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1.
Sci Total Environ ; 855: 158766, 2023 Jan 10.
Article in English | MEDLINE | ID: mdl-36116669

ABSTRACT

The Covid-19 crisis has caused several social-related issues; the sanitary is, perhaps, the most significant one. Lockdowns and vaccination were implemented to fight the Covid-19 virus. From a sustainability perspective, Covid-19 has been considered a meaningful crisis driver that has affected nations' economies and social and natural capitals. The literature presents clues that effects appear to be different among countries. Recognizing its importance as public policies for sustainability, this study aims to assess how the sustainability of countries has changed after Covid-19, focusing on countries' economic power that reflects their capacity to face the crisis. A sample of 89 countries is considered, and 2019-2020 are set as base years for data gathering, which covers the first year of the Covid-19 crisis. Sustainability is conceptually supported and represented by a 3-D cube. The natural environment is expressed by the ecological footprint (EF) method, the economic capital by the gross domestic product (GDP), and the social capital by the happiness index. Results show that sustainability of economies was negatively affected after first year of Covid-19 crisis, but in different magnitudes, according to nations' economic power. While the sustainability of the wealthiest economies was slightly changed during 2019-2020 but maintained within the named 'useful-order' world (environmentally unsustainable, productive, and happy), the poorest economies pushed about 169 million people into the worst performance, reaching the 'ineffective' world (environmentally unsustainable, unproductive, and unhappy). Numbers highlight the inequalities of sustainability performance among countries, according to their capacity to face the Covid-19 crisis. The shield of the richest evaluated countries comprising 5 % of the world population is more powerful than the shield of the poorest evaluated countries carrying 67 % of the world population. Results claims for efforts to make different policies and provide economic support differently for countries, since although we are all under the same storm, but in different boats.


Subject(s)
COVID-19 , Pandemics , Humans , COVID-19/epidemiology , Communicable Disease Control , Gross Domestic Product , Environment
2.
Sci Total Environ ; 729: 138733, 2020 Aug 10.
Article in English | MEDLINE | ID: mdl-32498157

ABSTRACT

The agribusiness contributes significantly to the Brazilian domestic production, and the search for environmentally friendly systems, exploring the maximum possible use of renewable resources and reducing the use of non-renewable ones, affects the agribusiness' productivity and competitivity. An agribusiness producing corn, eggs, pork and milk was evaluated using emergy accounting. The effects of the (des)integration of the production processes on the efficiency and environmental sustainability of the system were assessed using seven scenarios. The first is the existing integrated system and the others are scenarios in which one of the productive subsystems is removed. Efficiency is measured by the global productivity relative to the amount of protein produced. The most environmentally advantageous scenario, in terms of sustainability and productivity, is the one in which pork production is increased and egg production is ceased. This result suggests that increasing integration per se cannot assure gains in environmental sustainability. The integrated management of the residues of the poultry and pig production as organic fertilizer resulted an advantage for the seven scenarios. The scenarios presented should help to evaluate organizational innovations and to identify trade-offs that could influence the environmental performance of agricultural integrated systems.

3.
Pharmazie ; 71(9): 504-509, 2016 Sep 01.
Article in English | MEDLINE | ID: mdl-29441845

ABSTRACT

This randomized, placebo-controlled, double-blind trial was conducted to assess the efficacy and safety of ivy leaves cough liquid in the treatment of acute cough. A total of 181 adult patients with acute cough were treated with either ivy leaves cough liquid containing EA 575® or with placebo three times a day for one week. The primary efficacy outcome was cough severity (CS) assessed by Visual Analogue Scale (VAS) over the whole treatment period (area-under-the-curve (AUC0-168 h) over 7 days (visit (V)1, V2, V3, V4, and V5). The secondary endpoints were defined as the CS assessed by VAS over the whole observation period (V1 - V6) and by Bronchitis Severity Score (BSS) and Verbal Category Descriptive (VCD) score. The evaluation of the VAS, BSS and VCD score revealed that subjects treated with ivy leaves cough liquid showed statistically significant and clinically relevant reductions in CS, severity of symptoms associated with cough and bronchitis compared to the placebo group. Furthermore, a remarkable early onset of efficacy was observed as significant reductions of cough severity were detected within 48 hours after the first drug intake. At all following visits and even 7 days after the end of treatment (V6) this significant treatment advantage was detected in comparison to placebo. All adverse events (AEs) in this clinical trial were non-serious, mild or of moderate severity and not drug-related. This clinical trial proved consistent superiority of the ivy leaves cough liquid treatment versus placebo and confirmed the EA 575® preparation to be a safe and efficacious option for the treatment of acute cough.


Subject(s)
Cough/drug therapy , Hedera/chemistry , Plant Extracts/therapeutic use , Acute Disease , Adolescent , Adult , Aged , Area Under Curve , Bronchitis/drug therapy , Double-Blind Method , Female , Humans , Male , Middle Aged , Plant Extracts/adverse effects , Plant Leaves , Treatment Outcome , Young Adult
4.
Br J Sports Med ; 44(9): 637-41, 2010 Jul.
Article in English | MEDLINE | ID: mdl-19460762

ABSTRACT

OBJECTIVE: The objective was to show the superiority of comfrey root extract ointment to placebo ointment in patients with acute upper or lower back pain. DESIGN: The study was conducted as a double-blind, multicentre, randomised clinical trial with parallel group design over a period of 5 days (SD 1). The patients (n = 120, mean age 36.9 years) were treated with verum or placebo ointment three times a day, 4 g ointment per application. The trial included four visits. MAIN OUTCOME MEASURES: The primary efficacy variable was the area under the curve (AUC) of the visual analogue scale (VAS) on active standardised movement values at visits 1 to 4. The secondary efficacy variables were back pain at rest using assessment by the patient on VAS, pressure algometry (pain-time curve; AUC over 5 days), global assessment of efficacy by the patient and the investigator, consumption of analgesic medication and functional impairment measured using the Oswestry disability index. RESULTS: There was a significant treatment difference between comfrey extract and placebo regarding the primary variable. In the course of the trial the pain intensity on active standardised movement decreased on average (median) approximately 95.2% in the verum group and 37.8% in the placebo group. CONCLUSIONS: The results of this clinical trial were clear-cut and consistent across all primary and secondary efficacy variables. Comfrey root extract showed a remarkably potent and clinically relevant effect in reducing acute back pain. For the first time a fast-acting effect of the ointment (1 h) was also witnessed.


Subject(s)
Comfrey , Low Back Pain/drug therapy , Phytotherapy/methods , Plant Extracts/therapeutic use , Acute Disease , Adult , Double-Blind Method , Female , Humans , Male , Middle Aged , Ointments , Plant Roots , Treatment Outcome
5.
J Environ Manage ; 90(8): 2448-59, 2009 Jun.
Article in English | MEDLINE | ID: mdl-19285781

ABSTRACT

The complexity of the environment demands a well-constructed composite environmental index (CEI) to provide a useful tool to draw attention to environmental conditions and trends for policy purposes. Among the common difficulties in constructing a proper CEI are uncertainties due to the selection of the most representative underlying variables or indicators. A degree of uncertainty accompanies experts' judgments, and to deal with vague, subjective or inconsistent information, logic other than classic is required. This study analyzes a procedure that uses different experts' opinions in constructing a CEI, with the use of paraconsistent annotated logic. For this, a sensitivity analysis of the Environmental Sustainability Index (ESI 2005) was used as an example to assess the reliability of experts' opinions. The uncertainty due to the disagreement in experts' opinions clearly indicates that the forms we presently use to measure and monitor the actual environment are insufficient, that is, there is a lack of a "science of sustainability".


Subject(s)
Environmental Monitoring/methods , Environmental Monitoring/standards , Expert Testimony
6.
Clin Ter ; 158(2): 181-7, 2007.
Article in Italian | MEDLINE | ID: mdl-17566522

ABSTRACT

The systemic inflammation associated to the simultaneous activation of blood coagulation and the alterated blood fibrinolysis, leads to microvascular endothelial injury, acute organ dysfunction and possibly death. Activated Protein C, a natural, multifunctional protein, has demonstrated antithrombotic, anti-inflammatory, and profibrinolitic properties and may be an important modulator of the vicious cycle whereby inflammation initiates coagulation and coagulation amplifies inflammation. Protein C couples with its receptor, EPCR (endothelial-cell protein-C receptor), and the ligand-receptor complex then interact with thrombin-thrombomodulin on endothelial surface to produce activated protein C (APC). Once activated, protein C then interact with its cofactor, protein S, to catalyze the inactivation of factors Va and VIIILa, two important accelerators of the clotting cascade, reducing thrombin generation and microvascular thrombosis. In addiction to its anticoagulant activity APC promotes profibrinolytic activity through the inhibition of plasminogen activator inhibitor-1, which is upregulated during inflammation. Inhibition of thrombin generation by APC decreases inflammation by inhibiting platelet activation, neutrophil recruitment, and mast-cell degranulation. APC also shows direct antiinflammatory properties, including blocking of cytokines production by monocytes and blocking cell adhesion. Moreover, APC has antiapoptotic properties that may contribute to its efficacy. In conclusion, APC, besides its physiologic role in the coagulation cascade, plays a key role in the pathophysiology of systemic inflammation justifying its potential therapeutic role in sepsis and systemic inflammatory responses.


Subject(s)
Protein C/physiology , Blood Coagulation/physiology , Humans , Inflammation/immunology , Protein C/therapeutic use , Protein C Deficiency/congenital , Protein C Deficiency/physiopathology
7.
Phytomedicine ; 12(10): 707-14, 2005 Nov.
Article in English | MEDLINE | ID: mdl-16323288

ABSTRACT

In the treatment of minor blunt injuries several topical drugs are known to have anti-inflammatory and analgesic properties. They represent, however, two fundamentally different major pharmacological therapy approaches: the "chemical-synthetical" and the "phytotherapeutical" approach. The main objective of this trial (CODEC_2004) was to compare the efficacy and tolerability of an ointment of Comfrey extract (Extr. Rad. Symphyti) with that of a Diclofenac gel in the treatment of acute unilateral ankle sprain (distortion). In a single-blind, controlled, randomized, parallel-group, multicenter and confirmatory clinical trial outpatients with acute unilateral ankle sprains (n=164, mean age 29.0 years, 47.6% female) received either a 6 cm long ointment layer of Kytta-Salbe f (Comfrey extract) (n=82) or of Diclofenac gel containing 1.16 g of diclofenac diethylamine salt (n=82) for 7 +/- 1 days, four times a day. Primary variable was the area-under-the-curve (AUC) of the pain reaction to pressure on the injured area measured by a calibrated caliper (tonometer). Secondary variables were the circumference of the joint (swelling; figure-of-eight method), the individual spontaneous pain sensation at rest and at movement according to a Visual Analogue Scale (VAS), the judgment of impaired movements of the injured joint by the method of "neutral-zero", consumption of rescue medication (paracetamol), as well as the global efficacy evaluation and the global assessment of tolerability (both by physician and patient, 4 ranks). In this study the primary variable was also to be validated prospectively. It was confirmatorily shown that Comfrey extract is non-inferior to diclofenac. The 95% confidence interval for the AUC (Comfrey extract minus Diclofenac gel) was 19.01-103.09h*N/cm2 and was completely above the margin of non-inferiority. Moreover, the results of the primary and secondary variables indicate that Comfrey extract may be superior to Diclofenac gel.


Subject(s)
Ankle Injuries/drug therapy , Comfrey , Diclofenac/therapeutic use , Phytotherapy , Plant Extracts/therapeutic use , Sprains and Strains/drug therapy , Adolescent , Adult , Area Under Curve , Female , Gels , Humans , Male , Middle Aged , Ointments , Pain Measurement , Phytotherapy/adverse effects , Plant Extracts/adverse effects , Plant Preparations , Plant Roots , Single-Blind Method , Treatment Outcome
8.
J Colloid Interface Sci ; 288(2): 377-86, 2005 Aug 15.
Article in English | MEDLINE | ID: mdl-15927602

ABSTRACT

The influence of ruthenium and osmium spontaneous deposition on polycrystalline platinum in sulfuric acid was studied by conventional electrochemical techniques. The inhibition of the hydrogen adatom voltammetric profile by the foreign adatoms was used to calculate the degree of surface coverage of ruthenium, osmium, and a mixture of both metal ions from solutions of different composition. Methanol adsorption and oxidation were compared on bare platinum, platinum/ruthenium, platinum/osmium, and ternary compounds, considering the efficiency of methanol oxidation per hydrogen adatom displaced by the foreign metal on platinum.


Subject(s)
Methanol/chemistry , Osmium/chemistry , Platinum/chemistry , Ruthenium/chemistry , Adsorption , Catalysis , Crystallization , Electrochemistry , Oxidation-Reduction , Sulfuric Acids/chemistry , Surface Properties
9.
Phytomedicine ; 11(6): 470-7, 2004 Sep.
Article in English | MEDLINE | ID: mdl-15500257

ABSTRACT

Comfrey (Symphytum officinale L.) is a medicinal plant with anti-inflammatory, analgesic and tissue regenerating properties. In a double-blind, multicenter, randomized, placebo-controlled, group comparison study on patients suffering from unilateral acute ankle sprains (n = 142, mean age 31.8 years, 78.9% male), the percutaneous efficacy of an ointment of comfrey extract (Kytta-Salbe f, four treatments per day for 8 days) was confirmed decisively. Compared to placebo, the active treatment was clearly superior regarding the reduction of pain (tonometric measurement, p<0.0001, as the primary efficacy variable) and ankle edema (figure-of-eight method, p = 0.0001). Statistically significant differences between active treatment and placebo could also be shown for ankle mobility (neutral zero method), and global efficacy. Under active treatment, no adverse drug reactions were reported. The good local and global tolerance of the trial medication could also be confirmed. The study results are consistent with the known pre-clinical and clinical data concerning comfrey.


Subject(s)
Ankle Injuries/drug therapy , Comfrey , Pain/drug therapy , Phytotherapy , Plant Extracts/therapeutic use , Sprains and Strains/drug therapy , Adolescent , Adult , Aged , Double-Blind Method , Female , Germany , Humans , Male , Middle Aged , Plant Extracts/administration & dosage , Plant Roots , Treatment Outcome
10.
Br J Sports Med ; 38(3): 318-23, 2004 Jun.
Article in English | MEDLINE | ID: mdl-15155436

ABSTRACT

OBJECTIVES: To investigate the clinical efficacy and safety of a newly developed diclofenac patch in the topical treatment of blunt impact injuries. METHODS: This was a randomised, placebo controlled, double blind, multicentre study in 120 patients with traumatic blunt soft tissue injury. Within 3 h of the injury participants of sport competitions and training camps were enrolled and treated twice daily with the diclofenac or a placebo patch over a period of 7 days. Patients were randomised (1:1) to two parallel groups. Tenderness produced by pressure was measured twice daily during the first 3 days after enrollment as well as at day 7. Tenderness was defined as the amount of pressure (measured by a calibrated caliper at the centre of the injury) that first produced a pain reaction as reported by the patient. RESULTS: The primary efficacy variable was the area under the curve for tenderness over the first 3 days. The diclofenac patch was significantly more effective than placebo (p<0.0001). The treatment effect was 64.7 kp h/cm2 (95% confidence interval 48.7 to 80.9) between diclofenac and placebo patches. These results were supported by all secondary efficacy variables. The diclofenac patch produced rapid pain relief as reflected by the time to reach resolution of pain at the injured site which was significantly shorter compared to placebo (p<0.0001). The diclofenac patch was well tolerated. The most frequently observed adverse events were local cutaneous adverse reactions (pruritus, rash) of minor severity occurring with the same frequency as in the placebo group. CONCLUSIONS: A newly developed diclofenac patch is effective and safe for the treatment of blunt impact injuries.


Subject(s)
Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Athletic Injuries/drug therapy , Diclofenac/administration & dosage , Wounds, Nonpenetrating/drug therapy , Acute Disease , Administration, Topical , Adult , Anti-Inflammatory Agents, Non-Steroidal/adverse effects , Area Under Curve , Diclofenac/adverse effects , Double-Blind Method , Female , Humans , Male , Pain Measurement/methods , Time Factors , Treatment Outcome
11.
Br J Sports Med ; 36(3): 183-8, 2002 Jun.
Article in English | MEDLINE | ID: mdl-12055112

ABSTRACT

OBJECTIVES: To investigate the clinical efficacy and safety of escin-containing gels in the topical treatment of blunt impact injuries. METHODS: Competitors in soccer, handball, or karate competitions were enrolled within two hours of sustaining a strain, sprain, or contusion and treated three times with the trial gel within a period of eight hours. Patients were randomised to three parallel groups consisting of two active treatment gels, containing escin (1% or 2%), 5% diethylammonium salicylate, and 5000 IU heparin, or placebo gel. Tenderness produced by pressure was measured at 0 (baseline), 1, 2, 3, 4, 6, and 24 hours after enrollment (within two hours of the injury). Tenderness was defined as the amount of pressure (measured by a calibrated caliper at the centre of the injury) that first produced a pain reaction as reported by the patient. RESULTS: A total of 158 patients were enrolled; 156 were evaluated in the intention to treat analysis. The primary efficacy variable was the area under the curve for tenderness over a six hour period. The gel preparations containing 1% and 2% escin were significantly more effective (a priori ordered hypotheses testing controlling the multiple alpha = 5% significance level) than placebo (p(1) = 0.0001 and p(2) = 0.0002 respectively). The treatment effects were 5.7 kp h/cm(2) (95% confidence interval (CI) 2.9 to 8.5) and 5.9 kilopond (kp) h/cm(2) (95% CI 2.9 to 8.8) between 1% escin and placebo and between 2% escin and placebo respectively. These results were supported by secondary efficacy variables. The time to reach the baseline contralateral tenderness value (resolution of pain) at the injured site was shorter in the treatment groups than in the placebo group (p<0.0001). Both active gel preparations produced more rapid pain relief than the placebo gel. No relevant differences were detected between the two active gels. The safety and tolerability of the escin-containing gels were excellent. CONCLUSIONS: Escin/diethylammonium salicylate/heparin combination gel preparations are effective and safe for the treatment of blunt impact injuries.


Subject(s)
Athletic Injuries/drug therapy , Escin/administration & dosage , Heparin/administration & dosage , Salicylic Acid/administration & dosage , Wounds, Nonpenetrating/drug therapy , Administration, Topical , Adult , Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Contusions/drug therapy , Double-Blind Method , Drug Combinations , Female , Gels , Humans , Male , Martial Arts/injuries , Pain/drug therapy , Soccer/injuries , Sprains and Strains/drug therapy , Treatment Outcome
12.
J Hum Hypertens ; 15(10): 715-21, 2001 Oct.
Article in English | MEDLINE | ID: mdl-11607802

ABSTRACT

OBJECTIVE: The present study was designed to investigate the integrated effects of the beta-1-selective blocker with vasodilator properties, nebivolol, on systemic haemodynamics, neurohormones and energy metabolism as well as oxygen uptake and exercise performance in physically active patients with moderate essential hypertension (EH). DESIGN AND METHODS: Eighteen physically active patients with moderate EH were included: age: 46.9 +/- 2.38 years, weight: 83.9 +/- 2.81 kg, blood pressure (BP): 155.8 +/- 3.90/102.5 +/- 1.86 mm Hg, heart rate: 73.6 +/- 2.98 min(-1). After a 14-day wash-out period a bicycle spiroergometry until exhaustion (WHO) was performed followed by a 45-min submaximal exercise test on the 2.5 mmol/l lactate-level 48 h later. Before, during and directly after exercise testing blood samples were taken. An identical protocol was repeated after a 6-week treatment period with 5 mg nebivolol/day. RESULTS: Nebivolol treatment resulted in a significant (P < 0.01) decrease in systolic and diastolic BP and heart rate at rest and during maximal and submaximal exercise. Maximal physical work performance, blood lactate and rel. oxygen uptake (rel. VO(2)) before and after nebivolol treatment at rest and during maximal and submaximal exercise remained unaltered. Free fatty acid, free glycerol, plasma catecholamines, beta-endorphines and atrial natriuretic peptide (ANP) increased before and after treatment during maximal and submaximal exercise but remained unaltered by nebivolol treatment. In contrast, plasma ANP levels at rest were significantly higher in the presence of nebivolol, endothelin-1 levels were unchanged. CONCLUSIONS: Nebivolol was effective in the control of BP at rest and during exercise in patients with EH. Furthermore, nebivolol did not negatively affect lipid and carbohydrate metabolism and substrate flow. The explanation for the effects on ANP at rest remain elusive. This pharmacodynamic profile of nebivolol is potentially suitable in physically active patients with EH.


Subject(s)
Adrenergic beta-Antagonists/pharmacology , Benzopyrans/pharmacology , Energy Metabolism/drug effects , Ethanolamines/pharmacology , Hemodynamics/drug effects , Hypertension/blood , Neurosecretory Systems/drug effects , Physical Exertion/drug effects , Physical Fitness , Vasodilator Agents/pharmacology , Adrenergic beta-Antagonists/blood , Adult , Analysis of Variance , Benzopyrans/blood , Blood Glucose/analysis , Catecholamines/blood , Chromatography, High Pressure Liquid , Ethanolamines/blood , Exercise Test/drug effects , Human Growth Hormone/blood , Humans , Hydrocortisone/blood , Immunoenzyme Techniques , Insulin/blood , Lactic Acid/blood , Lipids/blood , Middle Aged , Nebivolol , Pilot Projects , Radioimmunoassay , Vasodilator Agents/blood , beta-Endorphin/blood
13.
Arzneimittelforschung ; 42(12): 1456-8, 1992 Dec.
Article in English | MEDLINE | ID: mdl-1288510

ABSTRACT

In a randomized double-blind study the effects of increasing doses of trospium chloride (Spasmo-lyt, CAS 10405-02-4), 0.2, 0.5, 1.0, and 1.5 mg i.v., on gall-bladder contractility were compared among themselves and against placebo and n-butylscopolamine bromide (20 mg i.v.) by an intraindividual 5-fold crossover technique. Gall-bladder volumes after drug-induced contraction (fat stimulus with sodium iopodate) were measured by ultrasound scanning conducted by a single examiner. Serial measurements, carried out in 6 female subjects without any evidence of gall-bladder disease, demonstrated a dose-dependent trend of inhibition of gall-bladder motility produced by trospium chloride. In the maximal doses employed (1.0 and 1.5 mg i.v.) trospium chloride effected almost total inhibition of motility. The response to n-butylscopolamine bromide tested in a nonblind comparison, showed a dose-effect ratio of roughly 40:1 between trospium chloride and n-butylscopolamine bromide given intravenously. This work confirms that ultrasound measurement of gall-bladder volume is a suitable pharmacodynamic model for testing the dose-effect relationships of antispasmodic agents.


Subject(s)
Gallbladder/drug effects , Nortropanes/pharmacology , Parasympatholytics/pharmacology , Benzilates , Bile Ducts/diagnostic imaging , Bile Ducts/drug effects , Butylscopolammonium Bromide/pharmacology , Dose-Response Relationship, Drug , Double-Blind Method , Female , Gallbladder/diagnostic imaging , Humans , Muscle Relaxation/drug effects , Nortropanes/adverse effects , Parasympatholytics/adverse effects , Ultrasonography
14.
Int J Sports Med ; 12(6): 548-56, 1991 Dec.
Article in English | MEDLINE | ID: mdl-1797696

ABSTRACT

The influence of 10 mg carteolol/day on the serum concentrations of insulin, C-peptide, glucagon, free fatty acids, adrenaline, noradrenaline, blood glucose, blood lactate levels, on heart rate and systolic blood pressure was investigated during different workloads on a bicycle ergometer in a placebo-controlled randomised double-blind study involving twelve male volunteers. The subjects performed standardized increasing exercises until subjective exhaustion as well as three 40-minute endurance exercises of varying intensity, corresponding to a lactate concentration of 1.0 to 2.0 mmol/l, 2.5 to 3.5 mmol/l and more than 3.5 mmol/l in the region of the anaerobic threshold, each exercise being followed by one rest day. The most important findings are: --the ISA of carteolol is of significance for the influence on the heart rate at rest but plays a minor role with respect to the degree of reduction in the heart rate and blood pressure under exercise; --carteolol exerts a minor influence on the metabolic parameters investigated in this study. This can be partly ascribed to the pronounced ISA of carteolol. In the case of endurance exercises, which lead to blood lactate concentrations of more than 3 mmol/l, the blood glucose levels showed a tendency to decrease. However, this was not statistically significant.


Subject(s)
Carteolol/pharmacology , Hemodynamics/drug effects , Physical Exertion/physiology , Adult , Blood Glucose/analysis , Blood Pressure/drug effects , Carteolol/pharmacokinetics , Dose-Response Relationship, Drug , Double-Blind Method , Exercise Test , Heart Rate/drug effects , Humans , Insulin/blood , Lactates/blood , Male
15.
Urologe A ; 30(4): 260-3, 1991 Jul.
Article in German | MEDLINE | ID: mdl-1926674

ABSTRACT

The efficacy and tolerance of a high-dose treatment with trospium chloride (20 mg twice daily) were investigated in pilot studies carried out in three trial centres and involving a total of 29 patients suffering from reflex bladder due to transverse lesions of the spinal cord with paraplegia. In all three centres the trial procedure was the same. Urodynamic measurements (maximum bladder capacity, bladder compliance, maximum detrusor pressure during micturition, urinary flow and residual urine) were taken both before and after treatment with trospium chloride for a period of at least 2 weeks. In almost all patients there was a clear rise in maximum bladder capacity, a marked decrease in maximum detrusor pressure and an increase in bladder compliance. As a result the frequency of micturitions was lowered. In the majority of patients, urinary incontinence caused by detrusor hyperreflexia was brought under control through depression of detrusor activity, and urinary continence was achieved. If necessary, intermittent catheterization was continued to empty the bladder. Tolerance of the test preparation was good, and side-effects were rare and mild.


Subject(s)
Nortropanes/administration & dosage , Parasympatholytics/administration & dosage , Urinary Bladder, Neurogenic/drug therapy , Adult , Benzilates , Compliance , Dose-Response Relationship, Drug , Drug Administration Schedule , Female , Humans , Male , Nortropanes/adverse effects , Parasympatholytics/adverse effects , Urinary Bladder/drug effects , Urinary Bladder, Neurogenic/physiopathology , Urodynamics/drug effects , Urodynamics/physiology
16.
Urol Int ; 47(3): 138-43, 1991.
Article in English | MEDLINE | ID: mdl-1771701

ABSTRACT

In a multicentre placebo-controlled double-blind study 61 patients with spinal cord injuries and detrusor hyperreflexia were treated: 20 mg trospium chloride was given twice daily over a period of 3 weeks. Pre- and posttreatment urodynamic measurements demonstrated large improvements in maximum cystometric capacity (mean = 138.1 ml), decreased maximum detrusor pressure (mean = -37.8 cm H2O) and an increase in compliance (mean = 12.1 ml/cm H2O) in the treatment group. Urodynamic parameters in the placebo group remained substantially unchanged. Comparisons between the two groups revealed highly significant differences for these parameters (all, p less than 0.001). No effect on maximum flow rate and residual urine was detected in either group. The incidence of spontaneously reported side-effects was extremely low and comparable for both groups.


Subject(s)
Nortropanes/therapeutic use , Parasympatholytics/therapeutic use , Spinal Cord Injuries/complications , Urinary Bladder, Neurogenic/drug therapy , Adult , Benzilates , Double-Blind Method , Female , Humans , Male , Nortropanes/adverse effects , Parasympatholytics/adverse effects , Pressure , Urinary Bladder/physiopathology , Urinary Bladder, Neurogenic/etiology , Urinary Bladder, Neurogenic/physiopathology , Urodynamics
17.
Arzneimittelforschung ; 38(5): 744-8, 1988 May.
Article in English | MEDLINE | ID: mdl-3415721

ABSTRACT

1. The influence of diacetylrhein on the luminol-induced chemiluminescence of zymosan-activated polymorphonuclear leucocytes (PMNL) was investigated. At a concentration of 4 x 10(-5) mol/l diacetylrhein an inhibition of about 40% was found. 2. A model for the degradation of hyaline cartilage by frustrated phagocytosis was developed, in which human polymorphonuclear leucocytes cause a release of glycosaminoglycan peptides from hyaline cartilage slices (bovine nasal septum). We observed a 20% inhibition of this release at a concentration of 10(-4) mol/l diacetylrhein. 3. Human synovial fibroblasts synthesize the glycosaminoglycan hyaluronate. As a parameter of the rate of hyaluronate synthesis we measured the incorporation of 14C-glucosamine into hyaluronate. At a concentration of 2 x 10(-4) mol/l diacetylrhein a 4-fold increase of 14C-glucosamine incorporation in the membrane fraction of the synovial cells (tryptic fraction) and a 1.6-fold elevation of glucosamine release into the medium was measured. The synovial fibroblasts show a higher (1.5-fold) glucose consumption and lactate production in the presence of diacetylrhein (2 x 10(-4) mol/l).


Subject(s)
Anthraquinones/pharmacology , Anti-Inflammatory Agents, Non-Steroidal/pharmacology , Hyaluronic Acid/biosynthesis , Neutrophils/drug effects , Phagocytosis/drug effects , Synovial Fluid/metabolism , Adult , Animals , Cattle , Cells, Cultured , Culture Media , Glycosaminoglycans/metabolism , Humans , Luminescent Measurements , Male , Synovial Fluid/cytology , Synovial Fluid/drug effects
18.
J Antibiot (Tokyo) ; 36(2): 155-60, 1983 Feb.
Article in English | MEDLINE | ID: mdl-6300012

ABSTRACT

From submerged cultures of Lachnella villosa, Lachnella sp. 541, and Peniophora laeta we isolated marasmic acid (1), a metabolite first described from surface cultures of Marasmius conigenus. The sesquiterpenoid exhibits potent antimicrobial and cytotoxic properties. In cells of the ascitic form of Ehrlich carcinoma RNA and DNA syntheses are preferentially inhibited. Marasmic acid inhibits RNA synthesis in isolated nuclei, but does not interfere with the transport of nucleoside precursors into the cells. RNA polymerase II and capping enzyme (mRNA guanylyltransferase), two enzymes of nucleic acid metabolism, are markedly affected after preincubation with marasmic acid. We assume that marasmic acid acts on nucleic acid syntheses by direct inhibition of some of the enzymes involved. This mode of action would also explain its mutagenic properties. The preparation and testing of two derivatives, 2 and 3, revealed that the alpha,beta-unsaturated aldehyde is essential for the antimicrobial and cytotoxic activity of marasmic acid.


Subject(s)
Anti-Bacterial Agents/pharmacology , Basidiomycota/metabolism , Nucleic Acids/metabolism , Animals , Bacteria/drug effects , Carcinoma, Ehrlich Tumor/metabolism , Mice , Mutagens , Nucleotidyltransferases/antagonists & inhibitors , Polycyclic Sesquiterpenes , RNA Polymerase II/antagonists & inhibitors , Sesquiterpenes/pharmacology
19.
J Antibiot (Tokyo) ; 34(10): 1271-7, 1981 Oct.
Article in English | MEDLINE | ID: mdl-7198113

ABSTRACT

Two antimicrobial and cytotoxic metabolites were isolated from fermentation broth of Marasmius alliaceus. The structures of the two crystalline antibiotics, alliacols A (6) and B (1) were elucidated by spectroscopic methods and chemical correlation with alliacolide (3). The alliacols show weak antibacterial and antifungal activity. Both antibiotics strongly inhibit DNA synthesis in cells of the ascitic form of Ehrlich carcinoma at concentrations of 2 approximately 5 microgram/ml. Both alliacols A and B react with cysteine to form adducts with strongly reduced biological activities.


Subject(s)
Anti-Bacterial Agents/isolation & purification , Basidiomycota/analysis , Anti-Bacterial Agents/pharmacology , Antibiotics, Antineoplastic/pharmacology , Chemical Phenomena , Chemistry , Nucleic Acids/biosynthesis , Protein Biosynthesis , Sesquiterpenes/isolation & purification , Sesquiterpenes/pharmacology
20.
Z Naturforsch C Biosci ; 33(11-12): 807-16, 1978.
Article in German | MEDLINE | ID: mdl-154220

ABSTRACT

Three new antibiotics, merulinic acids A, B, and C, have been isolated from fruiting bodies of Merulis tremellosus and Phlebia radiata. They are closely related derivatives of beta-resorcylic and salicylic acid, carrying monounsaturated C17-alkyl side chains in 6-position. The merulinic acids are mixtures of the delta8'-compounds with minor amounts of the corresponding delta10'-, dehydro, and dihydro derivatives, separable only by means of HPLC. delta8'-Merulinic acid A (I) was synthesized via a biomimetic cyclization of a linear precursor. The merulinic acids inhibit a variety of bacteria and are not active against fungi. RNA, DNA, and protein synthesis in Bacillus brevis and Ehrlich carcinoma ascites cells are inhibited shortly after the addition of the antibiotics. Almost complete hemolysis of human erythrocytes is caused by 25 microgram/ml of merulinic acid B and C or by 73 microgram/ml of merulinic acid A.


Subject(s)
Anti-Bacterial Agents , Basidiomycota/analysis , Animals , Anti-Bacterial Agents/isolation & purification , Anti-Bacterial Agents/pharmacology , Bacillus/drug effects , Bacillus/metabolism , Bacteria/drug effects , Carcinoma, Ehrlich Tumor/metabolism , Erythrocytes/drug effects , Hemolysis/drug effects , Humans , Species Specificity , Structure-Activity Relationship
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