petek, 30. oktober 2009, 09:51
Piše: mateja
Ogledov 891
Združenje multiple skleroze Slovenije bo v četrtek, 05.11.2009 organiziralo OKROGLO MIZO s tiskovnokonferenco o dostopnosti do novejših zdravil - predvsem trenutno najbolj aktualnega natalizumaba. Dogodek bo organiziran v 4. nadstropju Inštituta RS za rehabilitacijo s pričetkom ob 11,00 uri. Tiskovna konferenca bo v istih prostorih ob 12,30 uri.
V preteklosti so bili mediji zelo nezainteresirani za našo problematiko. Zaradi tega prosim vse, ki lahko vplivate na udeležbo novinarjev na tiskovni konferenci, da nam pomagate! Verjetno bomo le tako lahko stvari premaknili na bolje.
Na okroglo mizo smo povabili vse, ki so tako ali drugače povezani s problematiko uvajanja in financiranja novejših zdravil za multiplo sklerozo. Tako so povabljeni:
- predstaviki Ministrstva za zdravje (minister g. Borut Miklavčič, državni sekretar g. dr. Ivan Eržen in ga. mag. Doroteja Novak Gosarič)
- predstavniki Zavoda za zdravstveno zavarovanje Slovenije (direktor g. dr. Samo Fakin, vodja oddelka za zdravila g. Jurij Fürst)
- poslanec g. Ljubo Germič, predsednik parlamentarnega odbora za zdravstvo
- g. mag. Franc Hočevar, svetovalec predsenika RS za zdravstvo in socialo
- zdravniki nevrologi
- uporabniki zdravila
- osebe, ki na zdravilo še čakajo.
Na Združenju multiple skleroze Slovenije menimo, da je nedopustno tako dolgo reševanje problema, povezanega z uvajanjem novega zdravia za osebe z MS - ternutno natalizumaba. Bojimo se tudi, da bo to postalo stalnica tudi pri zdravilih za MS, ki bodo na tržišče še prišla. To okroglo mizo s tiskovno konferenco organiziramo z namenom, da se pospeši reševanje problema financiranja novih zdravil za MS, saj je to za nekatere dobesedno življenjskega pomena.
Journal of the neurological sciences 2009;282(1-2):21-7
Vascular Diseases Center, University of Ferrara, Ferrara, Italy. zmp@unife.it
Iron stores in the white and deep grey matter in course of multiple sclerosis (MS) have never been explained and could be related to abnormalities in venous drainage, but this possibility has never before been investigated. From an initial cohort of 320 subjects, after application of exclusion criteria, we selected 109 patients affected by MS, and 177 controls respectively composed by age- and sex-matched, healthy aged, and patients affected by other neurological diseases. They blindly underwent transcranial and extracranial Color-Doppler sonographic examination (TCCS-ECD), aimed at investigating five parameters related to normal cerebral venous outflow haemodynamics. Overall we analyzed 1430 TCSS-ECD parameters. In controls we found 861 normal parameters of cerebral venous return vs. 24 anomalous, whereas in MS 288 parameters were normal and 257 anomalous, respectively. Consequently, each of the considered Doppler haemodynamic parameters, when compared to revised McDonald criteria as a gold standard of MS diagnosis, showed separately a highly significant sensitivity and a noteworthy specificity. However, the detection >or=2 parameters in the same subject, never observed in controls, perfectly overlapped the diagnosis of MS (value, 95%CI: sensitivity 100%, 97-100; specificity 100%, 98-100; positive predictive value 100%, 97-100, negative predictive value 100%, 98-100; p<0.0001). Moreover, this study demonstrates a significant impairment of cerebral venous drainage in patients affected by MS, a mechanism potentially related to increased iron stores.
Journal of the neurological sciences 2009;282(1-2):21-7
Vascular Diseases Center, University of Ferrara, Ferrara, Italy. zmp@unife.it
Iron stores in the white and deep grey matter in course of multiple sclerosis (MS) have never been explained and could be related to abnormalities in venous drainage, but this possibility has never before been investigated. From an initial cohort of 320 subjects, after application of exclusion criteria, we selected 109 patients affected by MS, and 177 controls respectively composed by age- and sex-matched, healthy aged, and patients affected by other neurological diseases. They blindly underwent transcranial and extracranial Color-Doppler sonographic examination (TCCS-ECD), aimed at investigating five parameters related to normal cerebral venous outflow haemodynamics. Overall we analyzed 1430 TCSS-ECD parameters. In controls we found 861 normal parameters of cerebral venous return vs. 24 anomalous, whereas in MS 288 parameters were normal and 257 anomalous, respectively. Consequently, each of the considered Doppler haemodynamic parameters, when compared to revised McDonald criteria as a gold standard of MS diagnosis, showed separately a highly significant sensitivity and a noteworthy specificity. However, the detection >or=2 parameters in the same subject, never observed in controls, perfectly overlapped the diagnosis of MS (value, 95%CI: sensitivity 100%, 97-100; specificity 100%, 98-100; positive predictive value 100%, 97-100, negative predictive value 100%, 98-100; p<0.0001). Moreover, this study demonstrates a significant impairment of cerebral venous drainage in patients affected by MS, a mechanism potentially related to increased iron stores.
Na krato....
Vzrok naj bi bil zamašene vratne žile. Pri 90% pacientov je bil ta vzrok potrjen, kar pomojem pomeni ZMAGOOOO!!!!!!Več si preberite v reviji Jana z dne 15.12.2009 ali primorskih novicah št. 290 15.12.2009
lep pozdv
The value of cerebral Doppler venous haemodynamics in the assessment of multiple sclerosis.
Zamboni Paolo; Menegatti Erica; Galeotti Roberto; Malagoni Anna Maria; Tacconi Giovanna; Dall'Ara Sergio; Bartolomei Ilaria; Salvi Fabrizio
Journal of the neurological sciences 2009;282(1-2):21-7
Vascular Diseases Center, University of Ferrara, Ferrara, Italy. zmp@unife.it
Iron stores in the white and deep grey matter in course of multiple sclerosis (MS) have never been explained and could be related to abnormalities in venous drainage, but this possibility has never before been investigated. From an initial cohort of 320 subjects, after application of exclusion criteria, we selected 109 patients affected by MS, and 177 controls respectively composed by age- and sex-matched, healthy aged, and patients affected by other neurological diseases. They blindly underwent transcranial and extracranial Color-Doppler sonographic examination (TCCS-ECD), aimed at investigating five parameters related to normal cerebral venous outflow haemodynamics. Overall we analyzed 1430 TCSS-ECD parameters. In controls we found 861 normal parameters of cerebral venous return vs. 24 anomalous, whereas in MS 288 parameters were normal and 257 anomalous, respectively. Consequently, each of the considered Doppler haemodynamic parameters, when compared to revised McDonald criteria as a gold standard of MS diagnosis, showed separately a highly significant sensitivity and a noteworthy specificity. However, the detection >or=2 parameters in the same subject, never observed in controls, perfectly overlapped the diagnosis of MS (value, 95%CI: sensitivity 100%, 97-100; specificity 100%, 98-100; positive predictive value 100%, 97-100, negative predictive value 100%, 98-100; p<0.0001). Moreover, this study demonstrates a significant impairment of cerebral venous drainage in patients affected by MS, a mechanism potentially related to increased iron stores.
http://www.biomedexperts.com/Experts/Abstract.aspx?pid=19144359
lp
jernej