#31
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Ìîæíî ëè ïðåäïîëîæèòü, ÷òî âîçðàñò áîëüíîãî è âðåìÿ ìàíèôåñòàöèè çàáîëåâàíèÿ ïîçâîëÿþò ñîìíåâàòüñÿ â íàëè÷èè ïîäîáíîé ïàòîëîãèè, äàæå â îòñóòñòâèå êà÷åñòâåííîé ÌÐÒ äèàãíîñòèêè?
Âåäü òà ïàòîëîãèÿ, êîòîðàÿ ê ïðèìåðó îïèñûâàåòñÿ â ñòàòüå Neurometabolic diseases. Clinical aspects by Johan Lundgren îòíîñèòñÿ ê âðîæäåííûì íàðóøåíèÿì ìåòàáîëèçìà è ìàíèôåñòèðóåò â ìëàäåí÷åñòâå? |
#32
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Âîïðîñ, êîíå÷íî, õîðîø, íî (ìèíèèíôà):
Late Onset Neurometabolic Disorders (circa 1991) ......+ [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Metabolic changes of several white matter pathologies as detected by proton MRS techniques and their clinical interpretation are reported below. As mentioned before, the group of white matter diseases with inherited or acquired metabolic abnormalities is very heterogeneous and includes pathologies with different pathogenesis. |
#33
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Äà, äåëî âêóñà. Åñëè êàê íà ïèâî ñïîðèòü- òî ìîæíî èñêàòü äàëüøå. À åñëè íà ÷òî-òî ñåðü¸çíîå- òàêè íåò.
Âàæíî ëèøü çíàòü- êîãäà îñòàíîâèòüñÿ, èáî ê ëþáîìó èññëåäîâàíèþ ìîæíî ïðåäüÿâèòü ïðåòåíçèè . È ìû îïÿòü áóäåì ãîâîðèò ïðåèìóøåñòâåííî î òîì, ÷òî/êòî êàæäîìó èç íàñ ïîäñêàçûâàåò äâèæåíèå ïî îïðåäåëåííîìó ïóòè. Ò.å., îïÿòü î ñîáñòâåííîé ïñèõîëîãèè â ñóøíîñòè.  ëþáîì ñëó÷àå, ìåòîäîì âûáîðà ÿâëÿåòñÿ êà÷åñòâåííûé íåâðîëîãè÷åñêèé îñìîòð, âêëþ÷àþøèé åëåìåíòû íåéðîïñèõîëîãè÷åñêîãî òåñòèðîâàíèÿ, â äèíàìèêå. Âûïîëíåííîãî òåì, êòî ïîíèìàåò èâ "íåéðîìåòàáîëè÷åñêèõ" ïðîáëåìàõ... À âîò ãäå åãî âçÿòü, êàê è ãäå âçÿòü âñå îñòàëüíîå... |
#34
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#35
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Óâàæàåìûå êîëëåãè, ïðîáëåìà ðåøèëàñü äåéñòâèòåëüíî óòî÷íåíèåì àíàìíåçà, ñòîëü òùàòåëüíî ñêðûâàåìîì ðîäñòâåííèêàìè. Þíîøà íåîäíîêðàòíî íàõîäèëñÿ íà ñòàöëå÷åíèè â ñïåöèàëèçèðîâàííîì ñòàöèîíàðå, ñ îäíîçíà÷íûì ïñèõèàòðè÷åñêèì äèàãíîçîì. Ïîäòâåðæäåíî ñïåöèàëèñòàìè ÏÍÄ. Êðàéíèé ðàç áûë âûïèñàí çà 10 äíåé ïåðåä ïîñòóïëåíèåì ê íàì. Óõóäøåíèå âèäèìî ñâÿçàíî ñ íåìåäëåííûì ïðåêðàùåíèåì ïðèåìà ïðåïàðàòîâ. Ñëîâ íåò. Íåñêîëüêî äíåé ðàáîòû, ïðàêòè÷åñêè âïóñòóþ.
Ñïàñèáî âñåì çà ïîìîùü. |
#36
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Äà ïî÷åìó æå âïóñòóþ, ñìîòðèòå, ñêîëüêî íîâîñòåé Âàì â òåìó ïðèíåñëè )))
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Lead, follow, or get out of the way. — Thomas Paine |
#37
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Íåò õóäà áåç äîáðà.  ÷àñòíîñòè, äëÿ ìåíÿ - ïîíÿë ÷òî-òî íîâîå, îñâåæèë ñòàðîå.
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