Hispanic/Latino NARCOMS Participants

August 7th, 2008

Eileen Abarca, BS––NARCOMS Bilingual Research Coordinator, Barrow Neurological Institute, Arizona; Patricia Davis, MS––NARCOMS Database Coordinator, Barrow Neurological Institute, Arizona; Tuula Tyry, PhD, MAEd––Program and Editorial Manager, Barrow Neurological Institute, Phoenix, Arizona

Introduction
North American Research Committee on Multiple Sclerosis (NARCOMS) program, a project of the Consortium of Multiple Sclerosis Centers (CMSC), is a long-term research project designed to facilitate research in the broad field of multiple sclerosis (MS). Read the rest of this entry »

Pregnancy, Delivery, and Birth Outcome in Different Stages of Maternal MS

July 31st, 2008

To investigate the influence of maternal MS on pregnancy, this study compared pregnancy, delivery, and birth outcome in births prior to onset of MS (pre MS), between MS onset and diagnosis (early MS), and after diagnosis of MS (manifest MS). Read the rest of this entry »

Relationship between Combat Related Posttraumtic Stress Disorder (PTSD) and MS

July 29th, 2008

The interrelation between chronic stress and MS has always been known, but the biological foundation for this phenomenon has not yet been proven. A case-study of five patients, both diagnosed with MS and PTSD, attempts to demonstrate various dimensions of interrelation between these two diseases. Read the rest of this entry »

Experiences of Diagnosis and Treatment Among People With MS

July 25th, 2008

The aim of this qualitative study performed by the Applied Research Centre in Health and Lifestyle Interventions in Coventry, UK, was to examine patients’ experiences of being diagnosed with MS, the information that they were given at this time, subsequent treatment, and its impact on their lives. Read the rest of this entry »

Access to and Utilization of Neurolgists By People With MS

July 25th, 2008

Access To and Utilization of Neurologists by People With MS This study examined access to and use of
neurologists among a broad, national sample of people with MS; identified demographic, economic, and clinical factors associated with access and use; and examined differences in treatment and management of MS. Read the rest of this entry »

NARCOMS Report 27.2

June 23rd, 2008

Health Care Resource Usage Among NARCOMS Participants

Patricia Davis, MS, NARCOMS Database Coordinator, Barrow Neurological Institute, Arizona; Tuula Tyry, PhD, MAEd, Program and Editorial Manager, Barrow Neurological Institute, Phoenix, Arizona

Introduction

The NARCOMS update surveys routinely include questions related to health care provider visits and treatment patterns. The following article summarizes the responses to some of these questions in the fall 2007 update survey. We are very pleased to share the results with MSQR readers and very grateful for the collaboration of the 10,131 NARCOMS participants who responded to this survey.

Read the rest of this entry »

Monoclonal Antibodies: A New Way to Treat MS

May 28th, 2008

Denise Campagnolo, MD, MS, Director, Clinical MS Research, Barrow Neurological Institute, Phoenix, Arizona

Introduction

Monoclonal antibodies (MABs) are a new class of therapy now used to combat multiple sclerosis (MS). There are several advantages of MABs compared to the other classes of drugs. At the heart of this advantage is the fact that MABs are designed to recognize specific unique antigens. Antigens are usually proteins that provoke an immune response. In MS, MABs provide a way to target very selective molecules that might prevent at least some if not all of the autoimmune attack on myelin.

Read the rest of this entry »

Exercise and Gait Retraining in Persons with Multiple Sclerosis

May 19th, 2008

Barbara S. Giesser, MD, Clinical Professor of Neurology, David Geffen UCLA School of Medicine, Los Angeles, California

Introduction
Multiple sclerosis (MS) is a disease that invariably affects the ability to walk and move in a majority of patients. The ability to move may be affected by numerous impairments, including weakness, imbalance, fatigue, spasticity, and environmental conditions. Standard physical therapy and other rehabilitative techniques may improve function in these areas to some extent, but is not always successful. Read the rest of this entry »

Health Care Resource Usage Among NARCOMS Participants

May 12th, 2008

Patricia Davis, MS, NARCOMS Database Coordinator, Barrow Neurological Institute, Arizona; Tuula Tyry, PhD, MAEd–Program and Editorial Manager, Barrow Neurological Institute, Phoenix, Arizona

Introduction
The NARCOMS update surveys routinely include questions related to health care provider visits and treatment patterns. The following article summarizes the responses to some of these questions in the fall 2007 update survey. We are very pleased to share the results with MSQR readers and very grateful for the collaboration of the 10,131 NARCOMS participants who responded to this survey. Read the rest of this entry »

May 7th, 2008

Development of an Educational Program for Caregivers of People Aging With MS

May 7th, 2008

This article in Occupational Therapy International journal describes a three-phase project to identify and develop an occupational therapy response to the challenges experienced by caregivers of middle-aged and older adults with MS. Read the rest of this entry »

Prevalence of ‘Poor Sleep’ Among Patients With MS: An Independent Predictor of Mental and Physical Status

May 5th, 2008

Patients with MS report sleep disturbances more frequently than the general population. Besides specific sleep disturbances, many other conditions could impair nocturnal rest in this population. In addition, information regarding the role of disrupted sleep on quality of life (QoL) in patients with MS is lacking. This study, reported in Sleep Medicine journal, was performed to bridge this gap. Read the rest of this entry »

A Longitudinal Study on Effects of a Six-Week Course for Energy Conservation for Patients With MS

May 5th, 2008

An article published in Multiple Sclerosis journal reports objective fatigue management and energy conservation are effective strategies to minimize fatigue in MS. Sustained results have not yet been reported. A fatigue management course was provided for 32 patients with MS. Read the rest of this entry »

MSQR 27.1 Table of Contents

February 4th, 2008

Feature Articles

Optic Neuritis in Multiple Sclerosis

Neuromyelitis Optica

NARCOMS Report

Breaking News

Optic Neuritis in Multiple Sclerosis

February 4th, 2008

Jane W. Chan, MD–Associate Professor of Neurology Ophthalmology, Departments of Neurology and Ophthalmology, University of Kentucky Medical Center, Lexington, Kentucky

Risk Factors for Developing Optic Neuritis in Autoimmune Disease

Although optic neuritis most often affects young adults, atypical cases of optic neuritis are sometimes seen in elderly patients. Bilateral optic neuritis in childhood is not uncommon, and it is believed that in these cases there is less risk of progression to MS (Beck et al., 1993b). Read the rest of this entry »

Neuromyelitis Optica

February 4th, 2008

Dean M. Wingerchuk, MD, MSc, FRCP(C)

A Historical Perspective on NMO

Neuromyelitis optica (NMO), also known as Devic’s disease, was identified more than one hundred years ago as a severe disorder affecting the spinal cord (causing paralysis) and both optic nerves (causing blindness). Read the rest of this entry »

NARCOMS Report-2007 Registry Update

February 4th, 2008

2007 Registry Update

Patricia Davis, MS, NARCOMS Database Coordinator, Barrow Neurological Institute, Arizona; Tuula Tyry, PhD, MAEd, Program and Editorial Manager, Barrow Neurological Institute, Phoenix, Arizona

Introduction

CMSC/NARCOMS is a long-term MS research project driven by voluntary enrollee participation. Participants are asked to complete updates twice a year by mail or a secure online survey. Read the rest of this entry »

MSQR 26.4 Table of Contents

November 14th, 2007

Feature Articles

Treatment of Multiple Sclerosis Relapses

Living With Multiple Sclerosis Disease Progression

NARCOMS Report-Relapse Management

Treatment of Multiple Sclerosis Relapses

November 14th, 2007

Denise I. Campagnolo, MD, MS, Director Clinical Multiple Sclerosis Research, Barrow Neurological Institute, Phoenix,
Arizona; Timothy L.Vollmer, MD, VanDenburgh Fellow, Director BNI Neuroimmunology Program, Barrow Neurological
Institute, Phoenix, Arizona

Key Words:

Antigens – Any substance that provokes an immune response. Ideally, the antigen is a foreign substance, like a protein made by a bacterium. Sometimes T cells inappropriately react with “self-antigens” ( i.e., substances made by the body). When this happens, an autoimmune disease can develop. MS is thought to be, at least in part, an autoimmune disease. Read the rest of this entry »

Living With Multiple Sclerosis Disease Progression

November 14th, 2007

Elizabeth Auld, PA- C––Spinal Cord Program, MSCS,VA Connecticut Healthcare System,West Haven, Connecticut

Introduction
Research into what is happening to the central nervous system in multiple sclerosis (MS) gives hope that the disease can be slowed and eventually cured or prevented. Realistically, persons with MS understand that until there is a cure, they will have to accept and make the best of what is, in fact, a disabling disease. Read the rest of this entry »

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