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TARGET trial of intranasal sumatriptan

…at 24 hours (44% vs. 24%) and 48 hours (34% vs. 20%). One-third were pain-free at two hours post-dose with active treatment compared to 17% with placebo. The proportion achieving meaningful pain relief at two hours was 70% with intranasal sumatriptan versus 45% with placebo, according to patient self-rating. Fewer patients on active treatment required rescue medications (37% vs 52%). One patient receiving intranasal sumatriptan reported mild pare…

Olfactory deficits a biomarker of Alzheimer’s disease?

…r et al. AAN 2015; abstract P2.170). During the observation period, 36.4% of aMCI patients with impaired olfaction developed AD, compared to 17.3% of aMCI patients with intact olfaction. The ROC AUC for conversion to AD was 0.62, which the authors noted is comparable to CSF biomarkers such as beta-amyloid42, tau and p-tau. Thus, impaired olfaction may be an easily administered, low-cost tool for stratifying the risk of conversion from aMCI to AD….

From Framingham to Facebook: the contagion of controversy

…4;9:e90315; free full text at www.ncbi.nlm.nih.gov/pmc/articles/PMC3951248/pdf/pone.0090315.pdf). A positive post yielded an average 1.75 positive posts by friends; a negative post yielded an average 1.29 negative posts. Facebook estimated that when it rains in New York City, users post an additional 1,500 negative posts, which in turn generate 700 negative posts by friends. This study was approved by the IRB of the University of California, San D…

Optimizing patient assessment in MS: NEDA and beyond

…et al. Mult Scler 2013;19:605-612; Fahrbach et al. BMC Neurol 2013;13:180, free full text at www.ncbi.nlm.nih.gov/pmc/articles/PMC4225567/pdf/1471-2377-13-180.pdf). The next step was to add EDSS change to determine the proportion of patients that achieved disease activity-free (DAF) status, defined as no relapses, no sustained disability progression and no MRI activity (no Gd+ lesions, no new/enlarging T2 lesions) (Havrdova et al. Lancet Neurol 20…

Relapse prevention in first-episode schizophrenia: role of long-acting injectables

…Clin Psychiatry 2014; epublished August 19, 2014; free full text at http://www.psychiatrist.com/jcp/article/Pages/2014/v75n11/v75n1107.aspx [requires registration]). A total of 304 patients were randomized to aripiprazole OM 400 mg or placebo for 12 weeks. All subjects received concomitant oral aripiprazole 10-20 mg/day for 14 days. A significant treatment effect was seen at week 1, and this benefit was maintained at all time points throughout the…