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Investigating memory storage difficulties in Multiple Sclerosis 研究多发性硬化症患者的记忆储存困难
Pub Date : 2021-11-24 DOI: 10.31579/2578-8868/185
T. Antonis
Μemory by itself as a function, loses its capabilities with a normal deterioration. However, there are acquired conditions that negatively affect the functions of memory, resulting in dysfunction of its stages. Thus possible damage to the structures of the hemisphere that controls these processes disrupts the comprehension, organization and categorization of the material to be memorized. Patients with damage to these systems will have difficulty remembering because they have not adequately coded the material. Patients with Multiple Sclerosis report short-term memory difficulties in the sense that they have difficulty remembering details of recent conversations and events. Aim: To investigate the memory storage difficulties in Multiple Sclerosis. Materials and Methods: An international literature review was performed on Memory Disorders in Multiple Sclerosis. Conclusion: In patients with Multiple Sclerosis learning deficits are greatly aided by processing speed and working memory. It has been observed that slow mental processing makes it difficult for many patients with Multiple Sclerosis to capture an entire verbal message, especially if it is large, complex, delivered quickly and with external stimuli, such as a noisy environment
μemory本身作为一种功能,随着正常的退化而失去其功能。然而,有些后天条件会对记忆功能产生负面影响,导致记忆阶段功能障碍。因此,控制这些过程的半球结构可能受到损伤,从而破坏了对要记忆的材料的理解、组织和分类。这些系统受损的患者将难以记忆,因为他们没有对材料进行充分编码。多发性硬化症患者报告短期记忆困难,因为他们很难记住最近谈话和事件的细节。目的:探讨多发性硬化症的记忆存储困难。材料和方法:对多发性硬化症记忆障碍的国际文献进行综述。结论:多发性硬化症患者的学习缺陷很大程度上得益于处理速度和工作记忆。据观察,缓慢的心理处理使许多多发性硬化症患者很难捕捉到完整的言语信息,尤其是如果信息量大、复杂、传递迅速且有外部刺激,如嘈杂的环境
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引用次数: 0
New Protocol for Auditory Brainstem Implant Positioning 听觉脑干植入物定位新方案
Pub Date : 2021-11-24 DOI: 10.31579/2578-8868/203
S. Veronese, M. Cambiaghi, A. Sbarbati
Background: Surgery for applying the auditory brainstem implant is an otoneurosurgery that requires careful intraoperative monitoring to optimize the placement of the electrode paddle. This study aimed to validate a new method capable of increasing the accuracy of electrode array placement, reducing channel interaction, electrical artefacts, and saturation effects, and providing the largest number of electrodes that can be activated with the lowest possible electric charge. Materials and methods: Thirty-six subjects aged between 1.42 and 69.92 years were tested during surgery for auditory brainstem implantation. We recorded auditory electrical responses of the brainstem using the implant supplier's suggested stimulation protocol and the new protocol. Results: Saturations effects and electric artefacts were noticed respectively in 81.85% and 53.25% of recordings using implant supplier's method, while in 70.34% and 24.75% of recordings using the new method, with a percentage variation of 11.51% and 28.50%. Considering the amount of charge required to activate the electrodes, with the implant supplier's method an average charge of 14 nC was needed, while with the new protocol an average charge of 8 nC was necessary. Conclusions: The new method improves the coupling between the auditory brainstem implant and the surface of the cochlear nucleus.
背景:应用听觉脑干植入物的手术是一种耳神经外科手术,需要仔细的术中监测以优化电极板的放置。这项研究旨在验证一种新方法,该方法能够提高电极阵列放置的准确性,减少通道相互作用、电伪影和饱和效应,并提供尽可能少的电荷激活的最大数量的电极。材料和方法:36名年龄在1.42至69.92岁之间的受试者在听觉脑干植入手术中接受了测试。我们使用植入物供应商建议的刺激方案和新方案记录了脑干的听觉电反应。结果:在使用植入物供应商方法的记录中,分别有81.85%和53.25%的记录出现饱和效应和电伪影,而在使用新方法的记录的记录中分别有70.34%和24.75%的记录出现,百分比变化分别为11.51%和28.50%。考虑到激活电极所需的电荷量,对于植入物供应商的方法,需要14nC的平均电荷,而对于新方案,需要8NC的平均电荷。结论:该方法改善了听性脑干植入物与耳蜗核表面的耦合。
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引用次数: 1
The Predictive Value of Serum Alkaline Phosphatase Level on the Degree of Neurological Impairment in Patients With Acute Cerebral Infarction 血清碱性磷酸酶水平对急性脑梗死患者神经功能损害程度的预测价值
Pub Date : 2021-10-28 DOI: 10.21203/rs.3.rs-1016602/v1
J. Zou, Xiao-yu Li, Chaojin Han
ObjectiveTo analyze the correlation between the changes of ALP level and the degree of neurological impairment in patients with acute cerebral infarction. MethodsA total of 267 patients with acute cerebral infarction were selected as the cerebral infarction group, 181 elderly patients who were matched age and gender in the same period with the cerebral infarction group were selected as the control group by the physical examination. All the selected patients were tested for serum ALP, ALT, AST, Cr, BUN,TG, TC, LDL - C and HDL - C after eight hours on an empty stomach. In the 72nd hour of the patient's course of cerebral infarction, the degree of neurological impairment was assessed using NIHSS score. The relationship between serum ALP level and NIHSS score was analyzed. ResultsAccording to NIHSS score, the patients with score of 5~15 were Group A , patients with score of 15~20 were Group B and score of 21~42 were Group C. Pearson correlation analysis showed that the serum ALP level of the three groups was positively correlated with NIHSS score. Multivariate regression analysis results showed that the high serum ALP level of the risk of cerebral infarction is a low serum ALP level 1.58 times. ConclusionsSerum ALP level was increased in patients with acute cerebral infarction and was closely related to the degree of neurological impairment. Perhaps the serum ALP level may be used as a serum marker to predict the degree of neurological impairment in patients.
目的分析急性脑梗死患者ALP水平变化与神经功能损害程度的相关性。方法选取267例急性脑梗死患者作为脑梗死组,通过体格检查选取年龄、性别与脑梗死组同期相匹配的老年患者181例作为对照组。所有患者空腹8小时后检测血清ALP、ALT、AST、Cr、BUN、TG、TC、LDL - C、HDL - C。在患者脑梗死病程的第72小时,采用NIHSS评分评估神经功能损害程度。分析血清ALP水平与NIHSS评分的关系。结果按NIHSS评分,5~15分的患者为A组,15~20分的患者为B组,21~42分的患者为c组。Pearson相关分析显示,三组患者血清ALP水平与NIHSS评分呈正相关。多因素回归分析结果显示,高血清ALP水平的脑梗死风险是低血清ALP水平的1.58倍。ConclusionsSerum急性脑梗死患者ALP水平升高,与神经功能损害程度密切相关。也许血清ALP水平可以作为预测患者神经功能损害程度的血清标志物。
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引用次数: 0
Psychiatry vs. Antipsychiatry: Facts set against Protests 精神病学与反精神病学:反对抗议的事实
Pub Date : 2021-09-15 DOI: 10.31579/2578-8868/191
S. Shafti
Psychiatry is, indeed, basically similar to the rest of medicine. It is based upon making reliable diagnoses and applying evidence - based treatments that have success rates comparable with those used in other specialties. Psychiatric syndromes may be defined as disorders that are conventionally treated with treatments used by psychiatrists. The illnesses in which psychiatrists have developed proficiency have tended to be those that either manifest with disordered psychological functioning (thinking, perception, emotion, and memory) or those which have no obviously established organic basis. However, scientific developments are showing us that these so - called psychological ailments are linked with abnormalities of the brain, just as so - called medical illnesses are deeply affected by psychological factors. Modern psychiatry is an evolving field that is becoming less hospital based, more evidence based, and more neuroscience based. Nonetheless, during the last decades, random antipsychiatry attitudes have amalgamated and turned into a conjectural effort, which has a humanistic appearance, too. On the other hand, publicized criticisms by some associates, including known psychiatrists or psychotherapists, have, radically, stirred and reinforced the movement. Anyway, though various criticisms or worries about psychiatry, either as a subdivision in science or as a clinical practice in medicine are understandable due to existing scientific or diagnostic deficits, anti-psychiatry stance, which comprises many historical exaggerations based on happenings and primitive conditions from a century ago, may help to keep us rigorous and honest about what we do and inspiring us to insistently seek better diagnostic prototypes and management standards. In the present article, the said antagonism, in addition to the existing facts and expected responsibilities of psychiatry has been discussed concisely.
事实上,精神病学与其他医学基本相似。它建立在做出可靠的诊断和应用基于证据的治疗的基础上,这些治疗的成功率与其他专业的治疗相当。精神病综合征可以定义为精神科医生常规治疗的疾病。精神科医生熟练掌握的疾病往往是那些表现为心理功能紊乱(思维、感知、情绪和记忆)的疾病,或者那些没有明显的有机基础的疾病。然而,科学发展告诉我们,这些所谓的心理疾病与大脑异常有关,就像所谓的医学疾病深受心理因素的影响一样。现代精神病学是一个不断发展的领域,它越来越不以医院为基础,越来越以证据为基础,也越来越以神经科学为基础。尽管如此,在过去的几十年里,随机的反精神病态度已经融合并变成了一种推测性的努力,这种努力也具有人文主义的外表。另一方面,一些同事的公开批评,包括知名的精神病学家或心理治疗师,从根本上煽动和强化了这场运动。无论如何,尽管由于现有的科学或诊断缺陷,对精神病学的各种批评或担忧,无论是作为科学的一个分支,还是作为医学的临床实践,都是可以理解的,但反精神病学的立场,包括许多基于一个世纪前发生的事情和原始条件的历史夸大,可能有助于让我们对自己的工作保持严谨和诚实,并激励我们不断寻求更好的诊断原型和管理标准。在本文中,除了精神病学的现有事实和预期责任外,还简要讨论了上述对抗性。
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引用次数: 0
Interventional Mechanical thrombectomy Indications and limitations A Mini-Review 介入性机械血栓切除术的适应证和局限性
Pub Date : 2021-09-15 DOI: 10.31579/2578-8868/206
S. Fatehpur
The endovascular clot retrieval in combination with intravenous recombinant tissue plasminogen activator (rtPA) has been established as the 1st choice therapy for the treatment of acute arterial ischemic stroke (AIS) in case of large vessel occlusion. While the results of this therapy in ischemic insults in the anterior stromal region are clearly positive, the results for mechanical thrombectomy in posterior circulation are controversially discussed. In addition, the indication is made by the time window, sizing of the ischemic area, and various scores. The aim of the article is to review the available reports on the use of thromboelastography in acute ischemic stroke patients.
血管内血栓回收联合静脉注射重组组织纤溶酶原激活剂(rtPA)已被确定为治疗大血管闭塞的急性动脉缺血性卒中(AIS)的首选疗法。虽然这种治疗前基质区域缺血性损伤的结果明显是积极的,但对后循环机械血栓切除术的结果进行了有争议的讨论。此外,指示是通过时间窗口、缺血区域的大小和各种评分来确定的。这篇文章的目的是回顾关于血栓弹性成像在急性缺血性卒中患者中的应用的现有报告。
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引用次数: 0
Surgical Results of Lumbar Canal Recalibration by Modified Senegas Technique 改良Senegas技术腰椎管再校准的手术效果
Pub Date : 2021-09-15 DOI: 10.31579/2578-8868/204
N. de la Paz
The aim of recalibration of the lumbar canal using the Senegas technique guarantees stability and preserves movement, with a considerable reduction in surgical risk and faster incorporation into daily life. Objective: To evaluate the surgical results of recalibration of the lumbar canal using the modified Senegas technique. Materials and Methods: An ambispective and cross-sectional descriptive observational study was carried out at the Institute of Neurology and Neurosurgery between January 2011 and December 2019 that were evaluated 6 and 12 months after having been operated. Results: 70.7% of the patients manifested chronic low back pain, and dysesthesia was found in 39.8%. There were 15.8% complications. The clinical evolution according to the Lumbar and Lower Limb Verbal Numerical Scale and the functional one according to the Oswestry Disability Index was better at 6 and 12 months after the intervention compared to the preoperative period. The result was considered good at 82.7% and 89.4%, respectively, at 6 and 12 months. Conclusions: The clinical and functional evolution of the operated patients is significantly better at 6 and 12 months concerning the preoperative one. At both 6 and 12 months, surgical results are good in the vast majority of patients.
使用Senegas技术重新校准腰椎管的目的是保证稳定性和保持运动,大大降低手术风险并更快地融入日常生活。目的:评价应用改良的Senegas技术进行腰椎管再校准的手术效果。材料和方法:2011年1月至2019年12月在神经病学和神经外科研究所进行了一项双侧和横断面描述性观察性研究,对手术后6个月和12个月进行评估。结果:70.7%的患者表现为慢性腰痛,39.8%的患者表现为感觉不良。并发症发生率为15.8%。干预后6个月和12个月,腰下肢语言数值量表的临床进展和Oswestry残疾指数的功能进展均优于术前。在6个月和12个月时,分别有82.7%和89.4%的人认为结果是好的。结论:手术患者6个月和12个月的临床和功能演变明显优于术前。在6个月和12个月时,绝大多数患者的手术效果良好。
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引用次数: 0
Treatment of Patients in Coma and Exercises for Enhancing Cognitive Functions after Traumatic Brain Injury 颅脑损伤后昏迷的治疗及增强认知功能的运动
Pub Date : 2021-09-15 DOI: 10.31579/2578-8868/193
T. Antonis
The neuropsychological training methods for the restoration of sensory losses after a TBI aim both at the restoration of the sensory losses and at the practice of the other senses to "compensate" for the dysfunctional sensation. Aim: The purpose of the study was to present treatment of patients in coma and exercises for enhancing cognitive functions after traumatic brain injury. Results: Electronically assisted treatment methods (Computer - Assisted Treatment, CAT) are now recognized methods, with high success rates in the rehabilitation of patients after TBI. Conclusions: Cognitive rehabilitation must be done taking into account a variety of neurofunctional abilities and weaknesses. Basic skills need to be stimulated before any approach to more complex ones can be made. The use of audiovisual media in general contributes both to the restoration of vision and compensatory restoration of functions as well as to the general restoration of the patient's cognitive functions. Cognitive rehabilitation to recover and improve attention and memory, offers a variety of different types of exercises for specific disorders. Exercise can vary in degree of difficulty depending on the patient's needs.
TBI后恢复感觉损失的神经心理学训练方法旨在恢复感觉损失和练习其他感觉,以“补偿”功能失调的感觉。目的:本研究旨在介绍创伤性脑损伤后昏迷患者的治疗和增强认知功能的运动。结果:电子辅助治疗方法(计算机辅助治疗,CAT)是目前公认的方法,在TBI患者的康复中具有很高的成功率。结论:认知康复必须考虑到各种神经功能能力和弱点。在采取任何更复杂的方法之前,都需要激发基本技能。视听媒体的使用通常有助于视力的恢复和功能的补偿性恢复,也有助于患者认知功能的全面恢复。认知康复旨在恢复和提高注意力和记忆力,为特定疾病提供各种不同类型的锻炼。根据患者的需要,锻炼的难度可能会有所不同。
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引用次数: 0
‘‘Entropy, Externality and Human Evolution’’ to ‘‘Radiator Theory of Brain’’: a Very Short Review “熵、外部性与人类进化”到“脑辐射说”的简评
Pub Date : 2021-09-14 DOI: 10.31579/2578-8868/205
G. Iurato
This review of the paper ‘‘Entropy, externality and human evolution’’ by G. Iurato and A.Yu. Khrennikov, for the Journal of Neuroscience and Neurological Surgery, is aimed to highlight the main neuroscience and paleo-neurology implications of the theoretical research conducted in such a work, above all in relation to the so-called Radiator Theory of evolution of the brain.
这篇由G.Iurato和A.Yu.Khrennikov为《神经科学与神经病学外科杂志》撰写的论文“熵、外部性和人类进化”的综述旨在强调这项工作中进行的理论研究的主要神经科学和古神经病学意义,尤其是与所谓的大脑进化的辐射器理论有关。
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引用次数: 0
Comparing Usa and Mexico Response to Covid as well as Incidence and Death toll for the First 6 Months from February 2020 to august 2020 and the Pandemic on June 1st 2021 比较美国和墨西哥在2020年2月至2020年8月的前6个月和2021年6月1日的大流行期间对Covid的反应以及发病率和死亡人数
Pub Date : 2021-08-07 DOI: 10.31579/2578-8868/197
G. Nava
Both Mexico and United States share a border aswell as Mexico being the country with the most American citizens living abroad and United States housing millions of individuals of Mexican descent, Covid 19 has impacted the world and both countries health system Mexico having to deal with the impact of a pandemic with a much lower budget and personnel compared to United States and aswell United States having to deal with a pandemic occurring in a country with more 330,000,000 persons of all type of ethnicities United states has being the country with the most cases confirmed of covid 19 in the World in this article we will compare the first 6 months of covid 19 in Mexico as well as in the United States and current data for nowadays of Covid 19.
墨西哥和美国接壤,墨西哥是居住在国外的美国公民最多的国家,美国居住着数百万墨西哥人的后裔,Covid 19已经影响了世界和墨西哥两国卫生系统应对流感大流行的影响与更低的预算和人员相比,美国和美国还不得不应对流感大流行发生在一个国家有330000000人的所有类型的种族美国最多的国家的确诊病例Covid 19世界上在本文中,我们将比较Covid 19日在墨西哥的前6个月的美国和目前Covid - 19的最新数据。
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引用次数: 0
Muliple Sclerosis, Corpus Callosum & Epilepsy 多发性硬化症,胼胝体和癫痫
Pub Date : 2021-08-07 DOI: 10.31579/2578-8868/199
Khin Maung Bo
There is a difference in prevalence of Epilepsy in General population & MS patients. Interical Epileptiform Discharges (IED) positivity in EEG is also different in the above two populations. Demyelination slows down the conduction speed of axons and author is proposing that different speed of conduction in adjacent axons can generate re-entrant circuits. If the reentrant circuits involve Corpus callosum (CC) fibers, seizure activities of MS can be triggered. DBS applied to CC can terminate the seizure attack of MS like Vagal Nerve Simulator (VNS) in terminating seizure in general population.
普通人群和多发性硬化症患者的癫痫患病率存在差异。脑电图中癫痫样放电(IED)阳性在上述两种人群中也存在差异。脱髓鞘减慢了轴突的传导速度,作者提出相邻轴突不同的传导速度可以产生重入回路。如果重入回路涉及胼胝体(CC)纤维,则可触发多发性硬化症的癫痫发作活动。DBS应用于CC可以像迷走神经模拟器(VNS)终止一般人群的癫痫发作一样终止MS的发作。
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引用次数: 0
期刊
Journal of neuroscience and neurological surgery
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