Oxcarbazepine versus Carbamazepine for the Treatment of Post-Stroke Epilepsy: A Systematic Review and Meta-Analysis.

AIM: To systematically evaluate the medication safety and effectiveness of Oxcarbazepine (OXC) and carbamazepine (CBZ) for the treatment of post-stroke epilepsy (PSE). MATERIAL AND METHODS: We searched Medline and other databases to identify the randomized controlled trials (RCTs) that compare the efficacies of OXC and CBZ in treating PSE. Two authors extracted and analyzed the data independently with Revman 5.3 software. The Q-test and I2 were used to test the statistical heterogeneity. The fixed or random effect models were selected according to heterogeneity. RESULTS: Eight RCTs that include 671 patients were involved in this study. The meta-analyses result showed that the overall efficiency of OXC was significantly better than that of CBZ (OR=4.55, 95% confidence interval (CI) (3.04?6.81)), the overall adverse events (OR=0.27, 95% CI (0.18?0.42), and the incidence of vomiting (OR=0.28, 95% CI (0.09?0.85)) of OXC was significantly less than that of CBZ. No significant differences in the incidence of rash (OR=0.45, 95% CI (0.19?1.07)), lethargy (OR=0.49, 95% CI (0.16?1.45)), and dizziness (OR=0.51, 95% CI (0.20?1.35)) were detected between OXC and CBZ. CONCLUSION: OXC seems to be superior to CBZ in the treatment of PSE, with higher efficacy, and safety than the latter. However, more research on OXC and CBZ in the treatment of PSE is required in the later stage due to the sample size limitation of our study.

Changing risk factors for hepatocellular carcinoma in hyperendemic regions in the era of universal hepatitis B vaccination.

BACKGROUND: LongAn, Guangxi, was the first county in China to implement universal childhood hepatitis B virus (HBV) immunization. We aimed to determine its long-term effects in preventing hepatocellular carcinoma (HCC) 32 years after the immunization programme was launched. METHODS: Information on HCC deaths for LongAn and its neighbouring county, BinYang (where universal hepatitis B vaccination was not started till 2002), were obtained from the national mortality surveillance system. The data were analysed using Poisson regression. RESULTS: The overall age-adjusted mortalities of HCC in LongAn and BinYang during 2017-2018 were 53.3/100,000 and 45.4/100,000, respectively. The mortality of males aged 20-29 years in LongAn, who were vaccinated at birth, was lower (2.7/100,000, 95%CI 0.8-4.5) than that of males in BinYang, who were not vaccinated (4.7/100,000, 95%CI 3.2-6.3). In LongAn, the HCC mortality in adults aged 20-29 years declined significantly from 7.9/100,000 (95%CI 4.4-11.4) in 2004 to 1.4/100,000 (95%CI 0.4-2.4) in 2017-2018 (χ2 = 5.554, p = 0.018). Among those vaccinated at birth, the HCC mortality in mountainous areas, where dietary exposure to aflatoxins is more common, is higher (9.0/100,000, 95%CI 4.5-13.5) than in low-lying areas (6.5/100,000, 95%CI 3.6-9.4) (χ2 = 0.2393, p = 0.618). CONCLUSION: Immunization of infants against HBV has reduced their risk of developing HCC as children and young adults but could not prevent all cases of HCC, suggesting that the major risk factor for HCC in hyperendemic regions is shifting from HBV to other factors. Additional prevention strategies for HCC will be needed in the future.

Tool selectivity in left occipitotemporal cortex develops without vision.

Previous studies have provided evidence for a tool-selective region in left lateral occipitotemporal cortex (LOTC). This region responds selectively to pictures of tools and to characteristic visual tool motion. The present human fMRI study tested whether visual experience is required for the development of tool-selective responses in left LOTC. Words referring to tools, animals, and nonmanipulable objects were presented auditorily to 14 congenitally blind and 16 sighted participants. Sighted participants additionally viewed pictures of these objects. In whole-brain group analyses, sighted participants showed tool-selective activity in left LOTC in both visual and auditory tasks. Importantly, virtually identical tool-selective LOTC activity was found in the congenitally blind group performing the auditory task. Furthermore, both groups showed equally strong tool-selective activity for auditory stimuli in a tool-selective LOTC region defined by the picture-viewing task in the sighted group. Detailed analyses in individual participants showed significant tool-selective LOTC activity in 13 of 14 blind participants and 14 of 16 sighted participants. The strength and anatomical location of this activity were indistinguishable across groups. Finally, both blind and sighted groups showed significant resting state functional connectivity between left LOTC and a bilateral frontoparietal network. Together, these results indicate that tool-selective activity in left LOTC develops without ever having seen a tool or its motion. This finding puts constraints on the possible role that this region could have in tool processing and, more generally, provides new insights into the principles shaping the functional organization of OTC.

Anti-inflammatory and anticancer activities of extracts and compounds from the mushroom Inonotus obliquus.

Mushroom Inonotus obliquus (I. obliquus) has been used as functional food and traditional Chinese herbs for long time. An efficient method for bioassay-guided preparative isolation was used for identifying the anti-inflammatory and anticancer constituents in I. obliquus. The petroleum ether and ethyl acetate fractions were found to have significant inhibition effects on NO production and NF-κB luciferase activity in macrophage RAW 264.7 cells and cytotoxicity against human prostatic carcinoma cell PC3 and breast carcinoma cell MDA-MB-231. Six main constituents were isolated from these two fractions and they were identified as lanosterol (1), 3ß-hydroxy-8,24-dien-21-al (2), ergosterol (3), inotodiol (4), ergosterol peroxide (5) and trametenolic acid (6). Compound ergosterol, ergosterol peroxide and trametenolic acid showed anti-inflammatory activities and ergosterol peroxide and trametenolic acid showed obviously cytotoxicity on human prostatic carcinoma cell PC3 and breast carcinoma MDA-MB-231 cell. The results obtained in this work might contribute to understanding the biological activity of mushroom I. obliquus for food and drug application.

Comparative studies on the physicochemical and antioxidant properties of different tea extracts.

Tea is one of the most popular drinks next to water. Tea polyphenol is one of the main bioactive constituents of tea with health functions. In order to find the most bioactive tea polyphynols, polyphenol extracts from green tea, black tea and chemical oxidation products of green tea extracts were comparatively studied on the physicochemical and antioxidant properties. Results showed physicochemical and antioxidant properties of polyphenol extracts changed greatly after the chemical oxidation. Hydrogen peroxide induced oxidation products (HOP) possessed the highest antioxidant ability among the four tea polyphenol extracts. Thirteen phenolic compounds and one alkaloid in HOP were identified by reversed phase high-performance liquid chromatography coupled to diode array detection and electrospray ionization mass spectrometry (RP-HPLC-DAD-ESI-MS). Hydrogen peroxide induced oxidation of tea polyphenol extracts could improve the antioxidant activity and could be used to produce antioxidants for food industry.

Is the semantic category effect in the lateral temporal cortex due to motion property differences?

Two specific areas within the posterior lateral temporal cortex (PLTC), the posterior superior temporal sulcus (pSTS) and the posterior middle temporal gyrus (pMTG), have been proposed to store different types of conceptual properties of motion: the pSTS encodes knowledge of articulated, biological motion, and the pMTG encodes knowledge about unarticulated, mechanical motion. We examined this hypothesis by comparing activation patterns evoked by verbs denoting biological motion (e.g., walk), mechanical motion (e.g., rotate), and low-motion events (e.g., ferment). Classical noun categories with different motion types (animals, tools, and buildings) were also tested and compared with previous findings of the categorical effects in PLTC. Replicating previous findings of different types of nouns, we observed stronger activation for animals than tools in the pSTS and stronger activation for tools compared to other types of nouns in the pMTG. However, such motion-type specific activation patterns only partly extended to verbs. Whereas the pSTS showed preferences for biological-motion verbs, no region within the pMTG was sensitive to verbs denoting mechanical motion. We speculate that the pMTG preference for tools is driven by properties other than mechanical motion, such as strong mappings between the visual form and motor-related representations.

Beta-PbO micro-octahedrons synthesized by electrochemical reduction.

We developed a simple and effective method to fabricate lead oxide micro-octahedrons by electrodeposition with higher current density. The electrolyte was lead nitrate aqueous solution containing some drops of concentrated hydrochloric acid. Stainless steel plate was employed as both cathode and substrate, and graphite plate as anode. The controlled current that was supplied by a direct current power supply passed through the electrolyte to deposit lead oxide micro-octahedrons on the surface of stainless steel at room temperature and was enhanced to more than 15 mA/cm2. The obtained deposits on cathodic substrate mainly are lead oxide regular octahedrons, which morphology and structure are confirmed by scanning electron microscopy, transmission electron microscopy and X-ray diffraction. The formation of lead oxide micro-octahedrons was affected significantly by the reduction current density. Our results indicated that well-shaped lead oxide micro-octahedrons could be formation at current densities in the range of 15-25 mA/cm2.

Phytochemical characteristics and hypoglycaemic activity of fraction from mushroom Inonotus obliquus.

BACKGROUND: Inonotus obliquus is a medicinal mushroom that has been used as an effective agent to treat various diseases such as diabetes, tuberculosis and cancer. In order to elucidate the active fraction and its constituents, the effects of ethyl acetate fraction from I. obliquus (EAFI) on hyperglycaemia were investigated and the main constituents of EAFI were isolated and identified. RESULTS: EAFI treatment led to a significant decrease in blood glucose level (P < 0.05) in alloxan-induced diabetic mice. It significantly decreased the total cholesterol level in serum, increased glutathione peroxidase activity and improved the growth physiological characteristics. In addition, EAFI treatment decreased the levels of triglyceride and malondialdehyde and increased the high-density lipoprotein cholesterol level in serum and the hepatic glycogen level in liver of diabetic mice. Five compounds were isolated from EAFI and identified as lanosterol (1), 3beta-hydroxy-lanosta-8,24-diene-21-al (2), inotodiol (3), ergosterol peroxide (4) and trametenolic acid (5) by spectral methods. Inotodiol and trametenolic acid were found to have an inhibitory effect on alpha-amylase activity and a scavenging effect on 1,1-diphenyl-2-picrylhydrazyl radicals. CONCLUSION: EAFI showed significant antihyperglycaemic and antilipidperoxidative effects in alloxan-induced diabetic mice. Terpenoid and sterol compounds appeared to be the major active constituents of I. obliquus.

Hongshan chiefly communities in Neolithic northeastern China.

The Hongshan societies of northeastern China are among East Asia's earliest complex societies. They have been known largely from elaborate burials with carved jades in ceremonial platforms. The most monumental remains are concentrated in a "core zone" in western Liaoning province. Residential remains are less well known and most investigations of them have been in peripheral regions outside the core zone. Recent regional settlement pattern research around the well known ceremonial site of Dongshanzui has begun to document the communities that built and used Hongshan core zone monuments and to assess their developmental dynamics. The core zone, like the Hongshan periphery, appears to have been organized into a series of small chiefly districts within which ceremonial activities were important integrative forces. Their estimated populations of less than 1,000 are not much larger than those of districts in the periphery, and the evidence does not suggest that these districts were integrated into any larger political entity. The greater elaboration of core zone monumental architecture is thus not attributable to demographically larger communities or to larger-scale political integration. Future research should focus on documenting the organization of statuses and economic activities within these core zone communities to assess potential differences from peripheral communities in these regards.