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Glatiramer acetate or IFN-β bridging therapy in women with relapsing multiple sclerosis planning a pregnancy. 醋酸格拉替默或IFN-β桥接疗法在计划妊娠的复发性多发性硬化症妇女中的应用
IF 2.6 Q3 Medicine Pub Date : 2023-08-01 DOI: 10.2217/nmt-2022-0032
Kerstin Hellwig, Sandra Thiel, Sabrina Haben, Andrea I Ciplea, Anna Kurzeja

Aim: To assess bridging glatiramer acetate (GA) or IFN-β for relapse prevention in women with relapsing multiple sclerosis planning pregnancy. Materials & methods: Participants discontinued disease-modifying therapies (DMTs) and received GA/IFN (early- or delayed-start) or no DMT (control) until pregnancy. Results: Annualized relapse rate was lower in delayed-start GA/IFN cohort versus control during washout/bridging. During washout/bridging, bridging with GA/IFN in this cohort reduced clinical activity, while disease activity increased in controls versus baseline. Conclusion: More data on GA/IFN bridging are needed. Women with low relapsing multiple sclerosis activity in the year prior to DMT discontinuation due to pregnancy planning benefited from GA/IFN bridging with lower annualized relapse rate versus no treatment and reduced clinical activity versus baseline during washout/bridging and pregnancy.

目的:评价醋酸格拉替默(GA)或IFN-β桥接治疗对计划妊娠的复发性多发性硬化症妇女预防复发的作用。材料和方法:受试者停止疾病改善治疗(DMT)并接受GA/IFN(早期或延迟开始)或不接受DMT(对照组),直到怀孕。结果:在洗脱期/桥接期间,延迟启动GA/IFN队列的年化复发率低于对照组。在洗脱期/桥接期间,该队列中GA/IFN桥接降低了临床活动性,而与基线相比,对照组的疾病活动性增加。结论:需要更多关于GA/IFN桥接的数据。在因妊娠计划而停用DMT的前一年,GA/IFN桥接治疗对低复发性多发性硬化症活动性的妇女有益,与未治疗相比,GA/IFN桥接治疗的年化复发率较低,并且在洗脱期/桥接和妊娠期间,与基线相比,临床活动性降低。
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引用次数: 0
Computerized cognitive testing in patients with Parkinson's disease: an Indian perspective. 帕金森氏病患者的电脑认知测试:印度视角
IF 2.6 Q3 Medicine Pub Date : 2023-08-01 DOI: 10.2217/nmt-2023-0002
Moulika Mandal, Kashish Srivastava

Aim: This study investigates perspectives on computer-based assessments among elderly individuals with Parkinson's disease (PD) in India for more efficient usability of digital assessments for this population. Materials & methods: Content analysis was conducted on 30 participants diagnosed with PD, who were interviewed for their preferences and perspectives on integrating technology in healthcare assessments. Results: Elderly individuals with PD in India favored paper-pencil assessments over computer-based alternatives due to limited technological familiarity, resistance to change, lack of trust in healthcare technology and PD-related motor challenges. Conclusion: Elderly patients with Parkinson's in India indicated their discomfort with computer-based based cognitive assessment. Addressing barriers toward digital assessments in India is crucial for their successful implementation in healthcare.

目的:本研究调查了印度老年帕金森病患者(PD)计算机评估的观点,以提高该人群数字评估的有效可用性。材料与方法:对30名PD患者进行内容分析,对他们进行访谈,了解他们在医疗保健评估中整合技术的偏好和观点。结果:由于技术熟悉程度有限,对变革的抗拒,对医疗保健技术缺乏信任以及PD相关的运动挑战,印度老年PD患者更喜欢纸笔评估而不是基于计算机的替代方案。结论:印度老年帕金森患者对基于计算机的认知评估感到不适。解决印度数字评估的障碍对于在医疗保健领域成功实施数字评估至关重要。
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引用次数: 0
A plain language summary on the effectiveness of cladribine tablets compared with other oral treatments for multiple sclerosis: results from the MSBase registry. 与其他口服治疗多发性硬化症的药物相比,克拉宾片的疗效总结:来自MSBase注册表的结果。
IF 2.6 Q3 Medicine Pub Date : 2023-08-01 DOI: 10.2217/nmt-2023-0005
Tim Spelman, Serkan Ozakbas, Raed Alroughani, Murat Terzi, Suzanne Hodgkinson, Guy Laureys, Tomas Kalincik, Anneke Van Der Walt, Bassem Yamout, Jeannette Lechner-Scott, Aysun Soysal, Jens Kuhle, Jose Luis Sanchez-Menoyo, Yolanda Blanco Morgado, Daniele LA Spitaleri, Vincent van Pesch, Dana Horakova, Radek Ampapa, Francesco Patti, Richard Macdonell, Abdullah Al-Asmi, Oliver Gerlach, Jiwon Oh, Ayse Altintas, Namita Tundia, Schiffon L Wong, Helmut Butzkueven

What is this summary about?: Patient registries contain anonymous data from people who share the same medical condition. The MSBase registry contains information from over 80,000 people living with multiple sclerosis (MS) across 41 countries. Using information from the MSBase registry, the GLIMPSE (Generating Learnings In MultiPle SclErosis) study looked at real-life outcomes in 3475 people living with MS who were treated with cladribine tablets (Mavenclad®) compared with other oral treatments.

What were the results?: Results showed that people treated with cladribine tablets stayed on treatment for longer than other treatments given by mouth. They also had fewer relapses (also called flare ups of symptoms) than people who received a different oral treatment for their MS.

What do the results mean?: The results provide evidence that, compared with other oral treatments for MS, cladribine tablets are an effective medicine for people living with MS.

这个总结是关于什么的?患者登记包含来自具有相同医疗状况的人的匿名数据。MSBase注册表包含来自41个国家的80,000多名多发性硬化症(MS)患者的信息。使用来自MSBase注册表的信息,GLIMPSE(在多发性硬化症中产生学习)研究观察了3475名接受克拉德滨片(Mavenclad®)治疗的多发性硬化症患者的现实结果,并与其他口服治疗进行了比较。结果如何?结果显示,服用克拉西宾片剂的患者比口服治疗的患者持续时间更长。与接受不同口腔治疗的患者相比,他们的复发(也称为症状突然发作)也更少。结果表明,与其他口服治疗多发性硬化症的药物相比,克拉宾片对多发性硬化症患者是一种有效的药物。
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引用次数: 0
Targeting metabotropic glutamate receptors for the treatment of Parkinson's disease. 靶向代谢性谷氨酸受体治疗帕金森病。
IF 2.6 Q3 Medicine Pub Date : 2023-08-01 DOI: 10.2217/nmt-2023-0016
Philippe Huot
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引用次数: 1
Impact of a 7-day retreat for people with Parkinson's disease: a phenomenological study. 7天静修对帕金森病患者的影响:现象学研究。
IF 2.6 Q3 Medicine Pub Date : 2023-08-01 DOI: 10.2217/nmt-2023-0015
Lori M Bordenave, Corrine Fritcher Nelson, Becky G Farley, Tara L McIsaac

Aim: Early and ongoing access to rehabilitation and exercise may preserve functional mobility and quality of life for persons with Parkinson disease (PwP). The aim of the current study was to describe the experience of PwP who participated in a 7-day retreat. Materials & methods: A phenomenological approach was used to describe the lived experience of PwP. Results: Three themes emerged from interviews: a community of shared information where participants discussed exercising and learning with other PwP; improved control of Parkinson's disease symptoms, including performing physical tasks more easily and renewed motivation for their long-term plans for exercise because of the retreat. Conclusion: A 7-day retreat for PwP positively impacted perceived control of disease-related symptoms and intentions to continue exercise.

目的:早期和持续的康复和锻炼可以保持帕金森病(PwP)患者的功能活动和生活质量。本研究的目的是描述参加7天静修的残疾人的经验。材料与方法:采用现象学方法描述PwP的生活经验。结果:访谈中出现了三个主题:一个共享信息的社区,参与者与其他PwP讨论锻炼和学习;改善了对帕金森病症状的控制,包括更容易完成体力活动,并因为静修而重新激发了他们长期锻炼计划的动力。结论:7天的PwP治疗对疾病相关症状的感知控制和继续锻炼的意愿有积极影响。
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引用次数: 0
A plain language summary of what clinical studies can tell us about the safety of evobrutinib - a potential treatment for multiple sclerosis. 临床研究可以告诉我们evobrutinib(一种治疗多发性硬化症的潜在药物)的安全性。
IF 2.6 Q3 Medicine Pub Date : 2023-08-01 DOI: 10.2217/nmt-2023-0003
Xavier Montalban, Daniel Wallace, Mark C Genovese, Davorka Tomic, Dana Parsons-Rich, Claire Le Bolay, Amy H Kao, Hans Guehring

What is this summary about?: This summary explains the findings from a recent investigation that combined the results of over 1000 people from three clinical studies to understand the safety of evobrutinib. Evobrutinib is an oral medication (taken by mouth), being researched as a potential treatment for multiple sclerosis (MS). This medication was also investigated in rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE). Over 1000 people have taken evobrutinib as part of three separate phase 2 clinical studies. These studies looked at how much of the drug should be taken, how safe the drug is, and how well it might work for treating a certain medical condition.

What were the results?: Evobrutinib was well-tolerated by participants in all three studies. The number of side effects reported by participants taking the medication was very similar to those reported by participants taking the placebo (a 'dummy' treatment without a real drug). The most common side effects in clinical studies were urinary tract infections, headache, swelling of the nose and throat, diarrhoea and blood markers of potential liver damage (these returned to normal once the treatment was stopped).

What do the results mean?: The safety data from all three clinical studies are encouraging and can be used to inform further research into using evobrutinib in MS. Clinical Trial Registration: NCT02975349 (multiple sclerosis), NCT03233230 (rheumatoid arthritis), NCT02975336 (systemic lupus erythematosus) (ClinicalTrials.gov).

这个总结是关于什么的?本摘要解释了最近一项调查的结果,该调查结合了来自三个临床研究的1000多人的结果,以了解evobrutinib的安全性。Evobrutinib是一种口服药物(口服),正在研究作为多发性硬化症(MS)的潜在治疗方法。这种药物也被用于类风湿关节炎(RA)和系统性红斑狼疮(SLE)。超过1000人服用依沃鲁替尼作为三个独立的二期临床研究的一部分。这些研究着眼于应该服用多少药物,药物的安全性,以及它对治疗某种疾病的效果如何。结果如何?Evobrutinib在所有三项研究中的耐受性良好。服用这种药物的参与者报告的副作用数量与服用安慰剂(一种没有真正药物的“假”治疗)的参与者报告的副作用数量非常相似。临床研究中最常见的副作用是尿路感染、头痛、鼻子和喉咙肿胀、腹泻和潜在肝损伤的血液标志物(这些在治疗停止后恢复正常)。这些结果意味着什么?三项临床研究的安全性数据令人鼓舞,可用于进一步研究evobrutinib在ms中的应用。临床试验注册号:NCT02975349(多发性硬化症)、NCT03233230(类风湿性关节炎)、NCT02975336(系统性红斑狼疮)(ClinicalTrials.gov)。
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引用次数: 0
Cross-sectoral collaboration among hospital professionals on rehabilitation for patients with neuromuscular diseases. 医院专业人员在神经肌肉疾病患者康复方面的跨部门合作。
IF 2.6 Q3 Medicine Pub Date : 2023-06-01 DOI: 10.2217/nmt-2022-0024
Charlotte Handberg, Ulla Werlauff

Introduction: Living with a neuromuscular disease often leads to a need for specialized rehabilitation due to the complexity and progression of the diseases. Aim: To investigate cross-sectoral collaboration on rehabilitation for patients with neuromuscular diseases among hospital professionals to inform future targeted rehabilitation services. Patients & methods: The design was qualitative using the interpretive description methodology and the theoretical lens of symbolic interactionism. Ethnographic fieldwork was conducted, and 50 hospital professionals included, 19 of whom were interviewed. Results & conclusion: The results emphasize the importance of relations when collaborating across sectors. The professionals acted and made choices in relation to dilemmas and influences of diagnosis and progression, professional demarcations in multiprofessional teams, and cross-sectoral collaboration toward a mutual goal.

由于疾病的复杂性和进展,神经肌肉疾病患者往往需要专门的康复治疗。目的:探讨医院专业人员在神经肌肉疾病患者康复方面的跨部门合作,为未来有针对性的康复服务提供依据。患者与方法:本设计采用解释性描述方法和符号互动主义的理论视角进行定性设计。进行了民族志实地调查,包括50名医院专业人员,其中19人接受了采访。结果与结论:结果强调了跨部门合作时关系的重要性。专业人员在诊断和进展的困境和影响、多专业团队的专业划分以及为共同目标而进行的跨部门合作方面采取行动并做出选择。
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引用次数: 0
Exploring the impact of caring for an individual with neurogenic orthostatic hypotension: a qualitative study. 探讨神经源性直立性低血压患者护理的影响:一项定性研究。
IF 2.6 Q3 Medicine Pub Date : 2023-06-01 DOI: 10.2217/nmt-2022-0016
Katy Gallop, Ngan Pham, Grant Maclaine, Emma Saunders, Bonnie Black, Sarah Acaster

Aim: This study aimed to explore the impact of caring for an individual with neurogenic orthostatic hypotension (nOH). Methods: Informal caregivers of individuals with nOH and either Parkinson's disease, multiple system atrophy, pure autonomic failure or dementia with Lewy bodies completed semi-structured interviews. Data were analyzed using thematic analysis; the identified concepts were used to develop a conceptual model. Results: Twenty informal caregivers were interviewed. Analysis identified several areas of caregiver impact due to nOH including impact on their time, particularly a need to supervise the patient to prevent falls as well as a lack of freedom and negative physical, work and social impacts. Many reported negative emotional impacts, including worry, stress or fear about the patient falling, depression and frustration. The conceptual model shows the relationships between concepts. Conclusion: The results highlight the wide-ranging impact of nOH, and the specific impact of the fear of falls on informal caregivers' lives.

目的:本研究旨在探讨护理对神经源性直立性低血压(nOH)患者的影响。方法:nOH合并帕金森病、多系统萎缩、纯自主神经衰竭或路易体痴呆患者的非正式护理人员完成半结构化访谈。数据采用专题分析;确定的概念被用来开发一个概念模型。结果:对20名非正式护理人员进行了访谈。分析确定了nOH对护理人员的几个方面的影响,包括对他们时间的影响,特别是需要监督患者以防止跌倒,以及缺乏自由和负面的身体,工作和社会影响。许多人报告了负面的情绪影响,包括担心、压力或对病人摔倒的恐惧、抑郁和沮丧。概念模型显示了概念之间的关系。结论:研究结果突出了nOH的广泛影响,以及对跌倒的恐惧对非正式照顾者生活的具体影响。
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引用次数: 0
The amyloid-β pathway in Alzheimer's disease: a plain language summary. 阿尔茨海默病中的淀粉样蛋白-β通路:通俗易懂的摘要。
IF 2.3 Q3 CLINICAL NEUROLOGY Pub Date : 2023-06-01 Epub Date: 2023-03-30 DOI: 10.2217/nmt-2022-0037
Harald Hampel, Yan Hu, John Hardy, Kaj Blennow, Christopher Chen, George Perry, Seung Hyun Kim, Victor L Villemagne, Paul Aisen, Michele Vendruscolo, Takeshi Iwatsubo, Colin L Masters, Min Cho, Lars Lannfelt, Jeffrey L Cummings, Andrea Vergallo

What is this summary about?: This plain language summary of an article published in Molecular Psychiatry, reviews the evidence supporting the role of the amyloid-β (Aβ) pathway and its dysregulation in Alzheimer's disease (AD), and highlights the rationale for drugs targeting the Aβ pathway in the early stages of the disease.

Why is this important?: Aβ is a protein fragment (or peptide) that exists in several forms distinguished by their size, shape/structure, degree of solubility and disease relevance. The accumulation of Aβ plaques is a hallmark of AD. However, smaller, soluble aggregates of Aβ - including Aβ protofibrils - also play a role in the disease. Because Aβ-related disease mechanisms are complex, the diagnosis, treatment and management of AD should be reflective of and guided by up-to-date scientific knowledge and research findings in this area. This article describes the Aβ protein and its role in AD, summarizing the evidence showing that altered Aβ clearance from the brain may lead to the imbalance, toxic buildup and misfolding of the protein - triggering a cascade of cellular, molecular and systematic events that ultimately lead to AD.

What are the key takeaways?: The physiological balance of brain Aβ levels in the context of AD is complex. Despite many unanswered questions, mounting evidence indicates that Aβ has a central role in driving AD progression. A better understanding of the Aβ pathway biology will help identify the best therapeutic targets for AD and inform treatment approaches.

这篇摘要是关于什么的?:这篇发表在《分子精神病学》(Molecular Psychiatry)上的文章的摘要用通俗易懂的语言回顾了支持淀粉样蛋白-β(Aβ)通路的作用及其在阿尔茨海默病(AD)中失调的证据,并强调了在疾病早期阶段针对 Aβ 通路用药的基本原理:Aβ 是一种蛋白质片段(或肽),有多种存在形式,因其大小、形状/结构、溶解度和与疾病的相关性而各不相同。Aβ 斑块的累积是注意力缺失症的标志。然而,较小的可溶性Aβ聚集体(包括Aβ原纤维)也在疾病中发挥作用。由于与 Aβ 相关的疾病机制十分复杂,因此,AD 的诊断、治疗和管理应反映并以该领域的最新科学知识和研究成果为指导。本文介绍了Aβ蛋白及其在AD中的作用,总结了有证据显示大脑中Aβ清除的改变可能会导致该蛋白的失衡、毒性积聚和错误折叠--引发一连串的细胞、分子和系统事件,最终导致AD:AD背景下大脑Aβ水平的生理平衡非常复杂。尽管还有许多问题没有答案,但越来越多的证据表明,Aβ在推动AD发展中起着核心作用。更好地了解 Aβ 通路的生物学特性将有助于确定 AD 的最佳治疗靶点,并为治疗方法提供依据。
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引用次数: 0
Wearable activity monitors to support physical activity interventions in neurodegenerative disease: a feasibility study. 可穿戴活动监测仪支持神经退行性疾病的身体活动干预:可行性研究
IF 2.6 Q3 Medicine Pub Date : 2023-06-01 DOI: 10.2217/nmt-2022-0028
Hai-Jung Steffi Shih, Lori Quinn, Philippa Morgan-Jones, Katrina Long, Abigail R Schreier, Ciaran P Friel

Aim: To evaluate the feasibility of using activity monitors in a physical activity (PA) intervention in people with Parkinson's (PD) and Huntington's disease (HD). Materials & methods: People with early-stage PD (n = 13) and HD (n = 14) enrolled in a 4-month coaching program, wore a Fitbit, and were guided through a behavioral intervention to facilitate PA uptake. Wear time, wear habits and activity metrics (e.g., steps) were analyzed. Results: Retention rate was 85% and participants had an average 92.3% (±9.2) valid wear days. Daily wear time was 18.4 (±4.5) h. Day & night Fitbit wearers showed improvements in steps (d = 1.02) and MET×min/week (d = 0.69) compared with day-only wearers. Conclusion: Implementing wearables in a coaching intervention was feasible and provided insights into PA behavior.

目的:评价活动监测仪在帕金森病(PD)和亨廷顿病(HD)患者身体活动(PA)干预中的可行性。材料与方法:患有早期PD (n = 13)和HD (n = 14)的患者参加了为期4个月的指导计划,佩戴Fitbit,并通过行为干预指导促进PA的吸收。分析了佩戴时间、佩戴习惯和活动指标(例如,步数)。结果:保留率为85%,平均有效佩戴天数为92.3%(±9.2)天。每天佩戴时间为18.4(±4.5)小时。与只佩戴Fitbit的人相比,白天和晚上佩戴者的步数(d = 1.02)和MET×min/周(d = 0.69)均有所改善。结论:在教练干预中实施可穿戴设备是可行的,并提供了对PA行为的见解。
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引用次数: 0
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Neurodegenerative disease management
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