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Mangal TD, Mohan S, Colbourn T, Collins JH, Graham M, Jahn A, Janoušková E, Lin IL, Smith RM, Mnjowe E, Molaro M, Mwenyenkulu TE, Nkhoma D, She B, Tamuri A, Revill P, Phillips AN, Mfutso-Bengo J, Hallett TB. Assessing the effect of health system resources on HIV and tuberculosis programmes in Malawi: a modelling study. Lancet Glob Health 2024; 12:e1638-e1648. [PMID: 39304236 DOI: 10.1016/s2214-109x(24)00259-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Revised: 05/22/2024] [Accepted: 06/10/2024] [Indexed: 09/22/2024]
Abstract
BACKGROUND Malawi is progressing towards UNAIDS and WHO End TB Strategy targets to eliminate HIV/AIDS and tuberculosis. We aimed to assess the prospective effect of achieving these goals on the health and health system of the country and the influence of consumable constraints. METHODS In this modelling study, we used the Thanzi la Onse (Health for All) model, which is an individual-based multi-disease simulation model that simulates HIV and tuberculosis transmission, alongside other diseases (eg, malaria, non-communicable diseases, and maternal diseases), and gates access to essential medicines according to empirical estimates of availability. The model integrates dynamic disease modelling with health system engagement behaviour, health system use, and capabilities (ie, personnel and consumables). We used 2018 data on the availability of HIV and tuberculosis consumables (for testing, treatment, and prevention) across all facility levels of the country to model three scenarios of HIV and tuberculosis programme scale-up from Jan 1, 2023, to Dec 31, 2033: a baseline scenario, when coverage remains static using existing consumable constraints; a constrained scenario, in which prioritised interventions are scaled up with fixed consumable constraints; and an unconstrained scenario, in which prioritised interventions are scaled up with maximum availability of all consumables related to HIV and tuberculosis care. FINDINGS With uninterrupted medical supplies, in Malawi, we projected HIV and tuberculosis incidence to decrease to 26 (95% uncertainty interval [UI] 19-35) cases and 55 (23-74) cases per 100 000 person-years by 2033 (from 152 [98-195] cases and 123 [99-160] cases per 100 000 person-years in 2023), respectively, with programme scale-up, averting a total of 12·21 million (95% UI 11·39-14·16) disability-adjusted life-years. However, the effect was compromised by restricted access to key medicines, resulting in approximately 58 700 additional deaths (33 400 [95% UI 22 000-41 000] due to AIDS and 25 300 [19 300-30 400] due to tuberculosis) compared with the unconstrained scenario. Between 2023 and 2033, eliminating HIV treatment stockouts could avert an estimated 12 100 deaths compared with the baseline scenario, and improved access to tuberculosis prevention medications could prevent 5600 deaths in addition to those achieved through programme scale-up alone. With programme scale-up under the constrained scenario, consumable stockouts are projected to require an estimated 14·3 million extra patient-facing hours between 2023 and 2033, mostly from clinical or nursing staff, compared with the unconstrained scenario. In 2033, with enhanced screening, 188 000 (81%) of 232 900 individuals projected to present with active tuberculosis could start tuberculosis treatment within 2 weeks of initial presentation if all required consumables were available, but only 8600 (57%) of 15 100 presenting under the baseline scenario. INTERPRETATION Ignoring frailties in the health-care system, in particular the potential non-availability of consumables, in projections of HIV and tuberculosis programme scale-up might risk overestimating potential health impacts and underestimating required health system resources. Simultaneous health system strengthening alongside programme scale-up is crucial, and should yield greater benefits to population health while mitigating the strain on a heavily constrained health-care system. FUNDING Wellcome and UK Research and Innovation as part of the Global Challenges Research Fund.
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Affiliation(s)
- Tara D Mangal
- MRC Centre for Global Infectious Disease Analysis, Jameel Institute, School of Public Health, Imperial College London, London, UK.
| | - Sakshi Mohan
- Centre for Health Economics, University of York, York, UK
| | - Timothy Colbourn
- Institute for Global Health, University College London, London, UK
| | - Joseph H Collins
- Institute for Global Health, University College London, London, UK
| | - Mathew Graham
- UCL Centre for Advanced Research Computing, University College London, London, UK
| | - Andreas Jahn
- Department of HIV and AIDS, Ministry of Health, Lilongwe, Malawi
| | - Eva Janoušková
- Institute for Global Health, University College London, London, UK
| | - Ines Li Lin
- Institute for Global Health, University College London, London, UK
| | | | - Emmanuel Mnjowe
- Health Economics and Policy Unit, Kamuzu University of Health Sciences, Lilongwe, Malawi
| | - Margherita Molaro
- MRC Centre for Global Infectious Disease Analysis, Jameel Institute, School of Public Health, Imperial College London, London, UK
| | | | - Dominic Nkhoma
- Health Economics and Policy Unit, Kamuzu University of Health Sciences, Lilongwe, Malawi
| | - Bingling She
- MRC Centre for Global Infectious Disease Analysis, Jameel Institute, School of Public Health, Imperial College London, London, UK
| | - Asif Tamuri
- UCL Centre for Advanced Research Computing, University College London, London, UK
| | - Paul Revill
- Centre for Health Economics, University of York, York, UK
| | | | - Joseph Mfutso-Bengo
- Health Economics and Policy Unit, Kamuzu University of Health Sciences, Lilongwe, Malawi
| | - Timothy B Hallett
- MRC Centre for Global Infectious Disease Analysis, Jameel Institute, School of Public Health, Imperial College London, London, UK
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Park JH, Kang MK, Leem GH, Kim JW, Song TJ. Chronic periodontal disease is related with newly developing hypertension: a nationwide cohort study. Clin Hypertens 2024; 30:27. [PMID: 39350272 PMCID: PMC11443627 DOI: 10.1186/s40885-024-00285-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2024] [Accepted: 08/26/2024] [Indexed: 10/04/2024] Open
Abstract
BACKGROUND Periodontal disease (PD) is a condition that can be treated and managed. This study aimed to determine if chronic PD status is associated with the risk of developing hypertension, utilizing data from the National Health Insurance Database of Korea. METHODS Participants who received oral health examinations both in 2003 and in 2005-2006 were included. Those with a history of hypertension were excluded. Hypertension was defined as at least one outpatient or inpatient claim diagnosis (primary or secondary) of hypertension (International Classification of Diseases (ICD)-10 codes I10-I11) with prescription for antihypertensive medication or at least one incident of systolic blood pressure greater than 140 mmHg or diastolic blood pressure greater than 90 mmHg during a health examination. Changes of PD status was determined during two oral examinations. Study participants were divided into 4 groups according to the changes of PD status: PD-free (those consistently free of disease in both exams), PD-recovered (individuals with disease initially but not in the second exam), PD-developed (no disease initially, but present in the second exam), and PD-chronic (disease throughout both exams). The incidence of hypertension after the second oral health examination (index date) was monitored. Participants were observed from the index date until the earliest occurrence of hypertension onset, mortality, or December 2020. RESULTS The study comprised 706,584 participants: 253,003(35.8%) in the PD-free group, 140,143(19.8%) in the PD-recovered group, 132,397(18.7%) in the PD-developed group, and 181,041(25.6%) in the PD-chronic group. Over a median follow-up duration of 14.3 years, 239,937 (34.0%) cases of hypertension were recorded. The PD-recovered group had a lower risk of hypertension compared to the PD-chronic group, while the PD-developed group had a higher risk of hypertension compared to the PD-free group. CONCLUSION Chronic PD is associated with an increased risk of developing hypertension. Although the increase in risk is modest, recovery from PD may have beneficial effects in reducing hypertension risk. Further studies are needed to confirm the importance of regular dental examinations and effective management of PD to reduce hypertension risk.
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Affiliation(s)
- Jung-Hyun Park
- Department of Oral and Maxillofacial Surgery, Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Republic of Korea
| | - Min Kyoung Kang
- Department of Neurology, Seoul Hospital, Ewha Womans University College of Medicine, 260, Gonghang-daero, Gangseo-gu, Seoul, 07804, Republic of Korea
| | - Gwang Hyun Leem
- Convergence Medicine, Seoul Hospital, Ewha Womans University College of Medicine, Seoul, Republic of Korea
| | - Jin-Woo Kim
- Department of Oral and Maxillofacial Surgery, Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Republic of Korea.
| | - Tae-Jin Song
- Department of Neurology, Seoul Hospital, Ewha Womans University College of Medicine, 260, Gonghang-daero, Gangseo-gu, Seoul, 07804, Republic of Korea.
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Feigin VL, Abate MD, Abate YH, Abd ElHafeez S, Abd-Allah F, Abdelalim A, Abdelkader A, Abdelmasseh M, Abd-Elsalam S, Abdi P, Abdollahi A, Abdoun M, Abd-Rabu R, Abdulah DM, Abdullahi A, Abebe M, Abeldaño Zuñiga RA, Abhilash ES, Abiodun OO, Abiodun O, Abo Kasem R, Aboagye RG, Abouzid M, Abreu LG, Abrha WA, Abtahi D, Abu Rumeileh S, Abualhasan A, Abualruz H, Abu-Gharbieh E, Abukhadijah HJ, Abu-Rmeileh NME, Aburuz S, Abu-Zaid A, Acuna JM, Adane DE, Adane MM, Addo IY, Adedoyin RA, Adegboye OA, Adekanmbi V, Adhikari K, Adnani QES, Adra S, Adzigbli LA, Afify AY, Afolabi AA, Afrashteh F, Afzal MS, Afzal S, Aghamiri S, Agyemang-Duah W, Ahinkorah BO, Ahmad A, Ahmad MM, Ahmad S, Ahmad S, Ahmad T, Ahmadzade AM, Ahmed A, Ahmed A, Ahmed H, Ahmed SA, Ajami M, Aji B, Akara EM, Akinyemi RO, Akkaif MA, Akrami AE, Al Awaidy S, Al Hamad H, Al Hasan SM, Al Qadire M, Al Ta'ani O, Al-Ajlouni Y, Alalalmeh SO, Alalwan TA, Al-Aly Z, Al-amer RM, Aldhaleei WA, Aldossary MS, Alemohammad SY, Al-Fatly B, Al-Gheethi AAS, Alhalaiqa FN, Alharrasi M, Ali A, Ali MU, Ali R, Ali SS, Ali W, Al-Ibraheem A, Alif SM, Aljunid SM, Almahmeed W, Al-Marwani S, Alomari MA, Alonso J, Alqahtani JS, Al-Raddadi RMM, Alrawashdeh A, Alsabri MA, Alshahrani NZ, Altaany Z, Altaf A, Al-Tammemi AB, Altwalbeh D, Alvis-Guzman N, Alwafi H, Al-Wardat M, Al-Worafi YM, Aly H, Aly S, Alyahya MSI, Alzoubi KH, Al-Zyoud WA, Amani R, Amegbor PM, Amera TG, Amin TT, Amindarolzarbi A, Amiri S, Amu H, Amugsi DA, Amusa GA, Ancuceanu R, Anderlini D, Angappan D, Anil A, Ansari MTT, Ansari-Moghaddam A, Ansong R, Anvari S, Anwar S, Anwar SL, Anyabolo EE, Anyasodor AE, Apostol GLC, Appiah F, Aqeel M, Arabloo J, Arabzadeh Bahri R, Arafat M, Aravkin AY, Ardekani A, Areda D, Aregawi BB, Aregu GM, Aremu O, Arifin H, Ärnlöv J, Artamonov AA, Arulappan J, Aryal UR, Aryan Z, Asbeutah AM, Asemahagn MA, Asemu MT, Asghari-Jafarabadi M, Ashemo MY, Ashraf T, Aslani A, Asmerom HA, Astell-Burt T, Athari SS, Atorkey P, Atout MMW, Atreya A, Aujayeb A, Ausloos M, Avan A, Awad H, Awotidebe AW, Ayana LAA, Aychiluhm SB, Aynalem AA, Aynalem ZB, Azadnajafabad S, Azami H, Aziz S, Azzam AY, Babu AS, Babu GR, Badar M, Badiye AD, Bahrami Taghanaki P, Bahramian S, Bai R, Baig AA, Bakkannavar SM, Bako AT, Baltatu OC, Bam K, Banach M, Banakar M, Bandyopadhyay S, Banik PC, Bansal K, Bao Y, Barboza MA, Bardhan M, Barengo NC, Barker-Collo SL, Bärnighausen TW, Barqawi HJ, Barrow A, Barua L, Bashiri A, Bashiru HA, Basiru A, Bastan MM, Basu S, Basu S, Batra K, Begde A, Behnam B, Behnoush AH, Belayneh MBY, Belingheri M, Bello UM, Bennett DA, Bensenor IM, Berhe FT, Bermudez ANC, Beyene HBB, Beyene KA, Bhagat DS, Bhagavathula AS, Bhala N, Bhalla A, Bhardwaj N, Bhardwaj P, Bhaskar S, Bhat AN, Bhat V, Bhatti GK, Bhatti JSS, Bhuiyan MA, Bhusal S, Bikbov B, Bilgin C, Biondi A, Bishaw KA, Biswas A, Biswas B, Bodhare T, Bogale EK, Boloor A, Bonakdar Hashemi M, Bonny A, Bora Basara B, Borhany H, Bosoka SA, Bouaoud S, Bouyahya A, Boyko EJ, Bozic MM, Braithwaite D, Breitner S, Brenner H, Britton G, Brunoni AR, Bryazka D, Bugiardini R, Bulto LN, Burkart K, Bustanji Y, Butt ZA, Caetano dos Santos FL, Cámera LA, Campos LA, Campos-Nonato IR, Cao F, Capodici A, Cárdenas R, Carr S, Carreras G, Carvalho AF, Carvalho F, Castaldelli-Maia JM, Castañeda-Orjuela CA, Castelpietra G, Catapano AL, Cattaruzza MS, Cegolon L, Cembranel F, Cenko E, Cerin E, Chadwick J, Chakraborty C, Chakraborty S, Chan JSK, Chandika RM, Chandrasekar EK, Chanie GS, Chattu VK, Chaudhary AA, Chaurasia A, Chen H, Chen M, Chen S, Chi G, Chichagi F, Chimoriya R, Ching PR, Chitheer A, Cho SMJ, Choi DW, Chong B, Chong CL, Chopra H, Choudhari SG, Choudhary R, Chu DT, Chukwu IS, Chung SC, Cindi Z, Cioffi I, Cogen RM, Columbus A, Costanzo S, Couto RAS, Criqui MH, Cruz-Martins N, Cuadra-Hernández SM, da Silva AG, Dadana S, Dadras O, Dai X, Dalal K, Dalli LL, Damiani G, D'Amico E, Dandona L, Dandona R, Darwish AH, Das S, Dashti M, Dashtkoohi M, Dashtkoohi M, Dastmardi M, Davletov K, De la Cruz-Góngora V, DeAngelo S, Debele AT, Debopadhaya S, Delgado-Enciso I, Demessa BH, Demetriades AK, Denova-Gutiérrez E, Dervišević E, Desai HD, Desale AT, Desta F, Devanbu VGC, Devegowda D, Dewan SMR, Dhane AS, Dhimal M, Dhulipala VR, Diaz MJ, Diress M, Dodangeh M, Doegah PT, Dohare S, Doheim MF, Dokova KG, Dongarwar D, D'Oria M, Doshi OP, Doshi RP, Douiri A, Dowou RK, Dsouza AC, Dsouza HL, Dsouza VS, Duncan BB, Duraes AR, Dziedzic AM, Ekholuenetale M, El Bayoumy IF, El Sayed Zaki M, Elbarazi I, El-Dahiyat F, Elgendy IY, Elhadi M, El-Huneidi W, Elmonem MA, Elmoselhi AB, Eltaha C, Emeto TI, Esezobor CI, Esfandiari N, Esmaeili Z, Esposito F, Etoom M, Fabin N, Fadhil I, Fagbamigbe AF, Fagbule OF, Faghani S, Fahim A, Fakhradiyev IR, Falzone L, Fareed M, Fares J, Farinha CSES, Faris MEM, Faris PS, Farjoud Kouhanjani M, Faro A, Farrokhpour H, Fasanmi AO, Fauk NK, Fazeli P, Fazylov T, Feizkhah A, Fekadu G, Feng X, Fereshtehnejad SM, Ferrara P, Ferreira N, Fetensa G, Feyisa BR, Fischer F, Flor LS, Foley KM, Fonseca AC, Foroumadi R, Foroutan B, Fortuna D, Foschi M, Franklin RC, Fridayani NKY, G S, Gaal PA, Gaidhane AM, Gaipov A, Galali Y, Gallus S, Gandhi AP, Ganesan B, Gasevic D, Gautam P, Gautam RK, Gebregergis MW, Gebrehiwot M, Gebrekidan KG, Getacher L, Getahun GK, Getie M, Ghadimi DJ, Ghadirian F, Ghaffari Jolfayi A, Ghafourifard M, Ghasemi MR, Ghasemzadeh A, Ghazy RM, Gholami E, Gholami Z, Ghozy S, Giannoni Luza S, Gilani JA, Gill TK, Gillum RF, Gindaba EZ, Gnedovskaya EV, Goel A, Goldust M, Golechha M, Goleij P, Golinelli D, Gona PN, Gorini G, Goulart AC, Goulart BNG, Gouravani M, Grivna M, Grosso G, Grover A, Guan SY, Guarducci G, Guha A, Guicciardi S, Gulati S, Gunawardane DA, Guo C, Guo Z, Gupta AK, Gupta B, Gupta M, Gupta R, Gupta RD, Gupta R, Gupta S, Habibzadeh F, Hadi NR, Haghani Dogahe M, Haghi-Aminjan H, Haghmorad D, Haj-Mirzaian A, Halimi A, Hamdy NM, Hamidi S, Hamilton EB, Hanif A, Hanifi N, Hankey GJ, Hannan MA, Haq ZA, Hargono A, Harlianto NI, Haro JM, Has EMM, Hasaballah AI, Hasan I, Hasnain MS, Hassan I, Hassan Zadeh Tabatabaei MS, Haubold J, Havmoeller RJ, Hay SI, Hbid Y, Hebert JJ, Hegazi OE, Heidari M, Hemmati M, Heyi DZ, Hezam K, Hiraike Y, Hoan NQ, Holla R, Horita N, Hossain MM, Hosseinzadeh H, Hosseinzadeh M, Hosseinzadeh Adli A, Hostiuc M, Hostiuc S, Hu B, Hu C, Huang J, Humayun A, Hussain S, Huy LD, Huynh HH, Hwang BF, Ibitoye SE, Ikeda N, Ikiroma A, Ilesanmi OS, Ilic IM, Ilic MD, Imam MT, Immurana M, Inbaraj LR, Iqhrammullah M, Iradukunda A, Irham LM, Islam MR, Ismail F, Ismail NE, Iso H, Isola G, Itumalla R, Iwagami M, Iwu CDCD, J V, Jaafari J, Jacob L, Jafarzadeh A, Jahrami H, Jain A, Jain N, Jairoun AA, Jaiswal A, Jakovljevic M, Jalilzadeh Yengejeh R, Janakiraman B, Jatau AI, Jayapal SK, Jayaram S, Jee SH, Jeganathan J, Jegnie M, Jema AT, Jeswani BM, Jeyakumar A, Jha AK, Jha RP, Ji Z, Jiang H, Jin S, Jin Y, Jokar M, Jonas JB, Joo T, Jose J, Joseph N, Joshua CE, Joukar F, Jozwiak JJ, Jürisson M, Kabir A, Kabir MA, Kabir Z, Kadashetti V, Kalani R, Kalra S, Kamal VK, Kamireddy A, Kan H, Kanaan M, Kandel H, Kanmodi KK, Kantar RS, Kapoor N, Karakasis P, Karaye IM, Karch A, Karimi H, Karimi SE, Karimi Y, Karimi Behnagh A, Karki P, Kasraei H, Kauppila JH, Kaur H, Kaydi N, Kayode GA, Kazemi F, Kazemian S, Kesse-Guyot E, Khader YS, Khafaie MA, Khaing IK, Khajuria H, Khalaji A, Khalid N, Khalil AA, Khan A, Khan F, Khan MN, Khan M, Khan MJ, Khan MAB, Khan YH, Khanmohammadi S, Khatab K, Khatatbeh H, Khatatbeh MM, Khateri S, Khatib MN, Khayamzadeh M, Khayat Kashani HR, Khidri FF, Khokhar M, Khosla AA, Khosravi M, Khubchandani J, Kian S, Kim K, Kim MS, Kim YJ, Kimokoti RW, Kisa A, Kisa S, Kolahi AA, Koly KN, Kompani F, Kondlahalli SKMM, Korja M, Korshunov VA, Korzh O, Kosen S, Kostev K, Kothari N, Kotnis AL, Koulmane Laxminarayana SL, Krishan K, Krishna V, Krishnamoorthy V, Krishnan B, Kruja J, Kuate Defo B, Kucuk Bicer B, Kuddus MA, Kuddus M, Kugbey N, Kulimbet M, Kulkarni V, Kumar A, Kumar A, Kumar D, Kumar GA, Kumar N, Kumar R, Kumaran D S, Kundu A, Kundu S, Kunutsor SK, Kurmi OP, Kusuma D, Kutikuppala LVS, Kuttikkattu A, Kytö V, La Vecchia C, Lacey B, Lahariya C, Lal DK, Lallukka T, Lám J, Landires I, Larsson AO, Lasrado S, Latifinaibin K, Lauriola P, Lavados PM, Lawal BK, Le LKD, Le NHH, Le TTT, Le TDT, Lee PH, Lee SW, Lee WC, Lee YH, Li MC, Li W, Li X, Li Y, Lim LL, Lim SS, Lin JC, Lindholm D, Linn S, Liu G, Liu R, Liu S, Liu X, Liu X, Llanaj E, Lo CH, Lo WD, Lohner V, López-Gil JF, Lorenzovici L, Lorkowski S, Lotufo PA, Lucchetti G, Luo L, Lusk JB, Ma ZF, Machoy M, Madadizadeh F, Maddison R, Mahmoudi E, Mahmoudvand G, Makram OM, Malakan Rad E, Malhotra K, Malik AA, Malik I, Mallhi TH, Malta DC, Mamun AA, Manla Y, Mansouri MH, Mansouri P, Mansouri V, Mansournia MA, Mantovani LG, Manu E, Marateb HR, Marjani A, Martini D, Martini S, Martorell M, Maryam S, Marzo RR, Masrie A, Mathangasinghe Y, Maulik PK, Mayeli M, Mazidi M, McKee M, McPhail SM, Mechili EA, Mehmood A, Mehrabani-Zeinabad K, Mekene Meto T, Meles HN, Mendoza W, Menezes RG, Mensah GA, Meo SA, Meretoja A, Meretoja TJ, Mestrovic T, Mettananda CDK, Miazgowski T, Michalek IM, Micheletti Gomide Nogueira de Sá AC, Minervini G, Minh LHN, Mini GK, Mirghafourvand M, Mirica A, Mirrakhimov EM, Mirza-Aghazadeh-Attari M, Mishra M, Misra S, Mithra P, Mohamed AI, Mohamed J, Mohamed NS, Mohammad AM, Mohammadi E, Mohammadi S, Mohammadi S, Mohammadian-Hafshejani A, Mohammadzadeh I, Mohammed H, Mohammed M, Mohammed S, Mohammed S, Mokdad AH, Molavi Vardanjani H, Molokhia M, Momani S, Monasta L, Moni MA, Montazeri F, Moodi Ghalibaf A, Moosazadeh M, Moradi M, Moradi Y, Moraga P, Morawska L, Moreira RS, Morrison SD, Mosaddeghi Heris R, Mossialos E, Mousavi P, Msherghi A, Mubarik S, Muccioli L, Mulita A, Muniyandi M, Munjal K, Murillo-Zamora E, Muthu S, Myung W, Nabavi A, Nabhan AF, Nafei A, Nagarajan AJ, Naghavi P, Naik GR, Naik G, Naimzada MD, Nair S, Nair TS, Najdaghi S, Najmuldeen HHR, Nakhostin Ansari N, Nangia V, Narasimha Swamy S, Nargus S, Narimani Davani D, Nascimento BR, Nascimento GG, Nasrollahizadeh A, Nasrollahizadeh A, Natto ZS, Nauman J, Navaratna SNK, Nayak BP, Nayak VC, Nazri-Panjaki A, Ndejjo R, Negoi I, Negoi RI, Nejadghaderi SA, Nejjari C, Nematollahi MH, Nepal S, Newton CRJ, Nguyen DH, Nguyen DH, Nguyen HTH, Nguyen HQ, Nguyen NNY, Nguyen PT, Nguyen VT, Niazi RK, Nigatu YT, Nikravangolsefid N, Ningrum DNA, Nnaji CA, Nnyanzi LA, Nomura S, Noor STA, Norrving B, Nawsherwan N, Noubiap JJ, Nri-Ezedi CA, Ntaios G, Ntsekhe M, Nugen F, Nurchis MC, Nurrika D, Nzoputam CI, Nzoputam OJ, Oancea B, Obamiro KO, Odetokun IA, O'Donnell MJ, Oguta JO, Oh IH, Ojo-Akosile TR, Okati-Aliabad H, Okeke SR, Okekunle AP, Okidi L, Okonji OC, Oladnabi M, Olagunju AT, Olaiya MT, Olalusi OV, Olasehinde TA, Olasupo OO, Olatubi MI, Oliveira AB, Oliveira GMM, Olorukooba AA, Olufadewa II, Oluwafemi YDD, Oluwatunase GO, Omar HA, Omar Bali A, O'Neil AE, Ong SK, Onwujekwe OE, Opejin AO, Ordak M, Ornello R, Ortega-Altamirano DV, Ortiz A, Ortiz-Prado E, Osman WMS, Osuagwu UL, Otstavnov SS, Owolabi MO, Oyeyemi IT, Ozair A, P A MP, Pacheco-Barrios K, Padron-Monedero A, Padubidri JR, Palicz T, Palma-Alvarez RF, Pan F, Panda-Jonas S, Pande Katare D, Pandey A, Pandey A, Pandi-Perumal SR, Panos LD, Pantazopoulos I, Papadopoulou P, Pardhan S, Parija PP, Parikh RR, Parsons N, Passera R, Patoulias D, Paudel U, Pawar S, Peden AE, Pedersini P, Peprah P, Pereira MO, Peres MFP, Perianayagam A, Perico N, Perna S, Pestell RG, Petcu IR, Petermann-Rocha FE, Pham HN, Pham HT, Phillips MR, Pilgrim T, Piradov MA, Pirouzpanah S, Plotnikov E, Poddighe D, Poluru R, Popovic DS, Postma MJ, Pourshams A, Pourtaheri N, Pradhan J, Pradhan PMS, Prakash V, Prasad M, Prates EJS, Pribadi DRA, Puvvula J, Qattea I, Qian G, Qiao Y, Raggi A, Raghav PR, Raghuveer P, Rahim F, Rahim MJ, Rahimifard M, Rahimi-Movaghar V, Rahman MM, Rahman MHU, Rahman M, Rahman MA, Rahmani AM, Rahmanian M, Rahmanian N, Rahmanian V, Rahmati R, Rahmawaty S, Raj GM, Rajaa S, Rajendran V, Rajpoot PL, Rajput P, Ram P, Ramadan MM, Ramadan M, Ramanarayanan V, Ramasamy SK, Ramazanu S, Rana J, Rana K, Rana RK, Ranabhat CL, Rancic N, Rane A, Ranta A, Rao M, Rao SJ, Rashedi S, Rashidi MM, Rasouli-Saravani A, Rathish D, Rauniyar SK, Rawaf S, Razo C, Reddy MMRK, Redwan EMM, Rehman IU, Remuzzi G, Rezaei N, Rezaeian M, Rezazadeh H, Rhee TG, Riaz MA, Ribeiro ALP, Rodrigues M, Rodrigues da Silva TPR, Rodriguez JAB, Roever L, Romadlon DS, Ross AG, Rout HS, Roy B, Roy P, Roy S, Ruela GDA, Russo M, Rwegerera GM, S N C, Saad AMA, Saber K, Saber-Ayad MM, Sabet CJ, Sabour S, Sacco S, Saddik BA, Sadeghi E, Saeb MR, Saeed U, Safi SZZ, Sagar R, Saghafi A, Sagoe D, Saheb Sharif-Askari F, Sahebkar A, Sahoo PM, Sahoo SS, Sajid MR, Salami AA, Salaroli LB, Saleh MA, Salem MZY, Salum GA, Samadzadeh S, Samargandy S, Samodra YL, Samuel VP, Samy AM, Sanabria J, Santos IS, Santric-Milicevic MM, Sarasmita MA, Saravanan A, Sarikhani Y, Sarode GS, Sarode SC, Satpathy M, Sattouf Z, Saya GK, Sayeed MA, Sayyah M, Scarmeas N, Schaarschmidt BM, Schlaich MP, Schmidt MI, Schneider IJC, Schuermans A, Schumacher AE, Schutte AE, Schwebel DC, Selvaraj S, Sen P, Senapati S, Senthilkumaran S, Sergindo MT, Sethi Y, Seylani A, Shafie M, Shah PA, Shahabi S, Shahbandi A, Shahid S, Shahsavari HR, Shahwan MJ, Shaikh MA, Shalash AS, Shamim MA, Shams-Beyranvand M, Shamsi A, Shamsutdinova A, Shanawaz M, Shannawaz M, Sharath M, Sharifan A, Sharifi A, Sharifi-Rad J, Sharma A, Sharma M, Sharma S, Sharma U, Sharma V, Sheikhi RA, Shetty A, Shetty M, Shetty PK, Shiferaw D, Shigematsu M, Shimels T, Shin MJ, Shiri R, Shittu A, Shitu AKO, Shiue I, Shorofi SA, Shrestha S, Shuval K, Si Y, Siddig EE, Sikdar M, Silva JP, Silva LMLR, Singh A, Singh B, Singh G, Singh H, Singh JA, Singh K, Singh NP, Singh P, Singh P, Sipilä JOT, Sivakumar S, Skryabin VY, Skryabina AA, Sleet DA, Sobia F, Socea B, Sohag AAM, Solanki R, Solanki S, Solomon Y, Song Y, Soraneh S, Sorensen RJD, Sotoudeh H, Soyiri IN, Spartalis M, Sreeramareddy CT, Srinivasamurthy SK, Stachteas P, Stafford LK, Stark BA, Starodubova AV, Subedi N, Subramaniyan V, Suleman M, Sultana A, Sun Z, Sundström J, Suresh V, Susanty S, Swain CK, Szarpak L, T Y SS, Tabaee Damavandi P, Tabarés-Seisdedos R, Tabatabaei SM, Tabatabai S, Tabche C, Tabish M, Tadakamadla J, Tadakamadla SK, Taheri A, Taiba J, Talaat IM, Talukder A, Tampa M, Tamuzi JL, Tan KK, Tang H, Tanwar M, Tarigan IU, Tarkang EE, Tat NY, Tavangar SM, Tehrani-Banihashemi A, Teimoori M, Temsah MH, Temsah RMH, Teramoto M, Tesfamariam WB, Tesfaye Gta EG, Thakur R, Thangaraju P, Thapa R, Thapar R, Thayakaran R, Thirunavukkarasu S, Thomas J, Thomas NKK, Thrift AG, Tian J, Tichopad A, Ticoalu JHV, Tiruneh C, Tiwari K, Tiyuri A, Tonelli M, Topor-Madry R, Tovani-Palone MR, Trabelsi K, Tran NH, Tran TH, Tran Minh Duc N, Trico D, Tromans SJ, Truyen TTTT, Tsai DHT, Tsatsakis A, Tsermpini EE, Turuse EAA, Tyrovolas S, Udoakang AJ, Udoh A, Ullah A, Ullah S, Umair M, Umar M, Unim B, Unnikrishnan B, Urso D, Usman JS, Vacante M, Vahabi SM, Vahdati S, Vaithinathan AG, Vakili O, Valizadeh R, Van den Eynde J, Varga O, Varthya SB, Vasankari TJ, Vellingiri B, Venketasubramanian N, Verma M, Veroux M, Verras GI, Vervoort D, Villafañe JH, Villani S, Vinayak M, Viskadourou M, Volovat SR, Volovici V, Wafa HA, Waheed Y, Wahood W, Wang C, Wang F, Wang S, Wang S, Wang Y, Wang YP, Wanjau MN, Waqas M, Wassie EG, Wassie GT, Wei Z, Weintraub RG, Weldetinsaa HL, Wickramasinghe DP, Wickramasinghe ND, Wijeratne T, Willeit P, Wolfe CDA, Wong YJ, Wongsin U, Wu C, Wu F, Wu Y, Wu Z, Xiao H, Xu S, Xu X, Yamagishi K, Yang D, Yano Y, Yarahmadi A, Yaribeygi H, Yasufuku Y, Yatsuya H, Yazdanpanah F, Yazdanpanah MH, Ye P, Yesodharan R, Yezli S, Yi S, Yi X, Yin D, Yon DK, Yonemoto N, Yu C, Yu EA, Yun K, Yusuf H, Zadey S, Zafari N, Zaman BA, Zaman SB, Zanghì A, Zare I, Zarimeidani F, Zarrintan A, Zastrozhin M, Zemedikun D, Zeng Y, Zhang B, Zhang H, Zhang L, Zhang Y, Zhang Z, Zhao H, Zhong CC, Zhou SC, Zhu B, Zhu L, Zhumagaliuly A, Ziafati M, Zielińska M, Zikarg YT, Zoghi G, Zyoud SH, Zyoud SH, Johnson CO, Roth GA, Nair BS, Rautalin I, Bhati A, Bisignano C, Vos T, Murray CJL. Global, regional, and national burden of stroke and its risk factors, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021. Lancet Neurol 2024; 23:973-1003. [PMID: 39304265 DOI: 10.1016/s1474-4422(24)00369-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2024] [Revised: 06/10/2024] [Accepted: 08/28/2024] [Indexed: 09/22/2024]
Abstract
BACKGROUND Up-to-date estimates of stroke burden and attributable risks and their trends at global, regional, and national levels are essential for evidence-based health care, prevention, and resource allocation planning. We aimed to provide such estimates for the period 1990-2021. METHODS We estimated incidence, prevalence, death, and disability-adjusted life-year (DALY) counts and age-standardised rates per 100 000 people per year for overall stroke, ischaemic stroke, intracerebral haemorrhage, and subarachnoid haemorrhage, for 204 countries and territories from 1990 to 2021. We also calculated burden of stroke attributable to 23 risk factors and six risk clusters (air pollution, tobacco smoking, behavioural, dietary, environmental, and metabolic risks) at the global and regional levels (21 GBD regions and Socio-demographic Index [SDI] quintiles), using the standard GBD methodology. 95% uncertainty intervals (UIs) for each individual future estimate were derived from the 2·5th and 97·5th percentiles of distributions generated from propagating 500 draws through the multistage computational pipeline. FINDINGS In 2021, stroke was the third most common GBD level 3 cause of death (7·3 million [95% UI 6·6-7·8] deaths; 10·7% [9·8-11·3] of all deaths) after ischaemic heart disease and COVID-19, and the fourth most common cause of DALYs (160·5 million [147·8-171·6] DALYs; 5·6% [5·0-6·1] of all DALYs). In 2021, there were 93·8 million (89·0-99·3) prevalent and 11·9 million (10·7-13·2) incident strokes. We found disparities in stroke burden and risk factors by GBD region, country or territory, and SDI, as well as a stagnation in the reduction of incidence from 2015 onwards, and even some increases in the stroke incidence, death, prevalence, and DALY rates in southeast Asia, east Asia, and Oceania, countries with lower SDI, and people younger than 70 years. Globally, ischaemic stroke constituted 65·3% (62·4-67·7), intracerebral haemorrhage constituted 28·8% (28·3-28·8), and subarachnoid haemorrhage constituted 5·8% (5·7-6·0) of incident strokes. There were substantial increases in DALYs attributable to high BMI (88·2% [53·4-117·7]), high ambient temperature (72·4% [51·1 to 179·5]), high fasting plasma glucose (32·1% [26·7-38·1]), diet high in sugar-sweetened beverages (23·4% [12·7-35·7]), low physical activity (11·3% [1·8-34·9]), high systolic blood pressure (6·7% [2·5-11·6]), lead exposure (6·5% [4·5-11·2]), and diet low in omega-6 polyunsaturated fatty acids (5·3% [0·5-10·5]). INTERPRETATION Stroke burden has increased from 1990 to 2021, and the contribution of several risk factors has also increased. Effective, accessible, and affordable measures to improve stroke surveillance, prevention (with the emphasis on blood pressure, lifestyle, and environmental factors), acute care, and rehabilitation need to be urgently implemented across all countries to reduce stroke burden. FUNDING Bill & Melinda Gates Foundation.
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Pörschmann T, Meier T, Lorkowski S. Changing impact of dietary risk factors on cardiovascular mortality in 46 European countries from 1990 to 2019 by age and sex: A data article of the GBD Study. Data Brief 2024; 56:110851. [PMID: 39281011 PMCID: PMC11395748 DOI: 10.1016/j.dib.2024.110851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2024] [Revised: 08/09/2024] [Accepted: 08/12/2024] [Indexed: 09/18/2024] Open
Abstract
This study aimed to estimate the association between single dietary risk factors and cardiovascular mortality in the WHO European Region, its four subregions and 46 individual countries. For this purpose, data from the Global Burden of Diseases Study (GBD) 2019 iteration were employed and analysed according to age (≥ 25 years) and sex. The comparative risk assessment framework of the GBD was utilized in order to estimate the number of cardiovascular deaths that could be attributed to 13 dietary risks. The study period spanned from 1990 to 2019. Between 1990 and 2019 the absolute number of diet-related cardiovascular deaths (DRCDs) in the WHO ER decreased from 1.69 to 1.55 million deaths. Moreover, a decline in the absolute number of deaths was observed in two subregions and 27 countries. In 2019, the number of deaths was almost equally distributed between women and men. This distribution has undergone only slight temporal changes. The number of cases for men were found to be higher in three subregions and in 30 countries. The majority of DRCDs in the WHO ER were attributable to 'a diet low in whole grains', which was also the primary risk factor in three subregions und 29 countries. The next most-common risk factor was 'a diet low in legumes', followed by 'a diet high in sodium'. In particular, the risk factor 'a diet high in sodium' was a significant contributing factor in Central Europe. In addition, the risk factor 'a diet high in red meat' was more pronounced in Western Europe than in the other regions and slightly more influential in the group of women across all regions. For men 'a diet high in sodium' was more prominent than for women. In essence, slight changes in the influence of individual risk factors were observed across the different age groups. The datasheets enable the observation of changes within the dietary risks over time, their distribution by age and sex, and differences between regions and individual countries in detail. This allows for an individual assessment of the problem situation for each country, the subregions and the European Region as a whole, with the aim of developing solution strategies based on this assessment. Dietary interventions can focus on the relevant food and target groups in order to support a health-promoting diet.
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Affiliation(s)
- Theresa Pörschmann
- Institute of Nutritional Sciences, Friedrich Schiller University Jena, Dornburger Straße 25, 07743 Jena, Germany
- Competence Cluster for Nutrition and Cardiovascular Health (nutriCARD) Halle-Jena-Leipzig, Dornburger Straße 25, 07743 Jena, Germany
| | - Toni Meier
- Competence Cluster for Nutrition and Cardiovascular Health (nutriCARD) Halle-Jena-Leipzig, Dornburger Straße 25, 07743 Jena, Germany
- Institute for Sustainable Agriculture and Food Economics (INL) e.V., Reilstraße 128, 06114 Halle (Saale), Germany
| | - Stefan Lorkowski
- Institute of Nutritional Sciences, Friedrich Schiller University Jena, Dornburger Straße 25, 07743 Jena, Germany
- Competence Cluster for Nutrition and Cardiovascular Health (nutriCARD) Halle-Jena-Leipzig, Dornburger Straße 25, 07743 Jena, Germany
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Yan T, Song Q, Yao M, Zhang X, He Y. Diurnal temperature range and hypertension: cross-sectional and longitudinal findings from the China Health and Retirement Longitudinal Study (CHARLS). BMC Public Health 2024; 24:2665. [PMID: 39350136 PMCID: PMC11440652 DOI: 10.1186/s12889-024-20148-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2024] [Accepted: 09/20/2024] [Indexed: 10/04/2024] Open
Abstract
BACKGROUND Research indicates a positive association between short-term diurnal temperature range (DTR) exposure and hypertension. However, the impact of long-term DTR exposure has not been thoroughly studied in population-based cohort research. METHODS This study conducted cross-sectional (including 16,690 participants) and longitudinal analyses (including 9,650 participants) based on the China Health and Retirement Longitudinal Study (CHARLS). Daily temperature data was sourced from the National Scientific Data of the Qinghai-Tibet Plateau. We calculated the moving average of DTR exposure of all the participants in CHARLS with exposure windows of 30-day, 60-day, 180-day, 1-year, and 2-year before the interview month of CHARLS Wave1 (2011). Logistic regression and age-stratified Cox proportional hazards models were employed in our analysis. RESULTS In the cross-sectional study, 6,572 (39.4%) participants had hypertension. We found higher DTR is associated with a higher prevalence of hypertension across different exposure windows. The effect was strongest when the exposure window of DTR was 180-day, with an adjusted odds ratio (OR) of 1.261 (95% confidence interval (CI): 1.124-1.416 [highest tertile DTR vs. lowest tertile DTR]). In the cohort study, 3,020 (31.3%) participants developed hypertension during 83 months of follow-up. A higher level of DTR (hazard ratio (HR): 1.224, 95% CI: 1.077-1.391) was associated with a higher risk of incident hypertension. We found significant interactions between DTR and age (P interaction: <0.001) and residence (P interaction: 0.045). CONCLUSION We found significant positive associations between DTR and prevalent and incident hypertension. Individuals younger than 65 and those living in rural areas are at an elevated risk of developing hypertension due to DTR.
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Affiliation(s)
- Tiange Yan
- Department of Cardiology, Renmin Hospital of Xiangzhou District, Xiangyang City, China
- State Key Laboratory of New Drug Discovery and Development for Major Diseases, Gannan Medical University, Ganzhou, China
- Gannan Innovation and Translational Medicine Research Institute, Gannan Medical University, Ganzhou, China
| | - Qilin Song
- Department of Cardiology, Renmin Hospital of Xiangzhou District, Xiangyang City, China
- State Key Laboratory of New Drug Discovery and Development for Major Diseases, Gannan Medical University, Ganzhou, China
- Gannan Innovation and Translational Medicine Research Institute, Gannan Medical University, Ganzhou, China
| | - Ming Yao
- State Key Laboratory of New Drug Discovery and Development for Major Diseases, Gannan Medical University, Ganzhou, China
- Gannan Innovation and Translational Medicine Research Institute, Gannan Medical University, Ganzhou, China
| | - Xingyuan Zhang
- School of Basic Medical Sciences, Wuhan University, 115 Donghu Road, Wuhan, 430060, China.
| | - Yaxiong He
- Department of Cardiology, Renmin Hospital of Xiangzhou District, Xiangyang City, China.
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Huang CW, Hu T, Zheng H, Wu YL, Li JM, Wang YM, Su WJ, Wang W, Liu YZ, Jiang CL. Contagion of depression: a double-edged sword. Transl Psychiatry 2024; 14:396. [PMID: 39349463 PMCID: PMC11443097 DOI: 10.1038/s41398-024-03124-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/05/2024] [Revised: 09/19/2024] [Accepted: 09/24/2024] [Indexed: 10/02/2024] Open
Abstract
Depression is a significant mental health issue with extensive economic implications, and recent studies suggest it may be transmitted between individuals. However, the mechanisms of this contagion remain unclear, and the social buffering effect has been understudied. This research employs three rodent models, including stress crossover, cohabitation-induced, and non-contact induced depression contagion models, to explore these mechanisms. Here, we report that that naive mice cohabiting with depressed mice showed increased corticosterone levels and depressive behaviors, unlike those with stressed mice, who did not exhibit these changes and even mitigated desperation in stressed mice. Non-contact cohabitation did not produce significant behavioral differences, but exposure to bedding from depressed mice reduced sucrose preference in naive mice. This study introduces reliable models of depression contagion, suggesting it operates independently of stress transmission. The interplay between depression contagion and social buffering may vary in different contexts. These findings provide new insights into the mechanisms of depression contagion and potential strategies for preventing depressive disorders.
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Affiliation(s)
- Chen-Wei Huang
- Department of Stress Medicine, Faculty of Psychology, Naval Medical University, Shanghai, 200433, China
| | - Ting Hu
- Department of Stress Medicine, Faculty of Psychology, Naval Medical University, Shanghai, 200433, China
| | - Hong Zheng
- Department of Stress Medicine, Faculty of Psychology, Naval Medical University, Shanghai, 200433, China
| | - Yi-Lin Wu
- Department of Stress Medicine, Faculty of Psychology, Naval Medical University, Shanghai, 200433, China
| | - Jia-Mei Li
- Department of Neurology, The 971st Hospital of PLA, Qingdao, 266071, China
| | - Yi-Ming Wang
- School of Basic Medicine, Naval Medical University, Shanghai, 200433, China
| | - Wen-Jun Su
- Department of Stress Medicine, Faculty of Psychology, Naval Medical University, Shanghai, 200433, China
| | - Wei Wang
- Department of Stress Medicine, Faculty of Psychology, Naval Medical University, Shanghai, 200433, China
| | - Yun-Zi Liu
- Department of Stress Medicine, Faculty of Psychology, Naval Medical University, Shanghai, 200433, China.
| | - Chun-Lei Jiang
- Department of Stress Medicine, Faculty of Psychology, Naval Medical University, Shanghai, 200433, China.
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Zhang J, Wang XY, Yang S, Xie X, Pan SJ, Xu XQ, Li Y. Relationship of dietary natural folate and synthetic folic acid co-exposure patterns with biological aging: findings from NHANES 2003-2018. Food Funct 2024; 15:10121-10135. [PMID: 39291860 DOI: 10.1039/d4fo01241k] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/19/2024]
Abstract
Background: The mandatory folic acid fortification program in the United States has inevitably exposed most Americans to both natural folate and synthetic folic acid. We aim to examine the association of dietary folate co-exposure patterns with biological aging indicators. Methods: A total of 18 889 participants were enrolled from 2003 to 2018. Dietary intake of folate from diverse sources was evaluated by 24-hour dietary recall. Biological aging indicators were developed based on age-related clinical indicators, including the phenotypic age (PA), Klemera-Doubal method (KDM), homeostatic dysregulation (HD), and allostatic load (AL). The unsupervised K-means clustering method, logistic regression model, and restricted cubic spline (RCS) regression model were used to explore the relationship of natural folate and synthetic folic acid co-exposure with biological aging indicators. Results: The results indicated that higher intake of total folate, dietary folate, and food natural folate was associated with lower PA [OR = 0.75 (0.64, 0.88); OR = 0.79 (0.70, 0.90); OR = 0.65 (0.57, 0.75)], KDM [OR = 0.63 (0.53, 0.75); OR = 0.80 (0.65, 0.98); OR = 0.62 (0.49, 0.77)], HD [OR = 0.69 (0.56, 0.84); OR = 0.78 (0.67, 0.92); OR = 0.78 (0.68, 0.90)], and AL [OR = 0.69 (0.58, 0.82); OR = 0.73 (0.63, 0.85); OR = 0.74 (0.62, 0.90)], consistently. Four co-exposure patterns were generated based on the intake of folate from diverse sources, as follows: "low folate exposure group" to cluster 1, "dietary folate exposure group" to cluster 2, "mixed source high folate exposure group" to cluster 3, and "mixed source excessive folate exposure group" to cluster 4. Compared with cluster 1, participants in cluster 2 are associated with lower biological age indicators (ORPA = 0.82 [0.72, 0.93]; ORKDM = 0.58 [0.47, 0.70]; ORHD = 0.85 [0.75, 0.97]; ORAL = 0.87 [0.77, 0.98]), while participants in cluster 3 and cluster 4 are not. Conclusion: For individuals subjected to folic acid fortification programs, a higher intake of dietary folate, especially natural folate, coupled with a lower consumption of folic acid supplements, was found to be associated with lower biological age indicators.
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Affiliation(s)
- Jia Zhang
- National Key Discipline, Department of Nutrition and Food Hygiene, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, P. R. China.
| | - Xuan-Yang Wang
- National Key Discipline, Department of Nutrition and Food Hygiene, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, P. R. China.
| | - Shuo Yang
- National Key Discipline, Department of Nutrition and Food Hygiene, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, P. R. China.
| | - Xun Xie
- National Key Discipline, Department of Nutrition and Food Hygiene, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, P. R. China.
| | - Si-Jia Pan
- National Key Discipline, Department of Nutrition and Food Hygiene, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, P. R. China.
| | - Xiao-Qing Xu
- National Key Discipline, Department of Nutrition and Food Hygiene, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, P. R. China.
| | - Ying Li
- National Key Discipline, Department of Nutrition and Food Hygiene, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, P. R. China.
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Wang HN, Luo P, Liu S, Liu Y, Zhang X, Li J. Effectiveness of Internet-Based Telehealth Programs in Patients With Hip or Knee Osteoarthritis: Systematic Review and Meta-Analysis. J Med Internet Res 2024; 26:e55576. [PMID: 39348685 DOI: 10.2196/55576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Revised: 08/10/2024] [Accepted: 09/04/2024] [Indexed: 10/02/2024] Open
Abstract
BACKGROUND Osteoarthritis (OA) is a chronic musculoskeletal disease that causes pain, functional disability, and an economic burden. Nonpharmacological treatments are at the core of OA management. However, limited access to these services due to uneven regional local availability has been highlighted. Internet-based telehealth (IBTH) programs, providing digital access to abundant health care resources, offer advantages, such as convenience and cost-effectiveness. These characteristics make them promising strategies for the management of patients with OA. OBJECTIVE This study aimed to evaluate the effectiveness of IBTH programs in the management of patients with hip or knee OA. METHODS We systematically searched 6 electronic databases to identify trials comparing IBTH programs with conventional interventions for hip and knee OA. Studies were selected based on inclusion and exclusion criteria, focusing on outcomes related to function, pain, and self-efficacy. Standardized mean differences (SMDs) with 95% CIs were calculated to compare outcome measures. Heterogeneity was assessed using I² and χ² tests. The methodological quality of the selected studies and the quality of evidence were also evaluated. RESULTS A total of 21 studies with low-to-high risk of bias were included in this meta-analysis. The pooled results showed that IBTH has a superior effect on increasing function (SMD 0.30, 95% CI 0.23-0.37, P<.001), relieving pain (SMD -0.27, 95% CI -0.34 to -0.19, P<.001), and improving self-efficacy for pain (SMD 0.21, 95% CI 0.08-0.34, P<.001) compared to the conventional intervention group. Subgroup analysis revealed that IBTH with exercise can significantly alleviate pain and improve function and self-efficacy, but IBTH with cognitive-behavioral therapy only had the effect of reducing pain. CONCLUSIONS The meta-analysis provides moderate-quality evidence that IBTH programs have a beneficial effect on improving function, relieving pain, and improving self-efficacy compared to conventional interventions in patients with hip or knee OA. Limited evidence suggests that the inclusion of exercise regimens in IBTH programs is recommended. TRIAL REGISTRATION PROSPERO CRD42024541111; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=541111.
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Affiliation(s)
- Hao-Nan Wang
- Sports Medicine Center, West China Hospital, Sichuan University, Chengdu, China
- Department of Orthopedics and Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, China
| | - Pei Luo
- School of Sport Science, Beijing Sport University, Beijing, China
- Key Laboratory of Physical Fitness and Exercise, Ministry of Education, Beijing, China
| | - Shuyue Liu
- Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada
| | - Yunyi Liu
- School of Physical and Occupational Therapy, Faculty of Medicine, McGill University, Montreal, QC, Canada
| | - Xiao Zhang
- Faculty of Kinesiology, University of Calgary, Calgary, AB, Canada
| | - Jian Li
- Sports Medicine Center, West China Hospital, Sichuan University, Chengdu, China
- Department of Orthopedics and Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, China
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Gholami M, Mohebbi SZ, Mafakheri M, Shahhosseini H. Evaluation of frequency of consumption of cariogenic snacks by freshmen versus the senior dental students in Tehran and the related factors: a cross-sectional study. BMJ Open 2024; 14:e086041. [PMID: 39349373 DOI: 10.1136/bmjopen-2024-086041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/02/2024] Open
Abstract
BACKGROUND Senior dental students are more aware of the harmful effects of cariogenic snacks and are expected to better watch their diet compared with freshmen dental students. This study aimed to compare the frequency of consumption of cariogenic snacks by senior and freshmen dental students of Tehran city and the related factors. METHODS This cross-sectional study evaluated the senior and freshmen dental students attending dental schools in Tehran in 2018, who were selected by census sampling. A cariogenic snack record form was used to collect information regarding the frequency of consumption of cariogenic snacks both prospectively (within the upcoming week) and retrospectively (previous 24 hours). We also collected information on the demographic characteristics of the participants. The plaque-producing and decay-producing potential of the diet (PAP) index was calculated for each dental student. Data were analysed by the backward regression model using SPSS. RESULTS A total of 294 dental students with a mean age of 22±2.85 years participated in this study. The mean PAP score was 76.48±49.91 for the freshmen and 89.87±49.41 for the senior dental students with a significant difference between them (p=0.023). Older dental students (p=0.008) and those not living with their parents (p=0.001) acquired a higher PAP score. CONCLUSION The mean PAP score of freshmen and senior dental students in Tehran was slightly higher than the optimal level. So the instructional techniques of dental curricula are better to be revised to improve the performance of dental students to cut down the consumption of cariogenic snacks.
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Affiliation(s)
- Mahdia Gholami
- Community Oral Health, Tehran University of Medical Sciences, Tehran, Iran (the Islamic Republic of)
| | - Simin Z Mohebbi
- Community Oral Health, Tehran University of Medical Sciences, Tehran, Iran (the Islamic Republic of)
| | - Milad Mafakheri
- Community Oral Health, Tehran University of Medical Sciences, Tehran, Iran (the Islamic Republic of)
| | - Houra Shahhosseini
- Restorative Dentistry, Qom University of Medical Sciences, Qom, Iran (the Islamic Republic of)
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Schuetz T, Dolejsi T, Beck E, Fugger F, Bild A, Duin MT, Gavranovic-Novakovic J, Hilbold E, Hoffmann T, Zuber J, Bauer A, Ruschitzka F, Bär C, Penninger JM, Haubner BJ. Murine neonatal cardiac regeneration depends on Insulin-like growth factor 1 receptor signaling. Sci Rep 2024; 14:22661. [PMID: 39349545 PMCID: PMC11443045 DOI: 10.1038/s41598-024-72783-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2024] [Accepted: 09/10/2024] [Indexed: 10/02/2024] Open
Abstract
Unlike adult mammals, the hearts of neonatal mice possess the ability to completely regenerate from myocardial infarction (MI). This observation has sparked vast interest in deciphering the potentially lifesaving and morbidity-reducing mechanisms involved in neonatal cardiac regeneration. In mice, the regenerative potential is lost within the first week of life and coincides with a reduction of Insulin-like growth factor 1 receptor (Igf1r) expression in the heart. Igf1r is a well-known regulator of cardiomyocyte maturation and proliferation in neonatal mice. To test the role of Igf1r as a pivotal factor in cardiac regeneration, we knocked down (KD) Igf1r specifically in cardiomyocytes using recombinant adeno-associated virus (rAAV) delivery and troponin T promotor driven shRNAmirs. Cardiomyocyte specific Igf1r KD versus control mice were subjected to experimental MI by permanent ligation of the left anterior descending artery (LAD). Cardiac functional and morphological data were analyzed over a 21-day period. Neonatal Igf1r KD mice showed reduced systolic cardiac function and increased fibrotic cardiac remodeling 21 days post injury. This cardiac phenotype was associated with reduced cardiomyocyte nuclei mitosis and decreased AKT and ERK phosphorylation in Igf1r KD, compared to control neonatal mouse hearts. Our in vivo murine data show that Igf1r KD shifts neonatal cardiac regeneration to a more adult-like scarring phenotype, identifying cardiomyocyte-specific Igf1r signaling as a crucial component of neonatal cardiac regeneration.
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Affiliation(s)
- Thomas Schuetz
- Department of Internal Medicine III (Cardiology and Angiology), Innsbruck Medical University, Innsbruck, Austria
- Institute of Molecular Biotechnology of the Austrian Academy of Sciences (IMBA), Vienna, Austria
- Center for Translational and Experimental Cardiology (CTEC), Department of Cardiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Theresa Dolejsi
- Department of Internal Medicine III (Cardiology and Angiology), Innsbruck Medical University, Innsbruck, Austria
- Center for Translational and Experimental Cardiology (CTEC), Department of Cardiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland
| | - Eva Beck
- Department of Internal Medicine III (Cardiology and Angiology), Innsbruck Medical University, Innsbruck, Austria
| | - Fabio Fugger
- Department of Internal Medicine III (Cardiology and Angiology), Innsbruck Medical University, Innsbruck, Austria
| | - Alexander Bild
- Department of Internal Medicine III (Cardiology and Angiology), Innsbruck Medical University, Innsbruck, Austria
| | - Marie-Theres Duin
- Department of Internal Medicine III (Cardiology and Angiology), Innsbruck Medical University, Innsbruck, Austria
| | - Jasmina Gavranovic-Novakovic
- Department of Internal Medicine III (Cardiology and Angiology), Innsbruck Medical University, Innsbruck, Austria
| | - Erika Hilbold
- Institute of Molecular and Translational Therapeutic Strategies (IMTTS), Hannover Medical School, Hannover, Germany
| | | | | | - Axel Bauer
- Department of Internal Medicine III (Cardiology and Angiology), Innsbruck Medical University, Innsbruck, Austria
| | - Frank Ruschitzka
- Center for Translational and Experimental Cardiology (CTEC), Department of Cardiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland
- Department of Cardiology, University Heart Center, University Hospital Zurich and University of Zurich, Zurich, Switzerland
| | - Christian Bär
- Institute of Molecular and Translational Therapeutic Strategies (IMTTS), Hannover Medical School, Hannover, Germany
- Fraunhofer Institute for Toxicology and Experimental Medicine, Hannover, Germany
| | - Josef Martin Penninger
- Institute of Molecular Biotechnology of the Austrian Academy of Sciences (IMBA), Vienna, Austria.
- Department of Medical Genetics, Life Sciences Institute, University of British Columbia, Vancouver, BC, Canada.
- Department of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
- Helmholtz Centre for Infection Research, Braunschweig, Germany.
| | - Bernhard Johannes Haubner
- Department of Internal Medicine III (Cardiology and Angiology), Innsbruck Medical University, Innsbruck, Austria.
- Institute of Molecular Biotechnology of the Austrian Academy of Sciences (IMBA), Vienna, Austria.
- Center for Translational and Experimental Cardiology (CTEC), Department of Cardiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
- Department of Cardiology, University Heart Center, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
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161
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Lu H, Zhang Y. Values of LncRNA SNHG14 in the Differential Diagnosis and Prognosis Evaluation of Acute Ischemic Stroke. Appl Biochem Biotechnol 2024:10.1007/s12010-024-05070-7. [PMID: 39348080 DOI: 10.1007/s12010-024-05070-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/19/2024] [Indexed: 10/01/2024]
Abstract
The long non-coding RNA (LncRNA) SNHG14 has been investigated for its potential in acute ischemic stroke (AIS) and transient ischemic attack (TIA) diagnosis. Thirty-two healthy people, 85 patients with AIS, and 40 patients with TIA had their blood tested to determine SNHG14 mRNA transcript levels using quantitative real-time polymerase chain reaction (qRT-PCR). A stroke's severity was measured using the Stroke Severity Scale developed by the National Institutes of Health (NIHSS). After 30 days, individuals with AIS were evaluated for progress using a modified Rankin Scale (mRS). There was no significant difference in SNHG14 LncRNA levels between TIA patients and controls, despite the huge rise in AIS incidence (p > 0.05) (all p < 0.001). Compared to those who did well on the AIS test, those who performed poorly had substantially greater levels of SNHG14 LncRNA (mRS 0-1 points) (mRS 0-2). LncRNA SNHG14 had an AUC of 0.714 (80%, 61.18%) when used to identify AIS in TIA patients, and a comparable finding was seen when predicting a poor 30-day prognosis of AIS (73%, 66.67%). There are also graphical representations of the findings. Improvements in NIHSS and mRS scores were associated with increases in SNHG14 LncRNA mRNA levels in individuals diagnosed with AIS. It is critical that we focus entirely on this decision (all p < 0.05). Analysis of the long non-coding RNA known as SNHG14 in the patient's blood can be used to diagnose AIS, rule out TIA, forecast the intensity of the disease, and evaluate the prognosis. You can accomplish everything on that list simultaneously.
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Affiliation(s)
- Hongxiang Lu
- Department of Laboratory, Lianyungang TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Lianyungang, 222000, Jiangsu, China
| | - Yuezhan Zhang
- Department of Geriatrics, Lianyungang TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Lianyungang, 222000, Jiangsu, China.
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Ibáñez-Prada ED, Guerrero JL, Bustos IG, León L, Fuentes YV, Santamaría-Torres M, Restrepo-Martínez JM, Serrano-Mayorga CC, Mendez L, Gomez-Duque S, Santacruz CA, Conway-Morris A, Martín-Loeches I, Gonzalez-Juarbe N, Cala MP, Reyes LF. The unique metabolic and lipid profiles of patients with severe COVID-19 compared to severe community-acquired pneumonia: a potential prognostic and therapeutic target. Expert Rev Respir Med 2024:1-15. [PMID: 39327745 DOI: 10.1080/17476348.2024.2409264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Revised: 09/17/2024] [Accepted: 09/23/2024] [Indexed: 09/28/2024]
Abstract
BACKGROUND Compare the changes and differences in metabolome and lipidome profiles among severe COVID-19 and CAP patients with ARF to identify biomarkers that could be used for personalized diagnosis, prognosis, and treatment. RESEARCH DESIGN AND METHODS Plasma samples were taken at hospital admission (baseline) and on the 5th day of hospitalization (follow-up) and examined by RP-LC-QTOF-MS and HILIC-LC-QTOF-MS. RESULTS 127 patients, 17 with CAP and 110 with COVID-19, were included. The analysis revealed 87 altered metabolites, suggesting changes in the metabolism of arachidonic acid, glycerolipids, glycerophospholipids, linoleic acid, pyruvate, glycolysis, among others. Most of these metabolites are involved in inflammatory, hypoxic, and thrombotic processes. At baseline, the greatest differences were found in phosphatidylcholine (PC) 31:4 (p < 0.001), phosphoserine (PS) 34:3 (p < 0.001), and phosphatidylcholine (PC) 36:5 (p < 0.001), all of which were notably decreased in COVID-19 patients. At follow-up, the most dysregulated metabolites were monomethyl-phosphatidylethanolamine (PE-Nme) 40:5 (p < 0.001) and phosphatidylcholine (PC) 38:4 (p < 0.001). CONCLUSIONS Metabolic and lipidic alterations suggest inhibition of innate anti-inflammatory and anti-thrombotic mechanisms in COVID-19 patients, which might lead to increased viral proliferation, uncontrolled inflammation, and thrombi formation. Results provide novel targets for predictive biomarkers against CAP and COVID-19. TRIAL REGISTRATION Not applicable.
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Affiliation(s)
- Elsa D Ibáñez-Prada
- Unisabana Center for Translational Science, Universidad de La Sabana Chía, Colombia
- Clínica Universidad de La Sabana Chía, Colombia
| | - Jose L Guerrero
- MetCore-Metabolomics Core Facility, Vice-Presidency of Research and Knowledge Creation, Universidad de Los Andes, Bogotá, Colombia
| | - Ingrid G Bustos
- Unisabana Center for Translational Science, Universidad de La Sabana Chía, Colombia
| | - Lizeth León
- MetCore-Metabolomics Core Facility, Vice-Presidency of Research and Knowledge Creation, Universidad de Los Andes, Bogotá, Colombia
| | - Yuli V Fuentes
- Unisabana Center for Translational Science, Universidad de La Sabana Chía, Colombia
| | - Mary Santamaría-Torres
- MetCore-Metabolomics Core Facility, Vice-Presidency of Research and Knowledge Creation, Universidad de Los Andes, Bogotá, Colombia
| | | | | | - Lina Mendez
- Clínica Universidad de La Sabana Chía, Colombia
| | - Salome Gomez-Duque
- Unisabana Center for Translational Science, Universidad de La Sabana Chía, Colombia
| | - Carlos A Santacruz
- Fundación Santa Fe de Bogotá, Bogotá, Colombia
- Critical Care Department, Instituto de Ensino e Pesquisa do Pará, Brasil - IEPPA, Brazil
| | - Andrew Conway-Morris
- Division of Anesthesia, Department of Medicine, University of Cambridge, Cambridge, UK
- Division of Immunology, Department of Pathology, University of Cambridge, Cambridge, UK
| | - Ignacio Martín-Loeches
- Department of Clinical Medicine, St James's Hospital, Multidisciplinary Intensive Care Research Organization (MICRO), Dublin, Ireland
| | | | - Mónica P Cala
- MetCore-Metabolomics Core Facility, Vice-Presidency of Research and Knowledge Creation, Universidad de Los Andes, Bogotá, Colombia
| | - Luis Felipe Reyes
- Unisabana Center for Translational Science, Universidad de La Sabana Chía, Colombia
- Clínica Universidad de La Sabana Chía, Colombia
- Pandemic Sciences Institute, University of Oxford, Oxford, UK
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163
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Serván-Mori E, Heredia-Pi I, Guerrero-López CM, Jan S, Downey L, Garcia-Díaz R, Nigenda G, Orozco-Núñez E, de la Cruz Muradás-Troitiño M, Flamand L, Norton R, Lozano R. The gender gap in outpatient care for non-communicable diseases in Mexico between 2006 and 2022. Glob Health Res Policy 2024; 9:40. [PMID: 39342408 PMCID: PMC11439262 DOI: 10.1186/s41256-024-00377-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2024] [Accepted: 08/22/2024] [Indexed: 10/01/2024] Open
Abstract
BACKGROUND Equitable health service utilization is key to health systems' optimal performance and universal health coverage. The evidence shows that men and women use health services differently. However, current analyses have failed to explore these differences in depth and investigate how such gender disparities vary by service type. This study examined the gender gap in the use of outpatient health services by Mexican adults with non-communicable diseases (NCDs) from 2006 to 2022. METHODS A cross-sectional population-based analysis of data drawn from National Health and Nutrition Surveys of 2006, 2011-12, 2020, 2021, and 2022 was performed. Information was gathered from 300,878 Mexican adults aged 20 years and older who either had some form of public health insurance or were uninsured. We assessed the use of outpatient health services provided by qualified personnel for adults who reported having experienced an NCD and seeking outpatient care in the 2 weeks before the survey. Outpatient service utilization was disaggregated into four categories: non-use, use of public health services from providers not corresponding to the user's health insurance, use of public health services from providers not corresponding to the user's health insurance, and use of private services. This study reported the mean percentages (with 95% confidence intervals [95% CIs]) for each sociodemographic covariate associated with service utilization, disaggregated by gender. The percentages were reported for each survey year, the entire study period, the types of service use, and the reasons for non-use, according to the type of health problem. The gender gap in health service utilization was calculated using predictive margins by gender, type of disease, and survey year, and adjusted through a multinomial logistic regression model. RESULTS Overall, we found that women were less likely to fall within the "non-use" category than men during the entire study period (21.8% vs. 27.8%, P < 0.001). However, when taking into account the estimated gender gap measured by incremental probability and comparing health needs caused by NCDs against other conditions, compared with women, men had a 7.4% lower incremental likelihood of falling within the non-use category (P < 0.001), were 10.8% more likely to use services from providers corresponding to their health insurance (P < 0.001), and showed a 12% lower incremental probability of using private services (P < 0.001). Except for the gap in private service utilization, which tended to shrink, the others remained stable throughout the period analyzed. CONCLUSION Over 16 years of outpatient service utilization by Mexican adults requiring care for NCDs has been characterized by the existence of gender inequalities. Women are more likely either not to receive care or resort to using private outpatient services, often resulting in catastrophic out-of-pocket expenses for them and their families. Such inequalities are exacerbated by the segmented structure of the Mexican health system, which provides health insurance conditional on formal employment participation. These findings should be considered as a key factor in reorienting NCD health policies and programs from a gender perspective.
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Affiliation(s)
- Edson Serván-Mori
- Center for Health Systems Research, The National Institute of Public Health of Mexico, Universidad Av. 655, 62100, Cuernavaca, Morelos, Mexico
| | - Ileana Heredia-Pi
- Center for Health Systems Research, The National Institute of Public Health of Mexico, Universidad Av. 655, 62100, Cuernavaca, Morelos, Mexico.
| | - Carlos M Guerrero-López
- Center for Health Systems Research, The National Institute of Public Health of Mexico, Universidad Av. 655, 62100, Cuernavaca, Morelos, Mexico
| | - Stephen Jan
- The George Institute for Global Health, UNSW, Sydney, NSW, Australia
- The George Institute for Global Health, School of Public Health, Imperial College London, London, UK
- Center for Health Economics and Policy Innovation, Business School, Imperial College London, London, UK
| | - Laura Downey
- The George Institute for Global Health, UNSW, Sydney, NSW, Australia
- The George Institute for Global Health, School of Public Health, Imperial College London, London, UK
| | - Rocío Garcia-Díaz
- Department of Economics, Tecnologico de Monterrey, Monterrey, Nuevo Leon, Mexico
| | - Gustavo Nigenda
- Faculty of Nursing and Midwifery, The National Autonomous University of Mexico, Mexico City, Mexico
| | - Emanuel Orozco-Núñez
- Center for Health Systems Research, The National Institute of Public Health of Mexico, Universidad Av. 655, 62100, Cuernavaca, Morelos, Mexico
| | | | - Laura Flamand
- Center for International Studies, El Colegio de Mexico, Mexico City, Mexico
| | - Robyn Norton
- The George Institute for Global Health, UNSW, Sydney, NSW, Australia
- The George Institute for Global Health, School of Public Health, Imperial College London, London, UK
| | - Rafael Lozano
- Institute for Health Metrics and Evaluation, University of Washington, Seattle, USA
- School of Medicine, The National Autonomous University of Mexico, Mexico City, Mexico
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164
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Yi J, Qu C, Li X, Gao H. Insulin resistance assessed by estimated glucose disposal rate and risk of atherosclerotic cardiovascular diseases incidence: the multi-ethnic study of atherosclerosis. Cardiovasc Diabetol 2024; 23:349. [PMID: 39342205 PMCID: PMC11439291 DOI: 10.1186/s12933-024-02437-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2024] [Accepted: 09/10/2024] [Indexed: 10/01/2024] Open
Abstract
BACKGROUND To investigate the relationship between estimated glucose disposal rate (eGDR), a surrogate indicator of insulin resistance, and atherosclerotic cardiovascular diseases (ASCVD) incidence risk. METHODS This prospective cohort study utilized data from the 6026 participants from the Multi-Ethnic Study of Atherosclerosis. The eGDR (mg/kg/min) was computed as 21.158 - (0.09 × waist circumference [cm]) - (3.407 × hypertension [yes/no]) - (0.551 × HbA1c [%]). The population was categorized into four subgroups according to the quartiles (Q) of eGDR. Cox proportional hazard models were applied to assess the associations between eGDR and ASCVD incidence, and restricted cubic spine (RCS) was employed to examine the dose-response relationship. RESULTS The mean age of participants was 63.6 ± 10.1 years, comprising 3163 (52.5%) women. Over a median follow-up duration of 14.1 years, 565 (9.4%) developed ASCVD, including 256 (4.2%) myocardial infarctions, 234 (3.9%) strokes, and 358 (5.9%) fatal coronary heart disease. Compared to the lowest quartile, the adjusted hazard ratios (95% confidence intervals) for incident ASCVD for Q2-Q4 were 0.87 (0.68-1.10), 0.63 (0.47-0.84), and 0.43 (0.30-0.64), respectively. Per 1 standard deviation increase in eGDR was associated with a 30% (HR: 0.70, 95% CI 0.60-0.80) risk reduction of ASCVD, with the subgroup analyses indicating that age and hypertension modified the association (P for interaction < 0.05). RCS analysis indicated a significant and linear relationship between eGDR and ASCVD incidence risk. CONCLUSION eGDR level was negatively associated with incident ASCVD risk in a linear fashion among the general population. Our findings may contribute to preventive measures by improving ASCVD risk assessment.
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Affiliation(s)
- Jiayi Yi
- Center for Coronary Heart Disease, Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
| | - Chao Qu
- Center for Coronary Heart Disease, Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
| | - Xiang Li
- Center for Coronary Heart Disease, Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
| | - Hai Gao
- Center for Coronary Heart Disease, Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
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Szabó Á, Brodszky V, Rencz F. Comparing EQ-5D-5L, PROPr, SF-6D and TTO utilities in patients with chronic skin diseases. THE EUROPEAN JOURNAL OF HEALTH ECONOMICS : HEPAC : HEALTH ECONOMICS IN PREVENTION AND CARE 2024:10.1007/s10198-024-01728-5. [PMID: 39340749 DOI: 10.1007/s10198-024-01728-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2024] [Accepted: 09/11/2024] [Indexed: 09/30/2024]
Abstract
OBJECTIVES We aim to compare the measurement properties of three indirect (EQ-5D-5L, PROPr, SF-6D) and one direct (time trade-off, TTO) utility assessment methods in patients with chronic skin diseases. METHODS 120 patients with physician-diagnosed chronic skin diseases (psoriasis 39%, atopic dermatitis 27%, acne 19%) completed a cross-sectional survey. Respondents completed the EQ-5D-5L, PROMIS-29+2 and SF-36v1 questionnaires and a 10-year TTO task for own current health. Utilities were computed using the US value sets. Ceiling, convergent and known-group validity were compared across the utilities derived with these four methods. Known-groups were defined based on general, physical and mental health. The agreement between utilities was assessed using intraclass correlation coefficients (ICC). RESULTS Mean utilities for the EQ-5D-5L, PROPr, SF-6D and TTO were 0.79, 0.47, 0.76 and 0.89. In corresponding order, the ceiling was 28%, 0%, 2% and 65%. The SF-6D showed excellent agreement with the EQ-5D-5L (ICC = 0.770). PROPr demonstrated poor agreement with the EQ-5D-5L (ICC = 0.381) and fair with SF-6D utilities (ICC = 0.445). TTO utilities showed poor agreement with indirectly assessed utilities (ICC = 0.058-0.242). The EQ-5D-5L better discriminated between known groups of general and physical health, while the SF-6D and PROPr outperformed the EQ-5D-5L for mental health problems. CONCLUSION There is a great variability in utilities across the four methods in patients with chronic skin conditions. The EQ-5D-5L, despite its higher ceiling, appears to be the most efficient in discriminating between patient groups for physical health aspects. Our findings inform the choice of instrument for quality-adjusted life year calculations in cost-utility analyses.
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Affiliation(s)
- Ákos Szabó
- Department of Health Policy, Corvinus University of Budapest, 8 Fővám tér, Budapest, H-1093, Hungary
- Károly Rácz Doctoral School of Conservative Medicine, Semmelweis University, 26 Üllői út, Budapest, H-1085, Hungary
| | - Valentin Brodszky
- Department of Health Policy, Corvinus University of Budapest, 8 Fővám tér, Budapest, H-1093, Hungary
| | - Fanni Rencz
- Department of Health Policy, Corvinus University of Budapest, 8 Fővám tér, Budapest, H-1093, Hungary.
- Károly Rácz Doctoral School of Conservative Medicine, Semmelweis University, 26 Üllői út, Budapest, H-1085, Hungary.
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166
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Trachunthong D, Tipayamongkholgul M, Chumseng S, Darasawang W, Bundhamcharoen K. Burden of metabolic syndrome in the global adult HIV-infected population: a systematic review and meta-analysis. BMC Public Health 2024; 24:2657. [PMID: 39342258 PMCID: PMC11438355 DOI: 10.1186/s12889-024-20118-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2024] [Accepted: 09/17/2024] [Indexed: 10/01/2024] Open
Abstract
BACKGROUND Metabolic syndrome (MetS) elevates the risk of heart disease and stroke. In recent decades, the escalating prevalence of MetS among people living with HIV/AIDS (PLWHA) has garnered global attention. Despite MetS development being associated with both traditional and HIV-related factors, evidence from prior studies has shown variability across geographical regions. This study aimed to conduct a systematic review and meta-analysis of MetS burdens in adult PLWHA at the regional and global levels, focusing on the common effect size of HIV infection and antiretroviral therapy (ART) on MetS. METHODS This review followed the PRISMA 2020 guidelines. A comprehensive search and review of original articles related to MetS and HIV published in peer-reviewed journals between January 2000 and December 2023 were conducted. A random effects model was used to calculate the pooled prevalence/incidence of MetS and the common effect size of HIV infection and ART exposure on MetS. RESULTS A total of 102 studies from five continents comprising 78,700 HIV-infected participants were included. The overall pooled prevalence of MetS was 25.3%, 25.6% for PLWHA on ART, and 18.5% for those not receiving treatment. The pooled incidence of MetS, calculated from five studies, was 9.19 per 100 person-years. The highest pooled prevalence of MetS was observed in the Americas (30.4%), followed by the Southeast Asia/Western Pacific regions (26.7%). HIV-infected individuals had 1.6 times greater odds of having MetS than non-HIV-infected individuals did (pooled OR = 1.604; 95% CI 1.154-2.230), and ART exposure had 1.5 times greater odds of having MetS than nontreatment had (pooled OR = 1.504; 95% CI 1.217-1.859). CONCLUSIONS HIV infection and ART exposure contribute significantly to the increased burden of MetS. Regions with a high burden of HIV and MetS should prioritize awareness and integrated care plans for major noncommunicable diseases (NCDs), such as heart disease and stroke. The implementation of integrated care for HIV/AIDS patients and NCDs is essential for addressing the high burden of multimorbidity in PLWHA. REGISTRATION NUMBER INPLASY202290018.
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Affiliation(s)
- Deondara Trachunthong
- Department of Epidemiology, Faculty of Public Health, Mahidol University, Bangkok, Thailand
| | - Mathuros Tipayamongkholgul
- ASEAN Institute for Health Development, Mahidol University, 999 Phuttamontol Sai 4, Salaya, Phuttamontol, Nakhon Pathom, 73170, Thailand.
| | | | | | - Kanitta Bundhamcharoen
- International Health Policy Program (IHPP), Ministry of Public Health, Nonthaburi, Thailand
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167
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Ma Y, An CY, Wang XX, Gan L, Li L, Li KH. Biphasic effects of single-dose intravenous injection of uridine adenosine tetraphosphate on blood pressure in mice. Eur J Med Res 2024; 29:471. [PMID: 39342387 PMCID: PMC11438126 DOI: 10.1186/s40001-024-02038-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2024] [Accepted: 08/21/2024] [Indexed: 10/01/2024] Open
Abstract
PURPOSE To explore the effects of a single dose of uridine adenosine tetraphosphate (Up4A) administered through the tail vein, on the blood pressure of mice. METHODS The mice were separated into three groups: the Up4A group, the norepinephrine (NA) group, and the α, β-methylene adenosine triphosphate (α, β-meATP) group. Each group of mice were injected drugs through the tail vein at 1, 3, 10, and 30 nmol/kg doses in an ascending order. Additionally, six mice were injected Up4A through the tail vein at 20, 40, 60, and 80 nmol/kg doses in an ascending order. The administration intervals for each dose were 20 min. RESULTS Mice in these groups experienced a rapid increase in blood pressure, reaching its peak within 10 s after drug administration. It took approximately 120 s for the blood pressure to return to baseline levels after the administration of the drugs in both the NA and α, β-meATP groups. After higher doses of Up4A were administered to the mice, their blood pressure exhibited biphasic changes. Initially, blood pressure of the mice rapidly dropped to a minimum within 10 s, then rose rapidly to a peak within 30 s. Subsequently, it gradually declined, taking around 10 min to return to the levels before the drug administration. CONCLUSION Compared to NA and α, β-meATP, Up4A, which contains purine and pyrimidine components, displayed a weaker blood pressure-elevating potency. Through its corresponding structure, Up4A exerted vasodilatory and vasoconstrictive effects throughout the entire experiment resulting in biphasic changes in blood pressure.
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Affiliation(s)
- Yue Ma
- Department of Anesthesiology, Affiliated Hospital of Hebei University, No. 212, Yuhua East Road, Lianchi District, Baoding, 071000, China
| | - Chen-Yang An
- Department of Anesthesiology, Affiliated Hospital of Hebei University, No. 212, Yuhua East Road, Lianchi District, Baoding, 071000, China
| | - Xin-Xin Wang
- Department of Anesthesiology, Affiliated Hospital of Hebei University, No. 212, Yuhua East Road, Lianchi District, Baoding, 071000, China
| | - Lu Gan
- Department of Anesthesiology, Affiliated Hospital of Hebei University, No. 212, Yuhua East Road, Lianchi District, Baoding, 071000, China
| | - Lu Li
- Department of Anesthesiology, Affiliated Hospital of Hebei University, No. 212, Yuhua East Road, Lianchi District, Baoding, 071000, China.
| | - Kui-Hua Li
- Department of Biomedical Engineering, Chengde Medical College, Anyuan Road, Shuangqiao District, Chengde, 067000, China.
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168
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Inyang KE, Sim J, Clark KB, Geron M, Monahan K, Evans C, O'Connell P, Laumet S, Peng B, Ma J, Heijnen CJ, Dantzer R, Scherrer G, Kavelaars A, Bernard M, Aldhamen YA, Folger JK, Bavencoffe A, Laumet G. Upregulation of delta opioid receptor by meningeal interleukin-10 prevents relapsing pain. Brain Behav Immun 2024:S0889-1591(24)00633-0. [PMID: 39349285 DOI: 10.1016/j.bbi.2024.09.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2024] [Revised: 09/23/2024] [Accepted: 09/27/2024] [Indexed: 10/02/2024] Open
Abstract
Chronic pain often includes periods of transient amelioration and even remission that alternate with severe relapsing pain. While most research on chronic pain has focused on pain development and maintenance, there is a critical unmet need to better understand the mechanisms that underlie pain remission and relapse. We found that interleukin (IL)-10, a pain resolving cytokine, is produced by resident macrophages in the spinal meninges during remission from pain and signaled to IL-10 receptor-expressing sensory neurons. Using unbiased RNA-sequencing, we identified that IL-10 upregulated expression and antinociceptive activity of δ-opioid receptor (δOR) in the dorsal root ganglion. Genetic or pharmacological inhibition of either IL-10 signaling or δOR triggered relapsing pain. Overall, our findings, from electrophysiology, genetic manipulation, flow cytometry, pharmacology, and behavioral approaches, indicate that remission of pain is not simply a return to the naïve state. Instead, remission is an adapted homeostatic state associated with lasting pain vulnerability resulting from persisting neuroimmune interactions within the nociceptive system. Broadly, this sheds light on the elusive mechanisms underlying recurrence a common aspect across various chronic pain conditions.
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Affiliation(s)
| | - Jaewon Sim
- Department of Physiology, Michigan State University, East Lansing, MI, USA; Cell and Molecular Biology Graduate Program, Michigan State University, East Lansing, MI, USA
| | - Kimberly B Clark
- Department of Symptom Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Matan Geron
- Department of Cell Biology and Physiology, Department of Pharmacology, UNC Neuroscience Center, University of North Carolina, Chapel Hill, NC, USA
| | - Karli Monahan
- Department of Physiology, Michigan State University, East Lansing, MI, USA
| | - Christine Evans
- Department of Physiology, Michigan State University, East Lansing, MI, USA
| | - Patrick O'Connell
- Department of Microbiology and Molecular Genetics, Michigan State University, East Lansing, MI, USA
| | - Sophie Laumet
- Department of Physiology, Michigan State University, East Lansing, MI, USA
| | - Bo Peng
- Department of Symptom Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Jiacheng Ma
- Department of Symptom Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Cobi J Heijnen
- Department of Symptom Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Robert Dantzer
- Department of Symptom Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Grégory Scherrer
- Department of Cell Biology and Physiology, Department of Pharmacology, UNC Neuroscience Center, University of North Carolina, Chapel Hill, NC, USA; New York Stem Cell Foundation - Robertson Investigator, University of North Carolina, Chapel Hill, NC, USA
| | - Annemieke Kavelaars
- Department of Symptom Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - Matthew Bernard
- Flow Cytometry Core, Michigan State University, East Lansing, MI, USA
| | - Yasser A Aldhamen
- Department of Microbiology and Molecular Genetics, Michigan State University, East Lansing, MI, USA
| | - Joseph K Folger
- Department of Physiology, Michigan State University, East Lansing, MI, USA
| | - Alexis Bavencoffe
- Department of Integrative Biology and Pharmacology, McGovern Medical School at UTHealth, Houston, TX, USA
| | - Geoffroy Laumet
- Department of Physiology, Michigan State University, East Lansing, MI, USA; Cell and Molecular Biology Graduate Program, Michigan State University, East Lansing, MI, USA; Department of Symptom Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
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Borroni E, Buoli M, Nosari G, Ceresa A, Fedrizzi L, Antonangeli LM, Monti P, Bollati V, Pesatori AC, Carugno M. Impact of air pollution exposure on the severity of major depressive disorder: Results from the DeprAir study. Eur Psychiatry 2024; 67:e61. [PMID: 39328146 DOI: 10.1192/j.eurpsy.2024.1767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/28/2024] Open
Abstract
BACKGROUND Major depressive disorder (MDD) is one of the most prevalent medical conditions worldwide. Different factors were found to play a role in its etiology, including environmental ones (e.g., air pollution). The aim of this study was to evaluate the association between air pollution exposure and MDD severity. METHODS Four hundred sixteen MDD subjects were recruited. Severity of MDD and functioning were evaluated through five rating scales: Montgomery-Asberg Depression Rating Scale (MADRS), Hamilton Depression Rating Scale (HAMD), Clinical Global Impression (CGI), Global Assessment of Functioning (GAF), and Sheehan Disability Scale (SDS). Daily mean estimates of particulate matter with diameter ≤10 (PM10) and 2.5 μm (PM2.5), nitrogen dioxide (NO2), and apparent temperature (AT) were estimated based on subjects' residential addresses. Daily estimates of the 2 weeks preceding recruitment were averaged to obtain cumulative exposure. Multivariate linear and ordinal regression models were applied to assess the associations between air pollutants and MDD severity, overall and stratifying by hypersusceptibility and AT. RESULTS Two-thirds of subjects were women and one-third had a family history of depression. Most women had depression with symptoms of anxiety, while men had predominantly melancholic depression. NO2 exposure was associated with worsening of MDD severity (HAMD: β = 1.94, 95% confidence interval [CI], [0.41-3.47]; GAF: β = -1.93, 95% CI [-3.89 to 0.02]), especially when temperatures were low or among hypersusceptible subjects. PM exposure showed an association with MDD severity only in these subgroups. CONCLUSIONS Exposure to air pollution worsens MDD severity, with hypersusceptibility and lower temperatures being exacerbating factors.
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Affiliation(s)
- E Borroni
- EPIGET Lab, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
| | - M Buoli
- Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
- Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - G Nosari
- Department of Neurosciences and Mental Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - A Ceresa
- Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
| | - L Fedrizzi
- Occupational Health Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - L M Antonangeli
- EPIGET Lab, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
| | - P Monti
- EPIGET Lab, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
| | - V Bollati
- EPIGET Lab, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
- Occupational Health Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - A C Pesatori
- EPIGET Lab, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
- Occupational Health Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - M Carugno
- EPIGET Lab, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
- Occupational Health Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
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Piñon-Ruiz MJ, Huerta-Franco MR, Vargas-Luna FM, Apolinar-Jimenez E, Soel Encalada JM. Assessment of body composition by dual-energy X-Ray absorptiometry in renal transplant patients, hemodialysis patients, and a control group of healthy subjects. Clinics (Sao Paulo) 2024; 79:100505. [PMID: 39341026 DOI: 10.1016/j.clinsp.2024.100505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/04/2024] [Revised: 08/08/2024] [Accepted: 08/25/2024] [Indexed: 09/30/2024] Open
Abstract
BACKGROUND The clinical findings of patients with Chronic Kidney Disease (CKD), which is characterized by malnutrition, sedentary lifestyle, uremia, and catabolism associated with dialysis produce changes in Body Composition (BC), causing increased Fat Mass (FM), decreased in both Lean Mass (LM) and Body Mineral Density (BMD), even despite uremic reversal after a Kidney Transplant (KT); immunosuppressive medications alter BC, increasing the risk of loss of the kidney transplant and cardiovascular diseases. OBJECTIVE To demonstrate whether there are differences in BC between a group of patients with KT and a group of patients on Hemodialysis (HD), when comparing them with a control group without the disease. MATERIALS AND METHODS In the present observational study, with a comparative design; 125 patients were evaluated (46 with KT, 47 on HD, and 32 from the healthy control group). The BC was evaluated with the full-body Dual-Energy X-Ray Absorptiometry (DEXA) method. RESULTS The mean age and standard deviation (X±SD) of the study subjects were: 28.89 ± 5.76, 27.39 ± 5.04, and 29.63 ± 6.34 years for the HD, KT, and control subjects, respectively. The HD patients presented a total FM of 14.98 ± 6.96 kg in comparison with 20.1 ± 6.5 kg for the control group (p = 0.007), and 19.06 ± 7.94 kg for the group with KT (p = 0.02). The total LM was lower in the KT patients in comparison with the control group (p = 0.023). The content and total BMD were lower in both groups of patients with KT and HD. CONCLUSIONS Although a comprehensive improvement in BC was expected after kidney transplantation, the results are not close to "normal' values, when compared with those of healthy subjects of the same age.
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Affiliation(s)
| | - Maria-Raquel Huerta-Franco
- Department of Sciences Applied to Work, Division of Health Sciences, University of Guanajuato - Campus León, Gto, Mexico.
| | - Francisco-Miguel Vargas-Luna
- Department of Physical Engineering, Division of Sciences and Engineering, University of Guanajuato - Campus Leon, Gto, Mexico.
| | - Evelia Apolinar-Jimenez
- Metabolism and Nutrition Unit, Regional Hospital of High Specialty of Bajio, Instituto Mexicano del Seguro Social para el Bienestar, Mexico.
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Zhou J, Li J, Hu Y, Li S. Epidemiological characteristics, diagnosis and treatment effect of rifampicin-resistant pulmonary tuberculosis (RR-PTB) in Guizhou Province. BMC Infect Dis 2024; 24:1058. [PMID: 39333894 PMCID: PMC11429120 DOI: 10.1186/s12879-024-09976-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2024] [Accepted: 09/23/2024] [Indexed: 09/30/2024] Open
Abstract
BACKGROUND Rifampicin-resistant pulmonary tuberculosis (RR-PTB) presents a significant threat to global public health security. China bears a substantial burden of RR-PTB cases globally, with Guizhou Province experiencing particularly alarming trends, marked by a continual increase in patient numbers. Understanding the population characteristics and treatment modalities for RR-PTB is crucial for mitigating morbidity and mortality associated with this disease. METHODS We gathered epidemiological, diagnostic, and treatment data of all RR-PTB cases recorded in Guizhou Province from January 1, 2017 to December 31, 2023. Utilizing composition ratios as the analytical metric, we employed Chi-square tests to examine the spatiotemporal distribution patterns of RR-PTB patients and the evolving trends among different patient classifications over the study period. RESULTS In our study, 3396 cases of RR-PTB were analyzed, with an average age of 45 years. The number of RR-PTB patients rose significantly from 176 in 2017 to 960 in 2023, peaking notably among individuals aged 23-28 and 44-54, with a rising proportion in the 51-80 age group (P < 0.001). Since 2021, there has been a notable increase in the proportion of female patients. While individuals of Han ethnic group comprised the largest group, their proportion decreased over time (P < 0.001). Conversely, the Miao ethnicity showed an increasing trend (P < 0.05). The majority of patients were farmers, with their proportion showing an upward trajectory (P < 0.001), while students represented 4.33% of the cases. Geographically, most patients were registered in Guiyang and Zunyi, with a declining trend (P < 0.001), yet household addresses primarily clustered in Bijie, Tongren, and Zunyi. The proportion of floating population patients gradually decreased, alongside an increase in newly treated patients and those without prior anti-tuberculosis therapy. Additionally, there was a notable rise in molecular biological diagnostic drug sensitivity (real-time PCR and melting curve analysis) (P < 0.001). However, the cure rate declined, coupled with an increasing proportion of RR-PTB patients lost to follow-up and untreated (P < 0.05). CONCLUSIONS Enhanced surveillance is crucial for detecting tuberculosis patients aged 23-28 and 44-54 years. The distribution of cases varies among nationalities and occupations, potentially influenced by cultural and environmental factors. Regional patterns in RR-PTB incidence suggest tailored prevention and control strategies are necessary. Despite molecular tests advances, challenges persist with low cure rates and high loss to follow-up. Strengthening long-term management, resource allocation, and social support systems for RR-PTB patients is essential.
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Affiliation(s)
- Jian Zhou
- School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, No.9 Beijing Road, Yunyan District, Guiyang city, 550025, Guizhou Province, China
- Guizhou Center for Disease Control and Prevention, No.73, Bageyan Road, Yunyan District, Guiyang city, 550004, Guizhou Province, China
| | - Jinlan Li
- Guizhou Center for Disease Control and Prevention, No.73, Bageyan Road, Yunyan District, Guiyang city, 550004, Guizhou Province, China.
| | - Yong Hu
- School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, No.9 Beijing Road, Yunyan District, Guiyang city, 550025, Guizhou Province, China.
| | - Shijun Li
- School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, No.9 Beijing Road, Yunyan District, Guiyang city, 550025, Guizhou Province, China.
- Guizhou Center for Disease Control and Prevention, No.73, Bageyan Road, Yunyan District, Guiyang city, 550004, Guizhou Province, China.
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Montoya-Buelna M, Ramirez-Lopez IG, San Juan-Garcia CA, Garcia-Regalado JJ, Millan-Sanchez MS, de la Cruz-Mosso U, Haramati J, Pereira-Suarez AL, Macias-Barragan J. Contribution of extracellular vesicles to steatosis-related liver disease and their therapeutic potential. World J Hepatol 2024; 16:1211-1228. [PMID: 39351515 PMCID: PMC11438597 DOI: 10.4254/wjh.v16.i9.1211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2024] [Revised: 07/31/2024] [Accepted: 08/13/2024] [Indexed: 09/23/2024] Open
Abstract
Extracellular vesicles (EVs) are small particles released by many cell types in different tissues, including the liver, and transfer specific cargo molecules from originating cells to receptor cells. This process generally culminates in activation of distant cells and inflammation and progression of certain diseases. The global chronic liver disease (CLD) epidemic is estimated at 1.5 billion patients worldwide. Cirrhosis and liver cancer are the most common risk factors for CLD. However, hepatitis C and B virus infection and obesity are also highly associated with CLD. Nonetheless, the etiology of many CLD pathophysiological, cellular, and molecular events are unclear. Changes in hepatic lipid metabolism can lead to lipotoxicity events that induce EV release. Here, we aimed to present an overview of EV features, from definition to types and biogenesis, with particular focus on the molecules related to steatosis-related liver disease, diagnosis, and therapy.
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Affiliation(s)
- Margarita Montoya-Buelna
- Laboratorio de Inmunología, Departamento de Fisiología, Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico
| | - Inocencia G Ramirez-Lopez
- Departamento de Ciencias de la Salud, Centro Universitario de los Valles, Universidad de Guadalajara, Ameca 46600, Jalisco, Mexico
| | - Cesar A San Juan-Garcia
- Doctorado en Ciencias Biomédicas, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico
| | - Jose J Garcia-Regalado
- Laboratorio de Inmunología, Departamento de Fisiología, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico
| | - Mariana S Millan-Sanchez
- Laboratorio de Inmunología, Departamento de Fisiología, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico
| | - Ulises de la Cruz-Mosso
- Red de Inmunonutrición y Genómica Nutricional en las Enfermedades Autoinmunes, Departamento de Neurociencias, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico
| | - Jesse Haramati
- Laboratorio de Inmunobiología, Departamento de Biología Celular y Molecular, Centro Universitario de Ciencias Biológicas y Agropecuarias, Universidad de Guadalajara, Zapopan 45200, Jalisco, Mexico
| | - Ana L Pereira-Suarez
- Instituto de Investigación en Ciencias Biomédicas, Departamento de Microbiología y Patología, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico
| | - Jose Macias-Barragan
- Departamento de Ciencias de la Salud, Centro Universitario de los Valles, Universidad de Guadalajara, Ameca 46600, Jalisco, Mexico.
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Wang Y, Yang L, Lei Y. The global status of nursing research on hemodialysis: A bibliometric and visualized analysis. Medicine (Baltimore) 2024; 103:e39707. [PMID: 39331890 PMCID: PMC11441974 DOI: 10.1097/md.0000000000039707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/20/2024] [Accepted: 08/23/2024] [Indexed: 09/29/2024] Open
Abstract
BACKGROUND Hemodialysis (HD)-related nursing research has been growing over the past 2 decades, providing critical insights into improving patient care and outcomes. This study aimed to visualize the hotspots and emerging frontiers in HD-related nursing research, offering valuable references for future studies. METHODS A bibliometric analysis was conducted on publications related to HD nursing research from the Web of Science Core Collection database, spanning the years 2002 to 2023, and the characteristics of literature such as authors, co-cited authors, countries, research institutions, journal distribution, keywords, and cited literature were visually analyzed using CiteSpace and VOSviewer. RESULTS A total of 1019 publications were included in this study. The major contributors to this field were the United States, China, and Australia. The University of Sao Paulo emerged as the most prolific institution. The principal contributors were the Nephrology Nursing Journal, followed by Journal of Renal Care and Journal of Clinical Nursing. The top 5 co-occurrence keywords included HD, quality of life, dialysis, chronic kidney disease, and end-stage renal disease. The burst detection of keywords showed that current research frontier trends were pain and validation. The top 5 largest clusters of cited references included research on systematic review research, nurse-led disease management program, family caregiver, end-stage renal disease, and self-care intervention. CONCLUSION This study reveals productive authors, countries and institutions, research hotspots, and trends of HD-related nursing research over the past 2 decades, offering a comprehensive overview of this field worldwide.
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Affiliation(s)
- Yufen Wang
- Philippine Women’s University School of Nursing, Manila, Philippines
| | - Luhuan Yang
- Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Yunhong Lei
- Yichang Hubo Medical Research Institute, Yichang, Hubei, China
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174
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Kim Y, Yeo H, Lim L, Noh B. Integrating visual and community environments in a motorcycle crash and casualty estimation. ACCIDENT; ANALYSIS AND PREVENTION 2024; 208:107792. [PMID: 39341132 DOI: 10.1016/j.aap.2024.107792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2024] [Revised: 09/05/2024] [Accepted: 09/12/2024] [Indexed: 09/30/2024]
Abstract
Motorcycle crashes pose a serious problem because their probability of causing casualties is greater than that of passenger vehicle crashes. Therefore, accurately identifying the factors that influence motorcycle crashes is essential for enhancing traffic safety and public health. The aim of this study was to address three major research gaps: first, existing studies have relatively overlooked the built environment in relation to visual factors; second, existing crash prediction models have not fully reflected the differences in built environment characteristics between areas with frequent motorcycle crashes and areas with frequent casualties; and third, multidimensional analysis for variable selection is limited, and the interpretability of the models is insufficient. Therefore, this study proposes a comprehensive framework for motorcycle crash and casualty estimation. The framework uses a data cube model incorporating OLAP operations to provide deeper insights into crash influencing factors at different levels of abstraction. We also utilized the XGBoost model to predict motorcycle high crash spots and casualty risk and integrate visual factors extracted from Google Street View images and community-level urban environments into the model. SHAP techniques were used to analyze and interpret the global and local feature importance of the models. Our results revealed that the factors affecting areas with frequent motorcycle crashes and the factors that affect casualties differ. In particular, visual factors such as vegetation and the sky ratio are important for estimating casualties. We aim to provide practical guidelines for a safe environment for motorcycle crashes.
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Affiliation(s)
- Yujin Kim
- Department of Civil and Environmental Engineering, Korea Advanced Institute of Science and Technology, 291 Daehak-ro, Yuseong-gu, Daejeon, Republic of Korea.
| | - Hwasoo Yeo
- Department of Civil and Environmental Engineering, Korea Advanced Institute of Science and Technology, 291 Daehak-ro, Yuseong-gu, Daejeon, Republic of Korea.
| | - Lisa Lim
- Department of Civil and Environmental Engineering, Korea Advanced Institute of Science and Technology, 291 Daehak-ro, Yuseong-gu, Daejeon, Republic of Korea.
| | - Byeongjoon Noh
- Department of AI and Big Data, Soonchunhyang University, 22 Soonchunhyang-ro, Sinchang-myeon, Asan, Republic of Korea.
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Ziamanesh F, Sepanlou SG, Gandomkar A, Poustchi H, Malekzadeh F, Malekzadeh R, Nalini M. Causes and predictors of premature death in the pars cohort study, Iran: a cohort study. BMC Public Health 2024; 24:2601. [PMID: 39334044 PMCID: PMC11429520 DOI: 10.1186/s12889-024-19583-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2024] [Accepted: 07/25/2024] [Indexed: 09/30/2024] Open
Abstract
BACKGROUND While death in old age is inevitable, premature death at younger ages is within our control. Premature mortality (death < 70 years) is a crucial indicator of health status and access to healthcare, with variations observed across regions. In North Africa and the Middle East, ischemic heart disease (IHD), road injuries, stroke, and chronic kidney disease are projected to be the main causes of premature mortality. Unfortunately, few studies have been conducted on premature mortality worldwide. This study aimed to analyze the causes of premature death and associated risk factors within the Pars Cohort Study. METHODS The Pars Cohort Study is a prospective cohort study conducted in Fars Province, Iran, involving 9,264 individuals aged 40-75 years, 53.8% of whom were women. We assessed participants from baseline (2012-2014) to 2021. The data were gathered through interviews, biological samples, and physical examinations. The causes of premature mortality, hazard ratios (HRs), and population attributable fraction (PAF) with 95% confidence intervals (95% CIs) for the variables were calculated. RESULTS Out of 388 deaths, 54% were premature. The most common causes of premature death included IHD (40%), stroke (11%), road traffic injuries (6%), lower respiratory infections (5%), and COVID-19 (3%). The predictive factors [adjusted HRs (95% CIs)] associated with premature mortality included age [year, 1.07 (1.04, 1.10)], tobacco [1.43 (0.96, 2.11)], opium [2.12 (1.39, 3.24)], hypertension [1.52 (1.10, 2.12)], waist circumference [cm, 1.03 (1.00, 1.05)], female sex [0.30 (0.19, 0.47)], education [> 8 years vs. no formal schooling, 0.46 (0.24, 0.88)], being married [0.60 (0.37, 0.97)], physical activity [3rd vs. 1st tertile, 0.38 (0.26, 0.57)], hip circumference [cm, 0.96 (0.92, 0.99)], estimated GFR [mL/min/1.73 m², 0.99 (0.978, 0.999)], and wealth score [4th vs. 1st quartile, 0.54 (0.32, 0.90)]. The PAF (95% CI) for all modifiable predictors was 0.83 (0.62, 0.92). CONCLUSIONS The predominant causes of premature mortality were IHD and stroke. To mitigate premature deaths, it is recommended to address both socioeconomic and behavioral factors simultaneously.
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Affiliation(s)
- Fateme Ziamanesh
- Digestive Disease Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Sadaf G Sepanlou
- Digestive Disease Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Abdullah Gandomkar
- Non-Communicable Disease Research Center, Shiraz University of Medical Sciences, Shiraz, Fars, Iran
| | - Hossein Poustchi
- Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Fatemeh Malekzadeh
- Digestive Disease Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
- Non-Communicable Disease Research Center, Shiraz University of Medical Sciences, Shiraz, Fars, Iran
| | - Reza Malekzadeh
- Digestive Disease Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
- Non-Communicable Disease Research Center, Shiraz University of Medical Sciences, Shiraz, Fars, Iran.
| | - Mahdi Nalini
- Digestive Disease Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
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Ray G. Functional cure of chronic hepatitis B-hope or hype? World J Hepatol 2024; 16:1199-1205. [PMID: 39351521 PMCID: PMC11438592 DOI: 10.4254/wjh.v16.i9.1199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2024] [Revised: 08/25/2024] [Accepted: 09/02/2024] [Indexed: 09/23/2024] Open
Abstract
Chronic hepatitis B constitutes a substantial disease burden worldwide. The steps advocated by the World Health Organization in 2016 to eradicate hepatitis B by 2030 has failed to achieve significant progress, especially with respect to immunization coverage and linkage to care. The lack of governmental and public awareness regarding the long-term implications of hepatitis B burden cause underfunding of developmental projects. The presently approved treatment modalities have limited efficacy in complete viral eradication, hence the need for newer molecules to achieve functional cure (sustained undetectable hepatitis B surface antigen (HBsAg) and hepatitis B virus DNA in peripheral blood after a finite period of therapy). However, preliminary results from trials of novel therapies show their inadequacy to achieve this end by themselves but better performance with a low baseline serum HBsAg with nucleos(t)ide analogues (NA) treatment which need to be combined with/without pegylated interferon as an immunomodulator. Such therapy is limited by cost and adverse events and need to show incremental benefit over the standard of care (long-term NA therapy) with respect to efficacy and drug toxicities, making the development process tenuous. Thus, while such therapies continue to be tested, strategies should still focus on prevention of transmission by non-pharmaceutical measures, vaccination and increasing linkage to care.
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Affiliation(s)
- Gautam Ray
- Gastroenterology Unit, Department of Medicine, B.R.Singh Hospital, Kolkata 700014, West Bengal, India.
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Zhou M, Tan Y, Wang J, Song Y, Li Q, Wang Y, Quan W, Tian J, Yin L, Dong W, Liu B. Construction and evaluation of two nomograms for screening major depressive disorder and subthreshold depression individuals based on anxiety, depression, and sleep items. J Affect Disord 2024:S0165-0327(24)01632-X. [PMID: 39343312 DOI: 10.1016/j.jad.2024.09.142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2024] [Revised: 08/31/2024] [Accepted: 09/21/2024] [Indexed: 10/01/2024]
Abstract
BACKGROUND Current evidence is insufficient to support specific tools for screening Major Depressive Disorder (MDD). Early detection of subthreshold depression (SD) is crucial in preventing its progression to MDD. This study aims to develop nomograms that visualize the weights of predictors to improve the performance of screening tools. METHODS Participants were recruited from Peking University Sixth Hospital and Beijing Physical Examination Center between October 2022 and April 2024. The Mini-International Neuropsychiatric Interview (MINI) 5.0.0 was employed as the diagnostic gold standard, and Generalized Anxiety Disorder questionnaire-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), and Pittsburgh Sleep Quality Index (PSQI) were employed to assess anxiety, depression, and sleep state. The nomograms were constructed by incorporating optimal predictors, selected through the Least Absolute Shrinkage and Selection Operator (LASSO), into a multivariate logistic regression model to estimate the probability of MDD and SD. RESULTS After matching age and education, 164 participants were included in each group for analysis. Both nomograms demonstrated superior discrimination, calibration, and clinical applicability compared to PHQ-9. Anxiety emerged as a most significant predictor for SD, while sleep problems exhibited high rankings for both SD and MDD. The two predictors subsequently affect concentration and daytime functioning. LIMITATIONS With a lack of external validation data, the performance of nomograms may be overestimated. CONCLUSIONS This study is the first attempt to develop a nomogram for predicting SD, while also providing a nomogram for MDD. The crucial predictors offer valuable insights into potential variables for clinical intervention.
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Affiliation(s)
- Meihong Zhou
- Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing, China
| | - Yinliang Tan
- Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing, China
| | - Jiuju Wang
- Peking University Sixth Hospital, Beijing, China; Peking University Institute of Mental Health, Beijing, China; Key Laboratory of Mental Health, Ministry of Health (Peking University), Beijing, China
| | - Yanping Song
- Peking University Sixth Hospital, Beijing, China; Peking University Institute of Mental Health, Beijing, China; Key Laboratory of Mental Health, Ministry of Health (Peking University), Beijing, China
| | - Qiang Li
- Beijing Medical Science and Technology Promotion Center, Beijing, China
| | - Yuxin Wang
- Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing, China
| | - Wenxiang Quan
- Peking University Sixth Hospital, Beijing, China; Peking University Institute of Mental Health, Beijing, China; Key Laboratory of Mental Health, Ministry of Health (Peking University), Beijing, China
| | - Ju Tian
- Peking University Sixth Hospital, Beijing, China; Peking University Institute of Mental Health, Beijing, China; Key Laboratory of Mental Health, Ministry of Health (Peking University), Beijing, China
| | - Lina Yin
- Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing, China
| | - Wentian Dong
- Peking University Sixth Hospital, Beijing, China; Peking University Institute of Mental Health, Beijing, China; Key Laboratory of Mental Health, Ministry of Health (Peking University), Beijing, China.
| | - Baohua Liu
- Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing, China.
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178
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Zhu Y, Zhang H, Li Q, Zhang TJ, Wu N. Association of Aerobic and Muscle-Strengthening Activity with Chronic Low Back Pain: population-based study. Spine J 2024:S1529-9430(24)01028-3. [PMID: 39343241 DOI: 10.1016/j.spinee.2024.09.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/30/2024] [Accepted: 09/14/2024] [Indexed: 10/01/2024]
Abstract
BACKGROUND CONTEXT Chronic low back pain (CLBP) is a significant global health burden, primarily affecting the middle-aged and older; However, there is a lack of clear, evidence-based guidelines for leisure-time physical activity aimed at preventing CLBP. PURPOSE This study sought to delineate the association between aerobic physical activity (APA) and muscle strengthening activities (MSA) and the prevalence of CLBP. STUDY DESIGN This was a population-based study conducted across the United States. PATIENT SAMPLE This nationwide study utilizes deidentified data from 22 consecutive rounds of the National Health Interview Survey (NHIS) from 1997 to 2018. OUTCOME MEASURES The primary outcome was self-reported CLBP. METHODS We analyzed the prevalence of CLBP in a representative sample of 324,793 middle-aged and older people. Among 263,871 individuals, we used multiple logistic regression to investigate individual and joint association between the amount of APA and MSA with CLBP. RESULTS In total, 263,871 participants (mean age, 59.0 years; SD, 9.7) were included in the final analysis. From 1997 to 2018, the prevalence of CLBP was approximately 32%, with an annual increase. Engaging in APA for 75-150 minutes weekly was associated with a modest reduction in CLBP risk (OR (95% CI) = 0.97(0.97 to 0.98)). Similar benefits were seen with 150-225, 225-300, and >300 minutes. Engaging in MSA 2-3 times and 4-5 times weekly also reduced CLBP risk (0.98(0.98 to 0.99) and 0.98(0.97 to 0.99), respectively). Optimal reductions of CLBP risk may be associated with balanced levels of APA and MSA, with recommended amounts being 225-300 min/w of APA and 4-5 times/w of MSA (0.92(0.89 to 0.95)). CONCLUSIONS The study found engaging in over 75 minutes of APA and 2-5 weekly MSA sessions is associated with a reduced risk of CLBP. Furthermore, a balanced combination of APA and MSA may correspond to the greatest reduction in CLBP risk.
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Affiliation(s)
- Yuanpeng Zhu
- State Key Laboratory of Complex Severe and Rare Diseases, Department of Orthopedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences; Beijing, 100730, China; Beijing Key Laboratory for Genetic Research of Skeletal Deformity; Beijing, 100730, China; Key Laboratory of Big Data for Spinal Deformities, Chinese Academy of Medical Sciences; Beijing, 100730, China
| | - Haoran Zhang
- State Key Laboratory of Complex Severe and Rare Diseases, Department of Orthopedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences; Beijing, 100730, China; Beijing Key Laboratory for Genetic Research of Skeletal Deformity; Beijing, 100730, China; Key Laboratory of Big Data for Spinal Deformities, Chinese Academy of Medical Sciences; Beijing, 100730, China
| | - Qing Li
- State Key Laboratory of Complex Severe and Rare Diseases, Department of Orthopedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences; Beijing, 100730, China; Beijing Key Laboratory for Genetic Research of Skeletal Deformity; Beijing, 100730, China; Key Laboratory of Big Data for Spinal Deformities, Chinese Academy of Medical Sciences; Beijing, 100730, China
| | - Terry Jianguo Zhang
- State Key Laboratory of Complex Severe and Rare Diseases, Department of Orthopedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences; Beijing, 100730, China; Beijing Key Laboratory for Genetic Research of Skeletal Deformity; Beijing, 100730, China; Key Laboratory of Big Data for Spinal Deformities, Chinese Academy of Medical Sciences; Beijing, 100730, China.
| | - Nan Wu
- State Key Laboratory of Complex Severe and Rare Diseases, Department of Orthopedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences; Beijing, 100730, China; Beijing Key Laboratory for Genetic Research of Skeletal Deformity; Beijing, 100730, China; Key Laboratory of Big Data for Spinal Deformities, Chinese Academy of Medical Sciences; Beijing, 100730, China.
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Toorang F, Seyyedsalehi MS, Sasanfar B, Rashidian H, Hadji M, Gholipour M, Marzban M, Bakhshi M, Rezaianzadeh A, Boffetta P, Zendehdel K. Dietary total antioxidant capacity and odds of lung cancer: a large case-control study. BMC Cancer 2024; 24:1196. [PMID: 39333933 PMCID: PMC11438408 DOI: 10.1186/s12885-024-12914-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2024] [Accepted: 09/09/2024] [Indexed: 09/30/2024] Open
Abstract
BACKGROUND& AIMS We aimed to study the association between dietary total antioxidant capacity (dTAC) and lung cancer (LC) odds in an Iranian population. METHODS We recruited histopathologically diagnosed LC patients and healthy subjects from 10 provinces of Iran. Trained interviewers conducted face-to-face interviews using a structured questionnaire to collect demographic and other non-dietary information. Dietary habits in the previous year were evaluated using a validated food frequency questionnaire (FFQ). We calculated daily energy and nutrient intakes using the USDA Food Composition Table. DTAC was assessed as ferric reducing antioxidant power (FRAP) and total radical-trapping antioxidant parameters (TRAP) whose scores were calculated using published databases. The odd ratios (OR) of LC and 95% confidence intervals (CI) were estimated using unconditional logistic regression after adjusting for potential confounders. Moreover, we assessed the associations in stratified groups of age, gender, tobacco including waterpipe smoking, and opium use. RESULTS Six hundered and sixty patients and 3,412 healthy controls were included in our study. Higher FRAP and TRAP scores were associated with a lower odd of LC (FRAP, upper tertile (T3) vs. lower tertile (T1): OR = 0.53, 95% CI: 0.40-0.68; TRAP, T3 vs. T1: OR = 0.44, 95% CI: 0.33-0.57) with a significant dose-response trend for both scores (p < 0.01). The inverse association was seen for both indicators in all histologic types of LC and in all stratified analyses including male/female, tobacco smokers/nonsmokers, opium users/nonusers, water pipe users/nonusers, and subjects under/over 50 years of age. However, Interaction between none of these variables with dTAC scores was significant. CONCLUSION Higher dTAC is associated with a lower odd of LC. The strong association in all subgroups highlights the importance of an antioxidant-rich diet intake in all subjects, even in the low-risk group.
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Affiliation(s)
- Fatemeh Toorang
- Cancer Research Center, Cancer Institute, Tehran University of Medical Science, Tehran, Islamic Republic of Iran
- Departments of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
| | - Monireh Sadat Seyyedsalehi
- Cancer Research Center, Cancer Institute, Tehran University of Medical Science, Tehran, Islamic Republic of Iran
- Departments of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
| | - Bahareh Sasanfar
- Cancer Research Center, Cancer Institute, Tehran University of Medical Science, Tehran, Islamic Republic of Iran
- Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
- Department of Nutrition, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Hamideh Rashidian
- Cancer Research Center, Cancer Institute, Tehran University of Medical Science, Tehran, Islamic Republic of Iran
| | - Maryam Hadji
- Cancer Research Center, Cancer Institute, Tehran University of Medical Science, Tehran, Islamic Republic of Iran
- Health Sciences Unit, Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Mahin Gholipour
- Metabolic Disorders Research Center, Golestan University of Medical Sciences, Gorgan, Iran
| | - Maryam Marzban
- Department of Public Health, School of Public Health, Bushehr University of Medical Science, Bushehr, Iran
- Clinical Research Development Center, The Persian Gulf Martyrs, Bushehr University of Medical Science, Bushehr, Iran
| | - Mahdieh Bakhshi
- Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
| | - Abbas Rezaianzadeh
- Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Paolo Boffetta
- Departments of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
- Stony Brook Cancer Center, Stony Brook University, Stony Brook, NY, USA
| | - Kazem Zendehdel
- Cancer Research Center, Cancer Institute, Tehran University of Medical Science, Tehran, Islamic Republic of Iran.
- Departments of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
- Cancer Biology Research Center, Cancer Institute, Tehran University of Medical Science, Imam Khomeini Hospital, 3rd Fl. of Radiotherapy Bldg., Tehran, 13145-158, Islamic Republic of Iran.
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Liu Z, Zhou Y, Jin M, Liu S, Liu S, Yang K, Li H, Luo S, Jureti S, Wei M, Fu Z. Association of HMGCR rs17671591 and rs3761740 with lipidemia and statin response in Uyghurs and Han Chinese. PeerJ 2024; 12:e18144. [PMID: 39351366 PMCID: PMC11441381 DOI: 10.7717/peerj.18144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2024] [Accepted: 08/30/2024] [Indexed: 10/04/2024] Open
Abstract
Background Dyslipidemia plays a very important role in the occurrence and development of cardiovascular disease (CVD). Genetic factors, including single nucleotide polymorphisms (SNPs), are one of the main risks of dyslipidemia. 3-hydroxy-3-methylglutaryl-CoA reductase (HMGCR) is not only the rate-limiting enzyme step of endogenous cholesterol production, but also the therapeutic target of statins. Methods We investigated 405 Han Chinese and 373 Uyghur people who took statins for a period of time, recorded their blood lipid levels and baseline data before and after oral statin administration, and extracted DNA from each subject for SNP typing of HMGCR rs17671591 and rs3761740. The effects of HMGCR rs17671591 and rs3761740 on lipid levels and the effect of statins on lipid lowering in Han Chinese and Uyghur ethnic groups were studied. Results In this study, for rs17671591, the CC vs. TT+CT model was significantly correlated with the level of LDL-C before oral statin in the Uyghur population, but there were no correlations between rs17671591 and the level of blood lipid before oral statin in the Han population. The CC vs. TT+CT and CT vs. CC+TT models were significantly correlated with the level of LDL-C after oral statin in the Uyghur population. There was no significant correlation between rs3761740 with blood lipids before and after oral statin in the Han population. For rs3761740, before oral statin, the CC vs. AA+CA model was significantly correlated with the level of LDL-C, and the CA vs. CC+AA model was significantly correlated with the level of total cholesterol (TC), low density lipoprotein cholesterol (LDL-C), and non-high density lipoprotein cholesterol (HDL-C) in the Uyghur population. After oral statin, the CC vs. AA+CA and CA vs. CC+AA models were significantly correlated with the level of TC, LDL-C, and apolipoprotein (APOB), and the C vs. A model was significantly correlated with the level of TC, triglyceride (TG), LDL-C, and APOB in the Uyghur population. Particularly, the CT vs. CC+TT model of rs17671591 was significantly correlated with the changes of LDL-C after oral statin in the Uyghur population. In this study, we also explored the association of rs17671591 and rs3761740 with the rate of dyslipidemia as a reference. Conclusion We found that HMGCR rs3761740 was correlated with the levels of TC, LDL-C, and non-HDL-C before and after oral statin in Uyghurs, but not with blood lipid levels in the Han population. In the Uyghur population, HMGCR rs17671591 was associated with the level of LDL-C before and after oral statin, and also affected the changes of LDL-C after oral statin.
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Affiliation(s)
- Ziyang Liu
- The First Affiliated Hospital, Xinjiang Medical University, Urumqi, Xinjiang, China
- Xinjiang Medical University, Urumqi, Xinjiang, China
- State Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Yang Zhou
- The First Affiliated Hospital, Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Menglong Jin
- State Key Laboratory of Pathogenesis, Prevention and Treatment of High Incidence Diseases in Central Asia, Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Shuai Liu
- The First Affiliated Hospital, Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Sen Liu
- The First Affiliated Hospital, Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Kai Yang
- The First Affiliated Hospital, Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Huayin Li
- The First Affiliated Hospital, Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Sifu Luo
- The First Affiliated Hospital, Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Subinuer Jureti
- The First Affiliated Hospital, Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Mengwei Wei
- The First Affiliated Hospital, Xinjiang Medical University, Urumqi, Xinjiang, China
| | - Zhenyan Fu
- The First Affiliated Hospital, Xinjiang Medical University, Urumqi, Xinjiang, China
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Halabi R, Yusuff K, Park C, DeShaw A, Gonzalez-Torres C, Husain MI, O'Donovan C, Alda M, Mulsant BH, Ortiz A. Mood regulation in euthymic patients with a history of antidepressant-induced mania. Bipolar Disord 2024. [PMID: 39333012 DOI: 10.1111/bdi.13504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/29/2024]
Abstract
INTRODUCTION The use of antidepressants in bipolar disorder (BD) remains contentious, in part due to the risk of antidepressant-induced mania (AIM). However, there is no information on the architecture of mood regulation in patients who have experienced AIM. We compared the architecture of mood regulation in euthymic patients with and without a history of AIM. METHODS Eighty-four euthymic participants were included. Participants rated their mood, anxiety and energy levels daily using an electronic (e-) visual analog scale, for a mean (SD) of 280.8(151.4) days. We analyzed their multivariate time series by computing each variable's auto-correlation, inter-variable cross-correlation, and composite multiscale entropy of mood, anxiety, and energy. Then, we compared the data features of participants with a history of AIM and those without AIM, using analysis of covariance, controlling for age, sex, and current treatment. RESULTS Based on 18,103 daily observations, participants with AIM showed significantly stronger day-to-day auto-correlation and cross-correlation for mood, anxiety, and energy than those without AIM. The highest cross-correlation in participants with AIM was between mood and energy within the same day (median (IQR), 0.58 (0.27)). The strongest negative cross-correlation in participants with AIM was between mood and anxiety series within the same day (median (IQR), -0.52 (0.34)). CONCLUSION Patients with a history of AIM have a different underlying mood architecture compared to those without AIM. Their mood, anxiety and energy stay the same from day-to-day; and their anxiety is negatively correlated with their mood.
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Affiliation(s)
- Ramzi Halabi
- Campbell Family Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada
| | - Khairatun Yusuff
- Campbell Family Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada
| | - Clara Park
- Campbell Family Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada
| | - Alexandra DeShaw
- Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada
| | - Christina Gonzalez-Torres
- Campbell Family Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada
| | - Muhammad I Husain
- Campbell Family Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada
- Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Claire O'Donovan
- Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada
| | - Martin Alda
- Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada
- National Institute of Mental Health, Klecany, Czech Republic
| | - Benoit H Mulsant
- Campbell Family Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada
- Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Abigail Ortiz
- Campbell Family Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, Ontario, Canada
- Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
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Zhao J, Zheng L, Dai G, Sun Y, He R, Liu Z, Jin Y, Wu T, Duan C, Cao Y, Hu J. Senolytics Cocktail Dasatinib and Quercetin alleviate chondrocyte senescence and facet joint osteoarthritis in mice. Spine J 2024:S1529-9430(24)01046-5. [PMID: 39343238 DOI: 10.1016/j.spinee.2024.09.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/25/2024] [Revised: 08/22/2024] [Accepted: 09/14/2024] [Indexed: 10/01/2024]
Abstract
BACKGROUND CONTEXT Low back pain (LBP) is a pervasive issue, causing substantial economic burden and physical distress worldwide. Facet joint osteoarthritis (FJ OA) is believed to be a significant contributor to this problem. However, the precise role of chondrocyte senescence in FJ OA remains unclear, as does whether the clearance of chondrocyte senescence can alleviate the progression of FJ OA. PURPOSE The goal of this study was to understand the potential of Dasatinib (D) and Quercetin (Q) as a treatment to clear chondrocyte senescence during the progression of FJ OA. STUDY DESIGN We used a preclinical bipedal standing mice model with the administration of Dasatinib (D) (5 mg/kg) and Quercetin (Q) (50 mg/kg) after 10 weeks of bipedal standing. MATERIALS AND METHODS Human degenerative lumbar facet joint (LFJ) samples were obtained to investigate the relationship between chondrocyte cellular senescence and LFJ osteoarthritis (OA). Subsequently, we established an in vitro model of excessive mechanical stress on chondrocytes and an in vivo bipedal standing mice model to induce LFJ OA. IHC (immunohistochemistry) staining in vivo and SA-β-gal staining, qRT-PCR and Western blot analysis were applied to test the senolytic effect of the combination of Dasatinib (D) and Quercetin (Q). IHC staining and X-ray microscope were also performed to examine the contribution of D+Q to the anabolism in cartilage and subchondral bone recoupling. Immunofluorescence and Western blot analysis in vitro and IHC staining in vivo were conducted to assess the impact of D+Q on the regulation of the NF-κB pathway activation during chondrocyte senescence. RESULTS We observed that facet joint cartilage degeneration is associated with chondrocyte cellular senescence in both human and mouse degenerative samples. Following treatment with D+Q in vitro, cellular senescence was significantly reduced. Upon oral gavage administration of D+Q in the bipedal standing mice model, decreased cellular senescence and reversed chondrocyte anabolism were observed. Furthermore, administration of D+Q maintained subchondral bone remodeling homeostasis and potentially reversed the activation of the NF-κB pathway in chondrocytes of the lumbar facet joint. CONCLUSIONS In summary, our investigation unveiled a significant correlation between chondrocyte senescence and LFJOA. Treatment with the senolytic combination of D+Q in FJ OA yielded a notable reduction in chondrocyte senescence, along with a decrease in the release of SASP factors. Additionally, it facilitated the promotion of cartilage anabolism, maintenance of subchondral bone coupling, and amelioration of NF-κB pathway activation. CLINICAL SIGNIFICANCE Our outcomes revealed that D+Q, the renowned combination used for senolytic treatment, alleviate the progression of LFJ OA. The utilization of D+Q as a senolytic demonstrates a novel and promising alternative for LFJ OA treatment.
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Affiliation(s)
- Jinyun Zhao
- Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China; Key Laboratory of Organ Injury, Aging and Regenerative Medicine of Hunan Province, Xiangya Road 87, Changsha 410008, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China
| | - Lifu Zheng
- Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China; Key Laboratory of Organ Injury, Aging and Regenerative Medicine of Hunan Province, Xiangya Road 87, Changsha 410008, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China
| | - Guoyu Dai
- Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China; Key Laboratory of Organ Injury, Aging and Regenerative Medicine of Hunan Province, Xiangya Road 87, Changsha 410008, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China
| | - Yi Sun
- Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China; Key Laboratory of Organ Injury, Aging and Regenerative Medicine of Hunan Province, Xiangya Road 87, Changsha 410008, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China
| | - Rundong He
- Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China; Key Laboratory of Organ Injury, Aging and Regenerative Medicine of Hunan Province, Xiangya Road 87, Changsha 410008, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China
| | - Zhide Liu
- Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China; Key Laboratory of Organ Injury, Aging and Regenerative Medicine of Hunan Province, Xiangya Road 87, Changsha 410008, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China
| | - Yuxin Jin
- Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China; Key Laboratory of Organ Injury, Aging and Regenerative Medicine of Hunan Province, Xiangya Road 87, Changsha 410008, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China
| | - Tianding Wu
- Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China; Key Laboratory of Organ Injury, Aging and Regenerative Medicine of Hunan Province, Xiangya Road 87, Changsha 410008, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China
| | - Chunyue Duan
- Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China; Key Laboratory of Organ Injury, Aging and Regenerative Medicine of Hunan Province, Xiangya Road 87, Changsha 410008, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China.
| | - Yong Cao
- Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China; Key Laboratory of Organ Injury, Aging and Regenerative Medicine of Hunan Province, Xiangya Road 87, Changsha 410008, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China.
| | - Jianzhong Hu
- Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China; Key Laboratory of Organ Injury, Aging and Regenerative Medicine of Hunan Province, Xiangya Road 87, Changsha 410008, China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Xiangya Road 87, Changsha 410008, China.
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Lv JJ, Zhang LJ, Yixi Z, Zhang YC, Li XY, Yang CH, Wang ML. The global burden of cardiovascular disease attributable to diet low in fiber among people aged 60 years and older, 1990-2019: an age-period-cohort analysis of the global burden of disease study. BMC Public Health 2024; 24:2639. [PMID: 39333980 PMCID: PMC11438263 DOI: 10.1186/s12889-024-19897-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2024] [Accepted: 08/27/2024] [Indexed: 09/30/2024] Open
Abstract
OBJECTIVES This study aimed to quantify the global cardiovascular disease (CVD) burden attributable to diet low in fiber among adults aged 60 years and older using data from the Global Burden of Disease (GBD) Study 2019. METHODS We extracted data on CVD mortality, disability-adjusted life-years (DALYs), and risk-factor exposures from the GBD 2019 study for people aged 60 and older. Age-period-cohort models were used to estimate the overall annual percentage change in mortality and DALY rate (net drift, % per year), mortality and DALY rate for each age group from 1990 to 2019 (local drift, % per year), longitudinal age-specific rate corrected for period bias (age effect), and mortality and Daly rate for each age group from 1990 to 2019 (local drift, % per year). And period/cohort relative risk (period/cohort effect). RESULTS From 1990 to 2019, global age-standardized cardiovascular disease (CVD) mortality rates attributable to low dietary fiber intake decreased by 2.37% per year, while disability-adjusted life years (DALYs) fell by 2.48% annually. Decreases were observed across all sociodemographic index regions, with fastest declines in high and high-middle SDI areas. CVD mortality and DALY rates attributable to low fiber increased exponentially with age, peaking at 85-89 years, and were higher in men than women. Regarding period effects, mortality and DALY rates declined since 2000, reaching nadirs in 2015-2019. For birth cohort patterns, risks attributable to low fiber intake peaked among early 1900s births and subsequently fell, with more pronounced reductions over time in women. CONCLUSIONS Low dietary fiber intake is a leading contributor to the global cardiovascular disease burden, accounting for substantial mortality and disability specifically among older adults over recent decades.
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Affiliation(s)
- Jia-Jie Lv
- Department of Vascular Surgery, School of Medicine, Shanghai Putuo People's Hospital, Tongji University, No.1291 Jiangning Road, Huangpu District, Shanghai, 200060, China
- Department of Vascular Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University, No.639 Zhizaoju Road, Huangpu District, Shanghai, 200011, PR China
| | - Lin-Jie Zhang
- Department of Vascular Surgery, School of Medicine, Shanghai Putuo People's Hospital, Tongji University, No.1291 Jiangning Road, Huangpu District, Shanghai, 200060, China
| | - Zhuoma Yixi
- Department of Vascular Surgery, School of Medicine, Shanghai Putuo People's Hospital, Tongji University, No.1291 Jiangning Road, Huangpu District, Shanghai, 200060, China
| | - Yi-Chi Zhang
- Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's HospitalShanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Xin-Yu Li
- Department of Vascular Surgery, School of Medicine, Shanghai Putuo People's Hospital, Tongji University, No.1291 Jiangning Road, Huangpu District, Shanghai, 200060, China
- Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's HospitalShanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Cheng-Hao Yang
- Department of Vascular Surgery, School of Medicine, Shanghai Putuo People's Hospital, Tongji University, No.1291 Jiangning Road, Huangpu District, Shanghai, 200060, China.
- Department of Vascular Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University, No.639 Zhizaoju Road, Huangpu District, Shanghai, 200011, PR China.
| | - Ming-Liang Wang
- Department of Cardiology, Putuo People's Hospital, Tongji University, Shanghai, China.
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184
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Zhao P, Li Z, Xue S, Cui J, Zhan Y, Zhu Z, Zhang X. Proteome-wide mendelian randomization identifies novel therapeutic targets for chronic kidney disease. Sci Rep 2024; 14:22114. [PMID: 39333727 PMCID: PMC11437114 DOI: 10.1038/s41598-024-72970-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Accepted: 09/12/2024] [Indexed: 09/29/2024] Open
Abstract
There is an urgent need to pinpoint novel targets for drug discovery in the context of chronic kidney disease (CKD), and the proteome represents a significant pool of potential therapeutic targets. To address this, we performed proteome-wide analyses using Mendelian randomization (MR) and colocalization techniques to uncover potential targets for CKD. We extracted summary-level data from the ARIC study, focusing on 7213 European American (EA) individuals and 4657 plasma proteins. To broaden our analysis, we incorporated genetic association data from Icelandic cohorts, thereby enhancing our investigation into the correlations with chronic kidney disease (CKD), creatinine-based estimated glomerular filtration rate (eGFRcrea), and estimated glomerular filtration rate (eGFR). We utilized genetic association data from the GWAS Catalog, including CKD (765,348, 625,219 European ancestry and 140,129 non-European ancestry), eGFRcrea (1,004,040, European ancestry), and eGFR (567,460, European ancestry). Employing MR analysis, we estimated the associations between proteins and CKD risk. Additionally, we conducted colocalization analysis to evaluate the existence of shared causal variants between the identified proteins and CKD. We detected notable correlations between levels predicted based on genetics of three circulating proteins and CKD, eGFRcrea, and eGFR. Notably, our colocalization analysis provided robust evidence supporting these associations. Specifically, genetically predicted levels of Transcription elongation factor A protein 2 (TCEA2) and Neuregulin-4 (NRG4) exhibited an inverse relationship with CKD risk, while Glucokinase regulatory protein (GCKR) showed an increased risk of CKD. Furthermore, our colocalization analysis also supported the associations of TCEA2, NRG4, and GCKR with the risk of eGFRcrea and eGFR.
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Affiliation(s)
- Pin Zhao
- Department of Urology, The First Affiliated Hospital of Zhengzhou University, No.1 East Jianshe Road, District of Erqi, Zhengzhou, 450052, Henan, People's Republic of China
| | - Zhenhao Li
- Department of Urology, The First Affiliated Hospital of Zhengzhou University, No.1 East Jianshe Road, District of Erqi, Zhengzhou, 450052, Henan, People's Republic of China
| | - Shilong Xue
- Department of Urology, The First Affiliated Hospital of Zhengzhou University, No.1 East Jianshe Road, District of Erqi, Zhengzhou, 450052, Henan, People's Republic of China
| | - Jinshan Cui
- Department of Urology, The First Affiliated Hospital of Zhengzhou University, No.1 East Jianshe Road, District of Erqi, Zhengzhou, 450052, Henan, People's Republic of China
| | - Yonghao Zhan
- Department of Urology, The First Affiliated Hospital of Zhengzhou University, No.1 East Jianshe Road, District of Erqi, Zhengzhou, 450052, Henan, People's Republic of China
| | - Zhaowei Zhu
- Department of Urology, The First Affiliated Hospital of Zhengzhou University, No.1 East Jianshe Road, District of Erqi, Zhengzhou, 450052, Henan, People's Republic of China.
| | - Xuepei Zhang
- Department of Urology, The First Affiliated Hospital of Zhengzhou University, No.1 East Jianshe Road, District of Erqi, Zhengzhou, 450052, Henan, People's Republic of China.
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185
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Shoorabeh FF, Goodarzi E, Shafeai F, Pordanjani SR, Abbasi M. Pattern of burden cancer breast and relationshipin to human development index in Iran 2009 to 2019: an observational study based on the Global Burden of Diseases. BMC Womens Health 2024; 24:540. [PMID: 39334063 PMCID: PMC11428874 DOI: 10.1186/s12905-024-03378-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2024] [Accepted: 09/19/2024] [Indexed: 09/30/2024] Open
Abstract
OBJECTIVE Breast cancer is one of the most common cancers in women worldwide. This study aims is to investigate the burden of breast cancer in Iran and its relationship with the Human Development Index (HDI) during 2009 to 2019. STUDY DESIGN The present study is an observational study in Iran during the years 2009 to 2019. Data related to the incidence, mortality, Years of Life with Disability (YLD), Years of Life Lost (YLL) and Disability-Adjusted Life-Years (DALY) of breast cancer in Iran were extracted from the Global Burden of Disease 2019 (GBD-2019) website. Correlation tests are used to check the relationship between these indicators and the human development index. RESULTS The highest incidence rate of breast cancer in 2019 is related to the provinces of Gilan (29 per 100,000) and Tehran (28.55 per 100,000) and the highest rate of death from breast cancer is related to the provinces of Gilan (10.71 per 100,000). and Semnan (9.97 in 100,000). The results showed that there is a positive and significant correlation between DALY (r = 0.626, P < 0.0001), YLL (r = 0.611, P < 0.0001) and, YLD (r = 0.773, P < 0.0001) breast cancer with HDI index. There is a positive and significant correlation between the incidence (r = 0.794, P < 0.0001) and mortality (r = 0.503, P = 0.003) of breast cancer with the HDI index. CONCLUSIONS Considering that a positive correlation was observed between the incidence and burden of breast cancer and the human development index in the country, it is suggested to implement preventive measures such as public education programs to reduce the incidence and burden of breast cancer and the necessity of screening programs in areas with low human development index. It confirms the diagnosis of disease cases.
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Affiliation(s)
| | - Elham Goodarzi
- Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khoramabad, Iran.
- Ph.D Candidate of Epidemiology, Social Determinants of Health Research Center, University of Medical Sciences Iran, Tehran, Iran.
| | - Fateme Shafeai
- Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khoramabad, Iran
| | | | - Mahshid Abbasi
- Department of Radiation Oncology, School of Medicine, Lorestan University of Medical Sciences, Khoramabad, Iran
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186
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Hao Y, Yuan Z, Zhu Y, Li S, Gou J, Dong S, Niu L. Association between tooth loss and depression mediated by lifestyle and Inflammation- a cross-sectional investigation. BMC Public Health 2024; 24:2627. [PMID: 39334197 PMCID: PMC11438309 DOI: 10.1186/s12889-024-20065-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2024] [Accepted: 09/12/2024] [Indexed: 09/30/2024] Open
Abstract
BACKGROUND Depression and tooth loss are associated with the occurrence of systemic disease or the progression of multi-factorial disease, and both are considered important public health issues by World Health Organization (WHO). Previous research just suggested that tooth loss can generate psychological stress, low self-esteem, anxiety and other emotional disturbances. However, the precise correlation and underlying mechanisms between depression and tooth loss remains poorly understood. Consequently, we aim to explore the association between depression and tooth loss through a cross-sectional study, as well as investigate potential pathways of influence. METHODS We analyzed data from the National Health and Nutrition Examination Survey (NHANES). Logistic regression models were employed to examine the relationship between depression and tooth loss, as well as the associations among healthy lifestyle, systemic immune-inflammation index (SII), depression and tooth loss. Through the mediating effect analysis by bootstrapping analysis, we evaluated the mediating effects of healthy lifestyle and SII between depression and tooth loss. RESULTS Depressed patients were more likely to be toothless, and at the same time showed a tendency to have more missing teeth, with odds ratio (OR) = 1.305 (1.098, 1.551), p = 0.003 for 1-7 missing teeth, OR = 1.557 (1.166, 2.079), p = 0.003 for 8-14 missing teeth, and OR = 1.960 (1.476, 2.603), p<0.001 for 15-28 missing teeth. Lower healthy lifestyle scores and higher SII were both associated with more tooth loss. Healthy lifestyle and SII played a partial mediating role in this relationship, with a mediating effect ratio of 41.691% and 3.289%, respectively. CONCLUSIONS Depression was positively associated with more severe tooth loss, which was partly mediated by lifestyle and SII. Therefore, attention should also be paid to the effects of depression as a mental disorder on physical health, such as depression and tooth loss. Adopting a healthier lifestyle and controlling systemic inflammation may be potential ways to reduce the impact of depression and tooth loss.
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Affiliation(s)
- Yaqi Hao
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, 710004, China
- Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Xi'an, 710004, China
| | - Zhimin Yuan
- Department of Clinical Laboratory, Shaanxi Provincial Cancer Hospital, Xi'an Jiaotong University, Xi'an, 710061, China
| | - Yingze Zhu
- Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, 710061, China
| | - Shaoru Li
- Experimental Teaching Center, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, 710061, China
| | - Jingning Gou
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, 710004, China
- Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Xi'an, 710004, China
| | - Shaojie Dong
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, 710004, China.
- Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Xi'an, 710004, China.
- Department of Prosthodontics, College of Stomatology, Xi'an Jiaotong University, Xi'an, 710004, China.
| | - Lin Niu
- Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, 710004, China.
- Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Xi'an, 710004, China.
- Department of Prosthodontics, College of Stomatology, Xi'an Jiaotong University, Xi'an, 710004, China.
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187
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Maity R, Zhang X, Liberati FR, Scribani Rossi C, Cutruzzolá F, Rinaldo S, Gaetani M, Aínsa JA, Sancho J. Merging multi-omics with proteome integral solubility alteration unveils antibiotic mode of action. eLife 2024; 13:RP96343. [PMID: 39329363 PMCID: PMC11434622 DOI: 10.7554/elife.96343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/28/2024] Open
Abstract
Antimicrobial resistance is responsible for an alarming number of deaths, estimated at 5 million per year. To combat priority pathogens, like Helicobacter pylori, the development of novel therapies is of utmost importance. Understanding the molecular alterations induced by medications is critical for the design of multi-targeting treatments capable of eradicating the infection and mitigating its pathogenicity. However, the application of bulk omics approaches for unraveling drug molecular mechanisms of action is limited by their inability to discriminate between target-specific modifications and off-target effects. This study introduces a multi-omics method to overcome the existing limitation. For the first time, the Proteome Integral Solubility Alteration (PISA) assay is utilized in bacteria in the PISA-Express format to link proteome solubility with different and potentially immediate responses to drug treatment, enabling us the resolution to understand target-specific modifications and off-target effects. This study introduces a comprehensive method for understanding drug mechanisms and optimizing the development of multi-targeting antimicrobial therapies.
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Affiliation(s)
- Ritwik Maity
- Biocomputation and Complex Systems Physics Institute (BIFI)-Joint Unit GBsC-CSIC, University of ZaragozaZaragozaSpain
- Departamento de Bioquímica y Biología Molecular y Celular, Faculty of Science, University of ZaragozaZaragozaSpain
- Aragon Health Research Institute (IIS Aragón)ZaragozaSpain
| | - Xuepei Zhang
- Department of Medical Biochemistry and Biophysics, Karolinska InstitutetStockholmSweden
- Chemical Proteomics Unit, Science for Life Laboratory (SciLifeLab)StockholmSweden
- Chemical Proteomics, Swedish National Infrastructure for Biological Mass Spectrometry (BioMS)StockholmSweden
| | | | - Chiara Scribani Rossi
- Department of Biochemical Sciences “A. Rossi Fanelli”, Sapienza University of RomeRomeItaly
| | - Francesca Cutruzzolá
- Department of Biochemical Sciences “A. Rossi Fanelli”, Sapienza University of RomeRomeItaly
| | - Serena Rinaldo
- Department of Biochemical Sciences “A. Rossi Fanelli”, Sapienza University of RomeRomeItaly
| | - Massimiliano Gaetani
- Department of Medical Biochemistry and Biophysics, Karolinska InstitutetStockholmSweden
- Chemical Proteomics Unit, Science for Life Laboratory (SciLifeLab)StockholmSweden
- Chemical Proteomics, Swedish National Infrastructure for Biological Mass Spectrometry (BioMS)StockholmSweden
| | - José Antonio Aínsa
- Biocomputation and Complex Systems Physics Institute (BIFI)-Joint Unit GBsC-CSIC, University of ZaragozaZaragozaSpain
- Aragon Health Research Institute (IIS Aragón)ZaragozaSpain
- Departamento de Microbiología, Pediatría, Radiología y Salud Pública, Faculty of Medicine, University of ZaragozaZaragozaSpain
- CIBER de Enfermedades Respiratorias—CIBERES, Instituto de Salud Carlos IIIMadridSpain
| | - Javier Sancho
- Biocomputation and Complex Systems Physics Institute (BIFI)-Joint Unit GBsC-CSIC, University of ZaragozaZaragozaSpain
- Departamento de Bioquímica y Biología Molecular y Celular, Faculty of Science, University of ZaragozaZaragozaSpain
- Aragon Health Research Institute (IIS Aragón)ZaragozaSpain
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188
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Oh S, Mok H, Jo K. Development and validation of a nomogram for predicting COPD: A nationwide population-based study in South Korea. Medicine (Baltimore) 2024; 103:e39901. [PMID: 39331887 PMCID: PMC11441938 DOI: 10.1097/md.0000000000039901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2024] [Accepted: 09/11/2024] [Indexed: 09/29/2024] Open
Abstract
Chronic obstructive pulmonary disease (COPD) remains a significant global health burden exacerbated by tobacco smoking, occupational exposure, and air pollution. COPD is one of the top 3 causes of death worldwide. In South Korea, the COPD burden is expected to increase due to ongoing exposure to risk factors and the aging population. COPD is extensively underdiagnosed or underestimated, owing to a lack of public awareness. This study aimed to develop and validate a nomogram for COPD by using national data to promote early diagnosis and intervention. This study drew on a dataset from the 7th Korea National Health and Nutrition Examination Survey from 2016 to 2018, including 10,819 subjects aged 40 years or older with spirometry results. Influence of demographic, socioeconomic, and health-related factors on the incidence. Multivariable logistic regression was used to identify the significant predictors of the nomogram. The nomogram was validated using receiver operating characteristic curves, calibration plots, and concordance index (C-index). Internal validation was performed by bootstrapping. In the final analysis, 1059 (14.0%) participants had COPD. Key risk factors associated with increased COPD risk included being male, aged 70 and older, lower educational level, living in a rural area, current smoking status, underweight, and history of tuberculosis and asthma. The area under the curve (AUC) of the model was 0.822 (95% CI: 0.810-0.832), indicating that the nomogram has a high ability to identify COPD. The nomogram demonstrated solid predictive performance, as confirmed by calibration plots with a C-index (of 0.822) for the validation set with 1000 bootstrap samples. In conclusion, we developed a tool for the early detection of COPD with good properties in primary care settings, without spirometry. Appropriate and early diagnosis of COPD can have a crucial impact on public health.
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Affiliation(s)
- Seungeun Oh
- Seoul Women’s College of Nursing, Seoul, South Korea
| | - Hyungkyun Mok
- Department of Health Administration, Hanyang Women’s University, Seoul, South Korea
| | - Kyuhee Jo
- College of Nursing, Korea University, Seoul, South Korea
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189
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Nghiem N, Wilson N, Krebs J, Tran T. Predicting the risk of diabetes complications using machine learning and social administrative data in a country with ethnic inequities in health: Aotearoa New Zealand. BMC Med Inform Decis Mak 2024; 24:274. [PMID: 39334279 PMCID: PMC11438423 DOI: 10.1186/s12911-024-02678-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Accepted: 09/10/2024] [Indexed: 09/30/2024] Open
Abstract
BACKGROUND In the age of big data, linked social and administrative health data in combination with machine learning (ML) is being increasingly used to improve prediction in chronic disease, e.g., cardiovascular diseases (CVD). In this study we aimed to apply ML methods on extensive national-level health and social administrative datasets to assess the utility of these for predicting future diabetes complications, including by ethnicity. METHODS Five ML models were used to predict CVD events among all people with known diabetes in the population of New Zealand, utilizing nationwide individual-level administrative data. RESULTS The Xgboost ML model had the best predictive power for predicting CVD events three years into the future among the population with diabetes (N = 145,600). The optimization procedure also found limited improvement in prediction by ethnicity (using area under the receiver operating curve, [AUC]). The results indicated no trade-off between model predictive performance and equity gap of prediction by ethnicity (that is improving model prediction and reducing performance gaps by ethnicity can be achieved simultaneously). The list of variables of importance was different among different models/ethnic groups, for example: age, deprivation (neighborhood-level), having had a hospitalization event, and the number of years living with diabetes. DISCUSSION AND CONCLUSIONS We provide further evidence that ML with administrative health data can be used for meaningful future prediction of health outcomes. As such, it could be utilized to inform health planning and healthcare resource allocation for diabetes management and the prevention of CVD events. Our results may suggest limited scope for developing prediction models by ethnic group and that the major ways to reduce inequitable health outcomes is probably via improved delivery of prevention and management to those groups with diabetes at highest need.
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Affiliation(s)
- Nhung Nghiem
- Department of Public Health, University of Otago Wellington, Wellington City, Wellington, 6021, New Zealand.
| | - Nick Wilson
- John Curtin School of Medical Research, Australian National University, Canberra City, ACT, 2601, Australia
| | - Jeremy Krebs
- Department of Medicine, University of Otago Wellington, Wellington City, Wellington, 6021, New Zealand
| | - Truyen Tran
- Applied Artificial Intelligence Institute (A2I2), Deakin University, Geelong City, VIC, 3216, Australia
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190
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Blank RD. Trial emulation to improve fracture prevention treatment in men: editorial on ASBMR-24030174. J Bone Miner Res 2024; 39:1375-1376. [PMID: 39258753 DOI: 10.1093/jbmr/zjae129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2024] [Revised: 07/27/2024] [Accepted: 08/04/2024] [Indexed: 09/12/2024]
Affiliation(s)
- Robert D Blank
- Cancer Plasticity and Dormancy Group, Garvan Institute of Medical Research, Darlinghurst NSW 2010, Australia
- Division of Endocrinology, Department of Medicine, Medical College of Wisconsin, Milwaukee WI 53226, USA
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191
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Fan T, Zhu N, Li M, Wang Z, Lin X. CTRP6-mediated cardiac protection in heart failure via the AMPK/SIRT1/PGC-1α signalling pathway. Exp Physiol 2024. [PMID: 39325807 DOI: 10.1113/ep092036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2024] [Accepted: 08/29/2024] [Indexed: 09/28/2024]
Abstract
Heart failure (HF) remains a significant global health concern with limited effective treatments available. C1q/TNF-related protein 6 (CTRP6) is a member of the CTRP family analogous to adiponectin and its role in HF pathogenesis remains unclear. Here, we investigated the impact of CTRP6 on HF progression. To mimic heart failure with reduced ejection fraction (HFrEF), we used isoproterenol injection in mice and administered adenovirus vectors expressing CTRP6 (Ad-CTRP6) via tail vein injection. We assessed cardiac function through echocardiography and histology. CTRP6's effects on hypertrophy, fibrosis, apoptosis, oxidative stress and mitochondrial function were analysed. Downstream pathways (phosphorylated AMP-activated protein kinase (p-AMPK), sirtuin 1 (SIRT1) and peroxisome proliferator-activated receptor γ coactivator 1-α (PGC-1α) were studied in heart tissues. In vitro, isoproterenol-stimulated H9c2 cardiomyocytes were treated with CTRP6 to examine viability, apoptosis, F-actin and signalling proteins. Compound C was used to assess AMPK involvement. CTRP6 expression was lower in the plasma of HF patients. In an isoproterenol-induced HFrEF mouse model, adenovirus-mediated overexpression of CTRP6 ameliorated cardiac dysfunction and reduced cardiomyocyte apoptosis, oxidative stress, inflammation and myocardial injury markers. Mechanistically, CTRP6 activation of the AMPK/SIRT1/PGC-1α signalling pathway restored mitochondrial homeostasis, evidenced by reduced mitochondrial reactive oxygen species levels, increased ATP content, and enhanced mitochondrial complex I/III activities in cardiac tissues. In vitro studies using isoproterenol-stimulated H9c2 cardiomyocytes corroborated these findings, demonstrating that CTRP6 upregulation attenuated hypertrophy, apoptosis, oxidative stress and mitochondrial dysfunction. Furthermore, these effects were partially reversed by the AMPK inhibitor Compound C, implicating the involvement of the AMPK pathway in CTRP6-mediated cardioprotection. CTRP6 alleviates HF progression through the AMPK/SIRT1/PGC-1α signalling pathway.
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Affiliation(s)
- Tingting Fan
- Department of Cardiology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - Ningjun Zhu
- Department of Cardiology, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - Mengli Li
- Department of Cardiology, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - Zhen Wang
- Department of Cardiology, The Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
| | - Xianhe Lin
- Department of Cardiology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
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192
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Koubiyr I, Tourdias T. Editorial for "Diagnosis of Major Depressive Disorder Based on Individualized Brain Functional and Structural Connectivity". J Magn Reson Imaging 2024. [PMID: 39327758 DOI: 10.1002/jmri.29618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2024] [Accepted: 08/07/2024] [Indexed: 09/28/2024] Open
Affiliation(s)
- Ismail Koubiyr
- MS Center Amsterdam, Anatomy and Neurosciences, Amsterdam Neuroscience, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands
| | - Thomas Tourdias
- Neuroimagerie Diagnostique et Thérapeutique, CHU de Bordeaux, Bordeaux, France
- INSERM, Neurocentre Magendie, University of Bordeaux, Bordeaux, France
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Xie Y, Wang Y, Pan T, Tyler R. Validation of the Mandarin Chinese Translation of the "Meaning of Life" in Patients with Hearing Loss or Tinnitus. J Am Acad Audiol 2024. [PMID: 36495866 DOI: 10.1055/a-1996-1227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
BACKGROUND There is an increasing need to evaluate the quality of life of individuals who are hearing impaired. However, most of the generic "quality of life" questionnaires do not include communication-related questions. Recently, a new "Meaning of Life" (MOL) questionnaire was developed to measure quality of life based on everyday issues, enabling a comprehensive evaluation of tinnitus patients and cochlear implant users. A Mandarin Chinese version of this questionnaire for the Mandarin population is needed. Many of the existing Mandarin Chinese questionnaires currently in use are not effectively assessing hearing-related conditions. PURPOSE We aimed to translate and validate the MOL questionnaire into Mandarin Chinese to make it applicable as a tool for measuring quality of life in patients with hearing loss or tinnitus. RESEARCH DESIGN For this study, the original version of the MOL questionnaire was translated into the Mandarin Chinese language. A prospective cohort study was then performed on adults with hearing loss or tinnitus to preliminarily examine the reliability and validity of the Mandarin Chinese version. STUDY SAMPLE A total of 206 Mandarin-speaking subjects with hearing loss or tinnitus were included in the study and divided into three groups according to their chief complaints: group B included patients suffering from both hearing loss and tinnitus (N = 113), group T contained patients with tinnitus alone (N = 49), and group H was composed of patients with hearing loss alone (N = 44). DATA COLLECTION AND ANALYSIS The Mandarin version of the MOL (C-MOL) was administered to the participants. The reliability of the C-MOL was evaluated using Cronbach's α and item total correlation coefficients. Exploratory factor analysis was performed to examine the relationships among the questions. Correlations between the patient characteristics and total scores were tested. RESULTS The Cronbach's α coefficient of C-MOL was 0.921. Four factors were identified by exploratory factor analysis: (1) mental state and positive outlook; (2) friendship; (3) physical health; and (4) hearing and negative experience. The total scores of groups B, T, and H were 76.4 (standard deviation [SD] = 13.5), 81.3 (SD = 10.6), and 82.4 (SD = 12.5), respectively. The total score was correlated with the affected ears (r = 0.179, p < 0.05), age (r = 0.179, p < 0.05), hearing of the better ear (r = 0.188, p < 0.01), and educational background (r = 0.181, p < 0.01). CONCLUSION The Mandarin Chinese version of the MOL questionnaire showed good reliability. It can be used to quantify the quality of life of patients with hearing loss or tinnitus.
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Affiliation(s)
- Yufei Xie
- Department of Otolaryngology Head and Neck Surgery, Peking University Third Hospital, Beijing, People's Republic of China
| | - Yu Wang
- Department of Otolaryngology Head and Neck Surgery, Peking University Third Hospital, Beijing, People's Republic of China
| | - Tao Pan
- Department of Otolaryngology Head and Neck Surgery, Peking University Third Hospital, Beijing, People's Republic of China
| | - Richard Tyler
- Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, Iowa
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de Oliveira MFD, Bjordal JM, Schardong J, Plentz RDM, Casalechi HL, Leal-Junior ECP, Tomazoni SS. Effects of photobiomodulation therapy associated with motor control exercise for chronic non-specific low back pain: protocol for a randomised placebo-controlled trial. BMJ Open Sport Exerc Med 2024; 10:e002199. [PMID: 39345834 PMCID: PMC11429343 DOI: 10.1136/bmjsem-2024-002199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/01/2024] [Indexed: 10/01/2024] Open
Abstract
Photobiomodulation therapy (PBMT), as an adjunct therapy to exercise, can reduce pain in musculoskeletal disorders. In addition, PBMT associated with exercise decreases fatigue, accelerates muscle recovery and enhances performance and gain through different training protocols. Although it has not been investigated, the association of PBMT and exercise therapy could be an alternative to improve the positive effects of exercise in patients with non-specific low back pain (LBP). Therefore, we aim to evaluate the effects of PBMT associated with motor control exercise (MCE) versus placebo associated with MCE in patients with chronic non-specific LBP. This is a prospectively registered, two-arm, randomised, placebo-controlled, triple-blind trial. A total of 148 patients with chronic non-specific LBP will be randomised to either active PBMT associated with MCE or placebo PBMT associated with MCE. Treatment sessions will be provided twice a week for 6 weeks. The primary outcomes will be pain intensity and general disability measured at the end of the treatment. The secondary outcomes will be pain intensity and general disability measured 1 month after the end of the treatment, 3, 6 and 12 months after randomisation, in addition to levels of prostaglandin E2 measured at the end of the treatment. Medication intake, cointerventions and adverse events will be measured at all time points. This study was approved by the Research Ethics Committee of Irmandade de Santa Casa de Misericórdia de Porto Alegre. The results will be disseminated through scientific publications and presentations at scientific meetings. Trial registration number: NCT05487118.
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Affiliation(s)
- Marcelo Ferreira Duarte de Oliveira
- Laboratory of Phototherapy and Innovative Technologies in Health (LaPIT), Post-graduate Program in Rehabilitation Sciences, Universidade Nove de Julho, Sao Paulo, Brazil
| | - Jan Magnus Bjordal
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - Jociane Schardong
- Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil
- Irmandade Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Brazil
| | - Rodrigo Della Méa Plentz
- Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil
- Irmandade Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Brazil
| | - Heliodora Leão Casalechi
- Laboratory of Phototherapy and Innovative Technologies in Health (LaPIT), Post-graduate Program in Rehabilitation Sciences, Universidade Nove de Julho, Sao Paulo, Brazil
| | - Ernesto Cesar Pinto Leal-Junior
- Laboratory of Phototherapy and Innovative Technologies in Health (LaPIT), Post-graduate Program in Rehabilitation Sciences, Universidade Nove de Julho, Sao Paulo, Brazil
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - Shaiane Silva Tomazoni
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
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Cam Y, Kocum CG, Konrad ER, Schweizer TA, Houska TK, Sardina CA, Suri SK, Will MJ. Incentive motivation for palatable food blocked by intra-accumbens melanin-concentrating hormone (MCH) receptor-1 antagonist in female rats. Pharmacol Biochem Behav 2024; 245:173884. [PMID: 39341509 DOI: 10.1016/j.pbb.2024.173884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2024] [Revised: 09/16/2024] [Accepted: 09/23/2024] [Indexed: 10/01/2024]
Abstract
Melanin-concentrating hormone (MCH) activity in the nucleus accumbens (Acb) has been shown to influence feeding behavior, yet this has not been characterized in terms of homeostatic vs. hedonic feeding processes. Hedonic feeding, driven by palatability rather than energy deficit, can be modeled through intra-Acb administration of the selective μ-opioid receptor agonist d-Ala2, NMe-Phe4, Glyol5-enkephalin (DAMGO), which preferentially increases consumption and incentive motivation to obtain preferred palatable food. Pharmacological activation of MCH 1 receptors (MCHR1) within Acb has been shown to promote general feeding of chow in males, but not females. However, the effects of MCH on the incentive motivation to obtain preferred palatable food have not been explored. Here, we investigated the role of MCHR1 within the Acb in DAMGO-induced incentive motivation to obtain a sucrose pellet reward. Female Sprague Dawley rats were trained and tested for operant responding under a progressive ratio (PR) breakpoint in response to concurrent intra-Acb administration of DAMGO (0 μg and 0.025 μg/.5 μl/side) immediately following intra-Acb administration of the MCHR1 antagonist (N-(3-{1-[4-(3,4-difluoro-phenoxy)-benzyl]-piperdin-4-yl}-4-methyl-phenyl)-isobutyramide (SNAP-94847; 0 μg, 1.5 μg, and 15 μg/.5 μl/side), in a counterbalanced fashion. As expected, DAMGO significantly increased PR breakpoint and overall active lever presses. SNAP-94847 did not influence PR breakpoint by itself, compared to vehicle; however, both 1.5 and 15 μg doses of SNAP-94847 significantly blocked the increased PR breakpoint produced by intra-Acb DAMGO. The results of the study demonstrate that Acb MCHR1 may play a specific role in the hedonically-driven motivation for palatable food in females.
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Affiliation(s)
- Yonca Cam
- Department of Psychological Sciences, University of Missouri, Columbia, MO, USA.
| | - Courtney G Kocum
- Department of Psychological Sciences, University of Missouri, Columbia, MO, USA
| | - Ella R Konrad
- Department of Psychological Sciences, University of Missouri, Columbia, MO, USA
| | - Tim A Schweizer
- Department of Psychological Sciences, University of Missouri, Columbia, MO, USA
| | - Tabitha K Houska
- Department of Psychological Sciences, University of Missouri, Columbia, MO, USA
| | - Carlos A Sardina
- Department of Psychological Sciences, University of Missouri, Columbia, MO, USA
| | - Sanya K Suri
- Department of Psychological Sciences, University of Missouri, Columbia, MO, USA
| | - Matthew J Will
- Department of Psychological Sciences, University of Missouri, Columbia, MO, USA
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196
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Hirata R, Nishi T, Nakamura M, Tago M. Refractory Iron-Deficiency Anemia and Vascular Malformation Concomitant with Aortic Stenosis: Heyde Syndrome. AMERICAN JOURNAL OF CASE REPORTS 2024; 25:e944440. [PMID: 39325680 PMCID: PMC11441710 DOI: 10.12659/ajcr.944440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2024] [Revised: 08/14/2024] [Accepted: 07/24/2024] [Indexed: 09/28/2024]
Abstract
BACKGROUND Heyde syndrome is characterized by anemia due to angiodysplasia, aortic valve stenosis, and acquired von Willebrand syndrome. However, the awareness regarding Heyde syndrome in clinical practice is low. We report the case of an older woman with severe refractory iron-deficiency anemia and severe aortic stenosis who was diagnosed with Heyde syndrome. CASE REPORT A 70-year-old woman who had been experiencing exertional dyspnea for 3 months prior to presentation was diagnosed with iron-deficiency anemia, with a hemoglobin level of 69 g/L. She did not experience any episodes of bleeding, such as nosebleeds, gum bleeding, abnormal bleeding, or melena. Upper and lower gastrointestinal endoscopy revealed no evidence of bleeding, and oral iron supplementation failed to improve the anemia. Auscultation of the chest identified an ejection systolic murmur. Chest and abdominal computed tomography showed no significant lesions or active bleeding. Capsule endoscopy of the small intestine revealed capillary dilation. Echocardiography detected severe aortic valve stenosis. Blood test results revealed a deficiency in large von Willebrand factor multimers. Therefore, Heyde syndrome was diagnosed. Aortic valve replacement surgery was performed, which resulted in an improvement in anemia and the associated symptoms. CONCLUSIONS In cases of unexplained and treatment-resistant iron-deficiency anemia, especially if careful auscultation detects aortic stenosis, Heyde syndrome should be considered a differential diagnosis. Furthermore, screening for angiodysplasia in the gastrointestinal tract and prompt diagnosis through measurement of large von Willebrand factor multimers are imperative when investigating potential sources of bleeding.
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197
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Kaldal A, Tonstad S, Jortveit J. Self-reported smoking status and exhaled carbon monoxide in secondary preventive follow-up after coronary heart events: Do our patients tell the truth? Tob Prev Cessat 2024; 10:TPC-10-41. [PMID: 39323439 PMCID: PMC11423699 DOI: 10.18332/tpc/191843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2024] [Revised: 07/30/2024] [Accepted: 07/31/2024] [Indexed: 09/27/2024]
Abstract
INTRODUCTION Smoking cessation reduces the risk of myocardial infarctions (MI) and death in patients with coronary heart disease. Smoking status is frequently assessed based on self-report. The aims of this study were to compare self-reported and objectively measured (exhaled carbon monoxide [eCO]) smoking status after MI, percutaneous coronary intervention (PCI), and coronary artery bypass grafting (CABG), and to assess whether assumed wrongly declared smoking cessation was associated to poorer achievement of other treatment targets for secondary prevention. METHODS This study was a sub-analysis from a randomized controlled trial at Sorlandet Hospital, Arendal, Norway, 2007-2022, including patients hospitalized due to MI or after scheduled PCI/CABG, and primarily aimed at comparing secondary preventive follow-up in the outpatient clinic versus primary healthcare. Participants were followed up after the index event through outpatient consultations. Smoking status was assessed by self-report and by eCO (Smokerlyzer, Bedfont, UK) with concentration values ≥6 ppm interpreted as suggesting smoking. RESULTS A total of 1540 participants aged 18-80 years were included in the main study. Self-reported smoking status and concomitant eCO measurement one year after the index event were available in 1291 (84%) participants. In all, Brussels, Belgium, from the 12th to the 13th of September 2024. The concentration of eCO was ≥6 ppm one year after the index event in 285 (22%) patients, and 72 (25%) of these patients reported non-smoking. Fewer patients with elevated eCO reporting non-smoking achieved the treatment target for blood pressure (<140/90 mmHg) in comparison to those reporting smoking (53% vs 68%, p=0.02). No differences for the other treatment targets for secondary prevention were found. CONCLUSIONS The study indicates a need for objective measures for smoking cessation both in clinical studies and in clinical practice, and may indicate a lack of truthfulness regarding smoking habits. CLINICAL TRIAL REGISTRATION The study is registered on the official website of ClinicalTrials.gov. IDENTIFIER ID NCT00679237.
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Affiliation(s)
- Anete Kaldal
- University of Oslo, Oslo, Norway
- Department of Research, Sorlandet Hospital Trust, Arendal, Norway
| | - Serena Tonstad
- Department of Endocrinology, Obesity and Preventive Medicine, Section of Preventive Cardiology, Oslo University Hospital, Oslo, Norway
| | - Jarle Jortveit
- Department of Cardiology, Sorlandet Hospital Trust, Arendal, Norway
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198
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MacNeill AL, MacNeill L, Luke A, Doucet S. Health Professionals' Views on the Use of Conversational Agents for Health Care: Qualitative Descriptive Study. J Med Internet Res 2024; 26:e49387. [PMID: 39320936 DOI: 10.2196/49387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Revised: 03/01/2024] [Accepted: 06/01/2024] [Indexed: 09/26/2024] Open
Abstract
BACKGROUND In recent years, there has been an increase in the use of conversational agents for health promotion and service delivery. To date, health professionals' views on the use of this technology have received limited attention in the literature. OBJECTIVE The purpose of this study was to gain a better understanding of how health professionals view the use of conversational agents for health care. METHODS Physicians, nurses, and regulated mental health professionals were recruited using various web-based methods. Participants were interviewed individually using the Zoom (Zoom Video Communications, Inc) videoconferencing platform. Interview questions focused on the potential benefits and risks of using conversational agents for health care, as well as the best way to integrate conversational agents into the health care system. Interviews were transcribed verbatim and uploaded to NVivo (version 12; QSR International, Inc) for thematic analysis. RESULTS A total of 24 health professionals participated in the study (19 women, 5 men; mean age 42.75, SD 10.71 years). Participants said that the use of conversational agents for health care could have certain benefits, such as greater access to care for patients or clients and workload support for health professionals. They also discussed potential drawbacks, such as an added burden on health professionals (eg, program familiarization) and the limited capabilities of these programs. Participants said that conversational agents could be used for routine or basic tasks, such as screening and assessment, providing information and education, and supporting individuals between appointments. They also said that health professionals should have some oversight in terms of the development and implementation of these programs. CONCLUSIONS The results of this study provide insight into health professionals' views on the use of conversational agents for health care, particularly in terms of the benefits and drawbacks of these programs and how they should be integrated into the health care system. These collective findings offer useful information and guidance to stakeholders who have an interest in the development and implementation of this technology.
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Affiliation(s)
- A Luke MacNeill
- Centre for Research in Integrated Care, University of New Brunswick, Saint John, NB, Canada
- Department of Nursing and Health Sciences, University of New Brunswick, Saint John, NB, Canada
| | - Lillian MacNeill
- Centre for Research in Integrated Care, University of New Brunswick, Saint John, NB, Canada
- Department of Nursing and Health Sciences, University of New Brunswick, Saint John, NB, Canada
| | - Alison Luke
- Centre for Research in Integrated Care, University of New Brunswick, Saint John, NB, Canada
- Department of Nursing and Health Sciences, University of New Brunswick, Saint John, NB, Canada
| | - Shelley Doucet
- Centre for Research in Integrated Care, University of New Brunswick, Saint John, NB, Canada
- Department of Nursing and Health Sciences, University of New Brunswick, Saint John, NB, Canada
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199
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Ye W, Shen B, Tang Q, Fang C, Wang L, Xie L, He Q. Identification of a novel immune infiltration-related gene signature, MCEMP1, for coronary artery disease. PeerJ 2024; 12:e18135. [PMID: 39346078 PMCID: PMC11438437 DOI: 10.7717/peerj.18135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2024] [Accepted: 08/29/2024] [Indexed: 10/01/2024] Open
Abstract
Background This study aims to identify a novel gene signature for coronary artery disease (CAD), explore the role of immune cell infiltration in CAD pathogenesis, and assess the cell function of mast cell-expressed membrane protein 1 (MCEMP1) in human umbilical vein endothelial cells (HUVECs) treated with oxidized low-density lipoprotein (ox-LDL). Methods To identify differentially expressed genes (DEGs) of CAD, datasets GSE24519 and GSE61145 were downloaded from the Gene Expression Omnibus (GEO) database using the R "limma" package with p < 0.05 and |log2 FC| > 1. Gene ontology (GO) and pathway analyses were conducted to determine the biological functions of DEGs. Hub genes were identified using support vector machine-recursive feature elimination (SVM-RFE) and least absolute shrinkage and selection operator (LASSO). The expression levels of these hub genes in CAD were validated using the GSE113079 dataset. CIBERSORT program was used to quantify the proportion of immune cell infiltration. Western blot assay and qRT-PCR were used to detect the expression of hub genes in ox-LDL-treated HUVECs to validate the bioinformatics results. Knockdown interference sequences for MCEMP1 were synthesized, and cell proliferation and apoptosis were examined using a CCK8 kit and Muse® Cell Analyzer, respectively. The concentrations of IL-1β, IL-6, and TNF-α were measured with respective enzyme-linked immunosorbent assay (ELISA) kits. Results A total of 73 DEGs (four down-regulated genes and 69 up-regulated genes) were identified in the metadata (GSE24519 and GSE61145) cohort. GO and Kyoto Encyclopedia of Genes and Genomes (KEGG) analysis results indicated that these DEGs might be associated with the regulation of platelet aggregation, defense response or response to bacterium, NF-kappa B signaling pathway, and lipid and atherosclerosis. Using SVM-RFE and LASSO, seven hub genes were obtained from the metadata. The upregulated expression of DIRC2 and MCEMP1 in CAD was confirmed in the GSE113079 dataset and in ox-LDL-treated HUVECs. The associations between the two hub genes (DIRC2 and MCEMP1) and the 22 types of immune cell infiltrates in CAD were found. MCEMP1 knockdown accelerated cell proliferation and suppressed cell apoptosis for ox-LDL-treated HUVECs. Additionally, MCEMP1 knockdown appeared to decrease the expression of inflammatory factors IL-1β, IL-6, and TNF-α. Conclusions The results of this study indicate that MCEMP1 may play an important role in CAD pathophysiology.
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Affiliation(s)
- Wei Ye
- Department of Neonatology, Renmin Hospital of Wuhan University, Wuhan, China
- Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China
- Hubei Key Laboratory of Metabolic and Chronic Diseases, Wuhan, China
- Central Laboratory, Renmin Hospital of Wuhan University, Wuhan, China
| | - Bo Shen
- Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China
- Hubei Key Laboratory of Metabolic and Chronic Diseases, Wuhan, China
| | - Qizhu Tang
- Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China
- Hubei Key Laboratory of Metabolic and Chronic Diseases, Wuhan, China
| | - Chengzhi Fang
- Department of Neonatology, Renmin Hospital of Wuhan University, Wuhan, China
| | - Lei Wang
- Department of Cardiology, HanChuan Hospital, Hanchuan, China
| | - Lili Xie
- Department of Neonatology, Renmin Hospital of Wuhan University, Wuhan, China
| | - Qi He
- Department of Neonatology, Renmin Hospital of Wuhan University, Wuhan, China
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Ojardias E, Adham A, Bessaguet H, Phaner V, Rimaud D, Giraux P. Efficacy of a new video observational training method (intensive visual simulation) for motor recovery in the upper limb in subacute stroke: a feasibility and proof-of-concept study. J Rehabil Med 2024; 56:jrm36119. [PMID: 39320126 PMCID: PMC11445588 DOI: 10.2340/jrm.v56.36119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2024] [Accepted: 06/10/2024] [Indexed: 09/26/2024] Open
Abstract
OBJECTIVE To demonstrate the feasibility and efficacy of a new video-observation training method (intensive visual simulation) to improve upper limb function. DESIGN Small sample, randomized, evaluator-blind, monocentric study. PATIENTS Seventeen early subacute ischaemic stroke patients with complete hemiplegia were randomly assigned to the therapeutic group (n = 8) or control group (CG, n = 9). METHODS Thirty sessions of intensive visual simulation combined with corrected visual feedback (therapeutic group) or uncorrected visual feedback (control group) were performed over 6 weeks on top of a standard rehabilitation programme. MAIN OUTCOME MEASURE 400-point hand assessment test (400p-HA). SECONDARY OUTCOME MEASURES Box and Blocks (B&B), Purdue Pegboard test, Minnesota. RESULTS The 400p-HA test improved significantly from T0 to 6 months for both groups, with a significant difference between groups at 3 months (MW-UT p = 0.046) and 4 months (MW-UT p = 0.046) in favour of the therapeutic group. One-phase exponential modelling of 400p-HA showed a greater plateau for the therapeutic group (F test p = 0.0021). There was also faster recovery of the ability to perform the B&B tests for the therapeutic group (log-rank test p = 0.03). CONCLUSION This study demonstrated the feasibility and potential efficacy of an intensive visual simulation training programme to improve upper limb function in subacute stroke patients. A larger study is needed to confirm these results.
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Affiliation(s)
- Etienne Ojardias
- Physical Medicine & Rehabilitation Department, University Hospital of Saint-Étienne, Saint-Étienne, France; Lyon Neuroscience Research Center, Trajectoires team (Inserm UMR-S 1028, CNRS UMR 5292, Lyon1 & Saint-Etienne Universities), France
| | - Ahmed Adham
- Physical Medicine & Rehabilitation Department, University Hospital of Saint-Étienne, Saint-Étienne, France; Lyon Neuroscience Research Center, Trajectoires team (Inserm UMR-S 1028, CNRS UMR 5292, Lyon1 & Saint-Etienne Universities), France
| | - Hugo Bessaguet
- Physical Medicine & Rehabilitation Department, University Hospital of Saint-Étienne, Saint-Étienne, France; Inter-University Laboratory of Human Movement Biology, EA 7424, Jean Monnet University, Saint-Etienne, France
| | - Virginie Phaner
- Physical Medicine & Rehabilitation Department, University Hospital of Saint-Étienne, Saint-Étienne, France
| | - Diana Rimaud
- Physical Medicine & Rehabilitation Department, University Hospital of Saint-Étienne, Saint-Étienne, France; Inter-University Laboratory of Human Movement Biology, EA 7424, Jean Monnet University, Saint-Etienne, France
| | - Pascal Giraux
- Physical Medicine & Rehabilitation Department, University Hospital of Saint-Étienne, Saint-Étienne, France; Lyon Neuroscience Research Center, Trajectoires team (Inserm UMR-S 1028, CNRS UMR 5292, Lyon1 & Saint-Etienne Universities), France.
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