{"title":"Screening for Autism Spectrum Disorders in Underserved Populations: Global Versus Specific Surveillance Instruments","authors":"","doi":"10.33140/an.05.03.06","DOIUrl":"https://doi.org/10.33140/an.05.03.06","url":null,"abstract":"Objective: The identification of developmental delays during well-child visits is insufficient with clinical judgment alone (30-50%). Method: We analyzed the usefulness of clustering communication and social-personal areas from neurodevelopmental screening ASQ-3 and Denver II PRUNAPE questionnaires, compared with M-CHAT and ADOS as the initial screening for detection of Autism Spectrum Disorders (ASD) at well-child controls at primary-care settings in lowand middle-income countries (LMIC). Results: One hundred children at the Department of Pediatrics from 12 to 66 months (average: 35 months), were assessed by a developmental pediatrician, trained and supervised by ECHO-model. The assessment was completed with a full assessment for autism with a child neurologist, and a child-juvenile psychiatrist. Thirty-one of 100 children arrived at autism spectrum disorder diagnostic criteria. Conclusion: Failure at ASQ-3 communication plus social-personal clusters was in good agreement with M-CHAT to predict risk criteria for autism compared with a full assessment protocol. Clustering Communication and Personal-Social developmental skills from global screeners were sufficient at the pediatric visits, let differential diagnoses with global developmental delay, and communication developmental disorders. These scales covered a wide range of ages for early identification of children with an autism spectrum disorder in primary care settings within an on-site or online format","PeriodicalId":93246,"journal":{"name":"Advances in neurology and neuroscience","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44026233","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":"Successful Intravenous Thrombolysis for A Common Carotid Artery Dissection Stroke Revealing Takayasu’s Arteritis: A Case Report from Cameroon","authors":"","doi":"10.33140/an.05.03.05","DOIUrl":"https://doi.org/10.33140/an.05.03.05","url":null,"abstract":"Takayasu’s arteritis is an inflammatory disease of large vessels, mainly the aorta and its branches. It is rare in persons of African descent and infrequently reveals itself by stroke and even more rarely causes arterial dissection. We report the case of a 26-year-old lady, who suffered a left total middle cerebral artery (MCA) stroke caused by an extracranial carotid artery dissection. She met 4 out of 6 criteria of the 1990 American College of Rheumatology for Takayasu’s arteritis. She successfully underwent intravenous (IV) thrombolysis using Tenecteplase and was subsequently started on steroids and methotrexate. After three months of follow-up, she was functionally independent with a modified Rankin score (mRs) of +1 and had no signs of active Takayasu’s disease. This report adds to the data on acute reperfusion therapy in ischemic stroke due to Takayasu’s arteritis and represents to the best of our knowledge the first reported case of successful IV thrombolysis in Cameroon.","PeriodicalId":93246,"journal":{"name":"Advances in neurology and neuroscience","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46544589","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":"Mathematical Modeling of Stress Using Fractal Geometry; The Power Laws and Fractal Complexity of Stress","authors":"","doi":"10.33140/an.05.03.04","DOIUrl":"https://doi.org/10.33140/an.05.03.04","url":null,"abstract":"In this study, we analyze the physiological data during real-world driving tasks to determine whether driver’s relative stress is mono-fractal or multi-fractal. We use the PhysioNet database including long term ECG recordings from 15 healthy volunteers, taken while they were driving on a prescribed route including city streets and highways in and around Boston, Massachusetts. The vibration analysis such as power spectral densities (PSD) analysis has been performed to estimate the exponent from realizations of these pro- cesses and to find out if the signal of interest exhibits a power-law PSD. Multifractal dynamics of heartbeat interval signals have been assessed by multifractal spectrum analysis to explore the possibility that ECG recordings belong to class of multi-fractal process for which a large number of scaling exponents are re- quired to characterize their scaling structures. We apply Higuchi algorithm to find the fractal complexity of each cardiac rhythm for different time intervals. According to our analysis, we investigate that driver’s ECG signals under relative stress follows fractal behavior unlike control healthy signals which are multi-fractal. Our findings provide a comprehensive framework for detect stress and differentiate people who experience stress with normal people without stress which is crucial in finding the best diagnostic and controlling strat- egy in fight against many health problems due to stress, such as high blood pressure, heart disease, obesity and diabetes. Moreover, being able to recognize stress can help us to manage it.","PeriodicalId":93246,"journal":{"name":"Advances in neurology and neuroscience","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47711882","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":"Recent Advances in Pancreatic Encephalopathy","authors":"","doi":"10.33140/an.05.03.03","DOIUrl":"https://doi.org/10.33140/an.05.03.03","url":null,"abstract":"This article reviews the recent acquisitions since the review article on pancreatic encephalopathy was published in 2018 by the present author. As well new facts concerning aetiology, clinical aspects and treatment are presented.","PeriodicalId":93246,"journal":{"name":"Advances in neurology and neuroscience","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45149554","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":"A step by step guidelines to project the COVID-19 cases using a Deep Learning Approach","authors":"","doi":"10.33140/an.05.03.02","DOIUrl":"https://doi.org/10.33140/an.05.03.02","url":null,"abstract":"Background: Numerous mathematical models have been developed to forecast COVID-19 cases and helped to plan effectively by strengthening public health infrastructure and services. Many researchers incorporated the long-short term memory model (LSTM) but they have not clearly explained the workflow and steps involved in this model. Moreover, being relatively new, these models are not yet popular among biomedical researchers due to a lack of expertise. This paper presents such models as a tutorial for easy understanding and appropriate use. This includes Python codes and real-time data with instructions for implementation to forecast pandemics like COVID-19. Data and Methods: Daily cases in India from 1-Dec-2021 to 10-Feb-2022 and, in the UK from 1-May-2021 to 10-Feb-2022 were used to train the models. We used Convolutional-LSTM (CNN-LSTM) model and simple LSTM models to forecast COVID-19 cases. Models were validated using data from 11 to 25-Feb-2022. Results: CNN-LSTM and simple LSTM were fitted very well with R2 0.95 and 0.97 for India. The models were validated with RMSE and it was 9972.81 and 19285.57 for CNN-LSTM and the simple LSTM model. The R2 value of CNN-LSTM and simple LSTM models for UK data were 0.77 and 0.84 respectively. RMSE was 12111.95 for CNN-LSTM and 8935.75 for simple LSTM in the validation. Conclusion: Simple LSTM works better while training whereas the performance of CNN-LSTM was found to be better in validation. Therefore, it is suggested that train various models instead of sticking to one and revise them regularly as the behavior of an epidemic generally changes over time.","PeriodicalId":93246,"journal":{"name":"Advances in neurology and neuroscience","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45339573","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":"A Rare Presentation of Anti-Gad Associated Neurological Disorder in A Fifteen-YearOld Girl","authors":"","doi":"10.33140/an.05.03.01","DOIUrl":"https://doi.org/10.33140/an.05.03.01","url":null,"abstract":"Anti-GAD antibodies have been associated with numerous neurological conditions that have a wide variety of presentations. These conditions include limbic encephalitis, stiff person syndrome, opsoclonus-myoclonus-ataxia syndrome, cerebellar ataxia, and status epilepticus. In this paper, we aimed to present a female patient admitted with complaints of acute weakness and right peripheral facial palsy, pancytopenia, hepatosplenomegaly, and anti-glutamate decarboxylase antibody and report the diversity and clinical features of neurological diseases associated with anti-glutamate decarboxylase antibodies. Conclusion Besides the common primary syndromes, other new clinical and neurological manifestations have been associated with anti- anti-glutamate decarboxylase antibodies.","PeriodicalId":93246,"journal":{"name":"Advances in neurology and neuroscience","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49468340","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":"Interaction Between anti-Alzheimer’s Disease Drugs and Antipsychotic Agents in the Treatment of Behavioral and Psychological Symptoms: Extrapyramidal Side Effects","authors":"","doi":"10.33140/an.05.02.09","DOIUrl":"https://doi.org/10.33140/an.05.02.09","url":null,"abstract":"Alzheimer’s disease (AD) is the most common dementia type, accounting on its own for almost 70% of all dementia cases. Behavioral and psychological symptoms of dementia (BPSD) afflict most patients with dementia, especially those with Alzheimer’s disease (AD). Treatment options for BPSD include pharmacological and nonpharmacological approaches. However, behavioral symptoms are not always controllable with non-pharmacological intervention, and the psychotropic class of medication more frequently prescribed for behavioral symptoms are atypical antipsychotics. Antipsychotic drugs are often used for the treatment of BPSD. They are prescribed alone or in conjunction with anti-dementia. However, antipsychotic therapy is not free from several, and often serious, adverse events. For instance, it is well known that antipsychotic drugs commonly cause serious extrapyramidal side effects (EPS). It is imperative for clinicians to understand that 5-HT1A receptors or blockade of 5-HT2, 5-HT3 and 5-HT6 receptors can alleviate EPS induction by antipsychotics agent. It is therefore important to understand that appropriate drug choice and combination strategy are important in the treatment of BPSD. I point out that antipsychotic drugs can have extrapyramidal side effects, including parkinsonian symptoms, also when used in AD, and argument drug choice and combination strategies as cholinesterase inhibitors and antipsychotic drugs. Additionally, the advantages and limitation of antipsychotic drugs have been evaluated.","PeriodicalId":93246,"journal":{"name":"Advances in neurology and neuroscience","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43695575","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":"Anaplastic Meningioma Who Grade III: Case Report and Review of Immunohistopathological Characteristics","authors":"Kai Shu, Wei Jiang, T. Lei","doi":"10.33140/an.05.02.07","DOIUrl":"https://doi.org/10.33140/an.05.02.07","url":null,"abstract":"Introduction: Anaplastic meningiomas constitute about 2% of all intracranial meningiomas and are known to be aggressive with a mean overall survival and mean relapse-free survival of 3.3 years and 2.7 years respectively. We treated a patient with a World Health Organization (WHO) grade III Anaplastic Meningioma, a rare histological variant of convexity meningiomas in which intraoperatively we found the tumor mass was unique of mixed characteristics particularly peritumoral subdural effusion Research Question: We show in this case report that convexity lesions presenting with subdural lesions should be highly suspected for WHO III anaplastic meningiomas backed with the immunohistopathological findings. Material and Methods: Routine computed tomography for patients with neurologic signs and symptoms which reveal a convexity peri-tumoral subdural collection should be suspected for WHO III anaplastic meningiomas. Surgery and adjuvant radiotherapy offered a good clinical outcome. Results: Postoperative the patient described a gradual improvement of the of expressive aphasia, deficits in speech, detectable personality changes or motor/sensory deficits. MRI at the three-month, six-month, one- year and two-year postoperative follow-up, revealed no evidence of residual tumor nor any observed recurrence nor recurrence of pre-operative symptoms. Discussion and Conclusion In this paper, we present the rare radiological presentation and immunohistopathological characteristics of this WHO III Grade III anaplastic meningioma. WHO III anaplastic meningiomas should be considered in the differential diagnosis of intracranial tumors which present with peritumoral subdural collection on routine contrast tomography imaging. Our findings may contribute to the literature of the histopathological nature and behavior of this tumor subtype.","PeriodicalId":93246,"journal":{"name":"Advances in neurology and neuroscience","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49270089","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":"Total Family Risk in Vulnerable Families","authors":"","doi":"10.33140/an.05.02.10","DOIUrl":"https://doi.org/10.33140/an.05.02.10","url":null,"abstract":"In Colombia, the civil war has generated family displacement, leading to experiences of social and cultural uprooting. The total Family Risk was determined in a group of 30 displaced Afro-descendant families, for which the RFT 5-33 instrument was used, with prior informed consent. The results show a predominance of nuclear families (40%), the predominance of threatened families (56%), especially in the dimensions of housing and neighborhood, socioeconomic situation, health practices and services, and psycho-affective conditions. The correlation showed that Total Family Risk has a strong correlation with health practices and services (0.888) and with the management of minors (0.86). The findings provide elements to implement family care actions in health promotion and prevention.","PeriodicalId":93246,"journal":{"name":"Advances in neurology and neuroscience","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44608796","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":"Effect of Simvastatin Intracerebroventricular Injection (ICV) On Memory and Anxiety in Male Rats in The Presence of Vitamin D Supplementation","authors":"","doi":"10.33140/an.05.02.06","DOIUrl":"https://doi.org/10.33140/an.05.02.06","url":null,"abstract":"Introduction: Simvastatin is a lipophilic statin. Lipophilic statins can cross the blood-brain barrier. The present study investigates the effect of simvastatin on working memory and anxiety in adult male rats without brain injury by the ICV method. Method: In this experimental study, 26 male Wistar rats weighing 250-300 g were randomly divided into six groups (n=6) including: control ICV (without injection), Shm (3μl ICV distilled water), simvastatin 28.5 nmol ICV, simvastatin 28.5 nmol ICV + vitamin D 5 µg/kg. Simvastatin treatment was performed for seven days. After the treatment period, the working memory and anxiety was measured. Findings: According to the results, groups receiving simvastatin with a concentration of 28.5 nmol had no significant difference in their memory and anxiety than the control group (P> 0.05). No significant effect on catalase level was observed in any of the groups compared to the control group (P> 0.05). Conclusion: Injection of simvastatin into the brain did not show a significant effect on memory and anxiety in male rats.","PeriodicalId":93246,"journal":{"name":"Advances in neurology and neuroscience","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44373533","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}