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ASETH-18,ACABES-18 & EBHSSS-18 Nov. 19-20 2018 Cape Town (South Africa)最新文献

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Clinical case of peripheral facial palsy as first and single COVID-19 symptom in an immunized patient 周围性面瘫作为新冠肺炎首发和单一免疫患者临床病例
Pub Date : 2021-12-01 DOI: 10.26565/2312-5675-2021-18-04
I. B. Savytska
SARS-CoV-2 virus affects the central as well as the peripheral nervous system. Peripheral facial palsy is possible as the first and single COVID-19 symptom. The author presents own clinical observation of a 58-year-old patient with peripheral facial palsy. It is known that the patient completed the vaccination 8 weeks ago and also had direct contact with the patient SARS-CoV-2 (the patient's son). Facial nerve palsy was the first and only symptom of coronavirus infection. In the blood there was a moderate lymphocytopenia, increased interleukin-6, C-reactive protein, seromukoids. MRI of the brain and CT of the temporal bones did not reveal focal and diffuse pathology. After treatment, there was a complete recovery on the ninth day of treatment. Treatment included antiviral drugs, vitamins, steroids, kinesiotaping of facial muscles. The author substantiates necessity and demonstrates the results of treatment with endothelioprotective therapy (combination of L-arginine and L-carnitine) , which is aimed at elimination of systemic inflammation, oxidative stress caused by SARS-CoV-2 virus.Conclusions. General practitioner need to be alert when examining patients, including those who have been vaccinated and those who have direct contact with patients with coronavirus infection. Pathogenesis of peripheral facial palsy in COVID-19 multidirectional: neuroinvasive and neurotropic effect of the virus on the nerve, hypercoagulation, ischemia of the peripheral nerve on the background of systemic inflammatory reaction, oxidative stress. Timely detection, careful monitoring and adequate treatment of pathology are necessary to prevent complications (persistent facial contractures, synkinesis). Further in-depth studies are needed on a larger sample of patients to identify the incidence of peripheral facial nerve palsy in COVID-19 and the possibility of a link to vaccination.
SARS-CoV-2病毒影响中枢和周围神经系统。周围性面瘫可能是COVID-19的第一个和单一症状。作者对一位58岁的周围性面瘫患者进行了临床观察。已知患者于8周前完成疫苗接种,并与患者(患者的儿子)有过直接接触。面神经麻痹是冠状病毒感染的首要也是唯一症状。血液中有中度淋巴细胞减少,白细胞介素-6、c反应蛋白、血清样物质增加。脑部MRI及颞骨CT未见局灶性及弥漫性病变。治疗后第9天完全康复。治疗包括抗病毒药物、维生素、类固醇、面部肌肉运动贴。作者证实了内皮保护疗法(l -精氨酸和左旋肉碱联合)治疗的必要性和结果,目的是消除SARS-CoV-2病毒引起的全身炎症和氧化应激。全科医生在检查患者时需要提高警惕,包括接种过疫苗的患者和与冠状病毒感染患者直接接触的患者。COVID-19周围性面瘫发病机制多向:病毒对神经的侵袭性和嗜神经性作用、高凝、全身炎症反应、氧化应激背景下周围神经缺血。及时发现,仔细监测和适当的病理治疗是必要的,以防止并发症(持续面部挛缩,联动性)。需要对更大样本的患者进行进一步深入研究,以确定COVID-19中周围面神经麻痹的发病率以及与疫苗接种的可能性。
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引用次数: 0
The influence of the sleep disturbances on the quality of patients` life with anxiety-depressive disorders of neurotic and organic genesis 神经性和器质性焦虑抑郁障碍患者睡眠障碍对生活质量的影响
Pub Date : 2021-12-01 DOI: 10.26565/2312-5675-2021-18-01
Yuliia V. Liashchenko, L. Yuryeva
The patients with anxiety-depressive disorders often complain about sleep disturbance. It is due to the high comorbidity of given disorders. They can mutually worsen the duration of each other, complicate the process of treatment and increase the risk of relapse further. Besides, sleep disorders can be preserved even after the compensation of the main disease, that can influence on the quality of life and patient`s social functioning. The goal of the actual research is the learning of the influence of the sleep disorders on the quality of life and patients` social functioning with anxiety-depressive disorders of neurotic and organic genesis. For achievement of the set goal it was explored 120 patients with anxiety-depressive disorders, who were divided into 4 groups depending on the genesis of the disease and the method of medical influence. The research was done with the help of clinic- psychopathology method, adding with Pittsburg index of the quality of the (PSQI), integrative index of the quality of life J Mezzich (the dyad of the patient and the doctor), methods of describing and analytical statistic. As a result of made research, the reverse correlation connections were detected between the sleep disorders and the indexes of the quality of the patient`s life. These connections were observed during the treatment. It was determined, that the combined treatment was the most effective, directed to the therapy of the main disease and directly the correction of the sleep of the patients with anxiety-depressive disorders of neurotic and organic genesis, in comparison with the patients who had a treatment of the main disease. Thus, especial attention must be paid to the correction of insomnia in the treatment of anxiety-depressive disorders with sleep disturbance.
焦虑抑郁障碍患者常抱怨睡眠障碍。这是由于特定疾病的高合并症。它们可以相互恶化彼此的持续时间,使治疗过程复杂化,并进一步增加复发的风险。此外,即使在主要疾病得到补偿后,睡眠障碍仍可保留,从而影响患者的生活质量和社会功能。实际研究的目的是了解睡眠障碍对神经性和器质性焦虑抑郁障碍患者的生活质量和社会功能的影响。为了达到既定的目标,对120名焦虑抑郁障碍患者进行了调查,根据疾病的起因和医学影响的方法将他们分为4组。本研究采用临床-精神病理学方法,结合匹兹堡生活质量指数(PSQI)、生活质量综合指数J Mezzich(患者与医生的分体)、描述性和分析性统计方法进行。通过研究发现,睡眠障碍与患者生活质量指标之间存在负相关关系。在治疗过程中观察到这些连接。经确定,与接受主要疾病治疗的患者相比,针对神经性和器质性焦虑抑郁障碍患者的主要疾病的治疗和直接纠正睡眠的联合治疗是最有效的。因此,在焦虑抑郁障碍伴睡眠障碍的治疗中,必须特别注意失眠的纠正。
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引用次数: 0
Level of compliance of patients with alcohol dependence at the stages of active treatment of alcohol misuse 酒精依赖患者在酒精滥用积极治疗阶段的依从性水平
Pub Date : 2021-12-01 DOI: 10.26565/2312-5675-2021-18-05
Natalia M. Lisna
The article shows that one of the causes of relapses and re-hospitalizations is low compliance of patients, or non-compliance with their therapeutic regimen, especially at the end of anti-alcohol treatment. The author has developed some definitions, which specify the specifics of the phenomenon of compliance with patients with alcohol dependence; its levels in this group of patients were determined. Social and clinical-psychological factors that contribute to or hinder the formation of compliance are identified. Factors that increase compliance include: the presence of family support; motives for alcohol consumption, which are associated with the desire to neutralize negative emotional experiences (fear, anxiety, insecurity); therapeutic attitudes to understand the hidden causes of the disease and change painful stereotypes of behavior; ergopathic type of attitude to the disease; high level of subjective control in the professional field; emotional stability, social activity, as well as practicality and the ability to adequately assess their condition. Factors that reduce compliance are: young age of the patient; frequent relapses; repeated hospitalizations; addictive motivation to drink alcohol; therapeutic facilities for obtaining a "secondary gain" from the disease; apathetic type of attitude to the disease; overall low level of subjective control; conflict, negligence, rigidity of thinking. The selected psychological factors of compliance with alcohol dependence can be considered as targets of psychoprophylactic and psychocorrectional programs aimed at optimizing the process of adherence to the therapeutic regimen of patients with this pathology, which, in turn, will help prevent relapses and maintain remissions. This work is based on the results of the experience of psychodiagnostic and psychocorrectional work with alcohol-dependent patients who were under observation in the clinical databases of the Institute of Neurology, Psychiatry and Addiction of the Academy of Medical Sciences of Ukraine.
本文表明,复发和再次住院的原因之一是患者的依从性低,或不遵守他们的治疗方案,特别是在抗酒精治疗结束时。作者制定了一些定义,具体规定了酒精依赖患者依从性现象的具体情况;测定了这组患者体内的含量。社会和临床心理因素有助于或阻碍依从性的形成。增加依从性的因素包括:家庭支持的存在;饮酒动机,与消除负面情绪体验(恐惧、焦虑、不安全感)的愿望有关;治疗态度,了解疾病的隐藏原因,改变痛苦的刻板印象行为;ergopathy的用法和样例:在专业领域有较高的主观控制力;情绪稳定,社会活动,以及实用性和充分评估自己状况的能力。降低依从性的因素有:患者年龄小;频繁复发;重复住院;饮酒成瘾动机;从疾病中获得“二次收益”的治疗设施;对疾病的冷漠态度;主观控制水平总体偏低;冲突、疏忽、思维僵化。酒精依赖依从性的选定心理因素可以被视为精神预防和精神矫正计划的目标,旨在优化患有这种病理的患者坚持治疗方案的过程,这反过来将有助于防止复发并保持缓解。这项工作是根据乌克兰医学科学院神经病学、精神病学和成瘾研究所临床数据库对酒精依赖患者进行的精神诊断和精神矫正工作的经验得出的结果。
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引用次数: 0
Characteristics of cognitive impairment in multiple sclerosis patients depending on different risk factors 不同危险因素对多发性硬化症患者认知功能障碍的影响
Pub Date : 2021-12-01 DOI: 10.26565/2312-5675-2021-18-03
T. Odintsova
Cognitive impairment (CI), along with motor deficit, is a crucial component of a disability aggravation in multiple sclerosis (MS) patients. The aim of this study was to asses characteristics of CI in separate cognitive domains depending on socio-demographic (age, sex, level of education), disease parameters (severity, course type and disease duration) and external factors (smoking). The current study enrolled 137 MS patients (102 women and 35 men) aged from 22 to 69 years. All participants were divided into two groups depending on the disease course: group А – patients with relapsing-remitting (RR-MS) type (n=106) and group B – participants with progressive forms of the disease (n=31). The following study discovered that disruption of separate cognitive domains was present even without the apparent CI according to MоCA (Montreal Cognitive Assessment): executive functions impairment (p=0,0013) was found most frequently in case of RR-MS, and memory (p=0,0233) decline in case of progressive forms. In the group A moderate CI were associated with decrease of memory (p<0,0001), attention (p=0,0061), executive functions (p=0,0005), language (p=0,0080) and abstract thinking (p=0,0018); severe CI – with disorders of attention (p=0,0055), language (p<0,0001) and abstract thinking (p=0,0144). As for the group B, moderate CI were associated with decline of abstract thinking (p<0,0001), and severe CI – with impairment of memory and executive functions (p=0,0337). Level of physical disability and smoking impact CI independently of MS course, meanwhile, presence of higher education proves to be beneficial for preserving cognitive functions. In addition, disease duration, number of exacerbations and male gender (concerning attention decline) can affect cognition in relapsing-remitting course of MS.
认知障碍(CI)与运动缺陷一起是多发性硬化症(MS)患者残疾加重的重要组成部分。本研究的目的是根据社会人口统计学(年龄、性别、教育水平)、疾病参数(严重程度、病程类型和疾病持续时间)和外部因素(吸烟)评估不同认知领域CI的特征。目前的研究招募了137名MS患者(102名女性和35名男性),年龄从22岁到69岁。所有参与者根据病程分为两组:А组-复发缓解型(RR-MS)患者(n=106)和B组-疾病进展型患者(n=31)。接下来的研究发现,即使没有明显的CI(蒙特利尔认知评估),单独的认知领域也存在破坏:执行功能障碍(p= 0.0013)在RR-MS的情况下最常见,记忆(p= 0.0233)在进行性形式的情况下下降。在A组中,中度CI与记忆(p<0,0001)、注意力(p=0,0061)、执行功能(p=0,0005)、语言(p=0,0080)和抽象思维(p=0,0018)下降相关;严重CI -伴有注意力障碍(p= 0.0055)、语言障碍(p< 0.0001)和抽象思维障碍(p= 0.0144)。对于B组,中度CI与抽象思维能力下降相关(p<0,0001),重度CI与记忆和执行功能受损相关(p=0,0337)。身体残疾水平和吸烟对CI的影响独立于MS课程,同时,高等教育的存在被证明有利于保持认知功能。此外,病程、加重次数和男性性别(涉及注意力下降)可影响MS复发缓解过程中的认知。
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引用次数: 0
Constitutional psychic human qualities influence on the emotional and psychic state at the patients with neurological spine disorders 体质心理素质对神经性脊柱疾病患者情绪和心理状态的影响
Pub Date : 2021-12-01 DOI: 10.26565/2312-5675-2021-18-02
I. Nazarchuk
Objective - to study the emotional and psychic state at the patients with neurological cervical spine disorders (NCSD) and determine of the constitutional psychic human qualities influence at the it. Methods and subjects. 87 patients (18-44 years old), who suffered from subacute and chronic NCSD, were examined by clinical-anamnestic, clinical-functional (vertebral neurological), clinical-neurological methods. Emotional and psychic state was examined by Spielberger-Hanin test and Hamilton Depression Rating Scale. Psychic functions of human constitution were studied by temperament type determining with using Eysenck’s EPQ questionnaire.Results and discussion. The course of subacute and chronic cervicalgia, cervicocranialgia, cervicobrachialgia (neck and shoulder pain) was characterized depression symptoms at the melancholic temperament type (at 76% patients, р< 0,05). At the choleric temperament type depression symptoms was present meeted very often too (at 68% patients). At the sanguine temperament type depression symptoms was very rarely (at 29% patients). The peculiarities from reactive and personality anxiety were found too. It were at the melancholic and choleric patient highter significantly, than at the sanguine patients (p <0,05, p <0,01, p < 0,001). Temperament influence on the depression symptoms and anxiety confirmed by reliable correlations.Conclusions. The emotional and psychic state at the patients with NCSD characterize as anxiety on the background of neurological symptoms of cervicalgia, cervicocranialgia, cervicobrachialgia (neck and shoulder pain). It this symptoms add with decreased performance, mood and sleep disturbances and all these complaints in the aggregate are summed up as depressive disorders, mainly of mild severity. Constitutional psychic human qualities, which included in temperament, influence on the it formation. The models of influence different temperament types on the emotional and psychic states at the patients with NCSD were represented. It points pathogenic significance of melancholic and choleric temperament types and sanogenetic qualities of sanguine type. Constitutional psychic human qualities and emotional and psychic state should be considere at the diagnostic and treatment patients with NCSD. Significance of the human constitution, emotional and psychic state for NCSD confirm by study results. It is background for following studies.
目的:研究神经性颈椎疾患患者的情绪和精神状态,探讨体质心理素质对神经性颈椎疾患的影响。方法和对象。采用临床-遗忘、临床-功能(椎神经学)、临床-神经学方法对87例亚急性和慢性NCSD患者(18-44岁)进行检查。采用斯皮尔伯格-哈宁测验和汉密尔顿抑郁评定量表检查情绪和精神状态。采用艾森克EPQ问卷对体质的心理功能进行气质类型测定。结果和讨论。亚急性和慢性颈痛、颈头痛、颈臂痛(颈肩痛)病程以忧郁气质型抑郁症状为特征(76%,p < 0.05)。在胆汁质型患者中,抑郁症状也经常出现(68%的患者)。乐观气质型患者很少出现抑郁症状(占29%)。反应性焦虑和人格焦虑的特点也被发现。抑郁、胆汁质组明显高于血液质组(p < 0.05, p < 0.01, p < 0.001)。气质对抑郁症状和焦虑的影响有可靠的相关性。NCSD患者的情绪和精神状态以颈痛、颈头痛、颈臂痛(颈肩痛)等神经系统症状为背景,表现为焦虑。如果这些症状加上表现下降、情绪和睡眠障碍,所有这些症状加在一起就被总结为抑郁症,主要是轻微的严重程度。包括气质在内的人的体质心理素质影响着它的形成。提出了不同气质类型对NCSD患者情绪和精神状态的影响模型。指出了忧郁、胆汁气质类型和多血型的生血品质的致病意义。在诊断和治疗非csd患者时应考虑体质心理素质和情绪心理状态。研究结果证实了人体体质、情绪和精神状态对非csd的意义。这是后续研究的背景。
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引用次数: 0
Rita El Khayat, une écrivaine de l’intime et du social 丽塔·埃尔·卡亚特,亲密和社交作家
Pub Date : 2018-12-21 DOI: 10.30687/TOL/2499-5975/2018/20/003
A. Zoppellari
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引用次数: 0
Martelly, Stéphane (2016). Les jeux du dissemblable : folie, marge et féminin en littérature haïtienne contemporaine. Montmagny : Éditions Nota bene, 379 pp. 马特里,stephane(2016)。不同的游戏:当代海地文学中的疯狂、边缘和女性化。Montmagny: 1注、379页版。
Pub Date : 2018-12-21 DOI: 10.30687/TOL/2499-5975/2018/20/023
Fabiana Fianco
{"title":"Martelly, Stéphane (2016). Les jeux du dissemblable : folie, marge et féminin en littérature haïtienne contemporaine. Montmagny : Éditions Nota bene, 379 pp.","authors":"Fabiana Fianco","doi":"10.30687/TOL/2499-5975/2018/20/023","DOIUrl":"https://doi.org/10.30687/TOL/2499-5975/2018/20/023","url":null,"abstract":"","PeriodicalId":8495,"journal":{"name":"ASETH-18,ACABES-18 & EBHSSS-18 Nov. 19-20 2018 Cape Town (South Africa)","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73293765","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
Concilio, Carmen; Maria Festa (eds) (2016). Word and Image in Literature and the Visual Arts. Milano, Mimesis International, 397 pp. Concilio,卡门;Maria Festa(编)(2016)。文学与视觉艺术中的文字与图像。米兰,Mimesis International, 397页。
Pub Date : 2018-12-21 DOI: 10.30687/TOL/2499-5975/2018/20/036
I. Bruschi
{"title":"Concilio, Carmen; Maria Festa (eds) (2016). Word and Image in Literature and the Visual Arts. Milano, Mimesis International, 397 pp.","authors":"I. Bruschi","doi":"10.30687/TOL/2499-5975/2018/20/036","DOIUrl":"https://doi.org/10.30687/TOL/2499-5975/2018/20/036","url":null,"abstract":"","PeriodicalId":8495,"journal":{"name":"ASETH-18,ACABES-18 & EBHSSS-18 Nov. 19-20 2018 Cape Town (South Africa)","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90514085","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
Les manuscrits trouvés sur eBay 在eBay上找到的手稿
Pub Date : 2018-12-21 DOI: 10.30687/TOL/2499-5975/2018/20/001
A. Costantini
Mon but, ici, est celui de présenter et surtout d’offrir pour la première fois aux lecteurs, spécialistes et non, des textes d’un auteur francophone pratiquement inconnu du public, Robert Louis Vesque, disparu il y a plus de cinquante ans. Je présenterai en l’occurrence, en leur totalité,1 quelques textes courts qui présentent la particularité d’être écrits en pataouète, la langue populaire des Français d’Algérie. Une analyse poussée de ces textes demanderait le concours de la philologie et de la linguistique ou de la dialectologie, qui ne sont pas de mise ici. Cependant, l’intérêt de ces textes est et reste certain ; ils constituent un témoignage et des documents de première main d’une langue (ou d’un dialecte, si l’on préfère) maintenant en voie de disparition : car c’est une langue ou un dialecte qui va disparaître fatalement, avec la disparition progressive de ses locuteurs naturels, les Pieds-Noirs, qui le parlaient normalement, tous les jours, chez eux en Algérie ou en Afrique du Nord, et de leurs descendants de première génération ‘française’. Ceux-là souvent étaient nés là-bas (ainsi qu’on le dit en pataouète) et avaient été rapatriés avec leurs parents en 1962, au moment de l’indépendance de l’Algérie, non plus ‘française’, mais devenue une république indépendante habitée et gouvernée depuis par la composante majoritaire de sa population, jusqu’alors gardée dans une condition de subordination coloniale. La fin
这里我的目的,是向读者介绍,尤其是首次提供,而非专家、公众的法语作家的文本几乎默默无闻,Robert Louis Vesque消失,有五十多岁了。我将在这里,全部1一些具有独特的短文pataouète、通俗语言书写的阿尔及利亚的法国人。对这些文本的深入分析需要语言学和语言学或方言学的帮助,这在这里是不合适的。然而,这些文本的价值是而且仍然是肯定的;它们是第一手证词和文件的一门方言(或者,如果你愿意)现在正在消失:因为这是一种语言或方言的消失必然与逐步消失,其天然讲话者、价值观,而这些通常讲、天天在家或在北非阿尔及利亚的第一代,及其后代‘française’。那边出生的人往往是传说中(以及在pataouète)和父母一起被遣返回1962年阿尔及利亚独立时,不再是‘française’独立成为共和国,但载人和统治以来,由其人口的多数,部分此前一直处于从属地位的殖民。末
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引用次数: 0
Parisot, Yolaine (éd.) (2016). « Dany Laferrière : mythologies de l’écrivain, énergie du roman » (2016). Interculturel Francophonies, 30, novembre-décembre, 321 pp. Parisot, Yolaine(编)(2016)。《丹妮laferriere:作家的神话,小说的能量》(2016)。跨文化法语,30,11 - 12月,321页。
Pub Date : 2018-12-21 DOI: 10.30687/TOL/2499-5975/2018/20/024
Alba Pessini
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引用次数: 0
期刊
ASETH-18,ACABES-18 & EBHSSS-18 Nov. 19-20 2018 Cape Town (South Africa)
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