Oral Contraceptive Use and Clinical Outcomes in Patients with Multiple Sclerosis

Experimental and clinical data suggest a role of sex steroids in the pathogenesis of multiple sclerosis (MS). Scant information is available about the potential effect of oral contraceptive (OC) use on the prognosis of the disease. We aimed to evaluate this. The study population consisted of 132 women with relapsing-remitting MS before receiving disease modifying treatment and a mean disease duration 6.2 (SD 5.1) years. Three groups of patients were distinguished according to their OC behavior: [1] never-users, patients who never used OC [2] past-users, patients who stopped OC use before disease onset, and [3] after-users, those who used these drugs after disease onset. Multiple linear and logistic regression models were used to analyze the association between oral contraceptive use and annualized relapse rates, disability accumulation and severity of the disease. After-user patients had lower Expanded Disability Status Scale (EDSS) and Multiple Sclerosis Severity Score (MSSS) values than never users (p<0.001 and p=0.002, respectively) and past users (p=0.010 and p=0.002, respectively). These patients were also more likely to have a benign disease course (MSSS<2.5) than never and past users together (OR: 4.52, 95%CI: 2.13-9.56, p<0.001). This effect remained significant after adjustment for confounders, including smoking and childbirths (OR: 2.97, 95%CI: 1.24, 6.54, p=0.011 and for MSSS β: -1.04; 95% C.I. -1.78, -0.30, p=0.006). These results suggest that OC use in women with relapsing-remitting MS is possible associated with a milder disabling disease course.

The Traveler, November,2001

Newsletter for Economic Development

[Sicile. Musées, fragments de terre cuite]

Référence bibliographique : Weigert, 317

MouseKeys

MouseKeys is an accessibility feature which allows you to use the numeric keypad to control the mouse pointer.

Mind-bending math and science activities for gifted students (grades K-12).

Manual que ofrece información especializada a padres y profesores para analizar los diversos aspectos del pensamiento del superdotado en relación con las matemáticas y la ciencia y ayudar a los estudiantes a combinar el potencial creativo con el rigor intelectual. Los ejercicios, viñetas, concursos etc. pueden adaptarse fácilmente al modo de vida de los estudiantes fuera del aula. El volumen es adecuado para los grados K-12.

In situ formation of gold nanoparticles with a thermoresponsive block copolymer corona

Gold nanoparticles with a polymer coating exhibiting large and reversible thermoresponsiveness are prepared via a one-pot synthesis method using narrow polydispersity thermoresponsive block copolymers. (C) 2007 Elsevier B.V. All rights reserved.