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1.
Chem Pharm Bull (Tokyo) ; 71(7): 486-494, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37394596

RESUMO

Computational approaches to drug development are rapidly growing in popularity and have been used to produce significant results. Recent developments in information science have expanded databases and chemical informatics knowledge relating to natural products. Natural products have long been well-studied, and a large number of unique structures and remarkable active substances have been reported. Analyzing accumulated natural product knowledge using emerging computational science techniques is expected to yield more new discoveries. In this article, we discuss the current state of natural product research using machine learning. The basic concepts and frameworks of machine learning are summarized. Natural product research that utilizes machine learning is described in terms of the exploration of active compounds, automatic compound design, and application to spectral data. In addition, efforts to develop drugs for intractable diseases will be addressed. Lastly, we discuss key considerations for applying machine learning in this field. This paper aims to promote progress in natural product research by presenting the current state of computational science and chemoinformatics approaches in terms of its applications, strengths, limitations, and implications for the field.


Assuntos
Produtos Biológicos , Produtos Biológicos/química , Aprendizado de Máquina , Tecnologia
2.
J Nat Prod ; 77(4): 990-9, 2014 Apr 25.
Artigo em Inglês | MEDLINE | ID: mdl-24601675

RESUMO

The methanolic extract from the flower buds of Cananga odorata showed an inhibitory effect on melanogenesis in theophylline-stimulated murine B16 melanoma 4A5 cells. From the methanolic extract, two new lignan dicarboxylates, canangalignans I and II, three new terpenoids, canangaterpenes I, II, and III, and eight known compounds were isolated. The structures of these compounds were elucidated on the basis of chemical/physicochemical evidence. Several mono- and sesquiterpene analogues significantly inhibited melanogenesis. In particular, canangaterpene I and (3R,3aR,8aS)-3-isopropyl-8a-methyl-8-oxo-1,2,3,3a,6,7,8,8a-octahydroazulene-5-carbaldehyde exhibited a potent inhibitory effect on melanogenesis [inhibition (%): 34.7±4.2 (p<0.01), 45.5±5.7 (p<0.01) at 1 µM, respectively] without inducing cytotoxicity. Moreover, the biological effect of these compounds was much stronger than that of the reference compound, arbutin. Thus, these isolated terpenoid derivatives may be promising therapeutic agents for the treatment of several skin disorders.


Assuntos
Antineoplásicos/isolamento & purificação , Antineoplásicos/farmacologia , Cananga/química , Ácidos Dicarboxílicos/isolamento & purificação , Ácidos Dicarboxílicos/farmacologia , Lignanas/isolamento & purificação , Lignanas/farmacologia , Terpenos/isolamento & purificação , Terpenos/farmacologia , Algoritmos , Animais , Antineoplásicos/química , Ácidos Dicarboxílicos/química , Ensaios de Seleção de Medicamentos Antitumorais , Flores/química , Lignanas/química , Melanoma Experimental/tratamento farmacológico , Camundongos , Estrutura Molecular , Ressonância Magnética Nuclear Biomolecular , Estereoisomerismo , Terpenos/química , Tailândia , Teofilina/farmacologia
3.
Hear Res ; 452: 109094, 2024 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-39153443

RESUMO

Sound localization in the front-back dimension is reported to be challenging, with individual differences. We investigated whether auditory discrimination processing in the brain differs based on front-back sound localization ability. This study conducted an auditory oddball task using speakers in front of and behind the participants. We used event-related brain potentials to examine the deviance detection process between groups that could and could not discriminate front-back sound localization. The results indicated that mismatch negativity (MMN) occurred during the deviance detection process, and P2 amplitude differed between standard and deviant locations in both groups. However, the latency of MMN was shorter in the group that could discriminate front-back sounds than in the group that could not. Additionally, N1 amplitude increased for deviant locations compared to standard ones only in the discriminating group. In conclusion, the sensory memories matching process based on traces of previously presented stimuli (MMN, P2) occurred regardless of discrimination ability. However, the response to changes in the physical properties of sounds (MMN latency, N1 amplitude) differed depending on the ability to discriminate front-back sounds. Our findings suggest that the brain may have different processing strategies for the two directions even without subjective recognition of the front-back direction of incoming sounds.

4.
Clin Neurophysiol ; 166: 74-86, 2024 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-39128209

RESUMO

OBJECTIVE: This study aimed to identify electroencephalogram correlates of dream enactment behaviors (DEBs) and elucidate their cortical dynamics in patients with isolated/idiopathic rapid eye movement (REM) sleep behavior disorder (iRBD). METHODS: This cross-sectional study included 15 patients with iRBD. Two REM sleep periods in routine polysomnography were compared: the 60 s preceding the DEBs ("pre-representative behavior" [preR]), and the 60 s with the least submental electromyogram activity ("background" [BG]). Six EEG frequency bands and electrooculogram were analyzed; power spectra, coherence and phase-locking values in four 15-s periods were examined to assess trends. These indices were also compared between preR and BG. RESULTS: Compared with BG, significantly higher delta power in the F3 channel and gamma power in the F4 and O2 channels were observed during preR. For functional connectivity, the widespread beta-band connectivity was significantly increased during preR than BG. CONCLUSION: Before notable REM sleep behaviors, uneven distributed higher EEG spectral power in both very low and high frequencies, and increased wide-range beta band functional connectivity, were observed over 60 s, suggesting cortical correlates to subsequent DEBs. SIGNIFICANCE: This study may shed light on the pathological mechanisms underlies RBD through the routine vPSG analysis, leading to detection of DEBs.

5.
J Cataract Refract Surg ; 50(5): 492-497, 2024 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-38237070

RESUMO

PURPOSE: To investigate the difference between the segmented axial length (AL) and the composite AL on a swept-source optical coherence tomography biometer and to evaluate the subsequent effects on artificial intelligence intraocular lens (IOL) power calculations: the Kane and Hill-RBF 3.0 formulas compared with established vergence formulas. SETTING: National Hospital Organization, Tokyo Medical Center, Japan. DESIGN: Retrospective case series. METHODS: Consecutive patients undergoing cataract surgery with a single-piece IOL were reviewed. The prediction accuracy of the Barrett Universal II, Haigis, Hill-RBF 3.0, Hoffer Q, Holladay 1, Kane, and SRK/T formulas based on 2 ALs were compared for each formula. The heteroscedastic test was used with the SD of prediction errors as the endpoint for formula performance. RESULTS: The study included 145 eyes of 145 patients. The segmented AL (24.83 ± 1.89) was significantly shorter than the composite AL (24.88 ± 1.96, P < .001). Bland-Altman analysis revealed a negative proportional bias for the differences between the segmented AL and the composite AL. The SD values obtained by Hoffer Q, Holladay 1, and SRK/T formulas based on the segmented AL (0.52 diopters [D], 0.54 D, and 0.50 D, respectively) were significantly lower than those based on the composite AL (0.57 D, 0.60 D, and 0.52 D, respectively, P < .01). CONCLUSIONS: The segmented ALs were longer in short eyes and shorter in long eyes than the composite ALs. The refractive accuracy can be improved in the Hoffer Q, Holladay 1, and SRK/T formulas by changing the composite ALs to the segmented ALs.


Assuntos
Comprimento Axial do Olho , Biometria , Lentes Intraoculares , Óptica e Fotônica , Facoemulsificação , Refração Ocular , Tomografia de Coerência Óptica , Humanos , Comprimento Axial do Olho/patologia , Comprimento Axial do Olho/diagnóstico por imagem , Estudos Retrospectivos , Biometria/métodos , Masculino , Feminino , Tomografia de Coerência Óptica/métodos , Refração Ocular/fisiologia , Implante de Lente Intraocular , Idoso , Pessoa de Meia-Idade , Idoso de 80 Anos ou mais , Acuidade Visual/fisiologia , Pseudofacia/fisiopatologia
6.
J Ethnopharmacol ; 319(Pt 3): 117341, 2024 Jan 30.
Artigo em Inglês | MEDLINE | ID: mdl-37879507

RESUMO

ETHNOPHARMACOLOGICAL RELEVANCE: The terrestrial stems of Ephedra (Ephedra spp.; including Ephedra sinica Stapf and Ephedra przewalskii Stapf) extracts are used in traditional medicines in East Asia. In Japan, the Kampo formula containing E. sinica extract is prescribed for the treatment of the common cold, influenza virus infections, and mild symptoms of coronavirus disease 2019 (COVID-19). Although ephedrine alkaloids in E. sinica exert antitussive effects, they may have side effects associated with the sympathetic nervous system. E. przewalskii extract, a drug used in traditional Uyghur and Mongolian medicine, is considered to be free of ephedrine alkaloids and is a promising candidate for the treatment of infectious diseases. However, its use is currently limited because evidence of its antiviral efficacy remains inconclusive. AIM OF THE STUDY: We compared the anti-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) effects of E. przewalskii and E. sinica extracts in vitro. Additionally, we examined the differences in their antiviral effects against different SARS-CoV-2 strains. MATERIALS AND METHODS: VeroE6/TMPRSS2 cells were infected with SARS-CoV-2 (Conventional, Delta, and Omicron strains-BA.1, BA.2, BA.4, and BA.5), and lysates prepared from each herbal extract were added. The infectious titer was determined using the 50% tissue culture infectious dose (TCID50) method; in turn, the half-maximal inhibitory concentration (IC50) was calculated for each extract to compare the antiviral efficacy of E. sinica and E. przewalskii extracts. Further, the extracts were compared with remdesivir for their antiviral efficacy against the conventional viral strain. To verify the effect of the inactivation of virus particles, these extracts were added to each SARS-CoV-2 strain, and the infectious titers were determined using the TCID50 method. RESULTS: The antiviral efficacy (i.e., IC50) of the E. przewalskii extract against each SARS-CoV-2 strain was 2.7-10.8-fold greater than that of the E. sinica extract. The antiviral efficacy of the E. przewalskii extract against conventional viral strains was compared with that of remdesivir, which was 1/27.6 of remdesivir's efficacy. The E. sinica extract showed minimal inactivation of virus particles of each strain, whereas the E. przewalskii extract resulted in substantial viral inactivation. CONCLUSIONS: The E. przewalskii extract showed higher antiviral activity against SARS-CoV-2 than the E. sinica extract. Overall, our study suggests that E. przewalskii extract can be used for the treatment of viral infections, including COVID-19.


Assuntos
Alcaloides , COVID-19 , Ephedra sinica , Ephedra , SARS-CoV-2 , Efedrina , Antivirais/farmacologia , Antivirais/uso terapêutico , Extratos Vegetais/farmacologia , Extratos Vegetais/uso terapêutico
7.
Bioorg Med Chem ; 21(5): 1043-9, 2013 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-23376010

RESUMO

A methanolic extract and its ethyl acetate-soluble fraction from Sri Lankan curry-leaf, the leaves of Murraya koenigii, inhibited melanogenesis in theophylline-stimulated murine B16 melanoma 4A5 cells. Two new carbazole alkaloids, karapinchamines A and B, were isolated from the ethyl acetate-soluble fraction together with 12 known carbazole alkaloids. The structures of karapinchamines A and B were determined by physicochemical analyses. The principal alkaloid constituents were found to display potent melanogenesis inhibitory activity. The structural requirements of the carbazole alkaloids for melanogenesis inhibitory activity were discussed.


Assuntos
Alcaloides/química , Alcaloides/farmacologia , Carbazóis/química , Murraya/química , Extratos Vegetais/química , Extratos Vegetais/farmacologia , Acetatos/química , Alcaloides/isolamento & purificação , Animais , Carbazóis/isolamento & purificação , Carbazóis/farmacologia , Diferenciação Celular/efeitos dos fármacos , Linhagem Celular Tumoral , Fracionamento Químico , Regulação da Expressão Gênica/efeitos dos fármacos , Espectroscopia de Ressonância Magnética , Melaninas/metabolismo , Camundongos , Conformação Molecular , Folhas de Planta/química
8.
Bioorg Med Chem ; 21(3): 779-87, 2013 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-23270663

RESUMO

Methanolic extracts from the flower buds and leaves of sacred lotus (Nelumbo nucifera, Nymphaeaceae) were found to show inhibitory effects on melanogenesis in theophylline-stimulated murine B16 melanoma 4A5 cells. From the methanolic extracts, a new alkaloid, N-methylasimilobine N-oxide, was isolated together with eleven benzylisoquinoline alkaloids. The absolute stereostructure of the new alkaloid was determined from chemical and physicochemical evidence. Among the constituents isolated, nuciferine, N-methylasimilobine, (-)-lirinidine, and 2-hydroxy-1-methoxy-6a,7-dehydroaporphine showed potent inhibition of melanogenesis. Comparison of the inhibitory activities of synthetic related alkaloids facilitated characterization of the structure-activity relationships of aporphine- and benzylisoquinoline-type alkaloids. In addition, 3-30 µM nuciferine and N-methylasimilobine inhibited the expression of tyrosinase mRNA, 3-30 µM N-methylasimilobine inhibited the expression of TRP-1 mRNA, and 10-30 µM nuciferine inhibited the expression of TRP-2 mRNA.


Assuntos
Alcaloides/farmacologia , Antineoplásicos Fitogênicos/farmacologia , Flores/química , Melaninas/antagonistas & inibidores , Melanoma Experimental/tratamento farmacológico , Nelumbo/química , Folhas de Planta/química , Alcaloides/síntese química , Alcaloides/química , Animais , Antineoplásicos Fitogênicos/síntese química , Antineoplásicos Fitogênicos/química , Sobrevivência Celular/efeitos dos fármacos , Relação Dose-Resposta a Droga , Ensaios de Seleção de Medicamentos Antitumorais , Humanos , Melanoma Experimental/patologia , Camundongos , Estrutura Molecular , Relação Estrutura-Atividade
9.
Chem Pharm Bull (Tokyo) ; 61(4): 445-51, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23546004

RESUMO

The methanolic extract from the flower buds of Prunus mume, cultivated in Zhejiang province, China, showed an inhibitory effect on aldose reductase. From the methanolic extract, five new acylated sucroses, mumeoses F-J, were isolated together with 29 known compounds. The chemical structures of the new compounds were elucidated on the basis of chemical and physicochemical evidence. The inhibitory effects of the isolated compounds on aldose reductase were also investigated. Acylated quinic acid analogs, which are one of the major compounds of the flower buds of P. mume, were shown to substantially inhibit aldose reductase. In particular, mumeic acid-A was found to exhibit a potent inhibitory effect [IC50=0.4 µm].


Assuntos
Aldeído Redutase/antagonistas & inibidores , Extratos Vegetais/química , Plantas Medicinais/química , Prunus/química , Sacarose/química , Acilação , Aldeído Redutase/metabolismo , Animais , Flores/química , Córtex do Cristalino/enzimologia , Espectroscopia de Ressonância Magnética , Metanol/química , Conformação Molecular , Extratos Vegetais/metabolismo , Ligação Proteica , Ácido Quínico/química , Ácido Quínico/isolamento & purificação , Ácido Quínico/metabolismo , Ratos , Sacarose/metabolismo
10.
Neuroreport ; 34(12): 599-605, 2023 08 02.
Artigo em Inglês | MEDLINE | ID: mdl-37395221

RESUMO

Research shows that human attentional focus expands under positive emotions and narrows under negative emotions. Moreover, expanding (or contracting) the attentional focus is associated with dispersing (or concentrating) attentional resources. This study investigated whether dispersing or concentrating attentional resources on a target stimulus can change negative emotions to positive ones. We used the flanker task to manipulate the attentional resource allocation range by displaying a peripheral, task-unrelated induction stimulus far from the target stimulus or a central, task-unrelated induction stimulus near the target stimulus. The attentional resources allocated to the target stimulus were measured by recording the P300 component, an event-related potential indicating attention allocation. We also presented negative images before and after the task and used the Self-Assessment Manikin and the Affect Grid to assess the negative emotions induced by the images. The P300 amplitudes for the target stimuli were smaller in the peripheral than in the central condition. Moreover, self-reported negative emotions in the peripheral condition decreased after the task but did not change in the central condition. The dispersion of attentional resources changes negative emotions into a positive orientation.


Assuntos
Atenção , Emoções , Humanos , Estimulação Luminosa/métodos , Potenciais Evocados P300
11.
Percept Mot Skills ; 130(5): 1852-1868, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37335749

RESUMO

Tastes affect the body and our emotions. We used tasteless, sweet, and bitter stimuli to induce participants' moods, and we examined the effect of mood on an emotional evaluation of pleasant, neutral, and unpleasant images using event-related potentials, N2, N400, and late positive potential (LPP), which reflect emotional evaluation in the brain. The results indicated that mood valence was most positive for sweetness and most negative for bitterness. Moreover, there was no significant mood effect on subjective valence ratings of emotional images. Furthermore, the N2 amplitude, which is related to the early semantic processing of preceding stimuli, was unaffected by the taste induced mood. In contrast, we found that the N400 amplitude, which is related to the mismatch of emotional valence between stimuli, increased significantly for unpleasant images when participants were in a positive rather than negative mood state. Also, the LPP amplitude, which is related to the emotional valence of images, showed only the main effect of the images' emotional valence. The N2's results suggest that the early semantic processing of taste stimuli might have had a negligible impact on emotional evaluation because taste stimuli minimize semantic processing that accompanies mood induction. In contrast, the N400 reflected the effects of the induced mood, and the LPP reflected the impact of the valence of emotional images. The use of taste stimuli to induce mood revealed different brain processing of taste-induced mood effects on emotional evaluation, including N2's involvement in semantic processing, N400's involvement in matching emotions between mood and stimuli, and LPP's involvement in subjective evaluations of stimuli.


Assuntos
Eletroencefalografia , Paladar , Humanos , Masculino , Feminino , Potenciais Evocados , Emoções , Afeto
12.
J Clin Med ; 12(22)2023 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-38002573

RESUMO

PURPOSE: To evaluate the performance of traditional vergence formulas with segmented axial length (AL) compared to traditional composite AL in extremely long eyes, and to determine whether the segmented AL can be extended to the new-generation formulas, including the Barrett Universal II, Emmetropia Verifying Optical 2.0 (EVO2), Hill-RBF 3.0 (Hill3), Kane, and Ladas Super formula (LSF) formulas in extremely long eyes. SETTING: National Hospital. Organization, Tokyo Medical Center, Japan. DESIGN: Retrospective case series. METHODS: Consecutive patients who underwent uncomplicated cataract surgery implanted with a three-piece intraocular lens between December 2015 and March 2021 were retrospectively reviewed. The composite AL was measured with a swept-source optical coherence tomography (SS-OCT) biometer using a mean refractive index. The segmented AL was calculated by summing the geometric lengths of the ocular segments (cornea, aqueous, lens, and vitreous) using multiple specific refractive indices based on the data obtained by the SS-OCT-based biometer. When refraction was measured at three months postoperatively, the median absolute errors (MedAEs) were calculated with two ALs for each formula. RESULTS: The study included 31 eyes of 22 patients. The segmented AL (30.45 ± 1.23 mm) was significantly shorter than the composite AL (30.71 ± 1.28 mm, p < 0.001). The MedAEs were significantly reduced when using segmented AL for SRK/T, Haigis, Hill3, and LSF, compared to those obtained using composite AL (0.38 vs. 0.62, 0.48 vs. 0.79, 0.50 vs. 0.90, 0.34 vs. 0.61, p < 0.001 for all formulas, respectively). On the contrary, the MedAE obtained by Kane with segmented AL was significantly worse compared to the one with composite AL (0.35 vs. 0.27, p = 0.03). CONCLUSION: In extremely high myopic eyes, the segmented AL improves the performance of SRK/T, Haigis, Hill3, and LSF formulas compared to the composite AL, while the segmented AL worsens the prediction accuracy of the Kane formula.

13.
Neuroreport ; 33(2): 55-60, 2022 01 19.
Artigo em Inglês | MEDLINE | ID: mdl-34954773

RESUMO

OBJECTIVES: The late positive potential (LPP) is an event-related potential that increases in response to emotional stimuli. Brown et al. investigated the functional significance of LPP. They induced the LPP by presenting unpleasant pictures and reported that N1 in response to a visual probe, which reflects perceptual processing in the visual cortex, was attenuated compared to N1 when neutral pictures induced the LPP. This finding suggested that visual cortex activity is inhibited during LPP elicitation (global inhibition hypothesis). However, they did not examine the activity of the visual cortex during LPP induced by pleasant pictures. Based on previous research reporting that positive emotions enhance motivation and cognitive activity (e.g. broaden and build theory), we hypothesize that perceptual processing of visual probes during LPP is enhanced by pleasant pictures, which increase N1 to the visual probe. METHODS: We investigated this hypothesis by presenting visual probes during LPP generated by emotional pictures following Brown et al. RESULTS: The results demonstrated that the N1 amplitude increased, and response times to visual probes decreased during the LPP induced by pleasant pictures compared to unpleasant pictures. CONCLUSIONS: These findings suggest that positive emotions elicited by pleasant pictures enhanced the perceptual processing of visual probes, which is suggestive of the approach function of LPP during positive emotional experiences.


Assuntos
Eletroencefalografia , Córtex Visual , Eletroencefalografia/métodos , Emoções/fisiologia , Potenciais Evocados/fisiologia , Estimulação Luminosa/métodos , Tempo de Reação/fisiologia
14.
J Physiol Anthropol ; 41(1): 43, 2022 Dec 31.
Artigo em Inglês | MEDLINE | ID: mdl-36587230

RESUMO

BACKGROUND: Many people use the snooze function of digital alarm clocks for morning awakening, but the effects of a snooze alarm on waking are unclear. We examined the effects of a snooze alarm on sleep inertia, which is a transitional state characterized by reduced arousal and impaired cognitive and behavioral performance immediately upon awakening. METHODS: In study 1, healthy Japanese university students responded to a sleep survey during a psychology class (study 1), and we collected 293 valid responses. In study 2, we compared a separate sample of university students (n = 10) for the effects of using or not using a snooze alarm on sleep inertia immediately after awakening from normal nocturnal sleep in a sleep laboratory. RESULTS: Of 293 valid respondents in study 1, 251 often used a tool to wake up in the morning (85.7%). Moreover, 70.5% reported often using the snooze function of their mobile phones, mainly to reduce anxiety about oversleeping. Study 2 indicated no differences in the sleep quality or quantity before awakening with or without the snooze alarm, except in the last 20 min. However, during the last 20 min of sleep with snooze alarm, the snooze alarm prolonged waking and stage N1 sleep. Stage N1 sleep is non-rapid eye movement sleep that is primarily defined as a drowsy state. Furthermore, Global Vigor values were enhanced after awakening compared to pre-sleep in the no-snooze condition. CONCLUSIONS: Using a snooze alarm prolongs sleep inertia compared to a single alarm, possibly because snooze alarms induce repeated forced awakenings.


Assuntos
Sono , Vigília , Humanos , Sono/fisiologia , Vigília/fisiologia , Nível de Alerta , Fases do Sono/fisiologia , Cognição/fisiologia
15.
Artigo em Inglês | MEDLINE | ID: mdl-36231565

RESUMO

The number of occasions to stay in a car overnight is increasing during disasters; however, the effects on sleep and the impact on daytime functioning are not well understood. We investigated the effect of seat angle when sleeping in a car and its impact on calculation performance the following day. Fifteen healthy males participated in three trials (sleeping in a car with the front seat angled at 45° and 60° in a laboratory and sleeping at home); sleep and calculation performance the following day were compared. Increased wake after sleep onset and decreased slow-wave sleep were observed in the 60° trial, that is, near-vertical, compared with the others. Subjective sleep quality and calculation performance in the 45° and 60° trials were poorer than those in the home trial. The effect of seat angle on sleep was confirmed objectively, but not subjectively, suggesting that a large seat angle might cause sleep impairment.


Assuntos
Automóveis , Qualidade do Sono , Humanos , Masculino , Polissonografia , Sono
16.
Psychooncology ; 20(12): 1285-91, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20737411

RESUMO

INTRODUCTION: The importance of effective communication skills to sustain the cancer patient quality of life (QOL) and their satisfaction with healthcare professionals is well documented. This study aims to assess the effectiveness of communication skills training (CST) of nurses for patient QOL and their satisfaction with healthcare professionals just after being diagnosed with cancer. METHODS: This is a secondary analysis of a randomized controlled trial. Eight nurses, who mainly provide psychological and informational support for patients soon after they were informed of their cancer diagnosis by physicians at a cancer screening center, were randomly assigned to an experimental group attending a CST program (four nurses) or to a control group (four nurses). Eighty-nine patients with gastric, colorectal, or breast cancer were supported and assessed by either group of nurses during the study period. The effectiveness for patient QOL and their satisfaction with healthcare professionals was assessed by administering the Short Form-8 Health Survey (SF-8) and a single-item VAS three times (1 week after diagnosis: T1; 1 month after diagnosis: T2; and 3 months after diagnosis: T3). RESULTS: Repeated measures analysis of variance showed a group-by-time significant increase of the mental aspects of SF-8 (F=3.48; P=0.03) and satisfaction with the nurse (F=3.18; p=0.04). CONCLUSIONS: Our findings underscore the importance of CST for healthcare professionals to improve the QOL of patients as well as their satisfaction with these professionals.


Assuntos
Neoplasias/psicologia , Relações Enfermeiro-Paciente , Enfermagem Oncológica/educação , Satisfação do Paciente , Qualidade de Vida/psicologia , Adulto , Comunicação , Educação Continuada em Enfermagem , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermagem Oncológica/normas
17.
Clin Drug Investig ; 41(7): 615-627, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34110613

RESUMO

BACKGROUND AND OBJECTIVE: Immune checkpoint inhibitors (ICIs) such as programmed cell death protein 1 (PD-1) and cytotoxic T-lymphocyte antigen 4 (CTLA-4) inhibitors have greatly improved cancer treatment. However, they are associated with immune-related adverse events, including autoimmune diseases (ADs) owing to their immune enhancement effect. As there are few comprehensive studies of ADs by ICIs, it is necessary to analyze the period information of drug-induced ADs. We also assumed that the temporal information may be useful to estimate the similarity of the pathogenic mechanism between spontaneous and ICI-induced ADs. METHODS: A period analysis including the Weibull analysis was performed on ICI-induced ADs using the Japanese Adverse Drug Event Report (JADER) database. For evaluating the similarity of spontaneous and ICI-induced ADs, a hierarchical cluster analysis was conducted to compare the different onset-time ranges. RESULTS: Type 1 diabetes mellitus, autoimmune colitis, and pemphigoid occurred earlier with CTLA-4 inhibitors (median: 46, 29.5 and 28 days, respectively) than with PD-1 inhibitors (> 130 days). Myasthenia gravis had a median time to onset of approximately 1 month, and the risk of onset would increase over time in ipilimumab combination therapy. This result reveals ADs that require attention. Using cluster analysis, we estimated six clusters with different patterns of onset times. Based on these results and a detailed previous research survey, the possible pathogenesis of drug-induced ADs was also discussed. CONCLUSIONS: This paper describes risk profiles with temporal information of ICI-induced ADs and proposes certain indicators for deciphering the mechanism of AD onset.


Assuntos
Doenças Autoimunes/diagnóstico , Inibidores de Checkpoint Imunológico/efeitos adversos , Doenças Autoimunes/induzido quimicamente , Antígeno CTLA-4/antagonistas & inibidores , Antígeno CTLA-4/metabolismo , Análise por Conglomerados , Bases de Dados Factuais , Diabetes Mellitus Tipo 1/tratamento farmacológico , Humanos , Inibidores de Checkpoint Imunológico/uso terapêutico , Ipilimumab/efeitos adversos , Ipilimumab/uso terapêutico , Japão , Miastenia Gravis/tratamento farmacológico , Razão de Chances , Receptor de Morte Celular Programada 1/antagonistas & inibidores , Receptor de Morte Celular Programada 1/metabolismo
18.
Front Chem ; 9: 763794, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34796164

RESUMO

Natural products are an excellent source of skeletons for medicinal seeds. Triterpenes and saponins are representative natural products that exhibit anti-herpes simplex virus type 1 (HSV-1) activity. However, there has been a lack of comprehensive information on the anti-HSV-1 activity of triterpenes. Therefore, expanding information on the anti-HSV-1 activity of triterpenes and improving the efficiency of their exploration are urgently required. To improve the efficiency of the development of anti-HSV-1 active compounds, we constructed a predictive model for the anti-HSV-1 activity of triterpenes by using the information obtained from previous studies using machine learning methods. In this study, we constructed a binary classification model (i.e., active or inactive) using a logistic regression algorithm. As a result of the evaluation of predictive model, the accuracy for the test data is 0.79, and the area under the curve (AUC) is 0.86. Additionally, to enrich the information on the anti-HSV-1 activity of triterpenes, a plaque reduction assay was performed on 20 triterpenes. As a result, chikusetsusaponin IVa (11: IC50 = 13.06 µM) was found to have potent anti-HSV-1 with three potentially anti-HSV-1 active triterpenes. The assay result was further used for external validation of predictive model. The prediction of the test compounds in the activity test showed a high accuracy (0.83) and AUC (0.81). We also found that this predictive model was found to be able to successfully narrow down the active compounds. This study provides more information on the anti-HSV-1 activity of triterpenes. Moreover, the predictive model can improve the efficiency of the development of active triterpenes by integrating many previous studies to clarify potential relationships.

19.
J Sleep Res ; 19(3): 407-14, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20374445

RESUMO

The function of rapid eye movements (REMs) during REM sleep is still a matter that is open to debate. In a previous study, we found positive brain potential (P200r) time-locked to the onset of REMs. This potential was not observed during saccades of wakefulness. In this study, we estimated the electrical generation of this potential to investigate the phasic brain activity related to REMs. Data were collected in a sleep laboratory from nine healthy university students. REMs during REM sleep were recorded during natural nocturnal sleep. Event-related potential time-locked to the onset of REMs were averaged. Standardized low-resolution brain electromagnetic tomography (sLORETA) was used to identify the current sources of P200r. The results showed that P200r have neuronal generators in the left premotor area, left primary motor and sensory cortices, left inferior parietal lobule and bilateral occipital areas (precuneus, cuneus and lingual gyrus). All these areas are known to contribute to visuomotor processing. These phasic brain activities might play a key role in explaining the function of REMs during REM sleep.


Assuntos
Encéfalo/fisiologia , Potenciais Evocados/fisiologia , Sono REM/fisiologia , Eletroencefalografia , Feminino , Humanos , Masculino , Córtex Motor/fisiologia , Lobo Occipital/fisiologia , Lobo Parietal/fisiologia , Polissonografia , Tomografia Computadorizada por Raios X , Adulto Jovem
20.
J Sleep Res ; 19(3): 436-43, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20374446

RESUMO

Performance monitoring is an essential function involved in the correction of errors. Deterioration of this function may result in serious accidents. This function is reflected in two event-related potential (ERP) components that occur after erroneous responses, specifically the error-related negativity/error negativity (ERN/Ne) and error positivity (Pe). The ERN/Ne is thought to be associated with error detection, while the Pe is thought to reflect motivational significance or recognition of errors. Using these ERP components, some studies have shown that sleepiness resulting from extended wakefulness may cause a decline in error-monitoring function. However, the effects of sleep inertia have not yet been explored. In this study, we examined the effects of sleep inertia immediately after a 1-h daytime nap on error-monitoring function as expressed through the ERN/Ne and Pe. Nine healthy young adults participated in two different experimental conditions (nap and rest). Participants performed the arrow-orientation task before and immediately after a 1-h nap or rest period. Immediately after the nap, participants reported an increased effort to perform the task and tended to estimate their performance as better, despite no objective difference in actual performance between the two conditions. ERN/Ne amplitude showed no difference between the conditions; however, the amplitude of the Pe was reduced following the nap. These results suggest that individuals can detect their own error responses, but the motivational significance ascribed to these errors might be diminished during the sleep inertia experienced after a 1-h nap. This decline might lead to overestimation of their performance.


Assuntos
Desempenho Psicomotor/fisiologia , Sono/fisiologia , Vigília/fisiologia , Eletroencefalografia , Potenciais Evocados/fisiologia , Feminino , Humanos , Masculino , Polissonografia , Tempo de Reação/fisiologia , Fatores de Tempo , Adulto Jovem
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