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Potenciais evocados auditivos e esclerose múltipla; Auditory evoked potentials and multiple sclerosis

Oliveira, Caroline Rondina Salzano de
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 02/10/2008 PT
Relevância na Pesquisa
66.31%
INTRODUÇÃO: A Esclerose Múltipla é uma doença desmielinizante e autoimune, na qual ocorre a destruição da bainha de mielina por autoanticorpos. Esta destruição causa uma diminuição na velocidade de condução do impulso nervoso alterando, assim, as funções cerebral e neural. Para ocorrer o funcionamento adequado do sistema auditivo, tanto na sua porção periférica quanto na central há necessidade que o mesmo esteja íntegro. OBJETIVO: Este estudo tem como objetivo verificar a ocorrência de alterações nos potenciais evocados auditivos de curta (PEATE), média (PEAML) e longa (P300) latências em adultos audiologicamente normais com diagnóstico de Esclerose Múltipla do tipo remitente recorrente ou surto remissivo. MÉTODO: Para o grupo controle foram avaliados 25 indivíduos com histórico de desenvolvimento neurológico normal e sem queixa de zumbido, sendo 19 do gênero feminino e seis do masculino, com idade variando entre 25 e 55 anos (média de 35,16 anos de idade). Para o grupo pesquisa foram avaliados 25 indivíduos com Esclerose Múltipla do tipo remitente-recorrente ou surto-remissivo, seis do gênero masculino e 19 do feminino, com idades entre 25 e 53 anos (média de 34,88 anos de idade). Todos os indivíduos participantes da pesquisa realizaram audiometria tonal e vocal...

Estudo da visão de cores, percepção de formas e espaço em pacientes com esclerose múltipla; Study of color vision, perception of shapes and space in patients with multiple sclerosis

Teixeira, Rosani Aparecida Antunes
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 27/02/2008 PT
Relevância na Pesquisa
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A presente dissertação objetiva avaliar a visão de cores dos pacientes com EM (com e sem queixas visuais), através de teste psicofísicos e a percepção de formas e espaço, através de testes neuropsicológicos, além de investigar a existência de correlação entre essas funções. Participaram da pesquisa um total de 35 pacientes (9 M e 27 F) com o diagnóstico de EM, com idades entre 18 e 60 anos (média 36,84±10,49), e nível de educação variado, e 36 controles com faixa etária e nível escolar equivalente. Os pacientes possuíam acuidade visual 20/20, ou melhor e foram divididos em dois grupos: um com neurite óptica (NO n=52) outro sem NO (n=17). Foram utilizados os testes: Cambridge Color Test (CCT) fase trivector e elipse, Judgment of line orientation (JLO), visual form discrination (VFD), Bateria de percepção visual de objeto e espaço (VOSP), e as Escalas de depressão e ansiedade de Beck. Os resultados mostram diferenças entre grupos (anova OneWay), nos três eixos analisados (protan, deutan e tritan) e nas áreas das elipses em todos os grupos, (p0,005) indicando que a visão de cores está prejudicada em ambos os sistemas de oponência, sendo que a ocorrência de NO está associada a maior prejuízo, mas há perda da visão de cores mesmo na ausência de NO. Dos olhos sem NO 52% possui áreas das elipses normais (27/52)...

Percepção de contraste e perdas neurais na esclerose múltipla; Contrast perception and neural losses in multiple sclerosis

Moura, Ana Laura de Araujo
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 08/12/2010 PT
Relevância na Pesquisa
66.24%
Objetivos: Avaliar a integridade das vias magnocelular (M) e parvocelular (P) atraves da percepcao de contraste e avaliar a sensibilidade no campo visual e respostas no ERG multifocal, em pacientes com esclerose multipla. Métodos e Resultados: Foram avaliados 29 pacientes (20F; 9M; idade media = 35,76 }10,91 anos) com diagnostico de esclerose multipla (15 com historico de neurite optica). Todos os pacientes apresentavam acuidade visual entre 0 e 0,1 logMAR. A percepcao de contraste foi avaliada atraves da funcao de sensibilidade ao contraste (programa PSYCHO; Cambridge Research System), com os limiares medidos em 0.2, 0.5, 1.0, 1.9, 5.3, 9.7 e 19.4 ciclos por grau; e do teste do Pedestal (Pokorny & Smith, 1997). O campo visual foi medido com o Campimetro Automatico de Humphrey, algoritmo SITA, estrategia central 24-2. O ERGmf foi registrado, utilizando o sistema VERIS, com 103 hexagonos. A analise foi baseada nos valores de amplitude e latencia de N1 e P1 das respostas de seis regioes predeterminadas de acordo com o mapa sugerido por Garway-Heath et al (2000), para os kernels de primeira e segunda ordem. Os pacientes foram divididos em 2 grupos: NO (antecedente de neurite optica) e SNO (sem antecedente de neurite optica). Resultados: O grupo NO nao diferiu do grupo SNO em nenhum dos testes...

Relação entre funções cognitivas e perdas adquiridas na visão de cores de pacientes com esclerose múltipla tipo remitente recorrente; Relationship between cognitive functions and acquired color vision loss in patients with relapsing-remitting type of multiple sclerosis

Teixeira, Rosaní Aparecida Antunes
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 12/09/2012 PT
Relevância na Pesquisa
66.24%
A Esclerose Múltipla (EM) é uma doença inflamatória autoimune caracterizada por desmielinização e degeneração do sistema nervoso central (SNC) duas a três vezes mais frequente em mulheres. A etiologia da EM é dividida em dois subtipos principais: o tipo remitente-recorrente (EMRR) mais comum, caracterizado por dois ou mais episódios de agravamento dos sintomas que envolvem diferentes locais do SNC, separados por pelo menos 1 mês e remisão dos sintomas e o tipo progressivo é a forma menos comum, caracterizada por um contínuo agravamento dos sintomas desde o início geralmente sem recaídas claras ou remissões. A presente pesquisa teve por objetivo avaliar o comprometimento da visão de cores e de sua relação com perdas de atenção, memória visual imediata, memória visual tardia, memória operacional e funções executivas dos portadores de esclerose múltipla tipo remitente recorrente. Método: participaram 41 pacientes com esclerose múltipla de idades entre 20 e 58 anos (35,4±12,2) e 37 controles com idade (34,7±12,1) e escolaridade semelhante. A discriminação de cores foi avaliada com o Cambridge Colour Test (CCT) e a avaliação de funções neuropsicológicas foram utilizados subtestes da bateria Cambridge Neuropsychological Testing Automated Battery (CANTAB) - Pattern Recognition Memory...

Latin American algorithm for treatment of relapsing-remitting multiple sclerosis using disease-modifying agents

Finkelsztejn, Alessandro; Gabbai, Alberto Alain; Fragoso, Yára Dadalti; Carrá, Adriana; Macías-Islas, Miguel Angel; Arcega-Revilla, Raul; García-Bonitto, Juan; Oehninger-Gatti, Carlos Luis; Orozco-Escobar, Geraldine; Tarulla, Adriana; Vergara, Fernand
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Artigo de Revista Científica Formato: application/pdf
ENG
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Objetivo: Estima-se que haja aproximadamente 50.000 pessoas com a forma remitente-recorrente da esclerose múltipla na América Latina. Os algoritmos de tratamento norte-americanos e europeus não levam em consideração nossas peculiaridades regionais, nem a dificuldade no acesso ao tratamento por parte dos pacientes. Métodos: O Fórum Latino-americano de Esclerose Múltipla é um grupo de especialistas independente e suprainstitucional, que avaliou as mais recentes evidências científicas sobre a eficácia e a segurança das drogas modificadoras do curso da doença. Foram avaliados também o acesso ao tratamento e os programas de farmacovigilância de cada um dos oito países representados no Fórum. Resultados: Uma lista específica de recomendações baseadas em evidências científicas foi estabelecida para a América Latina. Também foram discutidas perspectivas de futuros tratamentos para esclerose múltipla. Conclusões: O presente estudo representou um esforço dos representantes de oito países latino-americanos em discutir um assunto que não pode ser adaptado para uso em nossa região diretamente a partir de recomendações de tratamento europeias ou norte-americanas.; Objective: It is estimated that circa 50,000 individuals have relapsing-remitting multiple sclerosis in Latin America. European and North- American algorithms for the treatment of multiple sclerosis do not foresee our regional difficulties and the access of patients to treatment. Methods: The Latin American Multiple Sclerosis Forum is an independent and supra-institutional group of experts that has assessed the latest scientific evidence regarding efficacy and safety of disease-modifying treatments. Accesses to treatment and pharmacovigilance programs for each of the eight countries represented at the Forum were also analyzed. Results: A specific set of guidelines based upon evidence-based recommendations was designed for Latin America. Future perspectives of multiple sclerosis treatment were also discussed. Conclusions: The present paper translated an effort from representatives of eight countries discussing a matter that cannot be adapted to our region directly from purely European and North-American guidelines for treatment.

Influencias de um programa de yoga no controle do equilibrio de pessoas com esclerose multipla; Influences of a program of yoga in the control of the balance of peoplewith multiple sclerosis

Gerson de Oliveira
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 19/12/2007 PT
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As práticas do Yoga são caracterizadas pela permanência numa condição de controle e conforto, onde não se estipula um padrão de execução e metas de desempenho motor. A esclerose múltipla é uma doença crônica desmielinizante que resulta de reações inflamatórias desencadeadas por mecanismos complexos de anormalidade imunorregulatória. É freqüente o acometimento do equilíbrio motor, podendo culminar na queda. Existe uma carência de estudos com relação à influência do Yoga no controle do equilíbrio de pessoas com esclerose múltipla. O objetivo desta pesquisa é avaliar a influência de um programa de Yoga no equilíbrio postural de pessoas com esclerose múltipla. Trata-se de uma pesquisa experimental com N=12 (doze), formado por pessoas com esclerose múltipla pertencentes ao Grupo de Esclerose Múltipla de Campinas e que nunca praticaram Yoga ou estão a pelos menos 01 ano sem praticar. O grupo experimental participou das práticas de Yoga uma vez por semana, com duração de 01 hora, durante o período de seis meses e o grupo controle não realizou as práticas. O equilíbrio foi avaliado através da Escala de Equilíbrio de Berg. Foi coletada também a percepção subjetiva do equilíbrio e o histórico de quedas através de questionário; essas avaliações e a avaliação da Escala de Incapacidade Funcional Ampliada (EDSS) foram realizadas no inicio e final do programa...

Influence of treatment in multiple sclerosis dysability: an open, retrospective, non-randomized long-term analysis

Werneck,Lineu Cesar; Lorenzoni,Paulo José; Radünz,Vitor A; Utiumi,Marco A.T; Kay,Cláudia Suemi Kamoi; Scola,Rosana Herminia
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2010 EN
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The efficacies of immunosuppressive (IMS) and immunomodulatory (IMM) drugs for multiple sclerosis (MS) have been reported in several studies. These agents can reduce relapse rates and lesions observed by magnetic resonance imaging studies. However, the effect of these medications in disability progression over 4 years is rarely examined. OBJECTIVE: To study the disabilities associated with MS patients after a long time period and to analyze the therapeutic influence of different types of treatments in patient disease progression. METHOD: This is an open, uncontrolled, non-randomized, retrospective study of the disease progression using the Expanded Disability Status Scale (EDSS) and the Multiple Sclerosis Severity Score (MSSS) in 155 cases of MS, which were 76% female with a mean age of onset of 30.21±9.70. The follow-up period was 115.39±88.08 months (median 92, 3 to 447 months). These cases were submitted to the following 277 different therapeutic procedures: 62 without IMS or IMM therapy (SYT) (just corticosteroids), 53 with azathioprine (AZA), 53 interferon-β (IFNβ)-1b 250 µg (BET), 55 IFNβ-1a 22 µg (R22), 19 IFNβ-1a 30 µg (AVO), 15 IFNβ-1a 44 µg (R44), 15 glatiramer acetate (COP) 20 mg, and 5 cases with mitoxantrone (MIT). RESULTS: The median EDSS group was 2.00 (0 to 5.5...

Cognitive deficits in multiple sclerosis: a systematic review

Ferreira,Maria Lúcia Brito
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2010 EN
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OBJECTIVE: To present the results of prospective and retrospective studies on multiple sclerosis patients cognitive dysfunctions, as well as to discuss the batteries of neuropsy- chological tests used in these investigations. METHOD: A systematic review was performed involving 40 studies published from 1997 to 2009, in PubMed, Scopus, Ovid, ISI Web of Knowledge, Scientific Electronic Library on line (Scielo) and Latin-American and Caribbean Center of Health Sciences Informations database. Clear description of multiple sclerosis patients cognitive deficits evaluation, study design, sample size; inclusion-exclusion and discontinuation criteria; instruments for neuropsychological evaluation, diagnostic methods, evaluated functions and detailed statistical analysis had been the inclusion criteria. RESULTS: There is consensus on cognitive impairment of multiple sclerosis patients, especially on memory, speed processing, executive function, attention and concentration domains. One has identified use of 23 batteries and 74 neuropsychological tests, despite the recommendation of Consortium of Multiple Sclerosis Centers to the application of MACFIMS battery. CONSIDERATIONS: The absence of the uniformization for multiple sclerosis patients cognitive evaluation battery has precluded to achieve evidences to recommend its incorporation on diagnostic routine. Nevertheless this tendency is already outlined.

Different cognitive profiles of Brazilian patients with relapsing-remitting and primary progressive multiple sclerosis

Rodrigues,Dóra-Neide; Paes,Renata Alves; Vasconcelos,Claudia Cristina Ferreira; Landeira-Fernandez,Jesus; Alvarenga,Maria Papais
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2011 EN
Relevância na Pesquisa
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Cognitive impairment is a symptom of multiple sclerosis (MS). Different clinical forms of multiple sclerosis have different cognitive profiles, according to findings of previous studies which used extensive batteries of neuropsychological tests. OBJECTIVE: To investigate cognitive profiles of Brazilian patients with relapsing-remitting multiple sclerosis (RRMS) and primary progressive multiple sclerosis (PPMS) by using a brief battery of neuropsychological tests. METHOD: Sixty-six patients, within 18-65 of age and 3-18 years of education, were paired with healthy control subjects, regarding gender, age, and education level. RESULTS: On Symbol Digit Modalities Test and Hooper Visual Organization Test, cognition was affected in 50% in RRMS and 69% in PPMS. Fluency of "F" was impaired in 24% of RRMS and 81% of PPMS. Immediate recall was affected in 32% of RRMS and in 63% of PPMS; whereas late recall, in 46% of relapsing-remitting and in 69% of primary progressive. CONCLUSION: Cognitive profiles of relapsing-remitting and primary progressive patients are different

Latin American algorithm for treatment of relapsing-remitting multiple sclerosis using disease-modifying agents

Finkelsztejn,Alessandro; Gabbai,Alberto Alain; Fragoso,Yara Dadalti; Carrá,Adriana; Macías-Islas,Miguel Angel; Arcega-Revilla,Raul; García-Bonitto,Juan; Oehninger-Gatti,Carlos Luis; Orozco-Escobar,Geraldine; Tarulla,Adriana; Vergara,Fernando; Vizcarra,
Fonte: Academia Brasileira de Neurologia - ABNEURO Publicador: Academia Brasileira de Neurologia - ABNEURO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2012 EN
Relevância na Pesquisa
66.28%
OBJECTIVE: It is estimated that circa 50,000 individuals have relapsing-remitting multiple sclerosis in Latin America. European and North-American algorithms for the treatment of multiple sclerosis do not foresee our regional difficulties and the access of patients to treatment. METHODS: The Latin American Multiple Sclerosis Forum is an independent and supra-institutional group of experts that has assessed the latest scientific evidence regarding efficacy and safety of disease-modifying treatments. Accesses to treatment and pharmacovigilance programs for each of the eight countries represented at the Forum were also analyzed. RESULTS: A specific set of guidelines based upon evidence-based recommendations was designed for Latin America. Future perspectives of multiple sclerosis treatment were also discussed. CONCLUSIONS: The present paper translated an effort from representatives of eight countries discussing a matter that cannot be adapted to our region directly from purely European and North-American guidelines for treatment.

Segmented corpus callosum diffusivity correlates with the Expanded Disability Status Scale score in the early stages of relapsing-remitting multiple sclerosis

Rimkus,Carolina de Medeiros; Junqueira,Thiago de Faria; Callegaro,Dagoberto; Otaduy,Maria Concepcion Garcia; Leite,Claudia da Costa
Fonte: Faculdade de Medicina / USP Publicador: Faculdade de Medicina / USP
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2013 EN
Relevância na Pesquisa
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OBJECTIVE: The aim of this study was to characterize the microscopic damage to the corpus callosum in relapsing-remitting multiple sclerosis (RRMS) with diffusion tensor imaging and to investigate the correlation of this damage with disability. The diffusion tensor imaging parameters of fractional anisotropy and mean diffusivity provide information about the integrity of cell membranes, offering two more specific indices, namely the axial and radial diffusivities, which are useful for discriminating axon loss from demyelination. METHOD: Brain magnetic resonance imaging exams of 30 relapsing-remitting multiple sclerosis patients and 30 age- and sex-matched healthy controls were acquired in a 3T scanner. The axial diffusivities, radial diffusivities, fractional anisotropy, and mean diffusivity of five segments of the corpus callosum, correlated to the Expanded Disability Status Scale score, were obtained. RESULTS: All corpus callosum segments showed increased radial diffusivities and mean diffusivity, as well as decreased fractional anisotropy, in the relapsing-remitting multiple sclerosis group. The axial diffusivity was increased in the posterior midbody and splenium. The Expanded Disability Status Scale scores correlated more strongly with axial diffusivities and mean diffusivity...

Calcium-abhängige T-Zell-Signaltransduktion und Multiple Sklerose: Vergleichende Analysen in humanen T-Zellen und Modellzellen für zelluläre Autoimmunität; Calcium dependent T-cell-signaltransduction and multiple sclerosis: comparative analyses in human T-cells and in cell models for cellular autoimmunity

Igney, Annette
Fonte: Universidade de Tubinga Publicador: Universidade de Tubinga
Tipo: Dissertação
DE_DE
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Moleküle der T-Zell-Signaltransduktion sind potentielle Ziele zur Immunmodulation. Eine Störung der T-Zell-Signaltransduktion nach unspezifischer oder Autoantigen-spezifischer Aktivierung könnte die Manifestation einer Autoimmunkrankheit begünstigen. In dieser Arbeit wurde die Genexpression von Komponenten der T-Zell-Signaltransduktion untersucht, die eine Schlüsselrolle bei der Calciumfreisetzung spielen. Diese Untersuchungen sind deskriptiv und beschäftigten sich mit der Frage, ob CD4+ T-Lymphozyten von Patienten mit einer Multiplen Sklerose eine Störung der Signaltransduktion aufweisen. Die Genexpression der an der Signaltransduktion beteiligten Proteinkinasen Fyn, Lck, ZAP-70, Tec und PLCgamma sowie die des Adapterproteins Vav wurde mittels real-time RT-PCR untersucht. Der Vergleich zwischen T-Zellen gesunder Probanden und Patienten mit Multipler Sklerose (n=10 pro Gruppe) ließen ein uneinheitliches basales Expressionsmuster erkennen. Bestimmte Stimulationsbedingungen führten bei T-Zellen von Patienten mit einer Multiplen Sklerose zu einer höheren Expression einzelner Parameter. Zur Untersuchung Antigen-spezifischer, CD4+ T-Helferzellen wurden Myelin-spezifische T-Zellen nach Stimulation mit Myelin-Antigenen mittels eines Il-2 Secretion Assay angereichert...

Getting the balance right: a randomised controlled trial of physiotherapy and exercise interventions for ambulatory people with multiple sclerosis

Coote, Susan; Garrett, Maria; Hogan, Neasa; Larkin, Aidan; Saunders, Jean
Fonte: BioMed Central Ltd Publicador: BioMed Central Ltd
Tipo: info:eu-repo/semantics/article; all_ul_research; ul_published_reviewed
ENG
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peer-reviewed; Background : People with multiple sclerosis have a life long need for physiotherapy and exercise interventions due to the progressive nature of the disease and their greater risk of the complications of inactivity. The Multiple Sclerosis Society of Ireland run physiotherapy, yoga and exercise classes for their members, however there is little evidence to suggest which form of physical activity optimises outcome for people with the many and varied impairments associated with MS. Methods and design : This is a multi-centre, single blind, block randomised, controlled trial. Participants will be recruited via the ten regional offices of MS Ireland. Telephone screening will establish eligibility and stratification according to the mobility section of the Guys Neurological Disability Scale. Once a block of people of the same strand in the same geographical region have given consent, participants will be randomised. Strand A will concern individuals with MS who walk independently or use one stick to walk outside. Participants will be randomised to yoga, physiotherapy led exercise class, fitness instructor led exercise class or to a control group who don't change their exercise habits. Strand B will concern individuals with MS who walk with bilateral support or a rollator...

Monitoring My Multiple Sclerosis: A Patient-Administered Health-Assessment Scale

Gulick, Elsie E.; Namey, Marie; Halper, June
Fonte: The Consortium of Multiple Sclerosis Centers Publicador: The Consortium of Multiple Sclerosis Centers
Tipo: Artigo de Revista Científica
Publicado em //2011 EN
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Optimal health of people with multiple sclerosis (MS) can be promoted by patients' sharing of health information gained through periodic self-monitoring with their health-care providers. The purpose of this study was to develop a valid and reliable self-administered scale to obtain information about MS patients' health status and the impact of the disease on their daily lives. We named this scale “Monitoring My Multiple Sclerosis” (MMMS). A cross-sectional survey was conducted of 171 MS patients who completed the MMMS and Patient-Determined Disease Steps (PDDS) scales and provided information on their MS disease classification and demographic characteristics. Data analysis included several parametric procedures. Factor analysis of the 26-item MMMS resulted in four factors with satisfactory α reliability coefficients for the total scale (0.90) and factored subscales: Physical (0.85), Relationships (0.80), Energy (0.70), and Cognitive/Mental (0.67). Analysis of variance demonstrated that the total scale and the Physical subscale, but not the Relationships subscale, showed significantly worse functioning for patients with either moderate or severe disability as measured by the PDDS than for patients with mild disability (P < .001). The Cognitive/Mental subscale showed significantly worse functioning for patients with moderate disability than for patients with mild disability (P < .05). However...

Assessment of fatigue in multiple sclerosis: methodological quality of adapted original versions available in Brazil of self-report instruments

Lopes,Josiane; Lavado,Edson Lopes; Kallaur,Ana Paula; Oliveira,Sayonara Rangel de; Reiche,Edna Maria Vissoci; Kaimen-Maciel,Damacio Ramón
Fonte: Universidade de São Paulo Publicador: Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/12/2014 EN
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Assessment of fatigue in multiple sclerosis is a difficult task and its instruments have no uniformity regarding the methodological evaluation parameters to ensure validity and reliability of its inferences. The objective of this study was to analyze the methodological quality of development, cross-cultural adaptation to Portuguese language (Brazil), and psychometric properties of self-report instruments that assess fatigue in multiple sclerosis and are available in Brazil. A search was conducted in the electronic databases LILACS, MEDLINE, Embase, PsycINFO, CINAHL, SciELO and SPORTDiscus with analysis of the selected instruments by consensus-based standards for the selection of health measurement instruments. It was included 10 articles and presented the instruments Fatigue Severity Scale (FSS), Modified Fatigue Impact Scale (MFIS), Cognitive and Physical Fatigue in Multiple Sclerosis Scale (CPF-MS), Guy's Neurological Disability Scale (GNDS), Functional Assessment of Multiple Sclerosis (FAMS), and their adapted versions in Brazil. Most instruments present a multidimensional structure with documented cross-cultural adaptation in Brazil and emphasize the physical domain and adequate reliability. There is difficulty in identifying a self-report instrument to adequately assess fatigue in multiple sclerosis and that is an example of methodological and psychometric standards in their design and management.

The Non-Obese Diabetic Mouse Strain as a Model to Study CD8+ T Cell Function in Relapsing and Progressive Multiple Sclerosis

Ignatius Arokia Doss, Prenitha Mercy; Roy, Andrée-Pascale; Wang, AiLi; Anderson, Ana Carrizosa; Rangachari, Manu
Fonte: Frontiers Media S.A. Publicador: Frontiers Media S.A.
Tipo: Artigo de Revista Científica
EN_US
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Multiple sclerosis (MS) is a neurodegenerative disease resulting from an autoimmune attack on central nervous system (CNS) myelin. Although CD4+ T cell function in MS pathology has been extensively studied, there is also strong evidence that CD8+ T lymphocytes play a key role. Intriguingly, CD8+ T cells accumulate in great numbers in the CNS in progressive MS, a form of the disease that is refractory to current disease-modifying therapies that target the CD4+ T cell response. Here, we discuss the function of CD8+ T cells in experimental autoimmune encephalomyelitis (EAE), a mouse model of MS. In particular, we describe EAE in non-obese diabetic (NOD) background mice, which develop a pattern of disease characterized by multiple attacks and remissions followed by a progressively worsening phase. This is highly reminiscent of the pattern of disease observed in nearly half of MS patients. Particular attention is paid to a newly described transgenic mouse strain (1C6) on the NOD background whose CD4+ and CD8+ T cells are directed against the encephalitogenic peptide MOG[35–55]. Use of this model will give us a more complete picture of the role(s) played by distinct T cell subsets in CNS autoimmunity.

El sistema cannabinoide en situaciones de neuroinflamación: perspectivas terapéuticas en la esclerosis múltiple; Cannabinoid system and neuroinflammation: Therapeutic perspectives in multiple sclerosis

Docagne, F.; Mestre, L.; Correa, F.; Clemente, D.; Ortega-Gutiérrez, S.; Molina, E.; Arévalo-Martín, A.; Borrell, Jose; Guaza, Carmen
Fonte: Viguera Editores Publicador: Viguera Editores
Tipo: Artículo Formato: 220243 bytes; application/pdf
SPA
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[EN]Introduction. The endocannabinoid system consists of cannabinoid receptors, endogenous ligands and the enzymatic elements involved in their synthesis and breakdown. Aim. To report on currently held knowledge about the functioning of the system as a modulator of the neuroinflammatory processes associated with chronic diseases such as multiple sclerosis. Development. Cannabinoids are synthesised and released on demand and their production increases in times of neuroinflammation and neural damage. In this context then, their actions in the microglial cells and in the astrocytes are characterised by a lowered expression of inflammatory mediators and pro-inflammatory cytokines. Furthermore, cannabinoids can play a role as neuroprotectors by means of different types of mechanisms and, in experimental models of multiple sclerosis, they slow down the symptoms, reduce inflammation and can favour remyelination. Conclusions. The clinical use of cannabinoids or pharmacological agents that affect the endogenous cannabinoid system during inflammation of the central nervous system and in multiple sclerosis is currently under consideration and subject to debate. Detailed analysis of the results obtained over the past decade has made it possible to establish the existence of several mechanisms of action of cannabinoids in pathologies affecting the central nervous system that are accompanied by chronic inflammation. Likewise...

Brain volume and brain metabolite changes in the first stages of primary progressive multiple sclerosis

Sastre Garriga, Jaume
Fonte: [Barcelona] : Universitat Autònoma de Barcelona, Publicador: [Barcelona] : Universitat Autònoma de Barcelona,
Tipo: Tesis i dissertacions electròniques; info:eu-repo/semantics/doctoralThesis; info:eu-repo/semantics/publishedVersion Formato: application/pdf
Publicado em //2015 ENG
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Antecedents: Hi ha escassa informació disponible sobre l'atròfia cerebral global i de substància gris i blanca (SG i SB) en l'esclerosi múltiple primària progressiva (EMPP) i en la seva relació amb paràmetres clínics i de ressonància magnètica (RM); per altra banda, les anomalies en el teixit cerebral d'aparença normal poden contribuir a la discapacitat. Objectiu: Avaluar els mecanismes subjacents a la progressió de la malaltia en les primeres fases de l'EMPP emprant eines de volumetria cerebral i calculant les concentracions de metabòlits mitjançant la imatge de RM per espectroscòpica de protons (IRME) a l'inici de l'estudi i després d'un any de seguiment, i avaluant la seva relació amb els paràmetres clínics i radiològics convencionals. Mètodes: Quaranta-tres pacients amb EMPP dins dels 5 anys primers anys de malaltia i 45 subjectes sans s'inclogueren a l'inici de l'estudi per a l'anàlisi volumètric; després d'un any 31 pacients tingueren un segon examen de RM volumètrica; per als estudis d'IRME, hi havia 41 pacients amb EMPP i 44 subjectes sans disponibles a l'inici de l'estudi i després d'un any es disposava de 21 parells d'estudis (basal – 12 mesos) de pacients amb vòxels de SG cortical i 24 parells d'estudis de pacients amb vòxels de substància blanca d'aparença normal (SBAN) utilitzables. Per als estudis d'atròfia...

The role of immune cells, glia and neurons in white and grey matter pathology in multiple sclerosis

Mallucci, Giulia; Jametti, Luca Peruzzotti; Bernstock, Joshua; Pluchino, Stefano
Fonte: Elsevier Publicador: Elsevier
Tipo: Article; accepted version
EN
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This is the final version of the article. It was first available from Elsevier via http://dx.doi.org/10.1016/j.pneurobio.2015.02.003; Multiple sclerosis is one of the most common causes of chronic neurological disability beginning in early to middle adult life. Multiple sclerosis is idiopathic in nature, yet increasing correlative evidence supports a strong association between one's genetic predisposition, the environment and the immune system. Symptoms of multiple sclerosis have primarily been shown to result from a disruption in the integrity of myelinated tracts within the white matter of the central nervous system. However, recent research has also highlighted the hitherto underappreciated involvement of gray matter in multiple sclerosis disease pathophysiology, which may be especially relevant when considering the accumulation of irreversible damage and progressive disability. This review aims at providing a comprehensive overview of the interplay between inflammation, glial/neuronal damage and regeneration throughout the course of multiple sclerosis via the analysis of both white and gray matter lesional pathology. Further, we describe the common pathological mechanisms underlying both relapsing and progressive forms of multiple sclerosis...

Características psicométricas dos instrumentos usados para avaliar a qualidade de vida na esclerose múltipla: uma revisão bibliográfica; Psychometric characteristics of the instruments used to assess quality of life in multiple sclerosis: a literature review

Pedro, Luísa Maria Reis; Pais-Ribeiro, José Luís
Fonte: Universidade de São Paulo. Faculdade de Medicina Publicador: Universidade de São Paulo. Faculdade de Medicina
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; ; Formato: application/pdf
Publicado em 01/01/2008 POR
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Multiple sclerosis (MS) is the chronic neurological disease that most affects young adults; 80% of patients experience a transition towards persistent disability, hence the need to assess their quality of life (QoL). The aim of the study was to review studies that assess QoL in patients with multiple sclerosis, inquiring on the instruments used and their psychometric features. Articles published from 1997 through 2007 were searched for by means of key words "multiple sclerosis" and "quality of life" in databases Psycinfo, Psycarticles, Psycbooks, Psychology & Behavioral Science Collection, EJS E-Journal, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, Medline, and Academic Search Complete. From the 1,376 studies found, after abstract reading those that reported on instruments with poor psychometric properties and/or were little referred were excluded. A total of 461 articles were selected, of which 267 reported using generic instruments and 194, MS-specific ones. Among the 7 instruments reported by the studies as having good psychometric characteristics (2 generic, five MS-specific), the most used is the SF-36 (by 237 studies). All instruments have shown adequate psychometric properties and a high degree of reliability...