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Machine Learning-Based Clinical Adjusted Selection of Predicting Risk Factors for Shunt Infection in Children 基于机器学习的儿童分流感染危险因素预测的临床调整选择
Pub Date : 2021-06-30 DOI: 10.34172/icnj.2021.28
E. Moradi, M. Sabeti, N. Shahbazi, Z. Habibi, F. Nejat
Background: Shunt Infection is a common complication of shunt insertion in children which can lead to bad neuro-developmental conditions and impose a considerable economic burden for the health care system. So, identifying predictive factors of shunt infection could help us in the proper improvement of this deteriorating condition. Methods: In this study, related risk factors of 68 patients with history of shunt infection and 80 matched controls without any history of shunt infection, who were all operated in a single referral hospital were assessed. Three machine learning (ML)-based measures including sparsity, correlation, and redundancy along with specialist’s score were applied to select the most important predictive risk factors for shunt infection. ML was determined by summation of sparsity, correlation and redundancy measures, and the final total score was considered as normalization (ML-based score + specialist score). Results: According to the total score, prematurity, first ventriculoperitoneal shunting (VPS) age, intraventricular hemorrhage (IVH), myelomeningocele (MMC) and low birth weight had higher weights as shunt infection risk factors. icterus, trauma, co-infection and tumor had the lowest weights and history of meningitis and number of shunt revisions were defined as intermediate risk factors. Conclusion: The "ML-based clinical adjusted" method may be used as a complementary tool to help neurosurgeons in better patient selection and more accurate follow-up of children with higher risk of shunt infection.
背景:分流感染是儿童分流插入的常见并发症,可导致不良的神经发育状况,并给医疗保健系统带来相当大的经济负担。因此,确定分流感染的预测因素可以帮助我们适当改善这种恶化的情况。方法:在本研究中,对68名有分流感染史的患者和80名没有分流感染史、均在一家转诊医院接受手术的匹配对照组的相关危险因素进行了评估。应用三种基于机器学习(ML)的测量方法,包括稀疏性、相关性和冗余性以及专家评分,来选择分流感染最重要的预测风险因素。ML是通过稀疏性、相关性和冗余性测量的总和来确定的,最终总分被视为标准化(基于ML的分数+专家分数)。结果:根据总分,早产、首次脑室-腹腔分流术(VPS)年龄、脑室出血(IVH)、脊髓脊膜膨出(MMC)和低出生体重是分流术感染的危险因素。黄疸、创伤、合并感染和肿瘤的权重最低,脑膜炎病史和分流次数被定义为中间危险因素。结论:“基于ML的临床调整”方法可作为一种补充工具,帮助神经外科医生更好地选择患者,并对分流感染风险较高的儿童进行更准确的随访。
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引用次数: 0
Comparing Bender-Gestalt Test and Quantitative Electroencephalography for Brain Trauma Diagnosis in Depressive and Attention Deficit Hyperactivity Disorders 曲德格式塔测验与定量脑电图在抑郁症和注意缺陷多动障碍脑外伤诊断中的比较
Pub Date : 2021-06-30 DOI: 10.34172/icnj.2021.29
Samaneh Shakeri, R. Bidaki, H. Mirhosseini, Mina Kiani
Background: Some experts assert there is an association between traumatic brain injury and cognitive impairments such as attention deficit hyperactivity disorder (ADHD) and depressive disorder. Furthermore, children and adults with ADHD struggle with focusing, organizing tasks, and feeling restless. They might experience sadness, guilt, irritability, low self-confidence and helplessness. In this regard, ADHD and depressive disorder occasionally occur together. We aimed to compare the clinical application of the Bender-Gestalt test (BGT) and electroencephalography in screening brain damage in the patients with the mentioned disorders. Methods: This was a cross-sectional study to assess diagnostic accuracy. Eighty patients with depression (n=35) and ADHD (n=45) resulting from brain damage aged 10-35 years who had been referred by the psychologist or psychiatrist to Imam Hossein Clinic in Yazd. Both the BGT and quantitative electroencephalography (QEEG) results existed in their files. Patients with any serious medical, other psychiatric disorders or history of drug dependency were excluded. Paired t test was used to analyze the differences. Results: The brain damage score was different in the two tests. Based on the paired t test, the BGT was a more valid screening test. Also, the score of the two tests were different in the depression and ADHD mean scores (P<0.05). Conclusion: BGT was a more reliable tool compared to QEEG for diagnosing brain damage within the patients with the mentioned disorders.
背景:一些专家认为,创伤性脑损伤与认知障碍(如注意缺陷多动障碍(ADHD)和抑郁症)之间存在关联。此外,患有多动症的儿童和成人在集中注意力、组织任务和感觉不安方面都很挣扎。他们可能会感到悲伤、内疚、易怒、缺乏自信和无助。在这方面,多动症和抑郁症偶尔会同时发生。我们的目的是比较Bender-Gestalt试验(BGT)和脑电图在筛查上述疾病患者脑损伤方面的临床应用。方法:这是一项评估诊断准确性的横断面研究。80名因脑损伤而患有抑郁症(n=35)和多动症(n=45)的患者,年龄在10-35岁之间,由心理学家或精神科医生转介到亚兹德的伊玛目侯赛因诊所。BGT和定量脑电图(QEEG)结果都存在于他们的档案中。有任何严重的医疗、其他精神疾病或药物依赖史的患者被排除在外。采用配对t检验分析差异。结果:两种测试的脑损伤评分不同。基于配对t检验,BGT是一个更有效的筛选测试。两项测验的抑郁和ADHD平均得分差异有统计学意义(P<0.05)。结论:与QEEG相比,BGT是诊断上述疾病患者脑损伤的更可靠的工具。
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引用次数: 0
Schizophrenia: The Dark Side of Toxoplasmosis 精神分裂症:弓形虫病的阴暗面
Pub Date : 2021-03-27 DOI: 10.34172/icnj.2021.12
S. Eftekharian, Sara Rahmati Roodsari, Zahra Arab-Mazar, M. Rahimi
Toxoplasma gondii is an intracellular parasite that has been associated with several mental disorders. It usually causes an inapparent primary infection. Found worldwide, T. gondii is capable of infecting virtually all warm-blooded animals.1-3Schizophrenia is a neurological disorder characterized with long-term and devastating neuropsychological problems, usually presenting in adolescents or young adults. The disease affects almost 1.1% of the global population including all races and ethnic groups with an equal prevalence in both sexes.1 T. gondii seroprevalence is strongly associated with 12-month generalized anxiety disorder but not with other anxiety, depressive, or alcohol-related disorders. Because of the intracellular nature of some parasites, their treatment and development of new drugs is a major challenge for scientists.4 Recently, the use of nanoparticles and nano-scaffolds has suggested for the treatment of parasitic diseases, although limited research has been done in this regard.5-7
弓形虫是一种细胞内寄生虫,与多种精神疾病有关。它通常会引起不明显的原发性感染。弓形虫在世界各地都有发现,它能够感染几乎所有温血动物。1-3精神分裂症是一种神经系统疾病,其特征是长期和毁灭性的神经心理问题,通常发生在青少年或年轻人身上。该疾病影响了全球近1.1%的人口,包括所有种族和民族,男女患病率相同。1弓形虫血清患病率与12个月的广泛性焦虑症密切相关,但与其他焦虑、抑郁或酒精相关疾病无关。由于一些寄生虫的细胞内性质,它们的治疗和新药开发对科学家来说是一个重大挑战。4最近,有人建议使用纳米颗粒和纳米支架来治疗寄生虫病,尽管在这方面的研究有限。5-7
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引用次数: 0
Prevalence of Depression and Anxiety and Related Factors in Patients With Parkinson’s Disease 帕金森病患者抑郁、焦虑的患病率及相关因素
Pub Date : 2021-03-27 DOI: 10.34172/icnj.2021.18
Mohammad Pir Hayati, Navid Eydivandi, Mehran Khodashenas, Hamid Fallah Torbeh Bar
Background: Parkinson’s disease is a chronic and progressive disease in which patients show symptoms of psychiatric diseases such as anxiety and depression leading to decreased quality of life. So far, few studies have been done in this field in Iran.Methods: The study is a cross-sectional study that investigates the prevalence of anxiety and depression and their related factors in patients with Parkinson’s disease. In this study, 74 patients with Parkinson’s disease and 74 healthy individuals were evaluated and using by Beck’s Depression and Anxiety Inventories.Results: The prevalence of depression and anxiety in patients with Parkinson’s was 37.83% and 78.38%, respectively. The mean score of depression and anxiety was significantly higher in the patient group (P<0.001). Older age, female sex, a higher level of education and a longer duration of illness were significantly associated with more depression and anxiety (P<0.05). Multiple regression models showed that age was a predictive factor in depression. With respect to anxiety, age and duration of the disease were predictive factors.Conclusion: The severity of depression and anxiety were significantly higher in patients with Parkinson’s disease compared to healthy individuals. Age and duration of the disease play a significant role in predicting the severity of depression and anxiety in such patients.
背景:帕金森病是一种慢性进行性疾病,患者表现出焦虑、抑郁等精神疾病症状,导致生活质量下降。到目前为止,伊朗在这方面的研究还很少。方法:采用横断面研究方法,探讨帕金森病患者焦虑、抑郁的患病率及其相关因素。本研究采用贝克抑郁焦虑量表对74名帕金森病患者和74名健康人进行评估和使用。结果:帕金森病患者抑郁和焦虑的患病率分别为37.83%和78.38%。患者组抑郁、焦虑均分显著高于对照组(P<0.001)。年龄越大、女性、受教育程度越高、患病时间越长,抑郁、焦虑程度越高(P<0.05)。多元回归模型显示,年龄是抑郁症的预测因素。在焦虑方面,年龄和病程是预测因素。结论:帕金森病患者抑郁和焦虑的严重程度明显高于健康人。年龄和病程在预测这类患者抑郁和焦虑的严重程度方面起着重要作用。
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引用次数: 1
A Giant Frontal Meningioma with Psychiatric Symptoms in a Young Woman: A Case Report 一例有精神症状的年轻女性额巨大脑膜瘤病例报告
Pub Date : 2021-03-27 DOI: 10.34172/icnj.2021.21
Thi Phuong Hoai Dinh, Dang Thi Mai, Thi Mai Hung Tran, H. Pham, Vinh Phu Nguyen, T. Nguyen
Background:Frontal meningioma is often asymptomatic but patients might experience psychiatric symptoms. Since symptoms are atypical in giant meningioma, to the best of our knowledge, we present a rare clinical scenario. Case Presentation: A 24-year old female patient with no medical history presented with two months of depressive symptoms, personality changes such as easy irritability, and feelings of frustration and mental depression, as well as forgetfulness and blurred vision. Brain magnetic resonance imaging (MRI) revealed a well-defined markedly enhancing lesion in the left frontal region measuring 65 x 70 x 70 mm with mass effects to the adjacent brain tissue and associated surrounding edema which was pressed to the frontal horn of the lateral ventricle. The patient underwent frontal unilateral craniotomy and excision of the tumor. After surgery, the quality of life was improved. Conclusion: Meningioma with psychiatric symptoms is quite rare. This clinical case helps clinicians avoid missing symptoms and use appropriate management strategies for patients with giant meningiomas.
背景:额叶脑膜瘤通常无症状,但患者可能会出现精神症状。由于巨大脑膜瘤的症状是非典型的,据我们所知,我们提出了一个罕见的临床情况。病例介绍:24岁女性,无病史,表现为抑郁症状2个月,易烦躁、沮丧、精神抑郁等人格改变,健忘、视力模糊。脑磁共振成像(MRI)显示左侧额叶区有一个明确的明显增强的病变,面积为65 x 70 x 70 mm,对邻近脑组织和相关的周围水肿有肿块效应,并压迫到侧脑室额角。患者接受单侧额叶开颅手术及肿瘤切除。术后患者的生活质量得到改善。结论:脑膜瘤伴精神症状相当罕见。本临床病例有助于临床医生避免遗漏症状,并对巨大脑膜瘤患者采取适当的治疗策略。
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引用次数: 0
Evaluation of Iranian Students’ Mental Health: A Cross-sectional Survey 伊朗学生心理健康状况的横断面调查
Pub Date : 2021-03-27 DOI: 10.34172/icnj.2021.16
M. Akhlaghdoust, Poorya Davoodi, Atousa Hashemi, Farzan Fathalizade, M. Baghani, Fatemeh Kamalipoor, Yasaman Rajaee, Sara Mohammadi Doust, Tooba Ebadi Fard Azar, Faeze Eslami, F. Ghasemi, Mahdi Akhlaghdoost
Background: Mental health is a significant problem in developed and developing countries which influences all aspects of life. We aimed to evaluate the status of Iranian students’ mental health. Methods: This cross-sectional study was performed on 2052 elementary school students located in Tehran, Iran, in September 2018. We used the Census sampling method for sampling and the general health questionnaire comprising 28 items. For statistical analysis SPSS software, version 21 was used. Results: A total of 2052 elementary school students (1373 girls and 679 boys) participated in this study. The mean ± standard deviation (SD) ages of the girls and boys were 14.1±1.7 and 13.9±1.1 years, respectively. The mean ± SD of anxiety, social dysfunction, and depression scores were 7.42±4.92, 7.35±3.33, 6.83±2.26 in the girls and 5.65±3.89, 6.30±3.09, 4.61±1.74 in the boys, respectively. The mean ± SD total scores in boys and girls were 20.48±12.31 and 27.90±14.66, respectively. Conclusion: The mental health status of elementary school students was generally low, especially in male students.
背景:心理健康在发达国家和发展中国家都是一个重大问题,影响到生活的各个方面。我们的目的是评估伊朗学生的心理健康状况。方法:本横断面研究于2018年9月对伊朗德黑兰的2052名小学生进行。我们采用人口普查抽样方法进行抽样,并编制了包含28个项目的一般健康问卷。统计分析采用SPSS软件21版。结果:共有2052名小学生参与本研究,其中女生1373名,男生679名。女孩和男孩的平均±标准差(SD)年龄分别为14.1±1.7岁和13.9±1.1岁。女生焦虑、社交障碍、抑郁得分的平均±SD分别为7.42±4.92、7.35±3.33、6.83±2.26,男生为5.65±3.89、6.30±3.09、4.61±1.74。男孩和女孩的平均±SD总分分别为20.48±12.31和27.90±14.66。结论:小学生的心理健康状况普遍较低,尤其是男生。
{"title":"Evaluation of Iranian Students’ Mental Health: A Cross-sectional Survey","authors":"M. Akhlaghdoust, Poorya Davoodi, Atousa Hashemi, Farzan Fathalizade, M. Baghani, Fatemeh Kamalipoor, Yasaman Rajaee, Sara Mohammadi Doust, Tooba Ebadi Fard Azar, Faeze Eslami, F. Ghasemi, Mahdi Akhlaghdoost","doi":"10.34172/icnj.2021.16","DOIUrl":"https://doi.org/10.34172/icnj.2021.16","url":null,"abstract":"Background: Mental health is a significant problem in developed and developing countries which influences all aspects of life. We aimed to evaluate the status of Iranian students’ mental health. \u0000Methods: This cross-sectional study was performed on 2052 elementary school students located in Tehran, Iran, in September 2018. We used the Census sampling method for sampling and the general health questionnaire comprising 28 items. For statistical analysis SPSS software, version 21 was used. \u0000Results: A total of 2052 elementary school students (1373 girls and 679 boys) participated in this study. The mean ± standard deviation (SD) ages of the girls and boys were 14.1±1.7 and 13.9±1.1 years, respectively. The mean ± SD of anxiety, social dysfunction, and depression scores were 7.42±4.92, 7.35±3.33, 6.83±2.26 in the girls and 5.65±3.89, 6.30±3.09, 4.61±1.74 in the boys, respectively. The mean ± SD total scores in boys and girls were 20.48±12.31 and 27.90±14.66, respectively. \u0000Conclusion: The mental health status of elementary school students was generally low, especially in male students.","PeriodicalId":33222,"journal":{"name":"International Clinical Neuroscience Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43678534","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
A Review of Cognitive Disorders in Attention Deficit Hyperactivity Disorder with Emphasis on Executive Functions and Brain Structures 注意缺陷多动障碍的认知障碍综述——以执行功能和大脑结构为重点
Pub Date : 2021-03-27 DOI: 10.34172/icnj.2021.14
Somaye Roshannia, Somayeh Maleki-Karamolah, Z. Akhlaghi, Parastou Kordestani-Moghadam
Attention deficit hyperactivity disorder is one of the most common childhood neurodevelopmental disorders characterized by levels of attention deficit disorder, irregularity, or hyperactivity/impulsivity. Some research has shown that only a fraction of children with attention deficit hyperactivity disorder, and not all of them, suffer from performance-related impairments; but recently it has become clear that all people with this disorder are impaired in executive functions. In other words attention deficit hyperactivity disorder is fundamentally a developmental disorder of executive functions. Poor inhibitory control, continuous attention deficit, problem-solving, and behavioral inhibition are cognitive deficits in children with attention deficit hyperactivity disorder that they are exhibit in tests related to executive functions. Evidences suggest differences in some executive functions, such as behavioral inhibition between boys and girls. Attention deficit hyperactivity disorder has its neurobiological basis and most empirical evidence indicates delayed frontal lobe development in children with this disorder. Therefore, the purpose of this study was to review cognitive disorders in children with attention deficit hyperactivity disorder with an emphasis on executive functions.
注意力缺陷多动障碍是最常见的儿童神经发育障碍之一,其特征是注意力缺陷障碍、不规则或多动/冲动。一些研究表明,只有一小部分注意力缺陷多动障碍儿童,而不是所有儿童,患有与表现相关的障碍;但最近很明显,所有患有这种疾病的人的执行功能都受到了损害。换句话说,注意力缺陷多动障碍从根本上说是一种执行功能的发育障碍。在与执行功能相关的测试中,注意力缺陷多动障碍儿童表现出的认知缺陷包括抑制控制能力差、持续注意力缺陷、解决问题和行为抑制。证据表明,一些执行功能存在差异,例如男孩和女孩之间的行为抑制。注意缺陷多动障碍有其神经生物学基础,大多数经验证据表明该障碍儿童的额叶发育迟缓。因此,本研究的目的是回顾注意力缺陷多动障碍儿童的认知障碍,重点是执行功能。
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引用次数: 2
Intraoperative Ultrasonography in Resection of Diffuse Glioma 术中超声检查在弥漫性胶质瘤切除术中的应用
Pub Date : 2021-03-27 DOI: 10.34172/icnj.2021.11
Sayedali Ahmadi, Saeid Safari, M. Chardoli, M. Mirsalehi
Diffuse glioma is a primary brain tumor that originates from glial supportive cells and is the most common type of intra-axial brain tumor. Open tumor resection is the first step in the treatment of diffuse gliomas. The extent of resection (EOR) directly influences clinical outcomes in glioma surgery. However, resection of diffuse glioma is encountered with the problem of macroscopic and even microscopic similarity of normal brain and tumor. Furthermore, maximizing EOR requires attention because a mistake in identifying and preserving normal brain regions in complete resection can lead to catastrophic complications.
弥漫性胶质瘤是一种起源于神经胶质支持细胞的原发性脑肿瘤,是最常见的轴内脑肿瘤类型。开放性肿瘤切除是弥漫性胶质瘤治疗的第一步。胶质瘤手术的切除程度直接影响临床疗效。然而,弥漫性胶质瘤的切除遇到了正常脑与肿瘤在宏观甚至微观上相似的问题。此外,最大化EOR需要注意,因为在完全切除中识别和保留正常脑区域的错误可能导致灾难性的并发症。
{"title":"Intraoperative Ultrasonography in Resection of Diffuse Glioma","authors":"Sayedali Ahmadi, Saeid Safari, M. Chardoli, M. Mirsalehi","doi":"10.34172/icnj.2021.11","DOIUrl":"https://doi.org/10.34172/icnj.2021.11","url":null,"abstract":"Diffuse glioma is a primary brain tumor that originates from glial supportive cells and is the most common type of intra-axial brain tumor. Open tumor resection is the first step in the treatment of diffuse gliomas. The extent of resection (EOR) directly influences clinical outcomes in glioma surgery. However, resection of diffuse glioma is encountered with the problem of macroscopic and even microscopic similarity of normal brain and tumor. Furthermore, maximizing EOR requires attention because a mistake in identifying and preserving normal brain regions in complete resection can lead to catastrophic complications.","PeriodicalId":33222,"journal":{"name":"International Clinical Neuroscience Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44738934","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
The Relationship Between Emotional Self-efficacy, Sensation Seeking, and the Quality of Child-Parent Relationships With Quality of Life Mediated by High-Risk Sexual Behaviors in Students 情绪自我效能感、感觉寻求、亲子关系质量与高风险性行为介导的学生生活质量的关系
Pub Date : 2021-03-27 DOI: 10.34172/icnj.2021.19
Farnoosh Sadat Etminan, K. Haji Alizadeh, Seyed Abdul Wahab Samavi
Background: Considering the importance of quality of life which is related to various physical, psychological, social, and political dimensions of the individual and the importance of the class which plays a decisive role in forming a successful and healthy society. Also, considering the importance of high-risk behaviors in today’s society and the harm that these behaviors create, five variables of quality of life, type of parent-child relationship and sensation seeking, self-efficacy, and high-risk sexual behaviors have been studied together.Methods: The research method was descriptive-correlational with structural equation modeling (SEM). The statistical population included all male and female undergraduate students of Bandar Abbas Branch of Azad University who were studying in the first semester of the 2018-2019 academic year. 260 people were selected through purposive sampling. The inclusion criteria were being an undergraduate student, conscious satisfaction with the implementation method and research process. Data were gathered by the Child-Parent Relationship Quality Questionnaire (PCRS), Zuckerman Sensation Seeking Scale, Quality of Life Questionnaire, High-Risk Sexual Behaviors Questionnaire and Emotional Self-efficacy Scale. Data were analyzed using structural equations with Amos software, version 8.80.Results: The path coefficient between high-risk sexual behaviors and quality of life was -0.84, which indicates the negative and inverse effect of high-risk sexual behaviors and quality of life. The path coefficient between the quality of the parent-child relationship and high-risk sexual behaviors was -0.86, which indicates the negative and inverse effect of the quality of the parent-child relationship and high-risk sexual behaviors.Conclusion: High-risk sexual behaviors mediate the quality of the parent-child relationship and the quality of life of students.
背景:考虑到生活质量的重要性,这与个人的各种生理、心理、社会和政治层面有关,以及阶级的重要性,阶级在形成一个成功和健康的社会中起着决定性作用。此外,考虑到高风险行为在当今社会中的重要性和这些行为造成的危害,我们对生活质量、亲子关系类型和寻求感觉、自我效能和高风险性行为这五个变量进行了共同研究。方法:采用描述性相关分析和结构方程建模相结合的研究方法。统计人群包括阿扎德大学阿巴斯港分校2018-2019学年第一学期的所有男女本科生。通过有目的的抽样选出260人。纳入标准为本科生,对实施方法和研究过程有意识的满意度。采用亲子关系质量问卷(PCRS)、Zuckerman感觉寻求量表、生活质量问卷、高危性行为问卷和情绪自我效能感量表收集数据。使用Amos软件8.80版的结构方程对数据进行分析。结果:高危性行为与生活质量之间的路径系数为-0.84,表明高危性行为对生活质量的负向和负向影响。亲子关系质量与高危性行为之间的路径系数为-0.86,表明亲子关系质量和高危性行为具有负向和负向效应。结论:高危性行为对学生的亲子关系质量和生活质量具有中介作用。
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引用次数: 1
Effect of Curcumin on Beta-Amyloid Plasma Level in Alzheimer Disease: A Systematic Review and Meta-analysis 姜黄素对阿尔茨海默病患者β -淀粉样蛋白血浆水平的影响:一项系统综述和荟萃分析
Pub Date : 2021-03-27 DOI: 10.34172/icnj.2021.13
S. Mehrabadi, Azam Alinaghpour, E. Zahedi
Alzheimer’s disease is known as a most common dementia disorder in the world. The famous hypothesis about the cause of this disease is beta-amyloid (Aβ ) accumulation in the brain. There is a widespread neuroinflammation in the patient’s brain, leading to neuronal apoptosis and brain atrophy. Curcumin is a well-known anti-inflammation and anti-oxidant ingredient. It can easily cross the blood-brain barrier. There are controversial results about the effects of curcumin on Aβ clearance and metabolism in Alzheimer’s disease and the elderly. The aim of this meta-analysis and systematic review was to review the effect of curcumin on Aβ clearance in clinical studies. We performed a systematic review and meta-analysis on the three randomized clinical trials (RCTs) and one pilot study that assessed the effect of curcumin on Aβ plasma level in Alzheimer’s disease. For this purpose, we searched PubMed and Scopus databases up to December 2020. Our result showed there was no significant change in serum Aβ level (weighted mean difference [WMD]: 5.3, 95% CI: 0.78-9.97) following curcumin consumption in patients with Alzheimer’s disease. Further clinical trials should be done to evaluate the effects of curcumin in Aβ level in Alzheimer’s disease.
阿尔茨海默病是世界上最常见的一种痴呆症。关于这种疾病的病因的著名假设是β -淀粉样蛋白(Aβ)在大脑中的积累。患者脑内有广泛的神经炎症,导致神经元凋亡和脑萎缩。姜黄素是一种众所周知的抗炎症和抗氧化成分。它很容易穿过血脑屏障。关于姜黄素对阿尔茨海默病和老年人Aβ清除和代谢的影响,目前的研究结果存在争议。本荟萃分析和系统评价的目的是回顾姜黄素在临床研究中对Aβ清除的影响。我们对评估姜黄素对阿尔茨海默病患者a β血浆水平影响的三项随机临床试验(rct)和一项试点研究进行了系统回顾和荟萃分析。为此,我们检索了截至2020年12月的PubMed和Scopus数据库。我们的结果显示,阿尔茨海默病患者服用姜黄素后血清Aβ水平没有显著变化(加权平均差[WMD]: 5.3, 95% CI: 0.78-9.97)。需要进一步的临床试验来评估姜黄素对阿尔茨海默病中Aβ水平的影响。
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引用次数: 1
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International Clinical Neuroscience Journal
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