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Diagnostic Prospectives with Tau Protein and Imaging Techniques to Detect Development of Chronic Traumatic Encephalopathy. 用Tau蛋白和影像学技术检测慢性创伤性脑病发展的诊断前景。
Pub Date : 2023-04-01 DOI: 10.4236/jbbs.2023.134005
Amit Naskar, Danielle Jayanty, Kimberly Head, Gulshan L Khanna, Vatsalya Vatsalya, Arpan Banerjee

Brain damage sustained from repeated blows in boxing, wrestling, and other combat sports has serious physical and mental health consequences. The degenerative brain disease, chronic traumatic encephalopathy (CTE), presents clinically with memory loss, aggression, difficulty in rational thinking and other cognitive problems. This spectrum, which mimics Alzheimer's disease, is diagnosed post-mortem through a brain biopsy in many professional athletes. However, little is known about the process of development and how to identify vulnerable individuals who may be on course for developing CTE. Boxing is a sport that has a severe toll on athletes' health, primarily on their brain health and function. This review addresses the concerns of brain injury, describes the pathologies that manifest in multiple scales, e.g., molecular and cognitive, and also proposes possible diagnostic and prognostic markers to characterize the early onset of CTE along with the aim to identify a starting point for future precautions and interventions.

在拳击、摔跤和其他格斗运动中反复击打造成的脑损伤会对身体和精神健康造成严重后果。慢性创伤性脑病(CTE)是一种退行性脑疾病,临床表现为记忆丧失、攻击性、理性思维困难等认知问题。这种谱系类似于阿尔茨海默病,是在许多职业运动员死后通过脑部活检诊断出来的。然而,人们对其发展过程以及如何识别可能发展为CTE的易感个体知之甚少。拳击是一项严重影响运动员健康的运动,主要是影响他们的大脑健康和功能。这篇综述讨论了脑损伤的问题,描述了在多个尺度上表现出来的病理,例如分子和认知,并提出了可能的诊断和预后标记来表征CTE的早期发病,目的是确定未来预防和干预的起点。
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引用次数: 0
Effects of Comprehensive Rehabilitation on Patients with Progressive Multifocal Leukoencephalopathy Due to Systemic Lupus Erythematosus: A Case Report 综合康复治疗对系统性红斑狼疮致进行性多灶性脑白质病1例的影响
Pub Date : 2023-01-01 DOI: 10.4236/jbbs.2023.138010
Xiaoli Wu, Xueyan Hu, Yuge Zhang, Lixu Liu
Introduction: Little is known about the feasibility and effectiveness of rehabilitative treatment for systemic lupus erythematosus (SLE) in individuals with progressive multifocal leukoencephalopathy (PML). We describe a patient with SLE complicated by PML and ameliorated by comprehensive rehabilitation. We also review the epidemiology, pathology, imaging characteristics, and treatment of PML. Patient Concerns: We found a patient with SLE with PML improved by multidisciplinary rehabilitation techniques. Diagnoses, Interventions, and Outcomes: We diagnosed a PML with a 13-year history of SLE and lupus nephritis after longtime immunosuppressive therapy. The patient underwent a comprehensive, multifaceted rehabilitation program, including drug therapy, integrated physical therapy, occupational therapy, acupuncture, music therapy, computer-aided cognitive rehabilitation training, and behavioral management training. This rehabilitation program improved her motor function and activities of daily living. Conclusions: Her condition improved in the short term through comprehensive rehabilitation, including physical, speech, and cognitive therapy. Therefore, we recommend comprehensive rehabilitation to improve the function and activities of daily living in patients with PML.
对于进行性多灶性白质脑病(PML)患者进行系统性红斑狼疮(SLE)康复治疗的可行性和有效性知之甚少。我们描述了一位SLE合并PML的患者,并通过综合康复得到改善。我们也回顾了PML的流行病学、病理学、影像学特征和治疗。患者关注:我们发现一位SLE合并PML的患者通过多学科康复技术得到改善。诊断、干预和结果:我们在长期免疫抑制治疗后诊断出一名有13年SLE和狼疮肾炎病史的PML患者。患者接受了全面、多方面的康复计划,包括药物治疗、综合物理治疗、职业治疗、针灸、音乐治疗、计算机辅助认知康复训练和行为管理训练。这个康复计划改善了她的运动功能和日常生活活动。结论:通过综合康复治疗,包括身体、言语和认知治疗,患者的病情在短期内得到改善。因此,我们建议综合康复以改善PML患者的日常生活功能和活动。
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引用次数: 0
Retinal and Choroidal Alterations in Migraine Patients Compared to Normal Healthy Controls 偏头痛患者与正常健康对照的视网膜和脉络膜改变
Pub Date : 2023-01-01 DOI: 10.4236/jbbs.2023.1310012
Miriam L. Conway, Irene Ctori
Purpose: Migraine is an incapacitating neurovascular disorder that primarily affects the working-age population. Researchers have postulated that the transient vascular alterations during each migraine attack lead to ischemic damage in the eye which can be measured via optical coherence tomography. Methods: We recruited 29 volunteers: 13 migraineurs (mean age 28 ± 8.8 years; 12 female and 1 male) and 16 age-matched controls (mean age 26.6 ± 6.9; 9 female and 7 male). All individuals underwent a detailed ophthalmic examination by a qualified optometrist and a Migraine Disability Assessment. The investigators were blind to the migraine diagnosis. Retinal Nerve Fiber Layer (RNFL) thickness, Retinal Thickness (RT), Ganglion Cell Complex (GCL), ranging from the inner-limiting membrane to the inner plexiform layer, and Choroidal Thickness (CT) were measured using the 3D OCT-1Maestro, Topcon, a Spectral Domain OCT (SD-OCT) device. Results: In the migraine population average RNFL was lower for several parameters. However, results did not reach statistical significance. A significant decrease in the right eye inferior parafoveal ganglion cell layer in the migraine group of patients (mean = 25.15, SD = 4.08) compared to normal healthy controls (mean = 28.81, SD = 4.85; t = (27) = 2.17, p = 0.039) was documented. No other ganglion cell layer or choroidal thickness reached significance. No significant relationship between ocular thickness parameters and MIDAS score, parameters and either MIDAS score or frequency of headaches was found. Conclusion: A significant decrease in the right inferior parafoveal ganglion cell layer for migraine patients was reported. All other parameters did not reach significance.
目的:偏头痛是一种主要影响工作年龄人群的失能性神经血管疾病。研究人员假设,每次偏头痛发作时短暂的血管改变会导致眼睛的缺血性损伤,这可以通过光学相干断层扫描来测量。方法:招募29名志愿者:偏头痛患者13例(平均年龄28±8.8岁;12名女性和1名男性)和16名年龄匹配的对照组(平均年龄26.6±6.9;9名女性和7名男性)。所有人都接受了由合格验光师进行的详细眼科检查和偏头痛残疾评估。研究人员对偏头痛的诊断一无所知。使用3D OCT- 1maestro, Topcon,一种光谱域OCT (SD-OCT)设备测量视网膜神经纤维层(RNFL)厚度,视网膜厚度(RT),神经节细胞复合体(GCL),范围从内限制膜到内丛状层,脉络膜厚度(CT)。结果:在偏头痛人群中,几个参数的平均RNFL较低。然而,结果没有达到统计学意义。偏头痛组患者右眼下中央凹旁神经节细胞层(mean = 25.15, SD = 4.08)较正常健康对照组(mean = 28.81, SD = 4.85;T = (27) = 2.17, p = 0.039)。其他神经节细胞层及脉络膜厚度未见明显变化。眼厚参数与MIDAS评分、参数与MIDAS评分或头痛频率均无显著关系。结论:偏头痛患者右下中央凹旁神经节细胞层明显减少。其他参数均无显著意义。
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引用次数: 0
Jungian Advanced Motor Processing&lt;sup&gt;TM&lt;/sup&gt; (JAMP&lt;sup&gt;TM&lt;/sup&gt;) the Future of Mental Health Treatment: 38 Cases on Its Efficacy &amp; Validation to Induce Measurable Positive Change 荣格高级运动处理&amp;lt;sup&amp;gt;TM&amp;lt;/sup&amp;gt;(JAMP&amp;lt;sup&amp;gt;TM&amp;lt;/sup&amp;gt;)心理健康治疗的未来:38 个案例说明其诱发可衡量的积极变化的效力和有效性
Pub Date : 2023-01-01 DOI: 10.4236/jbbs.2023.139011
Lahab Al-Samarrai, Yageen Al-Sammarraie, Eric Tomlinson, Anna Edwards, Karen Apple, Virginia Alcalde, Lisa Hong, Emily Clark, Taylor Barnett, Madeline Turner, Laura Cotton
This paper is about an advanced treatment method known as Jungian Advanced Motor Processing (JAMPTM) and its effects on healing trauma using three scales: Post-Traumatic Cognitive Inventory (PTCI) [1], Adverse Childhood Experiences Questionnaire (ACE) [2] and Somatic Symptom Scale (SSS or PHQ15) [3]. JAMPTM is a new treatment that addresses issues such as complex trauma, illnesses, and mental health disorders. During a 90-minute session with a JAMPTM therapist, the client will listen to a heartbeat sound while viewing a calming image where a positive affirmation appears on the screen. The combination of image and sound, as well as the bilateral stimulation, accesses the triggered defensive mechanism of the traumatic part of the person (the Complex). This traumatized person begins to associate points in their life where a pattern of behavior was learned in order to cope with the event that originally caused disassociation. The JAMPTM Transformational Coach will lead the client safely through this journey using verbal affirmations such as, “I am not afraid,” to disperse the fear. By the end of the session, threads are strung together to paint a picture of pain that forms an image which becomes a symbol that can be transformed into healing.
本文采用创伤后认知量表(PTCI)[1]、童年不良经历问卷(ACE)[2]和躯体症状量表(SSS或PHQ15)[3]三种量表,研究荣格高级运动加工(JAMPTM)的高级治疗方法及其对创伤愈合的影响。JAMPTM是一种解决复杂创伤、疾病和精神健康障碍等问题的新疗法。在与JAMPTM治疗师进行90分钟的会话期间,客户将听到心跳声,同时观看屏幕上出现积极肯定的平静图像。图像和声音的结合,以及双侧刺激,进入了人的创伤部分(情结)的触发防御机制。这个受创伤的人开始联想到他们生活中的一些点,在这些点上,为了应对最初导致分离的事件,他们学会了一种行为模式。JAMPTM转化教练将通过口头肯定,如“我不害怕”,引导客户安全地度过这段旅程,以驱散恐惧。在疗程结束时,人们将丝线串在一起,描绘出一幅痛苦的画面,形成一幅图像,成为一种象征,可以转化为治疗。
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引用次数: 0
The Differential Effects of Chronic Alcohol and Cigarette Smoke Exposures on Cognitive-Behavioral Dysfunction in Long Evans Rats. 长期暴露于酒精和香烟烟雾对长埃文斯大鼠认知行为功能障碍的不同影响
Pub Date : 2022-09-01 Epub Date: 2022-09-20 DOI: 10.4236/jbbs.2022.129024
Emine B Yalcin, Büşra Nur Delikkaya, William Pelit, Ming Tong, Suzanne M De La Monte, Sharon Rounds

Background and objective: Chronic heavy alcohol consumption and daily cigarette smoking are the most prevalent substance use problems in the U.S., including Veterans. Excessive alcohol use causes neurocognitive and behavioral deficits that can be linked to neurodegeneration. Similarly, preclinical and clinical data suggest that smoking also leads to brain atrophy. This study examines the differential and additive effects of alcohol and cigarette smoke (CS) exposures on cognitive-behavioral function.

Methods: A 4-way experimental model of chronic alcohol and CS exposures was generated using 4-week-old male and female Long Evans rats that were pair-fed with Lieber-deCarli isocaloric liquid diets containing 0% or 24% ethanol for 9 weeks. Half of the rats in the control and ethanol groups were exposed to CS for 4 hours/day and 4 days/week for 9 weeks. All rats were subjected to Morris Water Maze, Open Field, and Novel Object Recognition testing in the last experimental week.

Results: Chronic alcohol exposure impaired spatial learning as shown by significantly increased latency to locate the platform, and it caused anxiety-like behavior marked by the significantly reduced percentage of entries to the center of the arena. Chronic CS exposure impaired recognition memory as suggested by significantly less time spent at the novel object. Combined exposures to alcohol and CS did not show any significant additive or interactive effect on cognitive-behavioral function.

Conclusion: Chronic alcohol exposure was the main driver of spatial learning, while the effect of secondhand CS exposure was not robust. Future studies need to mimic direct CS exposure effects in humans.

背景和目的:长期大量饮酒和每天吸烟是包括退伍军人在内的美国人最普遍的药物使用问题。过度饮酒会导致神经认知和行为缺陷,并与神经变性有关。同样,临床前和临床数据表明,吸烟也会导致脑萎缩。本研究探讨了暴露于酒精和香烟烟雾(CS)对认知行为功能的不同影响和叠加影响:方法:使用 4 周大的雄性和雌性 Long Evans 大鼠,用含 0% 或 24% 乙醇的 Lieber-deCarli 等热量流质食物配对喂养 9 周,建立了慢性酒精和 CS 暴露的 4 向实验模型。对照组和乙醇组的一半大鼠每天暴露于 CS 4 小时,每周暴露 4 天,共暴露 9 周。所有大鼠在最后一个实验周都接受了莫里斯水迷宫、开阔地和新物体识别测试:结果:长期暴露于酒精会损害大鼠的空间学习能力,表现为大鼠定位平台的延迟时间显著增加,并且会导致大鼠产生焦虑行为,表现为大鼠进入迷宫中心的比例显著降低。长期暴露于 CS 会损害识别记忆,这表现在花费在新物体上的时间明显减少。同时暴露于酒精和CS对认知行为功能没有明显的叠加或交互影响:结论:慢性酒精暴露是空间学习的主要驱动因素,而二手 CS 暴露的影响并不明显。未来的研究需要模拟人类直接接触 CS 的效应。
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引用次数: 0
Therapeutic Effects of Myriocin in Experimental Alcohol-Related Neurobehavioral Dysfunction and Frontal Lobe White Matter Biochemical Pathology. 肉豆蔻素对实验性酒精相关性神经行为障碍及额叶白质生化病理的治疗作用。
Pub Date : 2022-02-01 DOI: 10.4236/jbbs.2022.122003
Camilla Homans, Emine B Yalcin, Ming Tong, Gina Gallucci, David Bautista, Natalia Moriel, Suzanne de la Monte

Background & objective: Chronic excessive alcohol consumption causes white matter degeneration with myelin loss and impaired neuronal conductivity. Subsequent rarefaction of myelin accounts for the sustained deficits in cognition, learning, and memory. Correspondingly, chronic heavy or repeated binge alcohol exposures in humans and experimental models alter myelin lipid composition leading to build-up of ceramides which can be neurotoxic and broadly inhibitory to brain functions.

Methods: This study examined the effects of chronic + binge alcohol exposures (8 weeks) and intervention with myriocin, a ceramide inhibitor, on neurobehavioral functions (Open Field, Novel Object Recognition, and Morris Water Maze tests) and frontal lobe white matter myelin lipid biochemical pathology in an adult Long-Evans rat model.

Results: The ethanol-exposed group had significant deficits in executive functions with increased indices of anxiety and impairments in spatial learning acquisition. Myriocin partially remediated these effects of ethanol while not impacting behavior in the control group. Ethanol-fed rats had significantly smaller brains with broadly reduced expression of sulfatides and reduced expression of two of the three sphingomyelins detected in frontal white matter. Myriocin partially resolved these effects corresponding with improvements in neurobehavioral function.

Conclusion: Therapeutic strategies that support cerebral white matter myelin expression of sulfatide and sphingomyelin may help remediate cognitive-behavioral dysfunction following chronic heavy alcohol consumption in humans.

背景与目的:慢性过量饮酒导致白质变性伴髓磷脂丢失和神经元传导受损。随后髓磷脂的稀少解释了认知、学习和记忆的持续缺陷。相应地,在人类和实验模型中,长期大量或反复酗酒会改变髓磷脂脂质组成,导致神经酰胺的积聚,神经酰胺可能具有神经毒性,并广泛抑制脑功能。方法:本研究研究了慢性+狂饮酒精暴露(8周)和神经酰胺抑制剂肉芽素干预对成年Long-Evans大鼠神经行为功能(开放场、新目标识别和莫里斯水迷宫测试)和额叶白质髓磷脂脂质生化病理的影响。结果:乙醇暴露组在执行功能上存在明显缺陷,焦虑指数增加,空间学习习得障碍明显。肉豆蔻素部分地弥补了乙醇的这些影响,而不影响对照组的行为。用乙醇喂养的大鼠的大脑明显变小,硫脂质的表达普遍减少,额叶白质中检测到的三种鞘磷脂中的两种表达减少。肉豆蔻素通过改善神经行为功能部分解决了这些影响。结论:支持脑白质髓磷脂硫脂和鞘磷脂表达的治疗策略可能有助于修复人类慢性重度饮酒后的认知行为功能障碍。
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引用次数: 3
Dorsolateral Prefrontal Cortex 背外侧前额皮质
Pub Date : 2022-01-01 DOI: 10.1007/978-981-19-7268-3
S. Funahashi
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引用次数: 0
Impact of Cannabis Use on Brain Structure and Function in Suppressed HIV Infection. 大麻使用对HIV感染者脑结构和功能的影响。
Pub Date : 2020-08-01 Epub Date: 2020-08-21
Kalpana J Kallianpur, Rasmus Birn, Lishomwa C Ndhlovu, Scott A Souza, Brooks Mitchell, Robert Paul, Dominic C Chow, Lindsay Kohorn, Cecilia M Shikuma

Background: Brain atrophy and cognitive deficits persist among individuals with suppressed HIV disease. The impact of cannabis use is unknown.

Methods: HIV+ and HIV- participants underwent cross-sectional magnetic resonance imaging and neuropsychological testing. Lifetime frequency, duration (years), and recency of cannabis use were self-reported. Relationships of cannabis use to resting-state functional connectivity (RSFC) and to 9 regional brain volumes were assessed with corrections for multiple comparisons. Peripheral blood cytokines and monocyte subsets were measured in the HIV+ group and examined in relation to cannabis exposure.

Results: We evaluated 52 HIV+ [50.8 ± 7.1 years old; 100% on antiretroviral therapy ≥ 3 months; 83% with plasma viral load < 50 copies/mL] and 55 HIV- [54.0 ± 7.5 years old] individuals. Among HIV+ participants, recent cannabis use (within 12 months) was associated with diminished RSFC, including of occipital cortex, controlling for age. Duration of use correlated negatively with volumes of all regions (most strikingly the nucleus accumbens) independently of recent use and intracranial volume. Recent use was associated with larger caudate and white matter volumes and lower soluble vascular cell adhesion molecule-1 and monocyte chemoattractant protein-1 concentrations. Duration of use correlated positively with psychomotor speed. Use > 10 times/lifetime was linked to more somatic symptoms, better executive function, and lower CD14+CD16++ monocyte count.

Conclusion: HIV+ individuals demonstrated opposing associations with cannabis. Recent use may weaken RSFC and prolonged consumption may exacerbate atrophy of the accumbens and other brain regions. More frequent or recent cannabis use may reduce the inflammation and CD14+CD16++ monocytes that facilitate HIV neuroinvasion. HIV-specific cannabis studies are necessary.

背景:脑萎缩和认知缺陷在HIV感染者中持续存在。大麻使用的影响尚不清楚。方法:HIV阳性和HIV阳性参与者进行了横断面磁共振成像和神经心理测试。一生中使用大麻的频率、持续时间(年)和最近使用大麻的时间都是自我报告的。评估了大麻使用与静息状态功能连接(RSFC)和9个区域脑容量的关系,并对多重比较进行了修正。外周血细胞因子和单核细胞亚群在HIV+组进行了测量,并检查了与大麻暴露的关系。结果:52例HIV阳性患者[50.8±7.1;100%接受抗逆转录病毒治疗≥3个月;83%血浆病毒载量< 50拷贝/mL]和55例HIV-[54.0±7.5岁]个体。在HIV阳性参与者中,最近使用大麻(在12个月内)与RSFC减少有关,包括枕叶皮质,控制年龄。使用时间与所有区域(最显著的是伏隔核)的体积呈负相关,独立于最近的使用和颅内体积。最近的使用与较大的尾状和白质体积以及较低的可溶性血管细胞粘附分子-1和单核细胞化学引诱蛋白-1浓度有关。使用时间与精神运动速度呈正相关。使用> 10次/一生与更多的躯体症状、更好的执行功能和更低的CD14+CD16++单核细胞计数有关。结论:HIV阳性个体表现出与大麻相反的关联。近期使用可能会削弱RSFC,长期使用可能会加剧伏隔核和其他大脑区域的萎缩。更频繁或最近使用大麻可能会减少炎症和CD14+CD16++单核细胞,促进HIV神经入侵。针对艾滋病毒的大麻研究是必要的。
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引用次数: 0
Subjective Cognitive Concerns and Attitudes toward Genetic Testing Are Associated with Depressive Symptoms and Quality of Life after Genetic Testing for the Cerebral Cavernous Malformation Common Hispanic Mutation (CCM1). 对基因检测的主观认知关注和态度与脑海绵状血管瘤常见西班牙突变(CCM1)基因检测后的抑郁症状和生活质量相关
Pub Date : 2020-02-01 Epub Date: 2020-02-25 DOI: 10.4236/jbbs.2020.102007
Richard Campbell, Christine L Petranovich, Savannah Cheek, Leslie Morrison, Blaine Hart

Purpose: This study aimed to characterize mood and quality of life and to examine the associations of these areas with subjective cognitive concerns and attitudes toward genetic testing for the Common Hispanic Mutation, a gene that has been associated with increased risk for CCM1.

Method: Fifty-four adults with previous genetic testing for the Common Hispanic Mutation completed a mail survey that included assessments of the above identified areas.

Results: Self-reported depressive symptoms and quality of life did not differ between those with positive and negative genetic test results. The negative group expressed a more favorable attitude toward genetic testing (p < 0.001). There was a trend toward more subjective cognitive concerns in the positive group (p = 0.06). Using generalized linear regression, more subjective cognitive concerns were associated with poorer quality of life and more depressive symptoms (p < 0.001). Poorer attitude toward genetic testing was also associated with poorer quality of life (p < 0.05).

Conclusions: Subjective cognitive concerns and negative attitudes toward genetic testing may influence emotional well-being after genetic testing for the Common Hispanic Mutation. Additional research is needed that uses objective neuropsychological measures to understand the associations of subjective cognitive concerns, emotional well-being, and cognitive test performance in individuals with CCM1. There is also a need for research that focuses on protective factors and resiliency following genetic testing for CCM1 and the development of mental health interventions to preempt psychosocial difficulties.

目的:本研究旨在描述情绪和生活质量的特征,并研究这些领域与西班牙常见突变基因检测的主观认知关注和态度之间的关系,该基因与CCM1风险增加有关。方法:54名先前进行过西班牙常见突变基因检测的成年人完成了一项邮件调查,其中包括对上述确定区域的评估。结果:自我报告的抑郁症状和生活质量在基因检测结果呈阳性和阴性的人之间没有差异。阴性组对基因检测表现出更积极的态度(p < 0.001)。阳性组有更多主观认知关注的趋势(p = 0.06)。使用广义线性回归,更多的主观认知担忧与较差的生活质量和更多的抑郁症状相关(p < 0.001)。对基因检测态度较差也与生活质量较差相关(p < 0.05)。结论:对基因检测的主观认知担忧和消极态度可能影响西班牙常见突变基因检测后的情绪幸福感。需要更多的研究使用客观的神经心理学测量来了解CCM1患者的主观认知关注、情绪健康和认知测试表现之间的联系。还需要进行研究,重点关注CCM1基因检测后的保护因素和恢复能力,并开发心理健康干预措施,以预防心理社会困难。
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引用次数: 0
Mixed associations of postnatal body mass index change with cognitive function at 4 years: Hamamatsu Birth Cohort for Mothers and Children Study 出生后体重指数变化与4岁时认知功能的混合关联:滨松母婴出生队列研究
Pub Date : 2020-01-01 DOI: 10.20821/JBS.49.0_32
Y. Sagawa, Tomoko Nishimura, Y. Nomura, Toshiki Iwabuchi, Taeko Harada, Akemi Okumura, Chikako Nakayasu, N. Takahashi, N. Takei, K. Tsuchiya
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引用次数: 0
期刊
Journal of Behavioral and Brain Science
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