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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 III: Clinical Manifestations01:30

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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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Endocarditis II: Clinical Features of Infective Endocarditis01:25

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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

Agustina Melnitzky1, Alice Baez Lovera1, Waleska Berrios2

  • 1Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

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

El Método Montessori (MM) muestra ser prometedor para personas con Trastorno Neurocognitivo Mayor (TNM), estabilizando la función cognitiva y reduciendo la ansiedad. Este enfoque también mantuvo los niveles de estrés del cuidador en un estudio piloto.

Palabras clave:
Método MontessoriTrastorno Neurocognitivo Mayorrehabilitación cognitivasalud mentalestrés del cuidador

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Área de la Ciencia:

  • Gerontología y Enfermedades Neurodegenerativas
  • Estrategias de Rehabilitación Cognitiva
  • Intervenciones Psicosociales para la Demencia

Sus antecedentes:

  • El Método Montessori (MM), adaptado para el Trastorno Neurocognitivo Mayor (TNM), utiliza principios de estimulación cognitiva (EC) y Atención Centrada en la Persona.
  • El MM tiene como objetivo mejorar la participación, la independencia y abordar los déficits en el lenguaje, la memoria y la orientación a través de actividades adaptadas.
  • Se enfatiza la colaboración del cuidador para la EC continua en el hogar.

Objetivo del estudio:

  • Explorar los efectos de las sesiones grupales de estimulación cognitiva (EC) utilizando el MM en pacientes con TNM y sus cuidadores.
  • Evaluar los cambios en el rendimiento cognitivo, el estado de ánimo, la calidad de vida, la funcionalidad del paciente y el estrés del cuidador.

Principales métodos:

  • Un estudio piloto que involucró a 10 pacientes con TNM y sus cuidadores durante tres meses.
  • Se implementaron sesiones de EC basadas en MM, con evaluaciones antes y después de la intervención.
  • Las medidas estandarizadas incluyeron MMSE, HADS, SF-36, Zarit Burden Interview e Índice de Lawton y Brody.

Principales resultados:

  • El rendimiento cognitivo (MMSE) se mantuvo estable; la ansiedad disminuyó, mientras que la depresión aumentó ligeramente.
  • El estado funcional del paciente fue estable o mejoró; la salud mental autopercibida mejoró, pero la percepción general de la salud disminuyó.
  • Los niveles de estrés del cuidador mostraron cambios mínimos durante el estudio.

Conclusiones:

  • La EC basada en MM parece ser eficaz para mantener las capacidades cognitivas y emocionales en pacientes con TNM, reduciendo notablemente la ansiedad.
  • La intervención demostró potencial para mejorar la salud mental autopercibida en los pacientes y estabilizar el estrés del cuidador.
  • Se recomienda una mayor investigación con muestras más grandes para confirmar la eficacia del MM para intervenciones en TNM.