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Chronic Kidney Disease II: Clinical Manifestations01:24

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Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
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Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
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Heart Failure III: Clinical Manifestations01:26

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Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
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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 III: Clinical Manifestations and Diagnostic Studies01:30

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

Yiorgos Antoniadis1, Peter S Pressman2, David Arciniegas3

  • 1St. George's University, True Blue, Saint George, Grenada.

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

El comportamiento de acaparamiento en afecciones neurocognitivas se relaciona con un aumento del dolor crónico. A diferencia de otras poblaciones, los síntomas de ansiedad y estado de ánimo no se correlacionaron significativamente en este grupo.

Palabras clave:
acaparamientodolor crónicoafecciones neurocognitivascomorbilidadesansiedadestado de ánimo

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Área de la Ciencia:

  • Neurociencia
  • Psiquiatría
  • Gerontología

Sus antecedentes:

  • El comportamiento de acaparamiento impacta significativamente la calidad de vida de los pacientes y cuidadores.
  • Investigaciones previas sugieren vínculos entre el acaparamiento y la depresión, la ansiedad y el dolor crónico.
  • Las asociaciones entre el acaparamiento y las comorbilidades están poco exploradas en afecciones neurocognitivas.

Objetivo del estudio:

  • Investigar la relación entre el comportamiento de acaparamiento y las comorbilidades en pacientes con afecciones neurocognitivas.
  • Explorar la asociación del comportamiento de acaparamiento con los síntomas de dolor, ansiedad y estado de ánimo en esta población.

Principales métodos:

  • Se administró la pantalla de acaparamiento (SIHS), el Cuestionario de Inventario Neuropsiquiátrico (NPIQ), el PHQ-9, el GAD-7 y la escala de dolor PROMIS-10.
  • Se recopilaron datos de cuidadores y autoinformados por pacientes de clínica con afecciones neurocognitivas.
  • Se analizaron las correlaciones entre SIHS y otras medidas utilizando modelos de efectos mixtos.

Principales resultados:

  • Las pantallas positivas de acaparamiento se correlacionaron significativamente con calificaciones de dolor más altas (aumento de ~3 puntos, p=0.004).
  • Esta asociación persistió después de controlar el sexo, la edad y la gravedad de la enfermedad.
  • No se encontraron correlaciones significativas entre el acaparamiento y los síntomas de ansiedad o estado de ánimo negativo.

Conclusiones:

  • Los comportamientos de acaparamiento se asocian con un aumento del dolor en pacientes con afecciones neurocognitivas.
  • La ausencia de correlación con los síntomas de estado de ánimo/ansiedad sugiere mecanismos distintos en esta población.
  • La investigación futura debe explorar sustratos neurobiológicos en el procesamiento del dolor y la función ejecutiva.