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Liu R, He WB, Cao LJ, Wang L, Wei Q. Association between chronic disease and depression among older adults in China: the moderating role of social participation. Public Health 2023; 221:73-78. [PMID: 37421756 DOI: 10.1016/j.puhe.2023.06.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Revised: 05/18/2023] [Accepted: 06/04/2023] [Indexed: 07/10/2023]
Abstract
OBJECTIVES Depression is an increasingly serious mental health problem worldwide. Therefore, this study aimed to explore the association between chronic disease and depression and to further test the moderating role of social participation in this association. STUDY DESIGN This is a cross-sectional study. METHODS We screened 6421 subjects from the 2018 wave of the China Health and Retirement Longitudinal Study database. Social participation and depressive symptoms were assessed using the 12-item self-made scale and 10-item Center for Epidemiological Studies Depression Scale, respectively. Hierarchical regression was used to determine the main effect of chronic disease and depression and the moderating effect of social participation on the relationship between chronic disease and depression. RESULTS In this study, 3172 (49.40%) eligible participants were male, 4680 (72.90%) older adults were concentrated in the 65-74 years group, and 68.20% reported good health status. In addition, gender, area, education level, marital status, health status, health insurance, health service utilization, and physical activity intensity were significant factors associated with participants' depression status (P < 0.05). The results also showed that a higher number of chronic diseases were associated with a higher depression score after adjusting for confounders (single disease: β = 0.074, P < 0.001; multimorbidity: β = 0.171, P < 0.001) and that social participation played a moderating role in this association (β = -0.030, P < 0.05). CONCLUSIONS This study tentatively suggests that a higher number of chronic diseases are associated with rising depression scores in the older Chinese population. In addition, the moderating effect of social participation suggests that more active social engagement should be promoted in this population to alleviate the depressive mood.
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Affiliation(s)
- R Liu
- Department of Rehabilitation Medicine and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, PR China; Key Laboratory of Rehabilitation Medicine in Sichuan Province, Chengdu, Sichuan, PR China
| | - W B He
- Institute of Hospital Management, West China Hospital of Sichuan University, Chengdu, Sichuan, China; Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore
| | - L J Cao
- West China School of Nursing/West China Hospital, Sichuan University, Chengdu, China
| | - L Wang
- Department of Rehabilitation Medicine and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, PR China; Key Laboratory of Rehabilitation Medicine in Sichuan Province, Chengdu, Sichuan, PR China
| | - Q Wei
- Department of Rehabilitation Medicine and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, PR China; Key Laboratory of Rehabilitation Medicine in Sichuan Province, Chengdu, Sichuan, PR China.
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Hu T, Meng L, Tan C, Luo C, He WB, Tu C, Zhang H, Du J, Nie H, Lu GX, Lin G, Tan YQ. P-524 Bi-allelic CFAP61 variants cause male infertility in humans and mice with severe oligoasthenoteratozoospermia. Hum Reprod 2022. [DOI: 10.1093/humrep/deac104.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Study question
Are mutations in cilia and flagella-associated protein 61 (CFAP61) associated with human male infertility?
Summary answer
Bi-allelic variants ([NM_015585.4: c.1654C>T (p.R552C) and c.2911G>A (p.D971N), c.144-2A>G and c.1666G>A (p.G556R)] in CFAP61 were identified as contributory genetics factor in severe oligoasthenoteratozoospermia (OAT).
What is known already
Cfap61 knockout mice were infertile due to multiple morphological abnormalities of the sperm flagella (MMAF). However, so far there is no direct evidence that mutations of CFAP61 cause OAT and male infertility.
Study design, size, duration
Variant screening was performed by whole-exome sequencing (WES) from 325 infertile patients with OAT and 392 fertile individuals. A knockout mouse model was generate to confirm the candidate disease-causing gene, intracytoplasmic sperm injection (ICSI) was used to evaluate the efficiency of clinical treatment.
Participants/materials, setting, methods
A total 325 OAT-affected patients and 392 men with normal fertility were recruited from China. WES was performed, followed by Sanger sequencing validation. In silico bioinformatics predictions and in vitro functional analyses were performed to evaluate the impacts of candidate disease-causing variants. Hematoxylin and eosin (H&E) staining, electron microscopy, and immunofluorescence assays were performed to evaluate the sperm morphology. Two OAT-affected men with CFAP61 variants were treated by ICSI, and pregnancy outcomes were followed.
Main results and the role of chance
We identified bi-allelic CFAP61 variants [NM_015585.4: c.1654C>T (p.R552C) and c.2911G>A (p.D971N), c.144-2A>G and c.1666G>A (p.G556R)] in two (0.62%) of the 325 OAT-affected men. In silico bioinformatics analysis predicted that all four variants were deleterious, and in vitro functional analysis confirmed the deleterious effects of the mutants. Notably, H&E staining and electron microscopy analyses of the spermatozoa revealed multiple morphological abnormalities of sperm flagella, the absence of central pair microtubules, and mitochondrial sheath malformation in sperm flagella from man with CFAP61 variants. Further immunofluorescence assays revealed markedly reduced CFAP61 staining in the sperm flagella. In addition, Cfap61-deficient mice showed the OAT phenotype, suggesting that loss of function of CFAP61 was the cause of OAT. Two individuals accepted ICSI therapy using their own ejaculated sperm, and one of them succeeded in fathering a healthy baby.
Limitations, reasons for caution
Limitations include the lack of in vivo data from the one of patients, and the exact molecular mechanism should be further investigated.
Wider implications of the findings
Our findings indicate that CFAP61 is essential for spermatogenesis and that bi-allelic CFAP61 variants lead to OAT and male infertility in humans and mice. In addition, our results show that ICSI treatment can be recommended for CFAP61-related OAT.
Trial registration number
not applicable
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Affiliation(s)
- T Hu
- Central South University, Institute of Reproduction and Stem Cell Engineering- School of Basic Medical Science , Changsha, China
| | - L Meng
- Central South University, Institute of Reproduction and Stem Cell Engineering- School of Basic Medical Science , Changsha, China
- Reproductive and Genetic Hospital of CITIC-Xiangya, Clinical Research Center for Reproduction and Genetics in Hunan Province , Changsha, China
| | - C Tan
- Central South University, Institute of Reproduction and Stem Cell Engineering- School of Basic Medical Science , Changsha, China
| | - C Luo
- Central South University, Institute of Reproduction and Stem Cell Engineering- School of Basic Medical Science , Changsha, China
| | - W B He
- Central South University, Institute of Reproduction and Stem Cell Engineering- School of Basic Medical Science , Changsha, China
- Reproductive and Genetic Hospital of CITIC-Xiangya, Clinical Research Center for Reproduction and Genetics in Hunan Province , Changsha, China
| | - C Tu
- Central South University, Institute of Reproduction and Stem Cell Engineering- School of Basic Medical Science , Changsha, China
| | - H Zhang
- Central South University, Institute of Reproduction and Stem Cell Engineering- School of Basic Medical Science , Changsha, China
- Reproductive and Genetic Hospital of CITIC-Xiangya, Clinical Research Center for Reproduction and Genetics in Hunan Province , Changsha, China
| | - J Du
- Central South University, Institute of Reproduction and Stem Cell Engineering- School of Basic Medical Science , Changsha, China
- Reproductive and Genetic Hospital of CITIC-Xiangya, Clinical Research Center for Reproduction and Genetics in Hunan Province , Changsha, China
| | - H Nie
- Reproductive and Genetic Hospital of CITIC-Xiangya, Clinical Research Center for Reproduction and Genetics in Hunan Province , Changsha, China
| | - G X Lu
- Reproductive and Genetic Hospital of CITIC-Xiangya, Clinical Research Center for Reproduction and Genetics in Hunan Province , Changsha, China
| | - G Lin
- Central South University, Institute of Reproduction and Stem Cell Engineering- School of Basic Medical Science , Changsha, China
- Reproductive and Genetic Hospital of CITIC-Xiangya, Clinical Research Center for Reproduction and Genetics in Hunan Province , Changsha, China
| | - Y Q Tan
- Central South University, Institute of Reproduction and Stem Cell Engineering- School of Basic Medical Science , Changsha, China
- Reproductive and Genetic Hospital of CITIC-Xiangya, Clinical Research Center for Reproduction and Genetics in Hunan Province , Changsha, China
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Wang CL, Liu S, Chen QJ, Shao ZJ, Wu JF, Fan Z, Wang PG, Zhu ZG, Lan P, Li JG, Zheng YS, He WB, Xu Z, Tang WD, Pang JM, Ban ZH, Yang SQ, Ding WT, Zheng XF, Zhang QL. [Specifications for diagnosis and treatment of non-neonatal tetanus]. Zhonghua Liu Xing Bing Xue Za Zhi 2020; 41:162-166. [PMID: 32164123 DOI: 10.3760/cma.j.issn.0254-6450.2020.02.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Tetanus consists of neonatal tetanus and non-neonatal tetanus. Non-neonatal tetanus remains a serious public health problem, although neonatal tetanus has been eliminated in China since 2012. Non-neonatal tetanus is a potential fatal disease. In the absence of medical intervention, the mortality rate of severe cases is almost 100%. Even with vigorous treatment, the mortality rate is still 30%-50% globally. These specifications aim to regulate non-neonatal tetanus diagnosis and treatment in China, in order to improve medical quality and safety. These specifications introduce the etiology, epidemiology, pathogenesis, clinical manifestations and laboratory tests, diagnosis, differential diagnosis, grading and treatment of non-neonatal tetanus.
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Affiliation(s)
- C L Wang
- Emergency Department/Trauma Center, Peking University People's Hospital, Beijing 100044, China
| | - S Liu
- Emergency Department, First Hospital of Peking University, Beijing 100034, China
| | - Q J Chen
- Emergency Department, Beijing Hepingli Hospital, Beijing 100013, China
| | - Z J Shao
- National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - J F Wu
- Surgical Department, Shijiazhuang Fifth Hospital, Shijiazhuang 050021, China
| | - Z Fan
- Emergency Department, Peking University Shenzhen Hospital, Shenzhen 518036, China
| | - P G Wang
- Emergency Department, The Affiliate Hospital of Qingdao University, Qingdao 266003, China
| | - Z G Zhu
- Rabies Clinic, Wuhan Center for Disease Control and Prevention, Wuhan 430015, China
| | - P Lan
- Department of Emergency, Lishui Hospital,Zhejiang University School of Medicine, Lishui 323000, China
| | - J G Li
- Emergency Department, Hebei General Hospital, Shijiazhuang 050051, China
| | - Y S Zheng
- Department of Critical Care Medicine, The Second Hospital of Nanjing, Nanjing 210003, China
| | - W B He
- Provincial Clinical Medical College, Fujian Medical University, Fuzhou 350001, China
| | - Z Xu
- Centre of Infectious Diseases, The Fifth Medical Centre, PLA General Hospital,Beijing 100039, China
| | - W D Tang
- Suzhou Road Hospital, Xinjiang Autonomous Region People's Hospital, Department of Orthopedics, Urumqi 830000, China
| | - J M Pang
- Thyroid and Breast Surgery, the Third Hospital of Jinan, Jinan 250132, China
| | - Z H Ban
- Emergency Department, Guangxi International Zhuang Medicine Hospital, Nanning 530200, China
| | - S Q Yang
- Emergency Department, Chongqing Emergency Medical Center/Central Hospital of Chongqing University, Chongqing 400014, China
| | - W T Ding
- Department of General Surgery, Tianjin First Central Hospital, Tianjin 300192, China
| | - X F Zheng
- Department of Orthopedic Surgery, First Affiliated Hospital, Dalian Medical University, Dalian 116011, China
| | - Q L Zhang
- Department of Emergency and Critical Care Medicine, the Jiangxi Chest Hospital, Nanchang 330006, China
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Abstract
Objective: To analyze the prognostic value of myocardial injury in patients with COVID-19. Method: Confirmed cases of COVID-19 patients admitted from January 31st to February 5th at isolation ward of Renmin Hospital of Wuhan University were divided into non-survival group and survival group according to the clinical outcomes 5 weeks after admission. Data including demographics, comorbidities, vital signs, laboratory results were obtained. Cardiac injury was defined as serum concentration of high sensitivity cardiac troponin I (hs-cTnI) above 0.04 μg/L. Univariate and multivariate Cox regression were used to analyze the prognostic value of myocardial injury in patients with COVID-19. Kaplan-Meier analysis was used to plotted survival curve and analyze the impact of myocardial injury on the survival outcome of COVID-19 patients. Results: A total of 202 patients were included, the age was 63 (51, 70) years old, 88 (43.6%) of them were male, 85 (42.1%) of them had comorbidities, 125 (61.9%) of them were severely to critically ill. Till March 11, 33 patients died, all of them were critically ill patients. The age, proportion of males, comorbidities, respire rate, serum levels of hs-cTnI and incidence of heart failure in the non-survival group were significantly higher than those in the survival group (all P<0.05). The hospitalization time of non-survival group was significantly shorter than that of survival group (6(4, 9) vs. 32(23, 36), P<0.001). Myocardial injury was an important prognostic factor of COVID-19 (HR=5.382, 95%CI 2.404-12.05, P<0.001). Kaplan-Meier survival analysis showed that the presence of myocardial injury was significantly associated with the reduced survival rate among COVID-19 patients (P<0.001). Conclusion: Myocardial injury is an important prognostic factor of COVID-19, COVID-19 patients with myocardial injury face a significantly higher risk of death.
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Affiliation(s)
- L Wang
- Department of Cardiology, Renmin Hospital of Wuhan University, Hubei Province, Wuhan 430060, China
| | - W B He
- Department of Cardiology, Renmin Hospital of Wuhan University, Hubei Province, Wuhan 430060, China
| | - X M Yu
- Department of Cardiology, Renmin Hospital of Wuhan University, Hubei Province, Wuhan 430060, China
| | - H F Liu
- Department of Cardiology, Renmin Hospital of Wuhan University, Hubei Province, Wuhan 430060, China
| | - W J Zhou
- Department of Cardiology, Renmin Hospital of Wuhan University, Hubei Province, Wuhan 430060, China
| | - H Jiang
- Department of Cardiology, Renmin Hospital of Wuhan University, Hubei Province, Wuhan 430060, China
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Wang CL, Liu S, Chen QJ, Shao ZJ, Wu JF, Fan Z, Wang PG, Zhu ZG, Lan P, Li JG, Zheng YS, He WB, Xu Z, Tang WD, Pang JM, Ban ZH, Yang SQ, Ding WT, Zheng XF, Zhang QL. [Specifications for diagnosis and treatment of non-neonatal tetanus]. Zhonghua Yu Fang Yi Xue Za Zhi 2019; 53:1206-1211. [PMID: 31795576 DOI: 10.3760/cma.j.issn.0253-9624.2019.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Tetanus consists of neonatal tetanus and non-neonatal tetanus. Although neonatal tetanus in China has been eliminated since 2012, non-neonatal tetanus remains a serious public health problem. Non-neonatal tetanus is a potential fatal disease, and the mortality rate of severe cases is almost 100% in the absence of medical intervention. Even with vigorous treatment, the mortality rate is still 30~50% globally. In order to standardize the diagnosis and treatment of non-neonatal tetanus in China, this specification is hereby formulated. This standard includes etiology, epidemiology, pathogenesis, clinical manifestations, laboratory tests, diagnosis, differential diagnosis, classification, grading and treatment of non-neonatal tetanus.
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Affiliation(s)
- C L Wang
- Emergency Department/Trauma Center, Peking University People's Hospital, Beijing 100044, China
| | - S Liu
- Department of Emergency, Peking University First Hospital, Beijing 100034, China
| | - Q J Chen
- Emergency Department, Beijing Hepingli Hospital, Beijing 100013, China
| | - Z J Shao
- National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
| | - J F Wu
- Surgical Department, Shijiazhuang Fifth Hospital, Shijiazhuang 050021, China
| | - Z Fan
- Emergency Department, Peking University Shenzhen Hospital, Shenzhen 518036, China
| | - P G Wang
- Emergency Department, The Affiliate Hospital of Qingdao University, Qingdao 266003, China
| | - Z G Zhu
- Wuhan Center for Disease Control and Prevention, Wuhan 430015, China
| | - P Lan
- Department of Emergency, Lishui Hospital, Zhejiang University School of Medicine, Lishui 323000, China
| | - J G Li
- Emergency Department, Hebe general hospital, Shijiazhuang 050051, China
| | - Y S Zheng
- Department of Critical Care Medicine, The Second Hospital of Nanjing, Nanjing 210003 China
| | - W B He
- Provincial clinical medical college, Fujian medical university, Fuzhou 350001, China
| | - Z Xu
- The centre of infectious diseases, the Fifth medical centre, PLA general hospital, Beijing100039, China
| | - W D Tang
- Suzhou Road Hospital, Xinjiang Autonomous Region People's Hospital, Department of Orthopedics, Urumqi 830000, China
| | - J M Pang
- Thyroid and breast surgery, The thirdhospital of Jinan, Jinan 250132, China
| | - Z H Ban
- Emergency Department, Guangxi International Zhuang Medicine Hospital, Nanning 530200, China
| | - S Q Yang
- Emergency Department, Chongqing Emergency Medical Center/Central Hospital of Chongqing University, Chongqing 400014, China
| | - W T Ding
- Department of General Surgery, Tianjin First Central Hospital, Tianjin 300192, China
| | - X F Zheng
- Department of Orthopedic Surgery, First Affiliated Hospital, Dalian Medical University, Dalian 116011, China
| | - Q L Zhang
- Department of Emergency and Critical Care Medicine, The Jiangxi chest hospital, Nanchang 330006, China
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Wang M, Wu QB, He WB, Wang ZQ. Clinicopathological characteristics and prognosis of schistosomal colorectal cancer. Colorectal Dis 2016; 18:1005-1009. [PMID: 26922912 DOI: 10.1111/codi.13317] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2015] [Accepted: 01/12/2016] [Indexed: 02/05/2023]
Abstract
AIM The aim of the present study was to investigate the clinicopathological characteristics and prognostic factors of schistosomal colorectal cancer. METHOD A total of 74 consecutive schistosomal colorectal cancer patients who underwent curative surgery from July 2009 to July 2012 were included in this study. The clinical and pathological characteristics of all 74 patients were analysed and univariate and multivariate analyses were performed. This study demonstrated positive correlations between the site of deposition of schistosomal eggs and certain essential variables. RESULTS Depositional site of schistosome eggs, carcinoembryonic antigen (CEA) level and the pathological N and T stages were statistically significantly correlated with overall survival (OS). The pathological T stage and the CEA level were independent prognostic factors for OS. The site of deposition of schistosome eggs was positively correlated with the T and N stages, tumour size, the CEA level and the resection margins. CONCLUSIONS Schistosome eggs might be associated with tumorigenesis. The site of deposition of schistosome eggs was statistically significantly correlated with OS but it was not an independent prognostic factor for OS. It was, however, correlated with the depth of the tumour. The presence of schistosoma eggs at the margin did not affect the patient's prognosis or anastomotic healing. The existing standard surgical approach was equally applicable to schistosomal colorectal cancer. It was not necessary to expand the scope of surgical resection.
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Affiliation(s)
- M Wang
- Department of Gastroenterological Surgery, West China Hospital, Sichuan University, Chengdu, China
| | - Q B Wu
- Department of Gastroenterological Surgery, West China Hospital, Sichuan University, Chengdu, China
| | - W B He
- Department of Gastroenterological Surgery, West China Hospital, Sichuan University, Chengdu, China
| | - Z Q Wang
- Department of Gastroenterological Surgery, West China Hospital, Sichuan University, Chengdu, China.
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He WB, Ma YG, Cao XG, Cai XZ, Zhang GQ. Giant dipole resonance as a fingerprint of α clustering configurations in 12C and 16O. Phys Rev Lett 2014; 113:032506. [PMID: 25083640 DOI: 10.1103/physrevlett.113.032506] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2014] [Indexed: 06/03/2023]
Abstract
It is studied how the α cluster degrees of freedom, such as α clustering configurations close to the α decay threshold in (12)C and (16)O, including the linear chain, triangle, square, kite, and tetrahedron, affect nuclear collective vibrations with a microscopic dynamical approach, which can describe properties of nuclear ground states well across the nuclide chart and reproduce the standard giant dipole resonance (GDR) of (16)O quite nicely. It is found that the GDR spectrum is highly fragmented into several apparent peaks due to the α structure. The different α cluster configurations in (12)C and (16)O have corresponding characteristic spectra of GDR. The number and centroid energies of peaks in the GDR spectra can be reasonably explained by the geometrical and dynamical symmetries of α clustering configurations. Therefore, the GDR can be regarded as a very effective probe to diagnose the different α cluster configurations in light nuclei.
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Affiliation(s)
- W B He
- Shanghai Institute of Applied Physics, Chinese Academy of Sciences, Shanghai 201800, China and University of the Chinese Academy of Sciences, Beijing 100080, China
| | - Y G Ma
- Shanghai Institute of Applied Physics, Chinese Academy of Sciences, Shanghai 201800, China and Shanghai Tech University, Shanghai 200031, China
| | - X G Cao
- Shanghai Institute of Applied Physics, Chinese Academy of Sciences, Shanghai 201800, China
| | - X Z Cai
- Shanghai Institute of Applied Physics, Chinese Academy of Sciences, Shanghai 201800, China
| | - G Q Zhang
- Shanghai Institute of Applied Physics, Chinese Academy of Sciences, Shanghai 201800, China
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