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Machine learning applications in stroke medicine:advancements,challenges,and future prospectives

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Neural Regeneration Research 2024年第4期19卷 769-773页

作者： Mario Daidone Sergio Ferrantelli Antonino Tuttolomondo Internal Medicine and Stroke Care ward Department of Health PromotionMother and Child CareInternal Medicine and Medical SpecialtiesUniversity of Palermo Molecular and Clinical Medicine PhD Program University of Palermo

Stroke is a leading cause of disability and mortality worldwide,necessitating the development of advanced technologies to improve its diagnosis,treatment,and patient *** recent years,machine learning techniques have emerged as promising tools in stroke medicine,enabling efficient analysis of large-scale datasets and facilitating personalized and precision medicine *** abstract provides a comprehensive overview of machine learning’s applications,challenges,and future directions in stroke *** introduced machine learning algorithms have been extensively employed in all the fields of stroke *** learning models have demonstrated remarkable accuracy in imaging analysis,diagnosing stroke subtypes,risk stratifications,guiding medical treatment,and predicting patient *** the tremendous potential of machine learning in stroke medicine,several challenges must be *** include the need for standardized and interoperable data collection,robust model validation and generalization,and the ethical considerations surrounding privacy and *** addition,integrating machine learning models into clinical workflows and establishing regulatory frameworks are critical for ensuring their widespread adoption and impact in routine stroke *** learning promises to revolutionize stroke medicine by enabling precise diagnosis,tailored treatment selection,and improved *** research and collaboration among clinicians,researchers,and technologists are essential for overcoming challenges and realizing the full potential of machine learning in stroke care,ultimately leading to enhanced patient outcomes and quality of *** review aims to summarize all the current implications of machine learning in stroke diagnosis,treatment,and prognostic *** the same time,another purpose of this paper is to explore all the future perspectives these techniques can provide in combating this disabling dis

关键词： cerebrovascular disease deep learning machine learning reinforcement learning stroke stroke therapy supervised learning unsupervised learning

Infantile Spinal Muscular Atrophy at the Albert Royer National Children’s Hospital Center in Dakar

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Open Journal of Pediatrics 2024年第3期14卷 514-521页

作者： Guillaye Diagne Khadim Bop Sofiatou Dieye Arame Faye Fatou Ly Amadou Lamine Fall Pediatrics ward of Pikine Hospital Pikine Senegal Pé diatrics Ward of Albert Royer National Hospital Dakar Senegal

Introduction: Infantile spinal muscular atrophy (ISA) is an autosomal recessive disease caused by primary degeneration of cells in the anterior horn of the spinal cord, leading to muscle weakness and hypotonia. Its incidence is estimated at 1 in 6000 births worldwide. In Africa, particularly in Senegal, there are few studies interested on this pathology. We therefore deemed this study necessary, which set itself the objective of describing the diagnostic, therapeutic and progressive aspects of infantile spinal muscular atrophy at the Albert Royer National Children’s Hospital Center in Dakar (CHNEAR). Methodology: We conducted a retrospective descriptive study over a period of two (2) years from December 2020 to December 2022. Included were all hospitalized patients in whom the diagnosis of spinal muscular atrophy was made with or without genetic confirmation. The data were collected on a pre-established form then entered and analyzed with the following software: Excel 2013 and R version 4.1.3. Results: During our study period, 2100 children were hospitalized, the annual incidence was 0.76%. The average age of our patients was 9 ± 9 months with a range of 3 months to 32 months and the median was 6.5 months. The sex ratio was 7. The notion of family consanguinity was found in 62.5% of cases and the notion of ISA in the family in 25% of cases. Hypotonia and respiratory distress were found at the forefront in equal proportions (50% of cases). Electromyogram (EMG) was performed in 3 patients (37.5%). Symptomatic medical treatment was administered in 100% of patients, 04 patients had benefited from respiratory physiotherapy, i.e. 50% of cases, and genetic counseling was carried out in one patient (12.5%). The evolution was immediately favorable in 2 patients or 25% of cases, unfavorable in 75% of cases with a death rate of 50% and the average age of death was 5.5 months ± 1 with extremes ranging from 3 to 7 months. Conclusion: The number of Infantile spinal muscular atrop

关键词： Spinal Muscular Atrophy Child Hypotonia Dakar

Juvenile Systemic Sclerosis: About 9 Cases

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Open Journal of Pediatrics 2024年第2期14卷 320-326页

作者： Kaoutar Danaoui Houda Nassih Khadija Oujennane Rabiy El Qadiry Aicha Bourrahouat Said Amal Imane Ait Sab B Pediatric ward Mohammed VI University Hospital Center Marrakesh Morocco Dermatology ward Mohammed VI University Hospital Center Marrakesh Morocco

Scleroderma is a rare disease with two primary forms: localized scleroderma (LS) and systemic sclerosis (SSc). Both are chronic conditions that can manifest in various patterns (subtypes) and are linked to extracutaneous involvement in pediatric patients. Juvenile SSc poses a higher risk of morbidity and mortality, with patients facing life-threatening complications such as lung, heart, and visceral organ fibrosis, and vasculopathy. In contrast, mortality is extremely rare in juvenile LS, but patients are susceptible to significant morbidity, leading to severe disfigurement and functional impairment. Treatment for scleroderma aims to control inflammation and address specific issues. An early diagnosis significantly enhances the overall outcome. This study conducts a retrospective descriptive analysis aiming to document the clinical manifestations, management approaches, and outcomes of systemic sclerosis in a cohort of nine children receiving treatment for juvenile systemic sclerosis at Pediatric B department of Mohammed VI University, Hospital Center in Marrakech, Morocco.

关键词： Scleroderma Systemic Sclerosis Children Pediatric

COVID-19 pandemic amplified mortality rates among adolescents with bipolar disorder through family-related factors

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World Journal of Clinical Cases 2024年第11期12卷 1929-1935页

作者： Zhuo-Fan Ye Yi-Han Hong Jian-Lin Yang Meng-Qing Tan Ju-Min Xie Zu-Cai Xu Department of Neurology The Affiliated Hospital of Zunyi Medical UniversityZunyi 563000Guizhou ProvinceChina Hubei Key Laboratory of Renal disease Occurrence and Intervention Medical SchoolHubei Polytechnic UniversityHuangshi 435003Hubei ProvinceChina Psychological Children's ward Mental Health Center of HuangshiHuangshi 435111Hubei ProvinceChina The Collaborative Innovation Center of Tissue Damage Repair and Regeneration Medicine Zunyi Medical UniversityZunyi 563000Guizhou ProvinceChina

BACKGROUND Recently,a growing number of adolescents have been afflicted with mental disorders,with annual morbidity rates on the *** trend has been exacerbated by the global coronavirus disease 2019(COVID-19)pandemic,leading to a surge in suicide and self-harm rates among this *** To investigate the impact of the COVID-19 pandemic on adolescent bipolar disorder(BD),along with the underlying factors contributing to heightened rates of suicide and self-harm among *** A comprehensive statistical analysis was conducted utilizing clinical interviews and self-reports obtained from patients or their *** criteria for BDs were based on the Diagnostic and statistical manual of mental disorders,international classification of diseases-11,and the National institute of mental health research domain *** analyses were performed using SPSS 26.0 software,with significance set at P<*** A cohort of 171 adolescents diagnosed with BD between January 1,2018,and December 31,2022,was included in the *** gender distribution was 2.8:1(female to male),with ages ranging from 11 to 18 years *** factors contributing to adolescent BDs included familial influences,academic stress,genetic predisposition and exposure to school-related ***,a significant increase in suicide attempts and self-harm incidents was observed among adolescents with BD during the COVID-19 *** analysis indicated that the pandemic exacerbated familial discord and heightened academic stress,thereby amplifying the prevalence of suicidal behavior and self-harm among *** The COVID-19 pandemic has exacerbated familial tensions and intensified the incidence of suicide and self-harm among adolescents diagnosed with *** study underscores the urgent need for societal,familial and educational support systems to prioritize the well-being of adolescents and offers valuable insights and guidelines

关键词： Adolescents Bipolar disorder COVID-19 Suicide Self-harm

Effect of cardiac rehabilitation care after coronary intervention on cardiac function recovery and negative mood in patients with myocardial infarction

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World Journal of Clinical Cases 2024年第1期12卷 59-67页

作者： Ming Yang Yuan-Tao Huang Xi-Wen Hu Chun-Ling Wu Division of Cardiovascular First ward Departments of Internal MedicineLiyuan HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430077Hubei ProvinceChina Division of Cardiovascular First ward Departments of Internal MedicineJianli People's HospitalJianli 433300Hubei ProvinceChina Department of Integrated Traditional Chinese and Western Medicine People's Hospital of Dongxihu DistrictWuhan 430040Hubei ProvinceChina

BACKGROUND Cardiovascular disease,particularly myocardial infarction(MI)profound impact on patients'quality of life and places a substantial burden on the healthcare and economy *** in medical technology have led to the emer-gence of coronary intervention as an essential method for treating *** To assess the effects of cardiac rehabilitation care on cardiac function recovery and negative emotions in MI after coronary *** This study included a total of 180 patients with MI during the period from June 2022 to July *** patients were divided into two groups:An observation group,which receiving cardiac rehabilitation care;a control group,which re-ceiving conventional *** comparing multiple observation indicators such as cardiac function indicators,blood pressure,exercise tolerance,occurrence of adverse cardiac events,and negative emotion scores between the two groups of *** the data were analyzed and compared between two *** There were 44 males and 46 females in the observation group with an average age of 36.26±9.88 yr;there were 43 males and 47 females in the control group,with an average age of 40.87±10.5 *** receiving the appropriate postoperative nursing measures,the results of the observation group showed significant improvement in several indicators compared with the control *** of cardiac function,such as left ventricular end-diastolic internal diameter and left ventricular ejection fraction were significantly better in the observation group than in the control group(P<0.05).Exercise endurance assessment showed that the 6-minute walking test distance was significantly increased in the patients of the observation group(P<0.01).In addition,the incidence of adverse cardiac events was significantly lower in the observation group,and negative mood scores were significantly reduced(P<0.05).CONCLUSION Cardiac rehabilitation care after coronary intervention has a significant positive

关键词： Myocardial infarction Coronary artery intervention Cardiac rehabilitation Cardiac function recovery Negative emotions

护士主导的心力衰竭门诊的效果:一项系统综述（英文）

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International Journal of Nursing Sciences 2024年第3期 315-329页

作者：吴筱筱黎珍田庆秀季诗明张辰 Nursing Department Fuwai Hospital Peking Union Medical College and Chinese Academy of Medical Sciences Nursing Department Peking Union Medical College Hospital Department of Nursing The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital ward 2 of Coronary Heart disease Fuwai Hospital Peking Union Medical College and Chinese Academy of Medical Sciences

目的心力衰竭是全球日益严重的主要公共卫生问题。护士主导的心力衰竭门诊在管理心力衰竭方面发挥着重要作用。该研究进行了一项系统综述,以描述护士主导心力衰竭门诊的内容及其影响。方法在Pub Med、Embase、Web of Science和Cochrane... 详细信息

目的心力衰竭是全球日益严重的主要公共卫生问题。护士主导的心力衰竭门诊在管理心力衰竭方面发挥着重要作用。该研究进行了一项系统综述,以描述护士主导心力衰竭门诊的内容及其影响。方法在Pub Med、Embase、Web of Science和Cochrane Library中对护士主导心力衰竭门诊的研究进行了检索。检索最初于2022年10月23日进行,并于2023年11月21日进行更新。文章由两名独立研究者按照乔安娜-布里格斯研究所标准进行评估。本系统综述已在PROSPERO上注册(CRD42022352209)。结果共纳入12篇文献。护士主导心衰门诊的内容包括:药物滴定、教育咨询、基于循证的延续护理、社会心理支持、体格检查和心理健康评估、治疗监测和调整、随访和电话咨询。多数研究报告认为护士主导的心力衰竭门诊取得了积极的临床效果。4项研究对生活质量进行了调查,结果不一;4项研究对药物滴定的疗效进行了调查,结果总体上是积极的。仅2项研究对成本效果进行了评估,仍需更多相关研究进行验证。结论护士主导的心力衰竭门诊在很大程度上显示出对患者结局、生活质量、药物滴定效果的积极影响。

关键词：心力衰竭系统综述护士实践模式

Metabolic disorders and hepatitis: Insights from a Mendelian randomization study

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World Journal of Gastrointestinal Surgery 2024年第6期16卷 1775-1790页

作者： Ling-Bo Liang Xiang-Ping Liu Ting-Rui Mao Qiao-Li Su General Practice ward General Practice Medical CenterWest China HospitalSichuan UniversityChengdu 610041Sichuan ProvinceChina Department of Primary Health Care The Fourth People’s Hospital of Dazhu CountyDazhou 635100Sichuan ProvinceChina

BACKGROUND Hepatitis is a systemic disease that often results in various ***-bolic disorders,the most common comorbidities in clinical practice,were selected for this *** To investigate the causal relationship between comorbidities and hepatitis trea-tment *** A total of 23583378 single nucleotide polymorphisms from 1248743 cases and related summaries of genome-wide association studies were obtained from online public databases.A two-sample Mendelian randomization(MR)was performed to investigate causality between exposure[type 2 diabetes mellitus(T2D),hyperlipidemia,and hypertension]and outcome(chronic hepatitis B or C in-fections).RESULTS The data supported the causal relationship between comorbidities and hepatitis infections,which will affect the severity of hepatitis progression and will also provide a reference for clinical *** three exposures showed a link with progression of both hepatitis B(T2D,P=0.851;hyperlipidemia,P=0.596;and hypertension,P=0.346)and hepatitis C(T2D,P=0.298;hyperlipidemia,P=0.141;and hypertension,P=0.035).CONCLUSION The results of MR support a possible causal relationship between different ex-posures(T2D,hyperlipidemia,and hypertension)and chronic hepatitis progression;however,the potential mechanisms still need to be elucidated.

关键词： Hepatitis Comorbidity Type 2 diabetes mellitus Hyperlipidemia Hypertension

Effect of infarct location and volume on cognitive dysfunction in elderly patients with acute insular cerebral infarction

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World Journal of Psychiatry 2024年第8期14卷 1190-1198页

作者： Fei-Fei Liang Xiao-Xia Liu Jiang-Hong Liu Yang Gao Jian-Guo Dai Zi-Hui Sun Department of Geriatrics Zhangjiakou First Hospital in Hebei ProvinceZhangjiakou 075000Hebei ProvinceChina The Fourth ward Zhangjiakou Infectious Disease HospitalZhangjiakou 075000Hebei ProvinceChina Department of Hepatobiliary and Pancreatic Surgery Zhangjiakou First Hospital in Hebei ProvinceZhangjiakou 075000Hebei ProvinceChina Department of General Medicine Zhangjiakou First Hospital in Hebei ProvinceZhangjiakou 075000Hebei ProvinceChina

BACKGROUND The aging of the population has become increasingly obvious in recent years,and the incidence of cerebral infarction has shown an increasing trend annually,with high death and disability *** To analyze the effects of infarct location and volume on cognitive dysfunction in elderly patients with acute insular cerebral *** Between January 2020 and December 2023,we treated 98 cases of elderly acute insula,patients with cerebral infarction in the cerebral infarction acute phase(3-4 weeks)and for the course of 6 months in Montreal Cognitive Assessment Scale(MoCA)for screening of ***,58 and 40 patients were placed in the cognitive impairment group and without-cognitive impairment group,*** patients with cerebral infarction,magnetic resonance imaging was used to screen and clearly analyze the MoCA scores of two groups of patients with different infarctions,the relationship between the parts of the infarction volume,and analysis of acute insula cognitive disorder in elderly patients with cerebral RESULTS The number of patients with cognitive impairment in the basal ganglia and thalamus was significantly higher than that without cognitive impairment(P<0.05).The total infarct volume in the cognitive impairment group was higher than that in the non-cognitive impairment group,and the difference was statistically significant(P<0.05).The infarct volumes at different sites in the cognitive impairment group was higher than in the non-cognitive impairment group(P<0.05).In the cognitive impairment group,the infarct volumes in the basal ganglia,thalamus,and mixed lesions were negatively correlated with the total MoCA score,with correlation coefficients of-0.67,-0.73,and-0.77,*** In elderly patients with acute insular infarction,infarction in the basal ganglia,thalamus,and mixed lesions were more likely to lead to cognitive dysfunction than in other areas,and patients with large infarct volumes were more like

关键词： Elderly Acute insular infarction Infarction site Cognitive impairment Infarction volume

护士主导的心力衰竭门诊的效果:一项系统综述

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International Journal of Nursing Sciences 2024年第3期11卷 315-329,I0002页

作者：吴筱筱黎珍田庆秀季诗明张辰 Nursing Department Fuwai HospitalPeking Union Medical College and Chinese Academy of Medical SciencesBeijingChina Nursing Department Peking Union Medical College HospitalBeijingChina Department of Nursing The First Affiliated Hospital of Shandong First Medical University&Shandong Provincial Qianfoshan HospitalJinanChina ward 2 of Coronary Heart disease Fuwai HospitalPeking Union Medical College and Chinese Academy of Medical SciencesBeijingChina

目的心力衰竭是全球日益严重的主要公共卫生问题。护士主导的心力衰竭门诊在管理心力衰竭方面发挥着重要作用。该研究进行了一项系统综述,以描述护士主导心力衰竭门诊的内容及其影响。方法在PubMed、Embase、Web of Science和Cochrane L... 详细信息

目的心力衰竭是全球日益严重的主要公共卫生问题。护士主导的心力衰竭门诊在管理心力衰竭方面发挥着重要作用。该研究进行了一项系统综述,以描述护士主导心力衰竭门诊的内容及其影响。方法在PubMed、Embase、Web of Science和Cochrane Library中对护士主导心力衰竭门诊的研究进行了检索。检索最初于2022年10月23日进行,并于2023年11月21日进行更新。文章由两名独立研究者按照乔安娜-布里格斯研究所标准进行评估。本系统综述已在PROSPERO上注册(CRD42022352209)。结果共纳入12篇文献。护士主导心衰门诊的内容包括:药物滴定、教育咨询、基于循证的延续护理、社会心理支持、体格检查和心理健康评估、治疗监测和调整、随访和电话咨询。多数研究报告认为护士主导的心力衰竭门诊取得了积极的临床效果。4项研究对生活质量进行了调查,结果不一;4项研究对药物滴定的疗效进行了调查,结果总体上是积极的。仅2项研究对成本效果进行了评估,仍需更多相关研究进行验证。结论护士主导的心力衰竭门诊在很大程度上显示出对患者结局、生活质量、药物滴定效果的积极影响。

关键词：心力衰竭系统综述护士实践模式