bipolar

双极
  • 文章类型: Journal Article
    在精神病研究中,平滑的眼球运动被认为是感觉运动功能的公认且可量化的生物标志物。基于神经生物学标志物在个体水平上识别精神病综合征受到异质性的限制,需要全面的外部验证以避免对预测模型的高估。这里,我们使用多变量模式分析研究了大量精神病先证者(N=674)和健康对照(N=305)样本中来自平稳追踪眼球运动的可量化感觉运动测量值.预测精神病状况的64%的平衡准确性与其他大型异质精神病样本的最新结果一致。通过独立大样本的外部验证,包括(1)精神病(N=727)与健康对照(N=292)的先证者,(2)精神病性(N=49)和非精神病性双相情感障碍(N=36),和(3)非精神病性情感障碍(N=119)和精神病(N=51)的准确率为65%,66%和58%,分别,尽管精神病综合症略有不同。我们的发现为在个体水平上识别异质性精神病综合征的生物学定义特征做出了重大贡献,强调了精神病中感觉运动功能障碍的影响。
    Smooth pursuit eye movements are considered a well-established and quantifiable biomarker of sensorimotor function in psychosis research. Identifying psychotic syndromes on an individual level based on neurobiological markers is limited by heterogeneity and requires comprehensive external validation to avoid overestimation of prediction models. Here, we studied quantifiable sensorimotor measures derived from smooth pursuit eye movements in a large sample of psychosis probands (N = 674) and healthy controls (N = 305) using multivariate pattern analysis. Balanced accuracies of 64% for the prediction of psychosis status are in line with recent results from other large heterogenous psychiatric samples. They are confirmed by external validation in independent large samples including probands with (1) psychosis (N = 727) versus healthy controls (N = 292), (2) psychotic (N = 49) and non-psychotic bipolar disorder (N = 36), and (3) non-psychotic affective disorders (N = 119) and psychosis (N = 51) yielding accuracies of 65%, 66% and 58%, respectively, albeit slightly different psychosis syndromes. Our findings make a significant contribution to the identification of biologically defined profiles of heterogeneous psychosis syndromes on an individual level underlining the impact of sensorimotor dysfunction in psychosis.
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  • 文章类型: Journal Article
    交流(AC)驱动的量子点发光二极管(QLED)优于直流驱动的QLED,因为它们可以直接集成到家用交流电中,并且具有很高的稳定性。然而,实现高性能AC驱动QLED仍然具有挑战性。在这项工作中,具有共面电极的双极QLED通过使用Al桥接层水平地串联连接常规QLED和倒置QLED来实现。双极QLED可以通过正偏置电压或负偏置电压打开,具有22.9%的高外部量子效率(EQE)。用Ag代替Al,有效地降低了电子传输层的电阻,因此,双极QLED在15V时显示出16370cd/m2的增强亮度。通过串联连接多个双极QLED,所得到的光源可以直接由220V/50Hz的家用电源驱动,而不需要后端电子设备。双极QLED也可以通过垂直堆叠规则QLED和具有金属中间连接层的反向QLED来实现。我们证明,共面或垂直双极QLED可以在家用交流电播放和插头固态照明以及单面或双面显示器中找到潜在的应用。本文受版权保护。保留所有权利。
    Alternating current (AC)-driven quantum-dot light-emitting diodes (QLEDs) are superior to direct current-driven QLEDs because they can be directly integrated into household AC electricity and have high stability. However, achieving high-performance AC-driven QLEDs remains challenging. In this work, a bipolar QLED with coplanar electrodes is realized by horizontally connecting a regular QLED and an inverted QLED in series using an Al bridging layer. The bipolar QLED can be turned on with either a positive or a negative bias voltage, with a high external quantum efficiency (EQE) of 22.9%. By replacing the Al with Ag, the resistances of the electron transport layers are effectively reduced, and thus the bipolar QLED shows an enhanced brightness of 16370 cd m-2 at 15 V. By connecting multiple bipolar QLEDs in series, the resulting light source can be directly driven by a 220 V/50 Hz household power supply without the need for back-end electronics. The bipolar QLED can also be realized by vertically stacking a regular QLED and an inverted QLED with a metallic intermediate connection layer. It is demonstrated that the coplanar or vertical bipolar QLEDs could find potential applications in household AC electricity play-and-plug solid-state lighting and single- or double-sided displays.
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  • 文章类型: Journal Article
    在线平台允许个人与他人联系,分享经验,找到有相似兴趣的社区,提供归属感,减少孤立感。以前的许多研究都检查了在线健康社区的内容,以深入了解围绕精神健康状况的情绪。然而,研究领域存在明显差距,因为没有研究特别集中在对双相情感障碍进行深入分析或提供全面可视化。因此,这项研究旨在通过研究Bipolarsubreddit在线社区来解决这一差距,我们收集了1,460,447个帖子作为纯文本文档进行分析。通过使用LDA主题建模和情感分析,我们发现Reddit上的双相情感障碍在线社区讨论了这种情况的各个方面,包括症状,情绪波动,诊断,和药物。用户分享了个人经历,挑战,和应对策略,寻求支持和联系。与治疗和药物有关的讨论很普遍,强调寻找合适的治疗师和管理药物副作用的重要性。在线社区是寻求帮助的平台,建议,和信息,强调社会支持在治疗双相情感障碍中的作用。这项研究增强了我们对双相情感障碍患者的理解,并为开发心理健康干预措施的研究人员提供了有价值的见解和反馈。
    Online platforms allow individuals to connect with others, share experiences, and find communities with similar interests, providing a sense of belonging and reducing feelings of isolation. Numerous previous studies examined the content of online health communities to gain insights into the sentiments surrounding mental health conditions. However, there is a noticeable gap in the research landscape, as no study has specifically concentrated on conducting an in-depth analysis or providing a comprehensive visualization of Bipolar disorder. Therefore, this study aimed to address this gap by examining the Bipolar subreddit online community, where we collected 1,460,447 posts as plain text documents for analysis. By employing LDA topic modeling and sentiment analysis, we found that the Bipolar disorder online community on Reddit discussed various aspects of the condition, including symptoms, mood swings, diagnosis, and medication. Users shared personal experiences, challenges, and coping strategies, seeking support and connection. Discussions related to therapy and medication were prevalent, emphasizing the importance of finding suitable therapists and managing medication side effects. The online community serves as a platform for seeking help, advice, and information, highlighting the role of social support in managing bipolar disorder. This study enhances our understanding of individuals living with bipolar disorder and provides valuable insights and feedback for researchers developing mental health interventions.
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  • 文章类型: Journal Article
    背景:在临床实践中,将抑郁症与重性抑郁障碍和双相情感障碍区分开来具有挑战性。因此,迫切需要可靠的生物标志物来区分这些疾病.这项研究的主要目的是评估心脏自主神经功能是否可以区分单相抑郁症(UD)患者,双相抑郁(BD),和双相躁狂症(BM)。
    方法:我们招募了791名情绪障碍患者,包括191个UD,286带BD,和314与BM,至少2周没有吸毒。在5分钟的休息期间,通过手指光电容积描记术使用心率变异性(HRV)和脉搏波速度(PWV)指标测量心血管状态。
    结果:与UD和BM患者相比,BD患者的HRV较低,但心率较高。UD组的PWV指标低于双相障碍组。年龄的协变量,性别,体重指数影响心血管特征。在调整协变量后,三组间的HRV和PWV差异仍然显著.UD和BD组之间的比较表明,具有最大效应大小的变量是HRV的频域指数,非常低和高频率,其次是心率。每个心血管变量的受试者工作特征曲线下面积(AUC)范围为0.661至0.714。高频指数达到最高AUC。
    结论:横断面设计和情绪障碍参与者的异质性程度限制了我们的研究结果。
    结论:BD患者,但不是BM,与UD患者相比,心脏失衡程度更大。因此,HRV可作为UD和BD鉴别诊断的心理生理生物标志物。
    Differentiating depression in major depressive disorder and bipolar disorder is challenging in clinical practice. Therefore, reliable biomarkers are urgently needed to differentiate between these diseases. This study\'s main objective was to assess whether cardiac autonomic function can distinguish patients with unipolar depression (UD), bipolar depression (BD), and bipolar mania (BM).
    We recruited 791 patients with mood disorders, including 191 with UD, 286 with BD, and 314 with BM, who had been drug free for at least 2 weeks. Cardiovascular status was measured using heart rate variability (HRV) and pulse wave velocity (PWV) indicators via finger photoplethysmography during a 5-min rest period.
    Patients with BD showed lower HRV but higher heart rates than those with UD and BM. The PWV indicators were lower in the UD group than in the bipolar disorder group. The covariates of age, sex, and body mass index affected the cardiovascular characteristics. After adjusting for covariates, the HRV and PWV variations among the three groups remained significant. Comparisons between the UD and BD groups showed that the variable with the largest effect size was the frequency-domain indices of HRV, very low and high frequency, followed by heart rate. The area under the receiver operating characteristic curve (AUC) for each cardiovascular variable ranged from 0.661 to 0.714. The High-frequency index reached the highest AUC.
    Cross-sectional design and the magnitude of heterogeneity across participants with mood disorders limited our findings.
    Patients with BD, but not BM, had a greater extent of cardiac imbalance than those with UD. Thus, HRV may serve as a psychophysiological biomarker for the differential diagnosis of UD and BD.
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  • 文章类型: Journal Article
    在这项研究中,通过引入双链Si-O-Si聚合物作为主链,并以具有高三重态能量的咔唑和三苯基氧化膦作为侧基,合成了一系列梯状聚硅氧烷。聚硅氧烷的梯状结构是通过受控聚合方法实现的,该方法包括单体自组装和随后的表面限制的固相通过冷冻干燥原位缩合。硅氧烷的引入提高了聚合物的热稳定性并抑制了侧基之间聚合物的共轭。导致三重态能级的增加。因此,所有这些聚合物执行比磷光发射体(FIrpic)更高的三重态能级。循环伏安法测量表明,双极聚合物表现出高的最高占据分子轨道(HOMO)值-5.32eV,这与ITO/PEDOT:PSS的功函数一致,从而促进空穴注入。此外,三苯基膦氧化物的掺入促进电子注入。分子模拟表明,双极聚合物的前沿轨道分布位于咔唑和三苯基膦基团上,分别,促进电子和空穴的传输。本文受版权保护。保留所有权利。
    In this study, a series of ladder-like polysiloxanes are synthesized by introducing double-chain Si-O-Si polymer as the backbone and the carbazole and triphenylphosphine oxide with high triplet energy as side groups. The ladder-like structures of polysiloxanes are achieved through a controlled polymerization method that involves the monomer self-assembly and subsequent surface-restricted solid-phase in situ condensation through freeze-drying. The introduction of siloxane improves thermal stability of the polymers and inhibits the conjugation of the polymers between the side groups, leading to an increase in the triplet energy level. Therefore, all these polymers perform higher triplet energy levels than phosphorescent emitter (FIrpic). The cyclic voltammetry measurements demonstrate that the bipolar polymer exhibits a high highest occupied molecular orbital (HOMO) value of -5.32 eV, which is consistent with the work function of ITO/PEDOT:PSS, consequently facilitating hole injection. Furthermore, the incorporation of triphenylphosphine oxide promotes electron injection. Molecular simulations reveal that the frontier orbital distributions of the bipolar polymer are located on the carbazole and triphenylphosphine groups, respectively, which facilitate the transport of electrons and holes.
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  • 文章类型: Systematic Review
    越来越多的证据表明,抑郁和肥胖之间存在双向关系,与大脑结构和功能异常有关。然而,属于上述关联的潜在神经生物学机制尚未被表征。有必要总结与抑郁和肥胖有关的神经可塑性大脑变化。我们系统地搜索了1990年至2022年11月在数据库上的文章,包括MEDLINE/PubMed,WebofScience,PsycINFO。仅包括患有抑郁症和肥胖/BMI变化的个体的脑功能和结构的潜在差异范围内的神经影像学研究。24项符合条件的研究纳入本文的综述,由17项报告大脑结构变化的研究组成,4项研究报告脑功能异常,3项研究报告了大脑结构和功能的变化。结果表明抑郁症和肥胖对大脑功能的相互作用,它们对大脑结构的影响是广泛而具体的。总的来说,减少整个大脑,颅内,和灰质体积(例如额叶,颞叶回,丘脑,和海马),并且在患有抑郁症和肥胖症合并症的人中观察到白质完整性受损。静息状态功能磁共振成像的其他证据揭示了与认知控制相关的大脑区域,情绪调节,和奖励功能。由于fMRI任务的多样性,不同的神经激活模式分别显示。抑郁症与肥胖之间的双向关系反映了大脑结构和功能的不同特征。在后续研究中应加强纵向设计。
    Growing evidence suggests there is a bidirectional relationship between depression and obesity, which are associated with structural and functional brain abnormalities. However, the underlying neurobiological mechanisms subserving the foregoing associations have yet to be characterized. It is necessary to summarize the neuroplastic brain changes in relation to depression and obesity. We systematically searched articles from 1990 to November 2022 on databases including MEDLINE/PubMed, Web of Science, PsycINFO. Only neuroimaging studies within the scope of potential differences in brain function and structure in individuals with depression and obesity/ BMI changes were included. Twenty-four eligible studies were included in the review herein, consisting of 17 studies reporting changes in brain structure, 4 studies reporting abnormal brain function, and 3 studies reporting both changes in brain structure and function. Results indicated an interaction between depression and obesity on brain functions, and their influence on brain structure is both extensive and specific. Overall, reduced whole brain, intracranial, and gray matter volume (e.g. frontal, temporal gyri, thalamic, and hippocampal) and impaired white matter integrity was observed in persons with depression and obesity comorbidity. Additional evidence on resting state fMRI reveals select brain regions associated with cognitive control, emotion regulation, and reward functions. Due to the diversity of tasks in task fMRI, the distinct neural activation patterns are revealed separately. The bidirectional relationship between depression and obesity reflects different characteristics in brain structure and function. Longitudinal designs should be reinforced in follow-up studies.
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  • 文章类型: Journal Article
    海洋微生物真核生物是重要的初级生产者,在关键的生物地球化学循环中起着至关重要的作用。测序技术的最新进展将注意力集中在微生物生物多样性的范围上,揭示了一个巨大的,以前低估了许多新谱系的系统发育多样性。这项技术现已成为了解极地海洋中这种巨大而新颖的多样性的生态意义的最重要工具。特别是,高通量测序技术已成功应用于列举和比较极地环境中的海洋微生物多样性。这里,极地微生物真核生物多样性的简要概述,正如对18SrRNA基因的高通量测序的原位调查所揭示的那样,是presented。使用这些“omic”方法,仍然需要进一步关注特定地点和/或整个极地海洋之间的差异,以及多样性和分布的两极比较。
    Marine microbial eukaryotes are important primary producers and play critical roles in key biogeochemical cycles. Recent advances in sequencing technology have focused attention on the extent of microbial biodiversity, revealing a huge, previously underestimated phylogenetic diversity with many new lineages. This technology has now become the most important tool to understand the ecological significance of this huge and novel diversity in polar oceans. In particular, high-throughput sequencing technologies have been successfully applied to enumerate and compare marine microbial diversity in polar environments. Here, a brief overview of polar microbial eukaryote diversity, as revealed by in-situ surveys of the high-throughput sequencing on 18S rRNA gene, is presented. Using these \'omic\' approaches, further attention still needs to be focused on differences between specific locations and/or entire polar oceans and on bipolar comparisons of diversity and distribution.
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  • 文章类型: Journal Article
    目的:心理困扰被认为是癌症发展的一个因素。然而,情绪障碍(抑郁和双相情感障碍)对宫颈癌发展的影响仍然不确定。我们进行了一项全国性的基于人群的回顾性队列研究,以调查情绪障碍与随后发生宫颈癌的风险之间的关系。
    方法:从国家健康保险研究数据库中提取了2000年至2012年的138,130名参与者,并细分为情绪障碍队列(27,626名参与者)和非情绪障碍队列(110,504名参与者)。根据年龄和指数年份,队列的倾向匹配比例为1:4。Cox比例风险回归模型用于评估队列之间的宫颈癌风险。
    结果:Kaplan-Meier分析显示,情绪障碍队列中宫颈癌的累积发病率较高。调整潜在的混杂因素后,情绪障碍队列也与宫颈癌风险增加相关。亚组分析显示情绪障碍对宫颈癌有负面影响,尤其是在30-50年代和白领阶层。
    结论:我们的研究结果表明,情绪障碍与宫颈癌发展的风险增加有关。这为降低这一脆弱人群宫颈癌发病率的临床策略提供了有益的信息。
    OBJECTIVE: Psychological distress is considered a factor for cancer development. However, the impact of mood disorders (depression and bipolar) on the development of cervical cancer remains uncertain. We conducted a nationwide population-based retrospective cohort study to investigate the association between mood disorders and the subsequent risk of developing cervical cancer.
    METHODS: A total of 138,130 participants\' profiles between 2000 and 2012 were extracted from the National Health Insurance Research Database and subdivided into a mood-disorder cohort (27,626 participants) and a non-mood-disorder cohort (110,504 participants). Cohorts were propensity-matched for a 1:4 ratio according to age and index year. The Cox proportional hazards regression model was utilized for assessing cervical cancer risk between cohorts.
    RESULTS: Kaplan-Meier analysis revealed that the mood-disorder cohort had a higher cumulative incidence of cervical cancer. The mood-disorder cohort was also associated with an increased risk of cervical cancer after adjustments for potential confounders. Subgroup analysis revealed a negative impact of mood disorders on cervical cancer, especially in the 30-50 years and white-collar groups.
    CONCLUSIONS: Our findings demonstrated that mood disorders were associated with an increased risk of cervical cancer development, which provide helpful information for clinical strategies to reduce the incidence of cervical cancer in this vulnerable population.
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  • 文章类型: Journal Article
    背景:运动皮质刺激作为神经性疾病的临床治疗应用了数十年。刺激电极直接放在皮质表面,这种神经调节方法提供比其他非侵入性治疗更高的空间分辨率。然而,报告的治疗效果与不同的综合征不一致。主要问题之一是刺激参数总是由临床经验决定。缺乏对刺激电流如何在皮层中传播的理解以及各种刺激参数和配置阻碍了该方法的发展。
    方法:在本研究中,我们使用固有光学成像研究了不同刺激配置对皮层对运动皮层刺激反应的影响.
    结果:我们的结果表明,电刺激的皮层激活不仅与电流密度有关,而且与传播距离有关。此外,刺激配置也影响刺激电流的传播。
    结论:所有这些结果为参数和电极配置优化提供了初步的实验证据。
    BACKGROUND: Motor cortex stimulation applied as a clinical treatment for neuropathic disorders for decades. With stimulation electrodes placed directly on the cortical surface, this neuromodulation method provides higher spatial resolution than other non-invasive therapies. Yet, the therapeutic effects reported were not in conformity with different syndromes. One of the main issues is that the stimulation parameters are always determined by clinical experience. The lack of understanding about how the stimulation current propagates in the cortex and various stimulation parameters and configurations obstruct the development of this method.
    METHODS: In this study, we investigated the effect of different stimulation configurations on cortical responses to motor cortical stimulations using intrinsic optical imaging.
    RESULTS: Our results showed that the cortical activation of electrical stimulation is not only related to the current density but also related to the propagation distance. Besides, stimulation configurations also affect the propagation of the stimulation current.
    CONCLUSIONS: All these results provide preliminary experimental evidence for parameter and electrode configuration optimizations.
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  • 文章类型: Journal Article
    集群研究确定了精神病患者的一个亚组,其病前调整在发病前恶化,这可能反映了遗传影响的变化。然而,其他研究报告了大麻使用的独特模式与认知和病前损害之间的复杂关系,值得考虑。我们研究了是否:(1)儿童和青春期的病前社会功能(PSF)和病前学业功能(PAF)以及当前的智商(IQ)在802例首发精神病(FEP)患者中定义了不同的聚类;(2)精神分裂症的多基因风险评分(PRS)(SCZ_PRS),双相情感障碍(BD_PRS),抑郁症(MD_PRS),和智商(IQ_PRS),和(3)大麻使用模式,与1,263个基于人群的对照相比。出现了四个诊断簇(BIC=2268.5):(1)高认知功能(n=205),智商最高(平均值=106.1,95%CI:104.3,107.9)和PAF,但PSF低。(2)认知功能低下(n=223),智商最低(平均值=73.9,95%CI:72.2,75.7)和PAF,但PSF正常.(3)具有低改善PAF和PSF的中间体(n=224)(Mean_IQ=80.8,95%CI:79.1,82.5)。4)恶化(n=150)(平均智商=80.6,95%CI:78.5,82.7),正常恶化的PAF和PSF。PRS解释了7.9%的组间成员。FEP的SCZ_PRS高于对照组[F(4,1319)=20.4,P<.001]。在集群中,恶化组的SCZ_PRS较低,更有可能每天使用高效大麻.FEP患者根据病前和认知能力进行聚类。明显的病前恶化不是大多数FEP的典型特征,包括那些更倾向于精神分裂症的人,但出现在具有高效大麻使用史的集群中。
    Cluster studies identified a subgroup of patients with psychosis whose premorbid adjustment deteriorates before the onset, which may reflect variation in genetic influence. However, other studies reported a complex relationship between distinctive patterns of cannabis use and cognitive and premorbid impairment that is worthy of consideration. We examined whether: (1) premorbid social functioning (PSF) and premorbid academic functioning (PAF) in childhood and adolescence and current intellectual quotient (IQ) define different clusters in 802 first-episode of psychosis (FEP) patients; resulting clusters vary in (2) polygenic risk scores (PRSs) for schizophrenia (SCZ_PRS), bipolar disorder (BD_PRS), major depression (MD_PRS), and IQ (IQ_PRS), and (3) patterns of cannabis use, compared to 1,263 population-based controls. Four transdiagnostic clusters emerged (BIC = 2268.5): (1) high-cognitive-functioning (n = 205), with the highest IQ (Mean = 106.1, 95% CI: 104.3, 107.9) and PAF, but low PSF. (2) Low-cognitive-functioning (n = 223), with the lowest IQ (Mean = 73.9, 95% CI: 72.2, 75.7) and PAF, but normal PSF. (3) Intermediate (n = 224) (Mean_IQ = 80.8, 95% CI: 79.1, 82.5) with low-improving PAF and PSF. 4) Deteriorating (n = 150) (Mean_IQ = 80.6, 95% CI: 78.5, 82.7), with normal-deteriorating PAF and PSF. The PRSs explained 7.9% of between-group membership. FEP had higher SCZ_PRS than controls [F(4,1319) = 20.4, P < .001]. Among the clusters, the deteriorating group had lower SCZ_PRS and was likelier to have used high-potency cannabis daily. Patients with FEP clustered according to their premorbid and cognitive abilities. Pronounced premorbid deterioration was not typical of most FEP, including those more strongly predisposed to schizophrenia, but appeared in a cluster with a history of high-potency cannabis use.
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