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Bisexuality: definition, humanistic profiles, neural correlates and clinical hypotheses 双性恋:定义,人文概况,神经关联和临床假设
Pub Date : 2020-01-01 DOI: 10.31579/2578-8868/138
G. Perrotta
This work focuses on the study of neurobiological and functional profiles in terms of bisexuality, to carefully evaluate the direct correlation between anatomical and physiological elements and the choice of sexual preferences oriented on both sexes, hypothesizing any clinical profiles.
本研究的重点是研究双性恋的神经生物学和功能特征,仔细评估解剖和生理因素与两性取向的性偏好选择之间的直接关系,并假设任何临床特征。
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引用次数: 22
The pharmacological treatment of epileptic seizures in children and adults: introduction, clinical contexts, psychopharmacological profiles and prospects in the neurogenetic field 儿童和成人癫痫发作的药物治疗:介绍,临床背景,精神药理学概况和神经遗传学领域的前景
Pub Date : 2020-01-01 DOI: 10.31579/2578-8868/137
G. Perrotta
Recalling the concept of "epilepsy", already analyzed in a previous publication, this work focuses on the specific study of the best pharmacological treatments for the morbid condition under examination, paying attention to the clinical and prospective aspects of therapy, also in light of recent discoveries in the neuroinflammatory and neurogenetic field.
回顾“癫痫”的概念,在之前的出版物中已经分析过,这项工作侧重于对所检查的病态疾病的最佳药物治疗的具体研究,关注治疗的临床和前景方面,也考虑到神经炎症和神经遗传学领域的最新发现。
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引用次数: 10
Aging and Social Gerontology vs Social Accounting in Developing Countries 发展中国家的老龄化和社会老年学与社会会计
Pub Date : 2020-01-01 DOI: 10.31579/2578-8868/105
M. Sheykhi
Though aging is a gift in general, it may be a hard time for many in developing countries in particular. Aging may be defined as the combination of biological, social and psychological processes that affect people as they grow older. The first refers to the physical body, the second refers to cultural values, norms and role expectations that change with age, and the third refers to the change in one's emotional, cognitive and mental capabilities. Science, modern technologies, improved agriculture, sanitation, medicaments, improved nutrition and many more developments have brought about aging increase and declining mortality. Social aspects of aging or social gerontology as a new phenomenon needs to be taken into account through social accounting. As rapid changes are emerging in population structure in modern times, social accountants need to study and project different emerging changes of population including aging and gerontology. While aging is affected by the quality of the society, it affects society too. Such a phenomenon is currently appearing in the developing world. Similarly, aging people find a different psychology and lifestyle contradicting their younger ages. Such a dramatic change needs more applicable inspection including geriatrics and social accounting. However, complications in elderly life is ever appearing and increasing. Method of research used in the present paper is mainly based on a qualitative approach. Various subtitles discussed in the present paper, result from aging, or influence aging phenomenon. The paper concludes that social accounting widely affects healthy aging.
虽然老龄化总体上是一份礼物,但对于许多发展中国家来说,这可能是一段艰难的时期。衰老可以定义为随着年龄的增长,影响人们的生物、社会和心理过程的结合。第一个是指身体,第二个是指随着年龄变化的文化价值观、规范和角色期望,第三个是指一个人的情感、认知和心理能力的变化。科学、现代技术、改进的农业、卫生、药物、改善的营养以及更多的发展带来了老龄化的增加和死亡率的下降。老龄化的社会方面或社会老年学作为一种新的现象,需要通过社会核算加以考虑。随着现代人口结构的快速变化,社会会计需要研究和预测不同的人口新变化,包括老龄化和老年学。老龄化受到社会质量的影响,同时也影响着社会。这种现象目前正在发展中国家出现。同样,上了年纪的人会发现与年轻时不同的心理和生活方式。这种巨大的变化需要更多适用的检查,包括老年病学和社会会计。然而,老年生活中的并发症不断出现并不断增加。本文采用的研究方法主要基于定性方法。本文讨论的各种字幕,都是老化的结果,或者是对老化现象的影响。本文认为,社会会计对健康老龄化有着广泛的影响。
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引用次数: 0
The investigation of Intraoperative Neurophysiological Monitoring and its Relevance to Neuroethics 术中神经生理监测的研究及其与神经伦理学的关系
Pub Date : 2020-01-01 DOI: 10.31579/2578-8868/116
Raúl Roberto Valdés Sedeño
Intraoperative Neurophysiological Monitoring evaluates nervous system responses during surgery and classifies data as normal or abnormal. However it has been difficult to standardize Intraoperative Neurophysiological Monitoring results and to link intraoperative data to post-surgical outcomes, with alert criteria and concepts that contrast through laboratories and guidelines. Clinical Randomized Trials have not been applied for investigation because of ethical issues, but still more investigation is needed. Neuroethics and Intraoperative Neurophysiological Monitoring are related because the latter encompass patient’s post-surgical outcome and life quality. In this paper investigation methods proposed for Intraoperative Neurophysiological Monitoring are reviewed with consequent opinions. Moreover a quasi-experimental design for investigation is proposed, which is closer to Neuroethics and patients wellbeing.
术中神经生理监测评估手术过程中的神经系统反应,并将数据分类为正常或异常。然而,很难标准化术中神经生理监测结果,并将术中数据与术后结果联系起来,通过实验室和指南对比警报标准和概念。由于伦理问题,临床随机试验尚未应用于研究,但仍需要更多的研究。神经伦理学和术中神经生理监测是相关的,因为后者包括患者的术后结果和生活质量。本文对术中神经生理监测的调查方法进行综述,并提出自己的看法。此外,还提出了一种更接近神经伦理学和患者福祉的准实验研究设计。
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引用次数: 0
Ehlers-Danlos and respiratory function. Clinical data on a cohort of 5,700 patients: oxygen therapy and physical rehabilitation medicine (P.R.M.) Ehlers-Danlos和呼吸功能5700例患者的临床数据:氧疗和物理康复医学(P.R.M.)
Pub Date : 2020-01-01 DOI: 10.31579/2578-8868/122
Claude Hamone
Ehlers-Danlos syndrome (EDS) appears today to be very common but is still, paradoxically, considered as rare because of a very scarce and belated diagnosis. Respiratory manifestations (exertional dyspnea, painful inspiratory bradypnea and sleep apnea are among the poorly understood manifestations of this diffuse inherited collagen disease. They can cause diagnostic errors, especially with asthma, which can lead to worsening, in these patients with very fragile tissues (including bones), contraindicating corticosteroid therapy. EDS should be systematically discussed in case of respiratory disorders in children but also in adults. There are very beneficial effects observed with oxygen therapy which considerably helps with symptoms such as fatigue, migraine, cognition, by correcting cerebral anoxia which accompanies it. Pneumologists should be made aware of the benefits of oxygen therapy when faced with an EDS patient as they may have to prescribe it.
埃勒斯-丹洛斯综合征(EDS)今天看起来很常见,但矛盾的是,由于诊断非常稀少和迟来,它仍然被认为是罕见的。呼吸表现(用力性呼吸困难、疼痛性吸气性呼吸缓慢和睡眠呼吸暂停)是这种弥漫性遗传性胶原蛋白疾病的一些鲜为人知的表现。它们可能导致诊断错误,特别是哮喘,在这些组织非常脆弱(包括骨骼)的患者中,可能导致病情恶化,禁止使用皮质类固醇治疗。应系统地讨论EDS在儿童呼吸系统疾病的情况下,也在成人。观察到氧气疗法有非常有益的效果,通过纠正伴随的大脑缺氧,它对疲劳、偏头痛、认知等症状有很大帮助。当面对EDS患者时,肺科医生应该意识到氧气治疗的好处,因为他们可能不得不开处方。
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引用次数: 3
Neuronavigation as a Tool for Pre-Surgical Planning in Refractory Epilepsy Surgery 神经导航作为难治性癫痫手术术前计划的工具
Pub Date : 2019-12-17 DOI: 10.31579/2578-8868/095
C. V. Calderón
Summary Epilepsy is one of the most frequent chronic neurological pathologies, with high incidence and prevalence worldwide. A third of these patients are resistant to treatment, which is known as refractory epilepsy. Most of these patients suffer epilepsy secondary to epileptogenic lesions, where the surgery is the only treatment that could cure epilepsy. The goal of epilepsy surgery is to remove the epileptogenic area with preservation of eloquent areas, and here the surgical experience, the neuroimaging technology and the availability of image-guided surgery systems known as a neuronavigator plays a key role. Objectives: To demonstrate the usefulness of neuronavigation in pre-surgical planning and in the surgery of refractory epilepsy. Method: A cross-sectional and analytical descriptive study was conducted based on 47 surgeries performed (12 resective, 32 palliative and 3 diagnostic) in patients with refractory epilepsy and mean age of 9.93 years (SD 4.1). In 27 patients (57.44%) the neuronavigator was used. In the group of patients operated with neuronavigation, the surgical time decreased by 47.17 minutes (p = 0.022), the amount of bleeding by 111.41 milliliters (p = 0.011) and the days of hospitalization by 6.68 days (p = 0.005), compared with the group operated without neuronavigation. Complications in the neuronavigation group were 29.63% compared to 65% in the group operated without neuronavigation (p = 0.034). Conclusions: In our series, the use of the neuronavigator in the planning and development of the surgery had a significant impact by reducing the amount of bleeding lost, the surgical time, the days of hospitalization, and the post-surgical complications.
癫痫是最常见的慢性神经系统疾病之一,在世界范围内具有很高的发病率和患病率。这些患者中有三分之一对治疗有抗药性,这被称为难治性癫痫。这些患者大多继发于癫痫病变,手术是唯一可以治愈癫痫的治疗方法。癫痫手术的目标是切除致痫区,同时保留有效区域,在这里,手术经验、神经成像技术和可用的图像引导手术系统(称为神经导航器)起着关键作用。目的:探讨神经导航技术在难治性癫痫术前规划及手术中的应用价值。方法:对平均年龄9.93岁(SD 4.1)的顽固性癫痫患者进行47例手术(切除12例,姑息32例,诊断3例)的横断面分析性描述性研究。27例(57.44%)患者使用神经导航仪。与未行神经导航组相比,行神经导航组手术时间减少47.17 min (p = 0.022),出血量减少111.41 ml (p = 0.011),住院天数减少6.68 d (p = 0.005)。神经导航组并发症发生率为29.63%,非神经导航组为65% (p = 0.034)。结论:在我们的系列研究中,神经导航仪在手术计划和发展中的应用通过减少出血量、手术时间、住院天数和术后并发症而产生了显著的影响。
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引用次数: 0
Ataxia Following Allogenic Stem Cell Transplantation: No Stone Unturned 同种异体干细胞移植后的共济失调:无坚不摧
Pub Date : 2019-12-17 DOI: 10.31579/2578-8868/108
C. Maurice, Austin M. Pereira, Warren P. Mason
A thirty-one year-old Sri Lankan man presented with a two-month history of progressive pan-cerebellar syndrome, following allogeneic stem cell transplantation. This curative-intent therapy was performed in the context of an underlying acute myeloid leukemia. During the post-transplant period, patients are extremely vulnerable, especially due to the immunologic fluctuations. Reaching equilibrium is crucial, preventing complications of both extremes of the immunologic response, such as opportunistic infections or graft versus host disease. Numerous aetiologies were considered in the differential diagnosis of this pan-cerebellar syndrome. Most of those conditions mandate a prompt management, because of their reversible or lethal nature. Our thorough investigation process was a race against time. Excluding “Red Flags” remains the priority. Mindfulness and time will eventually lead to the proper diagnosis. We discuss our structured investigation process emphasizing on the key element: a “Systematic Approach”.
一名31岁的斯里兰卡男子在异基因干细胞移植后,有两个月的进行性泛小脑综合征病史。这种治疗目的性治疗是在潜在急性髓系白血病的背景下进行的。在移植后的时期,患者非常脆弱,尤其是由于免疫波动。达到平衡至关重要,可以预防免疫反应的两种极端并发症,如机会性感染或移植物抗宿主病。在这种泛小脑综合征的鉴别诊断中,考虑了许多病因。由于这些情况具有可逆性或致命性,大多数情况都要求立即进行管理。我们的彻底调查过程是在与时间赛跑。排除“危险信号”仍然是优先事项。正念和时间最终会导致正确的诊断。我们讨论了我们的结构化调查过程,强调关键要素:“系统方法”。
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引用次数: 0
Healing Noble Brains and Nobel Laureates as Peacemakers 治愈高尚的头脑和诺贝尔和平缔造者
Pub Date : 2019-12-17 DOI: 10.31579/2578-8868/110
Konrad Frischeisen
Saint Hildegard’s and Viktor Frankl’s healing methods and Split Brain Research inspired by Hildegard, Gerty Spies, Leibniz, Kant, Goethe, Schiller, Humboldt, Binnig & Co.
圣希尔德加德和维克托·弗兰克尔的治疗方法和分裂大脑研究受到希尔德加德、格蒂·斯皮斯、莱布尼茨、康德、歌德、席勒、洪堡、宾尼格公司的启发。
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引用次数: 0
Why the wrong Scientific Theories are not Corrected and Re-evaluated again by Scientists 为什么错误的科学理论不被科学家纠正和重新评估
Pub Date : 2019-12-17 DOI: 10.31579/2578-8868/099
Othman Salim Hussein Al-Fleesy
In the journey of science and scientific discoveries, many scientific theories and hypotheses developed by scientists received acceptance and became famous in the past, but now, science proved them wrong1. To the point of wondering, one asks himself, how these theories went, and how scientists have accepted their interpretation at that time to be rejected now?.
在科学和科学发现的旅程中,科学家们提出的许多科学理论和假设在过去被接受并成名,但现在,科学证明他们是错误的。人们不禁要问自己,这些理论是如何发展的,科学家们是如何接受当时的解释而现在却被拒绝的?
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引用次数: 0
The Geography and Demographics of Mortality from Alzheimer's disease 阿尔茨海默病死亡率的地理和人口统计
Pub Date : 2019-12-17 DOI: 10.31579/2578-8868/101
A. Kholmanskiy
Study nature of epidemiological risk factors and patterns of distribution of mortality from Alzheimer's (MA) in 160 countries. An exponential Malthus model was used to construct adequate approximations of statistical data. Proportionality of average lifetime after 55 years (Δt) to education index (Ψ) was established. Ranking of countries by increasing value of ΨΔt showed that MA depends exponentially on ΨΔt and all countries can be divided into three groups in accordance with level of their economic development. In series of countries of low, medium and highly developed, their average values of MA increase exponentially. Growth of MA in developed countries in post-industrial epoch was explained by emergence of a new risk factor Alzheimer's of a mental nature. A mismatch of complexity or, on contrary, primitiveness of profession with level of mental development of worker, provokes development of chronic stress in him, fraught with pathologies of cognitive function metabolism in elderly. The geography of Alzheimer's disease was explained by the dependence of the human mentality on latitudinal climate change and on the chiral factor of a solar nature acting at night on a sleeping person.
160个国家阿尔茨海默病(MA)流行病学危险因素的研究性质和死亡率分布模式。使用指数马尔萨斯模型来构建统计数据的适当近似值。建立了55年后平均寿命(Δt)与教育指数(Ψ)的比例。根据ΨΔt的增加值对各国进行排名,结果表明MA与ΨΔt呈指数关系,所有国家根据其经济发展水平可分为三组。在一系列低、中、高度发达国家中,它们的MA平均值呈指数级增长。后工业时代发达国家MA的增长是由一种新的精神性阿尔茨海默病危险因素的出现所解释的。职业的复杂性或相反的原始性与工人的心理发展水平不匹配,会引发他产生慢性压力,并伴随着老年人认知功能代谢的病理。阿尔茨海默病的地理位置可以通过人类心态对纬度气候变化的依赖以及太阳性质在夜间作用于睡眠者的手性因素来解释。
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引用次数: 0
期刊
Journal of neuroscience and neurological surgery
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