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Type III Percheron’s variant in thalamic-mesencephalic infarction The unexpected anastomosis III型Percheron变异在丘脑-中脑梗死中的应用
Pub Date : 2023-11-14 DOI: 10.21203/rs.3.rs-3581424/v1
Marialuisa Zedde, Ilaria Grisendi, Federica Assenza, Gabriele Vandelli, Claudio Moratti, Manuela Napoli, Franco Valzania, Rosario Pascarella
Abstract Introduction. Arterial supply of thalamus is complex and highly variable. In particular, the distribution pattern of thalamoperforating arteries received attention some decades ago, but not in recent years. Methods. We are presenting the case of a 46-year-old patient with wake-up drowsiness, complex oculomotor disorder and dysarthria. The brain CT showed a subacute ischemic stroke in the right anterior thalamus and rostral midbran with a normal CTA. DSA was performed, showing a variant of thalamic supply (Percheron type III), constituted by perforating branches arising from an artery bridging the P1 segments of both PCAs. Discussion. Thalamus has a complex and variable arterial supply, mainly in the paramedian thalamic-mesencephalic arteries. The most reported variant is Percheron type IIb and supplies the paramedian thalami and the rostral midbrain. Type IIb occlusion usually causes a bilateral paramedian thalamic stroke, but rostral midbrain and anterior thalamus are involved in 57% and 19% cases. Type III variant probably prevented the bilateral extension of infarction and involved the territory of tuberothalamic and paramedian perforating arteries. Conclusions. Currently, DSA allows directly imaging variants in thalamic vascularization and better understanding the stroke mechanisms. The use of increasingly efficient angiographic techniques could help define the anatomical and hemodynamic factors involved in causing ischemic lesions in territories previously considered difficult to explore.
摘要介绍。丘脑的动脉供应是复杂和高度可变的。特别是,丘脑操作动脉的分布模式在几十年前就得到了关注,但近年来却没有得到重视。方法。我们提出的情况下,46岁的病人醒来困倦,复杂的动眼肌障碍和构音障碍。脑部CT示右前丘脑及吻侧中皮亚急性缺血性脑卒中,CTA正常。DSA显示丘脑供应的变体(Percheron III型),由桥接两个pca P1段的动脉产生的穿孔分支构成。讨论。丘脑动脉供应复杂多变,主要分布于丘脑-中脑旁脉动脉。报道最多的变体是Percheron IIb型,分布于丘脑旁侧和吻侧中脑。IIb型闭塞通常引起双侧丘脑旁脉卒中,但57%和19%的病例涉及吻侧中脑和前丘脑。III型变异可能阻止了梗死的双侧扩展,并累及丘脑结节和旁脉穿通动脉。结论。目前,DSA可以直接成像丘脑血管化的变异,更好地了解中风机制。使用越来越有效的血管造影技术可以帮助确定在以前认为难以探索的区域引起缺血性病变的解剖学和血流动力学因素。
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引用次数: 0
In vitro Wound Healing Efficacy of Silver Nanoparticles Synthesized from Aqueous Extract of Turbinaria conoides. 刺鼻甲水提物合成纳米银的体外创面愈合效果。
Pub Date : 2023-11-14 DOI: 10.21203/rs.3.rs-3509956/v1
Thirinavukkarasu Chitrikha Suresh, Thinnaur Venugopal Poonguzhali, Venkatraman Anuradha, Selvaraj Bharathi, Chokkalingam Deepa, Balasubramanian Ramesh, Kuppusamy Kavitha, Arumugam Rajalakshmi, Perumal Elumalai, Gopal Suresh
Abstract The wound healing potentials of brown algae Turbinaria conoides aqueous extract (TCAe) and silver nanoparticles synthesized utilizing T. conoides aqueous extract (TCAgNPs) were investigated in this study. TCAgNPs and TCAe were tested for cytotoxicity on human dermal fibroblast cells using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay, which revealed that TCAgNPs and TCAe were not cytotoxic and may be tested for medicinal qualities. TCAgNPs and TCAe were tested for wound healing efficacy using a wound scratch assay on human dermal fibroblast cells. The damaged cells were subjected to TCAgNPs and TCAe, which demonstrated stronger wound repair activities than the control (Untreated). The cell cycle study of human dermal fibroblast primary cell lines treated with TCAgNPs and TCAe, as well as those not treated, was performed using flow cytometry to determine the DNA content of the nuclei. These findings show that TCAgNPs-treated cells proliferated more than TCAe and control-treated cells, implying that cell proliferation is boosted, which aids the wound-healing process. During immunoblot analysis, the TCAgNPs-treated group showed higher collagen and fibronectin expression than the TCAe-treated group. Our findings imply that TCAgNPs and TCAe can repair wounds in vitro and could be used as a source of wound healing agents.
摘要本研究研究了褐藻conoides水提物(TCAe)和利用conoides水提物合成的银纳米粒子(TCAgNPs)的创面愈合电位。采用3-(4,5-二甲基噻唑-2-基)-2,5-二苯基溴化四氮唑(MTT)法检测TCAgNPs和TCAe对人真皮成纤维细胞的细胞毒性,结果表明TCAgNPs和TCAe不具有细胞毒性,可用于药用试验。采用人真皮成纤维细胞创面划痕实验,检测TCAgNPs和TCAe的创面愈合效果。损伤细胞经TCAgNPs和TCAe处理后,显示出比对照组更强的伤口修复活性(未处理)。用流式细胞术测定细胞核DNA含量,对经TCAgNPs和TCAe处理和未处理的人真皮成纤维原代细胞系进行细胞周期研究。这些发现表明,tcagnps处理的细胞比TCAe和对照处理的细胞增殖更多,这意味着细胞增殖得到促进,这有助于伤口愈合过程。免疫印迹分析显示,tcagnps处理组胶原蛋白和纤维连接蛋白的表达高于tcae处理组。我们的研究结果表明,TCAgNPs和TCAe可以在体外修复伤口,并可作为伤口愈合剂的来源。
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引用次数: 0
A hybrid method for tree-level optimization in continuous cover forest management 连续覆盖森林林分级优化的混合方法
Pub Date : 2023-11-14 DOI: 10.21203/rs.3.rs-3582862/v1
Timo Pukkala, Yrjö Nuutinen, Timo Muhonen
Abstract A current trend in forestry is the increased use of continuous cover management (CCF). Another trend is the increased availability of tree-level forest inventory data. Accordingly, recent literature suggests methodologies for optimizing the harvest decisions at the tree level. Using tree-level optimization for all trees of the stand is computationally demanding. This study proposed a flexible two-level optimization method for CCF where the harvest prescriptions are optimized at the tree level only for a part of the trees, or only for the first cuttings. The higher-level algorithm optimizes the cutting years and the harvest rates of those diameter classes for which tree-level optimization is not used. The lower-level algorithm allocates the individually optimized trees to different cutting events. The most detailed problem formulations, employing much tree-level optimization, always resulted in the highest net present value and longest time consumption of the optimization run. However, reducing the use of tree-level optimization to the largest trees and first cuttings did not alter the time, intensity, or type of the first cutting significantly, which means that simplified problem formulations may be used when decision support is needed only for the next cutting. The method suggested here can accommodate diversity-related management objectives and makes it possible to analyze the trade-offs between economic profit and diversity objectives. The case study analyses suggested that significant improvements in diversity can be obtained with moderate reductions in economic profitability.
当前林业的一个趋势是增加使用连续覆盖管理(CCF)。另一个趋势是树木级森林清查数据的可用性增加。因此,最近的文献提出了在树级优化收获决策的方法。对林分的所有树木进行树级优化计算要求很高。本研究提出了一种灵活的两级CCF优化方法,即仅对部分树木或仅对第一次插枝的采伐处方进行树级优化。高级算法对未采用树级优化的直径类的采伐年限和采伐率进行优化。低级算法将单独优化的树分配给不同的切割事件。最详细的问题公式,采用许多树级优化,总是导致最高的净现值和最长的时间消耗的优化运行。然而,将树级优化的使用减少到最大的树和第一次采伐并没有显著改变第一次采伐的时间、强度或类型,这意味着当只需要下一次采伐的决策支持时,可以使用简化的问题公式。本文提出的方法可以适应与多样性相关的管理目标,并使分析经济利润与多样性目标之间的权衡成为可能。案例分析表明,在适度降低经济效益的情况下,多样性可以得到显著改善。
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引用次数: 0
Micro-Computed Tomographic Evaluation of the Shaping Ability of Vortex Blue and TruNatomyTM Ni-Ti Rotary Systems 涡流蓝和TruNatomyTM镍钛旋转系统成形能力的微计算机层析成像评价
Pub Date : 2023-11-14 DOI: 10.21203/rs.3.rs-3578917/v1
Batool Alghamdi, Mey Al-Habib, Lina Bahanan, Ali Alrahalah, Leonel S.J. Bautista, LOAI ALSOFI
Abstract Aim: To assess and evaluate the canal shaping ability of two different Ni-Ti rotary systems ex-vivo: Vortex Blue (VB) and TruNatomy (TN), using micro-computed tomography (micro-CT) in extracted premolar human teeth. Materials and Methods: A total of 20 extracted bifurcated maxillary first premolars with two separate buccal and palatal canals wererandomly divided into two groups and prepared with either Vortex Blue or TruNatomy files. All teeth were scanned by micro-CT before and after root canal preparations. The micro-CT scans were analyzed to measure the following parameters: percentage of untouched canal surface area, changes in canal surface area, changes in canal volume, structural model index (SMI), changes in canal angulation and changes in dentin thickness. Statistical analysis was conducted to compare the means and standard deviations of the parameters between the two systems, with statistical significance level set at P -value < 0.05. Results: Both VB and TN files exhibited a significant increase in the basic canal geometry parameters including canal surface area and canal volume after canal instrumentation with no statistical significant differences between both files and with no considerable shaping mishaps or errors. Both file systems showed no significant changes in the SMI and dentin thickness after canal instrumentation. TN files demonstrated less straightening of the canal curvature compared to VB files with no statistically significant difference. Furthermore, TN files showed less cervical dentin removal when compared to VB files with no significant difference. A significant difference was found in TN group regarding dentin removal between coronal and apical thirds. Conclusion: Vortex Blue and TruNatomy files produced comparable root canal preparation with no considerable shaping mishaps or errors. Both files induced minimal canal straightening after preparation. TN files resulted in less removal of cervical dentin compared to apical dentin.
摘要目的:利用微型计算机断层扫描(micro-CT)技术,评估两种不同镍钛旋转系统:Vortex Blue (VB)和TruNatomy (TN)在离体人前磨牙上的根管成形能力。材料与方法:将20颗分离的上颌第一前磨牙(颊、腭两个独立管)随机分为两组,分别用Vortex Blue或TruNatomy锉进行预备。在根管预备前后对所有牙齿进行micro-CT扫描。对微ct扫描结果进行分析,测量以下参数:未触及根管表面积百分比、根管表面积变化量、根管体积变化量、结构模型指数(SMI)、根管成角变化量和牙本质厚度变化量。对两个系统参数的均值和标准差进行统计分析比较,统计学显著性水平设为P -value <0.05. 结果:VB和TN锉在根管预备后,根管的基本几何参数,包括根管表面积和根管体积都有显著增加,两种锉之间没有统计学上的显著差异,也没有明显的整形事故或错误。两种文件系统在根管预备后SMI和牙本质厚度均无显著变化。与VB锉相比,TN锉对椎管曲率的矫直效果较差,但差异无统计学意义。此外,TN锉与VB锉相比,牙本质去除较少,差异无统计学意义。TN组在冠状和根尖三分之一牙本质去除方面有显著差异。结论:Vortex Blue锉和TruNatomy锉所产生的根管预备效果相当,没有明显的成形事故或错误。两种锉在预备后均引起最小程度的根管矫直。与根尖牙本质相比,TN锉对颈牙本质的去除较少。
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引用次数: 0
CSF interferon-β: A key player in Alzheimer’s disease pathogenesis and cognitive impairment 脑脊液干扰素β:阿尔茨海默病发病机制和认知障碍的关键因素
Pub Date : 2023-11-14 DOI: 10.21203/rs.3.rs-3591564/v1
Yong Shen, Qiong Wang, Shufen Yuan, Chenxi Wang, Duntao Huang, Mengguo Zhang, Yaxi Zhan, Feng Gao, Jiong Shi, Allan Levey
Abstract Recent research has postulated that the activation of interferon signaling pathways could be implicated in the pathogenesis of Alzheimer's disease (AD). However, the precise types of interferons and related cytokines, both from the brain and periphery, responsible for cognitive impairment in patients with AD remain unclear. A total of 131 participants (78 [59.5%] female and 53 [40.5%] male; mean [SD] age, 61.5 [7.6] years) with normal cognition and cognitive impairment from the China Aging and Neurodegenerative Initiative cohort were included. CSF and serum IFNα-2a, IFN-β, IFN-γ, TNF-α, IL-6, IL-10, MCP-1and CXCL-10 were tested. The correlation between these interferons and related cytokines with AD core biomarkers in the CSF and plasma, cognition performance, and brain MRI measures were analyzed. We found that only CSF IFN-β levels were significantly elevated in Alzheimer’s disease compared to normal cognition. Furthermore, CSF IFN-β levels were significantly associated with AD core biomarkers (CSF P-tau and Aβ42/Aβ40 ratio) and cognitive performance (MMSE and CDR score). Additionally, the CSF IFN-β levels were significantly correlated with the typical pattern of brain atrophy in AD (such as hippocampus, amygdala, and precuneus). In contrast, CSF IL-6 levels were significantly elevated in non-AD cognitively impaired patients compared to other groups. Moreover, CSF IL-6 levels were significantly associated with cognitive performance in non-AD individuals and correlated with the vascular cognitive impairment-related MRI markers (such as white matter hyperintensity). Our findings demonstrate that distinct inflammatory molecules are associated with different cognitive disorders. Most notably, CSF IFN-β levels are significantly linked to the pathology and cognitive performance of AD, identifying this interferon as a potential target for AD therapy.
最近的研究推测干扰素信号通路的激活可能与阿尔茨海默病(AD)的发病机制有关。然而,来自大脑和外周的干扰素和相关细胞因子的确切类型仍不清楚,这些干扰素和细胞因子与AD患者的认知障碍有关。共131例受试者,其中女性78例(59.5%),男性53例(40.5%);平均[SD]年龄,61.5[7.6]岁),来自中国老龄化和神经退行性疾病倡议队列的认知正常和认知障碍患者。检测CSF和血清IFNα-2a、IFN-β、IFN-γ、TNF-α、IL-6、IL-10、mcp -1和CXCL-10。分析这些干扰素和相关细胞因子与脑脊液和血浆中AD核心生物标志物、认知表现和脑MRI测量之间的相关性。我们发现,与正常认知相比,阿尔茨海默病中只有CSF IFN-β水平显著升高。此外,脑脊液IFN-β水平与AD核心生物标志物(脑脊液P-tau和a -β 42/ a -β 40比值)和认知表现(MMSE和CDR评分)显著相关。此外,脑脊液IFN-β水平与AD脑萎缩的典型模式(如海马、杏仁核和楔前叶)显著相关。相比之下,与其他组相比,非ad认知受损患者的CSF IL-6水平显著升高。此外,CSF IL-6水平与非ad个体的认知表现显著相关,并与血管认知障碍相关的MRI标志物(如白质高强度)相关。我们的研究结果表明,不同的炎症分子与不同的认知障碍有关。最值得注意的是,CSF IFN-β水平与阿尔茨海默病的病理和认知表现显著相关,这表明这种干扰素是阿尔茨海默病治疗的潜在靶点。
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引用次数: 0
Lymphatic platelet thrombosis limits bone repair by precluding lymphatic transporting DAMPs 淋巴血小板血栓形成通过阻止淋巴运输DAMPs限制骨修复
Pub Date : 2023-11-14 DOI: 10.21203/rs.3.rs-3474507/v1
Yong-Jun Wang, Yangkang Zheng, Lin Cong, Pengyu Wang, Li Zhao, Lianping Xing, Junling Liu, Hao Xu, Ning Li, Yongjian Zhao, Qi Shi, Qianqian Liang
Abstract Lymphatic vessels (LVs) interdigitated with blood vessels, travel and form an extensive transport network in the musculoskeletal system. Blood vessels in bone regulate osteogenesis and hematopoiesis, however, whether LVs in bone affect fracture healing is unclear. Here, by near infrared indocyanine green lymphatic imaging (NIR-ICG), we examined lymphatic draining function at the tibial fracture sites and found lymphatic drainage insufficiency (LDI) occurred as early as two weeks after fracture. Sufficient lymphatic drainage facilitates fracture healing. In addition, we identified that lymphatic platelet thrombosis (LPT) blocks the draining lymphoid sinus and LVs, caused LDI and then inhibited fracture healing, which can be rescued by a pharmacological approach. Moreover, unblocked lymphatic drainage decreased neutrophils and increased M2-like macrophages of hematoma niche to support osteoblast (OB) survival and bone marrow-derived mesenchymal stem cell (BMSC) proliferation via transporting damage-associated molecular patterns (DAMPs). These findings demonstrate that LPT limits bone regeneration by blocking lymphatic drainage from transporting DAMPs. Together, these findings represent a novel way forward in the treatment of bone repair.
淋巴管(lv)与血管相互交错,在肌肉骨骼系统中旅行并形成广泛的运输网络。骨中的血管调节骨生成和造血,然而,骨中的lv是否影响骨折愈合尚不清楚。通过近红外吲哚菁绿淋巴显像(NIR-ICG),我们检查了胫骨骨折部位的淋巴引流功能,发现早在骨折后两周就发生了淋巴引流功能不全(LDI)。充足的淋巴引流有助于骨折愈合。此外,我们发现淋巴血小板血栓形成(LPT)阻塞引流淋巴窦和LVs,导致LDI,然后抑制骨折愈合,可以通过药物方法来挽救。此外,通畅的淋巴引流减少了中性粒细胞,增加了血肿生态位的m2样巨噬细胞,通过运输损伤相关分子模式(DAMPs)来支持成骨细胞(OB)的存活和骨髓间充质干细胞(BMSC)的增殖。这些发现表明LPT通过阻断淋巴排水运输DAMPs来限制骨再生。总之,这些发现代表了骨修复治疗的新方向。
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引用次数: 0
A deep learning approach with weighted voting for Moroccan sign classification 摩洛哥语符号分类的加权投票深度学习方法
Pub Date : 2023-11-14 DOI: 10.21203/rs.3.rs-3596062/v1
meryem CHERRATE, My Abdelouahed SABRI, YAHYAOUY Ali, AARAB Abdellah
Abstract In our Moroccan society, as in the rest of the world, we find a significant proportion of deaf-mutes who represent 5% of the world's population, the equivalent of 466 people suffering from hearing loss. These people use sign language as a means of transmitting their messages, emotions and expressions to other people, which implies little or no hearing. To facilitate communication between deaf-mutes and normal people who do not know sign language, we have proposed in this article an approach that enables the textual transcription of sign language into natural language. Due to the development of Artificial Intelligence, we will propose an approach that is based on a combination of four deep learning architectures, with the weights of each architecture calculated according to their performance using genetic algorithms. It turns out that using the weighted voting method of deep learning or the so-called ensemble method gives a better performance to the results obtained using each deep learning architecture separately and compared to recent approaches in the literature, enabling us to predict signs and improve the accuracy rate to 99%.
在我们的摩洛哥社会,就像在世界其他地方一样,我们发现聋哑人占世界人口的5%,相当于466人患有听力损失。这些人使用手语作为向他人传递信息、情感和表达的手段,这意味着很少或根本没有听力。为了方便聋哑人与不懂手语的正常人之间的交流,我们在本文中提出了一种将手语文本转录为自然语言的方法。由于人工智能的发展,我们将提出一种基于四种深度学习架构组合的方法,并使用遗传算法根据其性能计算每个架构的权重。事实证明,使用深度学习的加权投票方法或所谓的集成方法,与文献中最近的方法相比,分别使用每个深度学习架构获得的结果具有更好的性能,使我们能够预测迹象并将准确率提高到99%。
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引用次数: 0
Soil Erosion Impacts on Crop Productivity and Its Implications on Food Security in Kechabira District, Southern Ethiopia 埃塞俄比亚南部凯查比拉地区土壤侵蚀对作物生产力的影响及其对粮食安全的影响
Pub Date : 2023-11-14 DOI: 10.21203/rs.3.rs-3588343/v1
Abera Abiyo Dofee, Firehiwot Goshu
Abstract Soil erosion has influenced the environmental quality and agricultural productivity of the land. The household survey and combined geospatial techniques were applied to carry out the research. The SRTM digital elevation dataset was used for morphometric analysis of relief and drainage systems in the study area. Landsat 4-5-TM C 2 L 2 images between 2005–2020 were applied for analysis of land use and land cover dynamics. Furthermore, FAO/USDA Soil map of the world was used for soil classification, and soil laboratory analysis was also taken place to find out the depletion of soil micronutrients by soil erosion. Results of morphometric analysis revealed that the topographic nature of the surface, slope gradient of the area, drainage feature of rivers and land use/land cover conditions of soil surface are found to be facilitating factors of soil erosion in the district. Most of the respondents also confirmed that over cultivation, cultivation of steep slopes, deforestation, over-grazing, unreliable soil management practices and poor agricultural techniques are the main causes for the prevalence of soil erosion in the study area. About 91% of the interviewed households have observed a decline in the productivity of land in their farm field. Similarly, the crop productivity per hectare for selected dominantly produced crops decreased over 5 cropping years between 2013–2017. According to soil laboratory analysis, the soil of the study area is characterized by moderately acidic, low category of OM and organic carbon content, low proportion of available phosphorus and very low to low range of total nitrogen. Most of the surveyed households are food insecure due to loss of agricultural productivity by soil erosion. It is recommended that combating the severity of the soil degradation problem by applying various soil management practices should be critically considered.
土壤侵蚀影响着土地的环境质量和农业生产力。采用入户调查和地理空间相结合的方法进行研究。利用SRTM数字高程数据集对研究区地形和排水系统进行了形态计量分析。利用2005-2020年的Landsat 4-5-TM c2l2影像进行土地利用和土地覆盖动态分析。此外,还利用粮农组织/美国农业部的世界土壤地图进行土壤分类,并进行土壤实验室分析,以查明土壤侵蚀对土壤微量养分的损耗。形态计量学分析结果显示,地表的地形性质、坡度、河流的排水特征和地表的土地利用/土地覆盖条件是该区土壤侵蚀的促进因素。大多数答复者还确认,过度耕作、陡坡耕作、森林砍伐、过度放牧、不可靠的土壤管理做法和不良的农业技术是研究地区土壤侵蚀普遍存在的主要原因。约91%的受访家庭观察到其农田的土地生产力下降。同样,在2013-2017年的5个种植年间,选定的主要生产作物的每公顷作物生产力有所下降。土壤实验室分析表明,研究区土壤呈中等酸性,有机质和有机碳含量低,速效磷比例低,全氮极低至低范围。大多数接受调查的家庭由于土壤侵蚀造成的农业生产力损失而粮食不安全。建议应审慎考虑采用各种土壤管理办法来对付土壤退化问题的严重性。
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引用次数: 0
Completion of Maternal and Child Health Continuum of Care and Associated Factors Among Women in Gode District, Shebele Zone, Eastern Ethiopia ,2022 埃塞俄比亚东部谢贝勒区戈德县妇女完成妇幼保健连续护理及相关因素,2022年
Pub Date : 2023-11-14 DOI: 10.21203/rs.3.rs-3553435/v1
Liyew Mekonen Ayehubizu, Semehal Haile Yohannes, zemenu Shiferaw yadeta, Metsihet Tariku Fetene
Abstract Background The Continuum of care for reproductive, maternal, newborn, and child health includes integrated service delivery for mothers and children from pre-pregnancy to delivery, the immediate postnatal period, and childhood. In Ethiopia, the magnitude of antenatal care, skilled delivery, postnatal care, and immunization for children have shown improvement. Despite this, there was limited research on the percentage of mothers who have completed maternal and child continuum care. Objective To assess the Completion of Maternal and Child Health Continuum of Care and Associated Factors among women in Gode District, Shebele Zone, Eastern Ethiopia ,2022. Method A community-based cross-sectional study design applied from November 1–15, 2022. A stratified sampling method was applied. A woman who gave birth in the last year preceding the data collection period will be included in the study. An interviewer-administered semi-structured questioner will be used for data collection. Data collected by using kobo collect and analyzed using STATA version 17. Both Bivariable and multivariable logistic regression analyses will be done. In multivariable analysis, variables having P-values less than 0.05 will be taken as factors associated with the completion of the maternal and child health continuum of care. Result The Completion of MCH continuum of care was 13.5% (10.7%-17.0%) in Gode district,2022. Accordingly, Husband occupation (Government employee) [AOR = 2.3, 95%CI:(1.2–4.7)] and perceived time to reach health facility (less than 30 minutes) [AOR = 2.96, 95%CI:(1.2–7.5)] were factors showing significant association with maternal and child health continuum of care among mothers in Gode district, Somali regional State;2023 at P-value ≤ 0.05. Conclusion and recommendation: Only 13.5% of mothers in Gode district received all of the recommended maternal and child health services during their pregnancy, childbirth, and postpartum period. The study found that two factors were associated with a higher likelihood of receiving MCH continuum of care: husband occupation and perceived time to reach a health facility. Governments can play a key role in increasing the maternal and child health continuum of care by investing in health care infrastructure
背景生殖、孕产妇、新生儿和儿童健康护理的连续性包括从孕前到分娩、产后和儿童期为母亲和儿童提供的综合服务。在埃塞俄比亚,产前护理、熟练分娩、产后护理和儿童免疫接种的规模有所改善。尽管如此,关于完成母婴连续护理的母亲百分比的研究有限。目的评估2022年埃塞俄比亚东部Shebele区的Gode区妇女完成妇幼保健连续护理的情况及其相关因素。方法采用基于社区的横断面研究设计,研究时间为2022年11月1-15日。采用分层抽样方法。在数据收集期之前的最后一年分娩的妇女将被纳入研究。数据收集将使用访谈者管理的半结构化提问者。使用kobo收集数据,使用STATA版本17进行收集和分析。将进行双变量和多变量逻辑回归分析。在多变量分析中,p值小于0.05的变量将被视为与母婴健康连续护理完成程度相关的因素。结果2022年高德区妇幼保健连续护理完成率为13.5%(10.7% ~ 17.0%)。因此,丈夫职业(政府雇员)[AOR = 2.3, 95%CI:(1.2-4.7)]和到达医疗机构的感知时间(少于30分钟)[AOR = 2.96, 95%CI:(1.2-7.5)]是与索马里州Gode县母亲的母婴健康连续护理显著相关的因素;2023 p值≤0.05。结论和建议:在Gode区,只有13.5%的母亲在怀孕、分娩和产后期间接受了所有推荐的妇幼保健服务。研究发现,有两个因素与接受妇幼保健连续护理的可能性较高有关:丈夫的职业和到达保健设施的感知时间。政府可以通过投资于保健基础设施,在增加孕产妇和儿童健康连续保健方面发挥关键作用
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引用次数: 0
Network analysis of depressive and anxiety symptoms in older Chinese adults with diabetes mellitus 中国老年糖尿病患者抑郁和焦虑症状的网络分析
Pub Date : 2023-11-14 DOI: 10.21203/rs.3.rs-2712115/v2
Yajuan Zhang, Yi Cui, Yijun Li, Hongliang Lu, He Huang, Jiaru Sui, Zhihua Guo, Danmin Miao
Abstract Background: The move away from investigating mental disorders as whole using sum scores to the analysis of symptom-level interactions using network analysis has provided new insights into comorbidity.The current study explored the dynamic interactions between depressive and anxiety symptoms in older Chinese adults with diabetes mellitus (DM) and identified central and bridge symptoms in the depression-anxiety network to provide targets for prevention and intervention into depression and anxiety. Methods: This study used a cross-sectional design with data from the 2017–2018 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS). A regularized partial correlation network for depression and anxiety was estimated based on self-reported scales completed by 1685 older adults with DM aged 65 years or older. Expected influence (EI) and bridge expected influence(BEI) indices were calculated for each symptom. Results: The prevalences of depression and anxiety in our sample were 52.9% and 12.8%, respectively. The comorbidity rate of depression and anxiety was 11.5%. The six edges with the strongest regularized partial correlations were between symptoms from the same disorder. “Feeling blue/depressed”, “Nervousness or anxiety”, “Uncontrollable worry”, “Trouble relaxing”, and “Worry too much” had the highest EI values. “Nervousness or anxiety” and “Everything was an effort” exhibited the highest BEI values. Conclusion: Central and bridge symptoms were highlighted in this study. Targeting these symptoms may be effective in preventing the comorbidity of depressive and anxiety symptoms and facilitate interventions in older Chinese adults with DM who are at risk for or suffer from depressive and anxiety symptoms.
背景:从使用总和得分作为整体调查精神障碍到使用网络分析来分析症状水平的相互作用,这为共病提供了新的见解。本研究旨在探讨中国老年糖尿病患者抑郁和焦虑症状之间的动态相互作用,确定抑郁-焦虑网络的中心和桥梁症状,为预防和干预抑郁和焦虑提供靶点。方法:本研究采用横断面设计,数据来自2017-2018年中国纵向健康寿命调查(CLHLS)。根据1685名年龄在65岁或以上的老年糖尿病患者完成的自我报告量表,估计抑郁和焦虑的正则化部分相关网络。计算每个症状的预期影响指数(EI)和桥梁预期影响指数(BEI)。结果:我们的样本中抑郁和焦虑的患病率分别为52.9%和12.8%。抑郁、焦虑合并率为11.5%。具有最强正则化部分相关性的六个边是同一疾病的症状之间的边。“情绪低落”、“紧张或焦虑”、“无法控制的担忧”、“难以放松”和“过度担忧”的EI值最高。“紧张或焦虑”和“一切都是努力”表现出最高的BEI值。结论:本研究强调中枢和桥症状。针对这些症状可能有效地预防抑郁和焦虑症状的共病,并促进对有抑郁和焦虑症状风险或患有抑郁和焦虑症状的中国老年糖尿病患者的干预。
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