Analysis of characteristics of hospitalized patients with chronic insomnia: a single-center retrospective study

ObjectiveInsomnia is a prevalent health issue within the general population. Nonetheless, there is a paucity of research specifically addressing chronic insomnia among hospitalized patients. Consequently, the objective of this study is to investigate chronic insomnia in adult inpatients.MethodsA retrospective analysis was conducted on hospitalized patients at Fengjie County People’s Hospital in Chongqing from January 2022 to June 2025. The study included patients aged 18 to 100 years, with comprehensive documentation of their demographic information, laboratory test results, and insomnia treatment details. Patients with incomplete data or those under 18 years of age were excluded from the study. The analysis focused on the age distribution, gender ratio, and BMI distribution of the patients, as well as the prevalence of primary diagnostic categories and the distribution characteristics of fasting blood glucose levels and dyslipidemia.ResultsThe study included a total of 871 patients, with a male representation of 39.6%. The mean body mass index (BMI) was 23.1 ± 3.7 kg/m², and the mean age was 64.1 ± 13.9 years. The predominant sources of disease were identified as infectious diseases, cardiovascular diseases, neurological disorders, tumors, and musculoskeletal conditions. A significant proportion of patients presented with elevated fasting blood glucose levels and dyslipidemia.ConclusionChronic insomnia in hospitalized patients predominantly affects elderly women. Chronic insomnia in hospitalized patients predominantly affects elderly women, who primarily present with infectious diseases, cardiovascular conditions, neurological disorders, tumors, and musculoskeletal issues. These patients often exhibit dyslipidemia and elevated fasting blood glucose levels, necessitating clinical attention.

Effect of a nursing-based information–motivation–behavioral model on older patients with type 2 diabetes mellitus

BackgroundOlder patients with type 2 diabetes mellitus (T2DM) frequently encounter challenges, including a diminished capacity for self-management, a high prevalence of negative emotions, and cognitive decline and physiological changes attributable to long-term disease burden, leading to compromised glycemic control and impaired quality of life. Traditional diabetes nursing interventions often lack systematic strategies to address the psychological and cognitive needs specific to this patient population. The Information-Motivation-Behavioral Skills (IMB) model is a theoretical framework designed to promote health behavioral changes; however, research investigating its specific application in regulating psychological state and managing cognitive function in older patients with T2DM remains limited.AimTo investigate the effectiveness of a nursing intervention based on the IMB model in older patients with T2DM.MethodsData from 86 older patients with T2DM were divided into 2 groups: intervention (structured IMB model-based nursing + routine care [n = 43]); and control (conventional T2DM care [n = 43]). Psychological state (Self-Rating Anxiety and Depression Scales [SAS, SDS]), cognitive function (Mini-Mental State Examination [MMSE] and Montreal Cognitive Assessment [MoCA]), glycemic control (fasting blood glucose [FBG], 2 h postprandial blood glucose [2hPBG], and glycated hemoglobin A1c [HbA1c]), and satisfaction with nursing were compared between the 2 groups before and after a three-month intervention.ResultsSAS and SDS scores significantly decreased in both groups after intervention, with a more pronounced reduction in the intervention group (P < 0.05). MMSE and MoCA scores improved in both groups, with significantly higher scores in the intervention group (P < 0.05). Glycemic control (FBG, 2hPBG, and HbA1c) improved substantially in the intervention group (P < 0.05). Satisfaction with nursing among the intervention group (95.35%) was significantly greater than that in the control group (79.07%) (P < 0.05).ConclusionThe IMB model-based nursing intervention alleviates anxiety and depression, improves cognitive function, enhances glycemic control, and increases satisfaction with nursing in older patients with T2DM, thus meriting broader clinical implementation.

Coping under pressure: police-specific stressors and mental health in Catalonia police forces

IntroductionPolice officers are exposed to elevated psychological risks due to both operational and organizational stressors. Additionally, police officers tend to resort to avoidant coping strategies, which exacerbate poor mental health outcomes, such as burnout and PTSD.MethodsThis study aims to examine clinical symptoms (stress, anxiety, depression), coping styles, and perceived stressors among police forces from Catalonia, Spain. A total of 741 officers completed an online survey comprising DASS-21, PSQ-Op, PSQ-Org, Brief COPE and brief open-ended questions. ResultsOverall, both operational and organizational stressors were significant predictors of clinical symptoms, with the latter revealing a more pronounced impact. Avoidant coping emerged as the strongest risk factor for distress, while problem-focused coping emerged as a possible protective factor, especially against depression. Both gender and years of service influenced coping strategies: i) female officers reported higher use of adaptive coping, while male officers scored higher in avoidant coping; and ii) more experienced officers reported lower anxiety symptoms but also lower use of active coping strategies. DiscussionThese findings underscore the importance of addressing both organizational culture and individual-level factors in promoting psychological resilience, while considering gender and career stage to support sustainable mental health within police forces.

Iron dyshomeostasis in neuropsychiatric disorders

Iron is an indispensable element for the normal physiological function of the brain. In terms of neuronal metabolism, iron is involved in multiple critical biological processes such as oxygen transport, energy metabolism, DNA synthesis, neurotransmitter synthesis and myelin formation. Maintaining brain iron homeostasis is crucial for neurodevelopment and function. Iron dyshomeostasis has been associated with the onset and progression of various neuropsychiatric disorders, including Parkinson’s disease, Alzheimer’s disease, depression, schizophrenia, attention deficit hyperactivity disorder, and autism spectrum disorder. In neurodegenerative diseases such as Parkinson’s disease and Alzheimer’s disease, abnormally elevated iron levels can be detected in specific brain regions, including the basal ganglia and the prefrontal cortex. These changes are often accompanied by pathological processes such as oxidative stress, neuroinflammation, and pathological protein aggregation. Therefore, brain iron metabolism is an important entry point for understanding the pathophysiological process of neuropsychiatric disorders. Mechanistically, iron overload induces oxidative damage through the Fenton reaction, exacerbating mitochondrial dysfunction and abnormal protein aggregation. The effects of iron deficiency vary across different diseases; its impact on myelination and neurotransmitter synthesis may increase the risk of neurodevelopmental disorders such as attention deficit hyperactivity disorder (ADHD), while its effects on immune activation and energy metabolism may contribute to the development of mental disorders such as depression. This article systematically reviews the current research progress of the role of cerebral iron metabolism in neuropsychiatric diseases. It focuses on the mechanisms underlying iron homeostasis imbalances in neurodegenerative and psychiatric diseases. Building on this foundation, the article analyzes the therapeutic targets and clinical significance of iron metabolism-related interventions and outlines future research directions in this field.

Exposure to negative physical and social factors accelerates brain aging

Nature Medicine, Published online: 21 April 2026; doi:10.1038/s41591-026-04348-z

In a study that included 18,701 people from 34 countries, 73 aggregated physical and social exposomes exhibited nonlinear, synergistic effects that accelerated brain aging. In some cases, these effects were comparable to or stronger than those of mild cognitive impairment and dementia. Environmental inequities might shape brain aging and demand multisectoral and structural policy responses.

AACR 2026: A Video Update from San Diego

The American Association for Cancer Research (AACR) meeting is off and running in San Diego. Julianna LeMieux, PhD, Deputy Editor in Chief at GEN, and Damian Doherty, Editor in Chief at Inside Precision Medicine, are on the ground—in the talks, expo hall, and press room, covering as much of the news as they can. Here, they take a moment to chat about the first few days at the meeting.

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STAT+: BioAge says experimental pill aimed at reducing heart risks significantly reduced inflammation

BioAge Labs said Tuesday that its investigational pill for cardiovascular risk prevention significantly reduced inflammation in an early study, as more drug companies target inflammation as a way to treat a range of chronic conditions.

In a Phase 1 study of people with obesity and elevated inflammation levels, patients taking a 60-milligram dose of the drug, called BGE-102, experienced an 86% reduction in a measure of inflammation called high-sensitivity C-reactive protein (hs-CRP) after three weeks. That’s a similar level of reduction seen in patients who took a higher 120-mg dose in the study, which the company previously reported

Additionally, 87% of patients taking the 60-mg dose achieved hs-CRP levels of less than 2 mg/liter, the threshold thought to be associated with a lower risk of cardiovascular complications.

Continue to STAT+ to read the full story…

Digging for clues about the North Pole’s past

In the past, even with an icebreaker and during peak melt season, getting to the North Pole wasn’t a sure bet. It took favorable winds to crack the frozen ocean surface, and ships had to fight through ice that had grown many meters thick over several winters. In the summer of 2025, though, Jochen Knies from the Arctic University of Norway, Tromsø, and his team met little resistance on their way to 90 degrees North with the research vessel Kronprins Haakon. The geologist “didn’t hear the usual grinding of ice” against the hull that he remembered from 1996, when he first reached the pole by ship. Instead, thin floes and large stretches of open water made for an easy, quiet passage. To him, it was “a reminder of how quickly the Arctic is changing.”

Since the late 1970s, when satellite observations of the polar seas began, summer ice cover of the Arctic Ocean has declined by more than 40%. In less than half a century, a frozen area the size of the Mediterranean Sea has turned into blue open water with the rapid warming of the high northern latitudes. If this trend continues, there could soon be summers at the North Pole with no sea ice whatsoever. The last time this happened may have been some 120,000 years ago. But no one knows for certain.

That’s why Knies and his colleagues, a team of researchers from Norway and Germany, set out from Svalbard to the central Arctic last August. The aim of their five-week mission was to determine whether this region had been ice-free in recent Earth history—and if so, when. As part of a €12.5 million project financed by the European Union, they also came to answer some questions about the future of the Arctic and beyond: How does the loss of sea ice affect the marine ecosystem? What are the consequences for ocean circulation and global climate?

In search of clues, the expedition collected sediment cores up to 22 meters in length at different locations across the Arctic seafloor. Marine sediments are valuable climate archives that give scientists a window into bygone eras. Like diligent record keepers, they can log past water temperatures, sea-ice coverage, and the strength of ocean currents. These data are encrypted in the chemical and physical properties of the plankton remains and weathered rock deposited on the seabed. 

a view down the side of the ship at near water level
The ship’s crew and researchers recover the sediment corer, a 25-meter-long steel pipe that is driven into the seafloor using a top weight of more than three metric tons.
TIM KALVELAGE
the crew in a line with the long pipe hoisted over their shoulder
Together, the scientists pull out long plastic pipes filled with precious deep-sea mud.
TIM KALVELAGE
rows of the cut pipes with plastic syringes inserted at intervals
The pipes are cut into shorter pieces and split in half before being processed in the ship’s laboratories. Each of these one-meter sections covers several tens of thousands of years of Earth’s history.
TIM KALVELAGE

While sediment cores several meters long had been recovered on earlier expeditions in the central Arctic, there is no scientific consensus on how old the deposits actually are or whether sea ice ever completely disappeared in summer. 

To decode the Arctic’s climate archive, Knies brought a team of experts from various disciplines onboard the Kronprins Haakon to dig deeper and obtain fresh samples they could subject to the latest analytical techniques.   

a tray of square samples
Samples await paleomagnetic dating. Like tiny compass needles, iron-rich particles align with Earth’s shifting magnetic field as they settle on the seabed. By measuring their orientation, researchers can estimate the age of the different sediment layers.
TIM KALVELAGE
closeup of hands holding an instrument to a tray under a microscope
Under the microscope, PhD student Paulina Romel picks shells of unicellular foraminifera from a sample. The chemical composition of these microfossils can give clues about the age of the sediment and the surface water temperature when the organisms were still alive. “These are really cool creatures!” says Romel.
TIM KALVELAGE
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Agathe Ollive, a geochemist from the Alfred Wegener Institute in Germany, takes water samples from a CTD rosette, an instrument package that measures conductivity (salinity) and temperature at various depths. She uses certain elements to trace the inflow of fresh water and seawater from rivers and adjacent ocean basins into the Arctic. “I didn’t expect there to be so little ice up here,” Ollive says. She is worried about how the Arctic will look 20 years from now.
TIM KALVELAGE

Some of this work was done while the researchers were still at sea. Now, at their home laboratories, they are finalizing their analysis of the seafloor samples. One important task is dating the sediments, which may be up to 2 million years old. The team uses a combination of methods to do this, including measuring magnetization, the decay of radioactive elements, and the exposure of mineral grains to sunlight before sinking to the depths. Once they can place them on a timeline, the materials in the cores will help researchers paint a picture of what the Arctic Ocean looked like in times that were warmer than today. For example, the presence or absence of the molecule IP25, which is produced exclusively by ice algae, could tell them how far the sea ice receded at a given time. 

a sea bird flies past an iceberg
Toward the end of the expedition, the Kronprins Haakon passes this iceberg near the northeast coast of Greenland.
TIM KALVELAGE

At the end of the study, the team hopes to have data that could improve climate projections for a future ice-free “blue Arctic,” helping us understand how it could affect marine life and carbon storage, Atlantic Ocean circulation, or extreme weather events in Europe and North America. 

Tim Kalvelage is a freelance science reporter based in Bremen, Germany, who focuses on climate, ocean, and polar research. He has been to the North Pole twice.

CRISPR Screens Map Human T‑Cell Genes That Promote or Block HIV Infection

How does HIV, armed with only nine genes, manage to hijack the immune system so effectively? For decades, researchers have known that the virus depends on human proteins to enter, replicate, and persist—yet the full roster of those host factors has remained elusive. One major reason: most HIV studies have relied on immortalized cell lines rather than the primary CD4+ T cells the virus actually infects in the body. As a result, scientists have lacked a comprehensive picture of how real human T cells respond when HIV attacks.

A new study from Gladstone Institutes and the University of California, San Francisco (UCSF), changes that. In the study, titled “Systematic Discovery of Pro- and Anti-HIV Host Factors in Primary Human CD4+ T Cells” and published in Cell, researchers report the first genome‑wide map of human genes that either promote or restrict HIV infection in primary human CD4+ T cells, offering a long‑sought blueprint of the host–virus interface.

“HIV has been a global crisis for over 40 years,” said Alex Marson, MD, PhD, director of the Gladstone‑UCSF Institute of Genomic Immunology and senior author of the study. “By studying human T cells, which are the primary target of the virus, we’ve finally mapped the genes—many of which were previously unknown—that influence whether or not they can be infected by HIV.”

Gladstone Institutes
Scientists in the Marson Lab at Gladstone Institutes have opened a new door to understanding HIV by creating the first genetic roadmap of how the virus interacts with real human cells. [Gladstone Institutes]

Achieving this required overcoming a fundamental technical barrier. “One challenge of using real human T cells for research is they’re very difficult to infect with HIV; out of a whole dish of cells, typically only one or two percent would get infected,” said first author Ujjwal Rathore, PhD. After years of optimization, the team pushed infection rates to roughly 70%, enabling genome‑scale CRISPR perturbations in primary cells for the first time.

With that platform in hand, the researchers performed orthogonal genome‑wide CRISPR activation (CRISPRa) and CRISPR knockout (CRISPRn) screens in CD4+ T cells, systematically testing nearly every human gene. Disrupting genes revealed those HIV depends on, while overactivating genes exposed natural antiviral defenses that HIV normally suppresses. “Over‑activating the genes gave us a wealth of information,” said co–first author Eli Dugan, a PhD candidate in Marson’s lab. “We discovered natural antiviral proteins that were previously invisible because the virus could effectively silence them.”

Across both screens, the team identified hundreds of host factors that shape HIV infection. Among the most striking were two previously unrecognized antiviral proteins: PI16 and PPID (Cyp40). “PI16 interacts with host factors involved in HIV fusion and inhibits viral entry, whereas PPID, a paralog of the proviral cyclophilin CypA, binds capsid and reduces nuclear import of the HIV core,” wrote the authors. Targeted mutagenesis, along with structural modeling and evolutionary analyses, pinpointed residues essential for PPID’s restriction activity, and engineered variants were up to tenfold more potent, according to Dugan.

To test whether these defenses could counter real‑world viral strains, the team collaborated with HIV pioneer Jay Levy, MD, who provided isolates from the early AIDS epidemic. Elevated levels of PI16 or PPID restricted even these aggressive HIV strains.

“This was the first genome‑wide effort to show how human genes affect HIV infection in cells taken directly from human blood samples,” said Nevan Krogan, PhD, director of the HIV Accessory and Regulatory Complexes (HARC) Center. “Our findings could eventually lead to new treatments that help the body’s immune system resist the virus.”

Beyond identifying antiviral factors, the study offers the potential for a powerful new platform for probing HIV latency—the persistent reservoir that evades antiretroviral therapy. “Now, we have the platform to ask the biggest questions in the field,” Rathore said, “and hopefully learn how to eliminate hidden HIV that current drugs can’t reach.”

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