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Burnout and Life Satisfaction among Healthcare Workers Related to the COVID-19 Pandemic (Silesia, Poland) 与 COVID-19 大流行有关的医护人员的职业倦怠和生活满意度(波兰西里西亚)
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-05-02 DOI: 10.1155/2024/9945392
Daria Łaskawiec-Żuławińska, Mateusz Grajek, Karolina Krupa-Kotara, Patryk Szlacheta, Hasan Karacan, Mateusz Roszak, Beata Łabuz-Roszak, Ilona Korzonek-Szlacheta
<i>Background</i>. The phenomenon of burnout among healthcare workers during the COVID-19 pandemic is a widespread problem with several negative consequences for the healthcare system. The many stressors of the pandemic have led to an increased development of anxiety and depressive disorders in many healthcare workers. In addition, some manifested symptoms of the so-called postpandemic stress syndrome and the emergence of occupational burnout syndrome, commonly referred to as “COVID-19 burnout.” The aim of this study was to assess the burnout and life satisfaction of healthcare workers during the COVID-19 pandemic. <i>Materials and Methods</i>. The study was conducted in 2020-2022 among medical staff working in hospitals in Silesia, Poland. The instruments used to assess life satisfaction and burnout were the Satisfaction with Life Scale (SWLS) and the Maslach Burnout Inventory (MBI), which assesses three dimensions: emotional exhaustion (EE), depersonalisation (DEP), and sense of reduced professional accomplishment (SRPA). <i>Results</i>. The study group included 900 participants. There were 300 physicians (mean age <span><svg height="8.69875pt" style="vertical-align:-0.3499298pt" version="1.1" viewbox="-0.0498162 -8.34882 23.017 8.69875" width="23.017pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,0,0)"></path></g><g transform="matrix(.013,0,0,-0.013,6.24,0)"></path></g><g transform="matrix(.013,0,0,-0.013,15.386,0)"></path></g></svg><span></span><svg height="8.69875pt" style="vertical-align:-0.3499298pt" version="1.1" viewbox="25.872183800000002 -8.34882 6.438 8.69875" width="6.438pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,25.922,0)"></path></g></svg></span> years), 300 nurses (mean age <span><svg height="8.69875pt" style="vertical-align:-0.3499298pt" version="1.1" viewbox="-0.0498162 -8.34882 23.017 8.69875" width="23.017pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,0,0)"><use xlink:href="#g113-52"></use></g><g transform="matrix(.013,0,0,-0.013,6.24,0)"></path></g><g transform="matrix(.013,0,0,-0.013,15.386,0)"><use xlink:href="#g117-37"></use></g></svg><span></span><svg height="8.69875pt" style="vertical-align:-0.3499298pt" version="1.1" viewbox="25.872183800000002 -8.34882 6.438 8.69875" width="6.438pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,25.922,0)"></path></g></svg></span> years), and 300 paramedics (mean age <span><svg height="8.69875pt" style="vertical-align:-0.3499298pt" version="1.1" viewbox="-0.0498162 -8.34882 23.017 8.69875" width="23.017pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,0,0)"><use xlink:href="#g113-52"></use></g><g transform="matrix(.013,0,0,-0.013,6.24,0
背景。在 COVID-19 大流行期间,医护人员的职业倦怠现象是一个普遍存在的问题,对医疗系统造成了一些负面影响。大流行带来的诸多压力导致许多医护人员患上焦虑症和抑郁症。此外,一些人还表现出了所谓的大流行后压力综合征的症状,并出现了职业倦怠综合征,即通常所说的 "COVID-19 职业倦怠"。本研究旨在评估 COVID-19 大流行期间医护人员的职业倦怠和生活满意度。材料与方法。研究于 2020-2022 年在波兰西里西亚医院的医务人员中进行。用于评估生活满意度和职业倦怠的工具是生活满意度量表(SWLS)和马斯拉赫职业倦怠量表(MBI),后者评估三个维度:情感衰竭(EE)、人格解体(DEP)和职业成就感降低(SRPA)。研究结果研究小组包括 900 名参与者。其中包括 300 名医生(平均年龄)、300 名护士(平均年龄)和 300 名护理人员(平均年龄)。根据 SWLS 测量,2021 年护士和护理人员的生活满意度最低,2022 年医生的生活满意度最低。男性受访者和工作年限较短者的生活满意度较高。工作年限越长的人,其 EE 和 DEP 分数越高,而 SRPA 分数越低()。我们发现生活满意度与 EE()、DEP()和 SRPA()呈负相关。结论研究结果突出表明,有必要进一步研究医务人员职业倦怠的原因,并需要采取有效的干预措施来促进这一群体的幸福感和预防职业倦怠。
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引用次数: 0
Identification of Potential Clusters of Signs and Symptoms to Prioritize Patients’ Eligibility for AADCd Screening by 3-OMD Testing: An Italian Delphi Consensus 识别潜在的体征和症状群,确定患者通过 3-OMD 测试进行 AADCd 筛查的优先资格:意大利德尔菲共识
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-04-09 DOI: 10.1155/2024/1023861
Carlotta Spagnoli, Roberta Battini, Filippo Manti, Duccio Maria Cordelli, Andrea Pession, Melissa Bellini, Andrea Bordugo, Gaetano Cantalupo, Antonella Riva, Pasquale Striano, Marco Spada, Francesco Porta, Carlo Fusco
Introduction. AADCd is an ultrarare, underdiagnosed neurometabolic disorder for which a screening test (3-OMD dosing on dried blood spot (DBS)) and targeted gene therapy (authorized in the EU and the UK) are available. Therefore, it is mandatory to raise awareness of presenting symptoms and signs among practitioners. Delivering scientifically sound information to promote screening of patients with the correct cluster of symptoms and signs would be critical. Materials and Methods. In light of the lack of sound evidence on this issue, expert opinion level of evidence was elicited with the Delphi method. Fourteen steering committee members invited a panel of 29 Italian experts to express their opinions on a series of crucial but controversial topics related to using 3-OMD DBS as a screening method in AADCd. Clusters of symptoms and signs were divided into typical or atypical, depending on age groups. Inclusion in newborn screening programs and the usefulness of a clinical score were investigated. A five-point Likert scale was used to rate the level of priority attributed to each statement. Results. The following statements reached the highest priority: testing pediatric patients with hypotonia, developmental delay, movement disorders, and oculogyric crises; inclusion of 3-OMD dosing on DBS in neonatal screening programs; development of a clinical score to support patients’ selection for 3-OMD screening; among atypical phenotypes based on clinical characteristics of Italian patients: testing patients with intellectual disability and parkinsonism-dystonia. Discussion. Clusters of symptoms and signs can be used to prioritize testing with 3-OMD DBS. A clinical score was rated as highly relevant for the patient’s selection. The inclusion of 3-OMD dosing in newborn screening programs was advocated with high clinical priority.
简介。AADCd是一种极为罕见、诊断率极低的神经代谢性疾病,目前已有筛查试验(干血斑(DBS)上的3-OMD剂量)和靶向基因疗法(已在欧盟和英国获得授权)。因此,必须提高从业人员对症状和体征的认识。提供科学合理的信息以促进对具有正确症状和体征的患者进行筛查至关重要。材料和方法。鉴于在这一问题上缺乏可靠的证据,我们采用德尔菲法征求了专家对证据水平的意见。14 名指导委员会成员邀请 29 名意大利专家组成专家组,就与使用 3-OMD DBS 作为 AADCd 筛查方法有关的一系列关键但有争议的问题发表意见。根据年龄组的不同,症状和体征群被分为典型和非典型。研究了将其纳入新生儿筛查计划以及临床评分的实用性。采用五点李克特量表对每项陈述的优先程度进行评分。结果显示下列声明的优先级最高:对肌张力低下、发育迟缓、运动障碍和眼球震颤的儿科患者进行检测;将3-OMD剂量纳入新生儿筛查计划中的DBS;制定临床评分以支持选择患者进行3-OMD筛查;根据意大利患者的临床特征确定非典型表型:对智力障碍和帕金森-肌张力障碍患者进行检测。讨论。症状和体征群可用来确定3-OMD DBS检测的优先顺序。临床评分与患者的选择高度相关。在新生儿筛查项目中纳入3-OMD剂量被认为具有高度临床优先性。
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引用次数: 0
Establishing an OCD Model in BALB/c Mice Using RU24969: A Molecular and Behavioural Study of Optimal Dose Selection 使用 RU24969 在 BALB/c 小鼠中建立强迫症模型:最佳剂量选择的分子和行为研究
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-03-25 DOI: 10.1155/2024/4504858
Fatima Salloum, Mohamad Farran, Houssam Shaib, Abdo Jurjus, Roni Sleiman, Mahmoud I. Khalil
Obsessive-compulsive disorder (OCD) is a disabling disease characterized by distressing obsessions and repetitive compulsions. The etiology of OCD is poorly known, and mouse modeling allows to clarify the genetic and neurochemical basis of this disorder and to investigate potential treatments. This study evaluates the impact of the 5-HT1B agonist RU24969 on the induction of OCD-like behaviours in female BALB/c mice (), distributed across five groups receiving varying doses of RU24969. Behavioural assessments, including marble test, tail suspension test, sucrose preference test, forced swim test, and nestlet shredding test, were conducted. Gene expression and protein quantitation of Gabra1 and serotonin transporter in mouse brain were also performed. Marble-burying behaviour increased significantly at high doses of RU24969 (15-20 mg/kg). The forced swimming test consistently showed elevated values at the same high concentrations, compared to the control. Altered reward-seeking behaviour was indicated by the sucrose preference test, notably at 15 and 20 mg/kg doses of RU24969. Nestlet shredding results did not show statistical significance among the tested animal groups. Gene expression analysis revealed reduced Gabra1 expression with increasing doses of RU, while serotonin transporter was not related to varying doses of RU24969. Western blotting corroborated these trends. The results underscore complex interactions between the serotonin system, GABAergic signaling, and OCD-relevant behaviours and suggest the use of intraperitoneal injection of 15 mg/kg of RU24969 to induce OCD-like behaviour in BALB/c mouse models.
强迫症(OCD)是一种致残性疾病,以令人痛苦的强迫观念和重复性强迫行为为特征。强迫症的病因尚不清楚,而小鼠建模则有助于阐明这种疾病的遗传和神经化学基础,并研究潜在的治疗方法。本研究评估了 5-HT1B 激动剂 RU24969 对诱导雌性 BALB/c 小鼠()强迫症样行为的影响。行为评估包括大理石试验、悬挂尾巴试验、蔗糖偏好试验、强迫游泳试验和撕碎巢丸试验。此外,还对小鼠大脑中的Gabra1和5-羟色胺转运体进行了基因表达和蛋白质定量分析。高剂量 RU24969(15-20 毫克/千克)时,小鼠埋大理石的行为明显增加。与对照组相比,在相同的高浓度下,强迫游泳测试的数值也持续升高。蔗糖偏好测试表明,在 RU24969 剂量为 15 和 20 毫克/千克时,蔗糖偏好行为明显改变。雏鸟撕碎巢的结果在受试动物组间没有统计学意义。基因表达分析表明,随着 RU 剂量的增加,Gabra1 的表达量减少,而血清素转运体则与不同剂量的 RU24969 无关。Western 印迹证实了这些趋势。研究结果强调了血清素系统、GABA能信号传导和强迫症相关行为之间复杂的相互作用,并建议在BALB/c小鼠模型中使用腹腔注射15毫克/千克的RU24969来诱导强迫症样行为。
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引用次数: 0
Amyotrophic Lateral Sclerosis and Pain: A Narrative Review from Pain Assessment to Therapy 肌萎缩侧索硬化症与疼痛:从疼痛评估到治疗的叙述性回顾
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-03-16 DOI: 10.1155/2024/1228194
Vincenzo Pota, Pasquale Sansone, Sara De Sarno, Caterina Aurilio, Francesco Coppolino, Manlio Barbarisi, Francesco Barbato, Marco Fiore, Gianluigi Cosenza, Maria Beatrice Passavanti, Maria Caterina Pace
Amyotrophic lateral sclerosis (ALS) is the most frequent neurodegenerative disease of the motor system that affects upper and lower motor neurons, leading to progressive muscle weakness, spasticity, atrophy, and respiratory failure, with a life expectancy of 2–5 years after symptom onset. In addition to motor symptoms, patients with ALS have a multitude of nonmotor symptoms; in fact, it is currently considered a multisystem disease. The purpose of our narrative review is to evaluate the different types of pain, the correlation between pain and the disease’s stages, the pain assessment tools in ALS patients, and the available therapies focusing above all on the benefits of cannabis use. Pain is an underestimated and undertreated symptom that, in the last few years, has received more attention from research because it has a strong impact on the quality of life of these patients. The prevalence of pain is between 15% and 85% of ALS patients, and the studies on the type and intensity of pain are controversial. The absence of pain assessment tools validated in the ALS population and the dissimilar study designs influence the knowledge of ALS pain and consequently the pharmacological therapy. Several studies suggest that ALS is associated with changes in the endocannabinoid system, and the use of cannabis could slow the disease progression due to its neuroprotective action and act on pain, spasticity, cramps, sialorrhea, and depression. Our research has shown high patients’ satisfaction with the use of cannabis for the treatment of spasticity and related pain. However, especially due to the ethical problems and the lack of interest of pharmaceutical companies, further studies are needed to ensure the most appropriate care for ALS patients.
肌萎缩侧索硬化症(ALS)是最常见的运动系统神经退行性疾病,影响上下运动神经元,导致进行性肌无力、痉挛、萎缩和呼吸衰竭,发病后预期寿命为 2-5 年。除运动症状外,肌萎缩性脊髓侧索硬化症患者还伴有多种非运动症状;事实上,该病目前被认为是一种多系统疾病。我们的叙述性综述旨在评估不同类型的疼痛、疼痛与疾病分期之间的相关性、ALS 患者的疼痛评估工具以及现有的治疗方法,重点关注使用大麻的益处。疼痛是一种被低估和治疗不足的症状,在过去几年里,由于它对这些患者的生活质量有很大影响,因此受到了更多研究的关注。ALS 患者的疼痛发生率在 15% 到 85% 之间,而关于疼痛类型和强度的研究却存在争议。缺乏针对 ALS 患者的疼痛评估工具以及不同的研究设计影响了人们对 ALS 疼痛的认识,进而影响了药物治疗。一些研究表明,ALS 与内源性大麻素系统的变化有关,使用大麻可以减缓疾病的进展,因为大麻具有神经保护作用,并对疼痛、痉挛、抽筋、鼻出血和抑郁有作用。我们的研究表明,患者对使用大麻治疗痉挛和相关疼痛的满意度很高。然而,特别是由于伦理问题和制药公司缺乏兴趣,还需要进一步研究,以确保为 ALS 患者提供最适当的护理。
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引用次数: 0
Daily Functionality of People with Low Vision: The Impact of Visual Acuity, Depression, and Life Orientation—A Cross-Sectional Study 低视力者的日常功能:视力、抑郁和生活取向的影响--一项横断面研究
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-02-26 DOI: 10.1155/2024/4366572
Mara Gkioka, Stavroula Almpanidou, Niki Lioti, Diamantis Almaliotis, Vasileios Karampatakis
<i>Background</i>. Low vision (LV) has a significant negative impact on the activities of daily life as well as on the psychological health of patients. <i>Objectives</i>. The objective of this study is to investigate psychological, clinical, and demographic factors that may impact the daily functionality of patients with LV. <i>Methods</i>. A convenience sample of 53 patients, meeting the WHO criteria for LV, was recruited. Questionnaires on daily functionality, depression, and life orientation (in terms of optimism/pessimism) were administered along with a semistructured personal interview. <i>Key Findings</i>. The main results revealed a significant negative correlation between daily functionality and depression (<span><svg height="8.69875pt" style="vertical-align:-0.3499298pt" version="1.1" viewbox="-0.0498162 -8.34882 16.751 8.69875" width="16.751pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,0,0)"></path></g><g transform="matrix(.013,0,0,-0.013,9.12,0)"></path></g></svg><span></span><span><svg height="8.69875pt" style="vertical-align:-0.3499298pt" version="1.1" viewbox="20.3331838 -8.34882 35.835 8.69875" width="35.835pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,20.383,0)"></path></g><g transform="matrix(.013,0,0,-0.013,28.014,0)"></path></g><g transform="matrix(.013,0,0,-0.013,34.254,0)"></path></g><g transform="matrix(.013,0,0,-0.013,37.218,0)"></path></g><g transform="matrix(.013,0,0,-0.013,43.458,0)"></path></g><g transform="matrix(.013,0,0,-0.013,49.698,0)"></path></g></svg>,</span></span> <span><svg height="11.7782pt" style="vertical-align:-3.42938pt" version="1.1" viewbox="-0.0498162 -8.34882 18.973 11.7782" width="18.973pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,0,0)"></path></g><g transform="matrix(.013,0,0,-0.013,11.342,0)"></path></g></svg><span></span><span><svg height="11.7782pt" style="vertical-align:-3.42938pt" version="1.1" viewbox="22.555183800000002 -8.34882 28.184 11.7782" width="28.184pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,22.605,0)"><use xlink:href="#g113-49"></use></g><g transform="matrix(.013,0,0,-0.013,28.845,0)"><use xlink:href="#g113-47"></use></g><g transform="matrix(.013,0,0,-0.013,31.809,0)"><use xlink:href="#g113-49"></use></g><g transform="matrix(.013,0,0,-0.013,38.049,0)"><use xlink:href="#g113-49"></use></g><g transform="matrix(.013,0,0,-0.013,44.289,0)"></path></g></svg>).</span></span> Conversely, there is a positive correlation between daily functionality and visual acuity (<span><svg height="8.55521pt" style="vertical-align:-0.2063904pt" version="1.1" viewbox="-0.0498162 -8.34882 16.751 8.55521" width="16.751pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matri
背景。低视力(LV)对患者的日常生活活动和心理健康有很大的负面影响。研究目的本研究旨在调查可能影响低视力患者日常功能的心理、临床和人口学因素。方法。招募了 53 名符合世界卫生组织左心室颤动标准的患者作为样本。在进行半结构化个人访谈的同时,还对患者的日常功能、抑郁和生活取向(乐观/悲观)进行了问卷调查。主要研究结果。主要结果显示,日常功能与抑郁之间存在明显的负相关(,)。相反,日常功能与视力之间呈正相关(,),而诊断后的年数与抑郁呈负相关(,)。抑郁似乎是预测一个人日常功能的中度指标(,),其次是视力(,),占总变异的 31.1%。结论该研究支持日常功能与抑郁和视力之间的相关性。乐观作为一种人格特征,并没有被纳入日常功能预测模型中,但它与抑郁症状水平较低有很强的相关性。这凸显了制定慢性病管理应对策略的潜力。建议。这项研究可作为有用的指南,并敦促临床医生关注这些患者的心理评估,支持他们独特的情感需求。心理健康专业人员可以利用患者的积极资源,为他们提供适当的心理辅导,并鼓励他们掌握应对技巧,以参与日常生活活动。
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引用次数: 0
Exploring the Experience of Living with Pain after Spinal Cord Injury: A Qualitative Study 探索脊髓损伤后疼痛的生活体验:定性研究
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-02-02 DOI: 10.1155/2024/9081530
Mokgadi Kholofelo Mashola, Elzette Korkie, Diphale Joyce Mothabeng
A spinal cord injury is a life-changing experience that results in functional limitations and an increased risk of secondary health conditions. People with spinal cord injury identify pain as the most devastating health problem following their injury that not only affects their social life but their mental well-being as well. This study is aimed at exploring the lived experience of living with pain by community-dwelling manual wheelchair users with spinal cord injuries. An explorative qualitative design was used to explore their experiences. In-depth interviews were recorded and transcribed, and the data were analysed using inductive thematic content analysis in the MAXQDA v2020. Fifteen manual wheelchair users with paraplegia participated in this study, and four themes were identified from their experience of living with pain: pain constantly lurks, pain is worse than the direct consequences of the SCI, pain is restrictive, and life continues despite the pain. Categories and subcategories included the participants being one with the pain; pain interfering with sleep; feelings of anger, isolation, and suicidal ideation; and uncertainties about what the future holds living with pain. Living with pain after SCI is a challenging feat, and effective management of pain is necessary to improve not only functioning and mobility but also mental health and life satisfaction.
脊髓损伤是一种改变生活的经历,会导致功能受限,并增加继发健康问题的风险。脊髓损伤患者认为疼痛是伤后最具破坏性的健康问题,不仅影响他们的社会生活,还影响他们的心理健康。本研究旨在探讨居住在社区的手动轮椅脊髓损伤患者与疼痛为伴的生活体验。本研究采用探索性定性设计来探讨他们的经历。对深入访谈进行了记录和转录,并在 MAXQDA v2020 中使用归纳式主题内容分析法对数据进行了分析。15 名患有截瘫的手动轮椅使用者参与了这项研究,并从他们与疼痛共存的经历中确定了四个主题:疼痛不断潜伏、疼痛比 SCI 的直接后果更严重、疼痛是一种限制、尽管疼痛,生活仍在继续。类别和子类别包括:参与者与疼痛融为一体;疼痛影响睡眠;愤怒、孤独感和自杀念头;以及对未来生活的不确定性。脊髓损伤后与疼痛共存是一项具有挑战性的壮举,有必要对疼痛进行有效管理,这样不仅能改善功能和活动能力,还能改善心理健康和生活满意度。
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引用次数: 0
Abnormal Amygdala Subregion Functional Connectivity in Patients with Crohn’s Disease with or without Anxiety and Depression 伴有或不伴有焦虑和抑郁的克罗恩病患者的杏仁核亚区功能连接异常
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-01-30 DOI: 10.1155/2024/1551807
Jingwen Sun, Wei Sun, Kecen Yue, Yin Zhang, Xintong Wu, Wenjia Liu, Ling Zou, Haifeng Shi
<i>Objective</i>. The aim of this study was to explore the resting-state functional connectivity (rsFC) of amygdala subregions in healthy controls (HCs) and in patients with Crohn’s disease (CD) both with and without anxiety or depression. <i>Materials and Methods</i>. A total of 33 patients with CD and with anxiety or depression (CDad group), 31 patients with CD but without anxiety or depression (CDnad group), and 29 age-, sex-, and education level-matched HCs underwent functional magnetic resonance imaging. rsFC analysis was used to analyze the FC between the amygdala subregions and other areas of the brain. <i>Results</i>. Compared with the HC group, the CDad group demonstrated decreased rsFC between the right laterobasal subregion and the left hippocampus (<span><svg height="9.2729pt" style="vertical-align:-0.6370001pt" version="1.1" viewbox="-0.0498162 -8.6359 19.289 9.2729" width="19.289pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,0,0)"></path></g><g transform="matrix(.013,0,0,-0.013,11.658,0)"></path></g></svg><span></span><span><svg height="9.2729pt" style="vertical-align:-0.6370001pt" version="1.1" viewbox="22.8711838 -8.6359 21.918 9.2729" width="21.918pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,22.921,0)"></path></g><g transform="matrix(.013,0,0,-0.013,25.885,0)"></path></g><g transform="matrix(.013,0,0,-0.013,32.125,0)"><use xlink:href="#g113-49"></use></g><g transform="matrix(.013,0,0,-0.013,38.365,0)"></path></g></svg>)</span></span> and right middle frontal gyrus (<span><svg height="9.2729pt" style="vertical-align:-0.6370001pt" version="1.1" viewbox="-0.0498162 -8.6359 19.289 9.2729" width="19.289pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,0,0)"><use xlink:href="#g113-81"></use></g><g transform="matrix(.013,0,0,-0.013,11.658,0)"><use xlink:href="#g117-91"></use></g></svg><span></span><span><svg height="9.2729pt" style="vertical-align:-0.6370001pt" version="1.1" viewbox="22.8711838 -8.6359 21.918 9.2729" width="21.918pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,22.921,0)"><use xlink:href="#g113-47"></use></g><g transform="matrix(.013,0,0,-0.013,25.885,0)"><use xlink:href="#g113-49"></use></g><g transform="matrix(.013,0,0,-0.013,32.125,0)"><use xlink:href="#g113-49"></use></g><g transform="matrix(.013,0,0,-0.013,38.365,0)"><use xlink:href="#g113-50"></use></g></svg>)</span></span> and between the left superficial subregion and the left insula (<span><svg height="9.2729pt" style="vertical-align:-0.6370001pt" version="1.1" viewbox="-0.0498162 -8.6359 19.289 9.2729" width="19.289pt" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><g transform="matrix(.013,0,0,-0.013,0,0)"><use xlink:href="#g113-81"></use></g><g tra
研究目的本研究旨在探讨健康对照组(HCs)和患有或不患有焦虑症或抑郁症的克罗恩病(CD)患者杏仁核亚区的静息状态功能连通性(rsFC)。材料与方法。共有 33 名患有焦虑症或抑郁症的克罗恩病患者(CDad 组)、31 名患有焦虑症或抑郁症但不患有焦虑症或抑郁症的克罗恩病患者(CDnad 组)和 29 名年龄、性别和教育水平相匹配的健康对照者接受了功能磁共振成像检查。结果显示与 HC 组相比,CDad 组的右侧基底膜后亚区与左侧海马()和右侧额叶中回()之间的 rsFC 以及左侧浅表亚区与左侧脑岛()之间的 rsFC 均有所下降。与 HC 组相比,CDnad 组在左侧中内侧亚区和左侧脑岛之间的 rsFC 有所下降()。与 CDnad 组相比,CDad 组在左侧中内侧亚区与右侧楔前回()和中央后回()之间、右侧基底外侧亚区与左侧海马()之间以及左侧浅表亚区与右侧额叶中回()之间的 rsFC 均有所下降。结论CD患者的杏仁核亚区有明显的FC变化。这些变化可能与疾病本身或焦虑和抑郁症状有关。
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引用次数: 0
Elucidating the Visual Snow Spectrum: A Latent Class Analysis Study 阐明视觉雪谱:潜类分析研究
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-01-19 DOI: 10.1155/2024/5517169
Amy Claire Thompson, Patrick T. Goodbourn, Jason D. Forte
Objective. People with visual snow syndrome (VSS) experience a range of perceptual phenomena, in addition to visual snow (VS; flickering pinpricks of light throughout the visual field). We investigated the patterns of perceptual phenomena associated with VSS in a large sample of people without prior knowledge of VSS or its associated symptoms. Methods and Measures. Two thousand participants completed a screening questionnaire assessing the frequency and severity of perceptual phenomena associated with VSS. We used latent class analysis (LCA), a clustering technique which identifies qualitatively different subgroups within a given population, to investigate whether the presence (or absence) of VS impacted class structure. Results. Of 1,846 participants included for analysis, 41.92% experienced VS some of the time, including 4.49% who had VSS without prior knowledge. The mean number of perceptual phenomena experienced was 2.03. Optimal four-class LCA solutions did not substantially differ whether VS was included in the model; instead, classes differed in the frequency and total number of symptoms experienced. Discussion. Our results suggest that the perceptual phenomena associated with VSS are likely to be common in the general population and do not necessarily indicate an underlying pathology. We also showed that visual snow itself does not explain the presence of other perceptual phenomena.
目的。视觉雪综合征(VSS)患者除了视觉雪(VS;整个视野中闪烁的光点)之外,还会出现一系列的知觉现象。我们调查了大样本人群中与视觉雪综合征相关的知觉现象模式,这些人事先并不了解视觉雪综合征或其相关症状。方法和措施。两千名参与者填写了一份筛选问卷,评估与 VSS 相关的知觉现象的频率和严重程度。我们使用了潜类分析(LCA)--一种在特定人群中识别不同质量亚群的聚类技术--来研究是否存在(或不存在)VS会影响类结构。研究结果在 1846 名参与分析的人员中,有 41.92% 的人在某些时候经历过 VS,其中有 4.49% 的人在事先不知情的情况下经历过 VSS。所经历的感知现象的平均数量为 2.03。无论模型中是否包含 VS,最佳的四分类 LCA 解决方案都没有本质区别;相反,各分类在经历症状的频率和总数上存在差异。讨论我们的研究结果表明,与 VSS 相关的知觉现象在普通人群中很可能很常见,并不一定预示着潜在的病变。我们还发现,视觉雪本身并不能解释其他知觉现象的存在。
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引用次数: 0
Mice Recognise Mice in Neighbouring Rearing Cages and Change Their Social Behaviour 小鼠识别邻近饲养笼中的小鼠并改变其社交行为
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-01-16 DOI: 10.1155/2024/9215607
Hiroshi Ueno, Yu Takahashi, Sachiko Mori, Shinji Murakami, Kenta Wani, Yosuke Matsumoto, Motoi Okamoto, Takeshi Ishihara
Mice are social animals that change their behaviour primarily in response to visual, olfactory, and auditory information from conspecifics. Rearing conditions such as cage size and colour are important factors influencing mouse behaviour. In recent years, transparent plastic cages have become standard breeding cages. The advantage of using a transparent cage is that the experimenter can observe the mouse from outside the cage without touching the cage. However, mice may recognise the environment outside the cage and change their behaviour. We speculated that mice housed in transparent cages might recognise mice in neighbouring cages. We used only male mice in this experiment. C57BL/6 mice were kept in transparent rearing cages with open lids, and the cage positions were maintained for 3 weeks. Subsequently, we examined how mice behaved toward cagemate mice, mice from neighbouring cages, and mice from distant cages. We compared the level of interest in mice using a social preference test. Similar to previous reports, subject mice showed a high degree of interest in unfamiliar mice from distant cages. By contrast, subject mice reacted to mice from neighbouring cages as familiar mice, similar to cagemate mice. This suggests that mice housed in transparent cages with open lids perceive the external environment and identify mice in neighbouring cages. Researchers should pay attention to the environment outside the mouse cage, especially for the social preference test.
小鼠是一种社会性动物,它们的行为主要是根据来自同类的视觉、嗅觉和听觉信息而改变的。笼子的大小和颜色等饲养条件是影响小鼠行为的重要因素。近年来,透明塑料笼已成为标准饲养笼。使用透明笼子的好处是,实验人员可以从笼子外观察小鼠,而无需接触笼子。然而,小鼠可能会识别笼子外的环境并改变其行为。我们推测,被关在透明笼子里的小鼠可能会认出邻近笼子里的小鼠。本实验只使用雄性小鼠。我们将C57BL/6小鼠饲养在盖子打开的透明饲养笼中,并将笼子的位置保持了3周。随后,我们研究了小鼠对同笼小鼠、邻笼小鼠和远笼小鼠的行为。我们使用社交偏好测试比较了小鼠的兴趣水平。与之前的报道相似,实验对象小鼠对来自远处笼子的陌生小鼠表现出高度兴趣。相比之下,受试小鼠对邻笼小鼠的反应与笼伴小鼠类似,都是将其视为熟悉的小鼠。这表明,被关在开盖透明笼子里的小鼠能感知外部环境,并识别邻近笼子里的小鼠。研究人员应该关注小鼠笼外的环境,尤其是在社会偏好测试中。
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引用次数: 0
Knowledge Structure and Emerging Trends of Mild Cognitive Impairment with Dyssomnias in Recent 20 Years: A Bibliometric Analysis via CiteSpace and VOSviewer 近 20 年来轻度认知障碍伴多梦症的知识结构和新趋势:通过 CiteSpace 和 VOSviewer 进行的文献计量分析
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-01-06 DOI: 10.1155/2024/6622212
Haoyu Huang, Zesen Zhuang, Yiwen Wan, Jiao Shi, Xu Yuan, Dan Wang, Shangjie Chen
Background. Mild cognitive impairment (MCI), an intermediate stage between normal aging and dementia, has emerged as a prominent research area in geriatric care due to its heightened propensity for progressing toward dementia. Sleep plays a pivotal role in cognitive function, with dyssomnias not only exacerbating cognitive and affective symptoms associated with neurodegenerative diseases but also contributing to disease progression. Aim. This bibliometric analysis investigates the global research on MCI with dyssomnias over the past two decades, aiming to discern key findings, research domains, and emerging trends in this field. Methods. In this study, a bibliometric analysis was conducted using the search terms “MCI” and “sleep”. Data were extracted from the Web of Science Core Collection database, and visualization and collaborative analysis were performed using CiteSpace and VOSviewer. Results. This study encompassed 546 publications from 2003 to 2023. The publication volume and citation rate consistently increased over time. Neurosciences, Clinical Neurology, and Geriatrics Gerontology emerged as the top three research fields. The Journal of Alzheimer’s Disease had the highest publication count, while Sleep Medicine received the most citations. USA, China, and Italy led in publication output. Collaborative clusters among authors and institutions were identified, but cooperation between clusters was limited. Active cocited reference clusters included “obstructive sleep apnea”, “possible mediating pathways”, and “isolated rapid eye movement sleep behaviour disorder”. The top frequently mentioned keywords, besides “MCI”, were “Alzheimer’s disease”, “dementia”, “risk factor”, and “Parkinson’s Disease”. Notable keyword clusters spanned circadian rhythm, Parkinson’s disease, MCI, dementia with Lewy body, subjective cognitive impairment, Lewy body disease, Alzheimer’s disease, and dietary patterns. Conclusion. The field of MCI with dyssomnias is rapidly expanding, encompassing a wide range of neurodegenerative disorders and sleep disturbances. Current research endeavors are primarily focused on elucidating the underlying pathogenesis, predicting disease progression, and developing innovative treatment strategies for individuals affected by MCI with dyssomnias.
背景。轻度认知障碍(MCI)是介于正常衰老和痴呆之间的一个中间阶段,由于其更容易发展为痴呆,因此已成为老年护理领域的一个突出研究领域。睡眠在认知功能中起着举足轻重的作用,睡眠障碍不仅会加重与神经退行性疾病相关的认知和情感症状,还会导致疾病进展。目的本文献计量分析调查了过去二十年来全球对伴有多梦的 MCI 的研究,旨在发现该领域的主要发现、研究领域和新趋势。研究方法。本研究以 "MCI "和 "睡眠 "为检索词进行文献计量分析。数据提取自科学网核心收藏数据库,并使用 CiteSpace 和 VOSviewer 进行了可视化和协作分析。研究结果这项研究涵盖了从 2003 年到 2023 年的 546 篇论文。随着时间的推移,发表量和引用率持续上升。神经科学、临床神经学和老年医学成为前三大研究领域。阿尔茨海默病杂志》的发表量最高,而《睡眠医学》的引用量最高。美国、中国和意大利的论文数量居前。作者和机构之间的合作群组已经确定,但群组之间的合作有限。活跃的共同参考文献集群包括 "阻塞性睡眠呼吸暂停"、"可能的中介途径 "和 "孤立的快速眼动睡眠行为障碍"。除 "MCI "外,最常被提及的关键词是 "阿尔茨海默病"、"痴呆症"、"风险因素 "和 "帕金森病"。值得注意的关键词群包括昼夜节律、帕金森病、MCI、路易体痴呆、主观认知障碍、路易体病、阿尔茨海默病和饮食模式。结论伴有多梦的 MCI 领域正在迅速扩大,涵盖了广泛的神经退行性疾病和睡眠障碍。目前的研究工作主要集中在阐明潜在的发病机制、预测疾病进展以及为受 MCI 伴有多梦症影响的患者制定创新的治疗策略。
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Behavioural Neurology
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