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Certain new aspects of etiology and pathogenesis of Alzheimer’s disease
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作者 Ivan V. Maksimovich 《Advances in Alzheimer's Disease》 2012年第3期68-76,共9页
The research focuses on the possibility of early detection of AD-specific vascular and atrophic brain changes in families which have a tendency to inherit the disease. The research includedthree families with AD inher... The research focuses on the possibility of early detection of AD-specific vascular and atrophic brain changes in families which have a tendency to inherit the disease. The research includedthree families with AD inheritance. All patientsunderwent: cognitive function assessment(MMSE),determination of dementia severity(CDR) and AD stages (TDR), computed tomography (CT), magnetic resonance imaging (MRI), scintigraphy of the brain (SG), rheoencephalography (REG), and cerebral multigated angiography (MUGA). All patients with different AD stages, as well as their descendants, have specific atrophic changes in the temporal lobes of the brain. The degree of these changes increases as AD becomes more severe and ranges from 4% - 8% (TDR-0) to 33% - 62% (TDR-3) of the total mass of a healthy person’s temporal lobes. Simultaneously, thepatients examined have changes of microcirculation manifested by reduction of the capillarybed in the temporal and frontalparietal regions,the development of multiple arteriovenousshunts in the same areas, early venous dumping, anomalous expansion of venoustrunks that receive blood from the arterialvenous shunts, venous stasis on the frontoparietal boundary. Similar changes are found among AD patients’ descendants aged 8 - 11, the only difference being in the degree of temporal lobes atrophy which is 4.7%. This proves that microcirculatory disorders are primary and atrophic changes of the temporal lobes are secondary in AD development. The data obtained indicate that the examination of AD patients’ relatives should begin well before the possible manifestations of the disease, even in childhood. It will allow to reveal the possibility of inheritance and the signs of the disease at the earliest possible stage and to begin its treatment in time. 展开更多
关键词 alzheimer's disease CDR TDR Dementia Vascular Factors in alzheimers disease Dyscirculatory ANGIOPATHY of alzheimers Type DAAT Hippocampus Temporal LOBEs ATROPHY
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Differences in Cerebral Angioarchitectonics in Alzheimer’s Disease in Comparison with Other Neurodegenerative and Ischemic Lesions
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作者 Ivan V. Maksimovich 《World Journal of Neuroscience》 2018年第4期454-469,共16页
Introduction: The research focuses on the clinical study of cerebral angioarchitectonics and microcirculation disorders in the development of Alzheimer’s disease (AD) in comparison with other neurodegenerative and is... Introduction: The research focuses on the clinical study of cerebral angioarchitectonics and microcirculation disorders in the development of Alzheimer’s disease (AD) in comparison with other neurodegenerative and ischemic lesions. Materials and methods: 1117 patients with different types and stages of neurodegenerative and ischemic lesions were examined, 93 of whom (8.33%) had different stages of AD—Test Group;1024 (91.67%) had cerebral atherosclerosis, Binswanger disease (BD), vascular Parkinsonism (VP)—Control Group. The examination included definition of CDR, MMSE, cerebral CT, MRI, cerebral sciagraphy (SG), rheoencephalography (REG), morphometric detection of AD stages with TDR, and cerebral multi-gated angiography (MUGA). Results: In all patients with AD, regardless of the disease stage, specific сerebral small vessel disease (CSVD), manifested by dyscirculatory angiopathy of Alzheimer’s type (DAAT), was detected in the temporal and fronto-parietal areas. Conclusions: DAAT is an AD-specific lesion of cerebral microvessels that changes hemodynamics, causes cerebral hypoxia, and contributes to impaired amyloid beta metabolism. The combination of deposition of amyloid beta in the cerebral tissue and vascular wall, as well as specific disorders of microcirculation, cause neurodegeneration and AD development. Patients with other neurodegenerative and ischemic lesions had no DAAT manifestations. 展开更多
关键词 CsVD CEREBRAL ATROPHY DAAT. TDR dyscirculatory ANGIOPATHY of alzheimers type alzheimer's disease Tomography DEMENTIA Rating scale DEMENTIA
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S-腺苷甲硫氨酸治疗精神神经系统疾病的前景 被引量:1
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作者 王宏梅 《黑龙江科技信息》 2011年第34期27-27,14,共2页
S-腺苷甲硫氨酸(SAMe,SAM,或AdoMet)是参与体内多种细胞代谢活动的一种重要的化合物,参与转甲基、转硫基和转氨基等人体中超过100种生物代谢反应。人体缺乏SAMe后会出现消化和神经系统疾病如肝病、抑郁症和老年痴呆等。SAMe用于各种肝... S-腺苷甲硫氨酸(SAMe,SAM,或AdoMet)是参与体内多种细胞代谢活动的一种重要的化合物,参与转甲基、转硫基和转氨基等人体中超过100种生物代谢反应。人体缺乏SAMe后会出现消化和神经系统疾病如肝病、抑郁症和老年痴呆等。SAMe用于各种肝病的治疗已经广为人知,但是用于精神神经系统的治疗在我国还没有开始。就SAMe用于精神和神经系统的研究结果作了综述。及时补充SAMe对于改善Alzheimer's病(AD)、帕金森氏症(PD)的症状具有重要的意义。随着我国和世界人口老龄化的日益加速,SAMe未来将在治疗各种常见的老年神经系统的多种疾病中起到重要的作用。 展开更多
关键词 s-腺苷蛋氨酸 alzheimer's disease(AD) Parkinson’s disease(PD)
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Beers标准评价住院阿尔茨海默病患者潜在性不适当用药 被引量:1
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作者 王晓 孙波 +1 位作者 孙振晓 于相芬 《四川精神卫生》 2015年第3期205-207,共3页
目的分析山东省临沂市精神卫生中心住院阿尔茨海默病(AD)患者潜在的不适当用药情况。方法以Beers标准(2012年版)为依据,对该院102例AD住院患者进行分析,评价潜在性不适当用药情况。结果 102例AD住院患者中,应用于痴呆及认知功能受损老... 目的分析山东省临沂市精神卫生中心住院阿尔茨海默病(AD)患者潜在的不适当用药情况。方法以Beers标准(2012年版)为依据,对该院102例AD住院患者进行分析,评价潜在性不适当用药情况。结果 102例AD住院患者中,应用于痴呆及认知功能受损老年患者需避免使用的苯二氮艹卓类药物34例(33.33%)、抗胆碱能药物29例(28.43%)。应用于痴呆患者需慎用的抗精神病药物75例(73.53%)。结论该院住院AD患者存在潜在性不适当用药情况,特别是苯二氮艹卓类药物及抗胆碱能药物,应采取综合措施预防不合理用药。 展开更多
关键词 Beers标准 住院阿尔茨海默病患者 潜在性不适当用药
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The β-amyloid protein induces S100β expression in rat hippocampus through a mechanism that involves IL-1
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作者 杨杰 钱亦华 +3 位作者 胡海涛 刘勇 邱芬 胡晓丹 《Journal of Pharmaceutical Analysis》 SCIE CAS 2007年第2期186-190,211,共6页
Objective To explore the effect of β-amyloid protein (Aβ) on S100β expression in rat hippocampus and its mechanisms. Methods At 7 days after bilateral stereotaxis injection of different dose of fibrillar Aβ 25-35 ... Objective To explore the effect of β-amyloid protein (Aβ) on S100β expression in rat hippocampus and its mechanisms. Methods At 7 days after bilateral stereotaxis injection of different dose of fibrillar Aβ 25-35 and interluekin-1 receptor antagonist (IL-1ra) into the rat CA1 region, the learning and memory abilities of rats were tested with passive avoidance task. Amyloid deposition was detected by using Congo red staining technique. Nissl staining and immunohistochemical techniques were used to analyze the number of neurons, and GFAP and the S100β expression in hippocampal CA1 region , respectively. Results After fibrillar Aβ injection, the step-through latency of rats was significantly shortened compared to that of the control group. The GFAP positive astrocytes were found surrounding amyloid deposition. Neuronal loss occurred in the pyramidal cell layer of CA1 region. The number of S100β positive cells in Aβ-treated group was significantly increased compared with that in the control group. After IL-1ra injection, the number of S100β positive cells was significantly decreased. Conclusion Intrahippocampal injection of Aβ 25-35 could cause similar pathologic changes of Alzheimer’s disease. Aβ 25-35 was capable of up-regulating S100β expression in a dose-dependent manner. The injection of IL-1ra could attenuate the effect of Aβ on S100β expression. 展开更多
关键词 β-amyloid protein s100Β INTERLEUKIN-1 HIPPOCAMPUs alzheimer's disease
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Syntheses of Two Potential Ligands for Tc-99m Labeling as Diagnosis Agents of Alzheimer's Disease
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作者 庄治平 孔一田美萍 +2 位作者 小野正博 侯元淳 孔繁渊 《Chinese Journal of Chemistry》 SCIE CAS CSCD 2003年第7期824-832,共9页
Two types of ligands-biphenyl and stilbene derivatives, -which can be labeled with Tc-99m for the diagnosis of Alzheimer' s disease (AD) have been synthesized successfully. The key steps in these two syntheses inv... Two types of ligands-biphenyl and stilbene derivatives, -which can be labeled with Tc-99m for the diagnosis of Alzheimer' s disease (AD) have been synthesized successfully. The key steps in these two syntheses involved Suzuki reaction and Wittig reaction respectively. The new discovered debromination reaction may be expanded to the compounds with double or triple bond adjacent to the carbon atom bearing the bromine atoms. These types of syntheses provide a route to a series of biphenyl and stilbene derivatives that will benefit the search of new imaging agents for AD. 展开更多
关键词 alzheimer' s disease imaging agent diagnosis biphenyl sTILBENE suzuki reaction Wittig reaction
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应用自测健康量表评估肛门良性疾病住院患者的临床疗效 被引量:4
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作者 贾随旺 徐娟 +3 位作者 许军 王东 陈杰 李日增 《中国临床康复》 CSCD 2003年第26期3614-3615,共2页
目的:了解肛门良性疾病住院患者自测健康状况,评价临床疗效。方法:对50例肛门良性疾病住院患者和50例正常人群进行自测健康评定量表(self-ratedhealthmeasurementscale,SRHMS)评定。结果:肛门良性疾病住院患者的自测健康与正常人群存在... 目的:了解肛门良性疾病住院患者自测健康状况,评价临床疗效。方法:对50例肛门良性疾病住院患者和50例正常人群进行自测健康评定量表(self-ratedhealthmeasurementscale,SRHMS)评定。结果:肛门良性疾病住院患者的自测健康与正常人群存在显著性差异,P<0.01,t=0.76~10.73。经手术治疗及健康宣教,术后1周,肛门良性疾病住院患者除生理健康外在心理和社会健康方面变化显著,P<0.01,t=0.82~5.92;术后4周,其整体健康状况改善显著,P<0.01,t=0.58~12.57。结论:肛门良性疾病患者临床治疗及健康宣教的效果是好的。SRHMS为肛门良性疾病患者的健康测量与监测提供了一个有效手段。 展开更多
关键词 肛门良性疾病 自测健康量表 疗效评估 sRHMs
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