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Incidence of Diabetes Mellitus Type II and Pre-Diabetes among Hand Nerves Entrapment Neuropathy Patients: Epidemiological Study 手神经卡压性神经病患者糖尿病II型和糖尿病前期的发病率:流行病学研究
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.9.604
Naglaa A. Hussein, M. Bartels, Mark G. Thomas, David Z. Prince
Objective: Measure the incidence of Diabetes Mellitus (DM)/pre-diabetes among patients with hand nerves entrapment syndromes. Design: Prospective cross sectional. Settings: Outpatient. Participants: 412 patients presented with unilateral or bilateral hand numbness suspecting Carpal Tunnel Syndrome (CTS). Exclusion criteria: Cervical spine or hand trauma history, nerve injury history. Interventions: Each patient was subjected to the following; demographic data including occupation, body mass index, detailed medical history including DM history. Neck exam including Spurling test. Full neurological exam. Main outcome measures: Upper extremities Nerve conduction studies and electromyography of segment pointing muscles. Laboratory testing including glycosylated hemoglobin (HgA1c), liver and kidney functions. Cervical spine MRI if possible. Results: Mean age 59.4 ± 11.123. All patients were right-handed, Male 37.1%, female 62.9%, Mean body mass index (BMI) 32.2 ± 8.2. majority were manual workers (55.1%). HgA1c <5.5 has the fewest patients (7.3%), highest number of patients with HgA1c 5.5-6.0. significant relation between HgA1c categories and sensory CTS p=0.001 and sensory motor CTS p=0.001. No significant relation between HgA1c categories and demyelinating pathology p=0.123 but significant with demyelinating axonal pathology p=0.017. Significant relation between HgA1c and Guyon canal syndrome p=0.001 and polyneuropathy p=0.001. No significance between HgA1c and cervical radiculopathy p=0321. Conclusions: High incidence of DM and pre-diabetes among patients with hand nerve entrapment: CTS, Guyon syndrome together with polyneuropathy. EN may be the earliest neurophysiological abnormalities in DM, particularly in the upper limbs, even in the absence of a generalized polyneuropathy, or it may be superimposed on a generalized diabetic neuropathy. Due to the metabolic alterations consequent to abnormal glucose metabolism, the peripheral nerves show both functional impairment and structural changes, even in the preclinical stage, making them more prone to entrapment in anatomically constrained channels.
目的:了解手神经卡压综合征患者糖尿病(DM)/糖尿病前期的发病率。设计:前瞻性横断面。设置:门诊。参与者:412例单侧或双侧手部麻木怀疑腕管综合征(CTS)的患者。排除标准:颈椎或手部外伤史,神经损伤史。干预措施:每位患者接受以下治疗;人口统计资料,包括职业、身体质量指数、详细病史,包括糖尿病史。颈部检查包括斯普林试验。全面的神经学检查。主要观察指标:上肢神经传导及节段指向肌肌电图。实验室检查包括糖化血红蛋白(HgA1c)、肝肾功能。如果可能的话,颈椎MRI。结果:平均年龄59.4±11.123岁。所有患者均为右撇子,男性37.1%,女性62.9%,平均体重指数(BMI) 32.2±8.2。体力劳动者居多(55.1%)。HgA1c <5.5的患者最少(7.3%),HgA1c 5.5 ~ 6.0的患者最多。HgA1c分类与感觉CTS和感觉运动CTS有显著相关性p=0.001。HgA1c分型与脱髓鞘病理无显著相关性(p=0.123),与脱髓鞘轴突病理有显著相关性(p=0.017)。HgA1c与Guyon管综合征p=0.001、多神经病变p=0.001有显著相关性。HgA1c与颈神经根病无显著关系p=0321。结论:手神经卡压患者中糖尿病和糖尿病前期的发生率较高:CTS、Guyon综合征合并多神经病变。EN可能是DM中最早的神经生理异常,特别是在上肢,即使没有全身性多神经病变,也可能叠加在全身性糖尿病神经病变上。由于糖代谢异常引起的代谢改变,即使在临床前阶段,周围神经也表现出功能损伤和结构改变,使它们更容易被困在解剖受限的通道中。
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引用次数: 0
Sustaining Good Mental Health in the Face of Health and Political Crisis 面对健康和政治危机,保持良好的精神健康
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.9.595
A. Weinberg
Good mental health should be free to all. However, the many factors that contribute to our daily and longer-term psychological well-being are rarely constant and where we need support finances are often a consideration, whether our own or those of the health services on offer. Furthermore, access to positive experiences of mental health is governed by a host of everyday and dispositional variables, over which we have limited control. This is certainly true of the workplace as elsewhere and the last decade has seen unprecedented progress in developing national strategies around the world to support mental health at work. However, in times of change and uncertainty, risks to psychological well-being increase and so this has proved during the waves of fear and loss during the COVID-19 pandemic, further fuelled by anxieties accompanying economic and political tensions and highlighted through inequalities, poverty and protest. This commentary considers the role of appropriate guidance for workplaces in relation to the mental health of employees, taking the UK as a case study example in times of economic and political challenge (e.g. Brexit) as well as the health emergency shared by all.
良好的心理健康应该对所有人免费。然而,促进我们日常和长期心理健康的许多因素很少是恒定的,我们需要财政支持的地方往往是一个考虑因素,无论是我们自己的还是所提供的保健服务。此外,获得积极的心理健康体验是由许多日常和性格变量决定的,我们对这些变量的控制有限。与其他地方一样,工作场所也是如此。过去十年,世界各地在制定支持工作场所精神卫生的国家战略方面取得了前所未有的进展。然而,在变化和不确定的时期,心理健康面临的风险会增加,在2019冠状病毒病大流行期间的恐惧和损失浪潮中就证明了这一点,伴随着经济和政治紧张局势的焦虑进一步加剧了这一点,并通过不平等、贫困和抗议凸显出来。本评论考虑了工作场所在员工心理健康方面的适当指导作用,以英国为例,在经济和政治挑战时期(例如英国脱欧)以及所有人共同面临的卫生紧急情况。
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引用次数: 0
Current Problems of Diagnostics and Treatment of Purulent-Inflammatory Diseases and Sepsis in Medical Practice 脓性炎性疾病和脓毒症在医疗实践中的诊断与治疗现状
Pub Date : 2021-01-01 DOI: 10.4236/IJCM.2021.123011
L. Ostapiuk, A. Voloshinovskii, V. Savchyn, Nataliia Tuziyk, Taras Маlui
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引用次数: 3
Outcome Measures for Motor impairments in Pediatric Attention Deficit Hyperactivity Disorder: A Scoping Review 儿童注意缺陷多动障碍中运动障碍的结果测量:范围综述
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.9.583
Rucha Gadgil, Arwa Kotwal, Isha S. Akulwar
Background: Attention-deficit hyperactivity disorder is identified as a neurobehavioral disorder characterizing inattention, hyperactivity, impulsivity and functional impairment. Motor impairments are rarely part of assessments and typically not treated in ADHD. The outcome measures used for motor impairments lack consensus, limiting a uniform approach to rehabilitation. Therefore, a review of the literature to underline and verify outcome measures for motor impairments in ADHD in the pediatric population is needed. Methodology: A scoping review was conducted following the PRISMA-Sr guidelines to assess and categorize outcome measures used for motor impairments in the pediatric ADHD population. Pubmed Central, Embase, and the Cochrane Library were searched for publications between 2009-2019 that reported on Motor impairments in pediatric ADHD and mentioned related outcome measures. The data are presented using a ‘narrative review’ or descriptive analysis of the contextual or process-oriented data and simple quantitative analysis using descriptive statistics. Results: 22 studies were included: 4 randomized controlled trials, 11 observational studies, and 7 experimental studies. The outcome measures found in the studies showed a divided application with no uniformity in their use as a prognostic or diagnostic measure. Conclusion: This review highlights the lack of uniformity in the outcome measures used for motor impairments in pediatric ADHD.
背景:注意缺陷多动障碍是一种以注意力不集中、多动、冲动和功能障碍为特征的神经行为障碍。运动障碍很少是评估的一部分,通常不治疗多动症。用于运动障碍的结果测量缺乏共识,限制了统一的康复方法。因此,需要对文献进行回顾,以强调和验证小儿ADHD人群中运动障碍的结果测量。方法:根据PRISMA-Sr指南进行范围审查,以评估和分类用于儿童ADHD人群运动障碍的结果测量。Pubmed Central、Embase和Cochrane图书馆检索了2009-2019年期间报告儿童ADHD运动障碍并提到相关结果测量的出版物。数据使用“叙述性回顾”或对上下文或面向过程的数据进行描述性分析,并使用描述性统计进行简单的定量分析。结果:共纳入22项研究:随机对照研究4项,观察性研究11项,实验性研究7项。在研究中发现的结果测量显示,作为预后或诊断测量,它们的应用是分散的,没有一致性。结论:这篇综述强调了小儿多动症运动障碍的结果测量缺乏一致性。
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引用次数: 0
Safe Physiotherapy Practice During Covid-19 Pandemic-A Compilation of Guidelines and Recommendation from Different Organisation Covid-19大流行期间的安全物理治疗实践-不同组织的指南和建议汇编
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.S6.007
P. Bastola
Corona virus disease 2019 (COVID-19) has spread quickly around the world, and WHO categorized it as a pandemic in March, 2020. In India more than one million people have been infected with corona virus disease till date. In this situation, the entire healthcare system and healthcare staff need to respond in a very short time to an exponential growth of the number of COVID-19 patients. The SARS-CoV-2 virus is transmitted from person to person by large droplets from infected person by coughing, sneezing or rhino-rhea. An approximate distance of 2 meters is needed to protect from these droplets. SARS-CoV-2 similar to the other corona virus family which remains on the surface of objects for variable periods of time (at least 24 hours on hard surfaces and up to 8 hours on soft surfaces). Healthy people may get infected with this virus through touching the mouth, nose, or eyes with a contaminated hand. Infected droplets which were created during a sneeze or cough persist in the air for about 3 hours. It also reaffirms Standard Precautions as the foundation for preventing transmission of infectious agents during patient care in all healthcare settings by compiling different guidelines/ recommendation of various organizations and institutions published recently.
2019冠状病毒病(COVID-19)在全球迅速传播,世卫组织于2020年3月将其归类为大流行。迄今为止,印度已有100多万人感染了冠状病毒病。在这种情况下,整个医疗保健系统和医护人员需要在很短的时间内应对COVID-19患者数量的指数级增长。SARS-CoV-2病毒通过感染者的咳嗽、打喷嚏或鼻漏等大飞沫在人与人之间传播。需要大约2米的距离来保护这些液滴。SARS-CoV-2与其他冠状病毒家族相似,可在物体表面停留不同的时间(在坚硬表面上至少24小时,在柔软表面上长达8小时)。健康人可能通过用被污染的手接触口、鼻或眼睛而感染这种病毒。打喷嚏或咳嗽时产生的受感染飞沫在空气中持续约3小时。它还重申《标准预防措施》是在所有卫生保健环境中通过汇编最近出版的各种组织和机构的不同指南/建议来预防患者护理期间传染原的基础。
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引用次数: 0
Whole-Body Vibration Exercise as a Clinical Intervention to Counterbalance Effects of the Sedentary Behavior: Mini Review 全身振动运动作为一种临床干预来抵消久坐行为的影响:综述
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.S5.001
D. Sá-Caputo, A. C. Coelho-Oliveira, Marcia Cristina Moura Fern, es, L. F. Ferreira-Souza, M. Bernardo-Filho
Sedentary Behavior (SB) is defined as the time spent engaged in sitting or lying down activities that require an energy expenditure of 1.0 or Lower Basal Metabolic Rates (METS). SB is associated with deleterious health outcomes and along with the time it has been considered a strong risk factor for cardiometabolic diseases. SB is associated with increased body mass, blood pressure, metabolic dysfunction, and chronic disease in general. SB may exacerbate the loss of muscle mass and strength, found that among healthy adults or adults with chronic pain. SB is also linked with numerous adverse mental, poor body composition, and Quality of Life (QOL). Reducing SB may be feasible through interventions that target sedentary behavior and physical activity. Considering the effects of the Whole-Body Vibration (WBV) exercise, this type of physical exercise might be an intervention to counterbalance some consequences of the SB. Considering the biological effects of the WBV exercises, this mini review aims to present scientific shreds of evidence that this kind of exercise might counterbalance some negative effects of the SB related to the pain, muscle strength and function, mental conditions, body composition, and QOL. The results suggest that WBV exercise can be a feasible and efficient exercise intervention for the management of individuals with SB. In conclusion, there are findings that WBV exercise seems a clinical intervention to counterbalance the effects of SB, because have been demonstrated potential benefits of vibration stimulus on muscular endurance improvement and pain level reduction, improvements in muscle function, body composition, QOL, and neurological conditions for individuals living with the SB.
久坐行为(SB)被定义为需要1.0或更低基础代谢率(METS)的能量消耗的坐着或躺着的活动所花费的时间。SB与有害的健康结果有关,随着时间的推移,它被认为是心脏代谢疾病的一个强大的危险因素。SB通常与体重增加、血压升高、代谢功能障碍和慢性疾病有关。研究发现,在健康成人或患有慢性疼痛的成人中,SB可能会加剧肌肉质量和力量的损失。SB还与许多不良的精神、不良的身体成分和生活质量(QOL)有关。通过针对久坐行为和身体活动的干预措施,减少SB可能是可行的。考虑到全身振动(WBV)运动的影响,这种类型的体育锻炼可能是一种抵消SB的某些后果的干预措施。考虑到WBV运动的生物学效应,这篇小综述旨在提供科学证据,证明这种运动可能抵消SB的一些负面影响,包括疼痛、肌肉力量和功能、精神状况、身体成分和生活质量。综上所述,研究结果显示,振动刺激在改善肌肉耐力、减轻疼痛水平、改善肌肉功能、改善身体成分、改善生活质量、改善健康状况等方面具有潜在的益处,因此,腰腹运动似乎是一种平衡腰椎间盘突出症影响的临床干预措施。以及SB患者的神经系统疾病。
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引用次数: 0
Incidence of Diabetes Mellitus Type II and Pre-Diabetes among Shoulder Impingement Syndrome Patients and Related Modifying Factors: Epidemiological Study 肩撞击综合征患者糖尿病II型及前驱糖尿病发病率及相关影响因素的流行病学研究
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.9.605
Naglaa A. Hussein, M. Bartels, Mark G. Thomas, David Z. Prince
Objective: Measure the incidence of Diabetes Mellitus (DM) among patients with shoulder impingement syndrome and the factors that can modify that disease. Design: Prospective. Settings: Outpatient. Participants: 412 patients presented with unilateral or bilateral shoulder pain suspecting shoulder impingement neuromuscular diseases, or syndrome. Exclusion criteria: Those having manifestations suggesting of cervical radiculopathy, shoulder trauma history. Interventions: Each patient was subjected to the following; demographic data including occupation, body mass index, detailed medical history including DM history. Shoulder exam including impingement provocative tests; Hawkin test, Neer’s sign. Neck exam including Spurling test. Full neurological exam. Main outcome measures: Laboratory testing including glycosylated hemoglobin (HgA1c), liver and kidney functions. Shoulder MRI if possible. Results: Mean age 59.4 ± 11.123. All patients were right-handed, Male 37.1%, female 62.9%, Mean body mass index (BMI) 32.2 ± 8.2. Majority were manual workers (55.1%). No significant relationship between shoulder impingement sex but significant with BMI and age. HgA1c <5.5 has the fewest patients (7.3%), highest number of patients with HgA1c 5.5-6.0. significant incidence of shoulder impingement with rising category of HgA1c with highest among Hga1c >7 (p=0.0001) with significant bilateral disease. Significant incidence of shoulder impingement (unilateral or bilateral among diabetics (HgA1c >6) compared to non- diabetics (p=0.011). Conclusions: High incidence of DM /prediabetes among shoulder impingement patients. Level of HgA1c significantly proportionate to incidence and laterality. This suggests that it is part of musculoskeletal complication of DM. that can evidently occur with prediabetes status. Body mass index and age significantly affected the incidence but not the sex.
目的:了解肩关节撞击综合征患者糖尿病(DM)的发病率及其影响因素。设计:前瞻性。设置:门诊。参与者:412名患者提出单侧或双侧肩痛怀疑肩撞击神经肌肉疾病,或综合征。排除标准:有颈椎神经根病、肩部外伤史者。干预措施:每位患者接受以下治疗;人口统计资料,包括职业、身体质量指数、详细病史,包括糖尿病史。肩部检查,包括撞击刺激试验;霍金检验,诺氏征。颈部检查包括斯普林试验。全面的神经学检查。主要观察指标:实验室检测包括糖化血红蛋白(HgA1c)、肝肾功能。如果可能的话。结果:平均年龄59.4±11.123岁。所有患者均为右撇子,男性37.1%,女性62.9%,平均体重指数(BMI) 32.2±8.2。体力劳动者居多(55.1%)。肩关节撞击与性别无显著关系,但与BMI和年龄有显著关系。HgA1c为7 (p=0.0001),双侧病变显著。与非糖尿病患者相比,糖尿病患者(HgA1c >6)肩关节撞击(单侧或双侧)的发生率显著(p=0.011)。结论:肩关节撞击患者中糖尿病/前驱糖尿病的发生率较高。HgA1c水平与发病率和侧边度成显著比例。这表明它是糖尿病前期明显发生的肌肉骨骼并发症的一部分。体重指数和年龄对发病率有显著影响,而性别对发病率无显著影响。
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引用次数: 1
Design and Performance of BIT Lexochair, a Robotic Leg-Exoskeleton Assistive Wheelchair 机器人腿部外骨骼辅助轮椅BIT Lexochair的设计与性能研究
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.9.581
Gao Huang, M. Ceccarelli, Weimin Zhang, Qiang Huang
The BIT LExoChair wheelchair for motion assistance was designed as a solution with a modular design for user’s locomotion mobility with the aim of assisting autonomy, exercising, and rehabilitation, with activities in design, experimental validation, and implementation that are summarized in the main listed references [1-11], as referring to the patent files [1,2]. This mini-review is based on illustration from the references papers as summary of the work and results in developing the BIT LExoChair wheelchair towards practical market availability in a near-future.
BIT LExoChair运动辅助轮椅被设计为一种模块化设计的解决方案,旨在帮助用户的运动能力,运动和康复,其设计,实验验证和实施的活动在主要列出的参考文献[1-11]中进行了总结,参考了专利文件[1,2]。这篇小型综述是基于参考文献中的插图,总结了在不久的将来将BIT LExoChair轮椅推向实际市场的工作和结果。
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引用次数: 1
Pain Mechanisms in Spinal Nerve Root Entrapment 脊神经根压迫的疼痛机制
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.9.584
Naglaa A. Hussein
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引用次数: 0
Neurofibromatosis: A Genetic Disorder of Nervous System 神经纤维瘤病:一种神经系统的遗传性疾病
Pub Date : 2021-01-01 DOI: 10.35248/2329-9096.21.S3.005
Neelam-Walin Shama
Neurofibromatosis is a hereditary issue of the sensory system. Tumors structure on your nerve tissues. Predominantly, neurofibromatosis problems influence the development and improvement of nerve cell tissue. The problems are known as neurofibromatosis type 1 (NF1) and neurofibromatosis type 2 (NF2). NF1 is the more normal kind of neurofibromatosis. Schwannomatosis has as of late been recognized as a third and more uncommon sort of neurofibromatosis, however specialists don’t think a lot about it yet. You may likewise hear NF1 called Recklinghausen sickness, von Recklinghausen illness, von Recklinghausen’s phakomatosis, von Recklinghausen’s neurofibromatosis, neurofibroma (various), neurofibromatosis-pheochromocytoma-duodenal carcinoid condition, or fringe neurofibromatosis. It causes numerous bistro au lait spots (patches of tan or light earthy colored skin) and neurofibromas (delicate, beefy developments) on or under your skin. It can likewise cause extended or distorted bones and ebb and flow of the spine (scoliosis). Incidentally, tumors may create in the mind, on cranial nerves, or on the spinal rope. About half to 75% of individuals with NF1 likewise have learning inabilities. NF2 is likewise called two-sided acoustic neurofibromatosis, vestibular schwannoma neurofibromatosis, or focal neurofibromatosis. It’s substantially less basic than NF1 and is portrayed by numerous tumors on the cranial and spinal nerves. Tumors that influence both of the hear-able nerves and hearing misfortune starting in the youngsters or mid 20s are by and large the primary indications of NF2.
神经纤维瘤病是一种感觉系统的遗传问题。神经组织上的肿瘤结构。主要是,神经纤维瘤病问题影响神经细胞组织的发育和改善。这些问题被称为1型神经纤维瘤病(NF1)和2型神经纤维瘤病(NF2)。NF1是更正常的神经纤维瘤病。神经鞘瘤病最近被认为是第三种也是更不常见的神经纤维瘤病,然而专家们对它还没有太多的认识。你也可能听到NF1被称为“雷克林豪森病”、“雷克林豪森病”、“雷克林豪森肉瘤”、“雷克林豪森神经纤维瘤病”、“神经纤维瘤瘤(各种)”、“神经纤维瘤病-嗜铬细胞-十二指肠类癌”或“边缘神经纤维瘤病”。它会在你的皮肤上或皮肤下造成许多黑斑(褐色或浅泥土色的皮肤斑块)和神经纤维瘤(细腻、粗壮的发展)。它同样会导致骨骼伸展或扭曲以及脊柱的起伏(脊柱侧凸)。顺便提一下,肿瘤可能在大脑、脑神经或脊髓上产生。大约一半到75%的NF1患者同样有学习障碍。NF2也称为双侧听神经纤维瘤病、前庭神经鞘瘤神经纤维瘤病或局灶性神经纤维瘤病。它的基础性比NF1差,在颅神经和脊神经上有许多肿瘤。在青少年或25岁左右开始影响可听神经和听力障碍的肿瘤通常是NF2的主要适应症。
{"title":"Neurofibromatosis: A Genetic Disorder of Nervous System","authors":"Neelam-Walin Shama","doi":"10.35248/2329-9096.21.S3.005","DOIUrl":"https://doi.org/10.35248/2329-9096.21.S3.005","url":null,"abstract":"Neurofibromatosis is a hereditary issue of the sensory system. Tumors structure on your nerve tissues. Predominantly, neurofibromatosis problems influence the development and improvement of nerve cell tissue. The problems are known as neurofibromatosis type 1 (NF1) and neurofibromatosis type 2 (NF2). NF1 is the more normal kind of neurofibromatosis. Schwannomatosis has as of late been recognized as a third and more uncommon sort of neurofibromatosis, however specialists don’t think a lot about it yet. You may likewise hear NF1 called Recklinghausen sickness, von Recklinghausen illness, von Recklinghausen’s phakomatosis, von Recklinghausen’s neurofibromatosis, neurofibroma (various), neurofibromatosis-pheochromocytoma-duodenal carcinoid condition, or fringe neurofibromatosis. It causes numerous bistro au lait spots (patches of tan or light earthy colored skin) and neurofibromas (delicate, beefy developments) on or under your skin. It can likewise cause extended or distorted bones and ebb and flow of the spine (scoliosis). Incidentally, tumors may create in the mind, on cranial nerves, or on the spinal rope. About half to 75% of individuals with NF1 likewise have learning inabilities. NF2 is likewise called two-sided acoustic neurofibromatosis, vestibular schwannoma neurofibromatosis, or focal neurofibromatosis. It’s substantially less basic than NF1 and is portrayed by numerous tumors on the cranial and spinal nerves. Tumors that influence both of the hear-able nerves and hearing misfortune starting in the youngsters or mid 20s are by and large the primary indications of NF2.","PeriodicalId":14201,"journal":{"name":"International Journal of Physical Medicine and Rehabilitation","volume":"11 1","pages":"0-1"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86488156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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International Journal of Physical Medicine and Rehabilitation
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