ID

19886

Beschreibung

The purpose of this study is to determine the safety and efficacy of natalizumab in the treatment of individuals who have been diagnosed with relapsing remitting multiple sclerosis (MS). It is hoped that natalizumab will prevent certain types of white blood cells from moving out of the bloodstream into organs, including the brain, that are being damaged by autoimmune disease (a disease in which the body's own immune system attacks certain organs). These white blood cells are thought to cause inflammation that can result in lesions (small areas of damage) in the brain. These lesions are thought to be the cause of relapses and disability in MS. Documentation process: This form ist to be obtained in week 24, week 52, week 104, week, 120, week, 128 and Premature Study Withdrawl.

Stichworte

Versionen (1)
  1. 30.01.17 30.01.17 -
Hochgeladen am

30. Januar 2017

DOI

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Creative Commons BY-NC 3.0
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Sexual Satisfaction Scale CRFs Multiple Sklerosis Tysabri NCT00027300

Englisch

Sexual Satisfaction Scale CRFs Multiple Sklerosis Tysabri NCT00027300

1 Formulare  
Sexual Satisfaction Scale (SSS)
Beschreibung

Sexual Satisfaction Scale (SSS)

Alias
UMLS CUI-1
C0871356
UMLS CUI-2
C1516048
Do you have a relationship with one primary partner?
Beschreibung

Relationship with one primary partner

Datentyp

integer

Alias
UMLS CUI [1]
C0682314
During the past 4 weeks, how satisfied have you been with the amount of affection expressed physically in your realtionship?
Beschreibung

Affection expressed physically

Datentyp

integer

Alias
UMLS CUI [1,1]
C0871641
UMLS CUI [1,2]
C0302826
During the past 4 weeks, how satisfied have you been with the variety of sexual activities you engage in with your partner?
Beschreibung

Variety of sexual activities

Datentyp

integer

Alias
UMLS CUI [1,1]
C0036864
UMLS CUI [1,2]
C1880371
During the past 4 weeks, how satisfied have you been with your sexual relationship in general?
Beschreibung

Sexual relationship

Datentyp

integer

Alias
UMLS CUI [1]
C0871356
How satisfied do you think your partner has been with your sexual relationship, in general, during the past 4 weeks?
Beschreibung

Satisfaction of partner with sexual relationship

Datentyp

integer

Alias
UMLS CUI [1,1]
C0871356
UMLS CUI [1,2]
C0556470
UMLS CUI [1,3]
C0682323
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Ähnliche Modelle

Sexual Satisfaction Scale CRFs Multiple Sklerosis Tysabri NCT00027300

1 Formulare
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Sexual Satisfaction Scale (SSS)
C0871356 (UMLS CUI-1)
C1516048 (UMLS CUI-2)
Item
Do you have a relationship with one primary partner?
integer
C0682314 (UMLS CUI [1])
relationship with one primary partner
Code List
Do you have a relationship with one primary partner?
CL Item
No (go to next questionnaire) (0)
CL Item
Yes (continue below) (1)
Item
During the past 4 weeks, how satisfied have you been with the amount of affection expressed physically in your realtionship?
integer
C0871641 (UMLS CUI [1,1])
C0302826 (UMLS CUI [1,2])
affection expressed physically
Code List
During the past 4 weeks, how satisfied have you been with the amount of affection expressed physically in your realtionship?
CL Item
Extremely Satisfied (1)
CL Item
Moderately Satisfied (2)
CL Item
Slightly Satisfied (3)
CL Item
Slightly Dissatisfied (4)
CL Item
Moderately Dissatisfied (5)
CL Item
Extremely Dissatisfied (6)
Item
During the past 4 weeks, how satisfied have you been with the variety of sexual activities you engage in with your partner?
integer
C0036864 (UMLS CUI [1,1])
C1880371 (UMLS CUI [1,2])
variety of sexual activities
Code List
During the past 4 weeks, how satisfied have you been with the variety of sexual activities you engage in with your partner?
CL Item
Extremely Satisfied (1)
CL Item
Moderately Satisfied (2)
CL Item
Slightly Satisfied (3)
CL Item
Slightly Dissatisfied (4)
CL Item
Moderately Dissatisfied (5)
CL Item
Extremely Dissatisfied (6)
Item
During the past 4 weeks, how satisfied have you been with your sexual relationship in general?
integer
C0871356 (UMLS CUI [1])
sexual relationship
Code List
During the past 4 weeks, how satisfied have you been with your sexual relationship in general?
CL Item
Extremely Satisfied (1)
CL Item
Moderately Satisfied (2)
CL Item
Slightly Satisfied (3)
CL Item
Slightly Dissatisfied (4)
CL Item
Moderately Dissatisfied (5)
CL Item
Extremely Dissatisfied (6)
Item
How satisfied do you think your partner has been with your sexual relationship, in general, during the past 4 weeks?
integer
C0871356 (UMLS CUI [1,1])
C0556470 (UMLS CUI [1,2])
C0682323 (UMLS CUI [1,3])
satisfaction of partner with sexual relationship
Code List
How satisfied do you think your partner has been with your sexual relationship, in general, during the past 4 weeks?
CL Item
Extremely Satisfied (1)
CL Item
Moderately Satisfied (2)
CL Item
Slightly Satisfied (3)
CL Item
Slightly Dissatisfied (4)
CL Item
Moderately Dissatisfied (5)
CL Item
Extremely Dissatisfied (6)
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