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Gastroesophageal Reflux Disease II: Clinical Features and Management01:29

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Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
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Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
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Video Experimental Relacionado

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A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
07:50

A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts

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Manifestaciones Clínicas

Benjamin S Zide1, Jessa Burling2, David H Adamowicz1,3,4

  • 1Brigham and Women's Hospital, Boston, MA, USA.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
PubMed
Resumen
Este resumen es generado por máquina.

Una mayor sabiduría en adultos mayores se relacionó con una menor acumulación de amiloide en el cerebro, un marcador clave para la enfermedad de Alzheimer (EA) preclínica. Esto sugiere que la sabiduría puede ser un indicador potencial para la detección temprana de la EA.

Palabras clave:
sabiduríafunción cognitivabiomarcadores de Alzheimerdetección temprana de Alzheimer

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Área de la Ciencia:

  • Neurociencia
  • Gerontología
  • Psicología

Sus antecedentes:

  • La sabiduría, una compleja capacidad cognitiva y socioemocional, influye en la toma de decisiones diaria.
  • Representa un funcionamiento mental superior, no necesariamente ligado a la edad, el CI o la educación.
  • Su relación con los biomarcadores de la enfermedad de Alzheimer (EA) preclínica no se comprende bien.

Objetivo del estudio:

  • Investigar la asociación entre la sabiduría y sus subdominios con variables demográficas y clínicas.
  • Determinar la relación entre la sabiduría y los biomarcadores de neuroimagen de la EA en adultos mayores cognitivamente sanos.

Principales métodos:

  • Se evaluó a 106 adultos mayores cognitivamente sanos del Harvard Aging Brain Study.
  • Las medidas incluyeron sabiduría autoinformada (Escala SD-Wise), CI, cognición (CFI, PACC) y depresión (GDS).
  • La carga de amiloide beta (Aβ) se midió mediante escáneres PET de PiB en 83 participantes.

Principales resultados:

  • Una mayor sabiduría se correlacionó con el sexo femenino y puntuaciones más bajas de depresión.
  • Una mayor sabiduría total se asoció con una menor carga de amiloide beta cortical (PiB-SUVr).
  • Dominios específicos de la sabiduría (decisión, autorreflexión, asesoramiento social) se relacionaron con una menor carga de Aβ.

Conclusiones:

  • La sabiduría no se asoció con la educación, el CI o el rendimiento cognitivo en esta muestra.
  • La sabiduría, en particular sus componentes como la decisión y la autorreflexión, puede ser sensible a la patología Aβ.
  • La sabiduría podría representar un signo medible y potencialmente no reconocido de la enfermedad de Alzheimer preclínica.