.
Rapid Commun Mass Spectrom ; 36(21): e9372, 2022 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-35918299

RESUMO

RATIONALE: Anlotinib is a multi-target tyrosine kinase inhibitor, approved in China for treating several cancer types. Dose individualization based on therapeutic drug monitoring (TDM) is a useful tool to reduce toxicity. However, it is not convenient for patients to go to hospital for routine TDM via venous blood sampling at a certain time. METHODS: An ultra-performance liquid chromatography tandem mass spectrometry (UPLC-MS/MS) method was developed and validated for determination of anlotinib in human plasma and dried blood spot (DBS), characterized by simple sample preparation, high sensitivity, and short analysis time. The assay was validated in the concentration range of 0.2-200 ng/mL in plasma and 5-1000 ng/mL in DBS. This method was applied to monitor anlotinib exposure levels in patients with advanced biliary tract cancer (BTC) and non-small cell lung cancer (NSCLC). RESULTS: The trough plasma concentration (Ctrough ) of anlotinib was highly variable among BTC patients with coefficients of variation (CV) of 47.5%. DBS and venous blood samples were also collected from NSCLC patients to determine whether DBS sampling is a viable alternative sampling approach. Pearson correlation coefficient (R) between DBS and plasma concentration was 0.985. Bland-Altman plot demonstrated that the difference between estimated and measured plasma concentration was -2.9%. And 87% of sample pairs had a maximal deviation of ±20%. CONCLUSIONS: Anlotinib exhibits a high inter-individual variability in plasma exposure, and DBS sampling could be a promising tool for TDM of anlotinib.


Assuntos
Carcinoma Pulmonar de Células não Pequenas , Neoplasias Pulmonares , Carcinoma Pulmonar de Células não Pequenas/tratamento farmacológico , Cromatografia Líquida de Alta Pressão/métodos , Cromatografia Líquida/métodos , Teste em Amostras de Sangue Seco/métodos , Humanos , Indóis , Neoplasias Pulmonares/tratamento farmacológico , Inibidores de Proteínas Quinases/uso terapêutico , Quinolinas , Reprodutibilidade dos Testes , Espectrometria de Massas em Tandem/métodos
5.
Alcohol Alcohol ; 57(6): 742-748, 2022 Nov 11.
Artigo em Inglês | MEDLINE | ID: mdl-35945705

RESUMO

OBJECTIVE: The present study was a randomized controlled trial with a longitudinal design aimed at examining the effectiveness of Screening, Brief Intervention and Referral to Treatment (SBIRT) on harmful alcohol use in the community health centres in Shanghai, China, and further compared the effects of a multi-session brief intervention (MBI) and a single-session brief intervention (SBI). METHODS: A total of 362 participants were recruited from four districts of Shanghai and randomly assigned to MBI, SBI and routine care (RC) groups. The MBI group received the brief intervention twice. Follow-up assessments were conducted at 1 and 3 months after the intervention. RESULTS: Compared with the SBI and the RC groups, the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) scores (F = 6.422, P = 0.002), SDS scores (F = 5.779, P = 0.003) and SAS scores (F = 4.004, P = 0.019) were significant improved in the MBI group at 1and 3-month follow-up assessment. In the SBI group, the SDS scores decreased significantly compared with the RC group, and there were no significant differences in ASSIST scores, drinking knowledge scores and SAS scores 1-month follow-up assessment. CONCLUSION: The findings suggested that SBIRT with two sessions of BI had considerable effects on individuals with harmful alcohol use. It provided clinical evidence for future use in China and other Asian countries with similar situations.


Assuntos
Alcoolismo , Transtornos Relacionados ao Uso de Substâncias , Humanos , Transtornos Relacionados ao Uso de Substâncias/terapia , Intervenção em Crise , China/epidemiologia , Alcoolismo/diagnóstico , Alcoolismo/epidemiologia , Alcoolismo/terapia , Encaminhamento e Consulta , Programas de Rastreamento , Centros Comunitários de Saúde , Consumo de Bebidas Alcoólicas/epidemiologia
6.
Fish Shellfish Immunol ; 97: 421-431, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31846777

RESUMO

During the immune defense reaction of invertebrate, a plenty of reactive oxygen species (ROS) could be induced to product. Though ROS can kill foreign invaders, the accumulation of these reactive molecules in animals will cause serious cell damage. Carotenoids could function as scavengers of oxygen radicals. In this research, cDNA and genomic DNA of one carotenoid isomerooxygenase gene (named EcNinaB-X1) were cloned from Exopalaemon carinicauda. EcNinaB-X1 gene was composed of 12 exons and 11 introns. EcNinaB-X1 knock-out (KO) prawns were produced via CRISPR/Cas9 technology and the change of their phenotypes were analyzed. Of the 400 injected one-cell stage embryos with cas9 mRNA and one sgRNA targeting the first exon of EcNinaB-X1 gene, 26 EcNinaB-X1-KO prawns were generated and the mutant rate reached 6.5% after embryo injection. The EcNinaB-X1-KO prawns had significant lower mortality than those in wild-type group when the prawns were challenged with Vibrio parahaemolyticus or Aeromonas hydrophila. In conclusion, we first demonstrate the function of the carotenoid isomerooxygenase gene in immune defense of E. carinicauda by performing directed, heritable gene mutagenesis.


Assuntos
Proteínas de Artrópodes/genética , Sistemas CRISPR-Cas , Técnicas de Inativação de Genes/métodos , Oxigenases/genética , Palaemonidae/enzimologia , Palaemonidae/genética , Aeromonas hydrophila/patogenicidade , Animais , Carotenoides/química , Deleção de Genes , Imunidade Inata , Mutagênese , Palaemonidae/microbiologia , Vibrio parahaemolyticus/patogenicidade
7.
Fish Shellfish Immunol ; 93: 387-394, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31326590

RESUMO

Trehalose, a nonreducing disaccharide, is present in a wide variety of organisms and plays a key role in many organisms under different stress conditions. In the study, the full-length cDNA sequence encoding trehalose-6-phosphate synthase (EcTPS) was obtained from Exopalaemon carinicauda. The complete nucleotide sequence of EcTPS contained a 2532 bp open reading frame (ORF) encoding a putative protein of 843 amino acids. The domain architecture of the deduced EcTPS contained a glycol_transf_20 domain and a trehalose_PPase domain. EcTPS mRNA was predominantly expressed in the hepatopancreas. The expression of EcTPS in the prawns challenged with Vibrio parahaemolyticus and Aeromonas hydrophila changed in a time-dependent manner. The function of EcTPS was also studied by double-strand RNA interference. The results showed that the knock-down of EcTPS increased the mortality of the Vibrio-challenged group and Aeromonas-challenged group compared with the control group. The present study provides some new insight into the immune function of the trehalose-6-phosphate synthase in prawns.


Assuntos
Regulação da Expressão Gênica/imunologia , Glucosiltransferases/genética , Glucosiltransferases/imunologia , Imunidade Inata/genética , Penaeidae/genética , Penaeidae/imunologia , Aeromonas hydrophila/fisiologia , Sequência de Aminoácidos , Animais , Proteínas de Artrópodes/química , Proteínas de Artrópodes/genética , Proteínas de Artrópodes/imunologia , Sequência de Bases , Perfilação da Expressão Gênica , Glucosiltransferases/química , Filogenia , Alinhamento de Sequência , Vibrio parahaemolyticus/fisiologia
8.
Sensors (Basel) ; 18(11)2018 Oct 28.
Artigo em Inglês | MEDLINE | ID: mdl-30373323

RESUMO

Anomaly detection is an important task in hyperspectral processing. Some previous works, based on statistical information, focus on Reed-Xiaoli (RX), as it is one of the most classical and commonly used methods. However, its performance tends to be affected when anomaly target size is smaller than spatial resolution. Those sub-pixel anomaly target spectra are usually much similar with background spectra, and may results in false alarm for traditional RX method. To address this issue, this paper proposes a hierarchical RX (H-RX) anomaly detection framework to enhance the performance. The proposed H-RX method consists of several different layers of original RX anomaly detector. In each layer, the RX's output of each pixel is restrained by a nonlinear function and then imposed as a coefficient on its spectrum for the next iteration. Furthermore, we design a spatial regularization layer to enhance the sub-pixel anomaly detection performance. To better illustrate the hierarchical framework, we provide a theoretical explanation of the hierarchical background spectra restraint and regularization process. Extensive experiments on three hyperspectral images illustrate that the proposed anomaly detection algorithm outperforms the original RX algorithm and some other classical methods.

9.
Sensors (Basel) ; 18(3)2018 Mar 04.
Artigo em Inglês | MEDLINE | ID: mdl-29510529

RESUMO

With the development of deep neural networks, many object detection frameworks have shown great success in the fields of smart surveillance, self-driving cars, and facial recognition. However, the data sources are usually videos, and the object detection frameworks are mostly established on still images and only use the spatial information, which means that the feature consistency cannot be ensured because the training procedure loses temporal information. To address these problems, we propose a single, fully-convolutional neural network-based object detection framework that involves temporal information by using Siamese networks. In the training procedure, first, the prediction network combines the multiscale feature map to handle objects of various sizes. Second, we introduce a correlation loss by using the Siamese network, which provides neighboring frame features. This correlation loss represents object co-occurrences across time to aid the consistent feature generation. Since the correlation loss should use the information of the track ID and detection label, our video object detection network has been evaluated on the large-scale ImageNet VID dataset where it achieves a 69.5% mean average precision (mAP).


Assuntos
Redes Neurais de Computação , Armazenamento e Recuperação da Informação
10.
Appl Opt ; 56(9): 2548-2555, 2017 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-28375366

RESUMO

A multiband infrared diagnostic (MBID) method for methane emission monitoring in limited underground environments was presented considering the strong optical background of gas/solid attenuation. Based on spatial distribution of aerosols and complex refractive index of dust particles, forward calculations were carried out with/without methane to obtain the spectral transmittance through the participating atmosphere in a mine roadway. Considering the concurrent attenuation and absorption behavior of dust and gases, four infrared wavebands were selected to retrieve the methane concentration combined with a stochastic particle swarm optimization (SPSO) algorithm. Inversion results prove that the presented MBID method is robust and effective in identifying methane at concentrations of 0.1% or even lower with inversed relative error within 10%. Further analyses illustrate that the four selected wavebands are indispensable, and the MBID method is still valid with transmission signal disturbance in a conventional dust-polluted atmosphere under mechanized mining condition. However, the effective detection distance should be limited within 50 m to ensure inversed relative error less than 5% at 1% methane concentration.

11.
Appl Opt ; 55(11): 2951-9, 2016 Apr 10.
Artigo em Inglês | MEDLINE | ID: mdl-27139859

RESUMO

Aimed at the optical evaluation of pollution levels caused by rock dust in an underground coal mine tunneling face, the optimal detection line and optical channel were investigated. The spatial distribution of airborne rock dust under local mining and ventilation conditions was simulated by the computational fluid dynamics method; thus, combined with the scattering and absorption properties of dust particles and gas molecules, the spectral transmission characteristics of a polluted atmosphere, including dust aerosols within 400-4000 cm-1, were obtained. By eliminating the optical background of mine gases, the pure infrared signals of rock dust were further analyzed. Based on the comparison results, the detection line, which is 1.5 m high and 0.3 m away from the right wall, was determined to be the best observation position, and a waveband of 1505-1525 cm-1 was selected to estimate the dust concentration. In addition, a dual-band detection method was presented, which can simultaneously identify the dust distribution and dispersion.

12.
Opt Express ; 23(15): A1010-23, 2015 Jul 27.
Artigo em Inglês | MEDLINE | ID: mdl-26367677

RESUMO

The optical radiation and radiation transfer characteristics of atmospheric particulate matter (PM) in mining area of northwest China were simulated and analyzed in this paper. Computational fluid dynamics (CFD) method was adopted to simulate the distribution of PM considering the local desertification and mining activities. The 1-D radiative transfer equation was solved using discrete ordinates method combined with Mie scattering model based on the CFD simulation results. The spectral aerosol optical depth and transmission characteristics of PM polluted atmosphere in the wavelength of 1-25µm under different intensity of dust releases, wind speeds and dust compositions were obtained and analyzed. The simulation results show that: the transmission characteristics are obviously enhanced with the increase of wind speed and sand particles' proportion but greatly decreased with the increase of the intensity of dust release.

13.
Appl Opt ; 54(35): 10532-40, 2015 Dec 10.
Artigo em Inglês | MEDLINE | ID: mdl-26836882

RESUMO

Comprehensive experimental research on the fundamental optical properties of dust pollution in a coal mine is presented. Rock dust generated in a tunneling roadway was sampled and the spectral complex refractive index within an infrared range of 2.5-25 µm was obtained by Fourier transform infrared spectroscopy measurement and Kramers-Kronig relation. Experimental results were validated to be consistent with equivalent optical constants simulated by effective medium theory based on component analysis of x-ray fluorescence, which illustrates that the top three mineral components are SiO2 (62.06%), Al2O3 (21.26%), and Fe2O3 (4.27%). The complex refractive index and the spatial distribution tested by a filter dust and particle size analyzer were involved in the simulation of extinction properties of rock dust along the tunneling roadway solved by the discrete ordinates method and Mie scattering model. The compared results illustrate that transmission is obviously enhanced with the increase of height from the floor but weakened with increasing horizontal distance from the air duct.

14.
J Clin Med ; 13(2)2024 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-38256576

RESUMO

Ankle sprains are exceedingly common injuries in both athletes and the general population. They account for 10 to 30% of all sports injuries. Although the vast majority of lateral ankle ligament injuries respond successfully to conservative management, the absolute number of those that progress to chronic lateral ankle instability (CLAI) remains considerably important. This condition is characterized by persistent symptoms and may be associated with short-term and long-term complications and functional deficits. There is still a lack of ideal postoperative management of CLAI patients. Furthermore, an evidence-based rehabilitation phasing does not exist and most of the published studies regarding this subject suggest some protocols based on a wide variety of functional assessment scores and other modalities that are not accurate enough. Moreover, the literature that assesses the ability to return to work (RTW) and return to sport (RTS) in the general population and athletes operated for CLAI most commonly shows aggregated results with global rates of RTW or RTS without describing a detailed timeline based on the readiness of patients to return to each level of activity. Although stress radiographs and MRI have been assessed as potential tools to improve postoperative management of CLAI patients, the first modality is limited by its low sensitivity to detect laxity and the second one by its static character and its inability to predict neither the healing process phase nor the mechanical properties of the repaired/reconstructed ligaments. Bioelectrical impedance, mechanical impedance and near-infrared spectroscopy are non-invasive methods of measurement that could be potential assessment tools to help surgeons improve the postoperative management of patients after CLAI surgery.

15.
J Anim Sci ; 1022024 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-38483185

RESUMO

Betaine is widely used as a feed additive in the chicken industry to promote laying performance and growth performance, yet it is unknown whether betaine can be used in geese to improve the laying performance of goose breeders and the growth traits of offspring goslings. In this study, laying goose breeders at 39 wk of age were fed basal (Control, CON) or betaine-supplemented diets at low (2.5 g/kg, LBT) or high (5 g/kg, HBT) levels for 7 wk, and the breeder eggs laid in the last week were collected for incubation. Offspring goslings were examined at 35 and 63 d of age. The laying rate tended to be increased (P = 0.065), and the feed efficiency of the breeders was improved by betaine supplementation, while the average daily gain of the offspring goslings was significantly increased (P < 0.05). Concentrations of insulin-like growth factor 2 (IGF-2) in serum and liver were significantly increased in the HBT group (P < 0.05), with age-dependent alterations of serum T3 levels. Concurrently, hepatic mRNA expression of the IGF gene family was significantly increased in goslings derived from betaine-treated breeders (P < 0.05). A higher ratio of proliferating cell nuclear antigen (PCNA)-immunopositive nuclei was found in the liver sections of the HBT group, which was confirmed by significantly upregulated hepatic expression of PCNA mRNA and protein (P < 0.05). Moreover, hepatic expression of thyroxine deiodinase type 1 (Dio1) and thyroid hormone receptor ß (TRß) was also significantly upregulated in goslings of the HBT group (P < 0.05). These changes were associated with significantly higher levels of global DNA 5-mC methylation, together with increased expression of methyl transfer genes (P < 0.05), including betaine-homocysteine methyltransferase (BHMT), glycine N-methyltransferase (GNMT), and DNA (cytosine-5-)-methyltransferase 1 (DNMT1). The promoter regions of IGF-2 genes, as well as the predicted TRß binding site on the IGF-2 gene, were significantly hypomethylated (P < 0.05). These results indicate that gosling growth can be improved by dietary betaine supplementation in goose breeders via epigenetic modulation of the IGF gene family, especially IGF-2, in the liver.


The goose industry plays important roles in economics, cultures, and ecosystems, yet the low laying and growth rates of many indigenous breeds hinders the development of the goose farming. Betaine, an important methyl donor, is commonly used as a feed additive in livestock and poultry to enhance animal growth. Dietary supplementation of betaine in laying hens or gestational sows has been reported to promote the growth of their offspring. Here, we sought to investigate whether and how dietary betaine supplementation affects the growth and development of offspring goslings. In this study, goose breeders, both male and female, were fed a basal diet supplemented respectively with 0, 2.5, or 5 g/kg betaine for 7 wk. Goslings hatched from the breeder eggs of different groups were raised under the same standard condition for assessing the growth performance. Parental betaine increases the growth rate of offspring goslings with decreased DNA methylation on the IGF-2 gene promoter and increased expression of the IGF-2 gene in the liver. These results provide scientific evidence for the inter-generational effect of betaine on gosling growth.


Assuntos
Betaína , Fator de Crescimento Insulin-Like II , Animais , Betaína/farmacologia , Fator de Crescimento Insulin-Like II/genética , Gansos/genética , Gansos/metabolismo , Antígeno Nuclear de Célula em Proliferação/genética , Antígeno Nuclear de Célula em Proliferação/metabolismo , Óvulo/metabolismo , Suplementos Nutricionais , Fígado/metabolismo , Dieta/veterinária , Galinhas/genética , Galinhas/metabolismo , Epigênese Genética , RNA Mensageiro/metabolismo , Ração Animal/análise
16.
JAMA Netw Open ; 7(4): e247919, 2024 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-38683612

RESUMO

Importance: Bipolar mania is a common disabling illness. Electroconvulsive therapy (ECT) is an effective treatment for patients with severe mania, though it is limited by the risk of cognitive adverse effects. Magnetic seizure therapy (MST) as an alternative treatment to ECT for bipolar mania has not yet been reported. Objective: To compare the effectiveness and cognitive adverse effects of MST and ECT in bipolar mania. Design, Setting, and Participants: This randomized clinical trial was conducted at the Shanghai Mental Health Center from July 1, 2017, through April 26, 2021. Forty-eight patients with bipolar mania were recruited and randomly allocated to receive MST or ECT. The data analysis was performed from June 5, 2021, through August 30, 2023. Interventions: Patients completed 2 or 3 sessions of MST or ECT per week for a total of 8 to 10 sessions. The MST was delivered at 100% device output with a frequency of 75 Hz over the vertex. Main Outcomes and Measures: The primary outcomes were reduction of total Young Manic Rating Scale (YMRS) score and response rate (more than 50% reduction of the total YMRS score compared with baseline). An intention-to-treat (ITT) analysis and repeated-measures analyses of variance were conducted for the primary outcomes. Results: Twenty patients in the ECT group (mean [SD] age, 31.6 [8.6] years; 12 male [60.0%]) and 22 patients in the MST group (mean [SD] age, 34.8 [9.8] years; 15 male [68.2%]) were included in the ITT analysis. The response rates were 95.0% (95% CI, 85.4%-100%) in the ECT group and 86.4% (95% CI, 72.1%-100%) in the MST group. The YMRS reduction rate (z = -0.82; 95% CI, -0.05 to 0.10; P = .41) and response rate (χ2 = 0.18; 95% CI, -0.13 to 0.31; P = .67) were not significantly different between the groups. The time-by-group interaction was significant for the language domain (F1,24 = 7.17; P = .01), which was well preserved in patients receiving MST but worsened in patients receiving ECT. No serious adverse effects were reported in either group. Conclusions and Relevance: These findings suggest that MST is associated with a high response rate and fewer cognitive impairments in bipolar mania and that it might be an alternative therapy for the treatment of bipolar mania. Trial Registration: ClinicalTrials.gov Identifier: NCT03160664.


Assuntos
Transtorno Bipolar , Eletroconvulsoterapia , Humanos , Masculino , Feminino , Eletroconvulsoterapia/métodos , Eletroconvulsoterapia/efeitos adversos , Transtorno Bipolar/terapia , Transtorno Bipolar/psicologia , Adulto , Resultado do Tratamento , Pessoa de Meia-Idade , Convulsões , China
17.
Front Psychiatry ; 15: 1336118, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38577403

RESUMO

Introduction: While the attention to personality disorders (PD) and childhood maltreatment (CM) has grown in recent years, there remains limited understanding of the prevalence and distinctions of PD and CM in clinical populations of Chinese adolescents in comparison to adults. Methods: A total of 1,417 participants were consecutively sampled from patients diagnosed with either psychotic or non-psychotic disorders in the psychiatric and psycho-counseling clinics at Shanghai Mental Health Center. The participants were categorized into two groups based on their age: adolescents (aged 15-21 years) and adults (aged 22-35 years). PDs were evaluated using a self-reported personality diagnostic questionnaire and a structured clinical interview, while CMs were assessed using the Chinese version of the Child Trauma Questionnaire Short Form. Results: When comparing self-reported PD traits and CM between adolescents and adults, differences emerge. Adolescents, particularly in the psychotic disorder group, exhibit more pronounced schizotypal PD traits (p=0.029), and this pattern extends to non-psychotic disorders (p<0.001). Adolescents in the non-psychotic disorder group also report higher levels of emotional abuse (p=0.014), with a notable trend in physical abuse experiences compared to adults (p=0.057). Furthermore, the most prevalent PDs in the clinical sample are avoidant, borderline, and obsessive-compulsive PDs. Among patients with psychotic disorders, adolescents exhibit higher rates of schizoid, schizotypal, and obsessive-compulsive PDs compared to adults. Logistic regression analyses highlight distinct predictors for psychotic and non-psychotic disorders in adolescents and adults. Discussion: The findings emphasize distinct differences in PDs and CMs between adolescent and adult groups, shedding light on their potential roles in psychotic and non-psychotic disorders.

18.
Front Psychiatry ; 14: 1091730, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36911127

RESUMO

Introduction: Anxiety disorder is the most common psychiatric disorder among adolescents, with generalized anxiety disorder (GAD) being a common subtype of anxiety disorder. Current studies have revealed abnormal amygdala function in patients with anxiety compared with healthy people. However, the diagnosis of anxiety disorder and its subtypes still lack specific features of amygdala from T1-weighted structural magnetic resonance (MR) imaging. The purpose of our study was to investigate the feasibility of using radiomics approach to distinguish anxiety disorder and its subtype from healthy controls on T1-weighted images of the amygdala, and provide a basis for the clinical diagnosis of anxiety disorder. Methods: T1-weighted MR images of 200 patients with anxiety disorder (including 103 GAD patients) as well as 138 healthy controls were obtained in the Healthy Brain Network (HBN) dataset. We extracted 107 radiomics features for the left and right amygdala, respectively, and then performed feature selection using the 10-fold LASSO regression algorithm. For the selected features, we performed group-wise comparisons, and use different machine learning algorithms, including linear kernel support vector machine (SVM), to achieve the classification between the patients and healthy controls. Results: For the classification task of anxiety patients vs. healthy controls, 2 and 4 radiomics features were selected from left and right amygdala, respectively, and the area under receiver operating characteristic curve (AUC) of linear kernel SVM in cross-validation experiments was 0.6739±0.0708 for the left amygdala features and 0.6403±0.0519 for the right amygdala features; for classification task for GAD patients vs. healthy controls, 7 and 3 features were selected from left and right amygdala, respectively, and the cross-validation AUCs were 0.6755±0.0615 for the left amygdala features and 0.6966±0.0854 for the right amygdala features. In both classification tasks, the selected amygdala radiomics features had higher discriminatory significance and effect sizes compared with the amygdala volume. Discussion: Our study suggest that radiomics features of bilateral amygdala potentially could serve as a basis for the clinical diagnosis of anxiety disorder.

19.
Materials (Basel) ; 16(6)2023 Mar 08.
Artigo em Inglês | MEDLINE | ID: mdl-36984046

RESUMO

The alkali-free accelerator based on aluminum sulfate is widely used in shotcrete in tunnels. Long-term Ca-leaching of shotcrete may adversely affect the tunnels in a water-rich mountain. It is necessary to examine further the impact of the AS accelerator and w/c on cement hydration and leaching. In this study, all the cement pastes were cured in the environment with R.H. > 95% and 20 ± 1 °C for 60 days and leached in a running water test with 6 M NH4Cl at 1 cm/s. The hydration kinetics was characterized by isothermal calorimetry. Additionally, the microstructural and mineralogical alterations were characterized by XRD, SEM, MIP, and N2 absorption. The results show that (1) the AS accelerator affected the hydration kinetics of cement by stimulating early hydration and delaying the late silicate hydration, resulting in AS-accelerated cement pastes with rougher pore structure. As a result, the higher the dose of AS accelerator, the faster the cement pastes will leach. (2) Hydration kinetics of the accelerated cement are not affected by the w/c. The AS-accelerated cement pastes with lower w/c have a denser pore structure. So, the reduction in the w/c contributes to leaching resistance.

20.
Contemp Clin Trials Commun ; 36: 101214, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37842323

RESUMO

Introduction: Negative symptoms and cognitive impairment are common residual symptoms of schizophrenia that seriously affect the quality of life and social function of patients. The intervention of residual symptoms is an important part of schizophrenia rehabilitation. Traditional Chinese exercise has been applied as a supplementary rehabilitation method for schizophrenia. However, research on its use and pertinence in the rehabilitation of residual symptoms remains lacking. In this study, we will verify the intervention effect of a new method, namely, shen-based qigong exercise, on the residual symptoms of schizophrenia, in the hopes of finding a safe and effective rehabilitation method for the residual symptoms of schizophrenia. Methods: This is a single-centre randomised controlled trial. A total of 60 schizophrenics who meet the criteria will be randomly divided into the control and intervention groups in accordance with the ratio of 1:1. Conventional drug treatment will remain unchanged in both groups. In this case, the control group will be given daily rehabilitation, whereas the intervention group will be given daily rehabilitation and shen-based qigong exercise intervention. The intervention period will be 12 weeks. The primary outcome will be negative symptoms assessed by the Scale for the Assessment of Negative Symptoms. The secondary outcome will be the global cognitive function assessed by the Repeatable Battery for the Assessment of Neuropsychological Status and event-related potential P300. Other outcomes will include specific cognitive domain (i.e. working memory), quality of life and social function. The results will be measured within 1 week before and after the intervention. Discussion: The results of this study will likely help find an economical and convenient rehabilitation method for the residual symptoms of schizophrenia and, at the same time, may promote the popularisation and application of traditional Chinese exercises and traditional Chinese medicine theories in the treatment of mental diseases. Trial registration: ClinicalTrials.gov registry number: NCT05310955.

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