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Efficacy of a combination of non-drug therapies in patients with non-dementia vascular cognitive impairment

2023· article· en· W4321351530 on OpenAlexaboutno aff
M. S. Novikova, В. В. Захаров, Н. В. Вахнина

Bibliographic record

VenueNeurology neuropsychiatry Psychosomatics · 2023
Typearticle
Languageen
FieldNeuroscience
TopicNeurological Disorders and Treatments
Canadian institutionsnot available
Fundersnot available
KeywordsDigit symbol substitution testMedicineTrail Making TestDementiaNeuropsychologyCognitionEtiologyInternal medicineMontreal Cognitive AssessmentPsychomotor learningVascular dementiaPhysical therapyPsychiatryDiseasePathology

Abstract

fetched live from OpenAlex

Objective : to study the effectiveness of a combination of non-drug methods in the treatment of non-dementia cognitive impairment of vascular etiology. Material and methods . The study involved 60 patients with moderate cognitive impairment of vascular etiology. The patients were divided into two groups: group 1 (n=30, mean age 63.7±8.8 years) received a combination of non-drug methods in the form of cognitive training, physical activity and meal planning for 1 month; patients of the 2nd group (n=30, mean age 64.2±10.7 years) were once informed about the advisability of a healthy diet and maintenance of mental and physical activity. Neuropsychological testing was done at the inclusion stage of the study, immediately after 1 month course of treatment, 6 months and a year after the start of the study. There were no significant differences between the groups in terms of cognitive functions at baseline. Results . After a month of treatment, in the 1st group the results of neuropsychological testing significantly (p<0.05) improved compared to the first visit: Montreal Cognitive Function Assessment Scale (MoCA-test) – from 22.5±2.4 to 23.7±2.8, Trail making test part A – from 56.9±20.1, up to 49.3±21.7; Trail making test part B – from 116.8±47.8 to 93.5±36.3; the Digit Symbol Substitution test (DSST) scores increased from 26.6±9.0 to 28.8±9.0. Categorical and literal fluency increased from 14.9±4.1 to 16.5±4.6 and from 10.0±1.7 to 11.6±1.9, respectively. In the 2nd group, 1 month after the start of the study, there were no significant differences from the baseline in neuropsychological tests. Differences between the groups at the second visit were statistically significant (p<0.05) according to the MoCA test, Trail making tests (parts A, B), DSST, and association tests. Significant differences between groups persisted during the first 6 months, but disappeared after 12 months of follow-up. Conclusion . Multimodal non-drug therapy in patients with moderate cognitive impairment of vascular etiology improves the main cognitive parameters.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

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 categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.012
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.001
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 head0.009
GPT teacher head0.244
Teacher spread0.236 · 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.

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".

Quick stats

Citations4
Published2023
Admission routes1
Has abstractyes

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