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Glossary<br />

Activities of Daily Living (ADLs)<br />

Routine activities of everyday life that people tend to<br />

do on a daily basis without needing assistance. There<br />

are six basic ADLs: eating, bathing, dressing, toileting,<br />

transferring (walking) and continence. An individual’s<br />

ability to perform ADLs is important for determining<br />

what type of long-term care (e.g. nursing home care<br />

or home care) and coverage the individual needs<br />

(i.e. government-funded health care or long-term care<br />

insurance).<br />

Adjunctive treatment<br />

A drug added as a supplement to increase the efficacy/<br />

decrease side effects/change the pharmacokinetics<br />

(PK) of another already prescribed treatment, e.g.<br />

(i) improve efficacy of a first-line therapy, e.g. adding<br />

a dopamine agonist to patients on levodopa,<br />

(ii) improve the toler ability and safety of the first-line<br />

therapy, e.g. use of anticholinergics to patients on<br />

neuroleptics, and (iii) improve the PK/brain availability<br />

of the first-line therapy, e.g. COMT-inhibitors<br />

administered to patients on levodopa.<br />

Agonist<br />

An endogeneous or exogeneous agent that mimics the<br />

action of hormones and/or neurotransmitters<br />

on their receptors to enhance the response. For<br />

example, dopamine agonists stimulate specific brain<br />

dopamine receptors to obtain motor response.<br />

Allodynia<br />

Pain from mechanical or thermal stimuli which are<br />

not normally painful. Allodynia is not referred pain<br />

and can occur in other areas that are not stimulated.<br />

Alpha-aminoamide derivative<br />

The chemical class to which both safinamide and<br />

ralfin amide belong. More specifically, it is an amide<br />

derivative of an alphaamino acid.<br />

Alzheimer’s disease<br />

A progressive degenerative disease of the brain of<br />

unknown etiology, characterized by diffuse atrophy<br />

throughout the brain with characteristic pathological<br />

changes suggestive of degeneration, and/or necrosis.<br />

The disease is characterized by a progressive deterio r-<br />

ation of memory, cognitive function and changes in<br />

personality. Death usually occurs within 7 to 10 years<br />

of the time of diagnosis in most patients.<br />

Benzodiazepines<br />

A class of drugs with hypnotic, anxiolytic, anticonvulsant,<br />

amnestic and muscle-relaxant properties, which<br />

are used for short-term relief of severe, disabling<br />

anxiety, insomnia, and muscle relaxation for surgical<br />

procedures.<br />

Cannabinoid<br />

A group of chemicals which activate the body’s<br />

cannabinoid receptors. Currently, there are three<br />

general types of cannabinoids: (i) herbal cannabinoids<br />

occur uniquely in the cannabis plant, (ii) endogenous<br />

cannabinoids are produced in the bodies of humans<br />

and other animals, and (iii) synthetic cannabinoids are<br />

similar compounds produced in a laboratory.<br />

Central Nervous System (CNS)<br />

The nerves and cells of the brain and spinal cord.<br />

Chemical scaffold<br />

Chemical structure subunit shared by the molecules<br />

of a given chemical class.<br />

Clinical Global Impression Scale<br />

A scale which provides an overall assessment of the<br />

global severity of illness, and change in the clinical<br />

condition of the patients compared with pretreatment<br />

status.<br />

Daily motor fluctuations<br />

(the “ON/OFF” effect)<br />

An unpredictable succession of “OFF” periods when<br />

patients experience full disability and “ON” periods<br />

when the drug being administered is successfully<br />

alle viating the patient’s symptoms.<br />

70 <strong>Newron</strong> Annual Report 2011

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