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E ordinal logistic regression analysis with backward choice was used to choose the set of covariates that had been independently linked with all the outcome.Pvalues of less than .on twotailed tests had been deemed as statistically substantial.Outcomes A total of ( female, male) sufferers enrolled in our study.Female to male ratio was .The mean age of the sufferers and imply age at illness onset were ..and ..years, respectively.Outcomes of univariate analysis Among demographic capabilities, gender, younger age at onset, positive household history, and parental consanguinity had been not associated with disease severity.Even so, a weak relationship was detected in between education and illness severity (Table).Among clinical factors, presenting symptoms including difficulty in walking, polysymptomatic attacks, and upper and decrease extremity dysfunction have been related with higher disability.In contrast, presenting optic neuritis had improved prognosis (Table).Total recovery immediately after the very first attack, longer interval involving the first and second attacks, fewer symptoms at presentation, shorter illness duration, and relapsingremitting course were related with less NB001 Autophagy disability and greater prognosis (Table and).Outcomes of multivariate evaluation Ordinal logistic regression showed a lot more serious illness to become connected with increasing age of onset, greater quantity of presenting symptoms, havingBaghizadeh et al.ijnl.tums.ac.ir January …………………………Years ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………EDSS …………………………Figure .Matrixes of Expanded Disability Status Scale (EDSS) score as a function of illness duration displaying the distribution of Numerous Sclerosis Severity Score (MSSS) deciles Table .Disease severity subgroups in line with the Many Sclerosis Severity Score (MSSS), MSSS Benign .Mildmoderate ..Advancedaccelerated ..Aggressivemalignant .Table .Associations of demographic aspects and illness severity MildTotal Chronic moderate Gender Male Female Illiterate Parental consanguinity No Yes Constructive family history No YesAdvancedaccelerated Aggressivemalignant P ..Education (years) ..Determined by MannWhitney testBased on Spearman correlation Ir J neurol ; Demographic variables affecting MS severityijnl.tums.ac.ir JanuaryTable .Associations in the presenting symptoms and disease severity MildTotal Chronic moderate Polysymptomatic onset Difficulty in walking Reduce extremity dysfunction Upper extremity dysfunction Decreased visual acuity (optic neuritis) Sexual dysfunction Bladderbowel dysfunction Fatigue Sensory symptoms (pain, paresthesia, Lhermitte’s sign) Facial motor symptoms Facial sensory symptoms Oculomotor impairment Vertigo, hypoacousia Speechswallowing impairment Mental deterioration Psychiatric symptoms Paroxysmal symptoms Advancedaccelerated PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21598963 Aggressivemalignant P ……………..According to MannWhitney testTable .Associations of disease course and attack properties with illness severity MildAdvancedTotal Ch.

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