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Loss of Hearing Sensitivity in the Elderly 老年人听力敏感性丧失
Pub Date : 2021-03-19 DOI: 10.31579/2578-8868/172
F. Ponte
Aging, consensually assumed as a process that affects and alters significantly the cognitive and behavioral functions of the human being , encompassing multiple effects on a number of clinically significant variables , the most important being those that directly relate to the movement, ability to balance the effectiveness of mental functioning and sensory functions such as taste, smell , sight and hearing . Hearing loss in the elderly, scientifically called presbiacustia emerges quietly and is increased progressively with advancing age. This study had as its aim to contribute to the achievement of the best quality of life for elderly individuals with hearing loss (presbycusis). Thus, the objectives targeted were: trying to understand the motivations of the elderly to the use of hearing aids; determine the degree of satisfaction of users of these prostheses; evaluate how Preabycusis affects the quality of life of the elderly. The method used was qualitative oriented once interviewed the elderly users of the home. The sample was composed of 110 participants, with presbycusis, 69 female and 41 male (institutionalized seniors).
人们普遍认为衰老是一个显著影响和改变人类认知和行为功能的过程,包括对许多临床显著变量的多重影响,最重要的是那些直接与运动、平衡心理功能和感官功能(如味觉、嗅觉、视觉和听觉)的能力有关的影响。老年人的听力损失,科学上称为老年性耳聋,悄然出现,并随着年龄的增长而逐渐增加。这项研究的目的是为老年人听力损失(老年性耳聋)的最佳生活质量做出贡献。因此,目标是:试图了解老年人使用助听器的动机;确定义肢使用者的满意程度;评估鼻窦炎对老年人生活质量的影响。使用的方法是定性导向,曾经采访的老年用户的家。样本由110名参与者组成,其中老年性痴呆患者69名女性,41名男性(机构老年人)。
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引用次数: 0
The Ultrasonic Electrical Stimulation Treating Recent Pain after Minimally Invasive Intervention with Disc Degenerative Diseases 超声电刺激治疗椎间盘退行性疾病微创治疗后近期疼痛
Pub Date : 2021-01-01 DOI: 10.31579/2578-8868/186
Fang Xie
Objective:To explore the analgesic effect of ultrasonic electrical stimulation for recent pain after minimally invasive interventional therapy for intervertebral disc degenerative diseases (DDD). Methods:From January to August 2019, 130 patients with DDD who were treated by minimally invasive intervention of intervertebral disc, and then were randomly divided into electrical stimulation group and conservative treatment group. After minimally invasive intervention, the electrical stimulation group was treated by ultrasonic electrical stimulation once a day for 7 days. The conservative treatment group was treated with conventional acupuncture and massage once a day for 3 days.The pain degree of before treatment and 3 days, 7 days and 1 month(m) after treatment were evaluated by pain numberical rating scale (NRS), the curative effect of 1 m post-cure was evaluated by NRS weighting method. Results:There was no significant difference of NRS score between the two groups before treatment (P > 0.05). NRS of electrical stimulation group were significant lower than those in conservative treatment group, which was evaluated at several time point for 3 days, 7 days and one month after treatment (P < 0.001). The curative effect of electrical stimulation group on one month after interventional treatment was significantly higher than that of conservative treatment group (P < 0.001). Conclusion:The therapeutic effect of ultrasonic electrical stimulation is better than that of traditional acupuncture and massage for recent pain after minimally invasive interventional therapy with DDD, it is worthy to popularize in clinical treatment. Key words: After interventional therapy with DDD; The recent pain; ultrasonic electrical stimulation
目的:探讨超声电刺激对椎间盘退行性疾病微创介入治疗后近期疼痛的镇痛效果。方法:2019年1 - 8月,选取经微创椎间盘介入治疗的DDD患者130例,随机分为电刺激组和保守治疗组。微创干预后,电刺激组采用超声电刺激治疗,每天1次,连用7天。保守治疗组采用常规针刺加推拿治疗,每日1次,连用3天。采用疼痛数字评定量表(NRS)评定治疗前及治疗后3天、7天、1个月(m)的疼痛程度,采用NRS加权法评定治疗后1 m的疗效。结果:两组患者治疗前NRS评分比较,差异无统计学意义(P < 0.05)。电刺激组在治疗后3 d、7 d、1个月的多个时间点的NRS评分均显著低于保守治疗组(P < 0.001)。电刺激组介入治疗1个月后的疗效显著高于保守治疗组(P < 0.001)。结论:超声电刺激对DDD微创介入治疗后近期疼痛的治疗效果优于传统针刺和按摩,值得在临床推广应用。关键词:DDD介入治疗后;最近的痛苦;超声波电刺激
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引用次数: 0
Associations between Intensive Lipid-lowering Therapy and Outcomes of Intracerebral Hemorrhage 强化降脂治疗与脑出血预后的关系
Pub Date : 2021-01-01 DOI: 10.31579/2578-8868/200
T. Tang
Background: The intensive lipid-lowering therapy (ILLT), targeting an low-density lipoprotein cholesterol (LDL-C) < 1.80 mmol/L, was a crucial strategy for the secondary prevention of cerebrovascular diseases. But the associations between ILLT and the outcomes after intracerebral hemorrhage (ICH) were unclear. Materials and Methods: Data of the consecutive patients with acute ICH and past medical histories of ischemic stroke from 2017 to 2019 at an academic stroke center in China were analyzed. The study patients were classified according to their baseline LDL-C levels: < 1.80 mmol/Lvs. ≥ 1.80 mmol/L. The outcomes of ICH were compared between the two groups. Multivariate linear mixed effect model with repeated measures adjusting for ICH scores were used to determine the associations between LDL-C levels and the change in NIHSS scores; baseline ICH scores were adjusted in the multi-variable models Results: A total of 197 patients were included in the study, 31 of them had LDL-C < 1.80 mmol/L and 166 had LDL-C ≥ 1.80 mmol/L. We did not test any significant differences regarding the demographic characteristics or vascular risk factors. Medians of the baseline National Institutes of Health Stroke Scale (NIHSS) scores (8 vs. 9, P = 0.79) and ICH scores (1 vs.1, P = 0.26) were similar. But the patients with LDL-C < 1.80 mmol/L had higher risks of secondary intraventricular hemorrhage (13% vs. 4%, P = 0.03). Outcomes of the hemorrhagic stroke at discharge were similar, except the patients with LDL-C ≥ 1.80 mmol/L had significant improvements in their NIHSS scores at discharge (estimated change in means: -2.4, 95% CI: [-4.3, -0.5]), while patients with LDL-C < 1.80 mmol/L did not (estimated change in means: -1.4, 95% CI: [-5.9, 3.0]). Conclusion: ILLT achieved LDL-C < 1.80 mmol/L was associated with limited improvements in the neurological deficits in the patients with ICH.
背景:以低密度脂蛋白胆固醇(LDL-C) < 1.80 mmol/L为靶点的强化降脂治疗(ILLT)是脑血管疾病二级预防的重要策略。但ILLT与脑出血(ICH)后预后之间的关系尚不清楚。材料与方法:分析2017 - 2019年中国某脑卒中学术中心连续急性脑出血患者及缺血性脑卒中病史资料。研究患者根据基线LDL-C水平进行分类:< 1.80 mmol/ lv。≥1.80 mmol/L。比较两组脑出血的预后。采用重复测量的多变量线性混合效应模型调整ICH评分,以确定LDL-C水平与NIHSS评分变化之间的关系;结果:共纳入197例患者,其中LDL-C < 1.80 mmol/L 31例,LDL-C≥1.80 mmol/L 166例。我们没有测试任何关于人口统计学特征或血管危险因素的显著差异。基线美国国立卫生研究院卒中量表(NIHSS)评分中位数(8比9,P = 0.79)和ICH评分中位数(1比1,P = 0.26)相似。但LDL-C < 1.80 mmol/L的患者继发性脑室内出血的风险更高(13% vs. 4%, P = 0.03)。出血性卒中出院时的结局相似,但LDL-C≥1.80 mmol/L的患者出院时的NIHSS评分有显著改善(估计平均值变化:-2.4,95% CI:[-4.3, -0.5]),而LDL-C < 1.80 mmol/L的患者则没有(估计平均值变化:-1.4,95% CI:[-5.9, 3.0])。结论:ILLT达到LDL-C < 1.80 mmol/L与脑出血患者神经功能障碍改善有限相关。
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引用次数: 0
Factors Associated with Short-Term Seizure Recurrence in Extratemporal Epilepsy Surgery 颞外癫痫手术中短期发作复发的相关因素
Pub Date : 2021-01-01 DOI: 10.31579/2578-8868/196
A. Santos
Introduction: Drug-resistant extratemporal epilepsy is the second cause of referral to epilepsy surgery. Objectives: To identify factors associated with short-term seizure recurrence following extratemporal epilepsy surgery. Materials and Methods: We performed a retrospective study of 19 consecutive patients who underwent surgery for drug-resistant extratemporal epilepsy at the National Institute of Neurology and Neurosurgery of Havana, Cuba, from September 2014 to October 2019. All patients had at least one year of postoperative follow-up. Fisher's exact test was used to search for an association between dichotomous variables. A value of p≤0.05 was considered significant. Results: After one year of follow-up, seizure freedom reached 31.6% (Engel I) and 36.8% showed significant improvement in the number of seizures (Engel II). The frontal location (p=0.046) and incomplete resection of the epileptogenic zone (p=0.017), bilateral interictal discharges on the preoperative electroencephalogram (EEG) (p=0.017), the presence of epileptiform discharges on the postsurgical EEG (p=0.001), and the occurrence of seizures after the sixth month of surgery (p=0.001), were associated with seizures recurrence. Conclusions: After one year, 31.6% of patients operated on for extratemporal epilepsy were seizure-free. The incomplete resection of the epileptogenic zone and the presence of epileptogenic discharges in the postsurgical EEG, and the presence of seizures after the sixth month of surgery were the most significant factors of seizure recurrence.
简介:耐药颞外癫痫是癫痫手术转诊的第二大原因。目的:探讨颞外癫痫手术后短期癫痫复发的相关因素。材料与方法:我们对2014年9月至2019年10月在古巴哈瓦那国家神经病学和神经外科研究所连续接受耐药颞外癫痫手术的19例患者进行了回顾性研究。所有患者术后随访至少1年。费雪精确检验用于寻找二分类变量之间的关联。p≤0.05被认为是显著的。结果:随访1年后,癫痫发作自由达到31.6% (Engel I),癫痫发作次数明显改善36.8% (Engel II)。额叶位置(p=0.046)和癫痫区切除不全(p=0.017)、术前脑电图双侧间期放电(p=0.017)、术后脑电图癫痫样放电(p=0.001)、术后6个月癫痫发作发生情况(p=0.001)。与癫痫复发有关。结论:手术1年后,31.6%的颞外癫痫患者无癫痫发作。致痫区切除不全、术后脑电图中存在致痫性放电、术后6个月出现癫痫发作是癫痫复发的最重要因素。
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引用次数: 0
Mig-RL: a Natural Preventive Treatment Against Migraine. Outcomes of a Randomized, Double-Blind Clinical Trial 米格- rl:偏头痛的天然预防治疗。一项随机双盲临床试验的结果
Pub Date : 2021-01-01 DOI: 10.31579/2578-8868/192
R. Shrivastava
BACKGROUND The efficacy and safety of Mig-RL (Commercial name HERBA MIG), a synergistic association of two plant extracts, Tanacetum parthenium (150mg, 0.5% parthenolide) and Salix Alba (150mg, 25% salicin) were investigated as a preventive treatment for episodic migraine. Mig-RL was compared with a placebo in a randomized, double-blind clinical trial. MATERIALS AND METHODS This trial included 129 patients having episodic migraine and diagnosed with migraines without aura for over a year and meeting the migraine criteria, as defined in the International Classification of Headache Disorder (ICHD-3 :1.1). P). Baseline data was collected for 28 days before the start of the three-months treatment period. Patients were randomized in a 1:1 ratio to receive either Mig-RL (a single dose of 300mg per day, per os) or placebo (identical capsules containing 300 mg starch, 1 per day, per os) for a period of 12 consecutive weeks. The primary endpoint was the mean change in the average number of migraine days per month, comparing the baseline 28-days pre-intervention period with the weeks 9 to 12 after the first dose of the trial regimen. Secondary endpoints were the percentage of patients with a reduction of at least 30% in the average number of migraine days per month and days of use of any acute headache medication per month. The HIT-6 and MIDAS scores were also evaluated vs. baseline between the two groups. RESULTS Out of 172 patients enrolled, 129 were randomly assigned to the Mig-RL arm (n=65) or the placebo arm (n=64). The mean (±SD) number of baseline migraine days per month was 8.4±1.9 and 8.7±1.9, respectively. The mean reduction in the average number of migraine days per month was 2.5±0.4 (p<0.001) with Mig-RL and 1.9±0.4 (p<0.001) with placebo. A difference of 0.6±0.4 (p=0.01) between the two groups. The percentage of patients with at least 30% reduction in average number of migraine days per month was 49% in Mig-RL and 32% in placebo (p<0.05 vs. placebo). Only a few isolated and minor side effects were reported and overall Mig-RL was well tolerated by patients. CONCLUSIONS Mig-RL, a synergistic combination of two plant extracts, seems to have a moderate effect in the prevention of migraines. Without side effects, the combination of Tanacetum parthenium and Salix alba could be an additional help for some patients. However, further investigations and an improvement in the quality of the plants are still necessary.
MIG - rl(商业名称HERBA MIG)是一种由两种植物提取物——巴纳塞(Tanacetum parthenium, 150mg, 0.5% parthenolide)和Salix Alba (150mg, 25%水杨酸)协同作用而成的药物,研究了其预防偏头痛发作的疗效和安全性。在一项随机双盲临床试验中,米格- rl与安慰剂进行了比较。材料和方法本试验纳入129例发作性偏头痛患者,诊断为一年以上无先兆偏头痛,符合国际头痛疾病分类(ICHD-3:1.1)中定义的偏头痛标准。3个月治疗期开始前28天收集基线数据。患者以1:1的比例随机接受米格- rl(每天300毫克的单剂量,每10分钟)或安慰剂(含有300毫克淀粉的相同胶囊,每天1次,每10分钟),连续12周。主要终点是每月平均偏头痛天数的平均变化,比较干预前28天的基线期与试验方案第一次剂量后的第9至12周。次要终点是每月偏头痛平均天数减少至少30%的患者百分比和每月使用任何急性头痛药物的天数。HIT-6和MIDAS评分也比较两组之间的基线。在纳入的172例患者中,129例被随机分配到米格- rl组(n=65)或安慰剂组(n=64)。每月基线偏头痛天数的平均值(±SD)分别为8.4±1.9和8.7±1.9。米格- rl组每月平均偏头痛天数减少2.5±0.4天(p<0.001),安慰剂组每月平均偏头痛天数减少1.9±0.4天(p<0.001)。两组间差异为0.6±0.4 (p=0.01)。米格- rl组每月平均偏头痛天数减少至少30%的患者比例为49%,安慰剂组为32%(与安慰剂相比p<0.05)。仅报道了少数孤立和轻微的副作用,患者对米格- rl的总体耐受性良好。结论:Mig-RL是两种植物提取物的协同组合,似乎在预防偏头痛方面具有中等效果。在没有副作用的情况下,牛膝草和白柳的组合对一些患者可能是一个额外的帮助。然而,进一步的研究和提高植物的质量仍然是必要的。
{"title":"Mig-RL: a Natural Preventive Treatment Against Migraine. Outcomes of a Randomized, Double-Blind Clinical Trial","authors":"R. Shrivastava","doi":"10.31579/2578-8868/192","DOIUrl":"https://doi.org/10.31579/2578-8868/192","url":null,"abstract":"BACKGROUND The efficacy and safety of Mig-RL (Commercial name HERBA MIG), a synergistic association of two plant extracts, Tanacetum parthenium (150mg, 0.5% parthenolide) and Salix Alba (150mg, 25% salicin) were investigated as a preventive treatment for episodic migraine. Mig-RL was compared with a placebo in a randomized, double-blind clinical trial. MATERIALS AND METHODS This trial included 129 patients having episodic migraine and diagnosed with migraines without aura for over a year and meeting the migraine criteria, as defined in the International Classification of Headache Disorder (ICHD-3 :1.1). P). Baseline data was collected for 28 days before the start of the three-months treatment period. Patients were randomized in a 1:1 ratio to receive either Mig-RL (a single dose of 300mg per day, per os) or placebo (identical capsules containing 300 mg starch, 1 per day, per os) for a period of 12 consecutive weeks. The primary endpoint was the mean change in the average number of migraine days per month, comparing the baseline 28-days pre-intervention period with the weeks 9 to 12 after the first dose of the trial regimen. Secondary endpoints were the percentage of patients with a reduction of at least 30% in the average number of migraine days per month and days of use of any acute headache medication per month. The HIT-6 and MIDAS scores were also evaluated vs. baseline between the two groups. RESULTS Out of 172 patients enrolled, 129 were randomly assigned to the Mig-RL arm (n=65) or the placebo arm (n=64). The mean (±SD) number of baseline migraine days per month was 8.4±1.9 and 8.7±1.9, respectively. The mean reduction in the average number of migraine days per month was 2.5±0.4 (p<0.001) with Mig-RL and 1.9±0.4 (p<0.001) with placebo. A difference of 0.6±0.4 (p=0.01) between the two groups. The percentage of patients with at least 30% reduction in average number of migraine days per month was 49% in Mig-RL and 32% in placebo (p<0.05 vs. placebo). Only a few isolated and minor side effects were reported and overall Mig-RL was well tolerated by patients. CONCLUSIONS Mig-RL, a synergistic combination of two plant extracts, seems to have a moderate effect in the prevention of migraines. Without side effects, the combination of Tanacetum parthenium and Salix alba could be an additional help for some patients. However, further investigations and an improvement in the quality of the plants are still necessary.","PeriodicalId":73865,"journal":{"name":"Journal of neuroscience and neurological surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70017179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploratory factorial structure of the experience induced abortion 人工流产经验的探索性因子结构
Pub Date : 2021-01-01 DOI: 10.31579/2578-8868/174
C. Lirios
From a review of studies on abortion, a non - random selection of 100 college students to reliability and validity eight subscales of norms, beliefs, values, perceptions, attitudes, motives, intentions and experiences concerning the request was made of assisted legal abortion. The results show that family standards affect experiences, but intentions and perceptions also impacted on them. In this regard, it is noted on the influence of more than rational support when the request for abortion, attend lectures on the subject, religious talks, consultations with experts, legal assistance procedures or curettage promoting affective processes. Such an exercise will allow to anticipate the effects of sexual health programs on student groups and the use of contraceptives.
在回顾堕胎研究的基础上,对100名大学生进行非随机抽样,编制了辅助合法堕胎请求的规范、信念、价值观、认知、态度、动机、意图和经历八个分量表的信度和效度。结果表明,家庭标准会影响体验,但意图和观念也会影响体验。在这方面,委员会注意到,在请求堕胎、参加有关该主题的讲座、宗教讲座、与专家协商、法律援助程序或促进生育的情感过程时,过度支持的影响。这样一项工作将使我们能够预测性健康项目对学生群体和避孕药具使用的影响。
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引用次数: 0
Limbic system 大脑边缘系统
Pub Date : 2021-01-01 DOI: 10.31579/2578-8868/159
Modhi A. Alhussinan
The limbic system forms a crucial part of the human brain. It is a network of structures that set beneath temporal lobe and on both sides of thalamus. It has a wide range of functions which mainly involve in our behavioral and emotional responses. Therefore, any disruption to the system may lead to devastating neurological conditions. This essay will explore the structure of the limbic system, its functional organization utilizing neurological diseases or damage to demonstrate the association between that specific affected brain region and function.
大脑边缘系统是人类大脑的重要组成部分。它是一个位于颞叶下方和丘脑两侧的网状结构。它具有广泛的功能,主要涉及我们的行为和情绪反应。因此,对该系统的任何破坏都可能导致毁灭性的神经系统疾病。这篇文章将探讨边缘系统的结构,它的功能组织利用神经疾病或损伤来证明特定的受影响的大脑区域和功能之间的联系。
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引用次数: 0
The Importance of Cognitive Styles: Dependence and Field Independence (DIC) in the Memory Process 认知风格在记忆过程中的重要性:依赖与场独立
Pub Date : 2021-01-01 DOI: 10.31579/2578-8868/180
F. Ponte
It is in the framework of a cognition orientation, or theory of information processing, that we seek the theoretical models that can best support us in the analysis of human cognitive functioning, specifically in the tasks of learning and problem solving.
正是在认知取向或信息处理理论的框架中,我们寻求最能支持我们分析人类认知功能的理论模型,特别是在学习和解决问题的任务中。
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引用次数: 0
Atlantoaxial subluxation due to os odontoideum combined with cervical spondylotic myelopathy: case report and literature review 齿状突关节寰枢椎半脱位合并脊髓型颈椎病1例报告及文献复习
Pub Date : 2020-12-21 DOI: 10.31579/2578-8868/139
Ye Tian
Study Design: This was a case report and literature review Objective: We describe a case of os odontoideum combined with cervical spondylotic myelopathy (CSM), both of which require surgical treatment. Summary of Background Data: Cervical spondylotic myelopathy is often a disease of the older population, while os odontoideum is a well known disease mainly diagnosed in children and young adults but rarely in the middle-aged population. Os odontoideum combined with cervical spondylotic myelopathy, both of which require surgical treatment is even more rare, there was only one such case in the literature. Methods: We describe a 68-year-old male who underwent C1–C2 posterior screw-rod fixation for os odontoideum and cervical posterior single open-door laminoplasty for cervical spondylotic myelopathy. Results: Twelve months after surgery, the patient showed improvement and the plain radiographs showed no loss of correction or instrumentation failure. Conclusions: To our best knowledge, this is the second case of surgical stabilization for both cervical spondylotic myelopathy and myelopathy atlantoaxial subluxation due to os odontoideum.
研究设计:这是一份病例报告和文献综述目的:我们描述一例齿状突合并脊髓型颈椎病(CSM),这两种疾病都需要手术治疗。背景资料摘要:脊髓型颈椎病通常是老年人的一种疾病,而齿突是一种众所周知的疾病,主要诊断于儿童和年轻人,但很少诊断于中年人。Os齿状突合并脊髓型颈椎病,两者都需要手术治疗,这种情况更为罕见,文献中只有一例。方法:我们描述了一名68岁的男性患者,他接受了C1–C2后螺钉杆固定治疗齿状突,并接受了颈前路单开门椎板成形术治疗脊髓型颈椎病。结果:术后12个月,患者病情有所好转,平片显示无矫正丢失或器械故障。结论:据我们所知,这是脊髓型颈椎病和脊髓型寰枢椎半脱位的第二例手术稳定。
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引用次数: 0
The Theory of Mind (ToM): theoretical, neurobiological and clinical profiles 心理理论:理论、神经生物学和临床概况
Pub Date : 2020-10-28 DOI: 10.31579/2578-8868/141
G. Perrotta
The concept of "Theory of Mind" (ToM) is defined as the cognitive ability to represent one's own and others' mental states, in terms of thoughts and beliefs, but also of desires, demands and feelings, so that one can explain and predict behaviour. In this work the theoretical profiles, the main reference models, the related neurobiological and clinical profiles are analysed, orienting future research on the question whether or not it is interesting to further investigate the theoretical aspects under examination, such as empathy and the perception of the self and the other in relation to the neurobiological components, to draw a common line able to connect the loss of these functions with the accentuation or the onset of certain pathologies, wondering whether it is the functional compromises of these capacities and functions that cause the psychopathological condition to arise or whether it is rather the disease that induces the dysfunctional modification of these capacities or functions.
“心理理论”(ToM)的概念被定义为在思想和信仰方面,以及在欲望、要求和感受方面,代表自己和他人心理状态的认知能力,以便解释和预测行为。在这项工作中,分析了理论概况、主要参考模型、相关的神经生物学和临床概况,为未来的研究提供了方向,即是否有兴趣进一步研究所研究的理论方面,如移情以及与神经生物学成分相关的自我和他人的感知,为了画出一条能够将这些功能的丧失与某些病理的加重或发作联系起来的共同线,想知道是这些能力和功能的功能损害导致了精神病理学状况的出现,还是疾病导致了这些能力或功能的功能失调。
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引用次数: 4
期刊
Journal of neuroscience and neurological surgery
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