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1.
J Clin Psychopharmacol ; 44(2): 117-123, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38230861

RESUMEN

BACKGROUND: As clinical practices with lithium salts for patients diagnosed with bipolar disorder (BD) are poorly documented in Asia, we studied the prevalence and clinical correlates of lithium use there to support international comparisons. METHODS: We conducted a cross-sectional study of use and dosing of lithium salts for BD patients across 13 Asian sites and evaluated bivariate relationships of lithium treatment with clinical correlates followed by multivariate logistic regression modeling. RESULTS: In a total of 2139 BD participants (52.3% women) of mean age 42.4 years, lithium salts were prescribed in 27.3% of cases overall, varying among regions from 3.20% to 59.5%. Associated with lithium treatment were male sex, presence of euthymia or mild depression, and a history of seasonal mood change. Other mood stabilizers usually were given with lithium, often at relatively high doses. Lithium use was associated with newly emerging and dose-dependent risk of tremors as well as risk of hypothyroidism. We found no significant differences in rates of clinical remission or of suicidal behavior if treatment included lithium or not. CONCLUSIONS: Study findings clarify current prevalence, dosing, and clinical correlates of lithium treatment for BD in Asia. This information should support clinical decision-making regarding treatment of BD patients and international comparisons of therapeutic practices.


Asunto(s)
Trastorno Bipolar , Humanos , Masculino , Femenino , Adulto , Trastorno Bipolar/tratamiento farmacológico , Trastorno Bipolar/epidemiología , Trastorno Bipolar/inducido químicamente , Litio/uso terapéutico , Estudios Transversales , Farmacoepidemiología , Sales (Química)/uso terapéutico , Antimaníacos/uso terapéutico , Compuestos de Litio/uso terapéutico
2.
Phys Chem Chem Phys ; 26(17): 13412-13419, 2024 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-38647047

RESUMEN

Anodic aluminum oxide (AAO) membranes were used as templates to control orientation of an ion-channel forming columnar mesophase obtained by self assembly of a wedge-shaped sulfonate molecule. Inside the AAO structure, the director vector of the mesophase is oriented parallel to the pore axis due to the confinement effect. The molecular arrangement induced by the spatial confinement within the pores is extended over several microns into the remnant film on the AAO surface. The homeotropic alignment of the channels promotes unidimensional ion conduction through the film plane, which is manifested by a considerable increase in conductivity relative to isotropic samples.

3.
J Mater Sci Mater Med ; 35(1): 37, 2024 Jun 25.
Artículo en Inglés | MEDLINE | ID: mdl-38916635

RESUMEN

The current clinical application of glaucoma drainage devices is made of non-degradable materials. These non-degradable drainage devices often trigger inflammatory responses and scar proliferation, possibly leading to surgical failure. We developed a biodegradable material hydroxyapatite-coated magnesium (HA-Mg) as a glaucoma drainage device. Twelve New Zealand white rabbits were randomly assigned to three groups: HA-Mg drainage plate group (6 right eyes), trabeculectomy group (6 right eyes), and control group (12 left eyes). Results showed that all HA-Mg drainage plates were completely degraded ~4 months postoperatively. At the 5th month postoperatively, there was no statistical difference in the corneal endothelium density between the HA-Mg drainage plate group and the control group (p = 0.857). The intraocular pressure (IOP) level in the HA-Mg drainage plate implantation group was lower than in the other two groups. The trypan blue dye still drained from the anterior chamber to the subconjunctiva 5 months after HA-Mg drainage plate implantation. HE staining revealed the scleral linear aqueous humor drainage channel and anterior synechia were observed after drainage plate completely degraded, with no obvious infiltration with the inflammatory cells. This study showed the safety and efficacy of HA-Mg glaucoma drainage plate in controlling IOP after implantation into the anterior chamber of rabbit eyes.


Asunto(s)
Cámara Anterior , Implantes de Drenaje de Glaucoma , Glaucoma , Presión Intraocular , Magnesio , Animales , Conejos , Cámara Anterior/cirugía , Glaucoma/cirugía , Magnesio/química , Durapatita/química , Trabeculectomía/métodos
4.
Radiology ; 308(2): e223003, 2023 08.
Artículo en Inglés | MEDLINE | ID: mdl-37552073

RESUMEN

Background The Ovarian-Adnexal Reporting and Data System (O-RADS) has limited specificity for malignancy. Contrast-enhanced US can help distinguish malignant from benign lesions, but its added value to O-RADS has not yet been assessed. Purpose To establish a diagnostic model combining O-RADS and contrast-enhanced US and to validate whether O-RADS plus contrast-enhanced US has a better diagnostic performance than O-RADS alone. Materials and Methods This prospective study included participants from May 2018 to March 2021 who underwent contrast-enhanced US before surgery and had lesions categorized as O-RADS 3, 4, or 5 by US, with a histopathologic reference standard. From April 2021 to July 2022, participants with pathologically confirmed ovarian-adnexal lesions were recruited for the validation group. In the pilot group, the initial enhancement time and enhancement intensity in comparison with the uterine myometrium, contrast agent distribution pattern, and dynamic changes in enhancement of lesions were assessed. Contrast-enhanced US features were used to calculate contrast-enhanced US scores for benign (score ≤2) and malignant (score ≥4) lesions. Lesions were then re-rated according to O-RADS category plus contrast-enhanced US scores. Receiver operating characteristic curves were constructed and compared using the DeLong method. The combined system was validated in an independent group. Results The pilot group included 76 women (mean age, 44 years ± 13 [SD]), and the validation group included 46 women (mean age, 42 years ± 14). Differences in initial enhancement time (P < .001), enhancement intensity (P < .001), and dynamic changes in enhancement (P < .001) between benign and malignant lesions were observed in the pilot group. Contrast-enhanced US scores were calculated using these features. The O-RADS risk stratification was upgraded one level for contrast-enhanced US scores of 4 or more and downgraded one level for contrast-enhanced US scores of 2 or less. In the validation group, the diagnostic performance of O-RADS plus contrast-enhanced US score was higher (area under the receiver operating characteristic curve [AUC] = 0.93) than O-RADS (AUC = 0.71, P < .001). Conclusion Contrast-enhanced US improved the diagnostic performance for malignancy of the O-RADS categories 3-5. © RSNA, 2023 Supplemental material is available for this article. See also the editorial by Grant in this issue.


Asunto(s)
Neoplasias , Humanos , Femenino , Adulto , Estudios Prospectivos , Estudios Retrospectivos , Curva ROC , Medición de Riesgo , Sensibilidad y Especificidad , Ultrasonografía/métodos
5.
Glob Chang Biol ; 29(16): 4605-4619, 2023 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-37293800

RESUMEN

Ectomycorrhizal (ECM) functional traits related to nutrient acquisition are impacted by nitrogen (N) deposition. However, less is known about whether these nutrient-acquisition traits associated with roots and hyphae differentially respond to increased N deposition in ECM-dominated forests with different initial N status. We conducted a chronic N addition experiment (25 kg N ha-1 year-1 ) in two ECM-dominated forests with contrasting initial N status, that is, a Pinus armandii forest (with relatively low N availability) and a Picea asperata forest (with relatively high N availability), to assess nutrient-mining and nutrient-foraging strategies associated with roots and hyphae under N addition. We show that nutrient-acquisition strategies of roots and hyphae differently respond to increased N addition. Root nutrient-acquisition strategies showed a consistent response to N addition, regardless of initial forest nutrient status, shifting from organic N mining toward inorganic N foraging. In contrast, the hyphal nutrient-acquisition strategy showed diverse responses to N addition depending on initial forest N status. In the Pinus armandii forest, trees increased belowground carbon (C) allocation to ECM fungi thus enhancing hyphal N-mining capacity under increased N availability. By comparison, in the Picea asperata forest, ECM fungi enhanced both capacities of P foraging and P mining in response to N-induced P limitation. In conclusion, our results demonstrate that ECM fungal hyphae exhibit greater plasticity in nutrient-mining and nutrient-foraging strategies than roots do in response to changes of nutrient status induced by N deposition. This study highlights the importance of ECM associations in tree acclimation and forest function stability under changing environments.


Asunto(s)
Micorrizas , Picea , Pinus , Raíces de Plantas/microbiología , Hifa , Nitrógeno , Plásticos , Suelo , Bosques , Micorrizas/fisiología , Árboles/fisiología , Microbiología del Suelo
6.
J Clin Psychopharmacol ; 43(3): 278-282, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37068038

RESUMEN

BACKGROUND: Pharmacoepidemiological studies of clozapine use to treat bipolar disorder (BD), especially in Asia, are rare, although they can provide insights into associated clinical characteristics and support international comparisons of indications and drug dosing. METHODS: We examined the prevalence and clinical correlates of clozapine treatment for BD in 13 Asian countries and regions (China, Hong Kong SAR, India, Indonesia, Japan, Korea, Malaysia, Myanmar, Pakistan, Singapore, Sri Lanka, Taiwan, and Thailand) within an Asian Prescription Patterns Research Consortium. We compared BD patients treated with clozapine or not in initial bivariate comparisons followed by multivariable logistic regression modeling. RESULTS: Clozapine was given to 2.13% of BD patients overall, at a mean daily dose of 275 (confidence interval, 267-282) chlorpromazine-equivalent mg/day. Patients receiving clozapine were older, more likely males, hospitalized, currently manic, and given greater numbers of mood-stabilizing and antipsychotic drugs in addition to clozapine. Logistic regression revealed that older age, male sex, current mania, and greater number of other antipsychotics remained significantly associated with clozapine treatment. Clozapine use was not associated with depressed mood, remission of illness, suicidal risk, or electroconvulsive treatment within the previous 12 months. CONCLUSIONS: The identified associations of clozapine use with particular clinical features call for vigilance in personalized clinical monitoring so as to optimize clinical outcomes of BD patients and to limit risks of adverse effects of polytherapy.


Asunto(s)
Antipsicóticos , Trastorno Bipolar , Clozapina , Humanos , Masculino , Clozapina/uso terapéutico , Trastorno Bipolar/tratamiento farmacológico , Antipsicóticos/efectos adversos , Psicotrópicos/uso terapéutico , Prescripciones
7.
Environ Sci Technol ; 57(51): 21855-21865, 2023 Dec 26.
Artículo en Inglés | MEDLINE | ID: mdl-38086098

RESUMEN

Per- and polyfluoroalkyl substances (PFAS) represent significant stress to organisms and are known to disrupt microbial community structure and function. Nevertheless, a detailed knowledge of the soil microbial community responding to PFAS stress at the metabolism level is required. Here we integrated UPLC-HRMS-based metabolomics data with 16S rRNA and ITS amplicon data across soil samples collected adjacent to a fluoropolymer production facility to directly identify the biochemical intermediates in microbial metabolic pathways and the interactions with microbial community structure under PFAS stress. A strong correlation between metabolite and microbial diversity was observed, which demonstrated significant variations in soil metabolite profiles and microbial community structures along with the sampling locations relative to the facility. Certain key metabolites were identified in the metabolite-PFAS co-occurrence network, functioning on microbial metabolisms including lipid metabolism, amino acid metabolism, and secondary metabolite biosynthesis. These results provide novel insights into the impacts of PFAS contamination on soil metabolomes and microbiomes. We suggest that soil metabolomics is an informative and useful tool that could be applied to reinforce the chemical evidence on the disruption of microbial ecological traits.


Asunto(s)
Ácidos Alcanesulfónicos , Fluorocarburos , Microbiota , Suelo/química , ARN Ribosómico 16S/genética , Fluorocarburos/análisis , Polímeros de Fluorocarbono
8.
BMC Ophthalmol ; 23(1): 27, 2023 Jan 19.
Artículo en Inglés | MEDLINE | ID: mdl-36658547

RESUMEN

BACKGROUND: Diabetic retinopathy (DR) is one of the most common microvascular complications of diabetes and causes of blindness in developed countries. Our study was designed to identify immune-related genes involved in the progression of proliferative diabetic retinopathy (PDR). METHODS: The "GSE102485" dataset of neovascular membrane samples (NVMs) from type 1 and 2 diabetes mellitus patients was downloaded from the Gene Expression Omnibus database. Functional enrichment analyses, protein-protein interaction network (PPI) construction, and module analysis of immune pathways in NVMs and controls were conducted via Gene Set Enrichment Analysis and Metascape. RESULTS: The significantly upregulated hallmark gene sets in DR2 and DR1 groups were involved in five immune pathways. Only CCR4, CXCR6, C3AR1, LPAR1, C5AR1, and P2RY14 were not previously reported in the context of PDR molecular pathophysiology. Except for P2RY14, all of the above were upregulated in retinal samples from experimental diabetes mouse models and human retina microvascular endothelial cells (HRMECs) treated with high glucose (HG) by quantitative Real Time Polymerase Chain Reaction (qRT-PCR). CONCLUSION: The genes identified herein provide insight into immune-related differential gene expression during DR progression.


Asunto(s)
Diabetes Mellitus Tipo 1 , Diabetes Mellitus Tipo 2 , Retinopatía Diabética , Animales , Ratones , Humanos , Retinopatía Diabética/genética , Retinopatía Diabética/metabolismo , Células Endoteliales/metabolismo , Diabetes Mellitus Tipo 2/metabolismo , Retina/metabolismo
9.
Int J Mol Sci ; 24(11)2023 May 27.
Artículo en Inglés | MEDLINE | ID: mdl-37298332

RESUMEN

Low temperatures restrict the growth of the grapevine industry. The DREB transcription factors are involved in the abiotic stress response. Here, we isolated the VvDREB2A gene from Vitis vinifera cultivar 'Zuoyouhong' tissue culture seedlings. The full-length VvDREB2A cDNA was 1068 bp, encoding 355 amino acids, which contained an AP2 conserved domain belonging to the AP2 family. Using transient expression in leaves of tobacco, VvDREB2A was localized to the nucleus, and it potentiated transcriptional activity in yeasts. Expression analysis revealed that VvDREB2A was expressed in various grapevine tissues, with the highest expression in leaves. VvDREB2A was induced by cold and the stress-signaling molecules H2S, nitric oxide, and abscisic acid. Furthermore, VvDREB2A-overexpressing Arabidopsis was generated to analyze its function. Under cold stress, the Arabidopsis overexpressing lines exhibited better growth and higher survival rates than the wild type. The content of oxygen free radicals, hydrogen peroxide, and malondialdehyde decreased, and antioxidant enzyme activities were enhanced. The content of raffinose family oligosaccharides (RFO) also increased in the VvDREB2A-overexpressing lines. Moreover, the expression of cold stress-related genes (COR15A, COR27, COR6.6, and RD29A) was also enhanced. Taken together, as a transcription factor, VvDREB2A improves plants resistance to cold stress by scavenging reactive oxygen species, increasing the RFO amount, and inducing cold stress-related gene expression levels.


Asunto(s)
Proteínas de Arabidopsis , Arabidopsis , Vitis , Factores de Transcripción/metabolismo , Vitis/metabolismo , Arabidopsis/metabolismo , Proteínas de Plantas/metabolismo , Regulación de la Expresión Génica de las Plantas , Frío , Estrés Fisiológico/genética , Respuesta al Choque por Frío , Oligosacáridos/metabolismo , Rafinosa/metabolismo , Plantas Modificadas Genéticamente/genética , Plantas Modificadas Genéticamente/metabolismo , Proteínas Represoras/genética , Proteínas de Arabidopsis/genética
10.
Glob Chang Biol ; 28(16): 4947-4961, 2022 08.
Artículo en Inglés | MEDLINE | ID: mdl-35582981

RESUMEN

Plant roots and associated mycorrhizae exert a large influence on soil carbon (C) cycling. Yet, little was known whether and how roots and ectomycorrhizal (ECM) extraradical mycelia differentially contribute to soil organic C (SOC) accumulation in alpine forests under increasing nitrogen (N) deposition. Using ingrowth cores, the relative contributions of the root pathway (RP; i.e., roots and rhizosphere processes) and mycelium pathway (MP; i.e., extraradical mycelia and hyphosphere processes) to SOC accumulation were distinguished and quantified in an ECM-dominated forest receiving chronic N addition (25 kg N ha-1  year-1 ). Under the non-N addition, the RP facilitated SOC accumulation, although the MP reduced SOC accumulation. Nitrogen addition enhanced the positive effect of RP on SOC accumulation from +18.02 to +20.55 mg C g-1 but counteracted the negative effect of MP on SOC accumulation from -5.62 to -0.57 mg C g-1 , compared with the non-N addition. Compared with the non-N addition, the N-induced SOC accumulation was 1.62-2.21 and 3.23-4.74 mg C g-1 , in the RP and the MP, respectively. The greater contribution of MP to SOC accumulation was mainly attributed to the higher microbial C pump (MCP) efficacy (the proportion of increased microbial residual C to the increased SOC under N addition) in the MP (72.5%) relative to the RP (57%). The higher MCP efficacy in the MP was mainly associated with the higher fungal metabolic activity (i.e., the greater fungal biomass and N-acetyl glucosidase activity) and greater binding efficiency of fungal residual C to mineral surfaces than those of RP. Collectively, our findings highlight the indispensable role of mycelia and hyphosphere processes in the formation and accumulation of stable SOC in the context of increasing N deposition.


Asunto(s)
Carbono , Micorrizas , Bosques , Micelio/química , Nitrógeno/análisis , Suelo , Microbiología del Suelo
11.
J Clin Psychopharmacol ; 42(3): 293-297, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35384905

RESUMEN

BACKGROUND: Because use and dosing of mood stabilizers (MSs) to treat bipolar disorder (BD) patients in Asia are not well documented, we examined prevalence and clinical correlates of treatment of Asian BD patients with relatively high doses of MSs. METHODS: We conducted a pharmacoepidemiological survey across 13 Asian countries and territory in the Research on Asian Psychotropic Prescription Patterns Consortium. Mood stabilizer doses were converted to lithium carbonate equivalents (Li-eq milligrams per day). We compared relatively high (>900 Li-eq mg/day) versus lower MS doses by bivariate comparisons, followed by multivariable linear regression to identify factors associated with higher MS doses. RESULTS: Among 1647 participants, MS dose averaged 584 (confidence interval, 565-603 Li-eq mg/d). Preliminarily, the 13.1% of the subjects given greater than 900 mg/d versus those given lower doses were younger, male, currently hospitalized, not currently depressed, and reported lifetime suicidal ideation; they also received relatively high doses of antipsychotics, received electroconvulsive treatment within the previous 12 months, and had greater ratings of tremors and sedation. By linear regression modeling, the mean proportion given high doses of MS was associated significantly and independently with higher doses of antipsychotics, younger age, male sex, hospitalized, more years of illness, country, higher body mass index, recent electroconvulsive treatment, and being in illness remission. CONCLUSIONS: Relatively high doses of MSs for BD are prevalent, but vary markedly among Asian countries, and are particularly likely among young males, ill for many years, and given high doses of antipsychotics or ECT. These characteristics allow better identification of patient profiles that can guide treatment of BD patients.


Asunto(s)
Antipsicóticos , Trastorno Bipolar , Anticonvulsivantes/uso terapéutico , Antimaníacos , Trastorno Bipolar/tratamiento farmacológico , Humanos , Litio/uso terapéutico , Masculino , Pautas de la Práctica en Medicina , Prescripciones , Psicotrópicos/uso terapéutico
12.
Environ Sci Technol ; 56(17): 12573-12583, 2022 09 06.
Artículo en Inglés | MEDLINE | ID: mdl-35944241

RESUMEN

Horizontal gene transfer (HGT) of antibiotic resistance genes (ARGs) through plasmid-mediated conjugation poses a major threat to global public health. Biochar, a widely used environmental remediation material, has remarkable impacts on the fate of ARGs. However, although biochar was reported being able to inhibit the HGT of ARGs via conjugation and transformation, little is known about the intracellular process that mediates the inhibition effects. On the other hand, as typical natural organic matter, fulvic acid is a common environmental influencer, and how it interferes with the effect of biochar on the HGT of ARGs is unknown. Therefore, this study investigated the effects on the conjugative transfer of ARGs between Escherichia coli MG1655 and E. coli HB101 carrying plasmid RP4, with biochars pyrolyzed at three temperatures and with the corresponding biochars coating with fulvic acid. Results showed that biochar with higher pyrolyzed temperature had a more substantial inhibitory effect on the conjugative transfer of the RP4 plasmid. The inhibitory effect of biochar was mainly attributed to (i) down-regulation of plasmid transfer gene expression, including the formation of conjugative transfer channel and plasmid replication, due to restrained adenosine triphosphate (ATP) energy supply and (ii) decreased cell membrane permeability. Conversely, the fulvic acid coating diminished this inhibition effect of biochar, mainly by providing more ATP and strengthening intracellular reactive oxygen species (ROS) defense. Our findings shed light on the intracellular process that mediates the effects of biochar on the conjugative transfer of ARGs, which would provide support for using biochar to reduce the spread of ARGs.


Asunto(s)
Antibacterianos , Escherichia coli , Adenosina Trifosfato/farmacología , Antibacterianos/farmacología , Carbón Orgánico , Farmacorresistencia Microbiana/genética , Escherichia coli/genética , Transferencia de Gen Horizontal , Genes Bacterianos , Plásmidos/genética
13.
J Ultrasound Med ; 40(1): 151-161, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-32681744

RESUMEN

OBJECTIVES: The aim of this study was to explore a modified model to simplify the diagnostic process for American College of Radiology Breast Imaging Reporting and Data System category 3 to 5 breast lesions and evaluate the model's diagnostic efficacy. METHODS: A retrospective review was conducted of breast lesions examined by B-mode ultrasound (US) and contrast-enhanced ultrasound (CEUS) and diagnosed by histopathologic examination from October 2016 to August 2019. The US characteristics of a combined model (US + CEUS model) with relatively high diagnostic value were selected by a lasso regression analysis to establish a modified model. Two nomograms were developed. The results were internally validated by bootstrap resampling. RESULTS: Overall, 206 breast lesions in 198 patients, 136 benign and 70 malignant, were included. Ultrasound characteristics included in the modified model were shape, margin, microcalcification, enhanced intensity, enhanced scope, and enhanced time. For the US + CEUS model and modified model, sensitivities were 94.3% and 93.3%; specificities were 85.9% and 81.4%; accuracies were 89.3% and 88.7% and areas under the curve were 0.957 and 0.944, respectively. No statistically significant differences were seen in the diagnostic efficacies of the models (P = .097). Bootstrap-corrected sensitivities, specificities. and accuracies of the models were consistent with these results. Bootstrap-corrected areas under the curve for the US + CEUS model and the modified model were 0.955 and 0.940, respectively. CONCLUSIONS: The modified model with fewer indicators conveniently and effectively diagnosed the malignancy of Breast Imaging Reporting and Data System category 3 to 5 breast lesions without reducing diagnostic efficacy.


Asunto(s)
Neoplasias de la Mama , Nomogramas , Mama/diagnóstico por imagen , Neoplasias de la Mama/diagnóstico por imagen , Medios de Contraste , Femenino , Humanos , Estudios Retrospectivos , Ultrasonografía , Ultrasonografía Mamaria
14.
Depress Anxiety ; 37(8): 793-800, 2020 08.
Artículo en Inglés | MEDLINE | ID: mdl-32383260

RESUMEN

BACKGROUND: Many patients with major depressive disorder (MDD) have been found to have psychotic symptoms. However, few studies have reported the prevalence of comorbid psychotic symptoms in first-episode drug naïve (FEDN) MDD patients. This study was to investigate the prevalence of psychotic symptoms and related risk factors in a large sample size of FEDN MDD patients in a Chinese population. METHODS: A total of 573 patients with diagnosis of MDD at their first episode were recruited with their demographic and clinical data. Positive scale of the Positive and Negative Syndrome Scale was utilized for psychotic symptoms, Hamilton Anxiety Rating Scale (HAMA) for anxiety symptoms, and Hamilton Depression Rating Scale (HAMD) for depressive symptoms. RESULTS: The prevalence of psychotic symptoms in these MDD patients was 9.8%. MDD patients with psychotic symptoms had significantly higher HAMD and HAMA total scores than those without psychotic symptoms (both p < .001). A strong association was found between psychotic MDD and anxiety or suicide, with odds ratio of 33.097 for severe anxiety, and 5.012 for suicide. CONCLUSIONS: Our results suggest that psychotic symptoms are common in MDD patients at their first episode. The strong association between psychotic MDD and anxiety or suicide attempts demonstrates the importance of reducing anxiety symptoms in the treatment of psychotic MDD patients as well as the necessity to regularly assess suicide risk in MDD patients with psychotic symptoms to better prevent suicidal behavior.


Asunto(s)
Trastorno Depresivo Mayor , Preparaciones Farmacéuticas , Trastornos Psicóticos , Estudios Transversales , Trastorno Depresivo Mayor/epidemiología , Humanos , Prevalencia , Trastornos Psicóticos/epidemiología
15.
Telemed J E Health ; 26(3): 294-303, 2020 03.
Artículo en Inglés | MEDLINE | ID: mdl-31045486

RESUMEN

Background: Personal trust tendency is an individual characteristic that can affect one's evaluation of others, behavior and its related outcomes. It may significantly affect one's health information seeking behavior and compliance. Therefore, this article aims at figuring out how personal trust tendency influences patient compliance through the internet health information seeking and patient satisfaction with it. Methods: Data were collected from 336 valid participants through an online survey in China. There are two independent variables: (1) cognition-based trust tendency and (2) affect-based trust tendency, three intervening variables (emerging internet health information seeking, conservative internet health information seeking, and satisfaction with internet health information), one dependent variable (patient compliance), and control variables. We performed confirmative factor analysis and structural equation modeling to test the hypotheses. Results: The cognition- and affect-based trust tendency positively affects patient compliance through the mediation of emerging and conservative internet health information seeking and satisfaction with internet health information. Surprisingly, strong positive relationships between affect-based trust tendency and emerging and conservative internet health information seeking were found, which are contrary to our initial hypothesis. Conclusions: Health information is considerably important when regarding health-related issues for individuals with cognition- and affect-based trust tendency. Physicians should encourage patients to seek health information on the internet and guide them to use internet health information that suits them. Information exchange and correlations should be involved in doctor-patient interactions. By following the suggestions just cited, better patient compliance can likely be obtained.


Asunto(s)
Conducta en la Búsqueda de Información , Internet , Cooperación del Paciente , Confianza , China , Humanos , Relaciones Médico-Paciente , Encuestas y Cuestionarios
16.
Telemed J E Health ; 26(1): 71-79, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-30758260

RESUMEN

Background: Through mass media, some patients tend to seek mature treatment-related health information whereas some prefer information related to emerging treatments, which may influence patient compliance, specifically, following the medical diagnoses and treatment regimens. Given that traditional mass media (TMM) and the internet (INT) may promote the publication of different treatment-related information, this study aims to identify the difference between TMM and the INT in influencing patient compliance with mature treatments (PCMTs). Materials and Methods: Our subjects were Chinese who had received therapies within a month and had experience of seeking health information through mass media. An online survey involving 384 valid responses was conducted to collect data. The confirmatory factor analysis and structural equation modeling were adopted to test hypotheses. Results: Both TMM and the INT significantly affect PCMTs, through the mediation of mature treatment-related health information. Conclusions: A provision of mature treatment-related information via TMM can effectively help patients gain awareness and knowledge about treatments. In addition, physicians can update patients' knowledge by making cutting-edge treatments continuously available to patients through the mass media and analyzing patient's access patterns for different treatment-related information.


Asunto(s)
Conducta en la Búsqueda de Información , Internet , Medios de Comunicación de Masas , Cooperación del Paciente , Humanos , Encuestas y Cuestionarios
17.
Photochem Photobiol Sci ; 18(7): 1709-1715, 2019 Jul 10.
Artículo en Inglés | MEDLINE | ID: mdl-31063533

RESUMEN

Aqueous microgels based on poly(N-vinylcaprolactam) with reversible temperature-induced volume transition are promising "smart" materials for various applications. In this work, the microgels are modified via acid-base interaction by wedge-shaped amphiphilic sulfonic acid molecules with alkyl chains of different lengths and an azobenzene group. In contrast to the pristine microgel the modified microgels retain colloidal stability in water and show different responses to the change of temperature and pH. The azobenzene group in the ligand molecules acts as a spectroscopic and kinetic probe sensing the microenvironment inside the microgel particles. Thus, the observed hyperchromicity upon heating suggests the enhancement of hydrophobicity with the increase of temperature. The hydrophobicity of the microgel interior increases with the increase of the modification degree as indicated by the increase of activation energy of the thermal Z/E isomerization of the azobenzene group.


Asunto(s)
Geles/química , Compuestos Azo/química , Caprolactama/análogos & derivados , Caprolactama/química , Geles/síntesis química , Concentración de Iones de Hidrógeno , Interacciones Hidrofóbicas e Hidrofílicas , Tamaño de la Partícula , Polímeros/química , Espectrofotometría , Estereoisomerismo , Ácidos Sulfónicos/química , Temperatura , Agua/química
18.
Biochemistry ; 57(18): 2606-2610, 2018 05 08.
Artículo en Inglés | MEDLINE | ID: mdl-29638118

RESUMEN

Antimicrobial peptides (AMPs) are a promising alternative to antibiotics for mitigating bacterial infections, in light of increasing bacterial resistance to antibiotics. However, predicting, understanding, and controlling the antibacterial activity of AMPs remain a significant challenge. While peptide intramolecular interactions are known to modulate AMP antimicrobial activity, peptide intermolecular interactions remain elusive in their impact on peptide bioactivity. Herein, we test the relationship between AMP intermolecular interactions and antibacterial efficacy by controlling AMP intermolecular hydrophobic and hydrogen bonding interactions. Molecular dynamics simulations and Gibbs free energy calculations in concert with experimental assays show that increasing intermolecular interactions via interpeptide aggregation increases the energy cost for the peptide to embed into the bacterial cell membrane, which in turn decreases the AMP antibacterial activity. Our findings provide a route for predicting and controlling the antibacterial activity of AMPs against Gram-negative bacteria via reductions of intermolecular AMP interactions.


Asunto(s)
Péptidos Catiónicos Antimicrobianos/química , Metabolismo Energético/efectos de los fármacos , Agregado de Proteínas/efectos de los fármacos , Péptidos Catiónicos Antimicrobianos/metabolismo , Péptidos Catiónicos Antimicrobianos/farmacología , Membrana Celular/química , Membrana Celular/efectos de los fármacos , Bacterias Gramnegativas/efectos de los fármacos , Bacterias Gramnegativas/patogenicidad , Humanos , Simulación de Dinámica Molecular
19.
Langmuir ; 34(35): 10397-10406, 2018 09 04.
Artículo en Inglés | MEDLINE | ID: mdl-30095272

RESUMEN

Microencapsulation of phase-change materials is of great importance for thermal energy-storage applications. In this work, we report on a facile approach to enclose paraffin in mechanically strong submicron silica capsules without the addition of any classical organic surfactants. A liquid silica precursor polymer, hyperbranched polyethoxysiloxane (PEOS), is used as both silica source and stabilizer of oil-in-water emulsions because of its hydrolysis-induced interfacial activity. Hydrophobic paraffin is microencapsulated in silica with quantitative efficiency simply by emulsifying the mixture of molten paraffin and PEOS in water under ultrasonication or high-shear homogenization. The size of the capsules can be controlled by emulsification energy and rate of subsequent stirring. The silica shell, whose thickness can be easily tuned by varying the paraffin to PEOS ratio, acts as an effective barrier layer retarding significantly the evaporation of enclosed substances; meanwhile, the microencapsulated paraffin maintains the excellent phase-change performance. This technique offers a low-cost, highly scalable, and environmentally friendly process for microencapsulation of paraffin phase-change materials.

20.
Langmuir ; 34(35): 10381-10388, 2018 09 04.
Artículo en Inglés | MEDLINE | ID: mdl-30088939

RESUMEN

An ultralight silica aerogel is among the most versatile materials available for technical applications; however, it remains a huge challenge to reduce its manufacturing cost. Here, we report on a simple approach for the preparation of silica foam monoliths with ultrahigh porosity up to 99.5% and specific surface area as high as 755 m2 g-1, which are similar to those of an aerogel. Our strategy is based on the effective stabilization of water-in-oil high internal phase emulsions by a hydrophobic silica precursor polymer, hyperbranched polyethoxysiloxane because of its hydrolysis-induced amphiphilicity. After conversion of this precursor polymer to silica, the emulsions are solidified without significant volume shrinkage. Thus, mechanically strong macroporous silica monoliths are obtained after removal of its liquid components. According to nitrogen sorption data, the resulting silica foams exhibit a high specific surface area and a foam skeleton consisting of both micropores (<2 nm) and mesopores (2-50 nm). The pore size, porosity, and surface area can be regulated by varying pH as well as the concentration of the silica precursor in the oil phase. In addition, the pore size can be adjusted by controlling shear force during emulsification. This work opens a new avenue for producing ultralight porous materials amenable to numerous applications.

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