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Statistical valuation of cognitive load level hemodynamics from functional near-infrared spectroscopy signals 功能性近红外光谱信号对认知负荷水平血流动力学的统计评价
Pub Date : 2022-09-01 DOI: 10.1016/j.neuri.2022.100042
Farzana Khanam , A.B.M. Aowlad Hossain , Mohiuddin Ahmad

Human cognitive load level assessment is a challenging issue in the field of functional brain imaging. This work aims to study different cognitive load levels statistically from brain hemodynamics. Since the functional brain activities can be evaluated by functional near-infrared spectroscopy (fNIRS), a renowned fNIRS dataset is considered for this work. The dataset contains fNIRS data of three types of n-back tasks (0-back, 2-back, and 3-back) of twenty-six healthy volunteers. The fNIRS signals were pre-processed and separated according to the tasks and trials. The mean changes of oxygenated hemoglobin (HbO2) and deoxygenated hemoglobin (dHb) are calculated from each trial corresponding to the tasks and tested for significant inference among three levels utilizing analysis of variance (ANOVA). From the outcomes of the ANOVA (p<0.005), two significant channels (AF7 (frontal) and C3h (motor)) were figured out. The significance of these two channels was further justified using the property consistency test by three different time intervals of hemodynamics inside the total task period. The latter result also explored the functional pattern of the hemodynamics of AF7 and C3h positions. Moreover, two-level cognitive load (due to easy i.e., 0-back test and hard i.e., 2-back and 3-back task) is classified using support vector machine and found classification accuracy in average 73.40%±0.076 for HbO2 data and 71.48%±0.061 for dHb data. The study signposts the collective role played by both fNIRS signals and statistical valuation of functioning cognitive load efficacy to use fNIRS as a cognitive load assessment biomarker.

人类认知负荷水平评估是脑功能成像领域的一个具有挑战性的问题。本研究旨在通过脑血流动力学统计研究不同认知负荷水平。由于功能性脑活动可以通过功能性近红外光谱(fNIRS)来评估,因此本研究考虑了一个著名的近红外光谱数据集。该数据集包含26名健康志愿者的三种n-back任务(0-back、2-back和3-back)的近红外光谱数据。根据任务和试验对近红外光谱信号进行预处理和分离。从每个试验对应的任务中计算含氧血红蛋白(HbO2)和脱氧血红蛋白(dHb)的平均变化,并利用方差分析(ANOVA)检验三个水平之间的显著推断。从方差分析(p<0.005)的结果中,我们发现了两个显著通道(AF7(额叶)和C3h(运动))。在整个任务周期内,通过三个不同时间间隔的血流动力学特性一致性测试,进一步证明了这两个通道的重要性。后者的结果还探讨了AF7和C3h位置血流动力学的功能模式。此外,利用支持向量机对两级认知负荷(容易即0回测试和难即2回和3回测试)进行分类,发现HbO2数据的平均分类准确率为73.40%±0.076,dHb数据的平均分类准确率为71.48%±0.061。该研究表明,fNIRS信号和功能性认知负荷效能的统计评估共同发挥作用,将fNIRS作为认知负荷评估的生物标志物。
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引用次数: 0
Integrating anisotropic filtering, level set methods and convolutional neural networks for fully automatic segmentation of brain tumors in magnetic resonance imaging 结合各向异性滤波、水平集方法和卷积神经网络实现磁共振成像中脑肿瘤的全自动分割
Pub Date : 2022-09-01 DOI: 10.1016/j.neuri.2022.100095
Mohammad Dweik , Roberto Ferretti

An accurate, fully automatic detection and segmentation technique for brain tumors in magnetic resonance images (MRI) is introduced. The approach basically combines geometric active contours segmentation with a deep learning-based initialization. As a pre-processing step, an anisotropic filter is used to smooth the image; afterwards, the segmentation process takes place in two phases: the first one is based on the concept of transfer learning, where a pre-trained convolutional neural network coupled with a detector is fine-tuned using a training set of 388 T1-weighted contrast enhanced MRI images that contain a brain tumor (Meningioma); this trained network is able to automatically detect the location of the tumor by generating a bounding box with certain coordinates. The second phase takes place by using the coordinates of the bounding box to initialize the geometric active contour that iteratively evolves towards the tumor's boundaries. While most of the ingredients of this processing chain are more or less well known, the main contribution of this work is in integrating the various techniques in a novel and hopefully clever form, which could take the best of both geometric segmentation algorithms and neural networks, with a relatively light training phase. The performance of such a processing network is evaluated using a separate testing set of 97 MRI images containing the same type of brain tumor. The technique proves to be remarkably effective, with a precision of 97.92%, recall of 96.91%, F-measure of 97.41% and an average Dice similarity coefficient (DSC) for segmented images above 0.95.

介绍了一种准确、全自动的脑肿瘤磁共振图像检测与分割技术。该方法基本上将几何活动轮廓分割与基于深度学习的初始化相结合。作为预处理步骤,使用各向异性滤波器对图像进行平滑处理;之后,分割过程分两个阶段进行:第一个阶段基于迁移学习的概念,其中使用包含脑瘤(脑膜瘤)的388张t1加权对比度增强MRI图像的训练集对预训练的卷积神经网络与检测器进行微调;该网络能够通过生成具有特定坐标的边界框来自动检测肿瘤的位置。第二阶段是使用边界框的坐标初始化几何活动轮廓,迭代地向肿瘤边界演化。虽然这个处理链的大部分成分都或多或少为人所知,但这项工作的主要贡献是将各种技术以一种新颖而有希望的聪明形式集成在一起,这种形式可以利用几何分割算法和神经网络的最佳效果,并且训练阶段相对较轻。使用包含相同类型脑肿瘤的97个MRI图像的单独测试集来评估这种处理网络的性能。实验证明,该方法具有显著的有效性,分割图像的准确率为97.92%,召回率为96.91%,F-measure为97.41%,分割图像的平均Dice相似系数(DSC)在0.95以上。
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引用次数: 0
Face mask recognition system using CNN model 人脸识别系统采用CNN模型
Pub Date : 2022-09-01 DOI: 10.1016/j.neuri.2021.100035
Gagandeep Kaur, Ritesh Sinha, Puneet Kumar Tiwari, Srijan Kumar Yadav, Prabhash Pandey, Rohit Raj, Anshu Vashisth, Manik Rakhra

COVID-19 epidemic has swiftly disrupted our day-to-day lives affecting the international trade and movements. Wearing a face mask to protect one's face has become the new normal. In the near future, many public service providers will expect the clients to wear masks appropriately to partake of their services. Therefore, face mask detection has become a critical duty to aid worldwide civilization. This paper provides a simple way to achieve this objective utilising some fundamental Machine Learning tools as TensorFlow, Keras, OpenCV and Scikit-Learn. The suggested technique successfully recognises the face in the image or video and then determines whether or not it has a mask on it. As a surveillance job performer, it can also recognise a face together with a mask in motion as well as in a video. The technique attains excellent accuracy. We investigate optimal parameter values for the Convolutional Neural Network model (CNN) in order to identify the existence of masks accurately without generating over-fitting.

新冠肺炎疫情迅速扰乱了我们的日常生活,影响了国际贸易和流动。戴口罩保护面部已成为一种新常态。在不久的将来,许多公共服务提供者将期望客户适当佩戴口罩来参与他们的服务。因此,口罩检测已成为帮助世界文明的重要职责。本文提供了一种简单的方法来实现这一目标,利用一些基本的机器学习工具,如TensorFlow, Keras, OpenCV和Scikit-Learn。建议的技术成功地识别图像或视频中的人脸,然后确定它是否有面具。作为监视工作的执行者,它还可以识别运动中的人脸和视频中的面具。这种技术达到了极好的准确度。我们研究了卷积神经网络模型(CNN)的最优参数值,以便在不产生过拟合的情况下准确识别掩模的存在性。
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引用次数: 59
Systematic review of smart health monitoring using deep learning and Artificial intelligence 利用深度学习和人工智能进行智能健康监测的系统综述
Pub Date : 2022-09-01 DOI: 10.1016/j.neuri.2021.100028
A.V.L.N. Sujith , Guna Sekhar Sajja , V. Mahalakshmi , Shibili Nuhmani , B. Prasanalakshmi

In the rapidly growing world of technology and evolution, the outbreak and emergences diseases have become a critical issue. Precaution, prevention and controlling the diseases by technology has become the major challenge for healthcare professionals and health care industries. Maintaining a healthy lifestyle has become impossible in the busy work schedules. Smart health monitoring system is the solution to the above poses challenges. The recent revolution of industry 5.0 and 5G has led to development of smart cum cost effective sensors which help in real time health monitoring or individuals. The SHM has led to fast, cost effective, and reliable health monitoring services from remote locations which was not possible with traditional health care systems. The integration of blockchain framework improved data security and data privacy of confidential data of patient to prevent the data misuse against patients. Involvement of Deep Learning and Machine learning to analyze health data to achieve multiple targets has helped attain preventive healthcare and fatality management in patients. This has helped in the early detection of chronic diseases which was not possible recently. To make the services more cost effective and real time, the integration of cloud computing and cloud storage has been implemented. The work presents the systematic review of SHM along with recent advancements in SHM with existing challenges.

在快速发展的技术和进化世界中,疾病的爆发和突发已成为一个关键问题。利用技术手段预防、预防和控制疾病已成为卫生保健专业人员和卫生保健行业面临的主要挑战。在繁忙的工作日程中,保持健康的生活方式已经变得不可能了。智能健康监测系统正是解决上述挑战的解决方案。最近的工业5.0和5G革命导致了智能和具有成本效益的传感器的发展,有助于实时监测个人健康。SHM带来了从偏远地区提供快速、具有成本效益和可靠的健康监测服务,这是传统卫生保健系统无法做到的。区块链框架的集成提高了患者保密数据的数据安全性和数据保密性,防止对患者数据的误用。深度学习和机器学习的参与分析健康数据以实现多个目标,有助于实现患者的预防性医疗保健和死亡率管理。这有助于早期发现慢性病,这在最近是不可能的。为了使服务更具成本效益和实时性,实现了云计算和云存储的集成。这项工作提出了SHM的系统回顾,以及SHM的最新进展和现有的挑战。
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引用次数: 65
An efficient way of text-based emotion analysis from social media using LRA-DNN 基于LRA-DNN的社交媒体文本情感分析方法
Pub Date : 2022-09-01 DOI: 10.1016/j.neuri.2022.100048
Nilesh Shelke , Sushovan Chaudhury , Sudakshina Chakrabarti , Sunil L. Bangare , G. Yogapriya , Pratibha Pandey

Text devices are effectively and heavily used for interactions these days. Emotion extraction from the text has derived huge importance and is upcoming area of research in Natural Language Processing. Recognition of emotions from text has high practical utilities for quality improvement like in Human-Computer Interaction, recommendation systems, online education, data mining and so on. However, there are the issues of irrelevant feature extraction during emotion extraction from text. It causes mis-prediction of emotion. To overcome such challenges, this paper proposes a Leaky Relu activated Deep Neural Network (LRA-DNN). The proposed model comes under four categories, such as pre-processing, feature extraction, ranking and classification. The collected data from the dataset are pre-processed for data cleansing, appropriate features are extracted from the pre-processed data, relevant ranks are assigned for each extracted feature in the ranking phase and finally, the data are classified and accurate output is obtained from the classification phase. Publically available datasets are used in this research to compare the results obtained by the proposed LRA-DNN with the previous state-of-art algorithms. The outcomes indicated that the proposed LRA-DNN obtains the highest accuracy, sensitivity, and specificity at the rate of 94.77%, 92.23%, and 95.91% respectively which is promising compared to the existing ANN, DNN and CNN methods. It also efficiently reduces the mis-prediction and misclassification error.

如今,文本设备被大量有效地用于交互。从文本中提取情感是自然语言处理中一个重要的研究方向。从文本中识别情感在人机交互、推荐系统、在线教育、数据挖掘等方面具有很高的实用价值。然而,在文本情感提取过程中存在着不相关特征提取的问题。它会导致对情绪的错误预测。为了克服这些挑战,本文提出了一种Leaky Relu激活深度神经网络(LRA-DNN)。该模型分为预处理、特征提取、排序和分类四大类。对数据集收集到的数据进行预处理,进行数据清洗,从预处理后的数据中提取合适的特征,在排序阶段对提取到的特征进行相应的排序,最后对数据进行分类,并在分类阶段得到准确的输出。本研究使用了公开可用的数据集,将所提出的LRA-DNN与以前最先进的算法获得的结果进行比较。结果表明,与现有的ANN、DNN和CNN方法相比,LRA-DNN获得了最高的准确率、灵敏度和特异性,分别为94.77%、92.23%和95.91%。它还有效地减少了错误预测和错误分类的错误。
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引用次数: 42
A transcriptome meta-analysis of ethanol embryonic exposure: Implications in neurodevelopment and neuroinflammatory genes 乙醇胚胎暴露的转录组荟萃分析:对神经发育和神经炎症基因的影响
Pub Date : 2022-09-01 DOI: 10.1016/j.neuri.2022.100094
Vinícius Oliveira Lord , Giovanna Câmara Giudicelli , Mariana Recamonde-Mendoza , Fernanda Sales Luiz Vianna , Thayne Woycinck Kowalski

Fetal Alcohol Spectrum Disorder (FASD) comprises the phenotypes induced by prenatal alcohol exposure. Understanding the molecular mechanisms of FASD is needed since it is a public health problem. This study aimed to evaluate the impact of ethanol in the differential gene expression (DGE) of embryonic cells and fetal tissues by performing a transcriptome meta-analysis in microarrays datasets publicly available. The datasets were obtained in the GEO database and DGE was evaluated, followed by meta-analysis. DGE was also analyzed in a RNA-Seq dataset, although it was not included in the meta-analysis. To filter the main candidate genes, a database and literature review was performed, followed by ontologies enrichment analyses. In the meta-analysis, 1,938 genes were deregulated and 487 were perturbed in the RNA-Seq. Calcium homeostasis and neuroinflammation genes were overrepresented in the meta-analysis and RNA-Seq, respectively. After the database and literature review, DOCK8, FOXG1, IL1RN, and PRKN genes were proposed as new candidates for FASD; they are associated with neurodevelopment and neuroinflammation. BDNF and SLC2A1, previously associated to FASD, were also suggested in meta-analysis as candidate genes. It is known neuroinflammation reduction might help to minimize the alcohol damage. Hence, there is an urgent need to understand FASD molecular mechanisms to help in strategies aimed at preventing ethanol-induced neurologic damage.

胎儿酒精谱系障碍(FASD)包括由产前酒精暴露诱导的表型。了解FASD的分子机制是必要的,因为它是一个公共卫生问题。本研究旨在通过对公开的微阵列数据集进行转录组荟萃分析,评估乙醇对胚胎细胞和胎儿组织差异基因表达(DGE)的影响。从GEO数据库中获取数据集,对DGE进行评估,然后进行meta分析。DGE也在RNA-Seq数据集中进行了分析,但未包括在meta分析中。为了筛选主要候选基因,进行了数据库和文献综述,然后进行了本体富集分析。在荟萃分析中,RNA-Seq中有1938个基因被解除调控,487个基因被干扰。在meta分析和RNA-Seq中,钙稳态和神经炎症基因分别被过度表达。经数据库和文献查阅,提出DOCK8、FOXG1、IL1RN和PRKN基因为FASD的新候选基因;它们与神经发育和神经炎症有关。先前与FASD相关的BDNF和SLC2A1在荟萃分析中也被认为是候选基因。众所周知,减少神经炎症可能有助于将酒精损害降到最低。因此,迫切需要了解FASD的分子机制,以帮助制定预防乙醇诱导的神经损伤的策略。
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引用次数: 0
Performance analysis of VEP signal discrimination using CNN and RNN algorithms 基于CNN和RNN算法的VEP信号识别性能分析
Pub Date : 2022-09-01 DOI: 10.1016/j.neuri.2022.100087
Zineb Cheker , Saad Chakkor , Ahmed EL Oualkadi , Mostafa Baghouri , Rachid Belfkih , Jalil Abdelkader El Hangouche , Jawhar Laameche

The visual evoked potential as an electrophysiological signal is mainly used in the neurophysiological exploration of the optic nerves. Traditionally, medical doctors base their diagnosis of specific pathologies related to the time delay of the nerve flow on the time scale. In this context, the VEP latency P100 that reflects a temporal notion is considered the main characteristic on which human interpretation is based. However, its value is influenced by different factors and remains a limited method. This insufficiency triggers our interest instead in deep learning architectures, taking into consideration and adapting to the specificity of each particularity related to the laboratory of the neurophysiological exploration unit in the hospital. The comparison between the results obtained from Matlab by the application of the CNN as well as the RNN, based on the evaluation parameters calculated after k-fold cross-validation, confirms that the CNN-1D architecture can be considered powerful in terms of reliability of classification between signals that are related to pathological subjects and normal ones, which privileges the use of this architecture compared with recurrent neural networks that are less reliable and require more time for execution, subsequently the use of the CNN will allow us to avoid even the extraction of attributes for the discrimination between the two classes object of classification, with the possibility to progressively improve the performance of the solution over time based on the new signals acquired in the VEP analysis laboratory.

视觉诱发电位作为一种电生理信号,主要用于视神经的神经生理探查。传统上,医生根据时间尺度对与神经流动时间延迟有关的特定病理进行诊断。在这种情况下,反映时间概念的VEP延迟P100被认为是人类解释所基于的主要特征。然而,其价值受到不同因素的影响,仍然是一种有限的方法。这种不足引发了我们对深度学习架构的兴趣,考虑并适应与医院神经生理探索单元实验室相关的每个特殊性的特殊性。基于k-fold交叉验证计算的评价参数,将CNN与RNN在Matlab中得到的结果进行对比,证实CNN- 1d架构在病理受试者与正常受试者信号的分类可靠性方面是强大的。与可靠性较差且需要更多时间执行的递归神经网络相比,使用这种架构具有特权,随后使用CNN将允许我们甚至避免提取两类分类对象之间的区分属性,并有可能根据在VEP分析实验室中获得的新信号随着时间的推移逐步提高解决方案的性能。
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引用次数: 1
Neural decoding of imagined speech from EEG signals using the fusion of graph signal processing and graph learning techniques 基于图信号处理和图学习技术的脑电信号想象语音的神经解码
Pub Date : 2022-09-01 DOI: 10.1016/j.neuri.2022.100091
Aref Einizade, Mohsen Mozafari, Shayan Jalilpour, Sara Bagheri, Sepideh Hajipour Sardouie

Imagined Speech (IS) is the imagination of speech without using the tongue or muscles. In recent studies, IS tasks are increasingly investigated for the Brain-Computer Interface (BCI) applications. Electroencephalography (EEG) signals, which record brain activity, can be used to analyze BCI-based tasks utilizing Machine Learning (ML) methods. The current paper considers decoding IS brain waves using the fusion of classical signal processing, Graph Signal Processing (GSP), and Graph Learning (GL) based features. The proposed fusion method, named GraphIS (short for a Graph-based Imagined Speech BCI decoder), is applied to the four-class classification (three classes of the imagined words, in addition to the rest state) on EEG recordings of fifteen subjects. Results show that GSP and GL-based features can highly improve the performance of classification outcomes compared to using only classical signal processing features and over the state-of-the-art Common Spatial Pattern (CSP) feature extractor by considering the spatial information of the signals as well as interactions between channels in regions of interest. The proposed GraphIS method leads to a mean accuracy of 50.10% in the studied four-class IS classification task, compared to using only one feature set with an accuracy of 47.86% and 46.10%, and also the state-of-the-art CSP with an accuracy of 47.10%. Additionally, using an EEG connectivity map of the electrode signals obtained from GL methods, we also found a strong connection in the right frontal region as well as in the left frontal regions during IS, which had not been focused on in the previous IS papers.

想象语言(IS)是在不使用舌头或肌肉的情况下对语言的想象。近年来,人们越来越多地研究脑机接口(BCI)应用的信息系统任务。记录大脑活动的脑电图(EEG)信号可用于利用机器学习(ML)方法分析基于bci的任务。本论文考虑使用经典信号处理、图信号处理(GSP)和基于图学习(GL)特征的融合来解码IS脑电波。该融合方法命名为GraphIS(基于图的想象语音BCI解码器的缩写),应用于15个被试的脑电记录的四类分类(除了休息状态外,还有三类想象词)。结果表明,通过考虑信号的空间信息以及感兴趣区域通道之间的相互作用,与仅使用经典信号处理特征和最先进的公共空间模式(CSP)特征提取器相比,基于GSP和gl的特征可以极大地提高分类结果的性能。本文提出的GraphIS方法在四类IS分类任务中的平均准确率为50.10%,而仅使用一个特征集的准确率分别为47.86%和46.10%,最先进的CSP方法的准确率为47.10%。此外,利用GL方法获得的电极信号的EEG连接图,我们还发现在IS期间,右侧额叶区域和左侧额叶区域都有很强的连接,这在以前的IS论文中没有得到关注。
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引用次数: 2
Engineering technology characterization of source solution for ZnO and their data analytics effect with aloe vera extract ZnO源溶液的工程技术表征及其与芦荟提取物的数据分析效果
Pub Date : 2022-09-01 DOI: 10.1016/j.neuri.2021.100015
Neha Verma , Manik Rakhra , Mohammed Wasim Bhatt , Urvashi Garg

Increased population has led to create the environmental related issues. Zinc Oxide has great attention due to its application in versatile smart and functional material. In the recent paper, we have observed the variation in shape and size for different precursor (0.45 M - Zn acetate dihydrate, Zn nitrate hexahydrate) with aloe vera extract ZnO nanoparticles, data analytics have been prepared with annealing at 650 C. The prepared solution was analyzed by using simple solution method. Structural, morphological, optical and electrical properties defined certain nanomaterials. XRD spectra showed polycrystalline in nature. In the case of Zn nitrate, more instance peaks are found and SEM reveals the particle size drop into a range of 50-90 nm. Analysis of FTIR was conducted to classify the mineral constituents. The further capacitance levels are measured at a low scale. The resistivity spectrum of ZnO nanoparticles ranged from 3×102 to 5×102 (in cm)−1. Optical band gap of the synthesized particles lies in the range of 3.10-3.20 eV, which confirmed that nanoparticles are suitable for gas sensor and solar cell applications. These synthesized nanoparticles can further be used for the neuroscience application such as fabrication of medical instruments and for medical purpose too. In turn, these materials contribute to novel diagnostic and therapeutic strategies, including drug delivery, neuroprotection, neural regeneration, neuroimaging and neurosurgery.

人口的增长导致了与环境相关的问题。氧化锌作为一种多功能的智能功能材料,受到了广泛的关注。在最近的论文中,我们观察了不同前驱体(0.45 M -二水合乙酸锌、六水合硝酸锌)和芦荟提取物氧化锌纳米粒子在形状和尺寸上的变化,数据分析是在650°C下退火制备的。用简单溶液法对制备的溶液进行分析。结构、形态、光学和电学性质定义了某些纳米材料。XRD谱图显示为多晶。对于硝酸锌,发现了更多的实例峰,扫描电镜显示粒径下降到50-90 nm范围内。通过红外光谱分析对矿物成分进行了分类。进一步的电容水平是在低尺度下测量的。ZnO纳米粒子的电阻率谱范围为3×10−2 ~ 5×10−2(单位cm)−1。合成的纳米粒子的光学带隙在3.10 ~ 3.20 eV范围内,证实了纳米粒子适合于气体传感器和太阳能电池的应用。这些合成的纳米颗粒可以进一步用于神经科学的应用,如医疗器械的制造和医疗目的。反过来,这些材料有助于新的诊断和治疗策略,包括药物输送,神经保护,神经再生,神经成像和神经外科。
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引用次数: 10
Efficacy of melatonin for febrile seizure prevention: A clinical trial study 褪黑素预防高热惊厥的临床试验研究
Pub Date : 2022-09-01 DOI: 10.1016/j.neuri.2022.100089
Siriluk Assawabumrungkul, Vibudhkittiya Chittathanasesh, Thitiporn Fangsaad

Background: Prophylactic treatment for recurrence of febrile seizure generally consists of intermittent administration of diazepam or clobazam, or long-term treatment with valproic acid or phenobarbital. However, the adverse effects outweigh the benefits. A newer, effective, more tolerable drug treatment is warranted.

Objective: To study melatonin efficacy in prevention of recurrence of one or more episodes of either simple or complex febrile seizure compared to a control group.

Methods: A quasi-experimental study in children who were diagnosed with febrile seizure in Bhumibol Adulyadej Hospital, between 6 months to 5 years old, divided into two groups, melatonin group and control group, depending upon parental convenience. Melatonin was given 0.3 mg/kg/dose every 8 hours for 48 to 72 hours during febrile illness to melatonin group if body temperature was more than 37.5 °C. Control group had no medicine. Patients were followed at 3 and 6 months.

Results: The study included 23 patients in the melatonin group and 41 in the control group. Mean age of diagnosed of febrile seizure onset was 17.3 and 21.6 months, respectively. In the melatonin group, 8.7% of patients had recurrent febrile seizure compared to 36.6% in the control group, which is statistically significant (P-value 0.015, RD −0.28(95%CI: −0.46 to −0.09)). There was no statistically significant difference in adverse effects between the two groups.

Conclusion: This study demonstrates the efficacy and safety of short-term melatonin use to prevent the recurrence of one or more episodes of either simple or complex-febrile seizure in children.

背景:预防性治疗热性惊厥复发通常包括间歇性地给予安定或氯巴唑,或长期丙戊酸或苯巴比妥治疗。然而,弊大于利。需要一种更新、有效、更耐受的药物治疗。目的:与对照组比较,探讨褪黑素预防单纯或复杂热性惊厥复发的疗效。方法:对在普密蓬阿杜德医院确诊为热性惊厥的6个月~ 5岁儿童进行准实验研究,根据家长的方便,将患儿分为褪黑素组和对照组。当体温高于37.5℃时,褪黑素组在发热性疾病期间每8小时给予褪黑素0.3 mg/kg/剂,持续48 ~ 72小时。对照组不给药。随访时间分别为3个月和6个月。结果:褪黑素治疗组23例,对照组41例。诊断为热性惊厥发作的平均年龄分别为17.3个月和21.6个月。在褪黑素组中,8.7%的患者反复发生发热性惊厥,而对照组为36.6%,差异有统计学意义(p值0.015,RD为- 0.28(95%CI: - 0.46 ~ - 0.09))。两组不良反应无统计学差异。结论:本研究证明了短期使用褪黑激素预防儿童单纯或复杂发热性癫痫发作的一次或多次复发的有效性和安全性。
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Neuroscience informatics
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