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Neuropsychiatric Disease and Treatment最新文献

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On the Road to Individualizing Pharmacotherapy for Adolescents and Adults with Schizophrenia – Results from an Expert Consensus Following the Delphi Method 精神分裂症青少年和成人个体化药物治疗之路--德尔菲法专家共识的结果
IF 3.2 3区 医学 Q2 Medicine Pub Date : 2024-05-01 DOI: 10.2147/ndt.s456163
Daniel Guinart, Andrea Fagiolini, Paolo Fusar-Poli, Giulia Maria Giordano, Stefan Leucht, Carmen Moreno, C. Correll
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引用次数: 0
Effects of Peer Victimization in Childhood and Trait Anxiety on Job Stress in Adulthood 童年时的同伴伤害和特质焦虑对成年后工作压力的影响
IF 3.2 3区 医学 Q2 Medicine Pub Date : 2024-05-01 DOI: 10.2147/ndt.s453055
Y. Iwata, Miki Ono, Yoshitaka Ishii, Shunichiro Ito, Masayuki Kikkawa, Chihiro Morishita, Yutaka Tamada, Mina Honyashiki, Takeshi Inoue, Jiro Masuya
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引用次数: 0
Determinants of Disability Among Individuals Living with Schizophrenia Attending Psychiatric Follow-Up Clinic in Jimma, Southwest Ethiopia: An Institution-Based Case-Control Study 在埃塞俄比亚西南部吉马市精神病随访诊所就诊的精神分裂症患者残疾的决定因素:基于机构的病例对照研究
IF 3.2 3区 医学 Q2 Medicine Pub Date : 2024-05-01 DOI: 10.2147/ndt.s452866
Gamachu Anbasse, Worknesh Tessema, Alemayehu Negash, Arefayne Alenko
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引用次数: 0
Added Clinical Value of Intraplaque Neovascularization Detection to Color Doppler Ultrasound for Assessing Ischemic Stroke Risk 斑块内血管检测为彩色多普勒超声评估缺血性脑卒中风险增添临床价值
IF 3.2 3区 医学 Q2 Medicine Pub Date : 2024-04-01 DOI: 10.2147/ndt.s456872
Liuping Cui, Ran Liu, Fubo Zhou, Yumei Liu, Bing Tian, Ying Chen, Yingqi Xing
Purpose: Intraplaque neovascularization, assessed using contrast-enhanced ultrasound (CEUS), is associated with ischemic stroke. It remains unclear whether detection of intraplaque neovascularization combined with color Doppler ultrasound (CDUS) provides additional value compared with CDUS alone in assessing ischemic stroke risk. Therefore, we investigated the clinical value of combined CEUS, CDUS, and clinical features for ischemic stroke risk stratification. Patients and Methods: We recruited 360 patients with ≥50% carotid stenosis between January 2019 and September 2022. Patients were examined using CDUS and CEUS. Covariates associated with ischemic stroke were identified using multivariate logistic regression analysis. The discrimination and calibration were verified using the C-statistic and Hosmer–Lemeshow test. The incremental value of intraplaque neovascularization in the assessment of ischemic stroke was analyzed using the Delong test. Results: We analyzed the data of 162 symptomatic and 159 asymptomatic patients who satisfied the inclusion and exclusion criteria, respectively. Based on multivariate logistic regression analysis, we constructed a nomogram using intraplaque neovascularization, degree of carotid stenosis, plaque hypoechoicity, and smoking status, with a C-statistic of 0.719 (95% confidence interval [CI]: 0.666– 0.768) and a Hosmer–Lemeshow test p value of 0.261. The net reclassification index of the nomogram was 0.249 (95% CI: 0.138– 0.359), and the integrated discrimination improvement was 0.053 (95% CI: 0.029–0.079). Adding intraplaque neovascularization to the combination of CDUS and clinical features (0.672; 95% CI: 0.617–0.723) increased the C-statistics ( p =0.028). Conclusion: Further assessment of intraplaque neovascularization after CDUS may help more accurately identify patients at risk of ischemic stroke. Combining multiparametric carotid ultrasound and clinical features may help improve the risk stratification of patients with ischemic stroke with ≥50% carotid stenosis. Plain Language Summary: We studied whether using contrast-enhanced ultrasound (CEUS) to detect intraplaque neovascularization could help better determine the risk of ischemic stroke. We compared the combined use of color Doppler ultrasound (CDUS) and CEUS with CDUS alone in patients with more than 50% carotid narrowing. Our findings showed that combining clinical details, CDUS, and CEUS was more effective (0.719 vs 0.672). This means that CEUS provides extra insight when gauging ischemic stroke risk compared with CDUS alone. This could help in accurately identifying patients at high risk of stroke. However, more extensive studies are needed to fully understand the role of these tests in the evaluation of stroke risk.
目的:使用造影剂增强超声(CEUS)评估斑块内新生血管与缺血性脑卒中有关。在评估缺血性脑卒中风险时,斑块内新生血管的检测与彩色多普勒超声(CDUS)相结合是否具有额外价值,目前仍不清楚。因此,我们研究了结合 CEUS、CDUS 和临床特征对缺血性卒中风险分层的临床价值。患者和方法:我们在2019年1月至2022年9月期间招募了360名颈动脉狭窄≥50%的患者。使用 CDUS 和 CEUS 对患者进行检查。通过多变量逻辑回归分析确定了与缺血性卒中相关的协变量。使用C统计量和Hosmer-Lemeshow检验验证了区分度和校准度。使用 Delong 检验分析了斑块内新生血管在缺血性中风评估中的增量价值。结果我们分析了分别符合纳入和排除标准的 162 名有症状和 159 名无症状患者的数据。基于多变量逻辑回归分析,我们利用斑块内新生血管、颈动脉狭窄程度、斑块低回声和吸烟状况构建了一个提名图,C统计量为0.719(95% 置信区间[CI]:0.666- 0.768),Hosmer-Lemeshow检验的P值为0.261。提名图的净再分类指数为 0.249(95% CI:0.138- 0.359),综合辨别率提高了 0.053(95% CI:0.029-0.079)。将斑块内新生血管加入 CDUS 和临床特征组合(0.672;95% CI:0.617-0.723)可提高 C 统计量(P =0.028)。结论CDUS 后对斑块内新生血管的进一步评估有助于更准确地识别缺血性卒中高危患者。结合多参数颈动脉超声和临床特征可能有助于改善颈动脉狭窄≥50%的缺血性卒中患者的风险分层。白皮书摘要:我们研究了使用对比增强超声(CEUS)检测斑块内新生血管是否有助于更好地确定缺血性卒中的风险。我们比较了在颈动脉狭窄超过 50% 的患者中联合使用彩色多普勒超声 (CDUS) 和 CEUS 与单独使用 CDUS 的效果。我们的研究结果表明,结合临床细节、CDUS 和 CEUS 的效果更好(0.719 对 0.672)。这意味着,与单独使用 CDUS 相比,CEUS 在衡量缺血性卒中风险时能提供更多的洞察力。这有助于准确识别卒中高危患者。然而,要充分了解这些检查在评估卒中风险中的作用,还需要进行更广泛的研究。
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引用次数: 0
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Neuropsychiatric Disease and Treatment
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