Herpes simplex labialis history defined. Antiviral drug therapy may help. New tests aid multiple sclerosis diagnosis

JAMA ◽  
1978 ◽  
Vol 239 (10) ◽  
pp. 925-926 ◽  
Coronaviruses ◽  
2020 ◽  
Vol 01 ◽  
Author(s):  
Manish Kumar ◽  
Chandra Prakash Jain

Background: An outbreak of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) infection or COVID 19, causing serious threats to all around the world. Until an effective and safe vaccine for novel coronavirus is developed by scientists, current drug therapy should by optimize for the control and treatment of COVID 19. Objective: In this manuscript, we are presenting a perspective on possible benefits of reformulating antiviral drug dosage form with nanoemulsion system against novel coronavirus infection. Methods: Literature review has been done on COVID 19, treatment strategies, novel drug delivery systems and role of pulmonary surfactant on lungs protection. Results: Nanoemulsion system and its components have certain biophysical properties which could increase the efficacy of drug therapy. Antiviral drugs, delivered through a nanoemulsion system containing P-gp inhibitor (surfactant and cosolvent), can inhibit the cellular resistance to drugs and would potentiate the antiviral action of drugs. Pulmonary surfactant (PS) assisted antiviral drug delivery by nanoemulsion system could be another effective approach for the treatment of COVID 19. Use of functional excipients like pulmonary surfactant (PS) and surfactant proteins (SPs), in the formulation of the antiviral drug-loaded nanoemulsion system can improve the treatment of coronavirus infection. Conclusion: In our opinion for synergizing antiviral action, lipid and protein portion of PS and their commercial analogs should be explored by pharmaceutical scientists to use them as a functional excipient in the formulation of antiviral drugloaded nanoemulsion system.


Author(s):  
Massimo Pieri ◽  
Fabio Duranti ◽  
Diego Centonze ◽  
Fabio Buttari ◽  
Sergio Bernardini ◽  
...  

2019 ◽  
Vol 18 (1) ◽  
pp. 43-49 ◽  
Author(s):  
Paloma Menéndez-Valladares ◽  
Maria Isabel García-Sánchez ◽  
Myriam Adorna Martínez ◽  
Jose Luis García De Veas Silva ◽  
Carmen Bermudo Guitarte ◽  
...  

Neurology ◽  
2017 ◽  
Vol 89 (23) ◽  
pp. 2351-2356 ◽  
Author(s):  
Georgina Arrambide ◽  
Mar Tintore ◽  
Cristina Auger ◽  
Jordi Río ◽  
Joaquín Castilló ◽  
...  

Objectives:To assess the contributions of cortico-juxtacortical and corpus callosum lesions to multiple sclerosis diagnosis and to compare the value of ≥1 vs ≥3 periventricular lesions in clinically isolated syndromes (CIS).Methods:Step 1: We evaluated lesion topography classifications in 657 patients with CIS with stepwise Cox proportional hazards regression models considering second attack as the outcome. Step 2: We established 2 dissemination in space (DIS) versions according to the periventricular lesion cutoffs of ≥1 and ≥3 and assessed their performance at 10 years with second attack as the outcome, first individually and then combined with dissemination in time (DIT) in all cases (n = 326), by age, and by CIS topography.Results:Step 1: The models (hazard ratios [95% confidence interval]) favored ≥1 over ≥3 periventricular lesions (2.5 [1.7–3.6]) and cortico-juxtacortical over juxtacortical lesions (1.4 [1.0–1.8]). Callosal lesions were not selected. Step 2: DIS specificity with ≥1 periventricular lesions was slightly lower than with ≥3 (59.1 vs 61.4) and the same after adding DIT (88.6). Regarding age, ≥3 periventricular lesions improved DIS specificity over ≥1 lesions in the 40–49 years of age bracket (66.7 vs 58.3). This difference disappeared when adding DIT (83.3). Optic neuritis had a similar pattern when evaluating CIS topographies.Conclusions:Our results comply with the Magnetic Resonance Imaging in Multiple Sclerosis (MAGNIMS) consensus recommendation of combining cortical and juxtacortical lesions into a single term when possible. Concerning periventricular lesions, maintaining the current ≥1 cutoff in the McDonald criteria does not compromise specificity in typical CIS cases, but attention should be paid to older patients or optic neuritis cases.


2016 ◽  
Vol 29 (7-8) ◽  
pp. 419
Author(s):  
Rita Lopes Silva

Keywords: Child; Demyelinating Autoimmune Diseases, CNS; Encephalomyelitis, Acute Disseminated; Multiple Sclerosis/diagnosis; Multiple Sclerosis/therapy.


Author(s):  
Sami Omerhoca ◽  
Sinem Yazici Akkas ◽  
Nilufer Kale Icen

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