<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-04-29T07:21:38Z</responseDate><request verb="GetRecord" identifier="oai:repisalud.isciii.es:20.500.12105/12877" metadataPrefix="marc">https://repisalud.isciii.es/rest/oai/request</request><GetRecord><record><header><identifier>oai:repisalud.isciii.es:20.500.12105/12877</identifier><datestamp>2025-05-26T14:55:35Z</datestamp><setSpec>com_20.500.12105_15322</setSpec><setSpec>com_20.500.12105_2051</setSpec><setSpec>com_20.500.12105_2052</setSpec><setSpec>col_20.500.12105_16982</setSpec><setSpec>col_20.500.12105_19618</setSpec></header><metadata><record xmlns="http://www.loc.gov/MARC21/slim" xmlns:dcterms="http://purl.org/dc/terms/" xmlns:doc="http://www.lyncode.com/xoai" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.loc.gov/MARC21/slim http://www.loc.gov/standards/marcxml/schema/MARC21slim.xsd">
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      <subfield code="a">Cantón-Habas, Vanesa</subfield>
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      <subfield code="a">Rich-Ruiz, Manuel</subfield>
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      <subfield code="a">Moreno-Casbas, Teresa</subfield>
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      <subfield code="a">Ramírez-Expósito, María Jesús</subfield>
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      <subfield code="a">Martínez-Martos, Jose Manuel</subfield>
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      <subfield code="a">Carrera-González, María Del Pilar</subfield>
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      <subfield code="c">2021-04-01</subfield>
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      <subfield code="a">The pain assessment in advanced dementia (PAINAD) appears to be a clinically useful tool. However, the salivary determination of tumor necrosis factor receptor type II (sTNF-RII) and secretory IgA (sIgA) as pain biomarkers is still incipient. The aim was to correlate the PAINAD score with sTNF-RII and sIgA biomarker levels in the saliva of patients with advanced dementia. In this regard, a cross-sectional study was conducted. The sample consisted of 75 elderly patients with a clinical diagnosis of dementia and a global deterioration scale (GDS) score of 5 to 7. The PAINAD scale was determined by a previously trained professional and the collection of salivary samples was performed using the passive secretion method. Human sTNF-RII and sIgA using ELISA kits. The results showed a correlation between the PAINAD scale (numeric, binary, and recoded) and sTNF-RII and sIgA (p &lt; 0.001). No association between the sociodemographic and clinical variables and the PAINAD scale was found (p > 0.05). Between 97.3% and 96.2% of patients with pain on the PAINAD scale also showed pain based on the sTNF-RII levels; in all of them, sIgA levels did not fit the logistic models. Therefore, the correlation highlights the usefulness of this scale and confirms the usefulness of sTNF-RII and sIgA as biomarkers of pain.</subfield>
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      <subfield code="a">J Clin Med . 2021 Apr 1;10(7):1424.</subfield>
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      <subfield code="a">10.3390/jcm10071424</subfield>
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      <subfield code="a">Journal of Clinical Medicine</subfield>
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      <subfield code="a">Biomarkers</subfield>
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      <subfield code="a">Pain Assessment in Advanced Dementia (PAINAD)</subfield>
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      <subfield code="a">Correlation between biomarkers of pain in saliva and PAINAD Scale in elderly people with cognitive impairment and inability to communicate</subfield>
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