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Quality parameters determining the buyer behavior toward purchase of bakery product (cake) 决定购买者购买烘焙产品(蛋糕)行为的质量参数
Q4 Medicine Pub Date : 2024-01-01 DOI: 10.4103/ijnpnd.ijnpnd_36_23
E. Lakshmi, K. S. Selvi, S. R. Fathima, Damini M
Context: Bakery products, especially cake, has evolved from being seen as a tea-time snack to becoming a daily requirement in the typical Indian household. The quality of the ingredients in cake baking has a considerable impact on the finished product and consumers’ intention to purchase. Aims: The aims of the study was to assess the quality parameters of the flour used in baking cake and to determine buyer behavior and preferences for quality criteria in cake. Materials and Methods: The quality parameters of cake flour used in baking were experimentally determined according to IS 1979 guidelines. The characteristics of consumer behavior with regard to purchase of cake were evaluated using a questionnaire. Results: The moisture content of cake flour was 0.2% lower than IS 1979 standards (13%). The key factors in choosing the cake were appearance, tase, and soft texture, scoring the highest (1.4) on the Likert scale. The least score (0.7) was given for nutrient content. Conclusions: There was a significant difference in the purchase of cake by attributes, as the calculated value was higher than the table value.
背景:烘焙产品,尤其是蛋糕,已经从茶余饭后的点心发展成为典型印度家庭的日常必需品。蛋糕烘焙配料的质量对成品和消费者的购买意向有相当大的影响。研究目的:本研究旨在评估烘焙蛋糕所用面粉的质量参数,并确定购买者的行为和对蛋糕质量标准的偏好。材料和方法:根据 IS 1979 准则,通过实验确定了用于烘焙的蛋糕面粉的质量参数。使用调查问卷对消费者购买蛋糕的行为特征进行了评估。结果蛋糕粉的水分含量比 IS 1979 标准(13%)低 0.2%。选择蛋糕的关键因素是外观、口感和柔软度,在李克特量表中得分最高(1.4)。营养成分得分最低(0.7)。结论购买蛋糕的属性差异很大,因为计算值高于表格值。
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引用次数: 0
Development and nutritional and sensory evaluation of ragi, bajra, and white soybean incorporated adai: Traditional South Indian food for pregnant women with micronutrient deficiency 掺入了胡麻、巴豆和白大豆的阿达伊的开发、营养和感官评估:为微量营养素缺乏症孕妇提供的南印度传统食品
Q4 Medicine Pub Date : 2024-01-01 DOI: 10.4103/ijnpnd.ijnpnd_75_23
Pratheesha Ilangovan, Aruna Subramaniam, R. Vembu, Silambu Selvi
Background: Pregnant women have increased nutritional needs to support the growth of the baby, placenta, and maternal tissues. Inadequate dietary intake of these essential nutrients can lead to maternal-fetal complications. Hence, this study has developed a micronutrient-rich adai to educate and encourage pregnant women to incorporate it into their regular diet. Aims: The aim of this study was to develop a micronutrient-rich adai using millets, grains, green leaves, and spices and to evaluate its sensory characteristics and nutritional qualities. Methods: A micronutrient-rich adai was prepared with four food groups: (1) cereals and millets, (2) legumes and grains, (3) green leaves, and (4) spices in three different formulations: type I, type II, and type III, with the ratios of [1,2,3+4] are 50:30:20, 40:30:30, and 40:20:40, respectively. Sensory evaluation was conducted among 20 pregnant women using 9-point hedonic scales for color, flavor, taste, texture, and overall acceptability. The nutritional analysis was performed using Association of Official Analytical Collaboration (AOAC) (2016) methods. Statistical analysis was done by using SPSS version 21. Results: Type I adai was well accepted, with a mean score of 36.85, while type II (27.65) and type III (28.5) scored lower. One-way analysis of variance showed a significant difference in mean scores, with type I adai being statistically significant (P < 0.05). Nutrient analysis indicated adequate amounts of iron, calcium, and vitamin D. Conclusion: The study revealed that the type I combination of adai was found to be more palatable compared to the other two types and rich in calcium and iron. This suggests that mothers can be motivated to incorporate it into their diet.
背景:孕妇需要更多的营养来支持胎儿、胎盘和母体组织的生长。膳食中这些必需营养素摄入不足会导致母胎并发症。因此,本研究开发了一种富含微量营养素的阿代食品,以教育和鼓励孕妇将其纳入日常饮食。目的:本研究旨在利用黍米、谷物、绿叶和香料开发一种富含微量营养素的阿代,并对其感官特征和营养质量进行评估。研究方法用四种食物组:(1) 谷物和黍米,(2) 豆类和谷物,(3) 绿叶,(4) 香料配制了富含微量营养素的阿代食品,有三种不同的配方:Ⅰ型、Ⅱ型和Ⅲ型,[1,2,3+4]的比例分别为 50:30:20、40:30:30 和 40:20:40。对 20 名孕妇进行了感官评估,采用 9 分享乐量表对色泽、风味、口感、质地和总体可接受性进行评分。营养分析采用官方分析合作协会(AOAC)(2016 年)的方法进行。统计分析采用 SPSS 21 版进行。结果I 型阿代的接受度较高,平均得分为 36.85,而 II 型(27.65)和 III 型(28.5)的得分较低。单因素方差分析显示,平均得分差异显著,其中 I 型阿代具有显著的统计学意义(P < 0.05)。营养分析表明,铁、钙和维生素 D 的含量充足:研究表明,与其他两种阿代相比,I 型阿代的口感更好,而且富含钙和铁。这表明,可以鼓励母亲将其纳入自己的饮食中。
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引用次数: 0
Acceptability and feasibility of delivering family intervention for caregivers of patients with schizophrenia in Egypt 为埃及精神分裂症患者的照顾者提供家庭干预的可接受性和可行性
Q4 Medicine Pub Date : 2024-01-01 DOI: 10.4103/ijnpnd.ijnpnd_70_23
Rasha Wahid, E. Lazarus, A. Amirtharaj
Background: In Egypt as elsewhere, patients with schizophrenia and their families confront unique obstacles. This study examined the views of important stakeholders’ on the feasibility, approval, and obstacles of family intervention programs for schizophrenia in Egypt to address these issues. Objective: The aim of the study was to investigate the perspectives of stakeholders regarding the feasibility, acceptability, and obstacles associated with providing family intervention for schizophrenia in Egypt. Methods: The research took place at El-Maamoura Hospital in Alexandria and included a total of 37 participants. These participants were divided into seven focus groups, with 25 individuals being health professionals and the remaining 12 individuals being caregivers. Concurrently, data collection and analysis were carried out using the qualitative research method, employing the framework analysis to process the transcripts. Results: The participants highlighted the importance of families feeling accepted and well-informed regarding the nature of the illness. In conclusion, the participants suggested making changes to the intervention’s content by incorporating details about the illness, providing emotional support, and including culturally appropriate coping mechanisms. Conclusion: In conclusion, it is determined by the study that before implementing family intervention for schizophrenia, it is crucial to make cultural adjustments to ensure its acceptability. The findings of the study offer valuable insights for the development and execution of family intervention programs for schizophrenia in Egypt. Implication for Clinical Practice: It is crucial to culturally adapt a modified family interventions to cater to the cultural requirements of families and healthcare professionals in Egypt, as this could potentially result in improved outcomes for patients diagnosed with schizophrenia and their families.
背景:在埃及和其他地方一样,精神分裂症患者及其家人面临着独特的障碍。本研究调查了重要利益相关者对埃及精神分裂症家庭干预计划的可行性、认可度和障碍的看法,以解决这些问题。研究目的本研究旨在调查利益相关者对埃及精神分裂症家庭干预的可行性、可接受性及相关障碍的看法。研究方法研究在亚历山大的 El-Maamoura 医院进行,共有 37 人参加。这些参与者被分为七个焦点小组,其中 25 人为医疗专业人员,其余 12 人为护理人员。同时,采用定性研究方法进行了数据收集和分析,并使用框架分析法处理记录。研究结果参与者强调了家人感到被接纳和充分了解疾病性质的重要性。最后,参与者建议对干预内容进行修改,加入有关疾病的细节、提供情感支持,并加入文化上适当的应对机制。结论总之,本研究认为,在对精神分裂症实施家庭干预之前,进行文化调整以确保其可接受性至关重要。研究结果为埃及精神分裂症家庭干预计划的制定和实施提供了宝贵的启示。对临床实践的启示:根据埃及家庭和医护人员的文化需求对家庭干预进行文化调整至关重要,因为这有可能改善精神分裂症患者及其家庭的治疗效果。
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引用次数: 0
A Cross-Sectional Study to Determine the Prevalence and Predictors of Depression and Anxiety in Type 2 Diabetes Patients in South India 确定南印度 2 型糖尿病患者抑郁和焦虑患病率及预测因素的横断面研究
Q4 Medicine Pub Date : 2024-01-01 DOI: 10.4103/ijnpnd.ijnpnd_83_23
Prasanth Subramanian, Venkataraman Prabhu, A. Ramachandran, J. Kumar
Diabetic patients with depression or anxiety are more likely to develop diabetic complications and have a lower quality of life. The aim of the study is to determine the prevalence of depression and anxiety among type 2 diabetic patients and to identify the associated factors. A cross-sectional, observational study of type 2 diabetes mellitus outpatients, with diabetes-related conditions who attended the hospital from January to April 2023, was conducted by interviewing them using the Patient Health Questionnaire-9 for depression and Generalised Anxiety Disorders-7 for anxiety. Descriptive statistics, bivariate analysis, and multivariant regression were performed for statistical analysis. Out of 450 type 2 diabetic patients, 90% were between ages 30 and 45, 50.2% were male, 60% were living in rural areas, and 76.5% literate; most of them belong to the upper middle class (64%) and they live in joint family (32.7%). Depression and anxiety were observed among 65.3% and 62.4% of type 2 diabetic patients, respectively. When observing the severity, 47.8% of patients had mild depression, and 38.7% had minimal anxiety. Age group, socioeconomic status, treatment type, and years of diabetes were found to be factors associated with depression and family type is associated with anxiety. Hospitalized diabetics have higher depression and anxiety rates for multiple reasons. Therefore, diabetes management programmes should include regular depression and anxiety screenings to quickly identify and treat high-risk patients in healthcare facilities.
患有抑郁症或焦虑症的糖尿病患者更容易出现糖尿病并发症,生活质量也更低。本研究旨在确定抑郁症和焦虑症在 2 型糖尿病患者中的患病率,并找出相关因素。该研究对 2023 年 1 月至 4 月期间在医院就诊的 2 型糖尿病门诊患者进行了横断面观察研究,对患有糖尿病相关疾病的患者使用《患者健康问卷-9》(Patient Health Questionnaire-9)进行抑郁问卷调查,对患有广泛焦虑症的患者使用《患者健康问卷-7》(Generalised Anxiety Disorders-7)进行焦虑问卷调查。统计分析采用了描述性统计、二元分析和多元回归等方法。在 450 名 2 型糖尿病患者中,90% 年龄在 30 岁至 45 岁之间,50.2% 为男性,60% 生活在农村地区,76.5% 识字;他们大多属于中上阶层(64%),生活在联合家庭中(32.7%)。分别有 65.3% 和 62.4% 的 2 型糖尿病患者患有抑郁症和焦虑症。从严重程度来看,47.8%的患者有轻度抑郁,38.7%的患者有轻度焦虑。研究发现,年龄组、社会经济地位、治疗类型和糖尿病年限与抑郁有关,而家庭类型与焦虑有关。由于多种原因,住院糖尿病患者的抑郁和焦虑率较高。因此,糖尿病管理计划应包括定期的抑郁和焦虑筛查,以快速识别和治疗医疗机构中的高危患者。
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引用次数: 0
Detection and Classification of Diabetic Retinopathy Using Inception V3 and Xception Architectures 使用 Inception V3 和 Xception 架构检测和分类糖尿病视网膜病变
Q4 Medicine Pub Date : 2024-01-01 DOI: 10.4103/ijnpnd.ijnpnd_76_23
V. Sathiya, B. Shenbagavalli, V. Nirupa, K. Subramani
Patients with diabetes usually develop a condition called diabetic retinopathy (DR), resulting from retinal damage. This impairment usually happens when the glucose levels in the blood are elevated, finally causing a blockage in the blood vessels that feed a part of the eye called the retina and finally severing it from the blood supply. Therefore, the eye attempts to produce fresh blood cells. But these cells are either poorly developed or weak. So, it can be leaked out easily. Hence, to lessen the severe effects of this disease, these patients must be diagnosed as soon as possible. Earlier, a number of approaches were put forth to recognise this illness using machine learning algorithms, image processing, and other techniques. The diagnosis process of this disease involves pre-processing of coloured images of the fundus, extraction of clinical features and classification of retinopathy. In this research, fundus photography of the retina is utilised to accelerate the detection of various kinds of retinopathy caused by diabetes based on convolutional neural network (CNN) pre-trained transfer learning algorithm. Inception V3 and Xception are used in this model to determine and categorise diabetic retinopathy, respectively. As a result, people with this disease can lower their risk of exposure to permanent blindness.
糖尿病患者通常会出现一种叫做糖尿病视网膜病变(DR)的病症,由视网膜损伤引起。这种损害通常发生在血液中葡萄糖水平升高时,最终导致为眼睛视网膜部分供血的血管堵塞,并最终切断其血液供应。因此,眼睛会试图制造新鲜的血细胞。但这些细胞要么发育不良,要么很脆弱。因此,它很容易泄漏出来。因此,为了减轻这种疾病的严重影响,必须尽快对这些患者进行诊断。早些时候,人们提出了许多利用机器学习算法、图像处理和其他技术来识别这种疾病的方法。这种疾病的诊断过程包括眼底彩色图像的预处理、临床特征的提取和视网膜病变的分类。在这项研究中,基于卷积神经网络(CNN)预训练的迁移学习算法,利用视网膜眼底摄影加速检测糖尿病引起的各种视网膜病变。该模型使用 Inception V3 和 Xception 分别对糖尿病视网膜病变进行判断和分类。因此,患有这种疾病的人可以降低永久失明的风险。
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引用次数: 0
Analysis of Sodium Levels in Different Brands of Edible Salts by Flame Photometer 用火焰光度计分析不同品牌食用盐中的钠含量
Q4 Medicine Pub Date : 2024-01-01 DOI: 10.4103/ijnpnd.ijnpnd_67_23
Mullaicharam Bhupathyraaj, Salha Said Rabia Al Salty, Mohammad Al-Ghazali, N. Halligudi
Sodium is a key element for all living things, mainly animals, some plant species, and humans. In animals, sodium ions are necessary for the regulation of blood and body fluids, the transmission of nerve impulses, heart activity, and certain metabolic functions. Sodium is the chief cation in the extracellular compartment of an animal body. Sodium plays a vital role not only in the human body but also in various food types. Salt, also known as sodium chloride, is about 40% sodium and 60% chloride. It flavors food and is used as a binder and stabilizer. The sodium content in different brands of edible salts can be analyzed using flame photometry. Flame photometry, also called flame atomic emission spectrometry, is a branch of atomic spectroscopy in which the species examined in the spectrometer are in the form of atoms. The samples used for analysis are junk foods, which have become a common trend among all generations. A total of 13 brands were analyzed for iodine content. From that, two commonly used brands were selected and analyzed for estimating the sodium and potassium contents in them by flame photometry. The analysis helps in creating awareness among all generations to reduce the sodium intake in order to prevent problems like hypertension, hyponatremia, hypernatremia, and associated medical complications in the future.
钠是所有生物(主要是动物、某些植物物种和人类)的关键元素。在动物体内,钠离子是调节血液和体液、传递神经冲动、心脏活动和某些新陈代谢功能所必需的。钠是动物体内细胞外的主要阳离子。钠不仅在人体中发挥着重要作用,在各种食物中也是如此。盐又称氯化钠,约含 40% 的钠和 60% 的氯。它可以为食物调味,还可用作粘合剂和稳定剂。不同品牌食用盐中的钠含量可通过火焰光度法进行分析。火焰光度法又称火焰原子发射光谱法,是原子光谱法的一个分支,光谱仪中检测的物种是原子形式。用于分析的样本是垃圾食品,这已成为各代人的共同趋势。共分析了 13 个品牌的碘含量。从中挑选出两个常用品牌,通过火焰光度法估算钠和钾的含量。这项分析有助于提高各代人的意识,减少钠的摄入量,以防止将来出现高血压、低钠血症、高钠血症等问题以及相关的医疗并发症。
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引用次数: 0
Synthesis and characterization of andrographolide: Albumin nanoparticles and their anticancer activity in HeLa cancer cell line 穿心莲内酯的合成和表征:白蛋白纳米颗粒及其在 HeLa 癌细胞系中的抗癌活性
Q4 Medicine Pub Date : 2024-01-01 DOI: 10.4103/ijnpnd.ijnpnd_85_23
Lavanya S.K., Shantanu Patil, Sundaresan Sivapatham
Nanoparticles are frequently employed to control the delivery of drugs and various growth factors to tissues/cells. Nanocarriers, in diverse formulations, have the potential to transport both synthetic and natural anticancer therapeutic drugs. Andrographolide, a diterpenoid extracted from Andrographis paniculata, possesses robust antioxidant, anti-inflammatory, anticancer, and antiviral effects. The inhibition of cervical cancer can be achieved by supplementing with bioactive molecules that decrease the proliferation and differentiation of cervical cancer cells while promoting cell death. This study explores the in vitro antiproliferative efficacy of andrographolide on cervical cancer cells, assessed through a cytotoxicity assay in human cervical cancer cells. The results demonstrated increased activity of andrographolide in a dose- and time-dependent manner. The andrographolide-albumin nanoparticle (ANP) was synthesized using the coacervation process. X-ray diffraction and Raman analysis of ANP revealed the amorphization of andrographolide, a favorable characteristic for drug delivery applications. Additionally, Fourier Transform Infrared (FTIR) analysis illustrated the drug structure and the stretching of bands in the synthesized ANP. High-resolution scanning electron microscopy unveiled spherical granules with nanoparticle sizes ranging from 100 to 200 nm. Furthermore, the anticancer activity of andrographolide-ANPs was observed in the HeLa cancer cell line. The synthesis and characterization of andrographolide-ANPs were undertaken for potential therapeutic applications.
纳米颗粒经常被用来控制向组织/细胞输送药物和各种生长因子。不同配方的纳米载体具有运输合成和天然抗癌治疗药物的潜力。穿心莲内酯是从穿心莲中提取的一种二萜类化合物,具有强大的抗氧化、抗炎、抗癌和抗病毒作用。通过补充生物活性分子可以减少宫颈癌细胞的增殖和分化,同时促进细胞死亡,从而达到抑制宫颈癌的目的。本研究探讨了穿心莲内酯对宫颈癌细胞的体外抗增殖功效,通过人宫颈癌细胞的细胞毒性试验进行评估。结果表明,穿心莲内酯的活性增加与剂量和时间有关。采用共凝胶工艺合成了穿心莲内酯-白蛋白纳米粒子(ANP)。ANP 的 X 射线衍射和拉曼分析表明穿心莲内酯发生了非定形化,这是药物输送应用的一个有利特征。此外,傅立叶变换红外(FTIR)分析表明了合成 ANP 中的药物结构和条带伸展。高分辨率扫描电子显微镜揭示了球形颗粒,其纳米粒径为 100 至 200 纳米。此外,还观察到穿心莲内酯-ANPs 在 HeLa 癌细胞系中的抗癌活性。研究人员对穿心莲内酯-ANPs 进行了合成和表征,以开发其潜在的治疗用途。
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引用次数: 0
Herbomineral form of Eclipta alba (HMEA) improves age-related dementia by increasing memory performance in animal models: An in vivo approach to investigate the multitherapeutic potential of antioxidant-based Ayurvedic drugs Eclipta alba(HMEA)的草药形式可通过提高动物模型的记忆力来改善与年龄有关的痴呆症:研究以抗氧化剂为基础的阿育吠陀药物的多种治疗潜力的体内方法
Q4 Medicine Pub Date : 2023-11-30 DOI: 10.4103/ijnpnd.ijnpnd_52_23
Meher Nisha Abubakkar, Abir Biswas, Anitha Rathinam, Kumar Surya, Jenani Murugesan, Ajitha Sherlin, K. S. Jayachandran, Giri Prashanth, M. Anusuyadevi
Dementia is a consequential event due to neurodegeneration, which is a prevalent aspect of aging and other diseases associated with neuropathological conditions. The main contributor to dementia is the depletion of neurons in cognitive centers that results in cognitive decline. Cellular damage and apoptosis can occur due to excessive oxidative stress and reduced antioxidant levels. Epidemiological research provides valuable insights into dementia, but current treatments primarily focus on alleviating symptoms rather than addressing the root cause. Both modern and traditional medicines recognize the importance of maintaining cellular antioxidant levels and reduction in amyloid beta aggregation, often relying on natural sources for support. The identification of herbal plants with abundant pharmacologically active secondary metabolites shows promise in the treatment of dementia. Eclipta alba is an ancient traditional herb that elicits nootropic effects. This study reports that the herbomineral form of E. alba (HMEA) constitutes pharmacologically active metabolites and enhances memory and learning in 9- to 12-month-old albino wistar rats. Interestingly, HMEA enhanced learning and memory in adult rats with no significant toxicity, and found to stabilize lipid profile levels in animal models. Histopathological studies of animals showed that HMEA enhanced overall cytoarchitecture of granular cell layer in the hippocampus. It depicts improved cellular morphology, arrangement, and density in the hippocampal region. Taken together, the current study proves HMEA to be an efficient neuroprotective agent in treating age-related dementia.
痴呆症是神经变性导致的后果,是衰老和其他与神经病理学条件相关的疾病的一个普遍方面。造成痴呆症的主要原因是认知中枢的神经元耗竭,从而导致认知能力下降。过度的氧化应激和抗氧化剂水平降低会导致细胞损伤和凋亡。流行病学研究为痴呆症提供了宝贵的见解,但目前的治疗方法主要侧重于缓解症状,而不是从根本上解决问题。现代医学和传统医学都认识到维持细胞抗氧化剂水平和减少淀粉样蛋白 beta 聚集的重要性,通常依靠天然药物来提供支持。对具有丰富药理活性次生代谢物的草本植物的鉴定显示了治疗痴呆症的前景。Eclipta alba 是一种古老的传统草药,具有促智作用。本研究报告称,E. alba 的草本矿物形式(HMEA)含有药理活性代谢物,可增强 9 至 12 个月大的白化 Wistar 大鼠的记忆和学习能力。有趣的是,HMEA 能增强成年大鼠的学习能力和记忆力,且无明显毒性,还能稳定动物模型的血脂水平。动物组织病理学研究表明,HMEA 能增强海马颗粒细胞层的整体细胞结构。它改善了海马区的细胞形态、排列和密度。综上所述,目前的研究证明 HMEA 是一种治疗老年痴呆症的有效神经保护剂。
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引用次数: 0
An ensemble of ResNet model for classification of Parkinson disease 用于帕金森病分类的 ResNet 模型集合
Q4 Medicine Pub Date : 2023-11-30 DOI: 10.4103/ijnpnd.ijnpnd_22_23
M. Mahendran, R. Visalakshi
Parkinson disease (PD) is one of the neurological illnesses incurred. However, there is a no chance to recognize PD. A fine motor symptom has been identified in this study. A group of patients with PD, as well as the healthy group, is used in the research. The authors have developed a technique that can determine whether a patient has PD or not. Using deep learning methods, the same design generalizing neural networks in the brain can be solved. The categorization of patients with PD and non-PD behavior is found from the analysis of spiral and wave forms using CNN model. Various CNN models were used in the experiment by transfer learning and spiral and wave data sketches. With the help of spiral sketching, the system achieved an accuracy of 96.67% using the ResNet50 model. The main objective of this paper is to explore the application of transfer learning, which improved the performance of the model.
帕金森病(PD)是一种神经系统疾病。然而,帕金森病是无法识别的。本研究确定了一种精细运动症状。研究中使用了一组帕金森病患者和一组健康人。作者开发出了一种可以确定患者是否患有帕金森病的技术。利用深度学习方法,可以解决在大脑中泛化神经网络的相同设计问题。通过使用 CNN 模型对螺旋形和波形的分析,可以发现患有帕金森病和非帕金森病的患者的行为分类。实验中使用了各种 CNN 模型,通过迁移学习和螺旋与波形数据草图进行分析。在螺旋草图的帮助下,系统使用 ResNet50 模型达到了 96.67% 的准确率。本文的主要目的是探索迁移学习的应用,它提高了模型的性能。
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引用次数: 0
Vitamin B-12, Homocysteine, and Hematological Parameters in Ischemic Stroke Patients 缺血性脑卒中患者的维生素 B-12、同型半胱氨酸和血液学参数
Q4 Medicine Pub Date : 2023-10-01 DOI: 10.4103/ijnpnd.ijnpnd_50_23
J. Isaac, Vijayashree Raghavan
Background: A cerebrovascular accident or stroke is one of the leading causes of disability and death in the world. Several risk factors have been detected and extensively studied and are part of preventive strategies. Emerging risk factors for ischemic that have recently acquired interest are vitamin B-12 and homocysteine levels. A study has been conducted in a tertiary hospital in Chennai to evaluate the levels of vitamin B-12, homocysteine, and hematological variables. Aims: The objective of the study was to estimate the serum levels of homocysteine and vitamin B-12 in patients with ischemic stroke and transient ischemic attack and to analyze hematological parameters, including complete blood counts and peripheral smear and correlate with vitamin B-12. Materials and Methods: A total of 80 individuals with either ischemic stroke or transient ischemic attack were included in the study. Vitamin B-12, homocysteine, complete blood counts, and peripheral smear were analyzed for the patients. Results: Either frank or subclinical vitamin B-12 deficiencies were noted in 59 (73.8%) of the study population. Fifty-seven (71.2%) of the study population had elevated homocysteine. Fifty (62.5%) had a high neutrophil-to-lymphocyte (N:L) ratio and 52 (65%) had elevated red cell distribution width. Conclusion: High homocysteine levels are prevalent among ischemic stroke patients and this elucidates that homocysteine has a role in the thrombus formation and is a risk factor for the development of the stroke. It was also noted that vitamin B-12 deficiency, either frank or subclinical, is prevalent among these patients and can be a target for supplementation strategies.
背景:脑血管意外或中风是导致残疾和死亡的主要原因之一。目前已发现并广泛研究了几种风险因素,并将其作为预防策略的一部分。维生素 B-12 和同型半胱氨酸水平是新出现的缺血性风险因素,最近引起了人们的关注。在钦奈的一家三级医院开展了一项研究,以评估维生素 B-12、同型半胱氨酸和血液学变量的水平。目的:该研究旨在估算缺血性中风和短暂性脑缺血发作患者血清中同型半胱氨酸和维生素 B-12 的水平,并分析血液学参数,包括全血细胞计数和外周涂片,以及与维生素 B-12 的相关性。材料与方法:研究共纳入 80 名缺血性中风或短暂性脑缺血发作患者。对患者的维生素 B-12、同型半胱氨酸、全血细胞计数和外周涂片进行了分析。结果显示研究人群中有 59 人(73.8%)明显或亚临床缺乏维生素 B-12。研究人群中有 57 人(71.2%)同型半胱氨酸升高。50人(62.5%)的中性粒细胞与淋巴细胞(N:L)比值偏高,52人(65%)的红细胞分布宽度升高。结论是高同型半胱氨酸水平在缺血性脑卒中患者中很普遍,这说明同型半胱氨酸在血栓形成中起作用,是脑卒中发病的一个危险因素。研究还注意到,这些患者普遍缺乏维生素 B-12,无论是直接缺乏还是亚临床缺乏,因此可作为补充策略的目标。
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引用次数: 0
期刊
International Journal of Nutrition, Pharmacology, Neurological Diseases
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