The Structure of Cognitive Impairments in Patients with Sleep Apnea in the Acute Period of Cerebral Infarction
Bibliographic record
Abstract
Цель исследования. Изучить влияние апноэ во сне на структуру когнитивных нарушений у пациентов в остром периоде инфаркта мозга.Материалы и методы. Проведено исследование когнитивных функций по Монреальской шкале оценки когнитивных функций в остром периоде инфаркта мозга (ИМ) 74 пациентам с апноэ во сне (АС) и 40 пациентам без АС. В основной группе 20 пациентам в течение 7–10 дней выполнялась СИПАП-терапия.Результаты. У пациентов с АС наблюдались более выраженные, чем у пациентов без АС, нарушения зрительно-конструктивных/исполнительных навыков, внимания и отсроченного воспроизведения (р<0,05), при этом наиболее тяжелый когнитивный дефицит в данных сферах и абстракции выявлен у пациентов с тяжелой степенью АС (р<0,05). Значимое улучшение в сфере отсроченного воспроизведения установлено у пациентов, получавших СИПАП-терапию, в сравнении с остальными пациентами основной группы (р=0,001).Заключение. Пациенты с ИМ нуждаются в ранней диагностике АС и когнитивных нарушений для проведения своевременных лечебных и реабилитационных мероприятий. Objective. To study the effect of sleep apnea on the structure of cognitive impairment in patients in the acute period of cerebral infarction.Materials and methods. A study of cognitive functions according to the Montreal Cognitive Assessment in the acute period of cerebral infarction (CI) was carried out in 74 patients with sleep apnea (SA) and 40 patients without SA. In the main group 20 patients underwent CPAP therapy.Results. In patients with SA, more pronounced disorders of visual-constructive/executive skills, attention and delayed reproduction (p<0.05) were observed than in patients without SA, while the most severe cognitive deficits in these areas and abstractions were found in patients with severe SA (p<0.05). A significant improvement in the field of delayed reproduction was found in patients receiving CPAP therapy in comparison with the rest of the patients in the main group (p=0.001).Conclusion. Patients with CI require early diagnosis of SA and cognitive impairment in order to carry out timely treatment and rehabilitation measures.
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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 | 0.000 | 0.000 |
| 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".