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Paradigm Shift:Construction of the “One-on- One” Teaching Model in Nursing Education for Neurology Nursing Students
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作者 Youxian Tan Yu Huang +1 位作者 Li Mo Xianying Tang 《Journal of Clinical and Nursing Research》 2025年第9期81-87,共7页
With the continuous improvement of the medical industry’s requirements for the professional capabilities of nursing talents,traditional nursing teaching models can hardly meet the needs of complex nursing work in neu... With the continuous improvement of the medical industry’s requirements for the professional capabilities of nursing talents,traditional nursing teaching models can hardly meet the needs of complex nursing work in neurology.This paper focuses on nursing education for neurology nursing students and explores the construction of the“one-on-one”teaching model,aiming to achieve a paradigm shift in nursing education.By analyzing the current status of neurology nursing education,this paper identifies the problems in traditional teaching models.Combining the advantages of the“one-on-one”teaching model,it elaborates on the construction path of this model from aspects such as the selection and training of teaching instructors,the design of teaching content,the innovation of teaching methods,and the improvement of the teaching evaluation system.The research shows that the“one-on-one”teaching model can significantly enhance nursing students’mastery of professional knowledge,clinical operation skills,communication skills,and emergency response capabilities,as well as strengthen their professional identity and sense of responsibility.It provides an effective way to cultivate high-quality nursing talents who can meet the needs of neurology nursing work and promotes the innovative development of nursing education. 展开更多
关键词 neurology Nursing students One-on-one teaching model Nursing education Paradigm shift
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Study on the Clinical Effects of Neurology Nursing in the Rehabilitation Process of Stroke Patients
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作者 Lijing Wang Jiao Yang +2 位作者 Hongyu Deng Chuo Guo Jiazhen Lu 《Journal of Clinical and Nursing Research》 2025年第1期63-68,共6页
Objective:To explore the clinical effects of neurology nursing during the rehabilitation process of stroke patients.Methods:A total of 80 inpatients with stroke,admitted between July 2023 and July 2024,were selected f... Objective:To explore the clinical effects of neurology nursing during the rehabilitation process of stroke patients.Methods:A total of 80 inpatients with stroke,admitted between July 2023 and July 2024,were selected for the study.They were randomly divided into two groups of 40 patients each.The control group received conventional nursing care,while the study group was provided with neurology nursing.The nursing outcomes of the two groups were compared in terms of:(1)rehabilitation progress,(2)nursing satisfaction,(3)psychological status,and(4)self-care ability.Results:The nursing efficacy and satisfaction rates in the study group were significantly higher than those in the control group(P<0.05).Pre-intervention psychological scores showed no significant differences between the two groups(P>0.05).Post-intervention,negative emotions in both groups were alleviated,with the study group showing greater improvement compared to the control group(P<0.05).Additionally,the self-care ability scores of the study group were significantly higher than those of the control group(P<0.05).Conclusion:Neurology nursing during the rehabilitation process of stroke patients demonstrated ideal clinical effects,positively contributing to patient recovery,alleviating negative psychological states,and proving beneficial for promotion. 展开更多
关键词 neurology nursing STROKE REHABILITATION
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An investigation of vitamin B12 deficiency in elderly inpatients in neurology department 被引量:5
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作者 王宇卉 严芳 +4 位作者 张文波 叶刚 郑赟赟 张旭花 邵福源 《Neuroscience Bulletin》 SCIE CAS CSCD 2009年第4期209-215,共7页
Objective To investigate the status of vitamin B 12 deficiency in elderly inpatients in the department of neurology. Methods A total number of 827 patients in the department of neurology of Shanghai Punan hospital, fr... Objective To investigate the status of vitamin B 12 deficiency in elderly inpatients in the department of neurology. Methods A total number of 827 patients in the department of neurology of Shanghai Punan hospital, from March 2007 to July 2008, were employed in the present study. They were 60 years or older, and the average age was 77.1±7.5 years old. All the patients were diagnosed with no severe hepatic or renal dysfunction, without any usage of vitamin B 12 during the previous 3 months before the detection. The levels of serum vitamin B 12, folate and homocysteine (Hcy) were evaluated. The patients with vitamin B 12 deficiency were screened. The resulting symptoms, positive signs of neurological examination, and the neuroelectricphysiological results were compared between patients with or without vitamin B 12 deficiency. Results Vitamin B 12 deficiency was found in 163 patients (19.71% of the total patients), and was more prevalent in female than in male patients, also with increased incidences with aging. Patients with low levels of serum vitamin B 12 exhibited higher rate of gastrointestinal diseases, while only 9.82% of the vitamin B 12 deficient patients had megaloblastic anemia. Symptoms of vitamin B 12 deficiency included unsteadily walking in the darkness and hypopallesthesia, and some chronic diseases such as cerebral ischemia, hypertension, Parkinson's disease (Parkinsonism), diabetes mellitus and coronary heart disease. Most of the vitamin B 12 deficient patients had neuroelectricphysiological abnormalities. Conclusion Vitamin B 12 deficiency is remarkably common in elderly patients in neurology department, with various and atypical clinical manifestations, and the neurological symptoms are more common than megaloblastic anemia symptoms. 展开更多
关键词 AGING elderly inpatients neurology vitamin B 12 deficiency
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Neurology:颈动脉蹼——缺血性卒中新的危险因素 被引量:2
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作者 杨中华 《中国卒中杂志》 2017年第11期1033-1034,共2页
颈动脉蹼(carotid web)是位于颈动脉球后壁颈动脉分叉以远的腔内薄层突出物。有人认为它是肌纤维发育不良的一种少见表现形式,也有人认为它是一种发育异常,容易被误诊为动脉粥样硬化斑块。颈动脉蹼在计算机断层扫描血管造影(computed... 颈动脉蹼(carotid web)是位于颈动脉球后壁颈动脉分叉以远的腔内薄层突出物。有人认为它是肌纤维发育不良的一种少见表现形式,也有人认为它是一种发育异常,容易被误诊为动脉粥样硬化斑块。颈动脉蹼在计算机断层扫描血管造影(computed tomography angiography,CTA)矢状切位表现为颈动脉分叉以远,沿着颈动脉后壁向腔内伸展的薄层充盈缺损;轴位表现为薄层隔膜。 展开更多
关键词 颈动脉 危险因素 CTA 缺血性卒中 neurology
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Neurology:弥散加权成像阳性小病灶在脑小血管病发生发展过程中的作用
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作者 杨中华 WIEGERTJES K +1 位作者 TER TELGTE A OLIVEIRA P B 《中国卒中杂志》 2019年第11期1170-1171,共2页
脑小血管病(small vessel disease,SVD)是导致痴呆的最重要的血管性因素。SVD的MRI标志物包括脑白质高信号(white matter hyperintensities,WMH)、腔隙和微出血等。通常认为慢性低灌注在SVD的病因学中扮演着重要角色,尽管从未被纵向研... 脑小血管病(small vessel disease,SVD)是导致痴呆的最重要的血管性因素。SVD的MRI标志物包括脑白质高信号(white matter hyperintensities,WMH)、腔隙和微出血等。通常认为慢性低灌注在SVD的病因学中扮演着重要角色,尽管从未被纵向研究证明。 展开更多
关键词 小病灶 SVD 标志物 弥散加权成像 neurology 小血管病
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Neurology:缺血性卒中的病因
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作者 杨中华 Randhawa N +1 位作者 Wilson L Mann S 《中国卒中杂志》 2017年第2期156-157,共2页
关键词 CADASIL MELAS neurology 血栓前状态
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Neurology:血小板计数100×10^9/L作为静脉溶栓的阈值受到挑战
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作者 杨中华 GENSICKE H +1 位作者 AL SULTAN A S TRBIAN D 《中国卒中杂志》 2018年第4期389-389,共1页
静脉溶栓是治疗急性缺血性卒中有效和安全的方法,患者越早治疗预后越好,但血小板计数(platelet count,PC)对患者预后(包括出血的风险、功能预后及死亡)的影响尚不清楚。按照目前美国和欧洲指南,PC〈100×10^9/L是静脉溶栓的禁... 静脉溶栓是治疗急性缺血性卒中有效和安全的方法,患者越早治疗预后越好,但血小板计数(platelet count,PC)对患者预后(包括出血的风险、功能预后及死亡)的影响尚不清楚。按照目前美国和欧洲指南,PC〈100×10^9/L是静脉溶栓的禁忌证。但是,这个阈值仅基于专家意见,因此还需要进一步研究证实。同时美国指南认为获得PC结果前就可以开始静脉溶栓,但欧洲指南并未推荐。 展开更多
关键词 静脉溶栓 PC 血小板计数 neurology
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Neurology:假瘤样脑淀粉样血管病相关炎症反应
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作者 杨中华 《中国卒中杂志》 2017年第5期436-437,共2页
脑淀粉样血管病(cerebral amyloid angiopathy,CAA)是常见的脑小血管病,特征为大脑皮层和软脑膜的小到中等粗细动脉、小动脉和毛细血管等血管壁β淀粉样蛋白(amyloid β-protein,Aβ)逐渐沉积。脑叶出血是CAA典型的临床表现,还可以... 脑淀粉样血管病(cerebral amyloid angiopathy,CAA)是常见的脑小血管病,特征为大脑皮层和软脑膜的小到中等粗细动脉、小动脉和毛细血管等血管壁β淀粉样蛋白(amyloid β-protein,Aβ)逐渐沉积。脑叶出血是CAA典型的临床表现,还可以表现为认知功能下降,痴呆,以及短暂性神经系统症状。 展开更多
关键词 脑淀粉样血管病 neurology amyloid β淀粉样蛋白 磁共振成像 认知功能 脑叶出血 炎症反应 软脑膜 假瘤
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Neurology:眶梗死综合征1例
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作者 杨中华 《中国卒中杂志》 2018年第1期72-72,共1页
2016年,David Dongkyung Kim在Neurosurgery上发表了一篇眶梗死综合征(orbital infarction syndrome)的病例报告。
关键词 综合征 视神经 neurology
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Neurology:应该拒绝痴呆患者静脉溶栓吗?
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作者 杨中华 ZUPANIC E +1 位作者 VON EULER M KAREHOLT I 《中国卒中杂志》 2018年第7期730-730,共1页
痴呆不是急性缺血性卒中溶栓的禁忌证,但是大部分溶栓研究都把80岁或90岁以上患者排除在外,当前溶栓指南对这些患者的推荐意见存在差异。按照美国心脏学会(American Heart Association,AHA)/美国卒中学会(American Stroke Associatio... 痴呆不是急性缺血性卒中溶栓的禁忌证,但是大部分溶栓研究都把80岁或90岁以上患者排除在外,当前溶栓指南对这些患者的推荐意见存在差异。按照美国心脏学会(American Heart Association,AHA)/美国卒中学会(American Stroke Association,ASA)指南推荐,痴呆患者也可以从静脉溶栓中获益,然而制定决策前应该考虑患者发病前的功能状态。 展开更多
关键词 痴呆患者 静脉溶栓 neurology
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Neurology:两例少见原因弥漫性脑微出血
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作者 杨中华 《中国卒中杂志》 2018年第9期968-968,共1页
病例1:患者男性,61岁。抵达阿塔卡玛(海拔4000米)2 d后出现霹雳样头痛,随后意识丧失。转运到低海拔地区后病情逐渐好转。头颅磁共振成像(magnetic resonance imaging,MRI)显示弥漫性血管源性水肿和微出血(图1)。最终诊断为高海... 病例1:患者男性,61岁。抵达阿塔卡玛(海拔4000米)2 d后出现霹雳样头痛,随后意识丧失。转运到低海拔地区后病情逐渐好转。头颅磁共振成像(magnetic resonance imaging,MRI)显示弥漫性血管源性水肿和微出血(图1)。最终诊断为高海拔脑水肿。病例2:患者男,51岁。因为吸入性肺炎、缺氧和急性呼吸窘迫综合征住院。抗生素治疗后病情改善,1周后痫性发作。脑MRI显示弥漫性脑微出血(图2)。 展开更多
关键词 脑微出血 弥漫性 neurology
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Psychological Influence Factors Analysis of the New Generation Employees’ Moral Choices from the Perspective of Cognitive Neurology 被引量:1
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作者 Bo Liu Wei Xie +1 位作者 Jiahao Zhang Cong Chen 《International Journal of Mental Health Promotion》 2021年第4期589-604,共16页
At present,the academic researches on moral choices focus mainly on the individuals’external behaviors,without fully considering the influences of the individuals’internal psychological factors.Based on the model of... At present,the academic researches on moral choices focus mainly on the individuals’external behaviors,without fully considering the influences of the individuals’internal psychological factors.Based on the model of complete information static games in the Non-cooperative Game theory,the present research has designed a“Red and Blue Experiment”to explore the psychological influencing factors of the new generation employees’moral choices.The research has conducted psychoanalysis on the new generation employees through experiments and interviews with 118 data sources,and concluded the characteristics in relation to the different stages of psychological processes and moral choices of the experimental population.Through comparative analysis,it is found that:the psychological factors,such as trust,doubt,and guilt will influence the new generation employees’moral choices,guiding them to make choices,such as risk aversion and mutual benefit and win-win,in the process.Additionally,the research has also provided effective scientific evidence for the new generation employees’mental health development and career planning. 展开更多
关键词 New generation employees moral choices psychological factors cognitive neurology
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Evaluation of the effectiveness of preventive nursing measures for pressure injuries in patients in the neurology intensive care unit 被引量:1
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作者 Rong Zhang Peng-Xin Ma Juan-Juan Zhang 《World Journal of Clinical Cases》 SCIE 2024年第19期3807-3814,共8页
BACKGROUND Patients in neurology intensive care units(ICU)are prone to pressure injuries(PU)due to factors such as severe illness,long-term bed rest,and physiological dysfunction.PU not only causes pain and complicati... BACKGROUND Patients in neurology intensive care units(ICU)are prone to pressure injuries(PU)due to factors such as severe illness,long-term bed rest,and physiological dysfunction.PU not only causes pain and complications to patients,but also increases medical burden,prolongs hospitalization time,and affects the recovery process.AIM To evaluate and optimize the effectiveness of pressure injury prevention nursing measures in neurology ICU patients.METHODS A retrospective study was conducted,and 60 patients who were admitted to the ICU of the Department of Neurology were selected and divided into an observation group and a control group according to the order of admission,with 30 people in each group.The observation group implemented pressure injury prevention and nursing measures,while the control group adopted routine care.RESULTS Comparison between observation and control groups following pressure injury prevention nursing intervention revealed significantly lower incidence rates in the observation group compared to the control group at 48 h(8.3%vs 26.7%),7 d(16.7%vs 43.3%),and 14 d(20.0%vs 50.0%).This suggests a substantial reduction in pressure injury incidence in the observation group,with the gap widening over time.Additionally,patients in the observation group exhibited quicker recovery,with a shorter average time to get out of bed(48 h vs 72 h)and a shorter average length of stay(12 d vs 15 d)compared to the control group.Furthermore,post-intervention,patients in the observation group reported significantly improved quality of life scores,including higher scores in body satisfaction,feeling and function,and comfort(both psychological and physiological),indicating enhanced overall well-being and comfort following the implementation of pressure injury prevention nursing measures.CONCLUSION Implementing pressure injury preventive care measures for neurology ICU patients will have better results. 展开更多
关键词 neurology intensive care units Pressure injury Preventive care Effect evaluation Optimization research Prognostic effect
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Characteristic Duties of Critical Care Nurses in Japan: A Time-Study Comparison with Neurology Ward Nurses 被引量:1
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作者 Yumiko Yatomi Tomoko Inoue Yuko Kawamoto 《Open Journal of Nursing》 2016年第12期1038-1051,共14页
Background: The importance of the acute phase in hospitals has been increasing. While administering high-level critical care, the working styles of critical care nurses, the types of clinical care they provide, and th... Background: The importance of the acute phase in hospitals has been increasing. While administering high-level critical care, the working styles of critical care nurses, the types of clinical care they provide, and the way in which they prioritize tasks, remain unclear. Aim of this study was to elucidate the characteristic duties of critical care nurses through a comparison with neurological ward nurses. Methods: We recorded the duties of critical care nurses and neurology ward nurses (10 each) using a time-study design. Duties were measured separately by action, classified using a classification table, and differences between the two groups were compared. Results: No differences in the number of actions were observed between the two groups. The top five items that required the most time for critical care nurses were, “Movement”, “Administration and oxygen management”, “Handover process/Doctor’s rounds”, “Preparation for entry and exit management of patients”, and “Bed bathing (for bedbound patients)”. Of the 195 items, significant differences between the groups were noted for 34 items, while the duties of critical care nurses were best characterized by bed bathing (for bedbound patients), changing position, confirmation of infusion tubes, handover process/doctor’s rounds, and preparation for entry and exit management of patients. Conclusion: A characteristic of critical care nurses is that they must remain near patients and perform tasks while moving only a short distance. Moreover, the promotion of tasks while communicating with physicians is presumed to play a role in the promotion of team medicine. Furthermore, much time was spent caring for patients in bed, and a lot of time was devoted to the preparation and finalizing of treatments and care, suggesting the possibility that more time can be spent on caring for patients through a revision of duties. 展开更多
关键词 Critical Care Nurse Time-Study neurology Ward Nurse
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The 23rd World Congress of Neurology
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《中国现代神经疾病杂志》 CAS 2017年第1期78-78,共1页
Time:September 16-21,2017Venue:Kyoto,Japan Abstract submission deadline:April 5,2017Website:www.2017.wcn-neurology.com The 23rd World Congress of Neurology(WCN 2017)will take place in Kyoto,Japan on September 16-21,20... Time:September 16-21,2017Venue:Kyoto,Japan Abstract submission deadline:April 5,2017Website:www.2017.wcn-neurology.com The 23rd World Congress of Neurology(WCN 2017)will take place in Kyoto,Japan on September 16-21,2017,cohosted by the Japanese Society of Neurology(JSN),Societas Neurologica Japonica,and Asian and Oceanian Association of 展开更多
关键词 World WILL The 23rd World Congress of neurology
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The 11^(th) Annual Meeting of the Chinese Society of Neurology
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《Neural Regeneration Research》 SCIE CAS CSCD 2012年第23期1770-1770,共1页
The 11th Annual Meeting of the Chinese Society of Neurology (CNS)will be held in Intercontinental Hotel,Hangzhou,China from November 11 to 13,2012.The 11 th Annual Meeting is the premier event on the CNS’s calendar... The 11th Annual Meeting of the Chinese Society of Neurology (CNS)will be held in Intercontinental Hotel,Hangzhou,China from November 11 to 13,2012.The 11 th Annual Meeting is the premier event on the CNS’s calendar of 2012. 展开更多
关键词 Annual Meeting of the Chinese Society of neurology The 11
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Meta-analyses in the wonderl and of neurology
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作者 Francesco Brigo Stanley Chidi Igwe 《World Journal of Meta-Analysis》 2013年第1期5-7,共3页
Meta-analyses are often misused and underused in neurology. This editorial provides some comments on the role of meta-analyses in neurological research.Recently, a huge increase in the number of metaanalyses and syste... Meta-analyses are often misused and underused in neurology. This editorial provides some comments on the role of meta-analyses in neurological research.Recently, a huge increase in the number of metaanalyses and systematic reviews has been observed in neurological journals. The major strengths of metaanalyses are the increase of statistical power. However, as for any other investigative tool, meta-analytic research is a research method itself which can produce severe shortcomings. Specifically, the issues of search terms, time periods of published studies, databases used for searching, the definitions of inclusion and exclusion criteria for papers(which greatly affect clinical heterogeneity), publication bias; and the statistical methods used, dramatically influence the results of metaanalyses. The main problem of meta-analyses is that they cannot be expected to overcome the limitations of the studies they include(the so-called "garbage in,garbage out" phenomenon). Furthermore, most systematic reviews in the neurological literature lead to the unsatisfying and clinically frustrating statement "further studies are needed". However it is much more frustrating to see how the gaps in scientific knowledge identified by meta-analyses have not been translated into serious efforts to fill them. Besides their role in evaluating efficacy and tolerability of drugs, meta-analyses may be used to assess diagnostic values of debatable clinical findings, as they represent powerful tools to try to answer questions not posed by individual studies and to settle controversies arising from conflicting claims. 展开更多
关键词 Clinical evaluation EPILEPSY META-ANALYSIS MIGRAINE neurology
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Obstructive Sleep Apnea Related Symptom Prevalence in Patients with Headache Presented to Neurology Outpatient Clinic: Results of a Preliminary Study
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作者 Yildiz Degirmenci Ege Gulec Balbay +2 位作者 Ayhan Ozturk Hulusi Kececi Mehmet Altan 《Neuroscience & Medicine》 2014年第4期177-182,共6页
Approximately 20% of patients with sleep apnea will have headaches and 25% of patients with other sleep disorders will also experience headaches. We aim to evaluate sleep apnea related symptom prevalence in patient wi... Approximately 20% of patients with sleep apnea will have headaches and 25% of patients with other sleep disorders will also experience headaches. We aim to evaluate sleep apnea related symptom prevalence in patient with headache presenting to neurology outpatient clinics. Twenty four patients with headache were asked for sleep apnea symptoms. The prevalence of snoring, excessive daytime sleepiness and witnessed apnea was 33.3%, 20.8% and 4.2%, respectively. Among sleep apnea symptoms, the presence of at least one symptom, at least two symptoms and all three symptoms were 9 (37.5%), 4 (16.7%) and 1 (4.2%), respectively. The frequency of major symptoms of sleep apnea syndrome was high in patient with nonspecific headache. In the light of literature review, in case of a suspicion of sleep disorder in a headache patient, it would be appropriate to question the major symptoms of OSAS, and to refer the patient to a polysomnographic evaluation for an objective diagnosis. This approach would be helpful to improve the quality of life of patients with headache. 展开更多
关键词 HEADACHE OBSTRUCTIVE SLEEP Apne SYNDROME neurology Practice
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Medicine in the future-with subspecialists in medullary neurology and brain dentistry
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作者 J Howard Jaster 《World Journal of Neurology》 2015年第4期107-112,共6页
The solitary tract nucleus of the medulla with its limited watershed vascular capacity may occasionally be the focus of transient ischemia caused by the increased metabolic demands associated with frequent and intense... The solitary tract nucleus of the medulla with its limited watershed vascular capacity may occasionally be the focus of transient ischemia caused by the increased metabolic demands associated with frequent and intense neuronal stimulation from other organs and other parts of the brain. Case reports have suggested that these ischemic changes may sometimes result in the initiation of intense autonomic discharges, which can occasionally be fatal. Therapeutic interventions for the medulla oblongata are hamperedby its limited accessibility. Systemically administered pharmaceuticals may have some usefulness in future years. Previous experience with vagus nerve stimulation in the treatment of epilepsy suggests that it may have some usefulness in stabilizing medullary autonomic discharges. Computerized electronic stimulation of other cranial nerves may be helpful as well, especially the chorda tympani nerve, and may be most easily accomplished from implanted dental appliances, especially molar modules, transmitting signals via secondary transmitters procedurally placed on cranial nerves. Future technology may enable wireless signaling from the implanted dental appliance to the secondary transmitter placed at the nerve site. By the year 2050 subspecialists in medullary neurology and brain dentistry may use computerized electronic stimulation of cranial nerves to prevent sudden unexpected death and treat "chest pain from the brain". 展开更多
关键词 Solitary tract nucleus Ischemic autonomic umbra MEDULLA oblongata Molar module Chorda tympani NERVE MEDULLARY BRAIN lesion MEDULLARY neurology Chest pain from the BRAIN Sudden unexpected death BRAIN DENTISTRY Vagus NERVE stimulation
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The 3rd International Conference on Neurology and Epidemiology
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《中国现代神经疾病杂志》 CAS 2013年第7期635-,共1页
The 3rd International Conference on Neurology and Epidemiology(ICNE2013) will be held in Abu Dhabi on November 21-23,2013.The title of the Congress will be 'The use of academic research and neuroepidemiology in im... The 3rd International Conference on Neurology and Epidemiology(ICNE2013) will be held in Abu Dhabi on November 21-23,2013.The title of the Congress will be 'The use of academic research and neuroepidemiology in improving neurological health'.The theme of the Congress will be 'Evidence based Neurology'.During the last 3 decades,research has inflected 展开更多
关键词 The 3rd International Conference on neurology and Epidemiology
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