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        Excessive Daytime Sleepiness and Insomnia Symptoms in Adolescents With Major Depressive Disorder: Prevalence, Clinical Correlates, and the Relationship With Psychiatric Medications Use

        Yudong Shi,Wei Li,Changhao Chen,Xiaoping Yuan,Yingying Yang,Song Wang,Zhiwei Liu,Feng Geng,Jiawei Wang,Xiangfen Luo,Xiangwang Wen,Lei Xia,Huanzhong Liu 대한신경정신의학회 2023 PSYCHIATRY INVESTIGATION Vol.20 No.11

        Objective Excessive daytime sleepiness (EDS) and insomnia symptoms are common in patients with major depressive disorder (MDD), which might lead to a poor prognosis and an increased risk of depression relapse. The current study aimed to investigate the prevalence, and sociodemographic and clinical correlates of EDS and insomnia symptoms among adolescents with MDD.Methods The sample of this cross-sectional study included 297 adolescents (mean age=15.26 years; range=12–18 years; 218 females) with MDD recruited from three general and four psychiatric hospitals in five cities (Hefei, Bengbu, Fuyang, Suzhou, and Ma’anshan) in Anhui Province, China between January and August, 2021. EDS and insomnia symptoms, and clinical severity of depressive symptoms were assessed using Epworth sleepiness scale, Insomnia Severity Index, and Clinical Global Impression-Severity.Results The prevalence of EDS and insomnia symptoms in adolescents with MDD was 39.7% and 38.0%, respectively. Binary logistic regression analyses showed that EDS symptoms were significantly associated with higher body mass index (odds ratio [OR]=1.097, 95% confidence interval [CI]=1.027–1.172), more severe depressive symptoms (OR=1.313, 95% CI=1.028–1.679), and selective serotonin reuptake inhibitors use (OR=2.078, 95% CI=1.199–3.601). And insomnia symptoms were positively associated with female sex (OR=1.955, 95% CI=1.052–3.633), suicide attempts (OR=1.765, 95% CI=1.037–3.005), more severe depressive symptoms (OR=2.031, 95% CI=1.523–2.709), and negatively associated with antipsychotics use (OR=0.433, 95% CI=0.196–0.952).Conclusion EDS and insomnia symptoms are common among adolescents with MDD. Considering their negative effects on the clinical prognosis, regular screening and clinical managements should be developed for this patient population.

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        In situ observation of mesophase transformation behaviour and mechanistic analysis in β-resin

        Liu Ben,Yan Xi,Tao Zechao,Li Xiangfen,Lei Shiwen,Zhang Dongqing,Yang Zonghe,Liu Zhanjun 한국탄소학회 2024 Carbon Letters Vol.34 No.1

        β-Resin was extracted by solvent separation of refined coal tar pitch. Several analytical methods revealed that β-resin had a better aromatic plane packing structure and a higher number of carbon residues, making it ideal for mesophase transformation. The mesophase transformation process of β-resin (the formation of liquid-crystalline spheres, the growth of mesophase spheres, and the coalescence and disintegration of mesophase spheres) was observed in situ using a polarizing microscope with a hot stage. Moreover, the mesophase transformation mechanism of β-resin was investigated at each transformation stage. The mesophase content and mesophase transformation kinetics were analyzed based on the area method and quinoline insoluble (QI) substitution method. Both methods revealed changes in the mesophase content of β-resin. However, the test results of the two methods were slightly different at the initial stage of mesophase transformation and tended to be consistent during the later stage.

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