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To investigate the comparative effectiveness of dopamine agonists and monoamine oxidase type-B (MAO-B) inhibitors available for treatment of Parkinson's disease.
We performed a systematic literature search identifying randomized controlled trials investigating 4 dopamine agonists (cabergoline, pramipexole, ropinirole, rotigotine) and 3 MAO-B inhibitors (selegiline, rasagiline, safinamide) for Parkinson's disease. We extracted and pooled data from included clinical trials in a joint model allowing both direct and indirect comparison of the seven drugs. We considered dopamine agonists and MAO-B inhibitors given as monotherapy or in combination with levodopa. Selected endpoints were change in the Unified Parkinson's Disease Rating Scale (UPDRS) score, serious adverse events and withdrawals. We estimated the relative effectiveness of each dopamine agonist and MAO-B inhibitor versus comparator drug.
Altogether, 79 publications were included in the analysis. We found all the investigated drugs to be effectiveon's disease, and selegiline was the best option in combination with levodopa among all the drugs investigated.
Hypoxic damage to the retina is a relevant component of neurodegenerative pathologies such as glaucoma or retinal ischemia. In porcine retina organ cultures, hypoxic damage can be induced by applying cobalt chloride (CoCl
). The aim of our study was to investigate possible neuroprotective effects of the extremolytes ectoine and hydroxyectoine in this hypoxia-damaged retina model.
To simulate hypoxia, porcine retina organ cultures were damaged with 300μM CoCl
for 48h starting on day 1 (n = 8-9/group). this website In order to investigate the possible neuroprotective effects of ectoine and hydroxyectoine, 0.5mM of each extremolyte was added to the culture at the same time as the stressor and for the same duration. On day 8, the retina organ cultures were taken for (immuno)-histochemical examinations. Retinal ganglion cells (RGCs), macroglia, and apoptotic and hypoxic cells were detected with appropriate markers followed by cell counts and group comparisons.
Treatment with ectoine resulted in RGC protection (p < ng the reduction of hypoxic stress, hydroxyectoine appears to be more effective. Thus, both extremolytes represent an interesting potential new therapeutic approach for patients with ocular diseases in which hypoxic processes play a significant role.In this study, scale models of typical urban surfaces and two green infrastructures (concave grassland and porous pavement) were constructed, and two simulated rainfall intensities (low intensity was 0.3 mm/min with 25.4 mm depth, and high intensity was 0.6 mm/min with 42.0 mm) were utilized to investigate their runoff responses and the impacts of pervious surface positions and initial soil moisture on the runoff processes. Results indicated that impervious concrete surface exhibited a faster generation of runoff and with a runoff coefficient of 89%. Grassland surface represented that time to runoff was about 25 times than that of the impervious surface and recorded the smallest runoff coefficient of 34 and 53%. Compared with the impervious area, concave grassland was able to effectively delay time to runoff, while the porous pavement was able to significantly reduce runoff discharge and peak flow rate. A high rainfall intensity led to a reduction in time to runoff and an acceleration of runoff discharge and peak flow rate. Pervious surface under the lower side generated runoff at a slower rate, and registered a smaller runoff coefficient compared with the pervious surface under the upper side. The initial soil moisture and time to runoff had a significant negative correlation, and a positive correlation was found between the initial soil moisture and runoff coefficient. These findings facilitate a better understanding of runoff processes of urban surfaces and green infrastructures that may be able to help in better hydrology system design for mitigating urban flooding.Gluteal insufficiency or hip abductor mechanism deficiency mainly following (revision) total hip replacement is associated with highly painful complaints and severe suffering of patients. It represents a great diagnostic and therapeutic challenge. Differentiated conservative treatment pathways, open surgical and endoscopic anatomic repair techniques with intact gluteal musculature and muscle transfer are available as salvage procedures for chronic not anatomically reconstructable mass ruptures. A stepwise diagnostic and therapeutic approach is required for restoration of the quality of life and painless or almost painless mobility of affected patients in occupation and daily life.Cisplatin and oxaliplatin are widely used anticancer drugs. Their use is restricted by their dose-limiting side effects nephrotoxicity and neurotoxicity, respectively. Cerium oxide nanoparticles (CONPs) are promising antioxidant and anti-inflammatory agent. To test the possible ameliorative impact of CONPs on the toxic effect of cisplatin and oxaliplatin in male albino rats. Forty eight rats were divided into 6 groups control group, CONPs group, cisplatin group, cisplatin and CONPs group, oxaliplatin group, and oxaliplatin and CONPs group. After 4 weeks, serum urea and creatinine, renal tissue level of interleukin 10 (IL10), and total antioxidant (TAO) were measured in control, CONPs, and cisplatin groups. The other kidney was used for histopathological and immunohistochemical studies. The right sciatic nerves and the lumbar spinal cord of rats from control, CONPs, and oxaliplatin groups were used for immunohistochemical evaluations of nitrotyrosine, myelin basic protein (MBP), and glial fibrillary acidic protein (GFAP). Cisplatin significantly increased serum urea and creatinine levels, significantly decreased the kidney level of IL10 and TAO with marked tubular necrosis, hemorrhage and renal damage. Also, it decreased IL10 immunohistochemical expression. CONPs significantly decreased the serum urea and creatinine level and increased IL10 and TAO with lower renal damage and strong IL10 expression compared with cisplatin group. Oxaliplatin significantly decreased MBP immunoreactivity and increased nitrotyrosine immunoreactivity. In the lumbar spinal cord, GFAP immunoreactivity was significantly increased. CONPs significantly increased MBP and decreased nitrotyrosine immunoreactivity. GFAP immunoreactivity was significantly decreased. CONPs ameliorated cisplatin and oxaliplatin primary toxicities through anti-inflammatory and antioxidant characteristics.
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