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Obsessive-compulsive disorder is a highly debilitating psychiatric disorder with a high rate of treatment resistance. Biomarkers for obsessive-compulsive disorder may assist clinicians by predicting response to treatments and prognosis.
To review the literature with regards to two of the more easily ascertainable and relatively inexpensive physiological biomarkers, i.e. heart rate variability and electroencephalography.
Narrative review of the literature.
Decreased heart rate variability has been associated with increased symptom severity of obsessive-compulsive disorder. Findings from electroencephalography have also predicted response to pharmacotherapy and it is likely that biomarkers for OCD will have their greatest utility in predicting response to different pharmacological agents. find more However, the number of studies is small and results are inconsistent.
More research is required to determine whether heart rate variability and electrophysiological studies have a clinical role as biomarkers for obsessive-compulsive disorder.
More research is required to determine whether heart rate variability and electrophysiological studies have a clinical role as biomarkers for obsessive-compulsive disorder.Although many recognize the importance of addressing the spiritual domain in palliative care, empirically grounded interventions designed to alleviate spiritual needs for patients in palliative care are remarkably scarce. In this paper we argue that the development of such interventions for chaplains is important in order to improve spiritual care in a (post)secular and religiously plural context. We therefore propose an interfaith chaplain-led spiritual care intervention for home-based palliative care that addresses patients' spiritual needs. The intervention is based on elements of spiritual care interventions that have been investigated among other populations. Three important characteristics of the proposed intervention are (1) life review; (2) materiality, ritual and embodiment; and (3) imagination. The aim of this intervention is to improve palliative patients' spiritual wellbeing. It is anticipated that such a structured intervention could assist in improving spiritual care in palliative care.
The aetiology of heart failure may have different effects on right ventricular (RV) function, pulmonary pressures and RV afterload. Pulmonary arterial capacitance (PAC) and pulmonary artery pulsatility index (PAPi) are novel haemodynamic indices used in determining RV afterload and RV function, respectively. We aimed to investigate whether there was a difference in PAC and PAPi between ischaemic cardiomyopathy (ICMP) and non-ischaemic cardiomyopathy (NICMP) in patients with end-stage heart failure.
A total of 215 subjects undergoing evaluation for heart transplantation or left ventricular (LV) assist device were classified into two groups ICMP (
= 101) and NICMP (
= 114). The patients with LV ejection fraction ≤ 25% were included in the study. ICMP group had lower PAC and higher PAPi values compared to NICMP group [1.25 (0.82-1.86) vs. 1.58 (1.02-2.21),
= 0.002 and 3.4 (2.2-5.0) vs. 2.5 (1.7-4.0);
= 0.007]. Pulmonary vascular resistance, pulmonary artery systolic and mean pressure were higher in ICMP group compared to NICMP group [3.5 ± 1.8 vs. 2.9 ± 2.3,
= 0.004; 59.0 (42.0-73.0) vs. 46.0 (37.0-59.0),
< 0.001, 35.0 (27.0-46.0) vs. 31.0 (23.0-39.0),
= 0.002]. The patients with ICMP had higher tricuspid annular plane systolic excursion and less RV dilatation. ICMP was an independent risk factor for pulmonary hypertension (OR 4.02, 95% CI 1.13-14.24,
= 0.031).
ICMP was associated with lower PAC and higher PAPi. These results indicated that an ischaemic aetiology is associated with higher RV afterload and better RV function in the end-stage heart failure.
ICMP was associated with lower PAC and higher PAPi. These results indicated that an ischaemic aetiology is associated with higher RV afterload and better RV function in the end-stage heart failure.Vitamins are needed in trace amounts in dietary formulations for poultry; however, they are critical for the health, maintenance, and performance of important body organs. Broilers have a lot of leg issues because of their rapid development and lack of exercise. Because of commercial broilers have limited access to direct sunlight, vitamin D supplementation in the feed is critical to reducing the risk of bone deformation and maximizing development. Vitamin D deficiency causes skeletal abnormalities, which may lead also to financial problems. The latest scientific findings on the source, metabolism, mechanisms of action, and functions of vitamin D in broilers are the subject of this review paper.This paper intends to outline a data integration response to the demands placed on the pastoral care department through the COVID-19 pandemic. Uniquely, these demands accelerated the need to implement documentation of care directed towards staff to complement the data derived from patient visitation. The motivation for this initiative is in part, to provide a complete picture of the care provided by hospital chaplains using an evidence-based approach through the implementation of data science.To evaluate the ActivPAL's (AcP) ability to estimate METs during walking, running and cycling. Twenty physically active participants performed two submaximal exercises using a treadmill and cycle ergometer. The treadmill session involved varying speeds with a fixed grade and varying grade at fixed walking and running speeds. The cycling session involved fixed power, while cadence was varied and fixed cadence, while power was varied. Four AcPs (two AcP3 & two AcP4) were worn. ActivPAL MET estimations were compared to METS determined via indirect calorimetry. The AcP MET estimations between units and models did not differ. The AcP underestimated (-15% to -61%) METs with increasing speed and was unable to detect an increase in metabolic rate with a change in grade for walking and running. The AcP underestimated (-33% to -60%) METs during cycling and was unable to detect increases in metabolic rate when cadence was fixed, while power increased. The AcP can identify when exercise occurs and provides consistent information across units/models. However, the current AcP algorithm does not provide accurate estimates of METs during walking, running and cycling in a controlled laboratory setting, which would suggest limited accuracy in the field.Swift detection of faces with emotional meaning underlies fruitful social relationships. Although previous studies using a visual search paradigm have demonstrated rapid detection of emotional facial expressions, whether it is attributable to emotional/motivational significance remains to be clarified. We examined this issue by excluding the influence of visual factors on the rapid detection of faces with emotional meaning. First, participants were engaged in an associative learning task wherein neutral faces were associated with either monetary rewards, monetary punishments, or zero outcome in order for the neutral faces to acquire positive, negative, and no emotional value, respectively. Then, during the visual search task, the participants detected a target-neutral face associated with high reward or punishment from among newly presented neutral faces. In Experiment 1, neutral faces associated with high reward and punishment values were more rapidly detected than those without monetary outcomes. In Experiment 2, highly rewarded and highly punished neutral faces were more rapidly detected than neutral faces associated with low monetary reward/punishment. Analyses of ratings confirmed that the learned neutral faces acquired emotional value, and the reaction times were negatively related to arousal ratings. These results suggest that the emotional/motivational significance promotes the rapid detection of emotional faces.Predicting tumor drug response using cancer cell line drug response values for a large number of anti-cancer drugs is a significant challenge in personalized medicine. Predicting patient response to drugs from data obtained from preclinical models is made easier by the availability of different knowledge on cell lines and drugs. This paper proposes the TCLMF method, a predictive model for predicting drug response in tumor samples that was trained on preclinical samples and is based on the logistic matrix factorization approach. The TCLMF model is designed based on gene expression profiles, tissue type information, the chemical structure of drugs and drug sensitivity (IC 50) data from cancer cell lines. We use preclinical data from the Genomics of Drug Sensitivity in Cancer dataset (GDSC) to train the proposed drug response model, which we then use to predict drug sensitivity of samples from the Cancer Genome Atlas (TCGA) dataset. The TCLMF approach focuses on identifying successful features of cell lines and s across the results of the other algorithms. Finally, we accurately classify tumor tissue type using the latent vectors obtained from TCLMF's logistic matrix factorization process. These findings demonstrate that the TCLMF approach produces effective latent vectors for tumor samples. The source code of the TCLMF method is available in https//github.com/emdadi/TCLMF.In this paper, we investigate througth a premilinary study the influence of repeat elements during the assembly process. We analyze the link between the presence and the nature of one type of repeat element, called transposable element (TE) and misassembly events in genome assemblies. We propose to improve assemblies by taking into account the presence of repeat elements, including TEs, during the scaffolding step. We analyze the results and relate the misassemblies to TEs before and after correction.Being threatened or injured with a weapon is a serious form of physical bullying. Little is known about the effects of being threatened or injured with a weapon on substance use and mental health among adolescents. A secondary analysis of 2017 Youth Risk Behavior Survey data assessed the associations between having been threatened or injured with a weapon and substance use (binge drinking, marijuana, tobacco use, prescription medication misuse) and mental health (feeling sad or hopeless, considering suicide). Multiple logistic regression models with complex survey weights were used, controlling for potential confounders. Approximately 6.0% of students reported having been threatened/injured with a weapon. After adjusting for covariates, having been threatened/injured with a weapon was associated with binge drinking (AOR = 2.5; 95% CI 1.9-3.4), marijuana (AOR = 2.1; 95% CI 1.6-2.7), tobacco use (AOR = 2.6; 95% CI 2.0-3.5), and misuse of prescription medication (AOR = 2.2; 95% CI 1.6-3.0) compared with students who have not been threatened/injured. Having been threatened/injured with a weapon was associated with 1.6 times the odds (95% CI 1.2-2.2) of feeling sad/hopeless and 1.7 times the odds (95% CI 1.3-2.3) of considering suicide. Having been threatened or injured with a weapon is an important public health issue associated with negative mental health and substance use.
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