Technology-based interventions on burden of older adults' informal caregivers: a systematic review and meta-analysis of randomized controlled trials.

BACKGROUND: An increasing number of technologies are provided to reduce the burden of older adults' informal caregivers. However, less is known about the effects and the mechanism of technology to work on burden. This review is to evaluate the effectiveness of technology-based interventions (TBI) in alleviating the burden of older adults' informal caregivers and to distinguish its effective mechanism via group disparities. METHODS: A systematic review and meta-analysis of randomized controlled trials studies (RCTs) has been conducted. Web of Science, PubMed, EMBASE, Scopus, CINAHL, PsycINFO, WANFANG, CNKI, CQVIP databases, Cochrane Library Trials, and ClinicalTrials.gov were searched for trial studies and registry in both English and Chinese published from January 1990 to October 2022. Reviewers independently screened the articles and trials, conducted quality assessments, and extracted the data. All processes were guided by Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Risk of bias of the studies was evaluated by the Cochrane Systematic Review Handbook. The meta-analysis was conducted by RevMan 5.13. Subgroup analyses, sensitivity analyses, publication bias were also conducted. RESULTS: A total of 11,095 RCTs were initially screened, and 14 trials representing 1010 informal caregivers were included finally. This review proved TBI effective in reducing caregiving burden older adults. Subgroup analysis showed effects of TBI differed by interventions on control group and medical conditions of care recipients. CONCLUSION: TBI is an effective way to alleviate the burden on informal caregivers of aging people. Interventions for control groups and medical conditions of care-recipients are significant factors in effective interventions. Future researches could include more trials with high-quality or to explore more targeted aging groups, modalities of TBI, or caregiver outcomes. TRIAL REGISTRATION: The review protocol was registered on PROSPERO [CRD42021277865].

[Effects of hexabromocyclododecanes on retinoid X receptor α, pregnane X receptor and peroxisome proliferator-activated receptor γ].

OBJECTIVE: To investigate the effect of hexabromocyclododecanes( HBCDs) on cell proliferation and the expression of the three important cell nuclear receptor of retinoic X receptor α( RXRα), peroxisome proliferator-activated receptor-γ( PPARγ), pregnane X receptor( PXR) and their interaction in Neuro-2a(N2a). METHODS: Neuro-2a cells were treated with different concentrations of diastereoisomers, of HBCDs which were α-HBCD, ß-HBCD, γ-HBCD, respectively, and cell toxicity was analyzed using the cell counting kit-8( CCK-8) assay. The impact of HBCDs on cell cycles of Neuro-2a were analyzed by flow cytometry analysis, and the expression levels in mRNA and protein for the three nuclearreceptors( RXRα, PPARγ, PXR andits target genes CYP3A11) were determined by RT-PCR and Western blot, respectively. The interaction between the receptors of RXRα, PXR, PPARγ was explored by immunoprecipitation. RESULTS: Cytotoxicity of ß-HBCD was the greatest among the three diastereoisomers, it was significantly greater than α-HBCD, however cytotoxicity of γ-HBCD for the Neuro-2a cells couldn 't be determined. Moreover α-HBCD, ß-HBCD induced significant cytotoxicity in a time-dose-response relationship to Neuro-2a cells( P < 0. 05), IC_(50) of α-HBCD, ß-HBCD to Neuro-2a cells were 60. 07 and 10. 52 µmol/L, respectively. α-, ß-HBCD blocked the cell cycle at G2/M phase. The expression levels in mRNA and protein of RXRα, PPARγ, PXR, CYP3A11 were significantly increased after cells exposure to α-HBCD and ß-HBCD 24 h. An interaction between RXRα, PPARγ and PXR in Neuro-2a cells existed no matter before and after exposure to HBCD. CONCLUSION: α-HBCD, ß-HBCD inhibit proliferation of Neuro-2a cells, cell cycle mainly was arrested at G2/M phase. α-HBCD, ß-HBCD could up-regulated the expression levels of RXRα, PPARγ, PXR. Meanwhile, the expression of CYP3A11 which is downstream gene of PXR also significantly increased( P < 0. 05). Interaction between RXRα, PPARγ and PXR exist whether or not exposure to α-, ß-HBCD. The molecular mechanisms of interaction between the receptors need further study.

Different Cytotoxicity Induced by Hexabromocyclododecanes on Mouse Neuroblastoma N2a Cells via Oxidative Stress and Mitochondrial Apoptotic Pathway.

Hexabromocyclododecane (HBCD) is widely used in polystyrene foams, building materials, and electrical equipment as a brominated flame retardant (BFR) and persists in the environment and human body matrix. It has attracted increased attention since its neuroendocrine disorder effects have been observed in humans and animals. However, studies evaluating the neurotoxicity of HBCD diastereoisomers and the potential mechanisms involved are still limited. In this study, we compared the cytotoxicity induced by the three HBCD diastereoisomers (i.e., α-, ß-, and γ-HBCD) in N2a cells and further investigated the underlying molecular mechanism. Our results showed that HBCD diastereoisomers decreased cell viability in the order of ß-HBCD > α-HBCD > γ-HBCD. Moreover, α-HBCD and ß-HBCD exposure led to different degrees of cell cycle disruption and oxidative stress of N2a cells, implying that oxidative stress-mediated differential cytotoxicity of HBCD diastereoisomers. The expressions of caspases and Bcl-2 were differentially regulated by α-HBCD and ß-HBCD, suggesting that the mitochondrial apoptosis pathway may be critical in HBCDs-mediated N2a cell toxicity. Therefore, our studies provided novel evidence for the underlying mechanisms of the distinct cytotoxicity of HBCD diastereoisomers.

Mindfulness-based interventions to reduce anxiety among Chinese college students: A systematic review and meta-analysis.

Mindfulness-based interventions are found to have a positive effect on an individual's mental health. Using a meta-analysis method, this study examined the effects of mindfulness-based interventions on alleviating anxiety among Chinese college students. Using six international and two Chinese electronic databases, we comprehensively researched literature published between 1 January 2012 and 31 December 2021. The literature was then carefully selected and classified. The literature selection, data extraction, and quality assessment were all independently conducted by two members of the research team; any disagreements were resolved through consultation with a third researcher. A total of 11 original articles met all the eligibility criteria and were included in the meta-analysis. The meta-analysis revealed that mindfulness-based interventions have a positive effect on the remission of anxiety among Chinese college students. This confirms the need to generalize mindfulness-based interventions as a form of treatment and prevention for anxiety among Chinese college students.