Use of apomorphine in Parkinsonian patients with neuropsychiatric complications to oral treatment

Neuropsychiatric side effects often complicate anti-Parkinsonian therapy and pose a significant problem in the optimal management of idiopathic Parkinson's disease. Several publications report a relative lack of neuropsychiatric side effects in Parkinsonian patients treated with subcutaneous apomorphine. To investigate this further, we have used subcutaneous apomorphine to treat 12 non-demented IPD patients with previous oral drug-related neuropsychiatric problems. Treatment with apomorphine allowed alteration of anti-Parkinsonian medication and led to the abolition or reduction of neuropsychiatric complications in all patients. The mechanism remains unclear but may be due, in part, to a reduction in oral medication or a psychotropic action of apomorphine, possibly due to the piperidine moiety in its structure, or both

Phase Farming with Trees: A report for the RIRDC/LWRRDC/FWPRDC Joint Venture Agroforestry Program

A scoping study was undertaken to determine the economic and biophysical feasibility of a proposal to research a system of phase farming with trees (PFT) in medium to low (300-600 mm) rainfall areas of southern Australia. This system is designed to use trees grown in very short term rotations (3-5 years) to rapidly de-water farming catchments, at risk of salinity, by depleting unsaturated stored soil water and reducing recharge while producing utilizable products. If feasible, the system will utilize a resource that is currently contributing to environmental problems while building more sustainable agricultural systems. Potential benefits include decreased salinization, improved farm cash flows, improved soil structure and acting as a disease and weed break..

Transcranial Doppler Directed Dextran Therapy in the Prevention of Carotid Thrombosis: Three Hour Monitoring is as Effective as Six Hours

AbstractBackgroundsix hours» monitoring by transcranial Doppler (TCD) has been successful in directing Dextran therapy in patients at high risk of thrombotic stroke after carotid endarterectomy (CEA).Objectivesis 3 h of routine monitoring as effective as 6 h in the prevention of early postoperative thrombotic stroke?Designprospective, consecutive study in all patients with an accessible cranial window.Methodsone hundred and sixty-six patients undergoing CEA underwent 3 h of postoperative monitoring by TCD. Any patient with >25 emboli detected in any 10 min period or those with emboli that distorted the arterial waveform were commenced on an incremental infusion of dextran 40.Resultsthe majority of patients destined to embolise will do so within the first 2 postoperative hours. Dextran therapy was instituted in nine patients (5%) and rapidly controlled this phase of embolisation although the dose had to be increased in three (33%). No patient suffered a postoperative carotid thrombosis but one suffered a minor stroke on day 5 and was found to have profuse embolisation on TCD; high dose dextran therapy was again instituted, the embolus count rate fell rapidly and he made a good recovery thereafter. Overall, the death and disabling stroke rate was 1.2% and the death/any stroke rate was 2.4%.Conclusionthree hours of postoperative TCD monitoring is as effective as 6 h in the prevention of postoperative carotid thrombosis

A Policy of Quality Control Assessment Helps to Reduce the Risk of Intraoperative Stroke During Carotid Endarterectomy

AbstractObjectivesa pilot study in our unit suggested that a combination of transcranial Doppler (TCD) plus completion angioscopy reduced incidence of intra-operative stroke (i.e. patients recovering from anaesthesia with a new deficit) during carotid endarterectomy (CEA). The aim of the current study was to see whether routine implementation of this policy was both feasible and associated with a continued reduction in the rate of intraoperative stroke (IOS).Materials and methodsprospective study in 252 consecutive patients undergoing carotid endarterectomy between March 1995 and December 1996.Resultscontinuous TCD monitoring was possible in 229 patients (91%), while 238 patients (94%) underwent angioscopic examination. Overall, angioscopy identified an intimal flap requiring correction in six patients (2.5%), whilst intraluminal thrombus was removed in a further six patients (2.5%). No patient in this series recovered from anaesthesia with an IOS, but the rate of postoperative stroke was 2.8%.Conclusionsour policy of TCD plus angioscopy has continued to contribute towards a sustained reduction in the risk of IOS following CEA, but requires access to reliable equipment and technical support. However, a policy of intra-operative quality control assessment may not necessarily alter the rate of postoperative stroke

Seizures after carotid endarterectomy: Hyperperfusion, dysautoregulation or hypertensive encephalopathy?

AbstractObjectives: presentation, management and outcome following seizure after carotid endarterectomy (CEA). Materials and Design: prospective audit. Results: Eight patients (0.8%) suffered a seizure (three bilateral) <30 days following 949 CEAs. Seizure was not associated with age, gender or presentation. Seven were treated hypertensives but four had labile BP pre-operatively. Five had severe bilateral carotid disease and four had vertebral/subclavian stenoses. Six had a >50% drop in middle cerebral artery blood flow velocity (MCAV) with clamping. Only three had >100% increase in MCAV with flow restoration. Five required treatment for post-operative hypertension. Two suffered seizures <36 hrs of CEA, the remainder were at 3-8 days. All eight had significantly elevated blood pressure at onset of seizures. Four underwent immediate MCAV monitoring and each was elevated. Emergency CT scanning/autopsy showed normal scans (n = 3), white matter oedema (n = 3), oedema and diffuse haemorrhage (n = 1), intracranial haemorrhage (n = 1). Seven developed a post-ictal neurological deficit (stroke = 5, TIA = 2). Overall, two patients either died or suffered a disabling stroke. Conclusions: post-CEA seizure was associated with adverse outcome. Most were labile hypertensives with severe bilateral carotid/vertebral disease. MCAV changes suggested poor collateral recruitment, but no consistent pattern of early hyperperfusion emerged. It remains uncertain whether high MCAVs and severe hypertension after seizure onset are cause or effect. Clinicians treating these patients in acute medical units were generally unaware of the “post-CEA hyperperfusion syndrome” and tended to treat the hypertension less aggressively.Eur J Vasc Endovasc Surg 26, 39-44 (2003

An intermittent hypercaloric diet alters gut microbiota, prefrontal cortical gene expression and social behaviours in rats

Objectives: Excessive consumption of high fat and high sugar (HFHS) diets alters reward processing, behaviour, and changes gut microbiota profiles. Previous studies in gnotobiotic mice also provide evidence that these gut microorganisms may influence social behaviour. To further investigate these interactions, we examined the impact of the intermittent access to a HFHS diet on social behaviour, gene expression and microbiota composition in adolescent rats. Methods: Male rats were permitted intermittent daily access (2 h / day) to a palatable HFHS chow diet for 28 days across adolescence. Social interaction, social memory and novel object recognition were assessed during this period. Following testing, RT-PCR was conducted on hippocampal and prefrontal cortex (PFC) samples. 16S ribosomal RNA amplicon sequencing was used for identification and relative quantification of bacterial taxa in faecal samples. Results: We observed reduced social interaction behaviours, impaired social memory and novel object recognition in HFHS diet rats compared to chow controls. RT-PCR revealed reduced levels of monoamine oxidase A (Maoa), catechol-O-methyltransferase (Comt) and brain derived neurotrophic factor (Bdnf) mRNA in the PFC of HFHS diet rats. Faecal microbiota analysis demonstrated that the relative abundance of a number of specific bacterial taxa differed significantly between the two diet groups, in particular, Lachnospiraceae and Ruminoccoceae bacteria. Discussion: Intermittent HFHS diet consumption evoked physiological changes to the brain, particularly expression of mRNA associated with reward and neuroplasticity, and gut microbiome. These changes may underpin the observed alterations to social behaviours

An intermittent hypercaloric diet alters gut microbiota, prefrontal cortical gene expression and social behaviours in rats.

Objectives: Excessive consumption of high fat and high sugar (HFHS) diets alters reward processing, behaviour, and changes gut microbiota profiles. Previous studies in gnotobiotic mice also provide evidence that these gut microorganisms may influence social behaviour. To further investigate these interactions, we examined the impact of the intermittent access to a HFHS diet on social behaviour, gene expression and microbiota composition in adolescent rats. Methods: Male rats were permitted intermittent daily access (2 h / day) to a palatable HFHS chow diet for 28 days across adolescence. Social interaction, social memory and novel object recognition were assessed during this period. Following testing, RT-PCR was conducted on hippocampal and prefrontal cortex (PFC) samples. 16S ribosomal RNA amplicon sequencing was used for identification and relative quantification of bacterial taxa in faecal samples. Results: We observed reduced social interaction behaviours, impaired social memory and novel object recognition in HFHS diet rats compared to chow controls. RT-PCR revealed reduced levels of monoamine oxidase A (Maoa), catechol-O-methyltransferase (Comt) and brain derived neurotrophic factor (Bdnf) mRNA in the PFC of HFHS diet rats. Faecal microbiota analysis demonstrated that the relative abundance of a number of specific bacterial taxa differed significantly between the two diet groups, in particular, Lachnospiraceae and Ruminoccoceae bacteria. Discussion: Intermittent HFHS diet consumption evoked physiological changes to the brain, particularly expression of mRNA associated with reward and neuroplasticity, and gut microbiome. These changes may underpin the observed alterations to social behaviours

Energy in Generic Higher Curvature Gravity Theories

We define and compute the energy of higher curvature gravity theories in arbitrary dimensions. Generically, these theories admit constant curvature vacua (even in the absence of an explicit cosmological constant), and asymptotically constant curvature solutions with non-trivial energy properties. For concreteness, we study quadratic curvature models in detail. Among them, the one whose action is the square of the traceless Ricci tensor always has zero energy, unlike conformal (Weyl) gravity. We also study the string-inspired Einstein-Gauss-Bonnet model and show that both its flat and Anti-de-Sitter vacua are stable.Comment: 18 pages, typos corrected, one footnote added, to appear in Phys. Rev.

Relativistic bound states in Yukawa model

The bound state solutions of two fermions interacting by a scalar exchange are obtained in the framework of the explicitly covariant light-front dynamics. The stability with respect to cutoff of the J$^{\pi}$=$0^+$ and J$^{\pi}$=$1^+$ states is studied. The solutions for J$^{\pi}$=$0^+$ are found to be stable for coupling constants $\alpha={g^2\over4\pi}$ below the critical value $\alpha_c\approx 3.72$ and unstable above it. The asymptotic behavior of the wave functions is found to follow a ${1\over k^{2+\beta}}$ law. The coefficient $\beta$ and the critical coupling constant $\alpha_c$ are calculated from an eigenvalue equation. The binding energies for the J$^{\pi}$=$1^+$ solutions diverge logarithmically with the cutoff for any value of the coupling constant. For a wide range of cutoff, the states with different angular momentum projections are weakly split.Comment: 22 pages, 13 figures, .tar.gz fil

The Strong CP Problem and Axions

I describe how the QCD vacuum structure, necessary to resolve the $U(1)_A$ problem, predicts the presence of a P, T and CP violating term proportional to the vacuum angle $\bar{\theta}$. To agree with experimental bounds, however, this parameter must be very small $(\bar{\theta} \leq 10^{-9}$). After briefly discussing some possible other solutions to this, so-called, strong CP problem, I concentrate on the chiral solution proposed by Peccei and Quinn which has associated with it a light pseudoscalar particle, the axion. I discuss in detail the properties and dynamics of axions, focusing particularly on invisible axion models where axions are very light, very weakly coupled and very long-lived. Astrophysical and cosmological bounds on invisible axions are also briefly touched upon.Comment: 14 pages, to appear in the Lecture Notes in Physics volume on Axions, (Springer Verlag