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
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
Introduction: Malignant sylvian infarction (MSI) is a type of ischemic stroke (ICS) usually affecting the entire territory of the middle cerebral artery (MCA) associated with significant cerebral edema and a mass. It ...Introduction: Malignant sylvian infarction (MSI) is a type of ischemic stroke (ICS) usually affecting the entire territory of the middle cerebral artery (MCA) associated with significant cerebral edema and a mass. It represents about 10% of all AICs, with a mortality of up to 80%. The objectives of our study were to describe the sociodemographic profile and the main clinical manifestations and identify the prognostic factors of ISM. Material and Methods: We conducted a retrospective descriptive study over a 2-year period. It included patients hospitalized for cerebral infarction involving 2/3 of the ACM territory with a NIHSS score ≥ 17 and/or a Glasgow score Results: We collected 223 patients hospitalized for ischemic stroke, of whom 21 patients (9.4%) presented with ISM. The mean age was 57.43 ± 24.24 years with a male predominance (52.4%). The mean admission time was 47 ± 0.87 hours, and hemiplegia was the frequent neurological sign (85.7%). HBP was the common cardiovascular risk factor (76.2%). The mean NIHSS at admission was 18.38 ± 12.29. Respiratory distress (p-value = 0.00015), aspiration pneumonia (p-value = 0.015) and brain herniation (p-value = 0.014) were the main complications associated with mortality. Conclusion: ISM is associated with poor prognosis in the absence of surgical treatment. Respiratory distress, aspiration pneumonia and brain herniation are associated with high mortality.展开更多
Toxocariasis is a helminthic zoonosis due to the presence in the human body of larvae of Toxocara sp., roundworms of the Ascaridae family. Less than 50 cases of central involvement related to toxocarasis have been rep...Toxocariasis is a helminthic zoonosis due to the presence in the human body of larvae of Toxocara sp., roundworms of the Ascaridae family. Less than 50 cases of central involvement related to toxocarasis have been reported in immunocompetent individuals. This involvement can result in epilepsy, meningoencephalitis, myelitis or encephalopathy. The standard treatment is albendazole at a dosage of 10 to 15 mg/kg/day. The duration of treatment varies greatly depending on the clinical cases reported, ranging from 5 days to several weeks in the case of severe forms. We report a case of myelitis due to Toxocara canis in a 14-year-old patient admitted for gait disorders. The laboratory assessment shows isolated hypereosinophilia at 8000 elements per mm3. Medullary magnetic resonance imaging (MRI) showed an intradural process of inflammatory and infectious appearance extended between T10 and L1 levels, hypointense in T1, hyperintense in T2, and homogeneous. Parasitological analysis of the stools noted the presence of high concentrations of Toxocara canis. Serology by ELISA (enzyme-linked immunosorbent assay) is strongly positive for toxocariasis, and western blot confirms the presence of antibodies directed against Toxocara larvae. Treatment with albendazole 400 mg × 2/day for 10 days associated with corticosteroid therapy (prednisone 50 mg/day for 5 days) allowed the disappearance of pain in 8 days, normalization of eosinophilia and improvement of walking.展开更多
Introduction: Pain has been defined for more than 20 years by the International Association for the Study of Pain (IASP) as an unpleasant sensory and emotional experience associated with actual or potential tissue dam...Introduction: Pain has been defined for more than 20 years by the International Association for the Study of Pain (IASP) as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. It has been recognized as a feature of Parkinson’s disease (PD) since the first descriptions of the disease. Material and Methods: This was a prospective descriptive study lasting six (06) months from November 1, 2023 to April 30, 2024. We included all patients diagnosed with PD and who had pain. Sociodemographic, clinical, paraclinical and therapeutic data were evaluated for each patient. Results: We identified a sample of 62 Parkinson’s patients, of whom 52 patients or 85.2% had associated pain. We noted a male predominance (38M/14F) and a sex ratio of 2.71. Musculoskeletal pain was common in 80% of our respondents. WHO level I, antidepressants and background treatment for KD were the most prescribed molecules. Conclusion: Our study shows a frequency of pain in PD. However, musculoskeletal pain is the most frequently encountered type of pain in PD patients. WHO step I analgesics, antidepressants and background treatment of KD were the main prescriptions in our study.展开更多
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
Background: Deep brain stimulation (DBS) is an established treatment for patients with advanced Parkinson’s disease (PD). Reports show continued patient satisfaction after surgery despite not maintaining clinical imp...Background: Deep brain stimulation (DBS) is an established treatment for patients with advanced Parkinson’s disease (PD). Reports show continued patient satisfaction after surgery despite not maintaining clinical improvement as measured by evolution scales. Objectives: The present study sought to explore expectations and level of satisfaction in patients after DBS surgery with a semi-structured questionnaire and subsequent correlation with functional scales, Quality of Life (QoL), and motor and non-motor symptoms. Methods: We performed descriptive statistics to represent demographic data, Wilcoxon rank tests to determine significant differences, and Spearman correlation between the applied scales. Results: We evaluated 20 patients with a history of DBS surgery. 45% were female, with a mean age of 55.7 ± 14.15 years, a mean disease duration of 13.42 ± 8.3 years, and a mean time after surgery of 3.18 ± 1.86 years. Patients reported surgery meeting expectations in 85.5% and continued satisfaction in 92%. These two variables showed a significant correlation. Conclusions: This sample of patients remained satisfied after DBS surgery, although we found no differences in motor and non-motor clinimetric scales. Further studies are needed to confirm the importance of assessing quality of life in patients with DBS.展开更多
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
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
Introduction: Complications of Urinary sphincter disorders of neurological origin can be life threatening. The objective of this study was to describe the prognosis of urinary sphincter disorders during neurological c...Introduction: Complications of Urinary sphincter disorders of neurological origin can be life threatening. The objective of this study was to describe the prognosis of urinary sphincter disorders during neurological conditions. Methods: This was a six-month analytical study conducted at the neurological unit of the Hôpital national Ignace Deen. Including patients with urinary sphincter disorders following a neurological condition;Chi-square, Fischer, and Student’s t-tests were used for variables with a p value less than 0.10 and then included in a logistic model with a significance level set at 0.05 and a 95% confidence interval. Results: We collected 1081 patients among whom, 324 presented, that is to say a frequency of 30%, which concerned subjects aged 57.3 ± 16.4 years with a slight female predominance 50.3%. Urinary incontinence (80.6%) was associated with complications such as urinary tract infection with a high proportion of cerebral damage (92.3%). HIV infection (P = 0.015), bedsores (P = 0.049), and inhalation pneumonia (P = 0.001) were the main poor prognostic factors. Conclusion: Urinary sphincter disorders are elements of poor prognosis, both vital and functional, concerning elderly subjects with a predominance of urinary incontinence. HIV infection, bedsores, pneumopathy are poor prognostic factors.展开更多
Objective: to analyze the clinical application effect of nursing intervention in the fall nursing of elderly patients in the Department of Neurology. Methods: in this study, 72 patients with the risk of falling admitt...Objective: to analyze the clinical application effect of nursing intervention in the fall nursing of elderly patients in the Department of Neurology. Methods: in this study, 72 patients with the risk of falling admitted to the Department of Neurology in our hospital from April 2018 to April 2020 were taken as the research objects. According to the random number method, they were randomly divided into the control group and the research group, with 36 cases in the former group (routine care) and 36 cases in the latter group (comprehensive care). Two kinds of nursing application and clinical fall event prevention and nursing satisfaction to carry out a comparative analysis. Results: the incidence of decline in the study group (2.7%) was lower than that in the control group (22.2%). Nursing satisfaction in the study group (100%) was higher than that in the control group (83.3%), P < 0.05. Conclusion: reasonable nursing intervention in the neurology department of elderly patients fall nursing can play a good preventive effect, and can improve nursing satisfaction.展开更多
Objective: to explore the effect of humanized nursing in intensive care of neurology department. Methods: 58 severe patients who were admitted to the Department of Neurology in our hospital from February to October 20...Objective: to explore the effect of humanized nursing in intensive care of neurology department. Methods: 58 severe patients who were admitted to the Department of Neurology in our hospital from February to October 2019 were selected as the research subjects, and they were equally divided into the experimental group and the control group. The effects and effectiveness of humanized nursing care in two groups were compared. Results: in terms of clinical nursing care, the effective rates of patient care in the experimental group and the control group were 95.55% and 82.76%, respectively. The effective rate in the experimental group was higher than that in the control group, and the two groups' data were statistically significant (P < 0.05). In terms of comfort and neurological care, the difference in scores between the two groups was obviously insufficient before treatment, and both groups had improvements after treatment. The neurological score and comfort score in the experimental group were (11.09±2.17) and (11.09±2.17), respectively. In the control group, the neurological scores were (15.36±3.43) and comfort scores were (5.03±2.24). The experimental group was better than the control group, and the data between the two groups had statistical significance (P < 0.05). Conclusion: humanistic nursing care for severe patients in neurology department is worthy of learning, because it can promote neurological recovery, improve comfort and prognosis.展开更多
Objective: with the increasing awareness of national health care and rights protection, the requirements for achieving high-quality prognosis and complete medical care skills are increasing. This is thought-provoking....Objective: with the increasing awareness of national health care and rights protection, the requirements for achieving high-quality prognosis and complete medical care skills are increasing. This is thought-provoking. In recent years, closed-loop management has been widely discussed and applied in the field of health care. Methods: 780 patients hospitalized in hospitals from April 2016 to March 2017 were selected as the control group, and 820 patients hospitalized in hospitals from April 2017 to March 2018 were selected as the observation group. Patients in control group were given routine nursing management. The observation group applied the closed-loop nursing management mode, which took the time of nurses nursing patients as the main line. The content of nursing work runs through the whole nursing work flow of nurses from the beginning of nursing, the implementation of nursing process, the end of nursing and the handover, forming a closed-loop process chain, which refines and streamlines nursing work and emphasizes the whole process quality control. Results: the difference between the two nursing management modes was evaluated by comparing the nurses' awareness rate of illness, mastery rate of safety knowledge of patients or accompanying nurses, satisfaction of patients or accompanying nurses, nursing quality and incidence rate of nursing risk events. Conclusion: the application effect of closed-loop management in neurology department is better than that of routine management, which can effectively improve the nursing effect and reduce the incidence of adverse risk events, and is worthy of clinical application.展开更多
Objective: to analyze the application effect of safety management in nursing management of neurology department. Methods: 78 patients with neurological diseases in our hospital from January 2019 to January 2020 were s...Objective: to analyze the application effect of safety management in nursing management of neurology department. Methods: 78 patients with neurological diseases in our hospital from January 2019 to January 2020 were selected as the research objects and randomly divided into the control group and the observation group, with 39 patients in each group. The control group was given routine nursing management, while the observation group was given additional safety management on the basis of routine nursing management. The incidence of risk and patient satisfaction under two different nursing management modes were compared. Results: the observation group using safety management had 1 case of adverse events, the risk incidence rate was (2.56%);while the control group using routine nursing management had 5 cases of adverse events, the risk incidence rate was (12.82%), the risk incidence rate of the observation group was lower than that of the control group (P < 0.05).Secondly, the satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant (P < 0.05).Conclusion: the safety measures in nerve nursing management can effectively reduce the risk, and play an important role in helping patients recover.展开更多
Objective: to explore the utility value of safety management in nursing management of neurology department. Methods: 130 patients were randomly selected in the department of neurology in the hospital for a comparative...Objective: to explore the utility value of safety management in nursing management of neurology department. Methods: 130 patients were randomly selected in the department of neurology in the hospital for a comparative study, and divided into two groups. There were 65 cases in the control group and 65 cases in the observation group. They were adopted routine nursing management and safety management on this basis respectively. The incidence of adverse events and nursing satisfaction were compared. Results: the data showed that the data of the observation group implementing safety management were excellent, and the difference was significant (P < 0.05). Conclusion: in the clinical nursing of patients in neurology department, safety management can effectively avoid various risk factors, reduce the occurrence of accidents, and provide them with high-quality nursing and good rehabilitation environment.展开更多
在最近发表于《Neurology）期刊的研究中。佛罗里达大学（University of Florida）研究人员使用功能性磁共振成像（fMRI）来揭示帕金森病和相关疾病导致大脑活动进行性衰退的区域。这种追踪疾病进展的新型无创方法，可能有助于评估实验...在最近发表于《Neurology）期刊的研究中。佛罗里达大学（University of Florida）研究人员使用功能性磁共振成像（fMRI）来揭示帕金森病和相关疾病导致大脑活动进行性衰退的区域。这种追踪疾病进展的新型无创方法，可能有助于评估实验性疗法，从而延缓或停止疾病的发展。展开更多
The"Chinese Society of Neurology,Basic and Clinical Psychiatry Branch's 15tvh Academic Conference",hosted by the Chinese Society of Neurology,Basic and Clinical Psychiatry Branch and cohosted by the Shan...The"Chinese Society of Neurology,Basic and Clinical Psychiatry Branch's 15tvh Academic Conference",hosted by the Chinese Society of Neurology,Basic and Clinical Psychiatry Branch and cohosted by the Shanghai Mental Health Center Affiliated to Shanghai Jiaotong University School of Medicine and the Psychology Department of the展开更多
Long QT syndrome(LQTS) is a cardiac conduction disorder that predisposes patients at potentially fatal cardiac events. Inherited conditions and acquired factors contribute to LQTS. A number of frequently prescribed CN...Long QT syndrome(LQTS) is a cardiac conduction disorder that predisposes patients at potentially fatal cardiac events. Inherited conditions and acquired factors contribute to LQTS. A number of frequently prescribed CNS-active drugs prolong the QT interval. The clinical neurologist may encounter LQTS when initiating a pharmacotherapy or when increasing the dosage of drugs. The clinical neurologist may also encounter LQTS during the diagnostic work-up of patients with unexplained loss of consciousness, because LQTS may present as convulsive syncope. Some studies report an association of LQTS and stroke. Awareness of LQTS may help to recognize and prevent potentially fatal cardiac events associated with LQTS. This concise article highlights the clinically most relevant aspects of LQTS in the field of neurology.展开更多
Background: According to the World Health Organization, about 5% of children world-wide of 14-year-old and under have a moderate to severe developmental disability, and up to 15% of children under 5-year-old are devel...Background: According to the World Health Organization, about 5% of children world-wide of 14-year-old and under have a moderate to severe developmental disability, and up to 15% of children under 5-year-old are developmentally delayed. Purpose: To determine the prevalence, socio-demographic profile, aetiologies, and the clinical presentation of developmental delay in children less than 6-year-old at the child neurology unit in a university-affiliated hospital in Yaounde. Materials and methods: It was a crosssectional descriptive study carried out in Yaounde Gynaeco-Obstetric and Paediatric Hospital (Cameroon) from August to December 2012. Children aged between 5 - 72 months with a developmental quotient less than 70 were enrolled. Developmental delay (DD) was diagnosed and classified using the Denver developmental screening test (DDST). Data concerning the child (age, gender, severity of DD), the mother (age, age at conception, educational level, marital status), history of pregnancy and delivery, perinatal and postnatal events, results of para-clinical explorations (EEG, CT-scan, genetic tests), the severity of DD and the probable or demonstrate cause of DD were recorded on a standardized questionnaire. The chisquare test was used to compare variables. Results: During the study period, 2171 children aged 5 - 72 months consulted the paediatric department of the hospital, 296 were examined at the child neurology unit of which 153 had a developmental quotient less than 70, giving a hospital prevalence of 7.0% and a prevalence of 51.7% at the child neurology unit. The mean age was 26.6 ± 18.0 months and there were 56% males. The main reason for consulting was tonus disorder (43.8%) and the developmental area of parental concern was the motor domain (90.2%). Regarding the clinical presentation, 75.2% of our population were children with cerebral palsy. DD was severe, mild, moderate and profound respectively in 14.2%, 13.5%, 12.2%, and 11.1%. Gross DD represented 90.2% of all DD children. The causes of DD were hypoxic-ischemic encephalopathy (41.8%), epilepsy (13.7%), sequelae of meningitis (6.5%), sequelae of kernicterus (6.5%), and infectious embryofoetopathies (5.2%). Conclusion: Developmental delay is frequent in paediatric neurology, with perinatal disorders being the leading aetiologies in Cameroon. Prevention of perinatal hypoxic-ischemic encephalopathy risk factors needs to be reinforced.展开更多
Background: Although patients with acute headache frequently present in emergency department, the causes and predictors of short-term outcome in patients with acute headache in general neurology have not been adequate...Background: Although patients with acute headache frequently present in emergency department, the causes and predictors of short-term outcome in patients with acute headache in general neurology have not been adequately investigated. Methods: We prospectively reviewed the medical records of 130 hospitalized acute headache pa-tients in general neurology of China. Their initial CT scan was assessed, as was their lumbar puncture (LP) examination if performed. Results: The main cause of acute headache was acute secondary headache (80.8%), which was mainly attributable to acute cerebrovascular events (72.4%) followed by intracranial infection (19.0%). Among the 10.8% of patients who died during hospitalization most (85.7%) had subarachnoid hemorrhage (SAH). Significant predictors of survival were severe headache versus thunderclap headache, meningismus, de-layed loss of consciousness, and hypertension (all p < 0.05). Multiple logistic regression analyses showed significant differences in severe headache or thunderclap headache (OR, 0.255;95%CI, 0.066 - 0.990;p = 0.048) and delayed loss of consciousness (OR, 0.060;95%CI, 0.016 - 0.224, p = 0.000) between patients who died and those who survived. Conclusions: The main underlying cause of hospitalized acute headache was acute cerebrovascular events. Severe headache and delayed loss of consciousness are predictors for poor outcome of acute headache.展开更多
文摘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.
基金Baoding Science and Technology Bureau Project“Study on the Clinical Effects of Neurology Nursing in the Rehabilitation Process of Stroke Patients”(Project No.2441ZF275)。
文摘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.
文摘Introduction: Malignant sylvian infarction (MSI) is a type of ischemic stroke (ICS) usually affecting the entire territory of the middle cerebral artery (MCA) associated with significant cerebral edema and a mass. It represents about 10% of all AICs, with a mortality of up to 80%. The objectives of our study were to describe the sociodemographic profile and the main clinical manifestations and identify the prognostic factors of ISM. Material and Methods: We conducted a retrospective descriptive study over a 2-year period. It included patients hospitalized for cerebral infarction involving 2/3 of the ACM territory with a NIHSS score ≥ 17 and/or a Glasgow score Results: We collected 223 patients hospitalized for ischemic stroke, of whom 21 patients (9.4%) presented with ISM. The mean age was 57.43 ± 24.24 years with a male predominance (52.4%). The mean admission time was 47 ± 0.87 hours, and hemiplegia was the frequent neurological sign (85.7%). HBP was the common cardiovascular risk factor (76.2%). The mean NIHSS at admission was 18.38 ± 12.29. Respiratory distress (p-value = 0.00015), aspiration pneumonia (p-value = 0.015) and brain herniation (p-value = 0.014) were the main complications associated with mortality. Conclusion: ISM is associated with poor prognosis in the absence of surgical treatment. Respiratory distress, aspiration pneumonia and brain herniation are associated with high mortality.
文摘Toxocariasis is a helminthic zoonosis due to the presence in the human body of larvae of Toxocara sp., roundworms of the Ascaridae family. Less than 50 cases of central involvement related to toxocarasis have been reported in immunocompetent individuals. This involvement can result in epilepsy, meningoencephalitis, myelitis or encephalopathy. The standard treatment is albendazole at a dosage of 10 to 15 mg/kg/day. The duration of treatment varies greatly depending on the clinical cases reported, ranging from 5 days to several weeks in the case of severe forms. We report a case of myelitis due to Toxocara canis in a 14-year-old patient admitted for gait disorders. The laboratory assessment shows isolated hypereosinophilia at 8000 elements per mm3. Medullary magnetic resonance imaging (MRI) showed an intradural process of inflammatory and infectious appearance extended between T10 and L1 levels, hypointense in T1, hyperintense in T2, and homogeneous. Parasitological analysis of the stools noted the presence of high concentrations of Toxocara canis. Serology by ELISA (enzyme-linked immunosorbent assay) is strongly positive for toxocariasis, and western blot confirms the presence of antibodies directed against Toxocara larvae. Treatment with albendazole 400 mg × 2/day for 10 days associated with corticosteroid therapy (prednisone 50 mg/day for 5 days) allowed the disappearance of pain in 8 days, normalization of eosinophilia and improvement of walking.
文摘Introduction: Pain has been defined for more than 20 years by the International Association for the Study of Pain (IASP) as an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. It has been recognized as a feature of Parkinson’s disease (PD) since the first descriptions of the disease. Material and Methods: This was a prospective descriptive study lasting six (06) months from November 1, 2023 to April 30, 2024. We included all patients diagnosed with PD and who had pain. Sociodemographic, clinical, paraclinical and therapeutic data were evaluated for each patient. Results: We identified a sample of 62 Parkinson’s patients, of whom 52 patients or 85.2% had associated pain. We noted a male predominance (38M/14F) and a sex ratio of 2.71. Musculoskeletal pain was common in 80% of our respondents. WHO level I, antidepressants and background treatment for KD were the most prescribed molecules. Conclusion: Our study shows a frequency of pain in PD. However, musculoskeletal pain is the most frequently encountered type of pain in PD patients. WHO step I analgesics, antidepressants and background treatment of KD were the main prescriptions in our study.
文摘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.
文摘Background: Deep brain stimulation (DBS) is an established treatment for patients with advanced Parkinson’s disease (PD). Reports show continued patient satisfaction after surgery despite not maintaining clinical improvement as measured by evolution scales. Objectives: The present study sought to explore expectations and level of satisfaction in patients after DBS surgery with a semi-structured questionnaire and subsequent correlation with functional scales, Quality of Life (QoL), and motor and non-motor symptoms. Methods: We performed descriptive statistics to represent demographic data, Wilcoxon rank tests to determine significant differences, and Spearman correlation between the applied scales. Results: We evaluated 20 patients with a history of DBS surgery. 45% were female, with a mean age of 55.7 ± 14.15 years, a mean disease duration of 13.42 ± 8.3 years, and a mean time after surgery of 3.18 ± 1.86 years. Patients reported surgery meeting expectations in 85.5% and continued satisfaction in 92%. These two variables showed a significant correlation. Conclusions: This sample of patients remained satisfied after DBS surgery, although we found no differences in motor and non-motor clinimetric scales. Further studies are needed to confirm the importance of assessing quality of life in patients with DBS.
文摘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.
文摘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.
文摘Introduction: Complications of Urinary sphincter disorders of neurological origin can be life threatening. The objective of this study was to describe the prognosis of urinary sphincter disorders during neurological conditions. Methods: This was a six-month analytical study conducted at the neurological unit of the Hôpital national Ignace Deen. Including patients with urinary sphincter disorders following a neurological condition;Chi-square, Fischer, and Student’s t-tests were used for variables with a p value less than 0.10 and then included in a logistic model with a significance level set at 0.05 and a 95% confidence interval. Results: We collected 1081 patients among whom, 324 presented, that is to say a frequency of 30%, which concerned subjects aged 57.3 ± 16.4 years with a slight female predominance 50.3%. Urinary incontinence (80.6%) was associated with complications such as urinary tract infection with a high proportion of cerebral damage (92.3%). HIV infection (P = 0.015), bedsores (P = 0.049), and inhalation pneumonia (P = 0.001) were the main poor prognostic factors. Conclusion: Urinary sphincter disorders are elements of poor prognosis, both vital and functional, concerning elderly subjects with a predominance of urinary incontinence. HIV infection, bedsores, pneumopathy are poor prognostic factors.
文摘Objective: to analyze the clinical application effect of nursing intervention in the fall nursing of elderly patients in the Department of Neurology. Methods: in this study, 72 patients with the risk of falling admitted to the Department of Neurology in our hospital from April 2018 to April 2020 were taken as the research objects. According to the random number method, they were randomly divided into the control group and the research group, with 36 cases in the former group (routine care) and 36 cases in the latter group (comprehensive care). Two kinds of nursing application and clinical fall event prevention and nursing satisfaction to carry out a comparative analysis. Results: the incidence of decline in the study group (2.7%) was lower than that in the control group (22.2%). Nursing satisfaction in the study group (100%) was higher than that in the control group (83.3%), P < 0.05. Conclusion: reasonable nursing intervention in the neurology department of elderly patients fall nursing can play a good preventive effect, and can improve nursing satisfaction.
文摘Objective: to explore the effect of humanized nursing in intensive care of neurology department. Methods: 58 severe patients who were admitted to the Department of Neurology in our hospital from February to October 2019 were selected as the research subjects, and they were equally divided into the experimental group and the control group. The effects and effectiveness of humanized nursing care in two groups were compared. Results: in terms of clinical nursing care, the effective rates of patient care in the experimental group and the control group were 95.55% and 82.76%, respectively. The effective rate in the experimental group was higher than that in the control group, and the two groups' data were statistically significant (P < 0.05). In terms of comfort and neurological care, the difference in scores between the two groups was obviously insufficient before treatment, and both groups had improvements after treatment. The neurological score and comfort score in the experimental group were (11.09±2.17) and (11.09±2.17), respectively. In the control group, the neurological scores were (15.36±3.43) and comfort scores were (5.03±2.24). The experimental group was better than the control group, and the data between the two groups had statistical significance (P < 0.05). Conclusion: humanistic nursing care for severe patients in neurology department is worthy of learning, because it can promote neurological recovery, improve comfort and prognosis.
文摘Objective: with the increasing awareness of national health care and rights protection, the requirements for achieving high-quality prognosis and complete medical care skills are increasing. This is thought-provoking. In recent years, closed-loop management has been widely discussed and applied in the field of health care. Methods: 780 patients hospitalized in hospitals from April 2016 to March 2017 were selected as the control group, and 820 patients hospitalized in hospitals from April 2017 to March 2018 were selected as the observation group. Patients in control group were given routine nursing management. The observation group applied the closed-loop nursing management mode, which took the time of nurses nursing patients as the main line. The content of nursing work runs through the whole nursing work flow of nurses from the beginning of nursing, the implementation of nursing process, the end of nursing and the handover, forming a closed-loop process chain, which refines and streamlines nursing work and emphasizes the whole process quality control. Results: the difference between the two nursing management modes was evaluated by comparing the nurses' awareness rate of illness, mastery rate of safety knowledge of patients or accompanying nurses, satisfaction of patients or accompanying nurses, nursing quality and incidence rate of nursing risk events. Conclusion: the application effect of closed-loop management in neurology department is better than that of routine management, which can effectively improve the nursing effect and reduce the incidence of adverse risk events, and is worthy of clinical application.
文摘Objective: to analyze the application effect of safety management in nursing management of neurology department. Methods: 78 patients with neurological diseases in our hospital from January 2019 to January 2020 were selected as the research objects and randomly divided into the control group and the observation group, with 39 patients in each group. The control group was given routine nursing management, while the observation group was given additional safety management on the basis of routine nursing management. The incidence of risk and patient satisfaction under two different nursing management modes were compared. Results: the observation group using safety management had 1 case of adverse events, the risk incidence rate was (2.56%);while the control group using routine nursing management had 5 cases of adverse events, the risk incidence rate was (12.82%), the risk incidence rate of the observation group was lower than that of the control group (P < 0.05).Secondly, the satisfaction of the observation group was higher than that of the control group, and the difference was statistically significant (P < 0.05).Conclusion: the safety measures in nerve nursing management can effectively reduce the risk, and play an important role in helping patients recover.
文摘Objective: to explore the utility value of safety management in nursing management of neurology department. Methods: 130 patients were randomly selected in the department of neurology in the hospital for a comparative study, and divided into two groups. There were 65 cases in the control group and 65 cases in the observation group. They were adopted routine nursing management and safety management on this basis respectively. The incidence of adverse events and nursing satisfaction were compared. Results: the data showed that the data of the observation group implementing safety management were excellent, and the difference was significant (P < 0.05). Conclusion: in the clinical nursing of patients in neurology department, safety management can effectively avoid various risk factors, reduce the occurrence of accidents, and provide them with high-quality nursing and good rehabilitation environment.
文摘The"Chinese Society of Neurology,Basic and Clinical Psychiatry Branch's 15tvh Academic Conference",hosted by the Chinese Society of Neurology,Basic and Clinical Psychiatry Branch and cohosted by the Shanghai Mental Health Center Affiliated to Shanghai Jiaotong University School of Medicine and the Psychology Department of the
文摘Long QT syndrome(LQTS) is a cardiac conduction disorder that predisposes patients at potentially fatal cardiac events. Inherited conditions and acquired factors contribute to LQTS. A number of frequently prescribed CNS-active drugs prolong the QT interval. The clinical neurologist may encounter LQTS when initiating a pharmacotherapy or when increasing the dosage of drugs. The clinical neurologist may also encounter LQTS during the diagnostic work-up of patients with unexplained loss of consciousness, because LQTS may present as convulsive syncope. Some studies report an association of LQTS and stroke. Awareness of LQTS may help to recognize and prevent potentially fatal cardiac events associated with LQTS. This concise article highlights the clinically most relevant aspects of LQTS in the field of neurology.
文摘Background: According to the World Health Organization, about 5% of children world-wide of 14-year-old and under have a moderate to severe developmental disability, and up to 15% of children under 5-year-old are developmentally delayed. Purpose: To determine the prevalence, socio-demographic profile, aetiologies, and the clinical presentation of developmental delay in children less than 6-year-old at the child neurology unit in a university-affiliated hospital in Yaounde. Materials and methods: It was a crosssectional descriptive study carried out in Yaounde Gynaeco-Obstetric and Paediatric Hospital (Cameroon) from August to December 2012. Children aged between 5 - 72 months with a developmental quotient less than 70 were enrolled. Developmental delay (DD) was diagnosed and classified using the Denver developmental screening test (DDST). Data concerning the child (age, gender, severity of DD), the mother (age, age at conception, educational level, marital status), history of pregnancy and delivery, perinatal and postnatal events, results of para-clinical explorations (EEG, CT-scan, genetic tests), the severity of DD and the probable or demonstrate cause of DD were recorded on a standardized questionnaire. The chisquare test was used to compare variables. Results: During the study period, 2171 children aged 5 - 72 months consulted the paediatric department of the hospital, 296 were examined at the child neurology unit of which 153 had a developmental quotient less than 70, giving a hospital prevalence of 7.0% and a prevalence of 51.7% at the child neurology unit. The mean age was 26.6 ± 18.0 months and there were 56% males. The main reason for consulting was tonus disorder (43.8%) and the developmental area of parental concern was the motor domain (90.2%). Regarding the clinical presentation, 75.2% of our population were children with cerebral palsy. DD was severe, mild, moderate and profound respectively in 14.2%, 13.5%, 12.2%, and 11.1%. Gross DD represented 90.2% of all DD children. The causes of DD were hypoxic-ischemic encephalopathy (41.8%), epilepsy (13.7%), sequelae of meningitis (6.5%), sequelae of kernicterus (6.5%), and infectious embryofoetopathies (5.2%). Conclusion: Developmental delay is frequent in paediatric neurology, with perinatal disorders being the leading aetiologies in Cameroon. Prevention of perinatal hypoxic-ischemic encephalopathy risk factors needs to be reinforced.
文摘Background: Although patients with acute headache frequently present in emergency department, the causes and predictors of short-term outcome in patients with acute headache in general neurology have not been adequately investigated. Methods: We prospectively reviewed the medical records of 130 hospitalized acute headache pa-tients in general neurology of China. Their initial CT scan was assessed, as was their lumbar puncture (LP) examination if performed. Results: The main cause of acute headache was acute secondary headache (80.8%), which was mainly attributable to acute cerebrovascular events (72.4%) followed by intracranial infection (19.0%). Among the 10.8% of patients who died during hospitalization most (85.7%) had subarachnoid hemorrhage (SAH). Significant predictors of survival were severe headache versus thunderclap headache, meningismus, de-layed loss of consciousness, and hypertension (all p < 0.05). Multiple logistic regression analyses showed significant differences in severe headache or thunderclap headache (OR, 0.255;95%CI, 0.066 - 0.990;p = 0.048) and delayed loss of consciousness (OR, 0.060;95%CI, 0.016 - 0.224, p = 0.000) between patients who died and those who survived. Conclusions: The main underlying cause of hospitalized acute headache was acute cerebrovascular events. Severe headache and delayed loss of consciousness are predictors for poor outcome of acute headache.
