PSD

PSD
  • 文章类型: Journal Article
    历史上,对刺激相关时频模式的分析一直是大多数脑电图(EEG)研究的基石.已经多次研究了在感觉和认知任务期间与精神病性障碍相关的高频波的异常振荡。然而,静息状态低频带的任何明显差异尚未确定。对α和δ波段波的频谱分析表明,独立于刺激的EEG在识别病理性大脑的异常活动模式方面的有效性。一个包含多个频带的广义模型应该更有效地将潜在的脑电图生物标志物与首发精神病(FEP)相关联。导致准确的诊断。我们探索了多种机器学习方法,包括随机森林,支持向量机,和高斯过程分类器(GPC),证明静息状态功率谱密度(PSD)区分FEP患者与健康对照的实用性。本文对PSD分析的预处理方法进行了全面的讨论,并对不同模型进行了详细的比较。GPC模型优于其他模型,特异性为95.78%,表明PSD可以作为一种有效的特征提取技术,用于分析和分类精神疾病的静息状态EEG信号。
    Historically, the analysis of stimulus-dependent time-frequency patterns has been the cornerstone of most electroencephalography (EEG) studies. The abnormal oscillations in high-frequency waves associated with psychotic disorders during sensory and cognitive tasks have been studied many times. However, any significant dissimilarity in the resting-state low-frequency bands is yet to be established. Spectral analysis of the alpha and delta band waves shows the effectiveness of stimulus-independent EEG in identifying the abnormal activity patterns of pathological brains. A generalized model incorporating multiple frequency bands should be more efficient in associating potential EEG biomarkers with first-episode psychosis (FEP), leading to an accurate diagnosis. We explore multiple machine-learning methods, including random-forest, support vector machine, and Gaussian process classifier (GPC), to demonstrate the practicality of resting-state power spectral density (PSD) to distinguish patients of FEP from healthy controls. A comprehensive discussion of our preprocessing methods for PSD analysis and a detailed comparison of different models are included in this paper. The GPC model outperforms the other models with a specificity of 95.78% to show that PSD can be used as an effective feature extraction technique for analyzing and classifying resting-state EEG signals of psychiatric disorders.
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  • 文章类型: Journal Article
    这项研究旨在回顾性检查不同人口统计学群体的肺腺癌的计算机断层扫描(CT)特征。回顾性分析1266例手术切除的肺腺癌患者的术前胸部CT表现。根据CT特征将肺腺癌分为纯磨玻璃(pGGO),含结节的毛玻璃不透明度(mGGO),和纯固体,不含毛玻璃不透明度(pSD)。这些类别与性别相关,年龄,EGFR状态,和五种组织病理学亚型。PGGO的直径,mGGO,pSD在所有患者组中显著增加(P<0.05)。男性的pSD比例明显高于女性(P=0.002)。男性pGGO和pSD的平均直径明显大于女性(分别为P=0.0017和P=0.043)。对于男性(P=0.002)和女性(P=0.027),年轻年龄组(≤60岁)的pGGO频率高于老年组(>60岁)。男女年龄较大的年龄组中pSD的频率较高。在整个队列以及男性和女性组中观察到年龄和直径之间的线性相关性(所有组的P<0.0001)。与pGGO(P=0.0002)和mGGO(P<0.0001)相比,pSD中的EGFR突变频率较低。包含微乳头状成分的病变频率从pGGO增加到mGGO和pSD(均P<0.0001)。包含固体成分的病变的频率也从pGGO增加到mGGO和pSD(分别为P=0.045,P<0.0001和P<0.0001)。肺腺癌的CT特征在性别和年龄组之间表现出差异。男性和年龄较大是肺腺癌生长的危险因素。
    This study aimed to retrospectively examine the computed tomography (CT) features of lung adenocarcinoma across different demographic groups. Preoperative chest CT findings from 1266 surgically resected lung adenocarcinoma cases were retrospectively analyzed. Lung adenocarcinomas were categorized based on CT characteristics into pure ground glass (pGGO), nodule-containing ground glass opacity (mGGO), and pure solid without containing ground glass opacity (pSD). These categories were correlated with sex, age, EGFR status, and five histopathological subtypes. The diameters of pGGO, mGGO, and pSD significantly increased across all patient groups (P < 0.05). Males exhibited a significantly higher proportion of pSD than females (P = 0.002). The mean diameters of pGGO and pSD were significantly larger in males than in females (P = 0.0017 and P = 0.043, respectively). The frequency of pGGO was higher in the younger age group (≤ 60 years) compared to the older group (> 60 years) for both males (P = 0.002) and females (P = 0.027). The frequency of pSD was higher in the older age group for both sexes. A linear correlation between age and diameter was observed in the entire cohort as well as in the male and female groups (P < 0.0001 for all groups). EGFR mutations were less frequent in pSD compared to pGGO (P = 0.0002) and mGGO (P < 0.0001). The frequency of lesions containing micropapillary components increased from pGGO to mGGO and pSD (P < 0.0001 for all). The frequency of lesions containing solid components also increased from pGGO to mGGO and pSD (P = 0.045, P < 0.0001, and P < 0.0001, respectively). The CT features of lung adenocarcinoma exhibit differences across genders and age groups. Male gender and older age are risk factors for lung adenocarcinoma growth.
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  • 文章类型: Journal Article
    麻醉诱导的大脑活动研究在禽类认知中至关重要,意识-,和睡眠相关的研究。然而,麻醉期间产生大脑节律和鸟类特定连通性的神经生物学机制知之甚少。尽管可以使用不同种类的麻醉剂来诱导麻醉状态,缺乏针对麻醉过程中神经模式演变的这些药物的比较研究。这里,我们使用插入用水合氯醛麻醉的成年鸽子(Columbalivia)的nidopallia尾侧(NCL)的多通道微电极阵列记录局部场电位(LFP),纳巴比特或氨基甲酸乙酯。使用功率谱密度(PSD)和功能连通性分析来测量麻醉期间NCL中的动态时间神经模式。采用神经解码分析计算鸽子大脑状态和注射麻醉药种类的概率。在麻醉期间的NCL中,我们发现低频段功率活动和功能连通性升高,高频段功率活动和连通性降低.基于光谱和功能连接特征的解码结果表明,麻醉和注射麻醉药期间鸽子的大脑状态可以有效解码。这些发现为未来研究不同的麻醉剂如何诱导特定神经模式的产生提供了重要的基础。
    Anesthetic-induced brain activity study is crucial in avian cognitive-, consciousness-, and sleep-related research. However, the neurobiological mechanisms underlying the generation of brain rhythms and specific connectivity of birds during anesthesia are poorly understood. Although different kinds of anesthetics can be used to induce an anesthesia state, a comparison study of these drugs focusing on the neural pattern evolution during anesthesia is lacking. Here, we recorded local field potentials (LFPs) using a multi-channel micro-electrode array inserted into the nidopallium caudolateral (NCL) of adult pigeons (Columba livia) anesthetized with chloral hydrate, pelltobarbitalum natricum or urethane. Power spectral density (PSD) and functional connectivity analyses were used to measure the dynamic temporal neural patterns in NCL during anesthesia. Neural decoding analysis was adopted to calculate the probability of the pigeon\'s brain state and the kind of injected anesthetic. In the NCL during anesthesia, we found elevated power activity and functional connectivity at low-frequency bands and depressed power activity and connectivity at high-frequency bands. Decoding results based on the spectral and functional connectivity features indicated that the pigeon\'s brain states during anesthesia and the injected anesthetics can be effectively decoded. These findings provide an important foundation for future investigations on how different anesthetics induce the generation of specific neural patterns.
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  • 文章类型: Journal Article
    卒中后抑郁(PSD)是中风后最常见的精神后遗症之一,可损害大脑。尽管PSD近年来受到越来越多的关注,确切机制尚不清楚.研究表明,DAPK1的表达在各种神经退行性疾病中升高,包括抑郁症,缺血性卒中,和老年痴呆症。然而,DAPK1介导PSD大鼠认知功能障碍和神经元凋亡的具体分子机制尚不清楚。在这项研究中,建立了PSD大鼠模型,然后使用行为测试评估大鼠的抑郁样行为和认知功能障碍。此外,检测神经细胞凋亡,分析DAPK1蛋白及ERK/CREB/BDNF信号通路相关蛋白的表达。提示MCAO联合CUMS可诱发大鼠更严重的抑郁样行为和认知功能障碍,而DAPK1的过表达可能会阻碍下游的ERK/CREB/BDNF信号通路,导致神经元丢失和脑组织损伤加剧。在这项研究中,我们将重点关注DAPK1并探讨其在PSD中的作用。
    Post-stroke depression (PSD) is one of the most common mental sequelae after a stroke and can damage the brain. Although PSD has garnered increasing attention in recent years, the precise mechanism remains unclear. Studies have indicated that the expression of DAPK1 is elevated in various neurodegenerative conditions, including depression, ischemic stroke, and Alzheimer\'s disease. However, the specific molecular mechanism of DAPK1-mediated cognitive dysfunction and neuronal apoptosis in PSD rats is unclear. In this study, we established a rat model of PSD, and then assessed depression-like behaviors and cognitive dysfunction in rats using behavioral tests. In addition, we detected neuronal apoptosis and analyzed the expression of DAPK1 protein and proteins related to the ERK/CREB/BDNF signaling pathway. The findings revealed that MCAO combined with CUMS can induce more severe depression-like behaviors and cognitive dysfunction in rats, while overexpression of DAPK1 may hinder the downstream ERK/CREB/BDNF signaling pathways, resulting in neuronal loss and exacerbation of brain tissue damage. In this study, we will focus on DAPK1 and explore its role in PSD.
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  • 文章类型: Journal Article
    中风是导致脑组织死亡的脑血管疾病。它是全球第三大最普遍的死亡原因,也是造成身体损害的重要原因。一般来说,中风是由血液凝块阻塞大脑的血管引发的,或者当这些血管破裂时。And,卒中后认知损害的评估和检测是至关重要的研究问题和重要课题。因此,这项工作的目的是探索一种潜在的神经影像工具,并找到其脑电图生物标志物,以评估和检测卒中后4种认知障碍水平.在这项研究中,功率密度谱(PSD),功能连接图,并提出了单因素方差分析方法来分析脑电生物标志物的差异,患者人数为32人,包括8名健康对照,温和,中度,严重的认知障碍水平,分别。最后,健康对照与中期相比有显著的PSD差异,中度和服务器认知障碍组。And,严重认知障碍组的theta和alpha谱带在右额叶皮层表现出一致的优越PSD能力,温和的θ和β带,中度认知障碍(MoCI)组在顶叶皮层显示出明显相似的PSD功能倾向。在轻度认知障碍(MCI)组中,左额叶皮层出现了显着的伽玛PSD功率差异,严重认知障碍(SeCI)组在顶叶皮层的伽马波段显示出明显的PSD能力。在功能连接图的点上,与其他组相比,SeCI组似乎具有更强的功能连通性。总之,脑电图生物标志物可用于脑卒中后不同认知障碍组的分类。这些发现为早期发现和诊断卒中后认知障碍以及开发新的治疗方案提供了新的方法。
    Stroke is a cerebrovascular illness that brings about the demise of brain tissue. It is the third most prevalent cause of mortality worldwide and a significant contributor to physical impairment. Generally, stroke is triggered by blood clots obstructing the brain\'s blood vessels, or when these vessels rupture. And, the cognitive impairment\'s evaluation and detection after stroke is crucial research issue and significant project. Thus, the objective of this work is to explore an potential neuroimage tool and find their EEG biomarkers to evaluate and detect four cognitive impairment levels after stroke. In this study, power density spectrum (PSD), functional connectivity map, and one-way ANOVA methods were proposed to analyze the EEG biomarker differences, and the number of patient participants were thirty-two human including eight healthy control, mild, moderate, severe cognitive impairment levels, respectively. Finally, healthy control has significant PSD differences compared to mid, moderate and server cognitive impairment groups. And, the theta and alpha bands of severe cognitive impairment groups have presented consistent superior PSD power at the right frontal cortex, and the theta and beta bands of mild, moderated cognitive impairment (MoCI) groups have shown significant similar superior PSD power tendency at the parietal cortex. The significant gamma PSD power difference has presented at the left-frontal cortex in the mild cognitive impairment (MCI) groups, and severe cognitive impairment (SeCI) group has shown the significant PSD power at the gamma band of parietal cortex. At the point of functional connectivity map, the SeCI group appears to have stronger functional connectivity compared to the other groups. In conclusion, EEG biomarkers can be applied to classify different cognitive impairment groups after stroke. These findings provide a new approach for early detection and diagnosis of cognitive impairment after stroke and also for the development of new treatment options.
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  • 文章类型: Journal Article
    癫痫是一种由异常神经放电引起的疾病,这严重损害了患者的健康。它的发病机制是复杂和多变的各种形式的癫痫发作,导致不同患者之间癫痫表现存在显著差异。脑网络的变化与相关病理密切相关。因此,有效深入地探究癫痫信号的内在特征,对揭示癫痫发生规律,实现准确检测至关重要。现有方法面临以下问题:1)单一的特征提取方法,由于捕获的特征缺乏丰富的维度,导致分类信息不足;2)特征提取后无法深入分析癫痫信号的本质共性,使得模型易受数据分布和噪声干扰的影响。因此,提出了一种高精度、鲁棒的癫痫发作检测模型,which,第一次,将超图卷积应用于癫痫检测领域。通过基于脑电图(EEG)信号中通道之间的关系构建的超图网络结构,该模型探索了癫痫脑电数据的高阶特征。具体来说,我们使用Conv-LSTM模块和功率谱密度(PSD),两分支并行方法,从空域和频域提取信道特征,解决特征提取不足的问题,通过双分支并行特征提取,可以从多个角度充分描述数据结构和分布。此外,我们在捕获的特征上构造超图,以探索高维空间中的内在特征,试图揭示癫痫信号特征提取的本质共性。最后,使用合奏学习概念,我们在双分支超图卷积上完成了癫痫的检测。该模型在TUH数据集上进行了留一法交叉验证,平均准确率为96.9%,F1得分为97.3%,Pre为98.2%,Re为96.7%。此外,该模型在CHB-MIT头皮脑电图数据集上进行了广义性能测试,具有留一交叉验证,和平均ACC,F1得分,Pre和Re分别为94.4%,95.1%,95.8%,分别为93.9%。实验结果表明,该模型优于相关文献,为癫痫检测的临床应用提供有价值的参考。
    Epilepsy is a disease caused by abnormal neural discharge, which severely harms the health of patients. Its pathogenesis is complex and variable with various forms of seizures, leading to significant differences in epilepsy manifestations among different patients. The changes of brain network are strongly correlated with related pathologies. Therefore, it is crucial to effectively and deeply explore the intrinsic features of epilepsy signals to reveal the rules of epilepsy occurrence and achieve accurate detection. Existing methods have faced the following issues: 1) single approach for feature extraction, resulting in insufficient classification information due to the lack of rich dimensions in captured features; 2) inability to deeply analyze the essential commonality of epilepsy signal after feature extraction, making the model susceptible to data distribution and noise interference. Thus, we proposed a high-precision and robust model for epileptic seizure detection, which, for the first time, applies hypergraph convolution to the field of epilepsy detection. Through a hypergraph network structure constructed based on relationships between channels in electroencephalogram (EEG) signals, the model explores higher-order characteristics of epilepsy EEG data. Specifically, we use the Conv-LSTM module and Power spectral density (PSD), a two-branch parallel method, to extract channel features from space-time and frequency domains to solve the problem of insufficient feature extraction, and can adequately describe the data structure and distribution from multiple perspectives through double-branch parallel feature extraction. In addition, we construct a hypergraph on the captured features to explore the intrinsic features in the high-dimensional space in an attempt to reveal the essential commonality of epileptic signal feature extraction. Finally, using the ensemble learning concept, we accomplished epilepsy detection on the dual-branch hypergraph convolution. The model underwent leave-one-out cross-validation on the TUH dataset, achieving an average accuracy of 96.9%, F1 score of 97.3%, Pre of 98.2% and Re of 96.7%. In addition, the model was generalized performance tested on CHB-MIT scalp EEG dataset with leave-one-out cross-validation, and the average ACC, F1 score, Pre and Re were 94.4%, 95.1%, 95.8%, and 93.9% respectively. Experimental results indicate that the model outperforms related literature, providing valuable reference for the clinical application of epilepsy detection.
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  • 文章类型: Systematic Review
    研究非药物干预(NPI)对卒中患者卒中后抑郁(PSD)的影响。
    在PubMed上进行了计算机搜索,Embase,科克伦图书馆,WebofScience,中国国家知识基础设施(CNKI),中国科技期刊数据库(VIP),和万方数据库从成立到2023年12月。使用纳入和排除标准进行选择,纳入40篇文章,比较17种NPI对PSD患者的影响。
    包括涉及17项干预措施的40项研究。网络研究结果表明,与常规治疗(COT)相比,认知行为疗法(CBT)+穴位针刺(CBTA)观察到明显的PSD改善(平均差异[MD],-4.25;95%CI,-5.85至-2.65),团队积极心理治疗(MD,-4.05;95%CI,-5.53至-2.58),音乐疗法(MT)+积极心理干预(MD,-2.25;95%CI,-3.65至-0.85),CBT(MD,-1.52;95%CI,-2.05至-0.99),基于正念的减压(MD,-1.14;95%CI,-2.14至-0.14),MT(MD,-0.95;95%CI,-1.39至-0.52),穴位针刺+MT(AAMT)(MD,-0.69;95%CI,-1.25至-0.14)。此外,CBT(MD,-3.87;95%CI,-4.57至-3.17),AAMT(MD,-1.02;95%CI,-1.41至-0.62),穴位按摩+MT(MD,-0.91;95%CI,-1.27至-0.54),和叙事护理+穴位按压(MD,-0.74;95%CI,-1.19至-0.29)与COT相比,匹兹堡睡眠质量指数(PSQI)改善。
    系统评价和荟萃分析的证据表明,CBTA可改善PSD患者的抑郁。此外,CBT改善这些患者的睡眠。需要更多的随机对照试验来进一步研究这些干预措施的疗效和机制。
    UNASSIGNED: To investigate the effects of nonpharmacological interventions (NPIs) on poststroke depression (PSD) in stroke patients.
    UNASSIGNED: Computer searches were conducted on the PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), China Science and Technology Journal Database (VIP), and Wanfang databases from their establishment to December 2023. The selection was made using the inclusion and exclusion criteria, and 40 articles were included to compare the effects of the 17 NPIs on patients with PSD.
    UNASSIGNED: Forty studies involving seventeen interventions were included. The network findings indicated that compared with conventional therapy (COT), superior PSD improvement was observed for cognitive behavioral therapy (CBT) + acupoint acupuncture (CBTA) (mean difference [MD], -4.25; 95% CI, -5.85 to -2.65), team positive psychotherapy (MD, -4.05; 95% CI, -5.53 to -2.58), music therapy (MT) + positive psychological intervention (MD, -2.25; 95% CI, -3.65 to -0.85), CBT (MD, -1.52; 95% CI, -2.05 to -0.99), mindfulness-based stress reduction (MD, -1.14; 95% CI, -2.14 to -0.14), MT (MD, -0.95; 95% CI, -1.39 to -0.52), acupoint acupuncture + MT (AAMT) (MD, -0.69; 95% CI, -1.25 to -0.14). Furthermore, CBT (MD, -3.87; 95% CI, -4.57 to -3.17), AAMT (MD, -1.02; 95% CI, -1.41 to -0.62), acupressure + MT (MD, -0.91; 95% CI, -1.27 to -0.54), and narrative care + acupressure (MD, -0.74; 95% CI, -1.19 to -0.29) demonstrated superior Pittsburgh Sleep Quality Index (PSQI) improvement compared with COT.
    UNASSIGNED: Evidence from systematic reviews and meta-analyses suggests that CBTA improves depression in patients with PSD. Moreover, CBT improves sleep in these patients. Additional randomized controlled trials are required to further investigate the efficacy and mechanisms of these interventions.
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  • 文章类型: Journal Article
    背景:抑郁症是脑卒中后常见的精神疾病。我们的目的是调查生命本质8(LE8)的相关性,最近更新的心血管健康评估,在美国(US)成年人中发生卒中后抑郁(PSD)和全因死亡率。
    方法:从2005年至2018年的国家健康和营养调查(NHANES)中选择中风的参与者。通过加权多Logistic模型评估LE8与PSD风险之间的关系。使用有限的三次样条来检查相关性。为了证明结果的稳定性,进行敏感性分析和亚组分析。此外,Cox回归模型用于LE8与全因死亡率之间的相关性。
    结果:在这项研究中,共纳入1,071名参与者进行分析.在逻辑回归模型中,LE8评分与PSD风险呈负相关关系,每增加10分[OR=0.62(0.52-0.74,P<0.001)]。受限三次样条的分析表明,LE8评分与PSD风险之间存在明显的反线性相关。敏感性分析验证了研究结果的稳定性。此外,在亚组分析中未发现有统计学意义的交互作用.在cox回归模型中,LE8评分与全因死亡率之间也存在反向关联,增加10分[HR=0.85(0.78-0.94,P<0.001)]。
    结论:在美国成年人中,LE8评分和PSD与全因死亡风险呈负相关。我们需要进行大规模的前瞻性研究来进一步验证我们的结果。
    BACKGROUND: Depression is the common mental disease after stroke. Our objective was to investigate the correlation of Life\'s Essential 8 (LE8), the recently updated evaluation of cardiovascular health, with the occurrence of post-stroke depression (PSD) and all-cause mortality among United States (US) adults.
    METHODS: Participants with stroke were chosen from the National Health and Nutrition Examination Survey (NHANES) between 2005 and 2018. The relationship between LE8 and the risk of PSD was assessed through weighted multiple logistic models. A restricted cubic spline was employed for the examination of correlations. To demonstrate the stability of the results, sensitivity analysis and subgroup analysis were carried out. Furthermore, Cox regression models were used for the correlation between LE8 and all-cause mortality.
    RESULTS: In this study, a total of 1071 participants were included for analysis. It was observed that LE8 score and PSD risk shared an inverse relationship in per 10 points increase [OR = 0.62 (0.52-0.74, P < 0.001)] in logistic regression models. The analysis of restricted cubic spline demonstrated approximately a noticeable inverse linear association between LE8 score and PSD risk. Sensitivity analysis verified the stability of the findings. Moreover, no statistically significant interactions were identified in subgroup analysis. A reverse association between LE8 score and all-cause mortality was also observed with a 10-point increase [HR = 0.85 (0.78-0.94, P < 0.001)] in cox regression models.
    CONCLUSIONS: A negative correlation was discovered between LE8 score and PSD and all-cause mortality risk among US adults. We need to conduct large-scale prospective studies to further validate our results.
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  • 文章类型: Journal Article
    背景:卒中后抑郁(PSD)是一种常见的神经精神并发症,影响约三分之一的卒中患者。本病的医治和预后较差。社会经济地位(SES)与健康结果密切相关;然而,以前只有少数研究关注SES和PSD之间的关联。鉴于中国有大量的中风患者,研究与PSD相关的潜在危险因素至关重要。对该人群进行研究并调查经济条件的影响可以为PSD的预防和管理提供有价值的指导性理论见解。
    方法:我们使用了2018年中国健康与退休纵向研究的数据,并选择了合适的样本进行分析。使用流行病学研究中心抑郁量表-10估计抑郁,这是一种评估普通人群抑郁的有效工具。采用多元逻辑回归分析评估SES和PSD之间的关联,并评估任何城乡差异。
    结果:在749名受访者中,370人(49.4%)患有抑郁症。调整所有控制变量后,受过中学教育的卒中患者患抑郁症的风险高于受过小学或小学以下教育的患者(比值比(OR)=1.60,95%置信区间(CI):1.03-2.51,P=0.036)。然而,高中及以上文化程度的卒中患者患抑郁症的风险低于小学及以下文化程度的卒中患者(OR=0.50,95%CI:0.28~0.88,P=0.016).在农村地区,高中及以上文化程度的卒中患者的抑郁发生率低于小学及以下文化程度的卒中患者(OR=0.44,95%CI:0.21-0.91,P=0.027).这种差异在城市地区并不显著。
    结论:SES显著影响PSD的发生,这反映在受教育程度和家庭年度支出上。受教育程度是对PSD的独立影响,在农村和城市地区有更明显的影响。我们希望通过修改影响因素来降低PSD的患病率,加强对该病的综合管理。性,自我报告的健康状况,日常生活活动,夜间睡眠持续时间,生活满意度也影响PSD的发生。
    BACKGROUND: Post-stroke depression (PSD) is a common neuropsychiatric complication that affects approximately one-third of stroke patients. The treatment and prognosis of this disease are poor. Socioeconomic status (SES) is closely related to health outcomes; however, only a few previous studies have focused on the association between SES and PSD. Given the substantial population of stroke patients in China, it is crucial to examine the potential risk factors associated with PSD. Conducting studies on this population and investigating the influence of economic conditions can provide valuable guiding theoretical insights into PSD prevention and management.
    METHODS: We used data from the 2018 China Health and Retirement Longitudinal Study and selected appropriate samples for analysis. Depression was estimated using the Center of Epidemiologic Studies Depression Scale-10, a validated tool for assessing depression in the general population. Multiple logistic regression analysis was employed to assess the association between SES and PSD and to evaluate any urban-rural differences.
    RESULTS: Of the 749 respondents, 370 (49.4%) had depression. Stroke patients with a middle school education demonstrated a greater risk of developing depression than those with a primary school education or below after adjusting for all control variables (odds ratio (OR) = 1.60, 95% confidence interval (CI): 1.03-2.51, P = 0.036). However, stroke patients with a high school education or above had a lower risk of developing depression than those with a primary school education or below (OR = 0.50, 95% CI: 0.28-0.88, P = 0.016). In rural areas, stroke patients with a high school or above education level had lower rates of depression than those with a primary school education or below (OR = 0.44, 95% CI: 0.21-0.91, P = 0.027). This difference was not significant in urban areas.
    CONCLUSIONS: SES significantly influences the occurrence of PSD, which is reflected by education attainment and annual household expenditures. Education attainment was an independent influence on PSD, with a more pronounced effect in rural versus urban areas. We hope to reduce the prevalence of PSD and enhance the comprehensive management of this disease by modifying the influencing factors. Sex, self-reported health status, activities of daily living, night-time sleep duration, and life satisfaction also influenced the occurrence of PSD.
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  • 文章类型: Journal Article
    突触后密度(PSD)是在树突棘的突触后膜下组装的特化蛋白质的集合。PSD蛋白质组包含约1000种蛋白质,包括神经递质受体,支架蛋白和信号酶。这些蛋白质中的许多在突触功能和可塑性中具有重要作用。在大脑发育过程中,观察到突触密度和脊柱的稳定性和形状的变化,反映了突触的潜在分子成熟。突触蛋白组成在蛋白质丰度和蛋白质复合物组装方面的变化,超复合物和PSD的物理组织。这里,我们总结了突触成熟过程中突触后蛋白组成的发育变化。我们描述了参与调节突触可塑性的突触后信号传导的主要PSD蛋白,并讨论了这些蛋白在发育过程中表达改变的影响。我们考虑了神经发育障碍如自闭症谱系障碍中大脑中突触谱和突触蛋白组成的异常。我们还解释了啮齿动物和灵长类动物在突触谱和蛋白质组成方面的突触发育差异。最后,我们介绍了与突触多样性和纳米结构相关的最新发现,并讨论了它们对未来研究的影响。突触蛋白组成可以被认为是正常状态和疾病中突触成熟的主要决定因素和标志物。
    The postsynaptic density (PSD) is a collection of specialized proteins assembled beneath the postsynaptic membrane of dendritic spines. The PSD proteome comprises ~1000 proteins, including neurotransmitter receptors, scaffolding proteins and signalling enzymes. Many of these proteins have essential roles in synaptic function and plasticity. During brain development, changes are observed in synapse density and in the stability and shape of spines, reflecting the underlying molecular maturation of synapses. Synaptic protein composition changes in terms of protein abundance and the assembly of protein complexes, supercomplexes and the physical organization of the PSD. Here, we summarize the developmental alterations of postsynaptic protein composition during synapse maturation. We describe major PSD proteins involved in postsynaptic signalling that regulates synaptic plasticity and discuss the effect of altered expression of these proteins during development. We consider the abnormality of synaptic profiles and synaptic protein composition in the brain in neurodevelopmental disorders such as autism spectrum disorders. We also explain differences in synapse development between rodents and primates in terms of synaptic profiles and protein composition. Finally, we introduce recent findings related to synaptic diversity and nanoarchitecture and discuss their impact on future research. Synaptic protein composition can be considered a major determinant and marker of synapse maturation in normality and disease.
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