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基于网络药理学与实验验证研究地黄环烯醚萜苷调控AGEs/RAGE/MAPK通路保护2型糖尿病小鼠肝脏的作用机制
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作者 王慧森 张宏伟 +3 位作者 刘明 梁瑞峰 张雪侠 张明利 《中草药》 北大核心 2025年第14期5061-5073,共13页
目的基于网络药理学和动物实验验证探讨地黄环烯醚萜苷类(Rehmannia glutinosa iridoid glycosides,RIG)治疗2型糖尿病(type 2 diabetes,T2DM)的作用机制。方法利用Swisstargetprediction和PharmMapper数据库预测筛选RIG相关作用靶点,O... 目的基于网络药理学和动物实验验证探讨地黄环烯醚萜苷类(Rehmannia glutinosa iridoid glycosides,RIG)治疗2型糖尿病(type 2 diabetes,T2DM)的作用机制。方法利用Swisstargetprediction和PharmMapper数据库预测筛选RIG相关作用靶点,OMMI、Genecard、DisGeNET数据库获取T2DM的相关靶标基因,将获得的共同靶点导入STRING数据库构建蛋白相互作用(protein-protein interaction,PPI)网络,Cytoscape软件构建“药物-成分-靶点”和核心靶点网络,通过DAVID数据库和微生信平台进行基因本体(gene ontology,GO)功能及京都基因与基因组百科全书(Kyoto encyclopedia of genes and genomes,KEGG)通路富集分析。采用高糖高脂喂养联合ip链脲佐菌素建立T2DM小鼠模型,将造模成功的小鼠随机分为模型组、二甲双胍(250 mg/kg)组和RIG低、高剂量(200、400 mg/kg)组,每组9只,另取10只正常小鼠作为对照组。药物干预8周,每周测定体质量、空腹血糖(fasting blood glucose,FBG)。给药结束后,分离血清,检测低密度脂蛋白胆固醇(low density lipoprotein cholesterol,LDL-C)、高密度脂蛋白胆固醇(high density lipoprotein cholesterol,HDL-C)、胰岛素(fasting insulin,FINS)水平,并计算胰岛素抵抗指数(homeostasis model assessment of insulin resistance,HOMA-IR);采用苏木素-伊红(HE)、Masson和油红O染色观察小鼠肝脏病理变化;采用免疫组化法测定肝组织炎症因子白细胞介素-1(interleukin-1,IL-1)、IL-6、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)的表达量;采用Western blotting法检测肝组织晚期糖基化终末产物(advanced glycation end products,AGEs)、晚期糖基化末端受体(receptor for advanced glycation end products,RAGE)蛋白表达及p-p38丝裂原活化蛋白激酶(mitogen activated protein kinase,MAPK)/p38 MAPK水平;采用qRT-PCR法检测肝组织RAGE、p38 MAPK mRNA表达。结果共筛选得到RIG治疗T2DM潜在靶点175个,关键核心靶点有原癌基因酪氨酸蛋白激酶Src(proto-oncogene tyrosine-protein kinase Src,SRC)、表皮生长因子受体(epidermal growth factor receptor,EGFR)、信号转导和转录激活因子3(signal transducer and activator of transcription 3,STAT3)等。GO富集分析显示潜在作用靶点主要涉及炎症反应的调节等生物过程,KEGG通路分析筛选得到了277条信号通路,显示脂质和动脉粥样硬化、AGEs/RAGE信号通路和MAPK信号通路可能在治疗T2DM过程中发挥关键作用。动物实验结果显示,与模型组比较,RIG可以降低T2DM小鼠饮水量、FBG、FINS、HOMA-IR、LDL-C水平(P<0.01),升高HDL-C水平(P<0.01),改善肝细胞形态,减轻肝损伤,减少胶原沉积及脂质沉积,抑制肝组织IL-1、IL-6、TNF-α表达(P<0.01),下调肝组织AGEs、RAGE、p-p38 MAPK/p38 MAPK蛋白表达及RAGE、p38 MAPK mRNA表达(P<0.05、0.01)。结论RIG能够有效降低T2DM小鼠FBG,改善胰岛素抵抗,减轻炎症反应,保护肝组织,其机制可能与调控AGEs/RAGE/MAPK信号通路有关。 展开更多
关键词 地黄环烯醚萜苷 2型糖尿病 网络药理学 肝损伤 ages/Rage/MAPK信号通路
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早期强化胰岛素治疗通过AGEs/RAGE通路减轻糖尿病主动脉氧化应激及炎性反应
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作者 潘新艳 朱亚军 +2 位作者 张志梅 薛刚强 王超 《河北医药》 2025年第6期919-924,共6页
目的探讨早期强化胰岛素治疗对糖尿病大鼠主动脉糖基化反应、氧化应激及炎性反应的作用及其机制。方法构建2型糖尿病大鼠模型,40只大鼠分为对照组(NC组)、糖尿病对照组(DC组)、糖尿病早期胰岛素强化治疗组(DI组),糖尿病格列齐特治疗组(D... 目的探讨早期强化胰岛素治疗对糖尿病大鼠主动脉糖基化反应、氧化应激及炎性反应的作用及其机制。方法构建2型糖尿病大鼠模型,40只大鼠分为对照组(NC组)、糖尿病对照组(DC组)、糖尿病早期胰岛素强化治疗组(DI组),糖尿病格列齐特治疗组(DG组),每组10只。干预4周后测定空腹血清胰岛素(FINS)、空腹血糖(FBG)、C肽(C-P)、血脂,超氧化物歧化酶(SOD)、晚期糖基化终产物(AGEs)、丙二醛(MDA)、谷胱甘肽过氧化物酶(GSH-PX)水平,计算胰岛素敏感指数(ISI);免疫组化检测主动脉AGEs、晚期糖基化终末产物受体(RAGE)、NF-κBp65表达;电镜观察主动脉结构;Western-blot检测主动脉RAGE、NF-κBp65蛋白表达。结果DC组的FBG最高,FINS、C-P最低,其余3组之间差异无统计学意义(P>0.05);DI组、DG组血脂较DC组减低,但2组间差异无统计学意义(P>0.05)。血清AGEs和MDA水平、主动脉RAGE和NF-κBp65蛋白表达在DC组、DI组、DG组较NC组升高,治疗后在DI组、DG组较DC组下降,DI组比DG组明显降低(P<0.05);SOD、GSH-PX水平在DI组、DG组比DC组升高,DI组比DG组升高显著(P<0.05);血清AGEs与FBG、MDA呈正相关(r值分别为0.740、0.873,P<0.05),与FIN、SOD、GSH-PX呈负相关(r值分别为-0.413、-0.910、-0.804,P<0.05);与DG组比较,DI组主动脉免疫组化显示RAGE、AGEs、NF-κBp65表达显著降低(P<0.05),电镜显示内皮病理病变显著减轻。结论早期强化胰岛素治疗能够通过减轻AGEs/RAGE轴的活化,减轻糖尿病大鼠主动脉炎性反应和氧化应激。 展开更多
关键词 早期强化胰岛素治疗 主动脉 ageS Rage 氧化应激 炎性反应
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越鞠丸挥发油调控AGE/PI3K/Akt通路抑制炎症发挥抗抑郁的作用机制研究 被引量:2
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作者 褚坦路 郭泽君 +6 位作者 章伟 王凌峰 吕姝睿 郭皖豫 钟晓明 仇凤梅 黄真 《中国中药杂志》 北大核心 2025年第11期3147-3158,共12页
研究越鞠丸挥发油的抗抑郁活性,探讨其相关分子机制。采用超临界CO_(2)提取越鞠丸挥发油;采用气相色谱-质谱法(GC-MS)联合网络药理学,鉴定越鞠丸挥发油中28个化学成分(萜类、内酯类),与抑郁症共存123个交集靶点,核心靶点有白细胞介素-1... 研究越鞠丸挥发油的抗抑郁活性,探讨其相关分子机制。采用超临界CO_(2)提取越鞠丸挥发油;采用气相色谱-质谱法(GC-MS)联合网络药理学,鉴定越鞠丸挥发油中28个化学成分(萜类、内酯类),与抑郁症共存123个交集靶点,核心靶点有白细胞介素-1β(IL-1β)、信号转导及转录激活蛋白3(STAT3)、半胱天冬酶3(CASP3)等,主要涉及催乳素、晚期糖基化终末产物/受体(AGEs/RAGE)和磷脂酰肌醇3-激酶/蛋白激酶B(PI3K/Akt)信号通路。采用利血平诱导抑郁小鼠模型验证越鞠丸挥发油的治疗效果和作用机制。通过分析小鼠体质量、体温指数、悬尾不动时间、强迫游泳不动时间和蔗糖偏好变化评估越鞠丸挥发油对小鼠抑郁样行为的改善作用;苏木精-伊红(HE)染色法评估越鞠丸挥发油对小鼠大脑的神经保护特性。酶联免疫吸附测定(ELISA)法联合蛋白免疫印迹(Western blot)法检测小鼠大脑海马组织AGEs、IL-1β、PI3K、磷酸化PI3K(p-PI3K)、Akt、磷酸化Akt(p-Akt)、核因子κB(NF-κB)、脑源性神经营养因子(BDNF)的蛋白表达水平。行为学评估显示,越鞠丸挥发油能有效控制抑郁小鼠体质量和体温的下降,减少小鼠悬尾、游泳不动时间,并增强其对蔗糖的偏好。组织病理学检查显示,越鞠丸挥发油可减轻小鼠海马CA1区和齿状回(DG)区神经元的损伤。ELISA和Western blot结果显示,越鞠丸挥发油可显著提高小鼠海马中PI3K、Akt、BDNF的蛋白表达水平,显著降低AGEs、IL-1β、p-PI3K、p-Akt及NF-κB的蛋白表达水平;进而降低p-PI3K/PI3K、p-Akt/Akt比值,均以中、高剂量效果明显。研究结果提示,越鞠丸挥发油的芳香疗法能显著改善利血平诱导的小鼠抑郁样行为,其机制可能与降低神经元膜蛋白AGEs表达,降低PI3K和Akt磷酸化水平,抑制NF-κB入核,减少促炎因子释放和神经损伤有关。 展开更多
关键词 越鞠丸挥发油 抑郁症 GC-MS 网络药理学 age/PI3K/Akt通路
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Gut microbiota-astrocyte axis: new insights into age-related cognitive decline 被引量:2
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作者 Lan Zhang Jingge Wei +5 位作者 Xilei Liu Dai Li Xiaoqi Pang Fanglian Chen Hailong Cao Ping Lei 《Neural Regeneration Research》 SCIE CAS 2025年第4期990-1008,共19页
With the rapidly aging human population,age-related cognitive decline and dementia are becoming increasingly prevalent worldwide.Aging is considered the main risk factor for cognitive decline and acts through alterati... With the rapidly aging human population,age-related cognitive decline and dementia are becoming increasingly prevalent worldwide.Aging is considered the main risk factor for cognitive decline and acts through alterations in the composition of the gut microbiota,microbial metabolites,and the functions of astrocytes.The microbiota–gut–brain axis has been the focus of multiple studies and is closely associated with cognitive function.This article provides a comprehensive review of the specific changes that occur in the composition of the gut microbiota and microbial metabolites in older individuals and discusses how the aging of astrocytes and reactive astrocytosis are closely related to age-related cognitive decline and neurodegenerative diseases.This article also summarizes the gut microbiota components that affect astrocyte function,mainly through the vagus nerve,immune responses,circadian rhythms,and microbial metabolites.Finally,this article summarizes the mechanism by which the gut microbiota–astrocyte axis plays a role in Alzheimer’s and Parkinson’s diseases.Our findings have revealed the critical role of the microbiota–astrocyte axis in age-related cognitive decline,aiding in a deeper understanding of potential gut microbiome-based adjuvant therapy strategies for this condition. 展开更多
关键词 age aging Alzheimer’s disease ASTROCYTES cognitive decline dementia gut microbiota gut–brain axis microbial metabolites NEUROINFLAMMATION Parkinson’s disease
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中药靶向AGEs防治糖尿病肾病的研究进展
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作者 张秉芳 王久香 +2 位作者 汪四海 桂依萍 王东明 《湖北民族大学学报(医学版)》 2025年第2期72-75,共4页
糖尿病肾病(DN)作为糖尿病主要的微血管并发症之一,已成为糖尿病患者的主要死因。近年来,中药在防治DN方面积累了丰富的临床经验,尤其在靶向晚期糖基化终末产物(AGEs)方面已取得显著成就。本文对近5年来在中药单体或提取物和中药复方、... 糖尿病肾病(DN)作为糖尿病主要的微血管并发症之一,已成为糖尿病患者的主要死因。近年来,中药在防治DN方面积累了丰富的临床经验,尤其在靶向晚期糖基化终末产物(AGEs)方面已取得显著成就。本文对近5年来在中药单体或提取物和中药复方、中成药作用于AGEs及其受体(RAGE)信号通路防治DN的主要作用机制做一分析,旨在为开发有效中药防治DN提供强有力的科学依据,更好地服务于临床。 展开更多
关键词 中药 ageS 糖尿病肾病 研究进展
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基于GLO-1/AGE/RAGE通路探讨糖痹康干膏防治2型糖尿病周围神经病变的作用机制
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作者 吴利佳 张程斐 +8 位作者 贾晓蕾 秦灵灵 王海焱 黄瑜坤 王友 包新翠 杨靖 吕翠岩 刘铜华 《中国实验方剂学杂志》 北大核心 2025年第11期60-69,共10页
目的:基于乙二醛酶-1(GLO-1)/晚期糖基化终末产物(AGE)/晚期糖基化终末产物受体(RAGE)通路探讨糖痹康干膏防治2型糖尿病周围神经病变(DPN)的作用机制。方法:56只SD大鼠随机选取8只为正常组,其余48只大鼠予高脂饲料喂养联合腹腔注射链脲... 目的:基于乙二醛酶-1(GLO-1)/晚期糖基化终末产物(AGE)/晚期糖基化终末产物受体(RAGE)通路探讨糖痹康干膏防治2型糖尿病周围神经病变(DPN)的作用机制。方法:56只SD大鼠随机选取8只为正常组,其余48只大鼠予高脂饲料喂养联合腹腔注射链脲佐菌素(STZ)诱导2型糖尿病(T2DM)模型,按血糖将大鼠随机分为模型组、唐林组(13.5 mg·kg^(-1))、二甲双胍组(135 mg·kg^(-1))和糖痹康干膏低、中、高剂量组(3、6、12 g·kg^(-1))。干预第4周模型组机械痛痛阈下降则DPN造模成功。每4周测定大鼠的空腹血糖、体质量、机械痛痛阈。干预16周,苏木素-伊红(HE)染色法观察坐骨神经病理形态,免疫组化法检测坐骨神经RAGE、AGE、蛋白激酶C(PKC)、胶原蛋白(COL)表达,实时荧光定量聚合酶链式反应(Real-time PCR)检测坐骨神经RAGE、PKC、Toll样受体(TLR)、COL、GLO-1 m RNA表达。酶联免疫吸附测定法(ELISA)检测大鼠血清天冬氨酸氨基转移酶(AST)、丙氨酸氨基转移酶(ALT)、肌酐(CREA)、尿素(UREA)、白细胞介素-6(IL-6)、肿瘤坏死因子(TNF)-α含量。结果:与正常组比较,模型组空腹血糖升高(P<0.01),体质量及机械痛痛阈降低(P<0.01),血清AST、ALT、CREA、UREA、IL-6、TNF-α升高(P<0.01),坐骨神经RAGE、AGE、PKC表达升高(P<0.01),COL表达降低(P<0.01),TLR、RAGE、PKC m RNA表达升高(P<0.01),COL、GLO-1 m RNA表达降低(P<0.01),坐骨神经形态不规则、轴索形态改变、髓鞘变性。与模型组比较,糖痹康干膏高剂量组各时间,中剂量组给药第4、16周空腹血糖降低(P<0.05,P<0.01);糖痹康干膏各剂量组体质量无明显变化;糖痹康干膏各剂量组在给药后不同时间出现痛阈升高(P<0.05,P<0.01);各剂量组血清IL-6、TNF-α含量下降(P<0.05,P<0.01);糖痹康干膏各剂量组坐骨神经中RAGE、AGE、PKC表达降低(P<0.01),COL表达升高(P<0.01),TLR、RAGE、PKC m RNA表达降低(P<0.01),GLO-1 m RNA表达升高(P<0.05,P<0.01),低、高剂量组COL m RNA表达升高(P<0.01),糖痹康干膏各剂量组病理表现均较模型组病变程度轻。结论:糖痹康干膏具有明显改善DPN作用,其机制可能与调控GLO-1/AGE/RAGE通路作用有关。 展开更多
关键词 2型糖尿病周围神经病变(DPN) 糖痹康干膏 乙二醛酶-1(GLO-1) 晚期糖基化终末产物(age) 晚期糖基化终末产物受体(Rage)
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Impact of family history of breast disease on knowledge,attitudes,and breast cancer preventive practices among reproductive-age females 被引量:1
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作者 Melaku Mekonnen Agidew Niguss Cherie +2 位作者 Zemene Damtie Bezawit Adane Girma Derso 《World Journal of Clinical Oncology》 2025年第4期109-118,共10页
BACKGROUND Breast cancer is one of the most prevalent causes of morbidity and mortality worldwide,presenting an increasing public health challenge,particularly in lowincome and middle-income countries.However,data on ... BACKGROUND Breast cancer is one of the most prevalent causes of morbidity and mortality worldwide,presenting an increasing public health challenge,particularly in lowincome and middle-income countries.However,data on the knowledge,attitudes,and preventive practices regarding breast cancer and the associated factors among females in Wollo,Ethiopia,remain limited.AIM To assess the impact of family history(FH)of breast disease on knowledge,attitudes,and breast cancer preventive practices among reproductive-age females.METHODS A community-based cross-sectional study was conducted in May and June 2022 in Northeast Ethiopia and involved 143 reproductive-age females with FH of breast diseases and 209 without such a history.We selected participants using the systematic random sampling technique.We analyzed the data using Statistical Package for Social Science version 25 software,and logistic regression analysis was employed to determine odds ratios for variable associations,with statistical significance set at P<0.05.RESULTS Among participants with FH of breast diseases,the levels of knowledge,attitudes,and preventive practices were found to be 83.9%[95%confidence interval(CI):77.9-89.9],49.0%(95%CI:40.8-57.1),and 74.1%(95%CI:66.9-81.3),respectively.In contrast,among those without FH of breast diseases,these levels were significantly decreased to 10.5%(95%CI:6.4-14.7),32.1%(95%CI:25.7-38.4),and 16.7%(95%CI:11.7-21.8),respectively.This study also indicated that knowledge,attitudes,and preventive practices related to breast cancer are significantly higher among participants with FH of breast diseases compared to those without HF breast diseases.CONCLUSION Educational status,monthly income,and community health insurance were identified as significant factors associated with the levels of knowledge,attitudes,and preventive practices regarding breast cancer among reproductive-age females. 展开更多
关键词 Breast cancer Reproductive age KNOWLEDGE ATTITUDE Practice Ethiopia
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Dynamics of a Stochastic Epidemic Model with Age-group
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作者 LAN Xiaomin CHEN Guangmin +5 位作者 ZHOU Ruiyang ZHENG Kuicheng CAI Shaojian WEI Fengying JIN Zhen MAO Xuerong 《应用数学》 北大核心 2025年第1期294-307,共14页
A stochastic epidemic model with two age groups is established in this study,in which the susceptible(S),the exposed(E),the infected(I),the hospitalized(H)and the recovered(R)are involved within the total population,t... A stochastic epidemic model with two age groups is established in this study,in which the susceptible(S),the exposed(E),the infected(I),the hospitalized(H)and the recovered(R)are involved within the total population,the aging rates between two age groups are set to be constant.The existence-and-uniqueness of global positive solution is firstly showed.Then,by constructing several appropriate Lyapunov functions and using the high-dimensional Itô’s formula,the sufficient conditions for the stochastic extinction and stochastic persistence of the exposed individuals and the infected individuals are obtained.The stochastic extinction indicator and the stochastic persistence indicator are less-valued expressions compared with the basic reproduction number.Meanwhile,the main results of this study are modified into multi-age groups.Furthermore,by using the surveillance data for Fujian Provincial Center for Disease Control and Prevention,Fuzhou COVID-19 epidemic is chosen to carry out the numerical simulations,which show that the age group of the population plays the vital role when studying infectious diseases. 展开更多
关键词 Epidemic model age groups PERSISTENCE EXTINCTION
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Attention Eraser and Quantitative Measures for Automated Bone Age Assessment
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作者 Liuqiang Shu Lei Yu 《Computers, Materials & Continua》 SCIE EI 2025年第1期627-644,共18页
Bone age assessment(BAA)aims to determine whether a child’s growth and development are normal concerning their chronological age.To predict bone age more accurately based on radiographs,and for the left-hand X-ray im... Bone age assessment(BAA)aims to determine whether a child’s growth and development are normal concerning their chronological age.To predict bone age more accurately based on radiographs,and for the left-hand X-ray images of different races model can have better adaptability,we propose a neural network in parallel with the quantitative features from the left-hand bone measurements for BAA.In this study,a lightweight feature extractor(LFE)is designed to obtain the featuremaps fromradiographs,and amodule called attention erasermodule(AEM)is proposed to capture the fine-grained features.Meanwhile,the dimensional information of the metacarpal parts in the radiographs is measured to enhance the model’s generalization capability across images fromdifferent races.Ourmodel is trained and validated on the RSNA,RHPE,and digital hand atlas datasets,which include images from various racial groups.The model achieves a mean absolute error(MAE)of 4.42 months on the RSNA dataset and 15.98 months on the RHPE dataset.Compared to ResNet50,InceptionV3,and several state-of-the-art methods,our proposed method shows statistically significant improvements(p<0.05),with a reduction in MAE by 0.2±0.02 years across different racial datasets.Furthermore,t-tests on the features also confirm the statistical significance of our approach(p<0.05). 展开更多
关键词 Bone age assessment attention eraser quantitative feature metacarpal bones
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Association between age at diagnosis of diabetes and ocular disease:Insights from a recent article
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作者 Shi-Qi Liu Dong Wang Cheng-Chun Tang 《World Journal of Diabetes》 SCIE 2025年第1期211-216,共6页
In this article,we discuss Ye et al's recent article on the association between age at diabetes diagnosis and subsequent risk of age-related ocular diseases.The study,which utilized United Kingdom Biobank data,hig... In this article,we discuss Ye et al's recent article on the association between age at diabetes diagnosis and subsequent risk of age-related ocular diseases.The study,which utilized United Kingdom Biobank data,highlighted a strong link between early diabetes onset and major eye conditions,such as cataracts,glaucoma,agerelated macular degeneration,and vision loss,independent of glycemic control and disease duration.This finding challenges the previous belief that diabetic eye disease primarily correlates with hyperglycemia.As lifestyles evolve and the age of diabetes diagnosis decreases,understanding this relationship may reveal the complex pathogenesis underlying diabetes-related complications.This editorial summarizes potential mechanisms connecting the age of diabetes onset with four types of ocular diseases,emphasizing the significance of early diagnosis. 展开更多
关键词 DIABETES age at diagnosis CATARACT GLAUCOMA age-related macular disease Vision acuity
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Donor-recipient age mismatch and outcomes in liver transplantation:A scientific registry of transplant recipients database analysis
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作者 Bima J Hasjim Shi-Yi Chen +4 位作者 Naomi KT Hlaing Hirohito Ichii Robert R Redfield David K Imagawa Mamatha Bhat 《World Journal of Transplantation》 2025年第4期233-245,共13页
BACKGROUND Old donor allografts in liver transplantation(LT)account for 25%of all allografts,and their utilization is projected to increase with the aging general population.Older allografts are associated with higher... BACKGROUND Old donor allografts in liver transplantation(LT)account for 25%of all allografts,and their utilization is projected to increase with the aging general population.Older allografts are associated with higher rates of all-cause mortality and graft failure;however,there is limited literature exploring the specific phenotypic changes(e.g.,functional status,cause-specific mortality)observed in different donor:recipient age pairs.AIM To investigate differences in functional impairment and cause-specific mortality between different donor:recipient age pairs.METHODS This was a retrospective analysis of LT patients from the Scientific Registry of Transplant Recipients from 2002 to 2022.Donors were categorized into younger age donors,≤45-years(YAD),middle-aged donors,46-69-years(MAD),and older age donors,≥70-years(OAD).Recipients were categorized into younger age recipients,≤55-years(YAR)and older age recipients,>55-years(OAR)age recipients.Multivariate Fine-Gray competing risk and logistic regression analyses identified independent risk factors for cause-specific mortality and improvements in functional status,respectively.RESULTS Overall,126185 patients were included in the analysis:YAD:YAR(32.7%), YAD:OAR (25.2%), MAD:YAR (17.5%), MAD:OAR (20.7%), OAD:YAR (1.3%), and OAD:OAR (2.7%). Compared toYAD:YAR, OAD pairs had the lowest likelihoods of improved functional status 5 years post-LT (OAD:YAR oddsratio 0.53, 95% confidence interval 0.42-0.67, P < 0.001;OAD:OAR odds ratio 0.67, 95% confidence interval 0.51-0.89, P = 0.006). Donor:recipient age pairs with older donors had higher rates of graft- and infection-relatedmortality compared to those with younger donors (P < 0.001). Meanwhile, donor:recipient age pairs with olderrecipients had higher cardioneurovascular- or malignancy-related deaths compared to those with youngerrecipients (P < 0.001).CONCLUSIONDonor:recipient age mismatch was associated with differences in cause-specific mortality and functional status.These insights could potentially inform age-matched organ allocation strategies, though future work is warranted. 展开更多
关键词 Orthotopic liver transplantation Old allograft age Elderly recipient Survival Recipient age Functional status
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Frequency of Eye Diseases in Subjects Aged 40 and Over
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作者 Konaté Daouda Yattara Maimouna +11 位作者 Dembélé Lucienne Sall Fatou Mariko Bréhima Sogoba Sanata Doumbia Daouda Traoré Abdramane Camara Claude Oumar Bernard Kouma Aminata Keita Koniba Napo Abdoulaye Sylla Fatoumata Traoré Lamine 《Open Journal of Ophthalmology》 2025年第1期11-17,共7页
Although eye problems can occur at any age, they are often common from the age of 40. Eye diseases with a prevalence associated with age and aging will continue to increase in the coming years. Most studies conducted ... Although eye problems can occur at any age, they are often common from the age of 40. Eye diseases with a prevalence associated with age and aging will continue to increase in the coming years. Most studies conducted on problems in middle-aged people have focused on visual disorders without taking into account all the ocular morbidities that may affect this segment of the population, hence the present study, the aim of which is to determine the proportions of different eye diseases in people aged 40 and over. Materials and Methods: This was a descriptive cross-sectional study carried out in the ophthalmology department covering the period from January 1 to December 31, 2020. Results: In total, we collected 828 patients aged 40 and over out of 1811 patients who received ophthalmological consultation during the study period, representing 45.72%. The most represented age group was 40 - 50 years, with an average age of 58.84 years and a maximum of 93 years. There were slightly more women (62.3%) than men (37.7%). The main reasons for consultation were decreased visual acuity (26.4%) and pruritus (19.9%). The main eye diseases diagnosed were cataracts (23%), allergic conjunctivitis (21.1%), and bacterial conjunctivitis (14.2%). Discussions: The predominance of cataracts in the diagnosed diseases confirms the literature data, according to which the main eye morbidities in middle-aged and elderly people are cataracts, glaucoma, and age-related macular degeneration. Conclusion: It is crucial to have a mastery of these epidemiological data of eye diseases in order to adapt the technical platforms of eye care structures to the needs of different segments of the population. 展开更多
关键词 FREQUENCY Eye DISEASE MIDDLE aged ELDERLY PEOPLE
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Analysis of Complications in Preterm Infants with Twin and Singleton of Different Gestational Ages
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作者 Fang Wang Fuxin Zhou +1 位作者 Xue-jie Li Weiqiong Wang 《Journal of Clinical and Nursing Research》 2025年第3期70-81,共12页
This study aimed to compare the complications of preterm twins versus singletons and analyze differences across gestational ages.Preterm twins delivered between 2 March 2022 and 6 November 2022 were compared to an age... This study aimed to compare the complications of preterm twins versus singletons and analyze differences across gestational ages.Preterm twins delivered between 2 March 2022 and 6 November 2022 were compared to an age-matched control group of singletons,involving 65 twins and 103 singletons.The most common complication in premature infants was neonatal jaundice(87.72%),followed by patent foramen ovale(79.76%)and neonatal respiratory distress syndrome(NRDS)(57.14%).Twins had significantly higher Apgar scores at 1,5,and 10 minutes compared to singletons.However,twins showed a higher incidence of ventricular septal defect(VSD)(7.69%)than singletons,with a statistically significant difference.In contrast,twins exhibited significantly lower rates of neonatal jaundice(78.46%),electrolyte imbalance(18.4%),and acid-base imbalance(9.23%)compared to singletons.Furthermore,as gestational age increased,the incidence of intrauterine infection,electrolyte and acid-base imbalances,neonatal coagulation disorders,patent ductus arteriosus(PDA),anemia,and NRDS in preterm infants gradually decreased,with all differences reaching statistical significance(P<0.05).These findings highlight the importance of close monitoring and timely management of complications in premature infants to prevent severe outcomes. 展开更多
关键词 NEONATAL DISEASES PREMATURE TWIN SINGLETON Gestational age
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Brain Age Detection of Alzheimer’s Disease Magnetic Resonance Images Based on Mutual Information—Support Vector Regression
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作者 LIU Yuchuan LI Hao +4 位作者 TANG Yulong LIANG Dujuan TAN Jia FU Yue LI Yongming 《Journal of Shanghai Jiaotong university(Science)》 2025年第1期130-135,共6页
Brain age is an effective biomarker for diagnosing Alzheimer’s disease(AD).Aimed at the issue that the existing brain age detection methods are inconsistent with the biological hypothesis that AD is the accelerated a... Brain age is an effective biomarker for diagnosing Alzheimer’s disease(AD).Aimed at the issue that the existing brain age detection methods are inconsistent with the biological hypothesis that AD is the accelerated aging of the brain,a mutual information—support vector regression(MI-SVR)brain age prediction model is proposed.First,the age deviation is introduced according to the biological hypothesis of AD.Second,fitness function is designed based on mutual information criterion.Third,support vector regression and fitness function are used to obtain the predicted brain age and fitness value of the subjects,respectively.The optimal age deviation is obtained by maximizing the fitness value.Finally,the proposed method is compared with some existing brain age detection methods.Experimental results show that the brain age obtained by the proposed method has better separability,can better reflect the accelerated aging of AD,and is more helpful for improving the diagnostic accuracy of AD. 展开更多
关键词 brain age Alzheimer’s disease(AD) mutual information-support vector regression(MI-SVR) age deviation
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A Study on the Mechanisms by Which AGEs and RAG Promote Wound Healing in Patients with Second-Degree Burns undergoing Eschar Grinding Combined with Drug Therapy
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作者 Weijie He Zhi Liu +5 位作者 Lujun Yang Sitian Xie Zhan Ouyang Yao Lin Fuhua Huang Shijie Tang 《Modern Plastic Surgery》 2025年第1期1-20,共20页
Objective: To evaluate the improvement effect of combined treatment of eschar abrasion, nanosilver dressing, and mussel mucin spray on wound healing in patients with second-degree burns, and to explore their effects o... Objective: To evaluate the improvement effect of combined treatment of eschar abrasion, nanosilver dressing, and mussel mucin spray on wound healing in patients with second-degree burns, and to explore their effects on the expression level of (advanced glycation end products) AGEs in wound tissue, so as to provide a basis for the application of AGEs expression level in wound tissue in the future clinical treatment of second-degree burns. Methods: Patients with second-degree burns admitted to the Department of Burns and Plastic Surgery of the Second Affiliated Hospital of Shantou University Medical College from July 2023 to July 2024 were selected as the research subjects. This study was a non-double-blind study, and both patients and researchers were aware of the treatment methods. They were randomly divided into Group A (control group) and Group B (study group). According to the order of their visits, the patients were numbered in advance;then the seed number was taken, and 70 random numbers were generated on the computer using SAS, the first 35 corresponding to group A, and the last 35 corresponding to group B;the random numbers were arranged from small to large, and the rank of the random numbers was the patient number;finally, the patient numbers were arranged from small to large, and the corresponding groups were the grouping scheme. 1) Wound healing time: The wound healing was observed every day, and the wound healing time was calculated when the wound was completely epithelialized. 2) Wound healing: The wound healing area was measured 1, 7, and 14 days after treatment, and transparent paper was used to record combined with a computer-assisted imaging system. Wound healing rate = wound healing area (cm2)/total wound area before treatment (cm2) × 100%. The time for complete wound healing was recorded in the two groups of patients. 3) Pain: The pain was evaluated at 1, 7, and 14 days after treatment using the visual analogue scale (VAS). The higher the score, the more severe the pain. 4) Scar condition: Scar formation was evaluated 1, 3, and 6 months after wound healing using the VAS scale, with a total score of 15 points. The higher the score, the more severe the scar. 5) Detect the expression of AGEs in wound tissue. Results: The wound healed 14.03 ± 2.28 days after eschar removal, with a cure rate of 97.8%. No infection occurred in the wound after eschar removal in all patients. The wound healing time ranged from 9 to 23 days, with an average healing time of 28.41 ± 1.45 days. The healing quality was satisfactory. The Vancouver Scar Scale scored the wound healing scar as 0.81 ± 0.73 points. Western blot was used to detect the expression of AGEs, (receptor for advanced glycation end products) RAGE, and protein in the wound tissue. Results After 7, 14, and 28 days of medication, the wounds of diabetic patients healed well. The drug treatment efficacy and hydroxyproline content showed an upward trend, and the expression levels of AGEs, RAGE, and HIF-1a proteins showed a downward trend. Compared with day 0, the hydroxyproline content of the wound granulation tissue on days 7, 14, and 28 was significantly increased (P< 0.01), and the expression levels of AGEs, RAGE, and HIF-1α proteins were significantly downregulated (P< 0.05 or P< 0.01). Conclusion: Monitoring the expression levels of AGEs and RAGE can reflect the wound-healing effect of patients with second-degree burns, and the prognosis of the wound is closely related to the expression levels of AGEs, RAGE, and scab abrasion. In the treatment of second-degree burn wounds, scab abrasion can grasp the level of necrotic scab removal, can achieve “relatively accurate” removal of necrotic tissue, maximally protect the ecological tissue between wounds and retaining normal tissue, and can play a positive role in promoting the healing process of burn wounds;at the same time, nanosilver dressings have good antibacterial properties and high safety, and mussel mucin has anti-inflammatory and antioxidant activities and the characteristics of blocking nerve endings, which can effectively relieve the burning, stinging, and itching of sensitive skin and effectively promote wound healing. 展开更多
关键词 ageS RAG DERMABRASION Second Degree Burns
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Research on the Effect of Age on Intergenerational Economic Support for the Rural Elderly
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作者 Hu Shiyong Qiao Bolun Zhang Xiaoxiao 《Contemporary Social Sciences》 2025年第5期140-155,共16页
Based on two waves of CHARLS data,this paper uses descriptive statistics and a binary logistic regression estimation model to analyze the effect of age on the intergenerational economic support for the rural elderly w... Based on two waves of CHARLS data,this paper uses descriptive statistics and a binary logistic regression estimation model to analyze the effect of age on the intergenerational economic support for the rural elderly within the framework of three-generation lineal group families.The study found that the diffusion effect of age on the intergenerational economic support for the rural elderly still existed when using a five-year age group model as the measure.In the distribution of intergenerational economic support for the rural elderly by age group,there was a notable decline in economic support from the filial generation for those aged 85 and above.For the age group of 85 and above,it was the grandchild generation that gradually increased its economic support,the result of a form of intergenerational relay for the care of the elderly.Comparison of the two waves of data reveals that familism still exhibits a strong resilience and is behind the intergenerational cooperation in Chinese rural families.The culture of filial piety and respect for elders,which reflects China’s national characteristics as well as contemporary values,should continue to be promoted.To achieve this,it is necessary to maintain the supportive function of family-based care for the rural elderly through family-friendly policies and the systematic improvement of the current multi-tiered policies for the care of the rural elderly. 展开更多
关键词 intergenerational economic support age effect FAMILISM
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Correlation Study between Fetal Foot Length Measured by Ultrasound and Gestational Age
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作者 Chao Huang 《Journal of Clinical and Nursing Research》 2025年第10期56-61,共6页
Objective:To explore the correlation between fetal foot length measured by ultrasound and gestational age.Methods:This study employed ultrasound to measure the fetal foot length,femoral length,and foot length/femoral ... Objective:To explore the correlation between fetal foot length measured by ultrasound and gestational age.Methods:This study employed ultrasound to measure the fetal foot length,femoral length,and foot length/femoral length ratio in 214 pregnant women from 12 to 40 weeks of gestation,all of whom had no pregnancy complications or obstetric complications,and whose fetuses were normal.Results:A significant positive correlation was found between fetal foot length and gestational age(r=0.967,p<0.001);a similarly significant positive correlation was observed between fetal femoral length and gestational age(r=0.972,p<0.001);and a non-significant positive correlation was noted between the foot length/femoral length ratio and gestational age(r=0.943,p<0.001).Conclusion:Ultrasound can accurately measure fetal foot length and femoral length,both of which exhibit a significant positive correlation with gestational age,making them important reference indicators for assessing fetal growth and development. 展开更多
关键词 ULTRASOUND FETUS Foot length FEMUR Gestational age
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Comprehensive study for investigating the mechanisms by which dietary icariin prevents ferroptosis in aged-related osteoporosis
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作者 Maopeng Wang Yuanlin Wang +7 位作者 Yong Zeng Zhipeng Tian Liuhai Xu Xinzhi Li Lei Wang Bing Li You Zhou Jun Liu 《Food Science and Human Wellness》 2025年第11期4669-4681,共13页
Icariin is a natural product that possesses numerous pharmaceutical properties.Thus,this study aimed to investigate the molecular mechanism by which icariin prevents ferroptosis in aged-related osteoporosis.Firstly,mR... Icariin is a natural product that possesses numerous pharmaceutical properties.Thus,this study aimed to investigate the molecular mechanism by which icariin prevents ferroptosis in aged-related osteoporosis.Firstly,mRNA transcriptomics was used to analyze differentially expressed genes and ferroptosis markers.Next,a weighted correlation network analysis was conducted on these genes.Then,common genes among ferroptosis,Yinyanghuo,and differentially expressed genes were identified as target genes.Single-cell and spatial transcriptomics were analyzed to evaluate expression changes of target genes in bone marrow.Furthermore,to validate the results of bioinformatics analysis,MC3T3-E1 cells were used to model the preventive effects of icariin in vitro,and ferroptosis markers and mitochondrial function were both examined.In vivo,4-month-old mice were fed a diet containing icariin for 14 months,following which bone proteomics was assessed to identify essential proteins.Hematoxylin-eosin staining and immunohistochemistry assays were performed on mouse femurs.Finally,Western blot and polymerase chain reaction(PCR)analyses were performed to analyze the effects of icariin on ferroptosis target biomarkers.Ptgs2 and Hmox1 were identified as target genes related to both icariin and ferroptosis.The expression of ferroptosis-related genes was up-regulated with age.Moreover,single-cell and spatial transcriptomics analyses revealed that up-regulation of these two genes inhibited osteogenic capability.The results of the in vitro experiments indicated that icariin mitigated the accumulation of reactive oxygen species and β-galactosidase.Similarly,icariin prevented aberrant changes in the levels of ferroptosis-related proteins,consistent with the results of the in vivo experiments.Specifically,10 mg/(kg·day)of icariin inhibited ferroptosis and osteoporosis in aged mice.Overall,this study revealed that icariin could serve as a dietary supplement to prevent age-induced osteoporosis.Furthermore,Ptgs2 and Hmox1 were identified as ferroptosis-related targets through which icariin exerts its protective effects. 展开更多
关键词 ICARIIN Ferroptosis aged osteoporosis Single-cell transcriptomics Spatial transcriptomics
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Age-related changes in the impact of metabolic syndrome on prostate volume:a cross-sectional study
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作者 Guo-Rong Yang Chao Lv +4 位作者 Kai-Kai Lv Yang-Yang Wu Xiao-Wei Hao Qing Yuan Tao Song 《Asian Journal of Andrology》 2025年第4期475-481,共7页
This study investigated the impact of metabolic syndrome (MetS) and its components on prostate volume (PV) in the general Chinese population. In total, 43 455 participants in The First Medical Center of the Chinese PL... This study investigated the impact of metabolic syndrome (MetS) and its components on prostate volume (PV) in the general Chinese population. In total, 43 455 participants in The First Medical Center of the Chinese PLA General Hospital (Beijing, China) from January 1, 2012, to December 31, 2022, undergoing health examinations were included in the study. Participants were categorized into four groups according to PV quartiles: Q1 (PV ≤24.94 ml), Q2 (PV >24.94 ml and ≤28.78 ml), Q3 (PV >28.78 ml and ≤34.07 ml), and Q4 (PV >34.07 ml), with Q1 serving as the reference group. Logistic regression analyses were used to examine the association between MetS and PV, with subgroup analyses conducted by age. Among the participants, 18 787 (43.2%) were diagnosed with MetS. In the multivariate analysis model, a significant correlation between MetS and PV was observed, with odds ratios (ORs) increasing as PV increased (Q2, OR = 1.203, 95% confidence interval [CI]: 1.139–1.271;Q3, OR = 1.300, 95% CI: 1.230–1.373;and Q4, OR = 1.556, 95% CI: 1.469–1.648). Analysis of MetS components revealed that all components were positively associated with PV, with abdominal obesity showing the most significant effect. The number of MetS components was identified as a dose-dependent risk factor for elevated PV. The impact of MetS, its components, and component count on PV exhibited a decreasing trend with advancing age. Overall, the influence of MetS, its components, and component count on PV was predominantly observed in the age groups of 40–49 years and 50–59 years. Early intervention targeting MetS can significantly alleviate the increase in PV, particularly benefiting individuals aged 40–59 years who have abdominal obesity. 展开更多
关键词 age benign prostatic hyperplasia metabolic syndrome prostate volume
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CAUM:A software for calculating and assessing chemical ages of uranium minerals
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作者 Hao Song Tao Xiao +3 位作者 Guoxiang Chi Zexin Wang Zhengqi Xu Mingcai Hou 《Geoscience Frontiers》 2025年第3期183-192,共10页
It has been shown that the age of minerals in which U±Th are a major(e.g.,uraninite,pitchblende and thorite)or minor(e.g.,monazite,xenotime)component can be calculated from the concentrations of U±Th and Pb ... It has been shown that the age of minerals in which U±Th are a major(e.g.,uraninite,pitchblende and thorite)or minor(e.g.,monazite,xenotime)component can be calculated from the concentrations of U±Th and Pb rather than their isotopes,and such ages are referred to as chemical ages.Although equations for calculating the chemical ages have been well established and various computation programs have been reported,there is a lack of software that can not only calculate the chemical ages of individual analytical points but also provide an evaluation of the errors of individual ages as well as the whole dataset.In this paper,we develop a software for calculating and assessing the chemical ages of uranium minerals(CAUM),an open-source Python-based program with a friendly Graphical User Interface(GUI).Electron probe microanalysis(EPMA)data of uranium minerals are first imported from Excel files and used to calculate the chemical ages and associated errors of individual analytical points.The age data are then visualized to aid evaluating if the dataset comprises one or multiple populations and whether or not there are meaningful correlations between the chemical ages and impurities.Actions can then be taken to evaluate the errors within individual populations and the significance of the correlations.The use of the software is demonstrated with examples from published data. 展开更多
关键词 Chemical ages Uranium minerals EPMAU-Th-Pb geochronology SOFTWARE Python
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