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Evaluation of Human Body Balance: A Review of Clinical and Simple Field Tests of Balance 人体平衡的评价:临床和简单的野外平衡试验综述
Pub Date : 2022-06-06 DOI: 10.31579/2642-9730/030
Opeyemi Oluwasanmi Adeloye
The purpose of this article is to highlight the main evaluation techniques used in body balance. We discussed movement regulation, biomechanical, metric characteristics, validity, objectivity, repeatability, sensitivity for the practical use of every assessment. We also identify critical research-based reviews, Pros and cons of the body balance tests. The techniques are widely used in rehabilitation, sports medicine, and laboratory. The article closes with a summary of human balance and proposals for future research work.
这篇文章的目的是强调在身体平衡中使用的主要评估技术。我们讨论了运动规律、生物力学、度量特征、有效性、客观性、可重复性和敏感性,以供每次评估的实际使用。我们还确定了基于批判性研究的综述,身体平衡测试的优点和缺点。该技术广泛应用于康复、运动医学和实验室。文章最后总结了人类平衡以及对未来研究工作的建议。
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引用次数: 0
The Involvement of Hippocampal Neuroinflammation and Oxidative Stress in the Pathogenesis of Autism Spectrum Disorder: Role of the Neuropeptide Oxytocin 海马神经炎和氧化应激在自闭症谱系障碍发病机制中的作用:神经肽催产素的作用
Pub Date : 2022-06-06 DOI: 10.31579/2692-9422/014
Hassan A. Alfaifi
Autism spectrum disorder (ASD) is a severe neurodevelopmental disorder generally signified by a disruption in social interaction and communication combined with frequent repetitive patterns of behaviors or interests. Although the cellular and molecular changes in autistic brains are unclear, the neuropathological abnormalities of ASD have been identified in several brain areas, including the hippocampus. The participation of neuroinflammation and oxidative stress to ASD induction and perpetuation has also been identified. It has been reported that the levels of reactive oxygen species (ROS) and several neuroinflammatory cytokines are abnormally increased in hippocampal brain area in individuals with ASD. Neuroinflammation and oxidative stress are also known as major factors for the induction of programmed cell death (apoptosis). Apoptosis is a fundamental process known to regulate cellular growth. Disordered apoptosis and cellular death involve a number of signal transduction cascade steps resulting from the activation of pro-apoptotic proteins and inhibition of antiapoptotic ones. According to many postmortem and animal studies, abnormalities of several apoptotic signaling pathways have been linked to the induction of ASD, one being the p53 signaling pathway. Therefore, agents that can reduce neuroinflammation and oxidative stress like the neuropeptide oxytocin may effectively manage ASD. It has been shown that oxytocin can reduce neuroinflammation and oxidative stress and improve neuronal cell growth in some neural cell lines. Therefore, this review focuses on the role of oxytocin in the management of ASD through its protective effects against neuroinflammation and oxidative stress in the hippocampal brain area.
自闭症谱系障碍(ASD)是一种严重的神经发育障碍,通常表现为社交和沟通中断,并伴有频繁的重复行为或兴趣模式。尽管自闭症大脑中的细胞和分子变化尚不清楚,但ASD的神经病理学异常已在包括海马体在内的几个大脑区域被发现。神经炎症和氧化应激参与ASD的诱导和延续也已被确定。据报道,ASD患者海马区的活性氧(ROS)和几种神经炎症细胞因子水平异常升高。神经炎症和氧化应激也是诱导程序性细胞死亡(细胞凋亡)的主要因素。细胞凋亡是一个已知的调节细胞生长的基本过程。无序的细胞凋亡和细胞死亡涉及许多信号转导级联步骤,这些步骤由促凋亡蛋白的激活和抗凋亡蛋白的抑制引起。根据许多尸检和动物研究,几种凋亡信号通路的异常与ASD的诱导有关,其中一种是p53信号通路。因此,可以减少神经炎症和氧化应激的药物,如神经肽催产素,可以有效地治疗ASD。研究表明,在某些神经细胞系中,催产素可以减少神经炎症和氧化应激,并改善神经细胞生长。因此,本文综述了催产素通过其对海马脑区神经炎症和氧化应激的保护作用,在ASD治疗中的作用。
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引用次数: 1
Pediatric Subarachnoid Hemorrhage: Rare Events with Important Implications 小儿蛛网膜下腔出血:具有重要意义的罕见事件
Pub Date : 2022-03-14 DOI: 10.31579/2642-9730/020
A. Dagra, E. Williams, S. Aghili-Mehrizi, Michael Goutnik, Melanie B. Martinez, R. Turner, B. Lucke-Wold
Rupture of an aneurysm is the leading cause of subarachnoid hemorrhage (SAH) which results in accumulation of blood between the arachnoid and pia mater, consequently increasing intracranial pressure. This often results in life threatening conditions like herniation or clinical presentations including focal neurological deficits. In children, these events, although rare, have significant implications. Pediatric SAH is associated with better outcomes in the hospital setting and may even be prevented proactively by the recognition of potential risk factors. Specifically, better recognition of genetic predispositions, metastatic lesions, and infectious causes of aneurysms is important to understand their growth and prevent hemorrhagic events. This review highlights the causes of pediatric SAH, reviews the models of current understanding of this etiology, and discusses the current treatment schema to provide a succinct summary and highlight gaps in current knowledge. This may lead to future investigations aimed at further improving prevention strategies, patient care, and patient outcomes.
动脉瘤破裂是蛛网膜下腔出血(SAH)的主要原因,SAH会导致蛛网膜和软脑膜之间的血液积聚,从而增加颅内压。这通常会导致危及生命的情况,如疝或临床表现,包括局灶性神经功能缺损。在儿童中,这些事件虽然罕见,但具有重要意义。儿科SAH在医院环境中与更好的结果相关,甚至可以通过识别潜在的风险因素来预防。具体来说,更好地认识动脉瘤的遗传易感性、转移性病变和感染原因对于了解其生长和预防出血事件很重要。这篇综述强调了儿科SAH的原因,回顾了目前对该病因的理解模式,并讨论了目前的治疗方案,以提供简洁的总结并强调当前知识的差距。这可能会导致未来的调查,旨在进一步改进预防策略、患者护理和患者结果。
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引用次数: 2
Pediatric Subarachnoid Hemorrhage: Rare Events with Important Implications. 小儿蛛网膜下腔出血:罕见事件,意义重大。
Pub Date : 2022-01-01 Epub Date: 2022-03-14
Abeer Dagra, Eric Williams, Sina Aghili-Mehrizi, Michael A Goutnik, Melanie Martinez, Ryan C Turner, Brandon Lucke-Wold

Rupture of an aneurysm is the leading cause of subarachnoid hemorrhage (SAH) which results in accumulation of blood between the arachnoid and pia mater, consequently increasing intracranial pressure. This often results in life threatening conditions like herniation or clinical presentations including focal neurological deficits. In children, these events, although rare, have significant implications. Pediatric SAH is associated with better outcomes in the hospital setting and may even be prevented proactively by the recognition of potential risk factors. Specifically, better recognition of genetic predispositions, metastatic lesions, and infectious causes of aneurysms is important to understand their growth and prevent hemorrhagic events. This review highlights the causes of pediatric SAH, reviews the models of current understanding of this etiology, and discusses the current treatment schema to provide a succinct summary and highlight gaps in current knowledge. This may lead to future investigations aimed at further improving prevention strategies, patient care, and patient outcomes.

动脉瘤破裂是蛛网膜下腔出血(SAH)的主要原因,会导致血液在蛛网膜和桥膜之间积聚,从而增加颅内压。这通常会导致疝气等危及生命的情况或局灶性神经功能缺损等临床表现。在儿童中,这些事件虽然罕见,但却具有重大影响。小儿 SAH 在医院的治疗效果较好,甚至可以通过识别潜在的风险因素来主动预防。具体来说,更好地识别动脉瘤的遗传倾向、转移性病变和感染性原因对于了解其生长和预防出血事件非常重要。这篇综述强调了小儿 SAH 的病因,回顾了目前对这一病因的理解模式,并讨论了目前的治疗方案,以提供一个简洁的总结,并强调目前知识中的差距。这可能会促使未来的研究旨在进一步改善预防策略、患者护理和患者预后。
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引用次数: 0
Predictors of Functional Outcome at Three Months Post Stroke in a Third Level Hospital in Ouagadougou Burkina Faso 瓦加杜古布基纳法索一家三级医院中风后3个月功能结局的预测因素
Pub Date : 2021-10-12 DOI: 10.31579/2642-9730/012
Lompo Djingri Labodi
Aim/Background: The aim of our study was to identify the predictive factors of functional outcome at 3 months post stroke, at Tingandogo University Hospital, in Ouagadougou, Burkina Faso, in order to contribute to the improvement of the functional prognosis of patients suffering from stroke. Materials and methods: This involved a hospital study, longitudinal prospective and anaytical, of patients hospitalized for stroke, from March 2015 to February 2016, at the Tingandogo University Hospital, in Ouagadougou, then followed in outpatient neurology, for at least 3 months, after discharge from hospital. The sociodemographic, clinical and CT characteristics of the patients on admission, the mortality at 3 months, and the evaluation of the functional outcome of the survivors at 3 months by the modified Rankin score (mRS) were analyzed. Motor functional outcome was considered favorable if mRS ≤ 2 and unfavorable if mRS ≥ 3. Multivariate analysis with logistic regression made it possible to identify independent predictors of functional outcome at 3 months post-stroke. Results: A total of 232 patients were collected, i.e. 62.9% of cerebral infarction and 37.1% of intracerebral hemorrhage, with a male predominance (62.93%), an average age of 60.9 years +/- 14.5 years. On admission, 6% of patients were in a coma and 35.8% had severe to very severe neurological impairment. Motor physiotherapy indicated in 77.3% of patients was but only performed in 47.4% At 3 months post stroke, 27 patients had died (31%). Among the 160 surviving patients, 91 patients (56.9%) were autonomous or independent (mRS≤2) and 69 patients (43.1%) were still dependent (mRS≥3). The independent predictors of unfavorable functional outcome (mRS≥3) at 3 months post-stroke were: age ≥ 60 years (p = 0.007), pre-stroke disability (p = 0.032), severe neurological deficit at admission (p = 0.018), impaired alertness on admission (p = 0.005) and large infarcts (p=0.004). Conclusion: Advanced age, pre-stroke disability, clinical and CT markers of the extent of brain damage, influence functional outcome at 3 months post-stroke in our context. Improving the quality of care for all patients, even the oldest, and better access to quality functional rehabilitation will help improve the functional prognosis of stroke patients.
目的/背景:我们研究的目的是在布基纳法索瓦加杜古廷甘多戈大学医院确定中风后3个月功能结果的预测因素,以帮助改善中风患者的功能预后。材料和方法:这涉及一项针对2015年3月至2016年2月在瓦加杜古廷甘多戈大学医院因中风住院的患者的纵向前瞻性和分析性医院研究,出院后在神经科门诊随访至少3个月。分析了患者入院时的社会人口学、临床和CT特征、3个月时的死亡率以及通过改良Rankin评分(mRS)对幸存者3个月功能结果的评估。如果mRS≤2,则认为运动功能结果是有利的,如果mRS≥3,则认为是不利的。采用逻辑回归的多变量分析可以确定卒中后3个月功能结果的独立预测因素。结果:共收集232例患者,其中脑梗塞占62.9%,脑出血占37.1%,其中男性占62.93%,平均年龄60.9岁+/-14.5岁。入院时,6%的患者处于昏迷状态,35.8%的患者有严重至非常严重的神经损伤。77.3%的患者接受了运动理疗,但只有47.4%的患者接受过运动理疗。中风后3个月,27名患者死亡(31%)。在160名存活患者中,91名患者(56.9%)是自主或独立的(mRS≤2),69名患者(43.1%)仍然依赖(mRS≥3)。卒中后3个月不良功能结果(mRS≥3)的独立预测因素为:年龄≥60岁(p=0.007)、卒中前残疾(p=0.032)、入院时严重神经功能缺损(p=0.018)、入院后警觉性受损(p=0.005)和大面积梗死(p=0.004),在我们的背景下,影响卒中后3个月的功能结果。提高所有患者的护理质量,即使是年龄最大的患者,并更好地获得高质量的功能康复,将有助于改善中风患者的功能预后。
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引用次数: 0
Transient global amnesia with bilateral hippocampal findings in magnetic resonance imaging 磁共振成像显示双侧海马的短暂性全局健忘症
Pub Date : 2020-10-09 DOI: 10.31579/2642-973x/011
Sonia P. Rodriguez, Alfredo Fernandez de Castro, Carlos Enrique Trillos Peña
Transient global amnesia (TGA) is an unusual neurological syndrome of unknown etiology that affects individuals between 50 and 75 years old. We describe the case of a 61-year-old woman, who experienced an episode of two hours of anterograde amnesia. The event had an acute onset and was observed by a reliable witness. It lacked motor or sensory symptoms, compromised consciousness, or personal identity. A brain magnetic resonance was performed 22 hours after the onset of symptoms depicting foci of restricted diffusion in both hippocampi. Taking into account clinical and imaging findings, the diagnosis of transient global amnesia was made.
短暂性整体失忆(TGA)是一种病因不明的不寻常神经综合征,影响50至75岁的个体。我们描述了一位61岁的女性,她经历了两个小时的顺行性健忘症。该事件发生得很快,由可靠的目击者观察到。它缺乏运动或感觉症状、意识受损或个人身份。在症状出现后22小时进行脑部磁共振,显示两个海马的扩散受限灶。考虑到临床和影像学表现,诊断为短暂性整体健忘症。
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引用次数: 0
Uncinate Fasciculus in Temporal Lobe Epilepsy 颞叶癫痫的钩状筋膜
Pub Date : 2019-10-07 DOI: 10.31579/2642-973x/010
Simbrón Ribbeck Lourdes, Sandoval Paredes Josefina, Amador Sánchez Karen, Taboada Barajas Jesús
Background and purpose: Temporal lobe epilepsy is the most common focal intractable epilepsy. Uncinate fasciculus is a white fiber bundle that connects the orbitofrontal cortex with the anterior temporal lobe, and is implicated in most of the superior mental functions. There is evidence of uncinate fasciculus as a propagation pathway of seizures from temporal lobe. The aim of the study is to determine uncinate fasciculus alterations in patients with temporal lobe epilepsy, through fractional anisotropy. Methods: Thirty-three patients with temporal lobe epilepsy (10 right and 23 left) were studied. All of them were right-handed and had left hemisphere dominance for language. A 1.5 T MR imaging scanner was used to obtain diffusion tensor imaging (DTI). Fractional anisotropy of uncinate fasciculus was calculated through TBSS (Tract Based Spatial Statistics). Statistical analysis was done using IBM SPSS (v. 25). Results: Fractional anisotropy was higher in right uncinate fasciculus, regardless of epilepsy side. Right uncinate fasciculus, at the insula level, showed lower fractional anisotropy in patients with right temporal lobe epilepsy. Conclusions: Results support the evidence of uncinate fasciculus as a pathway of propagation in temporal lobe epilepsy, specially at insular level.
背景与目的:颞叶癫痫是最常见的局灶性难治性癫痫。钩状束是连接眶额皮质和颞叶前部的白色纤维束,与大多数高级心理功能有关。有证据表明钩扣束是颞叶癫痫发作的传播途径。该研究的目的是通过分数各向异性来确定颞叶癫痫患者的钩交束改变。方法:对33例颞叶癫痫患者(右侧10例,左侧23例)进行分析。他们都是右撇子,左脑半球控制语言。采用1.5 T MR成像扫描仪获得弥散张量成像(DTI)。通过TBSS (Tract Based Spatial Statistics)计算钩状束的各向异性分数。采用IBM SPSS (v. 25)进行统计分析。结果:不论癫痫侧,右钩扣束各向异性分数均较高。在脑岛水平,右颞叶癫痫患者的右钩扣束表现出较低的分数各向异性。结论:研究结果支持钩扣束是颞叶癫痫的一个传播途径,特别是在岛叶水平。
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引用次数: 0
The role of genetic mutations in genes HSPB1 & HSPB8 in Distal Hereditary Motor Neuropathy, type II Syndrome HSPB1和HSPB8基因突变在Ⅱ型遗传性运动神经病变中的作用
Pub Date : 2019-03-28 DOI: 10.31579/2642-973x/005
S. Asadi
Symptoms of DHMN2 usually begin from the age of 10 to the middle of adulthood. Early signs of this disorder include clogging or weakness in the muscles of the toe and the next, the whole leg. The DHMN2 syndrome is caused by the mutation of the HSPB1 gene, which is positioned in the long arm of chromosome 7 as 7q11.23, and the HSPB8 gene, which is based on the long arm of chromosome 12, is 12q24.23.
DHMN2的症状通常从10岁开始到成年中期。这种疾病的早期症状包括脚趾肌肉堵塞或无力,然后是整个腿。DHMN2综合征是由于位于7号染色体长臂上的HSPB1基因突变为7q11.23,而位于12号染色体长臂上的HSPB8基因突变为12q24.23引起的。
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引用次数: 0
Large Retrospective Study of Traumatic Brain Injury undergo De compressive Craniotomy 颅脑外伤开颅减压术的大型回顾性研究
Pub Date : 2019-03-28 DOI: 10.31579/2642-973x/009
Rhys Payne, A. Rudi
Decompressive craniectomy is widely used for treating patients with traumatic brain injury (TBI). Usually patients have dura mater defect due to surgery or injury itself. The defective area may left open or repaired by artificial dura substitutes. A variety of artificial dura substitutes have been used for this purpose.
减压颅骨切除术广泛用于治疗创伤性脑损伤(TBI)患者。通常患者由于手术或自身损伤而出现硬脑膜缺损。有缺陷的区域可以开放或用人造硬脑膜替代物修复。为此已经使用了各种人造硬脑膜替代品。
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引用次数: 0
Parkinson's disease: Role of Acupuncture Study a Randomized Study of Fatigue Behavior 帕金森病:针灸在疲劳行为随机研究中的作用
Pub Date : 2019-03-28 DOI: 10.31579/2642-973x/008
P. Liu, Qu Jian
Fatigue is a common and disabling problem in patients with Parkinson's disease (PD), and there is currently no satisfactory treatment. As acupuncture has been reported to be effective in fatigue related to other conditions, we sought to evaluate its efficacy in PD.
疲劳是帕金森病(PD)患者常见的致残问题,目前尚无令人满意的治疗方法。据报道,针灸对与其他疾病相关的疲劳有效,我们试图评估其对帕金森病的疗效。
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引用次数: 0
期刊
Brain and neurological disorders
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