Using the negative eigenvalue theory and the infinite order perturbation theory, a new method was developed to solve the eigenvectors of disordered systems. The result shows that eigenvectors change from the extended ...Using the negative eigenvalue theory and the infinite order perturbation theory, a new method was developed to solve the eigenvectors of disordered systems. The result shows that eigenvectors change from the extended state to the localized state with the increase of the site points and the disordered degree of the system. When electric field is exerted, the electrons transfer from one localized state to another one. The conductivity is induced by the electron transfer. The authors derive the formula of electron conductivity and find the electron hops between localized states whose energies are close to each other, whereas localized positions differ from each other greatly. At low temperature the disordered system has the character of the negative differential dependence of resistivity and temperature.展开更多
Based on a tight-binding disordered model describing a single electron band, we establish a direct current （de） electronic hopping transport conductance model of one-dimensional diagonal disordered systems, and also...Based on a tight-binding disordered model describing a single electron band, we establish a direct current （de） electronic hopping transport conductance model of one-dimensional diagonal disordered systems, and also derive a dc conductance formula. By calculating the dc conductivity, the relationships between electric field and conductivity and between temperature and conductivity are analysed, and the role played by the degree of disorder in electronic transport is studied. The results indicate the conductivity of systems decreasing with the increase of the degree of disorder, characteristics of negative differential dependence of resistance on temperature at, low temperatures in diagonal disordered systems, and the conductivity of systems decreasing with the increase of electric field, featuring the non-Ohm＇s law conductivity.展开更多
The Chern number is often used to distinguish different topological phases of matter in two-dimensional electron systems. A fast and efficient coupling-matrix method is designed to calculate the Chern number in finite...The Chern number is often used to distinguish different topological phases of matter in two-dimensional electron systems. A fast and efficient coupling-matrix method is designed to calculate the Chern number in finite crystalline and disordered systems. To show its effectiveness, we apply the approach to the Haldane model and the lattice Hofstadter model, and obtain the correct quantized Chern numbers. The disorder-induced topological phase transition is well reproduced, when the disorder strength is increased beyond the critical value. We expect the method to be widely applicable to the study of topological quantum numbers.展开更多
We analyze the spectral distribution of localisation in a 1D diagonally disordered chain of fragments each of which consist of m coupled two-level systems. The calculations performed by means of developed perturbation...We analyze the spectral distribution of localisation in a 1D diagonally disordered chain of fragments each of which consist of m coupled two-level systems. The calculations performed by means of developed perturbation theory for joint statistics of advanced and retarded Green’s functions. We show that this distribution is rather inhomogeneous and reveals spectral regions of weakly localized states with sharp peaks of the localization degree in the centers of these regions.展开更多
Copper is a transition metal and an essential element for the organism,as alterations in its homeostasis leading to metal accumulation or deficiency have pathological effects in several organs,including the central ne...Copper is a transition metal and an essential element for the organism,as alterations in its homeostasis leading to metal accumulation or deficiency have pathological effects in several organs,including the central nervous system.Central copper dysregulations have been evidenced in two genetic disorders characterized by mutations in the copper-ATPases ATP7A and ATP7B,Menkes disease and Wilson’s disease,respectively,and also in multifactorial neurological disorders such as Alzheimer’s disease,Parkinson’s disease,amyotrophic lateral sclerosis,and multiple sclerosis.This review summarizes current knowledge about the role of copper in central nervous system physiology and pathology,reports about unbalances in copper levels and/or distribution under disease,describes relevant animal models for human disorders where copper metabolism genes are dysregulated,and discusses relevant therapeutic approaches modulating copper availability.Overall,alterations in copper metabolism may contribute to the etiology of central nervous system disorders and represent relevant therapeutic targets to restore tissue homeostasis.展开更多
Lipid droplets serve as primary storage organelles for neutral lipids in neurons,glial cells,and other cells in the nervous system.Lipid droplet formation begins with the synthesis of neutral lipids in the endoplasmic...Lipid droplets serve as primary storage organelles for neutral lipids in neurons,glial cells,and other cells in the nervous system.Lipid droplet formation begins with the synthesis of neutral lipids in the endoplasmic reticulum.Previously,lipid droplets were recognized for their role in maintaining lipid metabolism and energy homeostasis;however,recent research has shown that lipid droplets are highly adaptive organelles with diverse functions in the nervous system.In addition to their role in regulating cell metabolism,lipid droplets play a protective role in various cellular stress responses.Furthermore,lipid droplets exhibit specific functions in neurons and glial cells.Dysregulation of lipid droplet formation leads to cellular dysfunction,metabolic abnormalities,and nervous system diseases.This review aims to provide an overview of the role of lipid droplets in the nervous system,covering topics such as biogenesis,cellular specificity,and functions.Additionally,it will explore the association between lipid droplets and neurodegenerative disorders.Understanding the involvement of lipid droplets in cell metabolic homeostasis related to the nervous system is crucial to determine the underlying causes and in exploring potential therapeutic approaches for these diseases.展开更多
The protein connector enhancer of kinase suppressor of Ras 2(CNKSR2),present in both the postsynaptic density and cytoplasm of neurons,is a scaffolding protein with several protein-binding domains.Variants of the CNKS...The protein connector enhancer of kinase suppressor of Ras 2(CNKSR2),present in both the postsynaptic density and cytoplasm of neurons,is a scaffolding protein with several protein-binding domains.Variants of the CNKSR2 gene have been implicated in neurodevelopmental disorders,particularly intellectual disability,although the precise mechanism involved has not yet been fully understood.Research has demonstrated that CNKSR2 plays a role in facilitating the localization of postsynaptic density protein complexes to the membrane,thereby influencing synaptic signaling and the morphogenesis of dendritic spines.However,the function of CNKSR2 in the cytoplasm remains to be elucidated.In this study,we used immunoprecipitation and high-resolution liquid chromatography-mass spectrometry to identify the interactors of CNKSR2.Through a combination of bioinformatic analysis and cytological experiments,we found that the CNKSR2 interactors were significantly enriched in the proteome of the centrosome.We also showed that CNKSR2 interacted with the microtubule protein DYNC1H1 and with the centrosome marker CEP290.Subsequent colocalization analysis confirmed the centrosomal localization of CNKSR2.When we downregulated CNKSR2 expression in mouse neuroblastoma cells(Neuro 2A),we observed significant changes in the expression of numerous centrosomal genes.This manipulation also affected centrosome-related functions,including cell size and shape,cell proliferation,and motility.Furthermore,we found that CNKSR2 interactors were highly enriched in de novo variants associated with intellectual disability and autism spectrum disorder.Our findings establish a connection between CNKSR2 and the centrosome,and offer new insights into the underlying mechanisms of neurodevelopmental disorders.展开更多
Various nanoparticle-based drug delivery systems for the treatment of neurological disorders have been widely studied.However,their inability to cross the blood–brain barrier hampers the clinical translation of these...Various nanoparticle-based drug delivery systems for the treatment of neurological disorders have been widely studied.However,their inability to cross the blood–brain barrier hampers the clinical translation of these therapeutic strategies.Liposomes are nanoparticles composed of lipid bilayers,which can effectively encapsulate drugs and improve drug delivery across the blood–brain barrier and into brain tissue through their targeting and permeability.Therefore,they can potentially treat traumatic and nontraumatic central nervous system diseases.In this review,we outlined the common properties and preparation methods of liposomes,including thin-film hydration,reverse-phase evaporation,solvent injection techniques,detergent removal methods,and microfluidics techniques.Afterwards,we comprehensively discussed the current applications of liposomes in central nervous system diseases,such as Alzheimer's disease,Parkinson's disease,Huntington's disease,amyotrophic lateral sclerosis,traumatic brain injury,spinal cord injury,and brain tumors.Most studies related to liposomes are still in the laboratory stage and have not yet entered clinical trials.Additionally,their application as drug delivery systems in clinical practice faces challenges such as drug stability,targeting efficiency,and safety.Therefore,we proposed development strategies related to liposomes to further promote their development in neurological disease research.展开更多
A Yb:CaGd_(0.33)Y_(0.625)AlO_(4)(Yb:CGYA)laser crystal of high optical quality has been successfully synthesized via the Czochralski method.The introduction of Gd^(3+)ions preserves the original structure and efficien...A Yb:CaGd_(0.33)Y_(0.625)AlO_(4)(Yb:CGYA)laser crystal of high optical quality has been successfully synthesized via the Czochralski method.The introduction of Gd^(3+)ions preserves the original structure and efficiently generates inhomogeneous broadening of the Yb^(3+)ion emission spectra.The fluorescence emission peak wavelength of the Yb:CGYA crystal is 1053 nm,and the corresponding measured full width at halfmaximum is 93 nm.A tunable laser output ranging from 1017 nm to 1073 nm is achieved by using a birefringent filter,which represents the broadest tuning range reported in a short cavity to date.The compact laser offers significant advantages for its applications around the 1μm wavelength band.展开更多
BACKGROUND Functional neurological disorder(FND)in children is a complex and multifaceted condition characterized by neurological symptoms that cannot be explained by organic pathology.Despite its prevalence,FND in pe...BACKGROUND Functional neurological disorder(FND)in children is a complex and multifaceted condition characterized by neurological symptoms that cannot be explained by organic pathology.Despite its prevalence,FND in pediatric populations remains under-researched,with challenges in diagnosis and management AIM To synthesize the current literature on FND in children,focusing on clinical presentation,diagnostic approaches,treatment strategies,and outcomes.METHODS A comprehensive literature search was conducted across multiple databases,including PubMed,Scopus,and Web of Science,for articles published up to August 2024.Studies were included if they addressed FND in pediatric populations,specifically focusing on review articles,research articles,systematic reviews,meta-analyses,case reports,guidelines,expert opinions,and editorials.Data extraction and quality assessment were performed according to PRISMA guidelines.A total of 308 articles were included in the final analysis.RESULTS The analysis included 189 review articles,57 research articles,3 systematic reviews and meta-analyses,5 case reports,2 guidelines,5 expert opinions,and 2 editorials.Key findings revealed a broad spectrum of symptoms,including motor and sensory disturbances and psychological factors contributing to the onset and persistence of FND.Diagnostic challenges were frequently highlighted,emphasizing the need for interdisciplinary approaches.Treatment strategies varied,with cognitive-behavioral therapy(CBT)and multidisciplinary care emerging as the most effective approaches.The outcomes varied,with early intervention being critical for a better prognosis.CONCLUSION Early diagnosis and multidisciplinary care,including CBT,are critical for improving outcomes in pediatric FND.Standardized diagnostic criteria and treatment protocols are needed to enhance clinical management.展开更多
Catalytic doping is one of the economic and efficient strategies to optimize the operating temperature and kinetic behavior of magnesium hydride(MgH_(2)).Herein,efficient regulation of electronic and structural rearra...Catalytic doping is one of the economic and efficient strategies to optimize the operating temperature and kinetic behavior of magnesium hydride(MgH_(2)).Herein,efficient regulation of electronic and structural rearrangements in niobium-rich nickel oxides was achieved through precise compositional design and niobium cation functionalized doping,thereby greatly enhancing its intrinsic catalytic activity in hydrogen storage systems.As the niobium concentration increased,the Ni-Nb catalysts transformed into a mixed state of multi-phase nanoparticles(composed of nickel and niobium-rich nickel oxides)with smaller particle size and uniform distribution,thus exposing more nucleation sites and diffusion channels at the MgH_(2)/Mg interface.In addition,the additional generation of active Ni-Nb-O mixed phase induced numerous highly topical disordered and distorted crystalline,promoting the transfer and reorganization of H atoms.As a result,a stable and continuous multi-phase/component synergistic catalytic microenvironment could be constructed,exerting remarkable enhancement on MgH_(2)’s hydrogen storage performance.After comparative tests,Ni_(0.7)Nb_(0.3)-doped MgH_(2) presented the optimal low-temperature kinetics with a dehydrogenation activation energy of 78.8 kJ·mol^(−1).The onset dehydrogenation temperature of MgH_(2)+10 wt%Ni_(0.7)Nb_(0.3) was reduced to 198℃ and 6.18 wt%H_(2) could be released at 250℃ within 10 min.In addition,the dehydrogenated MgH_(2)–NiNb composites absorbed 4.87 wt%H_(2) in 10 min at 125℃ and a capacity retention rate was maintained at 6.18 wt%even after 50 reaction cycles.In a word,our work supplies fresh insights for designing novel defective-state multiphase catalysts for hydrogen storage and other energy related field.展开更多
We investigate the mixed-state entanglement between two spins embedded in the XXZ Heisenberg chain under thermal equilibrium.By deriving an analytical expression for the entanglement of two-spin thermal states and ext...We investigate the mixed-state entanglement between two spins embedded in the XXZ Heisenberg chain under thermal equilibrium.By deriving an analytical expression for the entanglement of two-spin thermal states and extending this analysis to larger spin chains,we demonstrate that mixed-state entanglement is profoundly shaped by both disorder and temperature.Our results reveal a sharp distinction between many-body localized and ergodic phases,with entanglement vanishing above diferent fnite temperature thresholds.Furthermore,by analyzing non-adjacent spins,we uncover an approximate exponential decay of entanglement with separation.This work advances the understanding of the quantum-to-classical transition by linking the entanglement properties of small subsystems to the broader thermal environment,ofering an explanation for the absence of entanglement in macroscopic systems.These fndings provide critical insights into quantum many-body physics,bridging concepts from thermalization,localization,and quantum information theory.展开更多
Background Raising a child with attention deficit hyperactivity disorder(ADHD)is a key challenge for the primary caregiver.This systematic review aims to identify major burdens facing the primary caregiver of a child ...Background Raising a child with attention deficit hyperactivity disorder(ADHD)is a key challenge for the primary caregiver.This systematic review aims to identify major burdens facing the primary caregiver of a child with ADHD.Methods The electronic databases CINAHL,PubMed,and Google Scholar were searched for studies published in English from 2017 to 2022 assessing the challenges facing caregivers of a child with ADHD.The Johns Hopkins Nursing Evidence-Based Practice Model was used to assess quality and risk of bias of studies identified for inclusion.Articles were synthesized by evaluating principal themes of burden to caregivers,stress of caregivers,and effectiveness of intervention programs.Results Eleven articles were included in this review and included a total of 2426 participants.Findings revealed that caregivers of children with ADHD have a poor quality of life and high stress levels.Supportive parenting programs can be effective for improved coping and adaptation mechanisms with children with ADHD.However,few interventional studies were identified,increasing potential for bias.No meta-analysis was conducted.Conclusion Caregivers of children with ADHD can benefit from strategies to improve their quality of life and reduce their stress levels.Targeted parenting programs can make a positive difference in the well-being of caregivers and children with ADHD.Additional research is needed to address the evidence-based effectiveness of parenting support programs.展开更多
Ferroptosis is a form of cell death elicited by an imbalance in intracellular iron concentrations,leading to enhanced lipid peroxidation.In neurological disorders,both oxidative stress and mitochondrial damage can con...Ferroptosis is a form of cell death elicited by an imbalance in intracellular iron concentrations,leading to enhanced lipid peroxidation.In neurological disorders,both oxidative stress and mitochondrial damage can contribute to ferroptosis,resulting in nerve cell dysfunction and death.The ubiquitin-proteasome system(UPS)refers to a cellular pathway in which specific proteins are tagged with ubiquitin for recognition and degradation by the proteasome.In neuro-logical conditions,the UPS plays a significant role in regu-lating ferroptosis.In this review,we outline how the UPS regulates iron metabolism,ferroptosis,and their interplay in neurological diseases.In addition,we discuss the future application of small-molecule inhibitors and identify poten-tial drug targets.Further investigation into the mechanisms of UPS-mediated ferroptosis will provide novel insights and strategies for therapeutic interventions and clinical applica-tions in neurological diseases.展开更多
BACKGROUND Autism spectrum disorder(ASD)is a neurodevelopmental disorder that manifests in the first years of life,with a complex pathogenesis influenced by biological,genetic and epigenetic factors.Many children with...BACKGROUND Autism spectrum disorder(ASD)is a neurodevelopmental disorder that manifests in the first years of life,with a complex pathogenesis influenced by biological,genetic and epigenetic factors.Many children with ASD display marked food selectivity,often restricting themselves to a narrow range of foods.The problems associated with feeding children with ASD can vary widely,from mild cases that pose no immediate health risks,to more severe situations with a risk of mal-nutrition or,conversely,overeating.This scoping review aims to provide an in-depth overview of the frequency,nature and factors related to food selectivity in children with autism.AIM To comprehensively review the literature on food selectivity in ASD.METHODS A systematic review of the literature was conducted using the PubMed,Web of Science and EBSCO databases,to identify articles published in English from 2014 until 2024.Studies on a sample diagnosed with ASD and food selectivity were included.The selected databases were chosen for their broad coverage of the scientific literature.These databases represent reliable sources of high-quality articles,ensuring a comprehensive and up-to-date search.RESULTS We evaluated 222 studies on food selectivity in autism,from which duplicates were removed and unrelated titles were filtered out.Finally,9 articles were included in the review.Five articles provide a general overview of the phenomenon,analysing its nature and factors.Two studies delve into sensory sensitivity,in particular the impact of food textures,tastes and smells.Finally,two studies focus on problem behaviour during mealtimes.CONCLUSION Children with ASD have greater food selectivity than the neurotypical population.The diet should contain a greater variety of fruit,vegetables,yoghurt,while reducing the consumption of rice and pasta.展开更多
Background Temporomandibular disorders(TMD)are the leading cause of chronic orofacial pain,which significantly affects patients’quality of life.However,the efficacy of acupuncture in the management of TMD remains unc...Background Temporomandibular disorders(TMD)are the leading cause of chronic orofacial pain,which significantly affects patients’quality of life.However,the efficacy of acupuncture in the management of TMD remains unclear.Objective This systematic review aimed to conduct a PRISMA-compliant review to critically assess the therapeutic efficacy of acupuncture as an intervention for patients with TMD.Methods We searched nine electronic databases for randomized controlled trials on acupuncture for TMD published up to February 4,2025.Eligible studies included adults diagnosed with TMD and compared acupuncture(manual,electroacupuncture,warm,auricular,thread-embedding,or laser)with conservative treatment(positive control)or sham acupuncture(negative control).Outcomes included pain intensity,mouth opening,pressure pain threshold,and adverse events.Risk of bias was assessed using ROB 2,and certainty of evidence was evaluated using GRADE.All outcome data were analyzed using RevMan 5.4 software.Low heterogeneity was defined as I^(2)≤50% and P≥0.1,in which case a fixed-effects model was applied.High heterogeneity(I^(2)>50% or P<0.1)prompted further analysis to identify its source.After excluding the influence of evident heterogeneity,a random-effects model was used for the meta-analysis.Results Of the 2664 screened records,14 randomized controlled trials involving 476 participants met the inclusion criteria.Acupuncture significantly reduced pain intensity compared with that of negative controls(MD=-1.75,95%confidence interval[CI]-2.47 to-1.03;P<0.00001;I^(2)=60%)but showed no difference compared with that of positive controls(MD=-0.06,95%CI-0.62 to 0.50;P=0.83;I^(2)=0%).No significant differences were observed in pain-free jaw opening,whereas acupuncture improved maximum mouth opening relative to negative controls(MD=1.80,95%CI 1.62 to 1.97;P<0.00001;I^(2)=0%).For pressure pain threshold,two small studies suggested greater increases with acupuncture.Safety data were limited,with only one trial reporting mild adverse events in the acupuncture group.Conclusion Based on limited evidence,acupuncture appears superior to negative controls in relieving pain associated with TMD but shows no significant advantage over positive controls.The certainty of the evidence for all outcomes,as assessed by GRADE,was low or very low.Therefore,these findings should be interpreted with caution.Future high-quality randomized controlled trials are warranted to further evaluate the role of acupuncture in the management of patients with TMD.展开更多
Background A temporomandibular disorders(TMDs)is a musculoskeletal and neuromuscular condition that affects the temporomandibular joint,masticatory muscles,and associated tissues.Non-pharmacological interventions are ...Background A temporomandibular disorders(TMDs)is a musculoskeletal and neuromuscular condition that affects the temporomandibular joint,masticatory muscles,and associated tissues.Non-pharmacological interventions are currently considered as potential therapies for TMDs.However,high-quality systematic reviews and meta-analyses evaluating their clinical efficacy are lacking.Objective This study aimed to evaluate the clinical efficacy of non-pharmacological interventions for TMDs,focusing on their impact on pain relief,jaw mobility,and functional improvement.Specifically,we aimed to compare the effectiveness of four non-pharmacological interventions,including acupuncture,exercise,occlusal splinting,and laser therapy,for treating TMDs.Methods Comprehensive searches for randomized controlled trials(RCTs)were conducted in PubMed,Web of Science,Scopus,Embase,Cochrane Central Register of Controlled Trials,China National Knowledge Infrastructure,China Biomedical Literature Database(SinoMed),VIP,and Wanfang databases.The primary outcome was visual analog scale(VAS)score.The secondary outcomes included pain-free mouth opening,maximum assisted and unassisted mouth opening,and occurrence of adverse events.We used the Cochrane Risk of Bias tool and the Grading of Recommendations Assessment,Development,and Evaluation approach to assess the risk of bias and the quality of evidence.The meta-analysis was performed using RevMan 5.4 software.Results A total of 22 RCTs involving 717 patients with TMDs were included.Non-pharmacological interventions significantly reduced VAS scores(n=19;mean difference[MD]=–1.86,95%confidence interval[CI]–2.40 to–1.31;Z=6.68;P<0.05)and improved the pain-free mouth opening(n=6;MD=6.92,95%CI 4.91 to 8.94;Z=6.73;P<0.05)and maximum unassisted mouth opening(n=10;MD=4.05,95%CI 2.08 to 6.02;Z=4.04;P<0.05)in patients with TMDs.However,non-pharmacological interventions did not show a significant effect on maximum assisted mouth opening(n=2;MD=0.33,95%CI–4.16 to 4.82;Z=0.15;P=0.88).Only one RCT reported the occurrence of adverse events.Subgroup analysis showed that acupuncture(n=6;MD=–1.52,95%CI–2.86 to–0.18;Z=2.22;P=0.03),exercise(n=4;MD=–1.12,95%CI–1.94 to–0.31,Z=2.70;P<0.05),occlusal splint(n=5;MD=–2.00,95%CI–2.67 to–1.33,Z=5.88;P<0.05),and laser therapy(n=4;MD=–2.81,95%CI–3.89 to–1.73,Z=5.10,P<0.05)were significantly superior to control treatments in reducing VAS scores.In addition,acupuncture(n=2;MD=6.50,95%CI 3.87 to 9.13;Z=4.85;P<0.05),occlusal splint(n=2;MD=8.33,95%CI 4.41 to 12.24;Z=4.17;P<0.05),and laser therapy(n=2;MD=6.09,95%CI 0.86 to 11.32;Z=2.28;P=0.02)significantly improved pain-free mouth opening,whereas exercise(n=2;MD=6.84,95%CI 3.16 to 10.51;Z=3.65;P<0.05)and occlusal splint(n=2;MD=4.93,95%CI 1.66 to 8.19;Z=2.96;P<0.05)increased maximum unassisted mouth opening.Conclusion Nonpharmacological interventions have significant efficacy in relieving pain and enhancing pain-free mouth opening and maximum unassisted mouth opening in patients with TMDs.Specifically,acupuncture,exercise,occlusal splinting,and laser therapy significantly alleviate pain in patients with TMDs.Occlusal splinting showed good effects in improving pain-free mouth opening and maximum unassisted mouth opening,while acupuncture and laser therapy helped improve pain-free mouth opening.Exercise significantly improved maximum unassisted mouth opening.These findings support the application of these treatments in clinical practice and provide evidence to inform future conservative management guidelines for TMDs.展开更多
Intrinsically disordered proteins(IDPs)and their regions(IDRs)play crucial roles in cellular func-tions despite their lack of stable three-dimensional structures.In this study,we investigate the interac-tions between ...Intrinsically disordered proteins(IDPs)and their regions(IDRs)play crucial roles in cellular func-tions despite their lack of stable three-dimensional structures.In this study,we investigate the interac-tions between the C-terminal do-main of protein 4.1G(4.1G CTD)and the nuclear mitotic apparatus protein(NuMA)under varying pH and salt ion conditions to under-stand the regulatory mechanisms affecting their binding.4.1G CTD and NuMA bind effec-tively under neutral and alkaline conditions,but their interaction is disrupted under acidic conditions(pH 3.6).The protonation of positively charged residues at the C-terminal of 4.1G CTD under acidic conditions leads to increased electrostatic repulsion,weakening the overall binding free energy.Secondary structure analysis shows that specific regions of 4.1G CTD re-main stable under both pH conditions,but the C-terminal region(aa 990−1000)and the N-terminal region of NuMA(aa 1800−1810)exhibit significant reductions in secondary struc-ture probability under acidic conditions.Contact map analysis and solvent-accessible surface area analysis further support these findings by showing a reduced contact probability be-tween these regions under pH 3.6.These results provide a comprehensive understanding of how pH and ionic strength regulate the binding dynamics of 4.1G CTD and NuMA,emphasiz-ing the regulatory role of electrostatic interactions.展开更多
BACKGROUND Functional gastrointestinal disorders(FGIDs),defined as‘Disorders of Gut-Brain Interaction’,are now considered a global health problem.There is a dearth of concepts and scales to assess the severity of th...BACKGROUND Functional gastrointestinal disorders(FGIDs),defined as‘Disorders of Gut-Brain Interaction’,are now considered a global health problem.There is a dearth of concepts and scales to assess the severity of the different symptoms encountered while dealing with the variety of FGIDs as described in the ROME IV classi-fication.We introduced a novel scoring system with the incorporation of 16 different symptoms called Bacharyya’s Questionnaire Scale and started using it while dealing with children suffering from FGIDs.AIM To verify the usefulness and applicability of this recently developed scale,this study was undertaken with the objectives to establish the validity of this scoring system in assessing the severity of symptoms associated with a specific FGID in children and to determine the scoring system's applicability in assessing the treatment response.METHODS The study included children aged 5 to 18 years diagnosed with any FGID based on ROME IV criteria.They completed the newly developed scale and a Visual Analog Scale at initial diagnosis and after a 2-month treatment period.A control group without FGID participated for comparative baseline purposes.Treatment response was defined as a less than or equal to 50%reduction in the total score,which is statistically significant.RESULTS Results from a comprehensive cohort of 190 cases and 90 controls indicated a female preponderance(57.9%)and prevalent disorders such as functional constipation(28%)and functional abdominal pain,not otherwise specified(21%).The grade of FGID(mild,moderate,severe)experienced by the patients was also derived.Post-treatment,96 children demonstrated symptom improvement.The Spearman rank correlation coefficient for pre(r=0.72,95%CI:0.65-0.77,P value<0.0001)and post(r=0.49,95%CI:0.3-0.64,P value<0.0001)treatment data showed positive results with significant P values.CONCLUSION The novel scoring system shows high comprehensibility and gives an objective view of the symptomatology of FGIDs.The use of this novel score in clinical settings will be helpful to typify the FGIDs and may significantly improve decision-making processes to initiate appropriate treatment.展开更多
Background:Numerous systematic reviews and meta-analyses have been published that evaluate the association between periodontal disease and systemic diseases,many of which address similar topics.Moreover,their quality ...Background:Numerous systematic reviews and meta-analyses have been published that evaluate the association between periodontal disease and systemic diseases,many of which address similar topics.Moreover,their quality requires assessment.Therefore,we performed a cross-sectional analysis to examine the evidence on the relationship between periodontal disease and systemic diseases.Methods:The PubMed,Embase,Web of Science,and the Cochrane Library databases were systematically searched to identify relevant systematic reviews and meta-analyses.Only studies that considered periodontal disease as the exposure factor and various systemic diseases as the outcome were included.The basic characteristics and pertinent data from the selected studies were extracted.The modified version of A Measurement Tool to Assess Systematic Reviews 2(AMSTAR 2)was employed for quality assessment,while R software was used for statistical analysis.Results:Among the 212 relevant systematic reviews and meta-analyses,57 were finally included in our analysis.These studies involved 75 diseases and 81 disease-related outcomes,with cancer(19/81)being the most frequently addressed topic.Of the 81 outcomes,67 demonstrated a significant association.Notably,the highest risk estimate was found for head and neck cancer[odds ratio(OR)=3.17,95%confidence interval(CI)1.78-5.64],while the lowest was observed for premature rupture of the amniotic sac[relative risk(RR)=1.10,95%CI 1.08-1.12].The methodological quality ratings indicated that approximately 71.93%of included studies were classified as“Critically low”,with another 17.54%rated as“Low”,and only about 10.53%categorized as“Moderate”.Conclusions:Periodontal disease significantly elevates the risks associated with 15 cancer-related,8 cardiovascular-related,8 metabolic-related,and 5 neurological-related outcomes.However,the overall methodological quality of existing systematic reviews and meta-analyses is generally suboptimal and requires enhancement to generate higher-quality evidence in the future.展开更多
文摘Using the negative eigenvalue theory and the infinite order perturbation theory, a new method was developed to solve the eigenvectors of disordered systems. The result shows that eigenvectors change from the extended state to the localized state with the increase of the site points and the disordered degree of the system. When electric field is exerted, the electrons transfer from one localized state to another one. The conductivity is induced by the electron transfer. The authors derive the formula of electron conductivity and find the electron hops between localized states whose energies are close to each other, whereas localized positions differ from each other greatly. At low temperature the disordered system has the character of the negative differential dependence of resistivity and temperature.
文摘Based on a tight-binding disordered model describing a single electron band, we establish a direct current （de） electronic hopping transport conductance model of one-dimensional diagonal disordered systems, and also derive a dc conductance formula. By calculating the dc conductivity, the relationships between electric field and conductivity and between temperature and conductivity are analysed, and the role played by the degree of disorder in electronic transport is studied. The results indicate the conductivity of systems decreasing with the increase of the degree of disorder, characteristics of negative differential dependence of resistance on temperature at, low temperatures in diagonal disordered systems, and the conductivity of systems decreasing with the increase of electric field, featuring the non-Ohm＇s law conductivity.
基金Project supported by the National Basic Research Program of China(Grant Nos.2009CB929504,2011CB922103,and 2010CB923400)the National Natural Science Foundation of China(Grant Nos.11225420,11074110,11174125,11074109,11074111,and 91021003)+3 种基金the Priority Academic Program Development of Jiangsu Higher Education Institutions,Chinathe Natural Science Foundation of Jiangsu Province,China(Grant No.BK2010364)the US NSF(Grant Nos.DMR-0906816 and DMR-1205734)he Princeton MRSEC(Grant No.DMR-0819860)
文摘The Chern number is often used to distinguish different topological phases of matter in two-dimensional electron systems. A fast and efficient coupling-matrix method is designed to calculate the Chern number in finite crystalline and disordered systems. To show its effectiveness, we apply the approach to the Haldane model and the lattice Hofstadter model, and obtain the correct quantized Chern numbers. The disorder-induced topological phase transition is well reproduced, when the disorder strength is increased beyond the critical value. We expect the method to be widely applicable to the study of topological quantum numbers.
文摘We analyze the spectral distribution of localisation in a 1D diagonally disordered chain of fragments each of which consist of m coupled two-level systems. The calculations performed by means of developed perturbation theory for joint statistics of advanced and retarded Green’s functions. We show that this distribution is rather inhomogeneous and reveals spectral regions of weakly localized states with sharp peaks of the localization degree in the centers of these regions.
文摘Copper is a transition metal and an essential element for the organism,as alterations in its homeostasis leading to metal accumulation or deficiency have pathological effects in several organs,including the central nervous system.Central copper dysregulations have been evidenced in two genetic disorders characterized by mutations in the copper-ATPases ATP7A and ATP7B,Menkes disease and Wilson’s disease,respectively,and also in multifactorial neurological disorders such as Alzheimer’s disease,Parkinson’s disease,amyotrophic lateral sclerosis,and multiple sclerosis.This review summarizes current knowledge about the role of copper in central nervous system physiology and pathology,reports about unbalances in copper levels and/or distribution under disease,describes relevant animal models for human disorders where copper metabolism genes are dysregulated,and discusses relevant therapeutic approaches modulating copper availability.Overall,alterations in copper metabolism may contribute to the etiology of central nervous system disorders and represent relevant therapeutic targets to restore tissue homeostasis.
基金funded by Basic Research Program of Shanghai,No.20JC1412200(to JW)the National Key Research and Development Program of China,No.2020YFA0113000(to RCZ)。
文摘Lipid droplets serve as primary storage organelles for neutral lipids in neurons,glial cells,and other cells in the nervous system.Lipid droplet formation begins with the synthesis of neutral lipids in the endoplasmic reticulum.Previously,lipid droplets were recognized for their role in maintaining lipid metabolism and energy homeostasis;however,recent research has shown that lipid droplets are highly adaptive organelles with diverse functions in the nervous system.In addition to their role in regulating cell metabolism,lipid droplets play a protective role in various cellular stress responses.Furthermore,lipid droplets exhibit specific functions in neurons and glial cells.Dysregulation of lipid droplet formation leads to cellular dysfunction,metabolic abnormalities,and nervous system diseases.This review aims to provide an overview of the role of lipid droplets in the nervous system,covering topics such as biogenesis,cellular specificity,and functions.Additionally,it will explore the association between lipid droplets and neurodegenerative disorders.Understanding the involvement of lipid droplets in cell metabolic homeostasis related to the nervous system is crucial to determine the underlying causes and in exploring potential therapeutic approaches for these diseases.
基金supported by the National Nature Science Foundation of China,No.32101020(to JL)the Natural Science Foundation of Shandong Province,Nos.ZR2020MC071(to JL),ZR2023MH327(to HZ)+1 种基金the Integrated Project of Major Research Plan of National Natural Science Foundation of China,No.92249303(to PL)the Natural Science Foundation of Qingdao,No.23-2-1-193-zyyd-jch(to HZ)。
文摘The protein connector enhancer of kinase suppressor of Ras 2(CNKSR2),present in both the postsynaptic density and cytoplasm of neurons,is a scaffolding protein with several protein-binding domains.Variants of the CNKSR2 gene have been implicated in neurodevelopmental disorders,particularly intellectual disability,although the precise mechanism involved has not yet been fully understood.Research has demonstrated that CNKSR2 plays a role in facilitating the localization of postsynaptic density protein complexes to the membrane,thereby influencing synaptic signaling and the morphogenesis of dendritic spines.However,the function of CNKSR2 in the cytoplasm remains to be elucidated.In this study,we used immunoprecipitation and high-resolution liquid chromatography-mass spectrometry to identify the interactors of CNKSR2.Through a combination of bioinformatic analysis and cytological experiments,we found that the CNKSR2 interactors were significantly enriched in the proteome of the centrosome.We also showed that CNKSR2 interacted with the microtubule protein DYNC1H1 and with the centrosome marker CEP290.Subsequent colocalization analysis confirmed the centrosomal localization of CNKSR2.When we downregulated CNKSR2 expression in mouse neuroblastoma cells(Neuro 2A),we observed significant changes in the expression of numerous centrosomal genes.This manipulation also affected centrosome-related functions,including cell size and shape,cell proliferation,and motility.Furthermore,we found that CNKSR2 interactors were highly enriched in de novo variants associated with intellectual disability and autism spectrum disorder.Our findings establish a connection between CNKSR2 and the centrosome,and offer new insights into the underlying mechanisms of neurodevelopmental disorders.
基金supported by the National Natural Science Foundation of China, Nos. 82271411 (to RG), 51803072 (to WLiu)grants from the Department of Finance of Jilin Province, Nos. 2022SCZ25 (to RG), 2022SCZ10 (to WLiu), 2021SCZ07 (to RG)+2 种基金Jilin Provincial Science and Technology Program, No. YDZJ202201ZYTS038 (to WLiu)The Youth Support Programmed Project of China-Japan Union Hospital of Jilin University, No. 2022qnpy11 (to WLuo)The Project of China-Japan Union Hospital of Jilin University, No. XHQMX20233 (to RG)
文摘Various nanoparticle-based drug delivery systems for the treatment of neurological disorders have been widely studied.However,their inability to cross the blood–brain barrier hampers the clinical translation of these therapeutic strategies.Liposomes are nanoparticles composed of lipid bilayers,which can effectively encapsulate drugs and improve drug delivery across the blood–brain barrier and into brain tissue through their targeting and permeability.Therefore,they can potentially treat traumatic and nontraumatic central nervous system diseases.In this review,we outlined the common properties and preparation methods of liposomes,including thin-film hydration,reverse-phase evaporation,solvent injection techniques,detergent removal methods,and microfluidics techniques.Afterwards,we comprehensively discussed the current applications of liposomes in central nervous system diseases,such as Alzheimer's disease,Parkinson's disease,Huntington's disease,amyotrophic lateral sclerosis,traumatic brain injury,spinal cord injury,and brain tumors.Most studies related to liposomes are still in the laboratory stage and have not yet entered clinical trials.Additionally,their application as drug delivery systems in clinical practice faces challenges such as drug stability,targeting efficiency,and safety.Therefore,we proposed development strategies related to liposomes to further promote their development in neurological disease research.
文摘A Yb:CaGd_(0.33)Y_(0.625)AlO_(4)(Yb:CGYA)laser crystal of high optical quality has been successfully synthesized via the Czochralski method.The introduction of Gd^(3+)ions preserves the original structure and efficiently generates inhomogeneous broadening of the Yb^(3+)ion emission spectra.The fluorescence emission peak wavelength of the Yb:CGYA crystal is 1053 nm,and the corresponding measured full width at halfmaximum is 93 nm.A tunable laser output ranging from 1017 nm to 1073 nm is achieved by using a birefringent filter,which represents the broadest tuning range reported in a short cavity to date.The compact laser offers significant advantages for its applications around the 1μm wavelength band.
文摘BACKGROUND Functional neurological disorder(FND)in children is a complex and multifaceted condition characterized by neurological symptoms that cannot be explained by organic pathology.Despite its prevalence,FND in pediatric populations remains under-researched,with challenges in diagnosis and management AIM To synthesize the current literature on FND in children,focusing on clinical presentation,diagnostic approaches,treatment strategies,and outcomes.METHODS A comprehensive literature search was conducted across multiple databases,including PubMed,Scopus,and Web of Science,for articles published up to August 2024.Studies were included if they addressed FND in pediatric populations,specifically focusing on review articles,research articles,systematic reviews,meta-analyses,case reports,guidelines,expert opinions,and editorials.Data extraction and quality assessment were performed according to PRISMA guidelines.A total of 308 articles were included in the final analysis.RESULTS The analysis included 189 review articles,57 research articles,3 systematic reviews and meta-analyses,5 case reports,2 guidelines,5 expert opinions,and 2 editorials.Key findings revealed a broad spectrum of symptoms,including motor and sensory disturbances and psychological factors contributing to the onset and persistence of FND.Diagnostic challenges were frequently highlighted,emphasizing the need for interdisciplinary approaches.Treatment strategies varied,with cognitive-behavioral therapy(CBT)and multidisciplinary care emerging as the most effective approaches.The outcomes varied,with early intervention being critical for a better prognosis.CONCLUSION Early diagnosis and multidisciplinary care,including CBT,are critical for improving outcomes in pediatric FND.Standardized diagnostic criteria and treatment protocols are needed to enhance clinical management.
基金financial supports from the National Key R&D Program of China(2023YFB3809103)the National Natural Science Foundation of China(U23A20128).
文摘Catalytic doping is one of the economic and efficient strategies to optimize the operating temperature and kinetic behavior of magnesium hydride(MgH_(2)).Herein,efficient regulation of electronic and structural rearrangements in niobium-rich nickel oxides was achieved through precise compositional design and niobium cation functionalized doping,thereby greatly enhancing its intrinsic catalytic activity in hydrogen storage systems.As the niobium concentration increased,the Ni-Nb catalysts transformed into a mixed state of multi-phase nanoparticles(composed of nickel and niobium-rich nickel oxides)with smaller particle size and uniform distribution,thus exposing more nucleation sites and diffusion channels at the MgH_(2)/Mg interface.In addition,the additional generation of active Ni-Nb-O mixed phase induced numerous highly topical disordered and distorted crystalline,promoting the transfer and reorganization of H atoms.As a result,a stable and continuous multi-phase/component synergistic catalytic microenvironment could be constructed,exerting remarkable enhancement on MgH_(2)’s hydrogen storage performance.After comparative tests,Ni_(0.7)Nb_(0.3)-doped MgH_(2) presented the optimal low-temperature kinetics with a dehydrogenation activation energy of 78.8 kJ·mol^(−1).The onset dehydrogenation temperature of MgH_(2)+10 wt%Ni_(0.7)Nb_(0.3) was reduced to 198℃ and 6.18 wt%H_(2) could be released at 250℃ within 10 min.In addition,the dehydrogenated MgH_(2)–NiNb composites absorbed 4.87 wt%H_(2) in 10 min at 125℃ and a capacity retention rate was maintained at 6.18 wt%even after 50 reaction cycles.In a word,our work supplies fresh insights for designing novel defective-state multiphase catalysts for hydrogen storage and other energy related field.
基金supported by the National Natural Science Foundation of China(Grant Nos.92365202,12475011,and 11921005)the National Key R&D Program of China(Grant No.2024YFA1409002)Shanghai Municipal Science and Technology Major Project(Grant No.2019SHZDZX01)。
文摘We investigate the mixed-state entanglement between two spins embedded in the XXZ Heisenberg chain under thermal equilibrium.By deriving an analytical expression for the entanglement of two-spin thermal states and extending this analysis to larger spin chains,we demonstrate that mixed-state entanglement is profoundly shaped by both disorder and temperature.Our results reveal a sharp distinction between many-body localized and ergodic phases,with entanglement vanishing above diferent fnite temperature thresholds.Furthermore,by analyzing non-adjacent spins,we uncover an approximate exponential decay of entanglement with separation.This work advances the understanding of the quantum-to-classical transition by linking the entanglement properties of small subsystems to the broader thermal environment,ofering an explanation for the absence of entanglement in macroscopic systems.These fndings provide critical insights into quantum many-body physics,bridging concepts from thermalization,localization,and quantum information theory.
文摘Background Raising a child with attention deficit hyperactivity disorder(ADHD)is a key challenge for the primary caregiver.This systematic review aims to identify major burdens facing the primary caregiver of a child with ADHD.Methods The electronic databases CINAHL,PubMed,and Google Scholar were searched for studies published in English from 2017 to 2022 assessing the challenges facing caregivers of a child with ADHD.The Johns Hopkins Nursing Evidence-Based Practice Model was used to assess quality and risk of bias of studies identified for inclusion.Articles were synthesized by evaluating principal themes of burden to caregivers,stress of caregivers,and effectiveness of intervention programs.Results Eleven articles were included in this review and included a total of 2426 participants.Findings revealed that caregivers of children with ADHD have a poor quality of life and high stress levels.Supportive parenting programs can be effective for improved coping and adaptation mechanisms with children with ADHD.However,few interventional studies were identified,increasing potential for bias.No meta-analysis was conducted.Conclusion Caregivers of children with ADHD can benefit from strategies to improve their quality of life and reduce their stress levels.Targeted parenting programs can make a positive difference in the well-being of caregivers and children with ADHD.Additional research is needed to address the evidence-based effectiveness of parenting support programs.
基金supported by the 2024 Talent Project of Shandong First Medical University(045RC200008)the Taishan Scholars Program(tsqn202211225).
文摘Ferroptosis is a form of cell death elicited by an imbalance in intracellular iron concentrations,leading to enhanced lipid peroxidation.In neurological disorders,both oxidative stress and mitochondrial damage can contribute to ferroptosis,resulting in nerve cell dysfunction and death.The ubiquitin-proteasome system(UPS)refers to a cellular pathway in which specific proteins are tagged with ubiquitin for recognition and degradation by the proteasome.In neuro-logical conditions,the UPS plays a significant role in regu-lating ferroptosis.In this review,we outline how the UPS regulates iron metabolism,ferroptosis,and their interplay in neurological diseases.In addition,we discuss the future application of small-molecule inhibitors and identify poten-tial drug targets.Further investigation into the mechanisms of UPS-mediated ferroptosis will provide novel insights and strategies for therapeutic interventions and clinical applica-tions in neurological diseases.
文摘BACKGROUND Autism spectrum disorder(ASD)is a neurodevelopmental disorder that manifests in the first years of life,with a complex pathogenesis influenced by biological,genetic and epigenetic factors.Many children with ASD display marked food selectivity,often restricting themselves to a narrow range of foods.The problems associated with feeding children with ASD can vary widely,from mild cases that pose no immediate health risks,to more severe situations with a risk of mal-nutrition or,conversely,overeating.This scoping review aims to provide an in-depth overview of the frequency,nature and factors related to food selectivity in children with autism.AIM To comprehensively review the literature on food selectivity in ASD.METHODS A systematic review of the literature was conducted using the PubMed,Web of Science and EBSCO databases,to identify articles published in English from 2014 until 2024.Studies on a sample diagnosed with ASD and food selectivity were included.The selected databases were chosen for their broad coverage of the scientific literature.These databases represent reliable sources of high-quality articles,ensuring a comprehensive and up-to-date search.RESULTS We evaluated 222 studies on food selectivity in autism,from which duplicates were removed and unrelated titles were filtered out.Finally,9 articles were included in the review.Five articles provide a general overview of the phenomenon,analysing its nature and factors.Two studies delve into sensory sensitivity,in particular the impact of food textures,tastes and smells.Finally,two studies focus on problem behaviour during mealtimes.CONCLUSION Children with ASD have greater food selectivity than the neurotypical population.The diet should contain a greater variety of fruit,vegetables,yoghurt,while reducing the consumption of rice and pasta.
文摘Background Temporomandibular disorders(TMD)are the leading cause of chronic orofacial pain,which significantly affects patients’quality of life.However,the efficacy of acupuncture in the management of TMD remains unclear.Objective This systematic review aimed to conduct a PRISMA-compliant review to critically assess the therapeutic efficacy of acupuncture as an intervention for patients with TMD.Methods We searched nine electronic databases for randomized controlled trials on acupuncture for TMD published up to February 4,2025.Eligible studies included adults diagnosed with TMD and compared acupuncture(manual,electroacupuncture,warm,auricular,thread-embedding,or laser)with conservative treatment(positive control)or sham acupuncture(negative control).Outcomes included pain intensity,mouth opening,pressure pain threshold,and adverse events.Risk of bias was assessed using ROB 2,and certainty of evidence was evaluated using GRADE.All outcome data were analyzed using RevMan 5.4 software.Low heterogeneity was defined as I^(2)≤50% and P≥0.1,in which case a fixed-effects model was applied.High heterogeneity(I^(2)>50% or P<0.1)prompted further analysis to identify its source.After excluding the influence of evident heterogeneity,a random-effects model was used for the meta-analysis.Results Of the 2664 screened records,14 randomized controlled trials involving 476 participants met the inclusion criteria.Acupuncture significantly reduced pain intensity compared with that of negative controls(MD=-1.75,95%confidence interval[CI]-2.47 to-1.03;P<0.00001;I^(2)=60%)but showed no difference compared with that of positive controls(MD=-0.06,95%CI-0.62 to 0.50;P=0.83;I^(2)=0%).No significant differences were observed in pain-free jaw opening,whereas acupuncture improved maximum mouth opening relative to negative controls(MD=1.80,95%CI 1.62 to 1.97;P<0.00001;I^(2)=0%).For pressure pain threshold,two small studies suggested greater increases with acupuncture.Safety data were limited,with only one trial reporting mild adverse events in the acupuncture group.Conclusion Based on limited evidence,acupuncture appears superior to negative controls in relieving pain associated with TMD but shows no significant advantage over positive controls.The certainty of the evidence for all outcomes,as assessed by GRADE,was low or very low.Therefore,these findings should be interpreted with caution.Future high-quality randomized controlled trials are warranted to further evaluate the role of acupuncture in the management of patients with TMD.
基金Supported by Capital's Funds for Health Improvement and Research:CFH2024-2-2235China National Natural Science Foundation:82074179,82374575+3 种基金Beijing Natural Science Foundation:7232270Outstanding Young Talents Program of Capital Medial University:B2207Beijing Hospital Management Center "peak" Talent Training Plan Team:DFL20241001Fifth Batch of National TCM Clinical Outstanding Talents Project。
文摘Background A temporomandibular disorders(TMDs)is a musculoskeletal and neuromuscular condition that affects the temporomandibular joint,masticatory muscles,and associated tissues.Non-pharmacological interventions are currently considered as potential therapies for TMDs.However,high-quality systematic reviews and meta-analyses evaluating their clinical efficacy are lacking.Objective This study aimed to evaluate the clinical efficacy of non-pharmacological interventions for TMDs,focusing on their impact on pain relief,jaw mobility,and functional improvement.Specifically,we aimed to compare the effectiveness of four non-pharmacological interventions,including acupuncture,exercise,occlusal splinting,and laser therapy,for treating TMDs.Methods Comprehensive searches for randomized controlled trials(RCTs)were conducted in PubMed,Web of Science,Scopus,Embase,Cochrane Central Register of Controlled Trials,China National Knowledge Infrastructure,China Biomedical Literature Database(SinoMed),VIP,and Wanfang databases.The primary outcome was visual analog scale(VAS)score.The secondary outcomes included pain-free mouth opening,maximum assisted and unassisted mouth opening,and occurrence of adverse events.We used the Cochrane Risk of Bias tool and the Grading of Recommendations Assessment,Development,and Evaluation approach to assess the risk of bias and the quality of evidence.The meta-analysis was performed using RevMan 5.4 software.Results A total of 22 RCTs involving 717 patients with TMDs were included.Non-pharmacological interventions significantly reduced VAS scores(n=19;mean difference[MD]=–1.86,95%confidence interval[CI]–2.40 to–1.31;Z=6.68;P<0.05)and improved the pain-free mouth opening(n=6;MD=6.92,95%CI 4.91 to 8.94;Z=6.73;P<0.05)and maximum unassisted mouth opening(n=10;MD=4.05,95%CI 2.08 to 6.02;Z=4.04;P<0.05)in patients with TMDs.However,non-pharmacological interventions did not show a significant effect on maximum assisted mouth opening(n=2;MD=0.33,95%CI–4.16 to 4.82;Z=0.15;P=0.88).Only one RCT reported the occurrence of adverse events.Subgroup analysis showed that acupuncture(n=6;MD=–1.52,95%CI–2.86 to–0.18;Z=2.22;P=0.03),exercise(n=4;MD=–1.12,95%CI–1.94 to–0.31,Z=2.70;P<0.05),occlusal splint(n=5;MD=–2.00,95%CI–2.67 to–1.33,Z=5.88;P<0.05),and laser therapy(n=4;MD=–2.81,95%CI–3.89 to–1.73,Z=5.10,P<0.05)were significantly superior to control treatments in reducing VAS scores.In addition,acupuncture(n=2;MD=6.50,95%CI 3.87 to 9.13;Z=4.85;P<0.05),occlusal splint(n=2;MD=8.33,95%CI 4.41 to 12.24;Z=4.17;P<0.05),and laser therapy(n=2;MD=6.09,95%CI 0.86 to 11.32;Z=2.28;P=0.02)significantly improved pain-free mouth opening,whereas exercise(n=2;MD=6.84,95%CI 3.16 to 10.51;Z=3.65;P<0.05)and occlusal splint(n=2;MD=4.93,95%CI 1.66 to 8.19;Z=2.96;P<0.05)increased maximum unassisted mouth opening.Conclusion Nonpharmacological interventions have significant efficacy in relieving pain and enhancing pain-free mouth opening and maximum unassisted mouth opening in patients with TMDs.Specifically,acupuncture,exercise,occlusal splinting,and laser therapy significantly alleviate pain in patients with TMDs.Occlusal splinting showed good effects in improving pain-free mouth opening and maximum unassisted mouth opening,while acupuncture and laser therapy helped improve pain-free mouth opening.Exercise significantly improved maximum unassisted mouth opening.These findings support the application of these treatments in clinical practice and provide evidence to inform future conservative management guidelines for TMDs.
基金supported by the National Natural Science Foundation of China(No.22073018,No.22377015).
文摘Intrinsically disordered proteins(IDPs)and their regions(IDRs)play crucial roles in cellular func-tions despite their lack of stable three-dimensional structures.In this study,we investigate the interac-tions between the C-terminal do-main of protein 4.1G(4.1G CTD)and the nuclear mitotic apparatus protein(NuMA)under varying pH and salt ion conditions to under-stand the regulatory mechanisms affecting their binding.4.1G CTD and NuMA bind effec-tively under neutral and alkaline conditions,but their interaction is disrupted under acidic conditions(pH 3.6).The protonation of positively charged residues at the C-terminal of 4.1G CTD under acidic conditions leads to increased electrostatic repulsion,weakening the overall binding free energy.Secondary structure analysis shows that specific regions of 4.1G CTD re-main stable under both pH conditions,but the C-terminal region(aa 990−1000)and the N-terminal region of NuMA(aa 1800−1810)exhibit significant reductions in secondary struc-ture probability under acidic conditions.Contact map analysis and solvent-accessible surface area analysis further support these findings by showing a reduced contact probability be-tween these regions under pH 3.6.These results provide a comprehensive understanding of how pH and ionic strength regulate the binding dynamics of 4.1G CTD and NuMA,emphasiz-ing the regulatory role of electrostatic interactions.
文摘BACKGROUND Functional gastrointestinal disorders(FGIDs),defined as‘Disorders of Gut-Brain Interaction’,are now considered a global health problem.There is a dearth of concepts and scales to assess the severity of the different symptoms encountered while dealing with the variety of FGIDs as described in the ROME IV classi-fication.We introduced a novel scoring system with the incorporation of 16 different symptoms called Bacharyya’s Questionnaire Scale and started using it while dealing with children suffering from FGIDs.AIM To verify the usefulness and applicability of this recently developed scale,this study was undertaken with the objectives to establish the validity of this scoring system in assessing the severity of symptoms associated with a specific FGID in children and to determine the scoring system's applicability in assessing the treatment response.METHODS The study included children aged 5 to 18 years diagnosed with any FGID based on ROME IV criteria.They completed the newly developed scale and a Visual Analog Scale at initial diagnosis and after a 2-month treatment period.A control group without FGID participated for comparative baseline purposes.Treatment response was defined as a less than or equal to 50%reduction in the total score,which is statistically significant.RESULTS Results from a comprehensive cohort of 190 cases and 90 controls indicated a female preponderance(57.9%)and prevalent disorders such as functional constipation(28%)and functional abdominal pain,not otherwise specified(21%).The grade of FGID(mild,moderate,severe)experienced by the patients was also derived.Post-treatment,96 children demonstrated symptom improvement.The Spearman rank correlation coefficient for pre(r=0.72,95%CI:0.65-0.77,P value<0.0001)and post(r=0.49,95%CI:0.3-0.64,P value<0.0001)treatment data showed positive results with significant P values.CONCLUSION The novel scoring system shows high comprehensibility and gives an objective view of the symptomatology of FGIDs.The use of this novel score in clinical settings will be helpful to typify the FGIDs and may significantly improve decision-making processes to initiate appropriate treatment.
基金supported by the Lanzhou Science and Technology Project(2022-3-8)the Natural Science Foundation of Chongqing(CSTB2024NSCQMSX0043 and cstc2020jcyj-msxmX0079)the Key Scientific Research Project of Education Department of Henan Province(22A320038).
文摘Background:Numerous systematic reviews and meta-analyses have been published that evaluate the association between periodontal disease and systemic diseases,many of which address similar topics.Moreover,their quality requires assessment.Therefore,we performed a cross-sectional analysis to examine the evidence on the relationship between periodontal disease and systemic diseases.Methods:The PubMed,Embase,Web of Science,and the Cochrane Library databases were systematically searched to identify relevant systematic reviews and meta-analyses.Only studies that considered periodontal disease as the exposure factor and various systemic diseases as the outcome were included.The basic characteristics and pertinent data from the selected studies were extracted.The modified version of A Measurement Tool to Assess Systematic Reviews 2(AMSTAR 2)was employed for quality assessment,while R software was used for statistical analysis.Results:Among the 212 relevant systematic reviews and meta-analyses,57 were finally included in our analysis.These studies involved 75 diseases and 81 disease-related outcomes,with cancer(19/81)being the most frequently addressed topic.Of the 81 outcomes,67 demonstrated a significant association.Notably,the highest risk estimate was found for head and neck cancer[odds ratio(OR)=3.17,95%confidence interval(CI)1.78-5.64],while the lowest was observed for premature rupture of the amniotic sac[relative risk(RR)=1.10,95%CI 1.08-1.12].The methodological quality ratings indicated that approximately 71.93%of included studies were classified as“Critically low”,with another 17.54%rated as“Low”,and only about 10.53%categorized as“Moderate”.Conclusions:Periodontal disease significantly elevates the risks associated with 15 cancer-related,8 cardiovascular-related,8 metabolic-related,and 5 neurological-related outcomes.However,the overall methodological quality of existing systematic reviews and meta-analyses is generally suboptimal and requires enhancement to generate higher-quality evidence in the future.
