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血管性认知障碍早期诊断的研究进展 被引量:7
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作者 王苗苗 刘晓林 《实用心脑肺血管病杂志》 2016年第8期5-8,共4页
目的血管性认知障碍(VCI)涵盖从轻度认知障碍到痴呆全过程,近年来其发病率逐年增高,且痴呆患者由于严重的认知功能障碍而丧失了治疗机会,严重影响患者的生活质量,因此,早期诊断VCI具有重要的临床意义。本文介绍了临床评估、神经影像学... 目的血管性认知障碍(VCI)涵盖从轻度认知障碍到痴呆全过程,近年来其发病率逐年增高,且痴呆患者由于严重的认知功能障碍而丧失了治疗机会,严重影响患者的生活质量,因此,早期诊断VCI具有重要的临床意义。本文介绍了临床评估、神经影像学检查、神经心理评估、生物学标志物等在VCI早期诊断中的应用价值,以期为早期诊断VCI提供参考。 展开更多
关键词 认知障碍 诊断 神经成像 神经心理学 生物学标志物
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Neurological and neuropsychological consequences of electrical and lightning shock: review and theories of causation 被引量:4
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作者 Christopher J.Andrews Andrew D.Reisner 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第5期677-686,共10页
Injuries from lightning and electrical injuries involve multiple systems of the body, however neurological symptoms are very widely reported. A disabling neuropsychological syndrome is also noted. This paper presents ... Injuries from lightning and electrical injuries involve multiple systems of the body, however neurological symptoms are very widely reported. A disabling neuropsychological syndrome is also noted. This paper presents a comprehensive review of neurological and neuropsychological symptoms. Partial theories of causation for these injuries have been advanced, however, there is no convincing explanation for both delay in onset of symptoms and also the genesis of the neuropsychological syndrome. A theory of causation is proposed which satisfies both these constraints. This theory suggests circulating hormones such as cortisol, together with nitric oxide and oxidant free radicals from glutamatergic hyper-stimulation, act on tissues remote from the injury path including the hippocampus. This theory opens a research path to explore treatment options. 展开更多
关键词 electrical injury lightning injury neurology NEUROPSYCHOLOGY neuropsychiatry INJURY trauma
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A new horizon for neuroscience:terahertz biotechnology in brain research
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作者 Zhengping Pu Yu Wu +2 位作者 Zhongjie Zhu Hongwei Zhao Donghong Cui 《Neural Regeneration Research》 SCIE CAS 2025年第2期309-325,共17页
Terahertz biotechnology has been increasingly applied in various biomedical fields and has especially shown great potential for application in brain sciences.In this article,we review the development of terahertz biot... Terahertz biotechnology has been increasingly applied in various biomedical fields and has especially shown great potential for application in brain sciences.In this article,we review the development of terahertz biotechnology and its applications in the field of neuropsychiatry.Available evidence indicates promising prospects for the use of terahertz spectroscopy and terahertz imaging techniques in the diagnosis of amyloid disease,cerebrovascular disease,glioma,psychiatric disease,traumatic brain injury,and myelin deficit.In vitro and animal experiments have also demonstrated the potential therapeutic value of terahertz technology in some neuropsychiatric diseases.Although the precise underlying mechanism of the interactions between terahertz electromagnetic waves and the biosystem is not yet fully understood,the research progress in this field shows great potential for biomedical noninvasive diagnostic and therapeutic applications.However,the biosafety of terahertz radiation requires further exploration regarding its two-sided efficacy in practical applications.This review demonstrates that terahertz biotechnology has the potential to be a promising method in the field of neuropsychiatry based on its unique advantages. 展开更多
关键词 biological effect brain NEURON neuropsychiatry NEUROSCIENCE non-thermal effect terahertz imaging terahertz radiation terahertz spectroscopy terahertz technology
Catatonia:A deep dive into its unfathomable depths
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作者 Peter Phiri Gayathri Delanerolle +4 位作者 Oliver Hope Tharangini Murugaiyan Geoffrey Dimba Shanaya Rathod Zukiswa Zingela 《World Journal of Psychiatry》 SCIE 2024年第2期210-214,共5页
This editorial addresses catatonia,a complex neuropsychiatric syndrome characterised by a spectrum of psychomotor disturbances.The editorial seeks to clarify the ambiguous aspects of catatonia,integrating recent resea... This editorial addresses catatonia,a complex neuropsychiatric syndrome characterised by a spectrum of psychomotor disturbances.The editorial seeks to clarify the ambiguous aspects of catatonia,integrating recent research findings,including global studies and diagnostic advancements.It discusses catatonia’s clinical manifestations,prevalence,and associated psychiatric and medical conditions,with particular emphasis on its frequent co-occurrence with schizophrenia and mood disorders.The prevalence of catatonia,which varies across psychiatric populations,is illustrated by a significant study conducted in Nelson Mandela Bay,South Africa.This study provides valuable insights into the effectiveness of the Bush-Francis Screening Instrument compared to the Diagnostic and Statistical Manual 5 criteria in diagnosing catatonia.The editorial evaluates treatment approaches,primarily focusing on benzodiazepines and electroconvulsive therapy,and discusses emerging therapeutic strategies.It underscores the importance of robust diagnostic frameworks and early intervention in managing catatonia,as recommended by the latest evidence-based consensus guideline.Furthermore,it suggests future research directions,particularly in exploring the neurobiological and genetic factors of catatonia,to enhance our understanding and improve treatment outcomes.This editorial succinctly aims to demystify catatonia and provide valuable insights for clinicians and researchers in mental health care. 展开更多
关键词 CATATONIA SCHIZOPHRENIA neuropsychiatry BENZODIAZEPINES Electroconvulsive therapy Bush-Francis screening instrument Diagnosis
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Genetics and epigenetics of circadian rhythms and their potential roles in neuropsychiatric disorders 被引量:3
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作者 Chunyu Liu Michael Chung 《Neuroscience Bulletin》 SCIE CAS CSCD 2015年第1期141-159,共19页
Circadian rhythm alterations have been implicated in multiple neuropsychiatric disorders,particularly those of sleep,addiction,anxiety,and mood. Circadian rhythms are known to be maintained by a set of classic clock g... Circadian rhythm alterations have been implicated in multiple neuropsychiatric disorders,particularly those of sleep,addiction,anxiety,and mood. Circadian rhythms are known to be maintained by a set of classic clock genes that form complex mutual and self-regulatory loops. While many other genes showing rhythmic expression have been identified by genome-wide studies,their roles in circadian regulation remain largely unknown. In attempts to directly connect circadian rhythms with neuropsychiatric disorders,genetic studies have identifi ed gene mutations associated with several rare sleep disorders or sleep-related traits. Other than that,genetic studies of circadian genes in psychiatric disorders have had limited success. As an important mediator of environmental factors and regulators of circadian rhythms,the epigenetic system may hold the key to the etiology or pathology of psychiatric disorders,their subtypes or endophenotypes. Epigenomic regulation of the circadian system and the related changes have not been thoroughly explored in the context of neuropsychiatric disorders. We argue for systematic investigation of the circadian system,particularly epigenetic regulation,and its involvement in neuropsychiatric disorders to improve our understanding of human behavior and disease etiology. 展开更多
关键词 epigenetics circadian rhythms neuropsychiatry
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Inhibiting the kynurenine pathway in spinal cord injury: multiple therapeutic potentials? 被引量:3
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作者 Kelly R.Jacobs David B.Lovejoy 《Neural Regeneration Research》 SCIE CAS CSCD 2018年第12期2073-2076,共4页
Chronic induction of the kynurenine pathway(KP) contributes to neuroinflammation by producing the excitotoxin quinolinic acid(QUIN). This has led to significant interest in the development of inhibitors of this pa... Chronic induction of the kynurenine pathway(KP) contributes to neuroinflammation by producing the excitotoxin quinolinic acid(QUIN). This has led to significant interest in the development of inhibitors of this pathway, particularly in the context of neurodegenerative disease. However, acute spinal cord injury(SCI) also results in deleterious increases in QUIN, as secondary inflammatory processes mediated largely by infiltrating macrophages, become predominant. QUIN mediates significant neurotoxicity primarily by excitotoxic stimulation of the N-methyl-D-aspartate receptor, but other mechanisms of QUIN toxicity are known. More recent focus has assessed the contribution that neuroinflammation and modulations in the KP make in mood and psychiatric disorders with recent studies linking inflammation and modulations in the KP, to impaired cognitive performance and depressed mood in SCI patients. We hypothesize that these findings suggest that in SCI, inhibition of QUIN production and other metabolites, may have multiple therapeutic modalities and further studies investigating this are warranted. However, for central nervous system-based conditions, achieving good blood-brain-barrier permeability continues to be a limitation of current KP inhibitors. 展开更多
关键词 spinal cord injury NEUROINFLAMMATION kynurenine pathway activated microglia infiltrating macrophages quinolinic acid neuropsychiatry DEPRESSION
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Post electrical or lightning injury syndrome: a proposal for an American Psychiatric Association's Diagnostic and Statistical Manual formulation with implications for treatment 被引量:3
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作者 Christopher J.Andrews Andrew D.Reisner Mary Ann Cooper 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第9期1405-1412,共8页
In the past, victims of electrical and lightning injuries have been assessed in a manner lacking a system- atic formulation, and against ad hoc criteria, particularly in the area of neuropsychological disability. In t... In the past, victims of electrical and lightning injuries have been assessed in a manner lacking a system- atic formulation, and against ad hoc criteria, particularly in the area of neuropsychological disability. In this manner patients have, for example, only been partially treated, been poorly or incorrectly diagnosed, and have been denied the full benefit of compensation for their injuries. This paper contains a proposal for diagnostic criteria particularly for the neuropsychological aspects of the post injury syndrome. It pays attention to widely published consistent descriptions of the syndrome, and a new cluster analysis of post electrical injury patients. It formulates a proposal which could be incorporated into future editions of the American Psychiatric Association's Diagnostic and Statistical Manual (DSM). The major neuropsycholog- ical consequences include neurocognitive dysfunction, and memory subgroup dysfunction, with ongoing consequences, and sometimes including progressive or delayed psychiatric, cognitive, and/or neurological symptoms. The proposed diagnostic criteria insist on a demonstrated context for the injury, both specifying the shock circumstance, and also physical consequences. It allows for a certain delay in onset of symptoms. It recognizes exclusory conditions. The outcome is a proposal for a DSM classification for the post electrical or lightning injury syndrome. This proposal is considered important for grounding patient treatment, and for further treatment trials. Options for treatment in electrical or lightning injury are summarised, and future trials are foreshadowed. 展开更多
关键词 electrical injury lightning injury NEUROPSYCHOLOGY neuropsychiatry INJURY American Psychiatric Association's Diagnostic and Statistical Manual
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Book Review: I-Cubed and <i>The Autoimmune Brain</i>, A Five-Step Plan 被引量:2
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作者 David S. Younger 《World Journal of Neuroscience》 2020年第1期29-36,共8页
The Autoimmune Brain1 explains I-Cubed, a shorthand for post-infectious autoimmunity that results from the multiplier effect of infection, immunity and inflammation, when protective immunity becomes the source of auto... The Autoimmune Brain1 explains I-Cubed, a shorthand for post-infectious autoimmunity that results from the multiplier effect of infection, immunity and inflammation, when protective immunity becomes the source of autoimmunity, conditioned by applicable environmental and genetic predisposing factors. In keeping with the post-infectious autoimmune nature of I-Cubed, neurologic and psychiatric symptoms evolve beyond a standard of care course of antibiotic therapy. Extensive serologic, electrophysiological and neuroradiographic diagnostic testing provides clues to areas of central, peripheral and autonomic nervous system, and systemic involvement that guide therapy. A multimodality therapeutic approach employing immune modulatory (Ig) therapy that addresses the underlying mechanisms and not just the symptoms of Cubed disorders is most effective. Representative cases of post-infectious autoimmunity associated with Lyme disease and PANDAS are presented. 展开更多
关键词 neuropsychiatry LYME Disease PANDAS I-Cubed Post-Infectious AUTOIMMUNITY
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胶质瘤扩大切除术后神经状况和生命质量的评估 被引量:4
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作者 赵鹏 刘晓杨 +3 位作者 王晋 洪勇智 刘宁 尤永平 《中华神经外科杂志》 CSCD 北大核心 2017年第12期1250-1254,共5页
目的 探讨颅内胶质瘤扩大切除术所致患者神经系统功能和神经心理学状态的改变及其对生命质量的影响.方法 回顾性纳入2014年1月至2015年11月南京医科大学第一附属医院神经外科收治的行扩大切除术的58例胶质瘤患者.分别于手术前1d、出院... 目的 探讨颅内胶质瘤扩大切除术所致患者神经系统功能和神经心理学状态的改变及其对生命质量的影响.方法 回顾性纳入2014年1月至2015年11月南京医科大学第一附属医院神经外科收治的行扩大切除术的58例胶质瘤患者.分别于手术前1d、出院时、术后3个月采用美国国立卫生院卒中量表(NIHSS)、Addenbrooke改良认知评估量表(ACE-R)、医院焦虑抑郁情绪测量表(HAD)以及韦氏成人智力测验与成套神经心理学测验来评估患者的神经系统功能和神经心理学状态,生命质量则使用欧洲癌症研究与治疗组织生命质量核心量表(EORTC QLQ-C30)进行评估.结果 患者的总体生命质量评分在术前1d(58例)、出院时(50例完成评估)以及术后3个月(获随访46例)分别为67.8(48.9,86.7)分、66.7(47.5,85.9)分以及64.8(41.4,88.5)分,且差异无统计学意义(P>0.05).与术前相比,术后3个月24% (11/46)的患者神经系统功能发生恶化,有28%(13/46)神经系统功能得到改善.神经心理状态方面,66%(33/50)的患者出院时较术前有不同程度的神经心理学功能退化,但这些退化的功能大多在术后3个月恢复.结论 对于具有合适适应证的胶质瘤患者,行扩大切除术不会造成其生命质量的明显下降,在术后早期会出现神经系统功能和神经心理状态的恶化,但恶化的功能经过一段时间后大多数可恢复至术前水平. 展开更多
关键词 神经胶质瘤 神经心理学 生命质量 扩大切除
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Steroid receptor coactivator-1:The central intermediator linking multiple signals and functions in the brain and spinal cord 被引量:2
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作者 Zhaoyou Meng Xiaoya Wang +4 位作者 Dongmei Zhang Zhen Lan Xiaoxia Cai Chen Bian Jiqiang Zhang 《Genes & Diseases》 SCIE 2022年第5期1281-1289,共9页
The effects of steroid hormones are believed to be mediated by their nuclear receptors(NRs).The p160 coactivator family,including steroid receptor coactivator-1(SRC-1),2 and 3,has been shown to physically interact wit... The effects of steroid hormones are believed to be mediated by their nuclear receptors(NRs).The p160 coactivator family,including steroid receptor coactivator-1(SRC-1),2 and 3,has been shown to physically interact with NRs to enhance their transactivational activities.Among which SRC-1 has been predominantly localized in the central nervous system including brain and spinal cord.It is not only localized in neurons but also detectable in neuroglial cells(mainly localized in the nuclei but also detectable in the extra-nuclear components).Although the expression of SRC-1 is regulated by many steroids,it is also regulated by some non-steroidal factors such as injury,sound and light.Functionally,SRC-1 has been implied in normal function such as development and ageing,learning and memory,central regulation on reproductive behaviors,motor and food intake.Pathologically,SRC-1 may play a role in the regulation of neuropsychiatric disorders(including stress,depression,anxiety,and autism spectrum disorder),metabolite homeostasis and obesity as well as tumorigenesis.Under most conditions,the related mechanisms are far from elucidation;although it may regulate spatial memory through Rictor/mTORC2-actin polymerization related synaptic plasticity.Several inhibitors and stimulator of SRC-1 have shown anti-cancer potentials,but whether these small molecules could be used to modulate ageing and central disorder related neuropathology remain unclear.Therefore,to elucidate when and how SRC-1 is turned on and off under different stimuli is very interesting and great challenge for neuroscientists. 展开更多
关键词 Cognition NEUROPATHOLOGY neuropsychiatry STEROID Steroid receptor coactivator-1 Synaptic plasticity
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Clinical and Experimental Study of the Toxic Neuropsychiatric Effects of Formaldehyde Exposure: Has Garlic a Protective Role?
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作者 Wafaa Ibrahim Soliman Nashwa Mohamad Mohamad Shalaby +1 位作者 Hisham Mohammed Al-sayed Mona Hamed Ibrahim 《Occupational Diseases and Environmental Medicine》 2018年第1期1-22,共22页
Background: The central nervous system is one of the most important systems affected by formaldehyde (FA). Aim of Work: This study was designed to assess its toxic neuropsychiatric effects both clinically and experime... Background: The central nervous system is one of the most important systems affected by formaldehyde (FA). Aim of Work: This study was designed to assess its toxic neuropsychiatric effects both clinically and experimentally and the protective effects of garlic. Methods: Clinically: 20 workers in the gross anatomy laboratory and 20 libertarians underwent a standardized clinical assessment including medical, neurological and psychiatric examination. Experimental: 40 male rats were divided randomly into four groups. Group I is control group. Group II received 10 mg/kg of FA intraperitoneally once daily for 14 days. Group III was treated with fresh garlic juice (1 ml/100g body weight) once daily by oral gavage for 14 days. Groups VI received fresh garlic juice plus formaldehyde daily for 14 days. At the end of the experiment, the rats’ brains were obtained for histological examination and biochemical analysis. Results: Clinical and psychiatric profile of FA exposed persons’ revealed cognitive impaired, anxious and depressed persons. There were hostile persons with more hostility toward outside. Experimentally, hippocampal and frontal superoxide dismutase and reduced glutathione showed highly significant decrease while malondialdehyde and nitric oxide level showed highly significant increase in formaldehyde treated group when compared with control group. Also histopathological changes in the hippocampal and frontal cortices by light microscope revealed many distorted cells with deeply stained shrunked nuclei and cytoplasm was surrounded by vacuolated pale areas in FA exposed group. Minimization of biochemical and histopathological changes were observed in combined formaldehyde and garlic treated group. Conclusion: The profiles of personality arouse dangerous affairs about the toxic impact of FA on persons, family, and society. Formaldehyde-induced neuronal damage, oxidative stress and lipid peroxidation in brain were minimized by addition of garlic. 展开更多
关键词 FORMALDEHYDE NEUROTOXICITY neuropsychiatry GARLIC Oxidative Stress Cognitive IMPAIRMENT
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Role of presynaptic phosphoprotein synapsin Ⅱ in schizophrenia
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作者 Luke Molinaro Patricia Hui +1 位作者 Mattea Tan Ram K Mishra 《World Journal of Psychiatry》 SCIE 2015年第3期260-272,共13页
Synapsin Ⅱ is a member of the neuronal phosphoprotein family. These phosphoproteins are evolutionarily conserved across many organisms and are important in a variety of synaptic functions, including synaptogenesis an... Synapsin Ⅱ is a member of the neuronal phosphoprotein family. These phosphoproteins are evolutionarily conserved across many organisms and are important in a variety of synaptic functions, including synaptogenesis and the regulation of neurotransmitter release. A number of genome-wide scans, meta-analyses, and genetic susceptibility studies have implicated the synapsin II gene(3p25) in the etiology of schizophrenia(SZ) and other psychiatric disorders. Further studies have found a reduction of synapsin II m RNA and protein in the prefrontal cortex in post-mortem samples from schizophrenic patients. Disruptions in the expression of this gene may cause synaptic dysfunction, which can result in neurotransmitter imbalances, likely contributing to the pathogenesis of SZ. SZ is a costly, debilitating psychiatric illness affecting approximately 1.1% of the world's population, amounting to 51 million people today. The disorder is characterized by positive(hallucinations, paranoia), negative(social withdrawal, lack of motivation), and cognitive(memory impairments, attention deficits) symptoms. This review provides a comprehensive summary of the structure, function, and involvement of the synapsin family, specifically synapsin II, in the pathophysiology of SZ and possible target for therapeutic intervention/implications. 展开更多
关键词 Synapsin SCHIZOPHRENIA Dopamine GLUTAMATE neuropsychiatry Antipsychotic drugs
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345例抽动障碍患者的分诊情况分析 被引量:1
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作者 李欢 莫霖 《当代护士(中旬刊)》 2015年第1期151-152,共2页
目的分析某儿童医院抽动障碍患者初诊的分诊情况。方法收集确诊的抽动障碍患者345例,回顾分析其初诊时于分诊处的分诊情况及确诊周期。结果 52.17%于神经科或精神心理科就诊,47.83%多于眼科、骨科、耳鼻喉科和呼吸科等就诊,于其他科室... 目的分析某儿童医院抽动障碍患者初诊的分诊情况。方法收集确诊的抽动障碍患者345例,回顾分析其初诊时于分诊处的分诊情况及确诊周期。结果 52.17%于神经科或精神心理科就诊,47.83%多于眼科、骨科、耳鼻喉科和呼吸科等就诊,于其他科室初诊的患者反复就诊3次以上者占21.82%。初诊诊于神经科或精神心理科患者的确诊周期明显少于其他科室,差异有统计学意义(P<0.05)。结论医院门诊对抽动障碍患者的分诊还存在很多不足,需加强分诊护士对抽动障碍相关知识的学习,提高对抽动障碍患者的正确分诊率。 展开更多
关键词 抽动障碍 神经精神疾病 分诊
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The role of glutamine in supporting gut health and neuropsychiatric factors 被引量:1
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作者 Brett J.Deters Mir Saleem 《Food Science and Human Wellness》 SCIE 2021年第2期149-154,共6页
Recent research has shown that the amino acid glutamine can positively affect gut health by supporting the gut microbiome,gut mucosal wall integrity,and by modulating infiammatory responses.As modulated by the vagus n... Recent research has shown that the amino acid glutamine can positively affect gut health by supporting the gut microbiome,gut mucosal wall integrity,and by modulating infiammatory responses.As modulated by the vagus nerve,via the enteric nervous system,the gut-brain connection can impact the brain’s neurochemical environment.Poor gut health can disrupt the balance of neurotransmitters,which can result in neuropsychiatric based conditions such as depression.Glutamine supplementation may provide significant adjunctive nutritional support in cases of depression by promoting proper gut health and function. 展开更多
关键词 GLUTAMINE GUT neuropsychiatry Enteric nervous system NEUROTRANSMITTERS MICROBIOME
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系统性红斑狼疮的中枢神经系统表现特征 被引量:1
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作者 马建芳 孙治坤 +2 位作者 潘萌 李根 汤荟冬 《诊断学理论与实践》 2015年第3期229-234,共6页
目的 :分析系统性红斑狼疮(systemic lupus erythematosus,SLE)患者的中枢神经系统病变特征,以期早期识别这些特征,为指导诊治、改善患者预后提供帮助。方法:收集1996年至2010年,上海交通大学医学院附属瑞金医院风湿科及神经科收治的共5... 目的 :分析系统性红斑狼疮(systemic lupus erythematosus,SLE)患者的中枢神经系统病变特征,以期早期识别这些特征,为指导诊治、改善患者预后提供帮助。方法:收集1996年至2010年,上海交通大学医学院附属瑞金医院风湿科及神经科收治的共53例中枢神经系统狼疮患者的临床资料,进行临床症状和体征、实验室检查、神经影像学检查、治疗和预后的总结和相关分析。结果:SLE患者的系统性症状以皮肤黏膜病变最为常见,而中枢神经系统症状则以头痛和癫痫间最为常见,此外脊髓也较常受累(15%),且多为长节段性病变,可能合并视神经脊髓炎。SLE伴缺血性脑卒中的发病与抗心磷脂抗体并不相关。多数SLE患者有血清学指标的异常,但这些指标的检测结果为阴性亦不能排除中枢神经系统病变的可能。患者脑脊液多有异常改变,但与其疗效及预后并不相关。患者头颅和脊髓的MRI表现多异常(60%),部分可表现为缺血灶、非特异性白质改变、钙化或长节段的脊髓病灶。约79%的SLE患者中枢神经系统症状经糖皮质激素、免疫抑制剂和(或)免疫球蛋白等治疗后得到改善。讨论:除头痛和癫痫间外,脊髓症状在中枢神经系统狼疮患者中较常见,实验室和脑脊液检查多异常,但结果正常亦不能排除中枢神经系统狼疮可能。中枢神经系统狼疮患者的神经影像学变化多样。 展开更多
关键词 中枢神经系统 神经精神病变 系统性红斑狼疮
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A novel mind-set in primate experimentation:Implications for primate welfare 被引量:1
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作者 Antonella Tramacere Atsushi Iriki 《Animal Models and Experimental Medicine》 CSCD 2021年第4期343-350,共8页
We emphasize the importance of studying the primate brain in cognitive neuroscience and suggest a new mind-set in primate experimentation within the boundaries of animal welfare regulations.Specifically,we list the ad... We emphasize the importance of studying the primate brain in cognitive neuroscience and suggest a new mind-set in primate experimentation within the boundaries of animal welfare regulations.Specifically,we list the advantages of investigating both genes and neural mechanisms and processes in the emergence of behavioral and cognitive functions,and propose the establishment of an open field of primate research.The latter may be conducted by implementing and harmonizing experimental practices with ethical guidelines that regulate(1)management of natural parks with free-moving populations of target nonhuman primates,(2)establishment of indoor-outdoor labs for both system genetics and neuroscience investigations,and(3)hotel space and technologies which remotely collect and dislocate information regarding primates geographically located elsewhere. 展开更多
关键词 animal models cognitive neuroscience natural parks neuropsychiatry primate experimentation primate welfare Research Domain Criteria
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某综合医院住院患者精神障碍患病率、识别率及危险因素调查分析 被引量:30
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作者 孙渊博 祝扬 +4 位作者 李丁 王晓慧 李秀珍 宋瑞华 王瑛 《中国现代医学杂志》 CAS 2018年第4期68-75,共8页
目的了解某综合医院住院患者精神障碍的患病情况和影响因素、识别率及心理干预效果。方法采用一阶段调查法,调查某综合医院2014年6~8月内科、外科及妇产科等所有非精神病科室597名住院患者精神障碍的患病率、发病率及危险因素。所得数... 目的了解某综合医院住院患者精神障碍的患病情况和影响因素、识别率及心理干预效果。方法采用一阶段调查法,调查某综合医院2014年6~8月内科、外科及妇产科等所有非精神病科室597名住院患者精神障碍的患病率、发病率及危险因素。所得数据采用SPSS 22.0进行统计分析。结果 (1)精神障碍患病率为17.6%;不同精神障碍患病率依次为:抑郁障碍9.4%、广泛性焦虑障碍3.7%、心境恶劣1.7%、自杀1.2%、轻躁狂发作1.2%、惊恐障碍为0.3%、场所恐惧症为0.5%、社交恐惧症为0.2%、强迫症为1.0%、创伤后应激障碍为2.0%、酒滥用或酒依赖为2.0%、非酒精类精神活性物质使用障碍为0.5%、精神性疾患为0.7%、神经性厌食为0.7%、神经性贪食为0.2%、反社会人格障碍为0.0%。(2)患病率最高的4个科室依次为消化内科44.9%、康复科25.0%、老年病房24.1%、神经内科19.0%。(3)精神障碍患者的识别率为51.4%;识别率最高的4个科室依次为神经内科87.5%、神经外科71.4%、呼吸内科60.0%、老年病房53.8%。(4)多因素Logistic回归分析显示,科室、居住方式、心理疾病史和就诊意愿为影响因素。结论 (1)某综合医院住院患者精神障碍患病率较低,识别率较高。(2)内科、独居、有过心理疾病史、对精神障碍有负性看法的住院患者为精神障碍的高发人群;对外伤术后的患者应排除是否存在创伤后应激障碍。 展开更多
关键词 精神障碍 现况调查 危险因素 综合医院 简明国际神经精神访谈检查 心理护理.
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痴呆测查的新方法:电话问卷 被引量:7
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作者 周景升 张新卿 王丽冬 《中国临床康复》 CSCD 2002年第21期3166-3167,共2页
目的评价老年人认知功能下降知情者问卷(informantquestionnaireoncognitivedeclineintheelderly,IQCODE)、面访和电话访问测查痴呆的信度和效度。方法按照DSM-IV痴呆标准诊断的65例痴呆组患者和67例健康社区老年对照组进行了测查,采用... 目的评价老年人认知功能下降知情者问卷(informantquestionnaireoncognitivedeclineintheelderly,IQCODE)、面访和电话访问测查痴呆的信度和效度。方法按照DSM-IV痴呆标准诊断的65例痴呆组患者和67例健康社区老年对照组进行了测查,采用盲法对相关的知情者应用IQCODE的26项版本及16项版本进行了访查。结果IQCODE面访和电话访问评分的相关系数为0.91。以3.40/3.43为分界值,IQCODE面访的敏感性和特异性分别为89.8%和82.5%;电话访问的敏感性和特异性分别为88.9%和83.6%。16项简短版本的敏感性和特异性分别为86.1%和81.9%。结论IQCODE是简洁、可靠、有效的痴呆测查工具,面访和电话访问都具有良好的信度、效度和一致性。它与MMSE结合使用,提高了检测的敏感性和特异性。 展开更多
关键词 老年性痴呆 神经心理测验 电话 老年人认知功能下降知情者问卷
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从室间质量评价分析神经精神科治疗药物监测的发展现状 被引量:8
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作者 张少川 陈志祥 +2 位作者 黄秋燕 吴思棋 杨春霞 《中国药房》 CAS 北大核心 2019年第1期136-140,共5页
目的:分析神经精神科治疗药物监测(TDM)的发展现状,为提高神经精神科TDM质量提供依据。方法:从卫生部临床检验中心网站(http://www.clinet.com.cn)提取2008-2017年TDM室间质量评价中神经精神科药物相关数据,对TDM项目、参评实验室数量... 目的:分析神经精神科治疗药物监测(TDM)的发展现状,为提高神经精神科TDM质量提供依据。方法:从卫生部临床检验中心网站(http://www.clinet.com.cn)提取2008-2017年TDM室间质量评价中神经精神科药物相关数据,对TDM项目、参评实验室数量、监测方法等进行统计分析。结果:截至2017年底,卫生部临床检验中心开展神经精神科TDM项目共5项,涉及4种药物,包括3项血清TDM(卡马西平、丙戊酸、苯妥英),生化常规中的锂离子监测(碳酸锂)以及2014年新增加的药动学实验室生物样本监测(血浆卡马西平);参评实验室数量从2008年的209家增加至2017年的603家,其中卡马西平(血清、血浆)和丙戊酸每年参评实验室数量均保持良好的增长趋势,截至2017年底,卡马西平(血清、血浆)和丙戊酸均突破200家,苯妥英也有107家,但是碳酸锂仅有27家。在参评实验室的监测方法中,使用偏振荧光免疫分析法(FPIA)的实验室逐年递减,截至2017年底,已不足10家;而使用吖啶酯直接化学发光法、酶增强免疫分析法(EMIT)、高效液相色谱法(HPLC)的实验室数量稳步增加,截至2017年底,使用吖啶酯直接化学发光法的实验室最多,EMIT、HPLC次之。结论:由参评实验室数量的不断增加,可以看出实验室人员的质量控制意识日趋增强,但由于TDM监测方法的繁杂性限制了室间质量评价的药物种类,建议相关部门尽快制订室间质量评价的指导方针、质量控制标准与操作规范等,以确保不同神经精神科药物TDM结果的准确性。 展开更多
关键词 治疗药物监测 神经精神科 室间质量评价 现状
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认知神经心理学简介 被引量:5
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作者 Max Coltheart 《心理科学进展》 CSSCI CSCD 北大核心 2008年第1期4-9,共6页
认知神经心理学是认知心理学的一个分支。它的目的是探讨当人们执行认知活动的时候,心理信息加工过程是怎样的,所采用的手段是研究这些认知功能受损的病人。它与认知神经科学的不同在于:认知神经心理学关注的是心理(mind),而认知神经科... 认知神经心理学是认知心理学的一个分支。它的目的是探讨当人们执行认知活动的时候,心理信息加工过程是怎样的,所采用的手段是研究这些认知功能受损的病人。它与认知神经科学的不同在于:认知神经心理学关注的是心理(mind),而认知神经科学关注的是大脑(特别是关注与认知有关的大脑机制)。研究认知神经心理学的方法也可以用于研究发展性认知障碍,如阅读障碍,或者特殊的语言损伤,这就是发展性认知神经心理学。这些方法还可以用于高级认知发面的研究,如信念形成和心理理论。这些高级认知方面的障碍是精神病学的范畴,因此这类研究错觉、幻想或虚构等的认知神经心理学叫做认知神经精神病学。认知神经心理学的典型特征有:1)研究症状,而不是并发症;2)采用个案研究,而不是群体研究;3)主要数据来源是症状间的双分离;4)致力于模块化认知模型的建立。 展开更多
关键词 认知 认知神经心理学 认知神经科学 认知神经精神病学
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