Continuum

连续体
  • 文章类型: Journal Article
    动脉粥样硬化病变中的巨噬细胞表现出一系列行为或表型。单核细胞源性巨噬细胞(MDMs)的表型分布,其与MDM脂质含量的相关性,与血液脂蛋白密度的关系尚不清楚。特别感兴趣的是低密度脂蛋白(LDL)和高密度脂蛋白(HDL)之间的平衡,分别携带坏胆固醇和好胆固醇。为了解决这些问题,我们已经建立了早期动脉粥样硬化的数学模型,其中MDM群体由表型和脂质含量构成.该模型承认一个更简单的,封闭子系统,其分析表明,随着LDL的血液密度相对于HDL容量增加,病变组成如何变得更加病理性。我们使用渐近分析得出稳态下MDM表型与脂质含量之间的幂律关系。这种关系使我们能够理解为什么,例如,当血液LDL脂质密度大大超过HDL容量时,富含脂质的MDMs比缺乏脂质的MDMs具有更多的炎症表型。我们进一步证明,MDM表型分布总是达到局部最大值,虽然脂质含量分布可能是单峰的,采用准均匀轮廓或单调递减。病理性病变在表型和脂质含量MDM分布中均表现出局部最大值,分别在炎症表型和脂质含量容量附近达到最大值。这些结果说明了巨噬细胞异质性如何在早期动脉粥样硬化中出现,并通过与单细胞RNA测序数据的比较为未来的模型验证提供了框架。
    Macrophages in atherosclerotic lesions exhibit a spectrum of behaviours or phenotypes. The phenotypic distribution of monocyte-derived macrophages (MDMs), its correlation with MDM lipid content, and relation to blood lipoprotein densities are not well understood. Of particular interest is the balance between low density lipoproteins (LDL) and high density lipoproteins (HDL), which carry bad and good cholesterol respectively. To address these issues, we have developed a mathematical model for early atherosclerosis in which the MDM population is structured by phenotype and lipid content. The model admits a simpler, closed subsystem whose analysis shows how lesion composition becomes more pathological as the blood density of LDL increases relative to the HDL capacity. We use asymptotic analysis to derive a power-law relationship between MDM phenotype and lipid content at steady-state. This relationship enables us to understand why, for example, lipid-laden MDMs have a more inflammatory phenotype than lipid-poor MDMs when blood LDL lipid density greatly exceeds HDL capacity. We show further that the MDM phenotype distribution always attains a local maximum, while the lipid content distribution may be unimodal, adopt a quasi-uniform profile or decrease monotonically. Pathological lesions exhibit a local maximum in both the phenotype and lipid content MDM distributions, with the maximum at an inflammatory phenotype and near the lipid content capacity respectively. These results illustrate how macrophage heterogeneity arises in early atherosclerosis and provide a framework for future model validation through comparison with single-cell RNA sequencing data.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    妄想症是临床和非临床人群中常见的妄想类型。一个等级制度,已经提出了一般人群中偏执狂的维度模型,有四个类别代表越来越严重的偏执狂:人际关系敏感(IP),不信任(M),参考思想(IR),迫害思想(PI)。目前缺乏并可以提供病因学见解的是偏执狂谱低端的全面临床表征,与症状严重程度相关的心理领域,以及妄想症及其结构如何随时间波动。这项研究对来自德国人群的802名参与者进行了横断面和纵向调查,评估了偏执狂和一般精神病理学。通过生态瞬时评估(EMA)收集数据。使用了几种统计方法,包括验证性因子分析(CFA),潜在类别分析(LCA)和混合模型分析(ME)。偏执的经历似乎是一种常见的现象,发生在有和没有精神疾病的人身上。受试者分为四个偏执狂严重程度亚组(IP,M,IR,PI),并在各个心理领域显示出显着关联,例如精神症状增加和适应不良应对。在所有四个严重程度亚组中,偏执狂随时间波动,但是分层分组是稳定的。迫害观念和人际关系敏感性都是偏执狂的重要预测因素。研究结果通过表征德国人口的等级制度,为偏执狂的结构提供了重要的见解,dimensional,和动态结构及其与精神病理学的联系。
    Paranoia is a common delusion type found in clinical and non-clinical populations. A hierarchical, dimensional model of paranoia in the general population has been proposed, with four categories representing increasing levels of paranoia: interpersonal sensitivity (IP), mistrust (M), ideas of reference (IR), persecutory ideas (PI). What is currently lacking and could provide insights into etiology is a comprehensive clinical characterization of the lower end of the paranoia spectrum, psychological domains that are associated with symptom severity, and how paranoia and its structure fluctuate over time. This study conducted both cross-sectional and longitudinal surveys with 802 participants from the German population assessing paranoia and general psychopathology. Data was collected through Ecological Momentary Assessment (EMA). Several statistical approaches were used including confirmatory factor analysis (CFA), latent class analysis (LCA) and mixed modelling analyses (ME). Paranoid experiences appear to be a common phenomenon that occur in people with and without mental illness. Subjects clustered into four paranoia severity subgroups (IP, M, IR, PI) and showed significant associations in various psychological domains like increased psychiatric symptoms and maladaptive coping. Paranoia fluctuates over time in all four severity subgroups, but the hierarchical subgrouping was stable. Both persecutory ideations and interpersonal sensitivity were significant predictors of paranoia. Findings provide important insights into the architecture of paranoia in the German population by characterizing their hierarchical, dimensional, and dynamic structure and its link to psychopathology.
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  • 文章类型: Journal Article
    背景:暴露于创伤性事件是痛苦的常见来源,引起孤立的症状,如痛苦的记忆(DM),全面的创伤后应激障碍(PTSD)。我们旨在评估使用DM作为孤立症状的连续体理论,并检查暴露于创伤事件中的创伤后果。
    方法:使用国家酒精和相关疾病流行病学研究III的数据,我们评估了创伤暴露样本中DM的患病率,并检查了他们的社会人口统计学和终生精神病学相关因素,比较三组:(I)对照组(无DM,无PTSD);(ii)患有无PTSD的孤立DM的参与者;(iii)患有PTSD的参与者。我们评估了DM诊断PTSD的敏感性和特异性。
    结果:在我们的17,505名暴露于创伤的参与者的样本中,13%患有PTSD,42%患有无PTSD的DM。DM诊断PTSD的敏感性为95.14%,特异性为51.91%。患有DM的参与者和患有PTSD的参与者具有相同的社会人口统计学相关性。患有DM的参与者报告了更多的终生精神障碍(情绪障碍-主要是抑郁障碍和1型双相情感障碍;焦虑障碍-主要是社交焦虑障碍,物质使用障碍-主要是阿片类药物使用障碍和大麻障碍;饮食障碍-主要是暴饮暴食障碍;人格障碍-主要是边缘性人格障碍-和自杀)比对照,但低于PTSD参与者。
    结论:DM代表一种介于幸福感和创伤后应激障碍之间的中间状态;DM也与其他精神疾病相关。应将其视为诊断性精神病症状,可供临床医生识别精神病脆弱性。
    BACKGROUND: Exposure to traumatic events is a frequent source of distress, provoking isolated symptoms such as distressing memories (DM) to full-blown post-traumatic stress disorder (PTSD). We aimed to assess the continuum theory using DM as an isolated symptom, and to examine trauma consequences in a exposed to traumatic events.
    METHODS: Using data from the National Epidemiologic Study of Alcohol and Related Conditions III, we assessed the prevalence of DM in a trauma exposed sample, and examined their sociodemographic and lifetime psychiatric correlates, comparing three groups: (i) controls (no DM, no PTSD); (ii) participants with isolated DM without PTSD; (iii) participants with PTSD. We estimated the sensitivity and specificity of DM for PTSD diagnosis.
    RESULTS: In our sample of 17,505 participants exposed to trauma, 13 % had PTSD and 42 % had DM without PTSD. The sensitivity of DM for the diagnosis of PTSD was 95.14 %, specificity was 51.91 %. Participants with DM and those with PTSD shared the same socio-demographic correlates. Participants with DM reported more lifetime psychiatric disorders (mood disorders - mainly depressive disorders and bipolar type 1 disorder; anxiety disorders - mainly social anxiety disorder, substance use disorders - mainly opioid use disorder and cannabis disorder; eating disorders - mainly binge eating disorder; personality disorders - mainly borderline personality disorder- and suicidality) than controls, but less than participants with PTSD.
    CONCLUSIONS: DM represent an intermediate state between well-being and post-traumatic stress disorder; DM is also associated with other psychiatric disorders. It should be considered as a transdiagnostic psychiatric symptom useful for clinicians in identifying psychiatric vulnerability.
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  • 文章类型: Journal Article
    机械性创伤导致的脑损伤是一个持续存在的全球公共卫生问题。继续开发几种外伤性脑损伤(TBI)的体外和体内模型,以描绘其发作和进展中涉及的各种复杂的病理生理过程。开发基于皮质球体的体外TBI模型目前尤其令人感兴趣,因为它们可以复制体内脑组织的关键方面,包括它的电生理学,物理化学微环境,和细胞外基质组成。能够使球体机械变形是任何有效的体外TBI模型中的关键要求。球体的形状和大小,然而,使它们机械加载,特别是在高通量中,无菌,和可重复的方式,相当具有挑战性。为了应对这一挑战,我们提出了一个基于球体的想法,体外TBI模型,其中球状体通过离心机旋转而机械加载。(这个新想法的实验演示将很快在其他地方发表。)可以限制其效用和范围的一个问题是,2D和3D体外TBI模型中使用的成像技术不能轻易地应用于其中以确定球体应变。为了解决这个问题,我们开发了一种基于连续介质力学的理论来估计球体以恒定角速度旋转时的应变。力学理论,虽然适用于基于离心机的TBI模型的特殊情况,也具有一般价值,因为它可以帮助TBI模型的进一步探索和发展。
    Brain injuries resulting from mechanical trauma represent an ongoing global public health issue. Several in vitro and in vivo models for traumatic brain injury (TBI) continue to be developed for delineating the various complex pathophysiological processes involved in its onset and progression. Developing an in vitro TBI model that is based on cortical spheroids is especially of great interest currently because they can replicate key aspects of in vivo brain tissue, including its electrophysiology, physicochemical microenvironment, and extracellular matrix composition. Being able to mechanically deform the spheroids are a key requirement in any effective in vitro TBI model. The spheroids\' shape and size, however, make mechanically loading them, especially in a high-throughput, sterile, and reproducible manner, quite challenging. To address this challenge, we present an idea for a spheroid-based, in vitro TBI model in which the spheroids are mechanically loaded by being spun by a centrifuge. (An experimental demonstration of this new idea will be published shortly elsewhere.) An issue that can limit its utility and scope is that imaging techniques used in 2D and 3D in vitro TBI models cannot be readily applied in it to determine spheroid strains. In order to address this issue, we developed a continuum mechanics-based theory to estimate the spheroids\' strains when they are being spun at a constant angular velocity. The mechanics theory, while applicable here to a special case of the centrifuge-based TBI model, is also of general value since it can help with the further exploration and development of TBI models.
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  • 文章类型: Journal Article
    土壤-植物-动物连续体代表了生物学研究中不断发展的领域,这就是为什么在印度中部恒河平原地区进行这项研究的原因。分析了100个土壤样品中的痕量和超痕量元素,147个饲料和饲料样品,以及在电感耦合等离子体发射光谱(ICP-OES)的帮助下的69个血液和127个头发样本。土壤中微量元素和超微量元素的含量明显高于饲料中,同样,饲料中的浓度明显高于奶牛血液中的浓度。牛的血液和头发样本显示铜(Cu)和锰(Mn)缺乏,达到大约20%和50%,分别。相关分析表明,植物中的微量元素和超微量元素与牛毛中的相应元素之间存在显着关联(P<0.05)。特别是铁(Fe)和钼(Mo)。相反,土壤成分与牛血液之间呈显著负相关(P<0.05),而仅在植物和牛的头发之间的银含量存在明显的正相关。回归分析显示,土壤和植物中的矿物质之间存在正线性关系,以及植物和牛之间。然而,相关系数在统计学上无统计学意义。为根据土壤和植物矿物质含量预测牛矿物质浓度而建立的回归方程表明,微量元素和超微量元素均呈正相关。表明通过这种方法测量奶牛矿物质状况的潜力。
    The soil-plant-animal continuum represents an evolving realm in biological research that\'s why this study was undertaken in the middle Gangetic plain region of India. Trace and ultra-trace elements were analyzed in 100 soil samples, 147 feed and fodder samples, as well as 69 blood and 127 hair samples with the help of inductively coupled plasma optical emission spectroscopy (ICP-OES). The levels of trace and ultra-trace elements in the soil were significantly higher than those in the feed, and similarly, the concentrations in the feed were notably higher than those in the blood of dairy cattle. Blood and hair samples from the cattle showed deficiencies in copper (Cu) and manganese (Mn), with reaching approximately 20% and 50%, respectively. Correlation analysis indicated significant (P < 0.05) associations between the trace and ultra-trace elements in plants and the corresponding elements found in cattle\'s hair, specifically for iron (Fe) and molybdenum (Mo). Conversely, a significant (P < 0.05) negative correlation was observed between soil composition and cattle\'s blood, while a positive correlation was evident only in the case of silver content between plant and cattle\'s hair. Regression analyses revealed positive linear relationships between minerals in soils and plants, as well as between plants and cattle. However, the correlation coefficients were statistically insignificant. The regression equations established to predict mineral concentrations in cattle based on soil and plant mineral contents indicated a positive relationship for both trace and ultra-trace elements, suggesting the potential to measure the mineral status in dairy cattle through this approach.
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  • 文章类型: Journal Article
    葡萄生长过程中天然微生物群落的组成和连续演替对葡萄的健康和风味品质以及区域葡萄酒风土的表征起着重要作用。本研究在极其简化的生态栽培模式下,探索了Ecolly葡萄各生长发育阶段果实表皮微生物的多样性和动态,分析了微生物相互作用和天气参数与特定群落的关联,强调微生态的代谢功能特征。结果表明,天然微生物群落在葡萄生长过程中发生了显著变化。优势真菌属主要包括赤霉素,Alternaria,Filobasidium,Naganishia,阿斯科奇塔,吡虫啉,科莫克利斯,和梭子蟹,优势细菌属主要包含Sediminibacterium,Ralstonia,泛菌,缓生根瘤菌,Brevundimonas,中根瘤菌,Planococcus,和Planomicrobium。总之,丝状真菌随着果实成熟逐渐转变为担子菌酵母,随着革兰氏阴性菌数量的减少和革兰氏阳性菌的相对增加。群落聚集过程反映了微生物生态学可能受到多种因素的影响,但是真菌群落更稳定,细菌群落逐年波动,这可能反映了他们多年来对天气状况的反应。总的来说,我们的研究有助于全面概述葡萄微生物系统的生态特征,突出了自然生态葡萄种植的概念,促进葡萄和葡萄酒产业的可持续发展。
    The composition and continuous succession of natural microbial communities during grape growth play important roles in grape health and flavor quality as well as in characterizing the regional wine terroir. This study explored the diversity and dynamics of fruit epidermal microbes at each growth and developmental stage of Ecolly grapes under an extremely simplified eco-cultivation model, analyzed microbial interactions and associations of weather parameters to specific communities, and emphasized metabolic functional characteristics of microecology. The results indicated that the natural microbial community changed significantly during the grape growth phase. The dominant fungal genera mainly included Gibberella, Alternaria, Filobasidium, Naganishia, Ascochyta, Apiotrichum, Comoclathris, and Aureobasidium, and the dominant bacterial genera mainly contained Sediminibacterium, Ralstonia, Pantoea, Bradyrhizobium, Brevundimonas, Mesorhizobium, Planococcus, and Planomicrobium. In summary, filamentous fungi gradually shifted to basidiomycetous yeasts along with fruit ripening, with a decline in the number of Gram-negative bacteria and a relative increase in Gram-positive bacteria. The community assembly process reflects the fact that microbial ecology may be influenced by a variety of factors, but the fungal community was more stable, and the bacterial community fluctuated more from year to year, which may reflect their response to weather conditions over the years. Overall, our study helps to comprehensively profile the ecological characteristics of the grape microbial system, highlights the natural ecological viticulture concept, and promotes the sustainable development of the grape and wine industry.
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  • 文章类型: Journal Article
    酒精使用和问题的高度异质性对那些试图理解的人提出了重大挑战,治疗或预防通常所说的酒精使用障碍(AUD)。然而,任何试图捕捉这种复杂现象的尝试,包括AUD的各种当前标准,有一些限制。一个特别的限制是如何以不涵盖广泛的酒精使用和危害以及许多潜在的预防途径的方式来表示或理解酒精问题。治疗,和恢复。已经提出了一种可能的应对措施,即更明确地构建或概念化酒精使用和危害的连续模型。在这篇评论中,我们试图确定连续模型对政策和实践的关键含义,考察酒精问题分类和模型的历史和当前背景。我们认为,酒精使用和问题的连续模型对推进公共卫生目标具有许多优势,但也有一些潜在的限制,两者都需要进一步检查。
    The highly heterogeneous nature of alcohol use and problems has presented significant challenges to those attempting to understand, treat or prevent what is commonly termed alcohol use disorder (AUD). However, any attempts to capture this complex phenomenon, including the various current criterion of AUD, come with a number of limitations. One particular limitation has been how alcohol problems are represented or understood in ways which do not capture the broad spectrum of alcohol use and harms and the many potential routes to prevention, treatment, and recovery. One possible response to this has been proposed as more explicitly framing or conceptualizing a continuum model of alcohol use and harms. In this commentary, we attempt to identify the key implications of a continuum model for policy and practice, examining the historical and current context of alcohol problem classifications and models. We argue a continuum model of alcohol use and problems holds a number of advantages for advancing public health goals, but also some potential limitations, both of which require further examination.
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  • 文章类型: Journal Article
    阿尔茨海默病(AD)是一种进行性神经退行性疾病,是痴呆的主要病因。早期诊断对于患者从潜在的干预和治疗中获益至关重要。视网膜由于其与大脑的解剖连接而成为AD检测的合理诊断部位。然而,用于此目的的现有AI模型尚未在其决策背后提供合理的解释,并且无法推断疾病进展的阶段。沿着这个方向,我们提出了一个新的模型不可知的可解释AI框架,称为GranularNeuron-levelExplainer(LAVA),一种解释原型,可探究卷积神经网络(CNN)模型的中间层,以直接评估视网膜成像的AD连续性,而无需进行纵向或临床评估。这种创新的方法旨在验证视网膜脉管系统作为评估阿尔茨海默病的生物标志物和诊断方式。杠杆化的英国生物库认知测试和血管形态特征证明了LAVA在识别整个进展连续体中的AD阶段中的重要前景和有效性。
    Alzheimer\'s Disease (AD) is a progressive neurodegenerative disease and the leading cause of dementia. Early diagnosis is critical for patients to benefit from potential intervention and treatment. The retina has emerged as a plausible diagnostic site for AD detection owing to its anatomical connection with the brain. However, existing AI models for this purpose have yet to provide a rational explanation behind their decisions and have not been able to infer the stage of the disease\'s progression. Along this direction, we propose a novel model-agnostic explainable-AI framework, called Granu la ̲ r Neuron-le v ̲ el Expl a ̲ iner (LAVA), an interpretation prototype that probes into intermediate layers of the Convolutional Neural Network (CNN) models to directly assess the continuum of AD from the retinal imaging without the need for longitudinal or clinical evaluations. This innovative approach aims to validate retinal vasculature as a biomarker and diagnostic modality for evaluating Alzheimer\'s Disease. Leveraged UK Biobank cognitive tests and vascular morphological features demonstrate significant promise and effectiveness of LAVA in identifying AD stages across the progression continuum.
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  • 文章类型: Letter
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