Association between single and multiple cardiometabolic diseases and depression: A cross-sectional study of 391,083 participants from the UK biobank

Background

Individual cardiometabolic diseases (CMDs) are associated with an increased risk of depression, but it's unclear whether having more than one CMD is associated with accumulative effects on depression. We aimed to assess the associations between CMDs and depression and determine the accumulative extent.

Methods

In this cross-sectional study based on UK Biobank, participants with available information on CMDs and depression were enrolled. The history of CMDs was derived from self-reported medical history and electrical health-related records. Depression status was assessed by the aggregation of self-reported history and antidepressant use, depression (Smith), and hospital inpatient diagnoses. Logistic regression models were fitted to assess the association between the number or specific patterns of CMDs and depression and to test the accumulative effect of CMD number, adjusting for confounding factors.

Results

391,083 participants were enrolled in our analyses. After multivariable adjustments, CMDs of different number or patterns were associated with a higher risk of depression compared with the reference group (all P < 0.001). In the full-adjusted model, participants with one [odds ratio (OR) 1.26, 95% confidence interval (CI) 1.23-1.29], two (OR 1.50, 95% CI 1.44-1.56), and three or more (OR 2.13, 95% CI 1.97-2.30) CMD(s) had an increased risk of depression. A significant, accumulative dose-related relationship between the number of CMDs and depression was observed (OR 1.25, 95% CI 1.24-1.27). The dose-dependent accumulative relationship was consistent in stratified analyses and sensitivity analyses.

Conclusions

CMDs were associated with a higher risk of depression, and there was an accumulative relationship between CMD number and depression.

Failure Characteristics and Mechanism of Nano-Modified Oil-Impregnated Paper Subjected to Repeated Impulse Voltage

Nano-modification is a prospective method for improving the electrical properties of transformer oil. In most situations, transformer oil combined with cellulose paper is used to construct an insulation system for power equipment, such as power transformers. However, the influence of nanoparticles on the electrical performance of oil-impregnated paper is still unclear. Therefore, in this paper, we identify the failure characteristics of both fresh and nano-modified oil/paper. Specifically, the accumulative failure characteristics of nano-oil-impregnated paper (NOIP) are experimentally determined. The space charge distribution and trap characteristics of fresh paper and NOIP were measured, and the effect of nanoparticles on the space charge behavior are then analyzed. Finally, we measure the microstructure of fresh paper and NOIP subjected to repeated impulses. The test results indicate that nano-titanium oxide (TiO₂) particles have a limited effect on the breakdown voltage of NOIP. However, the particles can dramatically improve the resistant ability of NOIP against repeated impulses. For the NOIP with a nano-concentration of 0.25 g/L, the improvement reaches 62.5% compared with fresh paper. Under repeated applications of impulse voltages, the space charge density of NOIP is much lower than that of fresh paper. The deep trap density of NOIP is much higher than that of fresh OIP, whereas shallow trap density is relatively lower. Micropores are generated in paper insulation subjected to repeated impulses. The amount of the generated micropores in NOIP is lower than that in fresh paper. Nano-TiO₂ particles suppress the accumulation of space charge in the oil paper insulation, which weakens the electric field distortion in the dielectric. However, nanoparticles reduce the accumulative damage caused by repeated impulses. The above two points are considered the main reasons to improve the resistant ability against repeated impulses.

Fatal Intoxications Due to Administration of Isosorbide Tablets Contaminated with Pyrimethamine

In January 2012, 664 cases of pyrimethamine toxicity and 151 deaths were reported among cardiac patients that had recently received free medicines from pharmacy of Punjab Institute of Cardiology, Lahore, Pakistan. These patients, ages ranged from 58 to 75 years, were prescribed simvastatin, clopidogrel, aspirin soluble, isosorbide mononitrate, and amlodipine. On examination of medications being given to them, it was found that a particular batch of isosorbide mononitrate tablets was contaminated with 50 mg pyrimethamine. Cardiac patients were taking isosorbide contaminated with pyrimethamine twice daily (100 mg pyrimethamine/day), whereas therapeutic dose of pyrimethamine for malaria is 25 mg/week. Postmortem urine, cardiac blood, and femoral blood specimens of three deceased males were submitted to author's laboratory for analysis. Postmortem toxicological analysis revealed that pyrimethamine concentration fell within the range of 1-10 μg/mL by liquid chromatography. Clinical, autopsy, histopathological, and toxicological findings strongly suggested toxicity due to pyrimethamine accumulation that resulted in deaths of these cardiac patients.