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Unravelling the Connection Between Reduced Mobility and Mild Cognitive Impairment in Chronic Pain Patients Through Cluster Analysis. 通过聚类分析揭示慢性疼痛患者活动能力降低与轻度认知障碍之间的联系。
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-10389-5_24
Masamichi Moriya, Masaki Kitahara, Kenji Karako, Kaoru Sakatani

Cognitive impairment has been closely associated with systemic metabolic disorders, such as oxygen and energy metabolism disorders. We used deep learning to estimate the risk of mild cognitive impairment (MCI) in outpatients with pain (pain group) and those without pain (non-pain control group) from general blood test data reflecting systemic metabolic disorders. Univariate analysis was performed on blood test data from both groups to calculate the estimated Mini-Mental State Examination (MMSE) scores. Additionally, principal component analysis was conducted on data obtained from eight assessment batteries, comprising 12 items commonly used by Japanese pain treatment institutions. Cluster analysis was also performed using Ward's method on seven components with cumulative proportions exceeding 90%. Our results showed that patients suffering from pain had significantly lower estimated MMSE scores than controls, despite no significant age differences. Patients suffering from pain had significantly higher white blood cell, triglyceride, glucose, and potassium values and significantly lower red blood cell, hemoglobin (Hgb), and uric acid values. Notably, Hgb values were significantly lower only in men, with no significant differences in women. Cluster analysis of the assessment battery data revealed five distinct clusters (Euclidean distance: 10.14%). The average MMSE score of the cluster with an extremely low value for the first component was 27.1, whereas the scores for the other clusters fell below the MCI cutoff. The first component primarily reflects mobility, suggesting that patients suffering from pain with reduced mobility are at increased risk of mild dementia. This finding indicates that impaired mobility due to pain can promote systemic metabolic disorders, subsequently increasing the risk of MCI.

认知障碍与全身代谢紊乱密切相关,如氧和能量代谢紊乱。我们使用深度学习来估计门诊疼痛患者(疼痛组)和无疼痛患者(非疼痛对照组)轻度认知障碍(MCI)的风险,这些患者的一般血液检查数据反映了全身代谢紊乱。对两组的血液检测数据进行单因素分析,以计算估计的最小精神状态检查(MMSE)得分。此外,对8组评估数据进行主成分分析,包括日本疼痛治疗机构常用的12个项目。对累积比例超过90%的7个成分采用Ward's方法进行聚类分析。我们的研究结果显示,尽管没有明显的年龄差异,但患有疼痛的患者的MMSE评分明显低于对照组。疼痛患者的白细胞、甘油三酯、葡萄糖和钾值显著升高,红细胞、血红蛋白(Hgb)和尿酸值显著降低。值得注意的是,Hgb值仅在男性中显著降低,在女性中无显著差异。对评价电池数据进行聚类分析,发现5个不同的聚类(欧几里得距离为10.14%)。对于第一个组件,具有极低值的集群的平均MMSE得分为27.1,而其他集群的得分低于MCI截止值。第一个组成部分主要反映了活动能力,这表明患有活动能力降低的疼痛的患者患轻度痴呆的风险增加。这一发现表明,由疼痛引起的活动能力受损可促进全身代谢紊乱,从而增加MCI的风险。
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引用次数: 0
Quantum Mechanical/Molecular Mechanical (QM/MM) Studies of Enzymes. 酶的量子力学/分子力学(QM/MM)研究
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-07511-6_5
Ramanathan Rajesh, Nadia Elghobashi-Meinhardt

Computational methods are presented for modeling the catalytic center of an enzyme and calculating the energy associated with given molecular geometry. First, an introduction to general theory is given, including a brief discussion of quantum mechanics (QM), molecular mechanics (MM), and hybrid QM/MM, a standard approach that divides the system into a region requiring a description of the electronic structure (QM) and a remainder that can be considered a perturbation (MM) to the system. Next, the nitrogenase enzyme will be used as a sample system to explain in detail how modeling is carried out. This discussion will review the broken symmetry (BS) approach within DFT, a computational approach that describes the spin states of multiple Fe centers. The review concludes with a discussion of machine learning (ML) and the training of a neural network (NN) potential based on QM calculations.

提出了一种计算方法,用于模拟酶的催化中心和计算与给定分子几何形状相关的能量。首先,介绍了一般理论,包括对量子力学(QM)、分子力学(MM)和混合QM/MM的简要讨论,混合QM/MM是一种将系统划分为需要描述电子结构(QM)的区域和可被认为是系统扰动(MM)的剩余区域的标准方法。接下来,将以氮酶作为样本系统,详细说明建模是如何进行的。本讨论将回顾DFT中的对称性破缺(BS)方法,这是一种描述多个Fe中心自旋态的计算方法。本文最后讨论了机器学习(ML)和基于QM计算的神经网络(NN)电位的训练。
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引用次数: 0
Lipid Properties and Metabolism in Response to Cold. 低温对脂质特性和代谢的影响。
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-04842-4_848
Thomas Enriquez, Nicholas M Teets

Temperature directly shapes insect physiology and has a preponderant effect on life history traits. Winter conditions in temperate and polar regions are especially challenging for insects. Extremely low temperatures can indeed compromise insect survival by promoting freezing of body fluids, but mild cold temperatures above 0 °C (i.e., chilling) can also lead to complex and severe physiological dysregulations. Among physiological damages due to freezing and chilling, insect lipids are one of the primary targets. As low temperatures tend to rigidify phospholipid bilayers, membrane functions are compromised in the cold. Lipid rigidification due to cold also decreases the accessibility of fat stores for metabolic enzymes, and therefore their availability for basal metabolism. These deleterious effects, combined with low food availability in winter, result in substantial nutritional challenges for overwintering insects. Consequently, lipid modifications such as homeoviscous adaptation of cell membranes, fluidity maintenance of fat reserves, cuticular lipid accumulation, and production of antifreeze glycolipids are essential components of the physiological response to cold stress. The aim of the present chapter is to present the physiological challenges caused by low temperatures, the lipid modifications linked with cold tolerance in insects, and the molecular regulation of lipid metabolism during cold exposure.

温度直接影响昆虫的生理,并对生活史性状有显著影响。温带和极地地区的冬季条件对昆虫来说尤其具有挑战性。极低的温度确实会促进体液冻结,从而损害昆虫的生存,但0°C以上的温和低温(即寒冷)也会导致复杂而严重的生理失调。在冻害和低温引起的生理损伤中,昆虫脂质是主要目标之一。由于低温会使磷脂双分子层变硬,膜的功能在寒冷中受到损害。由于寒冷导致的脂质硬化也降低了代谢酶对脂肪储存的可及性,从而降低了它们对基础代谢的可用性。这些有害影响,加上冬季食物供应不足,给越冬昆虫带来了严重的营养挑战。因此,脂质修饰,如细胞膜的黏性适应、脂肪储备的流动性维持、角质层脂质积累和抗冻糖脂的产生是对冷应激生理反应的重要组成部分。本章的目的是介绍低温引起的生理挑战,昆虫的脂质修饰与耐寒性有关,以及冷暴露过程中脂质代谢的分子调控。
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引用次数: 0
Lipid Metabolism in Insect Vectors of Diseases. 病媒昆虫的脂质代谢。
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-04842-4_811
Juan R Girotti, Gustavo M Calderón-Fernández

According to the World Health Organization vector-borne diseases account for more than 17% of all infectious diseases, causing more than 700,000 deaths annually. Vectors are organisms that are able to transmit infectious pathogens between humans, or from animals to humans. Many of these vectors are hematophagous insects, which ingest the pathogen from an infected host during a blood meal, and later transmit it into a new host. Malaria, dengue, African trypanosomiasis, yellow fever, leishmaniasis, Chagas disease, and many others are examples of diseases transmitted by insects.Both the diet and the infection with pathogens trigger changes in many metabolic pathways, including lipid metabolism, compared to other insects. Blood contains mostly proteins and is very poor in lipids and carbohydrates. Thus, hematophagous insects attempt to efficiently digest and absorb diet lipids and also rely on a large de novo lipid biosynthesis based on utilization of proteins and carbohydrates as carbon source. Blood meal triggers essential physiological processes as molting, excretion, and oogenesis; therefore, lipid metabolism and utilization of lipid storage should be finely synchronized and regulated regarding that, in order to provide the necessary energy source for these events. Also, pathogens have evolved mechanisms to hijack essential lipids from the insect host by interfering in the biosynthesis, catabolism, and transport of lipids, which pose challenges to reproduction, survival, fitness, and other insect traits.In this chapter, we have tried to collect and highlight the current knowledge and recent discoveries on the metabolism of lipids in insect vectors of diseases related to the hematophagous diet and pathogen infection.

根据世界卫生组织的数据,病媒传播的疾病占所有传染病的17%以上,每年造成70多万人死亡。病媒是指能够在人类之间或从动物向人类传播传染性病原体的生物体。这些病媒中有许多是食血昆虫,它们在吸血过程中从被感染的宿主那里摄取病原体,然后将其传播给新的宿主。疟疾、登革热、非洲锥虫病、黄热病、利什曼病、恰加斯病和许多其他疾病都是由昆虫传播的疾病。与其他昆虫相比,饮食和病原体感染都会引发许多代谢途径的变化,包括脂质代谢。血液主要含有蛋白质,脂质和碳水化合物含量很低。因此,食血昆虫试图有效地消化和吸收饮食中的脂肪,同时也依赖于以蛋白质和碳水化合物为碳源的大量脂质生物合成。血粉触发重要的生理过程,如蜕皮、排泄和产卵;因此,脂质代谢和脂质储存的利用应精细同步和调控,为这些事件提供必要的能量来源。此外,病原体已经进化出通过干扰生物合成、分解代谢和运输来劫持昆虫宿主必需脂质的机制,这对昆虫的繁殖、生存、适应性和其他性状构成了挑战。在本章中,我们试图收集和强调目前的知识和最近的发现在昆虫媒介的脂质代谢与食血和病原体感染相关的疾病。
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引用次数: 0
Insect Lipidomics: Advances, Applications, and Physiological Insights. 昆虫脂质组学:进展、应用和生理学见解。
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-04842-4_878
Laura Palanker Musselman, Doga Cedden, Gözde Güney, Umut Toprak

Lipidomics, a specialized branch of metabolomics, investigates the diversity and functionality of lipids in biological systems. Lipids serve crucial roles in energy storage, membrane composition, and environmental acclimation in insects, underpinning processes such as development and stress responses. Advances in analytical technologies, such as liquid chromatography-mass spectrometry (LC-MS), have enabled precise identification and quantification of lipid species, providing unprecedented insights into lipid metabolism and dynamics. Key lipid classes, including triacylglycerols and phospholipids, exhibit structural and functional versatility, adapting to environmental pressures through mechanisms like homeoviscous adaptation. These dynamic lipid responses are essential for maintaining cellular and cuticular integrity and functionality under stress. By exploring lipid diversity and adaptations, lipidomics offers valuable perspectives on insect physiology, survival strategies, and evolutionary ecology. This chapter summarizes methods used to study insect lipidomes and highlights comparative lipidomic studies that have advanced our understanding of insect biology.

脂质组学是代谢组学的一个专门分支,研究生物系统中脂质的多样性和功能。脂类在昆虫的能量储存、膜组成和环境适应中起着至关重要的作用,是发育和应激反应等过程的基础。液相色谱-质谱(LC-MS)等分析技术的进步,使脂质种类的精确鉴定和定量成为可能,为脂质代谢和动力学提供了前所未有的见解。关键的脂类,包括三酰基甘油和磷脂,表现出结构和功能上的多功能性,通过同粘适应等机制适应环境压力。这些动态脂质反应对于在压力下维持细胞和角质层的完整性和功能至关重要。通过探索脂质多样性和适应性,脂质组学为昆虫生理学、生存策略和进化生态学提供了有价值的视角。本章总结了用于研究昆虫脂质组的方法,并强调了比较脂质组学研究,这些研究提高了我们对昆虫生物学的理解。
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引用次数: 0
Web-Based Application for Hashimoto's Disease Prediction Based on Thyroid Hormone Levels and Machine Learning Analysis. 基于甲状腺激素水平和机器学习分析的桥本病预测的网络应用。
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-03402-1_25
Kypros Andreou, Panagiotis Vlamos, Marios G Krokidis

Hashimoto's disease or Hashimoto's thyroiditis is an autoimmune disorder of the thyroid gland. The pathophysiology of the disorder is characterized by an increased volume of the thyroid gland, infiltration of the parenchyma by lymphocytes, and the presence of antibodies specific for thyroid antigens. The diagnosis of Hashimoto thyroiditis is based on the presence of clinical symptoms, anti-thyroid antibodies, and certain histologic features. The present study aimed to collect biomarkers and create a web-based application for detecting the disease through machine learning. The web application was created using Python and Random Forest algorithm was selected to train the existing dataset. Taking advantage of machine learning algorithms, the application provides users with a practical means for predicting immortality based on their blood tests. Although there are limitations that need to be addressed, representing a valuable tool for early diagnosis and management of the disease is required.

桥本氏病或桥本氏甲状腺炎是一种甲状腺自身免疫性疾病。该疾病的病理生理特征是甲状腺体积增加,淋巴细胞浸润实质,以及甲状腺抗原特异性抗体的存在。桥本甲状腺炎的诊断是基于临床症状、抗甲状腺抗体和某些组织学特征。目前的研究旨在收集生物标志物,并创建一个基于网络的应用程序,通过机器学习来检测疾病。web应用程序使用Python创建,并选择随机森林算法来训练现有数据集。该应用程序利用机器学习算法,为用户提供了一种基于血液测试预测永生的实用方法。尽管存在需要解决的局限性,但仍需要作为早期诊断和管理该疾病的宝贵工具。
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引用次数: 0
Polyphenols from Olive Oil: A Promising Therapeutic Approach for Neurodegenerative Diseases. 橄榄油中的多酚:一种有前途的神经退行性疾病治疗方法。
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-03402-1_35
Dimitrios Stamatelopoulos, Eleni Papakonstantinou, Flora Bacopoulou, Dimitrios Vlachakis

Neurodegenerative diseases such as Alzheimer's, Parkinson's, ALS, and Huntington's disease pose a growing global health challenge due to their prevalence in aging populations and their devastating impact on cognitive and motor functions. Current treatments focus on symptom management, with no options available to reverse neuronal damage. Emerging evidence highlights the potential role of extra virgin olive oil (EVOO) polyphenols in neuroprotection, particularly in the context of the Mediterranean diet, which is associated with lower rates of neurodegenerative disorders. EVOO's rich polyphenolic compounds, including hydroxytyrosol, oleuropein, tyrosol, and oleocanthal, exhibit potent antioxidant, anti-inflammatory, and neuroprotective properties. These bioactive molecules have shown potential in modulating disease-specific pathways, such as reducing oxidative stress, inhibiting abnormal protein aggregation, and regulating neuroinflammation. This paper explores the therapeutic potential of olive oil polyphenols for neurodegenerative diseases, detailing their mechanisms of action across different conditions. Our findings suggest that incorporating EVOO into dietary and medical interventions could serve as a promising strategy for mitigating neurodegenerative disease progression and enhancing cognitive health.

神经退行性疾病,如阿尔茨海默氏症、帕金森氏症、肌萎缩侧索硬化症和亨廷顿氏病,由于其在老年人群中的流行以及对认知和运动功能的破坏性影响,构成了日益严重的全球健康挑战。目前的治疗侧重于症状管理,没有可用于逆转神经元损伤的选择。新出现的证据强调了特级初榨橄榄油(EVOO)多酚在神经保护方面的潜在作用,特别是在地中海饮食的背景下,这与神经退行性疾病的发病率较低有关。EVOO富含多酚类化合物,包括羟基酪醇、橄榄苦苷、酪醇和油籽酚,具有强大的抗氧化、抗炎和神经保护特性。这些生物活性分子已显示出在调节疾病特异性途径方面的潜力,如减少氧化应激、抑制异常蛋白质聚集和调节神经炎症。本文探讨了橄榄油多酚对神经退行性疾病的治疗潜力,详细介绍了它们在不同条件下的作用机制。我们的研究结果表明,将EVOO纳入饮食和医疗干预可能是缓解神经退行性疾病进展和增强认知健康的一种有希望的策略。
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引用次数: 0
Greek Child and Adolescent Well-Being in the Post-pandemic Normalcy. 大流行后常态下的希腊儿童和青少年福祉。
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-03402-1_17
Fotios Maris, Flora Bacopoulou, Afroditi Zartaloudi, Maria Polikandrioti, Constantine Vassalos, Eleni Evangelou, Chrysoula Dafogianni, Evangelos Dousis, Ioannis Koutelekos

Background: The measures taken to protect public health during the pandemic had a significant impact on the mental, social, and physical well-being of children and adolescents. Restrictive measures had affected their development, behavior, school life, family, and friendships.

Aim: To explore the psychological impact on children and adolescents after the withdrawal of COVID-19 restrictions.

Methods and materials: This study was a cross-sectional study with a convenience sample. The sample consisted of 100 children and adolescents, and it was conducted in the outpatient department of the pediatric population of the Regional Unit of Trikala. The scale used in the present study explores post-pandemic coping strategies upon life returning to normal for children and teenagers, "PPCSRN-CT." The data were analyzed with the SPSS-12 statistical package, and multiple linear regression was performed. The level of statistical significance was set at p < 0.05.

Results: In the study, nearly 60% of the participants were girls, and over 80% of the children and adolescents lived in urban areas in Trikala Prefecture. Half of them (50%) were 12 years old or older. The statistical analysis found that children and adolescents worry significantly more about the health of their loved ones when they are alone and don't have anyone to share their concerns with (p = 0.008). Furthermore, children and adolescents who lived with both parents believe that their parents have become less strict with them after the withdrawal of restrictions due to the pandemic (p = 0.001). Additionally, children and adolescents living with both parents believe that their parents care for them more after the withdrawal of restrictions due to the COVID-19 pandemic (p = 0.013). The study also revealed that the desire of children and teenagers to learn more about COVID-19 is positively affected by whether someone close to them has been sick with SARS-CoV-2 (p = 0.009). Furthermore, children and adolescents who want to learn more about the COVID-19 pandemic and whose parents are less strict with them expect their lives to return to normal immediately after the removal of restrictions due to the COVID-19 pandemic (p = 0.016 and p = 0.006, respectively). Finally, the study found that children and adolescents' belief that they will move on in life together with friends is positively influenced by whether they are less emotionally burdened (p = 0.024) and by whether they are more positive about their daily life (p < 0.001).

Conclusions: It is important to evaluate the perceptions of children and adolescents post-pandemic in order to implement interventions to empower this group.

背景:大流行期间为保护公众健康而采取的措施对儿童和青少年的心理、社会和身体健康产生了重大影响。限制性措施影响了他们的发展、行为、学校生活、家庭和友谊。目的:探讨解除COVID-19限制后对儿童和青少年的心理影响。方法和材料:本研究采用方便样本的横断面研究。样本包括100名儿童和青少年,是在特里卡拉地区儿科门诊进行的。本研究中使用的量表探讨了儿童和青少年在生活恢复正常后的大流行应对策略,“PPCSRN-CT”。采用SPSS-12统计软件包对数据进行分析,并进行多元线性回归。结果:在研究中,近60%的参与者是女孩,超过80%的儿童和青少年生活在特里卡拉省的城市地区。其中一半(50%)年龄在12岁或以上。统计分析发现,当儿童和青少年独自一人,没有人可以分享他们的担忧时,他们对亲人的健康担忧明显增加(p = 0.008)。此外,与父母双方生活在一起的儿童和青少年认为,在大流行取消限制后,父母对他们的要求降低了(p = 0.001)。此外,与父母双方共同生活的儿童和青少年认为,在新冠肺炎大流行取消限制后,父母更关心他们(p = 0.013)。该研究还显示,儿童和青少年更多地了解COVID-19的愿望与他们身边的人是否患有SARS-CoV-2呈正相关(p = 0.009)。此外,希望更多地了解COVID-19大流行的儿童和青少年以及父母对他们的要求不那么严格的儿童和青少年期望在因COVID-19大流行而取消限制后立即恢复正常生活(p = 0.016和p = 0.006)。最后,研究发现,儿童和青少年认为他们将与朋友一起生活的信念受到他们是否减轻情感负担(p = 0.024)和他们是否对日常生活更加积极的积极影响(p结论:重要的是要评估大流行后儿童和青少年的看法,以便实施干预措施,赋予这一群体权力。
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引用次数: 0
Secondary Traumatic Stress and Compassion Satisfaction in Substitution Treatment and Harm Reduction Services. 替代治疗和减少伤害服务中的继发性创伤应激与同情满意度。
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-03402-1_10
E Mavridoglou, E Missouridou, M E Gkremou, A Dimitriadis, S Parissopoulos, T Adamakidou, M Mantzorou

Introduction: Healthcare professionals working with individuals who have experienced trauma are at risk of experiencing secondary trauma.

Purpose: To explore the perspectives and experiences of addiction nurses working in substitution treatment units and harm reduction services regarding the physical or psychological trauma of individuals coping with the dual burden of addiction and trauma.

Methodology: A mixed-method study (quantitative and qualitative) involving 111 addiction nurses. For the collection of quantitative data, the Greek version of the Professional Quality of Life Scale was used, which assesses compassion satisfaction, professional burnout, and secondary traumatic stress, as well as a questionnaire capturing demographic, individual, and professional characteristics. Eight nurses participated in semistructured interviews.

Results: The majority of participants reported (96.4%) moderate to high levels of compassion satisfaction while more than half (54.4%) of the participants reported low levels of professional burnout, and about half (49.5%) reported low levels of secondary traumatic stress. Considering Stamm's interpretation of the triad of high compassion satisfaction, moderate-to-low professional burnout, and secondary traumatic stress, the results of this study fall into the positive results category. Good physical health, participants' readiness to care for individuals with trauma, high levels of cooperation, respect for teamwork, positive work climate, and seamless colleague support were positively related to higher levels of compassion satisfaction.

Conclusions: Recognizing, reflecting on, and understanding trauma processes protected participants from mirroring the helplessness, frustration, and feelings of incompetence they encountered on the trauma responses of the individuals and families they cared for.

简介:医疗保健专业人员与个人谁经历过创伤是在经历二次创伤的风险。目的:探讨在替代治疗单位和减少伤害服务机构工作的成瘾护士对个体应对成瘾和创伤双重负担的生理或心理创伤的看法和经验。方法:采用混合方法(定量和定性)对111名成瘾护士进行研究。为了收集定量数据,我们使用了希腊版的职业生活质量量表(Professional Quality of Life Scale),该量表评估了同情满意度、职业倦怠和继发性创伤压力,以及一份捕捉人口统计学、个人和职业特征的问卷。8名护士参加了半结构化访谈。结果:大多数参与者(96.4%)表现出中高水平的同情满意度,超过一半(54.4%)的参与者表现出低水平的职业倦怠,约一半(49.5%)的参与者表现出低水平的继发性创伤应激。考虑到Stamm对高同情满意度、中低职业倦怠和继发性创伤应激三位一体的解释,本研究的结果属于积极的结果范畴。良好的身体健康、参与者愿意照顾创伤患者、高水平的合作、对团队的尊重、积极的工作氛围和无缝的同事支持与更高水平的同情满意度呈正相关。结论:认识、反思和理解创伤过程可以保护参与者避免将他们所遇到的无助、沮丧和无能感反映到他们所照顾的个人和家庭的创伤反应中。
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引用次数: 0
Study of the Genetic Basis of Childhood and Adolescent Obesity with Stress Through the Analysis of Multidimensional Data with Machine Learning and Artificial Intelligence Tools. 基于机器学习和人工智能工具的多维数据分析研究儿童和青少年肥胖与压力的遗传基础。
4区 医学 Q2 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-01 DOI: 10.1007/978-3-032-03402-1_36
Eleni Papakonstantinou, Flora Bacopoulou, George P Chrousos, Dimitrios Vlachakis

Childhood and adolescent obesity is a growing health concern with complex multifactorial origins, encompassing genetic, environmental, physiological, and psychosocial factors. In Greece, the prevalence of childhood obesity is among the highest in Europe, indicating an urgent need to understand its underlying mechanisms. Herein, we explore the genetic basis of obesity, focusing on both monogenic and polygenic factors, and how early life stressors contribute to obesity's onset and progression. Genetic predispositions, such as mutations in leptin-melanocortin pathways, and the role of epigenetic modifications influenced by environmental factors, are examined to understand obesity's complexity. Moreover, stress-related hormonal dysregulation impacts metabolic pathways, exacerbating weight gain and obesity-related complications. Through advanced algorithms like neural networks, decision trees, and clustering techniques, ML/AI approaches have demonstrated high accuracy in predicting obesity, identifying genetic markers, and analyzing interactions between genetic and lifestyle factors. These technologies hold promise for early detection, personalized interventions, and the development of targeted prevention strategies. The integration of ML/AI with genomic, epigenomic, and clinical data offers a comprehensive understanding of childhood obesity, paving the way for more effective management and treatment. This study contributes to a deeper understanding of the genetic and environmental factors in childhood obesity and highlights the potential of AI-driven approaches in addressing this critical public health challenge.

儿童和青少年肥胖是一个日益严重的健康问题,具有复杂的多因素起源,包括遗传、环境、生理和社会心理因素。在希腊,儿童肥胖的患病率是欧洲最高的,这表明迫切需要了解其潜在机制。在此,我们探讨肥胖的遗传基础,重点关注单基因和多基因因素,以及早期生活压力因素如何影响肥胖的发生和发展。遗传易感性,如瘦素-黑素皮质素通路的突变,以及受环境因素影响的表观遗传修饰的作用,被检查以了解肥胖的复杂性。此外,与压力相关的激素失调会影响代谢途径,加剧体重增加和肥胖相关并发症。通过神经网络、决策树和聚类技术等先进算法,ML/AI方法在预测肥胖、识别遗传标记以及分析遗传和生活方式因素之间的相互作用方面表现出了很高的准确性。这些技术有望用于早期发现、个性化干预和制定有针对性的预防战略。ML/AI与基因组、表观基因组和临床数据的整合提供了对儿童肥胖的全面了解,为更有效的管理和治疗铺平了道路。这项研究有助于更深入地了解儿童肥胖的遗传和环境因素,并突出了人工智能驱动的方法在应对这一重大公共卫生挑战方面的潜力。
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Advances in experimental medicine and biology
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