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https://www.readbyqxmd.com/read/28072797/effect-of-concomitant-pain-medications-on-response-to-pregabalin-in-patients-with-postherpetic-neuralgia-or-spinal-cord-injury-related-neuropathic-pain
#1
Stephan A Schug, Bruce Parsons, Mary Almas, Ed Whalen
BACKGROUND: Patients with neuropathic pain (NeP) often receive combination therapy with multiple agents in the hopes of improving both pain and any comorbidities that may be present. While pregabalin is often recommended as a first-line treatment of NeP, few studies have examined the effects of concomitant medications on the efficacy of pregabalin. OBJECTIVE: To examine the effects of concomitant medications on the efficacy and safety of pregabalin for the treatment of NeP...
January 2017: Pain Physician
https://www.readbyqxmd.com/read/28070857/a-small-organic-compound-mimicking-the-l1-cell-adhesion-molecule-promotes-functional-recovery-after-spinal-cord-injury-in-zebrafish
#2
Sudhanshu Sahu, Zhihua Zhang, Rong Li, Junkai Hu, Huifan Shen, Gabriele Loers, Yanqin Shen, Melitta Schachner
Tacrine is a small organic compound that was discovered to mimic the functions of the neural cell adhesion molecule L1 by promoting the cognate functions of L1 in vitro, such as neuronal survival, neuronal migration, neurite outgrowth, and myelination. Based on studies indicating that L1 enhances functional recovery in different central and peripheral nervous system disease paradigms of rodents, it deemed interesting to investigate the beneficial role of tacrine in the attractive zebrafish animal model, by evaluating functional recovery after spinal cord injury...
January 9, 2017: Molecular Neurobiology
https://www.readbyqxmd.com/read/28069364/compact-mri-for-the-detection-of-teratoma-development-following-intrathecal-human-embryonic-stem-cell-injection-in-nod-scid-mice
#3
Yuval Ramot, Yael S Schiffenbauer, Netanel Amouyal, Nathan Ezov, Michal Steiner, Michal Izrael, Neta Lavon, Arik Hasson, Michel Revel, Abraham Nyska
Stem cells are emerging as a promising new treatment modality for a variety of central nervous system disorders. However, their use is hampered by the potential for the development of teratomas and other tumors. Therefore, there is a crucial need for the development of methods for detecting teratomas in preclinical safety studies. The aim of the current study is to assess the ability of a compact Magnetic Resonance Imaging (MRI) system to detect teratoma formation in mice. Five NOD-SCID mice were injected intrathecally with human embryonic stem cells (hESCs), with two mice serving as controls...
January 6, 2017: Neurotoxicology
https://www.readbyqxmd.com/read/28048874/su-f-t-616-comparison-of-different-techniques-using-rtog0631-guidelines-in-spine-sbrt
#4
H Acar, M Cebe, H Mabhouti, G Codel, P Pacaci, E Serin, E Sanli, N Kucuk, E Kucukmorkoc, M Doyuran, D Canoglu, A Altinok, H Caglar
PURPOSE: Stereotactic body radiosurgery (SBRT) for spine metastases involves irradiation using a single high dose fraction. The purpose of this study was to investigate a Hybrid VMAT/IMRT technique which combines volumetric modulated arc therapy (VMAT) and intensity modulated radiation therapy (IMRT) for spine SBRT in terms of its dosimetric quality and treatment efficiency using Radiation Therapy Oncology Group (RTOG) 0631 guidelines. METHODS: 7 fields IMRT, 2 full arcs VMAT and Hybrid VMAT/IMRT were created for ten previously treated patients...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048605/su-f-t-331-the-effect-of-optimization-grid-size-on-helical-tomotherapy-for-nasopharyngeal-carcinama
#5
J Gu, Y Yin, J Zhu
PURPOSE: To investigate the effect of plan optimization grid size on helical tomotherapy for nasopharyngeal carcinoma (NPC) METHODS: Ten patients of NPC were enrolled. For each patient, three plans with different dose optimization grid size (fine, normal, coarse) were created by Helical Tomotherapy Planning Station (version: 5.0, GPU Acceleration and VoLo).The time consumed by 500 optimization iterations, the monitor units and the dose volume histogram factors were compared. Paired-Wilcoxon test was used in statistical analysis...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047237/tu-h-campus-tep1-01-variable-beam-fractionation-for-sabr
#6
A Modiri, A Sawant
PURPOSE: In current conventionally-fractionated as well as hypofractionated 3D conformal radiotherapy (CRT), the same beam arrangement is employed from fraction to fraction. We challenge this notion and postulate that by varying the beam arrangement between fractions we can achieve greater sparing of organs at risk (OARs) while maintaining PTV coverage. We use an inverse planning strategy using a swarm intelligence-based global optimization algorithm to exploit the additional degree of freedom represented by inter-fractional variation in beam angles...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046983/su-f-t-641-comparative-study-on-planning-and-delivery-efficiency-of-volumetric-modulated-arc-therapy-between-varian-and-elekta-platforms-for-sbrt-lung-treatment
#7
Varadhan, L Arentsen, S Way, C Overbeck, S Yerich, B Garrity, M Fox
PURPOSE: To compare the plan quality between Eclipse (Varian) and Monaco (Elekta) TPS. To ascertain, if SBRT lung treatment could be delivered in a single coplanar arc (360 degrees) with both Elekta and Varian platforms. To assess if the smaller leaf width in Varian Millennium and Elekta Agility MLC heads have a dosimetric advantage over Elekta MLCi2 head METHODS: Ten SBRT lung patients (PTV volumes ranging from 11 cc to 103cc) who were previously treated on Varian Linac with non-coplanar arcs and received 50Gy in 5 fractions were chosen for this study...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046651/mo-fg-bra-08-swarm-intelligence-based-personalized-respiratory-gating-in-lung-sabr
#8
A Modiri, P Sabouri, X Gu, R Timmerman, A Sawant
PURPOSE: Respiratory gating is widely deployed as a clinical motion-management strategy in lung radiotherapy. In conventional gating, the beam is turned on during a pre-determined phase window; typically, around end-exhalation. In this work, we challenge the notion that end-exhalation is always the optimal gating phase. Specifically, we use a swarm-intelligence-based, inverse planning approach to determine the optimal respiratory phase and MU for each beam with respect to (i) the state of the anatomy at each phase and (ii) the time spent in that state, estimated from long-term monitoring of the patient's breathing motion...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28045856/a-multiparametric-alarm-criterion-for-motor-evoked-potential-monitoring-during-spine-deformity-surgery
#9
Martín J Segura, María E Talarico, Mariano A Noel
PURPOSE: This is a pilot study to compare changes in the amplitude, area below the curve, number of phases, duration, and latency of the intraoperative transcranial motor evoked potentials (TcMEP) for early detection of impending spinal cord injury. An empirical ratio calculated by a combination of the above-mentioned parameters was also assessed. METHODS: Intraoperative TcMEP recordings from five patients presenting with neuromuscular kyphoscoliosis, idiopathic scoliosis, achondroplasia and lumbar kyphosis, congenital kyphosis, and achondroplasia with cervical instability were reviewed...
January 2017: Journal of Clinical Neurophysiology: Official Publication of the American Electroencephalographic Society
https://www.readbyqxmd.com/read/28045855/the-interpretation-of-muscle-motor-evoked-potentials-for-spinal-cord-monitoring
#10
Karl F Kothbauer
OBJECTIVE: To provide a summary of the intraoperative monitoring of muscle motor evoked potentials (MEPs) based on the presence-absence concept during neurosurgical operations along the spinal cord. METHOD: Expert review. DISCUSSION: The measurable parameters of MEPs, such as signal amplitudes and thresholds vary considerably both during a single surgery in a single individual patient as well as between individuals and operations. The presence or absence of responses irrespective of stimulus intensity and response amplitude is much more clearly defined...
January 2017: Journal of Clinical Neurophysiology: Official Publication of the American Electroencephalographic Society
https://www.readbyqxmd.com/read/28045854/the-percentage-of-amplitude-decrease-warning-criteria-for-transcranial-mep-monitoring
#11
Henricus L Journée, Hanneke I Berends, Moyo C Kruyt
Muscle motor evoked potentials (MEPs) from transcranial electrical stimulation (TES) became a standard technique for monitoring the motor functions of the brain and spinal cord at risk during spinal and brain surgery. However, a wide range of criteria based on the percentage of amplitude decrease is used in practice. A survey of the current literature on clinical outcome parameters reveals a variety of percentages in a range of 30% to 100% (50% to 100% spinal procedures) with no consensus. The interpretation of muscle MEPs is hampered by their sensitivity to many interfering factors...
January 2017: Journal of Clinical Neurophysiology: Official Publication of the American Electroencephalographic Society
https://www.readbyqxmd.com/read/28045852/overview-on-criteria-for-mep-monitoring
#12
David B MacDonald
Intraoperative motor evoked potentials include the D-wave as a surrogate for long-term motor outcome and muscle motor evoked potentials as a surrogate for early outcome. Their efficacy depends on excluding confounding factors and on warning criteria; insufficiently sensitive criteria could result in unpredicted deficits, whereas excessively sensitive ones could cause false alarms deterring surgical treatment and jading surgeons to alerts, eventually leading to deficits through failure to intervene. Although D-waves have few indications, they are nonsynaptic, linear, and stable-properties that support amplitude reduction criteria: >50% for intramedullary spinal cord tumor surgery and >30% to 40% for peri-Rolandic brain surgery...
January 2017: Journal of Clinical Neurophysiology: Official Publication of the American Electroencephalographic Society
https://www.readbyqxmd.com/read/28040874/prevention-of-spinal-cord-injury-using-brain-evoked-muscle-action-potential-br-e-msep-monitoring-in-cervical-spinal-screw-fixation
#13
Kazuyoshi Kobayashi, Shiro Imagama, Zenya Ito, Kei Ando, Tetsuro Hida, Naoki Ishiguro
PURPOSE: The goal of the study was to examine waveform deterioration in intraoperative monitoring during posterior fusion with a cervical screw. This surgery is useful for alignment correction, but worsening of neurological symptoms may occur in association with screw insertion and rod installation. Therefore, spinal cord monitoring is important for safe surgery. METHODS: The study included 25 cases treated with posterior fusion with a cervical screw. Waveform deterioration was defined as an intraoperative amplitude <50% of the control waveform...
December 31, 2016: European Spine Journal
https://www.readbyqxmd.com/read/28039366/the-use-of-o-2-18f-fluoroethyl-l-tyrosine-pet-in-the-diagnosis-of-gliomas-located-in-the-brainstem-and-spinal-cord
#14
Caroline Tscherpel, Veronika Dunkl, Garry Ceccon, Gabriele Stoffels, Natalie Judov, Marion Rapp, Philipp T Meyer, Elena Rota Kops, Johannes Ermert, Gereon R Fink, Nadim J Shah, Karl-Josef Langen, Norbert Galldiks
BACKGROUND: Despite an increasing number of O-(2-(18)F-fluoroethyl)-L-tyrosine ((18)F-FET) PET studies in supratentorial gliomas, studies regarding the usefulness of (18)F-FET PET in brainstem and spinal cord gliomas to date remain scarce. METHODS: Thirty-six (18)F-FET PET scans were performed in 29 patients with brainstem (n = 29 scans) or spinal cord glioma (n = 7 scans). In 32 of 36 PET scans, a dynamic acquisition was performed. Fifteen scans in 15 patients were performed to assess newly diagnosed lesions, and 21 scans were obtained during follow-up: for diagnosing tumor progression (n = 15 scans in 14 patients) as well as for treatment monitoring (n = 6 scans in 3 patients)...
December 29, 2016: Neuro-oncology
https://www.readbyqxmd.com/read/28029067/the-relationship-between-the-implementation-and-effectiveness-of-a-nationwide-physical-activity-telephone-counseling-service-for-adults-with-spinal-cord-injury
#15
Jennifer R Tomasone, Kelly P Arbour-Nicitopoulos, Amy E Latimer-Cheung, Kathleen A Martin Ginis
PURPOSE: Get in Motion (GIM) is an evidence-based telephone counseling service that promotes leisure-time physical activity (LTPA) among Canadian adults with spinal cord injury (SCI). The first phase of GIM sustained intentions for, and increased participation in, LTPA; however, it is unclear how GIM led to these outcomes. The purpose of this study was to explore the implementation correlates of change in LTPA intentions and behavior in the second phase of GIM. METHODS: The frequency, duration, and content of counseling sessions were tailored to meet clients' (N = 46; 50...
December 28, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28025945/double-blind-placebo-controlled-randomized-phase-i-iia-study-safety-and-efficacy-with-buspirone-levodopa-carbidopa-spinalontm-in-subjects-with-complete-ais-a-or-motor-complete-ais-b-spinal-cord-injury
#16
Mohan Radhakrishna, Inge Steuer, François Prince, Mary Roberts, David Mongeon, Maryam Kia, Sasha Dyck R N, Gilbert Matte, Mario Vaillancourt, Pierre A Guertin
BACKGROUND: No drug treatment capable of restoring locomotor capabilities in patients suffering a motor-complete spinal cord injury (SCI) has ever been developed. We assessed the safety and efficacy of an activator of spinal locomotor neurons in humans, which were shown in paraplegic animals to elicit temporary episodes of involuntary walking. METHODS: Single administration of buspirone/levodopa/carbidopa (Spinalon TM), levodopa/carbidopa (ratio 4: 1), and buspirone or placebo was performed using a dose-escalation design in 45 subjects placed in supine position who had had an SCI classified as complete (AIS A) or motor-complete/sensory incomplete (AIS B) for at least 3 months...
December 27, 2016: Current Pharmaceutical Design
https://www.readbyqxmd.com/read/28024664/long-term-use-of-opioids-in-210-officially-registered-patients-with-chronic-noncancer-pain-in-taiwan-a-cross-sectional-study
#17
Tso-Chou Lin, Luo-Ping Ger, Joseph V Pergolizzi, Robert B Raffa, Ju-O Wang, Shung-Tai Ho
BACKGROUND/PURPOSE: Prescribing opioids for chronic noncancer pain has been strictly regulated for two decades in Taiwan. The aim of this study was to survey the patients' perspectives and potential drawbacks following long-term use of opioids. METHODS: An observational cross-sectional survey using the Taiwanese version of Brief Pain Inventory was conducted among outpatients with chronic noncancer pain registered by the Taiwan Food and Drug Administration. Patients were also asked about their sexual behavior, depression, opioid misuse behaviors, and use of complementary and alternative medicine...
December 23, 2016: Journal of the Formosan Medical Association, Taiwan Yi Zhi
https://www.readbyqxmd.com/read/28017256/treatment-of-neuromyelitis-optica-and-neuromyelitis-optica-spectrum-disorders-with-rituximab-using-a-maintenance-treatment-regimen-and-close-cd19-b-cell-monitoring-a-six-year-follow-up
#18
M E Evangelopoulos, E Andreadou, G Koutsis, V Koutoulidis, M Anagnostouli, P Katsika, D S Evangelopoulos, I Evdokimidis, C Kilidireas
Neuromyelitis optinca (NMO) represents a serious demyelinating disease of the central nervous system selectively attacking the spinal cord and optic nerve. Early differential diagnosis from multiple sclerosis is of vital importance, as NMO mandates immunosuppressive and not immunomodulatory treatment. Rituximab has been recently introduced as a treatment option for NMO. However, optimal surrogate measures and treatment intervals are still unclear. Five patients (females, mean age 54±10.21years) with NMO and NMO spectrum disorders (NMOSD) were evaluated with respect to disability and relapse rate...
January 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/28012092/the-hypocretin-orexin-neuronal-networks-in-zebrafish
#19
Idan Elbaz, Talia Levitas-Djerbi, Lior Appelbaum
The hypothalamic Hypocretin/Orexin (Hcrt) neurons secrete two Hcrt neuropeptides. These neurons and peptides play a major role in the regulation of feeding, sleep wake cycle, reward-seeking, addiction, and stress. Loss of Hcrt neurons causes the sleep disorder narcolepsy. The zebrafish has become an attractive model to study the Hcrt neuronal network because it is a transparent vertebrate that enables simple genetic manipulation, imaging of the structure and function of neuronal circuits in live animals, and high-throughput monitoring of behavioral performance during both day and night...
December 24, 2016: Current Topics in Behavioral Neurosciences
https://www.readbyqxmd.com/read/28009786/low-force-muscle-activity-regulates-energy-expenditure-after-spinal-cord-injury
#20
Jessica R Woelfel, Amy L Kimball, Chu-Ling Yen, Richard K Shields
: Reduced physical activity is a primary risk factor for increased morbidity and mortality, People with spinal cord injury (SCI) have reduced activity for a lifetime, as they cannot volitionally activate affected skeletal muscles. We explored whether low force and low frequency stimulation is a viable strategy to enhance systemic energy expenditure in people with SCI. PURPOSE: To determine the effects of low stimulation frequency (1 Hz, 3 Hz) and stimulation intensity (50 mA and 100 mA) on energy expenditure in people with SCI...
December 22, 2016: Medicine and Science in Sports and Exercise
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