关键词： CARDIAC arrest   ARTIFICIAL respiration  

关键词： CARDIAC arrest   RESUSCITATION  

关键词： CARDIAC arrest   HEART failure  

关键词： CARDIAC arrest   CLINICAL trials  

关键词： Optical nerve sheath diameter   Intracranial pressure   Hemicraniectomy   Neurological outcome  

摘要： Background: In cases showing cerebrospinal fluid (CSF) redistribution as a compensatory mechanism in acute intracranial hypertension, the optic nerve sheath diameter (ONSD) can be used to estimate intracranial pressure (ICP). However, it remains unclear whether the ONSD can be applied in patients with skull defects after a craniectomy, because the primary injury or surgical craniectomy may alter the dynamics of the CSF circulation or structure of the optical nerve sheath. This study explored the value of the ONSD in patients after a hemicraniectomy. Methods: This prospective observational study enrolled patients after a hemicraniectomy. All patients underwent invasive ICP monitoring and ocular ultrasound within 6 h postoperatively. We followed the patients for 6 months and evaluated them using the Glasgow Outcome Score (GOS), classifying the outcome as favorable (GOS 4-5) or unfavorable (GOS 1-3). We evaluated the ONSD in both according to the ICP and neurological outcome. Results: Of the 33 enrolled patients, 20 (60.6%) had an unfavorable outcome at 6 months. Disagreement was seen in the ONSD measurements between the eyes [craniectomy side (ONSDips) and opposite side (ONSDcon)]. The intraclass correlation coefficient between ONSDips and ONSDcon was 0.745 (p < 0.001). ONSD had no significant correlation with ICP in Spearman correlation analysis (ONSDips r = 0.205, p = 0.252;ONSDcon r = 0.164, p = 0.362). Receiver operator characteristic (ROC) curve analysis revealed that the GCS, Helsinki computed tomography (CT) score, pupil reaction, and ONSDcon measured after the craniectomy were significantly associated with a poor outcome. ONSDcon > 5.5mm predicted a poor outcome, with an area under the ROC curve of 0.717 (95% confidence interval, 0.534-0.860, p = 0.02), 70% sensitivity, and 69.2% specificity. Conclusions: After hemicraniectomy, the ONSD measured on ultrasound was unreliable for evaluating ICP, but showed potential prognostic value for a poor neurological outco

关键词： Executive neurological function   concept formation   readiness skills   sensory-motor integration   early literacy   emergent reading  

摘要： Mastering emergent reading requires applicable concepts and processes, which implies proficiency regarding the neurological executive function. Relevant neurological processes include attention, planning, initiation of activity, inhibition, working memory, shifting of attention, and mental flexibility. A training programme, incorporating concept formation and the underlying neurological executive function was developed and practitioners were trained to support preschool children with regard to sensory-motor integration, language and pre-writing skills as elements of pre-reading skills. The research was conducted in a number of rural creches in South Africa where a questionnaire was used as the survey instrument. The findings revealed that the control group demonstrated fewer readiness skills regarding the required sensory-motor integration, language and pre-writing skills while the experimental group demonstrated newly formed concepts to assist in the acquisition of early literacy and the development of emergent reading.

关键词： 英国医院   影像医师   医学教育   影像医师培养   神经外科  

摘要： 以英国国立神经病学和神经外科医院为例,介绍目前的欧洲影像科医师教育培训情况,阐述影像医师系统轮转制度、多形式教学方式,以及注重临床与科研相结合的培训模式。通过对比分析,以期为我国影像科住院医师培训及亚专科培训提供参考。

关键词： 《中国神经免疫学和神经病学杂志》   编辑委员会   会议   编委会   北京医院   衡阳市   湖南省   编辑部  

摘要： 《中国神经免疫学和神经病学杂志》第五届编辑委员会(编委会)第一次工作研讨会于2018年10月12~13日在湖南省衡阳市召开。与会者包括《中国神经免疫学和神经病学杂志》主编、副主编、来自全国各地的编委以及编辑部人员共38人。会议主要内容包括:对本刊第四届编委会进行改选,成立了第五届编委会;对第四届编委会工作进行总结;对期刊的发展进行了讨论。会议由北京医院神经科陈海波教授主持。

关键词： 大学附属医院   神经内科   贵州省   医科   硕士生导师   防治   癫痫   神经病学  

摘要： 贵州医科大学附属医院神经内科成立于1956年,由我省著名神经病学专家卢亮教授创建。经过半个多世纪的发展,目前我科室已拥有4个病区,5个医疗组,共有病床120张,成为集医疗、教学、科研为一体的特色专科。现年出院病人近4000余人。门诊年平均接诊病人35000余人次。科室有医护技人员85人,其中具有高级职称20人,博士5人,硕士17人,硕士生导师9人。

关键词： 临床神经病学   投稿   杂志   办公系统   日常工作   作者   编委   注册  

摘要： 为更迅速、便捷地处理稿件,本刊于2011年初建立了《临床神经病学杂志》网上采编系统。此系统可方便作者投稿、查询,亦可方便本刊编委审稿及内部编辑人员日常工作,现已正式投入使用。广大作者及本刊编委均可登录本刊网站(http://***),点击“投稿及审稿办公系统”,进行在线注册,注册成功后即可在线投稿、办公。欢迎广大读者踊跃投稿。