Characteristics Of Cognitive Status Of Epilepsy Patients Treated With Monotherapy Of First-Generation Antiepileptic Drugs

@#Epilepsy is one of the main health problems in neurology that can lead to cognitive decline. Generally, the epilepsy-associated cognitive decline is influenced by demographic, clinical, and treatment characteristics. This study aimed to determine the characteristics of cognitive status of epilepsy patients who received monotherapy using first-generation antiepileptic drugs (AEDs), namely phenytoin, carbamazepine, and valproic acid. It involved 93 epilepsy patients of Mutiara Sukma Mental Hospital (n=38) and Mataram General Hospital (n=55). Besides, 93 healthy patients were assigned as healthy control group (HC) subjects (n=93). Demographic characteristics collected from epilepsy and HC groups were age, gender, and years of education. Clinical characteristics taken from both groups were MoCA-Ina score. Clinical characteristics taken from epilepsy group were age at epilepsy onset, type of seizure (partial vs generalized), etiology (idiopathic vs structural), first-generation AED used, years of treatment, and cognitive status. The result of the study revealed that there were no significant different between the two groups in the means of age and years of education as well as the frequency of male gender (p>0.05). The mean of MoCA-Ina score of epilepsy group was significantly lower compared with HC group (p<0.05). The frequency of cognitive decline among epilepsy patients was 75.3%. The cognitive functions of epilepsy patients using monotherapy with carbamazepine, phenytoin, or valproic acid was significantly lower compared with healthy subjects. We conclude that there was high prevalence of epilepsy-associated cognitive impairment which was associated with male gender.

Association of the atherosclerosis, small vessel disease, cardioembolism, other causes with the executive function of the montreal cognitive assessment Indonesia in patients with post ischemic stroke

Background: ASCO Phenotype classification is a new classification of stroke based on phenotypic system. ASCO classification can evaluate the etiology of ischemic stroke comprehensively to characterize patients using different grade of evidence for the subtype of ischemic stroke. ASCO classification can predict post ischemic stroke cognitive decline. This Study purpose to evaluate the association between ASCO classification with the executive function in post ischemic stroke patients.Methods: This cross sectional study followed by 28 post ischemic stroke patients (men 16, women 12) over 3 months. Mean age 52.82±8.66. Cognitive function was assessed by Montreal Cognitive Assessment Indonesia (MoCA INA).Results: There were 17 patients with grade 1 atherosclerosis (ASCO A1), ten patients with grade 1 small vessel disease (ASCO S1), one patient with grade 1 cardioembolism (ASCO C1) in post ischemic stroke. Grade 1 atherosclerosis (ASCO A1) was significantly associated with executive function decline (p=0.002), naming decline (p=0.05), abstraction decline (p=0.001), memory decline (p=0.002) and orientation decline (p=0.016)). Grade 1 small vessel disease (ASCO S1) was significantly associated with executive function decline (p=0.001) and memory decline (p = 0.001) and abstraction (p=0.001). Grade 1 cardioembolism 1 (ASCO C1) was not significantly associated with cognitive decline.Conclusions: There was significant association between ASCO classification with the executive function of Montreal Cognitive Assestment Indonesia (MoCA INA) in post ischemic stroke patients.

Atividade de nucleação de gelo e densidade populacional do patógeno podem ser fatores que contribuem para o progresso da doença mancha branca do milho / Ice nucleation activity and density of the pathogen population may be factors that contribute to the progression of maize white spot disease / La actividad de nucleación de hielo y la densidad de población del patógeno pueden ser factores que contribuyen al progreso de la enfermedad mancha blanca del maíz

A Mancha Branca do Milho (MBM) é uma doença foliar que tem causado perdas apreciáveis, tanto qualitativas como quantitativas para a produção de milho. Seu agente etiológico, a Pantoea ananatis, é uma bactéria epifítica, Gram-negativa formadora de colônia amarela, capaz de formar gelo, mesmo em ambiente tropical (ice nucleation activity - INA). Este estudo teve por objetivo caracterizar isolados de P. ananatis quanto à atividade INA e avaliar o efeito da densidade bacteriana na expressão do fenótipo INA e no processo de desenvolvimento da doença. O agente patogênico foi isolado de lesões iniciais da doença, as anasarcas, e avaliado quanto à expressão do fenótipo INA em diferentes concentrações bacterianas. O mesmo foi feito com isolados epifíticos obtidos da superfície foliar de plantas de milho sadias. Dos 24 isolados bacterianos estudados, apenas 13 apresentaram o fenótipo INA+. A expressão deste fenótipo foi dependente da densidade celular. Isolados INA+ e INA­ foram inoculados em folhas destacadas e em plantas da cultivar HS200 a campo, em diferentes concentrações do inóculo. Nenhum isolado INA­ reproduziu sintomas em laboratório. Dos cinco isolados INA+ somente um deles reproduziu sintomas em laboratório. Em campo o isolado INA+ foi capaz de promover lesões em todas as concentrações avaliadas. Conclui-se que a atividade de nucleação de gelo pela bactéria P. ananatis é dependente da linhagem e da densidade bacteriana e este fenômeno pode estar envolvido no desenvolvimento dos sintomas da MBM.(AU)

Maize White Spot Disease is a leaf disease that has caused considerable losses, both qualitative and quantitative for corn production. Its etiologic agent, Pantoea ananatis, is an epiphytic, Gram-negative, yellow colony-forming bacterium, capable of forming ice, even in tropical environments at temperatures where this normally does not occur (Ice Nucleation Activity - INA). This study aimed at characterizing P. ananatis isolates in terms of INA activity and evaluating the effect of bacterial density on the expression of the INA phenotype and on the disease development process. The pathogen was isolated from the initial lesions of the disease, the anasarcas, and were evaluated for the expression of the INA phenotype in different bacterial concentrations. The same procedure was performed on epiphytic isolates obtained from the leaf surface of healthy maize plants. From the 24 bacterial isolates studied, only 13 presented the INA+ phenotype. The expression of this phenotype is dependent on cell density. INA+ and INA­ isolates were inoculated on detached leaves and on plants of cultivar HS200 in the field, in different concentrations of the inoculum. No INA­ isolates reproduced symptoms in the laboratory. From the five INA+ isolates, only one of them reproduced symptoms in the laboratory. In the field, the INA+ isolate was able to promote lesions in all concentrations evaluated. It can be concluded that the ice nucleation activity by P. ananatis is dependent on the strain and bacterial density and this phenomenon may be involved in the development of Maize White Spot Disease symptoms.(AU)

La mancha blanca del maíz es una enfermedad de la hoja que ha causado pérdidas considerables, tanto cualitativas como cuantitativas para la producción de maíz. Su agente etiológico, Pantoea ananatis, es una bacteria epífita, Gram-negativa, formadora de colonias amarillas, capaz de causar hielo, incluso en ambientes tropicales a temperaturas donde esto normalmente no ocurre (actividad de nucleación de hielo - INA). Este estudio tuvo como objetivo caracterizar los aislados de P. ananatis en términos de actividad de INA y evaluar el efecto de la densidad bacteriana en la expresión del fenotipo de INA y en el proceso de desarrollo de la enfermedad. El patógeno se aisló de las lesiones iniciales de la enfermedad, las anasarcas, y se evaluó la expresión del fenotipo INA en diferentes concentraciones bacterianas. Lo mismo se hizo con aislamientos epifitos obtenidos de la superficie de la hoja de plantas de maíz sanas. De los 24 aislados bacterianos estudiados, solo 13 presentaron el fenotipo INA+. La expresión de este fenotipo depende de la densidad celular. Se inocularon aislamientos INA+ e INA- en hojas desprendidas y en plantas del cultivar HS200 en el campo, en diferentes concentraciones del inóculo. Ninguno aislado INA- reprodujo síntomas en el laboratorio. De los cinco aislamientos de INA+, solo uno de ellos reprodujo síntomas en el laboratorio. En el campo, el aislado INA+ pudo promover lesiones en todas las concentraciones evaluadas. Se concluye que la nucleación de hielo por P. ananatis depende de la cepa y la densidad bacteriana, y este fenómeno puede estar involucrado en el desarrollo de los síntomas de la enfermedad de la mancha blanca del maíz.(AU)

Voltage sensitive optical mapping used to observe effects of late Na and rapidly activating delayed rectifier K currents on the right and left ventricular electrophysiological heterogeneity / 西安交通大学学报(医学版)

ABSTRACT:Objective To observe the effects of late Na current (INa‐L ) and rapidly activating delayed rectifier K current (IKr ) on ventricular heterogeneity and frequency dependency by using high resolution voltage sensitive optical mapping technology .Methods The model of 12 isolated hearts was constructed in rabbits . Voltage sensitive dye Di‐4‐ANEPPS were perfused into the isolated hearts by Langendorff method .LED source with the wave length of 532 nm was used to record APD80 and APD50 of the left and right ventricles .Experimental groups were divided into 3 groups by perfusion drugs dofetillide (30 nmol/L) ,dofetillide+ATX‐Ⅱ(1 nmol/L) ,and dofetillide +ATX‐Ⅱ +mexiletine (10μmol/L) .The subjects were intervened by the above drugs in order ,and they were self‐compared before dosing .After each drug administration ,the hearts were stimulated respectively with the BCL of 2 000 ms ,1 000 ms ,500 ms ,and 300 ms .Then we observed the changes of APD80 and APD50 in the left and right ventricles before and after the interventions .Results ① In the control group ,APD80 and APD50 of the right ventricle were longer than those of the left ventricle in response to different stimulation , and the differences increased with the decrease of stimulating frequency .② When BCL was 1000 ms ,APD80 and APD50 of the left and right ventricles were prolonged respectively after administration of dofetillide , but the differences in APD80 and APD50 were insignificant between the left and right ventricles (P>0 .05) .ΔAPD80 of the two ventricles increased significantly with the decrease of stimulating frequency . ③ After administration of ATX‐Ⅱ , when BCL was 1000 ms ,APD80 and APD50 of the left and right ventricles increased significantly compared with those in the control group and dofetillide intervention group (P0 .05) .The increase of ΔAPD80 of the two ventricles became milder when the stimulating frequency decreased . Conclusion ① IKr blocked by dofetillide did not affect the heterogeneity between the two ventricles , which showed reverse‐frequency dependence . ② In the context of blocking IKr , ATX‐Ⅱ increased the heterogeneity between the left and right ventricles and enhanced the reverse‐frequency dependence .In contrast ,mexiletine ,the blocker of INa‐L ,decreased the heterogeneity between the two ventricles and reverse‐frequency dependence .

Effect of ranolazine on the fast sodium channel current in rabbit atrial myocytes and use-dependent blockade / 西安交通大学学报(医学版)

Objective To explore the effect of ranolazine on the fast sodium channel current (INa) in rabbit atrial myocytes and the existence of use-dependent blockade. Methods Standard whole cell patch clamp technique was used to study the effect of ranolazine on the fast sodium channel current and the use-dependent blockade caused with different frequencies (1Hz, 3.3Hz and 5Hz) to stimulate the cells. Results The 30μmol/L ranolazine significantly reduced INa with an IC_(50) value of (25.6±1.8)μmmol/L and produced a frequency-dependent inhibitory effect on INa with obvious use-dependence. Conclusion Ranolazine can inhibit the fast sodium channel current in rabbit atrial myocytes and indeed has a use-dependent effect.

PCR OF THE MAIN REPETITION SEQUENCE OF THE INAZ GENE IN THE DNA OF INA~- AND INA~+ BACTERIA AND FUNGI / 微生物学通报

The oligonucleotide primer having the 5’\|GCCGGTTATGGC AGCACGCTGACC\|3’ was synthesized,which encodes a main repetition motif of protein produced by the inaZ gene.PCR of the primer in the DNA of INA - and INA + bacteria and fungi was done.All of the DNA of INA - and INA + bacteria and fungi expressed bands,the results show that the primer did not work for distinguishing the INA - and INA + organisms and for identification of the ice nucleation activity of the INA organisms by the size and brightness of the PCR products.

CLONIG AND CHARACTERIZATION OF A NEW ICE NUCLEATION ACTIVE GENE FROM ICE NUCLEATION ACTIVE BACTERIUM ERWINIA ANANAS 110 / 微生物学通报

Using the chromosomal DNA of an ice nucleation active bacterium Erwinia ananas 110 as template, an ice nucleation active (ina) gene was amplified by PCR with Taq plusI DNA polymerase. After sequencing and compared with reported ina genes, the cloned gene was identified as a new ina gene and was registered in GenBank at the accession number of AF387802. The new ina gene, named as iceA, has 3921 bp for its coding region, which encodes 1306 amino acids consisting of repetitive segment (R-domain, 1104aa), which is flanked by N-and C-terminal sequences, with 161 aa and 41aa, respectively.

Anti-arrhythmic effects of U50,488H involving the inhibition of Na~+ current in ischemia/reperfusion rat heart / 中国药理学通报

Aim To investigate the effects of U50,488H(a selective ?-opioid receptor agonist)on ventricular arrhythmias induced by myocardial ischemia and reperfusion in rats and to elucidate their mechanisms.Methods The contents of CK(creatine phosphokinase)and LDH(lactate dehydrogenase)were measured; The isolated heart was perfused using langendorff equipment. Heart rate(HR), arterial blood pressure(ABP), left ventricular pressure (LVP), cardiac function (?dp/dtmax), rate of ventricular tachycardia(VT)and ventricular fibrillation(VF)were examined in rats in vitro. The incidence of ventricular arrhythmias and arrhythmia score were also determined; The change of sodium currents (INa) induced by U50,488H was detected by whole-cell recording mode using patch clamp.Results ① In comparison with I/R group, the contents of CK、LDH in plasma of rats in U50,488H+I/R group were significantly lowered(P