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Developing an Index to Measure the Value of Health Care Provided to Stroke Patients. 制定衡量中风患者医疗保健价值的指数。
IF 1.9 4区 医学 Q3 CLINICAL NEUROLOGY
Annals of Indian Academy of Neurology
Pub Date : 2024-11-19 DOI: 10.4103/aian.aian_1084_23
Halil Şengül, Sabahattin Aydın, Emrah Önder, Arzu Bulut

Background and objectives: It is possible to evaluate health services for stroke patients based on clinical benefits. However, in recent years, questions about responsiveness and outcomes have also emerged. Currently, there is no index that can assess health-care services for stroke patients along these three dimensions. This study introduces the first index designed to measure the value generated by health-care services for stroke patients.

Methods: The Case-Mix Variables Data Collection Reference Guide, developed through a review of national and international stroke guidelines, underwent content validation by 10 neurologists and 10 interventional radiologists. Questions with a content validity index exceeding 0.80, along with the World Health Organization responsiveness questionnaire and the Patient-Reported Outcomes Measurement Information System Global-10 short form, were subjected to pairwise comparison by two neurologists, two interventional radiologists, and two public health physicians using the analytic hierarchy process (AHP) method.

Results: In the comprehensive ranking of questions formulated using the AHP method and assessed by experts for importance and global weights, new stroke follow-up emerged as the most crucial, garnering an index score of 0.09. Conversely, questioning patients about their alcohol use status was deemed the least significant by experts, registering an index score of 0.00021.

Conclusions: Our AHP analyses have furnished an index for gauging the factors that contribute to the value of health-care services rendered to stroke patients.

背景和目的：可以根据临床疗效对中风患者的医疗服务进行评估。然而，近年来也出现了有关响应性和结果的问题。目前，还没有一个指数可以从这三个方面来评估为脑卒中患者提供的医疗服务。本研究介绍了首个旨在衡量脑卒中患者医疗服务价值的指数：方法：《病例组合变量数据收集参考指南》是通过对国内和国际卒中指南的审查而制定的，其内容经过了 10 位神经科医生和 10 位介入放射科医生的验证。内容效度指数超过 0.80 的问题，以及世界卫生组织响应性问卷和患者报告结果测量信息系统全球-10 简表，由两名神经科医生、两名介入放射科医生和两名公共卫生医生采用分析层次过程（AHP）方法进行配对比较：结果：在使用 AHP 方法制定并经专家评估重要性和总体权重的问题综合排名中，新中风随访是最关键的问题，指数得分为 0.09。相反，专家认为询问患者饮酒情况的重要性最低，指数得分为 0.00021：我们的 AHP 分析为衡量中风患者医疗服务价值的因素提供了一个指数。
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引用次数: 0
Symptomatic and Prophylactic Dantrolene Treatment in a Case of RYR1-Related Congenital Myopathy. 对一例与 RYR1 相关的先天性肌病进行对症和预防性丹曲林治疗
IF 1.9 4区 医学 Q3 CLINICAL NEUROLOGY
Annals of Indian Academy of Neurology
Pub Date : 2024-11-12 DOI: 10.4103/aian.aian_560_24
Hüseyin B Şenol, Ayşe I Polat, Adem Aydın, Ayşe S Hız, Uluç Yiş
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引用次数: 0
Late-Onset Presentation of Spastic Paraplegia 3A (ATL1-HSP) and Its Rare Occurrence with Multiple Spinal Neurofibromas. 迟发性痉挛性截瘫 3A（ATL1-HSP）及其罕见的多发性脊髓神经纤维瘤。
IF 1.9 4区 医学 Q3 CLINICAL NEUROLOGY
Annals of Indian Academy of Neurology
Pub Date : 2024-11-12 DOI: 10.4103/aian.aian_308_24
Anudeep Ds Davuluri, Sangeeth T Ananthasubramanian, Saraswati Nashi, Faheem Arshad, Hansashree Padmanabha, Seena Vengalil, Rohan Mahale, Pooja Mailankody, P R Srijithesh, Girish B Kulkarni, Mathuranath S Pavagada, Suvarna Alladi, Atchayaram Nalini
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引用次数: 0
Propionic Acidemia in a Neonate: The Clues to Early Identification. 新生儿丙酸血症：早期识别的线索。
IF 1.9 4区 医学 Q3 CLINICAL NEUROLOGY
Annals of Indian Academy of Neurology
Pub Date : 2024-11-04 DOI: 10.4103/aian.aian_568_24
Mithun Krishna, Arushi Gahlot Saini, Jogender Kumar, Savita V Attri, Kagnur Ramya, Vikas Bhatia
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引用次数: 0
My Birdsongs in Clinical Neurology. 我在临床神经病学中的鸟鸣。
IF 1.9 4区 医学 Q3 CLINICAL NEUROLOGY
Annals of Indian Academy of Neurology
Pub Date : 2024-10-22 DOI: 10.4103/aian.aian_840_24
Satish V Khadilkar
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引用次数: 0
Tadpole Brainstem Atrophy in Adult-Onset Alexander Disease: A Case Report and Review of Literature. 成人亚历山大症的蝌蚪脑干萎缩：病例报告和文献综述。
IF 1.9 4区 医学 Q3 CLINICAL NEUROLOGY
Annals of Indian Academy of Neurology
Pub Date : 2024-10-17 DOI: 10.4103/aian.aian_402_24
Vidyasagar Kota, Lulup Kumar Sahoo, Ajit Prasad Mishra, Adya Kinkar Panda, Hareen Veerapaneni, Devidutta Dash, Monica Karan
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引用次数: 0
Kikuchi-Fujimoto Disease Presenting as Autoimmune Limbic Encephalitis: A Case Report with Review of Literature. 表现为自身免疫性边缘脑炎的菊池-藤本氏病：病例报告与文献综述。
IF 1.9 4区 医学 Q3 CLINICAL NEUROLOGY
Annals of Indian Academy of Neurology
Pub Date : 2024-10-08 DOI: 10.4103/aian.aian_498_24
S B Punith, Ayush Agarwal, Divyani Garg, Ajay Garg, Shamim A Shamim, Saumya Ranjan Mallick, Pranjal Gupta, Achal K Srivastava

Abstract: Kikuchi-Fujimoto disease (KFD) is a rare benign condition associated with fever and lymphadenopathy and was first described by Kikuchi and Fujimoto independently in 1972 as histiocytic necrotizing lymphadenitis. The diagnosis is made by histopathology with immunohistochemistry. Limbic encephalitis is an extremely rare presentation of this uncommon disease, which has been described mainly in children. Available evidence is sparse in the form of case reports and case series in the form of 10 cases published till date. We report a case of an adult female with KFD with autoimmune limbic encephalitis, who had complete clinical and radiologic recovery with treatment, and a literature review of all the cases published till date.

摘要：菊池-藤本氏病（Kikuchi-Fujimoto disease，KFD）是一种罕见的良性疾病，伴有发热和淋巴结病变，菊池和藤本于 1972 年首次将其独立描述为组织细胞坏死性淋巴结炎。诊断是通过组织病理学和免疫组化做出的。肢端脑炎是这种不常见疾病的一种极为罕见的表现形式，主要见于儿童。迄今为止，以病例报告和 10 例系列病例形式发表的现有证据非常稀少。我们报告了一例患有 KFD 并伴有自身免疫性边缘脑炎的成年女性患者，该患者经治疗后临床和影像学完全康复，我们还对迄今为止发表的所有病例进行了文献综述。
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引用次数: 0
Tyrosine Kinase Inhibitor-Induced Intracranial Artery Stenosis - A Rare Cause of TIA in a Patient of Chronic Myeloid Leukemia. 酪氨酸激酶抑制剂诱发的颅内动脉狭窄--慢性髓性白血病患者发生 TIA 的罕见原因。
IF 1.9 4区 医学 Q3 CLINICAL NEUROLOGY
Annals of Indian Academy of Neurology
Pub Date : 2024-10-08 DOI: 10.4103/aian.aian_411_24
Sumedh S Agrawal, Nikith A Shetty, Nisha Shenoy, Arvind N Prabhu, Aparna R Pai
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引用次数: 0
Two Novel Mutations in the BCKDHB Gene Cause Intermediate Maple Syrup Urine Disease. BCKDHB 基因的两种新型突变导致中型枫糖浆尿病。
IF 1.9 4区 医学 Q3 CLINICAL NEUROLOGY
Annals of Indian Academy of Neurology
Pub Date : 2024-10-04 DOI: 10.4103/aian.aian_324_24
Hui Zhu, Yi Zhong, Shuyao Zhu
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引用次数: 0
Vision Loss, Deafness, and Ataxia Complicating Bacterial Meningitis: A Rare Pathogen. 细菌性脑膜炎并发视力丧失、耳聋和共济失调：一种罕见的病原体
IF 1.9 4区 医学 Q3 CLINICAL NEUROLOGY
Annals of Indian Academy of Neurology
Pub Date : 2024-10-04 DOI: 10.4103/aian.aian_478_24
Jomal Mathew, Chris M Antony, V K Smitha
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引用次数: 0
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