Background Inflammation and immune status are correlated with the severity of major depressive disorder (MDD).The purpose of this study was to establish an optimization model of peripheral blood parameters to predict the severity of MDD. Methods MDD severity in the training and validation cohorts (n = 99 and 97) was classified using the Hamilton Depression Scale, Thirty-eight healthy individuals as controls. Significant severity-associated factors were identified using a multivariate logistic model and combined to develop a joint index through binary logistic regression analysis. The area under the receiver operating characteristic curve (AUC) was used to identify the optimal model and evaluate the discriminative performance of the index. Results In the training cohort, lower CD4+/CD8+ T cell ratio, albumin level, and a higher monocyte percentage (M%) were significant as operating sociated with severe disease (P < 0.05 for all). The index was developed using these factors and calculated as CD4+/CD8+ T cell ratio, albumin level, and M%, with a sensitivity and specificity of 90 and 70%, respectively. The AUC values for the index in the training and validation cohorts were 0.85 and 0.75, respectively, indicating good discriminative performance. Conclusion We identified disease severity-associated joint index that could be easily evaluated: CD4+/CD8+ T cell ratio, albumin level, and M%.

Ho3+/Tm3+ co-doped 50TeO2-25GeO2-3WO3-5La2O3-3Nb2O5-5Li2O-9BaF2 glass fiber is prepared with the rod-tube drawing method of 15 μm core diameter and 125 μm inner cladding diameter applied in the 2.0 μm-infrared laser. The 2.0 μm luminescence properties of the core glass are researched and the fluorescence intensity variation for different Tm3+ doping concentration is systematically analyzed. The results show that the 2.0 μm luminescence of Ho3+ is greatly influenced by the doping concentration ratio of Ho3+ to Tm3+ and that the maximum fluorescence intensity of the core glass can be obtained and its emission cross section can reach 0.933 × 10−21 cm2 when the sensitized proportion of holmium to thulium is 0.3 to 0.7 (mol%). Simultaneously, the maximum phonon energy of the core glass sample is 753 cm−1, which is significantly lower than that of silicate, gallate and germanate glass and the smaller matrix phonon energy can be conductive to the increase 2.0 μm-band emission intensity. The continuous laser with the maximum laser output power of 0.993 W and 2051 nm -wavelength of 31.9%-slope efficiency is output within the 0.5 m glass fiber and the experiment adopts 1560 nm erbium-doped fiber laser(EDFL) as the pump source and the self-built all-fiber laser. Therefore, the glass fiber has excellent laser characteristics and it is suitable for the 2.0 μm-band laser.

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