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Artificial Intelligence in Medicine: Revolutionizing Healthcare for Improved Patient Outcomes 医学中的人工智能:改变医疗保健以改善患者预后
Pub Date : 2023-06-03 DOI: 10.32892/jmri.292
Varshil Mehta
Introduction: Artificial intelligence (AI) has emerged as a groundbreaking technology with the potential to transform various sectors, and the field of medicine is no exception. With its ability to process vast amounts of data and perform complex tasks, AI has begun to revolutionize healthcare, offering promising avenues for diagnosis, treatment, and patient care. In this editorial article, we will explore the significant impact of AI in medicine, highlighting its potential benefits and the challenges that lie ahead. AI-Driven Diagnosis One of the most remarkable applications of AI in medicine is its capacity to assist in accurate and efficient diagnosis. By leveraging machine learning algorithms, AI systems can analyze medical imaging, such as X-rays, MRIs, and CT scans, with a level of precision that rivals human experts. Studies have demonstrated the effectiveness of AI in detecting various conditions, including lung cancer, cardiovascular diseases, and neurological disorders, leading to earlier and more accurate diagnoses. For instance, a study published in Nature Medicine by McKinney et al. revealed that an AI model trained on a large dataset of mammograms outperformed radiologists in breast cancer detection. The AI system achieved a lower false-negative rate and reduced the number of false positives, thereby potentially reducing unnecessary biopsies [1]. Similarly, a study by Esteva et al., showed that a deep learning algorithm outperformed dermatologists in diagnosing skin cancer based on images [2]. Such advancements in AI-driven diagnosis hold immense promise for improving patient outcomes and reducing healthcare costs. Personalized Treatment and Precision Medicine AI has also opened doors to personalized treatment strategies, enabling healthcare professionals to tailor therapies to individual patients. By analyzing vast amounts of patient data, including genetic information, medical history, and treatment outcomes, AI algorithms can identify patterns, predict responses to specific treatments, and recommend personalized interventions. This approach, known as precision medicine, has the potential to revolutionize disease management. An example of AI's impact on precision medicine is showcased in the work of Poplin et al. The study demonstrated how a deep learning algorithm could predict the onset of cardiovascular events by analyzing electronic health records. The algorithm outperformed traditional risk models by incorporating a broader range of patient data, allowing for more accurate and timely interventions to prevent adverse events [3]. Similarly, Obermeyer et al., demonstrated that an AI model outperformed traditional methods in predicting acute kidney injury in hospitalized patients [4] while a study by Che et al., demonstrated the effectiveness of an AI model in predicting sepsis, allowing for early intervention and improved patient outcomes [5]. Enhanced Clinical Decision-Making and Workflow AI has the capacity to enhance
引言:人工智能(AI)已经成为一项突破性的技术,有潜力改变各个领域,医学领域也不例外。凭借其处理大量数据和执行复杂任务的能力,人工智能已经开始彻底改变医疗保健,为诊断、治疗和患者护理提供了有希望的途径。在这篇社论中,我们将探讨人工智能在医学中的重大影响,强调其潜在的好处和未来的挑战。人工智能驱动诊断人工智能在医学中最显著的应用之一是它能够帮助准确高效的诊断。通过利用机器学习算法,人工智能系统可以分析医学成像,如X射线、核磁共振成像和CT扫描,其精度可以与人类专家相媲美。研究表明,人工智能在检测各种疾病方面的有效性,包括肺癌、心血管疾病和神经系统疾病,从而实现更早、更准确的诊断。例如,McKinney等人在《自然医学》杂志上发表的一项研究表明,在大型乳房X光图像数据集上训练的人工智能模型在乳腺癌症检测方面优于放射科医生。人工智能系统实现了较低的假阴性率,并减少了假阳性的数量,从而可能减少不必要的活检[1]。同样,Esteva等人的一项研究表明,深度学习算法在基于图像诊断皮肤癌症方面优于皮肤科医生[2]。人工智能驱动诊断的这些进步对改善患者预后和降低医疗成本具有巨大的前景。个性化治疗和精准医学AI也为个性化治疗策略打开了大门,使医疗保健专业人员能够为个别患者量身定制治疗方法。通过分析大量的患者数据,包括遗传信息、病史和治疗结果,人工智能算法可以识别模式,预测对特定治疗的反应,并推荐个性化干预措施。这种被称为精准医学的方法有可能彻底改变疾病管理。Poplin等人的工作展示了人工智能对精准医学影响的一个例子。该研究展示了深度学习算法如何通过分析电子健康记录来预测心血管事件的发生。该算法结合了更广泛的患者数据,从而实现了更准确、及时的干预措施,从而预防了不良事件,从而优于传统的风险模型[3]。同样,Obermeyer等人证明,人工智能模型在预测住院患者急性肾损伤方面优于传统方法[4],而Che等人的一项研究证明了人工智能模型预测败血症的有效性,允许早期干预并改善患者预后[5]。增强型临床决策和工作流AI有能力通过帮助医疗保健提供者分析复杂数据和生成循证建议来增强临床决策。人工智能系统可以处理和解释大量的医学文献、患者记录和临床指南,为医疗保健专业人员提供及时的见解和决策支持。这种人类专业知识的增强可以带来更准确的诊断、改进的治疗计划和加强的患者护理。一个值得注意的例子是Rajkomar等人的工作,发表在《新英格兰医学杂志》上。作者开发了一种基于电子健康记录数据的人工智能算法,能够预测患者在未来几个小时内的病情恶化。通过提前提醒医疗保健提供者,该人工智能系统有助于预防不良事件,并促进积极干预[6]。药物发现和临床研究药物发现和开发过程是出了名的昂贵和耗时。人工智能有潜力通过分析大量生物医学文献、基因组数据和临床试验结果来加速这一过程。机器学习模型可以识别潜在的药物靶点,预测药物毒性,并优化药物配方。事实上,Aliper等人的一项研究表明,人工智能系统在设计针对年龄相关疾病的新药方面优于人类研究人员[7]。虚拟助理和远程医疗人工智能驱动的虚拟助理和聊天机器人正在改变患者与医疗保健提供者的互动方式。这些虚拟助理可以提供即时医疗建议,回答问题,并根据患者的症状对其进行分类。此外,与人工智能算法集成的远程医疗平台可以增强远程患者监测,使医疗保健专业人员能够监测患者的生命体征并提供及时干预[8,9]。 挑战和伦理考虑虽然人工智能在医学中的潜在好处是巨大的,但重要的是要解决与实施人工智能相关的挑战和伦理注意事项。在处理大量患者数据时,隐私和数据安全仍然是关键问题。必须优先考虑维护患者机密性和确保安全的数据共享框架,以保护患者隐私。此外,人工智能算法的透明度和可解释性对于在医疗保健专业人员和人工智能系统之间建立信任至关重要。了解人工智能是如何得出其建议或诊断的,对于医疗保健提供者做出知情决策和确保问责制至关重要。结论:人工智能在彻底改变医疗保健和改善患者预后方面具有巨大潜力。从提高诊断准确性到实现个性化治疗策略和增强临床决策,人工智能正在改变医学领域。然而,为了充分实现这些好处,必须解决围绕隐私、数据安全和算法透明度的挑战。通过负责任地利用人工智能的力量,医疗保健提供者可以开创精准医疗的新时代,提高患者护理的质量和有效性。
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引用次数: 2
Low back pain oswestry disability index changes following 8-week movement proficiency exercise program – A retrospective cohort study 8周运动能力锻炼项目后腰痛奥斯韦斯特里残疾指数的变化——一项回顾性队列研究
Pub Date : 2023-05-30 DOI: 10.32892/jmri.290
Brogan Samuel Williams, David Johnson
Chronic low back pain (CLBP) is a worldwide epidemic, with a prevalence rate of 75–84% in developed countries. With the prevalence increasing, health-care professionals must question current best practice guidelines. In 2014, spinal neurosurgeon and back pain rehabilitation specialist Dr. David Johnson developed a unique back pain rehabilitation program referred to as NearoHAB®. The program’s uniqueness is founded on the principle that effective rehabilitation must eliminate the root cause of pain symptoms. The NeuroHAB® 8-week Movement therapy program aims to reverse movement dysfunction by restoring central nervous system-derived motor patterns based on proficient spinopelvic biomechanics for bending activities of daily living. To date, no other rehabilitation methodology adopts a movement dysfunction cause-based clinical model for back pain symptoms or includes a framework for what healthy lumbar pelvic movement should resemble. Over the course of the 8-week program, each participant is gradually upskilled, developing new default movement proficiency and improved biomechanics, in efforts to downregulate pain, improve disability, and increase functional movement capacity, creating a positive feedback loop for further progress. The leading question of this study is “How does functional movement-based therapy impact chronic low back pain?” Ten sets of participant details were selected at random and retrieved from the NeuroHAB® 8-week program database of 2020. All participants presented with CLBP, and two oswestry disability index (ODI) scores were documented – the first at the beginning of the 8-week program, and the second after the NeuroHAB® intervention. ODI scores were collated and the pre- and post-program results were measured and compared quantitatively through a paired t-test to determine the statistical significance of improvement. Results showed a two-tailed P=0.05 indicating that there was a significant difference between the pre- and post-data (0.0024). The pre- and post-group intervention ODI means were 25.80 and 13.30, respectively, resulting in a difference of 12.50 (95% CI: 5.73–19.27); determining the mean data between the pre- and post-intervention decreased by 48.4496%. The results from this study support the alternative hypothesis, concluding an 8-week intervention of functional movement therapy represented by NeuroHAB® results in a significant reduction of LBP ODI scores. 
慢性腰痛(CLBP)是一种全球性流行病,在发达国家的患病率为75-84%。随着流行率的上升,医疗保健专业人员必须质疑现行的最佳做法准则。2014年,脊椎神经外科医生兼背痛康复专家David Johnson博士开发了一个独特的背痛康复计划,称为NearoHAB®。该项目的独特性建立在这样一个原则之上,即有效的康复必须消除疼痛症状的根本原因。NeuroHAB®为期8周的运动治疗计划旨在通过恢复中枢神经系统衍生的运动模式来逆转运动功能障碍,该模式基于熟练的脊柱骨盆生物力学,用于日常生活中的弯曲活动。到目前为止,没有其他康复方法采用基于运动功能障碍原因的背痛症状临床模型,也没有包括健康腰椎-骨盆运动的框架。在为期8周的项目中,每个参与者都逐渐提高了技能,发展了新的默认运动能力和改进的生物力学,努力降低疼痛,改善残疾,提高功能性运动能力,为进一步的进步创造了一个积极的反馈环。这项研究的主要问题是“基于功能性运动的治疗如何影响慢性腰痛?”随机选择了十组参与者的详细信息,并从2020年NeuroHAB®8周项目数据库中检索。所有参与者都接受了CLBP,并记录了两个奥斯维斯特里残疾指数(ODI)评分——第一个是在8周计划开始时,第二个是在NeuroHAB®干预后。对ODI评分进行整理,并通过配对t检验对项目前后的结果进行测量和定量比较,以确定改善的统计学意义。结果显示,双尾P=0.05,表明前后数据之间存在显著差异(0.0024)。干预前和干预后ODI均值分别为25.80和13.30,差异为12.50(95%CI:5.73–19.27);确定干预前后的平均数据减少了48.4496%。本研究的结果支持了另一种假设,得出的结论是,以NeuroHAB®为代表的功能性运动疗法的8周干预可显著降低LBP ODI评分。
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引用次数: 0
The clinical and subjective outcomes associated with spinal manipulation: A case study 与脊柱操作相关的临床和主观结果:一个案例研究
Pub Date : 2022-11-10 DOI: 10.25259/jmri_24_2022
Brogan Samuel Williams
Spinal manipulation (SM) has been documented to have various physiological effects, of which the research literature has started to reflect over the past decade. This case study was designed with intent to further investigate these findings. A 31 year old woman with experience of lifting weights and working a very physical job presented with ipsilateral right-sided lower neck and shoulder pain (C7-T4, right trapezius, and right scapula area) and bilateral low back pain (L1-L5 and S.I joint area). Following the examination, a differential diagnosis list was decided on with the input of multiple doctors and therapists. The primary treatment was SM over a time span of 6 months. The patient displayed significant results. Objective testing through a follow-up range of motion (ROM) examination showed an increase in ROM and a spinal examination presented a reduction in local muscle tightness. In addition, subjectively, the patient reported a significant reduction in pain, an increase in movement confidence, and ability. The results of this case study suggest that SM in conjunction with patient education has a significant positive effect on the patient’s reduction of pain, local muscle tightness and increase in ROM, and patient movement ability and confidence. Further studies are required to isolate the specific effects of SM in a high-powered study and clinical setting.
脊椎操纵(SM)已经被证明具有各种生理效应,在过去的十年中,研究文献开始反映这些效应。本案例研究旨在进一步调查这些发现。31岁女性,有举重和体力劳动的经验,表现为同侧右侧下颈和肩部疼痛(C7-T4,右侧斜方肌和右侧肩胛骨区)和双侧腰痛(L1-L5和S.I关节区)。在检查之后,根据多位医生和治疗师的意见,确定了一份鉴别诊断清单。主要治疗是SM,时间跨度为6个月。病人表现出显著的效果。通过随访活动范围(ROM)检查的客观测试显示活动度增加,脊柱检查显示局部肌肉紧绷度降低。此外,主观上,患者报告疼痛明显减轻,运动信心和能力增加。本案例研究的结果表明,SM结合患者教育对患者疼痛的减轻、局部肌肉紧致和ROM的增加以及患者的运动能力和信心有显著的积极作用。需要进一步的研究来在高强度的研究和临床环境中分离出SM的具体效果。
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引用次数: 0
A novel approach of harvesting concentrated plasma-rich fibrin (PRF) with increased platelet count 一种收集血小板计数增加的浓缩富含血浆纤维蛋白(PRF)的新方法
Pub Date : 2022-11-03 DOI: 10.25259/jmri_1_2022
N. Ragunanthan, C. A. Devi, V. Hemavani
Platelet-rich fibrin (PRF) is an autogenous biomaterial, considered as the second-generation platelet concentrates rich in blood cells and growth factors entrapped in the fibrin matrix, which makes it as an ideal material with wound healing abilities. Studies have reported high harvest of cells using anticoagulants but the present study employs two different protocols to efficiently separate the platelet-rich layer at low centrifugal forces without the use of anticoagulants.Blood samples were collected with the consent of 20 volunteer donors. Ten blood samples were tested in each of the protocols studied, that is, protocol 1–200 g for 8 min (higher rpm and time) and protocol 2–60 g for 5 min (lower rpm and time). From the 12 ml of blood samples collected, 2 ml of blood was utilized for whole blood study; the remaining 10 ml was transferred into falcon tubes subjected to different rpm.The present study employs a novel method to investigate segregation of cell types following low-grade centrifugation. One milliliter sequential pipetting technique was used to analyze number of leukocytes and platelets following centrifugation at two different g-forces. The protocols followed in the present study had 2–3-fold increase leukocytes concentration and 10–12-fold increases in platelet concentrations in the layers than the whole blood sample without the use of anticoagulants.The study concludes that protocol 1 was more efficient in harvesting platelets with less concentration of leukocytes, which is considered more suitable for various medical applications.
富含血小板的纤维蛋白(PRF)是一种自体生物材料,被认为是富含血细胞和生长因子的第二代血小板浓缩物,包裹在纤维蛋白基质中,是具有伤口愈合能力的理想材料。研究报告称,使用抗凝剂可以获得高收获的细胞,但本研究采用了两种不同的方案,在不使用抗凝剂的情况下,在低离心力下有效分离富含血小板的层。在20名自愿献血者的同意下采集血样。在所研究的每个方案中测试了10份血样,即方案1–200 g,持续8分钟(较高的转速和时间)和方案2–60 g,持续5分钟(较低的转速和速度)。从采集的12毫升血液样本中,2毫升血液用于全血研究;将剩余的10ml转移到经受不同rpm的falcon管中。本研究采用了一种新的方法来研究低级别离心后细胞类型的分离。在两种不同的重力下离心后,使用一毫升连续移液技术分析白细胞和血小板的数量。与未使用抗凝剂的全血样本相比,本研究中遵循的方案使各层中的白细胞浓度增加了2-3倍,血小板浓度增加了10-12倍。该研究得出结论,方案1在采集白细胞浓度较低的血小板方面更有效,这被认为更适合各种医疗应用。
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引用次数: 1
The kaleidoscope of autoimmunity: A report of 10 cases of multiple autoimmune syndrome 自身免疫的万花筒——附10例多重自身免疫综合征报告
Pub Date : 2022-09-10 DOI: 10.25259/jmri_16_2022
Sharang Gupta, S. Aggarwal, D. Chopra
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引用次数: 1
Outcome of the first health skills simulation laboratory in the kingdom of Saudi Arabia 沙特阿拉伯王国第一个健康技能模拟实验室的成果
Pub Date : 2022-07-16 DOI: 10.25259/jmri_9_2022
Abdulmajeed S. Khan, M. Fatani, Ammar A. Albokhari
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引用次数: 0
Magnetic resonance imaging as a diagnostic tool for postpartum fistula-in-ano on episiotomy scar – A case report 磁共振成像作为诊断会阴切口肛门产后瘘管的工具——一例报告
Pub Date : 2022-02-04 DOI: 10.25259/jmri_23_2021
Selma Lamara Touil, Imane Beggah
The objective of this case presentation is to describe a rare case of fistula-in-ano at an episiotomy site and review the importance of magnetic resonance imaging as a diagnostic tool for the detection of perineal fistulas.
本病例介绍的目的是描述一例罕见的会阴切开处肛门瘘病例,并回顾磁共振成像作为检测会阴瘘诊断工具的重要性。
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引用次数: 0
The yearly peak age of the onset of major depressive disorder over the past 5 years at a general hospital in Saudi Arabia 沙特阿拉伯一家综合医院过去5年中,每年出现重度抑郁症的高峰年龄
Pub Date : 2022-01-28 DOI: 10.25259/jmri_29_2021
Ammar A. Albokhari, A. Hussain, A. Tashkandi, Abdulrahman Alsawas, Rajab Bresaly, M. Hassan, Abdulmajeed S. Khan, B. Bandugh
Patients with major depressive disorder (MDD) do not exhibit usual mood swings and emotional reactions to difficulties in life. Patients with MDD experience specific symptoms such as decreased mood, loss of interest, and suicidal thoughts, particularly those with moderate, severe, or recurrent MDD. Depression can become a severe health condition, and MDD can lead to significant morbidity and mortality, and functional impairment. A total of 260 million people are diagnosed as having MDD worldwide, with a global prevalence of 3627 per 100,000 individuals.This cross-sectional study recruited 2894 patients who were interviewed at a psychiatric clinic and were diagnosed as having MDD from January 1, 2016, to December 31, 2020, at Hera General Hospital, Makkah, Saudi Arabia. From the hospital’s health information system, we extracted the following data using the patient arrival report for psychiatric clinics.The mean age of MDD onset was 43 years in Saudi Arabia with a peak age between 35 and 40 years and an average age between 43 and 46 years.The mean and peak ages of MDD onset in Saudi Arabia differ from those in other countries. Our findings can help set a screening age for depression in the Saudi population in primary healthcare centers.
重度抑郁障碍(MDD)患者不会表现出通常的情绪波动和对生活困难的情绪反应。MDD患者会出现特定症状,如情绪下降、兴趣丧失和自杀念头,尤其是那些患有中度、重度或复发性MDD的患者。抑郁症可以成为一种严重的健康状况,MDD可以导致显著的发病率和死亡率,以及功能损伤。全世界共有2.6亿人被诊断患有MDD,全球患病率为每100000人3627人。这项横断面研究招募了2894名患者,他们于2016年1月1日至2020年12月31日在沙特阿拉伯麦加赫拉综合医院接受了精神病诊所的访谈,并被诊断为MDD。从医院的健康信息系统中,我们使用精神病诊所的患者到达报告提取了以下数据。沙特阿拉伯MDD发病的平均年龄为43岁,峰值年龄在35至40岁之间,平均年龄在43至46岁之间。沙特阿拉伯MDD发病的平均年龄和峰值年龄与其他国家不同。我们的研究结果有助于确定初级医疗中心沙特人群的抑郁症筛查年龄。
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引用次数: 0
Do older adult cancer survivors experience worse health-related quality of life in comparison to middle-aged cancer survivors? A secondary data analysis of the 2014 behavioral risk factor surveillance study 与中年癌症幸存者相比,老年癌症幸存者的健康相关生活质量是否更差?2014年行为风险因素监测研究的二次数据分析
Pub Date : 2022-01-20 DOI: 10.25259/jmri_27_2021
S. Vang
The primary aim of this paper was to examine the potential differences in health-related quality of life (HRQOL) between middle-aged (45–64 years old) and older adult (65 years and older) cancer survivors utilizing the contextual model of health-related quality of life.The author conducted a secondary data analysis of the 2014 behavioral risk factor surveillance system cancer survivorship module survey. Only respondents age 45 and older were included, resulting in n = 5656.Older adult cancer survivors reported significantly better physical and mental HRQOL than middle-aged cancer survivors. In regard to physical HRQOL, respondents who were older adults, employed, completed treatment, and exercised recently were more likely to report good physical HRQOL. Respondents with comorbid conditions and those with greater years since diagnosis were more likely to report poor HRQOL. In regard to mental HRQOL, respondents who were older, married, or had completed treatment were more likely to have good mental HRQOL. Respondents who were unemployed, had experienced financial cost as a barrier to care, had stroke or chronic obstructive pulmonary disorder, or a history of depression were more likely to report poor mental HRQOL.Older adult cancer survivors experience better mental and physical HRQOL compared to their middle-aged counterparts. Efforts to improve HRQOL in cancer survivors should include middle-aged adults as well as cancer survivors who are unmarried, still in treatment, or have comorbidities. Greater research is needed to better understand how age differentially affects HRQOL in persons with a cancer history.
本文的主要目的是利用与健康相关的生活质量上下文模型,研究中年(45-64岁)和老年(65岁及以上)癌症幸存者在与健康相关生活质量(HRQOL)方面的潜在差异。作者对2014年行为危险因素监测系统癌症生存率模块调查进行了二次数据分析。仅包括45岁及以上的受访者,结果为n=5656。老年癌症幸存者报告的身心HRQOL明显好于中年癌症幸存者。在身体HRQOL方面,年龄较大、有工作、完成治疗和最近锻炼的受访者更有可能报告良好的身体HRQOL。患有合并症的受访者和确诊后年龄较大的受访者更有可能报告HRQOL较差。在心理HRQOL方面,年龄较大、已婚或已完成治疗的受访者更有可能拥有良好的心理HRQOL。失业、经济成本成为护理障碍、患有中风或慢性阻塞性肺病或有抑郁症史的受访者更有可能报告精神HRQOL较差。与中年幸存者相比,老年癌症幸存者的精神和身体HRQOL更好。改善癌症幸存者HRQOL的努力应包括中年人以及未婚、仍在接受治疗或患有合并症的癌症幸存者。需要进行更多的研究,以更好地了解癌症病史患者的年龄对HRQOL的不同影响。
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引用次数: 1
Prevalence of mental disorders by sex among Hera General Hospital patients over the past 10 years 赫拉总医院近10年患者精神障碍的性别患病率分析
Pub Date : 2021-12-02 DOI: 10.25259/jmri_26_2021
Ammar A. Albokhari, Rajab Bresaly, M. Hassan, A. A. Khan
Mental disorders manifest as social, occupational, or emotional dysfunctions. Many countries struggle to recognize mental disorders and their effects on communities. Mental health awareness in Saudi Arabia has improved in recent years as psychiatric treatment has become more acceptable in Saudi society. The aim of this study was to determine the percentages of mental disorders among a hospital population at Hera General Hospital, Makkah, Saudi Arabia, using the diagnostic criteria of the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders and the tenth revision of the International Classification of Diseases. We aimed to determine sex differences and to identify the five most common disorders.We identified clusters of mental disorders seen at Hera General Hospital psychiatric clinic using the diagnostic criteria of the DSM-IV and ICD-10 and it was a cross-sectional study of patients at a psychiatric outpatient department from July 2009 to June 2019 in Hera General Hospital, Makkah, Saudi Arabia.The most common mental disorders in patients attending the psychiatric clinic of Hera General Hospital were found to be major depressive disorder (41.3%), followed by anxiety disorders (22.1%), substance-induced psychotic disorder (11.4%), schizophrenia (8.9%), and Mental retardation (7.0%). Females were observed to have a higher risk for mood and anxiety disorders, whereas males had a higher risk for substance-induced psychotic disorder and schizophrenia.Major depressive disorder was the most prevalent mental disorder at Hera General Hospital. Most patients with depressive disorder were female.
精神障碍表现为社交、职业或情感功能障碍。许多国家努力认识到精神障碍及其对社区的影响。近年来,随着精神病治疗在沙特社会越来越被接受,沙特阿拉伯的心理健康意识有所提高。本研究的目的是使用《精神障碍诊断和统计手册》第四版和《国际疾病分类》第十版的诊断标准,确定沙特阿拉伯麦加赫拉综合医院住院人群中精神障碍的百分比。我们旨在确定性别差异,并确定五种最常见的疾病。我们使用DSM-IV和ICD-10的诊断标准确定了赫拉综合医院精神科诊所出现的一组精神障碍,这是一项对2009年7月至2019年6月在麦加赫拉总医院精神科门诊部的患者进行的横断面研究,沙特阿拉伯。在赫拉综合医院精神科诊所就诊的患者中,最常见的精神障碍是重度抑郁障碍(41.3%),其次是焦虑障碍(22.1%)、物质诱导性精神障碍(11.4%)、精神分裂症(8.9%)和智力迟钝(7.0%)。女性患情绪和焦虑障碍的风险更高,而男性患物质诱导的精神病和精神分裂症的风险更高。重度抑郁障碍是赫拉综合医院最常见的精神障碍。大多数抑郁症患者为女性。
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引用次数: 0
期刊
Journal of medical research and innovation
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