Network analysis of depression, cognitive functions, and suicidal ideation in patients with diabetes: an epidemiological study in Iran.

AIMS: The main aim of this study was to assess the prevalence of suicidal ideation and previous suicide attempts among Iranian patients diagnosed with Type-1 diabetes (T1D) and Type-2 diabetes (T2D). Additionally, the study sought to estimate the network structure of depressive symptoms and cognitive functions. METHODS: 1073 patients participated in the current study. We used Patient Health Questionnaire-9 (PHQ-9), Ask Suicide-Screening Questionnaire, diabetes-related factors, and a battery of cognitive functions tasks to estimate network structures. Also, suicidal ideations and suicide attempts prevalence have been estimated. Statistical analyses were performed using R-studio software, including mixed-graphical models (MGMs) for undirected effects and Directed Acyclic Graphs (DAGs) for directed effects. RESULTS: The prevalence of suicidal ideation was 29.97% in T1D and 26.81% in T2D (p < 0.05). The history of suicide attempts was higher in T1D (10.78%) compared to T2D (8.36%) (p < 0.01). In the MRF networks for T1D, suicidal ideation was directly linked to 'feeling guilt (PHQ.6)', 'Suicide (PHQ.9)', HbA1c, and FBS, while the Inhibition node was directly related to suicidal ideation. The DAGs suggested connections between 'depression', HbA1c, and 'inhibition' with suicidal ideation, along with a link between the current family history of suicide attempts and the patient's history of suicide attempts. For T2D, the MRF networks indicated direct links between suicidal ideation and 'anhedonia (PHQ.1)', 'suicide (PHQ.9)', age, being female, and BMI, with inhibition also being directly related to suicidal ideation. The DAGs revealed connections between 'depression', age, and 'inhibition' with suicidal ideation, as well as links between being female or single/divorced and the patient's history of suicide attempts. CONCLUSION: The findings suggest that suicide ideation is highly prevalent in patients with diabetes, and these symptoms should be carefully monitored in these patients.

Novel ZIF-8/CNC Nanohybrid with an Interconnected Structure: Toward a Sustainable Adsorbent for Efficient Removal of Cd(II) Ions.

Water pollution, especially by heavy metals, continues to pose significant challenges, emphasizing the urgency to develop sustainable processes to remove pollutants while developing sustainable materials derived from renewable sources. In the present research, a nanoscale adsorbent was prepared to remove cadmium (Cd(II)) ions from wastewater by hybridizing zeolitic imidazolate framework-8 (ZIF-8) with a cellulose nanocrystal (CNC). The prepared nanohybrid exhibited an interconnected structure in which the ZIF-8 particles were connected to each other via CNC nanoneedles. The hybridization of ZIF-8 with CNC caused a significant enhancement in the adsorption performance of the fabricated nanohybrid compared to pure ZIF-8, increasing its adsorption capacity by nearly 36%. The adsorption of ZIF/CNC followed the Langmuir isotherm model and pseudo-second-order kinetics models, remarking homogeneous adsorption onto the surface of ZIF/CNC, where chemisorption controlled the rate of adsorption. The thermodynamic study uncovered that the adsorption is spontaneous, endothermic, and entropy-governed as the randomness was increased at the solid-liquid interface. Additionally, the influence of operating variables, such as temperature, adsorbent dosage, pH, and ionic strength, was studied to mimic the adsorption capabilities of the adsorbent in real conditions. Accordingly, the optimum conditions were found to be at 45 °C and pH = 7 with a dosage of 0.4 g/L for the adsorbent. Moreover, the adsorption in a multimetal solution showed that the ZIF/CNC nanohybrid can remove various heavy metals, including Cd(II), Fe(III), Cu(II), and Pb(II) ions simultaneously. Finally, the regeneration study confirmed the great potential of the ZIF/CNC nanohybrid, which retained 94% of its initial adsorption capacity after 5 consecutive adsorption/desorption cycles.

Renal Function following Fluorescein Angiography in Diabetic Patients with Chronic Kidney Disease.

Purpose: To evaluate the effect of fluorescein dye usage on renal function in patients with diabetic retinopathy (DR) and chronic kidney disease (CKD). Methods: Diabetic patients with retinopathy who were candidate for fundus fluorescein angiography (FA) were evaluated for serum creatinine and urea levels within five days prior to performing the FA. Serum creatinine levels of 1.5 mg/dl or more in males and 1.4 mg/dl or more in females were both identified as CKD and were included in the study. An increase of 0.5 mg/dl or 25% in creatinine after FA was considered as contrast-induced acute kidney injury (AKI). Estimated glomerular filtration rate (eGFR) was also calculated for all patients using a CKD-Epi formula. CKD grading was determined based on eGFR values. Results: Forty-two patients agreed to participate, of which 23 (54.8%) were male. Seventeen patients were identified with grade 3a or lower CKD, 12 with grade 3b, 11 with grade 4, and two with grade 5 CKD. Considering all grades of CKD, the mean blood urea before and after angiography was 58.48 ± 26.7 and 57 ± 27.81 mg/dl, respectively (P = 0.475). The mean serum creatinine before and after the test was 1.89 ± 1.04 and 1.87±0.99 mg/dl, respectively (P = 0.993). The mean eGFR before and after the test was 44.024 ± 23.5447 and 43.850 ± 21.8581 mL/min/1.73 m2 (P = 0.875). Conclusion: According to the findings of this study, FA does not seem to further deteriorate kidney function in patients with diabetic associated CKD.