Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 38
Filter
2.
Heliyon ; 10(1): e23962, 2024 Jan 15.
Article in English | MEDLINE | ID: mdl-38226257

ABSTRACT

Background: Perampanel (PER) is a newly developed antiseizure medication (ASM). This study aimed to determine the utilization of therapeutic drug monitoring (TDM) for PER in a real-world clinical setting and investigate the influence of concomitant use of ASMs on the plasma concentration profile of PER. Method: We analyzed data from the Chang Gung Research Database, which is the largest multi-institutional electronic medical records database in Taiwan. The main outcomes were the comparisons of PER plasma concentration and the ratio of concentration to the weight-adjusted dose (C/D; [ng/mL]/[mg/kg/d]) among patients received TDM of different clinical indication and among different ASM co-medication subgroups. Results: Overall, 88 plasma samples were collected from 66 epilepsy patients treated with PER. The majority of patients (77.3 %) underwent PER TDM owing to poorly controlled seizures. There was a trend toward a higher plasma concentration and C/D ratio in those suspected of having PER toxicity owing to adverse events than of other indications. The PER concentration exhibited dose linearity. The mean PER plasma concentrations in patients co-medicated with enzyme-inducing ASMs were significantly lower than those in the patients who were not prescribed enzyme-inducing or enzyme-inhibiting ASMs, and co-medication with carbamazepine (CBZ) resulted in a significant reduction in the PER concentration. Conclusion: PER concentration exhibited a linear regression relationship with PER dose, and the plasma concentration of the drug was highly susceptible to the drug's interactions with enzyme-inducing ASMs. TDM with clear indication could help determine the influence of ASMs used concomitantly on PER concentrations and guide clinical adjustments.

3.
Ther Adv Neurol Disord ; 16: 17562864231207161, 2023.
Article in English | MEDLINE | ID: mdl-37920860

ABSTRACT

Background: Combination therapy with antiseizure medications (ASMs) is a rational strategy if monotherapy cannot effectively control seizures, thereby aiming to improve tolerance and treatment persistence. Objectives: To compare the efficacy of different ASM combinations among patients. Design: Patients with epilepsy on monotherapy who had a second ASM added as concomitant two-drug therapy from January 2009 to May 2019 in the Chang Gung Research Database, Taiwan, were included in the analysis. Methods: ASM combinations were compared based on their primary mechanism of action (MoA) which are as follows: gamma-aminobutyric acid receptor (G), sodium channel blocker (SC), synaptic vesicle protein 2A (SV2), calcium channel blocker (C), and multiple mechanisms (M). Treatment persistence was compared, and the predictors of persistence were analyzed. Results: In total, 3033 patients were enrolled in this study. Combined ASMs with different MoAs had significantly longer treatment persistence than ASMs with similar MoAs, specifically SC and M combinations. Patients receiving combined ASMs with different MoAs were less likely to discontinue treatment [adjusted hazards ratio: 0.83 (95% CI: 0.75-0.93), p < 0.001]. Among all combinations, the SC + SV2 combination had the longest treatment persistence (mean ± SD: 912.7 ± 841.6 days). Meanwhile, patients receiving the G combination had a higher risk of treatment discontinuation than those receiving the SC + SV2 combination. Underlying malignancies were associated with an increased risk of treatment discontinuation across all MoA categories. Male patients receiving the SC, SV2, and M combinations were more likely to discontinue treatment than female patients. Moreover, patients with renal disease were more likely to discontinue treatment with the SV2 combinations. Conclusion: ASM combinations with different MoAs had superior efficacy and tolerability to ASM combinations with similar MoAs, particularly SC and M combinations. In our cohort, factors associated with treatment discontinuation included underlying malignancy, male sex, and renal disease. These findings may provide valuable insights into the use of ASM combinations if monotherapy cannot adequately control seizures.

4.
Biomed J ; : 100680, 2023 Nov 28.
Article in English | MEDLINE | ID: mdl-38036171

ABSTRACT

BACKGROUND: The clinical value of therapeutic drug monitoring (TDM) for newer anti-seizure medications (ASMs) remains uncertain. This study aimed to assess the impact of newer ASM TDM on clinical decision making in patients with epilepsy. METHODS: We retrospectively identified all plasma requests for newer ASM level measurement as part of routine clinical management in the outpatient departments of seven medical institutes across Taiwan between September 2016 and May 2019. Data collected from reviewed medical records included clinical and medication details, indications for TDM request, test results, interpretation, and impact on patient management. RESULTS: A total of 682 visits with 1051 plasma samples were included. The most frequently analyzed ASMs were levetiracetam (36.1%), oxcarbazepine (18.4%), and lamotrigine (12.0%). Reasons for TDM included poorly controlled seizures (55.3%), concerns about drug-drug interactions (12.3%), and suspicion of drug overdose (10.6%). 68.8% of samples were within the orienting therapeutic range, even for patients with poorly controlled seizures. TDM for non-adherence concerns showed 54.3% below the orienting therapeutic range, while ASM-related adverse events assessment only 8.9% showed levels exceeding the orienting therapeutic range. Following TDM results, 64.2% of cases had medication adjustments, mainly dosage increases. Overall, 55.9% of newer ASM TDM visit showed improved outcomes, including reduced seizures (47.5%) and fewer ASM-related side effects (8.4%). CONCLUSIONS: These findings suggest that appropriate utilization of TDM for newer ASMs provides clinical benefits in adjunct to complement clinical decision making in the management of epilepsy patients in a real-world clinical setting.

5.
Environ Sci Pollut Res Int ; 30(37): 87071-87086, 2023 Aug.
Article in English | MEDLINE | ID: mdl-37418189

ABSTRACT

Carbon emission (CE) has led to increasingly severe climate problems. The key to reducing CE is to identify the dominant influencing factors and explore their influence degree. The CE data of 30 provinces from 1997 to 2020 in China were calculated by IPCC method. Based on this, the importance order of six factors included GDP, Industrial Structure (IS), Total Population (TP), Population Structure (PS), Energy Intensity (EI) and Energy Structure (ES) affecting the CE of China's provinces were obtained by using symbolic regression, then the LMDI and the Tapio models were established to deeply explore the influence degree of different factors on CE. The results showed that the 30 provinces were divided into five categories according to the primary factor, GDP was the most important factor, followed by ES and EI, then IS, and the least TP and PS. The growth of per capita GDP promoted the increase of CE, while reduced EI inhibited the increase of CE. The increase of ES promoted CE in some provinces but inhibited in others. The increase of TP weakly promoted the increase of CE. These results can provide some references for governments to formulate relevant CE reduction policies under dual carbon goal.


Subject(s)
Carbon Dioxide , Carbon , Carbon/analysis , Carbon Dioxide/analysis , China , Industry , Economic Development
6.
Healthcare (Basel) ; 11(8)2023 Apr 21.
Article in English | MEDLINE | ID: mdl-37108031

ABSTRACT

Patients with juvenile myoclonic epilepsy (JME) may not achieve seizure freedom despite optimal treatment with antiseizure medications (ASMs). The aim of this study was to investigate the clinical and social features of patients with JME, and to determine the factors associated with outcomes. We retrospectively identified 49 patients with JME (25 females, mean age 27.6 ± 8.9 years) who were assessed at the Epilepsy Centre of Linkou Chang Gung Memorial Hospital in Taiwan. The patients were divided into two groups, those who were seizure-free and those with ongoing seizures according to their seizure outcome at the last follow-up for one year. Clinical features and social status were compared between these two groups. Twenty-four (49%) of the JME patients were seizure-free for at least one year, while 51% continued to experience seizures despite being treated with multiple ASMs. The presence of epileptiform discharges in the last electroencephalogram and seizures during sleep were significantly associated with worse seizure outcomes (p < 0.05). The patients who were seizure-free had a higher employment rate compared to those who continued to experience seizures (75% vs. 32%, p = 0.004). Despite receiving ASM treatment, a considerable proportion of the patients with JME continued to have seizures. Moreover, poor seizure control was associated with a lower employment rate, which may lead to negative socioeconomic consequences related to JME.

7.
Neurology ; 100(20): e2071-e2082, 2023 05 16.
Article in English | MEDLINE | ID: mdl-36963840

ABSTRACT

BACKGROUND AND OBJECTIVES: Diabetes mellitus (DM) contributes significantly to metabolic syndrome and cardiovascular events, and it may be a comorbidity of epilepsy. The objective of this study was to investigate whether long-term antiseizure medication (ASM) use is associated with the risk of developing type 2 diabetes. METHODS: We analyzed data from the Chang Gung Research Database. Patients aged ≥45 years who received ASM treatment from January 2001 to May 2019 were identified. Patients with DM-associated diseases and short-term ASM use were excluded. The patients were classified into nonenzyme interaction, enzyme-inducing, enzyme-inhibiting, and mixed ASM groups. The rate of incident diabetes associated with individual ASM was further analyzed. Propensity score weighting was performed to balance between-group differences. Analyses were conducted with Cox proportional regression models and stabilized inverse probability of treatment weighting (IPTW). Hazard ratios (HRs) were calculated at 3, 4, 6, and 9 years after the index date and the end of follow-up. RESULTS: A total of 5,103 patients were analyzed, of whom 474 took nonenzyme interaction ASMs, 1,156 took enzyme-inducing ASMs, 336 took enzyme-inhibiting ASMs, and 3,137 took mixed ASMs. During follow-up (39,248 person-years), 663 patients developed new-onset DM, and the prevalence was 13.0%. The incidence of DM plateaued at 6-9 years after ASM initiation. Enzyme-inhibiting ASMs were significantly associated with a higher HR starting at the third year and then throughout the study period. The HRs were 1.93 (95% CI 1.33-2.80), 1.85 (95% CI 1.24-2.75), and 2.08 (95% CI 1.43-3.03) in unadjusted, adjusted, and stabilized IPTW models, respectively, at the end of follow-up. The dosing of ASM did not increase the risk of DM, and none of the individual ASM analyses reached statistical significance. DISCUSSION: The long-term use of enzyme-inhibiting ASMs was associated with an increased risk of incident DM, and the risk increased with the duration of treatment. These findings may guide the choice of drugs in those requiring long-term ASM therapy, particularly in high-risk individuals. CLASSIFICATION OF EVIDENCE: This study provides Class IV evidence that enzyme-inhibiting ASMs were associated with an increased risk of developing DM compared with nonenzyme interaction ASMs.


Subject(s)
Diabetes Mellitus, Type 2 , Metabolic Syndrome , Humans , Diabetes Mellitus, Type 2/drug therapy , Diabetes Mellitus, Type 2/epidemiology , Databases, Factual , Propensity Score , Anticonvulsants/adverse effects
8.
Article in Chinese | WPRIM (Western Pacific) | ID: wpr-996649

ABSTRACT

@#[摘 要] 目的:评估细胞分裂周期蛋白20(CDC20)在子宫内膜癌(EC)中的表达,探讨其对EC细胞RL95-2周期和凋亡的影响及可能的机制。方法:从癌症基因组图谱(TCGA)数据库获取EC的mRNA表达矩阵以及患者的临床信息,通过R语言分析CDC20 mRNA的差异表达情况及其与肿瘤分期的相关性,qPCR及WB法检测CDC20在RL95-2细胞中的表达;向RL95-2细胞转染sh-CDC20以敲减CDC20的表达,采用CCK-8法和流式细胞术检测敲减CDC20对RL95-2细胞增殖活力、细胞周期分布和凋亡的影响,WB法分析对Mcl-1/p-Chk1信号活性的影响;建立RL95-2细胞裸鼠移植瘤模型,评估敲减CDC20对肿瘤生长的抑制作用及对移植瘤组织中Mcl-1/p-Chk1信号轴和细胞凋亡的影响。结果:CDC20在EC组织及RL95-2细胞中呈高表达(均P<0.01),且CDC20的高表达与EC的分期有关联。敲减CDC20可显著降低RL95-2细胞增殖活力(P<0.01),阻滞细胞周期于G1期(P<0.01),促进细胞凋亡(P<0.01),抑制细胞中Mcl-1和p-Chk1的表达(P<0.05或P<0.01)。敲减CDC20可显著抑制RL95-2细胞裸鼠移植瘤的生长(P<0.01),降低移植瘤组织内Mcl-1和p-Chk1的表达(P<0.01),促进移植瘤细胞凋亡(P<0.01)。结论:CDC20在EC组织中呈高表达且与肿瘤分期有关联,敲减CDC20能够抑制RL95-2细胞及其裸鼠移植瘤的生长而促进凋亡,这可能与Mcl-1/p-Chk1信号轴有关。

9.
Environ Monit Assess ; 195(1): 41, 2022 Oct 27.
Article in English | MEDLINE | ID: mdl-36301357

ABSTRACT

The amount of China's sulfur dioxide emission remains significantly large in recent years. To further reduce sulfur dioxide emission, the key is to find out the leading factors affecting sulfur dioxide emission and then take measures to control it accordingly. In order to investigate the influential factors of sulfur dioxide emission of various provinces, the data of sulfur dioxide emission of 30 provinces in China from 2001 to 2020 were collected. We established the symbolic regression model to explore the relationship between the GDP (x1), total population (x2), total energy consumption (x3), thermal power installed capacity (x4), and sulfur dioxide emission (dependent variable) for each province. The results show that the amount of China's total sulfur dioxide emission and sulfur dioxide emission in most provinces meet the environmental Kuznets curve (EKC). The influential degree of the factors affecting China's sulfur dioxide emission are GDP, total energy consumption, thermal power installed capacity, and total population. The provinces with the primary factor of GDP have the lowest average total energy consumption and average thermal power installed capacity, and their average sulfur dioxide emissions are also relatively low. The provinces with the primary factor of GDP do not show obvious geographical characteristics, but the provinces with the primary factor of total energy consumption are all distributed in southern China. Based on the research results, some control measures are also put forward.


Subject(s)
Carbon Dioxide , Sulfur Dioxide , Sulfur Dioxide/analysis , Carbon Dioxide/analysis , Environmental Monitoring , China , Economic Development , Carbon
10.
Toxics ; 10(9)2022 Sep 09.
Article in English | MEDLINE | ID: mdl-36136497

ABSTRACT

Optimizing the culture conditions of DBP degradation by bacteria and investigating its biodegradation pathways have a great importance to develop effective PAEs pollution control strategies. In this study, we investigated the cultivation condition optimization, degradation kinetics, and degradation pathways of a newly isolated dibutyl phthalate (DBP) degradation strain, which was isolated from activated sludge and identified as Acinetobacter baumannii DP-2 via morphological observation, biochemical identification, and 16S rDNA sequence analysis. The degradation conditions were optimized based on the results of single-factor experiments and response surface optimization experiments. The DBP degradation rate of Acinetobacter baumannii DP-2 reached up to 85.86% when the inoculation amount was 17.14%, the DBP concentration was 9.81 mg·L-1 and the NaCl concentration was 5 g·L-1. The GC-MS analysis results indicated that the intermediate metabolites of Acinetobacter baumannii DP-2 mainly consisted of DMP, MBP, PA, and benzoic acid derivatives, which confirmed the degradation pathway from DBP to PA under aerobic pathway and then to BA under anaerobic pathway. In summary, Acinetobacter baumannii DP-2 shows great potential for the degradation of DBP in contaminated soils.

11.
Huan Jing Ke Xue ; 43(7): 3375-3385, 2022 Jul 08.
Article in Chinese | MEDLINE | ID: mdl-35791523

ABSTRACT

In order to study the impact of the "carbon peak and neutrality" mode on future power generation and the environment in China, a Verhulst gray model was established to predict the development of the power generation industry from 2021 to 2060 under the non-"carbon peak and neutrality" mode. In addition, based on the "China 2030 Energy and Power Development Planning Research and 2060 Outlook Report," the development of the power generation industry from 2021 to 2060 under the "carbon peak and neutrality" mode was obtained, and the development scenarios of the future power generation industry in China under two models were compared and studied. The emission factors and emission reduction factors of CO2, SO2, NOx, PM, PM10, and PM2.5 were constructed through the conservation of elements and the generating performance standard, and then four environmental benefits A1-A4 were defined. The results showed that the installed capacity of thermal power will reach the carbon peak in 2026 under the "carbon peak and neutrality" mode. To achieve the carbon neutralization, the installed capacity of thermal power will be reduced by an average of 28 million kilowatts per year after 2026, and the installed capacity of renewable energy generated is required to increase by 154 million kilowatts per year after 2020. Compared with that in the non-"carbon peak and neutrality" mode, the installed capacity of thermal power generation will be greatly reduced, and the installed capacity of renewable energy power generation will be greatly increased under the "carbon peak and neutrality" mode, resulting in huge A1 and A2 environmental benefits. In the next four decades, the cumulative emission reductions in CO2, SO2, NOx, PM, PM10, and PM2.5 thermal power generation A1 are predicted to be 6.64×1010 tons, 1.54×107 tons, 1.55×107 tons, 3.18×106 tons, 1.71×106tons, and 2.23×105 tons, respectively. The cumulative emission reductions of renewable energy power generation A2 will be 5.77×1010 tons, 1.64×107 tons, 1.42×107 tons, 2.86×106 tons, 1.54×106 tons, and 2×105 t tons, respectively. Under the "carbon peak and neutrality" mode, compared with those from coal-fired power generation, the environmental benefits A3 and A4 produced by the relative cleanliness of renewable energy and nuclear power indicated that the cumulative emission reductions (A3+A4) in clean energy power generation of CO2, SO2, NOx, PM, PM10, and PM2.5 in the next four decades will be 3.014×1011 tons, 7.292×107 tons, 7.119×107 tons, 1.454×107 tons, 7.827×106tons, and 1.018×106 tons, respectively.


Subject(s)
Carbon Dioxide , Power Plants , Carbon , Carbon Dioxide/analysis , China , Particulate Matter
12.
Sci Total Environ ; 847: 157607, 2022 Nov 15.
Article in English | MEDLINE | ID: mdl-35901883

ABSTRACT

In this study, we explored the source-sink characteristics of methyl halide (CH3X; X = Cl, Br, I) in coastal wetlands located in temperate regions, and identified key factors affecting the spatio-temporal variation of CH3X during the invasion of Spartina alterniflora. We used static chamber-gas chromatography to monitor CH3X fluxes in the S. alterniflora area and bare flat area of the Jiaozhou Bay salt marsh for a long time from August 2015 to May 2017. Our results indicated that CH3X emissions showed obvious seasonal and diurnal variations. The S. alterniflora area was a source of CH3X, with higher fluxes in the spring and autumn seasons. CH3X fluxes were higher during the daytime than at night, and the diurnal difference in CH3Br was the most significant (4.51 times). The bare flat area was mainly a sink for CH3X, and the maximum absorption flux occurred in summer. At this time, the microbial activity was greater, and the consumption rate during the day was higher than that at night. Extreme linear correlations existed between the fluxes of CH3Cl, CH3Br, and CH3I (P < 0.01), indicating that the production and consumption of the three gases were likely to have similar mechanisms and were affected by the same factors. S. alterniflora invasion increased CH3X emissions and shifted the original bare flat area from a sink to a source of CH3X. The biomass of S. alterniflora, especially the leaf, significantly affects CH3X fluxes. Additionally, S. alterniflora increased the content of total organic carbon, total sulfur, available sulfur, and iron (III) in the soil, which were the main factors promoting the source-sink transformation of CH3X. Based on the current invasive area of S. alterniflora in China, we estimated that the annual emissions of CH3Cl, CH3Br, and CH3I from S. alterniflora into the troposphere were 9.04 × 106, 2.42 × 105 and 2.06 × 105 mol, respectively.


Subject(s)
Introduced Species , Wetlands , Carbon , China , Gases , Iron , Poaceae , Soil/chemistry , Sulfur
13.
Comput Intell Neurosci ; 2022: 8332180, 2022.
Article in English | MEDLINE | ID: mdl-35845884

ABSTRACT

The problem of module discrimination and identification in the field of landscape design is the focus of researchers. Based on multimodal intelligent computing, this paper constructs a landscape design system based on deep neural network. The article first uses a deep neural network to train multimodal garden landscape images, and then performs pooling and convolution operations on garden landscape images on the multimodal training model of convergence speed on the edge and solve the problem of low model accuracy. In the simulation process, the neural network module of MATLAB software is used to extract the spatiotemporal features of the dynamic garden landscape image from the three directions of the bottom block of the garden to achieve feature complementarity. This method only uses 15% of the features of the original feature set. The complexity of the recognition system also reduces the recognition error rate. The experimental results show that by adopting the design of feature series fusion, maximum value fusion, and multiplicative fusion in the score layer, the feature series fusion achieves a high accuracy rate under the multiplicative fusion of the three modalities, reaching 77.1%, and the test error is within 0.118, which effectively improves the multimodal characteristics of the integrated landscape and makes the modeling results more accurate.


Subject(s)
Gardens , Neural Networks, Computer , Algorithms
14.
J Environ Manage ; 318: 115560, 2022 Sep 15.
Article in English | MEDLINE | ID: mdl-35738130

ABSTRACT

This study aimed to evaluate the impact of mitigation practices (slurry application methods and inhibitors applications) on gas emissions and identify the soil N2O production pathways in cattle slurry applied soil using isotopocule mapping approach. First, we compared the NH3 and N2O emissions of cattle slurry applied soil in a summer maize field experiment in north China plain (NCP) with four treatments: control (CK, no fertilization), slurry application using surface (SA-S), slurry application using band application (BA-S), and chemical fertilizer application using band application (BA-C). Then, an incubation experiment was conducted to investigate the mitigation effect of nitrification inhibitors (dicyandiamide, DCD) and denitrification inhibitors (procyanidins, PC) and their combination (DCD + PC) on gaseous N emissions with slurry applied using incorporation (IA) or surface application (SA) methods. The results showed that the total gaseous N emissions (N2O-N and NH3-N) in field were in the order of SA-S (1534 mg m-2) > BA-S (338 mg m-2) > BA-C (128 mg m-2) > CK (55 mg m-2), and the dominant N loss contributor varied from NH3 in SA-S (∼89%) to N2O in BA-S (∼94%) and BA-C (∼88%). Moreover, the isotopocule mapping approach indicated that emitted N2O of the slurry applied soil in field appeared to have lower rN2O values and led to more N2O + N2 emissions at the initial fertilization period. The incubation experiment indicated that the N2O emissions of slurry-applied soil were significantly reduced by DCD (∼45%) and DCD + PC (∼67%) application in comparison with CK (p < 0.05), and the stronger contributions of bacterial denitrification/nitrifier denitrification to N2O production were revealed by the lower δ15NSP in N2O using the isotopocule mapping approach. In conclusion, in NCP the gaseous losses of the slurry applied field can be largely reduced by using incorporation method, and greater reduction could be achieved given the simultaneous application of nitrification/denitrification inhibitors.


Subject(s)
Gases , Soil , Agriculture/methods , Animals , Cattle , Cinnamomum zeylanicum , Fertilizers/analysis , Grassland , Nitrogen , Nitrous Oxide/analysis
15.
Sci Total Environ ; 842: 156957, 2022 Oct 10.
Article in English | MEDLINE | ID: mdl-35760166

ABSTRACT

The composting process is important in the recycling of organic wastes produced in agriculture, food, and municipal waste management. This study explored the suitability of using waste vinegar residue (WVR) as an amendment in poultry litter (PL) composting. Four treatments, including poultry litter (CK), poultry litter+vinegar residue (VR), poultry litter+vinegar residue+lime (VR_Ca) and poultry litter+vinegar residue+biochar (VR_B), were conducted. During a 42-day composting period, the dynamics of carbon dioxide (CO2), ammonia (NH3), nitrous oxide (N2O) and methane (CH4) emissions, as well as the physicochemical properties and abundances of the bacteria and fungi of the feedstock were tracked to examine the potential barriers in the co-composting of WVR and PL. Compared to those of the CK, using a WVR amendment lowered the pH, increased the electrical conductivity significantly at the early stage, resulted in a strong inhibition of bacterial and fungal growth and delayed the thermophilic period of poultry litter composting while significantly reducing NH3 and N2O and GHG (CO2-e) emissions. A preadjustment of the WVR with alkaline biochar or lime lengthened the thermophilic period and increased the germination index (GI) by alleviating the inhibitory effect of the WVR on bacterial and fungal growth during composting. However, such preadjustment might reduce the mitigation effect on NH3. In conclusion, WVR can be recycled through co-composting with poultry litter, and the additional mitigation of N losses and N conservation can be achieved without halting compost quality.


Subject(s)
Composting , Acetic Acid , Animals , Carbon Dioxide/analysis , Manure , Methane , Nitrogen/analysis , Nitrous Oxide/analysis , Poultry , Soil/chemistry
16.
Life (Basel) ; 12(3)2022 Mar 16.
Article in English | MEDLINE | ID: mdl-35330185

ABSTRACT

Juvenile myoclonic epilepsy (JME) is a primary generalized epilepsy which is closely related to the sleep-wake cycle. This study aimed to investigate whether sleep disturbance is more common among patients with JME and the impact this may have on their quality of life (QOL). Thirty-four patients with JME and age- and gender-matched controls were recruited into this case control study, and assessed using validated sleep questionnaires including the Epworth Sleepiness Scale (ESS), Pittsburgh Sleep Quality Index (PSQI), and Stanford Sleepiness Scale (SSS). QOL was assessed using the Quality of Life in Epilepsy Inventory (QOLIE-31). The patients had a significantly higher PSQI score and higher proportion of abnormal PSQI scores than the controls. They also had higher ESS and SSS scores, but without statistical significance. The patients with poor sleep quality had significantly lower overall QOL, emotional well-being, and energy/fatigue subscale scores. The use of a higher number of antiseizure medications, dosage of levetiracetam, and usage of antiseizure medication polytherapy were associated with sleep disorders. Our results showed that sleep disturbance is common in patients with JME, and also that it has an impact on their QOL.

17.
J Environ Manage ; 310: 114777, 2022 May 15.
Article in English | MEDLINE | ID: mdl-35219208

ABSTRACT

Solid-liquid separation (SLS) technology is widely used in the slurry management in animal farms. This study conducted a comprehensive meta-analysis of 45 published articles to evaluate the differences in separation efficiencies (SEX-SF) of various SLSs and the changes of gas emissions before and after the separation during on-farm slurry storage. The results indicated that the SEX-SF of the untreated raw slurry and acidified slurry were consistently greater than those of the digested slurry, and centrifugation resulted in greater SEX-SF than the other mechanical methods. Both measured and simulated data showed that the centrifuge technology had greater reductions in greenhouse gas (GHG) emissions relative to the screw press (56.1-58.0% vs. 38.9-40.2% for untreated slurry, and 29.7-30.2% vs. 22.5-23.2% for digested slurry), mainly due to CH4 reduction. Additionally, we identify the need for further assessment of the environmental risks that are associated with SLSs for the development of an optimal slurry management chain.


Subject(s)
Greenhouse Gases , Manure , Ammonia/analysis , Animals , Farms , Manure/analysis , Methane/analysis , Technology
18.
Front Pediatr ; 10: 961137, 2022.
Article in English | MEDLINE | ID: mdl-36714654

ABSTRACT

Introduction: This study aimed to investigate the current status of screen exposure and the factors related to screen exposure in primary school students and explore the relationship between screen exposure and psychosocial problems, which may provide evidence for the scientific use of electronic products and psychological interventions used in these children. Methods: The parents of 811 primary school students aged 6-12 years received a questionnaire survey in Beijing between January 13 and January 16, 2022. The demographic data and daily screen exposure time were collected, and the Strengths and Difficulties Questionnaire (SDQ) about their children was administered online. Results: In 793 students, the average daily screen exposure of <2 h and ≥2 h was noted in 75.0% and 25% of patients, respectively. The mobile phone was the main medium for screen exposure (40.9%). The family's economic level, parental relationship, and main supervisor were related to screen exposure time (χ 2 = 44.8,14.5 and 12.4, P < 0.05). A low family economic level with a monthly income not meeting the basic living needs, poor parental relationship, and an elderly person responsible for supervision were related to increased screen exposure time. The abnormal emotional and behavioral symptoms, conduct problems, hyperactivity inattention, peer communication, prosocial behaviors, and a total difficulties score were found in 11.6%, 9.8%, 15.3%, 22.1%, 6.8%, and 13.4% of children, respectively. Excessive screen exposure was related to peer interaction and prosocial behaviors (χ 2 = 12.18 and 7.76, P < 0.05). The children with excessive screen exposure were more likely to have abnormal peer interaction (χ 2 = 12.09, P = 0.001) and prosocial behaviors (χ 2 = 7.76, P = 0.005). Excessive screen exposure was a risk factor for peer interaction problems (P < 0.05). Discussion: In conclusion, the detection rate of excessive screen exposure is higher in primary school students, which is related to the family's economic level, parental relationship, and main supervisor. Excessive screen exposure is harmful to the psychosocial health of these children, which is characterized by abnormal peer intercommunion and prosocial behaviors. More attention should be paid to screen exposure time in primary school students.

19.
Huan Jing Ke Xue ; 42(11): 5414-5423, 2021 Nov 08.
Article in Chinese | MEDLINE | ID: mdl-34708980

ABSTRACT

To investigate the effects of Spartina alterniflora invasion on soil phosphorus(P) cycling in coastal wetlands, we selected a S. alterniflora zone(SA zone) and mudflat zone(MF zone) in the Jiaozhou Bay as the target areas for the study. The variability of total phosphorus(TP), inorganic phosphorus(IP), and their component contents in wetland soils after S. alterniflora invasion and their influencing factors was evaluated. The results showed that the average contents of TP(472.70 mg·kg-1) and IP(239.00 mg·kg-1) in the soils were significantly higher than those of TP(386.19 mg·kg-1) and IP(212.68 mg·kg-1) in the pre-invasion area, with an increase of 22.40% and 12.38%, respectively. The IP fractions in the study area were dominated by calcium-phosphorus(Ca-P) and iron-phosphorus(Fe-P), accounting for 45%-61% and 31%-49% of IP, respectively. The Ca-P content of the soil in the 10-30 cm layer decreased significantly(P<0.05) after S. alterniflora invasion, which was especially significant in July. The Fe-P content increased significantly(P<0.05); in the 0-40 cm soil layer, Fe-P was higher than that in the 40-60 cm layer(P<0.05), and showed significant enrichment in the 10-40 cm soil in July. The structural equation model showed that organic matter(OM) had a significant positive effect on TP and Fe-P after S. alterniflora invasion(P<0.01), and the normalized path coefficients were 0.775 and 0.724, respectively. Fe-P had a significant negative effect on Ca-P after invasion(P<0.01) with a normalised throughput coefficient of -0.435. The study found that S. alterniflora invasion generally increased wetland soil P content, while promoting the conversion of Ca-P to Fe-P, improving wetland P bioavailability.


Subject(s)
Phosphorus , Wetlands , Bays , Carbon/analysis , China , Introduced Species , Phosphorus/analysis , Poaceae , Soil
20.
Angew Chem Int Ed Engl ; 60(20): 11180-11183, 2021 May 10.
Article in English | MEDLINE | ID: mdl-33656230

ABSTRACT

Temperature-programmed reduction of transition-metal phosphate precursors is the most commonly used method for the preparation of transition-metal phosphides (a new class of versatile metal catalysts), but the reduction processes are still not clear. Here we describe the construction of a temperature-programmed reduction-infrared spectroscopy apparatus (TPR-IR) to analyze the gas flows during the reduction of nickel, molybdenum, and tungsten phosphates. PH3 and Pn+ species already appeared in the gas flows at low temperature (ca. 200 °C), and PH3 was involved in the formation of phosphides. The emission of PH3 and Pn+ during the reduction of the molybdenum and tungsten phosphates was smaller than that of the nickel phosphate. Ni2 P drastically accelerated the formation of the PH3 and Pn+ . These results explain why excess phosphorus is needed for the preparation of Ni2 P, and also demonstrate that the TPR-IR technique is an efficient method to understand the complex processes of catalyst preparation.

SELECTION OF CITATIONS
SEARCH DETAIL
...