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Neuromodulation : Journal of the... Jul 2024Pharmacologic pain treatments lack specific targeting and often produce unwanted side effects (eg, addiction, additional hyperalgesia). We previously established that...
OBJECTIVES
Pharmacologic pain treatments lack specific targeting and often produce unwanted side effects (eg, addiction, additional hyperalgesia). We previously established that the direct application of laser irradiation (direct photobiomodulation [PBM]) of the sural nerve reduces thermal hypersensitivity in a rodent model of chronic pain, but not mechanical hypersensitivity. These observations were consistent with a selective reduction in the small-diameter fiber contribution to electrophysiologically measured evoked response after direct PBM of a sensory nerve (saphenous). However, to our knowledge, direct application of laser irradiation has never been performed in an animal model of acute nociceptive pain or on a mixed nerve in which sensory and motor outcomes can be observed.
MATERIALS AND METHODS
In this study, we describe the effects of direct application of laser irradiation (808 nm, 60 mW, 4 minutes) on a mixed nerve (sciatic nerve) in an acute nociceptive pain model (intradermal capsaicin injection) in rats over the course of two weeks. To investigate whether laser irradiation of a mixed nerve alters motor function, in separate experiments, we applied laser irradiation to the sciatic nerve (using the same parameters as in the chronic pain experiments), and force generation of the gastrocnemius was measured.
RESULTS
Capsaicin-induced hypersensitivities to mechanical (pin prick) and thermal (Hargreaves) noxious stimuli, associated with Aδ- and C-fibers, showed a maximal reduction of 70% and 56.2%, respectively, by direct PBM, when compared with a control group (vehicle injection, no PBM) on the same day. This reduction was determined to be significant using a mixed-design analysis of variance with a p value < 0.05. Force generation remained unchanged for up to 120 minutes after laser irradiation. In summary, direct PBM selectively inhibits C- and Aδ-fiber transmission while leaving Aɑ-, Aβ-, and motor-fiber activity intact.
CONCLUSIONS
These results, in conjunction with our previous analyses of laser irradiation effects on the sural nerve in a chronic spared nerve injury pain model, suggest that direct PBM is a promising candidate for treating pain induced by small-diameter fiber activity.
PubMed: 38958630
DOI: 10.1016/j.neurom.2024.04.011 -
International Forum of Allergy &... Jul 2024Elexacaftor/tezacaftor/ivacaftor (ETI), a combination cystic fibrosis transmembrane receptor (CFTR) modulator, has demonstrated improved pulmonary outcomes in...
BACKGROUND
Elexacaftor/tezacaftor/ivacaftor (ETI), a combination cystic fibrosis transmembrane receptor (CFTR) modulator, has demonstrated improved pulmonary outcomes in individuals with cystic fibrosis (CF). However, ETI's impact on functional endoscopic sinus surgery (FESS) remains unclear.
METHODS
The TriNetX Analytics Research Network, consisting of 120 million global de-identified electronic medical records, was queried from 2012 to 2023 for subjects with CF who underwent sinus surgery. Patients on ETI prior to FESS (n = 6,056) were propensity score matched to control individuals with CF not on CFTR modulators (n = 37,906) and those on other FDA-approved CFTR modulators (tezacaftor/ivacaftor, lumacaftor/ivacaftor, and ivacaftor) (n = 2437) based on relevant factors. The primary outcome was the absolute risk reduction (ARR) of undergoing FESS. Secondary outcomes included ARR of CF-related pulmonary exacerbations and hospital admission from 0 to 6, 6 to 12, and 12 to 24 months following FESS.
RESULTS
ETI use demonstrated a significant ARR for FESS when compared to CF patients not on CFTR modulators (2.12%; 95% confidence interval [CI] 1.5-2.75; p-value < 0.0001) and those on other CFTR modulators (4.7%; 95% CI 3.54-5.85; p-value < 0.0001). No significant differences occurred in secondary outcomes between ETI and non-CFTR modulator groups, except for reduced CF-related pulmonary exacerbations from 0 to 6 months post-FESS. Additionally, a significant reduction in pulmonary exacerbations was observed at all time points and hospital admissions within 6 months following FESS compared to those using other CFTR modulators.
CONCLUSIONS
In a large dataset, CF patients on ETI demonstrated significantly reduced risk of FESS, pulmonary exacerbations, and hospital admission compared to patients not on CFTR modulators or those on other CFTR modulators, suggesting improved sinonasal disease and overall health status in CF.
PubMed: 38958588
DOI: 10.1002/alr.23400 -
Chaos (Woodbury, N.Y.) Jul 2024Spin chains are correlated quantum models of great interest in quantum systems and materials exhibiting quasi-one-dimensional magnetic properties. Here, we review...
Spin chains are correlated quantum models of great interest in quantum systems and materials exhibiting quasi-one-dimensional magnetic properties. Here, we review results on quantum problems associated with spin chains that are beyond the usual spinon paradigm. Alternatively, we use a representation valid in the thermodynamic limit, N→∞, in terms of the N spin-1/2 physical spins of the spin-1/2XXZ chain in its whole Hilbert space. It was originally introduced for the isotropic point in Carmelo et al. [Phys. Rev. B 92, 165133 (2015)], co-authored by David, and more recently extended to spin anisotropies Δ>1 in Carmelo et al. [Phys. Rev. Res. 5, 043058 (2023)] and J. M. P. Carmelo and P. D. Sacramento [Nucl. Phys. B 974, 115610 (2022); Nucl. Phys. B 997, 116385 (2023) (Corrigendum)]. The physical-spins representation accounts for the spin-1/2XXZ chain's continuous SUq(2) symmetry parameterized by q=Δ+Δ2-1∈]1,∞] and associated with q-spin Sq. Specifically, in this review we consider two quantum problems that are beyond the spinon representation: (a) Spin Bethe strings of length n that have no spinon representation, contribute to the dynamical properties of the spin-1/2XXZ chain with anisotropy Δ>1 and for n=1,2,3 were experimentally identified and realized in the zigzag materials SrCo2V2O8 and BaCo2V2O8; (b) The spin stiffness associated with ballistic spin transport at arbitrary finite temperature, which involves a huge number of energy eigenstates, many of which are generated in the thermodynamic limit from ground states by an infinite number of elementary processes. As found in Carmelo et al. [Phys. Rev. Res. 5, 043058 (2023)] and J. M. P. Carmelo and P. D. Sacramento [Nucl. Phys. B 974, 115610 (2022); Nucl. Phys. B 997, 116385 (2023) (Corrigendum)], the use of the continuous SUq(2) symmetry reveals that for anisotropy Δ>1 the Bethe strings of length n=1,2,3,… describe a number n of physical-spins Sq=0 singlet pairs that for n>1 are bound within a Sq=0 singlet configuration. Their contribution to the spin dynamical structure factor of both the spin-1/2XXZ chain in a longitudinal magnetic field and the spin chains in SrCo2V2O8 is one of the issues addressed in this paper. In addition, the SUq(2) symmetry imposes that only 2Sq out of the N physical spins are the spin carriers. We also review recent results of J. M. P. Carmelo and P. D. Sacramento ["Diffusive spin transport of the spin-1/2 XXZ chain in the Ising regime at zero magnetic field and finite temperature," (submitted) (2024)] concerning the vanishing of the contributions to finite-temperature ballistic spin transport at zero magnetic field. Within the physical-spins representation, this merely follows from the absolute value of the elementary spin currents carried by the M=2Sq spin carriers of all finite-Sq states that contribute to the spin stiffness being finite. Finally, we discuss deviations of the zigzag materials BaCo2V2O8 and SrCo2V2O8 from the one-dimensional physics described the spin-1/2XXZ chain due to selective interchain couplings.
PubMed: 38958539
DOI: 10.1063/5.0204689 -
Advanced Science (Weinheim,... Jul 2024Resistive switching memories have garnered significant attention due to their high-density integration and rapid in-memory computing beyond von Neumann's architecture....
Resistive switching memories have garnered significant attention due to their high-density integration and rapid in-memory computing beyond von Neumann's architecture. However, significant challenges are posed in practical applications with respect to their manufacturing process complexity, a leakage current of high resistance state (HRS), and the sneak-path current problem that limits their scalability. Here, a mild-temperature thermal oxidation technique for the fabrication of low-power and ultra-steep memristor based on Ag/TiO/SnO/SnSe/Au architecture is developed. Benefiting from a self-assembled oxidation layer and the formation/rupture of oxygen vacancy conductive filaments, the device exhibits an exceptional threshold switching behavior with high switch ratio exceeding 10, low threshold voltage of ≈1 V, long-term retention of >10 s, an ultra-small subthreshold swing of 2.5 mV decade and high air-stability surpassing 4 months. By decreasing temperature, the device undergoes a transition from unipolar volatile to bipolar nonvolatile characteristics, elucidating the role of oxygen vacancies migration on the resistive switching process. Further, the 1T1R structure is established between a memristor and a 2H-MoTe transistor by the van der Waals (vdW) stacking approach, achieving the functionality of selector and multi-value memory with lower power consumption. This work provides a mild-thermal oxidation technology for the low-cost production of high-performance memristors toward future in-memory computing applications.
PubMed: 38958519
DOI: 10.1002/advs.202401915 -
Blood Pressure Monitoring Jun 2024To determine the independent effect of high-sensitivity C-reactive protein (hs-CRP) and the combined effects of hs-CRP and other traditional risk factors on...
OBJECTIVES
To determine the independent effect of high-sensitivity C-reactive protein (hs-CRP) and the combined effects of hs-CRP and other traditional risk factors on microalbuminuria in hypertensive patients during the 3-year follow-up period.
METHODS AND RESULTS
Baseline hs-CRP levels and other risk factors were measured in 280 adults in 2007. In the third year of examination, 199 patients (mean age 62.5 ± 9.5, men 59.3%) were approached for the measurement of microalbuminuria. The subjects were classified into two groups by the median of baseline hs-CRP. Compared to the patients with baseline hs-CRP below the median group (n = 99, 50%), the group with baseline hs-CRP above the median (n = 100, 50%) had higher urinary albumin-to-creatinine ratio (ACR) (P = 0.007) at the end of follow-up period. ACR at the end of follow-up period was significantly correlated with baseline diabetes (β = 0.342; P < 0.001), baseline SBP (β = 0.148; P = 0.02), and baseline log-transformed hs-CRP (β = 0.169; P = 0.01), while adversely correlated with baseline estimated glomerular filtration rate (eGFR) (β = -0.163; P = 0.02) in multivariate stepwise linear analysis. In addition, ACR change during follow-up period was significantly correlated with baseline diabetes (β = 0.359; P < 0.001) and baseline log-transformed hs-CRP (β = 0.190; P = 0.004) in multivariate stepwise linear analysis. The combined effects of baseline hs-CRP and conventional risk factors, such as male sex, diabetes, smoking status, hyperlipidemia, hyperuricemia, and mildly reduced eGFR had a greater risk for microalbuminuria progression. There was no difference in eGFR changes during the follow-up period between two groups.
CONCLUSION
Our findings offer a new piece of evidence on the predictive value of baseline hs-CRP for microalbuminuria progression in essential hypertensive patients, and highlight those who combined with traditional cardiovascular risk factors had a greater risk for developing microalbuminuria.
PubMed: 38958504
DOI: 10.1097/MBP.0000000000000713 -
Brazilian Journal of Medical and... 2024This study explored the association between loneliness and mental health among nurses in China during the COVID-19 pandemic. This cross-sectional study was conducted...
This study explored the association between loneliness and mental health among nurses in China during the COVID-19 pandemic. This cross-sectional study was conducted from March to April 2022. We enrolled 2,811 nurses from a tertiary hospital in China. Demographic characteristics, lifestyle factors, work-related factors, and psychological characteristics were collected from participants via a self-reported questionnaire. Loneliness was measured with the three-item short form of the Revised UCLA Loneliness Scale, and the Patient Health Questionnaire (PHQ-9) and the General Anxiety Disorder (GAD-7) scale were used to measure mental health. Adjusted odds ratios (ORs) and 95% confidence intervals (CI) were determined using binary logistic regression. Among participants in this study, 12.0% (337) experienced loneliness, and 7.8% (219) and 6.7% (189) reported depression and anxiety, respectively. The loneliness scores were categorized into three levels (3, 4-6, and 7-9). For depression, compared with the lowest reference, the ORs and 95% CI across the tertile were 1.31 (0.69-1.84) and 2.53 (1.11-5.76) after adjustment, respectively, and the P-value for trend was 0.045. For anxiety, compared with the lowest reference, the ORs and 95%CI across the tertile were 1.84 (1.28-2.63) and 2.52 (1.57-4.10) after adjustment, respectively; the P-value for trend was 0.004. This study showed that loneliness was significantly associated with poor mental health among nurses during the COVID-19 pandemic. These findings suggested that medical establishments should offer interventions for nurses to prevent mental health problems by targeting this modifiable risk factor.
Topics: Humans; Loneliness; Cross-Sectional Studies; Female; China; COVID-19; Adult; Male; Mental Health; Depression; Nurses; Middle Aged; SARS-CoV-2; Anxiety; Surveys and Questionnaires; Risk Factors; Pandemics
PubMed: 38958366
DOI: 10.1590/1414-431X2024e13408 -
Brazilian Journal of Medical and... 2024Rivaroxaban is a direct factor Xa inhibitor. Its interindividual variability is large and may be connected to the occurrence of adverse drug reactions or drug...
Rivaroxaban is a direct factor Xa inhibitor. Its interindividual variability is large and may be connected to the occurrence of adverse drug reactions or drug inefficacy. Pharmacogenetics studies concentrating on the reasons underlying rivaroxaban's inadequate response could help explain the differences in treatment results and medication safety profiles. Against this background, this study evaluated whether polymorphisms in the gene encoding the ABCG2 transporter modify the pharmacokinetic characteristics of rivaroxaban. A total of 117 healthy volunteers participated in two bioequivalence experiments with a single oral dose of 20 mg rivaroxaban, with one group fasting and the other being fed. Ultra-high-performance liquid chromatography coupled with mass spectrometry was employed to determine the plasma concentrations of rivaroxaban, and the WinNonlin program was used to calculate the pharmacokinetics parameters. In the fasting group, the rivaroxaban pharmacokinetic parameters of Vd (508.27 vs 334.45 vs 275.59 L) and t1/2 (41.04 vs 16.43 vs 15.47 h) were significantly higher in ABCG2 421 A/A genotype carriers than in ABCG2 421 C/C and 421 C/A genotype carriers (P<0.05). The mean values of Cmax (145.81 vs 176.27 vs 190.19 ng/mL), AUC0-t (1193.81 vs 1374.69 vs 1570.77 ng/mL·h), and Cl (11.82 vs 14.50 vs 13.01 mL/h) for these groups were lower, but this difference was not statistically significant (P>0.05). These findings suggested that the ABCG2 421 A/A genotype may impact rivaroxaban parameters after a single dose in healthy subjects. This finding must be validated before it is applied in clinical practice.
Topics: Humans; Rivaroxaban; ATP Binding Cassette Transporter, Subfamily G, Member 2; Male; Factor Xa Inhibitors; Adult; Female; Healthy Volunteers; Young Adult; Neoplasm Proteins; Genotype; Chromatography, High Pressure Liquid; Polymorphism, Genetic; Therapeutic Equivalency; Area Under Curve
PubMed: 38958362
DOI: 10.1590/1414-431X2024e13257 -
Andrology Jul 2024The effects of bariatric surgery on testosterone levels in men with obesity and hypogonadism have not been thoroughly explored yet.
BACKGROUND
The effects of bariatric surgery on testosterone levels in men with obesity and hypogonadism have not been thoroughly explored yet.
OBJECTIVES
To investigate the possible effects of bariatric surgery on T levels in obese hypogonadal men by comparing T levels before and after surgery using a comprehensive claims database.
MATERIALS AND METHODS
The TriNetX US Collaborative Network database was used to identify men ages 18-80 who underwent a bariatric procedure and had a serum T value of < 350 ng/dL prior to surgery. Men who received testosterone therapy before/or after surgery were excluded. We conducted a retrospective self-matched cohort analysis to examine the difference in serum T levels before and after bariatric surgery. A sub-analysis was carried out to explore differences between men who reached eugonadal status or maintained low T levels following surgery. Descriptive statistics detailed sociodemographic and clinical characteristics, with continuous and categorical data compared using unpaired t-tests and chi-square analysis, respectively. Changes in T levels and body mass index (BMI) before and after surgery were compared using an unpaired t-test with a < 0.05 set for significance. All analyses were conducted using the TriNetX platform which utilizes both Python and R software.
RESULTS
The study analyzed 69 hypogonadal men who underwent bariatric surgery and had T levels assessed before and after the procedure. The mean (standard deviation) pre-surgery serum T level was 208 ± 79 ng/dL, which post-surgery increased to 371 ± 164 ng/dL, marking an average increase of 163 ± 164 ng/dL. Likewise, the mean (standard deviation) body mass index decreased from 42.9 ± 9.0 to 38.8 ± 5.7 kg/m. Post-surgery, 45% (31 men) achieved eugonadal status, while 55% (38 men) continued to have low T levels. A comparison between the post-surgery eugonadal cohort and the persistent low T cohort revealed that the former had higher pre-surgery serum T levels (235 ± 71 ng/dL vs. 184 ± 80.4 ng/dL, p = 0.007), a higher pre-surgery body mass index (45.5 ± 4.5 kg/m vs. 41.1 ± 11.5 kg/m, p = 0.041), and a significantly greater reduction in body mass index post-surgery (7.3 ± 7.2 kg/m vs. 2.0 ± 12.8 kg/m, p = 0.04). Notably, the increase in T was significantly higher in the eugonadal cohort compared to the persistent low testosterone cohort (257 ± 143 ng/dL vs. 95 ± 178 ng/dL, p < 0.0001).
CONCLUSION
This study provides evidence of bariatric surgery's positive effect on serum T levels in obese men with baseline low T. Almost one out of two men with low T reached normal T levels after bariatric surgery. As the most comprehensive study to date, it validates and substantiates previous work suggesting that weight loss can improve T levels physiologically.
PubMed: 38958350
DOI: 10.1111/andr.13689 -
Arquivos Brasileiros de Cardiologia 2024The anthracycline chemotherapeutic antibiotic doxorubicin (DOX) can induce cumulative cardiotoxicity and lead to cardiac dysfunction. Long non-coding RNAs (lncRNAs) can...
BACKGROUND
The anthracycline chemotherapeutic antibiotic doxorubicin (DOX) can induce cumulative cardiotoxicity and lead to cardiac dysfunction. Long non-coding RNAs (lncRNAs) can function as important regulators in DOX-induced myocardial injury.
OBJECTIVE
This study aims to investigate the functional role and molecular mechanism of lncRNA OXCT1 antisense RNA 1 (OXCT1-AS1) in DOX-induced myocardial cell injury in vitro.
METHODS
Human cardiomyocytes (AC16) were stimulated with DOX to induce a myocardial cell injury model. OXCT1-AS1, miR-874-3p, and BDH1 expression in AC16 cells were determined by RT-qPCR. AC16 cell viability was measured by XTT assay. Flow cytometry was employed to assess the apoptosis of AC16 cells. Western blotting was used to evaluate protein levels of apoptosis-related markers. Dual-luciferase reporter assay was conducted to verify the binding ability between miR-874-3p and OXCT1-AS1 and between miR-874-3p and BDH1. The value of p<0.05 indicated statistical significance.
RESULTS
OXCT1-AS1 expression was decreased in DOX-treated AC16 cells. Overexpression of OXCT1-AS1 reversed the reduction of cell viability and promotion of cell apoptosis caused by DOX. OXCT1-AS1 is competitively bound to miR-874-3p to upregulate BDH1. BDH1 overexpression restored AC16 cell viability and suppressed cell apoptosis under DOX stimulation. Knocking down BDH1 reversed OXCT1-AS1-mediated attenuation of AC16 cell apoptosis under DOX treatment.
CONCLUSION
LncRNA OXCT1-AS1 protects human myocardial cells AC16 from DOX-induced apoptosis via the miR-874-3p/BDH1 axis.
Topics: Humans; Doxorubicin; RNA, Long Noncoding; Apoptosis; Myocytes, Cardiac; MicroRNAs; Antibiotics, Antineoplastic; Cell Survival; Reproducibility of Results; Blotting, Western; Flow Cytometry; RNA, Competitive Endogenous
PubMed: 38958296
DOI: 10.36660/abc.20230675 -
American Journal of Reproductive... Jul 2024This study aimed to evaluate the predictive value of delta neutrophil index (DNI), a peripheral blood parameter, on perinatal outcomes in pregnant women with systemic...
PROBLEM
This study aimed to evaluate the predictive value of delta neutrophil index (DNI), a peripheral blood parameter, on perinatal outcomes in pregnant women with systemic lupus erythematosus (SLE).
METHOD OF STUDY
One hundred eighty-one participants, 78 pregnant women with SLE, and 103 healthy pregnant women were included in this retrospective study. Peripheral blood parameters including neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and DNI taken in the first trimester were compared between groups.
RESULTS
NLR, PLR, and DNI were significantly higher in the SLE group (p = 0.027, p = 0.007, p = 0.0001, respectively). The same parameters were not found to be significant in determining disease activity in pregnant women with SLE (p > 0.05). When the predictive value of DNI for SGA in pregnancies with SLE was evaluated by receiver operating characteristic curve (ROC), the area under the ROC curve (AUC) was 0.666 (95% CI; 0.544-0.788, p = 0.018) with 84.6% sensitivity, 53.8% specificity, 56.0% PPV, and 78.1% NPV at a cut-off value of 0.16. The predictive value of DNI according to ROC for stillbirth in pregnancies with SLE was AUC 0.731 (95% CI: 0.539-0.923, p = 0.019) with a cut-off value of 0.17, sensitivity of 90%, specificity of 51.5%, PPV of 58.5%, and NPV of 87.2%.
CONCLUSIONS
Although DNI's prediction of SGA and stillbirth in pregnant women with SLE is encouraging, it needs more evidence from prospective studies with larger series.
Topics: Humans; Female; Pregnancy; Lupus Erythematosus, Systemic; Neutrophils; Adult; Retrospective Studies; Pregnancy Complications; Pregnancy Outcome; Predictive Value of Tests; ROC Curve; Lymphocytes; Infant, Newborn
PubMed: 38958243
DOI: 10.1111/aji.13894