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Headache Neurology's Call to Action. 头痛神经学》呼吁采取行动。
Pub Date : 2024-04-01 DOI: 10.1212/CON.0000000000001437
Lyell K Jones
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引用次数: 0
Issue Overview. 问题概述。
Pub Date : 2024-04-01 DOI: 10.1212/01.CON.0001011740.88650.d1
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引用次数: 0
Medication-Overuse Headache. 药物滥用性头痛
Pub Date : 2024-04-01 DOI: 10.1212/CON.0000000000001403
P. Rizzoli
OBJECTIVEMedication-overuse headache (MOH) has been described for almost 100 years and is characterized as a daily or near-daily headache that usually presents in patients with preexisting primary headache disorders who are overusing one or more acute or symptomatic headache medications. This article reviews the diagnosis and management of patients with MOH.LATEST DEVELOPMENTSThe International Classification of Headache Disorders criteria for MOH have changed over time. The worldwide prevalence appears to be between 1% and 2%. Together, headache disorders, including MOH, are currently ranked as the second leading cause of years lived with disability in the Global Burden of Disease world health survey. Significant neurophysiologic changes are seen in the brains of patients with MOH, including functional alterations in central pain processing and modulating systems and central sensitization. Research supports updates to the principles of management, including weaning off the overused medication, preventive therapy, biobehavioral therapy, and patient education.ESSENTIAL POINTSMOH is a fairly common and treatable secondary headache disorder that produces significant disability and a substantial reduction in quality of life. The costs related to lost income and disability are substantial. MOH is intimately related to chronic migraine, which continues to be underrecognized and undertreated. Treatment focuses on both the institution of effective preventive migraine therapy and the reduction or removal of the overused medications. Educational efforts directed toward both providers and patients have been shown to be effective in reducing the effect of MOH.
目的药物滥用性头痛(MOH)的描述已有近 100 年的历史,其特点是每日或接近每日出现头痛,通常出现在原有原发性头痛疾病的患者中,他们过度使用一种或多种急性或症状性头痛药物。本文回顾了MOH患者的诊断和治疗。最新进展国际头痛疾病分类的MOH标准随着时间的推移而发生了变化。全世界的发病率似乎在 1% 到 2% 之间。在全球疾病负担世界健康调查中,头痛疾病(包括 MOH)目前被列为导致残疾年数的第二大原因。MOH患者的大脑神经生理学发生了重大变化,包括中枢疼痛处理和调节系统的功能性改变以及中枢敏感化。研究支持更新治疗原则,包括停用过度使用的药物、预防性治疗、生物行为治疗和患者教育。要点头痛是一种相当常见且可治疗的继发性头痛疾病,会导致严重的残疾并大大降低生活质量。与收入损失和残疾相关的成本是巨大的。MOH 与慢性偏头痛密切相关,而慢性偏头痛仍未得到充分认识和治疗。治疗的重点在于采用有效的偏头痛预防疗法以及减少或停用过度使用的药物。针对医疗服务提供者和患者的教育工作已被证明能够有效减少偏头痛的影响。
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引用次数: 0
Learning Objectives and Core Competencies. 学习目标和核心能力。
Pub Date : 2024-04-01 DOI: 10.1212/CON.0000000000001406
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引用次数: 0
Indomethacin-Responsive Headache Disorders. 吲哚美辛反应性头痛症。
Pub Date : 2024-04-01 DOI: 10.1212/CON.0000000000001409
Peter J. Goadsby
OBJECTIVEThis article describes the clinical features and treatment of the indomethacin-responsive headache disorders paroxysmal hemicrania and hemicrania continua.LATEST DEVELOPMENTSBoth paroxysmal hemicrania and hemicrania continua are treated with indomethacin at the lowest clinically useful dose. It has recently become clear that some patients with either condition may respond to treatment with noninvasive vagus nerve stimulation, which can be both indomethacin sparing and, in some cases, headache controlling. Given the lifelong nature of both paroxysmal hemicrania and hemicrania continua, brain imaging with MRI is recommended when the conditions are identified, specifically including pituitary views.ESSENTIAL POINTSParoxysmal hemicrania and hemicrania continua are indomethacin-responsive headache disorders that offer a rewarding and unique opportunity to provide marked clinical improvement when recognized and treated appropriately. These disorders share the final common pathway of the trigeminal-autonomic reflex, with head pain and cranial autonomic features, and are differentiated pathophysiologically by the pattern of brain involvement, which can be seen using functional imaging. They have distinct differential diagnoses to which the clinician needs to remain alert.
本文介绍了吲哚美辛反应性头痛疾病阵发性偏头痛和持续性偏头痛的临床特征和治疗方法。最新进展阵发性偏头痛和持续性偏头痛均以最低临床有效剂量使用吲哚美辛治疗。最近有研究表明,一些患者可能会对非侵入性迷走神经刺激治疗产生反应,这种疗法既能减少吲哚美辛的用量,在某些情况下还能控制头痛。鉴于阵发性头痛和持续性头痛的终生性质,建议在确定病症时使用磁共振成像进行脑部成像,特别是包括垂体视图。要点阵发性头痛和持续性头痛是吲哚美辛反应性头痛疾病,如果识别和治疗得当,可为临床症状的明显改善提供有益而独特的机会。这些疾病的最终共同途径是三叉神经-自主神经反射,具有头痛和头颅自主神经特征,并根据脑部受累模式在病理生理学上加以区分,这可以通过功能成像看到。它们有明显的鉴别诊断,临床医生需要保持警惕。
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引用次数: 4
LGBTQ+ collecting institutions: the culture of strategic management, motivation and professionalization LGBTQ+ 收藏机构:战略管理、激励和专业化文化
Pub Date : 2024-03-29 DOI: 10.1080/10304312.2024.2335518
Rob Cover
This paper presents findings from an Australian Research Council Linkage Project investigating LGBTQ+ memory, migration and collecting institution practices. It analyses the ways in which minority ...
本文介绍了澳大利亚研究理事会联系项目对 LGBTQ+ 记忆、移民和收藏机构做法的调查结果。它分析了少数群体...
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引用次数: 0
Queering primary initial teacher education 小学初级师范教育的同性恋化
Pub Date : 2024-03-29 DOI: 10.1080/10304312.2024.2336186
David Rhodes, Matt Byrne, Jason Boron
This research was designed to raise awareness, access and understanding of lesbian, gay, bisexual, transgender, intersex, queer/questioning, asexual/aromantic and others who sit outside of the hete...
这项研究旨在提高人们对女同性恋、男同性恋、双性恋、变性人、双性人、同性恋者/质疑者、无性恋者/有性恋者以及其他不属于主流社会的人的认识、了解和理解。
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引用次数: 0
Embedded in this modern fast-paced society … can we hear silence? Analysing the presence of silence in a radio programme 在这个快节奏的现代社会中......我们能听到沉默吗?分析广播节目中沉默的存在
Pub Date : 2024-03-28 DOI: 10.1080/10304312.2024.2325090
Luz María Gutiérrez-Menéndez
This article examines the notion of silence in the context of the current fast-paced society. The exploratory research project draws on observations relevant to every one of us, surrounded by the c...
本文探讨了当前快节奏社会背景下的沉默概念。这个探索性研究项目从与我们每个人都息息相关的观察中得出结论,我们周围的...
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引用次数: 0
Migrant arrests and deportations on fictional television during the Trump era (2017–2021): from tokenistic storytelling to narrative activism 特朗普时代(2017-2021)虚构电视中的移民逮捕和驱逐:从象征性叙事到叙事行动主义
Pub Date : 2024-03-22 DOI: 10.1080/10304312.2024.2332903
César Albarrán-Torres
This article is a comparative analysis discussing the representation of migrant deportations, apprehensions, and raids by ICE in contemporary US television and streaming. The depiction of migration...
本文通过比较分析,讨论了当代美国电视和流媒体中对移民驱逐、逮捕和 ICE 突袭的表现。对移民的描述...
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引用次数: 0
Doing the Nutbush: how Australia got its very own line dance 跳坚果布什舞:澳大利亚如何拥有自己的排舞
Pub Date : 2024-03-22 DOI: 10.1080/10304312.2024.2331796
Panizza Allmark, Jon Stratton
The Nutbush dance is unique to Australia. It is danced to the Ike and Tina Turner track Nutbush City Limits released in 1973. It is a line dance. Anybody can join the line. This article explores th...
努特布什舞是澳大利亚独有的舞蹈。它是随着 Ike 和 Tina Turner 于 1973 年发行的曲目《Nutbush City Limits》而跳的。这是一种排舞。任何人都可以加入。本文探讨了这种舞蹈的特点。
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引用次数: 0
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