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https://www.readbyqxmd.com/read/29330630/evaluation-of-pain-during-high-intensity-focused-ultrasound-ablation-of-benign-thyroid-nodules
#1
Brian H H Lang, Yu-Cho Woo, Keith Wan-Hang Chiu
OBJECTIVE: To assess severity and factors of pain during high-intensity focused ultrasound (HIFU) ablation of benign thyroid nodules. METHODS: 128 patients who underwent a HIFU ablation for a benign thyroid nodule were analysed. All patients received a bolus of intravenous pethidine and diazepam before treatment. After treatment, patients were asked to rate their overall pain experience on a visual analogue scale (0-100) (0 = no pain; 100 = worse possible pain) during treatment, 2 h after treatment and the following morning...
January 12, 2018: European Radiology
https://www.readbyqxmd.com/read/29321995/anticonvulsant-effect-of-ethanolic-extract-of-cyperus-articulatus-l-leaves-on-pentylenetetrazol-induced-seizure-in-mice
#2
Oscar Herrera-Calderon, Rocio Santiváñez-Acosta, Bertha Pari-Olarte, Edwin Enciso-Roca, Vicente Martin Campos Montes, Jorge Luis Arroyo Acevedo
Cyperus articulatus (CA) rhizomes have demonstrated different properties on nervous system. However, the leaves still have not studied to treat epilepsy. The aim of this study was to determine the effect of CA ethanolic extract on pentylenetetrazol (PTZ) induced seizures in mice as well as measuring its antioxidant activity in vivo and in vitro. Mice were divided into five groups: (1) control (PTZ 80 mg/kg; i.p.), (2) PTZ-Diazepam (1 mg/kg; i.p.), (3-5) PTZ-CA 50, PTZ-CA 150 and PTZ-CA 300 (50, 150 and 300 mg/kg of CA extract, 30 min prior to each PTZ injection)...
January 2018: Journal of Traditional and Complementary Medicine
https://www.readbyqxmd.com/read/29320603/drug-management-for-acute-tonic-clonic-convulsions-including-convulsive-status-epilepticus-in-children
#3
REVIEW
Amy McTague, Timothy Martland, Richard Appleton
BACKGROUND: Tonic-clonic convulsions and convulsive status epilepticus (currently defined as a tonic-clonic convulsion lasting at least 30 minutes) are medical emergencies and require urgent and appropriate anticonvulsant treatment. International consensus is that an anticonvulsant drug should be administered for any tonic-clonic convulsion that has been continuing for at least five minutes. Benzodiazepines (diazepam, lorazepam, midazolam) are traditionally regarded as first-line drugs and phenobarbital, phenytoin and paraldehyde as second-line drugs...
January 10, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29315987/compatibility-of-common-iv-drugs-with-6-hydroxyethyl-starch-130-0-42-and-4-gelatin
#4
Sebastian Heiderich, Anna Auf der Springe, Jonas Jürgens, Wolfgang Koppert, Andreas Leffler, Robert Sümpelmann, Nils Dennhardt
BACKGROUND: Acetate-containing colloid infusion solutions are recommended to recover normovolemia during pediatric anesthesia. Until now, no studies investigating the compatibility with common anesthetic drugs were available. AIMS: This in vitro study was conducted to reveal possible incompatibilities between common anesthetic drugs and the acetate-containing colloid infusion solutions 6% hydroxyethyl starch and 4% gelatin with normal saline as control. METHODS: The colloid infusion solutions were mixed 1:1 with 29 common intravenous drugs in concentrations used in daily clinical practice...
January 9, 2018: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/29303424/seizing-the-opportunity-exploring-barriers-to-use-of-transmucosal-midazolam-in-hospice-patients
#5
Samuel J Perna, James M Rhinewalt, Erin R Currie
BACKGROUND: Status epilepticus seizures are distressing events for hospice and palliative care patients. Currently, rectal diazepam is the only abortive therapy approved by the U.S. Food and Drug Administration for seizures occurring out of hospital. However, transmucosal (buccal and intranasal) midazolam hydrochloride is a less expensive, equally effective, and a more socially acceptable alternative. OBJECTIVE: To explore the use of transmucosal midazolam in out-of-hospital hospice patients in the State of Alabama...
January 5, 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29299432/effects-of-musa-sapientum-stem-extract-on-experimental-models-of-anxiety
#6
Aditya Jielella Reddy, Ashok Kumar Dubey, Shailendra Handu, Manocha Sachin, Pramod Kumari Mediratta, Qazi Ahmed Mushtaq
Objective: The Musa sapientum (banana) plant extract has shown antioxidant activity in previous studies. Oxidative stress is one of the important factors implicated in the pathogenesis of anxiety disorders. The present study aimed to evaluate the anxiolytic activity of aqueous extract of M. sapientum stem (MSSE) in experimental models in mice. Material and Methods: Elevated Plus Maze method and locomotor monitoring by photoactometer were used. Animals were divided into five different groups (n=6/group)...
November 2017: Avicenna Journal of Phytomedicine
https://www.readbyqxmd.com/read/29298327/gabaergic-mechanisms-involved-in-the-prepulse-inhibition-of-auditory-evoked-cortical-responses-in-humans
#7
Koji Inui, Nobuyuki Takeuchi, Shunsuke Sugiyama, Eishi Motomura, Makoto Nishihara
Despite their essential roles in signal processing in the brain, the functions of interneurons currently remain unclear in humans. We recently developed a method using the prepulse inhibition of sensory evoked cortical responses for functional measurements of interneurons. When a sensory feature is abruptly changed in a continuous sensory stimulus, change-related cortical responses are recorded using MEG. By inserting a weak change stimulus (prepulse) before the test change stimulus, it is possible to observe the inhibition of the test response...
2018: PloS One
https://www.readbyqxmd.com/read/29296617/flupirtine-and-diazepam-combination-terminates-established-status-epilepticus-results-in-three-rodent-models
#8
Terry Zhang, Marko S Todorovic, John Williamson, Jaideep Kapur
Objective: Status epilepticus (SE) is a neurological emergency requiring rapid termination of seizures. New treatment choices are needed for benzodiazepine-refractory SE or established SE (ESE). Previous studies have demonstrated that the potassium-channel opener flupirtine terminates seizures in neonatal animals. However, its effectiveness in adult ESE has not been tested. We tested whether flupirtine alone or in combination with the benzodiazepine diazepam would terminate ESE in three animal models...
December 2017: Annals of Clinical and Translational Neurology
https://www.readbyqxmd.com/read/29295561/exploring-the-mechanisms-of-electroacupuncture-induced-analgesia-through-rna-sequencing-of-the-periaqueductal-gray
#9
Man-Li Hu, Hong-Mei Zhu, Qiu-Lin Zhang, Jing-Jing Liu, Yi Ding, Ju-Ming Zhong, Vitaly Vodyanoy, Ming-Xing Ding
Electroacupuncture (EA) can relieve various pains. However, its mechanism in terms of the transcriptome is still not well-known. To explore the full profile of EA-induced molecular modification in the central nerve system, three twins of goats were selected for a match-paired experiment: EA stimulation (60 Hz, 30 min) and none-EA (control). Goats in the EA group showed an increased (p < 0.05) nociceptive threshold compared with the control goats. Experimental goats were sacrificed at 4 h of the experiment, and the periaqueductal grays were harvested for RNA sequencing...
December 25, 2017: International Journal of Molecular Sciences
https://www.readbyqxmd.com/read/29289865/fate-of-pharmaceutical-active-compounds-phacs-from-river-yamuna-india-an-ecotoxicological-risk-assessment-approach
#10
Pravin K Mutiyar, Sanjay Kumar Gupta, Atul Kumar Mittal
The river Yamuna is a major tributary of river Ganges and is a major source of freshwater in the National Capital Territory (NCT) catering 16.8 million people. This is the first report on occurrence, fate and ecotoxicological risk assessment of various pharmaceuticals active compounds (PhACs) in the Yamuna river. In this study, spatial and temporal distribution of nine PhACs "aspirin, ibuprofen, paracetamol, caffeine, ranitidine, diclofenac, carbamazepine, codeine, and diazepam", belonging to different therapeutic groups have been reported...
December 28, 2017: Ecotoxicology and Environmental Safety
https://www.readbyqxmd.com/read/29289864/the-fate-and-risk-assessment-of-psychiatric-pharmaceuticals-from-psychiatric-hospital-effluent
#11
Jiajia Xiang, Minghong Wu, Jianqiu Lei, Chao Fu, Jianzhong Gu, Gang Xu
Psychiatric pharmaceuticals are gaining public attention because of increasing reports of their occurrence in environment and their potential impact on ecosystems and human health. This work studied the occurrence and fate of 15 selected psychiatric pharmaceuticals from 3 psychiatric hospitals effluent in Shanghai and investigated the effect of hospitals effluent on surface water, groundwater, soil and plant. Amitriptyline (83.57ng) and lorazepam (22.26ng) showed the highest concentration and were found frequently in hospital effluent...
December 28, 2017: Ecotoxicology and Environmental Safety
https://www.readbyqxmd.com/read/29289668/involvement-of-the-dopaminergic-system-in-the-antidepressant-like-effect-of-the-lectin-isolated-from-the-red-marine-alga-solieria-filiformis-in-mice
#12
Ticiana Monteiro Abreu, Valdécio Silvano Monteiro, Ana Beatriz Souza Martins, Felipe Barros Teles, Renata Line da Conceição Rivanor, Érika Freitas Mota, Danielle S Macedo, Silvânia Maria Mendes de Vasconcelos, José Eduardo Ribeiro Honório Júnior, Norma Maria Barros Benevides
This study aimed at evaluating the antidepressant-like action of the marine alga Solieria filiformis lectin (SfL) and to investigate the participation of the monoaminergic system in this action. For this, male Swiss mice (n=10) were pretreated with intravenous injections (i.v.) of SfL (1, 3 or 9mg/kg) and submitted to open field (OFT), tail suspension (TST), forced swimming (FST), elevated plus-maze (EPMT) and hole-board tests (HBT). As controls, mice received sterile saline (i.v.), imipramine (10 or 30mg/kg; intraperitoneally - i...
December 28, 2017: International Journal of Biological Macromolecules
https://www.readbyqxmd.com/read/29289522/effect-of-rescue-medication-on-seizure-duration-in-non-institutionalized-children-with-epilepsy
#13
Federico Vigevano, Fenella J Kirkham, Bernd Wilken, Miquel Raspall-Chaure, Regina Grebla, Dawn Lee, Tamara Werner-Kiechle, Lieven Lagae
OBJECTIVES: Characterize the real-world management of and outcomes for children with epilepsy receiving rescue medication for prolonged acute convulsive seizures (PACS) in the community. METHODS: PERFECT-3 (Practices in Emergency and Rescue medication For Epilepsy managed with Community-administered Therapy 3) was a European, retrospective observational study. Eligible patients were non-institutionalized children with epilepsy aged 3-16 years who had experienced ≥1 PACS in the past year and had ≥1 currently prescribed PACS rescue medication...
August 2, 2017: European Journal of Paediatric Neurology: EJPN
https://www.readbyqxmd.com/read/29288520/a-critical-appraisal-of-randomized-controlled-trials-on-intravenous-phenytoin-in-convulsive-status-epilepticus
#14
Francesco Brigo, Nicola Luigi Bragazzi, Simona Lattanzi, Raffaele Nardone, Eugen Trinka
OBJECTIVE: Since the 1970s, intravenous (IV) phenytoin (PHT) has been traditionally used as second-stage treatment for convulsive status epilepticus (SE) after failure of benzodiazepines. The aim of this review was to critically assess the evidence supporting the use of IV PHT as treatment of convulsive SE in patients of any age. In particular, we critically appraised the results of randomized controlled trials (RCTs) evaluating IV PHT as treatment of convulsive SE. METHODS: Systematic search of the literature to identify RCTs evaluating IV PHT as treatment of convulsive SE in patients of any age...
December 30, 2017: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/29287701/anxiolytic-effect-of-an-extract-of-salvia-miltiorrhiza-roots-in-rats
#15
Carla Lobina, Giancarlo Colombo, Gian Luigi Gessa, Mauro A M Carai, Pietro Allegrini, Paolo Morazzoni, Antonella Riva
BACKGROUND: Preparations from roots of Salvia miltiorrhiza, a herb widely used in traditional Chinese medicine, have been reported to induce a series of central effects, including sedation. In the wake of this ethnopharmacological information, the present study was designed to assess the anxiolytic potential of an extract of S.miltiorrhiza roots. METHODS: To this end, rats were acutely treated with S.miltiorrhiza extract (0, 50, and 100 mg/kg; i.g.) and exposed to the Elevated Plus Maze (EPM) test...
December 26, 2017: Journal of the Chinese Medical Association: JCMA
https://www.readbyqxmd.com/read/29282155/choreoathetosis-an-unusual-adverse-effect-of-dihydroartemisinin-piperaquine-a-case-report
#16
Benjamin Momo Kadia, Christian Morfaw, Armelle Corrine Gounoue Simo
BACKGROUND: Dihydroartemisinin-piperaquine is a combination of dihydroartemisinin and piperaquine which is highly effective in the treatment of uncomplicated falciparum malaria. Its adverse effects are generally tolerable and temporary. Choreoathetosis, an involuntary movement disorder characterized by continuous irregular twisting of the body, is not a documented adverse effect of this medication. CASE PRESENTATION: A 41-year-old Cameroonian man of black African ethnicity was brought to our primary care hospital because over the previous 6 hours he had been experiencing involuntary twisting movements of his body and he no longer had control of his limbs...
December 28, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29281497/poly-drug-use-of-prescription-medicine-among-people-with-opioid-use-disorder-in-china-a-systematic-review-and-meta-analysis
#17
Tongyu Wang, Jun Ma, Rujia Wang, Zhimin Liu, Jie Shi, Lin Lu, Yanping Bao
BACKGROUND: Opioid use disorder (OUD) causes substantial public health and social problems worldwide. Poly-drug use is common in people with OUD and increases morbidity and mortality. Investigation of the patterns and characteristics of poly-drug use of prescription medicine among opioid users is needed to develop appropriate prevention and intervention strategies. OBJECTIVES: To estimate the prevalence of poly-drug use of prescription medicine among people with OUD in China using meta-analysis...
December 27, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/29280763/intravaginal-diazepam-for-the-treatment-of-pelvic-floor-hypertonic-disorder-a-double-blind-randomized-placebo-controlled-trial
#18
Michael A Holland, John S Joyce, Lisa M Brennaman, Erma Z Drobnis, Julie A Starr, Raymond T Foster
OBJECTIVES: Pelvic floor hypertonic disorder is characterized by an involuntary spasm of the levator ani muscles and is associated with several clinical syndromes. Several treatment options have been described; however, treatment efficacy data are limited. The objective of this study was to determine the efficacy of intravaginal diazepam for the treatment of pelvic pain secondary to levator ani muscle spasm in comparison to placebo. METHODS: Adult women with complaints of pelvic pain, who were noted to have levator ani muscle spasm on physical examination, were approached for enrollment in a double-blind, placebo-controlled, randomized clinical trial...
December 27, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29247738/fatty-acid-binding-protein-5-mediates-the-uptake-of-fatty-acids-but-not-drugs-into-human-brain-endothelial-cells
#19
Gordon S Lee, Yijun Pan, Martin J Scanlon, Christopher J H Porter, Joseph A Nicolazzo
The purpose of this study was to examine the involvement of fatty acid binding protein 5 (FABP5), a lipid binding protein expressed at the blood-brain barrier (BBB), in fatty acid and drug uptake into human brain endothelial cells. Following transfection with siRNA against hFABP5, human brain endothelial cell (hCMEC/D3) uptake of lipophilic ligands with varying affinity to FABP5 was assessed with intracellular concentrations quantified by liquid scintillation counting, HPLC or LCMS/MS. The in situ BBB transport of [3H]-diazepam was also assessed in wild type (WT) and FABP5-deficient mice...
December 13, 2017: Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/29245268/posterior-reversible-encephalopathy-syndrome-after-postpartum-hemorrhage-and-uterine-artery-embolization-a-case-report
#20
Fangfang Shi, Liwei Shen, Yonghui Shi, Lei Shi, Xiaoli Yang, Zhi Jin, Wenpeng Liu, Danhong Wu
RATIONALE: Posterior reversible encephalopathy syndrome (PRES) is characterized by clinical and radiological features, including headache, disturbed consciousness, seizures, and cortical blindness associated with findings indicating posterior leukoencephalopathy on imaging studies. Ours is the first case of PRES developing after postpartum hemorrhage and uterine artery embolization. PATIENT CONCERNS: An 18-year-old patient had postpartum hemorrhage after a normal delivery...
December 2017: Medicine (Baltimore)
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