448 research outputs found

    Electroconvulsive therapy for agitation in schizophrenia: Meta-analysis of randomized controlled trials

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    Background: Agitation poses a significant challenge in the treatment of schizophrenia. Electroconvulsive therapy (ECT) is a fast, effective and safe treatment for a variety of psychiatric disorders, but no meta-analysis of ECT treatment for agitation in schizophrenia has yet been reported. Aims: To systematically evaluate the efficacy and safety of ECT alone or ECT-antipsychotics (APs) combination for agitation in schizophrenia. Methods: Systematic literature search of randomized controlled trials (RCTs) was performed. Two independent evaluators selected studies, extracted data about outcomes and safety with available data, conducted quality assessment and data synthesis. The Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) was used to judge the level of the overall evidence of main outcomes. Results: Seven RCTs from China, including ECT alone (4 RCTs with 5 treatment arms, n=240) and ECT-APs combination (3 RCTs, n=240), were identified. Participants in the studies were on average 34.3(4.5) years of age and lasted an average of 4.3(3.1) weeks of treatment duration. All 7 RCTs were non-blinded, and were rated as low quality based on Jadad scale. Meta-analysis of the pooled sample found no significant difference in the improvement of the agitation sub-score of the Positive and Negative Syndrome Scale (PANSS) when ECT alone (weighted mean difference=-0.90, (95% confidence interval (CI): -2.91, 1.11), p=0.38) or ECT-APs combination (WMD=-1.34, (95%CI: -4.07, 1.39), p=0.33) compared with APs monotherapy. However, ECT alone was superior to APs monotherapy regarding PANSS total score (WMD=-7.13, I2=0%, p=0.004) and its excitement sub-score (WMD=-1.97, pI2=0%, p=0.004) and its excitement sub-score at 7 and 14 days (WMD=-1.97 to -1.92, p=0.002 to 0.0001) after ECT. The ECT-APs combination was superior to APs monotherapy with respect to the PANSS total score at treatment endpoint (WMD=-10.40, p=0.03) and 7 days (WMD=-5.01, p=0.02). Headache ( number-needed-to-harm (NNH)=3, 95%CI=2-4) was more frequent in the ECT alone group compared to AP monotherapy. According to the GRADE approach, the evidence levels of main outcomes were rated as ‘‘very low’’ (37.5%) and “low” (50%). Conclusion: Pooling of the data based on 7 RCTs from China found no advantage of ECT alone or ECT-APs combination in the treatment of agitation related outcomes in schizophrenia patients. However, ECT alone or ECT-APs combination were associated with significant reduction in the PANSS total score. High-quality RCTs are needed to confirm the current interpretations. Review registration number: CRD4201400668

    Analysis of the Effects of Five Factors Relevant to In Vitro Chondrogenesis of Human Mesenchymal Stem Cells Using Factorial Design and High Throughput mRNA-Profiling

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    The in vitro process of chondrogenic differentiation of mesenchymal stem cells for tissue engineering has been shown to require three-dimensional culture along with the addition of differentiation factors to the culture medium. In general, this leads to a phenotype lacking some of the cardinal features of native articular chondrocytes and their extracellular matrix. The factors used vary, but regularly include members of the transforming growth factor β superfamily and dexamethasone, sometimes in conjunction with fibroblast growth factor 2 and insulin-like growth factor 1, however the use of soluble factors to induce chondrogenesis has largely been studied on a single factor basis. In the present study we combined a factorial quality-by-design experiment with high-throughput mRNA profiling of a customized chondrogenesis related gene set as a tool to study in vitro chondrogenesis of human bone marrow derived mesenchymal stem cells in alginate. 48 different conditions of transforming growth factor β 1, 2 and 3, bone morphogenetic protein 2, 4 and 6, dexamethasone, insulin-like growth factor 1, fibroblast growth factor 2 and cell seeding density were included in the experiment. The analysis revealed that the best of the tested differentiation cocktails included transforming growth factor β 1 and dexamethasone. Dexamethasone acted in synergy with transforming growth factor β 1 by increasing many chondrogenic markers while directly downregulating expression of the pro-osteogenic gene osteocalcin. However, all factors beneficial to the expression of desirable hyaline cartilage markers also induced undesirable molecules, indicating that perfect chondrogenic differentiation is not achievable with the current differentiation protocols

    Skeleton Supervised Airway Segmentation

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    Fully-supervised airway segmentation has accomplished significant triumphs over the years in aiding pre-operative diagnosis and intra-operative navigation. However, full voxel-level annotation constitutes a labor-intensive and time-consuming task, often plagued by issues such as missing branches, branch annotation discontinuity, or erroneous edge delineation. label-efficient solutions for airway extraction are rarely explored yet primarily demanding in medical practice. To this end, we introduce a novel skeleton-level annotation (SkA) tailored to the airway, which simplifies the annotation workflow while enhancing annotation consistency and accuracy, preserving the complete topology. Furthermore, we propose a skeleton-supervised learning framework to achieve accurate airway segmentation. Firstly, a dual-stream buffer inference is introduced to realize initial label propagation from SkA, avoiding the collapse of direct learning from SkA. Then, we construct a geometry-aware dual-path propagation framework (GDP) to further promote complementary propagation learning, composed of hard geometry-aware propagation learning and soft geometry-aware propagation guidance. Experiments reveal that our proposed framework outperforms the competing methods with SKA, which amounts to only 1.96% airways, and achieves comparable performance with the baseline model that is fully supervised with 100% airways, demonstrating its significant potential in achieving label-efficient segmentation for other tubular structures, such as vessels

    Subgroup-closed lattice and k-lattice formations

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    An annotated checklist of the bryophytes of Taita Hills region, Kenya

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    Based on previous literature and our own collections, we list 288 bryophyte species (145 liverworts, 143 mosses) from the Taita Hills region (including Mt. Kasigau and Maktau Hill) in SE Kenya. New records for Kenya include the liverworts Archilejeunea elobulata Steph., Bazzania nitida (F. Weber) Grolle, Cololejeunea grossepapillosa (Horik.) N. Kitag., Diplasiolejeunea kraussiana (Lindenb.) Steph., D. villaumei Steph., Lejeunea amaniensis E.W. Jones, L. cyathearum E.W. Jones, Lopholejeunea laciniata E.W. Jones, Metzgeria crassipilis (Lindb.) A. Evans, M. nudifrons Steph., Plagiochila boryana (F. Weber) Nees, and P. moenkemeyeri Steph., and the mosses Leucophanes hildebrandtii Müll. Hal. and Neckeromnion lepineanum (Mont.) S. Olsson, Enroth, Huttunen & D. Quandt. A further 22 liverworts and 13 mosses previously known from other parts of Kenya are reported for the first time from the Taita Hills region.Peer reviewe

    The patterned structure of galactoglucomannan suggests it may bind to cellulose in seed mucilage

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    FAPESP - FUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULOThe interaction between mannan polysaccharides and cellulose microfibrils contributes to cell wall properties in some vascular plants, but the molecular arrangement of mannan in the cell wall and the nature of the molecular bonding between mannan and cell178310111026FAPESP - FUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULOFAPESP - FUNDAÇÃO DE AMPARO À PESQUISA DO ESTADO DE SÃO PAULO2013/08293-7The authors would like to acknowledge Prof. George Lomonossoff (John Innes Centre, UK), who developed the pEAQ-HyperTrans expression system used in this study. Plant Bioscience Limited supplied the pEAQ-HT vector that was used in this wor

    Efficient and Robust Congestion Estimation for Dynamic WDM Networks

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    Coordinated Science Laboratory was formerly known as Control Systems LaboratoryIntelHewlett-Packard Company's Adaptive Enterprise Grid Progra

    Thermodynamic, Spectroscopic, and Structural Studies of Complexation of Phenol- and Pyridine-Armed Macrocyclic Ligands with Univalent Metal Ions

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    Log K, ΔH, and ΔS values for interactions of a series of pyridinoazacrown ethers each bearing a phenol arm (2−6) and two macrocycles each bearing a pyridine arm (7, 8) with Na^+, K^+, Tl^+, and Ag^+ have been determined in absolute methanol at 25 °C by calorimetric titration. In each case, the complex stability has the sequence Na^+ < K^+ < Tl^+ ≪ Ag^+. The phenol-armed macrocycles exhibit selectivity of more than 4 orders of magnitude for Ag^+ over Na^+, K^+, and Tl^+. Attachment of a pendant phenol arm having various substituents to parent macrocycle 1 increases the binding abilities of the resulting ligands. Substituents on the para position of the phenol arm have an appreciable effect on cation-binding constants. Good Hammett correlations are found by plotting log K values vs σ_p for interactions of five phenol-armed macrocyclic ligands (2−6) with Na^+, K^+, and Tl^+. The complexation has been characterized by means of ^1H NMR and UV−visible spectroscopic, and X-ray crystallographic methods. The crystal data for Na^+−3:  formula, [Na(C_(23)H_(28.5)N_3O_5)](ClO_4)_(0.5); space group, P^1̄; a = 9.400(9) Å, b = 11.467(10) Å, c = 12.281(11) Å, α = 77.22(7)°, β = 87.73(7)°, γ = 86.39(7)°, V = 1288(2) Å^3, and Z = 2. The study indicates that the phenol OH group of 2−6 is capable of forming an intramolecular hydrogen bond with the macroring nitrogen atom and that the complexation in absolute methanol generally does not deprotonate these phenols. In the crystal structure of the Na^+−3 complex, the Na^+ is coordinated to all seven of the donor atoms of the ligand and two Na^+−3 complexes join together to form a dimer. The dimer contains an intermolecular hydrogen bond formed between the phenol hydrogen atom of one ligand and the phenolate group of a centrosymmetrically related ligand and two π−π stacking interactions between the electron-deficient pyridine ring of one molecule and the electron-rich phenol ring of the other

    ZBED6 Modulates the Transcription of Myogenic Genes in Mouse Myoblast Cells

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    ZBED6 is a recently discovered transcription factor, unique to placental mammals, that has evolved from a domesticated DNA transposon. It acts as a repressor at the IGF2 locus. Here we show that ZBED6 acts as a transcriptional modulator in mouse myoblast cells, where more than 700 genes were differentially expressed after Zbed6-silencing. The most significantly enriched GO term was muscle protein and contractile fiber, which was consistent with increased myotube formation. Twenty small nucleolar RNAs all showed increased expression after Zbed6-silencing. The co-localization of histone marks and ZBED6 binding sites and the effect of Zbed6-silencing on distribution of histone marks was evaluated by ChIP-seq analysis. There was a strong association between ZBED6 binding sites and the H3K4me3, H3K4me2 and H3K27ac modifications, which are usually found at active promoters, but no association with the repressive mark H3K27me3. Zbed6-silencing led to increased enrichment of active marks at myogenic genes, in agreement with the RNA-seq findings. We propose that ZBED6 preferentially binds to active promoters and modulates transcriptional activity without recruiting repressive histone modifications
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