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The Effect of Home Care Poverty on the Activities of Daily Living among Older Adults in China: A Propensity Score Matching Study 家庭护理贫困对中国老年人日常生活活动的影响:倾向评分匹配研究
4区 医学 Q3 Medicine Pub Date : 2023-11-12 DOI: 10.18502/ijph.v52i11.14032
Yuee Li, Xiaohui Liu
Background: In the context of home care being valued by the Chinese government and the increasing number of disabled older adults, it is of great significance to explore the effect of home care poverty of the older adults on their ability to perform activities of daily living. Methods: A research sample of 2583 older adults from the Chinese Longitudinal Healthy Longevity Survey data in 2018 was adopted. There were 422 participants in the treatment group and 2161 participants in the control group. According to the framework of counterfactual analysis, the kernel matching method was used to match the treatment and control groups to calculate the values of average treatment effects on treated (ATT). Results: The results of the kernel matching method showed that the factual ADL score of the treatment group was 6.886, the counterfactual ADL score of the control group was 8.520, and the ATT value was -1.634 (P<0.05). There were gender and urban-rural differences in the relationship between home care poverty and activities of daily living among older people. In gender samples, there was a significant correlation between the two, and the absolute value of ATT in male samples was higher than that in female samples (P<0.05). In the rural samples, there was a significant correlation between the two variables (P<0.05). But in the urban samples, there was no significant correlation between the two variables. Conclusion: Home care poverty could significantly reduce the ability to perform activities of daily living among older adults in China. Based on the conclusions, the study puts forward several suggestions to solve the home care poverty for the older adults in China.
背景:在中国政府重视居家养老和残疾老年人数量不断增加的背景下,探讨老年人居家养老贫困对其日常生活活动能力的影响具有重要意义。 方法:选取2018年中国健康长寿纵向调查数据中的2583名老年人作为研究样本。治疗组422人,对照组2161人。根据反事实分析的框架,采用核匹配法对处理组和对照组进行匹配,计算处理组的平均处理效果(ATT)。结果:核匹配法结果显示,治疗组真实ADL得分为6.886,对照组反事实ADL得分为8.520,ATT值为-1.634 (P<0.05)。家庭护理贫困与老年人日常生活活动的关系存在性别和城乡差异。在性别样本中,两者之间存在显著的相关性,男性样本的ATT绝对值高于女性样本(P<0.05)。在农村样本中,两个变量之间存在显著相关(P<0.05)。但在城市样本中,这两个变量之间没有显著的相关性。 结论:家庭护理贫困会显著降低中国老年人的日常生活能力。在此基础上,本研究提出了解决中国老年人居家养老贫困的几点建议。
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引用次数: 0
Identification of TMEM178 as a Potential Prognostic Biomarker and Therapeutic Target for Breast Cancer TMEM178作为乳腺癌潜在预后生物标志物和治疗靶点的鉴定
4区 医学 Q3 Medicine Pub Date : 2023-11-12 DOI: 10.18502/ijph.v52i11.14042
Jiaoyan Yan, Ye Yang, Jingrun Lu, Yan Yuan, Xiangyi Wu, Jian Huang, Shu Zhang
Background: The transmembrane protein (TMEM) family plays important roles in cancer. However, the expression pattern and biological roles of TMEM178, a member of TMEM family, remains unclear in breast cancer (BRCA). Methods: Methylation and RNA-seq data were obtained to explore methylation level. Expression of TMEM178, methylation inhibitor 5-Aza-CdR was used to verify the effect of methylation status on the expression of TMEM178. We comprehensively investigated the prognostic outcomes, biological functions and effects on immune cell infiltration of the TMEM178 in BRCA using multiple bioinformatics methods. Results: The expression of TMEM178 was downregulated and negatively correlated with the level of DNA methylation and DNA methyltransferase (DNMT1, DNMT3A, and DNMT3B) in BRCA. Consistently, TMEM178 mRNA were confirmed to be downregulated, while upregulated in response to treatment with methylation inhibitor 5-Aza-CdR by RT-qPCR. Patients with high expression of TMEM178 have better prognosis and are more sensitive to targeted drug Pazopanib. Immune infiltration analysis showed that the infiltration levels of CD4+ T cell subsets were reduced in BRAC tissues with high TMEM178 expression, and immunosuppressive molecules of T-cell exhaustion were lower expression level. Conclusion: Hypermethylation of the TMEM178 promoter region was a contributing factor to the downregulation of its expression, and TMEM178 may reflect a prognostic and immunosuppressive situation in BRCA.
背景:跨膜蛋白(TMEM)家族在肿瘤中起重要作用。然而,TMEM家族成员TMEM178在乳腺癌(BRCA)中的表达模式和生物学作用尚不清楚。 方法:获取甲基化和RNA-seq数据,探讨甲基化水平。通过TMEM178、甲基化抑制剂5-Aza-CdR的表达来验证甲基化状态对TMEM178表达的影响。我们使用多种生物信息学方法全面研究了BRCA中TMEM178的预后结局、生物学功能和免疫细胞浸润的影响。 结果:TMEM178在BRCA中表达下调,并与DNA甲基化和DNA甲基转移酶(DNMT1、DNMT3A和DNMT3B)水平呈负相关。与此一致的是,通过RT-qPCR证实TMEM178 mRNA下调,而在甲基化抑制剂5-Aza-CdR治疗后则上调。TMEM178高表达的患者预后更好,对靶向药物帕唑帕尼更敏感。免疫浸润分析显示,TMEM178高表达的BRAC组织中CD4+ T细胞亚群浸润水平降低,T细胞衰竭免疫抑制分子表达水平降低。 结论:TMEM178启动子区域的高甲基化是其表达下调的一个因素,TMEM178可能反映了BRCA的预后和免疫抑制情况。
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引用次数: 0
Development of a Green Single Drop Microextraction Based on Deep Eutectic Solvent and HPLC-UV for Trace Residue Analysis of Three Frequent-Used Pesticides 基于深度共熔溶剂和HPLC-UV的绿色单滴微萃取法在三种常用农药痕量残留分析中的应用
4区 医学 Q3 Medicine Pub Date : 2023-11-12 DOI: 10.18502/ijph.v52i11.14043
Mehran Pourhossein, Monireh Khadem, Fariborz Omidi, Omid Reza Heravizadeh, Seyed Jamaleddin Shahtaheri
Background: A green sample preparation method named deep eutectic solvent-based single drop microextraction (DES-SDME) was developed and optimized for determining trace metribuzin, dichlorvos, and fenthion. Methods: Two hundred seventy experimental runs were performed, and the optimal values of the five influential factors in the DES-SDME method were determined. The design of the study was based on one factor at a time and the peak area of high-performance liquid chromatography was used as a benchmark for comparing analysis results. Results: After optimizing the effective factors, the linearity range, detection limit and quantification limit of the method were determined by drawing calibration curves for the studied analytes. Conclusion: The results indicated the success of the developed method in obtaining acceptable figures of merit as a green preparation method with accuracy and precision.
背景:建立了一种绿色样品制备方法——深共晶溶剂基单滴微萃取(DES-SDME),并对其进行了优化,用于测定痕量的杀虫脒、敌敌畏和倍硫磷。方法:进行270次实验,确定DES-SDME法中5个影响因素的最优值。本研究的设计是基于一次一个因素,并以高效液相色谱峰面积作为比较分析结果的基准。 结果:对影响因素进行优化后,通过绘制校正曲线确定了该方法的线性范围、检出限和定量限。 结论:所建立的方法具有良好的准确度和精密度,是一种绿色制备方法。
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引用次数: 0
Pregnancy in Wartime: An Opportunity for Making Peace through Health 战时怀孕:通过健康实现和平的机会
4区 医学 Q3 Medicine Pub Date : 2023-11-12 DOI: 10.18502/ijph.v52i11.14048
Mohammad Hassan Zahedroozegar, Fatemeh Shaygani, Milad Ahmadi Marzaleh
The Article Abstract is not available.
没有文章摘要。 ;
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引用次数: 0
Pulmonary Rehabilitation Strategies for the Treatment of Pneumoconiosis: A Narrative Review 肺康复治疗尘肺病的策略:述评
4区 医学 Q3 Medicine Pub Date : 2023-11-12 DOI: 10.18502/ijph.v52i11.14024
Dingzi Zhou, Daigang Fu, Ling Yan, Lijun Peng
Pneumoconiosis is a collection of lung diseases caused by inhaling mineral dust that poses an important risk to public health worldwide. Effective clinical treatments are currently limited, but pulmonary rehabilitation (PR) has shown promise in treating respiratory diseases. This review aims to assess the effectiveness of PR strategies for treating pneumoconiosis. We searched research studies that investigated the effectiveness of PR interventions for pneumoconiosis patients in international scientific databases and comprehensively reviewed PR strategies for the treatment of pneumoconiosis. Pneumoconiosis patients are increasingly being treated with a multimodal PR program. PR interventions could save healthcare costs, reduce dyspnea, improve exercise performance, and enhance overall health-related quality of life in patients with pneumoconiosis. PR interventions are effective in improving respiratory function and quality of life in patients with pneumoconiosis. However, further research is needed to determine the optimal PR strategies for pneumoconiosis patients and to investigate the long-term effects of these interventions.
尘肺病是由吸入矿物粉尘引起的一系列肺部疾病,对全世界的公共卫生构成重大威胁。目前有效的临床治疗方法有限,但肺康复(PR)在治疗呼吸系统疾病方面显示出希望。本综述旨在评价PR策略治疗尘肺病的有效性。我们在国际科学数据库中检索了调查尘肺患者PR干预有效性的研究,并全面回顾了尘肺治疗的PR策略。尘肺患者越来越多地接受多模式PR方案的治疗。PR干预可以节省医疗费用,减少呼吸困难,改善运动表现,并提高尘肺患者的整体健康相关生活质量。PR干预对改善尘肺患者的呼吸功能和生活质量是有效的。然而,需要进一步的研究来确定尘肺患者的最佳PR策略,并调查这些干预措施的长期效果。
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引用次数: 0
Cervical Cancer Prevention, Its Challenges and Solutions in Iran and Worldwide: A Systematic Review 宫颈癌的预防,它的挑战和解决方案在伊朗和世界范围:一个系统的回顾
4区 医学 Q3 Medicine Pub Date : 2023-11-12 DOI: 10.18502/ijph.v52i11.14031
Narges Pirani, Mehdi Jafari, Rafat Bagherzadeh, Marziyeh Keikhosravi, Hadis Pirani
Background: Widespread use of screening in high-income countries has led to significant reductions in mortality from cervical cancer. However, in Iran, the main reason for the late diagnosis of cervical cancer was the failure to perform a Pap smear (Papanicolaou). We aimed to investigate the status of cervical cancer prevention and its challenges and solutions in Iran. Method: We conducted a systematic review of literature published from 1974 to 2021 in the electronic databases, including PubMed, Web of Science, Embase, Scopus, and Google Scholar, and retrieved all English-language articles. Following the application of the inclusion and exclusion criteria, full-text articles were identified and evaluated for eligibility. Finally, these publications were analyzed as part of the synthesis. Results: Lower social-economic level, inadequate knowledge of screening tests and health centers for Pap test performance leading to worse outcomes such as lower screening participation or coverage. Conclusion: By addressing these challenges through increasing education, increasing service accessibility, expanding screening programs, improving public awareness, improving insurance coverage, and establishing a control protocol for follow-up, it is possible to reduce cervical cancer incidence and mortality.
背景:高收入国家广泛使用筛查导致宫颈癌死亡率显著降低。然而,在伊朗,宫颈癌诊断较晚的主要原因是未能进行巴氏涂片检查(巴氏涂片)。我们的目的是调查伊朗宫颈癌预防的现状及其面临的挑战和解决方案。 方法:我们对PubMed、Web of Science、Embase、Scopus和Google Scholar等电子数据库中1974 - 2021年发表的文献进行系统综述,检索所有英文文章。在应用纳入和排除标准之后,对全文文章进行了识别和评估。最后,将这些出版物作为合成的一部分进行分析。 结果:较低的社会经济水平,对筛查测试和健康中心对巴氏试验表现的了解不足,导致较差的结果,如较低的筛查参与率或覆盖率。 结论:通过加强教育、增加服务可及性、扩大筛查项目、提高公众意识、扩大保险覆盖面和建立随访控制方案来应对这些挑战,有可能降低宫颈癌的发病率和死亡率。
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引用次数: 0
Analysis of the Relationship between Physical Activity and the Factors Related to Weight Management of Bariatric Surgery Patients 减肥手术患者体力活动与体重管理相关因素的关系分析
4区 医学 Q3 Medicine Pub Date : 2023-11-12 DOI: 10.18502/ijph.v52i11.14041
Sevinc Tastan, Seda Cevheroglu, Kubra Yıldırım
Background: We aimed to analyze the relationship between physical activity and the factors related to the weight management of bariatric surgery patients. Methods: This descriptive-correlational study was conducted on 87 participants, who underwent bariatric surgery in Cyprus between May and Oct 2020. The International Physical Activity Questionnaire and a questionnaire on socio-demographic and obesity characteristics were used to collect data. Results: Mean age of the participants was 34.7±8.43 and 65.5% were female. A statistically significant difference was found between physical activity levels and weight loss (P=0.021). Post-bariatric surgery physical activity level was low active for 65.5% of the participants. There was a statistically significant difference between the MET scores of the participants according to their gender, and the scores of men were higher than women (2256.9; 1110.9 respectively). Although most of the participants in the study were females, women lost less weight than males (45.5; 54.2 respectively). Conclusion: Being female, married, and having chronic diseases caused less weight loss after bariatric surgery. As the physical activity levels of the patients increased, their weight loss increased. In line with these results, people undergone bariatric surgery and are at risk of regaining weight should be followed closely after surgery and appropriate physical activities should be planned.
背景:我们旨在分析体育活动与减肥手术患者体重管理相关因素之间的关系。 方法:这项描述性相关研究对87名参与者进行了研究,他们于2020年5月至10月在塞浦路斯接受了减肥手术。使用国际体育活动问卷和社会人口统计学和肥胖特征问卷收集数据。 结果:参与者平均年龄34.7±8.43岁,女性占65.5%。体力活动水平与体重减轻之间存在统计学上的显著差异(P=0.021)。减肥手术后,65.5%的参与者身体活动水平较低。不同性别参与者的MET得分差异有统计学意义,男性得分高于女性(2256.9;1110.9分别)。虽然研究中的大多数参与者都是女性,但女性的体重减轻幅度比男性要小(45.5;54.2) # x0D公司;结论:女性、已婚、有慢性疾病对减肥手术后体重减轻的影响较小。随着患者体力活动水平的增加,他们的体重减轻幅度也在增加。根据这些结果,接受减肥手术并有体重反弹风险的人应在手术后密切随访,并应计划适当的体育活动。
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引用次数: 0
Selected Music Serves as a Non-Pharmacologic Approach for Anxiety and Depression Relief in Patients Receiving Hemodialysis 选择音乐作为一种非药物方法缓解血液透析患者的焦虑和抑郁
4区 医学 Q3 Medicine Pub Date : 2023-11-12 DOI: 10.18502/ijph.v52i11.14047
Nader Aghakhani, Zehra Gok Metin, Masoumeh Akbari
The Article Abstract is not available.
没有文章摘要。 ;
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引用次数: 0
The Application Value of Combined Detection of Serum IL-6, LDH, S100, NSE, and GFAP in the Early Diagnosis of Brain Damage Caused by Neonatal Asphyxia 联合检测血清IL-6、LDH、S100、NSE、GFAP在新生儿窒息致脑损伤早期诊断中的应用价值
4区 医学 Q3 Medicine Pub Date : 2023-11-12 DOI: 10.18502/ijph.v52i11.14036
Bingchun Liu, Haixia Lan, Naikang Gao, Gejile Hu
Background: We aimed to investigate the correlation and clinical significance between a group of serum biomarkers and brain damage caused by neonatal asphyxia, and to provide sensitive and effective detection methods for early diagnosis and prognosis improvement. Methods: We enrolled neonates hospitalized in the neonatal department of The Affiliated Hospital of Inner Mongolia Medical University of China from June 2020 to June 2021 as the study subjects. The levels of interleukin-6 (IL-6), lactate dehydrogenase (LDH), S100 protein, neuron-specific enolase (NSE), and glial fibrillary acidic protein (GFAP) in serum samples were measured using electrochemiluminescence (ECL), enzyme-linked immunosorbent assay (ELISA) or rate method and the correlations between these serum biomarkers and the degree of neonatal asphyxia and brain damage were statistically analyzed using Spearman test. Results: The levels of serum IL-6, LDH, S100, NSE, and GFAP in the neonatal asphyxia with brain damage group within 12 hours after birth were significantly higher than those in the neonatal asphyxia without brain damage group (all P<0.05). Additionally, these levels were positively correlated with the degree of asphyxia. The Area Under the Curve (AUC) of receiver operating characteristic (ROC) curves of IL-6 (0.8819), LDH (0.8108), S100 (0.8719), NSE (0.8719), and GFAP (0.8073) were revealed. Conclusion: The combined detection of serum marker levels can simultaneously reflect neuronal injury, glial cell injury, and inflammatory injury, improve the accuracy of diagnosis of neonatal asphyxia with brain damage, and enable the formulation of treatment strategies as early as possible to reduce the incidence of complications of brain damage.
背景:探讨一组血清生物标志物与新生儿窒息脑损伤的相关性及临床意义,为早期诊断和改善预后提供灵敏、有效的检测方法。 方法:选取2020年6月至2021年6月在中国内蒙古医科大学附属医院新生儿科住院的新生儿作为研究对象。采用电化学发光法(ECL)、酶联免疫吸附法(ELISA)或率法检测血清样本中白细胞介素-6 (IL-6)、乳酸脱氢酶(LDH)、S100蛋白、神经元特异性烯醇化酶(NSE)、胶质纤维酸性蛋白(GFAP)水平,采用Spearman检验统计分析这些血清生物标志物与新生儿窒息及脑损伤程度的相关性。 结果:新生儿窒息伴脑损伤组出生后12 h内血清IL-6、LDH、S100、NSE、GFAP水平显著高于新生儿窒息无脑损伤组(p < 0.05)。此外,这些水平与窒息程度呈正相关。IL-6(0.8819)、LDH(0.8108)、S100(0.8719)、NSE(0.8719)、GFAP(0.8073)的受试者工作特征(ROC)曲线下面积(AUC)。 结论:联合检测血清标志物水平可同时反映神经元损伤、胶质细胞损伤和炎症损伤,提高新生儿窒息合并脑损伤诊断的准确性,尽早制定治疗策略,减少脑损伤并发症的发生。
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引用次数: 0
Mesencephalic Astrocyte-Derived Neurotrophic Factor (MANF) Alleviates Sepsis-Induced Cardiomyopathy by Inhibiting Pyroptosis 中脑星形胶质细胞衍生神经营养因子(MANF)通过抑制焦亡减轻败血症诱导的心肌病
4区 医学 Q3 Medicine Pub Date : 2023-11-12 DOI: 10.18502/ijph.v52i11.14052
Guorong Liu, Saifeng Chen, Xiaoyan Yuan, Guo Chen, Lei Xu, Xinmeichen Meng, Kun Wu, Dongfeng Guo
Background: Sepsis-induced cardiomyopathy (SIC) is a common complication of sepsis accompanied by high prevalence and mortality in sepsis patients. Mesencephalic astrocyte-derived neurotrophic factor (MANF) is a neurotrophic factor, and it exerts critical functions in various diseases, including heart diseases, while its effect on SIC remains elusive. Hence, we aimed to investigate the action of MANF on SIC. Methods: This study was under the guidance of Gongli Hospital, Shanghai, China from January 2021 to December 2021. H9c2 cells and mice were induced by LPS to establish SIC in vitro and in vivo models. qRT-PCR and Western blot were used to determine gene and protein expressions. The levels of MANF, Interleukin-1β (IL-1β), Interleukin 18 (IL-18), creatine kinase-MB (CK-MB), and cardiac troponin I (cTn I) were detected using ELISA assay. Cell pyroptosis determination was performed by flow cytometry. The DCFDA assay kit was used to determine ROS production. Results: In SIC in vitro model, LPS induced cell pyroptosis (P<0.001) and ROS accumulation (n (P<0.001). Besides, MANF was decreased in LPS-induced H9c2 cells (P<0.001) and SIC patients (P<0.001). In addition, overexpression of MANF ameliorated SIC-induced injury in H9C2 cells (P<0.001). Furthermore, inhibition of NLRP3 rescued the function of MANF on SIC-induced injury in H9C2 cells (P<0.001). Moreover, enforced MANF suppressed the SIC-induced injury in vivo model (P<0.001). Conclusion: MANF was down-regulated in SIC. Overexpressed MANF ameliorated the SIC injury by inhibiting NLRP3-mediated pyroptosis.
背景:脓毒症性心肌病(SIC)是脓毒症的常见并发症,在脓毒症患者中具有较高的患病率和死亡率。中脑星形细胞衍生神经营养因子(MANF)是一种神经营养因子,在包括心脏病在内的多种疾病中发挥重要作用,但其对SIC的影响尚不明确。因此,我们旨在研究MANF对SIC的作用。 方法:本研究于2021年1月至2021年12月在中国上海巩俐医院指导下进行。采用LPS诱导H9c2细胞和小鼠建立体外和体内模型。采用qRT-PCR和Western blot检测基因和蛋白的表达。ELISA法检测血清MANF、白细胞介素-1β (IL-1β)、白细胞介素18 (IL-18)、肌酸激酶- mb (CK-MB)、心肌肌钙蛋白I (cTn I)水平。流式细胞术检测细胞凋亡。使用DCFDA检测试剂盒检测ROS的产生。 结果:在体外SIC模型中,LPS诱导细胞焦亡(P<0.001)和ROS积累(n (P<0.001)。此外,lps诱导的H9c2细胞(P<0.001)和SIC患者(P<0.001)的MANF减少。此外,MANF的过表达可改善sic诱导的H9C2细胞损伤(P<0.001)。此外,抑制NLRP3恢复了MANF对sic诱导的H9C2细胞损伤的功能(P<0.001)。此外,在体内模型中,强制的MANF可以抑制sic诱导的损伤(P<0.001)。结论:在SIC中,MANF表达下调。过表达的MANF通过抑制nlrp3介导的焦亡来改善SIC损伤。
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引用次数: 0
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Iranian Journal of Public Health
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