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Cognitive Functions in Acute Ischemic Stroke Period

2023· article· en· W4388494369 on OpenAlexaboutno aff
S.S. Kabysh, С. В. Прокопенко, Alexandra V. Golikova-Chereshkevich, Л. В. Николаева, I. M. Platunova

Bibliographic record

VenueDoctor Ru · 2023
Typearticle
Languageen
FieldNeuroscience
TopicNeurological Disorders and Treatments
Canadian institutionsnot available
Fundersnot available
KeywordsMontreal Cognitive AssessmentCognitionStroke (engine)MedicineHospital Anxiety and Depression ScaleDepression (economics)PsychologyAnxietyCognitive impairmentInternal medicinePsychiatry

Abstract

fetched live from OpenAlex

Aim: to assess the dynamics of the state of cognitive functions in the acute period of ischemic stroke. Design: prospective study. Material and methods. The study included a group of observation of patients in the acute period of ischemic stroke in the amount of 26 people. The cognitive sphere was assessed twice: on admission to the hospital on days 2-3, and on discharge on days 8-10. Scales used to assess the cognitive sphere: Mini Mental State Examination (MMSE) Montreal Cognitive Assessment (MoCA), Frontal Assessment Battery (FAB), The Clock-drawing Test (CDT). The emotional-volitional sphere was assessed using the Hospital Anxiety and Depression Scale (HADS). Data were considered statistically significant at p < 0.05. Results. In a dynamic assessment, cognitive disorders in the observed group were most pronounced upon admission to the hospital. By discharge on days 8-10, according to the MMSE test, there was a positive trend, the increase was by 2b, MoCA by 2b, FAB by 1b, respectively, the results were significant (p < 0.001, p < 0.001, p = 0.001). In the analysis of subscales according to the MMSE test, improvements to the extract were according to word reproduction (p = 0.005), speech functions (p = 0.04). According to MoCA, the improvement in total scores was due to subscales: memory (p = 0.01), attention (p = 0.05), speech (p = 0.04), abstraction (p = 0.005). Changes in the FAB test were driven by the conceptualization function (p = 0.04) and the simple choice response (p = 0.008). Anxiety and depression were not detected in the studied patients. Conclusion. During the acute period of ischemic stroke, the degree of cognitive impairment significantly decreases by 8-10 days against the background of ongoing treatment. Keywords: stroke, cognitive impairment, dementia, post-stroke cognitive impairment, mild cognitive impairment.

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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 categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Bench or experimental · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.573
Threshold uncertainty score0.999

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)0.0000.002

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 head0.045
GPT teacher head0.306
Teacher spread0.261 · 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 designBench or experimental
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

Citations2
Published2023
Admission routes1
Has abstractyes

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