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Real-world cost-effectiveness of targeted temperature management in out-of-hospital cardiac arrest survivors: results from an academic medical center

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World Journal of Emergency medicine 2025年第1期16卷 28-34页

作者： Wachira Wongtanasarasin Daniel K.Nishijima Wanrudee Isaranuwatchai Jeff rey S.Hoch Department of Emergency medicine Faculty of MedicineChiang Mai UniversityChiang Mai 50200Thailand Department of Emergency medicine University of California Davis School of MedicineSacramento 95817USA health Intervention and Technology Assessment Program Ministry of Public HealthBangkok 11000Thailand Institute of health Policy Management and EvaluationUniversity of TorontoToronto M5T 3M6Canada Division of health Policy and management Department of Public Health SciencesUniversity of California Davis School of MedicineSacramento 95817USA Center for healthcare Policy and Research University of California Davis School of MedicineSacramento 95817USA

BACKGROUND: Targeted temperature management(TTm) is a common therapeutic intervention, yet its cost-effectiveness remains uncertain. This study aimed to evaluate the real-world cost-effectiveness of TTm compared with that of conventional care in adult out-of-hospital cardiac arrest(OHCA) survivors using clinical patient-level ***: We conducted a retrospective cohort study at an academic medical center in the USA to assess the cost-effectiveness of TTm in adult non-traumatic OHCA survivors between 1 January, 2019 and 30 June, 2023. The primary outcome was survival to hospital discharge. Incremental cost-effectiveness ratios(ICERs) were calculated and compared with various decision makers' willingness to pay. Cost-effectiveness acceptability curves were utilized to evaluate the economic attractiveness of TTm. Uncertainty about the incremental cost and effect was explored with a 95% confidence ***: Among 925 non-traumatic OHCA survivors, only 30(3%) received TTm. After adjusting for potential confounders, the TTm group did not demonstrate a significantly lower cost(delta cost-$5,141, 95% confidence interval [95% CI]: $-35,347 to $25,065, P=0.79) and higher survival to hospital discharge(delta effect 6%, 95% CI:-11% to 23%, P=0.41). Additionally, a 95% confidence ellipse indicated uncertainty reflected by evidence that the true value of the ICER could be in any of the quadrants of the cost-effectiveness ***: Although TTm did not demonstrate a clear survival benefit in this study, its potential cost-effectiveness warrants further investigation with larger sample sizes. These findings highlight the need for additional research to optimize TTm use in OHCA care and inform resource allocation decisions.

关键词： Out-of-hospital cardiac arrest Targeted temperature management Cost-effectiveness Survival Real-world data

Photobiomodulation:a novel approach to promote trans-differentiation of adipose-derived stem cells into neuronal-like cells

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Neural Regeneration Research 2025年第2期20卷 598-608页

作者： Daniella Da Silva madeleen Jansen van Rensburg Anine Crous Heidi Abrahamse Laser Research Centre Faculty of Health SciencesUniversity of JohannesburgDoornfonteinJohannesburgSouth Africa

Photobiomodulation,originally used red and near-infrared lasers,can alter cellular *** has been demonstrated that the visible spectrum at 451-540 nm does not necessarily increase cell proliferation,near-infrared light promotes adipose stem cell proliferation and affects adipose stem cell migration,which is necessary for the cells homing to the site of *** this in vitro study,we explored the potential of adipose-derived stem cells to differentiate into neurons for future translational regenerative treatments in neurodegenerative disorders and brain *** investigated the effects of various biological and chemical inducers on trans-differentiation and evaluated the impact of photobiomodulation using 825 nm near-infrared and 525 nm green laser light at 5 J/*** adipose-derived stem cells can be used in autologous grafting and photobiomodulation has been shown to have biostimulatory *** findings reveal that adipose-derived stem cells can indeed trans-differentiate into neuronal cells when exposed to inducers,with pre-induced cells exhibiting higher rates of proliferation and trans-differentiation compared with the control ***,green laser light stimulation led to notable morphological changes indicative of enhanced trans-differentiation,while near-infrared photobiomodulation notably increased the expression of neuronal *** biochemical analysis and enzyme-linked immunosorbent assays,we observed marked improvements in viability,proliferation,membrane permeability,and mitochondrial membrane potential,as well as increased protein levels of neuron-specific enolase and ciliary neurotrophic ***,our results demonstrate the efficacy of photobiomodulation in enhancing the trans-differentiation ability of adipose-derived stem cells,offering promising prospects for their use in regenerative medicine for neurodegenerative disorders and brain injuries.

关键词： differentiation inducers green photobiomodulation immortalized adipose-derived stem cell near-infrared photobiomodulation neurodegenerative disease neurogenesis photobiomodulation trans-differentiation

Potential effects of adenosine triphosphate and melatonin on oxidative and inflammatory optic nerve damage in rats caused by 5-fluorouracil

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International Journal of Ophthalmology(English edition) 2025年第2期18卷 222-228页

作者： Ahmet mehmet Somuncu Busra Parlak Somuncu Ahmet Duhan Ozbay Ibrahim Cicek Bahadir Suleyman Renad mammadov Seval Bulut Tugba Bal Tastan Taha Abdulkadir Coban Halis Suleyman Aliyev Aydin Trabzon Kanuni Education and Research Hospital Health Sciences UniversityTrabzon 61250Turkiey Provincial health Directorate Ministry of Health of the Republic of TurkeyTrabzon 61040Turkiey Department of Ophthalmology Erzurum City HospitalHealth Sciences UniversityErzurum 25240Turkiey Department of Ophthalmology Faculty of MedicineErzincan Binali Yildirim UniversityErzincan 24100Turkiey Department of Pharmacology Faculty of MedicineErzincan Binali Yildirim UniversityErzincan 24100Turkiey Department of Histology and Embryology Faculty of MedicineErzincan Binali Yildirim UniversityErzincan 24100Turkiey Department of Biochemistry Faculty of MedicineErzincan Binali Yildirim UniversityErzincan 24100Turkey Department of Pharmacology Azerbaijan Medical UniversityBakuAZ1022Azerbaijan

AIm:To investigate the effects of adenosine triphosphate(ATP)and melatonin,which have antioxidant and antiinflammatory activities,on potential 5-fluorouracil(5-FU)-induced optic nerve damage in ***:Twenty-four rats were categorized into four groups of six rats:healthy(HG),5-FU(FUG),ATP+5-FU(AFU),and melatonin+5-FU(mFU).ATP(4 mg/kg)and melatonin(10 mg/kg)were administered intraperitoneally and orally,*** hour after ATP and melatonin administration,rats in the AFU,mFU,and FUG were intraperitoneally injected with 5-FU(100 mg/kg).ATP and melatonin were administered once daily for 10d.5-FU was administered at a single dose on days 1,3,and 5 of the *** 10d,the rats were euthanized and optic nerve tissues were *** nerve tissues were biochemically and histopathologically ***:ATP and melatonin treatments inhibited the increase in malondialdehyde(mDA)and interleukin-6(IL-6)levels,which were elevated in the *** treatments also prevented the decrease in total glutathione(tGSH)levels and the superoxide dismutase(SOD)and catalase(CAT)activities(Pmelatonin group(Pmage better than melatonin(Pmelatonin have the potential to be used in alleviating 5-FU-induced optic nerve *** addition,ATP treatment shows better protective effects than melatonin.

关键词： adenosine triphosphate melatonin 5-fluorouracil optic nerve damage antioxidant antiinflammatory

Stepping up after spinal cord injury:negotiating an obstacle during walking

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Neural Regeneration Research 2025年第7期20卷 1919-1929页

作者： Alain Frigon Charly G.Lecomte Department of Pharmacology-Physiology Faculty of Medicine and Health SciencesUniversitéde SherbrookeCentre de recherche du Centre Hospitalier Universitaire de SherbrookeSherbrookeQCCanada

Every day walking consists of frequent voluntary modifications in the gait pattern to negotiate *** spinal cord injury,stepping over an obstacle becomes *** over an obstacle requires sensorimotor transformations in several structures of the brain,including the parietal cortex,premotor cortex,and motor *** information and planning are transformed into motor commands,which are sent from the motor cortex to spinal neuronal circuits to alter limb trajectory,coordinate the limbs,and maintain *** spinal cord injury,bidirectional communication between the brain and spinal cord is disrupted and animals,including humans,fail to voluntarily modify limb trajectory to step over an ***,in this review,we discuss the neuromechanical control of stepping over an obstacle,why it fails after spinal cord injury,and how it recovers to a certain extent.

关键词： biomechanics locomotion neurophysiology obstacle negotiation spinal cord injury

Water Quality,Influential Factors,and management Strategies from 2016 to 2020 in the Yangtze River Economic Belt,China

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Chinese Geographical Science 2025年第1期35卷 175-186页

作者： LIN Lanyu GUO Congrong CHEN Yanan HE Lihuan YAN Luyu FANG Dekun mA Guangwen ZHANG Fengying LI mingsheng China National Environmental monitoring Centre Beijing 100012China Department of health Ethics&SocietyCare and Public Health Research InstituteFaculty of HealthMedicine and Life SciencesMaastricht UniversityMaastricht 6200the Netherlands

The Yangtze River economic belt(YREB),China is important to the Chinese economy and for supporting sustainable *** the relationship between water quality indices and socioeconomic indicators could help improve aquatic environment management in the YREB and our understanding of the causes and effects of water quality variations in other large river *** this study,river water quality,factors affecting water quality,and management strategies,and correlations between water quality indices and socioeconomic indicators in the YREB during the 13th Five-Year Plan period(2016-2020)were *** single-factor evaluation method,constant price for GDP,and correlation analyses were *** results showed that:1)water quality in the YREB improved during the 13th Five-Year Plan *** number of aquatic environment sections meeting GradeⅠ-Ⅲwater quality standards increased by 13.1%and the number below Grade V decreased by 2.9%.2)The values of 12 indicators in the YREB exceeded relevant *** indicators with highest concentreation were the total phosphorus,chemical oxygen demand,ammonia nitrogen,and permanganate index,which were relatively high in downstream regions in Anhui Province,Jiangsu Province,and Shanghai municipality.3)Ammonia nitrogen,chemical oxygen demand,and total phosphorus emissions per unit area and water extraction per unit area are relatively high in the three downstream regions mentioned above.4)Increased domestic sewage discharges have increased total wastewater discharges in the YREB.5)River water quality in the YREB strongly correlated with population,economic,and water resource indices and less strongly correlated with government investment,agriculture,meteorology,energy,and forestry *** confirmed the need to decrease wastewater discharges and non-point-source pollutant *** aquatic environment could be improved by taking reasonable measures to control population growth,adjusting the industrial str

关键词： water quality factors coping strategies Yangtze River economic belt(YREB),China

Brain age estimation:premise,promise,and problems

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Neural Regeneration Research 2025年第8期20卷 2313-2314页

作者： Jarrad Perron Ji Hyun Ko Graduate Program in Biomedical Engineering Price Faculty of EngineeringUniversity of ManitobaWinnipegMBCanada PrairieNeuro Research Centre Kleysen Institute for Advanced MedicineHealth Sciences CentreWinnipegMBCanada Department of Human Anatomy and Cell Science Rady Faculty of Health SciencesUniversity of ManitobaWinnipegMBCanada

Premise:The com bined effects of modern healthcare practices which prolong lifespan and declining birthrates have created unprecedented changes in age demographics worldwide that are especially pronounced in Japan,South Korea,Europe,and North *** old age is the most significant predictor of dementia,global healthcare systems must rise to the challenge of providing care for those with neurodegenerative disorders.

关键词： estimation providing birth

Cerbera odollam fruit extracts enhance anti-cancer activity of sorafenib in HCT116 and HepG2 cells

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Chinese Herbal medicines 2025年第1期17卷 108-126页

作者： Supawadee Parhira Orakot Simanurak Khemmachat Pansooksan Julintorn Somran Apirath Wangteeraprasert Zhihong Jiang Liping Bai Pranee Nangngam Dumrongsak Pekthong Piyarat Srisawang Department of Pharmaceutical Technology Faculty of Pharmaceutical Sciences Naresuan University Center of Excellence for Innovation in Chemistry Naresuan University Center of Excellence for Environmental health and Toxicology Faculty of Pharmaceutical Sciences Naresuan University Department of Physiology Faculty of Medical Science Naresuan University Department of Pharmaceutical Chemistry and Pharmacognosy Faculty of Pharmaceutical Sciences Naresuan University Department of Pathology Faculty of Medicine Naresuan University Department of medicine Faculty of Medicine Naresuan University State Key Laboratory of Quality Research in Chinese medicine Guangdong-Hong Kong-Macao Joint Laboratory of Respiratory Infectious Disease Macau Institute for Applied Research in Medicine and Health Macau University of Science and Technology Department of Biology Faculty of Science Naresuan University Department of Pharmacy Practice Faculty of Pharmaceutical Sciences Naresuan University Center of Excellence in medical Biotechnology Faculty of Medical Science Naresuan University

Objective:While higher therapeutic doses of toxic cardiac glycosides derived from Cerbera odollam are frequently employed in cases of suicide or homicide,ongoing research is investigating the potential anticancer properties of low-concentration extracts obtained from the fruits of *** present study aimed to determine the enhanced anticancer effects and minimize potential side effects of combining extracts from *** fruits from Thailand with sorafenib against HCT116 and HepG2 ***:The dried powder of fresh green fruits of *** was fractionated,and its phytochemical contents,including total cardiac glycosides,phenolics,flavonoids,and triterpenoids,were *** cytotoxic effects of these fractions were evaluated against HCT116 and HepG2 cells using the mTT *** fractions showing the most significant response in HCT116 and HepG2 cells were subsequently combined with sorafenib to examine their synergistic *** induction,cell cycle progression,and mitochondrial membrane potential（mmP） were then *** underlying mechanism of the apoptotic effect was further investigated by analyzing reactive oxygen species（ROS） generation and the expression levels of antioxidant ***:Phytochemical analysis showed that ***-ethyl acetate fraction（COEtOAc） was rich in cardiac glycosides,phenolics,and flavonoids,while the dichloromethane fraction（CODCm） contained high levels of triterpenoids and *** 24 h treatment,HCT116 showed the most significant response to COEtOAc,while HepG2 responded well to CODCm with IC50values of（42.04±16.94） μg/mL and（123.75±14.21） μg/m L,***,COEtOAc（20 μg/mL） or CODCm（30 μg/mL）,both administered at sub-IC50concentrations,were combined with sorafenib at 6 μmol/L for HCT116 cells and2 μmol/L for HepG2 cells,incubated for 24 *** combination resulted in a significant suppression in cell viability by approximately 50%.The combination of treatments marked

关键词： apoptosis Cerbera odollam Gaertn. HCT116 HepG2 reactive oxygen species sorafenib

Proteostasis failure:at the intersection between aging and Alzheimer's disease

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Neural Regeneration Research 2025年第11期20卷 3221-3222页

作者： Natalia Poblete Claudio Hetz Center for Geroscience Brain Health and MetabolismSantiagoChile Biomedical Neuroscience Institute Faculty of MedicineUniversity of ChileSantiagoChile Program of Cellular and molecular Biology Institute of Biomedical SciencesFaculty of MedicineUniversity of ChileSantiagoChile Buck Institute for Research on Aging NovatoCAUSA

Lifestyle and demographics of the world's population are causing serious health problems impacting the brain,increasing the incidence of Alzheimer's disease(AD)and other types of *** we have gained important insights into the pathogenic mechanisms of AD,only palliative care is available to *** is characterized by the abnormal deposition of protein aggregates in the brain formed by amyloid β and hyper-phosphorylated,Tau in addition to neuroinflammation.

关键词： Alzheimer amyloid stasis

Potential preservative mechanisms of cardiac rehabilitation pathways on endothelial function in coronary heart disease

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Science China(Life sciences) 2025年第1期68卷 158-175页

作者： Wen-Tao Sun Jian-Yong Du Jia Wang Yi-Long Wang Er-Dan Dong Research Center for Cardiopulmonary Rehabilitation University of Health and Rehabilitation Sciences Qingdao Hospital(Qingdao Municipal Hospital)Schoolof Health and Life SciencesUniversityof Health and Rehabilitation SciencesQingdao 266071China Department of Cardiology and Instituteof Vascular medicine Peking University Third HospitalTheInstituteofCardiovascular SciencesPeking UniversityState Key Laboratoryof Vascular Homeostasisand RemodelingPeking UniversityBeijing 100191China

Cardiac rehabilitation,a comprehensive exercise-based lifestyle and medical management,is effective in decreasing morbidity and improving life quality in patients with coronary heart *** function,an irreplaceable indicator in coronary heart disease progression,is measured by various methods in traditional cardiac rehabilitation pathways,including medicinal treatment,aerobic training,and smoking ***,studies on the effect of some emerging cardiac rehabilitation programs on endothelial function are *** article briefly reviewed the endothelium-beneficial effects of different cardiac rehabilitation pathways,including exercise training,lifestyle modification and psychological intervention in patients with coronary heart disease,and related experimental models,and summarized both uncovered and potential cellular and molecular mechanisms of the beneficial roles of various cardiac rehabilitation pathways on endothelial *** exercise training and some lifestyle interventions,the enhanced bioavailability of nitric oxide,increased circulating endothelial progenitor cells(EPCs),and decreased oxidative stress are major contributors to preventing endothelial dysfunction in coronary heart ***,the preservation of endothelial-dependent hyperpolarizing factors and inflammatory suppression play *** the one hand,to develop more endothelium-protective rehabilitation methods in coronary heart disease,adequately designed and sized randomized multicenter clinical trials should be advanced using standardized cardiac rehabilitation programs and existing assessment *** the other hand,additional studies using suitable experimental models are warranted to elucidate the relationship between some new interventions and endothelial protection in both macro-and microvasculature.

关键词： cardiac rehabilitation coronary heart disease endothelial function