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Long Y, Zhang W, Zheng M, Xie Q, Liu H, Hu X, Zhang X, Huang W, Gao X, Jiang C, Jiang C, Gao D, Deng J. Association between breast nodules, anxiety, depression and metabolic risk factors in a Chinese cohort. Front Psychiatry 2023; 14:944354. [PMID: 37275984 PMCID: PMC10232859 DOI: 10.3389/fpsyt.2023.944354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2022] [Accepted: 05/02/2023] [Indexed: 06/07/2023] Open
Abstract
Background The relationship between anxiety, depression, and metabolic parameters and the incidence of breast nodules is unclear. This study aims to investigate the association between female breast nodules and anxiety, depression and metabolic factors. Methods This cross-sectional study recruited 857 individuals with biological indicators and breast ultrasound data from the Daping hospital from April 2021 to February 2022. Serum samples were used to measure fasting blood glucose, uric acid, triglycerides, total cholesterol, urea nitrogen, alanine transaminase, aspartate transaminase, albumin, high-density lipoprotein, low-density lipoprotein. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to assess the level of anxiety and depression. Result The positive rate of breast nodules in women aged 40 to 49 years old was significantly higher than that of other age women. The proportion of participants aged 40-49 years old in the group with breast nodules was significantly higher than that in the group without breast nodules (34.6% vs. 16.9%, p<0.001). Breast nodules in postmenopausal women were significantly lower than those in premenopausal women (26.4% vs. 73.6%, p = 0.026). The SAS scores of women with breast nodules were higher than those of the no-nodules group (40.99 ± 8.45 vs. 38.94 ± 6.89, p<0.001), same as the SDS scores (41.97 ± 10.33 vs. 38.91 ± 7.60, p < 0.001). The number of women suffering from anxiety in the group of breast nodules was significantly higher than that in control (13.8% vs. 4.5%, p < 0.001), and the number of depression in the group of breast nodules was also significantly higher than that of in control (14.4% vs. 4.5%, p < 0.001). Women with breast nodules showed a slightly lower uric acid level than those without breast nodules (290.11 ± 65.32 vs. 301.43 ± 65.93 umol/L, p = 0.016). Multivariable logistic regression analysis showed that age, menopausal status, anxiety and depression status were significantly associated with the presence of breast nodules, but there was no significant difference in uric acid. Conclusion Our findings offer insight into the occurrence of depression and anxiety in the breast nodules of Chinese women. Anxiety and depression status, age and menopausal status may be the independent risk factors for the occurrence of breast nodules.
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Affiliation(s)
- Yan Long
- Department of Health Management, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
- Department of Geriatric Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
| | - Wei Zhang
- Department of Health Management, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
- Department of Geriatric Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
| | - Maolan Zheng
- Department of Health Management, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
- Department of Geriatric Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
| | - Qian Xie
- Department of Health Management, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
- Department of Geriatric Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
| | - He Liu
- Department of Health Management, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
- Department of Geriatric Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
| | - Xiaotong Hu
- Department of Health Management, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
- Department of Geriatric Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
| | - Xuelan Zhang
- Department of Health Management, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
- Department of Geriatric Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
| | - Wei Huang
- Department of Health Management, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
- Department of Geriatric Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
| | - Xia Gao
- Department of Health Management, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
- Department of Geriatric Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
| | - Chunmao Jiang
- Department of Health Management, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
- Department of Geriatric Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
| | - Can Jiang
- Department of Sleep and Psychology, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
| | - Dong Gao
- Department of Sleep and Psychology, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
| | - Juan Deng
- Department of Health Management, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
- Department of Geriatric Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, China
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Kalot MA, Dahm P, Cowell LG, Noureddine L, Mustafa RA. Burden of Renal Cysts Imaging: A Survey of Patients among the Greater Plains Collaborative. Urol Int 2021; 106:693-699. [PMID: 34525470 DOI: 10.1159/000517791] [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: 03/29/2021] [Accepted: 06/02/2021] [Indexed: 11/19/2022]
Abstract
PURPOSE Renal cysts are a frequent incidental finding on cross-sectional radiographic imaging. While most cysts are indolent, individuals with such cysts are frequently monitored for interval growth and potential malignant transformation, which is ultimately rare. In this study, we aimed to assess patients' values and preferences (believes and attitudes) about renal cysts. METHODS We deployed a cross-sectional survey to a random sample of patients with a diagnosis of renal cysts who were identified by billing code and self-identification. We collected data about demographics, insurance status, family history and overall health, and characteristics of patients with renal cysts. We performed a binary regression analysis (adjusted for age, gender, family history of cancer and kidney disease, and treatment plan for renal cysts) to determine anxiety predictors in patients with renal cysts. RESULTS We included 301 respondents in whom billing code and self-identification corresponded; of these, 138 had renal cysts and 163 did not. In an adjusted regression analysis, there was a suggestion that a clear management plan (OR = 0.49, 95% CI [0.22-1.11]) (p value 0.08) may be associated with less anxiety and a family history of renal disease may be associated with more anxiety (OR = 1.94 [0.76-4.94]) (p value 0.17). Family history of cancer also did not significantly predict anxiety (OR = 0.54 [0.24-1.19]) (p value 0.13). All these results were not statistically significant and had wide confidence intervals of the effect estimates make the results imprecise. CONCLUSION Findings of this pilot study suggest a clear management plan for the renal cyst(s) management may be associated with a lower level of anxiety, thereby by emphasizing the importance of good communication, patient engagement and evidence-based guidance. More definitive, adequately powered studies are needed to evaluate this finding further. In addition, further studies exploring differences in imaging practices, patient symptomatology and patient engagement by different provider types would be insightful. Ultimately, tools to improve shared decision-making are needed to provide more patient-centered care.
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Affiliation(s)
- Mohamad A Kalot
- Department of Internal Medicine, State University of New York at Buffalo, Buffalo, New York, USA
| | - Philipp Dahm
- Urology Section, Minneapolis VAMC and Department of Urology, University of Minnesota, Minneapolis, Minnesota, USA
| | - Lindsay G Cowell
- Department of Population and Data Sciences, UT Southwestern Medical Center, Dallas, Texas, USA
| | - Lama Noureddine
- Department of Internal Medicine, University of Iowa, Iowa City, Iowa, USA
| | - Reem A Mustafa
- Division of Nephrology and Hypertension, Department of Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA
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Fekih-Romdhane F, Saadallah F, Mbarek M, Bouzaiene H, Cheour M. Prevalence and correlates of hopelessness in Tunisian women with benign breast disease and breast cancer. J Psychosoc Oncol 2021; 40:677-694. [PMID: 34328072 DOI: 10.1080/07347332.2021.1943103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
BACKGROUND There is limited research suggesting that women with Benign Breast Disease (BBD) experience psychological distress similar to breast cancer (BC) women. We aimed to examine hopelessness and its related factors in BC and BBD women. METHOD This was a cross-sectional study. The Beck Hopelessness Scale and the Beck Depression Inventory were administered to 51 BBD and 52 BC women. RESULTS BC women had higher hopelessness scores as compared to those with BBD (6.9 ± 4.8 vs. 4.9 ± 3.6; p = .018). After controlling for confounding variables, depression and suicidal ideation/behavior were significantly associated with hopelessness in the BBD group, while only a lower socioeconomic status was associated with higher hopelessness scores in the BC group. CONCLUSION We found that not only BC but also BBD lead to a psychological burden. Early detection and handling of hopeless feelings and thoughts that may arise in this population are recommended.
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Affiliation(s)
- Feten Fekih-Romdhane
- Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.,Razi Hospital, Manouba, Tunisia
| | - Fatma Saadallah
- Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.,Salah Azaiez Institute, Tunis, Tunisia
| | - Mahdi Mbarek
- Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.,Salah Azaiez Institute, Tunis, Tunisia
| | - Hatem Bouzaiene
- Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.,Salah Azaiez Institute, Tunis, Tunisia
| | - Majda Cheour
- Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.,Razi Hospital, Manouba, Tunisia
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Zhang J, Zhang C, Liu A, Ji Q, Ren L, Ma C, Zhang H, Wu C, Zhang D, Shang M, He F. Synthesis of Icariin-Zinc and its Protective Effect on Exercise Fatigue and Reproductive System Related Glands in Male Rats. Front Pharmacol 2021; 12:611722. [PMID: 34177561 PMCID: PMC8227404 DOI: 10.3389/fphar.2021.611722] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Accepted: 05/17/2021] [Indexed: 11/13/2022] Open
Abstract
Background: Icariin, a traditional Chinese medicine, plays a protective role in the treatment of exercise fatigue. Zinc, a trace element, plays an important role in the reproductive system. Therefore, we aimed to synthesize an Icariin-Zinc complex (by chemical means) and verify its protective effect on exercise fatigue and the reproductive system using animal experiments. Methods: The icariin-zinc complex was prepared by the reaction of icariin carbonyl and zinc ions (molar ratio 1:3). The molecular formula and structural formula of the complex were identified and tested. Fifty-six rats selected by swimming training were randomly divided into six groups: static control, exercise control, icariin, gluconate zinc (G-Zn group), icariin glucose zinc and icariin-zinc exercise ( low, high dose/L-E group, H-E group) groups. These groups respectively received the following doses: 1 ml/100 g, daily gavage with NS (for the first two groups), 45 mg/kg icariin, 110 mg/kg Gluconate Zinc, Icariin glucose zinc (45 mg/kg Icariin and 110 mg/kg Gluconate Zinc), 60 mg/kg icariin zinc and 180 mg/kg icariin zinc. After 3 weeks of gavage, we conducted 6 weeks of exhaustive swimming training. Test indices such as exhaustive swimming time of rats and body weight were evaluated after the last training exercise. The seminal vesicles, testes, and prostate gland were weighed, and their indices were calculated. The levels of testosterone (in the plasma) and glycogen (in the liver and muscle homogenates) were also evaluated using ELISA. Results: Compared with the static control group, the exhaustive swimming time of the rats in each group was prolonged. Compared with the other groups, the exhaustive swimming time of the L-E and H-E groups was significantly longer (p < 0.01); the Icariin-Zinc complex significantly increased the exhaustive swimming time of the rats. Compared with the static control group, the plasma testosterone content of the L-E and H-E groups increased significantly (p < 0.05). Compared with the exercise control group and G-Zn group, the plasma testosterone content of the H-E group also increased significantly (p < 0.01). The Icariin-Zinc complex significantly increased the serum levels of testosterone in rats. Compared with the control group, the muscle glycogen reserves of each group decreased, indicating that the muscle glycogen reserves of the rats decreased after swimming. Compared with other groups, the Icariin-Zinc complex can reduce the level of glycogen in the muscles, indicating that it can increase the utilization efficiency of glycogen in muscles. Compared with the static control and exercise control groups, the testicular weight of rats in the administration groups increased slightly. The Icariin-Zinc complex increased the testicular weight, indicating that the function of the reproductive system was improved to some extent. Conclusion: Icariin-Zinc can significantly prolong the exhaustive swimming time, improve exercise ability, and increase the plasma testosterone level (which is beneficial for improving the reproductive ability of male rats). Moreover, the beneficial effect of Icariin-Zinc on the glycogen content, testis index, and other reproductive system glands is dose-dependent.
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Affiliation(s)
- Juntao Zhang
- Academy of Medical Engineering and Translational Medicine, Tianjin University, Tianjin, China.,Orthopedics Department, The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China
| | - Chao Zhang
- Orthopedics Department, The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China
| | - Aifeng Liu
- Orthopedics Department, The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China
| | - Qiang Ji
- Graduate College, Tianjin University of Traditional Chinese Medicine, Tianjin, China
| | - Lixia Ren
- School of Materials Science and Engineering, Tianjin University, Tianjin, China
| | - Chuanrui Ma
- Orthopedics Department, The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China
| | - Hengyu Zhang
- Academy of Medical Engineering and Translational Medicine, Tianjin University, Tianjin, China
| | - Chaochao Wu
- Graduate College, Tianjin University of Traditional Chinese Medicine, Tianjin, China
| | - Donglin Zhang
- Graduate College, Tianjin University of Traditional Chinese Medicine, Tianjin, China
| | - Man Shang
- Department of Pharmacology, School of Basic Medical Sciences, Tianjin Medical University, Tianjin, China
| | - Feng He
- Academy of Medical Engineering and Translational Medicine, Tianjin University, Tianjin, China
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Çağlar M, Yeşiltepe Oskay Ü, Arican E, Akyol E. Relationship between self-efficacy and sexual function after open heart surgery. Eur J Cardiovasc Nurs 2020; 20:376-382. [PMID: 33620463 DOI: 10.1093/eurjcn/zvaa012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Revised: 06/09/2020] [Accepted: 10/14/2020] [Indexed: 11/13/2022]
Abstract
AIMS The high level of self-efficacy that facilitates the adaptation of patients to their new lives and accelerates the healing process after open heart surgery has a positive effect on sexual function. The aims of the study are to examine the self-efficacy and sexual function of patients undergoing open heart surgery and factors affecting it. METHODS AND RESULTS This descriptive cross-sectional study was conducted with 76 patients (44 females, 32 males). The data were collected with an information form, Barnason Efficacy Expectation Scales (BEES): Cardiac Surgical Version, Beck Depression Inventory (BDI), International Index of Erectile Dysfunction (IIEF), and Female Sexual Function Index (FSFI). The mean age of the patients was 63.12 ± 7.91. It was found that 30.3% of the patients (73.9% female and 26.1% male) were sexually inactive, and they did not receive information about sexual function. The mean BEES: Cardiac Surgical Version score was 43.96 ± 6.07. The mean IIEF score was 19.07 ± 26.0, and the mean FSFI score was 15.67 ± 9.12. There was a positive correlation between BEES: Cardiac Surgical Version and IIEF (r = 0.34; P = 0.00), and there was a negative correlation between BEES: Cardiac Surgical Version and FSFI (r = -0.27; P = 0.01). CONCLUSION It was determined that patients did not have sufficient information about sexual life after open heart surgery. The patients had sexual problems after surgery. It was found that sexual function increased with increasing self-efficacy in men, while sexual function decreased with increasing self-efficacy in women.
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Affiliation(s)
- Merve Çağlar
- Department of Women's Health and Diseases Nursing, Bilecik Şeyh Edebali University School of Nursing, Bilecik, Turkey
| | - Ümran Yeşiltepe Oskay
- Department of Women's Health and Diseases Nursing, Faculty of Nursing, Istanbul University Cerrahpasa Florence Nightingale, Istanbul, Turkey
| | - Eda Arican
- Department of Women's Health and Diseases Nursing, Istanbul Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey
| | - Eda Akyol
- Department of Surgical Diseases Nursing, Istanbul Medeniyet University School Of Nursing, Istanbul, Turkey
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Xi X, Guo S, Guo H, Cui X, Cao H, Xu F, Zheng M, Li Y, Han C. Anti-exercise-fatigue and promotion of sexual interest activity of total flavonoids from wasps drone-pupae in male mice. Biomed Pharmacother 2018; 107:254-261. [PMID: 30096629 DOI: 10.1016/j.biopha.2018.07.172] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2018] [Revised: 07/29/2018] [Accepted: 07/31/2018] [Indexed: 02/06/2023] Open
Abstract
The aim of this research was to evaluate the anti-exercise-fatigue and promotion of sexual interest of total flavonoids from drone pupae of wasps. DPTF was prepared by ethanol extracting and its extraction conditions were optimized by response surface methodology. Then, anti-exercise-fatigue and promotion of sexual interest of DPTF were evaluated. The optimums extraction conditions by RSM were ethanol concentration 65%, extraction time 3 h and solid-to-liquid 20:1(mL/g). No mortality and general symptoms of toxicity were observed in the DPTF treated mice(1 g/kg,3 g/kg,5 g/kg body weight) the body weight and food consumption were not significantly changed compared with the normal control group. The relative weights of main organ did not markedly change. DPTF can significantly extend the duration of the swimming time to exhaustion and the times of capture the female in mice, decrease BUN, LAC and Cr levels, increase LG, GG and T activities in the DPTF treated mice. The dose of 5 g/kg body weight is the optimal dose for anti-exercise-fatigue activity and promotion of sexual interest in male mice. In conclusion, DPTF is promising traditional natural-based therapeutic remedy for relieving exercise-fatigue with high safety.
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Affiliation(s)
- Xiaozhi Xi
- School of Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan City, Shandong, China.
| | - Shasha Guo
- School of Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan City, Shandong, China
| | - Hong Guo
- School of Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan City, Shandong, China
| | - Xiaowei Cui
- School of Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan City, Shandong, China
| | - Hui Cao
- School of Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan City, Shandong, China
| | - Fangxue Xu
- School of Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan City, Shandong, China
| | - Mengmeng Zheng
- School of Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan City, Shandong, China
| | - Yujuan Li
- School of Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan City, Shandong, China
| | - Chunchao Han
- School of Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan City, Shandong, China.
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