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Comparison of the Efficacy of Matrix Therapy, Transcranial Magnetic Stimulation, and Cognitive Rehabilitation in Attention Bias Modification and Craving Reduction in Stimulant Drug Users 基质疗法、经颅磁刺激和认知康复对兴奋剂吸毒者注意偏倚矫正和渴望减少的疗效比较
Pub Date : 2021-10-31 DOI: 10.32598/bcn.2021.3227.1
S. Esmaeili, F. Taremian, Mazaher Rezaei, N. Vousooghi, Hosein Mostafavi
Introduction: Previous studies have shown that Matrix, repetitive transcranial magnetic stimulation (rTMS), and cognitive modification treatments could lead to numerous psychological improvements in patients suffering from substance use disorders. Previous research has shown that other therapeutic interventions could be useful in managing stimulant abuse in addition to Matrix treatment The present study aimed at comparison of the effectiveness of matrix therapy, transcranial magnetic stimulation and cognitive rehabilitation treatments in attention bias modification and craving reduction in amphetamine drug users. Methods: This study was quasi-experimental with pretest-posttest and three-month follow-up. Forty subjects taking amphetamine were selected by convenient sampling method and were randomly divided into three groups, including the matrix therapy, cognitive rehabilitation and rTMS as intervention groups and control groups (10 subjects in each group). The matrix group received 24 treatment sessions, 3 sessions per week and cognitive rehabilitation group recivied 15 treatment sessions (3 sessions per week). The group with rTMS treatment participated in a total of 10 sessions every other day. Questionnaires and dot-Probe tasks were performed as the cognitive software before and after the therapeutic interventions and one month after the interventions as a follow-up test. Results: The results showed that the effect of time on craving assessment in three stages was significant in all the study's four groups. In the experimental groups of Matrix, rTMS, and cognitive rehabilitation, the effect of time on the severity of addiction dependence and attentional bias was significantly different in three stages. In the control group, the effect of time in three stages of assessment of addiction severity and attention bias was not significant. Also, there was a significant decrease in the mean of craving in Matrix, rTMS, and cognitive rehabilitation groups from pre-treatment to post-treatment and from pre-treatment to follow-up stages. The mean addiction severity was significantly decreased from pre-treatment to post-treatment and from pre-treatment to follow-up stage in the Matrix, rTMS, and cognitive rehabilitation groups. Conclusion: The current study's findings indicated that all three interventions effectively reduced amphetamine craving and attentional bias. All three approaches produced positive therapeutic outcomes.
先前的研究表明,Matrix、重复经颅磁刺激(rTMS)和认知修饰治疗可以导致物质使用障碍患者的许多心理改善。先前的研究表明,除了矩阵治疗外,其他治疗干预措施也可用于控制兴奋剂滥用。本研究旨在比较矩阵治疗、经颅磁刺激和认知康复治疗对安非他明吸毒者注意偏差纠正和渴望减少的有效性。方法:采用准实验方法,前测后测,随访3个月。采用方便抽样法选取服用安非他明的受试者40例,随机分为基质治疗组、认知康复组和rTMS组作为干预组和对照组(每组10例)。矩阵组治疗24次,每周3次;认知康复组治疗15次,每周3次。接受rTMS治疗的组每隔一天共参加10次治疗。在治疗干预前后分别以问卷和点探针任务作为认知软件,在干预后1个月作为随访测试。结果:时间对三个阶段的渴望评估的影响在四组中均显著。在矩阵组、rTMS组和认知康复组中,时间对成瘾依赖程度和注意偏倚程度的影响在三个阶段均有显著差异。在对照组中,时间对成瘾严重程度和注意偏倚三个阶段的影响均不显著。此外,从治疗前到治疗后,从治疗前到随访阶段,Matrix组、rTMS组和认知康复组的渴望均值显著降低。矩阵组、rTMS组和认知康复组的平均成瘾严重程度从治疗前到治疗后以及从治疗前到随访阶段均显著降低。结论:目前的研究结果表明,所有三种干预措施都有效地减少了对安非他明的渴望和注意偏倚。这三种方法都产生了积极的治疗效果。
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引用次数: 0
Psychological and Psychophysiological Responses to Challenge Variations for Virtual Hand Training in Game-based Smart Rehabilitation System 基于游戏的智能康复系统中虚拟手训练对挑战变化的心理和生理反应
Pub Date : 2021-10-31 DOI: 10.32598/bcn.2021.3532.1
A. Asgharzadeh Alvar, A. Esteki, Iraj Abdollahi
Background: Maintaining motivation is one of the most important characteristics of rehabilitation strategies for successful treatment. Understanding the underlying mechanism of mental state is helpful for developing new therapeutic methods based on virtual reality and serious game technologies. Objective: The present study aims to develop a cost-benefit game-based hand rehabilitation system and assess the influence on the psychological state of subjects when they interact with a virtual reality environment in different task difficulty levels. Methods: First, we introduced a low-cost smart hand rehabilitation system based on the Leap Motion tracker; then, the experimental study was performed with 20 healthy participants. Their mental states were evoked using interaction with two separate games in four different difficulty levels. Three measures from the SAM self-reported test described as a psychological response to this condition, and also four features were extracted from Photoplethysmogram signal in order to quantify psychophysiological responses of Autonomic Nervous System. Results: Comparison of the different difficulty levels revealed significant changes in arousal and dominance correspond to under challenging and over the challenging condition, respectively. The results of psychophysiological feature analysis showed significant differences only for the standard deviation of intervals between consecutive heartbeats. Conclusion: The developed system is a low-cost smart solution that can be useful for upper limb neurological rehabilitation. Regulating difficulty parameters of the implemented game can be used to influence the motivation of users through rehabilitation procedures. It seems Photoplethysmogram is an appropriate psychophysiological indicator of mental states, but further studies are required.
背景:保持动机是成功治疗的康复策略的重要特征之一。了解心理状态的潜在机制有助于开发基于虚拟现实和严肃游戏技术的新治疗方法。目的:本研究旨在开发一种基于成本-收益游戏的手部康复系统,并评估受试者在不同任务难度下与虚拟现实环境互动对心理状态的影响。方法:首先,介绍了一种基于Leap Motion跟踪器的低成本智能手部康复系统;然后,对20名健康参与者进行了实验研究。他们的心理状态是通过与四个不同难度等级的两个独立游戏的互动来唤起的。从SAM自述测试中提取的三个指标描述了对这种情况的心理反应,并从光容积图信号中提取了四个特征,以量化自主神经系统的心理生理反应。结果:不同难度水平的比较显示,挑战性条件下和挑战性条件下的唤醒和优势度分别有显著变化。心理生理特征分析结果显示,只有连续心跳间隔的标准差存在显著差异。结论:该系统是一种低成本的智能解决方案,可用于上肢神经康复。调整游戏难度参数可以影响用户通过康复过程的动机。光容积脉搏图是一种较为合适的心理生理指标,但还有待进一步的研究。
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引用次数: 0
The Effect of Different tDCS Protocols on Drug Craving and Cognitive Functions in Methamphetamine Addicts 不同tDCS方案对甲基苯丙胺成瘾者药物渴求和认知功能的影响
Pub Date : 2021-06-28 DOI: 10.32598/bcn.2021.1929.1
Samira Rezvanian, M. Saraei, Hossein Mohajeri, Peyman Hassani Abharian
Background and objective: Drug craving is considered to be a major problem in addiction treatment. Neuroimaging research has revealed various areas for drug craving, among which two key areas are the dorsolateral prefrontal cortex (DLPFC) and the cerebellum. The DLPFC is involved in different cognitive tasks like the inhibitory control over seductive options harboring the promise of immediate reward. The cerebellum considered to be related to cognition and memory and gets activated by drug-related cues. Therefore based on the previous researches we decided to study the effects of applying tDCS on six different protocols in reducing Drug Craving and increasing Cognitive Functions in Methamphetamine Addicts. Methods: The present study is a semi-experimental, with pre/post-test, and a control group. Based on a simple sampling method, 15 male methamphetamine addicts in two rehabilitation centers in Tehran were recruited. The participants were 18-65 years old with a minimum 12-month history of methamphetamine dependence. Visual Analog Scale (VAS), The Go/No-Go Task and The N-Back Task was administered before and after single session of tDCS. tDCS applied on six protocols which were: 1. The right DLPFC anodal and the left DLPFC cathodal stimulation 2. The right DLPFC cathodal and the left DLPFC anodal stimulation 3. The right DLPFC anodal and the right arm cathodal stimulation 4. The left DLPFC anodal and the left arm cathodal stimulation 5. The right cerebellar hemisphere (O2) anodal and the left cerebellar hemisphere (O1) cathodal stimulation 6. The right cerebellar hemisphere (O2) cathodal and the left cerebellar hemisphere (O1) anodal stimulation. The data were analyzed by covariance method using SPSS-22 software Results: Study results indicated while single session tDCS effects on craving were not significant, it increased cognitive inhibition especially in protocol 2: The right DLPFC cathodal and the left DLPFC anodal stimulation Conclusion and discussion: Single session of tDCS has an insignificant effect on craving but it can increase cognitive inhibition significantly. These findings extend the results of previous studies on the effects of brain stimulation for drug craving reduction in other drug type settings.
背景与目的:药物渴求被认为是成瘾治疗中的一个主要问题。神经影像学研究揭示了药物渴求的多个区域,其中两个关键区域是背外侧前额叶皮层(DLPFC)和小脑。DLPFC参与了不同的认知任务,比如对具有即时回报承诺的诱人选择的抑制控制。小脑被认为与认知和记忆有关,并被与药物有关的线索激活。因此,在前人研究的基础上,我们决定研究tDCS在六种不同方案下对甲基苯丙胺成瘾者减少药物渴望和提高认知功能的影响。方法:本研究采用半实验,前后测试和对照组。基于简单的抽样方法,在德黑兰的两个康复中心招募了15名男性甲基苯丙胺成瘾者。参与者年龄在18-65岁之间,至少有12个月的甲基苯丙胺依赖史。在单次tDCS前后分别进行视觉模拟量表(VAS)、Go/No-Go任务和N-Back任务。tDCS应用于六种协议,分别是:1。右侧DLPFC为阳极刺激,左侧DLPFC为阴极刺激。右侧DLPFC为阴极刺激,左侧DLPFC为阳极刺激。右侧DLPFC阳极和右臂阴极刺激4。左侧DLPFC阳极和左臂阴极刺激5。右小脑(O2)呈阳极刺激,左小脑(O1)呈阴极刺激右小脑(O2)为阴极刺激,左小脑(O1)为阳极刺激。结果:单次tDCS对渴望的影响不显著,但增加了认知抑制,特别是方案2:右侧DLPFC阴极刺激和左侧DLPFC阳极刺激。结论和讨论:单次tDCS对渴望的影响不显著,但可以显著增加认知抑制。这些发现扩展了先前在其他药物类型环境下脑刺激对减少药物渴望的影响的研究结果。
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引用次数: 2
Comparing Face and Object Processing in Perception and Recognition 感知与识别中人脸与物体加工的比较
Pub Date : 2021-06-28 DOI: 10.32598/bcn.2021.2689.1
N. Dehaghani, B. Maess, R. Khosrowabadi, M. Zarei, S. Braeutigam
Faces can be speedily processed, although they convey an immense amount of information. Hence, in psychophysiological experiments, human faces constitute very special stimuli! Numerous studies have investigated the electrophysiological correlates of face processing, showing the existence of multiple event-related components. Nevertheless, dissimilarities in various levels of processing are still controversial. In this present study, we used magnetoencephalography (MEG) to examine how facial processing is different in perception and recognition from object processing and also determined 95% confidence interval for the onset and peak time of the effects we found. Our results confirm the face-selectivity for the M170 component, but not always for the M100 component. Additionally, we observed a unique speed pattern for the M170 component in perception and recognition both at the onset and the peak time.
人脸可以被快速处理,尽管它们传达了大量的信息。因此,在心理生理学实验中,人脸构成了非常特殊的刺激!大量研究调查了面部加工的电生理相关,表明存在多个事件相关成分。然而,不同加工水平的差异仍然存在争议。在本研究中,我们使用脑磁图(MEG)来研究面部处理在感知和识别方面与物体处理有何不同,并确定了我们发现的效应的开始和峰值时间的95%置信区间。我们的结果证实了M170组分的表面选择性,但并不总是适用于M100组分。此外,我们观察到M170成分在知觉和识别的起始和峰值时间都有独特的速度模式。
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引用次数: 0
Seven Ambiguities in Explaining the Human Memory System in the Principles of Neural Science Book 《神经科学原理》书中解释人类记忆系统的七个歧义
Pub Date : 2021-04-02 DOI: 10.20944/PREPRINTS202104.0060.V1
S. A. Batouli
Memory is probably one of the most complex cognitive functions of the human, and in many years, thousands of studies have helped us to better recognize this brain function. One of the reference textbooks in neuroscience, which has also elaborated on the memory function, is written by Prof. Kandel and his colleagues. In this book, I encountered a number of ambiguities when it was explaining the memory system. Here, I am sharing those points, either to find an answer for them, or to let them be a suggestion for our future works. Prof. Kandel has spent most of his meritorious lifetime on studying the memory system; however, the brain is extremely complex, and as a result, we still have many years to comprehensively understand the neural mechanisms of brain functions.
记忆可能是人类最复杂的认知功能之一,多年来,成千上万的研究帮助我们更好地认识了这种大脑功能。坎德尔教授等人撰写的神经科学参考书中,也详细介绍了记忆功能。在这本书中,我在解释记忆系统时遇到了一些模棱两可的地方。在这里,我分享这些观点,或者是为它们寻找答案,或者是让它们成为我们未来工作的建议。坎德尔教授一生的大部分时间都在研究记忆系统;然而,大脑是极其复杂的,因此,我们还有许多年的时间来全面了解大脑功能的神经机制。
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引用次数: 1
Evaluation of the GABAA Receptor Expression and the Effects of Muscimol on the Activity of Wide Dynamic Range Neurons Following Chronic Constriction Injury of the Sciatic Nerve in Rats 大鼠坐骨神经慢性收缩损伤后GABAA受体表达及Muscimol对宽动态范围神经元活性的影响
Pub Date : 2021-01-01 DOI: 10.32598/bcn.2021.1726.2
M. Sadeghi, H. Manaheji, J. Zaringhalam, A. Haghparast, S. Nazemi, Z. Bahari, S. Noorbakhsh
Introduction: The modality of γ-aminobutyric acid receptors (GABAA) in control of dorsal horn neuronal excitability and inhibition of sensory information is ambiguous. The aim of the present study was to investigate the expression of GABAA receptor and the effects of its agonist muscimol on wide dynamic range (WDR) neuronal activity in the chronic constriction injury (CCI) model of neuropathic pain. Methods: Adult male Wistar rats weighing 200 to 250 g were used for the induction of CCI neuropathy. 14 days after surgery, muscimol (0.5, 1, and 2 mg/kg i.p.) was injected. Then, the behavioral tests were performed. Thereafter, the animals were sacrificed, and the lumbar segments of the spinal cords were collected for Western blot analysis of the GABAA receptor α1 subunit expression. The electrophysiological properties of WDR neurons were studied by single unit recordings in separate groups on the 14th day after CCI. Results: The outcomes indicated the development of thermal hyperalgesia and mechanical allodynia after neuropathy; nonetheless, the expression of GABAA receptor α1 subunit did not change significantly. Moreover, the evoked responses of the WDR neurons to electrical, mechanical, and thermal stimuli were significantly increased. 14 days after CCI, muscimol administration decreased thermal hyperalgesia, mechanical allodynia, and hyper-responsiveness of the WDR neurons in CCI rats. Conclusion: It confirms that the modulation of the spinal GABAA receptors after nerve injury can offer further insights to design new therapeutic agents in order to reduce the neuropathic pain symptoms.
γ-氨基丁酸受体(GABAA)在控制背角神经元兴奋性和抑制感觉信息中的作用机制尚不明确。本研究旨在探讨GABAA受体在神经性疼痛慢性收缩损伤(CCI)模型中的表达及其激动剂muscimol对宽动态范围(WDR)神经元活性的影响。方法:采用体重200 ~ 250 g的成年雄性Wistar大鼠诱导CCI神经病变。术后14天,静脉注射muscimol(0.5、1、2 mg/kg i.p)。然后,进行行为测试。随后处死大鼠,取大鼠腰椎节段脊髓,Western blot检测GABAA受体α1亚基表达。CCI后第14天,采用单单元记录法观察各组WDR神经元的电生理特性。结果:神经病变后出现热痛觉过敏和机械异常痛;GABAA受体α1亚基的表达无明显变化。此外,WDR神经元对电刺激、机械刺激和热刺激的诱发反应显著增加。CCI后14天,给药muscimol降低了CCI大鼠的热痛觉过敏、机械异常性痛和WDR神经元的高反应性。结论:神经损伤后脊髓GABAA受体的调节可为设计新的治疗药物提供进一步的见解,以减轻神经性疼痛症状。
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引用次数: 0
An Scale for Activity of Daily Living for Iranian Children (ADLIC): Development and Validation 伊朗儿童日常生活活动量表(ADLIC):发展与验证
Pub Date : 2021-01-01 DOI: 10.32598/bcn.2021.2732.2
Hossein Solltaninejad, Mehdi Alizadeh zaree, M. Akbarfahimi, A. Azad, F. Rabiei
Background: Activity of daily living as an ultimate goal of rehabilitation relies on cultural and environmental factor. The purpose of this study was to develop a questionnaire based on Occupational therapy practice frame to accurately evaluate the occupational performance of Iranian children. Methods: This scale was developed in two phases of planning and constructing. The planning phase involved a literature review and a collection of the available evaluation tools in the area. The advice of two expert panels was used to develop a preliminary 87-item questionnaire. In the construction phase, 40 parents were surveyed to assess the popularity of the activities in Iran. After a face to content validation, the final version of the questionnaire was prepared with 93 items. Results: The final 93-item questionnaire was used to assess the daily activity of 3-6 year old children. The 93 items, selected according to criteria found in the literature and the panel of experts, were categorized in 6 areas of occupational therapy practice framework (bathing/showering, washing, personal hygiene, toileting, eating/feeding, functional mobility). Conclusion: The activity of daily living for Iranian children is a useful and culturally relevant tool for measuring the occupational performance of Iranian children. It can be utilized in clinical and population-based researches.
背景:日常生活活动作为康复的最终目标依赖于文化和环境因素。本研究的目的是开发一份基于职业治疗实践框架的问卷,以准确评估伊朗儿童的职业表现。方法:该量表分规划和构建两个阶段编制。规划阶段包括文献审查和收集该地区可用的评估工具。根据两个专家小组的意见,编制了一份初步的87项问题单。在建设阶段,对40名家长进行了调查,以评估活动在伊朗的受欢迎程度。经过面对面的内容验证后,问卷的最终版本由93个项目组成。结果:采用终版93项问卷对3 ~ 6岁儿童的日常活动进行评估。根据文献和专家小组中的标准选择的93个项目被分类为职业治疗实践框架的6个领域(洗澡/淋浴、洗涤、个人卫生、如厕、进食/喂养、功能活动)。结论:伊朗儿童的日常生活活动是衡量伊朗儿童职业表现的有用且与文化相关的工具。它可用于临床和基于人群的研究。
{"title":"An Scale for Activity of Daily Living for Iranian Children (ADLIC): Development and Validation","authors":"Hossein Solltaninejad, Mehdi Alizadeh zaree, M. Akbarfahimi, A. Azad, F. Rabiei","doi":"10.32598/bcn.2021.2732.2","DOIUrl":"https://doi.org/10.32598/bcn.2021.2732.2","url":null,"abstract":"Background: Activity of daily living as an ultimate goal of rehabilitation relies on cultural and environmental factor. The purpose of this study was to develop a questionnaire based on Occupational therapy practice frame to accurately evaluate the occupational performance of Iranian children. Methods: This scale was developed in two phases of planning and constructing. The planning phase involved a literature review and a collection of the available evaluation tools in the area. The advice of two expert panels was used to develop a preliminary 87-item questionnaire. In the construction phase, 40 parents were surveyed to assess the popularity of the activities in Iran. After a face to content validation, the final version of the questionnaire was prepared with 93 items. Results: The final 93-item questionnaire was used to assess the daily activity of 3-6 year old children. The 93 items, selected according to criteria found in the literature and the panel of experts, were categorized in 6 areas of occupational therapy practice framework (bathing/showering, washing, personal hygiene, toileting, eating/feeding, functional mobility). Conclusion: The activity of daily living for Iranian children is a useful and culturally relevant tool for measuring the occupational performance of Iranian children. It can be utilized in clinical and population-based researches.","PeriodicalId":8728,"journal":{"name":"Basic and Clinical Neuroscience Journal","volume":"121 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88687208","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
Autobiographical Brand Images Give a Higher Chance to False Memory as Compared to Neutral Images 与中性形象相比,自传式品牌形象更容易产生错误记忆
Pub Date : 2021-01-01 DOI: 10.32598/bcn.2021.2275.3
M. Shabani, J. Salehi
Consumers’ prior experiences shape an episodic memory which largely influences their decision-making process. This episodic memory is mainly linked to cognitive and emotional perception and we know that a brand image influences our cognitive and emotional perception. Nevertheless, it has not been well described how autobiographical memories of brand images differ from those of other types of images. In this study, we hypothesized that brand pictures have a higher chance to create false memories as compared to neutral ones. We investigated this hypothesis using the Deese–Roediger–McDermott paradigm with lists of brand pictures from the local market and associated neutral images from the international affective picture system. Thirty graduate students were exposed to image stimuli followed by a distractor task and a recognition task. After the test of normality, reaction times, and false recognition rates of brands and neutral images were statistically compared using a pairwise t-test. The results showed a significant decrease in reaction times and an increase in false recognition rates of brand pictures as compared to neutral ones. Interestingly, the effect of gender on the creation of false memory by autobiographical brand images was not significant. We hope these findings could pave the way for a better understanding of the false memory mechanism.
消费者先前的经历形成情景记忆,情景记忆在很大程度上影响他们的决策过程。这种情景记忆主要与认知和情感感知有关,我们知道品牌形象会影响我们的认知和情感感知。然而,品牌形象的自传式记忆与其他类型形象的自传式记忆有何不同还没有得到很好的描述。在这项研究中,我们假设品牌图片比中性图片更容易产生错误记忆。我们使用Deese-Roediger-McDermott范式研究了这一假设,并使用了来自当地市场的品牌图片列表和来自国际情感图片系统的相关中性图像。30名研究生接受图像刺激,然后进行分心任务和识别任务。经正态性检验后,采用两两t检验对品牌和中性图像的反应时间和错误识别率进行统计学比较。结果显示,与中性图片相比,对品牌图片的反应时间明显减少,错误识别率明显增加。有趣的是,性别对自传式品牌形象产生错误记忆的影响不显著。我们希望这些发现可以为更好地理解错误记忆机制铺平道路。
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引用次数: 0
Diagnostic Challenges and Prospects Associated With Zoonotic Tuberculosis of Central Nervous System 与中枢神经系统人畜共患结核相关的诊断挑战和前景
Pub Date : 2020-09-01 DOI: 10.32598/bcn.9.10.11.5.803.3
Prachi R. Bapat, Seema D. Shekhawat, Aliabbas A. Husain, Renuka S. Dodkey, Hatim F. Daginawala, Lokendra K. Singh
Introduction: The diagnosis of Tuberculous Meningitis (TBM) has remained a challenge due to its insidious onset and the failure of conventional diagnostic tests. The present study aimed to identify the mycobacterial pathogen in the CSF of patients with TBM and a poor prognosis. Methods: We retrospectively recruited 224 TBM and 34 non-TBM patients admitted to the Central India Institute of Medical Sciences, Nagpur, India, in 2014. The CSF samples of these patients were subjected to a duplex PCR assay for the species-specific identification of the causative pathogen. Results: M. bovis and infection with M.tuberculosis were detected in 7% (18) and 32.9% (85) of the patients, respectively. Moreover, 14% (36) of the study samples were culture positive; however, the mycobacterial pathogens could not be differentiated to the species level.  Conclusion: The present study findings emphasized the potentially vital importance of M. bovis identification for appropriate patient management. The obtained data also demonstrated the persistent significance of M. bovis, as a zoonotic pathogen.
结核性脑膜炎(TBM)的诊断一直是一个挑战,由于其潜伏的起病和失败的传统诊断测试。本研究旨在鉴定预后不良的TBM患者脑脊液中的分枝杆菌病原体。方法:回顾性招募2014年印度那格浦尔中央印度医学科学研究所收治的224例TBM患者和34例非TBM患者。对这些患者的脑脊液样本进行双链聚合酶链反应测定,以确定病原体的物种特异性。结果:检出牛分枝杆菌18例(7%),结核分枝杆菌85例(32.9%);此外,14%(36)的研究样本培养阳性;但分枝杆菌致病菌不能分化到种水平。结论:目前的研究结果强调了牛支原体鉴定对适当患者管理的潜在至关重要的意义。所获得的数据也证明了牛分枝杆菌作为一种人畜共患病原体的持久意义。
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引用次数: 0
Paying Attention to Circadian Rhythms in the Treatment of COVID-19 在COVID-19治疗中关注昼夜节律
Pub Date : 2020-04-10 DOI: 10.32598/BCN.11.COVID19.2584.1
Atefeh Bakhtazad, Reza Jafari, M. Khaksari, H. Khastar, M. Salehi, M. Jafarisani, B. Garmabi
The bidirectional association between the circadian system and innate-adaptive immune functions has been highlighted in many investigations. Viruses are a submicroscopic infectious agent that activate the immune system after entering the human host cell. A novel virus, so-called Coronavirus Disease 2019 (COVID-19), which has recently emerged, is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Previous investigations show that the factors that are strongly controlled by circadian rhythms, such as clock genes and melatonin, modulate the immune response and may, therefore, influence the healing processes of COVID-19. Moreover, the mechanism of COVID-19 shows that some host cell factors, such as an angiotensin-converting enzyme, exhibit daily rhythms. In this review, we explore key findings that show a link between circadian rhythms and viral infection. The results of these findings could be helpful for clinical and preclinical studies to discover a useful and highly effective treatment for eradicating the COVID-19 disease.
昼夜节律系统与先天适应性免疫功能之间的双向关联已在许多研究中得到强调。病毒是一种亚微观感染因子,在进入人体宿主细胞后激活免疫系统。最近出现的新型病毒“冠状病毒病2019 (COVID-19)”是由严重急性呼吸系统综合征冠状病毒2 (SARS-CoV-2)引起的传染病。先前的研究表明,生物钟基因和褪黑激素等受昼夜节律强烈控制的因素可以调节免疫反应,因此可能影响COVID-19的愈合过程。此外,COVID-19的机制表明,一些宿主细胞因子,如血管紧张素转换酶,具有日常节律。在这篇综述中,我们探讨了显示昼夜节律和病毒感染之间联系的关键发现。这些结果可能有助于临床和临床前研究,以发现一种有用的、高效的治疗方法来根除COVID-19疾病。
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引用次数: 2
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Basic and Clinical Neuroscience Journal
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