Treating diabetic patients complicated with early cognitive impairment by using the repetitive transcranial magnetic stimulation combined with cognitive rehabilitation
Bibliographic record
Abstract
Objective To explore the clinical effect of cognitive rehabilitation therapy combined with repetitive transcranial magnetic stimulation (rTMS) on diabetes mellitus patients complicated with early cognitive impairment. Methods Eighty patients with type 2 diabetes mellitus complicated with early cognitive impairment admitted to our hospital between February 2016 and February 2018 were randomly divided into a control group and an observation group. Patients in both groups were treated with conventional medications and comprehensive rehabilitation training, while the observation group was additionally treated with rTMS for 4 weeks. The fasting blood glucose (FBG) was detected before and after the treatment. The cognitive status, as well as the latency and amplitude of P300 were evaluated using Montreal cognitive assessment (MoCA), NTS-2000 Instrument for electromyography and evoked potentials before and after the treatment. Results After the treatment, significant decrease was observed within both groups in terms of FBG compared to before the treatment, but no significant differences between the two groups were revealed (P>0.05). After the treatment, the sub-scores and total scores of the MoCA scale of the two groups were significantly higher than those before treatment, with those of the observation group significantly higher than the control group. After the treatment, the latency of P300 decreased significantly, while the amplitude of P300 increased significantly in both group, with significantly higher improvement in the observation group than the control group (P<0.05). Conclusion rTMS, in addition to cognitive function rehabilitation, significantly improved cognitive function status in patients with type 2 diabetes mellitus complicated with early cognitive impairment. Such combination is worthy of clinical promotion with its safety, reliability and patient compliance. Key words: Repetitive transcranial magnetic stimulation; Comprehensive rehabilitation; Diabetes mellitus; Cognitive impairment
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
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".