olfactory

嗅觉
  • 文章类型: Journal Article
    目的:探讨富血小板血浆(PRP)对长期持续的病毒后嗅觉功能障碍(LPOD)患者的疗效。
    方法:前瞻性招募了43例具有长期持续的病毒后OD的连续患者。在两个嗅沟中注射ImL的PRP。使用嗅觉障碍问卷(ODQ)和阈值评估PRP注射前至6个月后嗅觉变化,歧视,和识别(TDI)测试。
    结果:43例患者接受双侧PRP注射(24名女性)。患者的平均年龄为58.9±16.8岁。LPOD的平均持续时间为8.7年。注射前至注射后6个月的平均TDI从10.3±10.2显着改善为20.12±12.07(p=0.001)。平均ODQ从29.8±13.0显著降低至23.4±11.3(p=0.013)。TDI和ODQ的平均变化分别为9.8和6.4。年龄与6个月阈值得分呈负相关。
    结论:PRP似乎是一种有希望的治疗策略,用于长期持续的病毒后OD。我们的发现支持在该患者人群中进行随机对照试验。
    OBJECTIVE: To investigate the platelet-rich plasma (PRP) effectiveness in patients with a long-lasting postviral olfactory dysfunction (LPOD).
    METHODS: Forty-three consecutive patients with a long-lasting postviral OD were prospectively recruited. The injection of 1 mL of PRP was carried out in both olfactory clefts. The pre- to 6-month post-PRP injection change in olfaction was assessed with the olfactory disorder questionnaire (ODQ) and the threshold, discrimination, and identification (TDI) tests.
    RESULTS: Forty-three patients received bilateral PRP injections (24 females). The mean age of patients was 58.9 ± 16.8 years. The mean duration of LPOD was 8.7 years. The pre to 6-month post-injection mean TDI significantly improved from 10.3 ± 10.2 to 20.12 ± 12.07 (p = 0.001). The mean ODQ significantly decreased from 29.8 ± 13.0 to 23.4 ± 11.3 (p = 0.013). The average change of the TDI and the ODQ were 9.8 and 6.4, respectively. Age was inversely associated with the 6-month threshold score.
    CONCLUSIONS: PRP appears to be a promising therapeutic strategy for long-lasting postviral OD. Our findings support the conduction of controlled randomized trial in this population of patients.
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  • 文章类型: Case Reports
    嗅觉神经母细胞瘤是一种罕见的,鼻腔未分化癌。这是一种极其罕见的恶性肿瘤,通常发生在生命的第六个十年,没有已知的潜在原因。在这个案例报告中,我们介绍了一名71岁的男性,右侧内侧鼻梁附近面部肿块增大,最初在活检中诊断为未分化癌,后来证实为嗅神经母细胞瘤侵蚀进入前颅底。我们的病人表现出了溢唇的体征和症状,鼻出血,间歇性头痛,嗅觉缺失,和扩大的面部肿块。治疗方式包括手术,放射治疗,和化疗。本病例报告的目的是强调化疗和辅助放疗对无需手术治疗的重要性。需要进行进一步的研究,以揭示嗅觉神经母细胞瘤的危险因素,并提出新的化疗治疗方式,以最大程度地降低长期死亡率和发病率。
    Olfactory neuroblastoma is a rare, undifferentiated carcinoma of the nasal cavity. It is an extremely rare malignancy, usually occurring in the sixth decade of life with no known underlying cause. In this case report, we present a 71-year-old male with an enlarging facial mass near the right medial nasal bridge, initially diagnosed as undifferentiated carcinoma on biopsy and later confirmed as olfactory neuroblastoma eroding into the anterior skull base. Our patient presented with the signs and symptoms of epiphora, epistaxis, intermittent headaches, anosmia, and an enlarging facial mass. The treatment modalities include surgery, radiation therapy, and chemotherapy. The purpose of this case report is to highlight the importance of chemotherapy and adjuvant radiotherapy for treatment without the need for surgery. Further studies need to be done to divulge the risk factors for olfactory neuroblastoma and to implore new chemotherapeutic treatment modalities that minimize long-term mortality and morbidity.
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  • 文章类型: Journal Article
    分析COVID-19感染(PCI)后的客观和主观嗅觉/味觉功能。
    方法:对既往PCR确诊的COVID-19感染和持续性嗅觉/味觉主诉的患者进行调查。嗅觉阈值和识别,味觉检测,测试了识别和震级缩放。
    结果:将42名PCI受试者与41名年龄和性别相匹配的无COVID-19病史的对照进行比较。所有接受PCI测试的患者均患有轻度COVID-19疾病。COVID-19确认与测试之间的平均间隔为7.4±3.1个月。85.7%的PCI患者抱怨合并功能障碍,孤立的嗅觉或味觉功能障碍各7.1%。PCI患者的综合投诉明显高于PCI(P<0.001)。客观测试表明,PCI中功能障碍的患病率明显高于对照组(73.8%,12.2%),嗅觉缺失(11.9%,0%),气味识别(68.5%,83.0%),伪善(23%,分别为2.4%),和受损的震级缩放,(p<0.05)。所有患有低尿的PCI受试者都有异常的味觉大小缩放。
    结论:虽然大多数PCI受试者主诉味觉和嗅觉功能障碍,客观测试表明,在大多数孤立的单感功能障碍,主观和客观结果之间的一致性较低。所有嗅觉和味觉功能的异常客观结果可能提示中枢而非外周机制。虽然不能排除伴随机制。
    The aim of the study was to analyze objective and subjective olfactory/gustatory function in post-COVID-19 infection (PCI).
    Patients with past PCR-confirmed COVID-19 infection and persistent olfactory/gustatory complaints were investigated. Olfactory threshold and identification, gustatory detection, identification, and magnitude scaling were tested.
    A total of 42 PCI subjects were compared to 41 age- and gender-matched controls with no COVID-19 history. All PCI tested had mild COVID-19 disease. Mean interval between COVID-19 confirmations to testing was 7.4 ± 3.1 months. PCI subjects complained of combined dysfunction in 85.7%, isolated olfactory or gustatory dysfunction in 7.1% each. Combined complaints were significantly higher in PCI (p < 0.001). Objective testing showed significantly higher prevalence of dysfunction in PCI versus controls for hyposmia (73.8%, 12.2%), anosmia (11.9%, 0%), odor identification (68.5%, 83.0%), hypogeusia (23% and 2.4%, respectively), and impaired magnitude scaling, (p < 0.05). All PCI subjects with hypogeusia had abnormal gustatory magnitude scaling.
    While most PCI subjects complained of combined gustatory and olfactory dysfunction, objective testing showed in the majority an isolated single sense dysfunction, with a low level of agreement between subjective and objective findings. Abnormal objective results for all olfactory and gustatory functions tested may suggest a central rather than peripheral mechanism, although concomitant mechanisms cannot be excluded.
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  • 文章类型: Journal Article
    科学界对2019年冠状病毒病(COVID-19)对嗅觉功能障碍(OD)的长期影响知之甚少。随着COVID-19在全球范围内的流行,输入性病例的风险仍然很高。在中国,有必要了解输入病例的OD。
    采用了前瞻性随访设计。西安市共有11例自我报告COVID-19和OD患者。在2021年8月19日至2021年12月12日期间随访了8家医院。人口统计,临床特征,实验室和放射学发现,入院时对治疗结果进行分析.我们通过电话调查了患者的复发和后遗症,6-,和12个月的随访。
    招募了11名OD患者;其中,54.5%(6/11)存在嗅觉减退,45.5%(5/11)存在嗅觉减退。63.6%(7/11)在入院前或入院当天报告OD为其初始症状;其中,42.9%(3/7)将OD描述为唯一的症状。所有患者均接受中西医结合治疗,72.7%(8/11)在排放时部分或完全恢复。就12个月随访时的OD恢复而言,45.5%(5/11)报告至少有一个后遗症,81.8%(9/11)已完全恢复,18.2%(2/11)部分恢复,没有复发病例。
    我们的数据显示,在输入病例中,OD通常是最初甚至唯一的症状。大多数OD改善发生在发病后的前2周,在长期随访中,COVID-19和OD患者的治疗效果良好。需要更好地了解OD的发病机制和适当的治疗方法,以指导临床医生对这些患者的护理。
    UNASSIGNED: The scientific community knows little about the long-term influence of coronavirus disease 2019 (COVID-19) on olfactory dysfunction (OD). With the COVID-19 pandemic ongoing worldwide, the risk of imported cases remains high. In China, it is necessary to understand OD in imported cases.
    UNASSIGNED: A prospective follow-up design was adopted. A total of 11 self-reported patients with COVID-19 and OD from Xi\'an No. 8 Hospital were followed between August 19, 2021, and December 12, 2021. Demographics, clinical characteristics, laboratory and radiological findings, and treatment outcomes were analyzed at admission. We surveyed the patients via telephone for recurrence and sequelae at the 1-, 6-, and 12-month follow-up.
    UNASSIGNED: Eleven patients with OD were enrolled; of these, 54.5% (6/11) had hyposmia and 45.5% (5/11) had anosmia. 63.6% (7/11) reported OD before or on the day of admission as their initial symptom; of these, 42.9% (3/7) described OD as the only symptom. All patients in the study received combined treatment with traditional Chinese medicine and Western medicine, and 72.7% (8/11) had partially or fully recovered at discharge. In terms of OD recovery at the 12-month follow-up, 45.5% (5/11) reported at least one sequela, 81.8% (9/11) had recovered completely, 18.2% (2/11) had recovered partially, and there were no recurrent cases.
    UNASSIGNED: Our data revealed that OD frequently presented as the initial or even the only symptom among imported cases. Most OD improvements occurred in the first 2 weeks after onset, and patients with COVID-19 and OD had favorable treatment outcomes during long-term follow-up. A better understanding of the pathogenesis and appropriate treatment of OD is needed to guide clinicians in the care of these patients.
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  • 文章类型: Journal Article
    The purpose of this multicenter case-control study was to evaluate a group of patients at least 1 year after coronavirus disease 2019 (COVID-19) with Sniffin\' Sticks tests and to compare the results with a control population to quantify the potential bias introduced by the underlying prevalence of olfactory dysfunction (OD) in the general population. The study included 170 cases and 170 controls. In the COVID-19 group, 26.5% of cases had OD (anosmia in 4.7%, hyposmia in 21.8%) versus 3.5% in the control group (6 cases of hyposmia). The TDI score (threshold, discrimination, and identification) in the COVID-19 group was significantly lower than in the control group (32.5 [interquartile range, 29-36.5] vs 36.75 [34-39.5], P < .001). The prevalence of OD was significantly higher in the COVID-19 group, confirming that this result is not due to the underlying prevalence of OD in the general population.
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  • 文章类型: Journal Article
    BACKGROUND: Psychic euosmia (PE) has been described as a supposed psychological predisposition for which pleasant smells elicit an immediate sense of pleasure, order and calmness in obsessive-compulsive personality disorder (OCPD). In this study we tried to verify the interpretation that PE is the counterpart of disgust that has been associated to contamination and moral purity. Disgust and morality are significantly associated in people with obsessive-compulsive personality traits. We expected that OCPD patients would experience higher levels of PE.
    OBJECTIVE: To investigate the PE frequency in OCPD patients and healthy controls (HC) and to evaluate the relationship between PE and disgust.
    METHODS: A single-center, case-control study was conducted in an outpatient service for obsessive-compulsive and related disorders. The sample consisted of 129 subjects: 45 OCPD patients and 84 HC. In both groups we submitted the Disgust Scale Revised (DS-R) and the self-report Structured Clinical Interview for DSM-5 Screening Personality Questionnaire to which we added an additional yes or no question to investigate the presence of PE. In order to verify differences between groups, t-test was employed for continuous variables and 2 test for categorical variable; odds ratio was employed to analyze group differences in the PE survey. Correlation was explored with Pearson r correlations.
    RESULTS: No differences were observed between groups in gender composition or education. A slight significant difference was found in mean age (t = 1.988; P = 0.049). The present study revealed significantly higher proportions of PE among OCPD patients when compared to HC (OR: 5.3, 2.28-12.46). Patients with OCPD were more likely to report PE (n = 36; 80%) whereas a much lower proportion endorsed PE in the HC group (n = 36; 42.9%). Interestingly, no differences were observed between groups in mean score for the Disgust Scale. There was also no difference between the two groups in any of the Disgust Scale Revised subscales. Moreover, no significant correlations were observed in the OCPD group between PE and Disgust Scale Revised subscales.
    CONCLUSIONS: Results suggested that PE might be part of the clinical spectrum of OCPD, and it does not reflect the counterpart of disgust. This could also indicate that this phenomenon is a manifestation of orderliness or incompleteness. Further studies will need to be undertaken to better understand PE and its significance in OCPD.
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  • 文章类型: Journal Article
    OBJECTIVE: To investigate olfactory dysfunction (OD) in patients with mild coronavirus disease 2019 (COVID-19) through patient-reported outcome questionnaires and objective psychophysical testing.
    METHODS: COVID-19 patients with self-reported sudden-onset OD were recruited. Epidemiological and clinical data were collected. Nasal complaints were evaluated with the sinonasal outcome-22. Subjective olfactory and gustatory status was evaluated with the National Health and Nutrition Examination Survey. Objective OD was evaluated using psychophysical tests.
    RESULTS: Eighty-six patients completed the study. The most common symptoms were fatigue (72.9%), headache (60.0%), nasal obstruction (58.6%), and postnasal drip (48.6%). Total loss of smell was self-reported by 61.4% of patients. Objective olfactory testings identified 41 anosmic (47.7%), 12 hyposmic (14.0%), and 33 normosmic (38.3%) patients. There was no correlation between the objective test results and subjective reports of nasal obstruction or postnasal drip.
    CONCLUSIONS: A significant proportion of COVID-19 patients reporting OD do not have OD on objective testing.
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  • 文章类型: Journal Article
    We provide a preliminary case study in red-bellied lemurs (Eulemur rubriventer) to illustrate a multimodal approach to understanding communication strategies within a species with obligate pair-bonds. From June to August 2012, we observed and analyzed signaling behaviors across three established red-bellied lemur pairs at Duke Lemur Center (Durham, NC, USA). Our aim was to assess how individuals combine signal modalities to communicate with pair-mates, and to determine whether these strategies vary by time of day, sex, or pair. We analyzed rates of occurrence of touch (allogrooming, mutual grooming, physical contact, and huddling), scent (scent marking and allomarking), and sound (close-distance contact calls) using Wilcoxon rank sum and exact binomial tests. Time of day impacted rates of occurrence across signal modalities, with higher rates of combined signaling within each modality occurring earlier in the day (p < 0.03). Across time periods, all pairs used auditory signals most frequently, followed by olfactory signals, and finally tactile and tactile-olfactory signals (p < 0.01, all comparisons). In fact, auditory signals frequently overlapped the olfactory signaling modality, and travel rarely occurred without accompanying vocalizations. However, red-bellied lemurs spent the highest percentage of their observed time in tactile signaling bouts (on average, 19.5% of total observed time across pairs). Males and females participated equally in most signaling behaviors (p > 0.1), with the exception of scent marking, which males used more frequently (p < 0.01). The results of this study will aid in developing methods and hypotheses to determine how wild red-bellied lemurs communicate to form, maintain, and advertise their pair-bonds.
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  • 文章类型: Journal Article
    背景:已经评估了用于开发不同的害虫控制方法以最大程度地减少肥料和农药投入的大量技术。由于“推拉”策略通常利用无毒化学物质来操纵昆虫的行为,这种策略被认为是环保的。“推拉”策略在控制茎钻虫方面非常有效,和识别新的“推”或“拉”组件对抗茎钻虫可能是非常有帮助的。
    结果:在这项研究中,田间诱捕试验和行为学试验的结果显示,一种茎钻虫,可能会被耕作阶段的水稻所吓倒,其主要寄主作物。在两个不同发育阶段的水稻植株之间比较了挥发物的分布,α-pine烯被确定为关键的差分成分。通过Y管嗅觉仪证实了α-pine烯对金黄色葡萄球菌的排斥活性。为了照亮嗅觉识别机制,进行了转录组分析,在幼虫中鉴定出13种化学感觉蛋白(CSP),在C.auriciliu成虫中鉴定出19种CSP,这是第一次在这种昆虫中报道。在这些确定的CSP中,4个CSP被α-pine烯处理显著调节,CSP8在体外与α-pine烯显示出良好的结合亲和力。
    结论:总体而言,水稻在耕作阶段可以被水稻排斥,我们的结果强调了α-pine烯是在此特定阶段诱导排斥活性的关键成分,并证实了某些候选化学感应元件在该化学感应过程中的作用。这项研究的结果可以为C.auricilius的化学感应机制和鉴定针对水稻茎bore的“推动”剂提供有价值的信息。
    BACKGROUND: Massive techniques have been evaluated for developing different pest control methods to minimize fertilizer and pesticide inputs. As \"push-pull\" strategy utilizes generally non-toxic chemicals to manipulate behaviors of insects, such strategy is considered to be environmentally friendly. \"Push-pull\" strategy has been extraordinarily effective in controlling stem borers, and the identification of new \"pushing\" or \"pull\" components against stem borers could be significantly helpful.
    RESULTS: In this study, the results of field trapping assay and behavioral assay showed the larvae of C.auricilius, one kind of stem borers, could be deterred by rice plant under tilling stage, its main host crop. The profiles of volatiles were compared between rice plants under two different developmental stages, and α-pinene was identified as a key differential component. The repelling activity of α-pinene against C.auricilius was confirmed by Y-tube olfactometer. For illuminating the olfactory recognition mechanism, transcriptome analysis was carried out, and 13 chemosensory proteins (CSPs) were identified in larvae and 19 CSPs were identified in adult of C.auriciliu, which was reported for the first time in this insect. Among these identified CSPs, 4 CSPs were significantly regulated by α-pinene treatment, and CSP8 showed good binding affinity with α-pinene in vitro.
    CONCLUSIONS: Overall, C.auricilius could be repelled by rice plant at tilling stage, and our results highlighted α-pinene as a key component in inducing repelling activity at this specific stage and confirmed the roles of some candidate chemosensory elements in this chemo-sensing process. The results in this study could provide valuable information for chemosensory mechanism of C.auricilius and for identification of \"push\" agent against rice stem borers.
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  • 文章类型: Case Reports
    Schwannomas are benign tumors, which arise from the Schwann cells of the central or peripheral nerves. They form 8% of all intracranial tumors and most of the cases arise from vestibular division of the 8 th cranial nerve. Rare cases are shown to arise from the olfactory or optic nerve, being devoid of myelin sheath. Up to date and according to our best of knowledge, 66 cases have been reported till now. Here we present a review of the literature and a case report of a 56-year-old male with an accidently discovered anterior cranial fossa schwannoma, following a road traffic accident. Tumor was completely excised, using a right frontal approach. Histopathology revealed Antoni-A cellular pattern. Although rare, but olfactory nerve schwannomas should be included in the differential diagnosis in anterior cranial fossa space occupying lesions, and the approach should be designed taking into consideration, this rare entity.
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