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71.
PHILIP S WANG MATTHIAS ANGERMEYER GUILHERME BORGES RONNY BRUFFAERTS WAI TAT CHIU GIOVANNI DE GIROLAMO JOHN FAYYAD OYE GUREJE JOSEP MARIA HARO YUEQIN HUANG RONALD C KESSLER VIVIANE KOVESS DAPHNA LEVINSON YOSHIBUMI NAKANE MARK A OAKLEY BROWN JOHAN H ORMEL JOSé POSADA-VILLA SERGIO AGUILAR-GAXIOLA JORDI ALONSO SING LEE STEVEN HEERINGA BETH-ELLEN PENNELL SOMNATH CHATTERJI T. BEDIRHAN üSTüN 《World psychiatry》2007,6(3):177-185
Data are presented on patterns of failure and delay in making initial treatment
contact after first onset of a mental disorder in 15 countries in the World
Health Organization (WHO)''s World Mental Health (WMH) Surveys. Representative
face-to-face household surveys were conducted among 76,012 respondents aged
18 and older in Belgium, Colombia, France, Germany, Israel, Italy, Japan,
Lebanon, Mexico, the Netherlands, New Zealand, Nigeria, People''s Republic
of China (Beijing and Shanghai), Spain, and the United States. The WHO Composite
International Diagnostic Interview (CIDI) was used to assess lifetime DSM-IV
anxiety, mood, and substance use disorders. Ages of onset for individual disorders
and ages of first treatment contact for each disorder were used to calculate
the extent of failure and delay in initial help seeking. The proportion of
lifetime cases making treatment contact in the year of disorder onset ranged
from 0.8 to 36.4% for anxiety disorders, from 6.0 to 52.1% for mood disorders,
and from 0.9 to 18.6% for substance use disorders. By 50 years, the proportion
of lifetime cases making treatment contact ranged from 15.2 to 95.0% for anxiety
disorders, from 7.9 to 98.6% for mood disorders, and from 19.8 to 86.1% for
substance use disorders. Median delays among cases eventually making contact
ranged from 3.0 to 30.0 years for anxiety disorders, from 1.0 to 14.0 years
for mood disorders, and from 6.0 to 18.0 years for substance use disorders.
Failure and delays in treatment seeking were generally greater in developing
countries, older cohorts, men, and cases with earlier ages of onset. These
results show that failure and delays in initial help seeking are pervasive
problems worldwide. Interventions to ensure prompt initial treatment contacts
are needed to reduce the global burdens and hazards of untreated mental disorders. 相似文献
72.
Ramnath RD Sun J Adhikari S Bhatia M 《Journal of cellular and molecular medicine》2007,11(6):1326-1341
Substance P, acting via its neurokinin 1 receptor (NK1 R), plays an important role in mediating a variety of inflammatory processes. Its interaction with chemokines is known to play a crucial role in the pathogenesis of acute pancreatitis. In pancreatic acinar cells, substance P stimulates the release of NFκB-driven chemokines. However, the signal transduction pathways by which substance P-NK1 R interaction induces chemokine production are still unclear. To that end, we went on to examine the participation of mitogen-activated protein kinases (MAPKs) in substance P-induced synthesis of pro-inflammatory chemokines, monocyte chemoanractant protein-1 (MCP-I), macrophage inflammatory protein-lα (MIP-lα) and macrophage inflammatory protein-2 (MIP-2), in pancreatic acini. In this study, we observed a time-dependent activation of ERK1/2, c-Jun N-terminal kinase (JNK), NFκB and activator protein-1 (AP-1) when pancreatic acini were stimulated with substance P. Moreover, substance P-induced ERK 1/2, JNK, NFκB and AP-1 activation as well as chemokine synthesis were blocked by pre-treatment with either extracellular signal-regulated protein kinase kinase 1 (MEK1) inhibitor or JNK inhibitor. In addition, substance P-induced activation of ERK 112, JNK, NFκB and AP-1-driven chemokine production were attenuated by CP96345, a selective NK1 R antagonist, in pancreatic acinar cells. Taken together, these results suggest that substance P-NK1 R induced chemokine production depends on the activation of MAPKs-mediated NFκB and AP-1 signalling pathways in mouse pancreatic acini. 相似文献
73.
《Saudi Journal of Biological Sciences》2022,29(7):103308
Doxorubicin (DOX), a common antibiotic used to treat a variety of tumors, has several substantial adverse effects that limit its clinical use. As a result, finding effective protective agents to combat DOX-induced organ damage is a necessity. The current study was set to delineate the hepatoprotective role of omega‐3 fatty acids (ω-3FA) against DOX-mediated acute liver damage in rats and the underlined mechanism of GSK-3β inhibition. Five groups of rats were orally received either saline (groups 1 & 2) or ω-3FA (25, 50 and 100 mg/kg/day; groups 3, 4 & 5, respectively) for 28 consecutive days. Single DOX intraperitoneal injection (20 mg/kg) was used to induce hepatic toxicity in all groups except group 1 (negative control). Blood samples and liver tissues were collected 48-hr after injection. Our results revealed that pre-administration of ω-3FA (25, 50 and 100 mg/kg) to DOX-induced hepatic injured rats showed a significant reduction in serum hepatic injury biomarkers (ALT, AST, total and direct bilirubin) as well as hepatic contents of MDA, GSH, Nrf2 and HO-1. Additionally, hepatic PI3K, pAkt and GSK-3β have been restored significantly in a dose-dependent manner. Furthermore, all the hepatic histopathological features have been retained upon ω-3FA treatment together with the immunostaining intensity of tumor necrosis factor-α and caspase-3. These results suggest that ω-3FA have shown a marked activation of the Nrf2/HO-1 signaling pathway and modulation of the PI3K/pAkt/GSK-3β axis against DOX-induced hepatotoxicity. 相似文献
74.
土壤微生物膜是由土壤细菌及其分泌物积聚形成的生物群落,是生物土壤结皮的初始形态和重要组成部分。作为土壤细菌生命过程中最典型的生存形式,土壤微生物膜不仅能保护基质内细胞生存,还可黏附于土壤颗粒和植物根系表面,发挥重要的生态功能。本文在解析土壤微生物膜结构与组成的基础上,从土壤质量与植物健康两个方面总结分析了土壤微生物膜生理生态功能:土壤微生物膜代谢活性高于游离细胞,可高效分泌胞外聚合物并且具有更强的有机物质转化速率,在提升土壤肥力,吸附、固持和降解土壤污染物和促进土壤团聚体形成方面具有重要意义;土壤微生物膜可通过多种微生物间协同作用、促进分泌多种促生物质与胞外聚合物以发挥固持作用等改善植物养分利用状况,增强植物抗逆性。揭示土壤微生物膜生态功能的微观机制、筛选和应用功能性土壤微生物膜是未来重要的发展方向。 相似文献
75.
Delfine Cheng Marco Morsch Gerald J. Shami Roger S. Chung Filip Braet 《Experimental cell research》2019,374(1):162-171
Although liver transport routes have been extensively studied in rodents, live imaging under in situ and in vivo conditions of large volumes is still proven to be difficult. In this study, we took advantage of the optical transparency of zebrafish and their small size to explore their usefulness for correlative imaging studies and liver transport experimentations. First, we assessed the micro-architecture of the zebrafish liver and compared its fine structure to the rodent and humans’ literature. Next, we investigated the transport routes and cellular distribution of albumin using combined and correlative microscopy approaches. These methods permitted us to track the injected proteins at different time points through the process of liver uptake and clearance of albumin.We demonstrate strong structural and functional resemblance between the zebrafish liver and its rodents and humans’ counterparts. In as short as 5?min post-injection, albumin rapidly accumulated within the LSECs. Furthermore, albumin entered the space of Disse where it initially accumulated then subsequently was taken up by the hepatocytes. We propose the zebrafish as a viable alternative experimental model for hepatic transport studies, allowing swift multimodal imaging and direct quantification on the hepatic distribution of supramolecular complexes of interest. 相似文献
76.
目的 探讨木犀草素通过调节凝血活性物质及凝血因子含量维持机体血液循环功能的作用机制.方法 采用试剂盒和试管法测定木犀草素作用后的凝血酶原时间和血浆复钙时间;采用酶联免疫吸附法检测木犀草素对血液凝血活性物质血栓素(TXB2)、纤维酶原激活物抑制剂(PAI-1)、促红细胞生成素(EPO)和凝血因子Ⅶ(FⅦ)、凝血因子Ⅸ(F... 相似文献
77.
78.
《World psychiatry》2022,21(2):272
Patient‐reported helpfulness of treatment is an important indicator of quality in patient‐centered care. We examined its pathways and predictors among respondents to household surveys who reported ever receiving treatment for major depression, generalized anxiety disorder, social phobia, specific phobia, post‐traumatic stress disorder, bipolar disorder, or alcohol use disorder. Data came from 30 community epidemiological surveys – 17 in high‐income countries (HICs) and 13 in low‐ and middle‐income countries (LMICs) – carried out as part of the World Health Organization (WHO)’s World Mental Health (WMH) Surveys. Respondents were asked whether treatment of each disorder was ever helpful and, if so, the number of professionals seen before receiving helpful treatment. Across all surveys and diagnostic categories, 26.1% of patients (N=10,035) reported being helped by the very first professional they saw. Persisting to a second professional after a first unhelpful treatment brought the cumulative probability of receiving helpful treatment to 51.2%. If patients persisted with up through eight professionals, the cumulative probability rose to 90.6%. However, only an estimated 22.8% of patients would have persisted in seeing these many professionals after repeatedly receiving treatments they considered not helpful. Although the proportion of individuals with disorders who sought treatment was higher and they were more persistent in HICs than LMICs, proportional helpfulness among treated cases was no different between HICs and LMICs. A wide range of predictors of perceived treatment helpfulness were found, some of them consistent across diagnostic categories and others unique to specific disorders. These results provide novel information about patient evaluations of treatment across diagnoses and countries varying in income level, and suggest that a critical issue in improving the quality of care for mental disorders should be fostering persistence in professional help‐seeking if earlier treatments are not helpful. 相似文献
79.
Régis Millet Jean-François Goossens Karine Bertrand-Caumont Philippe Chavatte Raymond Houssin Jean-Pierre Hénichart 《Letters in Peptide Science》1999,6(4):221-233
Chemical modifications on the NK1 competitive antagonist L-732,138, with a view to creating a dual NK1/NK2 ligand, led to the tryptophan derivative 1 possessing the protected Gly-Leu sequence of the C-terminus of substance P and neurokinin A. Modifications in the nature of the carbamate function increased the selectivity for the NK1 receptor, whereas the inclusion of the indole moiety in -carboline or carbazole rings decreased the affinity for both receptors. Free indolylmethyl and Cbz carbamate groups were shown to be essential for NK2 affinity. 相似文献
80.
Kentaro?HayashiEmail author Masanori?Okazaki Norihiro?Itsubo Atsushi?Inaba 《The International Journal of Life Cycle Assessment》2004,9(1):13-22
Background Acidification is one of the important impact categories for life cycle impact assessment. Although its characterization has
progressed during this decade through the employment of midpoint approaches, only limited studies of endpoint approaches have
been performed. Objective. This study aimed at developing damage function of acidification for terrestrial ecosystems in Japan.
Damage function expresses a quantitative relationship between the inventory and endpoint damage.
Methods The geographical boundary was limited in Japan both for emission and impact. In this study, sulfur dioxide (SO2), nitrogen monoxide (NO), nitrogen dioxide (NO2) (NO and NO2 collectively mean NOx), hydrogen chloride (HC1), and ammonia (NH3) were considered as major causative substances of acidification. Net primary production (NPP) of existing vegetation was
adopted as an impact indicator of terrestrial ecosystems. The aluminum toxicity was adopted as the major factor of effect
on terrestrial ecosystems due to acidification. The leachate concentration of monomeric inorganic aluminum ions was selected
to express the plant toxicity of aluminum.
Results and Discussion The results of damage function gave utilizable factors both for a midpoint approach and an endpoint approach; Atmospheric
Deposition Factor (ADF) and Damage Factor (DF) applicable to the former and the latter, respectively. The ADF indicates an
increase of H+ deposition per unit area to an additional emission of causative sustance. The additional emission corresponds to some alternatives
in industry, not the baseline emission. The DF indicates the total NPP damage in all of Japan due to the additional emission
of causative substances. The derived NPP damage is on the order of one millionth of the NPP itself. HC1 and NH3 showed larger
ADFs and DFs than that of SO2 and NOx. The reason was ascribed to the relatively large source-receptor relationships (SRR) of HC1 and NH3. However, since the method applied to determine the SRR of HC1 and NH3 has larger uncertainties than that of SO2 and NOx, attention is needed to handle the difference.
Conclusion The damage function easily defines the concrete NPP damage due to an additional emission. The impact indica tor, NPP, also
has an advantage in its mass unit that is directly summable through the entire impact categories. Expansion of endpoints,
such as in aquatic ecosystems, material degradation, human health, and biodiversity aspects of terrestrial ecosystems, is
an important subject for future work. Further, uncertain analyses for major parameters will provide helpful information on
the reliability of damage function. 相似文献