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Dysarthrophonia in Association with Voice Analysis: A Case Report 与声音分析相关的关节发音障碍:1例报告
Pub Date : 2018-01-01 DOI: 10.4172/2168-975X.1000247
K. GovathiNikhila
Stroke is the second leading cause of death worldwide and the brain damage caused by it can affect communication in several aspects. Voice analysis in dysarthria is challenging because of the complexity of the disorder and its effects on the speech production system. In this study we are presenting a 56-years-old male who was visited to Medanta Hospital with history of hypertension and chief complaint of Right upper limb weakness and slurred speech to the Emergency and later Clinically and Radio logically Diagnosed as LT MCA Infarct. Later, on the day 3 the patient has undergone Speech and Language Evaluation and Diagnosed with Spastic Dysarthria based on Frenched Dysarthria Assessment scale and later a detail Voice Analysis was done with using PRAAT software and analysed voice features. Voice analysis basically deals with decomposition of voice signal into voice parameters for processing the resulted features in desirable application. The features that are extracted in this paper are: frequency, pitch, voice intensity, formant, speech rate and pulse functions like Jitter (local), Jitter (local, absolute), Jitter (rap), Jitter (ppq5), Jitter (ddp), Shimmer (local), Shimmer (local, dB), Shimmer (apq3), Shimmer (apq5), Shimmer (apq11), Shimmer (dda) and Harmonic coefficients. Over all, we conclude with the voice parameters in spastic dysarthria which reveals interesting data on the voice quality with features which helps the clinician for better management. However, large sample study is required.
中风是全球第二大死亡原因,它造成的脑损伤会在几个方面影响沟通。构音障碍的语音分析具有挑战性,因为该障碍的复杂性及其对语音产生系统的影响。在本研究中,我们报告一名56岁男性患者就诊于Medanta医院,他有高血压病史,主诉为右上肢无力和言语不清,后来临床和无线电诊断为左中动脉MCA梗死。随后,在第3天对患者进行了语音和语言评估,并根据法国构音障碍评估量表诊断为痉挛性构音障碍,随后使用PRAAT软件进行了详细的语音分析并分析了语音特征。语音分析基本上是将语音信号分解为语音参数,并对得到的特征进行处理。本文提取的特征有:频率、音高、声音强度、共振峰、语音速率以及Jitter (local)、Jitter (local, absolute)、Jitter (rap)、Jitter (ppq5)、Jitter (ddp)、Shimmer (local)、Shimmer (local, dB)、Shimmer (apq3)、Shimmer (apq5)、Shimmer (apq11)、Shimmer (dda)、Harmonic系数等脉冲函数。总之,我们总结了痉挛性构音障碍的语音参数,这揭示了语音质量的有趣数据,有助于临床医生更好地管理。然而,需要进行大样本研究。
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引用次数: 1
Potential Synergism of Caffeic Acid Phenethyl Ester and Dasatinib in C6 Glioma Cell Model: Adumbrating the Molecular Mechanism 咖啡酸苯乙酯和达沙替尼在C6胶质瘤细胞模型中的潜在协同作用:揭示分子机制
Pub Date : 2018-01-01 DOI: 10.4172/2168-975X.1000245
H. M. Balkhi, Taseen Gul, S. Sana, E. Haq
1.1 Background: Gliomas are one of the most invasive, highly recurrent, heterogeneous cancers resistant to most of the current treatment regimes and hence almost incurable. CAPE and Dasatinib when used in a congruous combination and durations, present an antitumor potential for glioma. 1.2 Objective: CAPE and Dasatinib in combination have been shown to inhibit proliferation and induce apoptosis in C6 glioma cells. However, the signaling pathway of their antiproliferative and apoptotic effects remains unknown. In this study, the antiproliferative effects of combination treatment on C6 glioma cells were investigated. 1.3 Methods: Expression analysis of proteins thought to be mediating proliferation, cell motility, angiogenesis, and invasion was carried out to delineate the molecular mechanism entailing antineoplastic action of CAPE and Dasatinib. 1.4 Results: Co-treatment induces a change in cellular and nuclear morphology followed by apoptosis and a significant decrease in the activity of catalase and MMP-2, Pro-MMP 2, MMP-9 and Pro-MMP 9 in C6 glioma cells. Moreover, CAPE and Dasatinib modulate the expression of proteins having potential interactive crosstalk with major oncogenic pathways involved in glioma progression. Our results showed that combination treatment modulates the expression of p53, ERK1/2, and AKT in C6 glioma cells. p53, EGFR and PCNA transcript expressions were attuned in co-treated C6 cells. 1.5 Conclusion: Importantly, antineoplastic effects of CAPE and Dasatinib were far greater than those afforded by treatment with a single drug. Together these drugs reduce glioma proliferation and invasion felicitously implying that combination treatment could be a useful therapy for treatment of glioma.
1.1背景:胶质瘤是最具侵袭性、高复发性、异质性的癌症之一,对目前大多数治疗方案都有耐药性,因此几乎无法治愈。CAPE和达沙替尼在一致的组合和持续时间内使用时,呈现出抗胶质瘤的潜力。1.2目的:CAPE联合达沙替尼抑制C6胶质瘤细胞增殖,诱导细胞凋亡。然而,其抗增殖和凋亡作用的信号通路尚不清楚。在本研究中,研究了联合治疗对C6胶质瘤细胞的抗增殖作用。1.3方法:通过对被认为是介导增殖、细胞运动、血管生成和侵袭的蛋白的表达分析,描绘CAPE和达沙替尼抗肿瘤作用的分子机制。1.4结果:共处理导致C6胶质瘤细胞细胞和核形态发生变化,随后发生凋亡,过氧化氢酶和MMP-2、Pro-MMP 2、MMP-9和Pro-MMP 9活性显著降低。此外,CAPE和达沙替尼调节与胶质瘤进展相关的主要致癌途径有潜在相互作用的蛋白的表达。我们的研究结果表明,联合治疗可调节C6胶质瘤细胞中p53、ERK1/2和AKT的表达。p53、EGFR和PCNA转录物的表达在共处理的C6细胞中得到调节。1.5结论:重要的是,CAPE和达沙替尼的抗肿瘤作用远远大于单一药物治疗。这些药物共同有效地减少了胶质瘤的增殖和侵袭,这表明联合治疗可能是治疗胶质瘤的有效方法。
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引用次数: 0
Dementia: Neuropathology Based on Changes in Tau Protein 痴呆:基于Tau蛋白变化的神经病理学
Pub Date : 2018-01-01 DOI: 10.4172/2168-975x.1000249
Bedadyuti Mohanty
Dementia is a clinical situation that requires novel practical dependence based on the dynamic memory failure and subjective loss, as its Latin source proposes: an exit from past mental functioning. The occurrence of dementia ascends with age, making it an undeniably common subject among the matured populace. The nature of manifestations among individuals with dementia is more dependent and helpless, both socially and regarding physical and psychological wellness, introducing advancing difficulties to society and to our medical services and hospitals. In spite of the apparently straightforward premise, the clinical analysis of dementia can be troublesome with de novo functional disability frequently clouded by physical weakness and misery. Clinical and neurotic basis for the fundamental dementia causing illnesses overlaps remarkably. The development of symptoms takes us into the patho-physiological procedure hamper focused on disorder treatment. An incredible number of research activities are in progress to distinguish potential biomarkers of disease prior its occurrence.
痴呆症是一种临床情况,需要基于动态记忆失败和主观丧失的新的实际依赖,正如其拉丁语来源所提出的那样:从过去的精神功能中退出。痴呆症的发病率随着年龄的增长而上升,使其成为成熟人群中不可否认的共同主题。痴呆症患者的表现在社会和身心健康方面都更加依赖和无助,给社会、医疗服务和医院带来了更大的困难。尽管这个假设看起来直截了当,但对痴呆症的临床分析可能会很麻烦,因为新生的功能残疾常常被身体虚弱和痛苦所笼罩。痴呆的临床基础和神经学基础有明显的重叠。症状的发展将我们带进了病理生理过程的障碍集中治疗。大量的研究活动正在进行中,以在疾病发生之前区分潜在的生物标志物。
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引用次数: 0
Discovery of Therapy-targeting Biomarkers for Post-Concussion Syndrome using Functional Neurocognitive Imaging 使用功能性神经认知成像发现脑震荡后综合征治疗靶向生物标志物
Pub Date : 2018-01-01 DOI: 10.4172/2168-975X.1000243
Caleb T. Epps, M. Allen
Background: Post-concussion syndrome (PCS) occurs in a significant percentage of concussion patients. Functional MRI reveals irregular blood-oxygen level dependent signals in PCS patients. PCS biomarkers with functional predictive values have yet to be discovered and validated. Therefore, this study describes five PCS biomarkers and includes a description of their therapeutic application. Methods: A neurocognitive imaging protocol was developed and a group of healthy control patients was used to generate a normative reference atlas. Biomarker candidate search was performed using an initial sample of PCS patients. Sample validation was applied to each biomarker using a new sample of PCS patients to assess sensitivities/ specificities. A multivariate base rate analysis was performed using 132 new patients and a base rate cutoff matrix was constructed. An example of the biomarker’s therapeutic application in a PCS patient is described. Results: The five functional biomarkers included: Frontal Attentional System hypoactivation, Subcortical System hypoactivation, Visual System hyperactivation, Verbal System hypoactivation, and Frontal/Parietal System hyperactivation. Individual biomarker sensitivities and specificities are reported. Collectively, using the base rate cutoff matrix, a threshold using 3/5 biomarkers below the 10th percentile as the cutoff resulted in a suitable sensitivity (88%) and specificity (99%). The uses of these biomarkers were crucial in guiding the successful treatment of Patient A. Conclusion: We report the discovery of five functional PCS biomarkers. We show an example of the therapeutic application of the five biomarkers in the successful treatment of PCS. These neuroimaging biomarkers serve to advance diagnostic capabilities and subsequent PCS rehabilitation efforts.
背景:脑震荡后综合征(PCS)在脑震荡患者中发生率很高。功能性MRI显示PCS患者血氧水平依赖性信号不规则。具有功能预测价值的PCS生物标志物尚未被发现和验证。因此,本研究描述了五种PCS生物标志物,并包括其治疗应用的描述。方法:制定神经认知成像方案,并使用一组健康对照患者生成规范的参考图谱。使用PCS患者的初始样本进行生物标志物候选物搜索。使用新的PCS患者样本对每个生物标志物进行样本验证,以评估其敏感性/特异性。对132例新患者进行多变量基础率分析,并构建基础率截断矩阵。描述了该生物标志物在PCS患者中的治疗应用的一个示例。结果:5项功能性生物标志物包括:额叶注意系统低激活、皮层下系统低激活、视觉系统高激活、言语系统低激活和额/顶叶系统高激活。报告了个体生物标志物的敏感性和特异性。总的来说,使用基准率截断矩阵,使用低于第10百分位数的3/5生物标志物作为截断的阈值,产生合适的灵敏度(88%)和特异性(99%)。这些生物标志物的使用对于指导患者a的成功治疗至关重要。结论:我们报告了五种功能性PCS生物标志物的发现。我们展示了这五种生物标志物在成功治疗PCS中的治疗应用实例。这些神经成像生物标志物有助于提高诊断能力和随后的PCS康复工作。
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引用次数: 1
The future of health outcome measurements of brain disorders 脑部疾病健康结果测量的未来
Pub Date : 2018-01-01 DOI: 10.4172/2168-975x-c1-020
K. B. Kristensen
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引用次数: 0
Revisiting the Clinical Link Between Alzheimer's Disease and Depression Through the Ca2+/Camp Signalling Interaction 通过Ca2+/Camp信号相互作用重新审视阿尔茨海默病和抑郁症之间的临床联系
Pub Date : 2018-01-01 DOI: 10.4172/2168-975X.1000e127
L. Bergantin
The scientific literature has recently debated (more intensively) the clinical link between Alzheimer ́s disease (AD) and Depression [1]. Despite the accumulation of the amyloid-β (Aβ) in the brain (amyloid cascade hypothesis) has been considered the main issue in the arena of AD, this hypothesis does not explain the fact that there must be changes that may occur during aging process that result in increased production and aggregation of Aβ, thus culminating in the status of AD. Evidences suggest that Ca2+ signalling dysregulation may be such an upstream issue. Environmental issues that prevent amyloid genesis (caloric restriction, cognitive stimulus and antioxidants) virtually restore the neuronal Ca2+ homeostasis, whereas factors that enhance amyloid genesis dysregulate Ca2+ homeostasis. These evidences are supported by experiments which demonstrated that exposure of cultured neurons to Ca2+ ionophores enhances the production of Aβ, as do conditions such as ischemia that cause sustained elevations of Ca2+ concentrations [Ca]c [2]. In addition, considering that the neuron uses Ca2+ signals to regulate the release of neurotransmitter, and that the deficit of neurotransmitter release is causally related to the clinical signs of Depression, then Ca2+ signalling is also one of the main actors in the arena of Depression. Indeed, the monoamine hypothesis of Depression continues to be one actor that dominates the field, which hypothesizes that an imbalance in monoaminergic neurotransmission culminates in the deficit of neurotransmitter release. Despite this hypothesis, pre-clinical and clinical studies have also shown that Depression can lead to cell loss in limbic brain structures, which are critically involved in the status of depression, including the hippocampus [3]. Thus, if Ca2+ signalling dysregulation may be such an upstream issue for AD, then sustained elevations of neuronal [Ca]c may be a reasonable clinical link between AD and Depression, because the sustained elevations of [Ca]c may also lead to neuronal cell death in these structures (limbic brain structures and hippocampus), which are related to the development of Depression.
最近,科学文献对阿尔茨海默病(AD)与抑郁症之间的临床联系进行了更深入的讨论[1]。尽管淀粉样蛋白-β (Aβ)在大脑中的积累(淀粉样蛋白级联假说)被认为是AD领域的主要问题,但这一假说并不能解释在衰老过程中可能发生的变化,导致Aβ的产生和聚集增加,从而最终导致AD的状态。证据表明,Ca2+信号失调可能是这样一个上游问题。防止淀粉样蛋白生成的环境问题(热量限制、认知刺激和抗氧化剂)实际上恢复了神经元Ca2+内稳态,而增强淀粉样蛋白生成的因素则失调了Ca2+内稳态。这些证据得到了实验的支持,实验表明,将培养的神经元暴露于Ca2+离子载体中可以增强Aβ的产生,缺血等条件也会导致Ca2+浓度持续升高[Ca]c[2]。此外,考虑到神经元利用Ca2+信号调节神经递质的释放,神经递质的释放不足与抑郁症的临床症状有因果关系,那么Ca2+信号也是抑郁症的主要参与者之一。事实上,抑郁症的单胺假说仍然是主导该领域的一个因素,它假设单胺能神经传递的不平衡最终导致神经递质释放的缺陷。尽管有这种假设,临床前和临床研究也表明,抑郁症可导致包括海马体在内的大脑边缘结构的细胞损失,而这一结构与抑郁症的状态密切相关[3]。因此,如果Ca2+信号失调可能是AD的上游问题,那么神经元[Ca]c的持续升高可能是AD和抑郁症之间合理的临床联系,因为[Ca]c的持续升高也可能导致这些结构(边缘脑结构和海马)中的神经元细胞死亡,而这些结构与抑郁症的发展有关。
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引用次数: 0
E-BABE-Temporal lobe epilepsy and sleep apnea 颞叶癫痫和睡眠呼吸暂停
Pub Date : 2018-01-01 DOI: 10.4172/2168-975x-c3-027
A. Daif
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引用次数: 0
Heterogeneity in Bipolar II Disorder Treatments: A Literature Review 双相情感障碍治疗的异质性:文献综述
Pub Date : 2018-01-01 DOI: 10.4172/2168-975X.1000250
D. Tavares, D. Moreno, R. Moreno
Introduction: We reviewed the literature to examine: (1) Aspects related to the diagnostic boundaries of mild forms of bipolar disorder (BD); (2) The controversies related to the diagnostic criteria of phasic hypomania and chronic hypomania; (3) Aspects related to the treatment and the use of antidepressants in mild forms of BD. Methods: Comprehensive computer literature search to find relevant peer reviewed articles related to this these topics. Results: Mild forms of BD suffer from the big problem of misdiagnosis with recurrent and treatment resistant major depressive disorder. One factor explaining which explains this, at least in part, is the fact that the current diagnostic criteria for hypomania, as it is concepted today, are is still quite restrictive and often sensitive only to more exuberant clinical pictures, such as mild manias. In addition to this, the use of antidepressants in the mild cases of BD will hardly aid in diagnosis, because strong mood swings are not enough to permit diagnosis (leading to the emergence of hypomania) and are not common in these mild forms. The most important question in the treatment of BD II is not the acute treatment of hypomania itself but the recognition that they exist and influence the recurrence recurrence of depressive episodes. Conclusion: This review showed the fragility and low sensitivity of the current criteria for diagnosis and management of BD II. Clinical trials evaluating the treatment of these conditions cannot be generalizable generalized for all the subpopulation of BD II we see in clinical practice.
前言:我们回顾了文献来研究:(1)与轻度双相情感障碍(BD)诊断界限相关的方面;(2)关于阶段性轻躁狂与慢性轻躁狂诊断标准的争议;(3)轻度双相障碍治疗及抗抑郁药物使用相关方面。方法:综合计算机文献检索,查找与本主题相关的同行评审文章。结果:轻度双相障碍易误诊为复发性难治性重性抑郁障碍。解释这一现象的一个因素,至少在一定程度上,是当前轻躁狂的诊断标准,正如今天所设想的那样,仍然是相当严格的,而且往往只对更活跃的临床症状敏感,比如轻度躁狂。除此之外,在轻度双相障碍病例中使用抗抑郁药几乎无助于诊断,因为强烈的情绪波动不足以进行诊断(导致轻躁狂的出现),而且在这些轻度双相障碍病例中并不常见。治疗双相障碍最重要的问题不是急性治疗轻躁症本身,而是认识到它们的存在并影响抑郁发作的复发。结论:本综述显示当前BD II诊断和治疗标准的脆弱性和低敏感性。评估这些疾病治疗的临床试验不能推广到我们在临床实践中看到的所有双相障碍亚群。
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引用次数: 0
Cerebellar stroke and vertigo syndromes: Similarities and changes 小脑卒中和眩晕综合征:相似之处和变化
Pub Date : 2017-12-07 DOI: 10.4172/2168-975X-C1-016
D. Dobi
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引用次数: 0
Neurodegenerative Diseases: Where To Go From Now? Thought Provoking Through Ca2+/cAMP Signaling Interaction 神经退行性疾病:从现在开始?通过Ca2+/cAMP信号相互作用引发思考
Pub Date : 2017-11-18 DOI: 10.4172/2168-975X.1000E125
L. Bergantin
Science is not always linear! Imagine this scenario: The PhD researcher and his supervisor are formulating their experiment. During the experiment course, there is on the bench a residual solution containing Verapamil, an L-type Ca2+ channel blocker (CCB). In a relapse, the PhD researcher decides to add this solution in an isolated smooth muscle preparation. The smooth muscle was prior relaxed with a drug that increased the cAMP cytosolic concentration. According to the classical receptor theory, addition of verapamil in the smooth muscle preparation should enhance the relaxation of the smooth muscle! To his surprise, the PhD researcher observed an incredible contraction of the smooth muscle! Perplexed with this result, the PhD researcher and his supervisor did not know how to explain this phenomenon immediately
科学并不总是线性的!想象一下这个场景:博士研究员和他的导师正在制定他们的实验。在实验过程中,在实验台上有含有维拉帕米的残留溶液,一种l型Ca2+通道阻滞剂(CCB)。在一次复发中,博士研究员决定在分离的平滑肌制剂中加入这种溶液。平滑肌事先用增加cAMP胞浆浓度的药物松弛。根据经典受体理论,在平滑肌制剂中加入维拉帕米应能增强平滑肌的松弛!令他惊讶的是,博士研究员观察到平滑肌的惊人收缩!博士研究员和他的导师对这个结果感到困惑,不知道如何立即解释这一现象
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引用次数: 7
期刊
Brain disorders & therapy
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