The attitudes of nonpsychiatric nurses towards mental disorders in China.

Background: Few studies have explored the associated factors of attitudes of nonpsychiatric nurses towards mental disorders. Therefore, this study is aimed to evaluate the attitudes of nonpsychiatric nurses towards mental disorders and especially explore the association between psychiatric clinical practice and these attitudes. Methods: A total of 1324 nonpsychiatric nurses and students majoring in nursing were recruited through an online questionnaire from December 2021 to March 2022 in Sichuan Province, China. Demographic information, personal care experience, psychiatric nursing education and the Community Attitudes towards the Mentally Ill (CAMI) were collected. A higher score indicates a stigmatizing attitude in the authoritarianism and social restrictiveness (SR) subscales and a positive attitude in the benevolence and community mental health ideology (CMHI) subscales. Multivariate linear regression was employed to analyze associated factors of attitudes towards mental disorders, and hierarchical linear regression was used to analyze the association between psychiatric clinical practice and the attitudes towards mental disorders. Results: Under the control of confounders, high education level, long residence in urban and personal care experience were positively correlated with score of authoritarianism and SR (p < 0.05), and negatively correlated with score of benevolence (p < 0.05). Long residence in urban and personal care experience were negatively correlated with score of CMHI (p < 0.05). Hierarchical linear regression analysis showed that after adjusting for demographic information, psychiatric clinical practice was associated with lower score of benevolence (B = -0.09, 95%CI = -0.17 ~ -0.003, p = 0.043) and CMHI (B = -0.09, 95%CI = -0.17 ~ -0.01, p = 0.027), but the initial associations between psychiatric clinical practice and authoritarianism, SR disappeared. Conclusions: High education level, long residence in urban, personal care experience and the psychiatric clinical practice were associated with the discrimination of nonpsychiatric nurses towards mental disorders. Further exploring practical strategies to optimize the psychiatric clinical practice experience of nonpsychiatric nurses could help improve their attitudes towards mental disorders.

Breaking through the pH Limitation of Fe1-xS Nanozymes Using Component-Modulated Coupled Nanoclay.

Overcoming the intrinsic low activity of most peroxidase mimics under neutral pH is crucial but still extremely challenging for the detection of disease markers in biological samples. Here, we chose nanoclay (i.e., montmorillonite K10, MK10) as a carrier to modulate the structure of Fe1-xS nanozyme components through an interfacial modulation strategy, aiming at breaking the neutral pH limitation of Fe1-xS. MK10 with abundant hydroxyl groups on its surface acts as a carrier to increase the ratio of Fe(II) and S(II-) content in surface Fe1-xS. We verify that Fe(II)-promoted surface hydroxyl radical generation and S(II-)-promoted regeneration of Fe(II) play key roles in endowing peroxidase-like activity to Fe1-xS at neutral pH. As expected, Fe1-xS/MK10 exhibited 11-fold higher Vmax and 52-fold higher catalytic efficiency than bare Fe1-xS. As a proof of concept, the sensor constructed based on Fe1-xS/MK10 achieved colorimetric detection of xanthine under neutral conditions with a linear range of 5-300 µM and a limit of detection of 2.49 µM. Finally, we achieved highly sensitive detection of xanthine in serum using the constructed biosensor. Our contribution is the novel use of a nanoclay-mediated interfacial modulation strategy for boosting the peroxidase-mimicking activity and breaking the pH limitation, which contributes to the in situ detection of disease markers by nanozymes under physiological conditions.

Mineral-Enhanced Manganese Ferrite with Multiple Enzyme-Mimicking Activities for Visual Detection of Disease Markers.

Local geometric configurations of metal cations in inorganic enzyme mimics determine their catalytic behaviors, while their optimization remains challenging. Herein, kaolinite, a naturally layered clay mineral, achieves the optimization of cationic geometric configuration in manganese ferrite. We demonstrate that the exfoliated kaolinite induces the formation of defective manganese ferrite and makes more iron cations fill into the octahedral sites, significantly enhancing the multiple enzyme-mimicking activities. The steady-state kinetic assay results show that the catalytic constant of composites toward 3,3',5,5'-tetramethylbenzidine (TMB) and H2O2 are more than 7.4- and 5.7-fold higher than manganese ferrite, respectively. Furthermore, density functional theory (DFT) calculations reveal that the outstanding enzyme-mimicking activity of composites is attributed to the optimized iron cation geometry configuration, which has a higher affinity and activation ability toward H2O2 and lowers the energy barrier of key intermediate formation. As a proof of concept, the novel structure with multiple enzyme-mimicking activities amplifies the colorimetric signal, realizing the ultrasensitive visual detection of disease marker acid phosphatase (ACP), with a detection limit of 0.25 mU/mL. Our findings provide a novel strategy for the rational design of enzyme mimics and an in-depth investigation of their enzyme-mimicking properties.

Bullying victimization and suicide attempts among adolescents in 41 low- and middle-income countries: Roles of sleep deprivation and body mass.

Background: Suicide is the fourth leading cause of death for adolescents, and globally, over 75% of completed suicides occur in low- and middle-income countries (LMICs). Bullying has been proven to be closely related to suicide attempts. However, further understanding of the mechanisms underlying the relationship between bullying and adolescents' suicide attempts is urgently needed. Methods: We used data from the Global School-based Student Health Survey (GSHS) (2010-2017) from 41 LMICs or regions. This study was based on questions assessing bullying victimization, suicide attempts, sleep deprivation, and body mass. Chi-square tests were used to explore the correlations among the main variables. The mediating role of sleep deprivation and the moderating role of body mass index (BMI) were analyzed using PROCESS. Results: The results showed a positive association between bullying victimization and suicide attempts. Sleep deprivation partially mediated the relationship between the frequency of being bullied and suicide attempts. In addition, sleep deprivation played a full or partial mediating role in the relationship between different types of bullying and suicide attempts. BMI moderated the relationships between the frequency of being bullied and suicide attempts, between being made fun of about one's body and sleep deprivation, and between sleep deprivation and suicide attempts. Conclusion: Being bullied has a positive effect on suicide attempts, which is mediated by sleep deprivation and moderated by body mass. The results of this study are consistent with the stress-diathesis model of suicide, suggesting that being bullied is one of the stressors of suicide in adolescents, while sleep deprivation and body mass are susceptibility diatheses of suicide. The results are conducive to identifying adolescents at a high risk of suicide, suggesting that there is a need to pay more attention to bullied adolescents, especially their sleep quality and body mass, and design effective intervention measures to improve the current situation of adolescent suicide in LMICs.

Nanoclay Modulates Cation Occupancy in Manganese Ferrite for Catalytic Antibacterial Treatment.

Controllable preparation is the current frontier in the field of inorganic nanomaterial-based artificial enzymes (nanozymes). For ferrites, the factors affecting cation occupancy are very complex, making the modulation of cation occupancy extremely challenging. Herein, we report a new strategy to modulate the cation occupancy of manganese ferrite (MFO) based on the structural properties of nanoclay (i.e., montmorillonite K10). It demonstrates that montmorillonite K10 mainly changes the valence state and occupancy of manganese ions in manganese ferrite and not iron ions. K10 increases the proportion of Mn (II) in manganese ferrite and causes more manganese ions to migrate to the tetrahedral sites. As expected, the prepared new inorganic compound possesses excellent enzyme-like catalytic activities and antibacterial functional properties, which are attributed to Mn (II) accelerating Fe (III) reduction and hydroxyl radical formation. Furthermore, steady-state kinetic assays are used to study the reaction mechanism in detail. In vitro and in vivo antibacterial experiments show that the synthesized inorganic compounds exhibit satisfactory disinfection and wound skin recovery efficiencies. This work emphasizes the controllable preparation of new inorganic compounds with biomimetic activity and provides novel insight into the biological effects of inorganic nanomaterials.

Surface acidity modulates the peroxidase-like activity of nanoclay.

A novel surface acidity modulation strategy allows us to obtain modified nanoclay with specific peroxidase (POD)-like catalytic activity. Fe3+ exchange could increase the surface acidity of modified montmorillonite (MMT), resulting in a significant enhancement of its POD-like activity. We proposed that the POD-like catalytic reaction followed the electron transfer pathway and ping-pong mechanism. Correspondingly the constructed colorimetric sensor for H2O2 exhibited high sensitivity and specificity.