You are currently on the new version of our website. Access the old version .

63 Results Found

  • Review
  • Open Access
40 Citations
6,052 Views
15 Pages

Artificial Intelligence Models in the Diagnosis of Adult-Onset Dementia Disorders: A Review

  • Gopi Battineni,
  • Nalini Chintalapudi,
  • Mohammad Amran Hossain,
  • Giuseppe Losco,
  • Ciro Ruocco,
  • Getu Gamo Sagaro,
  • Enea Traini,
  • Giulio Nittari and
  • Francesco Amenta

Background: The progressive aging of populations, primarily in the industrialized western world, is accompanied by the increased incidence of several non-transmittable diseases, including neurodegenerative diseases and adult-onset dementia disorders....

  • Case Report
  • Open Access
3 Citations
3,247 Views
11 Pages

Adult-onset leukoencephalopathy with axonal spheroids and pigmented glia encompasses hereditary diffuse leukoencephalopathy with axonal spheroids and pigmented orthochromatic leukodystrophy. We describe the clinicopathological and genetic findings of...

  • Article
  • Open Access
63 Citations
6,121 Views
15 Pages

Improved Alzheimer’s Disease Detection by MRI Using Multimodal Machine Learning Algorithms

  • Gopi Battineni,
  • Mohmmad Amran Hossain,
  • Nalini Chintalapudi,
  • Enea Traini,
  • Venkata Rao Dhulipalla,
  • Mariappan Ramasamy and
  • Francesco Amenta

13 November 2021

Adult-onset dementia disorders represent a challenge for modern medicine. Alzheimer’s disease (AD) represents the most diffused form of adult-onset dementias. For half a century, the diagnosis of AD was based on clinical and exclusion criteria, with...

  • Review
  • Open Access
32 Citations
6,217 Views
12 Pages

Tele-Neuropsychological Assessment of Alzheimer’s Disease

  • Anna Carotenuto,
  • Enea Traini,
  • Angiola Maria Fasanaro,
  • Gopi Battineni and
  • Francesco Amenta

21 July 2021

Background: Because of the new pandemic caused by the novel coronavirus disease (COVID-19), the demand for telemedicine and telemonitoring solutions has been exponentially raised. Because of its special advantage to treat patients in an emergency wit...

  • Review
  • Open Access
16 Citations
5,013 Views
16 Pages

Shared Molecular Mechanisms among Alzheimer’s Disease, Neurovascular Unit Dysfunction and Vascular Risk Factors: A Narrative Review

  • Lorenzo Falsetti,
  • Giovanna Viticchi,
  • Vincenzo Zaccone,
  • Emanuele Guerrieri,
  • Gianluca Moroncini,
  • Simona Luzzi and
  • Mauro Silvestrini

Alzheimer’s disease (AD) is the most common type of dementia, affecting 24 million individuals. Clinical and epidemiological studies have found several links between vascular risk factors (VRF), neurovascular unit dysfunction (NVUd), blood-brai...

  • Review
  • Open Access
29 Citations
6,265 Views
22 Pages

Neuronal ceroid lipofuscinoses (NCLs) are a group of rare, inherited, neurodegenerative lysosomal storage disorders that affect children and adults. They are traditionally grouped together, based on shared clinical symptoms and pathological ground. T...

  • Review
  • Open Access
38 Citations
8,526 Views
18 Pages

Multisystem Proteinopathy Due to VCP Mutations: A Review of Clinical Heterogeneity and Genetic Diagnosis

  • Gerald Pfeffer,
  • Grace Lee,
  • Carly S. Pontifex,
  • Roberto D. Fanganiello,
  • Allison Peck,
  • Conrad C. Weihl and
  • Virginia Kimonis

27 May 2022

In this work, we review clinical features and genetic diagnosis of diseases caused by mutations in the gene encoding valosin-containing protein (VCP/p97), the functionally diverse AAA-ATPase. VCP is crucial to a multitude of cellular functions includ...

  • Article
  • Open Access
10 Citations
4,770 Views
15 Pages

Novel Variants in the VCP Gene Causing Multisystem Proteinopathy 1

  • Rod Carlo Agram Columbres,
  • Yue Chin,
  • Sanjana Pratti,
  • Colin Quinn,
  • Luis F. Gonzalez-Cuyar,
  • Michael Weiss,
  • Fabiola Quintero-Rivera and
  • Virginia Kimonis

8 March 2023

Valosin-containing protein (VCP) gene mutations have been associated with a rare autosomal dominant, adult-onset progressive disease known as multisystem proteinopathy 1 (MSP1), or inclusion body myopathy (IBM), Paget’s disease of bone (PDB), f...

  • Review
  • Open Access
33 Citations
6,138 Views
27 Pages

Overlapping Neuroimmune Mechanisms and Therapeutic Targets in Neurodegenerative Disorders

  • Fabiola De Marchi,
  • Ivana Munitic,
  • Lea Vidatic,
  • Eliša Papić,
  • Valentino Rački,
  • Jerneja Nimac,
  • Igor Jurak,
  • Gabriela Novotni,
  • Boris Rogelj and
  • Silva Hecimovic
  • + 5 authors

Many potential immune therapeutic targets are similarly affected in adult-onset neurodegenerative diseases, such as Alzheimer’s (AD) disease, Parkinson’s disease (PD), amyotrophic lateral sclerosis (ALS), and frontotemporal dementia (FTD), as well as...

  • Review
  • Open Access
9 Citations
3,551 Views
15 Pages

15 October 2021

Batten disease or neuronal ceroid lipofuscinosis (NCL) is a group of rare, fatal, inherited neurodegenerative lysosomal storage disorders. Numerous genes (CLN1–CLN8, CLN10–CLN14) were identified in which mutations can lead to NCL; however, the underl...

  • Review
  • Open Access
19 Citations
6,165 Views
24 Pages

Synucleinopathy in Amyotrophic Lateral Sclerosis: A Potential Avenue for Antisense Therapeutics?

  • Bradley Roberts,
  • Frances Theunissen,
  • Francis L. Mastaglia,
  • P. Anthony Akkari and
  • Loren L. Flynn

19 August 2022

Amyotrophic lateral sclerosis (ALS) is the most common adult-onset motor neuron disease classified as both a neurodegenerative and neuromuscular disorder. With a complex aetiology and no current cure for ALS, broadening the understanding of disease p...

  • Article
  • Open Access
6 Citations
3,182 Views
14 Pages

Trem2 Enhances Demyelination in the Csf1r+/− Mouse Model of Leukoencephalopathy

  • Fabrizio Biundo,
  • Violeta Chitu,
  • Şölen Gökhan,
  • Edward Chen,
  • Jude Oppong-Asare and
  • E. Richard Stanley

Colony-stimulating factor-1 receptor (CSF-1R)-related leukoencephalopathy (CRL) is a neurodegenerative disease that triggers early demyelination, leading to an adult-onset dementia. Triggering receptor expressed on myeloid cells-2 (TREM2) is a microg...

  • Article
  • Open Access
4 Citations
5,143 Views
11 Pages

Background and Objectives: The focus on mild cognitive dysfunction in adults is of great interest, given the risk of worsening and conversion to dementia. Cognitive dysfunctions are characterized by a decrease in the weight and volume of the brain, d...

  • Review
  • Open Access
13 Citations
6,291 Views
15 Pages

Immune Signaling Kinases in Amyotrophic Lateral Sclerosis (ALS) and Frontotemporal Dementia (FTD)

  • Raquel García-García,
  • Laura Martín-Herrero,
  • Laura Blanca-Pariente,
  • Jesús Pérez-Cabello and
  • Cintia Roodveldt

10 December 2021

Amyotrophic lateral sclerosis (ALS) is the most common neurodegenerative disorder of motor neurons in adults, with a median survival of 3–5 years after appearance of symptoms, and with no curative treatment currently available. Frontotemporal d...

  • Article
  • Open Access
4 Citations
3,491 Views
19 Pages

Medium-Chain Fatty Acids Rescue Motor Function and Neuromuscular Junction Degeneration in a Drosophila Model of Amyotrophic Lateral Sclerosis

  • Ella Dunn,
  • Joern R. Steinert,
  • Aelfwin Stone,
  • Virender Sahota,
  • Robin S. B. Williams,
  • Stuart Snowden and
  • Hrvoje Augustin

28 August 2023

Amyotrophic lateral sclerosis (ALS) is an adult-onset neurodegenerative disease characterised by progressive degeneration of the motor neurones. An expanded GGGGCC (G4C2) hexanucleotide repeat in C9orf72 is the most common genetic cause of ALS and fr...

  • Article
  • Open Access
31 Citations
6,819 Views
18 Pages

Sorting Rare ALS Genetic Variants by Targeted Re-Sequencing Panel in Italian Patients: OPTN, VCP, and SQSTM1 Variants Account for 3% of Rare Genetic Forms

  • Viviana Pensato,
  • Stefania Magri,
  • Eleonora Dalla Bella,
  • Pierpaola Tannorella,
  • Enrica Bersano,
  • Gianni Sorarù,
  • Marta Gatti,
  • Nicola Ticozzi,
  • Franco Taroni and
  • Cinzia Gellera
  • + 2 authors

3 February 2020

Amyotrophic lateral sclerosis (ALS) is an adult-onset progressive neurodegenerative disease due to motor neuron loss variably associated with frontotemporal dementia (FTD). Next generation sequencing technology revealed an increasing number of rare a...

  • Article
  • Open Access
43 Citations
5,980 Views
26 Pages

23 October 2020

Identifying the symptoms of the early stages of dementia is a difficult task, particularly for older adults living in residential care. Internet of Things (IoT) and smart environments can assist with the early detection of dementia, by nonintrusive m...

  • Article
  • Open Access
5 Citations
4,731 Views
13 Pages

Young Adults with a Parent with Dementia Show Early Abnormalities in Brain Activity and Brain Volume in the Hippocampus: A Matched Case-Control Study

  • Ian M. McDonough,
  • Christopher Mayhugh,
  • Mary Katherine Moore,
  • Mikenzi B. Brasfield,
  • Sarah K. Letang,
  • Christopher R. Madan and
  • Rebecca S. Allen

Having a parent with Alzheimer’s disease (AD) and related dementias confers a risk for developing these types of neurocognitive disorders in old age, but the mechanisms underlying this risk are understudied. Although the hippocampus is often on...

  • Article
  • Open Access
20 Citations
4,342 Views
13 Pages

9 October 2021

We aimed to investigate whether coronavirus disease (COVID-19) survivors were at a higher risk of dementia diagnosis compared to controls at 6 months follow-up. Data pertaining to the period between 1 January and 4 June 2020, were extracted from the...

  • Article
  • Open Access
3 Citations
2,263 Views
15 Pages

17 May 2024

This study investigated the impact of subjective expectations of the future (e.g., income, life expectancy, and national policies) on the onset of dementia and mild cognitive impairment by sex and age in middle-aged and older adults. The Korean Longi...

  • Article
  • Open Access
734 Views
16 Pages

9 June 2025

The Living Well with Dementia (LivDem) group intervention aims to support people to adjust following a diagnosis of dementia and is delivered across the UK and abroad. However, LivDem was designed for older people with dementia and may not address th...

  • Article
  • Open Access
9 Citations
2,922 Views
18 Pages

Background: Toxic stress (TS), resiliency-promoting factors (RPFs) and their interactions were investigated in relationship to incident dementia in a nationally representative sample (n = 6516) of American adults ≥50 years enrolled in the Health a...

  • Review
  • Open Access
2,723 Views
30 Pages

13 November 2025

Frontotemporal dementia (FTD) represents a cluster of adult-onset neurodegenerative diseases resulting from a combination of genetic and epigenetic factors. Currently, treatment is symptomatic and there are no licensed disease-modifying therapies ava...

  • Article
  • Open Access
25 Citations
8,861 Views
12 Pages

Diet and Dementia: A Prospective Study

  • Hikaru Takeuchi and
  • Ryuta Kawashima

16 December 2021

Whether dietary and nutrition and dietary patterns are associated with the development of dementia is an interesting research question. Participants of a longitudinal cohort study that included European adults who were middle to old aged at baseline...

  • Article
  • Open Access
19 Citations
4,141 Views
18 Pages

Multifactorial 10-Year Prior Diagnosis Prediction Model of Dementia

  • Ana Luiza Dallora,
  • Leandro Minku,
  • Emilia Mendes,
  • Mikael Rennemark,
  • Peter Anderberg and
  • Johan Sanmartin Berglund

Dementia is a neurodegenerative disorder that affects the older adult population. To date, no cure or treatment to change its course is available. Since changes in the brains of affected individuals could be evidenced as early as 10 years before the...

  • Review
  • Open Access
66 Citations
10,196 Views
17 Pages

Epilepsy in Down Syndrome: A Highly Prevalent Comorbidity

  • Miren Altuna,
  • Sandra Giménez and
  • Juan Fortea

24 June 2021

Individuals with Down syndrome (DS) have an increased risk for epilepsy during the whole lifespan, but especially after age 40 years. The increase in the number of individuals with DS living into late middle age due to improved health care is resulti...

  • Review
  • Open Access
23 Citations
7,523 Views
18 Pages

Risk Factors of Long-Term Care Insurance Certification in Japan: A Scoping Review

  • Shuko Takahashi,
  • Yuki Yonekura,
  • Nobuyuki Takanashi and
  • Kozo Tanno

This study aimed to review evidence on future long-term care associated with pre-existing factors among community-dwelling Japanese older adults. We systematically searched cohort and nested case–control studies published between 2000 and 2019...

  • Article
  • Open Access
20 Citations
5,931 Views
9 Pages

Time-Varying Insomnia Symptoms and Incidence of Cognitive Impairment and Dementia among Older US Adults

  • Nicholas V. Resciniti,
  • Valerie Yelverton,
  • Bezawit E. Kase,
  • Jiajia Zhang and
  • Matthew C. Lohman

There is conflicting evidence regarding the association between insomnia and the onset of mild cognitive impairment (MCI) or dementia. This study aimed to evaluate if time-varying insomnia is associated with the development of MCI and dementia. Data...

  • Article
  • Open Access
3 Citations
2,562 Views
10 Pages

30 August 2021

Because dementia is difficult to treat, the best way is to detect the prodromal stage; this can identify those at high risk of dementia and help to delay its onset. It is a well-known fact that gait has a high correlation with cognitive function. Con...

  • Feature Paper
  • Article
  • Open Access
14 Citations
6,121 Views
15 Pages

AI-Based Predictive Modelling of the Onset and Progression of Dementia

  • Sten Hanke,
  • Francesca Mangialasche,
  • Markus Bödenler,
  • Bernhard Neumayer,
  • Tiia Ngandu,
  • Patrizia Mecocci,
  • Helena Untersteiner and
  • Elisabeth Stögmann

Dementia, the most severe expression of cognitive impairment, is among the main causes of disability in older adults and currently affects over 55 million individuals. Dementia prevention is a global public health priority, and recent studies have sh...

  • Article
  • Open Access
29 Citations
4,771 Views
13 Pages

Early Prediction of Dementia Using Feature Extraction Battery (FEB) and Optimized Support Vector Machine (SVM) for Classification

  • Ashir Javeed,
  • Ana Luiza Dallora,
  • Johan Sanmartin Berglund,
  • Alper Idrisoglu,
  • Liaqat Ali,
  • Hafiz Tayyab Rauf and
  • Peter Anderberg

Dementia is a cognitive disorder that mainly targets older adults. At present, dementia has no cure or prevention available. Scientists found that dementia symptoms might emerge as early as ten years before the onset of real disease. As a result, mac...

  • Review
  • Open Access
2 Citations
1,618 Views
20 Pages

State-of-the-Art HCI for Dementia Care: A Scoping Review of Recent Technological Advances

  • Yong Ma,
  • Yuchong Zhang,
  • Oda Elise Nordberg,
  • Arvid Rongve,
  • Miroslav Bachinski and
  • Morten Fjeld

Dementia significantly impacts cognitive, behavioral, and functional abilities, creating challenges for both individuals and caregivers. Recent advancements in HCI have introduced innovative technological solutions to support people with dementia (Pw...

  • Article
  • Open Access
2 Citations
3,539 Views
13 Pages

Association between Age at Diagnosis of Type 2 Diabetes and Subsequent Risk of Dementia and Its Major Subtypes

  • Da Hea Seo,
  • Mina Kim,
  • Yongin Cho,
  • Seong Hee Ahn,
  • Seongbin Hong and
  • So Hun Kim

26 July 2024

Background/Objectives: Type 2 diabetes mellitus (T2DM) is a major contributor to cognitive decline and dementia in older adults; however, the role of the age of onset of T2DM in younger patients remains uncertain. We explored the association between...

  • Article
  • Open Access
9 Citations
3,975 Views
11 Pages

DYRK1A and Activity-Dependent Neuroprotective Protein Comparative Diagnosis Interest in Cerebrospinal Fluid and Plasma in the Context of Alzheimer-Related Cognitive Impairment in Down Syndrome Patients

  • Manon Moreau,
  • Maria Carmona-Iragui,
  • Miren Altuna,
  • Lorraine Dalzon,
  • Isabel Barroeta,
  • Marie Vilaire,
  • Sophie Durand,
  • Juan Fortea,
  • Anne-Sophie Rebillat and
  • Nathalie Janel

Down syndrome (DS) is a complex genetic condition due to an additional copy of human chromosome 21, which results in the deregulation of many genes. In addition to the intellectual disability associated with DS, adults with DS also have an ultrahigh...

  • Article
  • Open Access
6 Citations
4,496 Views
30 Pages

EEG-Based Engagement Monitoring in Cognitive Games

  • Yusuf Ahmed,
  • Martin Ferguson-Pell,
  • Kim Adams and
  • Adriana Ríos Rincón

26 March 2025

Cognitive decline and dementia prevention are global priorities, with cognitive rehabilitation games showing potential to delay their onset or progression. However, these games require sufficient user engagement to be effective. Assessing the engagem...

  • Article
  • Open Access
30 Citations
5,275 Views
11 Pages

Subjective memory complaints (SMCs) may predict the onset of dementia. The purpose of this study was to clarify characteristics of performance of activities of daily living (ADL) for older adults with SMCs and to offer support options that enable the...

  • Article
  • Open Access
11 Citations
4,665 Views
14 Pages

Characteristics of Mild Cognitive Impairment in Northern Japanese Community-Dwellers from the ORANGE Registry

  • Yu Kume,
  • Tomoko Takahashi,
  • Yuki Itakura,
  • Sangyoon Lee,
  • Hyuma Makizako,
  • Tsuyosi Ono,
  • Hiroyuki Shimada and
  • Hidetaka Ota

10 November 2019

A gradually increasing prevalence of mild cognitive impairment (MCI) is recognized in the super-aging society that Japan faces, and early detection and intervention in community-dwellers with MCI are critical issues to prevent dementia. Although many...

  • Review
  • Open Access
3 Citations
2,759 Views
20 Pages

29 October 2024

Down syndrome (DS) is a genetic disorder caused by an extra copy of chromosome 21 (trisomy 21 or T21) and is associated with an increased risk of early-onset Alzheimer’s disease (AD), also known as DS-associated AD (DSAD). Individuals with DS t...

  • Review
  • Open Access
4 Citations
8,393 Views
13 Pages

Current Diagnostic Challenges in Late-Life Depression and Neurocognitive Disorders

  • Barbara Adriani,
  • Jan Francesco Arena,
  • Alessandro Fioretti,
  • Serena Mancino,
  • Francesca Sarno,
  • Stefano Ferracuti and
  • Antonio Del Casale

The comorbidity between late-life depression and neurocognitive disorders (NCDs) in the elderly is a subject of increasing interest within the scientific and medical community. We conducted a narrative review of clinical studies focused on depression...

  • Article
  • Open Access
28 Citations
5,325 Views
12 Pages

The Association between Physical Activity and CAMDEX-DS Changes Prior to the Onset of Alzheimer’s Disease in Down Syndrome

  • Sarah E. Pape,
  • R. Asaad Baksh,
  • Carla Startin,
  • Sarah Hamburg,
  • Rosalyn Hithersay and
  • Andre Strydom

27 April 2021

Background: People with Down syndrome are at ultra-high risk of developing Alzheimer’s dementia. At present, there are no preventative or curative treatments. Evidence from sporadic Alzheimer’s disease literature suggests that lifestyle factors inclu...

  • Article
  • Open Access
9 Citations
4,144 Views
12 Pages

Subjective and Objective Mental and Physical Functions Affect Subjective Cognitive Decline in Community-Dwelling Elderly Japanese People

  • Akio Goda,
  • Shin Murata,
  • Hideki Nakano,
  • Kayoko Shiraiwa,
  • Teppei Abiko,
  • Koji Nonaka,
  • Hiroaki Iwase,
  • Kunihiko Anami and
  • Jun Horie

18 September 2020

Subjective cognitive decline (SCD) is complex and not well understood, especially among Japanese people. In the present study, we aimed to elucidate the relationships of subjective and objective mental and physical function with SCD among older commu...

  • Article
  • Open Access
2 Citations
6,649 Views
17 Pages

Associations Between Traumatic Brain Injury Characteristics and Memory Outcomes: Insights from the Health and Retirement Study

  • Eric S. Cerino,
  • Monica R. Lininger,
  • Thomasina J. Seaton,
  • Gillian Porter and
  • Julie A. Baldwin

Traumatic brain injury (TBI) is an established risk factor for accelerated cognitive decline and increased dementia risk. The specific characteristics of TBI (e.g., type of head trauma, presence of a gap in memory, age of onset) that confer the great...

  • Article
  • Open Access
5 Citations
4,237 Views
18 Pages

Twenty-Three-Year Mortality in Parkinson’s Disease: A Population-Based Prospective Study (NEDICES)

  • Carla María Benito-Rodríguez,
  • Félix Bermejo-Pareja,
  • Ángel Berbel,
  • José Lapeña-Motilva and
  • Julián Benito-León

14 January 2025

Background: Parkinson’s disease (PD) is one of the most prevalent neurodegenerative disorders among older adults, yet its long-term impact on mortality within population-based cohorts remains insufficiently characterized. This study leverages data fr...

  • Review
  • Open Access
5 Citations
11,378 Views
24 Pages

Healthy Aging in Menopause: Prevention of Cognitive Decline, Depression and Dementia through Physical Exercise

  • Carmen Guerrero-González,
  • Cristina Cueto-Ureña,
  • Vanesa Cantón-Habas,
  • María Jesús Ramírez-Expósito and
  • José Manuel Martínez-Martos

The aging of the global population is a significant and complex phenomenon with far-reaching implications for healthcare systems and society. By 2030, it is projected that the number of individuals over the age of 65 will increase by nearly 1 billion...

  • Article
  • Open Access
4 Citations
6,095 Views
13 Pages

29 March 2022

Three-hundred-and-thirty-four cognitive profiles from neuropsychological examinations assessed during a 5-year period (2015 to 2020) from geriatric patients of a day clinic in the south of Germany were analyzed. For this purpose, the profiles were di...

  • Article
  • Open Access
1,603 Views
10 Pages

Amyloid Beta as a Candidate Blood Biomarker of Early Cognitive Decline in the Elderly—A Preliminary Study

  • Oliwia McFarlane,
  • Mariusz Kozakiewicz,
  • Kornelia Kędziora-Kornatowska,
  • Anita Gałęska-Śliwka and
  • Milena Wojciechowska

(1) Background/Objectives: The pathogenic process of Alzheimer’s disease (AD) is known to begin decades before its clinical onset. This period, although imperceptible to the patient, encompasses a gradual neuronal loss. The first symptoms of dementia...

  • Article
  • Open Access
5 Citations
4,638 Views
17 Pages

14 July 2021

Hyperlipidemia and hypertension are modifiable risk factors for cognitive decline. About 25% of adults over age 65 use both antihypertensives (AHTs) and statins to treat these conditions. Recent research in humans suggests that their combined use may...

  • Review
  • Open Access
8 Citations
4,486 Views
12 Pages

24 February 2023

Lafora disease is a rare disorder caused by loss of function mutations in either the EPM2A or NHLRC1 gene. The initial symptoms of this condition are most commonly epileptic seizures, but the disease progresses rapidly with dementia, neuropsychiatric...

  • Review
  • Open Access
7 Citations
3,355 Views
23 Pages

Gut Microbiota, Bacterial Translocation, and Stroke: Current Knowledge and Future Directions

  • Cristina Granados-Martinez,
  • Nuria Alfageme-Lopez,
  • Manuel Navarro-Oviedo,
  • Carmen Nieto-Vaquero,
  • Maria Isabel Cuartero,
  • Blanca Diaz-Benito,
  • Maria Angeles Moro,
  • Ignacio Lizasoain,
  • Macarena Hernandez-Jimenez and
  • Jesus Miguel Pradillo

Stroke is one of the most devastating pathologies in terms of mortality, cause of dementia, major adult disability, and socioeconomic burden worldwide. Despite its severity, treatment options remain limited, with no pharmacological therapies availabl...

of 2