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Repetitive transcranial magnetic stimulation combined with stepwise task orientation for upper limb function in stroke patients: neurological function test. 重复经颅磁刺激联合分步任务定向对脑卒中患者上肢功能的影响:神经功能测试。
IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-30 DOI: 10.1080/13813455.2025.2610479
Yanhong Huang, Fanjun Qin, Haozhe Qu, Bingbing Pu

Stroke rehabilitation traditionally focuses on restoring motor function through physical exercises and training. However, conventional methods often lack a strong theoretical basis from modern neuroscience. Integrating these technologies into rehabilitation protocols shifts the focus from peripheral movement to a brain-centred model, using objective biomarkers for assessment. The study involved 87 chronic stroke patients divided into three groups: Group A received rTMS and task-oriented training, Group B received sham rTMS and task-oriented training, and Group C received conventional rehabilitation and sham rTMS. The intervention lasted four weeks. Comprehensive assessments, were used to evaluate neurobiological and functional changes. Results showed that Group A exhibited significantly greater improvements in motor function, daily living activities, and muscle tone compared to the control groups. Neuroimaging revealed increased connectivity within the affected motor network and normalised interhemispheric balance in Group A. These findings support the effectiveness of the combined rTMS and task-oriented training approach.

中风康复传统上侧重于通过体育锻炼和训练来恢复运动功能。然而,传统的方法往往缺乏现代神经科学强有力的理论基础。将这些技术整合到康复方案中,将焦点从外周运动转移到以大脑为中心的模型,使用客观的生物标志物进行评估。研究共纳入87例慢性脑卒中患者,分为三组:A组接受rTMS +任务导向训练,B组接受假rTMS +任务导向训练,C组接受常规康复+假rTMS。干预持续了四周。综合评估,用于评估神经生物学和功能变化。结果显示,与对照组相比,A组在运动功能、日常生活活动和肌肉张力方面表现出更大的改善。神经成像显示a组受影响的运动网络内的连通性增加,半球间平衡正常化。这些发现支持rTMS和任务导向训练方法相结合的有效性。
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引用次数: 0
Minimally invasive lung resection combined with CT guided percutaneous microwave ablation for the treatment of lung cancer: diagnosis of postoperative nerve damage. 微创肺切除术联合CT引导下经皮微波消融治疗肺癌:术后神经损伤的诊断。
IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-29 DOI: 10.1080/13813455.2025.2610480
Hang Zhao, Junlei Wu, Weiwei Hu, Yueming Wu

Background: Minimally invasive lung resection combined with CT-guided percutaneous microwave ablation for multiple radiographic non-invasive lung cancer (mGGN-LC) is applicable to patients with multiple pulmonary nodules.

Materials and methods: The study adopted a prospective cohort design and included 40-60 patients with multiple radiographic non-invasive lung cancer who had surgical indications. The research focuses on analysing the incidence rate, manifestations and the effectiveness of diagnostic methods of postoperative nerve damage.

Results: Studies have shown that minimally invasive lung resection combined with CT-guided percutaneous microwave ablation for multiple radiographic non-invasive lung cancers is a safe and effective treatment strategy. The combination of thermal medical imaging diagnostic techniques can significantly reduce the incidence of postoperative neurological complications.

Conclusion: The diagnosis and management of postoperative nerve damage are of great significance in multimodal treatment. Through full-process imaging support and clinical assessment, the postoperative quality of life of patients can be effectively improved.

背景:微创肺切除术联合ct引导下经皮微波消融治疗多发性影像学无创肺癌(mGGN-LC)适用于多发肺结节患者。材料与方法:本研究采用前瞻性队列设计,纳入40-60例有手术指征的多发性影像学无创肺癌患者。本研究着重分析术后神经损伤的发生率、表现及诊断方法的有效性。结果:研究表明,微创肺切除术联合ct引导下经皮微波消融治疗多发性影像学无创肺癌是一种安全有效的治疗策略。结合热医学成像诊断技术可显著降低术后神经系统并发症的发生率。结论:术后神经损伤的诊断和处理在多模式治疗中具有重要意义。通过全程影像支持和临床评估,可有效提高患者术后生活质量。
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引用次数: 0
Protective effects of intermittent fasting and chamomile extract against margarine-induced oxidative stress in mouse tissues. 间歇性禁食和洋甘菊提取物对人造黄油诱导的小鼠组织氧化应激的保护作用。
IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-29 DOI: 10.1080/13813455.2025.2610470
Viktoriia V Hurza, Myroslava V Vatashchuk, Maria M Bayliak, Volodymyr I Lushchak

Oxidative stress induced by diets rich in trans-unsaturated fatty acids is well-documented. However, their organ-specific effects and the potential of antioxidant interventions remain unclear. This study investigated the effects of margarine intake, with or without chamomile water decoction (CWD) or intermittent fasting (IF), on oxidative status in young C57BL/6J mice over 16 weeks. Margarine-fed mice had elevated lipid peroxide (LOOH) levels in the kidneys (females) and cortex (both sexes), while levels were lower in muscle and unchanged in the heart of both sexes. Activities of glutathione-dependent enzymes were higher in both sexes of margarine-fed mice. The addition of CWD to margarine provided antioxidant protection in female kidneys and heart, but caused oxidative damage in male heart. The margarine with IF demonstrated tissue-specific antioxidant benefits. Thus, margarine induces oxidative stress in a sex- and tissue-specific way. CWD and IF can counteract these effects, offering potential protective strategies against margarine-induced oxidative stress.

富含反式不饱和脂肪酸的饮食引起的氧化应激是有充分证据的。然而,它们的器官特异性作用和抗氧化干预的潜力仍不清楚。本研究研究了人造黄油摄入(含或不含洋甘菊水煎剂(CWD)或间歇性禁食(IF)对幼年C57BL/6J小鼠16周内氧化状态的影响。人造黄油喂养的小鼠肾脏(雌性)和皮质(两性)的过氧化脂质(LOOH)水平升高,而肌肉的水平较低,心脏的水平不变。人造黄油喂养小鼠的谷胱甘肽依赖性酶活性在两性中均较高。人造黄油中添加CWD对女性肾脏和心脏有抗氧化保护作用,但对男性心脏有氧化损伤。含IF的人造黄油显示出组织特异性抗氧化益处。因此,人造黄油以一种性别和组织特异性的方式诱导氧化应激。CWD和IF可以抵消这些影响,为对抗人造黄油引起的氧化应激提供了潜在的保护策略。
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引用次数: 0
Medical domain knowledge-enhanced automatic decision support for traumatic brain injury: protein nutrition intervention for traumatic brain injury. 外伤性脑损伤的医学领域知识增强自动决策支持:蛋白质营养干预外伤性脑损伤。
IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-22 DOI: 10.1080/13813455.2025.2600337
Rui Xu, Yulong Xia, Lidan Zhang, Weijun Xu, Jiaying Wen, Li Jiang

Background: Traumatic brain injury (TBI) is a common neurosurgical emergency with a high rate of disability and mortality. In the treatment of TBI, apart from timely and effective clinical intervention measures, reasonable nutritional support also plays a significant role, among which protein nutrition intervention has attracted particular attention.

Purpose: This study aims to develop a clinical decision support system (CDSS), namely the T system, to automatically analyse the medical text data of TBI patients and output treatment plans, which also takes into account the importance of protein nutrition intervention.

Method: Therefore, the T system developed in this study can automatically identify and analyse the medical text data of TBI patients, and quickly output accurate treatment plans including protein nutrition intervention.

Conclusion: This system is expected to provide important decision support for clinicians, optimise the treatment process for TBI patients, improve treatment efficiency and enhance patient prognosis.

背景:创伤性脑损伤(TBI)是一种常见的神经外科急症,致残率和死亡率高。在TBI的治疗中,除了及时有效的临床干预措施外,合理的营养支持也起着重要的作用,其中蛋白质营养干预尤其受到关注。目的:本研究旨在开发一个临床决策支持系统(CDSS),即T系统,自动分析TBI患者的医学文本数据并输出治疗方案,同时考虑到蛋白质营养干预的重要性。方法:因此,本研究开发的T系统可以自动识别和分析TBI患者的医学文本数据,并快速输出包括蛋白质营养干预在内的准确治疗方案。结论:该系统有望为临床医生提供重要的决策支持,优化TBI患者的治疗流程,提高治疗效率,改善患者预后。
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引用次数: 0
Lipid peroxidation-induced neurocardiac dysfunction in critically ill patients with septic shock. 脓毒性休克危重患者脂质过氧化诱导的神经心脏功能障碍。
IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-19 DOI: 10.1080/13813455.2025.2592032
Duowen Xie, Xiaoyuan Shi

Context: Septic shock's fatal signs include hemodynamic collapse, systemic inflammation, and organ failure. Neurocardiac dysfunctions worsen outcomes, with lipid peroxidation from oxidative stress as a key damage mechanism.

Objective: Aim of this study is to investigates how lipid peroxidation in cell membranes generates excessive reactive oxygen species (ROS), leading to mitochondrial damage, cell death, and autonomic dysfunction.

Materials and methods: Malondialdehyde (MDA) and 4-hydroxynonenal (4-HNE), toxic byproducts, contribute to cardiomyocyte injury, endothelial damage, blood-brain barrier disruption, and altered neuronal signalling. The research analyzes preclinical and clinical data associating sepsis oxidative indicators with poorer cardiac and neurological outcomes. Results: chronological relationship between oxidative stress, cardiac damage, and neural injury. While the visualisation highlights elevated biomarker levels in critically ill neurocardiac patients.

Discussion and conclusion: Early diagnosis, risk classification, and focused treatment for septic shock may benefit from understanding neurocardiac dysfunction and lipid peroxidation.

背景:感染性休克的致命体征包括血流动力学塌陷、全身炎症和器官衰竭。神经心脏功能障碍加重预后,氧化应激引起的脂质过氧化是一个关键的损伤机制。目的:本研究旨在探讨细胞膜脂质过氧化如何产生过多的活性氧(ROS),导致线粒体损伤、细胞死亡和自主神经功能障碍。材料和方法:丙二醛(MDA)和4-羟基壬烯醛(4-HNE)是有毒副产物,可导致心肌细胞损伤、内皮细胞损伤、血脑屏障破坏和神经元信号改变。该研究分析了脓毒症氧化指标与较差心脏和神经预后相关的临床前和临床数据。结果:氧化应激、心脏损伤和神经损伤之间的时间关系。虽然可视化显示了危重神经心脏患者的生物标志物水平升高。讨论与结论:了解心神经功能障碍和脂质过氧化可能有助于感染性休克的早期诊断、风险分类和重点治疗。
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引用次数: 0
Association between ubiquinol-cytochrome c reductase complex assembly factor 2 expression and skin cutaneous melanoma pathogenesis and prognosis: neurological and protein metabolism intervention. 泛醇-细胞色素c还原酶复合物组装因子2表达与皮肤黑色素瘤发病和预后的关系:神经学和蛋白质代谢干预。
IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-17 DOI: 10.1080/13813455.2025.2600338
Xiaofang Sun, Jianping Zhang, Shaohan Wu, Chuanbo Liu

Background: Cutaneous melanoma (SKCM) is a highly malignant and poorly prognostic skin tumour, and its incidence rate is on the rise worldwide. At present, the treatment options for SKCM are limited, and the overall prognosis of patients is poor.

Purpose: It is urgent to find effective biomarkers and therapeutic targets.

Method: Based on clinical sample data, the relationship between UQCC2 expression and patient prognosis was analysed, and its possible molecular mechanism was explored.

Results: Functional enrichment analysis revealed that among the genes co-expressed with UQCC2, many were related to neural and protein metabolism, suggesting that neural and protein metabolism interventions might affect the malignant phenotype of SKCM After knocking down UQCC2 in SKCM cells, the proliferation, migration and invasion abilities of the cells were significantly reduced.

Conclusion: It also implies that neural and protein metabolic interventions may affect the biological behaviour of SKCM cells by regulating the expression and function of UQCC2.

背景:皮肤黑色素瘤(SKCM)是一种高度恶性和预后不良的皮肤肿瘤,其发病率在世界范围内呈上升趋势。目前,SKCM的治疗方案有限,患者总体预后较差。目的:寻找有效的生物标志物和治疗靶点是迫切需要的。方法:结合临床样本资料,分析UQCC2表达与患者预后的关系,并探讨其可能的分子机制。结果:功能富集分析显示,在与UQCC2共表达的基因中,有许多与神经和蛋白质代谢相关,提示神经和蛋白质代谢干预可能影响SKCM的恶性表型,在SKCM细胞中敲除UQCC2后,细胞的增殖、迁移和侵袭能力显著降低。结论:神经和蛋白质代谢干预可能通过调节UQCC2的表达和功能影响SKCM细胞的生物学行为。
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引用次数: 0
Molecular structure of NLRP3 protein and its protective effect in sports induced arthritis: nutrition and exercise intervention. NLRP3蛋白的分子结构及其对运动性关节炎的保护作用:营养和运动干预。
IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-12 DOI: 10.1080/13813455.2025.2600334
Fangyu Wang

The NLRP3 protein plays a crucial role in the occurrence and development of various diseases. Research has shown that arthritis caused by sports injuries is closely related to the activation of NLRP3. This study aims to explore the molecular structure of NLRP3 protein and its role in sports induced arthritis, and evaluate the effectiveness of nutritional and exercise interventions in combating sports induced arthritis. In sports induced arthritis, NLRP3 expression is significantly upregulated, indicating its importance in the inflammatory process. Nutritional intervention showed effective inhibition of NLRP3 inflammasome activation. Stability intervention analysis shows that long-term adherence to exercise and nutritional interventions can sustainably reduce the activation level of NLRP3. Therefore, appropriate nutrition and exercise interventions can significantly reduce the activation of NLRP3, alleviate joint inflammation, and help protect joint health. It is recommended to introduce such intervention strategies in clinical practice to improve the consequences of joint injuries.

NLRP3蛋白在多种疾病的发生发展中起着至关重要的作用。研究表明,运动损伤引起的关节炎与NLRP3的激活密切相关。本研究旨在探讨NLRP3蛋白的分子结构及其在运动性关节炎中的作用,并评价营养和运动干预对运动性关节炎的治疗效果。在运动性关节炎中,NLRP3的表达显著上调,表明其在炎症过程中的重要性。营养干预可有效抑制NLRP3炎性体的激活。稳定性干预分析表明,长期坚持运动和营养干预可以持续降低NLRP3的激活水平。因此,适当的营养和运动干预可以显著降低NLRP3的激活,减轻关节炎症,保护关节健康。建议在临床实践中引入这种干预策略,以改善关节损伤的后果。
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引用次数: 0
Role of lipid peroxidation and chronic inflammation in development of post-thrombotic syndrome. 脂质过氧化和慢性炎症在血栓形成后综合征发展中的作用。
IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-05 DOI: 10.1080/13813455.2025.2592017
Hanjun Wang, Jinhua Jiang

Post-thrombotic syndrome (PTS), a chronic complication of deep vein thrombosis, causes pain, swelling, and ulcers, impairing quality of life. This study explores the role of lipid peroxidation and chronic inflammation in PTS. Oxidative stress and chronic inflammation damage the endothelium, increase venous pressure, and induce fibrosis, driving PTS progression. A biomarker-based ELISA approach is proposed to measure plasma lipid peroxidation products (e.g. MDA) and pro-inflammatory cytokines (e.g. IL-6, TNF-α). This method detects early biochemical changes in post-DVT patients and tracks PTS risk. Elevated oxidative and inflammatory markers are strongly linked to PTS, supporting their use as diagnostic and therapeutic targets. Screening may improve prediction (98.7%), prevention (97.3%), and management (99.4%), while reducing MDA (95.6%), IL-6 (93.4%), and TNF-α (97.45%). Observational NHS data support symptom-biomarker correlations. Preliminary values for MDA (14.3 ± 4.1 nmol/mL), IL-6 (2.3 ± 1.1 pg/mL), and TNF-α (1.5 ± 0.7 pg/mL) are included to clearly present and support the research hypothesis.

血栓形成后综合征(PTS)是深静脉血栓形成的慢性并发症,引起疼痛、肿胀和溃疡,影响生活质量。本研究探讨脂质过氧化和慢性炎症在PTS中的作用。氧化应激和慢性炎症损伤内皮,增加静脉压,诱导纤维化,推动PTS进展。提出了一种基于生物标志物的ELISA方法来测量血浆脂质过氧化产物(如MDA)和促炎细胞因子(如IL-6, TNF-α)。该方法可检测dvt后患者早期生化变化,追踪PTS风险。氧化和炎症标志物升高与PTS密切相关,支持其作为诊断和治疗靶点。筛查可改善预测(98.7%)、预防(97.3%)和管理(99.4%),同时降低MDA(95.6%)、IL-6(93.4%)和TNF-α(97.45%)。观察性NHS数据支持症状与生物标志物的相关性。MDA(14.3±4.1 nmol/mL), IL-6(2.3±1.1 pg/mL)和TNF-α(1.5±0.7 pg/mL)的初步值被纳入,以清楚地表达和支持研究假设。
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引用次数: 0
Simulation of sports athlete evaluation based on artificial intelligence: Lipid metabolism control and exercise heat consumption. 基于人工智能的运动运动员评价模拟:脂质代谢控制与运动热消耗。
IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-02 DOI: 10.1080/13813455.2025.2592018
Jiang Zhiquan

Context: With the continuous development of sports science, the importance of lipid metabolism control in athletes' physical training and evaluation has become increasingly prominent. Objective: Lipid metabolism, as a key link in human energy metabolism, its reasonable regulation has a profound impact on athletes' endurance, physical recovery and sports performance. Methods: By rationally regulating lipid metabolism, the endurance and exercise efficiency of athletes can be effectively enhanced. In the design of the physical fitness assessment system, the addition of the lipid metabolism monitoring module makes the physical fitness assessment more comprehensive and scientific. Results: This system can monitor the lipid metabolism status of athletes in real time and conduct comprehensive analysis in combination with other physical fitness indicators, providing more accurate feedback information for coaches and athletes. Conclusion: The application of artificial intelligence algorithms has further enhanced the accuracy and personalisation of physical fitness assessment.

背景:随着运动科学的不断发展,脂质代谢控制在运动员体能训练和评价中的重要性日益凸显。目的:脂质代谢作为人体能量代谢的关键环节,其合理调控对运动员的耐力、体能恢复和运动成绩有着深远的影响。方法:通过合理调节脂质代谢,可有效提高运动员的耐力和运动效率。在体质评估系统的设计中,脂质代谢监测模块的加入使得体质评估更加全面和科学。结果:本系统可以实时监测运动员的脂质代谢状态,并结合其他体能指标进行综合分析,为教练员和运动员提供更准确的反馈信息。结论:人工智能算法的应用进一步提高了体质评估的准确性和个性化。
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引用次数: 0
The antioxidant and anti-inflammatory effects of gallic acid and/or cerium oxide nanoparticles synthesized by gamma-irradiation ameliorate cisplatin-induced hepatic injury. γ辐照合成的没食子酸和/或氧化铈纳米颗粒的抗氧化和抗炎作用可改善顺铂诱导的肝损伤。
IF 2.7 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-12-01 Epub Date: 2025-05-22 DOI: 10.1080/13813455.2025.2507760
Mostafa Saif-Elnasr, Alshimaa M Elmalawany, Assmaa Fathi Abdel-Khalek

Context: Cisplatin is a widely utilised chemotherapeutic agent for cancer therapy, but various systemic toxicities limit its effectiveness.

Objective: This study aimed to assess the hepatoprotective properties expressed by gallic acid (GA) and gamma-irradiation synthesized cerium oxide nanoparticles (CONPs) in response to hepatic damage produced by cisplatin in albino rats.

Materials and methods: Serum AST and ALT activities and levels of MDA, TAC, NF‑kB, TNF‑α, and TGF‑β were determined in hepatic tissue, along with histopathological examination.

Results: The executive impact of cisplatin led to a notable rise in the serum activity of hepatic enzymes AST and ALT. Conversely, in the groups receiving treatment with either or both GA and CONPs, the liver function enzymes exhibited a decline in their activity. In addition, in the hepatotoxicity models, the levels of hepatic MDA were significantly increased, accompanied by a reduction of hepatic TAC. While administration of GA, CONPs or their combination to cisplatin-injected rats resulted in a noteworthy reduction in MDA level. Conversely, the hepatic TAC level increased compared to the group that received cisplatin. The hepatic tissue architecture in rats exposed to cisplatin was found to undergo significant alterations. Furthermore, the cisplatin induced overexpression of NF-kB, TNF-α, and TGF-β. The hepatic histopathological changes observed in rats induced with cisplatin were significantly attenuated after pre-treatment with GA, CONPs, and their combination. GA, CONPs, and their co-administration resulted in reducing the levels of NF-κB, TNF-α and TGF-β compared to the group received cisplatin.

Discussion and conclusion: In summary, GA and CONPs synthesized by gamma-irradiation resulted in a noteworthy reduction of liver damage caused by cisplatin exposure. Their potent antioxidant and immunoprotective properties were cited as the cause of this phenomenon.

背景:顺铂是一种广泛应用于癌症治疗的化疗药物,但各种全身毒性限制了其有效性。目的:研究没食子酸(GA)和γ辐照合成氧化铈纳米颗粒(CONPs)对顺铂对白化病大鼠肝损伤的保护作用。材料与方法:测定肝组织血清AST、ALT活性及MDA、TAC、NF‑kB、TNF‑α、TGF‑β水平,并进行组织病理学检查。结果:顺铂的执行影响导致血清中肝酶AST和ALT的活性显著升高,相反,在接受GA和CONPs治疗或同时接受GA和CONPs治疗的组中,肝功能酶的活性表现出下降。此外,在肝毒性模型中,肝脏MDA水平显著升高,同时肝TAC降低。顺铂注射大鼠给予GA、CONPs或其联合用药可显著降低MDA水平。相反,与接受顺铂的组相比,肝脏TAC水平升高。暴露于顺铂的大鼠肝脏组织结构发生显著改变。此外,顺铂诱导NF-kB、TNF-α和TGF-β过表达。经GA、CONPs及其联合预处理后,顺铂诱导大鼠肝脏组织病理改变明显减弱。与顺铂组相比,GA、CONPs及其联合使用可降低NF-κB、TNF-α和TGF-β水平。讨论与结论:综上所述,伽马辐射合成的GA和CONPs显著减轻了顺铂暴露引起的肝损伤。它们强大的抗氧化和免疫保护特性被认为是造成这种现象的原因。
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引用次数: 0
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