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Improving Mental Health in Older Adults 改善老年人的心理健康
Pub Date : 2023-05-15 DOI: 10.46889/jnor.2023.3201
Virginia Lee
There are significant mental health disparities in older people in underserved communities and disadvantaged racial and ethnic groups. Blacks are less inclined to have a mental diagnosis or receive mental health treatments [1]. Older Asian American women have higher rates of suicidal ideations and completions than women from other ethnic and racial groups. Blacks’ and Hispanics’ incidence of the disease is higher (2x and 1.5x respectively), but receiving a diagnosis is much lower [1]. There is a correlation between mental health conditions and cognitive impairment. Contributor factors are stress, disparities that put them at risk for cognitive impairments, ageism increased other forms of discrimination and mental health issues [1].
在服务不足的社区和处境不利的种族和族裔群体中,老年人的心理健康存在显著差异。黑人较少倾向于进行精神诊断或接受精神健康治疗[1]。年长的亚裔美国女性比其他族裔和种族群体的女性有更高的自杀意念和自杀未遂率。黑人和西班牙裔的发病率更高(分别为2倍和1.5倍),但确诊率要低得多[1]。心理健康状况和认知障碍之间存在相关性。造成这种情况的因素包括压力、使他们面临认知障碍风险的差异、年龄歧视加剧的其他形式的歧视以及心理健康问题[1]。
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引用次数: 0
A Case Report of Conus Medullaris Tumor Causing a Diagnostic Dilemma 髓圆锥肿瘤致诊断困境1例报告
Pub Date : 2023-04-23 DOI: 10.46889/jnor.2023.3101
I. Chakraborty
Intramedullary astrocytomas of the spinal cord are rarer than intracranial astrocytomas. Glioblastoma Multiforme (GBM) generally does not involve the spinal cord (1-5% of all GBM cases) and presents as only 1.5% of all spinal cord tumors. The ratio of low-grade to high-grade astrocytomas in the spinal cord is about 3:1.Case Report: We report a case of a 40-year-old male patient complaining of back pain. Insidious in onset, gradual in progression, deep-seated since 8 months. Walking has been difficult for 6 months due to associated foot drop in the left lower limb. There was no evidence of bowel or bladder involvement, and there were no complaints in the upper limbs or elsewhere. On examination, the motor system showed foot drop and EHL weakness in the left lower limb. Following that, he underwent D12-L1 laminectomy with subtotal excision of the lesion under neuromonitoring. Glioma was discovered on histopathology. Adjuvant radiation and chemotherapy were given.Conclusion: The rarity of this entity may have hampered the development of standardized regimens for optimal treatment. We believe that accumulated experience in the treatment of this lethal condition might contribute well to improving its therapeutic outcome.
脊髓髓内星形细胞瘤较颅内星形细胞瘤少见。多形性胶质母细胞瘤(GBM)通常不累及脊髓(占所有GBM病例的1-5%),仅占所有脊髓肿瘤的1.5%。脊髓中低级别星形细胞瘤与高级别星形细胞瘤的比例约为3:1。病例报告:我们报告一个病例40岁的男性病人抱怨背部疼痛。起病隐匿,进展缓慢,8个月以来已根深蒂固。由于左下肢足部下垂,行走困难已达6个月。没有证据表明肠或膀胱受累,上肢或其他部位没有症状。运动系统检查显示左下肢足下垂和EHL无力。随后,在神经监测下行D12-L1椎板切除术,病灶次全切除。组织病理学发现胶质瘤。给予辅助放疗和化疗。结论:该实体的稀缺性可能阻碍了最佳治疗的标准化方案的发展。我们相信,在治疗这种致命疾病方面积累的经验可能有助于改善其治疗效果。
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引用次数: 0
Stem Cell Implants: Emerging Innovation for Stroke Recovery. 干细胞植入:促进中风康复的新兴创新。
Pub Date : 2023-01-01 Epub Date: 2023-04-30
Reid Colliander, Kaitlyn Alleman, Michael Diaz, Med Jimenez, Patrick King, Pranav Mirpuri, Christopher Cutler, Brandon Lucke-Wold

Stroke is a debilitating neurovascular injury that those effects hundreds of thousands of Americans each year. Despite the high prevalence, disease morbidity and mortality, options for stroke intervention and rehabilitation are still limited. Stem cells have shown promise in stroke treatment due to their ability to self-renew and differentiate into different cell types. The primary sources of stem cells used today are bone marrow and fetal brain tissue, with mesenchymal stem cells, bone marrow stem cells and neural stem cells being particularly well-studied. By secreting therapeutic and neurogenic substances they are hypothesized to help foster recovery at the site of injury. Delivery mechanisms for stem cell therapy include intracerebral, intra-arterial, intraperitoneal, intravenous, intraventricular and intranasal routes with radiographic imaging now being used to monitor the progress of stem cell therapies. Stem cell implants have been found to be safe but optimal treatment strategies are still being established with several promising studies underway. Future efforts should continue to focus on improving efficacy, exploring alternative stem cell sources, enhancing migration capability and survival and educating stroke patients on the benefits and risks of stem cell therapy.

中风是一种使人衰弱的神经血管损伤,每年影响数十万美国人。尽管发病率、发病率和死亡率很高,但中风干预和康复的选择仍然有限。干细胞具有自我更新和分化成不同细胞类型的能力,因此在中风治疗中大有可为。目前干细胞的主要来源是骨髓和胎儿脑组织,其中间充质干细胞、骨髓干细胞和神经干细胞的研究尤为深入。据推测,通过分泌治疗和神经源物质,它们有助于促进损伤部位的恢复。干细胞治疗的给药机制包括脑内、动脉内、腹膜内、静脉内、脑室内和鼻内给药途径。干细胞植入被认为是安全的,但最佳治疗策略仍在确立之中,目前正在进行几项前景看好的研究。未来的工作重点应继续放在提高疗效、探索替代干细胞来源、增强迁移能力和存活率,以及向中风患者宣传干细胞疗法的益处和风险。
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引用次数: 0
Impact of Sleep and Brain Science of Lucid Dreaming: Insights into Therapeutic Applications 清醒梦对睡眠和脑科学的影响:对治疗应用的见解
Pub Date : 2022-11-11 DOI: 10.46889/jnor.2022.3303
Berenika Maciejewicz
Lucid dreaming is being conscious within one’s own dream. In recent years, dream lucidity has started to attract more attention not only from the broad neuroscience field but also from applied neurology, psychiatry, sports performance science, or art therapy areas. The aim of this research is to investigate and evaluate some of the therapeutic potentials of dream lucidity. The findings propose that the emergence of self-awareness during sleep could have various health and wellness benefits and applications. Analysis and evaluation of existing neuroscientific data on lucid dreaming was performed and combined with own investigations and methodological insights. In addition, virtual reality training and transcranial direct current stimulation areas of research were also investigated in the context of potential applications for inducing dream lucidity. Results show that various clinical and non-clinical applications of lucid dreaming techniques might be effectively employed in reducing nightmares, increasing mindfulness, or as an experimental treatment for individuals suffering from certain mental health disorders like narcolepsy or post-traumatic stress disorder. It’s further suggested that dream lucidity training might help with sleep quality while reducing daytime stress and anxiety. Nevertheless, further research and caution in this area are required to fully understand both the therapeutic benefits and potentially negative long term consequences of cultivating lucid dreaming.
清醒梦是在自己的梦中有意识。近年来,清醒梦不仅在广泛的神经科学领域受到越来越多的关注,而且在应用神经病学、精神病学、运动表现科学或艺术治疗领域也受到越来越多的关注。本研究的目的是调查和评估梦清醒的一些治疗潜力。研究结果表明,睡眠期间自我意识的出现可能对健康和保健有各种好处和应用。对现有的关于清醒梦的神经科学数据进行分析和评估,并结合自己的调查和方法论见解。此外,虚拟现实训练和经颅直流电刺激领域的研究也在诱导梦境清醒的潜在应用背景下进行了探讨。结果表明,清醒梦技术的各种临床和非临床应用可能有效地用于减少噩梦,增加正念,或作为患有某些精神健康障碍(如嗜睡症或创伤后应激障碍)的个体的实验性治疗。研究进一步表明,清醒梦训练可能有助于提高睡眠质量,同时减少白天的压力和焦虑。然而,这一领域需要进一步的研究和谨慎,以充分了解培养清醒梦的治疗益处和潜在的负面长期后果。
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引用次数: 0
Contribution of Stereotaxic Biopsy in the Management of Brain Tumors: About 101 Cases 立体定向活检在脑肿瘤治疗中的作用:约101例
Pub Date : 2022-11-01 DOI: 10.46889/jnor.2022.3302
D. M
Introduction: The advent of Stereotaxic Biopsy (STB) and the development of CT and MRI have improved the management of brain tumours. The aim of this study is to evaluate the role of STB in the management of brain tumors.Material and Methods: Retrospective study from 2000 to 2020 concerning 101 consecutive patients with brain tumours, having benefited from a STB, collected in the neurosurgery departments of the the public hospital establishment of AIT IDDIR and Mustapha and Mustapha BACHA university hospital center. The seat of the lesion is deep or functional (the Rolondic region, hemispherical, basal ganglia, lateral ventricles and brainstem and pineal region). STB was performed under CT guidance in all cases. For pineal tumours, arteriography with venographic time and preoperative MRI has been deemed useful to avoid hemorrhagic complications.Results: In 101 cases, the STB was conclusive on the first attempt (90%). The repetition of the STB made it possible to re-establish a precise diagnosis in (5.94%) It was malignant lesions (70% of the cases). The average age of the patients was 46 years (3 to 72) with a male predominance.The topography of the lesions is: 75.13% in the Rolondic region, Central Gray Nuclei, Brainstem and pineal region; 12.87% in the corpus callosum and lateral ventricles and 12.5% in the eloquent superficial lesion. Postoperative complications are dominated by mortality 5.9% followed by partial epileptic seizure 2.98% and severe neurological disorders 1.98%, bilateral ptosis 1.98% and hemiplegia 0.99%. Perioperative mortality fell from 10.45% before 2005 to 1% after 2006 (Chi-square; p = 0.010).Conclusion: STBs should be staged and repeated in case of inconclusive histology. For small deep lesions STB under MRI conditions is necessary. For pineal tumours, it must be performed by the transtemporal orthogonal approach.
立体定向活检(STB)的出现以及CT和MRI的发展改善了脑肿瘤的治疗。本研究的目的是评估STB在脑肿瘤治疗中的作用。材料与方法:回顾性研究2000 - 2020年在AIT IDDIR公立医院和Mustapha和Mustapha BACHA大学医院中心神经外科收集的101例连续接受STB治疗的脑肿瘤患者。病变部位深或功能(罗隆区、半球、基底节区、侧脑室、脑干和松果体区)。所有病例均在CT引导下行STB。对于松果体肿瘤,术前动脉造影和术前MRI被认为有助于避免出血性并发症。结果101例(90%)首次行STB结论性检查。STB的重复检查可以重新建立准确的诊断(5.94%),其中恶性病变(70%)。患者平均年龄46岁(3 ~ 72岁),男性居多。病变的地形分布为:75.13%位于Rolondic区、中央灰核区、脑干和松果体区;12.87%在胼胝体和侧脑室,12.5%在雄辩的浅表病变。术后并发症以死亡率(5.9%)为主,其次为部分性癫痫发作(2.98%)、严重神经系统疾病(1.98%)、双侧上睑下垂(1.98%)和偏瘫(0.99%)。围手术期死亡率从2005年前的10.45%下降到2006年后的1%(卡方;P = 0.010)。结论:在组织学不明确的情况下,应进行分期和复诊。对于MRI条件下的小的深部病变,STB是必要的。对于松果体肿瘤,必须采用经颞叶正交法。
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引用次数: 0
Long-term Methylphenidate Monotherapy for Parkinson’s: Biochemistry Analysis and 17 Year Case Study 长期哌醋甲酯单药治疗帕金森病:生化分析和17年病例研究
Pub Date : 2022-09-24 DOI: 10.46889/jnor.2022.3301
R. Townsend
Background: Information in this study can improve the health and quality of life of over ten million people with Parkinson’s. This paper presents long-term treatment of Parkinson’s with Methylphenidate that was found safe and effective to use instead of traditional anti-Parkinsonians such as Carbidopa-Levodopa and Pramipexole that cause augmentation (neural damage), excessive sedation, sudden passing out and slowed cognition. Methylphenidate strengthens and protects neural tissues and sustains normal alertness and cognition.Methods: This article analyzes the neurobiochemistry of Methylphenidate-therapy vs. AntiParkinsonian-therapy based on this author’s review of over 400 published studies and guidelines. This article also presents a Case Study involving a case-subject who has a very severe Parkinson’s disorder with a well-documented nine years of AntiParkinsonian-therapy followed by eight years of Methylphenidate-therapy. The case-subject is a 66 year-old male with a PhD who is a published Neurobiochemistry Researcher. At age-55 he was medically documented as disabled and needing medications to function. At age-58 his illness and the adverse effects of APs jointly caused total disability for which there was no known remedy. Thus he conceived and designed the world’s first long-term Methylphenidate treatment of Parkinson’s and implemented it with the cooperation of a prescribing Physician.Results: Adjunctive 30 mg doses of diurnal Methylphenidate overcame adverse effects of AntiParkinsonians. 20 mg doses of diurnal Methylphenidate monotherapy controlled Parkinson’s illness better than AntiParkinsonians. A 3-hour dosing schedule resulted in smooth and uninterrupted efficacy between and across doses of Methylphenidate. Sequential doses every three hours extended efficacy duration to 16 hours. Continued high-dose AntiParkinsonians at bedtime gave good sleep.Conclusion: This author recommends that clinicians use these findings to replace diurnal AntiParkinsonians with diurnal Methylphenidate in order to provide safer and more effective long-term treatment of Parkinson’s illnesses.
背景:本研究的信息可以改善1000多万帕金森病患者的健康和生活质量。本文介绍了长期使用哌醋甲酯治疗帕金森氏症的安全性和有效性,以取代传统的抗帕金森氏症药物,如卡比多巴-左旋多巴和普拉克索,这些药物会导致增强(神经损伤)、过度镇静、突然昏迷和认知减慢。哌醋甲酯加强和保护神经组织,维持正常的警觉性和认知。方法:在查阅已发表的400余篇研究和指南的基础上,分析哌甲酯治疗与抗帕金森治疗的神经生化差异。这篇文章还介绍了一个案例研究,涉及一个病例主体,他患有非常严重的帕金森病,有充分记录的9年抗帕金森治疗和8年哌甲酯治疗。病例主体是一名66岁的男性,拥有博士学位,是一名已发表论文的神经生物化学研究员。55岁时,他被医学记录为残疾,需要药物来维持身体机能。在58岁时,他的疾病和APs的不良影响共同导致了完全残疾,没有已知的治疗方法。因此,他构思并设计了世界上第一个长期治疗帕金森病的哌醋甲酯,并在一位开处方的医生的合作下实施了它。结果:每日辅助服用30mg哌甲酯克服了抗帕金森药物的不良反应。每日20mg剂量的哌醋甲酯单药治疗比抗帕金森药更好地控制帕金森病。3小时给药计划可使哌甲酯在不同剂量间和不同剂量间的疗效平稳且不间断。每3小时顺序给药可将药效持续时间延长至16小时。睡前持续服用大剂量的抗帕金森药能让人睡得很好。结论:作者建议临床医生利用这些发现,用哌醋甲酯代替每日服用抗帕金森药物,以提供更安全、更有效的帕金森病长期治疗。
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引用次数: 0
Universe and Multiverse Transportation Possibilities Using Consciousness and Thought Travelling 利用意识和思想旅行的宇宙和多元宇宙运输的可能性
Pub Date : 2022-08-31 DOI: 10.46889/jnor.2022.2202
Md. Sadique Shaikh
The dreams started to come true and journey started into reality when NASA succeed their mission to transport mankind on moon and reached on lunar surface on 20 July, 1969 at 20:17 UTC (Coordinated Universal Time) and after 6 hours and 39 minutes Armstrong became first person to step on lunar surface from Apollo Lunar Module Eagle on 21 July 1969 at 02:56 UTC. The amount of space time travel is affordable, bearable in this case with less advance technology only possible because of comparatively very near distance of Moon from planet Earth, but if mankind plan to establish journey from Earth to Mars or any other planet of our solar system or interstellar transportation including even today’s present very advanced Artificial intelligence based technologies of 2022 or ultra-advanced technologies in near future say 2030, 2040 human race might be successful or partially possible or possible with lots of obstacles, problems and risks. Several space analyst, scientists, astrophysicist, astronomers, quantum mechanics expert and researchers across world working on all these aspect with unique agenda how to minimise space time with increasing velocity of space shuttle to send mankind from planet Earth to other planets, stars and galaxies in deep Universe. Hence several scientists trying to match their space craft, space drive or space shuttle should be at least half to velocity of “Speed of Light” which is the ultimate speed of space transportation in known Universe, but unfortunately human civilization not succeeded in the same though several concepts proposed like “Warp drive, gravitational sling shots space shuttle, wormhole transport insertion from one surface and exit on another surface of bend or curvature space/ Universe using gravitational space drive and likewise. Hence globally conclude and accepted there is nothing more than of speed of light in known universe for fastest transportation and to explore and expand human civilization on another habitat planets, exoplanets and blanets come under habitable space zones and orbit having their energy stars or draft like Sun to have Earth-like environment. But as per my knowledge and experience “Everything is Vibrational Energy” with different frequencies. Even according to law of thermodynamics “Energy neither create nor destroyed, it’s only transform from one to another form” and it’s also relative by all universe sense according to Sir Albert Einstein whereas quantum mechanics also supports to all these phenomenon with the help of string theory, quantum entanglement and higher dimensions of space which also open to new door and direction to research for “Multiverse” and then after transport to it in far future. Therefore I am not challenging to any opinion but want put up my point of view regarding space transport and is “Speed of Consciousness and its generated output Thoughts has several times greater than speed of light and speed of light can’t be reached to speed of thoughts”. Why! Because everyth
1969年7月20日20:17 UTC(协调世界时),当美国国家航空航天局成功将人类运送到月球并到达月球表面时,梦想开始成真,旅程开始成为现实。6小时39分钟后,阿姆斯特朗于1969年7月21日02:56 UTC成为第一个从阿波罗登月舱鹰登上月球表面的人。在这种情况下,空间时间旅行的数量是可以承受的,因为月球与地球的距离相对很近,所以不太先进的技术是可能的,但如果人类计划建立从地球到火星或太阳系任何其他行星的旅程,或者星际运输,包括今天非常先进的基于人工智能的2022年技术,或者在不久的将来,比如2030年的超先进技术,2040年,人类可能成功,也可能部分成功,也可能有很多障碍、问题和风险。世界各地的几位空间分析师,科学家,天体物理学家,天文学家,量子力学专家和研究人员在所有这些方面都有独特的议程,如何最大限度地减少空间时间,随着航天飞机速度的增加,将人类从地球送到宇宙深处的其他行星,恒星和星系。因此,一些科学家试图匹配他们的宇宙飞船,太空驱动器或航天飞机的速度应该至少达到“光速”的一半,这是已知宇宙中太空运输的终极速度,但不幸的是,人类文明没有成功,尽管提出了几个概念,如“曲速驱动,重力弹弓发射航天飞机,虫洞运输从弯曲或弯曲空间/宇宙的一个表面插入并在另一个表面出口,使用引力空间驱动等。因此,全球得出结论并接受,在已知的宇宙中,没有什么比光速更快的运输,探索和扩展人类文明在另一个栖息地行星上,系外行星和毯子在可居住的空间区域和轨道上,有它们的能量恒星或像太阳一样的draft,有类似地球的环境。但根据我的知识和经验,“一切都是振动能量”,不同的频率。即使根据热力学定律“能量既不创造也不毁灭,它只是从一种形式转变为另一种形式”,根据爱因斯坦爵士的说法,它也是相对于所有宇宙感觉的,而量子力学也支持所有这些现象,借助弦理论,量子纠缠和更高维度的空间,这也为“多元宇宙”的研究打开了新的大门和方向,然后在遥远的未来传输到它。因此,我不是在挑战任何观点,而是想提出我对太空运输的观点,即“意识的速度及其产生的输出思想的速度比光速快几倍,而光速无法达到思想的速度”。为什么!因为一切都是能量在不同频率上调谐,多元宇宙,宇宙,黑洞,暖洞,星系,恒星,草案,月球,行星到地球,到地球生命,到人类,最终到“人脑”。因此,与光速相比,人类意识及其产生的所有思想都是超高速度的频率,我们只需要发现如何提取、限制、传送和同步这些思想与目的地太空行星,以及如何使用它执行太空旅行,但我必须说,总有一天会发生的,我们只需要非常认真地考虑它。根据我的说法,要将人类光环发送到理想的/目的地行星或恒星或星际空间,人类大脑需要返回到目的地太空行星或位置的振动频率,以产生等效的频率思想,从返回的大脑意识调谐到行星或宇宙深处的频率,同步大脑,连接它并在几秒钟内到达那里,创建“意识的太空隧道”,需要到达数百万,数十亿光年。例如最类似地球的太阳系外行星”比邻星B”,甚至达到未来技术和人工智能NASA提出“生命之树项目使用立方体卫星“最低需要200年,地球上人类一代老和死在比邻星达到B联系如果有类似人类的文明,告诉他们地球上的生命和人类的生命实体,并知道任何比邻星B与人类或其他智能文明,因为它的轨道像地球的太阳一样红,位于我们太阳系的宜居地带,因此被称为“系外行星”,与地球有很高的相似指数。 讨论利用人类大脑的意识和思想可以在几分钟内到达比邻星B,只需要发现如何将大脑频率与比邻星B的量子频率相匹配,以同步,连接和传输比邻星B频率上的Aura各自的大脑调谐到地球上的左身体,并在“休眠”状态下到达比邻星B上的Aura(灵魂)与地球上的剩余身体在“深度睡眠”状态下。长时间睡眠或故意昏迷。想象一下,在100年前,我告诉你,100年后,你将拥有使用小型电子设备进行交流,控制,导航和探索整个世界的技术,你可能不相信并嘲笑它,但今天的手机就是一个活生生的例子。同样今天我和你讨论的,也许是你今天不相信的,但它将在遥远的未来成为现实。
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引用次数: 0
Does Exposure To Environmental Pollution Increase The Incidence Of CNS Tumors In Children? 暴露于环境污染会增加儿童中枢神经系统肿瘤的发病率吗?
Pub Date : 2022-08-31 DOI: 10.46889/jnor.2022.2201
K. Musiol
Purpose: The postulated risk factor of CNS tumors might be air pollution. In Poland, especially in the Silesian voivodship, air quality is inferior compared to other European countries. The study aimed to evaluate the effect of selected air pollution parameters on the incidence of central nervous system tumors in children.Material and methods: A group of 460 children (251 boys, 209 girls) aged 0-18 (0.17-18.75) years, diagnosed with CNS cancer were included. The age Standardized Incidence Ratios (SIR) for CNS malignancies in children were calculated. Based on the data concerning air quality, the number and location of air quality monitoring stations for 2003-2016 published by the Regional Inspectorate for Environmental Protection in Katowice, the mean concentrations of benzene (C6H6), Nitrogen dioxide (NO2), benzoalphapyrene (BaP) and particulates matter with a diameter of 2.5 micrometers (PM 2.5) and 10 micrometers (PM10) were calculated.Results: The highest PM10 (50.62µg/m3), PM2.5 (36.14µg/m3), BaP (10.9ng/m3) and C6H6 (3.67µg/m3) concentrations were recorded in the Rybnik area. The highest age-standardized CNS tumor incidence ratio (n/100,000) was also demonstrated in the Rybnik area (3.24). The analysis showed a significant positive correlation between the SIR and the concentration of PM2.5 (r=0.89, p=0.039) and PM10 (r=0.93, p=0.007). There was no significant correlation between SIR and NO2 (r=0.41, p=0.41), BaP (r=0.56, p=0.24), C6H6 (r=0,79, p=0,2).Conclusion: Exposure to high concentrations of particulate matter may increase the risk of developing CNS cancers in children. Further research is needed, especially in the pediatric population.
目的:空气污染可能是中枢神经系统肿瘤发生的危险因素。在波兰,尤其是西里西亚省,空气质量比其他欧洲国家差。该研究旨在评估选定的空气污染参数对儿童中枢神经系统肿瘤发病率的影响。材料与方法:纳入460名年龄0-18岁(0.17-18.75)、诊断为中枢神经系统癌的儿童(男童251名,女童209名)。计算儿童中枢神经系统恶性肿瘤的年龄标准化发病率比(SIR)。根据卡托维兹地区环境保护监察局公布的2003-2016年空气质量数据、空气质量监测站的数量和位置,计算了苯(C6H6)、二氧化氮(NO2)、苯并甲芘(BaP)和直径为2.5微米的颗粒物(PM 2.5)和10微米的颗粒物(PM10)的平均浓度。结果:雷布尼克地区PM10(50.62µg/m3)、PM2.5(36.14µg/m3)、BaP (10.9ng/m3)和C6H6(3.67µg/m3)浓度最高。Rybnik地区的年龄标准化中枢神经系统肿瘤发病率最高(n/100,000)(3.24)。分析显示,SIR与PM2.5 (r=0.89, p=0.039)、PM10 (r=0.93, p=0.007)浓度呈显著正相关。SIR与NO2 (r=0.41, p=0.41)、BaP (r=0.56, p=0.24)、C6H6 (r=0,79, p=0,2)无显著相关。结论:暴露于高浓度颗粒物可能会增加儿童患中枢神经系统癌症的风险。需要进一步的研究,特别是在儿科人群中。
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引用次数: 0
The Correction of Plagiocephaly 斜头畸形的矫正
Pub Date : 2022-04-30 DOI: 10.46889/jnor.2022.2103
A. G. Martins
Real Plagiocephaly is a rare form of craniosynostosis, resulting from the premature fusion of the coronal suture on one side, leading to a deformed head and to an apparently exteriorized homolateral eye. We present a simple and straightforward technique, based on removal of the involved suture, with the surgical incision prolonged to the orbital roof till near the ethmoide. After having sectioned the lateral border of the orbit at the junction of the zygomatic and frontal bones, a paramedian incision is made on the frontal bone, from the anterior fontanel (always carefully preserved), till the glabella. Then follows simple osteoclasia of the frontal bone and placement of a bone graft obtained from the adjacent parietal bone and that will maintain the forward projection of the frontal bone (but in slight hypercorrection). The grafts are simply fixed with silk sutures, placed through perforating holes in the bones, no metal being used. The transverse surgical wound, going almost from ear to ear, is closed in the usual way.
真正的斜头畸形是一种罕见的颅缝闭合形式,由一侧冠状缝合线过早融合引起,导致头部变形和明显的同侧眼外化。我们提出一种简单直接的技术,基于移除累及的缝合线,将手术切口延长至眶顶直至靠近筛孔。在颧骨和额骨交界处切除眶外侧边界后,在额骨上从前囟门(一直小心保存)至眉间骨做一个旁位切口。然后是简单的额骨破骨术,从邻近的顶骨处取骨移植物,这将保持额骨的前凸(但稍微过度矫正)。移植物只是用丝线固定,通过骨头上的穿孔孔放置,不使用金属。横向手术伤口,几乎从耳朵到耳朵,以通常的方式闭合。
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引用次数: 0
Review of Cervical Schwannomas: Presentation, Pathogenesis, Management, Complications and Future Directions. 颈椎许旺瘤综述:表现、发病机制、处理、并发症和未来方向。
Pub Date : 2022-01-01 Epub Date: 2022-12-31 DOI: 10.46889/JNOR.2022.3304
Michael Goutnik, Emma Earl, Padmavathi Reddy, Brandon Lucke-Wold

Cervical schwannomas are benign peripheral nerve sheath tumors, relatively uncommon pathologies. The purpose of this review is to summarize and expand on the existing literature on cervical schwannomas, focusing on clinical presentation, pathogenesis, surgical and radiologic management and innovative therapies including ultrasound-guided techniques. Pubmed and SCOPUS databases were searched using combinations of terms including "cervical schwannoma", "surgery", "fusion", "complications", "radiosurgery", and others. The findings regarding these unique clinical entities are presented below.

颈椎裂孔瘤是一种良性周围神经鞘瘤,是一种比较少见的病变。本综述旨在总结和扩充有关颈椎裂孔瘤的现有文献,重点关注临床表现、发病机制、手术和放射学治疗以及包括超声引导技术在内的创新疗法。本文使用 "颈椎裂孔瘤"、"手术"、"融合"、"并发症"、"放射手术 "等组合词对 Pubmed 和 SCOPUS 数据库进行了检索。有关这些独特临床实体的研究结果如下。
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引用次数: 0
期刊
Journal of neuro and oncology research
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