摘要： Background: Treatment outcomes and risk factors for neurological deficits in pediatric patients with an os odontoideum are unclear. Methods: We reviewed the data for 102 children with os odontoideum who were managed at 11 centers between 2000 and 2016 and had a minimum duration of follow-up of 2 years. Thirty-one children had nonoperative treatment, and 71 underwent instrumented posterior cervical spinal arthrodesis for the treatment of C1-C2 instability. Nonoperative treatment consisted of observation (n = 29) or immobilization with a cervical collar (n = 1) or halo body jacket (n = 1). Surgical treatment consisted of atlantoaxial (n = 50) or occipitocervical (n = 21) arthrodesis. One patient also underwent transoral odontoidectomy. Results: Thirty children (29%) presented with neurological deficits, 28 of whom had radiographic atlantoaxial instability (atlantoaxial distance >5 mm) or limited space (<= 13 mm) available for the spinal cord (risk ratio, 7.8 [95% confidence interval, 2.0 to 31] compared with children with no radiographic risk factors). The 27 children without neurological deficits or atlantoaxial instability at presentation underwent nonoperative treatment and remained asymptomatic. Of the initial nonoperative cohort, one child developed atlantoaxial instability, and another had a persistent neurological deficit;both children underwent spinal arthrodesis during the study period. One child with cervical instability declined surgery and remained asymptomatic. Spinal fusion occurred in 68 patients in the surgical group by the end of the study period (mean, 3.7 years;range, 2.0 to 11.8 years). Surgical complications occurred in 21 children, including nonunion in 12, new neurological deficits in 4, cerebrospinal fluid leak in 2, symptomatic instrumentation requiring removal 2, and vertebral artery injury in 1. Nine children underwent revision surgery. In the surgical group, Japanese Orthopaedic Association neurological function scores improved significantl

摘要： 《国际神经病学神经外科学杂志》创刊于1974年,由教育部主管,中南大学和中南大学湘雅医院主办。是目前国内唯一一本同时涵盖神经病学和神经外科学两个相联学科的专业学术期刊。本刊被收录为“中国科技核心期刊(中国科技论文统计源期刊)”。

关键词： 模块教学   八年制临床医学专业   实习   云模型  

摘要： 浙江大学医学院的八年制临床医学专业实行"4+4"模式(4年非医专业本科+4年医学专业培养);在医学专业教育阶段开展了整合式医学课程模块化教学,旨在培养基础扎实、思维宽广的医学生。在神经、精神与运动模块整合背景下,神经病学临床实习带教中,教学者根据学生特点和自身带教经验,提出重视经典"三基"教育、推广多样化教学、利用云模型尝试新评价方法等措施,以利于医学高级人才培养。

摘要： 《临床神经病学杂志》系国家级神经病学专业性学术期刊。国内统一刊号CN 32-1337/R,国际标准刊号ISSN 1004-1648。曾荣获第二届全国优秀科技期刊奖及连续多次江苏省优秀期刊奖,并已入选中文核心期刊及中国科技核心期刊。2005年、2006年先后被美国化学文摘(CA)、俄罗斯文摘杂志(РЖ)、波兰哥白尼索引(IC)以及美国《乌利希国际期刊指南》四大数据库收录。

关键词： 神经外科学   神经病学   严重侵害   诈骗   非法网站   郑重声明  

摘要： 近来有作者反映有非法网站冒充我们《国际神经病学神经外科学杂志》进行诈骗,严重侵害了作者的利益、欺骗了读者、干扰了杂志的正常运行、毁坏了杂志的名声,对此我们对这些假网站的行径表示严厉谴责!!

关键词： 临床神经病学   科学   杂志   学术交流   增值服务  

摘要： 《临床神经病学杂志》从2019年8月起正式加入OSID(Open Science Identity)开放科学计划。将通过在文章上添加开放科学二维标识码(OSID码),为读者和作者提供一个与业界同行和专家进行学术交流研究成果的途径,同时提供系列增值服务,提升论文的科研诚信。

关键词： PBL教学法   神经病学   老年病学   LBL教学法   教学评估  

摘要： 通过在老年神经内科教学实践中应用PBL(problem-based learning,PBL)教学法,将学生进行课堂分组,以问题为导向,在小组讨论中拓展学生的发散性思维,厘清概念.除了使学生掌握教学大纲所要求的教学内容外,还提高了学生应用基础知识分析解决临床实际问题的能力,课堂气氛活跃,取得了很好的教学效果.以提出问题为核心的教学理念在神经病学教学实践中的应用,增加了学生对神经内科疾病的感性认识,提高了学生的学习兴趣,训练了学生的发散性思维,提高了教学质量,更好地实现了神经病学疾病的教学目标.

摘要： The combination of easily accessible audio and video features allow the learner to watch specific examination procedures, listen to patient histories, and view clinical findings which supplement the text and allow readers to approach content from a platform that best suits their learning *** this book is in no way meant to take the place of the hands-on training experience through a student–preceptor or mentor–mentee relationship, it provides a compromise between formal educational training and monotonous self-directed book *** a medical student's perspective, the flexible and integrative features of the seventh edition of DeMyer's The Neurologic Examination: A Programmed Text might help fill in so many of the educational gaps experienced by students and resident physicians training for a career in neurology.

关键词： PBL   CBL   教学模式   神经病学   见习教学  

摘要： PBL(Problem Based Learning)联合CBL(Case Based Learning)是当下较为高效的教学方法,突破了传统的以老师为中心的教学模式,主张以问题为导向,在临床案例的基础上,充分发挥学生的主观能动性。而神经病学是一门专业性较强的学科,内容深奥难懂,传统的教学模式难以获得良好的教学效果,我们将PBL联合CBL教学方法运用在神经病学见习教学中,旨在提高见习教学质量,培养优秀人才。

摘要： Objective: To identify distinct motor function profiles among persons with spinal cord injury (SCI), traumatic brain injury (TBI), and stroke. Design: Cross-sectional study. Setting: Three U.S. rehabilitation facilities. Participants (or Animals, Specimens, Cadavers): Volunteer sample of community-dwelling adults with medically-documented SCI (n=209), TBI (n=184), or stroke (n=211). Interventions: Not applicable. Main Outcome Measure(s): Participants completed the Motor Battery (MB) of the NIH Toolbox for the Assessment of Neurological and Behavioral Function. Analysis focused on MB assessments of dexterity, endurance, balance, and strength. Results: Latent profile analysis identified four motor function profiles. Relative to the full sample, 1) the low function group (n=53, 10.0%) had the lowest scores across domains, 2) the average group (n=220, 41.5%) had average scores across domains, 3) the high function group (n=131, 24.7%) had the highest scores across domains, and 4) the upper extremity function group (n=126, 23.8%) had balance and endurance scores comparable to the low function group, and dexterity and grip scores comparable to the high function group. Logistic regression demonstrated that, relative to those in the high function group, 1) those in the low function and upper extremity function groups were more likely to have a diagnosis of SCI than stroke (OR=9.97 and 13.04) or TBI (OR=167.70 and 187.05), and to have a diagnosis of stroke than TBI (OR=5.38 and 8.33), and 2) those in the average group were more likely to have a diagnosis of SCI (OR=5.35) or stroke (OR=3.57) than TBI. Conclusions: Four motor function profiles, distinguishable by diagnosis, were identified among individuals with neurologic disorders, supporting the construct validity of the NIH Toolbox MB. Future research should examine whether distinct profiles are stable over time, and whether tailored rehabilitation interventions can alter profile membership. Author(s) Disclosures: None. Key