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Cervical Nerve Root Cavernoma – Case Report and Literature Review 颈神经根海绵状瘤病例报告及文献复习
Pub Date : 2023-01-01 DOI: 10.34172/icnj.2023.02
S. Moolchandani, G. Tyagi, Nishant S. Yagnick, S. Sinha, V. Mehta
Spinal cavernous angiomas are uncommon vascular malformations in the spine accounting for 5%-12% of all spinal vascular lesions. When present in an intradural extra-medullary location, these usually present with radicular pain and neurological deficits due to mass effect (myelopathy). Herein, we present an atypical presentation of cavernous angioma in a 54-year-old man with tinnitus, headache and sensorineural hearing loss. We have also reviewed 51 cases of intradural extramedullary cavernous angiomas including our case with respect to demographic and clinical profile. A 54-year-old man presented with tinnitus in the left ear and occipital headache with neck pain and slight weakness of left-hand grip along with atrophy of thenar muscles. His pure tone audiometry (PTA) test reveled mild left sensorineural hearing loss. Magnetic resonance imaging (MRI) of cervical spine showed T2WI heterogeneously hyperintense left intradural extramedullary lesion at C7 vertebral body level. It was avidly enhancing with contrast. The patient underwent C7 laminectomy with a midline durotomy and complete excision of the lesion under neuromonitoring with sacrifice of the C8 sensory root. His symptoms improved following the surgery. The diagnosis of a cavernoma in an unusual location in the presence of cranial nerve dysfunction needs a high degree of diagnostic suspicion. Most of these cavernomas have a nerve root origin or attachment. The optimal treatment is microsurgical en bloc resection which leads to an effective resolution of both the symptoms.
脊柱海绵状血管瘤是一种罕见的脊柱血管畸形,占所有脊柱血管病变的5%-12%。当出现在硬膜外髓外位置时,由于质量效应(脊髓病),通常会出现神经根疼痛和神经功能缺陷。在此,我们报告一名54岁男性的非典型海绵状血管瘤,伴有耳鸣、头痛和感觉神经性听力损失。我们还回顾了51例髓外硬膜内海绵状血管瘤,包括我们的病例的人口统计学和临床特征。一名54岁的男子出现左耳耳鸣和枕部头痛,伴有颈部疼痛和左手握力轻微无力以及鱼际肌肉萎缩。他的纯音测听(PTA)测试显示轻度左感觉神经性听力损失。颈椎磁共振成像(MRI)显示C7椎体水平的T2WI非均匀性高信号左髓外硬膜内病变。它强烈地增强了对比度。患者接受了C7椎板切除术和中线硬膜切开术,并在神经监测下完全切除病变,同时牺牲C8感觉根。手术后他的症状有所好转。在存在脑神经功能障碍的情况下,诊断位于异常位置的海绵状瘤需要高度的诊断怀疑。这些海绵体瘤大多有神经根起源或附着。最佳的治疗方法是显微外科整体切除,可以有效地解决这两种症状。
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引用次数: 0
Evaluation of Karnofsky Performance Scale as a Postsurgical Prognosis Criteria in Chronic Subdural Hematoma Cases: Discordance Between Clinical and Radiological Outcomes Karnofsky性能量表作为慢性硬膜下血肿患者术后预后标准的评估:临床和放射学结果之间的不一致
Pub Date : 2023-01-01 DOI: 10.34172/icnj.2023.03
Ziya Asan, S. Eroğlu, Aydan Koysuren, Sezai Durmaz
Background: Chronic subdural hematoma (CSDH) may cause neurological deficits as well as adverse effects on the patient’s general health status. Although CSDH cases are diagnosed in the advanced age group with a very high rate, clinical findings may not be related only to CSDH. The aim should be related to clinical recovery rather than radiological recovery for these cases. We aimed to evaluate Karnofsky’s score as a measurement criterion of postoperative clinical outcomes in patients with CSDH. Methods: Cases operated for the diagnosis of CSDH were defined retrospectively. The cases that had been operated with this diagnosis were identified by examining the institution database records. Karnofsky scores equivalent to clinical status were performed by examining patient files. Karnofsky scoring before the symptomatic period was determined and compared with the Karnofsky score belonging to the late postoperative period. The clinical and radiological findings of the preoperative and postoperative periods were compared. Independent samples t test was used to reveal the difference between the two groups. Results: Data of 184 cases were evaluated. Seventy-three cases were operated on the left, 51 cases on the right, and 60 cases bilaterally with the diagnosis of CSDH. Burrhole exploration was performed in 119 cases, and a craniotomy was performed in 65 cases. Although a significant decrease in hematoma thickness was detected radiologically in cases operated with the craniotomy method, a more significant improvement was observed in Karnofsky’s score in cases operated with the burrhole method. In younger patients, improvement in Karnofsky’s score was significantly higher. Conclusion: The main aim should be to improve clinical status rather than radiological improvement in the treatment of CSDH cases. In the surgical treatment of these cases, it is possible to encounter a high rate of complications depending on age. It is possible to evaluate the postoperative status rationally with Karnofsky scoring. According to the preoperative Karnofsky scoring, deciding on the surgical technique may help reduce complications.
背景:慢性硬膜下血肿(CSDH)可能会导致神经系统缺陷,并对患者的总体健康状况产生不良影响。尽管CSDH病例在高龄组中的诊断率非常高,但临床发现可能不仅仅与CSDH有关。目标应该与这些病例的临床恢复有关,而不是与放射学恢复有关。我们旨在评估Karnofsky评分作为CSDH患者术后临床结果的衡量标准。方法:回顾性分析诊断CSDH的手术病例。通过检查机构数据库记录,确定了使用该诊断进行手术的病例。通过检查患者档案进行与临床状态相当的卡诺夫斯基评分。确定症状期前的Karnofsky评分,并与属于术后晚期的Karnovsky评分进行比较。比较术前和术后的临床和放射学表现。采用独立样本t检验来揭示两组之间的差异。结果:对184例患者的临床资料进行了评价。诊断为CSDH的左侧73例,右侧51例,双侧60例。119例进行了钻孔探查,65例进行了开颅手术。尽管在开颅手术的病例中,放射学检测到血肿厚度显著降低,但在毛刺孔手术的患者中,观察到Karnofsky评分有更显著的改善。在年轻患者中,Karnofsky评分的改善明显更高。结论:CSDH的主要治疗目的应该是改善临床状况,而不是改善放射学。在这些病例的外科治疗中,根据年龄的不同,可能会遇到很高的并发症发生率。Karnofsky评分可以合理评价术后状态。根据术前Karnofsky评分,决定手术技术可能有助于减少并发症。
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引用次数: 0
The International Clinical Neuroscience Journal; 2022 in a Glance 国际临床神经科学杂志;2022年概览
Pub Date : 2023-01-01 DOI: 10.34172/icnj.2023.01
M. Akhlaghdoust, A. Zali
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引用次数: 0
Early Detection of Alzheimer’s Disease With Nonlinear Features of EEG Signal and MRI Images by Convolutional Neural Network 基于脑电信号和MRI图像非线性特征的卷积神经网络早期检测阿尔茨海默病
Pub Date : 2022-07-19 DOI: 10.34172/icnj.2022.20
Elias mazrooei rad, M. Azarnoosh, M. Ghoshuni, mohammadmehdi khalilzadeh
Background: The main purpose of this study is to provide a method for early diagnosis of Alzheimer’s disease. This disease reduces memory function by destroying neurons in the nervous system and reducing connections and neural interactions. Alzheimer’s disease is on the rise and there is no cure for it. With the help of medical image processing, Alzheimer’s disease is determined and the similarity of the characteristics of brain signals with medical images is determined. Methods: Then, by presenting the characteristics of effective brain signals, the mild Alzheimer’s group is determined. The level of this disease should be diagnosed according to the relationship between this disease and different features in the brain signal and medical images. Results: For 40 participants brain signals and MRI images were recorded during 4 phase protocol and after appropriate preprocessing, nonlinear properties such as phase diagram, correlation dimension, entropy, and Lyapunov exponential are extracted and classification is done using a convolutional neural network (CNN). The use of this deep learning method can have more appropriate and accurate results among other classification methods. Conclusions: The accuracy of the results in the reminding phase is 97.5% for the brain signal and 99% for the MRI images, which is an acceptable result.
背景:本研究的主要目的是为阿尔茨海默病的早期诊断提供一种方法。这种疾病通过破坏神经系统中的神经元,减少连接和神经相互作用来降低记忆功能。阿尔茨海默病的发病率正在上升,目前还没有治愈的方法。借助医学图像处理,确定阿尔茨海默病,确定脑信号特征与医学图像的相似度。方法:通过呈现有效脑信号特征,确定轻度阿尔茨海默病组。根据本病与脑信号和医学影像的不同特征之间的关系,判断本病的级别。结果:对40名被试的脑信号和MRI图像进行记录,经过适当的预处理,提取相图、相关维数、熵和Lyapunov指数等非线性特征,并利用卷积神经网络(CNN)进行分类。在其他分类方法中,使用这种深度学习方法可以得到更合适和准确的结果。结论:提示阶段的结果对脑信号的准确率为97.5%,对MRI图像的准确率为99%,是可以接受的结果。
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引用次数: 0
Determinants of Public Acceptance of the COVID-19 Vaccine: A Systematic Review 公众接受COVID-19疫苗的决定因素:系统综述
Pub Date : 2022-07-12 DOI: 10.34172/icnj.2022.19
Farzin Bagheri, H. Farahani, P. Azadfallah
Background: The coronavirus disease 2019 (COVID-19) pandemic can be considered as a global unity that has forced all countries to work together to treat it. Consistent with ongoing efforts to reduce the prevalence of COVID-19, building a safe and effective vaccine against COVID-19, which is recognized as a major achievement, is a priority for many developed countries around the world. In this regard, we aimed to investigate the determinants of public acceptance of COVID-19 vaccine. Methods: In this review, published articles on the determinants of public acceptance of COVID-19 vaccine during 2020-2021 were reviewed. To obtain related scientific documents, the following keywords were searched in the title and abstract of published articles: Coronavirus 2019, COVID-19, and Vaccine acceptance, Resistance, Doubt, Vaccination, Determinants and Pandemics. Scientific databases such as Google Scholar, PubMed, Science Direct, Scopus and ProQuest were searched and all relevant English articles were listed. The PRISMA checklist was used to review and control the quality of articles. Results: Initially, 372 English articles were retrieved and finally 19 articles were finally selected for comprehensive review and data extraction. The results showed that most people were more receptive to vaccines that produce 90%-95% efficacy and safety levels. Also, being a woman, low age, low-income level, being single, low education and lack of trust in the government were among the factors that reduced the acceptance of people for the COVID-19 vaccine. The most common reasons for people not participating in the vaccination process were fear of vaccine side effects, lack of confidence in vaccine efficacy, and safety levels. Conclusion: Considering that a significant number of people in the world have a high acceptance of vaccines with 90%-95% safety levels. Measures need to be taken to speed up the vaccination process. Also, since most people are only afraid and anxious about the side effects caused by vaccines, it is necessary to increase people’s awareness and knowledge about the positive and negative consequences of vaccination.
背景:2019冠状病毒病(新冠肺炎)大流行可以被视为全球团结,迫使所有国家共同努力治疗。与正在进行的降低新冠肺炎流行率的努力相一致,研制安全有效的新冠肺炎疫苗是世界上许多发达国家的优先事项,这被公认为一项重大成就。在这方面,我们旨在调查公众接受新冠肺炎疫苗的决定因素。方法:在本综述中,回顾了已发表的关于2020-2021年公众接受新冠肺炎疫苗的决定因素的文章。为了获得相关科学文献,在已发表文章的标题和摘要中搜索了以下关键词:2019冠状病毒,新冠肺炎,以及疫苗接受、抵抗、怀疑、疫苗接种、决定因素和流行病。搜索了Google Scholar、PubMed、Science Direct、Scopus和ProQuest等科学数据库,并列出了所有相关的英文文章。PRISMA检查表用于审查和控制文章的质量。结果:最初检索到372篇英文文章,最终选择19篇进行全面综述和数据提取。结果表明,大多数人更容易接受产生90%-95%有效性和安全性水平的疫苗。此外,女性、低年龄、低收入水平、单身、受教育程度低以及对政府缺乏信任是降低人们对新冠肺炎疫苗接受度的因素之一。人们不参与疫苗接种过程的最常见原因是担心疫苗副作用、对疫苗有效性和安全性缺乏信心。结论:考虑到世界上有相当多的人对安全性水平为90%-95%的疫苗有很高的接受度。需要采取措施加快疫苗接种进程。此外,由于大多数人只对疫苗造成的副作用感到恐惧和焦虑,因此有必要提高人们对疫苗接种的积极和消极后果的认识和认识。
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引用次数: 1
Neuropathic Pain: Mechanism, Representation, Management and Treatment 神经性疼痛:机制、表现、管理和治疗
Pub Date : 2022-07-02 DOI: 10.34172/icnj.2022.18
A. Seddighi, A. Seddighi, Mahsa Ghadirian, A. Zali, Seyed Mahmoud Tabatabaei Far
Despite the development of screening tests and diagnostic tools, neuropathic pain is still identified as an underdiagnosed condition lacking proper epidemiological studies. It is difficult to estimate its incidence and prevalence the population. The objective of this narrative review is to summarize current knowledge concerning complications. The underlying mechanisms have also been reviewed in the development of diagnostic or treatment strategies in patients with neuropathic pain to investigate its unique symptoms. The main focus is concentrated on expansion of possible therapeutic options for neuropathic pain treatment. Many therapies are not effective and this often leads to a significant deterioration in the patients’ quality of life. So, the crucial and strategic role of therapeutics in guiding patients in the right direction should not be overlooked. The existing knowledge is so limited and has safety risks. It is truly important to provide alternative treatment strategies in selected patients with refractory neuropathic pain. Interventional therapies include different types of effective treatments for reducing neuropathic pain. Giving insight into recent findings on mechanisms of neuropathic pain may help understand and further develop strategies for correct diagnosis and successful treatment.
尽管筛查试验和诊断工具的发展,神经性疼痛仍然被确定为缺乏适当的流行病学研究诊断不足的条件。很难估计其在人群中的发病率和流行率。这篇叙述性综述的目的是总结目前关于并发症的知识。在神经性疼痛患者的诊断或治疗策略的发展中,潜在的机制也被审查,以调查其独特的症状。主要焦点集中在神经性疼痛治疗的可能治疗选择的扩展。许多治疗方法无效,这往往导致患者生活质量的显著恶化。因此,治疗学在引导患者正确方向上的关键和战略作用不容忽视。现有的知识如此有限,而且存在安全风险。为难治性神经性疼痛患者提供替代治疗策略是非常重要的。介入治疗包括不同类型的有效治疗,以减轻神经性疼痛。深入了解神经性疼痛机制的最新发现可能有助于理解和进一步制定正确诊断和成功治疗的策略。
{"title":"Neuropathic Pain: Mechanism, Representation, Management and Treatment","authors":"A. Seddighi, A. Seddighi, Mahsa Ghadirian, A. Zali, Seyed Mahmoud Tabatabaei Far","doi":"10.34172/icnj.2022.18","DOIUrl":"https://doi.org/10.34172/icnj.2022.18","url":null,"abstract":"Despite the development of screening tests and diagnostic tools, neuropathic pain is still identified as an underdiagnosed condition lacking proper epidemiological studies. It is difficult to estimate its incidence and prevalence the population. The objective of this narrative review is to summarize current knowledge concerning complications. The underlying mechanisms have also been reviewed in the development of diagnostic or treatment strategies in patients with neuropathic pain to investigate its unique symptoms. The main focus is concentrated on expansion of possible therapeutic options for neuropathic pain treatment. Many therapies are not effective and this often leads to a significant deterioration in the patients’ quality of life. So, the crucial and strategic role of therapeutics in guiding patients in the right direction should not be overlooked. The existing knowledge is so limited and has safety risks. It is truly important to provide alternative treatment strategies in selected patients with refractory neuropathic pain. Interventional therapies include different types of effective treatments for reducing neuropathic pain. Giving insight into recent findings on mechanisms of neuropathic pain may help understand and further develop strategies for correct diagnosis and successful treatment.","PeriodicalId":33222,"journal":{"name":"International Clinical Neuroscience Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42512001","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: 1
The Effectiveness of Empathy and Problem-Solving Skills Training on Social Self-efficacy and Mental Security of High School Boys 共情和问题解决技能训练对高中男生社会自我效能感和心理安全的影响
Pub Date : 2022-06-18 DOI: 10.34172/icnj.2022.17
Adel Zarei, B. Makvandi, Parvin Ehtesham Zadeh, S. Bavi
Background: Teaching empathy and problem-solving skills is effective in improving students’ selfefficacy and quality of social life. We aimed to compare the effectiveness of empathy and problem-solving skills training on social self-efficacy and psychological security of Assaluyeh second high school boys. Methods: This was a quasi-experimental study on all male high school students in Assaluyeh in the academic year of 2019-2020, of whom 45 were purposefully selected and assigned to two experimental groups and controls group. One experimental group received empathy training and the other group received problem-solving training in eight 90-minute sessions. To collect data, the social self-efficacy and Maslow’s psychological security questionnaires were used. Analysis of covariance was done using SPSS-24 software. Results: Empathy and problem-solving training was effective on social self-efficacy and psychological security of high school boys (P<0.001). Also, no significant difference was found between the effectiveness of empathy skills training and problem-solving training on social self-efficacy and psychological security (P<0.746). Conclusion: Empathy and problem-solving training increased social self-efficacy as well as psychological security in high school boys.
背景:教授移情和解决问题的技能对提高学生的自我效能感和社会生活质量是有效的。本研究旨在比较共情训练和问题解决技能训练对阿萨鲁耶中学男生社会自我效能感和心理安全的影响。方法:对2019-2020学年阿萨卢耶市所有高中男生进行准实验研究,有目的地选择45人分为实验组和对照组。一个实验组接受同理心训练,另一组接受解决问题的训练,分8次,每次90分钟。为了收集数据,我们使用了社会自我效能感问卷和马斯洛心理安全问卷。采用SPSS-24软件进行协方差分析。结果:共情和问题解决训练对高中男生的社会自我效能感和心理安全有显著影响(P<0.001)。同理心技能训练与问题解决训练对社会自我效能感和心理安全的影响无显著差异(P<0.746)。结论:共情和问题解决训练提高了高中男生的社会自我效能感和心理安全感。
{"title":"The Effectiveness of Empathy and Problem-Solving Skills Training on Social Self-efficacy and Mental Security of High School Boys","authors":"Adel Zarei, B. Makvandi, Parvin Ehtesham Zadeh, S. Bavi","doi":"10.34172/icnj.2022.17","DOIUrl":"https://doi.org/10.34172/icnj.2022.17","url":null,"abstract":"Background: Teaching empathy and problem-solving skills is effective in improving students’ selfefficacy and quality of social life. We aimed to compare the effectiveness of empathy and problem-solving skills training on social self-efficacy and psychological security of Assaluyeh second high school boys. Methods: This was a quasi-experimental study on all male high school students in Assaluyeh in the academic year of 2019-2020, of whom 45 were purposefully selected and assigned to two experimental groups and controls group. One experimental group received empathy training and the other group received problem-solving training in eight 90-minute sessions. To collect data, the social self-efficacy and Maslow’s psychological security questionnaires were used. Analysis of covariance was done using SPSS-24 software. Results: Empathy and problem-solving training was effective on social self-efficacy and psychological security of high school boys (P<0.001). Also, no significant difference was found between the effectiveness of empathy skills training and problem-solving training on social self-efficacy and psychological security (P<0.746). Conclusion: Empathy and problem-solving training increased social self-efficacy as well as psychological security in high school boys.","PeriodicalId":33222,"journal":{"name":"International Clinical Neuroscience Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42212098","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
Relationship Between Post-traumatic Growth and Illness Perception and Emotion Regulation in Patients with Cancer 癌症患者创伤后成长与疾病知觉和情绪调节的关系
Pub Date : 2022-05-31 DOI: 10.34172/icnj.2022.16
Shiva Rahimzadegan, S. Basharpour, N. Mikaeili, M. Narimani
Background: Cancer diagnosis causes emotional problems and profound psychological helplessness in patients. We aimed to investigate the relationship between post-traumatic growth and disease perception and emotion regulation in patients with cancer. Methods: The statistical population of this correlation study was all patients aged 18-65 years with breast, leukemia, and gastrointestinal cancer going to the oncology ward of Omid and Imam Khomeini hospitals in Urmia in the first half of 2021. 250 people (121 women and 129 men) were selected by the purposeful sampling method. Data collection tools included a post-traumatic growth questionnaire, a modified illness perception questionnaire, and the emotion regulation process strategies questionnaire. Pearson’s correlation test and multiple regression analysis were used for data analysis. Results: The results showed that negative illness perception had a significant and negative relationship, and optimistic illness perception had a positive, meaningful relationship with post-traumatic growth (P<0.05). Emotion regulation had a significant and positive association with post-traumatic growth (P<0.05). Conclusion: How to perceive the disease and emotion regulation strategies in patients with cancer have an influential role in promoting post-traumatic growth.
背景:癌症诊断导致患者出现情绪问题和深刻的心理无助感。本研究旨在探讨癌症患者创伤后成长与疾病知觉和情绪调节的关系。方法:本相关性研究的统计人群为2021年上半年在乌尔米亚奥米德和霍梅尼医院肿瘤病房就诊的所有年龄在18-65岁的乳腺癌、白血病和胃肠道癌患者。通过有目的的抽样方法,选取了250人(女性121人,男性129人)。数据收集工具包括创伤后成长问卷、修改后的疾病感知问卷和情绪调节过程策略问卷。数据分析采用Pearson相关检验和多元回归分析。结果:消极疾病知觉与创伤后成长呈显著负相关,乐观疾病知觉与创伤后成长呈显著正相关(P<0.05)。情绪调节与创伤后成长有显著正相关(P<0.05)。结论:癌症患者的疾病认知和情绪调节策略对创伤后成长有重要影响。
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引用次数: 1
The Effectiveness of Acceptance and Commitment Therapy on Depression, Alexithymia and Hypertension in Patients with Coronary Heart Disease 接纳与承诺疗法对冠心病患者抑郁、述情障碍和高血压的疗效观察
Pub Date : 2022-05-31 DOI: 10.34172/icnj.2022.15
Mojtaba Rahnama Zadeh, Hassan Ashayerih, Tahereh Ranjbaripour, A. Kakavand, F. Meschi
Background: According to recent studies, cardiovascular diseases have been the most prevalent cause of death and disability worldwide, one of the most hidden types of which is coronary heart disease. Coronary heart disease is mainly psychosomatic in nature and the role of psychological (especially personality) and social factors in its occurrence is very important. We aimed to evaluate the effectiveness of acceptance and commitment therapy (ACT) on depression, alexithymia, and hypertension in patients with cardiovascular diseases. Methods: The was a quasi-experimental study with a pretest-posttest design, with a control group and baseline assessment after intervention and three-month follow-up. The statistical population included all patients with cardiovascular diseases referred to Imam Reza hospital in Amol city from July to December 2020. 24 patients were selected as the sample using purposeful sampling and assigned to equal experimental and control groups randomly. The study tools were a researcher-made demographic questionnaire (2019), Toronto Alexithymia Scale (1994), Beck Depression Inventory (1990), and acceptance and commitment treatment protocol (Hayes, 2012). Data were analyzed by repeated measures analysis of variance. Results: We found that ACT had a significant effect on reducing depression, alexithymia, and hypertension. Conclusion: Patients who participated in ACT sessions had lower rates of depression, alexithymia, and hypertension.
背景:根据最近的研究,心血管疾病已成为世界范围内最普遍的死亡和残疾原因,其中最隐蔽的类型之一是冠心病。冠心病本质上以心身疾病为主,心理(尤其是人格)和社会因素在其发生中的作用十分重要。我们旨在评估接受与承诺疗法(ACT)对心血管疾病患者抑郁、述情障碍和高血压的疗效。方法:准实验研究,采用前测后测设计,设对照组,干预后进行基线评估,随访3个月。统计人口包括2020年7月至12月在阿莫尔市伊玛目礼萨医院转诊的所有心血管疾病患者。采用有目的抽样的方法,选取24例患者作为样本,随机分为实验组和对照组。研究工具是研究者自制的人口调查问卷(2019)、多伦多述情障碍量表(1994)、贝克抑郁量表(1990)和接受与承诺治疗方案(Hayes, 2012)。资料分析采用重复测量方差分析。结果:我们发现ACT对减轻抑郁、述情障碍和高血压有显著作用。结论:参加ACT课程的患者抑郁、述情障碍和高血压的发生率较低。
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引用次数: 2
Hemorrhagic Meningioma With Symptom of Convulsion: A Rare Presentation of Parietal Meningioma 伴有惊厥症状的出血性脑膜瘤:罕见的顶壁脑膜瘤
Pub Date : 2022-05-21 DOI: 10.34172/icnj.2022.14
Dinh Thi Phuong Hoai, Duong Ngoc Thanh Van, Phan Quoc Tho, Nguyen Ngoc Anh Thu, Le Trong Phuoc, Le Trong Hieu, Nguyen Vinh Lac, Vo Ba Tuong, N. T. Minh
Meningioma is the most common, extra-axial, non-glial intracranial tumor with an incidence of 2.3- 5.5/100000, accounting for 20%-30% of all primary brain tumor diagnoses in adults. Meningiomas associated with intratumoral hemorrhage are very rare occurring in 0.5%-2.4%. of individuals. Herein, we report a rare case of hemorrhagic meningioma with the symptom of convulsion. The case was a 68-year-old woman admitted to the hospital with severe headache and convulsions. Computed tomography revealed an increase in heterogeneous lesion measuring 4×3×2.5 cm at the right parietal lobe. Brain magnetic resonance imaging (MRI) showed a grossly stable homogeneously enhancing extra-axial mass measuring 43×33×28 mm, small calcified peripheral, intratumoral hemorrhage. Histopathology showed a multi-celled meningioma with bleeding areas (WHO grade I).
脑膜瘤是最常见的轴外非神经胶质颅内肿瘤,发病率为2.3-5.5/10000,占成人所有原发性脑肿瘤诊断的20%-30%。与肿瘤内出血相关的脑膜瘤非常罕见,发生在0.5%-2.4%的个体中。在此,我们报告一个罕见的出血性脑膜瘤伴惊厥症状。该病例是一名68岁的妇女,因严重头痛和抽搐入院。计算机断层扫描显示右顶叶4×3×2.5cm的异质性病变增加。脑磁共振成像(MRI)显示一个大体稳定、均匀增强的轴外肿块,尺寸为43×33×28 mm,小的钙化外周肿瘤内出血。组织病理学显示多细胞脑膜瘤出血区(世界卫生组织I级)。
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引用次数: 0
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International Clinical Neuroscience Journal
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