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Relationship between serum cystatin C and cognitive impairment in patients with acute cerebral infarction

2018· article· en· W3029777287 on OpenAlexaboutno aff
Wang Jingda, Hua Tan

Bibliographic record

VenueZhonghua xingwei yixue yu naokexue zazhi · 2018
Typearticle
Languageen
FieldNeuroscience
TopicNeurological Disease Mechanisms and Treatments
Canadian institutionsnot available
Fundersnot available
KeywordsMontreal Cognitive AssessmentCystatin CInternal medicineMedicineCognitionCognitive impairmentCerebral infarctionCorrelationStroop effectCardiologyRenal functionPsychologyPsychiatryIschemiaDisease

Abstract

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Objective To explore the correlation between serum cystatin C (CysC) and cognitive function and executive function in patients with acute cerebral infarction. Methods A total of 103 patients with acute cerebral infarction were selected in clinical research. Based on the Montreal cognitive assessment scale (MoCA), patients were divided into cognitive impairment group and normal cognitive group. The levels of serum CysC and MoCA subtypes were compared between the two groups, and the correlation between cystatin C and cognitive function was analyzed. According to the level of serum CysC, the patients were divided into low-level group and middle-high level group. The relationship between CysC and executive function was further investigated by Stroop test. Results CysC was a risk factor of cognitive impairment in the acute phase after cerebral infarction (OR=8.855, 95%CI=1.674-46.841, P=0.010), and the level of CysC was negatively correlated with MoCA score (r=-0.509, P=0.001). In each of the MoCA subproject, the scores of the cognitive impairment group(clock drawing: 0(0, 1), connection: 0(0, 0), copying the cube: 0(0, 0)) were lower in clock drawing, connection, and copying the cube than that of the normal cognitive group(clock drawing: 3(2, 3), connection: 1(0, 1), copying the cube: 1(1, 1))(P<0.05). The difference of task C between low-level CysC group and middle-high level group was statistically significant(P<0.05). The level of CysC was negatively correlated with amount of interference in correct response(r=-0.471, P<0.05), and positively correlated with amount of interference in reacting time(r=0.796, P<0.05). Conclusion Serum CysC is a risk factor of cognitive impairment in acute cerebral infarction. The higher the level of CysC, the more serious cognitive impairment, and cognitive impairment mainly manifested as executive function impairment. Key words: Cerebral infarction; Cystatin C; Cognitive impairment; Executive function

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How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.011
Threshold uncertainty score0.997

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.022
GPT teacher head0.261
Teacher spread0.239 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

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Citations1
Published2018
Admission routes1
Has abstractyes

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