Effects of a PRECEDE-PROCEED Model-Based Intervention on Fatigue in Patients With Coronary Heart Disease: A Randomized Controlled Trial

Objective:This research aimed to determine how a 12-week PRECEDE-PROCEED model-based intervention affected fatigue in patients with coronary heart disease.Methods:This cluster randomized controlled trial recruited participants diagnosed with coronary heart disease at 2 community health centers in China. Participants in the control group (n = 36) received routine health education, whereas those in the intervention group (n = 38) were given a 12-week PRECEDE-PROCEED model-based intervention and routine health education. The intervention consisted of 6 training sessions on coronary heart disease, fatigue, fatigue management, self-management skills and social support. A primary outcome (fatigue) and 4 secondary outcomes (knowledge of fatigue, self-management, quality of life and body mass index) were assessed using the Fatigue Scale-14, Fatigue Cognitive Questionnaire for Patients with Coronary Heart Disease, Coronary Artery Disease Self-Management Scale, Chinese Cardiovascular Questionnaire of Quality of Life, and electronic weighing scale, respectively. Data were collected 3 times over 12 weeks.Results:Compared with the control group, the intervention group showed a statistically significant improvement in the level of fatigue (8.72 vs 7.06, P < .001), knowledge of fatigue (P < .001), self-management skills (P < .001), and quality of life (P < .001). However, there was no significant difference in body mass index between the 2 groups (P = .504).Conclusions:The findings suggest that a well-designed intervention based on the PRECEDE-PROCEED model could alleviate fatigue symptoms and increase knowledge of fatigue, self-management skills and quality of life in patients with coronary heart disease

dsRNA Virus Model Molecule and the Mechanism of PRRs and its Research Progress in Female Reproductive Tract Infections

Female animal genital tract opening on the body surface, prone to bacterial, viral, parasitic, and other pathogenic microorganism infections, leading to genital tract infectious diseases, such as endometritis, cervicitis, vaginitis, etc. Severe infection can lead to infertility, abortion, and even fetal death. Double-stranded RNA (dsRNA) is an important model molecule, which is widely present in the genome of viruses and generated in the process of virus replication. In mammals, dsRNA is considered to be an innate immune response signal for viral infection, which binds to the corresponding pattern-recognition receptors (PRRs) In vivo and then exerts biological functions. This review summarizes the signal transduction pathway induced by the binding of dsRNA model molecules to PRRs, research status of female genital tract infections and research progress of dsRNA in simulating viral infection in the female genital tract

Flexible Morphological Regulation of Photothermal Nanodrugs:Understanding the Relationship between the Structure, Photothermal Effect, and Tumoral Biodistribution

The morphology of nanodrugs is of utmost importance in photothermal therapy because it directly influences their physicochemical behavior and biological responses. However, clarifying the inherent relationship between morphology and the resultant properties remains challenging, mainly due to the limitations in the flexible morphological regulation of nanodrugs. Herein, we created a range of morphologically controlled nanoassemblies based on poly(ethylene glycol)-block-poly(d,l-lactide) (PEG-PLA) block copolymer building blocks, in which the model photosensitizer phthalocyanine was incorporated. Four different topologies were compared, namely, spherical vesicles, bowl-shaped vesicles, rodlike micelles, and vesicular tubes. The photothermal properties and in vivo tumoral biodistribution were investigated, revealing their relationship with the particle morphology. Finally, the tumor ablation capability of the optimized nanodrugs was demonstrated. This study represents a systematic study of the morphologically discrete regulation of nanodrugs, highlighting the importance of customization of supramolecular photothermal nanodrugs toward clinical antitumor therapy.</p

Differences in Ca 2+ Channels Governing Generation of Miniature and Evoked Excitatory Synaptic Currents in Spinal Laminae I and II

Many neurons of spinal laminae I and II, a region concerned with pain and other somatosensory mechanisms, display frequent miniature "spontaneous" EPSCs (mEPSCs). In a number of instances, mEPSCs occur often enough to influence neuronal excitability. To compare generation of mEPSCs to EPSCs evoked by dorsal root stimulation (DR-EPSCs), various agents affecting neuronal activity and Ca2+ channels were applied to in vitro slice preparations of rodent spinal cord during tight-seal, whole-cell, voltage-clamp recordings from laminae I and II neurons. The AMPA/kainate glutamate receptor antagonist CNQX (10-20 microM) regularly abolished DR-EPSCs. In many neurons CNQX also eliminated mEPSCs; however, in a number of cases a proportion of the mEPSCs were resistant to CNQX suggesting that in these instances different mediators or receptors were also involved. Cd2+ (10-50 microM) blocked evoked EPSCs without suppressing mEPSC occurrence. In contrast, Ni2+ (</=100 microM), a low-threshold Ca2+ channel antagonist, markedly decreased mEPSC frequency while leaving evoked monosynaptic EPSCs little changed. Selective organic antagonists of high-threshold (HVA) Ca2+ channels, nimodipine, omega-Conotoxin GVIA, and Agatoxin IVA partially suppressed DR-EPSCs, however, they had little or no effect on mEPSC frequency. La3+ and mibefradil, agents interfering with low-threshold Ca2+ channels, regularly decreased mEPSC frequency with little effect on fast-evoked EPSCs. Increased [K+]o (5-10 mM) in the superfusion, producing modest depolarizations, consistently increased mEPSC frequency; an increase suppressed by mibefradil but not by HVA Ca2+ channel antagonists. Together these observations indicate that different Ca2+ channels are important for evoked EPSCs and mEPSCs in spinal laminae I and II and implicate a low-threshold type of Ca2+ channel in generation of mEPSCs

Effectiveness and acceptability of different lifestyle interventions for women with polycystic ovary syndrome: protocol for a systematic review and network meta-analysis

IntroductionWomen with polycystic ovary syndrome (PCOS) experience various metabolic, endocrine, reproductive and psychosocial manifestations. Lifestyle modification is crucial for the management of PCOS to reduce long-term complications. Nonetheless, the efficacy and acceptability of lifestyle interventions differs, and there are no uniform methods of clinical application. Hence, a systematic review and network meta-analysis (NMA) are needed to explore the efficacy and acceptability of lifestyle interventions to inform clinical practice.Methods and analysisTen databases (Cochrane Gynaecology and Fertility Specialised Register, Cochrane Register of Studies Online, PubMed, EMBASE (Excerpta Medica Database), PsycINFO, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Chinese National Knowledge Infrastructure, WanFang, VIP, and Sinomed) and four clinical trial registry platforms will be searched to identify literature published in English or Chinese reporting results of randomised clinical trials conducted to evaluate the effects of lifestyle interventions for women with PCOS. The reference lists of the included studies will be manually searched. Primary outcomes will include biochemical and clinical hyperandrogenism, recruitment and retention rates. Secondary outcomes will encompass menstrual regularity, ovulation, anthropometry and quality of life. Literature selection and extraction of data will be performed independently by at least two researchers. An NMA random-effects model will be implemented for amalgamating evidence. All treatments will be ranked based on the value of p. OpenBUGS will be used for Bayesian modelling, with output verifications generated in Stata and R. The quality of evidence supporting network estimates of major outcomes will also be appraised using the Grading of Recommendations Assessment, Development, and Evaluation framework.Ethics and disseminationEthical approval is not required for this review as no data will be collected from human participants. Results will be presented in a peer-reviewed publication.Prospero registration numberCRD42024499819

Effective microorganisms input efficiently improves the vegetation and microbial community of degraded alpine grassland

Soil beneficial microorganism deficiency in the degraded grasslands have emerged as the major factors negatively impacting soil quality and vegetation productivity. EM (effective microorganisms) has been regarded as a good ameliorant in improving microbial communities and restoring degraded soil of agricultural systems. However, knowledge was inadequate regarding the effects of adding EM on the degraded alpine grassland. Four levels of EM addition (0, 150, 200, 250 mL m–2) were conducted to investigate the effects of EM addition on soil properties and microorganisms of degraded alpine grassland. The addition of EM increased aboveground biomass, soil organic carbon, total nitrogen, available phosphorus, and microbial biomass, but decreased soil electric conductivity. Meanwhile, the relative biomasses of gram-negative bacteria decreased, while the ectomycorrhizal fungi and arbuscular mycorrhizal fungi increased after EM addition. The relationship between microbial communities and environmental factors has been changed. The restore effect of EM increased with the increase of addition time. These results indicated that EM addition could be a good practice to restore the health of the degraded alpine grassland ecosystem

Maternal physical activity levels in early pregnancy and the risk of spinal deformity among preschoolers at age 4: findings from the Shanghai birth cohort study

ObjectiveTo study the impact of maternal physical activity levels before and after birth on the risk of spinal deformity in preschool children.MethodsA cohort study of 760 preschoolers and their mothers tracked maternal physical activity levels during the prenatal period and the two years postnatally, as well as for two years after the child's birth, using standardized questionnaires at 6, 12, and 24 months. The risk of spinal deformity was assessed by the angle of trunk rotation (ATR) at the thoracic (T5), thoracic-lumbar (T12), and lumbar (L4) segments of the spine, with max values noted. An adjusted logistic regression model was used to explore the relationships between prenatal and postnatal physical activity levels and the risk of spinal deformity in preschoolers.ResultsIn 98 children (12.9%), ATRs were 3 or above, and 3 had ATRs of 5 at age 4. The duration of physical activity during early pregnancy (min/week) indicated a moderate risk of spinal deformity (with an ATR between 3 and 5) in children at age 4 (OR: 0.986, 95% CI: 0.976–1.001, P = 0.084). Exercising outdoors &lt;1 h/day during 0–6 months reduced spinal deformity risk (3 ≤ ATRs &lt; 5) compared to &gt;1 h (OR = 0.525, 95% CI 0.301–0.917, p = 0.024). The risen risk of high ATR with long outdoor time was more significant when maternal blood calcium levels were low (OR=0.302, 95% CI 0.134–0.682; p = 0.004).ConclusionLong outdoor times (&gt;1 h/day) in infants under 6 months may be associated with changes in trunk rotation angle or postural stress. Exercise during early pregnancy may relate to good spine development in children. Further studies are needed on physical activity's role in scoliosis prevention

Modelling and analysis of influenza A (H1N1) on networks

Network modelling is a useful tool for studying the transmission of H1N1 in China, capturing the main features of the spread of H1N1. The paper calculates the basic reproduction number and studies the effects of various immunization schemes. The final size relation is derived for the network epidemic model. While a uniform, mass-immunization strategy helps control the prevalence, a targeted immunization strategy focusing on specific groups with given connectivity may better control an epidemic