期刊文献+
共找到576,712篇文章
< 1 2 250 >
每页显示 20 50 100
血清MCP-1、HIF-1α、VEGF和ET-1在动脉瘤性蛛网膜下腔出血患者脑血管痉挛及预后中的临床价值
1
作者 杨呈浩 蓝美锐 +2 位作者 罗飞 陈曦 邓云良 《心脑血管病防治》 2026年第2期16-20,共5页
目的探讨单核细胞趋化蛋白-1(MCP-1)、缺氧诱导因子-1α(HIF-1α)、血管内皮生长因子(VEGF)、内皮素-1(ET-1)在动脉瘤性蛛网膜下腔出血(aSAH)患者脑血管痉挛(CVS)及预后中的临床价值。方法回顾性分析自贡市第四人民医院神经外科2020年1... 目的探讨单核细胞趋化蛋白-1(MCP-1)、缺氧诱导因子-1α(HIF-1α)、血管内皮生长因子(VEGF)、内皮素-1(ET-1)在动脉瘤性蛛网膜下腔出血(aSAH)患者脑血管痉挛(CVS)及预后中的临床价值。方法回顾性分析自贡市第四人民医院神经外科2020年1月至2023年12月收治的120例aSAH患者临床资料。采用酶联免疫吸附法检测MCP-1、HIF-1α、VEGF和ET-1水平。根据院内是否发生CVS分为CVS组(84例)、单纯aSAH组(36例),比较CVS组、单纯aSAH组临床特征及实验室指标。定期随访,根据CVS组患者预后情况分为预后不良组(34例)、预后良好组(50例)。对比aSAH合并CVS患者不同预后的临床特征及实验室指标;采用多因素Logistic回归模型分析aSAH合并CVS患者的预后不良的影响因素,采用受试者工作特征(ROC)曲线分析血清MCP-1、HIF-1α、VEGF和ET-1对aSAH合并CVS患者预后的预测效能。结果CVS组脑出血量、MCP-1、HIF-1α、VEGF和ET-1高于单纯aSAH组(t=4.732、12.169、20.220、15.984、13.371,P<0.05),格拉斯哥昏迷量表(GCS)评分低于单纯aSAH组(t=2.079,P<0.05)。aSAH合并CVS患者预后不良组脑出血量、血清MCP-1、HIF-1α、VEGF和ET-1均高于良好组(t=16.812、13.664、5.728、6.868、11.161,P<0.05),而GCS评分低于预后良好组(t=11.423,P<0.05),两组Fisher分级比较差异有统计学意义(χ^(2)=20.403,P<0.05)。Logistic回归显示,血清MCP-1(OR=1.758)、HIF-1α(OR=1.740)、VEGF(OR=1.539)、ET-1(OR=1.799)、Fisher分级3级(OR=1.379)、4级(OR=1.483)为aSAH合并CVS患者预后不良的危险因素,GCS评分(OR=0.695)为保护因素(P<0.05)。ROC曲线显示,血清MCP-1、HIF-1α、VEGF和ET-1联合预测aSAH合并CVS患者预后结局的敏感度及特异度分别是86.45%、94.67%,曲线下面积(AUC)达0.927,高于MCP-1、HIF-1α、VEGF和ET-1单独预测效能(Z=5.378、5.674、6.121、4.876,P<0.05)。结论血清MCP-1、HIF-1α、VEGF和ET-1在aSAH患者发生CVS及预后不良中呈高水平表达,且联合检测对于aSAH合并CVS不良预后有着较高预测效能。 展开更多
关键词 颅内动脉瘤 蛛网膜下腔出血 脑血管痉挛 单核细胞趋化蛋白-1 缺氧诱导因子-1α 血管内皮生长因子 内皮素-1
暂未订购
雷公藤红素干预Transcription Factor EB介导的溶酶体生物发生障碍抑制白内障形成的分子机制
2
作者 祁春梅 李秀慧 张智慧 《昆明医科大学学报》 2026年第3期45-53,共9页
目的 探讨雷公藤红素(celastrol,Cel)是否通过激活转录因子EB(transcription factor EB,TFEB)介导的溶酶体生物生成途径,从而抑制白内障的形成。方法 采用H_(2)O_(2)诱导的人晶状体上皮细胞氧化应激模型和亚硒酸盐诱导的大鼠白内障模型... 目的 探讨雷公藤红素(celastrol,Cel)是否通过激活转录因子EB(transcription factor EB,TFEB)介导的溶酶体生物生成途径,从而抑制白内障的形成。方法 采用H_(2)O_(2)诱导的人晶状体上皮细胞氧化应激模型和亚硒酸盐诱导的大鼠白内障模型,将细胞分为对照组、模型组、Cel干预组、Cel+TFEB siRNA组或Cel+MHY1485组(n=5);45只仔鼠分为对照组、模型组、Cel低、中、高剂量组(n=9)。采用CCK-8法检测细胞活力;免疫荧光染色观察TFEB核转位;Western blot检测LAMP1、CTSB蛋白表达;LysoTracker Red染色评估溶酶体数量;裂隙灯显微镜观察并分级(Bahmani标准)晶状体混浊程度;HE染色观察晶状体组织形态。同时利用TFEB siRNA和mTOR激活剂(MHY1485)验证Cel的作用机制。结果 与模型组相比,Cel干预组TFEB核转位效率显著提高了约2.1倍(P<0.000 1),显著上调了溶酶体功能相关蛋白的表达(P<0.001)。LysoTracker Red染色显示,Cel干预使H_(2)O_(2)诱导的溶酶体数量减少得以逆转(P<0.000 1)。在动物模型中,Cel干预显著降低了晶状体混浊程度(P<0.05)。上述Cel的积极作用均可被TFEB siRNA或mTOR激活剂MHY1485显著拮抗(P<0.001)。结论 Cel通过抑制mTOR信号促进TFEB核转位,增强溶酶体生物发生,改善晶状体蛋白稳态,从而抑制白内障形成。 展开更多
关键词 雷公藤红素 转录因子EB 溶酶体 白内障 MTOR
暂未订购
抗EGFR/c-Met双特异性抗体药物的质量控制
3
作者 武刚 徐刚领 +6 位作者 黄子伊 魏思涵 杜加亮 俞小娟 崔永霏 倪永波 于传飞 《山西医科大学学报》 2026年第1期97-104,共8页
目的研究并建立抗表皮生长因子受体(EGFR)和细胞间质上皮转换因子(c-Met)的双特异性抗体药物关键质量属性(CQA)的质控方法。方法采用反相超高效液相色谱技术对抗EGFR/c-Met双抗进行肽图鉴别;采用分子排阻色谱(SEC)、非还原/还原十二烷... 目的研究并建立抗表皮生长因子受体(EGFR)和细胞间质上皮转换因子(c-Met)的双特异性抗体药物关键质量属性(CQA)的质控方法。方法采用反相超高效液相色谱技术对抗EGFR/c-Met双抗进行肽图鉴别;采用分子排阻色谱(SEC)、非还原/还原十二烷基硫酸钠毛细管电泳(nr/r CE-SDS)和成像毛细管等电聚焦电泳(icIEF)分析抗EGFR/c-Met双抗药物的纯度;采用疏水液相色谱(HIC)分析抗EGFR/c-Met双抗药物的同源二聚体杂质含量;采用多属性监测方法(MAM)分析抗EGFR/c-Met双抗异构化和氧化修饰的含量;采用时间分辨荧光共振能量转移法分析抗EGFR/c-Met双抗药物与c-Met抗原的结合活性;采用荧光素酶报告基因法分析抗EGFR/c-Met双抗药物的生物学活性。结果对于抗EGFR/c-Met双抗药物,肽图分析检测到全部特征肽段,起到良好的鉴别作用。经SEC和CE-SDS检测,其纯度分别为(99.24±0.00)%和(98.44±0.10)%;经icIEF检测,其主峰、酸性峰和碱性峰的面积百分比分别为(74.44±0.55)%、(22.91±0.28)%和(2.64±0.31)%;经HIC检测,其同源二聚体杂质含量均小于定量限;经MAM检测,其异构化和氧化修饰的含量分别为(0.62±0.01)%和(2.35±0.03)%;相对于参比品,抗EGFR/c-Met双抗药物的结合活性和生物学活性分别为(99.00±10.78)%和(103.50±10.09)%。结论针对抗EGFR/c-Met双抗的理化和生物学特性,研究并建立了其关键质量属性的质控方法,从质量可控角度确保该类产品的临床安全性和有效性。 展开更多
关键词 表皮生长因子受体 细胞间质上皮转换因子 双特异性抗体 关键质量属性 纯度分析 生物学活性
暂未订购
Microglia overexpressing brain-derived neurotrophic factor promote vascular repair and functional recovery in mice after spinal cord injury 被引量:2
4
作者 Fanzhuo Zeng Yuxin Li +6 位作者 Xiaoyu Li Xinyang Gu Yue Cao Shuai Cheng He Tian Rongcheng Mei Xifan Mei 《Neural Regeneration Research》 2026年第1期365-376,共12页
Spinal cord injury represents a severe form of central nervous system trauma for which effective treatments remain limited.Microglia is the resident immune cells of the central nervous system,play a critical role in s... Spinal cord injury represents a severe form of central nervous system trauma for which effective treatments remain limited.Microglia is the resident immune cells of the central nervous system,play a critical role in spinal cord injury.Previous studies have shown that microglia can promote neuronal survival by phagocytosing dead cells and debris and by releasing neuroprotective and anti-inflammatory factors.However,excessive activation of microglia can lead to persistent inflammation and contribute to the formation of glial scars,which hinder axonal regeneration.Despite this,the precise role and mechanisms of microglia during the acute phase of spinal cord injury remain controversial and poorly understood.To elucidate the role of microglia in spinal cord injury,we employed the colony-stimulating factor 1 receptor inhibitor PLX5622 to deplete microglia.We observed that sustained depletion of microglia resulted in an expansion of the lesion area,downregulation of brain-derived neurotrophic factor,and impaired functional recovery after spinal cord injury.Next,we generated a transgenic mouse line with conditional overexpression of brain-derived neurotrophic factor specifically in microglia.We found that brain-derived neurotrophic factor overexpression in microglia increased angiogenesis and blood flow following spinal cord injury and facilitated the recovery of hindlimb motor function.Additionally,brain-derived neurotrophic factor overexpression in microglia reduced inflammation and neuronal apoptosis during the acute phase of spinal cord injury.Furthermore,through using specific transgenic mouse lines,TMEM119,and the colony-stimulating factor 1 receptor inhibitor PLX73086,we demonstrated that the neuroprotective effects were predominantly due to brain-derived neurotrophic factor overexpression in microglia rather than macrophages.In conclusion,our findings suggest the critical role of microglia in the formation of protective glial scars.Depleting microglia is detrimental to recovery of spinal cord injury,whereas targeting brain-derived neurotrophic factor overexpression in microglia represents a promising and novel therapeutic strategy to enhance motor function recovery in patients with spinal cord injury. 展开更多
关键词 ANGIOGENESIS apoptosis brain-derived neurotrophic factor colony stimulating factor 1 receptor inflammation MICROGLIA motor function spinal cord injury vascular endothelial growth factor
暂未订购
血清EGFR、E-cadherin预测乳腺癌新辅助化疗疗效的价值
5
作者 龚土平 杜婷 +2 位作者 吴雪莲 李霞 卜亮 《中国现代医学杂志》 2026年第4期13-18,共6页
目的探讨血清表皮生长因子受体(EGFR)、E-钙黏连蛋白(E-cadherin)预测乳腺癌新辅助化疗疗效的价值。方法选取2020年1月—2023年3月绵阳市第三人民医院收治的151例行新辅助化疗的乳腺癌患者。采用多因素逐步Logistic回归模型分析影响因素... 目的探讨血清表皮生长因子受体(EGFR)、E-钙黏连蛋白(E-cadherin)预测乳腺癌新辅助化疗疗效的价值。方法选取2020年1月—2023年3月绵阳市第三人民医院收治的151例行新辅助化疗的乳腺癌患者。采用多因素逐步Logistic回归模型分析影响因素,采用受试者工作特征(ROC)曲线验证诊断效能。结果病理完全缓解(pCR)组肿瘤Ⅱ期占比、E-cadherin水平均高于非pCR组,pCR组KI-67抗原表达≥30%占比、癌胚抗原及EGFR水平均低于非pCR组。多因素逐步Logistic回归分析结果显示:肿瘤分期Ⅲ期[OR=4.899(95%CI:2.016,11.909)]、EGFR水平高[OR=3.904(95%CI:1.594,9.563)]、E-cadherin水平低[OR=0.308(95%CI:0.127,0.748)]均为乳腺癌患者新辅助化疗不完全缓解的危险因素(P<0.05)。ROC曲线分析结果显示,EGFR、E-cadherin及联合模型预测新辅助化疗不完全缓解的敏感性分别为69.44%(95%CI:0.517,0.831)、72.22%(95%CI:0.546,0.852)、83.33%(95%CI:0.665,0.930),特异性分别为75.65%(95%CI:0.666,0.830)、70.43%(95%CI:0.611,0.784)、88.69%(95%CI:0.811,0.936)。曲线下面积分别为0.722(95%CI:0.609,0.834)、0.726(95%CI:0.629,0.822)和0.896(95%CI:0.826,0.966)。结论血清EGFR、Ecadherin联合用于预测乳腺癌新辅助化疗疗效,可提高预测效能。 展开更多
关键词 乳腺癌 新辅助化疗 表皮生长因子受体 E-钙黏连蛋白 疗效
暂未订购
Organelle symphony:Nuclear factor erythroid 2-related factor 2 and nuclear factor-kappa B in stroke pathobiology 被引量:1
6
作者 Ziliang Hu Mingyue Zhao +4 位作者 Hangyu Shen Liangzhe Wei Jie Sun Xiang Gao Yi Huang 《Neural Regeneration Research》 2026年第4期1483-1496,共14页
Strokes include both ischemic stroke,which is mediated by a blockade or reduction in the blood supply to the brain,and hemorrhagic stroke,which comprises intracerebral hemorrhage and subarachnoid hemorrhage and is cha... Strokes include both ischemic stroke,which is mediated by a blockade or reduction in the blood supply to the brain,and hemorrhagic stroke,which comprises intracerebral hemorrhage and subarachnoid hemorrhage and is characterized by bleeding within the brain.Stroke is a lifethreatening cerebrovascular condition characterized by intricate pathophysiological mechanisms,including oxidative stress,inflammation,mitochondrial dysfunction,and neuronal injury.Critical transcription factors,such as nuclear factor erythroid 2-related factor 2 and nuclear factor kappa B,play central roles in the progression of stroke.Nuclear factor erythroid 2-related factor 2 is sensitive to changes in the cellular redox status and is crucial in protecting cells against oxidative damage,inflammatory responses,and cytotoxic agents.It plays a significant role in post-stroke neuroprotection and repair by influencing mitochondrial function,endoplasmic reticulum stress,and lysosomal activity and regulating metabolic pathways and cytokine expression.Conversely,nuclear factor-kappa B is closely associated with mitochondrial dysfunction,the generation of reactive oxygen species,oxidative stress exacerbation,and inflammation.Nuclear factor-kappa B contributes to neuronal injury,apoptosis,and immune responses following stroke by modulating cell adhesion molecules and inflammatory mediators.The interplay between these pathways,potentially involving crosstalk among various organelles,significantly influences stroke pathophysiology.Advancements in single-cell sequencing and spatial transcriptomics have greatly improved our understanding of stroke pathogenesis and offer new opportunities for the development of targeted,individualized,cell typespecific treatments.In this review,we discuss the mechanisms underlying the involvement of nuclear factor erythroid 2-related factor 2 and nuclear factor-kappa B in both ischemic and hemorrhagic stroke,with an emphasis on their roles in oxidative stress,inflammation,and neuroprotection. 展开更多
关键词 inflammation nuclear factor erythroid 2-related factor 2 nuclear factor-kappa B ORGANELLES oxidative stress STROKE
在线阅读 下载PDF
External risk factors for smartphone addiction in adolescents:A systematic literature review
7
作者 Wanqing Lin Mohd Azrin Mohd Nasir Suzila Binti Ismail 《Journal of Psychology in Africa》 2026年第1期143-152,共10页
This systematic review synthesizes empirical research on external risk factors for adolescent smartphone addiction.Scopus and Web of Science were searched for English peer-reviewed empirical articles from 2008 onward;... This systematic review synthesizes empirical research on external risk factors for adolescent smartphone addiction.Scopus and Web of Science were searched for English peer-reviewed empirical articles from 2008 onward;28 met inclusion criteria(excluding non-adolescents,generic internet addiction,non-empirical work,or non-English).Thematic synthesis organized findings into three external risk domains—family,school,and peers—considering cultural/contextual mechanisms.Family dynamics(parental phubbing,harsh parenting,dysfunction),school stressors,and adverse peer relationships were identified as accumulating,direct and indirect contributors to smartphone addiction.These operate within a techno-ecological framework,where digital technologies amplify vulnerabilities and create new pathways for maladaptive use.Evidence favors an ecological,multi-level perspective.Future research should use longitudinal designs,standardize measures across cultures,and examine understudied regions—especially Africa—to guide culturally sensitive interventions. 展开更多
关键词 Smartphone addiction ADOLESCENT family risk factor school risk factor peer risk factor
暂未订购
Auxin Response Factor OsARF13 Positively Regulates Scutellum-Derived Callus Induction Efficiency
8
作者 PAN Yidan LI Xiaojun +4 位作者 LI Dandan LIU Zhen FEI Siyi SHU Qingyao GUO Fu 《Rice science》 2026年第2期141-145,I0002-I0020,共24页
The significant variation in plant regeneration efficiency between indica and japonica rice poses a major challenge for crop improvement.However,the molecular basis for this divergence remains largely unclear.In this ... The significant variation in plant regeneration efficiency between indica and japonica rice poses a major challenge for crop improvement.However,the molecular basis for this divergence remains largely unclear.In this study,we investigated the role of Oryza sativa AUXIN RESPONSE FACTOR 13(OsARF13),a transcription factor involved in callus-related processes.We observed that OsARF13 expression is significantly higher in japonica rice callus than in indica rice callus.This differential expression might be associated with an allelic variation in the promoter region of OsARF13,where a deletion commonly found in indica rice corresponds to the loss of a conserved auxin-responsive element(AuxRE)motif.To functionally characterize OsARF13,we generated CRISPR/Cas9-mediated knockout mutants.These mutants exhibited a substantial reduction in callus fresh weight,demonstrating that OsARF13 is required for efficient callus induction.Transcriptome analysis of the osarf13 mutant further showed that OsARF13 influences the expression of genes involved in hormone signal transduction and stress responses.Our findings suggest that OsARF13 is a key component of the regulatory network governing callus induction and that natural variation in its promoter might provide a potential explanation for the differential regenerative capacity between japonica and indica rice subspecies. 展开更多
关键词 callus induction transcription factor oryza sativa auxin response factor japonica rice auxin response factor OSARF indica rice
在线阅读 下载PDF
肺癌患者HPV感染的高危因素及其与VEGF,IL-1β和免疫指标的关系
9
作者 曾华珺 强珂皎 +3 位作者 杨玲玲 余龙海 曲柳 李渊 《病毒学报》 北大核心 2026年第1期221-227,共7页
目的探讨肺癌患者人乳头瘤病毒(Human papillomavirus,HPV)感染的高危因素及其与血管内皮生长因子(Vascular endothelial growth factor,VEGF)、白细胞介素-1β(Interleukin-1β,IL-1β)和免疫指标的关系。方法回顾性选取2024年3月至202... 目的探讨肺癌患者人乳头瘤病毒(Human papillomavirus,HPV)感染的高危因素及其与血管内皮生长因子(Vascular endothelial growth factor,VEGF)、白细胞介素-1β(Interleukin-1β,IL-1β)和免疫指标的关系。方法回顾性选取2024年3月至2025年9月本院非小细胞肺癌(Non-small-cell lung Cancer,NSCLC)患者150例为研究对象,根据HPV感染情况分为HPV阳性组、HPV阴性组。统计NSCLC患者HPV感染情况,收集患者血清VEGF、IL-1β、CD3^(+)、CD4^(+)/CD8^(+)等临床资料。单因素及Logistic回归分析NSCLC患者HPV感染的影响因素。限制性立方样条图(Restricted cubic spline,RCS)分析血清VEGF、血清IL-1β、免疫指标与患者HPV感染的关系。受试者工作特征曲线(Receiver operating characteristic curve,ROC)曲线评估血清VEGF、血清IL-1β、免疫指标对HPV感染的预测效能。结果150例NSCLC患者HPV阳性率32%(48/150),感染以HPV 16亚型58.33%(28/48)、HPV 18亚型22.92%(11/48)为主。HPV阳性组吸烟史、低分化程度比例、血清VEGF、IL-1β水平高于HPV阴性组,CD3^(+)、CD4^(+)/CD8^(+)水平低于HPV阴性组(P<0.05)。Logistic回归分析显示,吸烟史、分化程度、血清VEGF、IL-1β、CD3^(+)、CD4^(+)/CD8^(+)是NSCLC患者HPV感染的影响因素(P<0.05)。RCS分析显示,随着血清VEGF、IL-1β的升高,NSCLC患者HPV感染风险显著增加,随着CD3^(+)、CD4^(+)/CD8^(+)水平的提高,NSCLC患者HPV感染风险显著降低(P<0.05)。血清VEGF、IL-1β、CD3^(+)、CD4^(+)/CD8^(+)联合预测HPV感染的效能最高,曲线下面积(AUC)为0.968。结论吸烟史、分化程度、血清VEGF、IL-1β、CD3^(+)、CD4^(+)/CD8^(+)水平是NSCLC患者HPV感染的影响因素,且VEGF、IL-1β、CD3^(+)、CD4^(+)/CD8^(+)与患者HPV感染存在剂量-效应关系,上述指标联合预测HPV感染的效能最高。 展开更多
关键词 肺癌 人乳头瘤病毒感染 影响因素 血管内皮生长因子 白细胞介素-1Β 免疫指标
原文传递
Risk factors and early identification markers for post-ischemic stroke anxiety and depression
10
作者 Jie-Dong Zhao Song-Wang Qiu +2 位作者 Kai-Yan Lin Hui-Yan Lin Chang-Wei Yu 《World Journal of Psychiatry》 2026年第1期201-211,共11页
BACKGROUND Ischemic stroke is one of the leading global causes of disability and death.Despite advances in modern medical technology that improve acute treatment and rehabilitation measures,post-stroke anxiety and dep... BACKGROUND Ischemic stroke is one of the leading global causes of disability and death.Despite advances in modern medical technology that improve acute treatment and rehabilitation measures,post-stroke anxiety and depression(PSD)do not receive sufficient attention.AIM To systematically evaluate risk factors and early identification markers for PSD for more precise screening and intervention strategies in clinical practice.METHODS This retrospective study analyzed clinical data from 112 patients with ischemic stroke admitted between January 2022 and December 2024.Based on assessments using the Hamilton Rating Scale for Anxiety(HAMA)and Hamilton Rating Scale for Depression(HAMD)at 2 weeks(±3 days)post-stroke,patients were classified into the PSD group(HAMA≥7 and/or HAMD≥7)and the non-PSD group(HAMA<7 and HAMD<7).Observation indicators included psychological assessment,demographic and clinical characteristics,stroke-related clinical indicators,neuroimaging assessments,and laboratory biomarkers.Multivariate logistic regression analysis was used to identify independent risk factors for PSD,and receiver operating characteristic curve analysis was used to evaluate the diagnostic value of potential biomarkers.RESULTS Of the 112 patients,46(41.1%)were diagnosed with PSD.Multivariate analysis identified five independent risk factors:Female gender[Odds ratio(OR)=2.32,95%confidence interval(CI):1.56-3.45],history of mental disorders prior to stroke(OR=3.17,95%CI:1.89-5.32),infarct location in the frontal lobe or limbic system(OR=2.86,95%CI:1.73-4.71),stroke severity with National Institutes of Health Stroke Scale≥8 at admission(OR=2.54,95%CI:1.62-3.99),and low social support(Social Support Rating Scale<35,OR=2.18,95%CI:1.42-3.36).Subgroup analysis showed that depression patients more commonly had left hemisphere lesions(68.4%vs 45.2%),while anxiety patients more frequently presented with right hemisphere lesions(59.5%vs 39.5%).The PSD group exhibited larger infarct volumes(8.7 cm^(3) vs 5.3 cm^(3)),more severe white matter hyperintensities,and more pronounced frontal lobe atrophy.Analysis of inflammatory markers showed significantly elevated levels of interleukin-6(7.8 pg/mL vs 4.5 pg/mL)and tumor necrosis factor-alpha(15.6 pg/mL vs 9.8 pg/mL)in the PSD group,while hypothalamicpituitary-adrenal axis function assessment revealed higher cortisol levels(386.5±92.3 nmol/L vs 328.7±75.6 nmol/L)and flattened diurnal rhythm in the PSD group.CONCLUSION PSD is a complex neuropsychiatric consequence of stroke involving disruption of the frontal-limbic circuitry,neuroinflammatory responses,and dysfunction of the hypothalamic-pituitary-adrenal axis. 展开更多
关键词 Ischemic stroke Anxiety and depression Risk factors Biomarkers Brain-derived neurotrophic factor
暂未订购
Prevalence and factors associated with acute pain among emergency trauma patients
11
作者 Elias Alemayehu Worku Habtu Adane Aytolign +1 位作者 Zemenay Ayinie Mekonnen Endale Gebreegziabher Gebremedhn 《World Journal of Emergency Medicine》 2026年第1期36-42,共7页
BACKGROUND:Acute pain is a sudden experience secondary to injuries and varies in perception among individuals.In trauma patients,it can negatively aff ect respiratory function,immune response,and wound healing,making ... BACKGROUND:Acute pain is a sudden experience secondary to injuries and varies in perception among individuals.In trauma patients,it can negatively aff ect respiratory function,immune response,and wound healing,making it a signifi cant public health concern.This study is to determine the prevalence and factors associated with acute pain among emergency trauma patients.METHODS:A multicenter cross-sectional study was conducted.Data were collected via interviewer-administered questionnaires and patient chart review.The data were analyzed via the statistical package for social science version 25.Bivariable and multivariable logistic regression analyses were used.Variables with a P-value<0.05 were considered statistically signifi cant.RESULTS:A total of 397 patients were included in the study,for a response rate of 96.8%.The prevalence of pain during admission was 91.9%(95%confi dence intervals[95%CIs]:88.8%-94.4%).Blunt trauma(adjusted odds ratio[aOR]=2.82;95%CI:1.23-6.45),analgesia before admission to the emergency department(aOR=2.71;95%CI:1.16-6.36),documentation of pain severity in the chart(aOR=2.71;95%CI:1.16-6.36),analgesia provided within two hours after admission(aOR=7.60;95%CI:2.79-20.68),use of non-pharmacological pain management methods(aOR=3.09;95%CI:1.35-7.08)and availability of analgesia(aOR=3.95;95%CI:1.36-11.43)were associated with acute pain experience.CONCLUSION:The prevalence of acute pain among emergency trauma patients was high in the study area.Analgesia should be administered prior to admission,and non-pharmacological pain management should be implemented.Moreover,training on pain assessment and management should be provided for healthcare providers in the emergency department. 展开更多
关键词 Acute pain EMERGENCY TRAUMA factor
暂未订购
Techniques and factors for reducing chronic neuropathic pain: A review
12
作者 Damien P.Kuffler 《Neural Regeneration Research》 2026年第4期1353-1358,共6页
Nerve trauma commonly results in chronic neuropathic pain. This is by triggering the release of proinflammatory mediators from local and invading cells that induce inflammation and nociceptive neuron hyperexcitability... Nerve trauma commonly results in chronic neuropathic pain. This is by triggering the release of proinflammatory mediators from local and invading cells that induce inflammation and nociceptive neuron hyperexcitability. Even without apparent inflammation, injury sites are associated with increased inflammatory markers. This review focuses on how it might be possible to reduce neuropathic pain by reducing inflammation. Physiologically, pain is resolved by a combination of the out-migration of pro-inflammatory cells from the injury site, the down-regulation of the genes underlying the inflammation, up-regulating genes for anti-inflammatory mediators, and reducing nociceptive neuron hyperexcitability. While various techniques reduce chronic neuropathic pain, the best are effective on < 50% of patients, no technique reliably or permanently eliminates neuropathic pain. This is because most techniques are predominantly aimed at reducing pain, not inflammation. In addition, while single factors reduce pain, increasing evidence indicates significant and longer-lasting pain relief requires multiple factors acting simultaneously. Therefore, it is not surprising that extensive data indicate that the application of platelet-rich plasma provides more significant and longer-lasting pain suppression than other techniques, although its analgesia is neither complete nor permanent. However, several case reports indicate that platelet-rich plasma can induce permanent neuropathic pain elimination when the platelet concentration is significantly increased and is applied to longer nerve lengths. This review examines the primary triggers of the development and maintenance of neuropathic pain and techniques that reduce chronic neuropathic pain. The application of plateletrich plasma holds great promise for providing complete and permanent chronic neuropathic pain elimination. 展开更多
关键词 anti-inflammatory factors axon regeneration inflammatory pain nerve regeneration nerve repair pain elimination pain reduction platelet-rich plasma pro-inflammatory factors restoration of function
暂未订购
Incidence,risk factors and survival outcomes of post-transplant tertiary hyperparathyroidism in kidney recipients
13
作者 Shmuel Hanson Jorge Menendez Lorenzo +3 位作者 Chukwuma Austin Chukwu Anirudh Rao Rachel Middleton Philip A Kalra 《World Journal of Transplantation》 2026年第1期153-166,共14页
BACKGROUND Post-transplant tertiary hyperparathyroidism(PT-tHPT)is a well-recognized complication following kidney transplantation,characterized by persistent excessive secretion of parathyroid hormone(PTH)despite imp... BACKGROUND Post-transplant tertiary hyperparathyroidism(PT-tHPT)is a well-recognized complication following kidney transplantation,characterized by persistent excessive secretion of parathyroid hormone(PTH)despite improved renal function.It is potentially associated with an increased risk of cardiovascular events,renal osteodystrophy,pathologic fractures,graft loss,and mortality.AIM To evaluate the incidence,risk factors,and outcomes of PT-tHPT amongst kidney transplant recipients.METHODS A total of 887 transplant recipients who underwent transplantation between 2000 and 2020 were evaluated.Univariable and multivariable logistic regression was performed to determine the predictors of tertiary hyperparathyroidism.Graft and recipient outcomes were assessed using multivariable Cox regression.A separate multivariable Cox regression was performed to determine the effect of treatment strategies on outcomes.RESULTS PT-tHPT,defined as elevated PTH(>65 ng/L)and persistent hypercalcemia(>2.60 mmol/L),was diagnosed in 14%of recipients.Risk factors for PT-tHPT included older age[odds ratio(OR)=1.36,P<0.001],Asian ethnicity(OR=0.33,P=0.006),total ischemia time(OR=1.03,P=0.048 per hour),pre-transplant serum calcium(OR=1.38,P<0.001)per decile increase,pre-transplant PTH level(OR=1.31,P<0.001)per decile increase,longer dialysis duration(OR=1.12,P=0.002)per year,history of acute rejection(OR=2.37,P=0.012),and slope of estimated glomerular filtration rate change(OR=0.91,P=0.001).There were a 3.4-fold higher risk of death-censored graft loss and a 1.9-fold greater risk of recipient death with PT-tHPT.The three treatment strategies of conservative management,calcimimetic and parathyroidectomy did not significantly change the graft or patient outcome.CONCLUSION Pretransplant elevated calcium and PTH levels,older age and dialysis duration are associated with PT-tHPT.While PT-tHPT significantly affects graft and recipient survival,the treatment strategies did not affect survival. 展开更多
关键词 Post-transplant tertiary hyperparathyroidism Kidney transplantation Parathyroid hormone PARATHYROIDECTOMY Calcimimetics Graft survival Risk factors Mineral bone disorder Fibroblast growth factor 23 Treatment outcomes
暂未订购
An observational longitudinal cohort study on the trajectory of intrinsic capacity and its influencing factors among older Chinese adults:a growth mixture model analysis
14
作者 Xue Liu Yurun Cai +4 位作者 Huimin Wen Huan Fan Weiyao Li Yilin Cheng Shuqin Xiao 《Nursing Communications》 2026年第3期1-13,共13页
Background:The trajectory of intrinsic capacity(IC)among the older population is characterized by its diversity and is predictive of adverse health outcomes such as disability,nursing home admission,decline in quality... Background:The trajectory of intrinsic capacity(IC)among the older population is characterized by its diversity and is predictive of adverse health outcomes such as disability,nursing home admission,decline in quality of life,and mortality.Gaining an understanding of the trajectory of IC and the factors that influence it is of paramount importance for fostering healthy aging.This research is focused on exploring the trajectory of IC among older adults in China and examining the factors that influence it.Methods:This observational longitudinal cohort study leveraged data from the China Health and Retirement Longitudinal Study(CHARLS),which was conducted in the years 2011,2013,and 2015.For the purpose of this analysis,a total of 2,233 participants who were aged 60 and over were included.A Growth Mixture Model(GMM)was utilized to define trajectory categories for IC.Influential factors were ascertained based on the health ecology model,and binary logistic regression analysis was utilized to investigate the factors linked with the different trajectory categories.Results:Two distinct trajectory classes of IC were identified:Class 1,the normal-stable group,encompassed 90.4%of the elderly population,while Class 2,the declining group,made up 9.6%.Advanced age and a history of stroke were found to be significantly associated with Class 2.High scores in activities of daily living(ADL),employment status,receiving primary or junior high school education,and residence in the East or Central regions of China were significantly linked with Class 1.Conclusion:The trajectory of IC among older Chinese adults is marked by its heterogeneity.Advanced age and a history of stroke are significant risk factors for a declining IC trajectory,while higher ADL scores,being employed,receiving primary or junior high school education,and residing in the East or Central regions of China are protective factors associated with a stable IC trajectory.Healthcare institutions must closely monitor IC levels and understand these trajectory patterns to implement personalized and targeted interventions promptly to maintain IC at a healthy level and advocate for healthy aging. 展开更多
关键词 intrinsic capacity trajectory development influencing factors
暂未订购
Long-term real-world PM2.5 exposure induces depression-like behaviors in mice by disrupting nuclear factor erythroid 2-related factor 2-mediated astrocyte-to-microglia communication
15
作者 Nannan Huang Weiqing Shi +4 位作者 Cuishuang Dong Bin Li Yaohan Wang Hanqing Chen Xiaobo Li 《Neural Regeneration Research》 2026年第7期3238-3248,共11页
Long-term exposure to ambient fine particulate matter(PM2.5)may increase the risk of neurotoxicity in human populations.However,research studies on the underlying mechanisms of chronic PM2.5-induced depression-like be... Long-term exposure to ambient fine particulate matter(PM2.5)may increase the risk of neurotoxicity in human populations.However,research studies on the underlying mechanisms of chronic PM2.5-induced depression-like behaviors,and potential therapeutical strategies,remain scarce.In the present study,after long-term exposure to real-world PM2.5 for 15 weeks,male mice displayed depression-like behaviors,which were revealed using the open field and sucrose preference tests.Mechanistically,chronic PM2.5 exposure promoted astrocytic A1 polarization and disrupted reduction-oxidation balance in the mouse hippocampus.Furthermore,PM2.5-exposed mice displayed pathological damage to hippocampal neurons as well as the inhibition of nuclear factor erythroid 2-related factor 2 signaling.Astrocytic ablation of nuclear factor erythroid 2-related factor 2 exacerbated PM2.5-induced hippocampal neuronal injury in mice via the disruption of astrocyte-to-microglia communication;this finding was confirmed in mice with bilateral and unilateral hippocampal astrocytic Nfe2l2 knockdown.Importantly,the upregulation of nuclear factor erythroid 2-related factor 2 activation by procyanidin significantly ameliorated PM2.5-induced depression-like behaviors through the remodeling of astrocyte-to-microglia communication.Together,our findings shed light on the important role of hippocampal astrocytic nuclear factor erythroid 2-related factor 2 activation for maintaining astrocyte-to-microglia communication,and indicate potential research avenues for therapeutic strategies against PM2.5-induced depresson-like behaviors. 展开更多
关键词 air pollution astrocyte-to-microglia communication depression-like behaviors fine particulate matter(PM2.5) neurotoxicity nuclear factor erythroid 2-related factor 2 oxidative stress PROCYANIDINS
在线阅读 下载PDF
Environmental factors at different scales:a review of their effects on spontaneous fermentation Chinese Baijiu and related mechanisms
16
作者 Lei Yuan Jieqi Mao +6 位作者 Feng Lin Caihong Shen Dongna Ma Shuangping Liu Mingliang Li Miao Liu Jian Mao 《Food Science and Human Wellness》 2026年第2期560-572,共13页
Environment serves as the pivotal medium to produce fermented food,with fluctuations in environmental factors exerting a profound impact on the modulation of fermentation microbial communities.Such shifts are crucial ... Environment serves as the pivotal medium to produce fermented food,with fluctuations in environmental factors exerting a profound impact on the modulation of fermentation microbial communities.Such shifts are crucial for the distinctiveness of fermented food flavor and the variability in quality.Chinese liquor(Baijiu)is one of the typical representatives of spontaneous fermented food.In this review,the multifaceted relationship between regional environmental attributes and the fermentation dynamics of Baijiu was examined,with a spotlight on the strong-flavor,sauce-flavor,and light-flavor varieties.It reveals the influence of regional environmental factors and brewing environmental factors on microbial function and metabolism,which results in the formation of unique flavor characteristics of Baijiu.The 9 main factors affecting the microecology of Baijiu fermentation were further explored,including environmental sensitivity,microbial interactions,biogeographic patterns,and key abiotic factors such as temperature and humidity.Environmental factor management is crucial for controlling microbial community in fermentation.Intelligent detection of the fermentation system is combined with artificial intelligence to realize the digitalization of Baijiu fermentation,with a view to further studying the environmental mechanism or quantitative control relationship of natural fermentation,improving the environmental stability of natural fermentation,and promoting the mechanization and intelligence of fermentation production. 展开更多
关键词 Environmental factors Spontaneous fermentation Chinese Baijiu MICROORGANISM MICROECOLOGY
在线阅读 下载PDF
Physical property characteristics and controlling factors of shale oil reservoirs in the Beibu Gulf Basin,southern China
17
作者 Yuejiao Liu Jianmeng Sun +3 位作者 Fuqiang Lai Xu Dong Dong Yang Jiajie Cheng 《Energy Geoscience》 2026年第1期90-102,共13页
The Liushagang Formation in the Weixinan Depression,Beibu Gulf Basin,southern China,is one of the key stratigraphic units for offshore shale oil exploration in the country.The shale oil reservoirs in the formation are... The Liushagang Formation in the Weixinan Depression,Beibu Gulf Basin,southern China,is one of the key stratigraphic units for offshore shale oil exploration in the country.The shale oil reservoirs in the formation are characterized by low porosity,low permeability and strong heterogeneity,which constrain the precise evaluation of reservoir properties,the accurate prediction of sweet spots,and efficient development.This study integrates core observation,mineralogical analysis,and multi-scale pore characterization to systematically clarify the variations in reservoir properties and their controlling mechanisms.The results show that the physical properties of matrix-type,lamina-type,and interlayer-type reservoirs exhibit distinct stepwise variations:Among these,interlayer-type reservoirs show the greatest development potential(quartz content 65%,average porosity 15%,permeability>10 mD,and mobile fluid saturation 60%),whereas matrix-type reservoirs are the least favorable(dominated by 40 nm nanoscale pores,and clay content 45%).Mineral composition,sedimentary-diagenetic processes,and fault systems collectively control reservoir property heterogeneity.Quartz-rich rigid frameworks resist compaction,resulting in a porosity increase by approximately 2% for every 10%rise in q uartz content.The transformation of clay minerals induces stratified porosity zoning within the layered reservoirs,while fault systems enhance heterogeneity through the development of fracture networks and acid-induced dissolution.This study provides theoretical support for the evaluation and development of shale oil sweet spots in the Weixinan Depression and holds practical significance for the commercial development of shale oil in China's offshore areas. 展开更多
关键词 Shale oil Liushagang formation Physical property Controlling factor
在线阅读 下载PDF
Hydrochemical characteristics,evolution,and controlling factors of a karstic river with reservoirs:Insights from spatial-temporal analysis
18
作者 Jiang Wu Ting Wang +4 位作者 Tang Liu Jia-Ju Liu Nan Xu Hui Zeng Ling-Yan He 《Journal of Environmental Sciences》 2026年第1期108-119,共12页
Understanding water chemistry in karst regions is crucial for improving global water resource management and deepening our knowledge of the biogeochemical cycles shaping these sensitive environments.Despite advance-me... Understanding water chemistry in karst regions is crucial for improving global water resource management and deepening our knowledge of the biogeochemical cycles shaping these sensitive environments.Despite advance-ments in karst hydrology,significant gaps remain in long-term trends,underlying processes,and quantitative effects of environmental changes.This is especially true in areas like the Wujiang River(WJ)in China,where human activities such as reservoir construction and land use/cover changes have accelerated hydrochemical changes.We combined recent and historical monitoring data to provide a detailed analysis of the spatial and temporal characteristics,evolution,and controlling factors of major ions in WJ.These findings are important for local water management and contribute to global efforts to manage similar karst systems facing human-induced pressures.Our research shows clear seasonal differences in solute concentrations,with higher levels during the dry season.WJ’s water is rich in calcium,with Ca-HCO_(3) ion pairs being the most common.Reservoir monitor-ing stations show much higher levels of NO_(3)^(−)and SO_(4)^(2−)compared to river-type stations,likely due to longer hydraulic retention time and increased acid deposition.The study confirms the significant role of pH and water temperature in rock weathering processes.Land use/cover changes were identified as the primary drivers of solute variations(46.37%),followed by lithology(13.92%)and temperature(8.35%).Over the past two decades,in-tense carbonate weathering has been observed,especially during wet seasons.Among karstic provinces,Guizhou Province stands out with the highest ion concentrations,indicative of its extensive karst coverage and heightened weathering processes. 展开更多
关键词 Wujiang river Karst Reservoir Major ion Controlling factor
原文传递
Landslide susceptibility on the Qinghai-Tibet Plateau:Key driving factors identified through machine learning
19
作者 YANG Wanqing GE Quansheng +3 位作者 TAO Zexing XU Duanyang WANG Yuan HAO Zhixin 《Journal of Geographical Sciences》 2026年第1期199-218,共20页
Landslides pose a formidable natural hazard across the Qinghai-Tibet Plateau(QTP),endangering both ecosystems and human life.Identifying the driving factors behind landslides and accurately assessing susceptibility ar... Landslides pose a formidable natural hazard across the Qinghai-Tibet Plateau(QTP),endangering both ecosystems and human life.Identifying the driving factors behind landslides and accurately assessing susceptibility are key to mitigating disaster risk.This study integrated multi-source historical landslide data with 15 predictive factors and used several machine learning models—Random Forest(RF),Gradient Boosting Regression Trees(GBRT),Extreme Gradient Boosting(XGBoost),and Categorical Boosting(CatBoost)—to generate susceptibility maps.The Shapley additive explanation(SHAP)method was applied to quantify factor importance and explore their nonlinear effects.The results showed that:(1)CatBoost was the best-performing model(CA=0.938,AUC=0.980)in assessing landslide susceptibility,with altitude emerging as the most significant factor,followed by distance to roads and earthquake sites,precipitation,and slope;(2)the SHAP method revealed critical nonlinear thresholds,demonstrating that historical landslides were concentrated at mid-altitudes(1400-4000 m)and decreased markedly above 4000 m,with a parallel reduction in probability beyond 700 m from roads;and(3)landslide-prone areas,comprising 13%of the QTP,were concentrated in the southeastern and northeastern parts of the plateau.By integrating machine learning and SHAP analysis,this study revealed landslide hazard-prone areas and their driving factors,providing insights to support disaster management strategies and sustainable regional planning. 展开更多
关键词 landslide susceptibility machine learning SHAP driving factors nonlinear effects
原文传递
Hydrochemical characteristics and influencing factors of the surface water and the groundwater in the Mingyong River Basin of the Meili Snow Mountains
20
作者 ZHAO Xiong WU Lihua +4 位作者 WANG Feiteng DONG Zhiwen WU Kunde YUAN Li LIU Junfeng 《Journal of Mountain Science》 2026年第2期613-633,共21页
Major chemical ionic components in water serve as indicators of natural factors in the areas traversed by water bodies,and are thus widely used to elucidate key hydrogeochemical processes,including rock weathering,aqu... Major chemical ionic components in water serve as indicators of natural factors in the areas traversed by water bodies,and are thus widely used to elucidate key hydrogeochemical processes,including rock weathering,aquatic evaporation-crystallization,and the input of precipitation-derived materials into river basins.A total of 208 water samples were collected between August 2021 and August 2022 to investigate the hydrochemical characteristics and their influencing factors of the surface water and the groundwater in the Mingyong River Basin.To systematically analyze the data,we combined hydrogeochemical and statistical methods:descriptive statistics characterized ion concentration and physicochemical parameter distributions;Piper trilinear diagrams classified hydrochemical types;Pearson correlation analysis assessed ion-ion and ionTDS dependencies;Gibbs diagrams and ion ratio analysis identified solute sources;and the absolute principal component score-multiple linear regression(APCS-MLR)model quantified the contribution rates of different influencing factors.The results revealed that the dominant cations in the surface water and groundwater are Ca^(2+)and Mg^(2+),while the dominant anions are HCO_(3)^(-)and SO_(4)^(2-).The groundwater exhibits an extended residence time within rock strata,facilitating prolonged interaction with soluble minerals and intensifying the water-rock reaction process,thereby resulting in higher levels of electrical conductivity(EC),pH,and total dissolved solids(TDS)than those in the surface water.Secondly,the parameters of the surface water and groundwater indicate positive correlation.The weathering of rocks constitutes the primary solute source in the water of the basin.The hydrochemical composition of the basin water is primarily influenced by both carbonate and silicate rocks,with a minor contribution from evaporite rocks.The water bodies in the basin are affected by anthropogenic activities.The surface water is influenced by four sources,namely lixiviation-enrich,human activities,geological environmental,and unknown sources.The groundwater is influenced by five sources,namely lixiviation-enrich,primary geological,human activities,geological environmental,and unknown sources. 展开更多
关键词 Mingyong River Surface water GROUNDWATER Hydrochemical characteristics Influencing factors
原文传递
上一页 1 2 250 下一页 到第
使用帮助 返回顶部