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1.
Eur J Neurol ; 25(3): 469-e32, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29114969

RESUMO

BACKGROUND AND PURPOSE: Apathy is an important neuropsychiatric feature of Parkinson's disease (PD), which often emerges before the onset of motor symptoms. Patients with rapid eye movement sleep behaviour disorder (RBD) have a high probability of developing PD in future. Neuropsychiatric problems are common in RBD, but apathy has not previously been detailed in this key prodromal population. METHODS: Eighty-eight patients with polysomnographically proven RBD, 65 patients with PD and 33 controls were assessed for apathy using the Lille Apathy Rating Scale. Cognition and depression were also quantified. The sensitivity of the Unified Parkinson's Disease Rating Scale screening questions for apathy and depression was calculated. RESULTS: A total of 46% of patients with RBD were apathetic, compared with 31% of patients with PD in our sample. Most patients with RBD with depression were apathetic but more than half of apathetic patients were not depressed. The sensitivity of the single Unified Parkinson's Disease Rating Scale screening question was only 33% for mild apathy and 50% for severe apathy. CONCLUSIONS: Apathy is common in RBD and is underestimated by a single self-report question. Recognition of apathy as a distinct neuropsychiatric feature in RBD could aid targeted treatment interventions and might contribute to the understanding of prodromal PD.


Assuntos
Apatia , Transtorno do Comportamento do Sono REM/psicologia , Idoso , Idoso de 80 Anos ou mais , Cognição , Estudos de Coortes , Depressão/psicologia , Agonistas de Dopamina/uso terapêutico , Emoções , Feminino , Humanos , Levodopa/uso terapêutico , Masculino , Programas de Rastreamento , Pessoa de Meia-Idade , Testes Neuropsicológicos , Doença de Parkinson/complicações , Doença de Parkinson/tratamento farmacológico , Polissonografia
2.
Arch Environ Contam Toxicol ; 54(1): 130-44, 2008 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-17943339

RESUMO

We conducted a quantitative analysis of published results from more than 50 tests of polychlorinated biphenyl (PCB) effects on mink reproduction, which provided a basis for evaluating how well different methods of measuring and assessing PCB concentrations can approximate a toxicologically relevant dose for this endpoint. Several dose metrics were identified for comparison. Dietary dose metrics included the daily intake of total PCBs and the daily intake of 2,3,7,8-tetrachlorodibenzo-p-dioxin toxicity equivalence concentrations (TECs), calculated using World Health Organization toxicity equivalence factors (TEFs). Internal dose metrics included whole-body total PCBs, whole-body TECs calculated using World Health Organization TEFs, and whole-body TECs calculated using alternative TEFs specifically identified for internal dose assessment. Accounting for the bioaccumulative potential (i.e., internal dose) of ingested PCBs proved to be more important than accounting for the concentrations of dioxin-like PCB congeners in explaining the observed variation in reproductive success. This was true regardless of whether internal doses were estimated from dietary data based on homolog concentrations (whole-body total PCBs) or congener concentrations (whole-body TECs). For each of the PCB dose metrics, a range of toxicity reference values is identified based on the species-specific PCB toxicity database compiled for this evaluation.


Assuntos
Poluentes Ambientais/toxicidade , Vison , Bifenilos Policlorados/toxicidade , Animais , Relação Dose-Resposta a Droga , Reprodução/efeitos dos fármacos
3.
Arch Environ Contam Toxicol ; 37(4): 488-95, 1999 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-10508896

RESUMO

A site-specific evaluation of mercury toxicity was conducted for sediments of the Calcasieu River estuary (Louisiana, USA). Ten-day whole-sediment toxicity tests assessed survival and growth (dry weight) of the amphipods Hyalella azteca and Leptocheirus plumulosus under estuarine conditions (10 ppt salinity). A total of 32 sediment samples were tested for toxicity, including 14 undiluted site sediment samples and 6 sediment dilution series. All sediment samples were analyzed for total mercury and numerous other chemical parameters, including acid volatile sulfide (AVS) and simultaneously extracted metals (SEM). No toxicity attributable to mercury was observed, indicating that a site-specific threshold for total mercury toxicity to amphipods exceeds 4.1 mg/kg dry weight. Site-specific factors that may limit mercury bioavailability and toxicity include relatively high sulfide levels. Additionally, the chemical extractability of mercury in site sediments is low, as indicated by SEM mercury analyses for three sediment samples containing a range of total mercury concentrations.http://link. springer-ny.com/link/service/journals/00244/bibs/37n4p488.++ +html

Assuntos
Crustáceos/efeitos dos fármacos , Sedimentos Geológicos/análise , Mercúrio/toxicidade , Poluentes Químicos da Água/toxicidade , Animais , Louisiana
4.
Arch Environ Contam Toxicol ; 35(4): 573-9, 1998 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-9776774

RESUMO

Hexachlorobenzene (HCB) is a hydrophobic organic chemical that has shown a lack of toxicity in aquatic tests at concentrations up to and exceeding the solubility limit. The equilibrium partitioning approach to deriving sediment quality benchmarks, which assumes that toxicity can be predicted based on contaminant concentrations in interstitial water, predicts that HCB will not produce direct toxicity to benthic invertebrates as a sediment contaminant. However, the potential for toxicity due to direct exposure to sediment-adsorbed HCB has not been thoroughly established. This study evaluated the survival and growth of the estuarine amphipod Leptocheirus plumulosus, the freshwater amphipod Hyalella azteca, and the midge Chironomus tentans (freshwater) following 10-day exposure to sediment spiked with a range of HCB concentrations. H. azteca was tested under both freshwater and estuarine (10 ppt salinity) conditions. No significant toxicity was observed for any test species at the highest test concentration (60 mg/kg normalized to 1% organic carbon). Minimum detectable differences were less than or equal to 20% for three of eight test endpoints. The observed results add to the available weight of evidence indicating a limited potential for HCB-related sediment toxicity to benthic invertebrates.


Assuntos
Chironomidae , Crustáceos , Hexaclorobenzeno/toxicidade , Poluentes Químicos da Água/toxicidade , Animais , Relação Dose-Resposta a Droga , Sedimentos Geológicos , Solubilidade
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