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Evaluación de una Batería de Estímulos de Reconocimiento Emocional Auditivo 听觉情绪识别刺激的评估
Q4 Medicine Pub Date : 2023-02-13 DOI: 10.31157/an.v28i2.436
Johanna Kreither, Renata Contreras, José Cueto
Introducción: el Reconocimiento Emocional Auditivo (REA) es la capacidad de reconocer estados emocionales en otros, poniendo énfasis en las características prosódicas, tales como tono, intensidad y frecuencia. La literatura sobre esta área es escasa y en la actualidad no hay baterías de estímulos de REA validadas en Latinoamérica. Objetivo: evaluar una batería de estímulos de REA en una muestra de la población adulta chilena. Material y métodos: 140 adultos de entre 18 y 50 años de edad respondieron un formulario online que cual contuvo la batería de estímulos auditivos y preguntas asociadas. Los estímulos fueron elaborados a través de un modulador sintético de acuerdo a los parámetros sugeridos en la literatura. Se solicitó a los participantes que asociaran los estímulos auditivos a estados emocionales. Resultados: la característica F0M es clave para el reconocimiento de las emociones alegría y enojo, F0SD es importante para la emoción Tristeza y HF500 para la emoción enojo, y se encontraron diferencias significativas entre las medias de respuesta entre participantes que reportaron un trastorno psiquiátrico al momento del estudio y participantes que no. Conclusiones: varios de los estímulos testeados fueron evaluados por los participantes como representativos de algún estado emocional en alta proporción. Se recomienda realizar estudios posteriores de validación evaluando el grado de acuerdo y la realización de análisis factorial.  
简介:听觉情绪识别(oer)是一种识别他人情绪状态的能力,强调韵律特征,如音调、强度和频率。关于这一领域的文献很少,目前在拉丁美洲没有有效的oer刺激方案。摘要目的:评价智利成年人群中oer刺激的范围。方法:140名年龄在18 - 50岁之间的成年人回答了一份包含一系列听觉刺激和相关问题的在线表格。根据文献中建议的参数,通过合成调控器设计刺激。参与者被要求将听觉刺激与情绪状态联系起来。关键成果:F0M特征是喜悦和愤怒情绪,F0SD来说是很重要的情感伤痛和HF500激动愤怒,被发现参与反应的长筒袜之间有着显著的差异有精神病研究时,而不是参与者。结论:参与者对一些被测试的刺激进行了高比例的评估,以代表某种情绪状态。建议进行进一步的验证研究,评估一致性程度并进行因子分析。
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引用次数: 0
Median artery of the corpus callosum in the context of AComA aneurysm rupture: The relevance of a perianeurysmal anatomy AComA动脉瘤破裂的胼胝体正中动脉:动脉瘤周围解剖的相关性
Q4 Medicine Pub Date : 2023-01-29 DOI: 10.31157/an.v28i2.421
Javier Degollado-García, Ricardo Marian-Magaña, A. Hernández-Hernández, Eliezer Villanueva-Castro, Daniel Ballesteros-Herrera, J. Gómez-Amador
It is important to understand the patient's vascular anatomy before treating cerebral aneurysms. The middle artery of the corpus callosum is one of the least common variations of the AComA complex. We describe the case of a 59-year-old woman who suffered a subarachnoid hemorrhage due to an AComA complex aneurysm that had ruptured. Fluorescein injection during the aneurysm clipping procedure revealed a partial obstruction of the middle artery, requiring repositioning of the clip. The vascular variations that our patients may exhibit at the time of aneurysm clipping must be kept in mind and understood.
在治疗脑动脉瘤之前,了解病人的血管解剖是很重要的。胼胝体的中动脉是AComA复合体最不常见的变异之一。我们描述了一个59岁的妇女谁遭受了蛛网膜下腔出血由于AComA复杂的动脉瘤破裂。动脉瘤夹闭过程中荧光素注射显示中动脉部分阻塞,需要重新定位夹闭。我们的病人在动脉瘤夹闭时可能表现出的血管变异必须牢记并理解。
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引用次数: 0
Appreciation to Reviewers 2022 感谢审稿人2022
Q4 Medicine Pub Date : 2023-01-12 DOI: 10.31157/an.v28i2.453
Editorial Council
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引用次数: 0
Neutrophil-lymphocyte and leuko-glycemic indices as predictive markers for ventilatory support in patients with Guillain-Barre syndrome 中性粒细胞淋巴细胞和白细胞血糖指数作为格林-巴利综合征患者通气支持的预测指标
Q4 Medicine Pub Date : 2023-01-12 DOI: 10.31157/an.v28i2.413
Edwin Steven Vargas Cañas, Miriam Marcela Hernandez Sanchez, Javier Andres Galnares Olalde, Adib Jorge de Saráchaga, Ana Lissette Bazán Rodríguez, Raul Nathanael May Mas, J. C. López-Hernández
Background:  Guillain-Barré syndrome (GBS) is the most common cause of acute flaccid paralysis worldwide. Lymphocytes and neutrophils are associated with systemic inflammation and production of proinflammatory mediators. GBS, as an autoimmune disease, elicits an upregulation in inflammatory and metabolic pathways, with increased production of lymphocytes and neutrophils. Serum markers such as the neutrophil-lymphocyte (NLR) and leuko-glycemic (LGR) ratios have been studied for the severity and prognosis of non-neurological disorders. Methods: A cross-sectional study from a prospective cohort of patients with GBS was conducted, from January 2018 to February 2021. Comparison between patients with or without ventilatory support was performed with student´s t test or Mann-Whitney U test based on distribution. Chi-square for was used for categorical variables, Fisher´s exact test was applied when necessary. A logistic regression analysis was performed. Results:  One hundred and twenty-three patients were included. Logistic regression analysis demonstrated NLI to be an independent factor for mechanical ventilation in GBS, but not for LGI and OR 2.0, respectively. Both LGI and NLI demonstrated a high performance for ventilatory support prediction, with 0.70 and 0.81, respectively. Best cut-off values, according to Youden index, are for LGI 1.12 (sensitivity 0.70, specificity 0.40) and for NLI 3.59 (sensitivity 0.78, specificity 0.33).  Conclusions:  Despite the wide use of the EGRIS scale in estimating respiratory insufficiency in patients with GBS, we portray a new and easy to obtain laboratory tool that can further help non-neurologists and other clinicians to predict the risk for ventilatory support.
背景:吉兰-巴勒综合征(GBS)是全世界急性弛缓性麻痹最常见的病因。淋巴细胞和中性粒细胞与全身性炎症和促炎介质的产生有关。作为一种自身免疫性疾病,GBS引起炎症和代谢途径的上调,淋巴细胞和中性粒细胞的产生增加。血清标志物如中性粒细胞-淋巴细胞(NLR)和白细胞-血糖(LGR)比率已被研究用于非神经系统疾病的严重程度和预后。方法:从2018年1月至2021年2月,对GBS患者进行前瞻性队列横断面研究。采用学生t检验或基于分布的Mann-Whitney U检验对有无通气支持患者进行比较。分类变量采用卡方检验,必要时采用Fisher精确检验。进行逻辑回归分析。结果:共纳入123例患者。Logistic回归分析显示NLI是GBS机械通气的独立因素,而LGI和OR 2.0分别不是。LGI和NLI在预测通气支持方面均表现出较高的性能,分别为0.70和0.81。根据约登指数,最佳临界值为LGI 1.12(敏感性0.70,特异性0.40)和NLI 3.59(敏感性0.78,特异性0.33)。结论:尽管EGRIS量表被广泛用于评估GBS患者的呼吸功能不全,但我们描述了一种新的易于获得的实验室工具,可以进一步帮助非神经科医生和其他临床医生预测呼吸支持的风险。
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引用次数: 1
Signo de Romberg: Concepción histórica 隆伯格的标志:历史观念
Q4 Medicine Pub Date : 2023-01-12 DOI: 10.31157/an.v28i2.443
J. López-Hernández, Arturo Violante Villanueva
El signo de Romberg es uno de los signos clásicos y de gran ayuda en la exploración neurológica. Fue descrito por el alemán Mortiz Heinrich Romberg en 1851, al describir la pérdida del control postural que experimentaban los pacientes con tabes dorsal después de cerrar los ojos o en la oscuridad. En la literatura se reporta diferentes descripciones del signo de Romberg, y actualmente no existe un consenso de la descripción de este signo. El signo de Romberg fue relacionado con el daño a la vía propioceptiva en sus primeras descripciones, y no solo se utiliza en la neurología, también es utilizado en otras áreas médicas. Por lo que el signo de Romberg continúa siendo de gran ayuda en la práctica médica.
隆伯格体征是一种经典的体征,对神经系统检查有很大的帮助。1851年,德国人莫蒂兹·海因里希·隆伯格(Mortiz Heinrich Romberg)描述了背板患者在闭上眼睛或在黑暗中失去姿势控制的情况。文献中对隆伯格符号有不同的描述,目前对该符号的描述没有共识。在他早期的描述中,Romberg的体征与本体感觉通路的损伤有关,它不仅用于神经学,也用于其他医学领域。因此,隆伯格的标志在医疗实践中仍然有很大的帮助。
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引用次数: 0
XXXVI Annual Research Meeting 2022 from the National Institute of Neurology and Neurosurgery Manuel Velasco Suárez 国家神经病学和神经外科研究所Manuel Velasco举办的2022年第36届年度研究会议Suárez
Q4 Medicine Pub Date : 2022-12-08 DOI: 10.31157/an.v27is2.447
Archivos de Neurociencias
Annual Research Meeting 2022 from the National Institute of Neurology and Neurosurgery Manuel Velasco Suárez
国家神经病学和神经外科研究所Manuel Velasco举办的2022年年度研究会议Suárez
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引用次数: 0
Brief bibliometric analysis of the participation of Latin American authors in TOP neurology journals during 2021: how big is the gap? 2021年拉丁美洲作者在顶级神经病学期刊上参与的简要文献计量分析:差距有多大?
Q4 Medicine Pub Date : 2022-11-30 DOI: 10.31157/an.v28i2.442
Ariel Camilo Marrugo-Ortiz, Cristina Isabela Ealo-Cardona, J. Diaz-Vallejo, Wendy Dayanna Cuji-Galarza, I. Lozada‐Martínez
1. School of Medicine, University of Cartagena, Cartagena, Colombia 2. School of Health Sciences, University of Caldas, Manizales, Colombia 3. School of Medical Science, University of Cuenca, Cuenca, Ecuador 4. Colombian Clinical Research Group in Neurocritical Care, Latin American Council of Neurocritical Care, Cartagena, Colombia 5. Prometheus and Biomedicine Applied to Clinical Sciences Research Group, School of Medicine, University of Cartagena, Cartagena, Colombia
1. 卡塔赫纳大学医学院,哥伦比亚卡塔赫纳卡尔达斯大学健康科学学院,马尼萨莱斯,哥伦比亚昆卡大学医学院,昆卡,厄瓜多尔哥伦比亚神经危重症临床研究小组,拉丁美洲神经危重症护理委员会,卡塔赫纳,哥伦比亚哥伦比亚卡塔赫纳卡塔赫纳大学医学院普罗米修斯与生物医学应用于临床科学研究小组
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引用次数: 0
El constructo de la teoría de la mente 心理理论的建构
Q4 Medicine Pub Date : 2022-11-24 DOI: 10.31157/an.v28i1.417
Julio César López-Valdés, F. Jiménez-Ponce
Tras haber leído el manuscrito escrito por nuestro par Parra-Medina1, en su manuscrito titulado "Mente y  cerebro:  de  los  egipcios  a  Cajal  y  los neuromitos", hemos decidido realizar algunos comentarios como  aporte agregado.  Para comenzar, coincidimos con el autor en relación con la amplia necesidad que cubrió la psicología cognitiva tras su genesis, así como el avance que originaron las aportaciones de Santiago Ramón y Cajal (1852-1934); empero, consideramos pertinente la mención de algunos hechos de actualidad que pudiesen ayudar al entendimiento de la interacción social, la conciencia y la mente. Si bien, no existe una localización primaria bien definida para la conciencia y / o la mente humana, hoy en día, la comprensión sobre la “cognición social” mediante las preguntas: ¿qué son los estados mentales?, ¿cómo son representados?, y ¿cómo nuestro cerebro nos permite entender otras mentes? se ha convertido en un tema importante para la investigación médica y psicosocial; tal hecho podría explicar el deterioro en las funciones ejecutivas y socio-emocionales (ej. dificultad del lenguaje verbal y no verbal) asociadas a ciertas condiciones neurológicas y psiquiátricas, tales como: el autismo, la esquizofrenia, la enfermedad de Alzheimer, la enfermedad de Parkinson e, incluso, la depresión. Como consecuencia ha nacido el constructo denominado “Teoría de la mente” (ToM por sus siglas en inglés), que busca explicar la capacidad mental innata para atribuir estados cognitivos a las situaciones cotidianas tanto para uno mismo (meta-cognición & meta-representación), como para otros sujetos; es decir, representa un mecanismo teórico creado para explicar la racionalidad humana dentro de un entorno social. 
在阅读了我们的Parra-Medina1夫妇的手稿“mind and brain: from egypt to Cajal and the neuromythos”后,我们决定做一些评论作为补充贡献。首先,我们同意作者关于认知心理学起源后的广泛需求,以及圣地亚哥ramon y Cajal(1852-1934)的贡献所带来的进步;然而,我们认为有必要提到一些当前的事实,可能有助于理解社会互动,意识和思想。虽然人类意识和/或心灵没有一个明确定义的主要位置,但今天通过以下问题来理解“社会认知”:什么是精神状态?,它们是如何表现的?我们的大脑是如何让我们理解其他大脑的?已成为医学和社会心理研究的重要课题;这一事实可以解释与某些神经和精神疾病(如自闭症、精神分裂症、阿尔茨海默病、帕金森病,甚至抑郁症)相关的执行和社会情感功能(如语言和非语言语言困难)的恶化。因此,一种被称为“心智理论”(ToM)的建构应运而生,它试图解释一种天生的心智能力,即为自己(元认知和元表征)和其他主体将认知状态归因于日常情况;也就是说,它代表了一种在社会环境中解释人类理性的理论机制。
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引用次数: 0
Kambo Frog Poisoning in Mexico 墨西哥坎波蛙中毒事件
Q4 Medicine Pub Date : 2022-11-10 DOI: 10.31157/an.v28i1.415
Daniel San Juan Orta, Daniel Arturo Martínez Piña
Introduction: Kambo is the skin secretion of the toxic Brazilian frog Phyllomedusa bicolor and has been practiced its inoculation through the human skin worldwide, especially in South America, by curiosity or to cure multiple diseases. Objective: Report a case of poisoning in a current ritual with Kambo frog poison.  Results: 41-year-old male, Marijuana user with a last consumption three months ago. He used Kambo for generalized anxiety disorder with panic attacks and claustrophobia. He suffered complications, including neuropathy, that we associate to the toxic effect of Kambo. He received oral prednisone, diphenidol and paroxetine as treatment with improvement. Discussión: The substances that can be related to the neuropathy are tachykinin through the B receptors that participate in mechanisms linked to pain, dermorphins and deltorphins, Mu opioid agonists that act on Mu and Delta receptors of the central nervous system involved in analgesic effects, exist two phases have been described in Kambo intoxication: the first phase (usually 15-30 minutes) and the second phase, that include the persistence of acute symptoms, syndrome of inappropriate antidiuretic hormone secretion, acute toxic hepatitis, and dermatomyositis. Our patient presented the classic acute symptoms, however, he had focal sensory neuropathy. Conclusion: Clinicians need to be aware of the complications of this shamanic ritual expanding worldwide.
简介:Kambo是有毒的巴西双色Phyllomedusa蛙的皮肤分泌物,在世界范围内,特别是在南美洲,由于好奇或治疗多种疾病,已经通过人体皮肤进行接种。目的:报告一例坎波蛙毒在当前仪式中毒。结果:41岁男性,最后一次吸食大麻是在三个月前。他用Kambo来治疗伴随惊恐发作和幽闭恐惧症的广泛性焦虑症。他出现了并发症,包括神经病变,我们认为这与康博的毒性作用有关。经口服强的松、苯苯多和帕罗西汀治疗,病情好转。Discussión:与神经病变相关的物质是通过B受体参与疼痛机制的速激素,dermorphins和deltorphins,作用于中枢神经系统的Mu和Delta受体参与镇痛作用的Mu阿片激动剂,在Kambo中毒中已经描述了两个阶段:第一阶段(通常为15-30分钟)和第二阶段,包括急性症状持续、抗利尿激素分泌不当综合征、急性中毒性肝炎和皮肌炎。我们的病人表现出典型的急性症状,然而,他有局灶性感觉神经病变。结论:临床医生需要意识到这种在世界范围内扩展的萨满仪式的并发症。
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引用次数: 0
Olfactory impairment in Parkinson disease using culture-relevant products: making the case for a Moroccan Smell Identification Test (MoroSIT) 使用培养相关产品治疗帕金森病的嗅觉损伤:摩洛哥嗅觉识别测试(MoroSIT)的案例
Q4 Medicine Pub Date : 2022-10-21 DOI: 10.31157/an.v28i1.368
M. Chraa, Hanane Imizgue, R. Klevor, N. Kissani
Introduction: Olfactory problems are frequent in Parkinson disease. Their early onset relative to motor problems makes them a potential biomarker for the disease, yet no culture-specific standardized tests exist in Morocco. Aim: To use indigenous plant extracts generated in our laboratory to investigate olfactory impairment in patients with Parkinson disease. Method: Our study is a cross-sectional case-controlled analytical investigation in a group of 69 patients with Parkinson disease and another group of 66 healthy volunteers in order to assess odor threshold, odor identification, and odor discrimination in these two groups using Mentha pulegium and Lavandula latifolia extracts. Results: We found a marked decrease of the threshold of odor detection in patients compared to controls (p<0.001). A statistically significant difference was found between the ability to discriminate odors, with more patients with Parkinson disease unable to distinguish between odors (p<0.001). For the odor identification test, 70% of control subjects versus 36% of patients were able to correctly identify the test products. The difference was statistically significant (p<0.001). Conclusions: Our study points to the potential for the elaboration of a standardized smell identification screening battery using indigenous products with which patients are familiar.
嗅觉问题在帕金森氏症中很常见。它们相对于运动问题的早期发病使它们成为该疾病的潜在生物标志物,但在摩洛哥没有针对特定文化的标准化测试。目的:利用本实验室自制的植物提取物研究帕金森病患者的嗅觉功能障碍。方法:采用横断面病例对照分析方法,对69例帕金森病患者和66名健康志愿者分别使用薄荷和薰衣草提取物,对两组患者的气味阈值、气味识别和气味辨别能力进行评估。结果:与对照组相比,我们发现患者的气味检测阈值显著降低(p<0.001)。辨别气味的能力之间存在统计学上的显著差异,更多的帕金森病患者无法辨别气味(p<0.001)。对于气味识别测试,70%的对照组和36%的患者能够正确识别测试产品。差异有统计学意义(p<0.001)。结论:我们的研究指出了使用患者熟悉的本土产品制定标准化气味识别筛选电池的潜力。
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引用次数: 0
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Archivos de Neurociencias
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