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1.
Plant Cell ; 34(5): 1724-1744, 2022 04 26.
Artículo en Inglés | MEDLINE | ID: mdl-35137215

RESUMEN

Plant innate immunity is capable of combating diverse and ever evolving pathogens. The plasticity of innate immunity could be boosted by RNA processing. Arabidopsis thaliana CONSTITUTIVE EXPRESSER OF PATHOGENESIS-RELATED GENES 5 (CPR5), a key negative immune regulator, is a component of the nuclear pore complex. Here we further identified CPR5 as a component of RNA processing complexes. Through genetic screening, we found that RNA splicing activator NineTeen Complex and RNA polyadenylation factor CLEAVAGE AND POLYADENYLATION SPECIFICITY FACTOR, coordinately function downstream of CPR5 to activate plant immunity. CPR5 and these two regulators form a complex that is localized in nuclear speckles, an RNA processing organelle. Intriguingly, we found that CPR5 is an RNA-binding protein belonging to the Transformer 2 (Tra2) subfamily of the serine/arginine-rich family. The RNA recognition motif of CPR5 protein binds the Tra2-targeted RNA sequence in vitro and is functionally replaceable by those of Tra2 subfamily proteins. In planta, it binds RNAs of CPR5-regulated alternatively spliced genes (ASGs) identified by RNA-seq. ARGONAUTE 1 (AGO1) is one of the ASGs and, consistent with this, the ago1 mutant suppresses the cpr5 phenotype. These findings reveal that CPR5 is an RNA-binding protein linking RNA processing with plant immunity.


Asunto(s)
Proteínas de Arabidopsis , Arabidopsis , Arabidopsis/metabolismo , Proteínas de Arabidopsis/genética , Proteínas de Arabidopsis/metabolismo , Proteínas de la Membrana/metabolismo , Inmunidad de la Planta/genética , Procesamiento Postranscripcional del ARN , Proteínas de Unión al ARN/genética , Proteínas de Unión al ARN/metabolismo
2.
Nature ; 560(7720): 582-588, 2018 08.
Artículo en Inglés | MEDLINE | ID: mdl-30158607

RESUMEN

The Newtonian gravitational constant, G, is one of the most fundamental constants of nature, but we still do not have an accurate value for it. Despite two centuries of experimental effort, the value of G remains the least precisely known of the fundamental constants. A discrepancy of up to 0.05 per cent in recent determinations of G suggests that there may be undiscovered systematic errors in the various existing methods. One way to resolve this issue is to measure G using a number of methods that are unlikely to involve the same systematic effects. Here we report two independent determinations of G using torsion pendulum experiments with the time-of-swing method and the angular-acceleration-feedback method. We obtain G values of 6.674184 × 10-11 and 6.674484 × 10-11 cubic metres per kilogram per second squared, with relative standard uncertainties of 11.64 and 11.61 parts per million, respectively. These values have the smallest uncertainties reported until now, and both agree with the latest recommended value within two standard deviations.

3.
Curr Psychol ; : 1-12, 2023 Apr 12.
Artículo en Inglés | MEDLINE | ID: mdl-37359575

RESUMEN

It has been traditionally thought that children can obtain resources that promote their academic performance through their parents' involvement. However, in reality, parents' involvement in their children's education may threaten children with an excessive academic burden. This study argues that parental involvement is both empowering and burdensome for children and proposes a model in which parental involvement is a double-edged sword. The model entails two paths, one in which learning constitutes a burden and another in which learning leads to empowerment. Based on a survey of 647 adolescents, a structural equation model is used to test this hypothesis. The results suggest that parental involvement can negatively impact academic performance because children feel more stressed as a result of the increase in academic expectations; parental involvement also has a positively impact on academic performance because of an increase in children's engagement in learning. The above results provide some practical guidance for parents' involvement in their children's education. Supplementary Information: The online version contains supplementary material available at 10.1007/s12144-023-04589-y.

4.
Biomed Eng Online ; 21(1): 75, 2022 Oct 13.
Artículo en Inglés | MEDLINE | ID: mdl-36229851

RESUMEN

BACKGROUND: Capacitively coupled electrode (CC electrode), as a non-contact and unobtrusive technology for measuring physiological signals, has been widely applied in sleep monitoring scenarios. The most common implementation is capacitive electrocardiogram (cECG) that could provide useful clinical information for assessing cardiac function and detecting cardiovascular diseases. In the current study, we sought to explore another potential application of cECG in sleep monitoring, i.e., sleep postures recognition. METHODS: Two sets of experiments, the short-term experiment, and the overnight experiment, were conducted. The cECG signals were measured by a smart mattress based on flexible CC electrodes and sleep postures were recorded simultaneously. Then, a classifier model based on a deep recurrent neural network (RNN) was proposed to distinguish sleep postures (supine, left lateral and right lateral). To verify the reliability of the proposed model, leave-one-subject-out cross-validation was introduced. RESULTS: In the short-term experiment, the overall accuracy of 96.2% was achieved based on 30-s segment, while the overall accuracy was 88.8% using one heart beat segment. For the unconstrained overnight experiment, the accuracy of 91.0% was achieved based on 30-s segment, while the accuracy was 81.4% using one heart beat segment. CONCLUSIONS: The results suggest that cECG could render valuable information about sleep postures detection and potentially be helpful for sleep disorder diagnosis.


Asunto(s)
Postura , Sueño , Electrocardiografía/métodos , Electrodos , Redes Neurales de la Computación , Reproducibilidad de los Resultados , Sueño/fisiología
5.
Phys Rev Lett ; 124(5): 051301, 2020 Feb 07.
Artículo en Inglés | MEDLINE | ID: mdl-32083933

RESUMEN

We improve the test of the gravitational inverse-square law at the submillimeter range by suppressing the vibration of the electrostatic shielding membrane to reduce the disturbance coupled from the residual surface potential. The result shows that, at a 95% confidence level, the gravitational inverse-square law holds (|α|≤1) down to a length scale λ=48 µm. This work establishes the strongest bound on the magnitude α of the Yukawa violation in the range of 40-350 µm, and improves the previous bounds by up to a factor of 3 at the length scale λ≈70 µm. Furthermore, the constraints on the power-law potentials are improved by about a factor of 2 for k=4 and 5.

6.
Clin Lab ; 65(7)2019 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-31307170

RESUMEN

BACKGROUND: Primary neonatal hypocholinesterase is rare; its genetic pattern and mutation still need to be further studied. METHODS: The patient and his parents are studied using next-generation sequencing technology. RESULTS: A boy one day after birth is admitted to the Neonatal Intensive Care Unit at our hospital after experiencing intermittent vomiting for 12 hours. The patient's serum cholinesterase level (113 - 283 U/L) is lower than normal value (4,000 - 12,600 U/L). Many factors of low serum cholinesterase are excluded. We highly suspect that it may be related to congenital factors. Molecular genetic test results show that the patient carried the BCHE gene (NM_000055.2) and has homozygous frameshift mutations at exon 2 c.401dupA (p.Asn134fs) of chromosome 3q26. It is a pathogenicity mutation. This locus mutation belongs to a novel pathogenic mutation. As a result of this mutation, the 134th amino acid Asn began to frameshift and the translation is terminated early. It can cause the Encoding of protein to truncate and lose its normal function. His parents' serum cholinesterase levels (father: 5,135 U/L; mother: 4,367 U/L) are in the normal value range, but his parents carried a heterozygous BCHE gene. CONCLUSIONS: This study suggests that gene sequence detection should be carried out early in hypocholinesterase of nknown cause in neonates. This study can not only improve understanding of the etiology and pathological mechanism of hypocholinesterase, but also it can enlarge the hypocholinesterase gene mutation spectrum.


Asunto(s)
Butirilcolinesterasa/genética , Mutación del Sistema de Lectura , Predisposición Genética a la Enfermedad/genética , Errores Innatos del Metabolismo/genética , Butirilcolinesterasa/sangre , Butirilcolinesterasa/deficiencia , Salud de la Familia , Secuenciación de Nucleótidos de Alto Rendimiento , Homocigoto , Humanos , Recién Nacido , Masculino , Errores Innatos del Metabolismo/sangre , Errores Innatos del Metabolismo/enzimología
7.
Sensors (Basel) ; 19(16)2019 Aug 17.
Artículo en Inglés | MEDLINE | ID: mdl-31426518

RESUMEN

For long-term and more convenience electrocardiograph (ECG) monitoring, an active- electrode-based ECG monitoring system, which can measure ECG through clothes, is proposed in this paper. The hardware of the system includes active electrodes, signal processing and data transmission modules and the software mainly includes a denoising algorithm based on empirical mode decomposition (EMD). Then the proposed system was verified using the comparison of the ECG signals measured synchronously by active electrodes and Ag/AgCl electrodes. In addition, three flexible materials, including conductive textile, copper foil tape and a flexible printed circuit (FPC) are developed for the sensing layer with active electrodes. To compare the performance of these three materials for the sensing layer, the ECG signals of 10 subjects were measured by different materials in three postures and several indexes for quality evaluation were calculated. Results show that effective and clear ECG waveforms can be measured by all three kinds of materials and the quality of ECG signals measured by FPC is the best by conducting a significant t-test for signal quality indexes of three materials.


Asunto(s)
Electrocardiografía/métodos , Adulto , Algoritmos , Electrocardiografía/instrumentación , Electrodos , Femenino , Humanos , Masculino , Procesamiento de Señales Asistido por Computador , Relación Señal-Ruido , Plata/química , Dispositivos Electrónicos Vestibles , Adulto Joven
8.
Phys Chem Chem Phys ; 20(32): 21105-21112, 2018 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-30074597

RESUMEN

We investigate the electronic and transport properties of vanadium-doped zigzag blue phosphorus nanoribbons by first-principles quantum transport calculations. We study the spin-dependent transport properties and obtain current-voltage curves showing obvious spin polarization and negative differential behaviors. These interesting transport behaviors can be explained by the band structure of the vanadium-doped zigzag blue phosphorus nanoribbons. The tunnel magnetoresistance and spin-filtering effects under different magnetic configurations originate predominately from the symmetry matching between the band structures of the electrodes. According to our results, vanadium-doped zigzag blue phosphorus nanoribbons can be used as a perfect spin filter with a large tunnel magnetoresistance. This also indicates that blue phosphorus nanoribbons are a promising candidate for their future application in spintronics.

9.
Phys Chem Chem Phys ; 20(11): 7635-7642, 2018 Mar 14.
Artículo en Inglés | MEDLINE | ID: mdl-29497734

RESUMEN

We investigate the electronic and magnetic properties of substitutional metal atom impurities in two-dimensional (2D) blue phosphorene nanoribbons using first-principles calculations. In impure zigzag blue phosphorene nanoribbons (zBPNRs), a metal atom substitutes for a P atom at position "A/B". The V-"B"structure shows half-metallic properties, while the Mn-"A/B", V-"A", Fe-"B", and Cr-"A/B" structures show magnetic semiconductor properties. In addition, the Fe-"A" system shows magnetic metallic properties. On the other hand, for metal-doped armchair blue phosphorene nanoribbons (aBPNRs), the Mn-"A/B", V-"A", Fe-"A/B", and Cr-"A/B" structures show magnetic semiconductor properties, while the V-"B" structure shows nonmagnetic properties. We find that the magnetic properties of such substitutional impurities can be understood by regarding the exchange splitting of the metal 3d orbitals. And from analyzing the electron orbitals, we conclude that the main contribution of the DOS for every system comes from the d and p orbitals. These results suggest excellent candidates for new magnetic semiconductors and half-metals for spintronic devices based on blue phosphorenes.

10.
Clin Lab ; 64(4): 627-637, 2018 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-29739092

RESUMEN

BACKGROUND: To study the clinical and genetic features from a Chinese child with SATB2-associated syndrome (SAS) and review of literature. METHODS: The girl, 2 years 3 months old, is admitted to the Department of Pediatric Rehabilitation in our hospital. This patient has mental retardation, language development disorder, cleft palate II0, micrognathia, malocclusion, irritability and bilateral oblique palpebral fissure as a clinical manifestation and is treated for 3 months. RESULTS: Gesell Development Scale (GDS) evaluation displays the patient's action capacity: gross motor 13.4, DQ 41%; fine motor 14.1, DQ 44%; adaptive behavior: DA 15.2, DQ 47%; speech capacity: DA 8.8; DQ 27%; person capacity: DA 11.7, DQ, 36%. Bayley Scale evaluation displays MDI < 50 and PDI < 50. Sleep EEG showed bilateral frontal pole - frontal - central - anterior temporal area presents in sharp wave, sharp and slow wave synchronization issue. A brain MRI showed that signal T2 is strengthened in the internal capsule hind leg. Flake T2FLATR high signal can been showed in the periventricular area of the parietal lobe in bilateral hemisphere. Molecular studies showed the patient carries a de novo nonsense mutation c.1285G>A (p.R429X) in SATB2. CONCLUSIONS: SATB2 mutation is not detected in the parents of the subjects. This study is important to further study the clinical features of SATB2-associated syndrome and to enlarge the SATB2 mutation spectrum.


Asunto(s)
Anomalías Múltiples/genética , Codón sin Sentido , Discapacidades del Desarrollo/genética , Proteínas de Unión a la Región de Fijación a la Matriz/genética , Factores de Transcripción/genética , Secuencia de Bases , Preescolar , China , Análisis Mutacional de ADN , Femenino , Humanos , Síndrome
11.
Clin Lab ; 63(7): 1153-1162, 2017 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-28792689

RESUMEN

BACKGROUND: Tau protein is s specific protein expressed by neurons in the central nervous system. Elevated serum Tau protein is associated with many diseases of the central nervous system. The serum Tau protein level in neonates with hypoxic ischemic encephalopathy (HIE) is still poorly understood. METHODS: Forty-one human neonates with HIE and thirty-five healthy neonates (control group) within 24 hours after birth were studied. Tau protein in serum was detected by enzyme-linked immunosorbent assay. Neurological outcome was assessed at 9 months of age according to the Gesell developmental scale. RESULTS: Tau protein in serum was significantly higher in the HIE group than in the control group (p < 0.01), in neonates with severe HIE than neonates with moderate HIE (p < 0.01), and in infants with neurodevelopmental retardation compared with those with normal neurodevelopment (p < 0.01). The result of this study showed an obvious negative correlation between the serum Tau protein level and development quotients of neonates with HIE (rs = -0.6172, p < 0.01). Receiver operator characteristic curve analysis showed that Tau protein (cutoff value 933.04 pg/mL) was a predictor of neurodevelopmental retardation outcome (AUC value = 0.860 (95% CI: 0.736 - 0.983, p < 0.01), sensitivity 100%, specificity 70.8%). CONCLUSIONS: Serum Tau protein level within 24 hours after birth can be used as a marker for the early diagnosis of neonatal HIE and predicting neurodevelopmental outcomes.


Asunto(s)
Hipoxia-Isquemia Encefálica/sangre , Proteínas tau/sangre , Biomarcadores/sangre , Proteínas Sanguíneas , Humanos , Recién Nacido , Sensibilidad y Especificidad
12.
Phys Rev Lett ; 116(13): 131101, 2016 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-27081964

RESUMEN

By using a torsion pendulum and a rotating eightfold symmetric attractor with dual modulation of both the interested signal and the gravitational calibration signal, a new test of the gravitational inverse-square law at separations down to 295 µm is presented. A dual-compensation design by adding masses on both the pendulum and the attractor was adopted to realize a null experiment. The experimental result shows that, at a 95% confidence level, the gravitational inverse-square law holds (|α|≤1) down to a length scale λ=59 µm. This work establishes the strongest bound on the magnitude α of Yukawa-type deviations from Newtonian gravity in the range of 70-300 µm, and improves the previous bounds by up to a factor of 2 at the length scale λ≈160 µm.

13.
Front Psychiatry ; 15: 1383648, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38903640

RESUMEN

Introduction: Mental health issues bring a heavy burden to individuals and societies around the world. Recently, the large language model ChatGPT has demonstrated potential in depression intervention. The primary objective of this study was to ascertain the viability of ChatGPT as a tool for aiding counselors in their interactions with patients while concurrently evaluating its comparability to human-generated content (HGC). Methods: We propose a novel framework that integrates state-of-the-art AI technologies, including ChatGPT, BERT, and SHAP, to enhance the accuracy and effectiveness of mental health interventions. ChatGPT generates responses to user inquiries, which are then classified using BERT to ensure the reliability of the content. SHAP is subsequently employed to provide insights into the underlying semantic constructs of the AI-generated recommendations, enhancing the interpretability of the intervention. Results: Remarkably, our proposed methodology consistently achieved an impressive accuracy rate of 93.76%. We discerned that ChatGPT always employs a polite and considerate tone in its responses. It refrains from using intricate or unconventional vocabulary and maintains an impersonal demeanor. These findings underscore the potential significance of AIGC as an invaluable complementary component in enhancing conventional intervention strategies. Discussion: This study illuminates the considerable promise offered by the utilization of large language models in the realm of healthcare. It represents a pivotal step toward advancing the development of sophisticated healthcare systems capable of augmenting patient care and counseling practices.

14.
Otolaryngol Head Neck Surg ; 170(2): 309-319, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-37727944

RESUMEN

OBJECTIVE: There is a link between laryngopharyngeal reflux (LPR) and the formation of benign vocal fold lesions (BVFLs). However, previous studies have mainly focused on LPR suggested by symptoms and signs, rather than objectively diagnosed LPR via pharyngeal pH monitoring. We, therefore, conducted a Meta-analysis to evaluate the association between pharyngeal pH monitoring diagnosed LPR and the odds of BVFLs. DATA SOURCES: Relevant observational studies were identified by searching PubMed, Embase, Cochrane Library, and Web of Science. REVIEW METHODS: We evaluated between-study heterogeneity using the Cochrane Q test and estimated the I2 statistic. Random-effects models were used when significant heterogeneity was observed; otherwise, fixed-effects models were used. RESULTS: Thirteen datasets from 9 studies were included. Among them, 493 were diagnosed with LPR and 344 had BVFLs. LPR was related to a higher odds of BVFLs (odds ratio: 3.26, 95% confidence interval: 1.84-5.76, P < .001) with moderate heterogeneity (P for Cochrane Q test = .006, I2 = 57%). Subgroup analyses showed that the association was similar in studies with only pharyngeal pH monitoring (Restech), with double-probe or 3-site pH monitoring, and with 24-hour multichannel intraluminal impedance-pH monitoring (P for subgroup difference = .15). In addition, subgroup analysis showed consistent results in studies from Asia and Europe (P for subgroup analysis = .12), and the association seemed to be consistent for vocal Reinke's edema, nodules, and polyps (P for subgroup difference = .09). CONCLUSION: Pharyngeal pH monitoring diagnosed LPR is associated with the formation of BVFLs.


Asunto(s)
Reflujo Laringofaríngeo , Pliegues Vocales , Humanos , Monitorización del pH Esofágico , Reflujo Laringofaríngeo/diagnóstico , Faringe , Pólipos
15.
J Vis Exp ; (205)2024 03 21.
Artículo en Inglés | MEDLINE | ID: mdl-38513228

RESUMEN

This corrects the article 10.3791/66075.

16.
Front Plant Sci ; 15: 1412759, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39280944

RESUMEN

Background: Paper mulberry is a promising alternative fodder source due to its high protein and the abundance of active components. However, paper mulberry often faces susceptibility to contamination during silage fermentation, and there is a need to improve the quality of silage fermentation of paper mulberry through exotic additives. Sea buckthorn pomace (BP) is a feed additive containing antimicrobial and antioxidant substances that help to enhance silage fermentation. Therefore, the objective of this study was to evaluate the effects of BP and Lactiplantibacillus as additives on silage fermentation and bacterial community of paper mulberry. Results: The results showed that BP and Lactiplantibacillus significantly reduced the pH and ammonium nitrogen content of paper mulberry silage (P < 0.05) and significantly increased the content of lactic acid and acetic acid (P < 0.05), resulting in more residual water-soluble carbohydrate and crude protein contents and less fiber content relative to the control. The key microorganisms in paper mulberry silage fermentation are Lactiplantibacillus pentosus and Weissella cibaria. Among these, Lactiplantibacillus favored a rapid increase in Lactiplantibacillus pentosus abundance during the pre-silage fermentation period, whereas BP favored the promotion of Lactiplantibacillus pentosus growth, resulting in higher contents of lactic and acetic acid than those of the control. Conclusions: Simultaneously adding Lactiplantibacillus and BP can effectively improve the quality of paper mulberry silage and increase the abundance of beneficial microorganisms in paper mulberry silage.

17.
Artículo en Inglés | MEDLINE | ID: mdl-36981613

RESUMEN

Since COVID-19 was officially listed as a pandemic, online schooling has become a more pervasive form of learning, and cyberloafing has become a widespread behavior, even among adolescents. However, less research has explored the influencing mechanism of adolescents' cyberloafing. Based on relevant studies and the real lives of adolescents, this study aimed to examine the association between a competitive class climate and cyberloafing among adolescents, its underlying mechanism, the mediating role of perceived stress and the moderating role of self-esteem. A total of 686 adolescents were recruited to complete a set of questionnaires assessing cyberloafing, perceived stress, self-esteem, and perceived competitive class climate. The results showed that a competitive class climate was positively associated with perceived stress, and the U-shaped relationship between perceived stress and cyberloafing was significant. Perceived stress mediated the relationship between a competitive class climate and cyberloafing. Meanwhile, self-esteem moderated the U-shaped relationship between perceived stress and cyberloafing and the linear relationship between a competitive class climate and perceived stress. The results of this study indicate that the influence of a competitive class climate on individual learning behavior may be nonlinear, and proper competition can contribute to reducing individual cyberloafing.


Asunto(s)
Pueblos del Este de Asia , Educación a Distancia , Adolescente , Humanos , Autoimagen , Encuestas y Cuestionarios , Conducta Competitiva , Estrés Psicológico
18.
Behav Sci (Basel) ; 13(9)2023 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-37754010

RESUMEN

This study explored the effects of social networking site use intensity, upward social comparison, and optimism on college students' conspicuous consumption and their mechanisms of action using a sample of Chinese college students. A total of 717 Chinese college students (M = 20.08, SD = 1.44; 73.9% female) completed the Social Network Use Intensity Scale, the Upward Social Comparison Scale, the Life Orientation Test, and the Conspicuous Consumption Scale. The results indicate that (1) the intensity of use of social networking sites significantly positively predicts the conspicuous consumption behavior of college students; (2) upward social comparison plays a mediating role between the intensity of social networking site usage and conspicuous consumption; and (3) optimism moderates the second half of the mediating path between the intensity of social networking site use, upward social comparison, and conspicuous consumption. Specifically, the relationship between upward social comparison and conspicuous consumption among college students with low optimism levels is stronger than that among college students with high levels of optimism. Intensity has a stronger positive effect on conspicuous consumption through upward social comparison. It is concluded that the intensity of college students' use of social networking sites can affect their conspicuous consumption behavior through upward social comparison, and this relationship is moderated by optimism. The results of the study help to reveal the influence of SNS (social networking site) use behavior on conspicuous consumption and its mechanism of action and have implications for reducing the negative impact of conspicuous consumption on college students.

19.
J Vis Exp ; (201)2023 Nov 03.
Artículo en Inglés | MEDLINE | ID: mdl-37982507

RESUMEN

There are several established methods for obtaining repeated blood samples from rats, with the most commonly employed methods being lateral tail vein sampling without anesthesia and jugular vein sampling with anesthesia. However, most of these methods require assistance and anesthetic equipment and sometimes pose difficulties in terms of blood collection or the poor quality of blood samples. In addition, these methods of blood collection consume significant time and human resources when repeated blood sampling is required for a large number of rats. This study presents a technique for repetitive blood sampling in non-anesthetized rats by a single proficient individual. Highly satisfactory blood samples can be obtained by puncturing the subclavian vein. The method demonstrated an impressive overall success rate of 95%, with a median time of merely 2 min from rat restraint to the completion of blood collection. Furthermore, performing consecutive blood collections within the designated range does not inflict any harm on the rats. This method is worth promoting for blood collection, especially in large-scale pharmacokinetic studies.


Asunto(s)
Anestesia , Vena Subclavia , Humanos , Animales , Ratas , Recolección de Muestras de Sangre , Flebotomía , Estado de Conciencia
20.
Front Pharmacol ; 14: 1143444, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37089963

RESUMEN

Background: Medication therapy management (MTM) services is a method that can effectively improve patients' conditions, but the efficacy of economic and humanistic outcomes remain unclear. This systematic review and meta-analysis aim to use economic, clinical and humanistic outcomes to evaluate the multi-benefits of MTM services. Method: A systematic review and meta-analysis was conducted by retrieving PubMed, EMBASE, the Cochrane Library and ClinicalTrial.gov from the inception to April 2022. There were two reviewers screening the records, extracting the data, and assessing the quality of studies independently. Results: A total of 81 studies with 60,753 participants were included. MTM services were more effective in clinical outcomes with decreasing the rate of readmission (OR: 0.78; 95% CI: 0.73 to 0.83; I2 = 56%), emergency department visit (OR: 0.88; 95% CI: 0.81 to 0.96; I2 = 32%), adverse drug events (All-cause: OR: 0.68; 95% CI: 0.56 to 0.84; I2 = 61%; SAE: OR: 0.51; 95% CI: 0.33 to 0.79; I2 = 35%) and drug-related problems (MD: -1.37; 95% CI: -2.24 to -0.5; I2 = 95%), reducing the length of stay in hospital (MD: -0.74; 95% CI: -1.37 to -0.13; I2 = 70%), while the economic and humanistic outcomes were less effective. Conclusion: Our systematic review and meta-analysis demonstrated that MTM services had great ability to improve patients' clinical conditions while the efficacy of economic and humanistic outcomes, with some of the outcomes showing high degree of heterogeneity and possible publication bias, required more future studies to provide stronger evidence. Systematic Review Registration: [https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=349050], identifier [CRD42022349050].

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