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Yan Z, Wenbin J, Bohan L, Qian W, Qianqian L, Ruting G, Silong G, Miao T, Huanting L, Lili W. Post-traumatic growth trajectories among frontline healthcare workers during the COVID-19 pandemic: A three-wave follow-up study in mainland China. Front Psychiatry 2022; 13:945993. [PMID: 36032252 PMCID: PMC9399491 DOI: 10.3389/fpsyt.2022.945993] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Accepted: 07/25/2022] [Indexed: 12/02/2022] Open
Abstract
OBJECTIVES The COVID-19 pandemic has taken a significant toll on people worldwide for more than 2 years. Previous studies have highlighted the negative effects of COVID-19 on the mental health of healthcare workers (HCWs) more than the positive changes, such as post-traumatic growth (PTG). Furthermore, most previous studies were cross-sectional surveys without follow-ups. This study draws on PTG follow-up during the COVID-19 outbreak at 12-month intervals for 2 years since 2020. The trajectories and baseline predictors were described. METHODS A convenience sampling method was used to recruit frontline nurses or doctors at the COVID-19-designated hospital who were eligible for this study. A total of 565 HCWs completed the 2 years follow-up and were used for final data analysis. The latent growth mixture models (GMM) was used to identify subgroups of participants with different PTG trajectories. Multinomial logistic regression model was used to find predictors among sociodemographic characteristics and resilience at baseline. RESULTS Four trajectory PTG types among HCWs were identified: 'Persistent, "Steady increase", "High with drop", and "Fluctuated rise." Comparing the "Persistent low" type, the other three categories were all associated with older age, higher education. Furthermore, "Persistent low" was also negatively associated with resilience at baseline. CONCLUSION The PTG of HCWs with different characteristics showed different trends over time. It is necessary to increase the measure frequency to understand the PTG status in different times. Improving HCW's resilience could help improve staff PTG.
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Affiliation(s)
- Zhang Yan
- Department of Nursing, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Jiang Wenbin
- Department of Nursing and Hospital Infection Management, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Lv Bohan
- School of Nursing, Qingdao University, Qingdao, China
| | - Wu Qian
- Department of Neonatology, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Li Qianqian
- Department of Nursing, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Gu Ruting
- Department of Nursing, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Gao Silong
- Intensive Care Unit, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Tuo Miao
- Department of Neurology, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Li Huanting
- Office of Director, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Wei Lili
- Department of Nursing, The Affiliated Hospital of Qingdao University, Qingdao, China
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Pin G, Huanting L, Chengzhan Z, Xinjuan K, Yugong F, Wei L, Shifang L, Zhaojian L, Kun H, Weicheng Y, Yingying L, Yongming Q, Yanan Y. Down-Regulation of PDCD4 Promotes Proliferation, Angiogenesis and Tumorigenesis in Glioma Cells. Front Cell Dev Biol 2020; 8:593685. [PMID: 33304903 PMCID: PMC7693433 DOI: 10.3389/fcell.2020.593685] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Accepted: 10/19/2020] [Indexed: 12/23/2022] Open
Abstract
The programmed cell death 4 (PDCD4) tumor-suppressor gene regulates cell apoptosis, protein translation, signal transduction, and induction of mediators of inflammation. However, the mechanism by which PDCD4 is down-regulated and regulates tumor growth remains elusive. In this study, we showed that PDCD4 is down-regulated in glioma cells and acts as a tumor suppressor. Based on the TCGA data, we confirmed that AKT2, but not AKT1 or AKT3, interacts with PDCD4, thus leading to the suppression of PDCD4 in glioma cells. Moreover, the analysis suggested that PDCD4 regulates the expression of IL-5, CCL-5, VEGF, and CXCL10 via the NF-kB pathway. Additionally, depletion of levels of PDCD4 promoted angiogenic activity of glioma cells via the VEGF-STAT3 pathway. When tumor cells over-expressing PDCD4 were injected into nude mice, the increased expression of PDCD4 blocked tumorigenesis and prolonged overall survival. Our study indicates the need to develop drugs that can modulate the expression of PDCD4 and test their efficacy in clinical trials.
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Affiliation(s)
- Guo Pin
- Department of Neurosurgery, The Affiliated Hospital of Qingdao University, Qingdao, China.,Institute of Cerebral Vascular Diseases, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Li Huanting
- Department of Neurosurgery, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Zhu Chengzhan
- Department of Hepatobiliary and Pancreatic Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Kong Xinjuan
- Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Feng Yugong
- Department of Neurosurgery, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Liu Wei
- Department of Neurosurgery, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Li Shifang
- Department of Neurosurgery, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Li Zhaojian
- Department of Neurosurgery, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Han Kun
- Department of Neurosurgery, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Yao Weicheng
- Department of Neurosurgery, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Lin Yingying
- Department of Neurosurgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Qiu Yongming
- Department of Neurosurgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Yu Yanan
- Department of Gastroenterology, The Affiliated Hospital of Qingdao University, Qingdao, China
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Zhenbo Z, Huanting L, Jin W, Haifeng G, Yuan F, Ming L. Hemilaminoplasty for the treatment of lumbar intraspinal synovial cysts (LISCs) and literature review. Eur Spine J 2014; 25:3393-3402. [DOI: 10.1007/s00586-014-3570-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/07/2013] [Revised: 09/03/2014] [Accepted: 09/04/2014] [Indexed: 01/17/2023]
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Abstract
BACKGROUND Because recurrent peroneal subluxation can produce functional impairment in athletes, most authors suggest operative intervention for patients who fail nonoperative treatment. The present report introduces the modified sliding fibular graft repair for this pathology. METHODS This retrospective study was conducted to analyze the clinical results for 26 patients with recurrent peroneal subluxation who underwent this procedure with a follow-up of a minimum of 3 years. RESULTS Intraoperative observations revealed 15 convex grooves and 11 shallow sulci with a low-lying peroneus brevis muscle belly in 6 patients and a peroneus quartus muscle in 4 patients. All underwent the procedure plus excision of redundant muscle and tendon repair, with an improvement rate of 88.5% according to American Orthopaedic Foot & Ankle Society (AOFAS) score at the final visit. All but 3 patients returned to normal function in 4.4 months with no infection, nonunion, or intra-articular screw placement. A total of 8 patients had minor complications including neurapraxia, synovitis, stress fracture, and delayed union. CONCLUSION We found that an anomalous fibular groove plus tendon variants could lead to a further decrease in the volume of the osteofibrous tunnel and might be the reason for recurrent peroneal dislocation; thus, our modified procedure may be a reasonable treatment for this pathological malposition. We found less functional recovery in aged patients due to a higher incidence of tendon tear and postoperative complications. LEVEL OF EVIDENCE Level III, retrospective comparative study.
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Affiliation(s)
- Zuo Zhenbo
- Department of Trauma, Affiliated Hospital of Qingdao University, Qingdao, PR China
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