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The Relaxing Effect of Smart Bracelet on Heart Rate in Taekwondo Athletes Before Qualifying for Matches 智能手环对跆拳道运动员赛前心率的放松作用
IF 0.6 Q4 NEUROSCIENCES Pub Date : 2023-05-20 DOI: 10.5812/ans-133905
S. Hosseini, Mostafa Behzad Khamesloo, A. Allahverdy, M. Ranjbar
Background: Anxiety disorders are among the most common mental health concerns in people’s lifestyles. There are many traditional psychological methods to manage anxiety. Heart rate is the most relevant biomarker of the autonomic nervous system among the various physiological markers. Hence, the increase in the heart rate is associated with a wide range of negative psychological events. Objectives: In this study, a wearable device called a "smart bracelet" was developed and tested to make mechanical oscillations similar to normal people’s heart rates, and then the effect of it was evaluated among taekwondo athletes wearing this device before the matches. Methods: In order to evaluate the results, the heart rate was measured five minutes before the competition, with an average of 81 bpm in the group using the bracelet and 84.42 bpm in the group without the bracelet. The average heart rate in the group with the bracelet was 78.5, and without a bracelet was 92.14 bpm. Results: The results of this study showed that wearable technology inducing mechanical waves is similar to normal people’s heartbeat through the radial nerve, which reduces stress significantly and can prevent an increase in stress.
背景:焦虑症是人们生活方式中最常见的心理健康问题之一。有许多传统的心理学方法来管理焦虑。在各种生理标志物中,心率是自主神经系统最相关的生物标志物。因此,心率的增加与广泛的负面心理事件有关。目的:在本研究中,开发并测试了一种名为“智能手环”的可穿戴设备,以产生与正常人心率相似的机械振荡,然后在赛前佩戴该设备的跆拳道运动员中评估其效果。方法:为了评估结果,在比赛前5分钟测量心率,使用手环的组平均为81 bpm,不使用手环组平均为84.42 bpm。佩戴手镯组的平均心率为78.5 bpm,未佩戴手镯组为92.14 bpm。结果:这项研究的结果表明,可穿戴技术通过桡神经诱导机械波与正常人的心跳相似,可以显著减轻压力,并可以防止压力增加。
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引用次数: 0
Epidemiology of Sexual Dysfunction in Patients with Spinal Cord Injury in Iran: A Systematic Review and Meta-analysis 伊朗脊髓损伤患者性功能障碍的流行病学:系统综述和荟萃分析
IF 0.6 Q4 NEUROSCIENCES Pub Date : 2023-05-13 DOI: 10.5812/ans-134071
Sohrab Sadeghi, Hassan Reza Mohammadi
Context: One of the changes that occur in a person and lead to a change in the patient’s sexual desire is chronic diseases, including spinal cord injury (SCI). Objectives: This study aimed to evaluate the epidemiology of sexual dysfunction (SD) in patients with SCI in Iran by a systematic review and meta-analysis. Methods: In the present systematic review and meta-analysis, using the keywords “spinal cord injury”, “sexual dysfunction”, and “Iran” a list of related articles were extracted from national and international databases. The search was conducted by two researchers in the national databases (SID, Magiran, and Irandoc) and international databases (Web of Science, PubMed, and Scopus). The necessary data were collected using a specialized checklist and analyzed using CMA v.2.0 software. Results: The result showed 183 articles were extracted in the initial search, and after reviewing the articles, six articles were included in the systematic review and meta-analysis stage. The prevalence of SD in patients with SCI was equal to 45.9%, 95% (CI: 30.2 - 62.4). Conclusions: The prevalence of SD and sexual dissatisfaction in patients with SCI was reported to be high. For this reason, it is suggested to do necessary interventions to improve the sexual satisfaction of these patients.
背景:导致患者性欲改变的一种变化是慢性疾病,包括脊髓损伤(SCI)。目的:本研究旨在通过系统回顾和荟萃分析评估伊朗SCI患者性功能障碍(SD)的流行病学。方法:在本系统综述和荟萃分析中,使用关键词“脊髓损伤”、“性功能障碍”和“伊朗”,从国家和国际数据库中提取相关文章列表。这项搜索由两名研究人员在国家数据库(SID、Magiran和Irandoc)和国际数据库(Web of Science、PubMed和Scopus)中进行。使用专门的检查表收集必要的数据,并使用CMA v.2.0软件进行分析。结果:结果显示,在最初的搜索中提取了183篇文章,在对这些文章进行综述后,有6篇文章进入了系统综述和荟萃分析阶段。SD在SCI患者中的患病率分别为45.9%、95%(CI:30.2~62.4)。因此,建议采取必要的干预措施来提高这些患者的性满意度。
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引用次数: 0
Prevalence of Head Trauma in Iran: A Systematic Review and Meta-analysis 伊朗头部创伤患病率:系统回顾和荟萃分析
IF 0.6 Q4 NEUROSCIENCES Pub Date : 2023-05-09 DOI: 10.5812/ans-134291
Sohrab Sadeghi, Hassan Reza Mohammadi
Context: Head trauma (HT) is one of the most important types of traumata that has a high prevalence and may occur in different age groups, ranging from infants to the elderly. Objectives: Considering the importance of the prevalence of all types of traumata, especially HT, this study was conducted to measure the prevalence of HT in Iran by systematic review and meta-analysis. Methods: The present systematic review and meta-analysis was conducted according to the PARISMA checklist to assess the prevalence of HT in Iran. PICO approach was carried out with the inclusion criteria of the articles as follows, and the search was conducted by two researchers completely independently from October 1 to November 30, 2022. Analysis was done by CMA v.2.0 software and using a random model, funnel plot, and meta-regression analysis. Results: In the 22 reviewed articles, the time of publication of the articles was between 2008 and 2022, and the total sample size was equal to 99,306. Also, in relation to the method of conducting studies, two studies were conducted using a retrospective method, two articles were conducted using a prospective method, and other articles were conducted using a cross-sectional method. The results showed the overall HT prevalence was 26.2 (95% CI, 14.4 - 29.2) in Iran. Moreover, there was no relationship between the year of publication of articles (P = 0.96, Z-value = 0.05) and sample size (P = 0.41, Z-value = -0.82) with the prevalence of HT. Conclusions: Considering the high prevalence of HT in Iran, it is necessary to carry out necessary preventive interventions in this field.
背景:头部创伤(HT)是最重要的创伤类型之一,具有很高的患病率,可能发生在不同年龄组,从婴儿到老年人。目的:考虑到所有类型创伤的患病率,特别是HT的重要性,本研究通过系统回顾和荟萃分析来测量HT在伊朗的患病率。方法:根据PARISMA检查表进行系统回顾和荟萃分析,以评估伊朗HT的患病率。采用PICO方法,文章纳入标准如下,检索由两位研究者完全独立完成,检索时间为2022年10月1日至11月30日。分析采用CMA v.2.0软件,采用随机模型、漏斗图和元回归分析。结果:22篇综述文章发表时间为2008 - 2022年,总样本量为99306篇。此外,关于开展研究的方法,两项研究采用回顾性方法,两篇文章采用前瞻性方法,其他文章采用横断面方法。结果显示,伊朗的总HT患病率为26.2 (95% CI, 14.4 - 29.2)。此外,文章发表年份(P = 0.96, z值= 0.05)和样本量(P = 0.41, z值= -0.82)与HT患病率无相关性。结论:考虑到伊朗HT的高流行率,有必要在该领域开展必要的预防干预措施。
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引用次数: 0
Modulatory Effect of Neurotrophic Factors on the TRPV1 Expression: Possible Mechanisms Involved in the Antiepileptic Effect of Exercise 神经营养因子对TRPV1表达的调节作用:运动抗癫痫作用的可能机制
IF 0.6 Q4 NEUROSCIENCES Pub Date : 2023-01-31 DOI: 10.5812/ans-134555
Azam Navazesh, Homa Rasoolijazi, Gh Rahmani, Saad Bavi, Gelareh Vahabzadeh, Mansoureh Soleimani, F. Karimzadeh
Background: Epilepsy is one of the most important diseases of the central nervous system, for which has no definitive treatment. Neurotrophic factors increase the survival of nerve cells and improve the treatment of neurological diseases. Identifying factors that affect the increase of neurotrophins in the brain is an important goal for brain health and function. Objectives: This study aimed to investigate the effectiveness of exercise on neurotrophic factors by influencing the expression of vanilloid receptor type 1 (TRPV1). Methods: Convulsions were induced by injecting pentylenetetrazol (PTZ; 35 mg/kg) five hours after exercise. Animals were divided into five groups: sham (Sham), seizure (PTZ), exercise (EX), exercise with seizure induction (EX+PTZ), and exercise before seizure induction (EX-PTZ). The exercise was 30 minutes of forced running on a treadmill, five days a week for four weeks. Results: The average percentage of NGF cells in the exercise groups (EX), exercise with seizure induction (EX+PTZ), and exercise before seizure induction (EX-PTZ), and GDNF in the exercise group with seizure induction (EX+PTZ) had a significant increase compared to the seizure group (PTZ). Also, TRPV1 activity in exercise groups (EX), exercise with seizure induction (EX+PTZ), and exercise before seizure induction (EX-PTZ) showed a significant increase compared to the seizure group (PTZ). Conclusions: Our findings suggested the possible antiepileptic and antiepileptogenesis effects of exercise through activation of neurotrophic factors and TRPV1 modulation.
背景:癫痫是中枢神经系统最重要的疾病之一,目前尚无明确的治疗方法。神经营养因子可提高神经细胞的存活率,改善神经疾病的治疗。识别影响大脑中神经营养因子增加的因素是大脑健康和功能的重要目标。目的:本研究旨在通过影响香草素受体1型(TRPV1)的表达来研究运动对神经营养因子的影响。方法:运动后5小时注射戊四氮(PTZ;35mg/kg)诱发惊厥。将动物分为五组:假(sham)、癫痫发作(PTZ)、运动(EX)、癫痫诱导运动(EX+PTZ)和癫痫诱导前运动(EX-PTZ)。这项运动是在跑步机上强迫跑30分钟,每周5天,持续四周。结果:与癫痫发作组(PTZ)相比,运动组(EX)、有癫痫发作诱导的运动组(EX+PTZ)和癫痫发作诱导前运动组(EX-PTZ)中NGF细胞的平均百分比以及有癫痫发作诱发的运动组的GDNF有显著增加。此外,与癫痫发作组(PTZ)相比,运动组(EX)、癫痫发作诱导运动组(EX+PTZ)和癫痫发作诱导前运动组(EX-PTZ)的TRPV1活性显著增加。结论:我们的研究结果表明,运动可能通过激活神经营养因子和TRPV1调节来发挥抗癫痫和抗癫痫的作用。
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引用次数: 0
Assessment of Retinal Nerve Fiber Layer (RNFL) and Retinal Ganglion Cell Layer (RGCL) Thickness in Radiologically Isolated Syndrome (RIS) 影像学孤立综合征(RIS)视网膜神经纤维层(RNFL)和视网膜神经节细胞层(RGCL)厚度的评价
IF 0.6 Q4 NEUROSCIENCES Pub Date : 2023-01-15 DOI: 10.5812/ans-130575
Naba Al-Zubaidi, O. Mirmosayyeb, Fatima Khatavi, Mahdi Barzegar, Sara Bagherieh, P. Noorshargh, A. Dehghani, V. Shaygannejad
Background: Three-thirds of people with radiologically isolated syndrome (RIS) develop multiple sclerosis (MS) within five years following their first brain magnetic resonance imaging (MRI). Subclinical applications of optical coherence tomography (OCT) include measuring the thickness of different retinal layers and monitoring the progression of visual pathway atrophy and neurodegeneration in relation to the progress of the entire brain. Objectives: Our OCT study was conducted in individuals with RIS to evaluate the thickness of the macular retinal nerve fiber layer (mRNFL) and the retinal ganglion cell layer (RGCL). Methods: In this study, 22 patients with RIS and 23 healthy individuals healthy control (HC) were enrolled. The control group and the RIS subjects underwent retinal imaging with OCT. Results: Total mRNFL thickness was 110.34 ± 13.71 μm in the RIS patients and 112.10 ± 11.23 μm in the HC group. Regional analysis of the mRNFL showed that the difference in thickness was more prominent in the superior quadrant. In regards to ganglion cell layer (GCL)++ thickness, the RIS and HCs population showed statistically significant differences in the nasal (P = 0.041), inferior (P = 0.040), and superior (P = 0.045) quadrants. The nasal (P = 0.041) quadrant showed the highest reduction in thickness compared to other regions of the GCL++. Meanwhile, no significant reduction was seen in GCL+ thickness (P-value > 0.05). When the thickness of the retinal layer of the right eye was compared to that of the left eye of the RIS group, no statistically significant differences were found (P-value > 0.05). Conclusions: Compared to the control group, the RIS group had a lower mean thickness of mRNFL and GCL++, indicating retinal neuroaxonal loss.
背景:三分之二的放射孤立综合征(RIS)患者在首次脑磁共振成像(MRI)后的五年内发展为多发性硬化症(MS)。光学相干断层扫描(OCT)的亚临床应用包括测量不同视网膜层的厚度,监测与整个大脑进展相关的视觉通路萎缩和神经退行性变的进展。目的:我们对RIS患者进行OCT研究,以评估黄斑视网膜神经纤维层(mRNFL)和视网膜神经节细胞层(RGCL)的厚度。方法:选取22例RIS患者和23例健康对照(HC)。结果:RIS组mRNFL总厚度为110.34±13.71 μm, HC组为112.10±11.23 μm。mRNFL的区域分析显示,厚度差异在上象限更为突出。在神经节细胞层(GCL)++厚度方面,RIS和hc人群在鼻象限(P = 0.041)、下象限(P = 0.040)和上象限(P = 0.045)上有统计学差异。与gcl++的其他区域相比,鼻部(P = 0.041)象限的厚度减少最多。GCL+厚度未见明显降低(p值bb0 0.05)。RIS组右眼视网膜层厚度与左眼视网膜层厚度比较,差异无统计学意义(p值bb0 0.05)。结论:与对照组相比,RIS组mRNFL和gcl++的平均厚度较低,提示视网膜神经轴突丢失。
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引用次数: 0
C-Met Receptors Deficiency Was Involved in Absence Seizures Development in WAG/Rij Rats C-Met受体缺乏与WAG/Rij大鼠失神性癫痫的发生有关
IF 0.6 Q4 NEUROSCIENCES Pub Date : 2023-01-03 DOI: 10.5812/ans-132959
M. Amiri, S. Ghorbani, Fahime Zavvari, Hassan Hosseini ravandi, F. Karimzadeh
Background: A variety of receptors may be involved in the pathogenesis of absence seizures. The c-Met receptors have a critical role in modulating the GABAergic interneurons and creating a balance between excitatory and inhibitory neurotransmission, sensorimotor gating, and normal synaptic plasticity. Objectives: This study aimed to assess the changes of the c-Met receptor during the appearance of absence attacks in the experimental model of absence epilepsy. Methods: A total of 48 animals were divided into four groups of two- and six-month-old WAG/Rij and Wistar rats. Epileptic WAG/Rij rats showing SWP in electrocorticogram (ECoG) were included in the epileptic group. The two-month-old WAG/Rij rats as well as two- and six-month-old Wistar rats not exhibiting SWP in ECoG were selected as the non-epileptic. Gene (RT-PCR) and protein expression (western blotting) of c-Met receptors as well as c-Met protein distribution (immunohistochemistry) in the somatosensory cortex and hippocampus were assessed during seizure development of the absence attacks. Results: According to the study findings, a lower c-Met gene and protein expression, as well as a lower protein distribution, were observed in the hippocampus (P < 0.001, P < 0.05, and P < 0.001, respectively) and cortex (P < 0.01, P < 0.001 and P < 0.001, respectively) of the two-month-old WAG/Rij rats compared to the same-age Wistar rats. Moreover, the data revealed a reduction of hippocampal and cortical c-Met protein expression (P < 0.001, for both) in six-month-old WAG/Rij rats compared to two-month-old ones. Six-month-old WAG/Rij rats had a lower cortical c-Met gene (P < 0.05) and protein expression (P < 0.001) as well as lower hippocampal and cortical protein distribution (P < 0.05 and P < 0.001) than the same-age Wistar rats. Conclusions: In sum, the c-Met receptor was found to play a significant role in the development of absence epilepsy. This receptor, therefore, may have been considered as an effective goal for absence seizure inhibition.
背景:多种受体可能参与失神性癫痫的发病机制。c-Met受体在调节GABA能中间神经元和在兴奋性和抑制性神经传递、感觉运动门控和正常突触可塑性之间建立平衡方面发挥着关键作用。目的:本研究旨在评估缺席癫痫实验模型中出现缺席发作时c-Met受体的变化。方法:将48只动物分为2月龄和6月龄WAG/Rij大鼠和Wistar大鼠四组。癫痫组包括皮质电图(ECoG)显示SWP的癫痫WAG/Rij大鼠。选择两个月大的WAG/Rij大鼠以及在ECoG中未表现出SWP的两个月龄和六个月龄Wistar大鼠作为非癫痫性大鼠。在缺席发作的癫痫发作发展过程中,评估了c-Met受体的基因(RT-PCR)和蛋白质表达(蛋白质印迹)以及体感皮层和海马中的c-Met蛋白质分布(免疫组织化学)。结果:根据研究结果,与同龄Wistar大鼠相比,两个月大的WAG/Rij大鼠的海马(分别为P<0.001、P<0.05和P<0.001)和皮层(分别为P<0.01、P<0.001和P<001)中观察到较低的c-Met基因和蛋白质表达,以及较低的蛋白质分布。此外,数据显示,与两个月大的大鼠相比,六个月大WAG/Rij大鼠的海马和皮层c-Met蛋白表达减少(两者均<0.001)。与同龄Wistar大鼠相比,6个月大的WAG/Rij大鼠皮层c-Met基因(P<0.05)和蛋白质表达(P<0.001)较低,海马和皮层蛋白质分布(P<0.05和P<0.001)也较低。结论:总之,c-Met受体在缺席性癫痫的发展中起着重要作用。因此,这种受体可能被认为是抑制癫痫发作的有效目标。
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引用次数: 0
Comparison of Cognitive Functions Between Patients with Alzheimer Disease, Patients with Mild Cognitive Impairment, and Healthy People 阿尔茨海默病患者、轻度认知障碍患者和健康人认知功能的比较
IF 0.6 Q4 NEUROSCIENCES Pub Date : 2023-01-02 DOI: 10.5812/ans-131408
Mohammad Hedayatjoo, Mehdi Tehrani Doost, Z. Vahabi, M. Akbarfahimi, R. Khosrowabadi
Background: There is a growing need for predicting Alzheimer disease (AD) based on emerging neurocognitive dysfunction before the onset of the disease. Objectives: According to neuropathological changes in the mesial temporal lobe (MTL) before the onset of clinical symptoms and the relationship between the function of these structures and cognitive functions (such as visual memory, working memory, and new learning), we aimed to investigate the possibility of these cognitive functions as markers of transition from mild cognitive impairment (MCI) to AD. Methods: In this case-control study, 15 patients with AD, 18 patients with MCI (from memory clinics of Tehran University of Medical Sciences), and 15 healthy people were compared using the 3 subtests of the Cambridge Neuropsychological Test Automated Battery (CANTAB), including spatial working memory (SWM), pattern recognition memory (PRM), and paired-associate learning (PAL). The tests were performed between 9 AM and 12 noon. The scores were compared by a 1-way analysis of variance (ANOVA). Results: The mean ages of AD, MCI, and healthy groups were 68.66, 68.22, and 64.26 years, respectively. In terms of the SWM test, in 2 of 3 variables, there were significant differences between the 3 groups (P = 0.000 and P = 0.001). Regarding the PRM test, there were significant differences between the 3 groups in accuracy and response time (P = 0.000 and P = 0.004, respectively). Regarding PAL, there were significant differences between the 3 groups in all 3 variables (P = 0.000). The Mini-mental State Examination (MMSE) scores were associated with almost all variable scores (P = 0.000). Conclusions: Dysfunction in new learning and recognition memory can be indicators of MCI and its progression to AD, whereas the assessment of SWM can only be used to assess the progression of MCI to AD.
背景:在阿尔茨海默病(AD)发病前基于新出现的神经认知功能障碍进行预测的需求越来越大。目的:根据临床症状出现前中颞叶(medial temporal lobe, MTL)的神经病理改变以及这些结构的功能与认知功能(如视觉记忆、工作记忆和新学习)的关系,我们旨在探讨这些认知功能作为轻度认知障碍(mild cognitive impairment, MCI)向AD过渡的标志的可能性。方法:采用剑桥神经心理测试自动化测试(CANTAB)的空间工作记忆(SWM)、模式识别记忆(PRM)和配对联想学习(PAL)三个子测试,对15例AD患者、18例MCI患者(来自德黑兰医科大学记忆诊所)和15名正常人进行对照研究。测试在上午9点到中午12点之间进行。得分比较采用单因素方差分析(ANOVA)。结果:AD组、MCI组和健康组的平均年龄分别为68.66岁、68.22岁和64.26岁。在SWM检验方面,在3个变量中的2个,3组之间存在显著差异(P = 0.000和P = 0.001)。在PRM检验中,三组在准确性和反应时间上差异有统计学意义(P = 0.000和P = 0.004)。PAL 3个变量3组间差异均有统计学意义(P = 0.000)。最小精神状态检查(MMSE)得分与几乎所有变量得分相关(P = 0.000)。结论:新学习和识别记忆功能障碍可作为MCI及其向AD进展的指标,而SWM的评估只能用于评估MCI向AD的进展。
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引用次数: 2
Assessment of the Delirium Prevalence among Pediatric Patients Admitted to the Pediatric Intensive Care Unit in West of Iran 伊朗西部儿科重症监护室儿科患者谵妄患病率评估
IF 0.6 Q4 NEUROSCIENCES Pub Date : 2022-12-25 DOI: 10.5812/ans-133029
B. Darabi, M. Alemzadeh, A. Karbasfrushan, M. Borji
Background: Delirium is often not diagnosed or treated in pediatric intensive care unit (PICU). Delirium leads to a longer hospital stay period, which in turn can result in an increase in hospital treatment costs and an increase in the risk of nosocomial infections. Objectives: The present study aimed to determine the prevalence of delirium and its risk factors in PICU pediatric. Methods: This cross-sectional study was conducted in 2021 - 2022 in hospitals affiliated to Kermanshah University of Medical Sciences. The data collection instruments included the Richmond Agitation-Sedation Scale (RASS) and the Cornell Assessment of Pediatric Delirium (CAPD) questionnaire. Delirium was assessed by the researcher twice a day, in the morning and the evening. The assessment was carried out by a trained person, and the examination results were confirmed by an anesthesiologist who was a member of the research team. Data analysis was carried out using SPSS ver. 16. Results: According to our study results, the majority of the 89 examined patients were male (n = 52 cases, 59.8%), aged 13 - 16 years (n = 37 cases, 42.5%), and were admitted due to pneumonia (n = 24 cases, 27.6%). The prevalence of delirium was higher in patients with pain and those requiring oxygen therapy (P < 0.05). Furthermore, the overall prevalence of delirium in PICU patients was 25.3% (n = 22 cases). Conclusions: Investigating the prevalence of delirium in all age groups – pediatric and adolescents, in particular – was found to be extremely important. It was also found that the prevalence of delirium in PICU patients was significant; therefore, it was recommended that necessary preventive and medical interventions should be made to deal with these patients.
背景:谵妄通常不在儿科重症监护室(PICU)进行诊断或治疗。谵妄会导致住院时间延长,进而导致医院治疗成本增加和医院感染风险增加。目的:本研究旨在确定PICU儿童谵妄的患病率及其危险因素。方法:这项横断面研究于2021年至2022年在克尔曼沙医学科学大学附属医院进行。数据收集工具包括里士满激动镇静量表(RASS)和康奈尔儿童谵妄评估问卷(CAPD)。研究人员每天早晚两次对谵妄进行评估。评估由一名受过培训的人员进行,研究小组的一名麻醉师确认了检查结果。数据分析采用SPSS第16版软件进行。结果:根据我们的研究结果,89名检查患者中大多数是男性(n=52例,59.8%),年龄13-16岁(n=37例,42.5%),因肺炎入院(n=24例,27.6%)。谵妄的发生率在疼痛患者和需要氧气治疗的患者中更高(P<0.05)。此外,PICU患者的谵妄总患病率为25.3%(n=22例)。结论:研究所有年龄组(尤其是儿童和青少年)的谵妄患病率是极其重要的。研究还发现,PICU患者的谵妄患病率显著;因此,建议对这些患者采取必要的预防和医疗干预措施。
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引用次数: 0
Trichotillomania in Dementia: A Case Report and Literature Review 痴呆患者的拔毛癖:1例报告及文献回顾
IF 0.6 Q4 NEUROSCIENCES Pub Date : 2022-12-21 DOI: 10.5812/ans-129428
S. Hosseini, Mahya Kaveh, H. Ghazvini, Seyedeh Masoumeh Seyedhosseini Tamijani, Raheleh Rafaiee
Introduction: Dementia presents with a variety of behavioral and psychiatric disorders, including a range of psychosis, anxiety, depression, behavioral aggression, and delirium. Case Presentation: This study aimed to report a 74-year-old man showing gradually progressive deterioration in his memory for five years. The patient developed trichotillomania (TTM) subsequent to his dementia. Neuropsychological examination indicated the deficits to be more predominantly in the frontal lobe. Conclusions: This study reviewed the literature on TTM in dementia case reports that had mostly investigated the cases of right-handed men aged > 65 years. TTM Patients with underlying disease had not any improvement. Although there was some heterogeneous evidence for the presence of brain abnormalities in individuals with hair-pulling behavior, no definitive conclusion was drawn. Mild to severe generalized atrophy in the cerebral cortex was observed in the frontal, parietal, temporal, occipital, and cingulate lobes.
引言:痴呆症表现为各种行为和精神障碍,包括一系列精神病、焦虑、抑郁、行为攻击和谵妄。病例介绍:本研究旨在报告一名74岁的男性,其记忆力在五年内逐渐恶化。患者在痴呆后出现拔毛癖(TTM)。神经心理学检查显示缺陷主要发生在额叶。结论:本研究回顾了痴呆病例报告中关于TTM的文献,这些文献主要调查了年龄>65岁的右撇子男性的病例。有潜在疾病的TTM患者没有任何改善。尽管有一些异质性的证据表明有拔毛行为的人存在大脑异常,但还没有得出确切的结论。在额叶、顶叶、颞叶、枕叶和扣带叶观察到大脑皮层轻度至重度广泛性萎缩。
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引用次数: 0
Unusual Association of Non-paraneoplastic Variant of Lambert-Eaton Myasthenic Syndrome with Predominant B-cell Inflammatory Myopathy Lambert-Eaton肌无力综合征的非副肿瘤性变体与显性B细胞炎症性肌病的异常关联
IF 0.6 Q4 NEUROSCIENCES Pub Date : 2022-12-13 DOI: 10.5812/ans-131917
M. Kurdi
Introduction: Myasthenia gravis disease (MGD) and inflammatory myopathy (IM) are commonly reported in the literature and usually appear with thymic pathology. Lambert-Eton myasthenic syndrome (LEMS) associated with IM is extremely rare. Case Presentation: We report a 42-year-old female patient who presented with proximal muscle weakness of the upper and lower limbs, normal creatinine kinase (CK) level, and positive acetylcholine and voltage-gated calcium channel receptor antibodies. There were no oculobulbar symptoms and no history of thymoma, and the electrophysiological tests were unremarkable. Muscle biopsy revealed focal perimysial and perivascular inflammation, predominantly B-cell lymphocytes, in a non-necrotizing muscle. Conclusions: LEMS associated with IM, particularly B-cell inflammation, has never been reported in the absence of cancer history. Clinical investigations and myopathological features can help establish the diagnosis.
引言:重症肌无力(MGD)和炎症性肌病(IM)是文献中常见的疾病,通常与胸腺病理一起出现。与IM相关的Lambert-Eton肌无力综合征(LEMS)极为罕见。病例介绍:我们报告了一名42岁的女性患者,她表现为上下肢近端肌肉无力,肌酸酐激酶(CK)水平正常,乙酰胆碱和电压门控钙通道受体抗体阳性。无眼ulbar症状,无胸腺瘤病史,电生理检查无异常。肌肉活检显示非坏死性肌肉中有局灶性肌周和血管周炎症,主要是B细胞淋巴细胞。结论:在没有癌症病史的情况下,LEMS与IM相关,尤其是B细胞炎症,从未报道过。临床研究和肌肉病理学特征有助于确定诊断。
{"title":"Unusual Association of Non-paraneoplastic Variant of Lambert-Eaton Myasthenic Syndrome with Predominant B-cell Inflammatory Myopathy","authors":"M. Kurdi","doi":"10.5812/ans-131917","DOIUrl":"https://doi.org/10.5812/ans-131917","url":null,"abstract":"Introduction: Myasthenia gravis disease (MGD) and inflammatory myopathy (IM) are commonly reported in the literature and usually appear with thymic pathology. Lambert-Eton myasthenic syndrome (LEMS) associated with IM is extremely rare. Case Presentation: We report a 42-year-old female patient who presented with proximal muscle weakness of the upper and lower limbs, normal creatinine kinase (CK) level, and positive acetylcholine and voltage-gated calcium channel receptor antibodies. There were no oculobulbar symptoms and no history of thymoma, and the electrophysiological tests were unremarkable. Muscle biopsy revealed focal perimysial and perivascular inflammation, predominantly B-cell lymphocytes, in a non-necrotizing muscle. Conclusions: LEMS associated with IM, particularly B-cell inflammation, has never been reported in the absence of cancer history. Clinical investigations and myopathological features can help establish the diagnosis.","PeriodicalId":43970,"journal":{"name":"Archives of Neuroscience","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2022-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49450837","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
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Archives of Neuroscience
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