Background: Motor neuron diseases (MND) represent a group of disorders that evolve with inexorable muscle weakness and medical management is based on symptom control. However, deeper characterization of non-motor symptoms in these patients have been rarely reported. Methods: This cross-sectional study aimed to describe non-motor symptoms in MND and their impact on quality of life and functional status, with a focus on pain and sensory changes. Eighty patients (31 females, 55.7 AE 12.9 years old) with MND underwent a neurological examination, pain, mood, catastrophizing and psychophysics assessments [quantitative sensory testing (QST) and conditioned pain modulation (CPM)], and were compared to sex-and age-matched healthy controls (HC). Results: Chronic pain was present in 46% of patients (VAS = 5.18 AE 2.0). Pain of musculoskeletal origin occurred in 40.5% and was mainly located in the head/neck (51%) and lower back (35%). Neuropathic pain was not present in this sample. Compared to HC, MND patients had a lower cold detection threshold (p < 0.002), and significantly lower CPM scores (4.9 AE 0.2% vs. 22.1 AE 0.2%, p = 0.012). QST/CPM results did not differ between MND patients with and without pain. Pain intensity was statistically correlated with anxiety, depression and catastrophism, and spasticity scores were inversely correlated with CPM (q = À0.30, p = 0.026). Conclusions: Pain is frequently reported by patients with MNDs. Somatosensory and CPM changes exist in MNDs and may be related to the neurodegenerative nature of the disease. Further studies should investigate the most appropriate treatment strategies for these patients. Significance: We report a comprehensive evaluation of pain and sensory abnormalities in motor neuron disease (MND) patients. We assessed the different pain syndromes present in MND with validated tools, and described the QST and conditioned pain modulation profiles in a controlled design.
Trata-se de um artigo escrito a partir de um relatório de uma pesquisa exploratória sobre o mercado de trabalho dos profissionais da informação. O autor enfoca o problema das quantidades e qualidades dos acervos e do pessoal envolvido. Destaca as insuficiências e inúmeros problemas relacionados ao funcionamento de arquivos, museus e bibliotecas na cidade do Rio de Janeiro e em Niterói.
Este texto objetiva contribuir para a discussão dos significados da objetividade e da subjetividade, como categorias aplicáveis ao estudos comunicacionais. Deseja esclarecer a diferença entre objetividade e objetivismo e entre subjetividade e subjetivismo. Discute o mesmo problema aplicado a dois livros recentes que analisaram a problemática dos fenômenos comunicacionais passados pela televisão. Conclui, ressaltando a importância das balizas enunciadas como verificadoras da natureza das interpretações usadas.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.