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ASSESSMENT OF SPATIO-TEMPORAL AND CONTEXTUAL MEMORY IN PATIENTS WITH STROKE 脑卒中患者时空和情境记忆的评估
Pub Date : 2019-05-11 DOI: 10.53555/eijmhs.v5i2.72
François Bakou Niangoran, E. Atayi, Adou Kobenan Fieni, A. Ba
Background: This study aimed to assess eventual disturbances of spatio-temporal end contextual memory in patient with stroke in order to better grasp these patient’s attitudes so as to track their neuropsychological accompaniments.  Method: fifty-five (55) patients with stroke, after having traveled a loop, had to recognize among 27 pictures of the CHU of Cocody (Cote d’Ivoire) those belonging to the previously traveled path in the company of the experimenter. The pictures were presented to the participants. The participants had to say if "yes" or "no" the pictures presented belongs to the previously traveled path in the company of the experimenter. Then the photographs are presented by pair to the subject who is required to give the exact order of the photographs as seen on the route traveled. Results: When recognizing pictures with order effect, we found a significant difference (F (46) = 12.45, p = 0.0010) between the number of exact responses given by patients with stroke and that given by healthy controls subjects. Conclusion:  patients with stroke were deficient in establishing the chronological order of succession of views
背景:本研究旨在评估脑卒中患者时空末端情境记忆的最终障碍,以便更好地掌握这些患者的态度,从而跟踪其神经心理伴随症状。方法:55(55)例中风患者,在走了一圈后,必须在实验者的陪同下,从科科迪(科特迪瓦)的27张CHU照片中识别出那些属于先前走过的路径。这些照片被呈现给了参与者。参与者必须回答“是”或“否”,所呈现的图片属于在实验者陪同下之前走过的路径。然后,这些照片成对地呈现给被试者,被试者被要求给出照片在行进路线上的准确顺序。结果:在顺序效应图像识别中,脑卒中患者给出的准确应答数与健康对照有显著性差异(F (46) = 12.45, p = 0.0010)。结论:脑卒中患者在建立观点继承的时间顺序上存在缺陷
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引用次数: 0
EFFECT OF PSYCHOLOGICAL IMPLICATIONS ON LIFE STYLE FOR DIFFERENT AMOUNT OF DEVIATION FOR EXOTROPIA 外斜视不同斜度对生活方式的心理影响
Pub Date : 2019-05-10 DOI: 10.53555/eijmhs.v5i2.71
P. Chowdhury, B. Shah, N. Tiwari
 Purpose: The aim of the present study is to compare the effect of Psychological Implications in different amount ofdeviations in Exotropia.Methods: Prospective, Cross sectional and observational study was performed at tertiary eye care centers. Subjects withOcular deviation between 10 to 40 prism diopters, Corrected distance Visual Acuity should be greater than 6/18 and Ageshould be between 10 to 40 years of age were included in the study. Questionnaire was prepared on the effect ofPsychological Implications on the Life style in presence of Ocular deviation. Response score of the subjects were notedand Mean score of the responses were compared in different amounts of deviation. Data was analyzed using SPSS softwareversion 20.Results: 50 subjects were included in the study. Out of that, 28 subjects were included in 11-20 age group, 18 subjects in21-30 and 4 subjects were in the age group of 31-40 years. 54% subjects were Females and 46% were Males. Comparisonof mean score of Questions on Psychological Implications for different amount of deviation for Exotropia was analyzedand it shows that with increasing amount of Ocular deviation, Psychological Implications hampers more.Conclusions:In the ocular deviation of Exotropia, as the amount of ocular deviation increases, Psychological Implications hampersproportionately    
目的:本研究的目的是比较心理暗示对不同程度的外斜视的影响。方法:在三级眼科保健中心进行前瞻性、横断面和观察性研究。视力偏差在棱镜屈光度10 - 40之间,矫正距离视力大于6/18,年龄在10 - 40岁之间的受试者纳入研究。编制了一份调查问卷,调查心理因素对斜视患者生活方式的影响。记录被试的反应得分,并比较不同偏差的平均得分。数据采用SPSS软件20进行分析。结果:50名受试者被纳入研究。其中11-20岁年龄组28例,21-30岁年龄组18例,31-40岁年龄组4例。女性占54%,男性占46%。对不同眼偏度的外斜视心理暗示问题的平均分进行了分析,结果表明,随着眼偏度的增加,心理暗示对外斜视的影响更大。结论:在外斜视的眼偏中,随着眼偏量的增加,心理影响成比例地受到阻碍
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引用次数: 0
EFFECT OF COLOUR VISION IN MACULAR HOLE 黄斑孔色觉的影响
Pub Date : 2019-05-08 DOI: 10.53555/eijmhs.v5i2.70
P. Chowdhury, B. Shah, N. Tiwari
Purpose:- The aim of the study is to analyse the effect on Colour Vision in cases of Macular Hole Methodology:- Prospective cross sectional study was performed at tertiary eye care centers within the period of 2.5 years. Screening was done and subjects were taken to tertiary eye care centers for further evaluation. Subjects with macular hole were included and visual functions along with slit lamp evaluation and fundus evaluation were performed. Colour Vision was assessed with PV 16 colour vision Test. Data was analyzed using SPSS software version 20 and Microsoft Office Excel version 10. Results:- 58 subjects were included in the study. Out of that 71 % were males and 29% were Females. Colour vision was assessed and it is found that only 16 % of subjects were having normal colour vision while 62 % of subjects were having Mild Tritanopia and 22% of subjects will develop Moderate Tritanopia. Conclusion:- Mild to Moderate Tritanopia develops in cases of Macular whole.
目的:-本研究的目的是分析黄斑裂孔病例对色视觉的影响。方法:-前瞻性横断面研究在三级眼科保健中心进行,为期2.5年。筛查完成后,受试者被带到三级眼科护理中心进行进一步评估。纳入有黄斑裂孔的受试者,进行视功能、裂隙灯评价和眼底评价。采用ppv16色觉测试评估色觉。数据分析采用SPSS软件20版和Microsoft Office Excel软件10版。结果:58名受试者被纳入研究。其中71%是男性,29%是女性。对色觉进行了评估,发现只有16%的受试者具有正常的色觉,而62%的受试者患有轻度三色视,22%的受试者将发展为中度三色视。结论:整体黄斑出现轻至中度三色盲。
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引用次数: 0
STATISTICAL ANALYSIS OF MOBILE RADIATION AND IMPACT ON HEALTH: A CASE STUDY ON OCCURRENCE OF BRAIN TUMORS 移动辐射的统计分析及其对健康的影响:以脑肿瘤的发生为例
Pub Date : 2019-05-06 DOI: 10.53555/eijmhs.v5i2.69
PrisillaJayanthi, V. M. Iyyanki
The mobile radiation seems to be severe among children than the adults because their skulls are tiny and thinner. Mobile phones emit radiations and RF-EMF is considered as a Group 2B (carcinogen) and the survey suggests that 10-year latency period is practically enough for the development of tumors. The studies from various groups involve cases of 35487 and controls about 82609. The results for meta- analysis of glioma gave an odd ratio OR=1.10, 95% CI=0.79-1.54 and for the latency period ≥10 years, OR=1.38, 95% CI=0.70-2.73. The highest risk was found in the age group below 20 years from the Hardell Group.
儿童受到的移动辐射似乎比成人严重,因为他们的头骨又小又薄。手机的辐射和RF-EMF被认为是2B类(致癌物),调查结果表明,10年的潜伏期实际上足以导致肿瘤的发展。来自不同群体的研究涉及35487例病例和82609例对照。神经胶质瘤的meta分析结果为奇数比OR=1.10, 95% CI=0.79-1.54,潜伏期≥10年,OR=1.38, 95% CI=0.70-2.73。风险最高的是来自哈德尔集团的20岁以下的年龄组。
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引用次数: 0
VANCOMYCIN RESISTANT ENTEROCOCCUS FAECALIS AMONG APPARENTLY HEALTHY POPULATION IN KHARTOUM LOCALITY 2017 喀土穆地区表面健康人群中耐万古霉素粪肠球菌的调查
Pub Date : 2019-05-02 DOI: 10.53555/eijmhs.v5i2.68
Mogadam Baher Eldin Mogadam, Mustafa EM Yassin
Background: Enterococcus faecalis belong to the normal bacterial flora of the gastrointestinal tract of human. Vancomycin resistant Enterococcus faecalis is due to the synthesis of modified cell wall precursors that show a decreased affinity for glycopeptides. The aim of this study was to detect the Vancomycin Resistant Enterococcus faecalis among apparently healthy Population in Khartoum locality, Sudan. Materials and Methods: Three hundred and eighty five faecal specimens were collected from apparently healthy population, isolated and identified of E. faecalis by using routine methods. The susceptibility pattern of the E. faecalis to Vancomycin antibiotic was determined by using Kerby, s Pauer disk diffusion method. Results: Out of 385 studied specimens, 87(22.6%) of E. faecalis was isolated. The isolated strains of E. faecalis showed highly resistance to Vancomycin (14.9%). Conclusions: The present of Enterococcus faecalis among apparently healthy and have high rate of antibiotic resistant
背景:粪肠球菌属于人类胃肠道正常菌群。对万古霉素耐药的粪肠球菌是由于合成了对糖肽亲和力降低的修饰细胞壁前体。本研究的目的是在苏丹喀土穆地区表面健康人群中检测耐万古霉素粪肠球菌。材料与方法:从健康人群中采集粪便标本385份,采用常规方法分离鉴定粪肠球菌。采用Kerby, s Pauer纸片扩散法测定粪肠球菌对万古霉素的药敏模式。结果:385份标本中分离出粪肠球菌87份(22.6%)。分离菌株对万古霉素呈高度耐药(14.9%);结论:粪肠球菌在健康人群中存在,耐药率高
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引用次数: 0
SOCIAL AND FINANCIAL DIFFICULTIES OF CAREGIVERS FOR CHILDREN DIAGNOSED WITH AUTISM 孤独症儿童照料者的社会和经济困难
Pub Date : 2019-04-02 DOI: 10.53555/eijmhs.v5i2.67
S. Alsuhaibani
Background: Autism Spectrum Disorder (ASD) is one of the most widely spread developmental disorders that has raised an urgent public health concern. Regardless of advances in modern technology and research studies there is more to the disorder to be considered in the endeavor of finding the cause and treatment. This study focuses on the caregiver’s aspect of the problem. The quality of life for caregivers of children with an ASD is very crucial for developing their children’s full potential.  Method: Forty-five participants (n=45) were recruited from the Southeastern Pennsylvania Autism Resource Center (SPARC), the Autism Society of America – Greater Philadelphia Chapter, and Autism Alliances to voluntarily contribute to an online survey assessing the social and financial difficulties/burdens that are facing caregivers of children with an ASD Results: Caregivers of children with ASD are facing tremendous financial and social burdens. No statistical difference in financial (U=24.0, z=-0.1, p=.340) or social burden (U=26.5, z=-0.8, p=.420) between caregivers having one vs. one or more children diagnosed with an ASD.   No statistical difference in financial (t=-1.1, p=.270) or social burden (t=-0.3, p=.764) among caregivers who had one child vs. more than one child Conclusion: Findings suggest an urgent need for health administrators to advocate to find solutions to the financial and social difficulties facing caregivers who have children with autism.
背景:自闭症谱系障碍(ASD)是最广泛传播的发育障碍之一,已经引起了迫切的公共卫生关注。尽管现代技术和研究取得了进步,但在寻找病因和治疗方法的过程中,仍有更多的问题需要考虑。这项研究的重点是照顾者方面的问题。自闭症儿童看护人的生活质量对于开发孩子的全部潜能至关重要。方法:从宾夕法尼亚州东南部自闭症资源中心(SPARC)、美国自闭症协会大费城分会和自闭症联盟招募了45名参与者(n=45),自愿参与一项评估自闭症儿童照顾者面临的社会和经济困难/负担的在线调查。结果:自闭症儿童的照顾者面临巨大的经济和社会负担。有一个或多个儿童被诊断为ASD的照顾者在经济负担(U=24.0, z=-0.1, p= 0.340)或社会负担(U=26.5, z=-0.8, p= 0.420)方面没有统计学差异。育有一个孩子的照顾者与育有多个孩子的照顾者在经济负担(t=-1.1, p= 0.270)和社会负担(t=-0.3, p=.764)方面无统计学差异。结论:研究结果表明,卫生管理人员迫切需要倡导寻找解决育有自闭症儿童的照顾者面临的经济和社会困难的方法。
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引用次数: 0
PARALLELS BETWEEN THE TREE-PATTERN ARCHITECTURE OF BRAIN AND MIND ACTIVITY IN THE ULTRONLOGOTRON THEORY AND THE OPERATIONAL ARCHITECTONICS OF BRAIN-MIND RELATION IN THE QUANTITATIVE ELECTROENCEPHALOGRAPHY STUDY: A VIEW OF INTERACTION BETWEEN SELF AND BRA 超脑电理论中脑-心活动的树形结构与脑电图定量研究中脑-心关系的操作结构的相似之处:自我与胸罩相互作用的观点
Pub Date : 2019-03-06 DOI: 10.53555/eijmhs.v5i1.66
Sung Jang Chung
The relationship among self, mind and brain is not clearly known. Self's subjective experience of perception and cognition of words, feeling, thoughts etc. is supported by the integrity of human brain. The relationship between the self and human brain activity is not explicitly understood. Recent experimental evidence suggests that the neural correlate of consciousness is located in certain parts of the cortico-thalamic system. However, it is not clearly known specifically which parts of the human brain are involved in the human cognitive activity. Functional magnetic resonance imaging (fMRI) and quantitative electroencephalography (qEEG) have been used in the study of normalcy, psychiatric disorders and brain injuries. FMRI and qEEG are applied in diagnosis and clinical drug treatment of psychiatric disorders and brain injuries. In this study, the author analyzed results of published articles related to the above descried fields to find the relationship among self, mind and brain, and proposed the mechanism involved in the self, mind and brain in normalcy, psychiatric disorders and brain injuries, and further the interaction between self and brain. Results of analysis reveal remarkable parallels between the author's tree-pattern architecture of brain and mind activity in the ultron-logotoron theory (ULT) and the operational architectonics (OA) of brain-mind relation in qEEG study reported by Fingelkurts and his coworkers.
自我、意识和大脑之间的关系尚不清楚。自我对言语、感觉、思想等的主观感知和认知经验,是由人类大脑的完整性所支持的。自我和人类大脑活动之间的关系还没有得到明确的理解。最近的实验证据表明,意识的神经关联位于皮质-丘脑系统的某些部分。然而,人类大脑的哪些部分参与了人类的认知活动,目前还不清楚。功能磁共振成像(fMRI)和定量脑电图(qEEG)已被用于正常、精神障碍和脑损伤的研究。FMRI和qEEG在精神疾病和脑损伤的诊断和临床药物治疗中有广泛的应用。在本研究中,作者通过分析上述领域的相关论文结果,寻找自我、心智和大脑之间的关系,提出自我、心智和大脑在正常、精神障碍和脑损伤中的作用机制,并进一步探讨自我和大脑之间的相互作用。分析结果表明,作者在超视理论(ultra -logotoron theory, ULT)中提出的脑与思维活动的树形结构与Fingelkurts及其同事在qEEG研究中提出的脑-思维关系的操作结构(operational architecture, OA)具有显著的相似之处。
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引用次数: 0
IMPACT OF BODY WEIGHT SUPPORT TREADMILL TRAINING ON GAIT RECOVERY OF INDIVIDUALS WITH STROKE 体重支撑跑步机训练对中风患者步态恢复的影响
Pub Date : 2019-03-04 DOI: 10.53555/eijmhs.v5i1.65
Kholood M Shalabi
Background: Restoration of independent gait in stroke patients is an essential part of the rehabilitation process, and is crucial for successful social and vocational reintegration. Gait restoration requires different techniques, and often demands considerable assistance from the therapist to help the subject support body weight and control balance. Considering that ground  level is the most common locomotion surface, and that there is little information about  individuals with stroke walking with body weight support treadmill training (BWSTT), it is  important to investigate the use of BWSTT on ground level in these individuals to improve gait recovery. Methods: Sixty-nine subjects were assigned to this experiment, of which twenty-six were normal subjects and forty-three were stroke subjects, who were randomly divided into two groups; twenty-one subjects for the control group, and twenty-two subjects for the experimental group. The control group underwent regular rehabilitation care plus conventional gait training, while the experimental group underwent regular rehabilitation care plus BWSTT.  Measurements were recorded for mean sagittal kinematics values, spatial-temporal values, and FIM™ locomotion Results: BWSTT proved superior to conventional gait training in sub-acute stroke subjects, resulting in better locomotor abilities. The use of BWSTT leads to significant improvements for most sagittal kinematics, spatial-temporal and all FIM™ locomotion measurements. Conclusion: The BWSTT system enabled individuals with stroke to walk safely and without physical assistance. The positive results of training by the use of body weight support on a treadmill could be due to a task-oriented type of training.
背景:脑卒中患者独立步态的恢复是康复过程的重要组成部分,也是成功重返社会和职业的关键。步态恢复需要不同的技术,通常需要治疗师的大量协助,以帮助受试者支撑体重和控制平衡。考虑到地面是最常见的运动面,而关于脑卒中患者在地面行走时进行体重支撑跑步机训练(BWSTT)的信息很少,因此研究在这些患者中使用BWSTT来改善步态恢复是很重要的。方法:实验共69例,其中正常人26例,脑卒中患者43例,随机分为两组;对照组21人,实验组22人。对照组采用常规康复护理加常规步态训练,实验组采用常规康复护理加BWSTT。测量记录了平均矢状位运动学值、时空值和FIM™运动结果:BWSTT证明优于常规步态训练在亚急性卒中受试者中,产生更好的运动能力。使用BWSTT可以显著改善大多数矢状位运动学,时空和所有FIM™运动测量。结论:BWSTT系统使中风患者能够在没有身体辅助的情况下安全行走。在跑步机上使用体重支撑训练的积极结果可能是由于任务导向的训练类型。
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引用次数: 0
ANALYSIS OF HEALTH CARE RESOURCES CONCENTRATION IN POLAND 波兰卫生保健资源集中分析
Pub Date : 2019-02-28 DOI: 10.53555/eijmhs.v5i1.63
Justyna Rój
The aim of this study is to measure the concentration level of health care resources such as the doctors, nurses with midwives, outpatient entities and general hospital beds in Poland. It will also allow to identify inequities to access to these resources and thus also to health care services. The Herfindahl-Hirschman Index (HHI) was employed to measure the concentration level of the health care resources in Poland. The data for these health care resources spanning all Poland for the period of 2013-2017 were collected. The concentration of health care resources was measured in each of the 16 voivodeships in Poland based on the aggregated data at the powiat level. This approach arises from the limitation in the availability of data, which was collected from the public statistical system. The HHI indices support the assertion that in the period of analysis the entire general hospital beds, doctors and nurses with midwives sectors in Poland have been at average moderately concentrated and thus moderately competitive with the growing tendency to higher concentration and less competitive. The sector of outpatient’s entities appeared to be mainly unconcentrated. Moreover, the concentration of all health care resources is diversified across the voivodeships of Poland and it is quite uneven, which can limit the access to health care services.
本研究的目的是衡量卫生保健资源的集中程度,如医生,护士与助产士,门诊实体和一般医院的床位在波兰。它还将有助于查明在获得这些资源以及保健服务方面存在的不平等现象。采用赫芬达尔-赫希曼指数(HHI)来衡量波兰卫生保健资源的集中程度。收集了2013-2017年波兰全国卫生保健资源的数据。根据省一级的汇总数据,对波兰16个省的卫生保健资源集中程度进行了衡量。采用这种方法的原因是数据的可得性有限,这些数据是从公共统计系统收集的。卫生保健指数支持这样一种说法,即在分析期间,波兰的整个普通医院病床、医生和护士以及助产士部门平均适度集中,因此具有适度的竞争力,但越来越趋向于高度集中,竞争力减弱。门诊实体部门似乎主要是不集中的。此外,所有保健资源在波兰各省的集中是多样化的,而且相当不均衡,这可能限制获得保健服务的机会。
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引用次数: 0
A CASE OF THIN BASEMENT MEMBRANE NEPHROPATHY NOT UNCOMMON BUT REMAINS A DISEASE OF UNDERDIAGNOSIS: CLINICO-PATHOLOGICAL STUDY OF HEMATURIA WITH PAIN ABDOMEN IN A YOUNG MALE 薄基底膜肾病并不罕见,但仍是一种诊断不足的疾病:年轻男性血尿伴腹痛的临床病理研究
Pub Date : 2019-02-06 DOI: 10.53555/eijmhs.v5i1.62
R. Kumar, H. Sharma, A. Singh, Alok Sharma, G. Prakash, Saurabh Kumar
We report a case of a 14 year old male who presented with lower abdominal pain and passing grossly red urine intermittently for 20 days, having no history of sore throat, skin lesions,blurring of vision, hearing loss and similar family history.A full serology and urology workup was negative for any abnormality. Kidney biopsy revealed uniform thin and slender appearing GBM without any other structural abnormality.Though Immunohistochemistry (IHC) and genetic analysis were not done, a diagnosis of thin basement membrane nephropathy (TBMN), a genetically benign hematuria without kidney failure progression is made. Skin biopsy histopathological examination also revealed finding of thin basement membrane this needs to be differentiated from Alport’s syndrome (AS) which has worse prognosis. Probably this is the first case reported from India with descriptive investigations and findings. Due to rarity of this disease and non-availability of laboratory facility especially for kidney biopsy examination, diagnosis is often missed or delayed at primary health care centers especially when no associated proteinuria has yet developed. 
我们报告一个14岁男性的病例,他表现为下腹部疼痛,间歇性地通过严重的红色尿液20天,没有喉咙痛,皮肤病变,视力模糊,听力丧失和类似的家族史。血清学和泌尿学检查均未发现异常。肾活检显示均匀薄而细长的GBM,未见其他结构异常。虽然没有进行免疫组化(IHC)和遗传分析,但诊断为基底膜薄肾病(TBMN),遗传良性血尿,没有肾衰竭进展。皮肤活检病理检查也发现基底膜薄,需与预后较差的Alport综合征(AS)鉴别。这可能是印度报告的第一例具有描述性调查和结果的病例。由于这种疾病的罕见性和缺乏实验室设施,特别是肾脏活检检查,初级卫生保健中心的诊断经常被遗漏或延误,特别是在尚未发生相关蛋白尿的情况下。
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引用次数: 0
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EPH - International Journal of Medical and Health Science
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