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The Importance of New Findings of Research on Consciousness for the Treatment of Depression in Elderly 意识研究新发现对老年抑郁症治疗的重要性
Pub Date : 2021-01-01 DOI: 10.35248/2329-8847.9.S4.001
A. Różyk-Myrta, A. Brodziak, M. Muc-Wierzgoń
The recent resumption of the discussion of Stuart Hameroff's and Roger Penrose's theory, which assume that theperception of qualia is realized by a quantum physics information processing in microtubules and coincidingpublication, at the same time of recent progress of the so called conscious electromagnetic information field (cemi)theory prompted the authors to the trial to integrate these theories with the earlier explanations of consciousness. Inorder to present the intuitive model of interacting components of consciousness, the authors provide short reviews ofthe 'Orch OR' and ‘cemi’ theories. This enables them to distinguish three distinct, cooperating processes underlyingthe phenomenon of consciousness, namely (a) perception, including the feeling of qualia, (b) the realization ofmental imagery and (c) the feeling of subjectivity, identity manifested by the ability to self-awareness. The ability tounderstand the essence of the self-awareness is important for health care professionals, because consciousnessdisorders are a frequent medical symptom in emergencies, anesthesia and depressive syndromes in elderly. Theauthors emphasize the usefulness of transcranial magnetic stimulation, as a method of intervention in brain'sendogenous electromagnetic field, or more precisely in its element caused by the 'default mode network'. Theyemphasize also that effectiveness of the use of mindfulness methods in the treatment of depressive syndromes alsoresults from reducing the activity of "Default Mode Network”.
最近对Stuart Hameroff和Roger Penrose的理论的讨论重新开始,他们认为对量子的感知是通过微管中的量子物理信息处理来实现的,同时,所谓的意识电磁信息场(cemi)理论最近取得了进展,这促使作者尝试将这些理论与早期的意识解释结合起来。为了呈现意识相互作用的直观模型,作者简要回顾了“Orch OR”和“cemi”理论。这使他们能够区分意识现象背后的三个不同的、相互合作的过程,即(a)知觉,包括感觉,(b)心理意象的实现和(c)主体性的感觉,通过自我意识的能力表现出来的身份。了解自我意识本质的能力对卫生保健专业人员很重要,因为意识障碍是急诊、麻醉和老年人抑郁综合征中常见的医学症状。作者强调了经颅磁刺激的有效性,作为一种干预大脑内源性电磁场的方法,或者更准确地说,是干预由“默认模式网络”引起的因素的方法。他们还强调,使用正念方法治疗抑郁综合症的有效性也源于减少“默认模式网络”的活动。
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引用次数: 0
Utility of a Novel Clinical Triad (Chandrans TRIAD) for Early Diagnosis of Autoimmune Encephalitis (AIE) in Patients with Progressive Cognitive Decline 一种新的临床三联征(Chandrans三联征)在进行性认知衰退患者自身免疫性脑炎(AIE)早期诊断中的应用
Pub Date : 2021-01-01 DOI: 10.35248/2329-8847.9.S4.002
T. Issac
Autoimmune Encephalitis (AIE) often presents with cognitive and behavioural symptoms often mimickingprogressive degenerative dementias. Early identification of these potentially reversible conditions can improve patientoutcomes, reduce caregiver burden and promote cost effectiveness. The clinical trial of symptoms namely panicattacks, catatonia and day time sleepiness is often associated with anti N-methyl D-aspartate (NMDA) receptormediated encephalitis and the former two symptoms along with seizures is suggestive of anti-Voltage Gated PotassiumChannel (VGKC) receptor mediated encephalitis. This triad serves as a pragmatic tool to easily identify AIE and alsohelps to distinguish between the two conditions.
自身免疫性脑炎(AIE)通常表现为类似进行性退行性痴呆的认知和行为症状。及早发现这些潜在的可逆性疾病可以改善患者的预后,减轻护理人员的负担,并提高成本效益。临床试验表明,惊恐发作、紧张症和白天嗜睡通常与抗n -甲基d -天冬氨酸(NMDA)受体介导的脑炎有关,前两种症状与癫痫发作一起提示抗电压门控钾通道(VGKC)受体介导的脑炎。这是一个实用的工具,可以很容易地识别AIE,也有助于区分两种情况。
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引用次数: 0
Note On Aging Reasons 关于老化原因的说明
Pub Date : 2021-01-01 DOI: 10.35248/2329-8847.21.9.E232
M. Subramanyam
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引用次数: 0
Angiotensin Converting Enzyme 2 (ACE2) Expression in the Aged Brain and Visual System. 血管紧张素转换酶2 (ACE2)在老年大脑和视觉系统中的表达。
Pub Date : 2021-01-01 Epub Date: 2021-09-30
James M Hill, Christian Clement, L Arceneaux, Walter J Lukiw

Multiple lines of evidence currently indicate that the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) gains entry into human host cells via a high-affinity interaction with the angiotensin-converting enzyme 2 (ACE2) transmembrane receptor. Research has further shown the widespread expression of the ACE2 receptor on the surface of many different immune, non-immune and neural host cell types, and that SARS-CoV-2 has the remarkable capability to attack many different types of human-host cells simultaneously. One principal neuroanatomical region for high ACE2 expression patterns occurs in the brainstem, an area of the brain containing regulatory centers for respiration, and this may in part explain the predisposition of many COVID-19 patients to respiratory distress. Early studies also indicated extensive ACE2 expression in the whole eye and the brain's visual circuitry in aged humans. In this study we analyzed ACE2 receptor expression at the mRNA and protein level in multiple cell types involved in human vision, including cell types of the external eye and several deep brain regions known to be involved in the processing of visual signals. Here we provide evidence: (i) that many different optical and neural cell types of the human visual system provide receptors essential for SARS-CoV-2 invasion; (ii) of the remarkable ubiquity of ACE2 presence in cells of the eye and anatomical regions of the brain involved in visual signal processing; (iii) that ACE2 receptor expression in different ocular cell types and visual processing centers of the brain provide multiple compartments for SARS-CoV-2 infiltration; and (iv) of a gradient of increasing ACE2 expression from the anterior surface of the eye to the visual signal processing areas of the occipital lobe and the primary visual neocortex. A gradient of ACE2 expression from the eye surface to the occipital lobe may provide the SARS-CoV-2 virus a novel pathway from the outer eye into deeper anatomical regions of the brain involved in vision. These findings may explain, in part, the many recently reported neuro-ophthalmic manifestations of SARS-CoV-2 infection in COVID-19 affected patients.

目前,多项证据表明,严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)通过与血管紧张素转换酶2 (ACE2)跨膜受体的高亲和力相互作用进入人类宿主细胞。研究进一步表明,ACE2受体在许多不同类型的免疫、非免疫和神经宿主细胞表面广泛表达,并且SARS-CoV-2具有同时攻击许多不同类型的人类宿主细胞的卓越能力。ACE2高表达模式的一个主要神经解剖区域位于脑干,脑干是大脑中含有呼吸调节中心的区域,这可能部分解释了许多COVID-19患者易患呼吸窘迫的原因。早期的研究还表明,ACE2在老年人的整个眼睛和大脑视觉回路中广泛表达。在这项研究中,我们分析了参与人类视觉的多种细胞类型中ACE2受体mRNA和蛋白水平的表达,包括外眼细胞类型和几个已知参与视觉信号处理的脑深部区域。在这里,我们提供了证据:(i)人类视觉系统的许多不同的光学和神经细胞类型提供了SARS-CoV-2入侵所必需的受体;(ii) ACE2在眼睛细胞和参与视觉信号处理的大脑解剖区域中普遍存在;(iii) ACE2受体在不同眼细胞类型和大脑视觉加工中心的表达为SARS-CoV-2浸润提供了多个区室;(iv)从眼前表面到枕叶和初级视觉新皮层的视觉信号处理区ACE2表达增加的梯度。ACE2从眼表到枕叶的表达梯度可能为SARS-CoV-2病毒提供了一条从外眼进入与视觉有关的大脑更深解剖区域的新途径。这些发现可以部分解释最近报道的COVID-19患者中SARS-CoV-2感染的许多神经眼部表现。
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引用次数: 0
Aging and the Science 衰老与科学
Pub Date : 2021-01-01 DOI: 10.35248/2329-8847.21.9.253
A. Rajput
Human body evolves continuously from infancy to old age. Life expectancy has been increasing for several decades. Consequently, we now have the largest proportion of the elderly in the population, than at any time before. As in all age categories, some diseases are more common in the elderly. Additionally, normal age related changes may resemble some well-known treatable diseases. Most of the current medical knowledge is based on studies of young/middle aged individuals, some of which is not applicable to the elderly. The response to certain drugs is different in the elderly than in the younger persons. Distinguishing between “normal” aging and disease is therefore important. This article provides an example of Parkinson’s disease in the elderly. As the number of the elderly in the population is increasing there is greater need to provide proper health service for the population. The Father of modern treatment of Parkinson’s disease, Professor Hornykiewicz was making major discoveries at age 90. Age based retirement is being phased out at many institutions. That would help use the valuable skills which the older individuals have acquired in life. Research in the elderly is needed to provide the best services for this growing segment of population.
人体从婴儿期到老年不断进化。几十年来,预期寿命一直在增长。因此,我们现在的老年人在人口中所占比例比以往任何时候都高。与所有年龄组一样,有些疾病在老年人中更为常见。此外,正常年龄相关的变化可能类似于一些众所周知的可治疗疾病。目前的医学知识大多是基于对中青年个体的研究,其中一些并不适用于老年人。老年人对某些药物的反应与年轻人不同。因此,区分“正常”衰老和疾病是很重要的。这篇文章提供了一个老年帕金森病的例子。随着人口中老年人人数的增加,更需要为人口提供适当的保健服务。作为帕金森氏症现代治疗之父,霍尼凯维奇教授在90岁时取得了重大发现。许多机构正在逐步取消按年龄退休。这将有助于使用老年人在生活中获得的宝贵技能。需要对老年人进行研究,以便为这一不断增长的人口群体提供最好的服务。
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引用次数: 0
Comparison of Isometric Endurance of Abdominal and Back Extensor Muscles in Manual and Sedentary Males in the Age Group of 20-40 Years 20-40岁体力与久坐男性腹、背伸肌等肌耐力的比较
Pub Date : 2021-01-01 DOI: 10.35248/2329-8847.21.9.254
A. Suresh, Dimple Kashyap, T. Behera, D. EbenezerWilsonRajKumar
Background: Stabilization of trunk flexors and extensors are essential for normal lumbo-pelvic function. These muscles, known as “core muscles”, have a basic role in balance and coordination in sitting. The core is the lumbopelvic- hip complex which includes lumbar spine, pelvis, hips, and their respective musculature. Pattern of core activity changes in sitting and dysfunction of core muscles increased the risk of damage of the upper and lower extremities segments. Powerful core muscles support stabilizes the vertebra and pelvis, prevents balance disorder and decreases the rate of LBP which is one of the most prevalent occupational disorders. Endurance of trunk muscles depends on the life style and working condition of individuals. Imbalance in the trunk muscle endurance secondarily leads to back pain, which disables the person and reduces the functional capacity of individuals. Objective: The aim of this study is to evaluate the difference in isometric endurance between abdominal and back extensor muscle in manual and sedentary workers and guide them about the importance of endurance training in preventing the back pain in the future. Materials and methods: This study includes 40 simple randomly sampled normal male subjects according to the inclusion and exclusion criteria in the age group of 20-40 years, recruited on voluntary basis and allotted to Group A (N=20, Manual workers) and Group B (N=20, Sedentary workers). Modified Kraus weber’s test for abdominal muscles and Modified Sorensen’s test for back extensor muscles were performed by both Group A and Group B in two successive trials for each test with a rest break of 3-5 minutes in between the trials and the best of trials in seconds is recorded with a stop watch and the data is analyzed using SPSS statistics software version 19. Results: The isometric abdominal muscles endurance is more in manual workers than the sedentary workers, at a significance level of p<0.005.The isometric endurance of back extensor muscles is more than isometric abdominal muscles in both the groups, at a significance level of p<0.005.The isometric back extensor muscles endurance is more in manual workers than in sedentary workers, at a significance level of p<0.005. Conclusion: The isometric abdominal muscles endurance is less in both the groups as compared to isometric back extensor muscles endurance. So, abdominal muscles should be concentrated during endurance training. The objective of any fitness regime, maintenance of good health and posture and treatment of back pain is identifying dangerous causes that require immediate attention and attempt to prevent chronic low back pain problems. The modified Sorensen’s and Kraus Weber’s test can be used to asses and train the trunk muscles endurance as they are simple, easy, reliable and replace the costly and time consuming machine methods for evaluating and training endurance.
背景:躯干屈肌和伸肌的稳定对正常的腰盆腔功能至关重要。这些肌肉被称为“核心肌群”,在坐姿的平衡和协调中起着基本的作用。核心是腰骨盆-髋关节复合体,包括腰椎、骨盆、髋关节和它们各自的肌肉组织。坐着时核心活动模式的改变和核心肌肉功能障碍增加了上肢和下肢节段损伤的风险。强大的核心肌肉支持稳定椎体和骨盆,防止平衡障碍和降低腰痛的发生率,这是最普遍的职业障碍之一。躯干肌肉的耐力取决于个人的生活方式和工作条件。躯干肌肉耐力的不平衡会继发导致背部疼痛,从而使人丧失能力并降低个人的功能能力。目的:本研究旨在评估体力劳动者和久坐劳动者腹部和背部伸肌等肌耐力的差异,并指导他们了解耐力训练对预防未来背部疼痛的重要性。材料与方法:本研究选取40名年龄在20-40岁,按纳入和排除标准简单随机抽样的正常男性受试者,自愿招募,分为A组(N=20,体力劳动者)和B组(N=20,久坐劳动者)。A组和B组分别进行改良Kraus weber腹肌试验和改良Sorensen背伸肌试验,每组连续两次试验,每次试验之间休息3-5分钟,用秒表记录最佳试验秒数,数据使用SPSS统计软件19进行分析。结果:体力劳动者的腹肌耐力高于久坐劳动者,差异有统计学意义(p<0.005)。两组后伸肌的等长耐力均大于腹肌等长耐力,差异有统计学意义(p<0.005)。体力劳动者的背伸肌耐力高于久坐劳动者,显著性水平p<0.005。结论:两组的腹肌耐力均低于后伸肌耐力。所以,在进行耐力训练时要集中腹部肌肉。任何健身制度的目标,保持良好的健康和姿势以及治疗背痛都是识别需要立即关注的危险原因,并试图预防慢性腰痛问题。改进后的Sorensen’s和Kraus Weber’s测试方法简单、简便、可靠,可以代替昂贵、耗时的机器方法来评估和训练躯干肌肉的耐力。
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引用次数: 1
Illustration of Older People 长者插图
Pub Date : 2021-01-01 DOI: 10.35248/2329-8847.21.9.255
M. Subramanyam
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引用次数: 0
Environmental Impact on Aging and Life Span 环境对老龄化和寿命的影响
Pub Date : 2021-01-01 DOI: 10.35248/2329-8847.21.9.259
M. Subramanyam
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引用次数: 0
Who is Responsible for Aging: Life Style or Genetics or Both? 谁该为衰老负责:生活方式还是基因,还是两者都有?
Pub Date : 2021-01-01 DOI: 10.35248/2329-8847.21.9.247
PD Gupta
Aging is the total outcome of interactions among genetic, environmental and lifestyle factors at a given time. Survivalevents such as, well-beyond average life expectancy, delayed onset of age-related diseases (before 80 years of age)and/or preservation of good health/function is very common presently may be due to improvement in health andnutritional conditions. Researchers at Yale University hooked the organs to a system that pumped in a bloodsubstitute. Similarly researchers have revived the disembodied brains of pigs four hours after the animals wereslaughtered pointing towards rejuvenation of life, Modern data analysis and in particular, AI approaches could betransformative toward identifying strategies for preservation of good health with advancing age.
衰老是遗传、环境和生活方式等因素在一定时间内相互作用的结果。生存事件,如远远超过平均预期寿命,年龄相关疾病延迟发作(80岁之前)和/或保持良好的健康/功能,目前是非常常见的,可能是由于健康和营养条件的改善。耶鲁大学的研究人员将这些器官连接到一个泵入血液替代品的系统上。同样,研究人员也在猪被屠宰4小时后复活了它们脱离肉体的大脑,这表明了生命的复兴。现代数据分析,尤其是人工智能方法,可能会对确定随着年龄的增长保持健康的策略产生革命性的影响。
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引用次数: 1
Retrospective Analysis of Diabetes Comorbidity in Populations with Movement Disorders Related to Parkinson's Disease 帕金森病相关运动障碍人群糖尿病合并症的回顾性分析
Pub Date : 2021-01-01 DOI: 10.35248/2329-8847.9.S4.004
F. Zarola
Background and aim of the work: Some studies during the time have shown a high comorbidity of diabetes in parkinson's disease and related disorders. This imprerssion was also detected in our clinical experience. Therefore it was decided to carry out a study about the incidence of diabetes in affected populations using the raw data collected in clinical practice. The purpose of the analysis was to establish a possible action of diabetes as a risk factor for extrapyramidal diseases. Methods: We studied a group of 88 subjects with Parkinson’s Disease (PD) of which 18 with diabetes (20.45%, about 1 in 4), a group with Essential Tremor (ET) consisting of 68 subjects of which 17 affected by diabetes (25%) and a group with Vascular Parkinsonism (VP) consisting of 21 subjects of which 5 with diabetes (23.8%). Results: The ratios showed a relatively homogeneous distribution in the three sub-populations of the given diabetic disease. The results indicated that the statistic comparison between the various groups examined did not give any statistical significance. Similarly, the comparison between the individual groups with the pathologies examined (PD, VP and ET) and the recruited control population was not significant as regards the incidence of diabetes as comorbidity. Conclusion: The scarce relevance in the differences between patients with diabetes and without does not exclude tout court a possible influence of the dysmetabolic disorder on extrapyramidal diseases as it is necessary to take into account biochemical factors that are difficult to measure with clinical studies.
工作背景和目的:当时的一些研究表明,糖尿病在帕金森病和相关疾病中的合并症很高。在我们的临床经验中也发现了这种印象。因此,决定利用在临床实践中收集的原始数据,对受影响人群的糖尿病发病率进行研究。分析的目的是确定糖尿病作为锥体外系疾病的危险因素的可能作用。方法:研究帕金森病(PD)组88例,其中糖尿病患者18例(20.45%,约1 / 4);特发性震颤(ET)组68例,其中糖尿病患者17例(25%);血管性帕金森病(VP)组21例,其中糖尿病患者5例(23.8%)。结果:该比率在给定糖尿病疾病的三个亚群中显示相对均匀的分布。结果表明,各组间比较无统计学意义。同样,检查病理(PD, VP和ET)的个体组与招募的对照组之间的比较在糖尿病共病发生率方面没有显着性。结论:糖尿病患者和非糖尿病患者之间的差异缺乏相关性,但这并不排除代谢异常对锥体外系疾病的可能影响,因为有必要考虑临床研究难以测量的生化因素。
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引用次数: 0
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Journal of aging science
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