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The Risk of Withdrawal Seizures & Other Adverse Events in Newborns Associated with Levetiracetam Use as Monotherapy or in Combination Therapy for Seizures During Pregnancy - A Systematic Review 妊娠期间左乙拉西坦单药或联合治疗与新生儿癫痫发作相关的戒断性癫痫发作及其他不良事件的风险-一项系统综述
Pub Date : 2023-01-01 DOI: 10.47275/2692-093x-132
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引用次数: 0
Could Psychedelics Treat Neuropathic Chronic Pain? 致幻剂能治疗神经性慢性疼痛吗?
Pub Date : 2023-01-01 DOI: 10.47275/2692-093x-130
Martinez Sosa, Iliff Jonathan
Chronic pain conditions are a substantial health problem and there is a strong need for new treatments. We hypothesise that classical psychedelics such as psilocybin may be one such treatment for chronic pain states. We introduce the pharmacology of psychedelics and existing data on their use in humans, including side effects, safety and abuse liability. We systematically review and explore the existing data on the use of psychedelics to treat pain, predominantly chronic and neuropathic in type. A discussion of the psychological and psychiatric aspects of chronic pain and the effects of psychedelics on these aspects follows, culminating in an integrated hypothesis that psychedelics effect high level priors that compound chronic pain, alongside putative direct nociceptive effects. Finally, we propose a clinical trial to test our primary hypothesis
慢性疼痛是一个严重的健康问题,迫切需要新的治疗方法。我们假设经典迷幻药如裸盖菇素可能是慢性疼痛状态的一种治疗方法。我们介绍致幻剂的药理学和现有的数据在人类使用,包括副作用,安全性和滥用责任。我们系统地回顾和探讨了使用迷幻药治疗疼痛的现有数据,主要是慢性和神经性疼痛。随后讨论了慢性疼痛的心理和精神方面以及致幻剂对这些方面的影响,最终提出了一个综合假设,即致幻剂对复合慢性疼痛的高水平先验影响,以及假定的直接伤害性影响。最后,我们提出一项临床试验来检验我们的主要假设
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引用次数: 0
Joubert Syndrome in 10-Year-Old with Renal Involvement: A Case Study 10岁Joubert综合征伴肾脏受累一例研究
Pub Date : 2023-01-01 DOI: 10.47275/2692-093x-131
Sagar Dabbara, AN LaxmiPoojita
Joubert syndrome (JS) is a rare recessive autosomal disorder in infants and children. JS is a ciliopathy with defects in the primary cilium. JS has mid brain-hind brain malformation which includes: (i) cerebellar vermis hypoplasia, (ii) abnormal deep interpeduncular fossa at Isthmus and Pons, and (iii) Horizontally thickened and elongated Superior Cerebellar Peduncles. Diagnostic symptoms include hypotonia, ataxia, abnormal breathing patterns, atypical eye movements, and intellectual disability. Molar tooth sign on axial sections of MRI (magnetic resonance imaging) is a primary diagnostic criterion. Here we report a case of a 10-year-old female intellectually disabled child who was noted to have developmental delay and vision problems soon after 5 to 6 months of birth. The patient was diagnosed with JS based on an MRI brain finding of Molar tooth appearance.
Joubert综合征(JS)是一种罕见的婴儿和儿童隐性常染色体疾病。JS是一种原发纤毛缺陷的纤毛病。JS有中脑后脑畸形,包括:(1)小脑蚓部发育不全,(2)峡部和桥部深部脚间窝异常,(3)小脑上脚水平增厚、拉长。诊断症状包括张力减退、共济失调、异常呼吸模式、非典型眼动和智力残疾。MRI轴向切片上的磨牙征是主要的诊断标准。我们在此报告一位10岁的智障女童,在出生后5至6个月便出现发育迟缓及视力问题。患者根据臼齿外观的MRI脑部发现诊断为JS。
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引用次数: 0
Improving Attitudes towards Male Ballet Dancers 改善对男芭蕾舞演员的态度
Pub Date : 2022-01-01 DOI: 10.47275/2692-093x-128
P. Pale, G. Furjan-Mandić, J. Radas, Ines Amber Kincaid
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引用次数: 0
Cognitive Stressors and COVID-19 Infection: A Longitudinal Survey 认知压力源与COVID-19感染:一项纵向调查
Pub Date : 2022-01-01 DOI: 10.47275/2692-093x-119
Fred Ma, A. Hashmi, Charles Yu Liu, Heather Harris
Objectives: Survey the prevalence of various stress-related factors among a sample of the US adult population over the course of 1 year to compare rates among those who reported ever receiving a positive COVID-19 test vs those who never received a positive test. Highlight the potential impact of these factors upon cognitive functioning during the COVID-19 pandemic. Methods: A US census, age-balanced sample of adults was recruited through an online survey platform and participated in three waves of surveys. In each wave, roughly 3 months apart, participants, blinded to the survey sponsor, completed surveys with demographic information and questions regarding mental health, physical health, and environmental factors which have been linked to cognitive health. Participants were also asked whether they had ever received a positive COVID-19 test. Results: A total of 4,905 respondents were included in the first wave, 3,940 were included in the second wave, and 3,157 respondents were included in the third wave. In the third wave of the survey the largest age group was those 30 to 39 years of age (33.7% of respondents; n=1,063/3,157). The majority of respondents reported that they had never tested positive for COVID-19 (87.2%; n=2,610/3,157). The rate of those who reported ever receiving a positive COVID-19 test result was 17.3% (n=547/3,157). Respondents who reported a positive test result were more likely to report experiencing anxious symptoms and depressive symptoms between the second and third surveys vs those who never received a positive test result (70.5% vs 47.5% and 66.5% vs 37.3%, respectively). Respondents who reported a positive test result were more likely to report receiving a formal diagnosis from a healthcare provider for a sleep-related disorder (53.7% vs 19.1%). Respondents who reported a positive test result were more likely to report experiencing “more” or “much more” concern vs those without a positive test result since the second survey in the following areas: affording housing (49.5% vs 25.3%); employment or potential job loss (33.6% vs 20.0%); and affording necessities like food and medicine (44.8% vs 27.6%). Conclusions: Survey respondents who reported receiving a positive COVID-19 test result vs those who did not had a higher prevalence of stressors known to affect cognitive functioning, including anxiety, depression, sleep troubles, and concerns over issues recognized as social determinants of health. Routine neurocognitive assessment in clinical practice may be an important tool clinicians can use to track the long-term effects of the COVID-19 pandemic on overall cognitive health, allowing them to intervene as needed.
目的:调查1年期间美国成年人群样本中各种压力相关因素的患病率,以比较报告曾接受过COVID-19检测阳性的人与从未接受过检测阳性的人之间的比率。强调这些因素在COVID-19大流行期间对认知功能的潜在影响。方法:通过在线调查平台招募美国人口普查年龄平衡的成年人样本,参与三波调查。在每一波中,大约间隔3个月,参与者对调查发起人不知情,完成人口统计信息和有关心理健康、身体健康和与认知健康有关的环境因素的调查。参与者还被问及他们是否曾接受过COVID-19阳性检测。结果:第一波共纳入调查对象4905人,第二波3940人,第三波3157人。在第三轮调查中,最大的年龄组是30至39岁(占受访者的33.7%;n = 1063/3157)。大多数受访者报告说,他们从未检测出COVID-19呈阳性(87.2%;n = 2610/3157)。报告曾接受COVID-19检测结果阳性的比例为17.3% (n=547/3,157)。在第二次和第三次调查期间,报告检测结果呈阳性的受访者比从未收到检测结果呈阳性的受访者更有可能报告出现焦虑症状和抑郁症状(分别为70.5%对47.5%和66.5%对37.3%)。报告检测结果呈阳性的受访者更有可能报告从医疗保健提供者那里获得了睡眠相关疾病的正式诊断(53.7%对19.1%)。自第二次调查以来,测试结果呈阳性的受访者较没有测试结果呈阳性的受访者更有可能在以下方面感到“更多”或“更多”担忧:负担得起房屋(49.5%对25.3%);就业或可能失业(33.6% vs 20.0%);提供食品和药品等必需品(44.8%对27.6%)。结论:报告接受COVID-19检测结果阳性的受访者与未接受COVID-19检测结果阳性的受访者相比,已知影响认知功能的压力源的患病率更高,包括焦虑、抑郁、睡眠问题以及对被认为是健康社会决定因素的问题的担忧。临床实践中的常规神经认知评估可能是临床医生用来追踪COVID-19大流行对整体认知健康的长期影响的重要工具,使他们能够根据需要进行干预。
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引用次数: 0
Acute Ischemic Stroke and CT Cerebral Angiography: Management and Relationship 急性缺血性脑卒中与CT脑血管造影:处理及其关系
Pub Date : 2022-01-01 DOI: 10.47275/2692-093x-120
Khalid Faiq Abood Al-Khalidy, Maithem Fadel Alashoor, Hisham Shaker Khsheesh Al-Maliki
In general, stroke is the second leading cause of mortality and a leading cause of morbidity. The most common type is thrombotic which responsible for 65-85%. Treatments that are approved by guidelines include supportive care in an emergency unit, and reperfusion through use of intravenous recombinant-tissue plasminogen activator (r-tPA), intra-arterial fibrinolysis and mechanical thrombectomy. A prospective study carried out in two years enrolled patients with acute ischemic stroke who have done CT angiography of cerebral circulation to assessment of the collateral arterial state. A total number of 50 patients (25 males and 25 females). The main age was 53.7±11.56 years. Each patient was neurologically and clinically evaluated, underwent NCCT followed by CT cerebral angiography to assess large vessel occlusion, collateral circulation status according to Tan scale (0-3). Good state of the cerebral collaterals in patients with AIS was associated with good clinical outcome, good reperfusion, symptomatic ICH rate is low, mortality rate decline and stroke severity be less.
一般来说,中风是死亡的第二大原因,也是发病的主要原因。最常见的类型是血栓性,占65-85%。指南批准的治疗方法包括急诊病房的支持治疗,以及通过静脉注射重组组织纤溶酶原激活剂(r-tPA)、动脉内纤溶和机械取栓进行再灌注。一项为期两年的前瞻性研究纳入了急性缺血性卒中患者,他们都做了脑循环CT血管造影来评估侧支动脉状态。共50例患者(男25例,女25例)。主要年龄为53.7±11.56岁。对每例患者进行神经学和临床评估,行NCCT,然后行CT脑血管造影,根据Tan评分(0-3)评估大血管闭塞、侧支循环状况。AIS患者脑侧络状态良好,临床预后良好,再灌注良好,症状性脑出血发生率低,病死率下降,卒中严重程度轻。
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引用次数: 0
The Role of the Teacher of Dance of the 21st Century: The Art of Education 21世纪舞蹈教师的角色:教育的艺术
Pub Date : 2022-01-01 DOI: 10.47275/2692-093x-129
Louise Fhaedra da Silva Pereira, Ludmila Fhaedra da Silva Pereira
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引用次数: 0
Cognitive Factors that Influence the Relationship between Sports Experience and Climbing Performance in Youth Romanian Climbers 影响罗马尼亚青少年攀岩运动员运动经验与攀岩成绩关系的认知因素
Pub Date : 2022-01-01 DOI: 10.47275/2692-093x-124
Vasile Antonia Ioana, Stănescu Monica and Pelin Florin
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引用次数: 0
Improving Athletic Performance in Youth and Young Adult Adaptive Sports Athletes through Somatic Movement Re-Education and Therapy 通过身体运动再教育和治疗提高青少年适应性运动运动员的运动成绩
Pub Date : 2022-01-01 DOI: 10.47275/2692-093x-126
R. Mack, M. Ferrara
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引用次数: 0
Linking Useful Field of View (UFoV) and Social Competence among College Students 大学生有用视场与社交能力的关系
Pub Date : 2022-01-01 DOI: 10.47275/2692-093x-127
O. Shtayermman, Sarah Banks, J. Fletcher
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引用次数: 0
期刊
Neurological sciences and neurosurgery
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