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非洲肌萎缩侧索硬化症研究的现状与未来方向:一种观点

Current status and future directions of amyotrophic lateral sclerosis research in Africa: a perspective.

作者信息

Aderinto Nicholas, Muili AbdulBasit Opeyemi, Afolayan Oluwatosin, Jolayemi Mubarak Mustapha

机构信息

Department of Medicine and Surgery, Ladoke Akintola University of Technology, Ogbomoso.

Faculty of Basic Medical Sciences, University of Ilorin, Ilorin, Nigeria.

出版信息

Ann Med Surg (Lond). 2023 May 10;85(6):3204-3208. doi: 10.1097/MS9.0000000000000814. eCollection 2023 Jun.

DOI:10.1097/MS9.0000000000000814
PMID:37363576
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10289691/
Abstract

Amyotrophic lateral sclerosis (ALS) is a devastating neurodegenerative disease with a global burden. Despite significant strides in ALS research, challenges facing ALS research in Africa are substantial. This paper discusses the current status and future directions of ALS research in Africa. Challenges and opportunities for ALS research in the region are highlighted, including limited funding and resources, the need for collaboration, and capacity building. Emerging technologies in ALS research in Africa are described, including telemedicine, neuroimaging, and genetic studies. Priorities for future ALS research in Africa are identified, including epidemiological studies, developing culturally appropriate diagnostic and management tools, and clinical trials of emerging treatments. Addressing these priorities will be critical to advancing ALS research and improving patient outcomes in Africa.

摘要

肌萎缩侧索硬化症(ALS)是一种具有全球负担的毁灭性神经退行性疾病。尽管ALS研究取得了重大进展,但非洲的ALS研究面临着诸多挑战。本文讨论了非洲ALS研究的现状和未来方向。文中强调了该地区ALS研究的挑战和机遇,包括资金和资源有限、合作需求以及能力建设。介绍了非洲ALS研究中的新兴技术,包括远程医疗、神经成像和基因研究。确定了非洲未来ALS研究的重点,包括流行病学研究、开发适合当地文化的诊断和管理工具,以及新兴治疗方法的临床试验。解决这些重点问题对于推进非洲的ALS研究和改善患者预后至关重要。

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本文引用的文献

1
Barriers to sustainable health research leadership in the Global South: Time for a Grand Bargain on localization of research leadership?全球南方可持续健康研究领导力的障碍:是时候就研究领导力的本土化达成大协议了吗?
Health Res Policy Syst. 2022 Dec 19;20(1):136. doi: 10.1186/s12961-022-00910-6.
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Recruitment of Patients With Amyotrophic Lateral Sclerosis for Clinical Trials and Epidemiological Studies: Descriptive Study of the National ALS Registry's Research Notification Mechanism.招募肌萎缩侧索硬化症患者参加临床试验和流行病学研究:国家肌萎缩侧索硬化症登记处研究通知机制的描述性研究。
J Med Internet Res. 2021 Dec 7;23(12):e28021. doi: 10.2196/28021.
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Health Financing in Sub-Saharan Africa: From Analytical Frameworks to Empirical Evaluation.撒哈拉以南非洲的卫生筹资:从分析框架到实证评估
Appl Health Econ Health Policy. 2020 Dec;18(6):743-746. doi: 10.1007/s40258-020-00618-0. Epub 2020 Nov 4.
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The genetic architecture of ALS.肌萎缩侧索硬化症的遗传结构
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Incidence of motor neuron disease/amyotrophic lateral sclerosis in South Africa: a 4-year prospective study.南非运动神经元病/肌萎缩性侧索硬化症的发病率:一项为期 4 年的前瞻性研究。
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The ethics of global psychiatric genomics: Multilayered challenges to integrating genomics in global mental health and disability-A position paper of the Oxford Global Initiative in Neuropsychiatric GenEthics (NeuroGenE).全球精神医学基因组学的伦理:将基因组学纳入全球精神卫生和残疾领域所面临的多层次挑战——牛津全球神经精神疾病遗传伦理学倡议(NeuroGenE)的立场文件。
Am J Med Genet B Neuropsychiatr Genet. 2019 Dec;180(8):533-542. doi: 10.1002/ajmg.b.32697. Epub 2018 Dec 6.
8
Clinical features and prognosis of amyotrophic lateral sclerosis in Africa: the TROPALS study.非洲肌萎缩侧索硬化症的临床特征和预后:TROPALS 研究。
J Neurol Neurosurg Psychiatry. 2019 Jan;90(1):20-29. doi: 10.1136/jnnp-2018-318469. Epub 2018 Sep 21.
9
The critical needs and challenges for genetic architecture studies in Africa.非洲遗传结构研究的关键需求和挑战。
Curr Opin Genet Dev. 2018 Dec;53:113-120. doi: 10.1016/j.gde.2018.08.005. Epub 2018 Sep 18.
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Shortcomings in the Current Amyotrophic Lateral Sclerosis Trials and Potential Solutions for Improvement.当前肌萎缩侧索硬化症试验的不足之处及可能的改进解决方案。
Front Neurol. 2017 Sep 29;8:521. doi: 10.3389/fneur.2017.00521. eCollection 2017.