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Few studies have examined the localization of seizures presenting with ictal eye deviation (ED) in the absence of other motor symptoms. We aimed to investigate differences in the localization of the ictal onset zone (IOZ) between patients with isolated ED and those with ED plus head turning (HT) during focal seizures.
We reviewed intracranial video-EEG data for 931 seizures in 80 patients with focal onset epilepsy in whom the IOZ could be confirmed. The 233 seizures in 49 patients with ED were classified into two semiological groups based on initial ED and the presence/absence of HT (1) isolated ED (i.e., ED without HT), and (2) ED + HT (i.e., ED with HT). We analyzed the localization and lateralization of IOZs in each semiological group. selleckchem We performed multivariate logistic regression analysis using a mixed-effects to determine the associations between IOZs and isolated ED/ED + HT.
A total of 183 IOZs in 24 patients were included in the isolated ED group, while a total of 143 IOZs in 31 patients were included in the ED + HT group. Sixty-eight IOZs of eight patients in the isolated ED group were located in the ipsilateral frontal interhemispheric fissure (F-IHF). Only ipsilateral F-IHF was significantly associated with isolated ED (odds ratio [OR], 2.43; 95% confidence interval [CI], 0.37-4.49; P = 0.021). The contralateral lateral frontal cortex (latF) (P = 0.007) and ipsilateral mesial temporal region (mT) (P = 0.029) were significantly associated with ED + HT.
The present study is the first to demonstrate that seizures with an F-IHF focus tend to present with initial ipsilateral isolated ED. This finding may aid in identifying the seizure focus in patients with isolated ED prior to resection.
The present study is the first to demonstrate that seizures with an F-IHF focus tend to present with initial ipsilateral isolated ED. This finding may aid in identifying the seizure focus in patients with isolated ED prior to resection.
Mental and physical health treatment should be delivered together for children and young people with epilepsy. Training healthcare professionals (HCPs) in epilepsy services to deliver mental health interventions is an important way to facilitate integrated care.
To determine the feasibility of remotely delivered assessment and psychological treatment for mental health difficulties delivered by HCPs in pediatric epilepsy clinics with limited formal training in psychological interventions. We hypothesized that it would be (i) feasible to train HCPs to deliver the psychological intervention and (ii) that participants receiving the psychological therapy would report reductions in symptoms of mental health difficulties including anxiety, depression, and behavior difficulties and improve quality of life.
Thirty-four children and young people with epilepsy who had impairing symptoms of a common mental health difficulty (anxiety, depression, disruptive behavior, and/or trauma) were allocated to receive 6 monthseatment delivered over the telephone by HCPs with limited experience of psychological therapy was feasible and effective in treating mental health problems in children and young people with epilepsy. Health-related Quality of Life also improved over the duration of treatment. A randomized controlled trial (RCT) is needed to demonstrate efficacy of the intervention.
A modular cognitive behavioral treatment delivered over the telephone by HCPs with limited experience of psychological therapy was feasible and effective in treating mental health problems in children and young people with epilepsy. Health-related Quality of Life also improved over the duration of treatment. A randomized controlled trial (RCT) is needed to demonstrate efficacy of the intervention.In order to propose a novel, effective adsorbent of Cu(II) ions, hybrid carbon-mineral nanocomposites with metallic elements (Mn/Fe in the case of B-6, Mn - B-8) were examined. A combination of mechanochemical and pyrolytic methods was used to obtain these bimodal micro-mesopore systems. First, mechanochemical mixing of phenol-formaldehyde resin and inorganic compounds in a ball mill was carried out. Then, the pyrolysis of the mixture under inert atmosphere at 800 °C was performed. The obtained composites were characterized using nitrogen adsorption/desorption, Fourier transform infrared spectroscopy, electron microscopes as well as X-ray diffraction, X-ray fluorescence and X-ray photoelectron spectroscopy. Adsorption, electrokinetic and aggregation studies were also performed, in the absence and presence of poly(acrylic acid) (PAA) - a macromolecular compound commonly used in industry and agriculture, which may be present in wastewater together with copper(II) ions. Under examined conditions (at pH 5 and 6), Cu(II) adsorbed amount was higher on the B-8 surface than on the B-6 one. At pH 6 for the initial Cu(II) concentration 100 ppm, 51.74% of the ions was adsorbed on B-8% and 46.68% - on B-6. Heavy metal adsorption contributes to stronger aggregation of nanocomposite particles. Thus, the presented bimodal solids, especially that containing Mn (called B-8), can be considered as adsorbents in heavy metal removal from aqueous solutions.Air pollutions are extremely serious threats to human health and the functional hybrid filter is able to remove complicated pollutants with great potential. However, the stable structure design of hybrid filter to provide efficient filtration and adsorption performance for high temperature applications still remains a challenge. In this study, electrospun polyimide (PI) based hybrid filter was fabricated via multiple hydrogen bonding self-assembly for high-temperature air purification. In particular, Octa(amino-propylsilsesquioxane) (POSS-NH2) was utilized as "bridge" for the surface activation of PI fiber, and then amino-functionalized Zeolitic Imidazolate Framework-8 (NH2-ZIF-8) nanocrystals were anchored on the fiber surface through hydrogen bonding. On account of the synergistic effect of the interception effect of fibers and the electrostatic interaction of NH2-ZIF-8 nanocrystals, the as-obtained PI-POSS@ZIF hybrid filter possessed excellent filtration performance with a high PM0.3 removal efficiency of 99.
Homepage: https://www.selleckchem.com/products/Nevirapine(Viramune).html
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