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The Journal of Headache and Pain Mar 2024The burden and disability associated with headaches are conceptualized and measured differently at patients' and populations' levels. At the patients' level, through... (Meta-Analysis)
Meta-Analysis Review
BACKGROUND
The burden and disability associated with headaches are conceptualized and measured differently at patients' and populations' levels. At the patients' level, through patient-reported outcome measures (PROMs); at population level, through disability weights (DW) and years lived with a disability (YLDs) developed by the Global Burden of Disease Study (GBD). DW are 0-1 coefficients that address health loss and have been defined through lay descriptions. With this literature review, we aimed to provide a comprehensive analysis of disability in headache disorders, and to present a coefficient referring to patients' disability which might inform future GBD definitions of DW for headache disorders.
METHODS
We searched SCOPUS and PubMed for papers published between 2015 and 2023 addressing disability in headache disorders. The selected manuscript included a reference to headache frequency and at least one PROM. A meta-analytic approach was carried out to address relevant differences for the most commonly used PROMs (by headache type, tertiles of medication intake, tertiles of females' percentage in the sample, and age). We developed a 0-1 coefficient based on the MIDAS, on the HIT-6, and on MIDAS + HIT-6 which was intended to promote future DW iterations by the GBD consortium.
RESULTS
A total of 366 studies, 596 sub-samples, and more than 133,000 single patients were available, mostly referred to cases with migraine. Almost all PROMs showed the ability to differentiate disability severity across conditions and tertiles of medication intake. The indexes we developed can be used to inform future iterations of DW, in particular considering their ability to differentiate across age and tertiles of medication intake.
CONCLUSIONS
Our review provides reference values for the most commonly used PROMS and a data-driven coefficient whose main added value is its ability to differentiate across tertiles of age and medication intake which underlie on one side the increased burden due to aging (it is likely connected to the increased impact of common comorbidities), and by the other side the increased burden due to medication consumption, which can be considered as a proxy for headache severity. Both elements should be considered when describing disability of headache disorders at population levels.
Topics: Female; Humans; Global Burden of Disease; Headache; Headache Disorders; Migraine Disorders; Aging
PubMed: 38433202
DOI: 10.1186/s10194-024-01735-0 -
The Journal of Physical Chemistry... Mar 2024Spatial-energy correlations strongly influence charge and exciton transport in weakly ordered media such as organic semiconductors and nanoparticle assemblies. Focusing...
Spatial-energy correlations strongly influence charge and exciton transport in weakly ordered media such as organic semiconductors and nanoparticle assemblies. Focusing on cases with shorter-range interparticle interactions, we develop a unified analytic approach that allows us to calculate the temperature and field dependence of charge carrier mobility in organic quadrupole glasses and the temperature dependence of the diffusion coefficient of excitons in quantum dot solids. We obtain analytic expressions for the energy distribution of hopping centers, the characteristic escape time of charge/exciton from the energy well stemming from energy correlations around deep states, and the size of the well. The derived formulas are tested with Monte Carlo simulation results, showing good agreement and providing simple analytic expressions for analysis of charge and exciton mobility in a broad range of partially ordered media.
PubMed: 38416805
DOI: 10.1021/acs.jpclett.4c00097 -
Journal of Dairy Science Jul 2024Lysine is one of the limiting AA in the diets of dairy cows and is typically fed as rumen-protected Lys (RPL). We hypothesized that supplementation of RPL during the... (Meta-Analysis)
Meta-Analysis
Lysine is one of the limiting AA in the diets of dairy cows and is typically fed as rumen-protected Lys (RPL). We hypothesized that supplementation of RPL during the postpartum period would improve the productive performance in dairy cows. Objectives were to use meta-analytic methods to explore the effects of feeding RPL on performance and blood AA profile in lactating dairy cows. An additional objective was to identify an optimal concentration (%) of Lys in MP (LYSMP) and determine if responses to LYSMP were associated with the concentration (%) of Met in MP (METMP). The literature was systematically reviewed, and 13 experiments, comprising 40 treatment means and 594 lactating cows, were included in the meta-analysis. All experiments had a nonsupplemental control (CON; n = 17 treatment means), or a group supplemented with RPL (n = 23 treatment means). Cows supplemented with RPL were supplied additionally with a mean (±standard deviation) 19.3 ± 10.3 g/d metabolizable Lys (5.1-40.6 g/d). Meta-analytical statistics were used to estimate the weighted mean difference in STATA. Mixed models were fitted to the data to investigate the linear and quadratic effects of LYSMP, METMP, and interactions between LYSMP and METMP. All models included the random effect of experiment and weighting by the inverse of the SE of the means squared. Cows that began receiving RPL in early lactation (≤90 DIM) or for an extended duration (≥70 DIM) produced 1.51 kg/d more milk compared with CON cows. Increasing digestible LYSMP from 6.5% to 8.5% linearly increased yields of milk, FCM, ECM, and milk fat by 1.8, 2.5, 2.4, and 0.10 kg/d, respectively, and tended to increase milk protein yield and body weight gain by 0.07 and 0.09 kg/d, respectively, without a concurrent increase in DMI. Interactions between the linear effects of LYSMP and METMP were observed for FCM/DMI or ECM/DMI. In a diet with low METMP (e.g., 1.82% of MP), a digestible supply of 7.40% LYSMP would result in 1.46 and 1.47 kg/kg FCM/DMI or ECM/DMI, respectively; however, with high digestible METMP (e.g., 2.91% of MP), supplying 7.40% of digestible LYSMP would result in 1.68 and 1.62 kg/kg FCM/DMI or ECM/DMI, respectively. Increasing digestible LYSMP from 6.5% to 8.5% linearly increased blood concentrations of Lys by 16.6 µM, whereas blood concentrations of Met and Ala decreased by 4.6 and 6.0 µM, respectively. Nevertheless, an interaction was also observed between LYSMP and METMP for blood concentrations of total EAA because as METMP increased, the positive response to LYSMP on total EAA was also increased, suggesting a competitive mobilization of AA and their utilization in various body tissues. Only 4 out of the 13 experiments in this meta-analysis involved primiparous cows; thus, insufficient data were available to understand the role of supplemental RPL in primiparous cows. Collectively, feeding RPL improved productive performance, and the increments were maximized up to 9.25% of LYSMP in multiparous dairy cows.
Topics: Animals; Cattle; Female; Lactation; Rumen; Postpartum Period; Lysine; Diet; Dietary Supplements; Amino Acids; Milk; Animal Feed
PubMed: 38395403
DOI: 10.3168/jds.2023-24131 -
PloS One 2024The construction of expressways in China has produced diverse habitats along slopes characterized by steep gradients, uneven water distribution, poor soil conditions,...
The construction of expressways in China has produced diverse habitats along slopes characterized by steep gradients, uneven water distribution, poor soil conditions, and no routine maintenance. Manually planting beneficial species is an essential method of effectively improving slope soils to prevent soil erosion. However, few studies have evaluated the reclamation effects and plant community composition and structure used to restore slopes along expressways. This study focused on the Zhengzhou-Xinxiang section of the Beijing-Hong Kong-Macao Expressway. A total of 10 representative plant communities were evaluated using the analytic hierarchy process (AHP)-fuzzy integrated evaluation method. The sites were divided into four layers, namely, plant communities, soil nutrients, soil physical properties, and other ecological factors, and 14 indicators were assessed. The evaluation results showed that four of these plant communities (PCs) were excellent, three PCs were good, one PC was normal, two PCs were poor. The four excellent PCs had high Shannon-Wiener index, pielou index, richness index or community productivity. It is worth noting that most excellent plant community structures were tree + shrub + herb. Based on these results, we recommend that fill slopes should be restored using a combination of trees, herbs, and shrubs; also, the vegetation should include native plants, such as B. papyrifera, U. pumila, A. fruticosa, and Cynodon dactylon (L.). This study could provide ideas for plant community composition and structure of new highway slopes in similar climate environment, and provide theoretical support for plant community composition and structure and soil improvement for the existing slope.
Topics: Hong Kong; Macau; Beijing; Plants; Soil; Ecosystem; China; Trees
PubMed: 38354175
DOI: 10.1371/journal.pone.0297004 -
Journal of Medicinal Chemistry Feb 2024One approach to reduce the side effects of chemotherapy in cancer treatment is photodynamic therapy (PDT), which allows spatiotemporal control of the cytotoxicity. We...
One approach to reduce the side effects of chemotherapy in cancer treatment is photodynamic therapy (PDT), which allows spatiotemporal control of the cytotoxicity. We have used the strategy of coordinating π-expansive ligands to increase the excited state lifetimes of Ir(III) half-sandwich complexes in order to facilitate the generation of O. We have obtained derivatives of formulas [Cp*Ir(CN)Cl] and [Cp*Ir(CN)L]BF with different degrees of π-expansion in the CN ligands. Complexes with the more π-expansive ligand are very effective photosensitizers with phototoxic indexes PI > 2000. Furthermore, PI values of 63 were achieved with red light. Time-dependent density functional theory (TD-DFT) calculations nicely explain the effect of the π-expansion. The complexes produce reactive oxygen species (ROS) at the cellular level, causing mitochondrial membrane depolarization, cleavage of DNA, nicotinamide adenine dinucleotide (NADH) oxidation, as well as lysosomal damage. Consequently, cell death by apoptosis and secondary necrosis is activated. Thus, we describe the first class of half-sandwich iridium cyclometalated complexes active in PDT.
Topics: Photosensitizing Agents; Antineoplastic Agents; Ligands; Photochemotherapy; Cell Line, Tumor; Iridium
PubMed: 38291666
DOI: 10.1021/acs.jmedchem.3c01276 -
Nature Communications Jan 2024To date only a fraction of the genetic footprint of thyroid function has been clarified. We report a genome-wide association study meta-analysis of thyroid function in... (Meta-Analysis)
Meta-Analysis
To date only a fraction of the genetic footprint of thyroid function has been clarified. We report a genome-wide association study meta-analysis of thyroid function in up to 271,040 individuals of European ancestry, including reference range thyrotropin (TSH), free thyroxine (FT4), free and total triiodothyronine (T3), proxies for metabolism (T3/FT4 ratio) as well as dichotomized high and low TSH levels. We revealed 259 independent significant associations for TSH (61% novel), 85 for FT4 (67% novel), and 62 novel signals for the T3 related traits. The loci explained 14.1%, 6.0%, 9.5% and 1.1% of the total variation in TSH, FT4, total T3 and free T3 concentrations, respectively. Genetic correlations indicate that TSH associated loci reflect the thyroid function determined by free T3, whereas the FT4 associations represent the thyroid hormone metabolism. Polygenic risk score and Mendelian randomization analyses showed the effects of genetically determined variation in thyroid function on various clinical outcomes, including cardiovascular risk factors and diseases, autoimmune diseases, and cancer. In conclusion, our results improve the understanding of thyroid hormone physiology and highlight the pleiotropic effects of thyroid function on various diseases.
Topics: Humans; Thyroid Gland; Thyroxine; Genome-Wide Association Study; Triiodothyronine; Thyrotropin
PubMed: 38291025
DOI: 10.1038/s41467-024-44701-9 -
BMC Pregnancy and Childbirth Jan 2024Breastfeeding is considered to be the most effective way of ensuring the health and survival of newborns. However, mammary transfer of drugs administered to mothers to...
BACKGROUND
Breastfeeding is considered to be the most effective way of ensuring the health and survival of newborns. However, mammary transfer of drugs administered to mothers to breastfeeding infants remains a pressing concern. Acetaminophen and diclofenac sodium are widely prescribed analgesics for postpartum pain relief, but there have been few recent reports on the mammary transfer of these drugs, despite advances in analytic techniques.
METHODS
We conducted a study on 20 postpartum mothers from August 2019-March 2020. Blood and milk samples from participants were analyzed using liquid chromatography-electrospray ionization tandem mass spectrometry within 24 hours after oral administration of acetaminophen and diclofenac sodium. The area under the concentration-time curve (AUC) was calculated from the concentration curve obtained by a naive pooled-data approach.
RESULTS
For acetaminophen, AUC was 36,053 ng/mL.h and 37,768 ng/mL.h in plasma and breast milk, respectively, with a milk-to-plasma drug concentration ratio of 1.048. For diclofenac, the AUC was 0.227 ng/mL.h and 0.021 ng/mL.h, in plasma and breast milk, respectively, with a milk-to-plasma drug concentration ratio of 0.093.
CONCLUSIONS
While diclofenac sodium showed low mammary transfer, acetaminophen showed a relatively high milk-to-plasma drug concentration ratio. Given recent studies suggesting potential connections between acetaminophen use during pregnancy and risks to developmental prognosis in children, we believe that adequate information regarding the fact that acetaminophen is easily transferred to breast milk should be provided to mothers.
Topics: Infant; Pregnancy; Female; Child; Humans; Infant, Newborn; Milk, Human; Diclofenac; Acetaminophen; Breast Feeding; Analgesics
PubMed: 38287321
DOI: 10.1186/s12884-024-06287-4 -
The Journal of Physical Chemistry... Feb 2024In this Letter, we present a pioneering analysis of the density functional approximations (DFAs) beyond the generalized gradient approximation (GGA) for predicting...
In this Letter, we present a pioneering analysis of the density functional approximations (DFAs) beyond the generalized gradient approximation (GGA) for predicting two-photon absorption (2PA) strengths of a set of push-pull π-conjugated molecules. In more detail, we have employed a variety of meta-generalized gradient approximation (meta-GGA) functionals, including SCAN, MN15, and M06-2X, to assess their accuracy in describing the 2PA properties of a chosen set of 48 organic molecules. Analytic quadratic response theory is employed for these functionals, and their performance is compared against the previously studied DFAs and reference data obtained at the coupled-cluster CC2 level combined with the resolution-of-identity approximation (RI-CC2). A detailed analysis of the meta-GGA functional performance is provided, demonstrating that they improve upon their predecessors in capturing the key electronic features of the π-conjugated two-photon absorbers. In particular, the Minnesota functional MN15 shows very promising results as it delivers pleasingly accurate chemical rankings for two-photon transition strengths and excited-state dipole moments.
PubMed: 38252270
DOI: 10.1021/acs.jpclett.3c03513 -
ACS Omega Jan 2024In this paper, NiSb/NiTe/Ni composites were smoothly developed via the microwave method for supercapacitors. The synthesis of NiSb/NiTe crystals was revealed by X-ray...
In this paper, NiSb/NiTe/Ni composites were smoothly developed via the microwave method for supercapacitors. The synthesis of NiSb/NiTe crystals was revealed by X-ray photoelectron spectroscopy and X-ray diffraction. The analytic results of scanning electron microscopy and energy dispersive spectroscopy uncover the microscopic morphology as well as the constituent elements of the composites. Self-supported NiSb/NiTe is a supercapacitor cathode that combines high capacitance with excellent cycling stability. The obtained composite electrode displayed remarkable electrochemical properties, presenting a special capacitance of 1870 F g (1 A g) and 81.5% of the original capacity through 30,000 times (10 A g) of the charging/discharging process. Further, an asymmetric supercapacitor was prepared employing NiSb/NiTe as a cathode and activated carbon as an anode. NiSb/NiTe//AC exhibited a high energy density of 224.6 uW h cm with a power density of 750 μW cm and provided a favorable cycling stability of 83% after 10,000 cycles.
PubMed: 38250415
DOI: 10.1021/acsomega.3c07385 -
Antioxidants (Basel, Switzerland) Jan 2024There is a growing interest in the use of natural compounds to tackle inflammatory diseases and cancers. However, most of them face the bioavailability and solubility...
There is a growing interest in the use of natural compounds to tackle inflammatory diseases and cancers. However, most of them face the bioavailability and solubility challenges to reaching cellular compartments and exert their potential biological effects. Polyphenols belong to that class of molecules, and numerous efforts have been made to improve and overcome these problems. Curcumin is widely studied for its antioxidant and anti-inflammatory properties as well as its use as an anticancer agent. However, its poor solubility and bioavailability are often a source of concern with disappointing or unexpected results in cellular models or in vivo, which limits the clinical use of curcumin as such. Beside nanoparticles and liposomes, cyclodextrins are one of the best candidates to improve the solubility of these molecules. We have used lysine and cyclodextrin to form a water-soluble curcumin complex, named NDS27, in which potential anti-inflammatory effects were demonstrated in cellular and in vivo models. Herein, we investigated for the first time its direct free radicals scavenging activity on DPPH/ABTS assays as well as on hydroxyl, superoxide anion, and peroxyl radical species. The ability of NDS27 to quench singlet oxygen, produced by rose bengal photosensitization, was studied, as was the inhibiting effect on the enzyme-catalyzed oxidation of the co-substrate, luminol analog (L012), using horseradish peroxidase (HRP)/hydrogen peroxide (HO) system. Finally, docking was performed to study the behavior of NDS27 in the active site of the peroxidase enzyme.
PubMed: 38247504
DOI: 10.3390/antiox13010080