Ingrid Hennebert , Thierry Darnaud , Christine-Vanessa Cuervo-Lombard
{"title":"Sentiment de reconnaissance vis-à-vis d’autrui et maladie d’Alzheimer : à propos d’un cas","authors":"Ingrid Hennebert , Thierry Darnaud , Christine-Vanessa Cuervo-Lombard","doi":"10.1016/j.npg.2025.07.002","DOIUrl":"10.1016/j.npg.2025.07.002","url":null,"abstract":"<div><div>Nous décrivons le cas d’une personne âgée de 88 ans, résidant depuis plus de 6 ans dans un établissement d’hébergement pour personnes âgées dépendantes. Il illustre le sentiment de reconnaissance implicite vis-à-vis d’autrui exprimé dans le cadre d’un protocole de recherche. L’objectif consistait à proposer à la résidente de rencontrer régulièrement une personne jusque-là inconnue et, par la suite, de mesurer, à partir d’analyses vidéo, l’émergence éventuelle d’un sentiment de reconnaissance implicite vis-à-vis d’autrui au fil des séances. Ce cas souligne les interactions émotionnelles entre une personne âgée atteinte de la maladie d’Alzheimer et un investigateur, en soulignant la réciprocité du sentiment de reconnaissance implicite vis-à-vis d’autrui dans la relation soignant–soigné. La persistance de ce sentiment de reconnaissance implicite vis-à-vis d’autrui, envisagé ici comme la perception d’être identifié ou l’expérience d’une familiarité implicite, émerge à travers des interactions répétées dans lesquelles les composantes non verbales et émotionnelles occupent une place importante. Ce travail propose une réflexion sur l’importance des aspects relationnels dans la prise en charge des personnes âgées en milieu institutionnel, à l’interface entre maladie d’Alzheimer et sentiment de reconnaissance implicite vis-à-vis d’autrui.</div></div><div><div>We describe the case of an 88-year-old woman who had been living in a residential care facility for over six years. It illustrates the ability to recognise others within the framework of a research protocol. The objective was to offer the resident repeated encounters with a previously unfamiliar person and subsequently assess, through video analyses, the potential emergence of the ability to recognise others over the course of the sessions. This case highlights the emotional interactions between an elderly person with Alzheimer's disease and an investigator, emphasizing the reciprocal nature of implicit recognition towards others within the caregiver–patient relationship. The persistence of this implicit sense of recognition towards others, understood here as the perception of being identified or the experience of implicit familiarity, emerged through repeated interactions, in which non-verbal and emotional components played a major role. This work offers a reflection on the importance of relational aspects in the care of older adults in institutional settings, casting light on the relationship between Alzheimer's disease and the ability to recognise others.</div></div>","PeriodicalId":35487,"journal":{"name":"NPG Neurologie - Psychiatrie - Geriatrie","volume":"26 151","pages":"Pages 10-16"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146147603","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}
Fabrice Prieur , Pascal Auzou , Antoine Valery , Charles Germain , Alexandra Perrot , Julien Bonnal , Canan Ozsancak
{"title":"Prefrontal cortex hemodynamics in patients with Parkinson's disease during single- and dual-task treadmill walking exercises","authors":"Fabrice Prieur , Pascal Auzou , Antoine Valery , Charles Germain , Alexandra Perrot , Julien Bonnal , Canan Ozsancak","doi":"10.1016/j.npg.2025.08.004","DOIUrl":"10.1016/j.npg.2025.08.004","url":null,"abstract":"<div><div>Objectives: To investigate prefrontal cortex activation during single- and dual-task treadmill exercises at an imposed speed and a speed selected by patients with Parkinson's disease (PD). Methods: Eleven patients with PD (Hoehn and Yahr's stages I–II) and 11 matched healthy controls (HC) performed six 2-minute tasks on a treadmill: two static cognitive tasks, two single-task walking tests and two dual-task walking tests, with each walking test being performed at an imposed and at a self-selected speed. The hemodynamics in the prefrontal cortex (PFC) were measured continuously using functional near-infrared spectroscopy to evaluate cortical activation. The perceived difficulty of the task, cognitive performance and gait parameters were also assessed. Results: For the walking tasks, the HCs activated their PFC during dual-tasks (<em>P</em> <!--><<!--> <!-->0.01) but not when carrying out single-tasks, unlike PD patients who activated their PFC at a similar level for both the single-task and dual-task at an imposed speed (<em>P</em> <!--><<!--> <!-->0.05); no activation occurred at a self-selected speed. Perceived difficulty of the task was significantly greater among PD patients than among HCs (<em>P</em> <!--><<!--> <!-->0.05) and while executing dual-task more than single-tasks (<em>P</em> <!--><<!--> <!-->0.001). Variability in the pace was higher among PD patients than among HCs (<em>P</em> <!--><<!--> <!-->0.01). Conclusion: Imposing a walking speed on a treadmill for PD patients with mild disease severity increases their PFC activity. However, PD patients were unable to further boost PFC activity when a cognitive task was added to the imposed walking speed.</div></div>","PeriodicalId":35487,"journal":{"name":"NPG Neurologie - Psychiatrie - Geriatrie","volume":"26 151","pages":"Pages 17-25"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146147604","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}
Morgan Le Guen , Antoine Trinh-Duc , Antoine Bizard
{"title":"Réhabilitation préopératoire des personnes âgées fragiles avant chirurgie majeure","authors":"Morgan Le Guen , Antoine Trinh-Duc , Antoine Bizard","doi":"10.1016/j.npg.2025.10.003","DOIUrl":"10.1016/j.npg.2025.10.003","url":null,"abstract":"<div><div>L’optimisation des parcours de soins péri-opératoires s’est longtemps focalisée sur la récupération après chirurgie (RAC), avec les programmes de RAC, avant de proposer des actions menées en préopératoire. L’objet de ces actions est d’optimiser le patient et notamment le sujet âgé en amont de son intervention et sont ciblées : le sevrage des addictions éventuelles, l’équilibre des comorbidités avec notamment le dépistage et le traitement de la carence martiale, et la prescription d’un programme d’exercices respiratoires chez le patient avec bronchopneumopathies chroniques obstructives. Depuis quelques années, les Canadiens ont proposé une prise en charge spécifique appelée préhabilitation, qui est définie comme un programme multimodal proposé dans les semaines (au moins 4) précédant l’intervention chirurgicale et qui associe exercices physiques en endurance et en résistance, nutrition avec apports protéiques et support psychologique. L’enjeu de cette optimisation multimodale est de réduire l’incidence des complications postopératoires et le risque de perte d’autonomie. Si cet enjeu est clair, la mise en œuvre de ce type de programme se heurte encore à un certain nombre de freins et requiert la participation des collègues gériatres afin de le proposer aux individus les plus à risque.</div></div><div><div>The optimization of perioperative care pathways has long focused on recovery following surgery (Enhanced Recovery After Surgery program) before proposing actions carried out preoperatively. The purpose of these actions is to optimize patient health outcome and parriculalry concerning the elderly in preoperative situations; the following actions are targeted: withdrawal of possible addictions, monitoring comorbidities and in particular diagnosis and treatment of iron deficiency, and prescriptions for respiratory exercises for patients with chronic obstructive pulmonary disease. For several years, the Canadians have proposed a specific program, namely “prehabilitation”, defined as a multimodal program provided at least 4 weeks before a surgical intervention and which combines physical exercises in endurance and resistance, nutrition with protein intake and psychological support. The challenge of this multimodal optimization program is to reduce the incidence of postoperative complications and the risk of loss of autonomy amoing the elderly. Although the stakes are quite obvious, the implementation of this type of program is still hampered by a certain number of obstacles, and requires the involvement of geriatricians to offer such a program to the individuals most at risk.</div></div>","PeriodicalId":35487,"journal":{"name":"NPG Neurologie - Psychiatrie - Geriatrie","volume":"26 151","pages":"Pages 1-9"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146147602","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}
Siddig Ibrahim Abdelwahab , Manal Mohamed Elhassan Taha , Abdullah Farasani , Saleh M. Abdullah , Jobran M. Moshi , Nizar A. Khamjan , Ahmad Assiri , Saeed Alshahrani , Khaled A. Sahli , Moath Mohamed Farasani , Waseem Hassan
{"title":"South Asia's neuroscience research: Publication volume, quality metrics, and international comparisons (2020–2025)","authors":"Siddig Ibrahim Abdelwahab , Manal Mohamed Elhassan Taha , Abdullah Farasani , Saleh M. Abdullah , Jobran M. Moshi , Nizar A. Khamjan , Ahmad Assiri , Saeed Alshahrani , Khaled A. Sahli , Moath Mohamed Farasani , Waseem Hassan","doi":"10.1016/j.npg.2025.08.003","DOIUrl":"10.1016/j.npg.2025.08.003","url":null,"abstract":"<div><div>This study aimed to assess progress in South Asia in neuroscience research within a global context. It analyzed publication volume & citation impact, and benchmarked these metrics against other world regions. A refined abstract-based search was conducted on Scopus, covering global neuroscience publications from 213 countries between 1867 and June 2025, with a focused analysis for the period 2020–June 2025. From 1867 to June 2025, 5,947,636 neuroscience-related publications were indexed globally, with South Asia contributing 274,777 (4.59%). Country-level totals were: Bhutan (85), Afghanistan (261), Sri Lanka (1999), Nepal (2587), Bangladesh (5474), Pakistan (20,543), Iran (62,142), and India (185,958). A focused analysis from 2020 to June 2025 evaluated publication volume, total citations, citations per paper, and Field-Weighted Citation Impact (FWCI). Journal distribution was assessed across 637 South Asian journals, including publication counts, citation metrics, SNIP, CiteScore 2024, and SJR. Global data from 213 countries was used to benchmark South Asia against Africa, South America, the Organization of Islamic Cooperation (OIC), and Europe. From 2020 to June 2025, South Asia produced 21,713 publications—exceeding Africa (9823) and South America (19,683), and trailing only Latin America (23,926) and Europe (188,615). Output rose from 2606 in 2020 to 4925 in 2024, with 2535 already published in early 2025. South Asia accumulated 190,985 citations and maintained an FWCI of 1.12, indicating its papers were cited 12% above the global average. Despite disparities, the region showed considerable progress in global neuroscience publishing.</div></div>","PeriodicalId":35487,"journal":{"name":"NPG Neurologie - Psychiatrie - Geriatrie","volume":"26 151","pages":"Pages 26-36"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146147605","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}
{"title":"Pre- and post-study to check the efficacy of the B-VITAAS-39 Tool on the deficiency of B-complex vitamins, anxiety, and stress: A delphi study","authors":"L. Sharma , P. Banerjee , D. Sharma","doi":"10.1016/j.npg.2025.01.004","DOIUrl":"10.1016/j.npg.2025.01.004","url":null,"abstract":"<div><h3>Aims and objectives</h3><div>The main objective of the research was to develop a standardized tool named B-VITAAS-39 (B-vitamin deficiency, anxiety, and stress) using a Delphi technique, and to look for any significant association between B-vitamin deficiency, anxiety, and stress.</div></div><div><h3>Method</h3><div>The study was conducted among 2190 Indian adults aged 18–39 and lasted 6<!--> <!-->weeks. B-vitamin deficiency was assessed using the B-VITAAS-39 tool and 24-hour dietary recall interviews. The study was conducted in three phases. Phase I included tool development, phase II included the constitution of experimental groups, and phase III included pre- & post- nutritional status and statistical analyses.</div></div><div><h3>Results</h3><div>The pre- and post-study showed a significant effect (<em>P</em> <!--><<!--> <!-->0.001) of dietary management in the severely deficient group, assessed using the B-VITAAS-39 tool. After adjustment for a wide range of confounders, an inverse relationship was found post-intervention between Riboflavin and anxiety and stress risk among males (174.99<!--> <!-->±<!--> <!-->8.72, <em>P</em> <!--><<!--> <!-->0.001*) and females (185.46<!--> <!-->±<!--> <!-->54.39, <em>P</em> <!--><<!--> <!-->0.001*). A moderate intake of riboflavin among males (1.44<!--> <!-->±<!--> <!-->0.16, <em>P</em> <!--><<!--> <!-->0.001*) and females (0.91<!--> <!-->±<!--> <!-->0.22, <em>P</em> <!--><<!--> <!-->0.001*) was associated with a lower risk of anxiety and stress. A higher intake of Thiamine among males (1.63<!--> <!-->±<!--> <!-->0.25, <em>P</em> <!--><<!--> <!-->0.001*) and females (1.21<!--> <!-->±<!--> <!-->0.04, <em>P</em> <!-->=<!--> <!-->0.01*) was associated with a lower risk of anxiety and stress. The study revealed that B-vitamin dietary intake reduced the risk of anxiety and stress in the severe B-vitamin-deficient group.</div></div><div><h3>Conclusion</h3><div>The study found that appropriate dietary intake can minimize B-vitamin deficiency. Thus, the B-VITAAS-39 tool efficaciously assessed the deficiency of B-vitamins among individuals without incurring any cost or discomfort.</div></div>","PeriodicalId":35487,"journal":{"name":"NPG Neurologie - Psychiatrie - Geriatrie","volume":"26 151","pages":"Pages 37-52"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146147606","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}
{"title":"L’infection par le virus du chikungunya: des raisons de son expansion à ses spécificités chez les adultes plus âgés","authors":"Lidvine Godaert , Moustapha Dramé","doi":"10.1016/j.npg.2025.06.006","DOIUrl":"10.1016/j.npg.2025.06.006","url":null,"abstract":"","PeriodicalId":35487,"journal":{"name":"NPG Neurologie - Psychiatrie - Geriatrie","volume":"25 149","pages":"Pages 257-261"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145398398","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}