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Association between inflammatory bowel disease and all-cause dementia:A two-sample Mendelian randomization study
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作者 Ou-Lan Liao si-yuan xie +2 位作者 Jun Ye Qin Du Guo-Chun Lou 《World Journal of Psychiatry》 SCIE 2024年第1期15-25,共11页
BACKGROUND Numerous observational studies have documented a correlation between inflammatory bowel disease(IBD)and an increased risk of dementia.However,the causality of their associations remains elusive.AIM To asses... BACKGROUND Numerous observational studies have documented a correlation between inflammatory bowel disease(IBD)and an increased risk of dementia.However,the causality of their associations remains elusive.AIM To assess the causal relationship between IBD and the occurrence of all-cause dementia using the two-sample Mendelian randomization(MR)method.METHODS Genetic variants extracted from the large genome-wide association study(GWAS)for IBD(the International IBD Genetics Consortium,n=34652)were used to identify the causal link between IBD and dementia(FinnGen,n=306102).The results of the study were validated via another IBD GWAS(United Kingdom Biobank,n=463372).Moreover,MR egger intercept,MR pleiotropy residual sum and outlier,and Cochran's Q test were employed to evaluate pleiotropy and heterogeneity.Finally,multiple MR methods were performed to estimate the effects of genetically predicted IBD on dementia,with the inverse variance weighted approach adopted as the primary analysis.RESULTS The results of the pleiotropy and heterogeneity tests revealed an absence of significant pleiotropic effects or heterogeneity across all genetic variants in outcome GWAS.No evidence of a causal effect between IBD and the risk of dementia was identified in the inverse variance weighted[odds ratio(OR)=0.980,95%CI:0.942-1.020,P value=0.325],weighted median(OR=0.964,95%CI:0.914-1.017,P value=0.180),and MR-Egger(OR=0.963,95%CI:0.867-1.070,P value=0.492)approaches.Consistent results were observed in validation analyses.Reverse MR analysis also showed no effect of dementia on the development of IBD.Furthermore,MR analysis suggested that IBD and its subtypes did not causally affect allcause dementia and its four subtypes,including dementia in Alzheimer's disease,vascular dementia,dementia in other diseases classified elsewhere,and unspecified dementia.CONCLUSION Taken together,our MR study signaled that IBD and its subentities were not genetically associated with all-cause dementia or its subtypes.Further large prospective studies are warranted to elucidate the impact of intestinal inflammation on the development of dementia. 展开更多
关键词 Inflammatory bowel disease All-cause dementia Mendelian randomization Causal effect Risk factor©The
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超重肥胖2型糖尿病合并冠心病患者应用GLP-1RA治疗的效果研究
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作者 谢思远 朱自强 《数理医药学杂志》 CAS 2023年第2期144-149,共6页
目的 探讨胰高糖素样肽-1受体激动剂(glucagon-like peptide-1 receptor agonist,GLP-1RA)对超重肥胖的2型糖尿病(diabetes mellitus type 2,T2DM)合并冠心病患者代谢、胰岛素敏感性及心血管获益的影响。方法 将2020年12月至2022年3月,... 目的 探讨胰高糖素样肽-1受体激动剂(glucagon-like peptide-1 receptor agonist,GLP-1RA)对超重肥胖的2型糖尿病(diabetes mellitus type 2,T2DM)合并冠心病患者代谢、胰岛素敏感性及心血管获益的影响。方法 将2020年12月至2022年3月,郑州市第七人民医院收治的115例超重肥胖的T2DM合并冠心病患者分为对照组57例,给予常规降糖药物治疗;研究组58例,在对照组基础上增加GLP-1RA治疗。观察两组治疗后的代谢指标、胰岛素敏感性、心功能、再发心血管风险。结果 治疗后,研究组体重指数(t=4.940,P <0.001)、腰围(t=3.840,P <0.001)、体脂含量(t=2.197,P=0.030)及内脏脂肪含量(t=2.143,P=0.034)均低于对照组;研究组胰岛素抵抗指数、C肽曲线下面积均较对照组低,但胰岛素功能高于对照组;另外,研究组N末端B型利钠肽原、颈动脉内膜-中层厚度水平均较对照组低,左室射血分数、心率水平较对照组高;研究组再发心血管风险也低于对照组(3.45%vs. 15.79%,P=0.024)。结论 GLP-1RA可能通过调节超重肥胖的T2DM合并冠心病患者代谢水平,改善胰岛素敏感性,提高心功能,降低再发心血管风险。 展开更多
关键词 胰高糖素样肽-1受体激动剂 2型糖尿病 冠心病 超重 肥胖 胰岛素敏感性
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Semi-analytical Formula for Pricing Bilateral Counterparty Risk of CDS with Correlated Credit Risks 被引量:1
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作者 Feng LIN si-yuan xie Jing-ping YANG 《Acta Mathematicae Applicatae Sinica》 SCIE CSCD 2018年第2期209-236,共28页
Based on the framework of [7], we discuss pricing bilateral counterparty risk of CDS, where each individual default intensity is modeled by a shifted CIR process with jump (3CIR++), and the correlation between the... Based on the framework of [7], we discuss pricing bilateral counterparty risk of CDS, where each individual default intensity is modeled by a shifted CIR process with jump (3CIR++), and the correlation between the default times is modeled by a copula function. We present a semi-analytical formula for pricing bilateral counterparty risk of CDS, which is more convenient to compute through calculating multiple numerical integration or using Monte-Carlo simulation without simulating default times. Moreover, we obtain simpler formulae under FGM copulas, Bernstein copulas and CA'B copulas, which can be applied for speeding up the computation and reducing the pricing error. Numerical results under FGM copulas and CA'B copulas show that our method performs better both in computation speed and accuracy. 展开更多
关键词 bilateral counterparty risk CDS JCIR++ copula function semi-analytical formula
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