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Chronic Kidney Disease II: Clinical Manifestations01:24

Chronic Kidney Disease II: Clinical Manifestations

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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

Coronary Artery Disease III: Clinical Manifestations

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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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Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
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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

Gastroesophageal Reflux Disease II: Clinical Features and Management

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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.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
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Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

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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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臨床症状

Esther Brill1, Alexa Frederike Holfelder1, Michael Falkner2

  • 1University Hospital of Old Age Psychiatry and Psychotherapy, Bern, Bern, Switzerland.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
PubMed
まとめ
この要約は機械生成です。

コンピューター化された認知トレーニング(CCT)は、高齢者の認知機能低下に対して短期的な効果を示さなかった。高い遵守率は、CCTが長期的に、または他の介入と組み合わせて価値がある可能性を示唆している。

キーワード:
高齢者認知機能低下コンピューター化認知トレーニングアルツハイマー病健康的な老化

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科学分野:

  • 神経科学; 老年医学; 認知心理学

背景:

  • 主観的認知機能低下(SCD)および軽度認知障害(MCI)はアルツハイマー病を予測する。; コンピューター化認知トレーニング(CCT)は、潜在的な非薬理学的介入である。; 過去のCCT研究では、結果が混在しており、遵守に課題があることが示されている。

研究 の 目的:

  • SCD/MCI患者におけるCCTの有効性を評価する。; CCTをアクティブコントロール群および待機リストコントロール群と比較する。; 神経生理学的および血液ベースのバイオマーカーを評価する。

主な方法:

  • 155人の参加者(平均年齢72.2歳)を対象とした二施設共同無作為化比較試験(RCT)。; 3つのアーム:CCT、アクティブコントロール(ドキュメンタリー)、待機リストコントロール。; 60セッションの3ヶ月間の介入の後、介入群は6ヶ月間のCCTを実施。

主要な成果:

  • 認知成績に関する有意な群と時点の交互作用は認められなかった。; グループ全体で高い遵守率(週4.87セッション)が観察された。; 灰白質の体積またはアミロイドレベルに変化はなく、長期トレーニング後に主観的な改善が認められた。

結論:

  • 3ヶ月間のCCTでは、特定の認知的または生物学的な利点は示されなかった。; 高い遵守率は、個別化された関連性の高い介入の重要性を示唆している。; 長期的なCCTは肯定的な主観的効果を示し、多成分介入におけるその役割を示唆している。