Entrapment

诱捕
  • 文章类型: Journal Article
    背景:有必要提高对美国服役人员如何从慢性/基线向急性自杀风险过渡的理解。一个这样的模型,自杀的综合动机意志模型,将诱捕作为这一进程的核心。然而,在军事人群中尚未广泛调查诱捕情况。
    方法:本研究考察了因子结构,可靠性,和军事人口中陷阱量表(E-Scale)的预测效度。探索性结构方程模型(SEM)和验证性因子分析比较了E量表的单因子结构和双因子结构。自回归SEM评估E-Scale评分是否能预测6个月和12个月随访时的自杀意念和自杀未遂可能性,并研究了诱捕的影响是否受到社会支持的调节(即,评估,有形的,和归属)。
    结果:结果有利于双因素(外部和内部)的截留解决方案。诱捕和自杀结果之间的关系受到感知的社会支持的调节,但方向出乎意料。出乎意料的是,对于大多数模型,社会支持加强了外部诱捕和自杀结局之间的关系。只有切实的支持才能像预测的那样缓和内部诱捕(IE)与自杀结果之间的关系。
    结论:IE在短期内与自杀意念有关,而外部诱捕与自杀结局的关系可能反映了军人更持久的社会挑战。
    BACKGROUND: Improved understanding of how US service members transition from chronic/baseline to acute suicide risk is warranted. One such model, the Integrated Motivational Volitional Model of Suicide, posits entrapment as central to this process. However, entrapment has not been extensively investigated within military populations.
    METHODS: This study examines the factor structure, reliability, and predictive validity of the Entrapment Scale (E-Scale) within a military population. Exploratory structural equation modeling (SEM) and confirmatory factor analysis compared one- versus two-factor structures of the E-Scale. Autoregressive SEM assessed if E-Scale scores predicted suicidal ideation and suicide attempt likelihood at 6- and 12-month follow-up, and examined whether the impact of entrapment was moderated by social support (i.e., appraisal, tangible, and belonging).
    RESULTS: Results favored a two-factor solution (external and internal) of entrapment. The relationship between entrapment and suicide outcomes was moderated by perceived social support but in unexpected directions. Unexpectedly, social support strengthened the relationship between external entrapment and suicide outcomes for most models. Only tangible support moderated the relationship between internal entrapment (IE) and suicide outcomes as predicted.
    CONCLUSIONS: IE is linked with suicidal ideation in the short-term, whereas external entrapments relationship with suicide outcomes may reflect more persistent social challenges for military members.
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  • 文章类型: Journal Article
    背景:自杀是全球死亡的主要原因,也是严重的公共卫生问题。已发现儿童创伤与成人自杀脆弱性有关。最近的研究已将注意力转向调查依恋在童年创伤与成人自杀关系中的作用。本研究首次调查了依恋是否会影响和缓和童年创伤-自杀关系,使用日常日记设计,在普通人群中。
    方法:481名参与者完成了评估童年创伤经历的问卷,依恋模式,和自杀的历史。243名参与者继续进入每日日记阶段,测量每日压力,连续7天完成失败和诱捕。
    结果:较高水平的儿童创伤与自杀意念和企图史以及较高水平的每日失败有关,7天研究期间的截留和压力。同样,更高水平的依恋焦虑和回避与自杀意念和尝试史以及更高水平的每日失败有关,被困和压力。然而,童年创伤对自杀史和每日自杀易损性因素的影响不受依恋焦虑或回避的影响.
    结论:儿童创伤的测量是一种回顾性的自我报告工具,可能受到记忆偏差的影响。
    结论:儿童创伤和不安全依恋与成人自杀风险有关。旨在减轻儿童创伤和不安全依恋的负面影响的干预措施还应纳入针对可改变的风险因素的组成部分,例如失败,被困和压力。
    BACKGROUND: Suicide is a leading cause of death globally and a serious public health concern. Childhood trauma has been found to be associated with adult suicide vulnerability. Recent research has turned attention to investigating the role of attachment in the context of the childhood trauma-adult suicide relationship. The current study investigated for the first time whether attachment influences and moderates the childhood trauma-suicidality relationship, using a daily diary design, in the general population.
    METHODS: 481 participants completed questionnaires assessing experiences of childhood trauma, attachment patterns, and history of suicidality. 243 participants continued to a daily diary phase where measures of daily stress, defeat and entrapment were completed for 7 consecutive days.
    RESULTS: Higher levels of childhood trauma were associated with a history of suicide ideation and attempt and also higher levels of daily defeat, entrapment and stress during the 7 day study. Similarly, higher levels of attachment anxiety and avoidance were associated with a history of suicide ideation and attempt together with higher levels of daily defeat, entrapment and stress. However, the effects of childhood trauma on suicide history and on daily suicide vulnerability factors were not moderated by attachment anxiety or avoidance.
    CONCLUSIONS: The measure of childhood trauma was a retrospective self-report tool that may be influenced by memory biases.
    CONCLUSIONS: Childhood trauma and insecure attachment are implicated in adult suicide risk. Interventions aimed at mitigating the negative effects of childhood trauma and insecure attachment should also incorporate components that target modifiable risk factors such as defeat, entrapment and stress.
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  • 文章类型: Journal Article
    肘部尺神经压迫性神经病,所谓的肘管综合症,是成人腕管综合征之后第二常见的局灶性单神经病。目前,迫切需要确定具有成本效益的生物标志物和程序,能够准确检测尺神经结构和功能完整性的改变。已建立的电生理技术,如运动和感觉神经传导研究,以及特定肌肉的针肌电图,代表尺神经电诊断的金标准。同时,在过去的二十年中,神经肌肉超声的引入及其在肌电图实验室中的整合极大地影响了尺神经病理学的结构诊断和精确定位。在这次审查中,我们的目标是总结临床神经生理学实验室中使用的经典和高级诊断方法的现有知识。我们的目标是提供现代电诊断和神经超声检查技术的综合,特别强调容易实现,临床相关参数。
    Entrapment neuropathy of the ulnar nerve at the elbow, the so-called cubital tunnel syndrome, is the second most frequent focal mononeuropathy after carpal tunnel syndrome in adults. Currently, there is a pressing need to identify cost-effective biomarkers and procedures capable of accurately detecting alterations in ulnar nerve structural and functional integrity. Established electrophysiological techniques, such as motor and sensory nerve conduction studies, along with needle electromyography of specific muscles, represent the gold standard for ulnar nerve electrodiagnosis. Concurrently, the introduction of neuromuscular ultrasound and its integration into electromyographic laboratories has significantly impacted structural diagnosis and the precise localization of ulnar nerve pathology over the past two decades. In this review, our objective is to summarize the current knowledge on both classical and advanced diagnostic methods utilized in clinical neurophysiology laboratories. We aim to provide a synthesis of modern electrodiagnostic and neurosonographic techniques, with a particular emphasis on easily attainable, clinically relevant parameters.
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  • 文章类型: Case Reports
    背景:下腰痛是临床上经常遇到的重要残疾问题。在文学中,研究表明,神经性疼痛在慢性腰背痛患者中相当常见。尽管上肌腱神经卡压综合征是下腰和腿部疼痛的一个未被诊断的原因,鉴别诊断在解剖学和临床上都非常重要。上肌腱神经是神经支配臀部上部皮肤的纯感觉神经。在文学中,手术等方法,神经阻滞,前列腺疗法,针灸已被用于治疗肌腱神经卡压综合征,但是没有关于锻炼的研究。在这个案例报告中,我们的目的是解释鉴别诊断的重要性,在肌腱神经卡压综合征,这是临床上下腰痛的常见原因之一,以及运动对这种疾病的影响。
    方法:22岁,土耳其族裔,患有腰痛的男性患者,颈背疼痛,和虚弱没有使用酒精或香烟。在他的家族史上,母亲有糖尿病史,父亲有糖尿病和心力衰竭史。他有骨质疏松的病史,癫痫,哮喘,结节病,和心律失常。患者报告说他每月患有便秘三到四次。作为详细评估的结果,计划的运动处方被教导给病人,在确认患者正确练习了3天后,提供了运动手册,并作为家庭锻炼计划进行了8周。
    结论:腰椎稳定训练,臀肌强化运动,胸腰椎筋膜动员,和伸展运动,在正确诊断后,将根据该病的临床解剖结构给出,对病人有益。然而,我们认为,大样本的随机对照研究将有助于文献。
    BACKGROUND: Low back pain is an important disability problem frequently encountered in the clinic. In the literature, it has been shown that neuropathic pain in chronic low back pain is quite common in patients. Although superior cluneal nerve entrapment syndrome is an underdiagnosed cause of low back and leg pain, differential diagnosis is very important anatomically and clinically. The superior cluneal nerves are pure sensory nerves that innervate the skin of the upper part of the buttocks. In the literature, methods such as surgery, nerve blockade, prolotherapy, and acupuncture have been used in the treatment of cluneal nerve entrapment syndrome, but there are no studies on exercise. In this case report, our aim is to explain the importance of differential diagnosis in cluneal nerve entrapment syndrome, which is one of the common causes of low back pain in the clinic, and the effects of exercise in this disease.
    METHODS: A 22-year-old, Turkish-ethnicity, male patient with complaints of low back pain, neck-back pain, and weakness did not use alcohol or cigarettes. In his family history, there was a history of diabetes in the mother and diabetes and heart failure in the father. He had a history of osteoporosis, epilepsy, asthma, sarcoidosis, and cardiac arrhythmia. The patient reported that he suffered from constipation three to four times a month. As a result of the detailed evaluation, the planned exercise prescription was taught to the patient, and after it was confirmed that the patient did the exercises correctly for 3 days, the exercise brochure was given and followed as a home exercise program for 8 weeks.
    CONCLUSIONS: Lumbar stabilization exercises, gluteal muscle strengthening exercises, thoracolumbar fascia mobilization, and stretching exercises, which will be given in accordance with the clinical anatomy of the disease after the correct diagnosis in cluneal nerve entrapment syndrome, have been beneficial for the patient. However, we think that randomized controlled studies with a large sample will contribute to the literature.
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  • 文章类型: Journal Article
    酶固定化的使用在饮料加工中变得越来越流行,由于这种方法具有显著的优势,如增强酶性能和扩大应用,同时允许通过简单的过滤过程容易终止。这篇文献综述分析了大约120篇文章,2000年至2023年在WebofScience上发表,重点研究了用于饮料加工应用的酶固定系统。固定化对酶活性的影响,包括对化学和动力学性质的影响,可回收性,在连续过程中的可行性,进行了评估。这些系统在饮料生产中的应用,比如葡萄酒,啤酒,果汁,牛奶,和植物性饮料,进行了检查。固定化过程有效地提高了pH值和热稳定性,但通过降低最大速度和米氏-门顿常数对动力学特性产生了负面影响。然而,它允许多次重复使用,并促进连续流动过程。封装还允许通过简单过滤简化从饮料中去除酶的过程控制。不需要昂贵的热处理,这可能会导致产品质量损失。
    The use of enzyme immobilisation is becoming increasingly popular in beverage processing, as this method offers significant advantages, such as enhanced enzyme performance and expanded applications, while allowing for easy process termination via simple filtration. This literature review analysed approximately 120 articles, published on the Web of Science between 2000 and 2023, focused on enzyme immobilisation systems for beverage processing applications. The impact of immobilisation on enzymatic activity, including the effects on the chemical and kinetic properties, recyclability, and feasibility in continuous processes, was evaluated. Applications of these systems to beverage production, such as wine, beer, fruit juices, milk, and plant-based beverages, were examined. The immobilisation process effectively enhanced the pH and thermal stability but caused negative impacts on the kinetic properties by reducing the maximum velocity and Michaelis-Menten constant. However, it allowed for multiple reuses and facilitated continuous flow processes. The encapsulation also allowed for easy process control by simplifying the removal of the enzymes from the beverages via simple filtration, negating the need for expensive heat treatments, which could result in product quality losses.
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    文章类型: Journal Article
    Dasatinib-(DAS)是一种通常用于治疗白血病的酪氨酸激酶抑制剂。然而,DAS是一种水溶性差的药物。因此,将水包油乳液用于DAS以增强其溶解度和癌症治疗功效。这项研究旨在开发一种合适的DAS纳米乳液(NE),可以克服DAS溶解度问题并提供有效的抗癌作用。
    分散在水性介质中的球形颗粒接近油相(油酸,KolliphorRH40和二丙二醇)用于使用高能方法配制DAS-NE。开发了不同的配方,并分析了合适的配方以鉴定其理化性质。通过对三种癌细胞系的MTT测定法评估原始DAS和非配方细胞毒性,MCF7(人乳腺癌),HT29和SW480(人类结直肠癌),除了MRC5(正常人胎儿肺成纤维细胞)。
    不同的DAS-NE(1-7)已被成功开发。配方具有直径为84.167±10.178nm至273.433±45.267nm的液滴尺寸。发现适当配方(DAS-NE3)的药物含量为83.2%。与原始DAS相比,DAS-NE3的药物释放结果约为58%,24小时后下降至13%。DAS-NE3对低于26.11μM的三种癌细胞显示出细胞毒性,但与原始DAS相比,对MRC5正常细胞的选择性显著增加30倍。
    这项研究表明,DAS-NE3配方可能为癌症治疗提供潜在的有效和持续的药物递送。这为科学界和制药业提供了宝贵的信息。
    UNASSIGNED: Dasatinib-(DAS) is a tyrosine kinase inhibitor usually used to treat leukemia. However, DAS is a poorly water-soluble drug. Therefore, oil-in-water emulsions were used for DAS to enhance its solubility and cancer treatment efficacy. This study aims to develop an appropriate DAS nanoemulsion (NE) that can overcome the issue of DAS solubility and provide an effective anticancer effect.
    UNASSIGNED: Spherical particles dispersed in an aqueous media approach within an oily phase (oleic acid, Kolliphor RH40, and dipropylene glycol) were used to formulate DAS-NE using high-energy methods. Different formulas were developed and an appropriate formula was analyzed to identify its physicochemical properties. Raw DAS and nonformula cytotoxicity were evaluated through MTT assay against three cancer cell lines, MCF7 (human breast adenocarcinoma), HT29, and SW480 (human colorectal carcinomas), in addition to MRC5 (Normal human fetal lung fibroblast).
    UNASSIGNED: Different DAS-NEs (1-7) have been developed successfully. Formulas had a droplet size of a diameter ranging from 84.167 ± 10.178 nm to 273.433 ± 45.267 nm. The drug content of the appropriate formula (DAS-NE3) was found to be 83.2%. The drug release result of DAS-NE3 when compared to raw DAS was about 58%, falling to 13% after 24 h. The DAS-NE3 showed cytotoxicity against the three cancer cells below 26.11 μM but showed 30-fold significantly increased selectivity against MRC5 normal cells compared to that of raw DAS.
    UNASSIGNED: This study shows that the DAS-NE3 formula may provide a potentially effective and sustained drug delivery for cancer treatment. This provides valuable information to the scientific community and the pharmaceutical industry.
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  • 文章类型: Case Reports
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  • 文章类型: Journal Article
    诱捕的概念已被强调为在抑郁症等疾病中表现出来的诊断要素,焦虑,和自杀意念。虽然研究是在不同的背景下独立进行的,尚未进行一项全面的多国研究,以通过网络分析评估诱捕方面的性别差异。这项研究的目的是评估跨国层面的男女诱捕网络。
    2,949名参与者的样本,年龄从18岁到73岁不等,来自六个国家(德国,伊朗,西班牙,斯洛伐克,萨尔瓦多,和秘鲁),被考虑。他们完成了诱捕量表。对男性和女性进行了网络分析,以确定指标之间的连通性以及集群和领域的形成,除了在两个性别群体中的中心性评估。
    研究结果显示,在男性和女性的网络中,存在一个专注于外部人际陷阱的第三个领域。然而,关于域之间的互连性,这两个网络都有变化,以及在中心地位,据报道,男性在生活的各个方面表现出更大的普遍性,而女性往往会在强烈的情感指控表达中经历更集中的诱捕。
    跨国研究确定了性别之间诱捕结构的差异,有三个域(内部,外部,和外部人际)以及指标和分组相互作用的差异,以及中心性的差异。
    UNASSIGNED: The concept of entrapment has been highlighted as a transdiagnostic element that manifests itself in disorders such as depression, anxiety, and suicidal ideation. Although research has been conducted in different contexts independently, a comprehensive multi-country study to assess gender differences in entrapment through network analysis has not yet been carried out. The objective of this study was to evaluate the entrapment network in men and women at the multinational level.
    UNASSIGNED: A sample of 2,949 participants, ranging in age from 18 to 73 years from six countries (Germany, Iran, Spain, Slovakia, El Salvador, and Peru), was considered. They completed the entrapment scale. A network analysis was performed for both men and women to identify the connectivity between indicators and the formation of clusters and domains, in addition to the centrality assessment in both sex groups.
    UNASSIGNED: The study findings revealed the presence of a third domain focused on external interpersonal entrapment in the network of men and women. However, in relation to the interconnectivity between domains, variations were evidenced in both networks, as well as in centrality, it was reported that men present a greater generalized entrapment in various aspects of life, while women tend to experience a more focused entrapment in expressions of intense emotional charge.
    UNASSIGNED: The multinational study identified variations in the structure of entrapment between genders, with three domains (internal, external, and external-interpersonal) and differences in the interaction of indicators and groupings, as well as discrepancies in centrality.
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  • 文章类型: Journal Article
    Lacertus综合征包括近端正中神经卡压和纤维撕裂处的正中神经压迫。导致手部虚弱和疲劳,前臂疼痛和偶尔麻木。最近的进展强调了临床检查的重要性,由于肌电图诊断和延迟诊断的局限性。Hagert临床三合会,lacertus缺口标志,lacertus拮抗剂测试和录音有助于准确诊断。应尝试非手术治疗;和手术技术,无论是开放还是在WALANT下超声引导(完全清醒,局部麻醉,没有止血带)显示有希望的结果。提高意识,准确的诊断和创新的治疗方法增强了病人对这一具有挑战性的条件的护理。
    Lacertus syndrome consists in proximal median nerve entrapment with median nerve compression at the lacertus fibrosus, causing hand weakness and fatigue, forearm pain and occasional numbness. Recent advances emphasized the importance of clinical examination, due to limitations in electromyographic diagnosis and delayed diagnosis. The Hagert clinical triad, lacertus notch sign, lacertus antagonist test and taping help accurate diagnosis. Non-operative treatment should be tried; and surgical techniques, whether open or ultrasound-guided under WALANT (wide-awake, local anesthesia, no tourniquet) show promising outcomes. Improved awareness, accurate diagnosis and innovative treatments enhance patient care for this challenging condition.
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  • 文章类型: Journal Article
    背景:被认定为性少数群体的青少年经常面临社会污名化,这可能导致逆境增加和自杀行为的风险增加。然而,还有一些保护性因素可能会促进对这些风险行为的复原力。这项研究旨在确定预测自杀脆弱性高的性少数青少年的弹性的因素。
    方法:研究样本包括78名自我报告的LGBTIQ+青少年,年龄在13至18岁之间(M=16.11,SD=1.56),先前曾尝试过自杀。他们完成了几项社会心理工具来测量与自杀脆弱性相关的风险和保护性变量。
    结果:发现陷阱是自杀未遂最具预测性的风险变量。然而,还发现了促进复原力的保护性变量,例如充分的父母沟通,生活满意度,和认知重构。
    结论:讨论了与预防自杀未遂有关的发现,我们强调迫切需要增强某些内部和背景保护因素,以提高某些暴露于高度不利情况的临床亚群面对自杀脆弱性时的复原力。
    BACKGROUND: Adolescents who identify as sexual minorities often face social stigmatisation, which can lead to increased adversity and a higher risk of suicidal behaviours. However, there are also protective factors that may promote resilience to these risk behaviours. This study aims to identify factors that predict resilience in sexual minority adolescents with high suicidal vulnerability.
    METHODS: The study sample comprised 78 self-reported LGBTIQ+ adolescents aged between 13 and 18 years old (M = 16.11, SD = 1.56) who had previously attempted suicide. They completed several psychosocial instruments to measure risk and protective variables related to suicidal vulnerability.
    RESULTS: Entrapment was found to be the most predictive risk variable for suicide attempts. However, protective variables promoting resilience were also found, such as adequate parental communication, life satisfaction, and cognitive reframing.
    CONCLUSIONS: The findings related to prevention of suicide attempts are discussed and we highlight the urgent need to enhance certain internal and contextual protective factors to promote resilience in the face of suicidal vulnerability in certain clinical subpopulations exposed to highly adverse situations.
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