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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

Endocarditis II: Clinical Features of Infective Endocarditis

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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

Heart Failure III: Clinical Manifestations

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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.
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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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临床表现 临床表现

Ying Chen1,2, Zaichao Wu3,4, Jie Chen3,4

  • 1Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, Shanghai, Shanghai, China.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 24, 2025
PubMed
概括

这项研究发现,饮酒和自我报告的听力障碍可能会改善老年人的听力和认知能力. 年龄和吸烟被确定为老年人认知能力下降的危险因素.

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科学领域:

  • 老年学是一门学科.
  • 听力学 听力学是指听力学.
  • 认知科学 认知科学

背景情况:

  • 与年龄相关的听力障碍在老年人中很常见,并且与认知能力下降有关.
  • 中国听力解决方案改善老年人的认知功能 - 队列研究 (CHOICE-C) 调查了这种关系.
  • 本文详细介绍了CHOICE-C研究的方法,质量控制和初步发现.

研究的目的:

  • 在中国老年人群中探索听力障碍和认知衰退之间的关联.
  • 介绍CHOICE-C研究的招聘,数据管理和质量控制流程.
  • 报告关于听力,认知和相关因素的基线和第一年随访结果.

主要方法:

  • 通过社区卫生中心,外展和社交媒体活动招聘.
  • 数据收集包括问卷 (人口统计,听力史),迷你精神状态检查 (MMSE) 和听力学评估 (声势,纯色音量测试,静音语音测试).
  • 为了数据的可靠性和准确性,实施了多个阶段的质量控制措施.

主要成果:

  • 分析了18714名参与者 (平均年龄69.6岁,56%是女性).
  • 73%的参与者表现出听力障碍 (更好的耳朵纯音平均> 20dB HL).
  • 饮酒和自我报告的听力障碍与听力和认知能力的改善有关;年龄和吸烟是危险因素.

结论:

  • 酒精消费和自我报告的听力障碍显示出与改善听力和认知功能的潜在联系.
  • 年龄和吸烟被确定为影响老年人听力和认知的重要风险因素.
  • 强大的质量控制对于在听力和认知研究中管理大量队列数据至关重要.