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I have spina bifida and what this means to Malaysia 我患有脊柱裂,这对马来西亚意味着什么
Q4 Neuroscience Pub Date : 2022-06-26 DOI: 10.31117/neuroscirn.v5i2.149
N. M. Abdul-Aziz
In December of 2002, the Malaysian government sent one very highly opinionated individual with spina bifida to do her PhD on her medical condition at University College London (UCL). Truth be told, in retrospect, during the phone interview with Professor Andrew J. Copp, this particular Malaysian student was not aware that her would-be PhD supervisor at that time most likely may not have considered the extent of the severity of her disability and the extent of having to deal with an individual with needs, different from other postgraduate students. UCL and England, being champions of equal opportunity, the focus during the London-Kuala Lumpur phone interview was entirely on her laboratory experience. The individual knew one thing and one thing alone, that she wanted to be regarded as capable purely on the basis of her academic abilities, and keenness on the topic and that she knew she had a huge plus on her side, that the Malaysian government would finance her studies (being of Bumiputera status by virtue of her mother's ethnicity) and having passed all the relevant exams and that all she needed to do was to make the case to procure a PhD studentship from a top global university.
2002年12月,马来西亚政府派了一位非常固执己见的脊柱裂患者到伦敦大学学院(UCL)攻读她的医学状况博士学位。说实话,回想起来,在与Andrew J. Copp教授的电话采访中,这位马来西亚学生并没有意识到,当时她的博士导师很可能没有考虑到她残疾的严重程度,以及她必须与其他研究生不同的有需要的人打交道的程度。伦敦大学学院和英国都是机会平等的倡导者,在伦敦-吉隆坡的电话采访中,她的重点完全放在了实验室的经历上。个人仅知道一件事情,一件事,她想被视为能够纯粹的基础上她的学术能力,以及敏锐的话题,她知道她有一个巨大的加在了她的一边,马来西亚政府将财政学业(被Bumiputera状态由于她母亲的种族),并通过了所有相关的考试,她需要做的是,采购全球顶尖大学的博士奖学金。
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引用次数: 0
The effect of an acute bout of high intensity intermittent exercise on neural growth factors in young adults: Sex differences 急性高强度间歇运动对年轻人神经生长因子的影响:性别差异
Q4 Neuroscience Pub Date : 2022-06-26 DOI: 10.31117/neuroscirn.v5i2.146
P. Khandekar, S. Shenoy, A. Sathe
The neurophysiological response to exercise on cognition is modulated through chemical pathways which involve several neurotrophic factors and the sex of the individual determines this effect. We examined sex differences in the concentration of neural growth factors (NGF); brain derived neurotrophic factor (BDNF), vascular endothelial growth factor (VEGF) and insulin like growth factor-I (IGF- I) in response to acute high intensity intermittent exercise (HIIE). We also evaluated the relationship of NGF with gonadal hormones before and after the HIIE session. Forty healthy young adults (22 males and 18 females) performed HIIE (4 bouts of 4 minutes at 90–95% HR max with 3min active recovery at 70% HRmax). Venous blood was drawn before and immediately after the exercise session and was analyzed for the concentration of serum BDNF, VEGF, IGF-I, cortisol, estradiol, luteinizing hormone (LH), follicle stimulating hormone (FSH) and testosterone, using ELISA method. A significant sex difference (p<0.05) was observed for BDNF concentration in response to HIIE and a significant increase was found in males but not in females. A significant (p<0.005) positive correlation of BDNF with FSH and LH and a significant (p<0.05) negative correlation of BDNF and VEGF with testosterone were found. Other NGFs (VEGF and IGF-I) did not show sex differences in response to HIIE. In conclusion, a single session of HIIE increases the serum concentration of BDNF in males and IGF-I in females and the response of NGF is different in males and females.
运动对认知的神经生理反应是通过涉及多种神经营养因子的化学途径调节的,个体的性别决定了这种影响。我们检查了神经生长因子(NGF)浓度的性别差异;脑源性神经营养因子(BDNF)、血管内皮生长因子(VEGF)和胰岛素样生长因子-I (IGF- I)对急性高强度间歇运动(HIIE)的反应。我们还评估了HIIE前后NGF与性腺激素的关系。40名健康的年轻人(22名男性,18名女性)进行了HIIE(4次,每次4分钟,最大心率90-95%,最大心率70%,主动恢复3分钟)。采用酶联免疫吸附法(ELISA)测定运动前后静脉血BDNF、VEGF、IGF-I、皮质醇、雌二醇、黄体生成素(LH)、促卵泡激素(FSH)、睾酮浓度。HIIE对BDNF浓度有显著的性别差异(p<0.05),男性显著升高,而女性无显著升高。BDNF与FSH、LH呈显著正相关(p<0.005), BDNF、VEGF与睾酮呈显著负相关(p<0.05)。其他ngf (VEGF和IGF-I)对HIIE的反应没有性别差异。综上所述,单次HIIE可增加男性血清BDNF和女性血清IGF-I浓度,且NGF的反应在男性和女性中存在差异。
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引用次数: 0
Data on multiple post-translational modifications in Alzheimer's disease 阿尔茨海默病中多种翻译后修饰的数据
Q4 Neuroscience Pub Date : 2022-06-10 DOI: 10.31117/neuroscirn.v5i2.153
Sayali Chandrashekhar Deolankar, Shashanka G Koyangana, Arun H. Patil, Yashwanth Subbannayya, P. K. Modi, T. Prasad
This article describes the data obtained for global post-translational modifications (PTMs) profiled for Alzheimer's Disease (AD) from two distinct human brain regions and one cerebrospinal fluid (CSF) sample. The PTM profiling was performed to identify phosphorylation, O-GluNAcetylation, methylation, acetylation and citrullination using three publicly available LC-MS/MS raw data sets (PRIDE ID: PXD004010, PXD002516, PXD004863). A total of 1,857 PTM harbouring proteins with 4,961 unique post-translationally modified peptides were identified. Among the modified peptides, 75 corresponded uniquely to proteins identified from CSF samples. The data is related to the research article "Dissecting Alzheimer's disease molecular substrates by proteomics and discovery of novel post-translational modifications (PTMs)".
本文描述了从两个不同的人脑区域和一个脑脊液样本中获得的阿尔茨海默病(AD)的全局翻译后修饰(PTM)数据。使用三个公开可用的LC-MS/MS原始数据集(PRIDE ID:PXD004010、PXD002516、PXD004863)进行PTM分析以鉴定磷酸化、O-谷氨酸乙酰化、甲基化、乙酰化和瓜氨酸化。共鉴定出1857个含有蛋白质的PTM和4961个独特的翻译后修饰肽。在修饰的肽中,75个与从CSF样品中鉴定的蛋白质唯一对应。这些数据与研究文章“通过蛋白质组学解析阿尔茨海默病分子底物和发现新的翻译后修饰(PTM)”有关。
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引用次数: 0
Expression of ATOH1 gene and activated signaling pathways for the neurogenesis of cerebellar granule cells: A review ATOH1基因在小脑颗粒细胞神经发生中的表达及激活信号通路的研究进展
Q4 Neuroscience Pub Date : 2022-04-28 DOI: 10.31117/neuroscirn.v5i2.125
P. P. Poudel, C. Bhattarai, Arnab Ghosh, S. Kalthur
Granule cells in the cerebellum are derived by the proliferation of cells from the rhombic lips of the metencephalon. Atonal homolog 1 (ATOH1), a protein encoding proneural gene, plays an essential role in the neurogenesis of the cerebellar granule cells. It encodes the basic helix loop helix (bHLH) family of transcription factor ATOH1. Expression of the ATOH1 gene in the rhombic lips of the metencephalon results in specification and proliferation of the granule neuron progenitors. Four major signaling pathways- Sonic hedgehog (Shh), Notch, Wingless related integration site (Wnt) and Bone morphogenetic protein (BMP) play an essential role in the regulation of the ATOH1 gene. Shh, Notch and Wnt signalings induce expression of the ATOH1 gene for the proliferation of the granule neuron progenitors whereas BMP signaling is involved in the differentiation of the granule neuron progenitors into the granule cells. Aberrant expression and mutation of the ATOH1 gene result in cerebellar medulloblastoma, the phenotype of trembling gait, cerebellar ataxia and hearing loss.
小脑中的颗粒细胞是由后脑的菱形唇细胞增殖而来的。无调性同源物1 (ATOH1)是一种编码原神经基因的蛋白,在小脑颗粒细胞的神经发生中起重要作用。它编码转录因子ATOH1的基本螺旋环螺旋(bHLH)家族。ATOH1基因在后脑的菱形唇部的表达导致颗粒神经元祖细胞的分化和增殖。四个主要的信号通路- Sonic hedgehog (Shh)、Notch、Wingless related integration site (Wnt)和Bone morphogenetic protein (BMP)在ATOH1基因的调控中发挥重要作用。Shh、Notch和Wnt信号诱导ATOH1基因的表达,促进颗粒神经元祖细胞的增殖,而BMP信号参与颗粒神经元祖细胞向颗粒细胞的分化。ATOH1基因的异常表达和突变导致小脑髓母细胞瘤、步态颤抖、小脑性共济失调和听力丧失。
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引用次数: 0
Reliability and Validity of the Mongolian version of affective touch questionnaire 蒙古族情感触摸问卷的信度和有效性
Q4 Neuroscience Pub Date : 2022-04-19 DOI: 10.31117/neuroscirn.v5i2.100
Enkhnaran Tumurbaatar, Oyunsuren Jargalsaikhan, Gantsetseg Tumur-Ochir, E. Belovol
Communication via the sense of touch has long been perceived as an important aspect of human development, social comfort, and well-being. Human somatosensory system has in fact two tactile sub-modalities, one providing the well-recognized discriminative touch input to the brain, and the second–the affective or emotional input. C-tactile system is hypothesized to represent the neurobiological substrate for affective and rewarding properties of touch. Lower relationship quality is associated with lower resilience to stressors and can lead to increased vulnerability to mental health disorders. Based on the existing work, we know that social touch can increase well-being and lower state-anxiety. Our goal was to prove content validity for the Mongolian version with the factor structure of the original English version of the TEAQ. We translated, and adapted TEAQ for Mongolian language version. Original TEAQ-117 items were used in the pilot study. In the present study, enrolled 204 participants, age varied between 18 and 57 years (26.9±8.8), 57.8% were female. Validated TEAQ-57 items English version was used, and Exploratory factor analysis confirmed 55 items with 6 component structure. Confirmatory factor analysis demonstrated good consistency and homogeneity of the 6 factor structure of the TEAQ, and satisfactory model fit. Several subscales of the TEAQ revealed positive correlations on quality of life domains, in contrast negative correlations with anxiety and depression. In conclusion, analysed Mongolian version of the TEAQ-55 is a reliable and valid assessment tool of experiences and attitudes towards touch, and similar to component structure for different cultures (Validated British TEAQ-57, and TEAQ-37 RUS). We expected that Mongolian version of the TEAQ might be a helpful tool for screening mental health issues and researchers.
通过触觉进行交流一直被认为是人类发展、社会舒适和幸福的一个重要方面。人体体感系统实际上有两种触觉亚模态,一种是向大脑提供可识别的鉴别触觉输入,另一种是情感或情绪输入。c -触觉系统被假设代表了触觉的情感和奖励特性的神经生物学基础。较低的人际关系质量与较低的抗压力能力有关,并可能导致更容易患上精神疾病。根据现有的工作,我们知道社交接触可以增加幸福感,降低状态焦虑。我们的目标是用英语原版TEAQ的因子结构来证明蒙古语版本的内容效度。我们将TEAQ翻译成蒙古语版本。先导研究采用原始TEAQ-117项目。本研究共纳入204例受试者,年龄在18 ~ 57岁之间(26.9±8.8),其中57.8%为女性。采用经验证的TEAQ-57题项英文版,探索性因子分析确定了55个题项,共6个成分结构。验证性因子分析表明,TEAQ的6个因子结构具有良好的一致性和均匀性,模型拟合良好。TEAQ的几个分量表显示生活质量与生活质量领域呈正相关,与焦虑和抑郁呈负相关。综上所述,蒙古语版TEAQ-55是一种可靠有效的触摸体验和态度评估工具,与不同文化的成分结构相似(验证过的英国TEAQ-57和TEAQ-37 RUS)。我们期望蒙古语版的TEAQ可以成为筛选心理健康问题和研究人员的有用工具。
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引用次数: 1
Development of a cognitive-based smartphone application for Malaysian Parkinson's disease patients: Exploring the possibility? 为马来西亚帕金森病患者开发基于认知的智能手机应用程序:探索可能性?
Q4 Neuroscience Pub Date : 2022-03-31 DOI: 10.31117/neuroscirn.v5i1.126
Wael M. Y. Mohamed, S. K. Kutty, A. Khedher, Indranath Chatterjee
The COVID-19 pandemic has accelerated the digital health system. Healthcare organizations want to give medical treatment to individuals who live a great distance away. As a result, they are emphasizing the creation of bespoke telemedicine apps. The number of individuals using telemedicine apps is increasing significantly. Increasing technology gives patients healthcare resources. This has been made feasible via a new telemedicine system and by developing a telemedicine app. Patients can use several technologies to communicate with healthcare professionals. For comfort and privacy, you can employ live visual media. The creation of telemedicine apps is the most attractive and practical investment. With the growing availability and usage of technology in PD, the focus of these technologies is gradually turning toward the disease's vast spectrum of Non-Motor Symptoms (NMS). The nature of NMS makes them difficult to objectively measure, further development and building on experience gained in other conditions may still result in NMS capture that is feasible. Although it is impossible to offer recommendations for the use of digital technology outcomes for NMS in clinical practise based on currently available data, evidence for these devices is evolving, and such guidance may become accessible in the not-too-distant future. To our knowledge, this is the first telemedicine method of its sort to address cognition as one of the NMS in Malay PD patients. The project will be done on two consecutive phases (1 year each); Phase1 aims to develop the Dementia Coach Mobile App, and Phase2 aims to validation of this app by using PD patients sample from SASMEC. Therefore, we hypothesize that developing a friendly mobile app to assess dementia for PD patients is highly beneficial and could be used for diagnosis of NMS in PD patients.
新冠肺炎疫情加速了数字卫生系统的发展。医疗保健组织希望为居住在很远地方的个人提供医疗服务。因此,他们强调创建定制的远程医疗应用程序。使用远程医疗应用程序的人数正在显著增加。不断增长的技术为患者提供了医疗资源。这是通过一个新的远程医疗系统和开发远程医疗应用程序实现的。患者可以使用多种技术与医疗保健专业人员交流。为了舒适和隐私,您可以使用现场视觉媒体。创建远程医疗应用程序是最具吸引力和实用性的投资。随着帕金森病技术的可用性和使用率不断提高,这些技术的重点正逐渐转向该疾病的广泛非运动症状(NMS)。NMS的性质使其难以客观测量,在其他条件下获得的经验的基础上进行进一步开发和建设可能仍然会导致NMS捕获是可行的。尽管根据目前可用的数据,不可能为NMS在临床实践中使用数字技术成果提供建议,但这些设备的证据正在演变,这种指导可能在不久的将来变得可用。据我们所知,这是第一种将认知作为马来PD患者NMS之一的远程医疗方法。该项目将分两个连续阶段进行(每个阶段1年);第一阶段旨在开发痴呆症教练移动应用程序,第二阶段旨在通过使用SASMEC的PD患者样本来验证该应用程序。因此,我们假设开发一个友好的移动应用程序来评估PD患者的痴呆症是非常有益的,可以用于诊断PD患者的NMS。
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引用次数: 1
Inflammation in embryology: A review of neuroinflammation in spina bifida 胚胎学中的炎症:脊柱裂神经炎症综述
Q4 Neuroscience Pub Date : 2022-03-27 DOI: 10.31117/neuroscirn.v5i1.132
Singh Nivrenjeet, S. Mohd-Zin, Singh Nisheljeet, A. Azizi, K. Palaniandy, Mohd Firdaus-Raih, M. H. Muhamad Ariffin, Nicholas Daniel Edward Greene, N. M. Abdul-Aziz
The occurrence of neuroinflammation after the failure of neural tube closure, resulting in spina bifida aperta, is well established but whether or not neuroinflammation contributes to damage to the neuroepithelium prior to and during closure is not known. Neuroinflammation may occur at different time periods after perturbation to the developing spinal cord. Evidence suggests that early neuroinflammation is detrimental, whereas the later chronic phase of neuroinflammation may have useful roles. The role of neuroinflammation in neural tube defects is complex. It is important to make the distinction of whether neuroinflammation is important for neuroprotection or detrimental to the neural tissue. This may directly be influenced by the location, magnitude and duration of the insult, as well as the expression of neurotrophic or neurotoxic molecules. The current understanding remains that the chronic damage to the developing spinal cord is likely due to the chemical and mechanical damage of the exposed neural tissue owing to the aggressive intrauterine environment, described as the “two-hit mechanism”. Astrogliosis in the exposed spinal cord has been described in animal models of spina bifida after the failure of closure during embryonic life. Still, its association with neuroinflammatory processes is poorly understood. In this review, we will discuss the current understanding of neuroinflammation in neural tube defects, specifically spina bifida, and highlight inflammation-targeted strategies that may potentially be used to treat this pathophysiological condition.
神经管闭合失败后发生神经炎症,导致脊柱裂,这一点已经得到了很好的证实,但神经炎症是否会在闭合前和闭合过程中对神经上皮造成损伤尚不清楚。神经炎症可能发生在发育中的脊髓受到干扰后的不同时间段。有证据表明,早期的神经炎症是有害的,而晚期的慢性神经炎症可能发挥有用的作用。神经炎症在神经管缺陷中的作用是复杂的。区分神经炎症是对神经保护重要还是对神经组织有害是很重要的。这可能直接受到损伤的位置、程度和持续时间,以及神经营养或神经毒性分子的表达的影响。目前的理解仍然是,对发育中的脊髓的慢性损伤可能是由于暴露的神经组织的化学和机械损伤,这种损伤是由侵略性的宫内环境引起的,被称为“双重打击机制”。胚胎期闭合失败后的脊柱裂动物模型中描述了暴露在外的脊髓中的星形胶质细胞增生。尽管如此,人们对其与神经炎症过程的关系知之甚少。在这篇综述中,我们将讨论目前对神经管缺陷,特别是脊柱裂的神经炎症的理解,并强调可能用于治疗这种病理生理状况的炎症靶向策略。
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引用次数: 0
Automated classification of eight different Electroencephalogram (EEG) bands using hybrid of Fast Fourier Transform (FFT) with machine learning methods 基于快速傅里叶变换(FFT)和机器学习方法的8种不同脑电图(EEG)波段自动分类
Q4 Neuroscience Pub Date : 2022-03-05 DOI: 10.31117/neuroscirn.v5i1.116
Nur Shahirah Md Nor, Nurul Malim, Nur Aqilah Paskhal Rostam, J. J. Thomas, Mohamad A Effendy, Z. Hassan
Analysing and processing the EEG dataset is crucial. Countless actions have been taken to ensure that the researcher in brain studies always achieves informative data and produces notable findings. There are several standard procedures to produce an informative result in analysing the EEG data. However, the techniques used in each standard procedure might be different for the researcher or data analyst because they have their preferences to suit the purpose of their experiments to adapt with the dataset collected. Not only the current manual method is time-consuming, but the main challenges are that researchers need to analyse only a small portion of the brain signals that are the most relevant to be observed through the analysis of several bands such as Very low, Delta, Theta, Alpha-1, Alpha-2, Beta-1, Beta-2, and Gamma. Therefore, one of the best alternatives is to automate the process of classifying the eight bands and extract the most relevant features. Hence, this paper proposed an automated classification method and feature extraction method through hybridising Fast Fourier Transform (FFT) with three different machine learning methods (KNN, SVM, and ANN) that can improve the efficiency of EEG analysis. Based on the result, the FFT + SVM method gives a 100% accuracy and successfully classified the bands into different of eight EEG bands accurately.
分析和处理脑电图数据集至关重要。已经采取了无数行动来确保大脑研究的研究人员始终获得信息丰富的数据并产生显著的发现。在分析EEG数据时,有几种标准程序可以产生信息性结果。然而,对于研究人员或数据分析师来说,每个标准程序中使用的技术可能不同,因为他们有适合实验目的的偏好,以适应收集的数据集。目前的手动方法不仅耗时,而且主要的挑战是,研究人员只需要分析大脑信号中最相关的一小部分,通过分析几个波段,如Very low、Delta、Theta、Alpha-1、Alpha-2、Beta-1、Beta-2和Gamma,就可以观察到这些信号。因此,最好的替代方案之一是自动对八个波段进行分类,并提取最相关的特征。因此,本文提出了一种将快速傅立叶变换(FFT)与三种不同的机器学习方法(KNN、SVM和ANN)相结合的自动分类方法和特征提取方法,以提高脑电图分析的效率。基于结果,FFT+SVM方法给出了100%的准确率,并成功地将频带准确地分类为八个不同的EEG频带。
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引用次数: 1
A preliminary fMRI study of relative clause in comprehension among native and non-native Malay language speakers 母语和非母语马来语使用者理解关系从句的功能磁共振成像初步研究
Q4 Neuroscience Pub Date : 2022-02-10 DOI: 10.31117/neuroscirn.v5i1.113
Nurul Bayti binti Sumardi, Hui Ying Jong, A. A. Abd Hamid
This study investigates (a) whether there is a functional neural activation at the frontal and temporal brain regions during the comprehension of Malay relative clause (RC), and (b) the differences in the activated areas among native (L1) and non-native (L2) Malay language speakers. The subject relative clause (SRC), object relative clause (ORC), and subject-verb-object (SVO) were used as the study stimuli. Participants were asked to do a sentence-picture matching task during an fMRI measurement. The random-effect analysis (RFX) using two-way ANOVA was conducted for the fMRI data. The main effect of the group at the puncorrected < 0.001, cluster size > 20 voxels found that the comprehension of Malay relative clauses had activated frontal and temporal brain regions in L1 and L2. The multiple comparisons of L1>L2 showed a significant difference left-lateralised in the temporo-parietal region. While for L2>L1, the significant activations were indicated as distributed to the frontal, temporal, parietal, and occipital regions that lateralised to the right hemisphere. Conclusions: The findings suggested that the comprehension of Malay relative clauses had caused the activation at different brain regions amongst L1 and L2 groups. It was also found that both L1 and L2 groups showed their preference in SRC, the mean reaction time showed that they had a faster reaction time to comprehend SRC than ORC. The findings from this study can also be applied in clinical language intervention, and it is expected to benefit children and adults with speech and language disorders.
本研究探讨了(a)在理解马来语关系从句(RC)时,前额叶和颞叶脑区是否存在功能性神经激活,以及(b)母语(L1)和非母语(L2)马来语使用者在激活区域上的差异。使用主语关系从句(SRC)、宾语关系从句(ORC)和主谓宾关系从句(SVO)作为研究刺激。在fMRI测量过程中,参与者被要求完成一项句子-图片匹配任务。对fMRI数据进行双向方差分析随机效应分析(RFX)。在未校正< 0.001,聚类大小为bbb20体素的组的主要效应发现,马来语关系从句的理解激活了L1和L2的额叶和颞叶脑区。L1>L2的多重比较显示,颞顶叶区左偏侧有显著差异。而对于L2>L1,明显的激活分布在额叶、颞叶、顶叶和枕叶区域,这些区域向右半球偏侧。结论:马来语定语从句的理解引起了L1组和L2组大脑不同区域的激活。L1组和L2组均表现出对SRC的偏好,平均反应时间显示他们对SRC的理解比ORC更快。本研究的结果也可以应用于临床语言干预,并有望使患有言语和语言障碍的儿童和成人受益。
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引用次数: 0
Use of complementary and alternative medicine among adult with epilepsy - experiences from a single epilepsy center in Malaysia 在成年癫痫患者中使用补充和替代药物——马来西亚一家癫痫中心的经验
Q4 Neuroscience Pub Date : 2022-02-07 DOI: 10.31117/neuroscirn.v5i1.109
M. Koh, S. Khor, K. Lim, Si-Lei Fong, Wei-Zhen Low, Li-Ling Yeap, C. Tan
Complementary and alternative medicine (CAM) usage were reported in Europe, the United States of America and monoethnic Asian countries such as Korea and Taiwan. However, limited literature is available on the variability of CAM usage patterns among people with epilepsy (PWE) in a multi-racial country in particular Malaysia. This cross-sectional study assessed the prevalence, types, predictors and impact of CAM use among adult PWE and their adherence to anti-epileptic drugs (AEDs) treatment.140 patients were recruited, with a median age of 37.5 (IQR,28.0-51.5) years, majority female, had secondary or lower education level, earn
欧洲、美利坚合众国和亚洲单民族国家如韩国和台湾报告了补充和替代药物(CAM)的使用。然而,在多种族国家,特别是马来西亚,关于癫痫患者CAM使用模式的可变性的文献有限。这项横断面研究评估了成年PWE患者CAM使用的患病率、类型、预测因素和影响,以及他们对抗癫痫药物(AED)治疗的依从性。共招募了140名患者,中位年龄为37.5岁(IQR,28.0-51.5),大多数为女性,具有中等或更低的教育水平,收入<1077美元,每月癫痫发作频率<1次。四分之一(25.7%)的患者使用CAM控制癫痫发作,其中94.4%的患者在使用CAM时坚持AED治疗。常用的CAM有祈祷、传统草药、按摩和针灸。只有33.3%的人与医生讨论过CAM的使用。CAM使用的主要原因是患者愿意尝试其他替代品来控制癫痫发作。尽管大多数患者没有使用CAM,但20.2%的患者接受使用CAM作为联合治疗。佛教徒对CAM更开放,而穆斯林则选择性地使用CAM,避免使用护身符、针灸、脊椎按摩、阿育吠陀、瑜伽和灵气。Logistic回归分析显示,佛教(OR,11.01)、穆斯林(OR,4.04)、每月癫痫发作≥1次(OR,3.85)和月收入≥1077美元(OR,2.92)是CMA使用的预测因素。CAM的使用在马来西亚很常见,尤其是在社会经济地位较高、癫痫发作失控的佛教徒和穆斯林中。CAM主要用于补充AED,但不用于替代AED。
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引用次数: 1
期刊
Neuroscience Research Notes
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