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Wang L, Mei F, Min M, He X, Luo L, Ma Y. Adoption of the cardiopulmonary exercise test in the exercise ability and cardiopulmonary function rehabilitation of coronary artery disease (CAD) patients. BMC Cardiovasc Disord 2024; 24:313. [PMID: 38902630 PMCID: PMC11191307 DOI: 10.1186/s12872-024-03958-0] [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: 07/03/2023] [Accepted: 11/24/2023] [Indexed: 06/22/2024] Open
Abstract
BACKGROUND This study aimed to explore the application of cardiopulmonary exercise testing in coronary artery disease (CAD) patients, evaluate its impact on exercise ability and cardiopulmonary function in patients with coronary heart disease (CHD), and promote the application of cardiopulmonary exercise testing in CAD management. METHODS Fifty CHD patients after percutaneous coronary intervention (PCI) were recruited and randomly enrolled into the control (Ctrl) group and intervention (Int) group. Routine health education and health education combined with RT training were carried out for the two groups. Blood lipid levels and lung function were compared between the two groups after intervention. Cardiac function was evaluated by Doppler ultrasonography, and cardiopulmonary fitness and exercise ability were evaluated by a cardiopulmonary exercise test (CPET). The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were employed to evaluate negative emotions. The 36-item short-form (SF-36) was adopted to evaluate quality of life. RESULT Compared with those in the Ctrl group, the levels of serum total cholesterol (TC), triglycerides (TGs), high-density lipoprotein (HDL), and low-density lipoprotein (LDL) decreased in the Int group, while the levels of high-density lipoprotein increased (P < 0.05). The quantitative load results showed that compared with the Ctrl group, the heart rate (HR) and self-perceived fatigue degree of the Int group decreased, and the ST segment increased (P < 0.05). Compared with the Ctrl group, the left ventricular ejection fraction (LVEF), forced expiratory volume at 1 s (FEV1), ratio of forced expiratory volume to forced vital volume (FEV1/FVC%), and maximum chase volume (MVV) increased in the Int group, while the left ventricular end diastolic diameter and left ventricular end contractile diameter decreased (P < 0.05). The results of the CPET showed that compared with the Ctrl group, minute ventilation/carbon dioxide production slope, VE/VCO2 - Peak, anaerobic threshold (AT), peak oxygen pulse (VO2/HR peak), oxygen uptake efficiency platform (OUEP), increasing power exercise time (IPEt), HR recovery 1 min after exercise, peak load power (Watt peak), and value metabolic equivalent (Watt peak) increased in the Int group (P < 0.05). Compared with the Ctrl group, the SAS and SDS scores in the Int group decreased (P < 0.05). The results of the quality of life evaluation showed that compared with the Ctrl group, the score of the SF-36 dimensions increased in the Int group (P < 0.05). CONCLUSION RT training can reduce postoperative blood lipid and quantitative load levels in CAD patients and improve adverse mood. Furthermore, it can improve patients' cardiopulmonary function, cardiopulmonary fitness, exercise ability, and quality of life.
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Affiliation(s)
- Lingling Wang
- Department of Cardiology,Xiangyang No.1, People's Hospital, Hubei University of Medicine, Xiangyang, Hubei, 441000, China
| | - Fan Mei
- Department of Cardiology,Xiangyang No.1, People's Hospital, Hubei University of Medicine, Xiangyang, Hubei, 441000, China
| | - Mengyi Min
- Department of Cardiology,Xiangyang No.1, People's Hospital, Hubei University of Medicine, Xiangyang, Hubei, 441000, China
| | - Xiuyan He
- Nursing Department, Grade 7, Health Center of Jimo District, Qingdao, Shandong, 266200, China
| | - Lili Luo
- Nursing Department, Duanbolan Health Center of Jimo District, Qingdao, Shandong, 266200, China
| | - Youxia Ma
- Nursing Department, Shandong First Medical University, Taian, Shandong, 271000, China.
- Pulmonary and Critical Care Medicine Nursing Care, Laishan Hosital, Yantaishan Hospital, Yantai, 264000, China.
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Chen X, Chen J, Zhao X, Mu R, Tan H, Yu Z. Issues and Solutions in Psychiatric Clinical Trial with Case Studies. Neuropsychiatr Dis Treat 2024; 20:1191-1200. [PMID: 38855383 PMCID: PMC11162181 DOI: 10.2147/ndt.s454813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2023] [Accepted: 05/22/2024] [Indexed: 06/11/2024] Open
Abstract
The coronavirus disease-2019 pandemic resulted in a major increase in depression and anxiety disorders worldwide, which increased the demand for mental health services. However, clinical interventions for treating mental disorders are currently insufficient to meet this growing demand. There is an urgent need to conduct scientific and standardized clinical research that are consistent with the features of mental disorders in order to deliver more effective and safer therapies in the clinic. Our study aimed to expose the challenges, complexities of study design, ethical issues, sample selection, and efficacy evaluation in clinical research for mental disorders. The reliance on subjective symptom presentation and rating scales for diagnosing mental diseases was discovered, emphasizing the lack of clear biological standards, which hampers the construction of rigorous research criteria. We underlined the possibility of psychotherapy in efficacy evaluation alongside medication treatment, proposing for a multidisciplinary approach comprising psychiatrists, neuroscientists, and statisticians. To comprehend mental disorders progression, we recommend the development of artificial intelligence integrated evaluation tools, the use of precise biomarkers, and the strengthening of longitudinal designs. In addition, we advocate for international collaboration to diversity samples and increase the dependability of findings, with the goal of improving clinical research quality in mental disorders through sample representativeness, accurate medical history gathering, and adherence to ethical principles.
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Affiliation(s)
- Xiaochen Chen
- Clinical Research Institute & School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China
| | - Jun Chen
- Clinical Research Center, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China
| | - Xue Zhao
- Clinical Research Center, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China
| | - Rongji Mu
- Clinical Research Institute & School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China
| | - Hongsheng Tan
- Clinical Research Institute & School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China
| | - Zhangsheng Yu
- Clinical Research Institute & School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China
- School of Life Sciences and Biotechnology, Shanghai Jiao Tong University, Shanghai, People’s Republic of China
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Xie W, Wang C, Lin Z, Luo X, Chen W, Xu M, Liang L, Liu X, Wang Y, Luo H, Cheng M. Multimodal fusion diagnosis of depression and anxiety based on CNN-LSTM model. Comput Med Imaging Graph 2022; 102:102128. [PMID: 36272311 DOI: 10.1016/j.compmedimag.2022.102128] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Revised: 09/20/2022] [Accepted: 09/28/2022] [Indexed: 11/07/2022]
Abstract
BACKGROUND In recent years, more and more people suffer from depression and anxiety. These symptoms are hard to be spotted and can be very dangerous. Currently, the Self-Reported Anxiety Scale (SAS) and Self-Reported Depression Scale (SDS) are commonly used for initial screening for depression and anxiety disorders. However, the information contained in these two scales is limited, while the symptoms of subjects are various and complex, which results in the inconsistency between the questionnaire evaluation results and the clinician's diagnosis results. To fully mine the scale data, we propose a method to extract the features from the facial expression and movements, which are generated from the video recorded simultaneously when subjects fill in the scale. Then we collect the facial expression, movements and scale information to establish a multimodal framework for improving the accuracy and robustness of the diagnosis of depression and anxiety. METHODS We collect the scale results of the subjects and the videos when filling in the scales. Given the two scales, SAS and SDS, we construct a model with two branches, where each branch processes the multimodal data of SAS and SDS, respectively. In the branch, we first build a convolutional neural network (CNN) to extracts the facial expression features in each frame of images. Secondly, we establish a long short-term memory (LSTM) network to further embedding the facial expression feature and build the connections between various frames, so that the movement feature in the video can be generated. Thirdly, we transform the scale scores into one-hot format, and feed them into the corresponding branch of the network to further mining the information of the multimodal data. Finally, we fuse the embeddings of these two branches to generate inference results of depression and anxiety. RESULTS AND CONCLUSIONS Based on the score results of SAS and SDS, our multimodal model further mines the video information, and can reach the accuracy of 0.946 in diagnosing depression and anxiety. This study demonstrates the feasibility of using our CNN-LSTM-based multimodal model for initial screening and diagnosis of depression and anxiety disorders with high diagnostic performance.
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Affiliation(s)
- Wanqing Xie
- Department of Intelligent Medical Engineering, School of Biomedical Engineering, Anhui Medical University, Hefei, China; Department of Psychology, School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, China; Suzhou Fanhan Information Technology Company, Ltd, Suzhou, China
| | - Chen Wang
- College of the Mathematical Sciences, Harbin Engineering University, Harbin, China
| | - Zhixiong Lin
- Department of Psychiatry, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China
| | - Xudong Luo
- Department of Psychiatry, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China
| | - Wenqian Chen
- College of the Mathematical Sciences, Harbin Engineering University, Harbin, China
| | - Manzhu Xu
- Department of Biological Sciences, Rensselaer Polytechnic Institute, Troy, NY 12180, USA
| | - Lizhong Liang
- Department of Psychiatry, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China; School of Computer Science and Engineering, Sun Yat-sen University, Guangzhou, China
| | - Xiaofeng Liu
- Suzhou Fanhan Information Technology Company, Ltd, Suzhou, China; Neurology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA
| | - Yanzhong Wang
- School of Population Health & Environmental Sciences, Faculty of Life Science and Medicine, King's College London, London, UK
| | - Hui Luo
- Marine Biomedical Research Institute of Guangdong Medical University, Zhanjiang 510240, China.
| | - Mingmei Cheng
- Department of Intelligent Medical Engineering, School of Biomedical Engineering, Anhui Medical University, Hefei, China; Department of Psychology, School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, China.
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Rong Q, Ding S, Yue Z, Wang Y, Wang L, Zheng X, Li Y. Non-Contact Negative Mood State Detection Using Reliability-Focused Multi-Modal Fusion Model. IEEE J Biomed Health Inform 2022; 26:4691-4701. [PMID: 35696474 DOI: 10.1109/jbhi.2022.3182357] [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: 11/10/2022]
Abstract
Negative mood states include tension, depression, anger, fatigue, and confusion, which represent the weak internal emotions of a human. Negative mood states exert adverse impact on individuals' ability to make rational decisions, which entails the practicable method of negative mood state detection. The most commonly used negative mood state detection methods are based on the psychological scale, which requires additional work and brings inconvenience to the subject in the application scenarios. To overcome this challenge, this paper proposes a novel non-contact negative mood state detection method according to the knowledge of affective computing. The POMS-net model is used to extract temporal-spatial features from visible and infrared thermal videos, and the negative mood state detection is realized using data reliability-focused multi-modal fusion. The proposed method is verified using the HDT-BR dataset collected in the aerospace medicine experiment "Earth-Star II" and the VIRI public dataset. The experimental results on the datasets verify that our method outperforms the comparison methods.
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Rejaibi E, Komaty A, Meriaudeau F, Agrebi S, Othmani A. MFCC-based Recurrent Neural Network for automatic clinical depression recognition and assessment from speech. Biomed Signal Process Control 2022. [DOI: 10.1016/j.bspc.2021.103107] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
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Xie W, Liang L, Lu Y, Luo H, Liu X. Deep 3D-CNN for Depression Diagnosis with Facial Video Recording of Self-Rating Depression Scale Questionnaire. ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY. ANNUAL INTERNATIONAL CONFERENCE 2021; 2021:2007-2010. [PMID: 34891681 DOI: 10.1109/embc46164.2021.9630412] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
The Self-Rating Depression Scale (SDS) questionnaire is commonly utilized for effective depression preliminary screening. The uncontrolled self-administered measure, on the other hand, maybe readily influenced by insouciant or dishonest responses, yielding different findings from the clinician-administered diagnostic. Facial expression (FE) and behaviors are important in clinician-administered assessments, but they are underappreciated in self-administered evaluations. We use a new dataset of 200 participants to demonstrate the validity of self-rating questionnaires and their accompanying question-by-question video recordings in this study. We offer an end-to-end system to handle the face video recording that is conditioned on the questionnaire answers and the responding time to automatically interpret sadness from the SDS assessment and the associated video. We modified a 3D-CNN for temporal feature extraction and compared various state-of-the-art temporal modeling techniques. The superior performance of our system shows the validity of combining facial video recording with the SDS score for more accurate self-diagnose.
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