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Anamnesis in Alzheimer's Disease: A Review and Proposal 阿尔茨海默病的记忆:综述和建议
Pub Date : 2023-06-07 DOI: 10.9734/indj/2023/v19i4381
Juliana Jacinto Eduardo, Fabiana Freitas Pereira, Gabriela Macedo Pereira, Natalia Giffoni Lustosa, L. Brunelli, T. Aversi-Ferreira
In general, mental illnesses take the patient away from the family, making his quality of life lower, and in particular, Alzheimer's disease (AD) is amental morbidity increasing faster in the world. The diagnosis of AD is predominantly clinical with the test of imaging as adjuvant; however, these tests could be difficult to obtain in developing countries. Therefore, anamnesis is the main tool in the diagnosis of AD and must be used efficiently. The propose of this critical review is to indicate a logical and scientific path for clinical procedures in the diagnosis of brain disorders, specifically for AD. Then, a literary search was made, and the subjects of the articles were directed to the descriptors clinical procedures, biochemical analysis and diagnosis. Twenty-three articles were selected, in addition was used a WHO text and two books for the ground of theory, and from that, a discussion was carried out, based on the deductive analysis of the general criteria of the psychiatric diagnosis for the specific ones, and, finally, a heuristic reasoning was associated linking the scientific method to the studied methods. Finally, the psychiatrist's preparation to carry out the anamnesis of the patient with dementia can be added to the current scientific method to make the procedure more accurate in order to avoid possible errors.
一般来说,精神疾病使患者远离家庭,使其生活质量降低,特别是阿尔茨海默病(AD)是世界上增长较快的精神疾病。AD的诊断以临床为主,影像学检查为辅助;然而,这些检测在发展中国家可能很难获得。因此,记忆是诊断AD的主要工具,必须有效利用。这篇重要综述的建议是为脑部疾病,特别是阿尔茨海默病的临床诊断提供一条合乎逻辑和科学的途径。然后,进行文献检索,并将文章的主题定向到临床程序,生化分析和诊断的描述符。选择了23篇文章,此外还使用了WHO文本和两本书作为理论基础,并从中进行了讨论,基于对具体精神病诊断的一般标准的演绎分析,最后,将科学方法与研究方法联系起来进行启发式推理。最后,可以在现有的科学方法中加入精神科医生对痴呆患者进行记忆的准备,使程序更加准确,以避免可能出现的错误。
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引用次数: 1
Sub-Anesthetic Dose of Ketamine Improves Cognitive Function and Motor Responses in Wistar Rats 亚麻醉剂量氯胺酮对Wistar大鼠认知功能和运动反应的改善
Pub Date : 2023-06-02 DOI: 10.9734/indj/2023/v19i4380
P. O. Uahomo, V. T. Ibubeleye, Chidi Emmanuel Ezerioha, Oghenefego Michael Adheke
Background: The cognitive and motor effects of sub-anesthetic doses of ketamine remain controversial. The aim of this study was to investigate the effects of ketamine administration under anesthesia on cognitive function and motor responses in Wistar rats. Methods: Twenty-five Wistar rats were randomized into five groups of five rats each (n=5): group 1 (normal control), group 2 (1mg/kg ketamine), group 3 (2mg/kg ketamine), group 4 (3mg/kg ketamine) and group 5 (0.5ml/100g celecoxib). Treatment for each group lasted 3 weeks. Rats from each group were subjected to a total of nine (9) trials of cognitive-motor tests, including; the Barnes maze test (memory based on visual scenes), hand grip test (motor response to foreleg strength), rotarod test (coordination ability). The neurobehavioral ability displayed by the animals was recorded and analyzed using analysis of variance (ANOVA). Results: Observations from the cognitive function study showed a significant improvement (p<0.05) from week 1 to week 3. The quality of motor task performance also improved from week 1 to week 3 compared to control and celecoxib-treated groups. Conclusions: Sub-anesthetic doses of ketamine improved cognitive function and motor responses in Wistar rats.
背景:亚麻醉剂量的氯胺酮对认知和运动的影响仍然存在争议。本研究的目的是研究麻醉下氯胺酮给药对Wistar大鼠认知功能和运动反应的影响。方法:25只Wistar大鼠随机分为5组,每组5只(n=5):第1组(正常对照)、第2组(氯胺酮1mg/kg)、第3组(氯胺酮2mg/kg)、第4组(氯胺酮3mg/kg)和第5组(塞来昔布0.5ml/100g)。每组治疗3周。每组大鼠共接受九(9)项认知运动测试,包括:;Barnes迷宫测试(基于视觉场景的记忆)、抓握测试(对前腿力量的运动反应)、旋转棒测试(协调能力)。记录动物表现出的神经行为能力,并使用方差分析(ANOVA)进行分析。结果:认知功能研究的观察结果显示,从第1周到第3周,认知功能有显著改善(p<0.05)。与对照组和塞来昔布治疗组相比,从第1周到第3周,运动任务表现的质量也有所改善。结论:亚麻醉剂量的氯胺酮改善了Wistar大鼠的认知功能和运动反应。
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引用次数: 0
COVID Stress Scales: A Cross-sectional Study of its Psychometric Properties among Africans with Chronic, Stable Medical Conditions 新冠肺炎压力量表:对患有慢性稳定疾病的非洲人心理测量特性的横断面研究
Pub Date : 2023-06-01 DOI: 10.9734/indj/2023/v19i4379
J. Onu, C. B. Nwatu, C. J. Ugwu, N. Mbadiwe, C. Onyeaghala, K. Udeogu, M. Abonyi, E. Young, N. Unaogu, A. Ndukuba, F. Ugwumba, I. Onwuekwe
Background: The coronavirus 2019 pandemic (COVID-19) elicited in various populations, diverse psycho-behavioral responses. The COVID Stress Scales (CSS) was developed and validated in the general population, among US and Canadian adults, in response to the COVID-19 pandemic. Expectedly, population-specific variations in response are likely, hence, the need to validate psychometrically sound instruments across cultures and diverse populations. Aim: To determine the factor structure and reliability estimates of the CSS among participants with chronic, stable medical conditions in a Nigerian Tertiary Hospital. Methods: The cross-sectional study, involved 1047 consenting adults with chronic, stable medical conditions attending the out-patient specialist clinics of a foremost tertiary hospital in Nigeria. The participants were enrolled consecutively over a four-month period straddling the first and second waves of the COVID-19 pandemic. The CSS was administered to participants who fulfilled the study criteria. Exploratory Factor Analyses (EFA) using Principal Component Analysis and Oblimin rotation with Kaiser Normalization, was used to extract the factors.  Results: A six-factor structure emerged: COVID-19-related socio-economic consequences; contamination; xenophobia; traumatic stress; compulsive checking and reassurance seeking; and danger. The internal consistency within items of each domain was acceptable (Cronbach alpha 0.85 and above) and correlation between the domains was moderate to strong. Conclusion: The CSS maintained a six-factor structure, corresponding to the six scales, among Nigerian participants with chronic, stable medical conditions. It has acceptable reliability estimates and can be used to assess COVID-19-related anxiety in this population. The inter-correlation of the various domains is a strong evidence for the existence of COVID stress syndrome.
背景:2019冠状病毒大流行(新冠肺炎)在不同人群中引发了不同的心理行为反应。新冠肺炎压力量表(CSS)是在美国和加拿大成年人的普通人群中开发和验证的,以应对新冠肺炎大流行。不出所料,反应可能会因人群而异,因此需要验证不同文化和不同人群的心理测量工具。目的:确定尼日利亚一家三级医院患有慢性、稳定疾病的参与者的CSS的因素结构和可靠性估计。方法:这项横断面研究涉及1047名患有慢性、稳定疾病的成年人,他们在尼日利亚一家最重要的三级医院的门诊专科诊所就诊。参与者在新冠肺炎大流行的第一波和第二波期间连续四个月报名。CSS是对符合研究标准的参与者进行管理的。采用主成分分析和Kaiser归一化的Oblimin旋转的探索性因子分析(EFA)来提取因子。结果:出现了六个因素的结构:与COVID-19相关的社会经济后果;污染仇外心理创伤应激;强制检查和寻求安慰;和危险。每个结构域的项目内部一致性是可接受的(Cronbach alpha 0.85及以上),并且结构域之间的相关性是中等到强烈的。结论:在患有慢性、稳定疾病的尼日利亚参与者中,CSS保持了与六个量表相对应的六因素结构。它具有可接受的可靠性估计,可用于评估该人群中与COVID-19相关的焦虑。不同领域的相互关联是新冠肺炎应激综合征存在的有力证据。
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引用次数: 0
Postnatal Effects of the Ethanol on the Encephalon Mass and Neocortex Architecture in Wistar Rat Offspring Submitted to Acute Prenatal Injection [E12] and in vitro Ethanol Effects on Wistar Rat and Human Erythrocytes 乙醇对急性产前注射的Wistar大鼠子代脑质量和新皮质结构的产后影响[E12]以及体外乙醇对Wistar大白鼠和人红细胞的影响
Pub Date : 2023-05-15 DOI: 10.9734/indj/2023/v19i4378
Karolyne Cordeiro-de-Oliveira, T. Abreu, Sylla Figueredo-da-Silva, Ediana Vasconcelos-da-Silva, Raíne Piva-Amaral, Danyelle Silva-Amaral, Micheli Patrícia de Fátima Magri, Rogério Benedito de Brito, Rafael Bretas Vieira, R. C. Rodrigues, Breno Régis Santos, T. Aversi-Ferreira
Aims: To verify the ethanol effects of the acute injections in pregnant Wistar rats (E12) on the offspring in P8. Additionally, measures of the brain and corporal masses and the stability of erythrocytes were performed in rats and humans. Study Design:  Histological analysis and a spectrophotometer were used to count neural cells and osmotic fragility in erythrocytes. Place and Duration of Study: The immunohistochemistry study was partially performed at the Federal University of Uberlândia, and at the University of Toyama-Japan, the experiments on the brain, body masses, and stability of erythrocyte membranes in humans were performed from 2012 to 2014. Methodology: Eighteen pregnant female rats (180-230g) were housed in cages at 22 ± 0.4°C on a 12 h light/dark cycle with free access to food and water. On the 11th day of pregnancy (E12), 12 rats received three intraperitoneal (i.p.) injections of a 20% ethanol solution (3 g of ethanol/kg of body weight) at 8 hours intervals. Results: The number of neural cells was lower in rats treated with ethanol than to controls to each lobe and total count in all lobes (P = 0.001). Significant alterations of neocortical tissue in ethanol-treated were observed, as the decrease of brain mass (P = 0.05) in linear regression. The stability of erythrocyte membranes was verified with D50 equal to 0.46 g·dL-1 (± 0.05). Conclusion: According to this work, the ethanol injection in the rats showed marked brain tissue destruction relative to the control, and ethanol’s effects on erythrocytes indicated that membrane destruction could be one of the causes of brain cell disruption in neural migration.
目的:验证妊娠Wistar大鼠(E12)急性注射乙醇对P8子代的影响。此外,还测量了大鼠和人的脑和身体质量以及红细胞的稳定性。研究设计:采用组织学分析和分光光度计计数神经细胞和红细胞渗透性脆性。研究地点和时间:免疫组织化学研究部分在印度联邦大学进行,2012年至2014年在日本富山大学进行了人类大脑、体重和红细胞膜稳定性的实验。方法:将18只怀孕雌性大鼠(180-230g)置于22±0.4°C的笼子中,光照/暗循环12 h,自由进食和饮水。在妊娠第11天(E12), 12只大鼠每8小时腹腔注射3次20%乙醇溶液(乙醇浓度为3 g /kg体重)。结果:乙醇处理大鼠各叶神经细胞数和各叶神经细胞总数均低于对照组(P = 0.001)。经线性回归分析,经乙醇处理的大鼠新皮质组织有显著变化,脑质量下降(P = 0.05)。D50 = 0.46 g·dL-1(±0.05),证实了红细胞膜的稳定性。结论:与对照组相比,乙醇注射对大鼠脑组织有明显的破坏,乙醇对红细胞的影响表明,膜破坏可能是神经迁移过程中脑细胞破坏的原因之一。
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引用次数: 0
Association between Age Gain, Parkinsonism and Pesticides: A Public Health Problem? 年龄增长、帕金森病和杀虫剂之间的关系:一个公共卫生问题?
Pub Date : 2023-05-06 DOI: 10.9734/indj/2023/v19i3376
Renata Cristina-Pereira, Kaynara Trevisan, Ediana Vasconcelos-da-Silva, Sylla Figueredo-da-Silva, Micheli Patricia de F. Magri, L. Brunelli, T. Aversi-Ferreira
As life expectancy increases worldwide, so does the time available for prolonged exposure to toxic materials in the environment that have the potential to exert gradual pressure, facilitating the onset of aging in the body. Neural/behavioral alterations are linked to age gain, making the understanding of the aging process more complex considering the high complexity of the neural system and, although neuropsychological, pathological and neuroimaging criteria have been established to differentiate between normal and pathological aging, diagnosing the mild cognitive problems of each elderly individual remains a challenge. Parkinson's disease is recognized as one of the most common neurological disorders in the elderly, whose intrinsic cause is still unknown, but its main molecular basis is the decrease in dopamine produced in the substantia nigra. Studies have suggested that exposure to organophosphate, the glyphosate class, in different organisms, are capable of promoting bodily malformations, neurotoxicity, hepatotoxicity, genotoxicity, metabolic disorders, among others. The effects of pesticides on the environment, associated with their exacerbated permanence in the environment, indicate that more and more people may suffer their deleterious action, which may be the cause of some neurodegenerative disorders. The main objective of this study was to use specific data from the literature on Parkinsonism, correlating it with aging and contamination by pesticides. In fact, the health risks inherent in the use of pesticides are greater the greater the intensity of exposure to them and, considering the widespread use of pesticides today, the number of poisoning of the human population and animals will increase. Therefore, in terms of literary data, contamination with pesticides may be associated with a public health problem and, therefore, a possible increase in dementia processes, thus Parkinsonism.
随着世界范围内预期寿命的延长,长期暴露于环境中有毒物质的时间也在增加,这些有毒物质有可能逐渐施加压力,促进身体衰老的开始。神经/行为改变与年龄增长有关,考虑到神经系统的高度复杂性,使得对衰老过程的理解更加复杂,尽管已经建立了神经心理学、病理学和神经影像学标准来区分正常和病理性衰老,但诊断每个老年人的轻度认知问题仍然是一个挑战。帕金森病是公认的老年人最常见的神经系统疾病之一,其内在原因尚不清楚,但其主要分子基础是黑质产生的多巴胺减少。研究表明,接触不同生物体中的有机磷酸酯(草甘膦类)能够促进身体畸形、神经毒性、肝毒性、遗传毒性、代谢紊乱等。农药对环境的影响及其在环境中持久性的加剧表明,越来越多的人可能遭受农药的有害作用,这可能是一些神经退行性疾病的原因。本研究的主要目的是利用帕金森病文献中的具体数据,将其与衰老和农药污染联系起来。事实上,接触农药的强度越大,使用农药所固有的健康风险就越大,考虑到今天农药的广泛使用,人口和动物中毒的数量将会增加。因此,就文献资料而言,农药污染可能与公共卫生问题有关,因此可能增加痴呆进程,从而增加帕金森病。
{"title":"Association between Age Gain, Parkinsonism and Pesticides: A Public Health Problem?","authors":"Renata Cristina-Pereira, Kaynara Trevisan, Ediana Vasconcelos-da-Silva, Sylla Figueredo-da-Silva, Micheli Patricia de F. Magri, L. Brunelli, T. Aversi-Ferreira","doi":"10.9734/indj/2023/v19i3376","DOIUrl":"https://doi.org/10.9734/indj/2023/v19i3376","url":null,"abstract":"As life expectancy increases worldwide, so does the time available for prolonged exposure to toxic materials in the environment that have the potential to exert gradual pressure, facilitating the onset of aging in the body. \u0000Neural/behavioral alterations are linked to age gain, making the understanding of the aging process more complex considering the high complexity of the neural system and, although neuropsychological, pathological and neuroimaging criteria have been established to differentiate between normal and pathological aging, diagnosing the mild cognitive problems of each elderly individual remains a challenge. \u0000Parkinson's disease is recognized as one of the most common neurological disorders in the elderly, whose intrinsic cause is still unknown, but its main molecular basis is the decrease in dopamine produced in the substantia nigra. Studies have suggested that exposure to organophosphate, the glyphosate class, in different organisms, are capable of promoting bodily malformations, neurotoxicity, hepatotoxicity, genotoxicity, metabolic disorders, among others. The effects of pesticides on the environment, associated with their exacerbated permanence in the environment, indicate that more and more people may suffer their deleterious action, which may be the cause of some neurodegenerative disorders. The main objective of this study was to use specific data from the literature on Parkinsonism, correlating it with aging and contamination by pesticides. \u0000In fact, the health risks inherent in the use of pesticides are greater the greater the intensity of exposure to them and, considering the widespread use of pesticides today, the number of poisoning of the human population and animals will increase. Therefore, in terms of literary data, contamination with pesticides may be associated with a public health problem and, therefore, a possible increase in dementia processes, thus Parkinsonism.","PeriodicalId":90556,"journal":{"name":"International neuropsychiatric disease journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44290028","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
Preoperative Anxiety and Depression among Parents of Children undergoing Anesthesia and Surgical Operations in a Tertiary Hospital in Port Harcourt, Nigeria 尼日利亚哈科特港一家三级医院接受麻醉和外科手术的儿童家长的术前焦虑和抑郁
Pub Date : 2023-04-30 DOI: 10.9734/indj/2023/v19i3377
A. Aggo, C. Okeafor
Introduction: In spite of pediatric surgical interventions being potentially curative, and the advancement in pediatric anesthesiology, the fear of morbidity and mortality still abounds among parents. Anxiety and depressive symptoms among parents of children undergoing anesthesia and surgery could threaten postoperative recovery. This study therefore assessed the prevalence and factors of preoperative parental anxiety and depression. Methodology: This was a cross-sectional study comprising of parents whose children were scheduled for surgery at the University of Port Harcourt Teaching Hospital, Rivers State, Nigeria. Preoperative anxiety and depression were the dependent variables, and were determined based on the Hamilton Anxiety Depression Scale (HADS), a validated and reliable tool. Socio-demographic and clinical-related variables comprised the independent variables. Bivariate and multivariate analyses were performed at 0.05 significant level. Results: The study comprised a total of 100 parents whose children were undergoing surgical operations. The prevalence of preoperative parental anxiety and depression were 58.0% (95% CI: 48.3-67.7%) and 49.0% (95% CI:39.2-58.8%) respectively. Prevalence of preoperative parental anxiety was significantly higher among emergency surgeries (100.0%) in comparison to elective surgeries (56.5%) (p-value=0.034). The odds of preoperative parental anxiety was 50% lower with increasing existing number of children (AOR=0.505;95%CI:0.258-0.991). Parental depression had significantly lower odds with administration of general anesthesia (AOR= 0.022; 95%CI:0.001-0.701), and having higher existing number of children (AOR= 0.505; 95%CI:0.258-0.991). Conclusion: The prevalence rates of preoperative anxiety and depression in the study setting are high. The findings highlight the need for evaluation of parental anxiety and depression pre-operatively especially those with single or lower number of children.
导论:尽管儿科手术干预具有潜在的治愈性,儿科麻醉学也取得了进步,但对发病率和死亡率的恐惧仍然充斥着家长。接受麻醉和手术的儿童家长的焦虑和抑郁症状可能威胁到术后恢复。因此,本研究评估了术前父母焦虑和抑郁的患病率及其影响因素。方法:这是一项横断面研究,包括在尼日利亚河流州哈科特港大学教学医院安排手术的孩子的父母。术前焦虑和抑郁是因变量,并根据汉密尔顿焦虑抑郁量表(HADS)确定,这是一个经过验证和可靠的工具。自变量包括社会人口统计学和临床相关变量。双因素和多因素分析均在0.05显著水平下进行。结果:本研究共纳入了100位接受外科手术的孩子的父母。术前父母焦虑和抑郁的患病率分别为58.0% (95% CI: 48.3 ~ 67.7%)和49.0% (95% CI:39.2 ~ 58.8%)。急诊手术患者术前父母焦虑的发生率(100.0%)显著高于择期手术患者(56.5%)(p值=0.034)。术前父母焦虑的发生率随患儿数量的增加而降低50% (AOR=0.505;95%CI:0.258 ~ 0.991)。父母抑郁与全麻的比值显著降低(AOR= 0.022;95%CI:0.001-0.701),且现有子女数量较高(AOR= 0.505;95%置信区间:0.258—-0.991)。结论:本组患者术前焦虑、抑郁的发生率较高。研究结果强调了术前评估父母焦虑和抑郁的必要性,特别是那些只有一个孩子或孩子数量较少的父母。
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引用次数: 0
A Study to Assess the Prevalence of Non-suicidal Self Injury and Reasons for that Behaviour among Adults and their Coping 评估成年人非自杀性自伤的患病率及其原因和应对措施的研究
Pub Date : 2023-04-27 DOI: 10.9734/indj/2023/v19i3375
L. Kataria, Rohit Balas, D. Raval, Jahnavi Bhatt, Dharmin Shah
Introduction: Non-Suicidal self-injury (NSSI) is both highly comorbid with suicidality among adolescents and a significant predictor of suicide attempts (SAs) in adolescents.A broad variety of different functions can underlie acts of Non-suicidal self-injury (NSSI). Aims: To study prevalence and characteristics of Non-suicidal self-injury (NSSI) and functional purpose of that behaviour among Adults and their level of coping. Study Design: Cross-sectional Analytical study. Place and Duration of Study: The study is conducted in central medical university, Gujarat, India over a period of 30 days. Methodology: Study was conducted among students of Central Medical University.195 participants were enrolled by consecutive random sampling. They were given a Google form to fill out Demographic details. The form also has an Inventory for NSSI (ISAS) to assess their NSSI behaviour and Brief Resilient Coping Scale (BRCS) to assess coping. Results: Out of 195 participants, prevalence of NSSI behaviour is 49(25.12%).  Among these 20(40.82%) are male & 29(59.18%) are female. Among sociodemographic data type of family is statistically significant(P value- 0.039). Mean age at which participants start self-harming is16.6 ± 2.89 years. During NSSI behaviour 51.02% of participants always feel pain and 16.32% of participants do not feel pain. Prevalence of NSSI behaviour is higher in 3rd or higher birth order (33.33%) compare to 1st(28.31%) and 2nd (19.67%).The most common method of self-harm was cutting (65.3%), followed by banging (61.22%) or hitting self. The most common functional reason for self-harm was affect regulation followed by self-punishment. of participants who are having NSSI behaviour. In this study we found that there is a statistically significant difference between various resilience coping and NSSI behavior.(P- 0.0008). Conclusion: The most common method of self-harm is cutting and functional purpose for this behavior is affect regulation. Individual with low resilient coping have higher chances of NSSI behavior and similarly high resilient coping is protective for NSSI behavior.
非自杀性自伤(NSSI)在青少年中与自杀行为高度共病,也是青少年自杀企图(SAs)的重要预测因子。非自杀性自伤行为有多种不同的功能。目的:研究成人非自杀性自伤行为的发生率、特征、功能目的及其应对水平。研究设计:横断面分析研究。研究地点和时间:研究在印度古吉拉特邦中央医科大学进行,为期30天。方法:以中央医科大学在校生为研究对象,采用连续随机抽样方法,纳入195人。他们拿到了一张bbb10表格,填写人口统计细节。表格中还有一个自伤量表(ISAS)来评估他们的自伤行为和一个简短的弹性应对量表(BRCS)来评估他们的应对。结果:195名参与者中,自伤行为发生率为49例(25.12%)。其中男性20人(40.82%),女性29人(59.18%)。在社会人口学数据中,家庭类型差异有统计学意义(P值- 0.039)。参与者开始自我伤害的平均年龄为16.6±2.89岁。在自伤行为中,51.02%的被试总感到疼痛,16.32%的被试不感到疼痛。第三或更高出生顺序的自伤行为发生率(33.33%)高于第一(28.31%)和第二(19.67%)。最常见的自残方式是割伤(65.3%),其次是敲打(61.22%)或自残。自我伤害最常见的功能性原因是影响调节,其次是自我惩罚。有自伤行为的参与者在本研究中,我们发现各种弹性应对与自伤行为之间存在显著的统计学差异。(P - 0.0008)。结论:自残行为最常见的方式是割伤,其功能目的是情感调节。低弹性应对的个体发生自伤行为的几率更高,同样,高弹性应对对自伤行为具有保护作用。
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引用次数: 0
Acute Toxicity and Anxiolytic Activity Screening of Hydroalcoholic Leaf Extracts of Bryophyllum pinnatum, Terminalia catappa and Tapinanthus dodoneifolius Growing on Terminalia catappa Tree in MIce 石竹、石竹、金针叶水醇提取物对小鼠急性毒性及抗焦虑活性筛选
Pub Date : 2023-04-25 DOI: 10.9734/indj/2023/v19i3374
A. M. Umarudeen, M. G. Magaji, F. Khan, A. Abubakar
Aims: Hydroalcoholic T. dodoneifolius, B.pinnatum and T. catappa leaf extracts were investigated for their acute toxicity and anxiolytic activities.Study Design: Acute toxicity (LD50) was determined using the limit dose acute and Anxiolytic activities were assessed by open-field field behavioural testing in mice.Place and Duration of Study: The study took place in the Neurobehavioural room of Department of Pharmacology & Therapeutics, Faculty of Pharmacy, Ahmadu Bello University, Zaria in late December 2022.Methodology: Groups of mice (n=6; equal sexes) were each exposed to the open-field paradigm (OFT) following 1 hour of single oral administration of distilled water, extracts (125, 250, and 500 mg/kg) and diazepam (0. 5 mg/kg) using the behavioural indices of mean centre zone time (M%CZT), centre zone re-entry (MCZR) and defeaction/urination frequency (MD/UF).Results: Acute toxicity testing shows that the three extracts are safe with LD50 of 5g/kg. Behavioural results indicate, compared to the distilled water treatment (M%CZT, 6.39±1.53; MCZR, 4.67±1.15, & MU/UF, 4.83±0.75), single acute T. dodoneifolius (M%CZT, 7.50±1.73, 13.72±2.43, & 20.94±3.91*; MCZR, 7.33±0.88, 9.50±0.76, & 11.50±1.6*; MD/UF, 4.17±0.48, 3.17±0.54, & 1.83±0.60*), and B.pinnatum (M%CZT, 9.72±1.91, 9.78±1.32, & 19.67±2.01*; MCZR, 6.00±1.15, 10.50±0.76, & 12.50±1.72*; MD/UF, 3.17±0.79, 2.33±0.42, & 1.33±0.49*) extract treatments demonstrated consistent dose-dependency in their anxiolytic activity across the three parameters with T. catappa extract (M%CZT, 6.95±1.27, 12.17±2.01, & 16.84±1.49*; MCZR, 8.17±1.60, 10.17±1.67, & 10.83±1.96; MD/UF, 2.83±0.60, 2.00±0.73, & 3.67±0.42) exhibiting dose-pendent anxiolytic effect only on the M%CZT. However, at the highest dose level of 500 mg/kg, all plant extract treatments caused anxiolytic effects that are comparable with those of 0.5 mg/kg diazepam treatments (M%CZT, 22.61±1.31*; MCZR, 12.17±1.66*; & MD/UF, 2.62±0.21*).                                                                                                                  Conclusion: These findings justify the traditional use of these medicinal plant extracts in the remediation of nervous and related disorders.
目的:研究水醇白骨精、白骨精和石斛叶提取物的急性毒性和抗焦虑活性。研究设计:采用极限剂量法测定小鼠急性毒性(LD50),采用野外行为学试验评估小鼠抗焦虑活性。研究地点和时间:研究于2022年12月下旬在扎里亚Ahmadu Bello大学药学院药理学和治疗学系的神经行为室进行。方法:各组小鼠(n=6;男女平等),在给药1小时后,分别口服蒸馏水、提取物(125、250和500 mg/kg)和地西泮(0。5 mg/kg),使用平均中心区时间(M%CZT)、中心区再入(MCZR)和排便/排尿频率(MD/UF)作为行为指标。结果:急性毒性试验表明,三种提取物均安全,LD50为5g/kg。行为结果表明,与蒸馏水处理相比(M%CZT, 6.39±1.53;MCZR, 4.67±1.15,MU/UF, 4.83±0.75),单次急性dodoneifolius (M%CZT, 7.50±1.73,13.72±2.43,20.94±3.91*;McZr, 7.33±0.88 *,9.50±0.76 *,11.50±1.6*;MD /超滤,4.17±0.48,3.17±0.54,1.83±0.60 & *),和B.pinnatum (M % CZT, 9.72±1.91,9.78±1.32 & 19.67±2.01 *;McZr, 6.00±1.15,10.50±0.76,& 12.50±1.72*;MD/UF, 3.17±0.79,2.33±0.42,& 1.33±0.49*)提取物处理在三个参数上表现出一致的剂量依赖性(M%CZT, 6.95±1.27,12.17±2.01,& 16.84±1.49*;McZr为8.17±1.60,10.17±1.67,10.83±1.96;MD/UF分别为2.83±0.60、2.00±0.73和3.67±0.42),仅在M%CZT上表现出剂量依赖性的抗焦虑作用。然而,在最高剂量水平为500 mg/kg时,所有植物提取物处理的抗焦虑作用与0.5 mg/kg地西泮处理相当(M%CZT, 22.61±1.31*;MCZR, 12.17±1.66 *;& MD /超滤,2.62±0.21 *).                                                                                                                  结论:这些发现证明了这些药用植物提取物在修复神经和相关疾病方面的传统应用。
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引用次数: 0
Self Esteem, Depression and Life Satisfaction among HIV out Patients Receiving Highly Active Anti Retroviral Therapy in a Nigerian Teaching Hospital 尼日利亚某教学医院接受高效抗逆转录病毒治疗的艾滋病患者自尊、抑郁和生活满意度
Pub Date : 2023-04-15 DOI: 10.9734/indj/2023/v19i3373
Friday E. Okwaraji, G. Onyebueke, Titus C. Okpara
Aim: The aim of this study is to investigate self esteem, depression and life satisfaction in a sample of HIV patients receiving highly active anti retroviral therapy (HAART) attending a Nigerian tertiary health institution. Study Design: The descriptive cross sectional study design was used for the study. Place and Duration of the Study: The study was carried out at the HIV/AIDS clinic of the university of Nigeria teaching hospital Enugu in south east Nigeria between the months of January and February 2023. Methodology: A total of 480 HIV/AIDS positive patients on HAART aged between 23 to 61 years attending the HIV/AIDS clinic of the University of Nigeria Teaching hospital Enugu who consented to participate in the study were assessed for self esteem, life satisfaction and depression with the Rosenberg self esteem scale, the life satisfaction scale by Diener and the Beck’s depression inventory version two. Results: Results revealed that 53.7% of the HIV patients on HAART manifested no signs of depression; 63.8% had high self esteem and 73.1% were satisfied with their lives; however 25.2%; 15.8% and 5.5% showed signs of mild, moderate and severe depression respectively; 36.2% had low self esteem, whereas 26.9% indicated not being satisfied with their lives. Conclusion: Following the benefits of HAARTS on the management of HIV/AIDS patients as noticed in the study, there is need for health workers to ensure strict adherence on HAART regimen for optimum suppression of HIV as recommended by The World Health Organization; furthermore, there is need to ensure continuous provision of psychological support to all HIV/AIDS patients as a way of reducing the psychosocial sequelae associated with HIV/AIDS.
目的:本研究的目的是调查在尼日利亚三级卫生机构接受高活性抗逆转录病毒治疗(HAART)的HIV患者的自尊、抑郁和生活满意度。研究设计:本研究采用描述性横断面研究设计。研究地点和持续时间:该研究于2023年1月至2月在尼日利亚东南部埃努古的尼日利亚大学教学医院艾滋病毒/艾滋病诊所进行。方法:使用Rosenberg自尊量表对480名年龄在23至61岁之间、在尼日利亚大学埃努古教学医院艾滋病毒/艾滋病诊所就诊并同意参与该研究的接受HAART的艾滋病毒/艾滋病阳性患者的自尊、生活满意度和抑郁进行评估,Diener的生活满意度量表和Beck的抑郁量表第二版。结果:结果显示,在接受HAART治疗的HIV患者中,53.7%的患者没有抑郁症状;63.8%的人有较高的自尊,73.1%的人对自己的生活感到满意;25.2%;分别有15.8%和5.5%的患者出现轻度、中度和重度抑郁症状;36.2%的人自尊低下,26.9%的人表示对自己的生活不满意。结论:根据研究中注意到的HAARTS对HIV/AIDS患者管理的益处,卫生工作者需要确保严格遵守世界卫生组织建议的HAART方案,以最佳抑制HIV;此外,需要确保向所有艾滋病毒/艾滋病患者持续提供心理支持,以此减少与艾滋病毒/艾滋病相关的心理社会后遗症。
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引用次数: 0
A Systematic Review of Pattern and Prevalence of Cannabis Use among Transporters and Associated Road Traffic Accidents 运输人员使用大麻的模式和流行率及相关道路交通事故的系统评价
Pub Date : 2023-03-31 DOI: 10.9734/indj/2023/v19i3372
A. K. Nkporbu, P. Stanley
Background: Cannabis (marijuana), while being prohibited in many countries, is the most commonly used illicit drug worldwide (WHO, 1997).  "Cannabis-impaired driving" refers to the impairment brought on by 9-tetrahydrocannabinol's (THC) cognitive and psychomotor effects, which have a negative impact on a driver of a motor vehicle after THC ingestion. In contrast, a "cannabis-positive driver" is a person who operates a motor vehicle while exhibiting driving impairments due to any measurable THC concentration in blood, oral fluid, or urine. A driver is considered to be "driving under the influence of cannabis" (DUIC) if their cognitive or psychomotor abilities are significantly impaired and their blood, oral fluid, or urine contains a specific amount of THC. Aim: This study aimed at conducting a systematic review of pattern and prevalence of cannabis use among transporters and the associated road traffic accidents. Design: A systematic review. Data Sources: Systematic search for worldwide published literature from PubMed, PsycINFO, EMBASE, Google Scholar, Science Direct, Cochrane Library and Medline databases. Study eligibility criteria: These studies provided techniques and/or measurements of the frequency and pattern of cannabis use among transporters and the related traffic incidents. Data extraction: The first reviewer extracted the data, and the second reviewer verified it. Both reviewers individually critiqued each of the identified papers. Data was extracted from each eligible study (including author, title, year, and study setting) following the Preferred Reporting Items on Systematic Reviews and Meta-Analysis (PRISMA). These data abstraction forms were examined, and studies that satisfied the criteria were added to the meta-analysis. Findings: Only 10 studies met all of the inclusion criteria out of the 2,251 papers that were recovered after looking at the titles and abstracts (where an abstract was not available, the article was still counted). Conclusion: The study emphasizes the significance of education, law enforcement, and routine drug testing, reducing bribery among federal prosecutors, and influencing the accessibility of cannabis and other psychiatric substances as assessments for preventing substance cruising and restricting road traffic accidents. It also highlights areas where the study's findings and the scientific literature on risk factors for traffic accidents and preventative measures overlap. To increase acceptance and improve results, it is crucial to incorporate lay perspectives into road safety policies and initiatives.
背景:大麻(大麻)虽然在许多国家被禁止,但却是全世界最常用的非法药物(世界卫生组织,1997年)。“大麻障碍驾驶”是指9-四氢大麻酚(THC)的认知和心理运动效应引起的障碍,摄入THC后会对机动车驾驶员产生负面影响。相比之下,“大麻阳性司机”是指在驾驶机动车时,由于血液、口腔液或尿液中任何可测量的四氢大麻酚浓度而表现出驾驶障碍的人。如果驾驶员的认知或精神运动能力严重受损,并且血液、口腔液或尿液中含有特定量的四氢大麻酚,则视为“在大麻影响下驾驶”(DUIC)。目的:本研究旨在对运输者中大麻使用的模式和流行率以及相关的道路交通事故进行系统审查。设计:系统回顾。数据来源:系统检索PubMed、PsycINFO、EMBASE、Google Scholar、Science Direct、Cochrane Library和Medline数据库中的全球已发表文献。研究资格标准:这些研究提供了运输者使用大麻的频率和模式以及相关交通事件的技术和/或测量方法。数据提取:第一位评审员提取数据,第二位评审员验证数据。两位评审员分别对每一篇确定的论文进行了评审。根据系统评价和荟萃分析(PRISMA)的首选报告项目,从每个符合条件的研究(包括作者、标题、年份和研究环境)中提取数据。对这些数据抽象形式进行了检查,并将符合标准的研究添加到荟萃分析中。研究结果:在查看标题和摘要后回收的2251篇论文中,只有10项研究符合所有纳入标准(如果没有摘要,则仍计算该文章)。结论:该研究强调了教育、执法和常规药物测试的重要性,减少联邦检察官的贿赂,并影响大麻和其他精神药物的可及性,以此作为预防药物滥用和限制道路交通事故的评估。它还强调了研究结果与关于交通事故风险因素和预防措施的科学文献重叠的领域。为了提高接受度和改善结果,将外行的观点纳入道路安全政策和举措至关重要。
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引用次数: 0
期刊
International neuropsychiatric disease journal
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