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Negative pressure wound therapy for the management of deep brain stimulation-related surgical site infections: A retrospective case series 负压伤口疗法治疗脑深部刺激相关手术部位感染:回顾性病例系列。
Ibrain Pub Date : 2024-09-23 DOI: 10.1002/ibra.12178
Si-Yu Yan, Yi-Fan Liu, Yi-Cheng Zhou, Yuan Gao, Yang Wu, Hao Deng, Cheng-Hao Yang, Jun-Wen Guan, Wei Wang, Rui Tian
{"title":"Negative pressure wound therapy for the management of deep brain stimulation-related surgical site infections: A retrospective case series","authors":"Si-Yu Yan,&nbsp;Yi-Fan Liu,&nbsp;Yi-Cheng Zhou,&nbsp;Yuan Gao,&nbsp;Yang Wu,&nbsp;Hao Deng,&nbsp;Cheng-Hao Yang,&nbsp;Jun-Wen Guan,&nbsp;Wei Wang,&nbsp;Rui Tian","doi":"10.1002/ibra.12178","DOIUrl":"10.1002/ibra.12178","url":null,"abstract":"<p>The management of deep brain stimulation (DBS)-related surgical site infection (SSI) is challenging. This article aimed to report the efficacy of negative pressure wound therapy (NPWT) in treating DBS-related SSI while preserving all DBS devices. As a retrospective case series in a single center, localized DBS-related SSI was treated with complete debridement and NPWT, with preserving all DBS devices. Successful infection control was defined as no clinical or microbiological evidence of recurrent infection 3 months after NPWT. Five patients (three females, two males, median age: 64 years) received NPWT for their DBS-related SSI. The infection was located in the chest, parietal, and retroauricular areas. Only one patient had the extension wires removed due to the heavy contamination, while no DBS devices were removed in the other patients. All patients showed successful infection control without any remarkable side effects 3 months after debridement and NPWT. These findings suggest that NPWT may effectively promote wound healing with a high probability of preserving all DBS devices in DBS-related SSI.</p>","PeriodicalId":94030,"journal":{"name":"Ibrain","volume":"10 4","pages":"536-541"},"PeriodicalIF":0.0,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Identification of immune infiltration and PANoptosis-related molecular clusters and predictive model in Alzheimer's disease based on transcriptome analysis 基于转录组分析的阿尔茨海默病免疫浸润和细胞凋亡相关分子群鉴定及预测模型
Ibrain Pub Date : 2024-09-23 DOI: 10.1002/ibra.12179
Jin-Lin Mei, Shi-Feng Wang, Yang-Yang Zhao, Ting Xu, Yong Luo, Liu-Lin Xiong
{"title":"Identification of immune infiltration and PANoptosis-related molecular clusters and predictive model in Alzheimer's disease based on transcriptome analysis","authors":"Jin-Lin Mei,&nbsp;Shi-Feng Wang,&nbsp;Yang-Yang Zhao,&nbsp;Ting Xu,&nbsp;Yong Luo,&nbsp;Liu-Lin Xiong","doi":"10.1002/ibra.12179","DOIUrl":"https://doi.org/10.1002/ibra.12179","url":null,"abstract":"<p>This study aims to explore the expression profile of PANoptosis-related genes (PRGs) and immune infiltration in Alzheimer's disease (AD). Based on the Gene Expression Omnibus database, this study investigated the differentially expressed PRGs and immune cell infiltration in AD and explored related molecular clusters. Gene set variation analysis (GSVA) was used to analyze the expression of Gene Ontology and Kyoto Encyclopedia of Genes and Genomes in different clusters. Weighted gene co-expression network analysis was utilized to find co-expressed gene modules and core genes in the network. By analyzing the intersection genes in random forest, support vector machine, generalized linear model, and extreme gradient boosting (XGB), the XGB model was determined. Eventually, the first five genes (Signal Transducer and Activator of Transcription 3, Tumor Necrosis Factor (TNF) Receptor Superfamily Member 1B, Interleukin 4 Receptor, Chloride Intracellular Channel 1, TNF Receptor Superfamily Member 10B) in XGB model were selected as predictive genes. This research explored the relationship between PANoptosis and AD and established an XGB learning model to evaluate and screen key genes. At the same time, immune infiltration analysis showed that there were different immune infiltration expression profiles in AD.</p>","PeriodicalId":94030,"journal":{"name":"Ibrain","volume":"10 3","pages":"323-344"},"PeriodicalIF":0.0,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ibra.12179","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142328519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Global, regional, and national burdens of Alzheimer's disease and other forms of dementia in the elderly population from 1999 to 2019: A trend analysis based on the Global Burden of Disease Study 2019 1999年至2019年老年人口阿尔茨海默病和其他形式痴呆症的全球、区域和国家负担:基于2019年全球疾病负担研究的趋势分析
Ibrain Pub Date : 2024-09-22 DOI: 10.1002/ibra.12181
Mengdan Su, Tianhong Wang, Congcong Zou, Keyu Cao, Fei Liu
{"title":"Global, regional, and national burdens of Alzheimer's disease and other forms of dementia in the elderly population from 1999 to 2019: A trend analysis based on the Global Burden of Disease Study 2019","authors":"Mengdan Su,&nbsp;Tianhong Wang,&nbsp;Congcong Zou,&nbsp;Keyu Cao,&nbsp;Fei Liu","doi":"10.1002/ibra.12181","DOIUrl":"10.1002/ibra.12181","url":null,"abstract":"<p>Dementia represents a significant health issue, afflicting both patients and their families. To assess the global trends in the incidence, prevalence, mortality, and disability-adjusted life years (DALYs) of Alzheimer's disease (AD) and other dementias in the elderly population, the Global Burden of Disease Study (1999−2019) was used. The average annual percentage change (AAPC) was estimated using linear regression. Stratified analysis of the global trends by age, sex, region, national level, and social development index (SDI) were also performed. The global incidence of AD and other dementias increased from 507.96 per 100,000 in 1990 to 569.39 per 100,000 in 2019, showing a significant increase in this period. In males, the incidence increased from 387.56 per 100,000 population in 1990 to 462.40 per 100,000 in 2019 (AAPC = 0.61), whereas females experienced a slower rise (AAPC = 0.31) and had a higher incidence in 2019 (662.93 per 100,000 population). The most significant increase was observed in individuals aged 60−64 and those in the middle-SDI quintile. Regionally, the high-income Asia Pacific had the highest incidence (890.01 per 100,000 population) and DALYs (3043.86 per 100,000) in AD and other dementias in 2019. As for national trends, Japan had the most pronounced increase in the incidence and DALYs of AD and other dementias during the 1990−2019 period. These findings highlight the growing burden of dementias on life expectancy at a population level, which is significant for healthcare professionals and decision-makers to conduct the ongoing debate on the policy of AD and other dementias.</p>","PeriodicalId":94030,"journal":{"name":"Ibrain","volume":"10 4","pages":"488-499"},"PeriodicalIF":0.0,"publicationDate":"2024-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comprehensive review on Alzheimer's disease: From the posttranslational modifications of Tau to corresponding treatments 阿尔茨海默病综述:从 Tau 的翻译后修饰到相应的治疗方法。
Ibrain Pub Date : 2024-09-16 DOI: 10.1002/ibra.12176
Xin Li, Zhisheng Ba, Juan Huang, Jianhua Chen, Jinyu Jiang, Nanqu Huang, Yong Luo
{"title":"Comprehensive review on Alzheimer's disease: From the posttranslational modifications of Tau to corresponding treatments","authors":"Xin Li,&nbsp;Zhisheng Ba,&nbsp;Juan Huang,&nbsp;Jianhua Chen,&nbsp;Jinyu Jiang,&nbsp;Nanqu Huang,&nbsp;Yong Luo","doi":"10.1002/ibra.12176","DOIUrl":"10.1002/ibra.12176","url":null,"abstract":"<p>Alzheimer's disease (AD) is a neurodegenerative disease, which is mainly characterized by the abnormal deposition of β-amyloid peptide (Aβ) and Tau. Since Tau aggregation is more closely associated with synaptic loss, neurodegeneration, and cognitive decline than Aβ, the correlation between Tau and cognitive function in AD has gradually gained attention. The posttranslational modifications (PTMs) of Tau are key factors contributing to its pathological changes, which include phosphorylation, acetylation, ubiquitination, glycosylation, glycation, small ubiquitin-like modifier mediated modification (SUMOylation), methylation, succinylation, etc. These modifications change the structure of Tau, regulating Tau microtubule interactions, localization, degradation, and aggregation, thereby affecting its propensity to aggregate and leading to neuronal injury and cognitive impairments. Among numerous PTMs, drug development based on phosphorylation, acetylation, ubiquitination, and SUMOylation primarily involves enzymatic reactions, affecting either the phosphorylation or degradation processes of Tau. Meanwhile, methylation, glycosylation, and succinylation are associated with maintaining the structural stability of Tau. Current research is more extensive on phosphorylation, acetylation, ubiquitination, and methylation, with related drugs already developed, particularly focusing on phosphorylation and ubiquitination. In contrast, there is less research on SUMOylation, glycosylation, and succinylation, requiring further basic research, with the potential to become novel drug targets. In conclusion, this review summarized the latest research on PTMs of Tau and related drugs, highlighting the potential of targeting specific PTMs for developing novel therapeutic strategies in AD.</p>","PeriodicalId":94030,"journal":{"name":"Ibrain","volume":"10 4","pages":"427-438"},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neuroanatomical and functional correlates in tic disorders and Tourette's syndrome: A narrative review 抽动障碍和抽动秽语综合征的神经解剖学和功能相关性:叙述性综述。
Ibrain Pub Date : 2024-09-14 DOI: 10.1002/ibra.12177
Anna Sara Liberati, Giulio Perrotta
{"title":"Neuroanatomical and functional correlates in tic disorders and Tourette's syndrome: A narrative review","authors":"Anna Sara Liberati,&nbsp;Giulio Perrotta","doi":"10.1002/ibra.12177","DOIUrl":"10.1002/ibra.12177","url":null,"abstract":"<p>Tic disorders represent a developmental neuropsychiatric condition whose causes can be attributed to a variety of environmental, neurobiological, and genetic factors. From a neurophysiological perspective, the disorder has classically been associated with neurochemical imbalances (particularly dopamine and serotonin) and structural and functional alterations affecting, in particular, brain areas and circuits involved in the processing and coordination of movements: the basal ganglia, thalamus, motor cortical area, and cingulate cortex; however, more recent research is demonstrating the involvement of many more brain regions and neurotransmission systems than previously observed, such as the prefrontal cortex and cerebellum. In this paper, therefore, we summarize the evidence to date on these abnormalities with the intent to illustrate and clarify the main neuroanatomical differences between patients with tic disorders and healthy individuals.</p>","PeriodicalId":94030,"journal":{"name":"Ibrain","volume":"10 4","pages":"439-449"},"PeriodicalIF":0.0,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11649386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The application of eXplainable artificial intelligence in studying cognition: A scoping review 可解释人工智能在认知研究中的应用:范围综述
Ibrain Pub Date : 2024-09-05 DOI: 10.1002/ibra.12174
Shakran Mahmood, Colin Teo, Jeremy Sim, Wei Zhang, Jiang Muyun, R. Bhuvana, Kejia Teo, Tseng Tsai Yeo, Jia Lu, Balazs Gulyas, Cuntai Guan
{"title":"The application of eXplainable artificial intelligence in studying cognition: A scoping review","authors":"Shakran Mahmood,&nbsp;Colin Teo,&nbsp;Jeremy Sim,&nbsp;Wei Zhang,&nbsp;Jiang Muyun,&nbsp;R. Bhuvana,&nbsp;Kejia Teo,&nbsp;Tseng Tsai Yeo,&nbsp;Jia Lu,&nbsp;Balazs Gulyas,&nbsp;Cuntai Guan","doi":"10.1002/ibra.12174","DOIUrl":"https://doi.org/10.1002/ibra.12174","url":null,"abstract":"<p>The rapid advancement of artificial intelligence (AI) has sparked renewed discussions on its trustworthiness and the concept of eXplainable AI (XAI). Recent research in neuroscience has emphasized the relevance of XAI in studying cognition. This scoping review aims to identify and analyze various XAI methods used to study the mechanisms and features of cognitive function and dysfunction. In this study, the collected evidence is qualitatively assessed to develop an effective framework for approaching XAI in cognitive neuroscience. Based on the Joanna Briggs Institute and preferred reporting items for systematic reviews and meta-analyses extension for scoping review guidelines, we searched for peer-reviewed articles on MEDLINE, Embase, Web of Science, Cochrane Central Register of Controlled Trials, and Google Scholar. Two reviewers performed data screening, extraction, and thematic analysis in parallel. Twelve eligible experimental studies published in the past decade were included. The results showed that the majority (75%) focused on normal cognitive functions such as perception, social cognition, language, executive function, and memory, while others (25%) examined impaired cognition. The predominant XAI methods employed were intrinsic XAI (58.3%), followed by attribution-based (41.7%) and example-based (8.3%) post hoc methods. Explainability was applied at a local (66.7%) or global (33.3%) scope. The findings, predominantly correlational, were anatomical (83.3%) or nonanatomical (16.7%). In conclusion, while these XAI techniques were lauded for their predictive power, robustness, testability, and plausibility, limitations included oversimplification, confounding factors, and inconsistencies. The reviewed studies showcased the potential of XAI models while acknowledging current challenges in causality and oversimplification, particularly emphasizing the need for reproducibility.</p>","PeriodicalId":94030,"journal":{"name":"Ibrain","volume":"10 3","pages":"245-265"},"PeriodicalIF":0.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ibra.12174","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142328428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neuroscience of cancer: Research progress and emerging of the field 癌症神经科学:研究进展和新兴领域
Ibrain Pub Date : 2024-08-14 DOI: 10.1002/ibra.12172
Issam AbuQeis, Yu Zou, Ying-Chun Ba, Abeer A. Teeti
{"title":"Neuroscience of cancer: Research progress and emerging of the field","authors":"Issam AbuQeis,&nbsp;Yu Zou,&nbsp;Ying-Chun Ba,&nbsp;Abeer A. Teeti","doi":"10.1002/ibra.12172","DOIUrl":"https://doi.org/10.1002/ibra.12172","url":null,"abstract":"<p>Cancer cells immediately expand and penetrate adjoining tissues, as opposed to metastasis, that is the spread of cancer cells through the circulatory or lymphatic systems to more distant places via the invasion process. We found that a lack of studies discussed tumor development with the nervous system, by the aspects of cancer-tissue invasion (biological) and chemical modulation of growth that cascades by releasing neural-related factors from the nerve endings via chemical substances known as neurotransmitters. In this review, we aimed to carefully demonstrate and describe the cancer invasion and interaction with the nervous system, as well as reveal the research progress and the emerging neuroscience of cancer. An initial set of 160 references underwent systematic review and summarization. Through a meticulous screening process, these data were refined, ultimately leading to the inclusion of 98 studies that adhered to predetermined criteria. The outcomes show that one formidable challenge in the realm of cancer lies in its intrinsic heterogeneity and remarkable capacity for rapid adaptation. Despite advancements in genomics and precision medicine, there is still a need to identify new molecular targets. Considering cancer within its molecular and cellular environment, including neural components, is crucial for addressing this challenge. In conclusion, this review provides good referential data for direct, indirect, biological, and chemical interaction for nerve tissue–tumor interaction, suggesting the establishment of new therapy techniques and mechanisms by controlling and modifying neuron networks that supply signals to tumors.</p>","PeriodicalId":94030,"journal":{"name":"Ibrain","volume":"10 3","pages":"305-322"},"PeriodicalIF":0.0,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ibra.12172","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142328446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Calcium accumulation or iron deposition: Delving into the temporal sequence of amyotrophic lateral sclerosis pathophysiology in the primary motor cortex 钙积累还是铁沉积?探究肌萎缩性脊髓侧索硬化症初级运动皮层病理生理的时间顺序
Ibrain Pub Date : 2024-06-28 DOI: 10.1002/ibra.12168
Sadegh Ghaderi, Sana Mohammadi, Farzad Fatehi
{"title":"Calcium accumulation or iron deposition: Delving into the temporal sequence of amyotrophic lateral sclerosis pathophysiology in the primary motor cortex","authors":"Sadegh Ghaderi,&nbsp;Sana Mohammadi,&nbsp;Farzad Fatehi","doi":"10.1002/ibra.12168","DOIUrl":"https://doi.org/10.1002/ibra.12168","url":null,"abstract":"<p>Amyotrophic lateral sclerosis (ALS) causes progressive motor neuron degeneration, but an in vivo understanding of its early pathology remains limited. A recent study used topographic layer imaging to investigate iron and calcium accumulation in the primary motor cortex (M1) of patients with ALS compared with controls. Despite the preserved cortical thickness, ALS patients showed increased iron in layer 6 and calcium accumulation in layer 5a and the superficial layer. Calcium accumulation was particularly prominent in the low-myelin borders, potentially preceding the demyelination. This study reveals a novel in vivo pathology in ALS, suggesting that calcium dysregulation may precede iron accumulation and contribute to early M1 cell degeneration. Further investigation using quantitative susceptibility mapping and complementary techniques, such as diffusion kurtosis imaging, along with ultrahigh-field magnetic resonance imaging, into the role of calcium and early intervention strategies is warranted.</p>","PeriodicalId":94030,"journal":{"name":"Ibrain","volume":"10 3","pages":"375-377"},"PeriodicalIF":0.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ibra.12168","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142328492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy and safety of remimazolam versus propofol for intraoperative sedation during regional anesthesia: A phase II, multicenter, randomized, active-controlled, single-blind clinical trial 区域麻醉术中镇静用瑞咪唑安定与异丙酚的疗效和安全性:多中心、随机、主动对照、单盲临床试验II期
Ibrain Pub Date : 2024-06-16 DOI: 10.1002/ibra.12163
Ting-Ting Li, Lu Yin, Yue-Xin Huang, Xiu-Hong Wang, Yan-Huan Wei, Yong Wang, Shi-Wei Yang, Genoveva B. da Graca Cunha, Fei Liu
{"title":"Efficacy and safety of remimazolam versus propofol for intraoperative sedation during regional anesthesia: A phase II, multicenter, randomized, active-controlled, single-blind clinical trial","authors":"Ting-Ting Li,&nbsp;Lu Yin,&nbsp;Yue-Xin Huang,&nbsp;Xiu-Hong Wang,&nbsp;Yan-Huan Wei,&nbsp;Yong Wang,&nbsp;Shi-Wei Yang,&nbsp;Genoveva B. da Graca Cunha,&nbsp;Fei Liu","doi":"10.1002/ibra.12163","DOIUrl":"10.1002/ibra.12163","url":null,"abstract":"<p>This study aimed to evaluate the efficacy and safety of remimazolam for intraoperative sedation during regional anesthesia. It was a phase II-multicenter, randomized, single-blind, parallel-group, active-controlled clinical trial (No. ChiCTR2100054956). From May 6, 2021 to July 4, 2021, patients were randomly enrolled from 17 hospitals in China. A total of 105 patients aged 18–65 years who underwent selective surgery under regional anesthesia were included. Patients received different sedatives with different dosages: 0.1 mg/kg remimazolam (HR), 0.05 mg/kg remimazolam (LR), or 1.0 mg/kg propofol (P) group, followed by a maintenance infusion. Main outcome measures included the efficacy of sedation measured by Modified Observer's Assessment of Alertness/Sedation Scale (MOAA/S) levels (1–4, 1–3, 2–3, 3, and 2–4) during the sedation procedure (the duration percentage) and incidence of adverse reactions. It showed that the duration percentage of MOAA/S levels 1–4 was 100.0 [8.1]% (median [interquartile range]), 89.9 [20.2]%, 100.0 [7.7]% in the HR, LR, and P groups, respectively. The percentage of patients in the HR, LR, and P groups who achieved MOAA/S levels 1–4 within 3 min after administration was 85.7%, 58.8%, and 82.9%, respectively. However, the time to recovery from anesthesia after withdrawal of sedatives (7.9 ± 5.7 min), incidence of anterograde amnesia (75%), and adverse effects were not statistically significant among the three groups. These findings suggest that a loading dose of remimazolam 0.1 mg/kg followed by a maintenance infusion of 0–3 mg/kg/h provides adequate sedation for patients under regional anesthesia without increasing adverse reactions.</p>","PeriodicalId":94030,"journal":{"name":"Ibrain","volume":"10 2","pages":"134-145"},"PeriodicalIF":0.0,"publicationDate":"2024-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ibra.12163","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141335937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The influence of sleep disorders on perioperative neurocognitive disorders among the elderly: A narrative review 睡眠障碍对老年人围手术期神经认知障碍的影响:叙述性综述
Ibrain Pub Date : 2024-06-08 DOI: 10.1002/ibra.12167
Chao Chen, Rui-Xue Zhai, Xin Lan, Sheng-Feng Yang, Si-Jie Tang, Xing-Long Xiong, Yu-Xin He, Jing-Fang Lin, Jia-Rong Feng, Dong-Xu Chen, Jing Shi
{"title":"The influence of sleep disorders on perioperative neurocognitive disorders among the elderly: A narrative review","authors":"Chao Chen,&nbsp;Rui-Xue Zhai,&nbsp;Xin Lan,&nbsp;Sheng-Feng Yang,&nbsp;Si-Jie Tang,&nbsp;Xing-Long Xiong,&nbsp;Yu-Xin He,&nbsp;Jing-Fang Lin,&nbsp;Jia-Rong Feng,&nbsp;Dong-Xu Chen,&nbsp;Jing Shi","doi":"10.1002/ibra.12167","DOIUrl":"10.1002/ibra.12167","url":null,"abstract":"<p>This review comprehensively assesses the epidemiology, interaction, and impact on patient outcomes of perioperative sleep disorders (SD) and perioperative neurocognitive disorders (PND) in the elderly. The incidence of SD and PND during the perioperative period in older adults is alarmingly high, with SD significantly contributing to the occurrence of postoperative delirium. However, the clinical evidence linking SD to PND remains insufficient, despite substantial preclinical data. Therefore, this study focuses on the underlying mechanisms between SD and PND, underscoring that potential mechanisms driving SD-induced PND include uncontrolled central nervous inflammation, blood–brain barrier disruption, circadian rhythm disturbances, glial cell dysfunction, neuronal and synaptic abnormalities, impaired central metabolic waste clearance, gut microbiome dysbiosis, hippocampal oxidative stress, and altered brain network connectivity. Additionally, the review also evaluates the effectiveness of various sleep interventions, both pharmacological and nonpharmacological, in mitigating PND. Strategies such as earplugs, eye masks, restoring circadian rhythms, physical exercise, noninvasive brain stimulation, dexmedetomidine, and melatonin receptor agonists have shown efficacy in reducing PND incidence. The impact of other sleep-improvement drugs (e.g., orexin receptor antagonists) and methods (e.g., cognitive-behavioral therapy for insomnia) on PND is still unclear. However, certain drugs used for treating SD (e.g., antidepressants and first-generation antihistamines) may potentially aggravate PND. By providing valuable insights and references, this review aimed to enhance the understanding and management of PND in older adults based on SD.</p>","PeriodicalId":94030,"journal":{"name":"Ibrain","volume":"10 2","pages":"197-216"},"PeriodicalIF":0.0,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ibra.12167","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141368638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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