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Polyhydramnios complicated by genetic mutation related diseases: a case report
ZhongFeng Tang
Lei Yang

ZhongFeng Tang

and 4 more

July 19, 2023
Background: Diseases associated with the CLPB gene are increasingly attracting the attention of researchers because of their severe fetal manifestations. However, few works of literature are related to CLPB gene-associated disorders. In the previous literature, performances of multiple systems of postnatal phenotypes are covered, but descriptions of fetal genetic phenotypes are less. One possible way to enhance the discussion surrounding fetal genetic phenotypes is to supplement the current genetic phenotype with fetal ultrasound findings. There are many references to differences in fetal growth data for this condition, but relatively few articles mention intrauterine manifestations and the presence or absence of combined amniotic fluid abnormalities. Case presentation: A 33-year-old pregnant woman, G3P2L1, had no previous adverse obstetric history. Her ultrasound examination revealed normal intrauterine pregnancy with a single live fetus. No abnormalities were found throughout the pregnancy, except for a suggestion of excessive amniotic fluid and growth figures that were two weeks behind the same gestational week and not more than two standard deviations behind. However, the fetus deteriorated after birth, suggesting CLPB gene-associated disorders, and later died. Conclusions: Fetal Polyhydramnios is a clear indication of prenatal diagnosis. The prognosis of the fetus is usually optimistic after excluding complications such as gestational diabetes mellitus and identifying fetal chromosomal risk as soon as possible. However, in some cases, we found that fetuses with simple prenatal Polyhydramnios without structural malformation during the prenatal period may have the risk of genetic metabolic diseases after birth, which brings significant challenges to prenatal consultation.
Gagea iranshahrii (Liliaceae), a new species from the Atrak River basin
Yousef Ajani
Igor Levichev

Yousef Ajani

and 1 more

January 30, 2024
A new species of Gagea iranshahrii ***** & ***** (Liliaceae, G. sect. Stipitatae (Pascher) Davlianidze) has been described from the basin of the Atrak River basin, Iran and Turkmenistan. Morphological features and a distribution map are given. Differences from four superficially similar taxa are indicated. The new species differs in the totality of features and, especially, in the presence of a relatively large, rounded vegetative bulb, which forms annually throughout the entire ontogenesis.
Multichannel kinetics of methoxymethyl + O2 in the atmosphere and in combustion
Qian Zhao
Wuchuan Sun

Qian Zhao

and 3 more

January 30, 2024
Organic peroxy radicals (RȮ2), formed by well stabilization reaction of Ṙ + O2, are important intermediates in atmospheric degradation of organic matter and low-temperature combustion of hydrocarbon fuels. A fate of RȮ2 is isomerize to QOOH , and the downstream reactions of QOOH are known to profoundly fuel reactivity. However, both experimental measurements and high-level theoretical cal-culations of RȮ2 kinetics are scarce, leading to a large gap in our understanding of RȮ2 fate. In this study, methoxy-methyl-peroxy rad-ical (CH3OCH2OȮ) is investigated as a model compound to elucidate the fate of RȮ2. Based on a high-level quantum chemical calcula-tion and RRKM/master equation calculation, we report a detailed RȮ2 unimolecular reaction surface, as well as the corresponding temperature- and pressure-dependent rate coefficients. All the calculated results can be used to develop the global modeling of SOAs in atmospheric science, to estimate the corresponding rate coefficients of larger oxygen-centered fuels, as well as to construct the chemical kinetic model of dimethyl ether in combustion science.
DFT studies on Palladium/Xiao-Phos-catalyzed asymmetric arylation of secondary phosph...
Si-Yuan Liu
Zhi-Ming Li

Si-Yuan Liu

and 3 more

January 30, 2024
Asymmetric arylation of secondary phosphine oxides (SPOs) is a potential strategy to obtain P-chiral compounds, and has developed rapidly since the first report in 2016. However, the mechanism is still ambiguous and few DFT studies have been published so far in this field. Taking palladium/Xiao-Phos-catalyzed asymmetric arylation of SPOs as model, our DFT mechanism studies allows the updating of the catalytic cycle. Tautomerization of SPOs occurs first to initiate the downstream arylation transformations. DFT computations show that Pd/X1-catalyzed H2O-assisted tautomerization is more favored, and the resulting intermediate with trivalent SPO fragment enters the downstream arylation directly. Meanwhile, reductive elimination is both the rate- and enantioselectivity-determining step in the whole catalytic cycle. Bonding and IGMH analysis on the TSs of reductive elimination indicate that, the difference in non-bonding interactions between X1 and substrates mainly determines the enantioselectivity. This work not only provides deeper insights into the self-adaptive property of SadPhos ligands but also offers valuable guidance for future related studies of SPOs.
Associations between polymorphisms of TNFSF13B and Primary Sjögren’s Syndrome suscept...
Anhao Zheng
Naiwen Hu

Anhao Zheng

and 7 more

January 30, 2024
Objective B cell activating factor (BAFF) is a key regulator of Primary Sjögren’s Syndrome (pSS), which is characterized by B lymphocyte hyperactivity. BAFF is also known as TNF ligand superfamily member 13B (TNFSF13B). This study aimed to explore whether five single nucleotide polymorphisms (SNPs) of the TNFSF13B gene (rs9514827, rs1041569, rs9514828, rs1224141, and rs12583006) are related to pSS susceptibility. Methods We searched Pubmed, Cochrane, Elsevier, Web of Science, CNKI, CQVIP, and WanFang databases (up to January 2023). In a population with pSS, the odds ratios (ORs) with 95% confidence intervals (CIs) of genotypes and each allele were provided to investigate relationships between the polymorphisms of the BAFF (TNFSF13B) gene and pSS. Results The meta-analysis in question contains three studies. In the group of pSS patients and randomly selected health controls (HCs), there was a statistically significant relationship between rs1041569 and rs12583006 and pSS susceptibility, respectively. In fixed models, there were statistical differences in pSS patients and randomly chosen HCs. Conclusions There were relationships of rs1041569 and rs12583006 in the pSS group and HC group. BAFF(TNFSF13B) genes, particularly rs1041569 and rs12583006, were related to pSS susceptibility in pSS patients.
A Utility-Based Sequential Approach for ELF Malware Analysis
Mohammed Rauf Ali Khan

Mohammed Rauf Ali Khan

February 04, 2024
The demand for various unix/ linux based systems is high. Several IoT appliances are usually based on linux. These operating systems have uncountable applications and offer several utilities to their users. Several Advanced Persistent Threats have therefore increased the rate of attacks on such platforms. There is a high rise in malicious entities that are intended to have harmful effects towards linux environments. Varieties of trojans, spyware and ransomware of executable and linkable format have been seen in recent times. These malware majorly target linux based systems. A generic approach that can help malware researchers to perform static, dynamic and code analysis in a convenient way has been proposed. A sequential flow of processes beginning from static analysis, moving to behavioral analysis and then to code was provided. There are several utilities that pre-exist in linux based environments. These utilities can help one to gain several identities of compromise. It is important to detect and block such malware. Hence, there is a need to identify strings, behavioral patterns, code and persistence mechanisms they use. From helping a researcher to identify the file type, to writing YARA and SNORT rules for detecting those files using SIEMs, these linux utilities provide high level of support.
Sudan Ebolavirus (SUDV) Outbreak in Uganda: Lessons to be learned
Shailesh Patel
Sita Prasad Tiwari

Shailesh Patel

and 6 more

January 30, 2024
Amid the ongoing COVID-19 pandemic and Mpox outbreak, the Sudan Ebolavirus (SUDV) had arisen as a new menace in Uganda. Multiple human epidemics in Africa have been traced back to four genetically distinct strains: Sudan ebolavirus, Zaire ebolavirus, Bundibugyo virus, and Taï Forest virus. While African fruit bats are thought to be a reservoir host for the ebola virus, scientists throughout the world are looking for confirmatory evidences that bats play a significant role in the spread of the disease.
Cybersecurity Technology Strategic Plan for Data Loss Prevention
GEORGE EFI AGBOR

GEORGE EFI AGBOR

January 30, 2024
Executive Summary Technology is constantly evolving every day, and as it evolves, cyber-attacks also increases making it a challenge for all businesses worldwide. “Between January 1, 2005, and May 31, 2020, there have been 11,762 recorded breaches” (Sober,2021). As a result, all businesses need to create strategies for Data Loss Prevention that will provide a plan for the future of mass connectivity, the internet of things (IoT), a plan for incorporating IPv6, and data loss prevention techniques. In addition, it is important to develop a strategy for emerging technology such as tokenization, Blockchain, data obfuscation, data masking, etc. A good data loss prevention plan will effectively provide organizations with a great degree of protection. The Organization’s security relies greatly on situational awareness and understanding of the critical areas of cybersecurity. When setting up a proper cyber security defense, the infrastructure, people, data application, business partners, security, and outsourcing must be considered. Furthermore, risk, business priority, and critical assets must be accounted for protection. It is also important to understand what data is fundamental to the business and what degree of security must be taken to protect unauthorized access or theft of that data. This paper will create a Data Loss Prevention plan/strategy that describes devices and technologies important for data loss prevention in an organization. This plan will also explain how the devices and technologies will help the organization prepare for the future. Next, it will include reasons why it is beneficial to add these devices and technologies to the network infrastructure. The plan will also describe certain issues when new devices and technologies are introduced to the network. Lastly, it will detail what changes will be necessary for the new devices and technologies to be introduced.
National Data Privacy and Usage Legislation in the European Union, the United States,...
Myunghoon Roh
Hyeungseob Son

Hyeungseob Son

and 1 more

January 30, 2024
The protection and utilization of personal data is an highly significant issue in both the legal and technological industries. This article examines the legislative changes implemented in the EU and the United States, as well as the privacy laws established, designed to cope with international data trends, and the Personal Information Protection Act (PIPA) enacted in South Korea. It analyzes the privacy acts and conditions through comparative research methods, and studies the suitability and direction of each country’s privacy act, focusing on documents from Korea, EU, and the United States. Ultimately, legislative changes in these countries are developing in accordance with their constitutions and international privacy trends, while simultaneously confronting conflicts between their national sovereignty and the internationalized trends or development of norms and practices embodied in the EU’s General Data Protection Regulation (GDPR). We must explore new mechanisms for protecting data transmission, requiring countries to develop a concept of global public interest. This would enable personal data to cross borders, combat common threats around the world, and protect the legitimate values that form the basis of a democratic society.
Pollen morphology of Norwegian hybrids of Sorbus L.
Heidi Andersen
Nirmala Dhakal

Heidi Andersen

and 4 more

March 15, 2024
The genus Sorbus consists of small to medium-sized trees primarily found in coastal areas, with three European hotspots for diversification: Fennoscandia, South-East Europe, and Britain. Taxonomic classification of Sorbus in Europe is still unresolved, and this study aims to address this issue by examining the pollen morphology of different Sorbus hybrids. Pollen morphology of 16 specimens from 13 species of Sorbus, Aria and Hedlundia, some of which are common, while others are endemic and listed as threatened species, were studied. Measurements of the polar and equatorial axis of all pollen show that there are variations in pollen size and shape among different hybrids, with correlation between polyploidy levels and the width of the pollen. Surface structures of pollen were observed using SEM. Principal Component Analysis (PCA) was performed to analyze the pollen characters, and the results show that it is possible to separate Aria from Sorbus and Hedlundia based on the length of the pollen grain, while the number of perforations is important for classification within Hedlundia. The study concludes that pollen morphology can be a useful tool for distinguishing between different Sorbus hybrids and can thus aid in understanding their past distributions.
Neural Networks and Blackhole Optimization in a Cooperative IDS for IoT
Bin Li
Zhenkun Liu

Bin Li

and 2 more

January 30, 2024
In this paper, network security issues related to the Internet of Things (IoT) are discussed, with an emphasis on grey- and black-hole attacks (BHAs and GHAs). IoT systems lack security safeguards like intrusion detection systems because of their decentralised nature. The study suggests a defence mechanism against BHA utilising an attack selection algorithm and an optimisation strategy using a neural network to handle this. The book also emphasises how challenging it is to implement cutting-edge security features on low-power IoT devices. The suggested method comprises creating a training set and teaching a neural network for classification. This method is specifically designed for IoT intrusion detection systems. In order to increase overall efficiency, the article’s findings section explores how to improve system performance by choosing the right nodes for data transmission.
Koulium Genus nov. and Koulium psammogetifolium Sp. nov. (Apiaceae; Pimpinelleae) fro...
B. L. Bhellum
Rani Magotra

B. L. Bhellum

and 1 more

January 30, 2024
Koulium, a newly discovered monotypic genus of the family Apiaceae from the south-west of Jammu, Jammu and Kashmir, India, is described and illustrated. It thrives in open areas, wastelands along rivers, and sandy beds. The new genus is related to Aphanopleura, Psammogeton, and Pimpinella but differs from them in that it has a thick, deep yellow root, fruits with intermixed hairs that are simple and T-shaped, petals sparsely pubescent on the outside, small vittae that are one under each furrow, ridges obscure, and fruits that have a subpentagonal cross section, oblong or elliptic, broader above, gradually narrow below. A diagnostic key, photos, illustrations, a distribution map, comparative characteristics (Table 1), and its closely related genera are provided.
Synthesis of Benzothioamide Derivatives from Benzonitriles and Sulfur-containing Ioni...
Guozhi Sang
Xinchen Wang

Guozhi Sang

and 7 more

January 30, 2024
A simple, efficient and green method has been developed for the synthesis of benzothioamide from benzonitrile in supercritical CO2, which could be used to synthesize various benzothioamide derivatives efficiently without organic solvent. Notably, some sulfur-containing ionic liquids were prepared and they could promote the thiolysis of benzonitrile to produce benzothioamide in an excellent yield. Moreover, the investigation on the reaction mechanism showed that the acid-base property of the reaction solution was key to the thiolysis of benzonitrile mediated by the sulfur-containing ionic liquids.
Calamagrostis elatior and C. pseudophragmites var. tartarica (Poaceae, Agrostidinae):...
Dileshwar Prasad
Shubham Jaiswal

Dileshwar Prasad

and 4 more

January 30, 2024
The names Calamagrostis elatior and C. pseudophragmites var. tartarica are lectotypified. The taxonomic status of C. elatior is clarified and discussed, especially in relation to C. scabrescens-C. lahulensis complex. An amended circumscription of C. elatior is given along with live photograph and microscopic photo plates, and a new distributional range is reported. In addition to this, we have provided the morphological evidence to treat C. pseudophragmites var. tartarica as a distinct taxon and, compared it with C. pseudophragmites var. pseudophragmites.
Thrixspermum yei M. K. Li, Z. Xing & Y. Luo (Orchidaceae) — a new species from Xi...
Mengkai Li
shenshen pang

Mengkai Li

and 7 more

January 30, 2024
A new species Thrixspermum yei is described and illustrated from Xizang, China. It is similar to T. fantasticum and T. pygmaeum but quite different from the two in having slender peduncle, white sepals and petals, golden-yellow lip (margin entire, not lobed), which disk with several tuberculate fleshy process, densely covered with yellow powder, base with a round papillary projection.
ARHGAP18/SENEX enhances apoptosis resistance of B-cell non-Hodgkin lymphoma via inhib...
Jiyu Wang
Liuying Yi

Jiyu Wang

and 5 more

January 30, 2024
Background: Resistance to existing therapies is currently the main reason for treatment failure in refractory/relapsed B-NHL patients, and therapy-induced senescence (TIS) is one of the important mechanisms of tumor drug resistance. Methods: Raji cells were transfected with the human SENEX shRNA recombinant lentiviral vector (Si-SENEX) and the empty vector negative (NC) to construct a stable transfection cell line with knockdown of SENEX. Effect of SENEX-silencing on B-NHL-TIS formation, cell function and cell cycle-related pathways was analyzed. We generated TIS model (using doxorubicin (dox)-inducible senescent B-NHL cells) combined with the specific CDK4/6 inhibitor Palbociclib (PAL) to observe that blocking CDK4/6 effects on TIS formation. In addition, expression levels of SENEX of 21 B-NHL patients and 8 healthy controls were tested by qRT-PCR, and the correlation between its expression and clinical indicators of patients was analyzed. Results: Downregulation of SENEX expression promotes G1-S phase transition and inhibits TIS formation in B-NHL cells to reduce the apoptosis resistance of B-NHL cells against chemotherapeutic drug DOX. Blockade of CDK4/6 promotes the DOX-induced G1 phase arrest to enhance TIS formation in B-NHL cells which can reverse the regulatory effect of silencing SENEX on B-NHL cell cycle regulation and senescence. Expression levels of SENEX in B-NHL patients were significantly increased compared to healthy controls, and Elevated expression levels of SENEX were associated with poor prognosis of B-NHL patients. Conclusions: ARHGAP18/SENEX enhances apoptosis resistance of B-NHL via inhibiting CDK4/6 to prevent G1-S phase transition and promote TIS.
Evaluation of the Efficacy and Safety of Oral N-acetylcysteine in Patients With COVID...
Najmolsadat Atefi
Azadeh Goodarzi

Najmolsadat Atefi

and 9 more

January 30, 2024
ABSTRACT The current absence of gold-standard or all-aspect favorable therapies for COVID-19 renders a focus on multipotential drugs proposed to prevent or treat this infection or ameliorate its signs and symptoms vitally important. The present well-designed randomized controlled trial sought to evaluate the efficacy and safety of N-acetylcysteine as adjuvant therapy in hospitalized Iranian patients with COVID-19. Four different diets in 60 patients include; Kaletra (lopinavir/ritonavir) + hydroxychloroquine with/without N-acetylcysteine (600 mg TDS) and atazanavir/ritonavir + hydroxychloroquine with/without N-acetylcysteine (600 mg TDS), were administered in the study. At the end of the study, a further decrease in C-reactive protein was observed in groups with N-acetylcysteine (P =0.008), and no death occurred in the atazanavir/ritonavir + hydroxychloroquine + N-acetylcysteine group, showing that the combination of these drugs may reduce mortality. A significant rise in O2 saturation was observed in atazanavir/ritonavir+hydroxychloroquine+N-acetylcysteine group (P <0.05). Accordingly, oral or intravenous N-acetylcysteine, may enhance O2 saturation, blunt the inflammation trend (by reducing C-reactive protein), and reduce mortality in hospitalized patients with COVID-19. The N-acetylcysteine could be more effective as prophylactic or adjuvant therapy in stable and non-severe cases of COVID-19 with a particularly positive role in the augmentation of O2 saturation and faster reduction of the CRP level and inflammation.
Construction of a Prognostic Model for Lung Adenocarcinoma Based on from Heat Shock P...
Wangyan  Zhou
Wei  Zeng

Wangyan Zhou

and 6 more

January 31, 2024
Lung adenocarcinoma (LUAD) represents a prevalent form of cancer, with low early diagnosis rates and high mortality rates, posing a global health challenge. Heat shock proteins (HSPs) assume a crucial role within the tumor immune microenvironment (TME) of LUAD. Here, a collection of 97 HSP-related genes (HSPGs) was assembled based on prior literature reports, of which 36 HSPGs were differentially expressed in LUAD. In The Cancer Genome Atlas (TCGA) cohort, we constructed a prognostic model for risk stratification and prognosis prediction by integrating 13 HSPGs. In addition, the prognostic significance and predictive efficacy of the HSP-related riskscore were examined and validated in the Gene Expression Omnibus (GEO) cohort. To facilitate the clinical use of this riskscore, we also established a nomogram scale by verifying its effectiveness through different methods. In light of these outcomes, we concluded a significant correlation between HSP and TME in LUAD, and the riskscore can be a reliable prognostic indicator. Furthermore, this study evaluated the differences in immunophenoscore, TIDE score, and sensitivity to several common chemotherapy drugs among LUAD individuals in different risk groups, which may aid in clinical decision-making for immune therapy and chemotherapy in LUAD individuals.
Identification of Ferroptosis-Related Genes in Type 2 Diabetes Mellitus Based on the...
Sen Wang
yongpan lu

Sen Wang

and 5 more

January 30, 2024
Background: Type 2 diabetes mellitus (T2DM), which has a high incidence and several harmful consequences, poses a severe danger to human health. More research is being done on ferroptosis’ function in T2DM. This study uses a bioinformatics technique to look for new diagnostic T2DM biomarkers associated with ferroptosis. Methods: In order to identify ferroptosis-related genes (DEGs) that are differently expressed between T2DM patients and healthy individuals, we first obtained T2DM sequencing data and ferroptosis-related genes (FRGs) from the Gene Expression Omnibus (GEO) database and FerrDb database. Then, drug-gene interaction networks and ceRNA networks linked to the marker genes were built after marker genes were filtered by two machine learning algorithms (LASSO and SVM-RFE algorithms). Finally, to confirm the expression of marker genes, the GSE76895 dataset was utilized. The protein expression of some marker genes between T2DM and non-diabetic tissues was also examined by Western Blotting, Immunohistochemistry (IHC) and Immunofluorescence (IF), respectively. Results: We obtained 58 DEGs associated with ferroptosis. GO and KEGG enrichment analysis showed that these DGEs were significantly enriched in hypoxia and ferroptosis. Subsequently, eight marker genes (SCD, CD44, HIF1A, BCAT2, MTF1, HILPDA, NR1D2 and MYCN) were screened by LASSO and SVM- RFE machine learning algorithms, and a model was constructed based on these eight genes. These newly discovered marker genes may be linked to alterations in the immune microenvironment in T2DM patients. In addition, based on these 8 genes, we obtained 48 drugs and a complex ceRNA network map. Finally, Western Blotting, IHC and IF results of clinical samples further confirmed the results of public databases. Conclusions: The diagnosis and etiology of T2DM can be greatly aided by eight ferroptosis-related genes, opening up novel therapeutic avenues.
MONKEY POX AND SEXUAL HEALTH
Okereke Promise Udohchukwu
Mohamed Terra

Okereke Udohchukwu

and 7 more

January 30, 2024
Monkeypox is a viral disease with skin rashes and symptoms similar to smallpox. Evidence suggests it can be sexually transmitted. This review focuses on the current understanding of sexual transmission, clinical manifestations, and roles of healthcare providers such as dentists and clinicians. Limited data exists on sexual transmission, making it less important for healthcare providers to consider it in patient management. Dentists and clinicians should be aware of the clinical manifestations and be vigilant for signs in patients with recent sexual contact. This review highlights the importance of ongoing surveillance and research into the sexual transmission of monkeypox and the role of healthcare providers in its management.
Comparison of Chloroplast Genomes and Phylogenetic Analysis of Four Species in Quercu...
Xiaoli Chen
Buyu Li

Xiaoli Chen

and 3 more

January 30, 2024
The identification in Quercus L. species was considered to be difficult all the time. The fundamental phylogenies of Quercus have already been discussed by morphological and molecular means. However, the morphological characteristics of some Quercus groups may not be consistent with the molecular results (such as the group Helferiana ), which may lead to blurring of species relationships and prevent further evolutionary researches. To understand the interspecific relationships and phylogenetic positions, we sequenced and assembled the CPGs (160715 bp ~ 160842 bp) of four Quercus section Cyclobalanopsis species by Illumina pair-end sequencing. The genomic structure, GC content and IR/SC boundaries exhibited significant conservatism. Six highly variable hotspots were detected in comparison analysis, among which rpoC1, clpP and ycf1 could be used as molecular markers. Besides, two genes (petA, ycf2) were detected to be under positive selection pressure. The phylogenetic analysis showed: Trigonobalanus genus and Fagus genus located at the base of the phylogeny tree; the Quercus genus were distincted to two clades, including five sections. All CTB species clustered into a single branch, which was in accordance with the results of the morphological studies. But neither of group Gilva nor group Helferiana had formed a monophyly. Six CTB species gathered together in pairs to form one branch respectively (Quercus kerrii and Quercus chungii; Quercus austrocochinchinensis with Quercus gilva; Quercus helferiana and Quercus rex). Due to a low support rate (0.338) in the phylogeny tree, the interspecies relationship between the two branches differentiated by this node remained unclear. We believe that Q. helferiana and Q. kerrii can exist as independent species due to their distance in the phylogeny tree. Our study provided genetic information in Quercus genus, which could be applied to further studies in taxology and phylogenetics.
Data is missing again -- Reconstruction of power generation data using k -Nearest Nei...
Amandine Pierrot
Pierre Pinson

Amandine Pierrot

and 1 more

January 30, 2024
The risk of missing data and subsequent incomplete data records at wind farms increases with the number of turbines and sensors. We propose here an imputation method that blends data-driven concepts with expert knowledge, by using the geometry of the wind farm in order to provide better estimates when performing nearest neighbors imputation. Our method relies on learning Laplacian eigenmaps out of the graph of the wind farm through spectral graph theory. These learned representations can be based on the wind farm layout only, or additionally account for information provided by collected data. The related weighted graph is allowed to change with time and can be tracked in an online fashion. Application to the Westermost Rough offshore wind farm shows significant improvement over approaches that do not account for the wind farm layout information.
Overlap of Obsessive Compulsive and Psychosis Risk Symptoms in a Specialized Clinic
Michelle West
James Green

Michelle West

and 5 more

January 30, 2024
Aim: Psychotic disorders and obsessive-compulsive disorder (OCD) commonly co-occur. Likewise, subthreshold psychosis symptoms (clinical high risk for psychosis; CHR-p) and obsessive-compulsive symptoms (OCS) commonly overlap and may be difficult to differentiate. Previous work suggests some notable differences between OCS and psychosis include insight and the content of thoughts and experiences. Methods: The current study explored the overlap between OCS and psychosis symptoms in a CHR-p sample. Results: Results demonstrated 13.5% of the sample experienced co-morbid OCD and CHR-p. Individuals with comorbid OCD and CHR-p experienced no other significant differences in presenting concerns, including psychosis symptoms, social or role functioning, anxiety, or depression. Exploratory factor analyses conducted on the CFOCI-A revealed two subtype factors: 1) checking and counting, and 2) intrusive thoughts and images of harm/guilt. The checking and counting factor was significantly correlated with depression and social anxiety. The intrusive thoughts and images of harm/guilt factor was significantly correlated with unusual thought content, suspiciousness and persecutory ideas, attenuated positive symptoms, and social anxiety. Conclusions: These findings suggest individuals who experience intrusive thoughts and images may be more likely to rate on positive symptoms, while individuals with checking and counting symptoms may not rate on positive symptoms, though may experience greater levels of depression.
Current situation and influencing factors of acute treatment of bipolar disorder with...
Bo Fu
miao pan

Bo Fu

and 25 more

January 30, 2024
Background: DSM-5 proposes the concept of bipolar disorder with “mixed features ”, which is of great benefit to clinical practice. However, the clinical management of BD with mixed features is more challenging.This investigation examined the prescribing patterns and factors influencing guidelines disconcordance for the acute treatment of bipolar disorder with mixed features in mainland China. Methods:This real-world study enrolled 688 patients with acute bipolar disorder through the National Bipolar Pathway Survey Replication (BIPAS-R). We used CUDOS-M and MINI-M scales based on DSM-5 criteria to improve the sensitivity of screening for bipolar disorder with mixed features. Guideline inconsistency judgments were determined by comparison with the Canadian Network for Mood and Anxiety Treatments(CANMAT) guidelines for treatment recommendations for bipolar disorder with mixed features. Logstic regression was used to analyze the influencing factors of guideline disconcordance. Results: Among 688 cases of acute bipolar disorder, 235 cases (34.2%) were (hypo) mania with mixed features and 213 cases (30.9%) were depression with mixed feature. Without considering the order of treatment, the inconsistency rates of (hypo) mania and depression with mixed features with the guidelines were 29.4% and 55.4%, respectively. (Hypo) mania with mixed features BD-II (OR=0.52; 95% CI 0.29-0.93), age at study entry > 24 years (OR=2.4; 95% CI 1.3-4.3), and the number of episodes > 4 in the past year in depression with mixed features (OR=1.9; 95% CI 1.08-3.6), which increased the risk of treatment disconcordance of guidelines. Conclusions:Our findings suggest that BD with mixed features is more common.
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