RESUMEN
Previously, we reported a cohort of Japanese encephalitis (JE) patients with Guillain-Barré syndrome. However, the evidence linking Japanese encephalitis virus (JEV) infection and peripheral nerve injury (PNI) remains limited, especially the epidemiology, clinical presentation, diagnosis, treatment, and outcome significantly differ from traditional JE. We performed a retrospective and multicenter study of 1626 patients with JE recorded in the surveillance system of the Chinese Center for Disease Control and Prevention, spanning the years 2016-2020. Cases were classified into type 1 and type 2 JE based on whether the JE was combined with PNI or not. A comparative analysis was conducted on demographic characteristics, clinical manifestations, imaging findings, electromyography data, laboratory results, and treatment outcomes. Among 1626 laboratory confirmed JE patients, 230 (14%) were type 2 mainly located along the Yellow River in northwest China. In addition to fever, headache, and disturbance of consciousness, type 2 patients experienced acute flaccid paralysis of the limbs, as well as severe respiratory muscle paralysis. These patients presented a greater mean length of stay in hospital (children, 22 years [range, 1-34]; adults, 25 years [range, 0-183]) and intensive care unit (children, 16 years [range, 1-30]; adults, 17 years [range, 0-102]). The mortality rate was higher in type 2 patients (36/230 [16%]) compared to type 1 (67/1396 [5%]). The clinical classification of the diagnosis of JE may play a crucial role in developing a rational treatment strategy, thereby mitigating the severity of the disease and potentially reducing disability and mortality rates among patients.
RESUMEN
The present study examined the influence of category representations on exemplar generation, which has been neglected in previous category research. An experiment on college students manipulated the category representation of insects in three conditions (prototypes, exemplars, and the hybrid of prototypes and exemplars). Participants were asked to generate as many exemplars as possible. The results demonstrate that category representations affect and constrain exemplar generation. The new findings are as follows. In the prototype and hybrid conditions with the prototype representation, people tend to generate more valid exemplars by using the prototype mutation mechanism, and exemplar generation conforms to the family resemblance structure. Exemplar generation in the hybrid condition is additionally constrained by known exemplars. In the exemplar condition, people tend to generate fewer valid exemplars by using miscellaneous strategies, and their exemplar generation may not conform to the family resemblance structure.
