臨床的徴候
Andrew F Zaman1, Pedro R Mena2, Reginald Obiako3
1University of Miami Miller School of Medicine, Miami, FL, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
まとめ
本研究ではナイジェリア人向けの神経心理学的検査の基準値を確立し、教育が認知スコアに著しく影響することを発見した。これらの調整されたスコアは、多様な集団における神経認知障害の診断に役立つ。
科学分野:
- 神経科学
- 心理学
- 老年医学
背景:
- 神経認知障害の診断は、基準値に基づく神経心理学的検査に依存している。
- 集団固有の基準値は、正確な分類のために不可欠である。
- 本研究は、ナイジェリアの集団における神経心理学的指標の調整の必要性に対処する。
主な方法:
- ナイジェリアの認知機能に障害のない高齢者226名(READD-ADSP研究)からのデータ。
- 8つの神経心理学的検査に対する年齢、性別、教育、識字能力の影響を線形回帰分析で検討した。
- 検査には、MoCA、CERAD単語リスト、カテゴリー流暢性、言語流暢性、MINT、数唱、スティックデザイン、IDEA認知スクリーニングが含まれた。
結論:
- 本研究は、ナイジェリアにおける神経心理学的検査の基準データを開発するための基礎的な一歩である。
- 教育は、この集団において調整が必要な堅牢な要因として浮上した。
- 導出された回帰/基準値は、神経認知障害の診断精度を向上させることができる。
関連する概念動画
Chronic Kidney Disease II: Clinical Manifestations
520
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...
520
Coronary Artery Disease III: Clinical Manifestations
299
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...
299
Endocarditis II: Clinical Features of Infective Endocarditis
364
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...
364
Heart Failure III: Clinical Manifestations
436
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...
436
Gastroesophageal Reflux Disease II: Clinical Features and Management
652
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...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
652
Hypertension III: Clinical Manifestations and Diagnostic Studies
437
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...
437


