МЕДИКО-СОЦІАЛЬНА ОЦІНКА СТАНУ ПАЦІЄНТІВ З АТЕРОСКЛЕРОТИЧНИМИ УРАЖЕННЯМИ СОННИХ АРТЕРІЙ
Notice bibliographique
Résumé
Combining several assessment methods (functional independence, psycho-emotional and cognitive state, medical and social factors, cardiovascular risk, hereditary history) is critically important, since carotid atherosclerosis is a systemic disease with a multi-vector impact. The study aims to optimize the system for assessing medical, social, and sociodemographic characteristics in patients with carotid atherosclerosis using validated survey instruments. At the Neurological Pathology Diagnostic Center of the MNPE "Regional Clinical Hospital of the Ivano-Frankivsk Regional Council" for 2022-2024, 84 male individuals were examined. Of these, the study group consisted of 44 patients with clinical signs of carotid atherosclerosis. Forty patients with asymptomatic atherosclerotic lesions of the carotid arteries were selected for the comparison group. The age of men in both cohorts was 50-79 years. The Framingham risk scale for the development of cardiovascular events over the next 10 years was used to assess the medical and social factors of influence. Possible neurological deficit was evaluated according to the results of the National Institutes of Health (NIH) stroke scale for a group of symptomatic patients. Self-care ability was also evaluated according to the 10-point Barthel index. The patient health questionnaire (PHQ-9) was used to assess the psychoemotional state, and the Montreal Cognitive Test (MoCA) was used to analyze cognitive function. The most common comorbidities in both samples were: arterial hypertension – 87,0 %, diabetes mellitus type 2 – 32,1 %, ischemic heart disease – 59,5 %. Smoking was significantly more common in 35 (79,5 %) people from the study group, and a family history of cardiovascular diseases was present in 36 (81,8 %). When testing according to the NIH scale, almost all individuals in the group of symptomatic patients had zero points, with some exceptions, where a few men noted weakness in the legs or mild loss of sensitivity. Alarming complaints in symptomatic patients were short-term loss of consciousness, memory, and vision impairment, decreased skin sensitivity, and decreased vocabulary (according to their own observations), which was the argument for adding an NIH assessment for this category of individuals. According to the Barthel scale, an inverse relationship was observed in both samples between the age of the patients and the ability to perform basic daily activities. In the study group, 32 (72,7 %) and in the comparison group, 25 (62,5 %) individuals showed decreased cognitive functions at 21-25 points. Signs of depression were detected in 29 (65,9 %) men in the study group and 21 (52,5 %) patients in the comparison group. Conclusions. In symptomatic patients with carotid atherosclerosis, a significant influence of the smoking factor (p=0,035) and family history of cardiovascular diseases (p=0,005) was found. In patients of both groups, when assessing functional independence, a decrease in the Barthel index with increasing age was determined, and by using validated scales that allow increasing the reliability of data assessment, patients with decreased cognitive functions and manifestations of depression were identified.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,002 | 0,002 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,002 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,014 | 0,005 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».