Australasian Journal of Neuroscience最新文献_第5页

Australasian Journal of Neuroscience Pub Date : 2020-05-01 DOI: 10.21307/ajon-2020-005

L. Wallace

引用次数: 0

A Neuro Reflection 神经反射

Australasian Journal of Neuroscience Pub Date : 2020-05-01 DOI: 10.21307/ajon-2020-001b

Christi Delemos, V. Evans, D. Tymianski

{"title":"A Neuro Reflection","authors":"Christi Delemos, V. Evans, D. Tymianski","doi":"10.21307/ajon-2020-001b","DOIUrl":"https://doi.org/10.21307/ajon-2020-001b","url":null,"abstract":"7 As mortality rates decline, the global burden of neurological disease is on the rise. Stroke affects 15 million people worldwide each year, contributing to 5 million deaths and another 5 million left with permanent disability (Vos et al., 2017). By 2050, the rate of dementia is expected to triple to 115 million worldwide (Prince et al ., 2013). Over the last twenty years, we have seen dramatic advances in the treatment of neurological disease. The National Institute of Neurological Disease (NINDs) trial that tested t-PA opened the door for successful treatment of acute stroke reducing death and disability (Koroshtez, 1996). In 2015, the results of five trials that evaluated endovascular treatments showed the profound benefit of early removal of thrombus in anterior circulation strokes (Goyal et al., 2016). Lessons from Finland taught us to reorganize our care, bypassing the red tape of “checking in patients” to adopt a “door to CT” approach that substantially reduced “door to needle” times and improved outcome (Lindsberg et al., 2006). In developed countries, medical progress has promoted the growth of specialized care units and tailored treatment for stroke, traumatic brain injury, dementia and Parkinson’s disease. These advances have opened the door for dedicated nursing training with certification programs like the Neuro Criticalcare Society’s Emergency Neuro Life Support (ENLS) aimed at improving care in the first critical hour after any neurological emergency. However, all of these advances come at a cost.","PeriodicalId":32533,"journal":{"name":"Australasian Journal of Neuroscience","volume":"2012 1","pages":"7 - 8"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86371098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pandemics and the neurological manifestations of viral respiratory illnesses including Covid-19. 包括Covid-19在内的病毒性呼吸道疾病的大流行和神经学表现。

Australasian Journal of Neuroscience Pub Date : 2020-05-01 DOI: 10.21307/ajon-2020-001a

Linda Nichols

{"title":"Pandemics and the neurological manifestations of viral respiratory illnesses including Covid-19.","authors":"Linda Nichols","doi":"10.21307/ajon-2020-001a","DOIUrl":"https://doi.org/10.21307/ajon-2020-001a","url":null,"abstract":"Christie, Vicki and Dawn raise some really valid and pertinent thoughts and as I reflect on their guest editorial in our current Global crisis, the nexus between my two own areas of specialty becomes increasingly pellucid. After leaving clinical neuroscience practice for academia, immunisation and public health intervention is the mainstay of my clinical practice. Preventative health care measures have never been so imperative. From hand hygiene, cough etiquette and the elusive Covid-19 (SARS-CoV2) vaccine we are exposed to unparalleled and extraordinary media and social media coverage (Khan, Ali, Siddique, & Nabi, 2020). The current Covid19 health crisis is stretching our health resources, nurses and medical staff to their absolute limits. Until recently it has been neurotropic viruses such as the measles virus that have generally been associated with central nervous system pathologies. However respiratory viruses including influenza and coronaviruses are emerging with neuropathological elements (Bohmwald, Gálvez, Ríos, & Kalergis, 2018). So what do we know about the history and impact of pandemics and how do novel respiratory viruses relate to neuroscience?","PeriodicalId":32533,"journal":{"name":"Australasian Journal of Neuroscience","volume":"65 1","pages":"4 - 6"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81323840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

2020 Thoughts from the Editor and ANNA Executive 2020年编辑和ANNA执行人员的想法

Australasian Journal of Neuroscience Pub Date : 2020-05-01 DOI: 10.21307/ajon-2020-000a

Linda Nichols

引用次数: 0

Purposeful collaboration: Enriching lives for people with Parkinson’s disease 有目的的合作:丰富帕金森病患者的生活

Australasian Journal of Neuroscience Pub Date : 2020-05-01 DOI: 10.21307/ajon-2020-004

Vincent Carroll, Kirsten Deutschmann, Jessica L. Andrews

{"title":"Purposeful collaboration: Enriching lives for people with Parkinson’s disease","authors":"Vincent Carroll, Kirsten Deutschmann, Jessica L. Andrews","doi":"10.21307/ajon-2020-004","DOIUrl":"https://doi.org/10.21307/ajon-2020-004","url":null,"abstract":"Abstract This project was presented at the 2018 ANNA conference. Funding to support the author’s conference attendance was received from Parkinson’s New South Wales and Mid North Coast Local Health District. Background: Individuals with Parkinson’s disease (PD) have more hospital admissions, longer hospital stay, more complications and worse outcomes compared with similar patients without PD. Limited understanding about PD among healthcare professionals and medication management are key issues for individuals with PD. Methods: This study presents a collaborative clinical practice improvement project that was implemented in a hospital in New South Wales, Australia (September 2015 to May 2018) to resolve issues for patients with PD on admission to hospital. Innovative interventions were implemented to address specific issues identified in the study setting, including an emergency department patient tracking icon, early referral to pharmacists and measures to ensure on-time medication administration and avoidance of contraindicated medications. Qualitative and quantitative data were collected through focus group discussions with PD support group members, surveys involving nurses and patients/carers and a chart audit. Data were analysed using descriptive statistics. Results: These initiatives resulted in practice improvements including identification of 100% of patients with PD presenting/admitted to hospital within 4 hours of presentation/admission, a 19% increase in patients receiving medications on time, an 89% reduction in prescription of contraindicated medications and reduced length of hospital stay. In addition, 80% of patients/carers reported they were very satisfied with their medication management. Conclusion: Patient safety was improved and clinical staff expressed satisfaction with care provision. The initiatives were also standardised across the hospital in a clinical guideline for the care of patients with PD.","PeriodicalId":32533,"journal":{"name":"Australasian Journal of Neuroscience","volume":"85 1","pages":"32 - 43"},"PeriodicalIF":0.0,"publicationDate":"2020-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76158707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

2020 Australasian Neuroscience Nurses’ Association (ANNA) Annual Conference Abstracts 2020年澳大利亚神经科学护士协会(ANNA)年会摘要

Australasian Journal of Neuroscience Pub Date : 2020-01-01 DOI: 10.21307/ajon-2020-009

引用次数: 0

Newton’s Laws, G-forces and the impact on the brain 牛顿定律，重力和对大脑的影响

Australasian Journal of Neuroscience Pub Date : 2019-09-01 DOI: 10.21307/ajon-2020-003

V. Evans

{"title":"Newton’s Laws, G-forces and the impact on the brain","authors":"V. Evans","doi":"10.21307/ajon-2020-003","DOIUrl":"https://doi.org/10.21307/ajon-2020-003","url":null,"abstract":"Abstract The thrill to go fast and push boundaries is something that many seek. From John Stapp’s rocket sled at Edwards Air Force Base in the late 1950’s to todays’ Formula 1 drivers, the “need for speed” is broadcast across TV screens weekly. So too are the horror stories of crashes, many at over 300km/hr. Yet “need for speed” continues. It appears that the higher and faster the rollercoaster, the better. This leads to several questions. How does the brain stand up to speed and G-forces? Do Newton’s Laws still have reference in today’s world? There has been much attention in the general press on the possibility that high G-force rollercoasters are inducing brain injury in riders. However, research does not wholeheartedly support this notion, but rather the risk of brain injury from a rollercoaster is not in the rides, but in the rider – caused by previously undetected brain or neck conditions. That said there is some truth that high G-forces do affect the brain at a chemical and structural level. This paper will discuss the mechanism of head injury at speed and generally what Newton’s Law means in a neurological setting in todays’ world. Formula 1 racing and rollercoaster rides will be evaluated within a neuroscience context.","PeriodicalId":32533,"journal":{"name":"Australasian Journal of Neuroscience","volume":"257 1","pages":"24 - 29"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78993177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Barriers and Facilitators to End of Life Care in Huntington’s Disease – A review of the literature 亨廷顿氏病临终关怀的障碍和促进因素-文献综述

Australasian Journal of Neuroscience Pub Date : 2019-03-18 DOI: 10.21307/ajon-2017-020

Ruth Hosken

{"title":"Barriers and Facilitators to End of Life Care in Huntington’s Disease – A review of the literature","authors":"Ruth Hosken","doi":"10.21307/ajon-2017-020","DOIUrl":"https://doi.org/10.21307/ajon-2017-020","url":null,"abstract":"Abstract Background: The advanced stage of Huntington’s Disease has been a secondary focus to support and treatment interventions, resulting in limited knowledge about best practice end of life care for both individuals and their families. This article analyses the current state of knowledge about late stage Huntington’s Disease and end of life planning for people with the disease. Methods: A literature search was conducted in the electronic databases using the following search terms: ‘Huntington’s Disease’ AND ‘end of life OR palliative care OR late stage OR advanced’. Forty two articles were identified for review. Discussion: People with Huntington’s Disease think about their end of life wishes, but often do not discuss these with their doctors. Incorporation of an early palliative approach into a multidisciplinary neurology service is widely regarded as best practice and should include the early introduction of end of life planning, however many clinicians are not comfortable with discussing end of life care. This paper synthesises the available information and makes recommendations regarding advance care plans for people with HD. Conclusion: Initiation of a palliative approach early in Huntington’s Disease has the potential to improve management of symptoms, increase the likelihood of advance care plans being developed and improve the overall quality of life throughout the duration of the illness; therefore, all clinicians working with people with Huntington’s Disease should have an understanding of palliative approaches.","PeriodicalId":32533,"journal":{"name":"Australasian Journal of Neuroscience","volume":"272 1","pages":"33 - 42"},"PeriodicalIF":0.0,"publicationDate":"2019-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77706256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

The Circle of Willis, Aneurysms and Subarachnoid Haemorrhages: a Historical Narrative of Parallels from Observation to Intervention 威利斯圈、动脉瘤和蛛网膜下腔出血:从观察到干预的平行历史叙述

Australasian Journal of Neuroscience Pub Date : 2019-03-18 DOI: 10.21307/ajon-2017-018

L. Nichols

引用次数: 0

The Brain on Fire: A Case Study on Anti-NMDA Receptor Encephalitis 着火的大脑:抗nmda受体脑炎病例研究

Australasian Journal of Neuroscience Pub Date : 2019-03-18 DOI: 10.21307/ajon-2017-014

Grissel B Crasto

{"title":"The Brain on Fire: A Case Study on Anti-NMDA Receptor Encephalitis","authors":"Grissel B Crasto","doi":"10.21307/ajon-2017-014","DOIUrl":"https://doi.org/10.21307/ajon-2017-014","url":null,"abstract":"Abstract Anti-NMDA receptor encephalitis is a rare disease that occurs when antibodies produced by the body’s own immune system attack the N-methyl-d-aspartate (NMDA) receptors in the brain (Dalmau, 2016). For a relatively rare condition, one academic hospital in an urban centre noted four cases of anti-NMDA receptor encephalitis in one single year. Patients develop a multistage condition that progresses from psychosis, memory deficits, seizures, respiratory difficulties, abnormal catatonic movements and language disintegration into a state of unresponsiveness (Dalmau, Lancaster, Hernandez, Rosenfeld and Gordon, 2011). This case study will focus on the pathologies and medical journeys of three female patients diagnosed with anti-N-NMDA receptor encephalitis at this hospital. This paper will discuss the presentations of each of the cases and the individualized nursing care plans developed to address the needs of this patient population. More specifically, it will highlight the importance of ensuring patient and staff safety in the development of these care plans. The need for implementing ongoing evaluations of these nursing care plans to address the developing needs of patients as they proceed through the diverse and complex phases of the condition will also be discussed.","PeriodicalId":32533,"journal":{"name":"Australasian Journal of Neuroscience","volume":"22 1","pages":"1 - 8"},"PeriodicalIF":0.0,"publicationDate":"2019-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85931922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0