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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
191

Προγνωστικοί παράγοντες του μεταδιασειστικού συνδρόμου μετά από ήπια κρανιοεγκεφαλική κάκωση / Prognostic factors of post-concussion syndrome following mild head injuries

Τσιντώνη, Ασπασία 07 June 2013 (has links)
Η υψηλή συχνότητα εμφάνισης του μεταδιασεισικού συνδρόμου μετά από ελαφριές κρανιοεγκεφαλικές κακώσεις έχει σοβαρό κοινωνικό και οικονομικό αντίκτυπο. Σκοπός της παρούσας έρευνας είναι να προσδιοριστούν οι προγνωστικοί παράγοντες του μεταδιασεισικού συνδρόμου. Για τον λόγο αυτό, συγκεντρώθηκαν έρευνες που έχουν γίνει κατά το παρελθόν στο εξωτερικό και στην Ελλάδα. Για κάθε έρευνα προσδιορίστηκαν κάποια στοιχεία όπως: η χώρα στην οποία έγινε η έρευνα, η χρονολογία, ο αριθμός των ασθενών που έλαβαν μέρος, η μέθοδος στατιστικής ανάλυσης καθώς και τα αποτελέσματα που καταλήγει η καθεμία. Όλα αυτά τα στοιχεία συγκεντρώθηκαν σε ένα πίνακα για καλύτερη ανάλυση. Το συμπέρασμα της έρευνας είναι ότι οι προγνωστικοί παράγοντες ποικίλουν από έρευνα σε έρευνα. Αυτό οφείλεται σε πολλούς λόγους όπως : οι πολιτιστικές διαφορές κάθε χώρας, οι διαφορετικοί ορισμοί της διάσεισης καθώς και οι διαφορετικοί τρόποι στατιστικής ανάλυσης. / The high incidence of postconcussion syndrome following mild traumatic brain injury hαs severe social and economic impact. The purpose of this study is to identify predictors of postconcussion syndrome. For this reason, gathered studies done in the past in Greece and abroad. For each study identified some elements such as the country in which the research took place, the date, the number of patients included in, the statistical analysis method and the results that ends each. All these elements were gathered together in one table for better analysis. The conclusion of the research is that the predictors vary from study to study. This is due to many reasons such as: the cultural differences of each country, different definitions of concussion and the different modes of statistical analysis.
192

Effects of a Self-Monitoring Strategy on Independent Work Behavior

January 2010 (has links)
abstract: The following study evaluated the effectiveness of a self-monitoring strategy on independent work behavior. The three subjects were in first grade, seven years old, identified with mild mental retardation (MIMR), and had an Individualized Education Plan (IEP) with targeted functional academic and behavior goals. The purpose of this study was to investigate the effect of a self-monitoring strategy on on-task independent work behavior and task completion. The research sought to determine whether or not a self-monitoring strategy would affect on-task independent work behavior and task completion. A multiple baseline across subjects design was used. Data were collected using a frequency count of off-task behavior. The self-monitoring strategy was found to be successful with all three subjects in the study. Overall, the subjects demonstrated a decrease in off-task behavior during independent work time after the intervention was introduced. / Dissertation/Thesis / M.A. Special Education 2010
193

The effects of aerobic exercise and physical activity on progression of Alzheimer's disease and mild cognitive impairment

Korgaonkar, Chaitali Nitin 03 November 2016 (has links)
This abstract will provide a brief overview of the following literature review. Alzheimer’s disease (AD) is the most common cause of dementia, and is a rapidly growing public health concern, as an increasing number of the world’s population is living well beyond 65 years of age. Alzheimer’s Disease is a progressive neurodegenerative condition, first presenting with mild memory impairment, and advancing over the course of years to profound memory loss, complete immobility, lack of speech and facial recognition. Currently, only palliative treatments are available to delay the progression of the disease, and lessen the severity of the cognitive impairment. However, until a cure is available, researchers and physicians have turned their attention to alternate therapies, one of the most important being exercise. Research efforts have now turned to examining the relationship between the positive physiological responses to exercise, and attenuation of the classic neurodegenerative patterns in patients with AD. The current study examined the effects of aerobic exercise, strength training and resistance-based exercise, and multimodal exercise (containing both of the aforementioned exercise modalities) on the physical and mental/cognitive health of patients with mild cognitive impairment (MCI) and AD. Thus far, exercise therapy has proven to be of great potential value as a supplement to pharmacological treatment, as well as a stand-alone prescription for patients with a milder form of cognitive impairment due to the onset of a neurodegenerative condition. The benefits can be grouped into two categories, cognitive and physiological. The effects on cognitive function range from improved memory to increased independence in activities of daily living, and the physiological effects range from improved clearance of amyloid beta plaques in the brain, to reduction of neuroinflammatory processes. The available research on this subject is extensive, covering a variety of exercise modalities at different intensities, and taking into consideration effects on individuals with MCI, early AD, and advanced AD. The general consensus is that continued, long-term adherence to an appropriate exercise routine can delay cognitive decline, and help patients with neurodegenerative diseases to live independently for a longer period of time. The improvements in cognition, memory, immediate recognition, and other related cognitive functions are mostly attributed to the heightened health of the brain tissue and neural circuitry due to exercise. Exercise (mainly aerobic) enhances cerebral blood flow, improves cardiovascular health, reduces the risk for type 2 diabetes mellitus, and has several other important effects that prevent the formation of pathological biomarkers of AD and promote neurogenesis. Atrophy of regions such as the hippocampus, amygdala, and cerebral cortex can be prevented, and reversed to a certain extent, as a result of long-term exercise therapy. The results of current research could assist physicians and caregivers to provide the appropriate type and intensity of exercise to patients with early, intermediate, and advanced stages of Alzheimer’s disease. Proactive exercise therapy for individuals with a known family history of neurodegenerative disease may help to maintain brain volume, specifically in the hippocampus, and reduce the risk of severe cognitive impairment. Future directions for research include examining the combined effects of pharmacological treatment and exercise therapy, and determining the average amount of time by which exercise delays the progression of early stage cognitive impairment to advanced impairment. Key Terms: aerobic exercise, Alzheimer’s disease, amyloid plaque, hippocampus, mild cognitive impairment, neurodegeneration, neurofibrillary tangle
194

Repetitive Mild Traumatic Brain Injury Induces Ventriculomegaly and Cortical Thinning in Juvenile Rats

January 2014 (has links)
abstract: Traumatic brain injury (TBI) most frequently occurs in pediatric patients and remains a leading cause of childhood death and disability. Mild TBI (mTBI) accounts for 70-90% of all TBI cases, yet its neuropathophysiology is still poorly understood. While a single mTBI injury can lead to persistent deficits, repeat injuries increase the severity and duration of both acute symptoms and long term deficits. In this study, to model pediatric repetitive mTBI (rmTBI) we subjected unrestrained juvenile animals (post-natal day 20) to repeat weight drop impact. Animals were anesthetized and subjected to sham or rmTBI once per day for 5 days. At 14 days post injury (PID), magnetic resonance imaging (MRI) revealed that rmTBI animals displayed marked cortical atrophy and ventriculomegaly. Specifically, the thickness of the cortex was reduced up to 46% beneath and the ventricles increased up to 970% beneath the impact zone. Immunostaining with the neuron specific marker NeuN revealed an overall loss of neurons within the motor cortex but no change in neuronal density. Examination of intrinsic and synaptic properties of layer II/III pyramidal neurons revealed no significant difference between sham and rmTBI animals at rest or under convulsant challenge with the potassium channel blocker, 4-Aminophyridine. Overall, our findings indicate that the neuropathological changes reported after pediatric rmTBI can be effectively modeled by repeat weight drop in juvenile animals. Developing a better understanding of how rmTBI alters the pediatric brain may help improve patient care and direct "return to game" decision making in adolescents. / Dissertation/Thesis / Masters Thesis Biology 2014
195

Museums For Memory: Exploring Design Elements That May Enhance Memory Recall in Aging Individuals with Mild Cognitive Impairment (MCI)

January 2015 (has links)
abstract: ABSTRACT Millions of US aging individuals are at risk for mild cognitive impairment (MCI), the early stage of Alzheimer's disease (Ad). Ad is progressive; there is no clinical cure to date. Certain drugs treat symptoms yet fog memory. Memory activity is critical to strengthen cognition. The Phoenix Art Museum (PAM) and Banner Alzheimer's Institute (BAI) founded the Arts Engagement Program (AEP), a non-clinical, specialized arts program for adults with (MCI) and their caregiver. The museum environment is thought to enhance communication and raise self-esteem in certain MCI individuals. The interior surroundings may spurn memory enhancement. Scholarship to substantiate this theory is minimal; therefore, further studies are required. Empirical literature regarding design elements researched specific types of memory impairment was employed. The hypotheses that design elements of the museum's infrastructure and design elements from art themes enhance memory, and the results of these findings when applied to other environments enhance memory emerged. An experience-based study was performed. Semi-structured interviews noting design elements of both infrastructure and art were conducted after each of nine AEP sessions with volunteers from 8 dyads, a term used by the PAM as one caregiver and one MCI individual. The presiding docent was later interviewed. Volunteer interviews with dyads and docents was coded and ranked. Overlapping themes that tallied five or higher were considered significant due the low sample size. Results showed that neither group considered infrastructure design elements or art theme design elements a contributor to memory enhancement. The hypotheses proved null. Both groups expressed pleasure in experiencing the PAM’s environment. Keywords: MCI, infrastructure, art themes. / Dissertation/Thesis / Masters Thesis Design 2015
196

Service-Related Conditions and Higher-Order Cognitive Processing in Military Veteran College Students

January 2017 (has links)
abstract: Military veterans have a significantly higher incidence of mild traumatic brain injury (mTBI), depression, and Post-traumatic stress disorder (PTSD) compared to civilians. Military veterans also represent a rapidly growing subgroup of college students, due in part to the robust and financially incentivizing educational benefits under the Post-9/11 GI Bill. The overlapping cognitively impacting symptoms of service-related conditions combined with the underreporting of mTBI and psychiatric-related conditions, make accurate assessment of cognitive performance in military veterans challenging. Recent research findings provide conflicting information on cognitive performance patterns in military veterans. The purpose of this study was to determine whether service-related conditions and self-assessments predict performance on complex working memory and executive function tasks for military veteran college students. Sixty-one military veteran college students attending classes at Arizona State University campuses completed clinical neuropsychological tasks and experimental working memory and executive function tasks. The results revealed that a history of mTBI significantly predicted poorer performance in the areas of verbal working memory and decision-making. Depression significantly predicted poorer performance in executive function related to serial updating. In contrast, the commonly used clinical neuropsychological tasks were not sensitive service-related conditions including mTBI, PTSD, and depression. The differing performance patterns observed between the clinical tasks and the more complex experimental tasks support that researchers and clinicians should use tests that sufficiently tax verbal working memory and executive function when evaluating the subtle, higher-order cognitive deficits associated with mTBI and depression. / Dissertation/Thesis / Doctoral Dissertation Speech and Hearing Science 2017
197

The Effect of Different Xylan Contents on the Strength Properties of Softwood Kraft pulp

Svedinger Andersson, Maria January 2013 (has links)
The aim of this Master thesis was to investigate if the xylan content had any influence on the physical properties of softwood kraft pulps. To achieve pulps with different xylan content different kraft cooking conditions were used; two different temperatures and two different effective alkali levels. The cooking conditions used were 160°C with 30% effective alkali (EA) referred to as reference cook and 145°C with 17% effective alkali (EA) referred to as the mild cook. The first step in this study was to determine the cooking time needed for reaching a certain kappa number, i.e.30. It was also determined whether the difference in xylan content between the pulp samples was sufficient when these cooking conditions were used. When the correct cooking time and cooking conditions had been found new cooks were made using these conditions. All cooks were made at a liqour to wood ratio of 4:1.   The difference in xylan content between the corresponding pulp samples was found to be 3%. The physical testing showed no significant difference in the tensile strength between the two pulps after beating. There was a difference in tear index however and the pulp with the highest content of xylan had the lowest tear index. Zero-span index was the same for the two pulps when unbeaten. After beating the zero-span index decreased for the pulp with highest xylan content but stayed unchanged for the pulp with the lower amount of xylan. These results can be explained by the results from the fibre analysis which showed that the fibres with high xylan content were longer, thicker and had a higher coarseness. Thicker fibres are probably stiffer than thinner fibres which gives the paper fewer bonding points and a lower strength. The result from the zero-span test indicated that the fibres with higher xylan content are affected more by beating than fibres with the lower xylan content. / Målet med examensarbetet var att undersöka om och hur mycket xylaneti pappersmassan påverkar fiberns och därmed papperets fysikaliska egenskaper. Egenskaperna som undersöktes var drag- och rivstyrka samt zero-spanstyrka. Xylaninnehållet skulle varieras genom att kokförhållandena förändrades dels genom olika koktemperaturer dels olika satsningar av effektivt alkali vid given sulfiditet. Dessa var 160ºC med 30% effektivt alkali(EA) hädanefter benämnd referenskoket och 145ºC med 17% effektivt alkali(EA) som benämns det milda koket i fortsättningen.En bestämning av koktiden gjordes för att nå 30 i kappatal och två provkok, ett vid varje temperatur behövde göras.Skillnaden i xylanhalt mellan de slutliga massaproverna låg på c:a 3% enheter.   Styrkeproverna gav inga entydiga svar på om skillnaden i xylanhalt gav någon effekt på massastyrkan. Dragproverna visade att för omald massa var massan från referenskoket starkast men att massan från det mildare koket reagerade kraftigare på malningen. Redan vid 1000 varv hade den i princip samma dragindex som referensmassan vid samma malgrad. Zero-span mätningarna visade att fibrerna hade samma styrka när de var omalda.   Resultaten från fiberanalysenverifierade resultaten från styrketesterna eftersom en tjockare fiber bör ge en styvare fiber och därmed erhålls färre bindningspunkter.  Färre bindningspunkter ger en lägre dragstyrka och det krävs mindre energi för att bryta bindningarna. Efter malningen kan man se att zero-span styrkan har minskat betydligt för massan med högre xylanhalt medan referensmassan behöll styrkan. Dessutom har dragstyrkan ökat för båda massorna men mest för massan med högre xylanhalt. Det kan förklaras med att malningen ger små fibriller på ytan av fibern och en mjukare och böjligare fiber. Därmed ökar bindningsstyrkan då bindningsarean ökar och fibern blir mjukare och böjligare. Den ökade bindningsgraden samt den minskade fiberstyrkan kan förklara varför rivindex fortfarande var lägre för massan med högre xylanhalt trots att dragindex ökade med ökad malning.En annan förklaring kan vara att vid ett långt kok med låg temperatur är det troligt att lignin adsorberas på fibrerna.Ligninet på ytan ger en sämre bindningsförmåga vilket leder till att de är lättare att dra ur nätverket med lägre energiåtgång som följd.
198

Neuroproteção hipotérmica pré, intra e pós-isquêmica na isquemia cerebral focal temporária em ratos: análise morfométrica / Pre, intra and post-Ischemic hypothermic neuroprotection in temporary focal cerebral ischemia in rats: morphometric analysis

Roberto Alexandre Dezena 28 January 2011 (has links)
INTRODUÇÃO: A isquemia cerebral é uma doença de alta prevalência, com desfecho clínico imprevisível, e com profilaxia e tratamento ainda limitados. Na atividade neurocirúrgica, as duas situações em que a isquemia cerebral ocorre com maior freqüência são o vasoespasmo arterial, que ocorre após hemorragia subaracnóidea, e nas microneurocirurgias vasculares, especialmente naquelas em que são realizadas clipagens vasculares temporárias. Dentre todas as formas de neuroproteção a hipotermia tem se mostrado a mais promissora em estudos experimentais. Pode ser aplicada em diferentes momentos do processo isquêmico (pré, intra ou pós-isquemia), sendo a modalidade pré-isquêmica pouco explorada na literatura. O objetivo deste estudo foi avaliar comparativamente o efeito da hipotermia pré, intra e pós-isquêmica na isquemia focal temporária por oclusão da artéria cerebral média em ratos, através de análise morfométrica computacional. MATERIAL E MÉTODOS: Foram utilizados 74 ratos machos adultos da linhagem Wistar, divididos em 6 grupos, com 10 animais cada: Controle (C), Sham (S), Controle-Isquêmico (CI), Hipotermia Pré-Isquêmica (IH1), Hipotermia Intra-Isquêmica (IH2), Hipotermia Pós-Isquêmica (IH3). Todos os animais dos grupos isquêmicos foram submetidos à isquemia de 60 minutos, com um período reperfusional de 24 horas. A hipotermia utilizada foi do tipo leve (32 - 34 ºC). No grupo IH1 a hipotermia foi iniciada 30 min antes da oclusão arterial e mantida durante toda a isquemia; no grupo IH2 a hipotermia foi mantida somente durante a isquemia; no grupo IH3 a hipotermia foi mantida por 6 horas, sendo iniciada no exato momento da reperfusão. Após a eutanásia os cérebros foram perfundidos e fixados, sendo realizadas secções coronais de 10 micrômetros, em toda a extensão da área isquêmica, as quais foram coradas pela técnica Luxol Fast Blue. A morfometria foi realizada pelo programa KS400, Carl Zeiss, obtendo-se medidas diretas separadas de cada hemisfério, das áreas em azul (fibras mielinizadas) e em vermelho (corpos neuronais), bem como a área total de cada secção. Medidas derivadas (área isquêmica média, e volumes isquêmicos parcial e aproximado) de cada animal, foram obtidas nos grupos submetidos à isquemia. RESULTADOS: Os parâmetros da homeostase dos animais permaneceram dentro dos limites aceitáveis para este tipo de experimento. Em relação às áreas de fibras mielinizadas (azul) não houve diferença significativa entre os grupos C vs. S (p=0,39, Mann-Whitney-Wilcoxon), CI vs. IH3 (p=0,85, Mann-Whitney-Wilcoxon), e IH1 vs. IH2 (p=0,63, Mann-Whitney-Wilcoxon); ocorreu diferença estatística entre os grupos C vs. CI (p=0,0001, Mann-Whitney-Wilcoxon), CI vs. IH1 (p=0,01, Mann-Whitney-Wilcoxon), e CI vs. IH2 (p=0,03, Mann-Whitney-Wilcoxon). Em relação às áreas de corpos neuronais (vermelho), não houve diferença significativa entre os grupos C vs. S (p=0,48, Mann-Whitney-Wilcoxon), CI vs. IH3 (p=0,27, Mann-Whitney-Wilcoxon), e IH1 vs. IH2 (p=0,68, Mann-Whitney-Wilcoxon); ocorreu diferença estatística entre os grupos C vs. CI (p=0,0001, Mann-Whitney-Wilcoxon), CI vs. IH1 (p=0,009, Mann-Whitney-Wilcoxon), e CI vs. IH2 (p=0,03, Mann-Whitney-Wilcoxon). A análise estatística das áreas isquêmicas médias, e dos volumes isquêmicos parciais e aproximados não mostrou diferença significante na comparação entre os grupos CI vs. IH3 (p=0,57, Mann-Whitney-Wilcoxon), e IH1 vs. IH2 (p=0,79, Mann-Whitney-Wilcoxon); mostrou diferença significante entre os grupos CI vs. IH1 (p=0,0001, Mann-Whitney-Wilcoxon), e CI vs. IH2 (p=0,0011, Mann-Whitney-Wilcoxon). CONCLUSÕES: As hipotermias pré-isquêmica e intra-isquêmica mostraram-se neuroprotetoras de forma semelhante, o que não ocorreu com a hipotermia pós-isquêmica. / INTRODUCTION: Cerebral ischemia is a high prevalent disease, with unpredictable clinical outcome, and prophylaxis and treatment remains limited. In the neurosurgical practice cerebral ischemia occurs most frequently due arterial vasospasm after subarachnoid hemorrhage, and in vascular microneurosurgery, mainly when temporary vascular clipping is performed. Among all forms of experimental neuroprotection, hypothermia has been the most promising. It can be applied at different moments of ischemia (pre, intra or post-ischemia), and the pre-ischemic modality is little explored in literature. This study aimed to evaluate comparatively the effect of pre, intra and post-ischemic hypothermia in temporary focal ischemia obtained by middle cerebral artery occlusion in rats, by computational morphometric analysis. MATERIAL AND METHODS: We used 74 Wistar adult male rats divided into six groups of 10 animals each: Control (C), Sham (S), Ischemic-Control (IC), Pre-Ischemic Hypothermia (IH1), Intra-Ischemic Hypothermia (IH2), Post-Ischemic Hypothermia (IH3). All animals in the ischemic groups were subjected to ischemia for 60 minutes with a reperfusion period of 24 hours. It was used mild hypothermia (32 - 34 ºC). In IH1 group hypothermia was initiated 30 minutes before arterial occlusion and maintained throughout the ischemia, in IH2 group hypothermia was maintained only during ischemia, IH3 group hypothermia was maintained for 6 hours, starting at the beginning of the reperfusion. After euthanasia, the brains were perfused and fixed, and coronal sections of 10 microns were performed to the fullest extent of ischemic area, and these sections were stained by Luxol Fast Blue. The morphometry was performed by the KS400 software, Carl Zeiss, obtaining direct separated measurements in each hemisphere, of blue areas (myelinated fibers) and red areas (neuronal bodies) as well as the total area of each section. Derived measures (average ischemic area, and partial and approximated ischemic volumes) were also obtained from the ischemic groups. RESULTS: The animal homeostasis parameters remained within acceptable limits for this type of experiment. Regarding the myelinated areas (blue) there was no significant difference between groups C vs. S (p=0,39, Mann-Whitney-Wilcoxon), IC vs. IH3 (p=0,85, Mann-Whitney-Wilcoxon), and IH1 vs. IH2 (p=0,63, Mann-Whitney-Wilcoxon), and there was statistical difference between groups C vs. IC (p=0,0001, Mann-Whitney-Wilcoxon), IC vs. IH1 (p=0,01, Mann-Whitney-Wilcoxon), and IC vs. IH2 (p=0,03, Mann-Whitney-Wilcoxon). Regarding the neuronal bodies areas (red) there was no significant difference between groups C vs. S (p=0,48, Mann-Whitney-Wilcoxon), IC vs. IH3 (p=0,27, Mann-Whitney-Wilcoxon), and IH1 vs. IH2 (p=0,68, Mann-Whitney-Wilcoxon), and there was significant difference between C vs. IC groups (p=0,0001, Mann-Whitney-Wilcoxon), IC vs. IH1 (p=0,009, Mann-Whitney-Wilcoxon), and IC vs. IH2 (p=0,03, Mann-Whitney-Wilcoxon). Statistical analysis of average ischemic areas, and partial and approximated volumes of ischemic regions showed no significant difference between groups IC vs. IH3 (p=0,57, Mann-Whitney-Wilcoxon), and IH1 vs. IH2 (p=0,79, Mann-Whitney-Wilcoxon), and showed statistical difference between groups IC vs. iH1 (p = 0,0001, Mann-Whitney-Wilcoxon), and IC vs. IH2 (p = 0,0011, Mann-Whitney-Wilcoxon). CONCLUSIONS: Pre-ischemic and intra-ischemic hypothermia were shown to be similarly neuroprotective, but this was not true for post-ischemic hypothermia.
199

Ressonância magnética quantitativa das alterações estruturais do corpo caloso na doença de Alzheimer e no comprometimento cognitivo leve / Quantitative MRI of strutural changes of the corpus callosum in Alzheimer\'s disease and mild cognitive impairment

Breno William Corrêa dos Santos 12 June 2017 (has links)
Objetivo: Avaliar a atrofia do corpo caloso (CC) em pacientes com doença de Alzheimer (DA) e comprometimento cognitivo leve (CCL) e quantificar quais regiões dessa estrutura são mais acometidas nessa doença como uso de técnicas quantitativas de ressonância magnética. Metodologia: O estudo contou com a participação de 75 indivíduos sendo 22 controles normais (CN), 30 com CCL e 23 com DA. O volume total do corpo caloso e suas 3 diferentes sub regiões foram delimitadas em cortes sagitais de imagem de ressonância magnética. Os volumes obtidos foram corrigidos para a variação de volume intracraniano. As mascaras foram co-registradas a mapas de relaxometria e transferência de magnetização para analise quantitativa. Resultados: Encontramos atrofia e redução dos valores de relaxometria e transferência de magnetização nos pacientes do grupo DA. As tres sub regiões do corpo caloso apresentaram redução de volume na doença sendo que a atrofia foi maior nas regiões anteriores. Não encontramos diferença significativa nos parâmetros estudados entre CCL e CN. Conclusões: Embora o corpo caloso esteja envolvido no processo de desconexão cortical presente na doença de Alzheimer seu envolvimento não é precoce. / Objective: To evaluate the atrophy of the corpus callosum (CC) in patients with Alzheimer disease (AD) and mild cognitive impairment (CCL) and quantify which regions of this structure are most affected in this disease as using quantitative MRI techniques. Methodology: The study counted on the participation of 75 individuals being 22 normal controls (CN), 30 with CCL and 23 with AI). The total volume of the corpus callosum and its v 3 different sub regions were delimited in sagittal sections of magnetic resonance imaging. The volumes obtained were corrected for intracranial volume variation. The masks were recorded with maps of relaxometry and transfer of magnetization for quantitative analysis. Results: We found atrophy and reduced values of relaxometry and magnetization transfer in patients in the AD group. The three sub regions of the corpus callosum showed volume reduction in the disease, with atrophy being greater in the anterior region. We found no significant difference in the parameters studied between CCL and CN fit .Conclusions: Although the corpus callosum is involved in the process of cortical detachment present in Alzheimer\'s disease, its involvement is late.
200

Influência dos mecanismos fisiopatológicos da hiperprolactinemia moderada na ovulação de mulheres inférteis / Influence of the pathophysiological mechanisms of hyperprolactinemia ovulation in infertile women

Sanchez, Eliane Gouveia de Morais 29 October 2015 (has links)
Submitted by Luciana Ferreira (lucgeral@gmail.com) on 2016-04-06T14:30:58Z No. of bitstreams: 2 Tese - Eliane Gouveia de Morais Sanchez - 2015.pdf: 1194460 bytes, checksum: 67eee577cf08aa1bdca9f0cbdddad7f1 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2016-04-06T14:33:14Z (GMT) No. of bitstreams: 2 Tese - Eliane Gouveia de Morais Sanchez - 2015.pdf: 1194460 bytes, checksum: 67eee577cf08aa1bdca9f0cbdddad7f1 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Made available in DSpace on 2016-04-06T14:33:14Z (GMT). No. of bitstreams: 2 Tese - Eliane Gouveia de Morais Sanchez - 2015.pdf: 1194460 bytes, checksum: 67eee577cf08aa1bdca9f0cbdddad7f1 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2015-10-29 / Infertility reflects the inability of a couple to achieve pregnancy after one year of sexual intercourse without contraception. Most common causes are related to ovulatory disorders such as hyperprolactinaemia, polycystic ovary syndrome, thyroid dysfunction, corpus luteum deficiency, among others, and can be identified mainly by ultrasound and hormonal dosage. The overall objective of this study was to evaluate the influence of prolactin ovulation in infertile women suffering from regular cycles. It is case-control study, whose sample consisted of 343 women with age range 20-40 years old, attended from 2000 to 2014 in LabRep-HC / UFG and an office of Obstetrics and Gynecology, private network in Goiânia, Goiás, Brazil. Data collection was performed by analyzing the physical records stored in Medical Records and Health Information Service (SAMIS) and electronics made available by the database (Sisfert) (© Approbato, 2013). The patients were classified according to the ovulation state measured by progestogen dosage (≥ 5.65 ng / ml and 5.65 - 9.9 ng / ml) and ovulation by monitoring the ultrasound being divided into four groups: (I ) probable ovulation, (II) likely anovulation. In Groups I and II were compared with the percentages of patients who do not ovulate with normal prolactin (3 to 20 ng / ml) versus moderately elevated prolactin (21 to 29 ng / ml). In group III were evaluated Normal progesterone levels (≥ 10 ng / mL) versus low progesterone (Group IV) (5.65 - 9.9 ng / ml) was considered as LUF (non-luteinized ruptured follicle). The groups were comparable for comparable as to age, body mass index (BMI), duration of infertility, FSH (ng / ml) TSH (mIU / l), LH (IU / l) and oestradiol (ng / dL) . SPSS Statistics 20.0 software and Bioestat (version 5.3) were used to for data analysis and chi-square test (X2) to assess differences between proportions. Where it is not for statistical analysis were calculated mean and standard deviation of the variables under study. The results demonstrated that moderate elevation of prolactin (21-29 ng / ml) caused a significant reduction (p = 0.03) in the ovulation rate of infertile patients with regular cycles considering as a criterion for ovulation progesterone levels ≥5, 65 ng / ml. When evaluated the influence of low progesterone on ovulation monitored by ultrasound was observed that these levels can significantly reduce the percentage of ovulation. It is concluded that a moderate hyperprolactinaemia and low progesterone can negatively influence the regulation of ovulation in infertile women with regular menstrual cycles. / A infertilidade reflete a incapacidade de um casal conseguir gravidez após um ano de relações sexuais sem contracepção. Causas mais comuns estão relacionadas a disfunções ovulatórias como a hiperprolactinemia, síndrome de ovário policístico, disfunções da tireóide, deficiência de corpo lúteo, entre outras, e que podem ser identificadas, principalmente, por dosagem hormonal e ultrassonografia. O objetivo geral desse estudo foi avaliar a influência dos níveis de prolactina na ovulação de mulheres inférteis portadoras de ciclos regulares. Trata-se de estudo caso-controle, cuja amostra foi composta por 343 mulheres com faixa etária compreendida de 20 a 40 anos, atendidas no período de 2000 a 2014 no LabRep-HC/UFG e em um consultório de Ginecologia e Obstetrícia da rede particular em Goiânia, Goiás, Brasil. A coleta de dados foi feita pela análise dos prontuários físicos armazenados no Serviço de Arquivo Médico e Informações em Saúde (SAMIS) e eletrônicos disponibilizados pelo banco de dados (Sisfert) (©Approbato, 2013). As pacientes foram classificadas de acordo com o estado ovulatório avaliado pela dosagem de progesterona (≥ 5,65 ng/ml e de 5,65 – 9,9 ng/ml) e monitorização da ovulação pelo ultrassom sendo divididas em quatro grupos: (I) provável ovulação, (II) provável anovulação. Nos grupos I e II foram comparadas as porcentagens de pacientes que não ovulavam com prolactina normal (3 a 20 ng/ml) versus prolactina moderadamente elevada (21 a 29 ng/ml). No grupo III foram avaliados os níveis de progesterona normal (≥ 10 ng/ml) versus progesterona baixa (Grupo IV) (5,65 – 9,9 ng/ml) considerada como LUF (Folículo Luteinizado não-roto). Os grupos foram pareados para a comparabilidade quanto a idade, índice de massa corporal (IMC), duração da infertilidade, FSH (ng/ml), TSH (mUI/l), LH (UI/l) e estradiol (ng/dl). Os programas SPSS Statistics 20.0 e Bioestat (versão 5.3) foram utilizados para para a análise dos dados e o teste Qui quadrado (X2) para avaliar as diferenças entre proporções. Onde não coube análise estatística foram calculadas média e desvio padrão das variáveis em estudo. Os resultados demonstraram que a elevação moderada da prolactina (21-29 ng/ml) provocou a redução significativa (p=0,03) na porcentagem de ovulação das pacientes inférteis portadoras de ciclos regulares considerando como critério de ovulação níveis de progesterona ≥5,65 ng/ml. Quando avaliada a influência da progesterona baixa sobre a ovulação monitorada pelo ultrassom foi observado que esses níveis podem reduzir de forma significativa a porcentagem de ovulação. Conclui-se que a hiperprolactinemia moderada e a progesterona baixa podem influenciar negativamente na regulação da ovulação de mulheres inférteis com ciclos regulares.

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