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An observational study of the effects of using an high oral splint on pain control 使用高口夹板对疼痛控制效果的观察性研究
IF 1 4区 医学 Q4 NEUROSCIENCES Pub Date : 2019-09-30 DOI: 10.12871/00039829201923
D Tonlorenzi, M Brunelli, M Conti, U Covani, G Traina

Increasing occlusal vertical dimension (OVD) by means of oral splints is a practice widely used in the treatment of temporomandibular disorders (TMD), specifically myofascial pain, although the results are still uncertain. Oral splints with a vertical height that significantly exceeds the clinical rest position are considered by some researchers to be a better therapeutic solution in alleviating TMD symptoms than are “low” splints.In our observational study, 21 patients suffering from myofascial pain were examined for the effects of wearing a “high” oral splint while sleeping for 3 months. To ensure proper splint making, a mandibular stretching procedure was used to induce a relaxation of the patients’ masticatory muscles and allow the correct alignment of the jaws. Results showed a marked increase of the interocclusal distance or “free space” (hence of OVD; from 0.64±0.53 mm to 1.42±0.76 mm, p<0.0001) measured by a kinesiograph, followed by a substantial reduction of the intensity of pain in oral and extraoral regions after using the splint. These results support the view that increasing OVD beyond the clinical rest position is not detrimental to patients’ health. More importantly, high oral splints has been shown to be a promising therapeutic aid for the treatment of TMD and correlated pain syndromes. This clinical trial was registered on clinicaltrials.gov (Identifier: NCT02908568).

通过口腔夹板增加咬合垂直尺寸(OVD)是一种广泛用于治疗颞下颌疾病(TMD),特别是肌筋膜疼痛的做法,尽管结果仍不确定。一些研究人员认为,垂直高度明显超过临床休息位置的口腔夹板比“低”的夹板更能缓解TMD症状。在我们的观察性研究中,21名患有肌筋膜疼痛的患者在睡眠中佩戴“高位”口腔夹板3个月。为了确保正确的夹板制作,下颌拉伸程序被用来诱导患者咀嚼肌肉的放松,并允许颌骨的正确对齐。结果显示,牙间距离或“自由空间”(OVD)明显增加;从0.64±0.53 mm到1.42±0.76 mm, p
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引用次数: 4
Myelin Ultrastructure Terminology in Disease and Recovery Processes. 疾病和恢复过程中的髓鞘超微结构术语。
IF 1 4区 医学 Q4 NEUROSCIENCES Pub Date : 2019-09-30 DOI: 10.12871/00039829201924
F Helvacioglu, A Dagdeviren

Ultrastructural evaluation of myelin coat helps to understand the possible background of pathological changes leading to deterioration or complete loss of nerve functions. A number of terms were previously introduced to describe the fine structural changes in myelin under various conditions. We believe that using a common terminology will be helpful to interpret the structure/function relationship in neurological disorders empowering the diagnosis and possible therapeutical approaches. In this paper, we present examples of ultrastructural changes in myelin during myelination, demyelination, re-myelination and dysmyelination processes and we reviewed the terminology previously used.We tried to include all studies reporting ultrastructural findings with no limitation to the experimental conditions, the species used and the disorders. The terminology used to describe the structural findings included compacted myelin, partially compacted myelin, noncompacted myelin, redundancy (hypermyelination, tomacula, myelinosome), splitting, complete circular splitting, myelin degradation, concentric lamellar bodies (myelin figures), loss of myelin lamellae, polyaxonal Schwann cells and necrotic cell debris.Ultrastructural data described in this paper aimed to provide a guide for future studies. We concluded that the evaluation of ultrastructural changes in any neurological disorder is greatly valuable for a better understanding of pathological and physiological changes occured. We also believe that supporting the ultrastructural findings with quantitative methods in the future will be of great value.

髓鞘被膜的超微结构评价有助于了解导致神经功能恶化或完全丧失的病理改变的可能背景。以前引入了一些术语来描述髓磷脂在各种条件下的细微结构变化。我们相信,使用一个通用的术语将有助于解释神经系统疾病的结构/功能关系,从而增强诊断和可能的治疗方法。在本文中,我们介绍了在髓鞘形成、脱髓鞘形成、再髓鞘形成和髓鞘增生过程中髓鞘超微结构变化的例子,并回顾了以前使用的术语。我们试图纳入所有报告超微结构发现的研究,不受实验条件、使用的物种和疾病的限制。用于描述结构发现的术语包括紧致髓磷脂、部分紧致髓磷脂、非紧致髓磷脂、冗余(髓鞘增生、瘤状、髓蛋白体)、分裂、完全圆形分裂、髓磷脂降解、同心片层体(髓磷脂图)、髓磷脂片层丢失、多轴性雪旺细胞和坏死细胞碎片。本文描述的超微结构数据旨在为今后的研究提供指导。我们的结论是,评估任何神经系统疾病的超微结构变化对于更好地了解所发生的病理和生理变化具有重要价值。我们也相信,未来用定量方法来支持超微结构的发现将具有很大的价值。
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引用次数: 4
The higher the basal vagal tone the better the motor imagery ability. 迷走神经基础张力越高,运动想象能力越好。
IF 1 4区 医学 Q4 NEUROSCIENCES Pub Date : 2019-04-01 DOI: 10.12871/00039829201911
Laura Sebastiani, F Di Gruttola, O Incognito, E Menardo, E L Santarcangelo

Purpose: A positive association between resting state vagal tone and performance of a few cognitive functions has been proposed. Aim of this study was to investigate the possible association between vagal tone and motor imagery (MI), as MI is based on high-level cognitive processes such as attention, working memory and inhibitory control.

Methods: The experiment consisted of the execution of a motor sequence and of the MI of the same action in the kinesthetic and internal visual modality. Participants with high (High, N=15) and low (Low, N=16) vagal tone at rest, were characterized for imagery and executive functions abilities through the Motor imagery questionnaire and standard cognitive tests (Trail Making test A and B, Digit span and Corsi test). We studied as indices of vagal tone a few variables estimated from heart rate variability: the sroot mean square of successive heart-beat-intervals differences (RMSSD), the high frequency band (HF), the standard deviation 1 of Poincaré plot (SD1). As indices of MI ability we measured the isochrony between real and imagined movements and the reported vividness of imagery.

Results: A significantly greater isochrony was observed in Highs than in Lows only for the kinesthetic modality of imagery. Isochrony was not predicted by trait imagery abilities and did not correlate with vividness reports. Also, a reduction of the vagal control, which is the typical autonomic correlate of MI, was observed during both imagery tasks only in Highs.

Conclusions: These findings indicate a cross-talk between the cardiovascular control and the proprioceptive representation of movement and reinforce the theory of bi-directional communication between heart and brain.

目的:静息状态迷走神经张力与一些认知功能的表现之间存在正相关。本研究的目的是探讨迷走神经张力与运动意象(MI)之间可能的联系,因为MI是基于高级认知过程,如注意、工作记忆和抑制控制。方法:实验包括运动序列的执行和相同动作的MI在动觉和内视模态下的执行。通过运动想象问卷和标准认知测试(Trail Making test A和Trail Making test B、Digit span和Corsi test)对静止时迷走神经张力高(high, N=15)和低(low, N=16)的参与者进行图像和执行功能能力的表征。我们研究了由心率变异性估计的几个变量作为迷走神经张力的指标:连续心跳间隔差的均方根(RMSSD)、高频带(HF)、poincar图的标准差(SD1)。作为MI能力的指标,我们测量了真实和想象的动作之间的等时性和报告的图像的生动性。结果:仅在图像的动觉方式中,高时变明显大于低时变。等时性与特质意象能力无关,也与生动性报告无关。此外,迷走神经控制的减少,这是MI的典型自主神经相关,在两个图像任务中都观察到只有在高。结论:这些发现表明心血管控制与运动本体感觉表征之间存在交叉对话,并加强了心脑双向交流的理论。
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引用次数: 6
N-(p-amylcinnamoyl) anthranilic acid attenuates remedial effects of memantine on memory deficits following intracerebroventricular streptozotocin administration in rats. N-(对戊基肉桂酰)邻氨基苯酸减弱美金刚对脑室注射链脲佐菌素后记忆缺陷的治疗作用。
IF 1 4区 医学 Q4 NEUROSCIENCES Pub Date : 2019-04-01 DOI: 10.12871/00039829201913
M Göl, Ş Demiryürek, D S Kaplan, A Saracaloğlu, M Örkmez, A T Demiryürek

N-(p-amylcinnamoyl) anthranilic acid (ACA) is a blocker of transient receptor potential melastatin-2 (TRPM2) which is a non-selective, Ca2+-permeable and oxidative stress sensor cation channel. Intracerebroventricular (ICV) streptozotocin (STZ) induction successfully generates spatial memory deficits in rats. The purpose of this study was to investigate effects of ACA on a rat model of STZ-induced learning and memory deficits. A total of 60 Wistar rats randomly divided into six groups; (1) control, (2) sham-operated, (3) ICV-STZ administered, (4) ICV-STZ + memantine (5 mg/kg i.p.), (5) ICV-STZ + ACA (25 mg/kg i.p.) and (6) a combination therapy group, ICV-STZ + ACA (25 mg/kg) + memantine (5 mg/kg). Effects of the drugs on spatial memory deficits were appraised in Morris water maze (MWM) apparatus. Anxiety-like behavior of the rats were also assessed by using both the elevated plus maze (EPM) and open field maze (OFM) apparatuses. Western blot analysis of hippocampal tissues revealed TRPM2-L channel protein expression levels. Serum levels of tumor necrosis factor alpha (TNF-α) and malondialdehyde (MDA) were detected by enzyme-linked immunosorbent assay (ELISA) kits. Memantine treatment ameliorated the spatial memory deficits induced, as evidenced by the MWM tests. However, ACA treatment did not provide any improvement, instead positive effects of memantine were attenuated by ACA treatment. Western blot analysis in hippocampal tissues showed that TRPM2-L protein expression was markedly suppressed in ICV-STZ administered group. The ACA treatment reversed that suppression. Surprisingly, the memantine treatment resulted in overexpression of TRPM2-L, to a certain extent. Examination of the rats in EPM and OFM apparatuses, as a display of anxiety-like behavior, did not reveal any marked difference among groups. Serum levels of TNF-α and MDA also did not vary significantly among groups, as well. Conclusively, our findings showed for the first time that TRPM2-L protein expression was significantly suppressed in the ICV-STZ induced memory deficit model. Even though ACA reversed this suppression, no improvement in spatial memory was observed following ACA treatment.

N-(p- amyylcinnamoyl) anthranilic acid (ACA)是一种瞬时受体电位melasttin -2 (TRPM2)的阻滞剂,TRPM2是一种非选择性,Ca2+渗透和氧化应激传感器阳离子通道。脑室内链脲佐菌素(STZ)诱导成功地产生大鼠空间记忆缺陷。本研究旨在探讨ACA对stz诱导的大鼠学习记忆缺陷模型的影响。Wistar大鼠60只,随机分为6组;(1)对照组,(2)假手术,(3)给药ICV-STZ, (4) ICV-STZ +美金刚(5mg /kg i.p), (5) ICV-STZ + ACA (25mg /kg i.p), (6) ICV-STZ + ACA (25mg /kg) +美金刚(5mg /kg)联合治疗组。采用Morris水迷宫(Morris water maze, MWM)实验评价了药物对大鼠空间记忆缺陷的影响。采用高架+迷宫(EPM)和开阔场迷宫(OFM)两种方法对大鼠的焦虑样行为进行评估。Western blot分析海马组织TRPM2-L通道蛋白表达水平。采用酶联免疫吸附试验(ELISA)试剂盒检测血清肿瘤坏死因子α (TNF-α)和丙二醛(MDA)水平。Memantine处理可以改善空间记忆缺陷,这是由MWM测试证明的。然而,ACA处理并没有提供任何改善,相反,ACA处理减弱了美金刚的积极作用。Western blot分析显示,ICV-STZ给药组海马组织TRPM2-L蛋白表达明显受到抑制。ACA治疗逆转了这种抑制。令人惊讶的是,美金刚处理在一定程度上导致TRPM2-L过表达。在EPM和OFM仪器中检查大鼠,作为焦虑样行为的显示,各组之间没有任何显着差异。血清TNF-α和MDA水平各组间也无显著差异。总之,我们的研究结果首次表明,在ICV-STZ诱导的记忆缺陷模型中,TRPM2-L蛋白的表达被显著抑制。尽管ACA逆转了这种抑制,但在ACA治疗后没有观察到空间记忆的改善。
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引用次数: 1
Physical activity, mental exercise, and cognitive functioning in an Italian sample of healthy elderly males. 意大利健康老年男性样本的身体活动、心理锻炼和认知功能
IF 1 4区 医学 Q4 NEUROSCIENCES Pub Date : 2019-04-01 DOI: 10.12871/00039829201914
C Pruneti, D Sgromo, J Merenda, D Maria Cammisuli, J Fusi, F Franzoni, F Galetta, A Innocenti

The influences of physical and mental activity on cognitive functioning were examined in a sample of Italian healthy elderly males. The aim of the present study was to suggest aerobic training as well as cognitively stimulating activity and provide recommendations for an overall healthy lifestyle. Seventy-five healthy adult males, aged 65-81, were assigned to four groups, two groups of active subjects practicing different levels of regular aerobic exercise, and two groups of sedentary subjects, one without any relevant mental stimulating activity and the other one regularly carrying out substantial mental activity. Each group was further divided into three subgroups based on their level of education. Cognitive functioning was assessed by the Italian version of MoCA. Data was analysed in a non-parametric two-factor model by Aligned Rank Transformation, and then compared with the normative data for the Italian population. Physically active subjects showed better cognitive performance than the other groups in all the cognitive domains, except for memory and orientation. Among the sedentary subjects, the mentally active ones showed better performance in some cognitive domains, specifically in attention and memory. The influence of education was highlighted in some scores, but significant interactions with activity levels were never highlighted. Moreover, the influence of life habits (i.e. physical and mental activity) on the MoCa scores always showed a higher effect size than education. Our findings showed that both physical and mental activity improve cognitive functions in the elderly, and that they affect specific cognitive domains.

在意大利健康老年男性样本中,研究了身体和心理活动对认知功能的影响。本研究的目的是建议有氧训练和认知刺激活动,并为整体健康的生活方式提供建议。75名年龄在65-81岁的健康成年男性被分为四组,两组活跃的受试者进行不同程度的定期有氧运动,两组久坐的受试者,一组没有任何相关的精神刺激活动,另一组定期进行大量的精神活动。根据受教育程度,每组又被分成三个小组。认知功能用意大利语版MoCA进行评估。数据在非参数双因素模型中进行分析,然后与意大利人口的规范数据进行比较。除了记忆和定向外,运动组在所有认知领域的认知表现都优于其他组。在久坐不动的受试者中,精神活跃的受试者在某些认知领域表现得更好,特别是在注意力和记忆力方面。教育的影响在一些分数中得到了强调,但与活动水平的显著相互作用从未得到强调。此外,生活习惯(即身体和心理活动)对MoCa得分的影响始终高于教育程度。我们的研究结果表明,身体和精神活动都能改善老年人的认知功能,并影响特定的认知领域。
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引用次数: 6
Postural Disorders Produced by School Furniture on a Population of a Junior High School. 学校家具对初中人群产生的姿势障碍。
IF 1 4区 医学 Q4 NEUROSCIENCES Pub Date : 2019-04-01 DOI: 10.12871/00039829201912
R Guelfi, M Conti, S Zanfrini, M Brunelli, G Traina

In recent years people suffering of backache has significantly increased. This led us to focus our attention on the adequacy of school furniture for the correct development of the adult posture. The standing posture of 67 students of middle school has been analyzed at the beginning and at the end of two consecutive scholastic years using a stabilometric platform. Starting from the second year, about half of the students were provided with the furniture designed following European standard (UNI EN 1729:2006), while the other half maintained the traditional one. The main purpose of this research has been to verify by means of posturometric analysis the effects on postural parameters of the use of traditional furniture in comparison to the furniture following the UNI EN 1729:2006. We observed that prolonged sitting at school changes some posturometric variables of schoolchildren. Since no differences has been found between the two groups, the validity of the European standards is questioned. The present study allowed us to single out four anthropometric parameters that should be considered in order to devise a new model of adjustable furniture. By adjusting every year the furniture of each student, it would be possible to avoid (at least at school) the adoption of wrong postural positions that could be responsible for backache and other common musculoskeletal disorders.

近年来,患背痛的人明显增加。这使我们把注意力集中在学校家具的充分性上,以促进成人姿势的正确发展。本文采用稳定测量平台对67名中学生连续两学年开始和结束时的站立姿势进行了分析。从第二年开始,大约一半的学生按照欧洲标准(UNI EN 1729:2006)设计家具,而另一半保持传统的家具。本研究的主要目的是通过姿势测量分析来验证使用传统家具与遵循UNI EN 1729:2006的家具对姿势参数的影响。我们观察到长时间在学校坐着会改变学童的一些姿势变量。由于两组之间没有发现差异,欧洲标准的有效性受到质疑。目前的研究使我们能够挑选出四个人体测量参数,以便设计一种新的可调节家具模型。通过每年调整每个学生的家具,有可能避免(至少在学校)采用错误的姿势,可能导致背痛和其他常见的肌肉骨骼疾病。
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引用次数: 3
Fatigue in multiple sclerosis: pathophysiology and emergent interventions 多发性硬化症的疲劳:病理生理学和紧急干预
IF 1 4区 医学 Q4 NEUROSCIENCES Pub Date : 2019-02-22 DOI: 10.12871/AIB.V156I4.4644
S. Ayache, Moussa Antoine Chalah
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引用次数: 0
Effects of ultrasound and selenium on human neurons in vitro. 超声和硒对体外人神经元的影响。
IF 1 4区 医学 Q4 NEUROSCIENCES Pub Date : 2018-12-31 DOI: 10.12871/00039829201842
J J V Branca, S Pacini, G Morucci, L Bocchi, A Cosentino, E Boni, M Ruggiero

As the effects of ultrasound on human brain functions might bear therapeutic potential, in this study, we examined the effects of diagnostic, i.e. non-thermal, ultrasound, on morphology, networking, and metabolic activity of SH- SY5Y human neurons in culture, as well as on the expression of GAP-43, Hsp90 and VEGF proteins, with and without selenium in the culture medium. The rationale for studying selenium lays in the observation that selenium improves functional neurologic outcome in traumatic brain injury and, therefore, analysis of the interactions between ultrasound and selenium may be of clinical interest. In the presence of selenium, ultrasound increased the overall number and length of elongations arising from the neuron bodies, thus reflecting an increase in the complexity of neuronal networks and circuits. The expression of GAP-43, Hsp90 and VEGF and metabolic activity of SH-SY5Y neurons, studied as markers of cell damage, were not affected by ultrasound or selenium. This study suggests that ultrasound may modulate neuronal networking in vitro without inducing cellular or molecular damage and highlights the potential role of selenium in the ultrasound-elicited cellular responses.

由于超声对人脑功能的影响可能具有治疗潜力,在本研究中,我们研究了在培养基中添加和不添加硒的情况下,诊断性超声(即非热超声)对培养的SH- SY5Y人神经元形态、网络和代谢活性的影响,以及对GAP-43、Hsp90和VEGF蛋白表达的影响。研究硒的基本原理在于观察到硒可以改善创伤性脑损伤的功能神经系统预后,因此,分析超声和硒之间的相互作用可能具有临床意义。在硒的存在下,超声波增加了神经元体产生的伸长的总数和长度,从而反映了神经元网络和电路复杂性的增加。作为细胞损伤标志物的GAP-43、Hsp90和VEGF的表达和SH-SY5Y神经元的代谢活性均未受超声和硒的影响。这项研究表明,超声可能在体外调节神经元网络而不引起细胞或分子损伤,并强调了硒在超声诱导的细胞反应中的潜在作用。
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引用次数: 3
First impressions on face trustworthiness across ages: Evidence from a cross-sectional study. 不同年龄对面部可信度的第一印象:来自横断面研究的证据。
IF 1 4区 医学 Q4 NEUROSCIENCES Pub Date : 2018-12-31 DOI: 10.12871/00039829201843
T Marzi, A Peru

The present study aimed to explore how the sense of trustworthiness is influenced by age and gender. Participants were to judge computer-generated faces for trustworthiness in two different experimental conditions according to the orientation of the virtual stimuli: canonical (i.e. upright) and inverted (i.e. upside down). Experimental stimuli were presented very briefly and were specifically selected to look: trustworthy, untrustworthy or neutral. The results showed that the tendency to evaluate faces as trustworthy was modulated by both age and gender. In particular, young participants were more prone to judge faces as trustworthy than adult, elderly and child participants. In turn, males were more prone to evaluate faces as trustworthy than females, but this difference was not found among children.

本研究旨在探讨诚信意识如何受到年龄和性别的影响。参与者根据虚拟刺激的方向,在两种不同的实验条件下判断计算机生成的面孔的可信度:规范(即直立)和倒置(即倒立)。实验刺激非常简短地呈现出来,并被特别选择为:值得信赖的,不值得信赖的或中立的。结果显示,人们评价面孔是否值得信赖的倾向受到年龄和性别的影响。特别是,年轻参与者比成人、老人和儿童参与者更倾向于判断面孔是值得信赖的。反过来,男性比女性更倾向于认为面孔值得信赖,但在儿童中没有发现这种差异。
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引用次数: 0
Fatigue in multiple sclerosis: pathophysiology and emergent interventions. 多发性硬化症的疲劳:病理生理学和紧急干预。
IF 1 4区 医学 Q4 NEUROSCIENCES Pub Date : 2018-12-31 DOI: 10.12871/00039829201841
S S Ayache, M A Chalah

Not available.

不可用。
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引用次数: 1
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Archives Italiennes De Biologie
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