Background To investigate the relationship of age at first separation from parents(AFSP)with suicidal ideation(SI),suicide planning(SP)and suicide attempts(SA)among left-behind children(LBC)in China and the mediating ...Background To investigate the relationship of age at first separation from parents(AFSP)with suicidal ideation(SI),suicide planning(SP)and suicide attempts(SA)among left-behind children(LBC)in China and the mediating effect of traumatic events(TEs).Methods This cross-sectional study employed a multistage sampling method to conduct questionnaire surveys in six high-concentrated LBC provinces.Logistic regression and restricted cubic splines were performed to investigate the association of AFSP with SI,SP and SA,and meta-analysis(I2)was used to assess the heterogeneity.Causal mediation analysis(structural equation modelling)was used to evaluate the mediating effect of TEs,and bootstrap resampling was employed to assess the robustness of the causal mediation analysis.Results A total of 12162(6269 LBC)participants were included in this study;the prevalence rates of SI,SP and SA among LBC were 30.7%,18.6%and 11.9%;and LBC had a higher risk of SI(OR:1.32),SP(OR:1.40)and SA(OR:1.25)than non-LBC,all p<0.001.AFSP was negatively associated with SI,SP and SA,particularly peaking before 2 years old.LBC with AFSP<2 years old had a higher risk of SI(OR 2.65;95%CI 2.17 to 3.24;p<0.001),SP(OR 2.63;95%CI 3.36 to 4.29;p<0.001)and SA(OR 2.04;95%CI 2.73 to 3.63;p<0.001).TEs mediated the increased risk of SI(average causal mediation effect(ACME)0.03–0.07;proportion(Prop)40–54%;all p<0.001),SP(ACME 0.03–0.06;Prop 39–61%;all p<0.001)and SA(ACME 0.02–0.04;Prop 53–80%;all p<0.01).Conclusions We found that AFSP was associated with SI,SP and SA,mediated by TEs.Our findings supported the necessity of reducing SI,SP and SA risks among LBC and highlighted the need to consider AFSPs and TEs in intervention strategies.展开更多
Traumatic brain injury（TBI）remains one of the leading causes of disability and death in infants and children.Studies have demonstrated that the youngest age group（especially≤4 years old）exhibit worse functional o...Traumatic brain injury（TBI）remains one of the leading causes of disability and death in infants and children.Studies have demonstrated that the youngest age group（especially≤4 years old）exhibit worse functional outcome following moderate to severe TBI compared to older children or adults（Anderson et al.,2005;Emami et al.,2017）.These data suggest that age-at-injury may be an important determinant of outcome,展开更多
Objective To evaluate the effects of hyperbaric oxygen therapy (HBOT) on Glasgow Coma Scale (GCC) after traumatic brain injury (TBI) in patients. Methods One hundred and thirty-eight patients with traumatic brain inju...Objective To evaluate the effects of hyperbaric oxygen therapy (HBOT) on Glasgow Coma Scale (GCC) after traumatic brain injury (TBI) in patients. Methods One hundred and thirty-eight patients with traumatic brain injury were treated by routine therapy combined with HBOT and 29 patients by routine therapy.展开更多
Breviscapine,extracted from the herb Erigeron breviscapus,is widely used for the treatment of cardiovascular diseases,cerebral infarct,and stroke,but its mechanism of action remains unclear.This study established a ra...Breviscapine,extracted from the herb Erigeron breviscapus,is widely used for the treatment of cardiovascular diseases,cerebral infarct,and stroke,but its mechanism of action remains unclear.This study established a rat model of traumatic brain injury induced by controlled cortical impact,and injected 75 μg breviscapine via the right lateral ventricle.We found that breviscapine significantly improved neurobehavioral dysfunction at 6 and 9 days after injection.Meanwhile,interleukin-6 expression was markedly down-regulated following breviscapine treatment.Our results suggest that breviscapine is effective in promoting neurological behavior after traumatic brain injury and the underlying molecular mechanism may be associated with the suppression of interleukin-6.展开更多
基金supported by the National Social Science Fund of China(NSSFC)(Grant No 20BSH066,JZ).
文摘Background To investigate the relationship of age at first separation from parents(AFSP)with suicidal ideation(SI),suicide planning(SP)and suicide attempts(SA)among left-behind children(LBC)in China and the mediating effect of traumatic events(TEs).Methods This cross-sectional study employed a multistage sampling method to conduct questionnaire surveys in six high-concentrated LBC provinces.Logistic regression and restricted cubic splines were performed to investigate the association of AFSP with SI,SP and SA,and meta-analysis(I2)was used to assess the heterogeneity.Causal mediation analysis(structural equation modelling)was used to evaluate the mediating effect of TEs,and bootstrap resampling was employed to assess the robustness of the causal mediation analysis.Results A total of 12162(6269 LBC)participants were included in this study;the prevalence rates of SI,SP and SA among LBC were 30.7%,18.6%and 11.9%;and LBC had a higher risk of SI(OR:1.32),SP(OR:1.40)and SA(OR:1.25)than non-LBC,all p<0.001.AFSP was negatively associated with SI,SP and SA,particularly peaking before 2 years old.LBC with AFSP<2 years old had a higher risk of SI(OR 2.65;95%CI 2.17 to 3.24;p<0.001),SP(OR 2.63;95%CI 3.36 to 4.29;p<0.001)and SA(OR 2.04;95%CI 2.73 to 3.63;p<0.001).TEs mediated the increased risk of SI(average causal mediation effect(ACME)0.03–0.07;proportion(Prop)40–54%;all p<0.001),SP(ACME 0.03–0.06;Prop 39–61%;all p<0.001)and SA(ACME 0.02–0.04;Prop 53–80%;all p<0.01).Conclusions We found that AFSP was associated with SI,SP and SA,mediated by TEs.Our findings supported the necessity of reducing SI,SP and SA risks among LBC and highlighted the need to consider AFSPs and TEs in intervention strategies.
文摘Traumatic brain injury（TBI）remains one of the leading causes of disability and death in infants and children.Studies have demonstrated that the youngest age group（especially≤4 years old）exhibit worse functional outcome following moderate to severe TBI compared to older children or adults（Anderson et al.,2005;Emami et al.,2017）.These data suggest that age-at-injury may be an important determinant of outcome,
文摘Objective To evaluate the effects of hyperbaric oxygen therapy (HBOT) on Glasgow Coma Scale (GCC) after traumatic brain injury (TBI) in patients. Methods One hundred and thirty-eight patients with traumatic brain injury were treated by routine therapy combined with HBOT and 29 patients by routine therapy.
文摘Breviscapine,extracted from the herb Erigeron breviscapus,is widely used for the treatment of cardiovascular diseases,cerebral infarct,and stroke,but its mechanism of action remains unclear.This study established a rat model of traumatic brain injury induced by controlled cortical impact,and injected 75 μg breviscapine via the right lateral ventricle.We found that breviscapine significantly improved neurobehavioral dysfunction at 6 and 9 days after injection.Meanwhile,interleukin-6 expression was markedly down-regulated following breviscapine treatment.Our results suggest that breviscapine is effective in promoting neurological behavior after traumatic brain injury and the underlying molecular mechanism may be associated with the suppression of interleukin-6.
