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Modeling Suicidality with Multimodal Impulsivity Characterization in Participants with Mental Health Disorder. 利用多模态冲动特征对精神疾病参与者的自杀行为进行建模。
IF 2.7 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2023-08-05 eCollection Date: 2023-01-01 DOI: 10.1155/2023/8552180
Nidal Moukaddam, Bishal Lamichhane, Ramiro Salas, Wayne Goodman, Ashutosh Sabharwal

Introduction: Suicide is one of the leading causes of death across different age groups. The persistence of suicidal ideation and the progression of suicidal ideations to action could be related to impulsivity, the tendency to act on urges with low temporal latency, and little forethought. Quantifying impulsivity could thus help suicidality estimation and risk assessments in ideation-to-action suicidality frameworks.

Methods: To model suicidality with impulsivity quantification, we obtained questionnaires, behavioral tests, heart rate variability (HRV), and resting state functional magnetic resonance imaging measurements from 34 participants with mood disorders. The participants were categorized into three suicidality groups based on their Mini-International Neuropsychiatric Interview: none, low, and moderate to severe.

Results: Questionnaire and HRV-based impulsivity measures were significantly different between the suicidality groups with higher subscales of impulsivity associated with higher suicidality. A multimodal system to characterize impulsivity objectively resulted in a classification accuracy of 96.77% in the three-class suicidality group prediction task.

Conclusions: This study elucidates the relative sensitivity of various impulsivity measures in differentiating participants with suicidality and demonstrates suicidality prediction with high accuracy using a multimodal objective impulsivity characterization in participants with mood disorders.

导言:自杀是导致不同年龄段人群死亡的主要原因之一。自杀意念的持续存在以及自杀意念发展到行动的过程可能与冲动性有关,冲动性是指对冲动采取行动的倾向,其时间潜伏性较低,而且很少经过深思熟虑。因此,在从意念到行动的自杀性框架中,量化冲动性有助于自杀性估计和风险评估:为了利用冲动性量化建立自杀模型,我们对 34 名患有情绪障碍的参与者进行了问卷调查、行为测试、心率变异性(HRV)和静息状态功能磁共振成像测量。根据他们的迷你国际神经精神访谈(Mini-International Neuropsychiatric Interview)结果,参与者被分为三个自杀倾向组:无、低和中度至重度:结果:问卷调查和基于心率变异的冲动性测量在自杀倾向组之间存在显著差异,冲动性分量表越高,自杀倾向越高。在三类自杀倾向组预测任务中,客观描述冲动性的多模态系统的分类准确率为 96.77%:本研究阐明了各种冲动性测量方法在区分有自杀倾向的参与者方面的相对敏感性,并证明了使用多模态客观冲动性特征描述对情绪障碍参与者进行自杀倾向预测的高准确性。
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引用次数: 0
Magnitude and Determinant Factors of Pediatrics Seizures in Pediatrics Emergency Unit at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia, 2020: A Retrospective and Descriptive Study. 埃塞俄比亚亚的斯亚贝巴Tikur Anbessa专科医院儿科急诊室儿科癫痫发作的程度和决定因素,2020年:一项回顾性和描述性研究。
IF 2.8 4区 医学 Q2 Psychology Pub Date : 2023-07-14 eCollection Date: 2023-01-01 DOI: 10.1155/2023/3967899
Asaminew Habtamu, Rahel Argaw, Wagari Tuli, Ayalew Moges

Background: One of the most prevalent medical problems affecting kids is epilepsy, which is the most prevalent chronic neurological condition in kids in both developed and developing nations. The spectrum of diseases that make up childhood epilepsy syndromes ranges from mild to potentially fatal. Children may experience seizures due to a variety of illnesses, such as infection, severe brain injury, and anatomical deformity. It is the foremost visit calculates in neurological and cognitive impedance in children in low-income countries as well as the foremost common reason for pediatric clinic confirmations in children from destitute countries. All things considered, constrained things have been conducted in Ethiopia. Hence, this ponder points to survey the size and related variables of pediatric seizures among children conceded to Tikur Anbessa pediatric emergency.

Methods: By looking through 256 patient charts, an institution-based retrospective cross-sectional analysis was done. Data collection utilized a systematic checklist that had been evaluated beforehand. The EpiData version 4.4.2.2 was used to enter the data, which was then exported for analysis to the SPSS version 25. Binary logistic regression and descriptive statistics were employed. Variables from the bivariate analysis that had a p-value of less than 0.25 were carried over to multivariate analysis. The strength and existence of the link were assessed using adjusted odds ratios with a 95% confidence interval and a p-value of 0.05, respectively.

Result: Patients' ages ranged from 3.7 to 2.8 years on average. 4.5% of patients had seizures, and 155 of them (60.5%) were men, with a male-to-female ratio of (1.5 : 1). Males and females experienced seizures on average at 1.3 (95% CI: 1.1, 1.5) and 2 (95% CI: 1.6, 2.5) years old, respectively. AOR: 2.68 (95% CI: 1.192, 6.68, p = 0.02) and AOR: 2.8 (95% CI: 2.576, 5.302, p = 0.04) both demonstrated statistically significant correlations with pediatric seizure.

Conclusion: A vast number of children experienced convulsions, with generalized seizures being the most prevalent form. The chances of a child having a seizure were linked to their family history and where they were born. Therefore, health workers and other people who are involved in healthcare need to work harder on the factors that they have already identified.

背景:影响儿童的最常见的医学问题之一是癫痫,这是发达国家和发展中国家儿童中最常见的慢性神经疾病。构成儿童癫痫综合征的疾病种类从轻微到潜在的致命不等。儿童可能会因各种疾病而癫痫发作,如感染、严重脑损伤和解剖畸形。这是低收入国家儿童神经和认知阻抗方面最重要的就诊计算,也是贫困国家儿童儿科临床确认的最常见原因。综合考虑,在埃塞俄比亚进行了一些受限制的活动。因此,这一思考指向了在接受Tikur Anbessa儿科急诊的儿童中调查儿童癫痫发作的大小和相关变量。方法:通过查阅256张病历,进行基于机构的回顾性横断面分析。数据收集采用了事先评估过的系统检查表。EpiData版本4.4.2.2用于输入数据,然后将数据导出到SPSS版本25中进行分析。采用二元逻辑回归和描述性统计。将p值小于0.25的双变量分析中的变量转入多变量分析。使用调整后的比值比评估连接的强度和存在性,置信区间分别为95%,p值分别为0.05。结果:患者年龄平均在3.7-2.8岁之间。4.5%的患者有癫痫发作,其中155名(60.5%)为男性,男女比例为(1.5 : 1) 。男性和女性分别在1.3岁(95%置信区间:1.1、1.5)和2岁(95%可信区间:1.6、2.5)时平均出现癫痫发作。AOR:2.68(95%CI:1.192,6.68,p=0.02)和AOR:2.8(95%CI:2.576,5.302,p=0.04)均显示出与儿童癫痫发作的统计学显著相关性。结论:大量儿童出现抽搐,全身性癫痫是最常见的形式。儿童癫痫发作的几率与他们的家族史和出生地有关。因此,卫生工作者和其他参与医疗保健的人需要更加努力地研究他们已经确定的因素。
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引用次数: 0
Possible Effects of Acupuncture in Poststroke Aphasia. 针灸对中风后失语症的可能影响
IF 2.7 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2023-04-12 eCollection Date: 2023-01-01 DOI: 10.1155/2023/9445381
Bifang Zhuo, Shizhe Deng, Boxuan Li, Weiming Zhu, Menglong Zhang, Chenyang Qin, Zhihong Meng

Neural plasticity promotes the reorganization of language networks and is an essential recovery mechanism for poststroke aphasia (PSA). Neuroplasticity may be a pivotal bridge to elucidate the potential recovery mechanisms of acupuncture for aphasia. Therefore, understanding the neuroplasticity mechanism of acupuncture in PSA is crucial. However, the underlying therapeutic mechanism of neuroplasticity in PSA after acupuncture needs to be explored. Excitotoxicity after brain injury affects the activity of neurotransmitters and disrupts the transmission of normal neuron information. Thus, a helpful strategy of acupuncture might be to improve PSA by affecting the availability of these neurotransmitters and glutamate receptors at synapses. In addition, the regulation of neuroplasticity by acupuncture may also be related to the regulation of astrocytes. Considering the guiding significance of acupuncture for clinical treatment, it is necessary to carry out further study about the influence of acupuncture on the recovery of aphasia after stroke. This study summarizes the current research on the neural mechanism of acupuncture in treating PSA. It seeks to elucidate the potential effect of acupuncture on the recovery of PSA from the perspective of synaptic plasticity and integrity of gray and white matter.

神经可塑性促进语言网络的重组,是脑卒中后失语症(PSA)的重要恢复机制。神经可塑性可能是阐明针灸治疗失语症潜在康复机制的关键桥梁。因此,了解针刺治疗失语症的神经可塑性机制至关重要。然而,针刺后 PSA 神经可塑性的潜在治疗机制仍有待探索。脑损伤后的兴奋毒性会影响神经递质的活性,破坏正常神经元的信息传递。因此,针灸的一个有用策略可能是通过影响这些神经递质和突触处谷氨酸受体的可用性来改善 PSA。此外,针灸对神经可塑性的调节还可能与星形胶质细胞的调节有关。考虑到针灸对临床治疗的指导意义,有必要进一步研究针灸对中风后失语症恢复的影响。本研究总结了目前针灸治疗 PSA 的神经机制研究。它试图从突触可塑性和灰白质完整性的角度阐明针灸对 PSA 恢复的潜在作用。
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引用次数: 0
Cucurbita maxima Seeds Reduce Anxiety and Depression and Improve Memory. 西葫芦籽减少焦虑和抑郁,提高记忆力。
IF 2.8 4区 医学 Q2 Psychology Pub Date : 2023-03-22 eCollection Date: 2023-01-01 DOI: 10.1155/2023/7509937
Shahana Wahid, Ali Alqahtani, Rafeeq Alam Khan

The current study was planned to assess the neuropharmacological benefits of the Cucurbita maxima seed. These seeds have been conventionally used for the nutritional as well as amelioration of various diseases. However, there was a need to provide a pharmacological basis for such use. Four central nervous system-related functions, that is, anxiety, depression, memory, and motor coordination, were evaluated, and the levels of brain biogenic amines were also assessed. Anxiety was evaluated through selected experimental models, such as light and dark apparatus, elevated plus maze, head dip, and open field test. The head dip test was mainly used to assess exploratory behavior. Depression was assessed by two animal models, that is, the forced swim test and tail suspension test. Memory and learning ability were assessed by the passive avoidance test, stationary rod apparatus, and Morris's water maze test. Motor skilled learning was assessed by stationary rod and rotarod apparatus. Reversed phase high-pressure liquid chromatography was used to determine biogenic amine levels. Results reveal that C. maxima exhibited anxiolytic and antidepressant effects with memory improvement. There was a reduction in the weight of the animal following chronic administration. Furthermore, no remarkable effects were observed on motor coordination. Norepinephrine was found elevated, which may be linked to its antidepressant effects. These biological effects of C. maxima may be due to the presence of secondary metabolites, such as cucurbitacin, beta-sitosterol, polyphenolic compounds, citrulline, kaempferol, arginine, β-carotene, quercetin, and other antioxidants. The outcomes of the present study authenticate that the chronic use of C. maxima seeds reduces the intensity of neurological problems like anxiety and depression.

目前的研究旨在评估南瓜籽的神经药理学益处。这些种子通常用于营养以及改善各种疾病。然而,有必要为这种用途提供药理学基础。评估了四种与中枢神经系统相关的功能,即焦虑、抑郁、记忆和运动协调,并评估了大脑生物胺的水平。焦虑通过选择的实验模型进行评估,如光明和黑暗装置、高架加迷宫、头部下沉和开放场地测试。头部倾向测试主要用于评估探索行为。采用强迫游泳试验和尾部悬吊试验两种动物模型对抑郁症进行评估。通过被动回避测试、固定杆装置和Morris水迷宫测试来评估记忆和学习能力。通过固定杆和旋转杆装置评估运动技能学习。采用反相高压液相色谱法测定生物胺含量。结果表明,随着记忆的改善,C.maxima表现出抗焦虑和抗抑郁的作用。长期给药后,动物的体重有所减轻。此外,没有观察到对运动协调的显著影响。去甲肾上腺素被发现升高,这可能与其抗抑郁作用有关。C.maxima的这些生物效应可能是由于次级代谢产物的存在,如葫芦素、β-谷甾醇、多酚类化合物、瓜氨酸、山奈酚、精氨酸、β-胡萝卜素、槲皮素和其他抗氧化剂。本研究的结果证实,长期使用C.maxima种子可以降低焦虑和抑郁等神经问题的强度。
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引用次数: 0
Systematic Review and Meta-Analysis of Clinically Relevant Executive Functions Tests Performance after COVID-19. COVID-19 后临床相关执行功能测试表现的系统性回顾和荟萃分析。
IF 2.7 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2023-02-09 eCollection Date: 2023-01-01 DOI: 10.1155/2023/1094267
Boris B Velichkovsky, Anna Y Razvaliaeva, Alena A Khlebnikova, Piruza A Manukyan, Vladimir N Kasatkin, Artem V Barmin

It is widely known that COVID-19 has a number of prolonged effects on general health, wellbeing, and cognitive functioning. However, studies using differentiated performance measures of cognitive functions are still not widely spread making it hard to assess the exact functions that get impaired. Taking into account the similarities between post-COVID 'brain fog' and chemofog, we hypothesized that executive functions (EF) would be impaired. Literature search yielded six studies with 14 effect sizes of interest; pooled effect size was small to medium (d = -0.35). Combined with a narrative synthesis of six studies without a comparison group, these results show that EF get impaired after COVID-19; although, in most cases the impairment is transient and does not seem to be severe. These results specify the picture of 'brain fog' and may help to discover its mechanisms and ways of helping people with long COVID.

众所周知,COVID-19 对一般健康、福祉和认知功能有许多长期影响。然而,采用不同认知功能表现测量方法进行的研究仍未广泛开展,因此很难评估受损的具体功能。考虑到 COVID 后 "脑雾 "与化疗雾之间的相似性,我们假设执行功能(EF)会受到损害。通过文献检索,我们获得了六项研究的 14 个相关效应大小;汇总效应大小为中小型(d = -0.35)。结合六项无对比组研究的叙述性综述,这些结果表明,在 COVID-19 之后,EF 会受到损害;尽管在大多数情况下,这种损害是短暂的,而且似乎并不严重。这些结果具体说明了 "脑雾 "的情况,可能有助于发现其机制和帮助长期 COVID 患者的方法。
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引用次数: 0
Epigallocatechin Gallate Ameliorates Nicotine Withdrawal Conditions-Induced Somatic and Affective Behavior Changes in Mice and Its Molecular Mechanism. 表没食子儿茶素没食子酸酯改善尼古丁戒断条件诱导的小鼠躯体和情感行为改变及其分子机制。
IF 2.8 4区 医学 Q2 Psychology Pub Date : 2023-01-01 DOI: 10.1155/2023/5581893
Mahardian Rahmadi, Ahmad D Nurhan, Retno I A Rahmawati, Theresia F Damayanti, Djoko A Purwanto, Junaidi Khotib

In nicotine withdrawal (NW) conditions, molecular changes, such as increasing corticotropin-releasing factor (CRF) in the amygdala, and melanocortin signaling in the hypothalamus, can occur in the brain, leading to increased feeding behavior and body weight as somatic changes as well as high anxiety-like behavior as an affective changes. Therefore, this research aimed to investigate the effect of epigallocatechin gallate (EGCG), the largest component in green tea, on CRF, pro-opiomelanocortin (POMC), and melanocortin four receptor gene expression in the brain under NW conditions. The 24 Balb/c male mice used were randomly divided into four groups. The doses used included normal saline 1.0 mL/kg as a control group, and nicotine 3.35 mg/kg that was administered subcutaneously three times a day. After NW conditions, EGCG 50 mg/kg was administered intraperitoneally two times a day. Behavior evaluation was performed to measure somatic and affective changes, and the animal was sacrificed for molecular analysis. The results showed that NW conditions significantly increased food intake, body weight, and anxiety-like behavior compared with the normal group. Meanwhile, EGCG significantly decreased food intake, body weight, and anxiety-like behavior compared with NW conditions in mice without EGCG. The polymerase chain reaction results also showed that EGCG decreased the CRF mRNA expression in the amygdala and increased the POMC. This indicated that EGCG improved somatic and affective behavior in NW conditions by decreasing CRF mRNA expression in the amygdala and increasing POMC mRNA expression in the hypothalamus.

在尼古丁戒断(NW)条件下,大脑中会发生分子变化,如杏仁核中促肾上腺皮质激素释放因子(CRF)增加,下丘脑中黑素皮质素信号传导增加,导致摄食行为和体重增加(躯体变化),以及高焦虑样行为(情感变化)。因此,本研究旨在探讨绿茶中最大成分表没食子儿茶素没食子酸酯(EGCG)对NW条件下大鼠脑组织中CRF、促黑皮质素(POMC)和黑素皮质素四受体基因表达的影响。24只Balb/c雄性小鼠随机分为四组。对照组为生理盐水1.0 mL/kg,对照组为尼古丁3.35 mg/kg,每日皮下给药3次。NW条件后,腹腔注射EGCG 50 mg/kg,每天2次。进行行为评价以测量躯体和情感变化,并处死动物进行分子分析。结果显示,与正常组相比,NW条件显著增加了食物摄入量、体重和焦虑样行为。同时,与未添加EGCG的小鼠相比,EGCG显著降低了小鼠的食物摄入量、体重和焦虑样行为。聚合酶链反应结果还显示,EGCG降低了杏仁核中CRF mRNA的表达,增加了POMC。这表明EGCG通过降低杏仁核中CRF mRNA的表达和增加下丘脑中POMC mRNA的表达,改善了NW条件下的躯体和情感行为。
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引用次数: 0
Retracted: Customer Experience towards the Product during a Coronavirus Outbreak. 撤回:冠状病毒爆发期间产品的客户体验。
IF 2.8 4区 医学 Q2 Psychology Pub Date : 2023-01-01 DOI: 10.1155/2023/9842478
Behavioural Neurology

[This retracts the article DOI: 10.1155/2022/4279346.].

[本文撤回文章DOI: 10.1155/2022/4279346.]。
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引用次数: 0
Association between Ambient Illumination and Cognitive Impairment: A Population-Based Study of Older. 环境光照与认知障碍之间的关系:一项以老年人为基础的研究。
IF 2.8 4区 医学 Q2 Psychology Pub Date : 2023-01-01 DOI: 10.1155/2023/4131377
Tieyi Shi, Baozhong Chen

It is well-established that light therapy can alleviate cognitive impairment, and ambient illumination (AI) can quantify the amount of exposure to light. However, the relationship between AI and cognitive impairment has been largely understudied. Objectives. We aimed to examine the cross-sectional associations between AI and impaired cognition using data from the National Health and Nutrition Examination Survey (NHANES) (2011-2013) database. Methods. The correlation between AI and cognitive impairment was analyzed using multivariate logistic regression models. Nonlinear correlations were explored using curve fitting. Results. Multivariate logistic regression yielded an OR of 0.872 (95% CI 0.699, 1.088) for the association between AI and cognitive impairment after adjusting for covariates. Smooth curve fitting showed that the correlation was nonlinear, with an inflection point at 1.22. Conclusions. These results suggested that the level of AI may be linked to cognitive impairment. We found a nonlinear relationship of AI with cognitive impairment.

众所周知,光疗可以减轻认知障碍,环境照明(AI)可以量化暴露在光线下的量。然而,人工智能与认知障碍之间的关系在很大程度上尚未得到充分研究。目标。我们的目的是利用国家健康与营养检查调查(NHANES)(2011-2013)数据库的数据来研究人工智能与认知障碍之间的横断面关联。方法。采用多元logistic回归模型分析人工智能与认知功能障碍的相关性。利用曲线拟合探讨非线性相关性。结果。在调整协变量后,多因素logistic回归显示人工智能与认知障碍之间的相关性OR为0.872 (95% CI 0.699, 1.088)。平滑曲线拟合表明相关性是非线性的,拐点在1.22。结论。这些结果表明,人工智能水平可能与认知障碍有关。我们发现人工智能与认知障碍之间存在非线性关系。
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引用次数: 0
Cognitive Functioning in Adults with Phenylketonuria in a Cohort of Spanish Patients. 一组西班牙苯丙酮尿症患者的认知功能
IF 2.8 4区 医学 Q2 Psychology Pub Date : 2023-01-01 DOI: 10.1155/2023/9681740
P M Luna, J F López-Paz, M García, I Amayra, O Martínez, M Pérez, A A Rodríguez, P Pérez-Núñez, I Ceberio, N Mansilla, C Soria

The early introduction of a low phenylalanine (Phe) diet has been demonstrated to be the most successful treatment in subjects with phenylketonuria (PKU), especially for preventing severe cognitive and neurological damages. However, it still concerns that even if treated in the first months of life with supplements and following a diet, they can show slight scores below people without PKU in neuropsychological assignments. We investigated 20 adults with classical PKU aged 19-48 years (mean age 29 years) and 20 heathy controls matched by age, gender, and years of education. Patients and controls were assessed with an extended neuropsychological battery, as well as psychological aspects and quality of life, also the last Phe level result was obtained. Results showed that the most affected cognitive domains are processing speed, executive functioning, memory, and also theory of mind, but very well-preserved verbal fluency, language, and visuospatial functioning. In quality of life, some significant results were seen specially in anxiety of Phe levels, anxiety of Phe levels during pregnancy, guilt if poor adherence to supplements, and if dietary protein restriction not followed. No significant results were obtained for the psychological variables. In conclusion, it has been shown that a combination of a low Phe diet, supplement intake, and keeping Phe levels in a low range seems appropriate to have the most normal and alike cognitive performance to persons without PKU.

早期引入低苯丙氨酸(Phe)饮食已被证明是苯丙酮尿症(PKU)患者最成功的治疗方法,特别是在预防严重的认知和神经损伤方面。然而,它仍然担心,即使在出生后的头几个月服用补充剂并遵循饮食,他们在神经心理学任务中的得分也会略低于没有PKU的人。我们调查了20名年龄在19-48岁(平均年龄29岁)的典型PKU成人和20名年龄、性别和受教育年限相匹配的健康对照。对患者和对照组进行扩展神经心理学电池评估,以及心理方面和生活质量,并获得最后的Phe水平结果。结果表明,受影响最大的认知领域是处理速度、执行功能、记忆和心理理论,但语言流畅性、语言和视觉空间功能保存完好。在生活质量方面,我们看到了一些显著的结果,特别是对Phe水平的焦虑,怀孕期间对Phe水平的焦虑,坚持服用补充剂的负罪感,以及没有遵循饮食蛋白质限制的负罪感。心理变量没有得到显著的结果。总之,研究表明,低Phe饮食,补充摄入,并保持Phe水平在较低范围内的组合似乎适合于没有PKU的人拥有最正常和相似的认知表现。
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引用次数: 2
Retracted: A Rapid Artificial Intelligence-Based Computer-Aided Diagnosis System for COVID-19 Classification from CT Images. 基于人工智能的新型冠状病毒CT图像快速分类计算机辅助诊断系统
IF 2.8 4区 医学 Q2 Psychology Pub Date : 2023-01-01 DOI: 10.1155/2023/9876194
Behavioural Neurology

[This retracts the article DOI: 10.1155/2021/2560388.].

[本文撤回文章DOI: 10.1155/2021/2560388.]。
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引用次数: 0
期刊
Behavioural Neurology
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