Feasibility of intraventricular administration of etoposide in patients with metastatic brain tumours

As the systemic administration of etoposide is effective in the treatment of relapsed and metastatic brain tumours, a pilot trial was designed to study the feasibility of intraventricular administration of etoposide in such patients. 14 patients aged 2.1 to 33.2 years were treated with intraventricular etoposide simultaneously with either oral or intravenous chemotherapy with trofosfamide or carboplatin and etoposide. In 59 courses (1–12/patient) 0.5 mg etoposide was administered daily via an indwelling subcutaneous reservoir for 5 consecutive days every 2–5 weeks over a period of 0–11 months. During 15 courses in 5 patients serial CSF samples were obtained and etoposide levels were determined by reversed-phase HPLC. Side effects included transient headache and bacterial meningitis, each during 2 courses. Pharmacokinetic data analysis in the CSF (11 courses, 4 patients) revealed a terminal half-life of 7.4±1.2 hours and an AUC of 25.0 ± 9.5 μg h ml–1(mean ± standard deviation). The volume of distribution at steady state and total clearance exhibited a large interindividual variability with mean values of 0.16 l and 0.46 ml min–1respectively. Intraventricularly administered etoposide is well tolerated. CSF peak levels exceed more than 100-fold those achieved with intravenous infusions. Further studies should be focused on optimizing the dose and schedule and on determining the effectiveness of intraventricularly administered etoposide. © 2001 Cancer Research Campaign http://www.bjcancer.co

Metode relaksasi atensi untuk meningkatkan kemampuan pemahaman ruang bidang pada pelajar sekolah menengah kejuruan (SMK)

INTISARI Para pelajar sekolah dalam kesehariannya akan menjurnpai materi- materi yang menuntut mereka berpikir secara visual. Ketidakmampuan dalam membayangkan dan memahami benda secara visual mengakibatkan seseorang tidak mampu untuk mengasosialisasikan titik penting masalah. Untuk mengatasi masalah tersebut telah ada program Relaksasi Atensi terhadap kemampuan pemahaman ruang bidang. Penelitian ini bertujuan untuk mempelajari pengaruh program Relaksasi Atensi terhadap kemampuan pemahaman ruang bidang. Pendekatan yang digunakan adalah eksperimen yang mengikutsertakan subjek (N=26) yang dibagi dalam kelompok koontrol dan eksperimen. Kelompok eksperimen memperoleh perlakuan berupa program Relaksasi Atensi yang didasarkan pada teori relaksasi atensi dan Robert H., McKim. Sebelum dan sesudah pelatihan, subjek diukur kemampuan ruang bidangnya dengan menggunakan tes kemampuan ruang bidang (GATB C5). Dan perhitungan uji t yang telah dilakukan terdapat gain score kelompok kontrol dan eksperimen diperoleh hasil bahwa terdapat perbedaan kemampuan pemahaman ruang bidang yang sangat signifikan antara kelompok yang mendapatkan program tersebut dan tidak. Subjek yang mendapatkan program Relaksasi Atensi lebih tinggi kemampuan pemahaman ruang bidangnya. Keywords: relaksasi atensi, SM

Duel and sweep algorithm for order-preserving pattern matching

Given a text $T$ and a pattern $P$ over alphabet $\Sigma$, the classic exact matching problem searches for all occurrences of pattern $P$ in text $T$. Unlike exact matching problem, order-preserving pattern matching (OPPM) considers the relative order of elements, rather than their real values. In this paper, we propose an efficient algorithm for OPPM problem using the "duel-and-sweep" paradigm. Our algorithm runs in $O(n + m\log m)$ time in general and $O(n + m)$ time under an assumption that the characters in a string can be sorted in linear time with respect to the string size. We also perform experiments and show that our algorithm is faster that KMP-based algorithm. Last, we introduce the two-dimensional order preserved pattern matching and give a duel and sweep algorithm that runs in $O(n^2)$ time for duel stage and $O(n^2 m)$ time for sweeping time with $O(m^3)$ preprocessing time.Comment: 13 pages, 5 figure

Smartphone-Based Prenatal Education for Parents with Preterm Birth Risk Factors

Objective To develop an educational mobile application (app) for expectant parents diagnosed with risk factors for premature birth. Methods Parent and medical advisory panels delineated the vision for the app. The app helps prepare for preterm birth. For pilot testing, obstetricians offered the app between 18–22 weeks gestational age to English speaking parents with risk factors for preterm birth. After 4 weeks of use, each participant completed a questionnaire. The software tracked topics accessed and duration of use. Results For pilot testing, 31 participants were recruited and 28 completed the questionnaire. After app utilization, participants reported heightened awareness of preterm birth (93%), more discussion of pregnancy or prematurity issues with partner (86%), increased questions at clinic visits (43%), and increased anxiety (21%). Participants reported receiving more prematurity information from the app than from their healthcare providers. The 15 participants for whom tracking data was available accessed the app for an average of 8 h. Conclusion Parents with increased risk for preterm birth may benefit from this mobile app educational program. Practice implications If the pregnancy results in preterm birth hospitalization, parents would have built a foundation of knowledge to make informed medical care choices

Studies on the antihypertensive and antidyslipidemic activities of Viola odorata leaves extract

<p>Abstract</p> <p>Background</p> <p>This study was undertaken to provide pharmacological basis for the medicinal use of <it>Viola odorata </it>Linn. in hypertension and dyslipidemia using the <it>in vivo </it>and <it>in vitro </it>assays.</p> <p>Results</p> <p><it>Viola odorata </it>leaves extract (Vo.Cr), which tested positive for alkaloids, saponins, tannins, phenolics, coumarins and flavonoids, caused a dose-dependent (0.1-1.0 mg/kg) decrease in mean arterial blood pressure in anaesthetized rats. In isolated guinea-pig atria, Vo.Cr equally inhibited force and rate of spontaneous atrial contractions. On the baseline of rat thoracic aortae (endothelium-intact and denuded), the plant extract caused phentolamine-sensitive vasoconstriction. When tested on phenylephrine (PE, 1 μM) and K⁺(80 mM)-induced vasoconstriction, Vo.Cr caused a concentration-dependent relaxation and also caused a rightward shift of Ca⁺⁺concentration-response curves as well as suppression of PE (1 μM) control peaks in Ca⁺⁺-free medium, similar to that caused by verapamil. In the presence of L-NAME, the relaxation curve of Vo.Cr was partially inhibited showing involvement of Nitric oxide (NO) mediated pathway. In Tyloxapol-induced dyslipidemia, Vo.Cr caused reduction in total cholesterol and triglyceride levels. In high-fat diet-induced dyslipidemia model, the plant extract caused a significant decrease in total cholesterol, LDL-C, atherogenic index and prevented the increase in average body weights, while it increased HDL-C.</p> <p>Conclusions</p> <p>These data indicate that the vasodilator effect of the plant extract is mediated through multiple pathways like inhibition of Ca⁺⁺influx via membranous Ca⁺⁺channels, its release from intracellular stores and NO-mediated pathways, which possibly explain the fall in BP. The plant also showed reduction in body weight and antidyslipidemic effect which may be due to the inhibition of synthesis and absorption of lipids and antioxidant activities. Thus, this study provides a pharmacologic rationale to the medicinal use of <it>Viola odorata </it>in hypertension and dyslipidemia.</p

An aggregator-based-strategy to minimize the cost of energy consumption by optimal utilization of energy resources in an apartment building

© 2019 IEEE. Buildings and transport consume two thirds of the total global energy. It is desirable to maximize the use of renewable generation in these sectors, and to optimize the use of that energy by managing diverse sources and loads. This is particularly challenging in high-density residential premises where the space for such infrastructure is limited, and storage can have significant impact on energy utilization and demand. In this paper, we have proposed an aggregator-based-strategy (ABS) to optimally utilize the available energy resources and storage in an apartment building with twenty households, each having an electric vehicle (EV), and an aggregated solar photovoltaic (PV) energy and stationary battery storage (BS) system. The strategy is flexible and can be applied to any building with EVs, solar PV and BS to minimize the cost of energy consumption without compromising the flexibility of energy usage or travel requirements. The model also accounts for the battery capacity degradation and its associated cost to make it more realistic. The model is evaluated using real data and the results show that the strategy not only reduces the cost of energy consumption but also reduces the amount of energy drawn from the grid significantly

Study of Transaminases in Heroin Addicts

A recent increase in the number of drug users particularly of heroin has been noted in the community. A cross-sectional study on the level of transaminases as a representation of liver damage in drug users was done in privated hospital in Jakarta. Exclusion criteria were fever, serious illness or the multiple use of addictive drugs based on a urinary test. The hepatitis B surface antigen (HBsAg) was examined using reverse passive hemaglutination assay (RPHA) and the antibody of hepatitis C virus core-protein (anti- HCV) with dipstick anti-HCV. AST and ALT levels were determined using an automatic chemical analyzer. Of 132 patients who fulfill the criteria, 83.5 % were injection drug users (IDU). Means AST and ALT were significantly higher in IDU. Anti-HCV positive patients with increased AST and ALT were significantly higher compared to anti-HCV negative. The increase of transaminase was also consistent in injection drug users although no viral marker could be detected. In conclusion, the examination of transaminases in drug users especially IDU is important besides tests for hepatitis viral markers because there is often an increase with or without viral infection and this can be associated with hepatocellular damage

COVID-19 Vaccine Hesitancy among Pregnant Women Attending Antenatal Clinics in Pakistan: A Multicentric, Prospective, Survey-Based Study

This study aimed to assess the vaccination status and factors contributing to vaccine hesitancy among pregnant women in the largest province of Pakistan. A multicentric, prospective, survey-based study using an interviewer-administered tool was conducted among pregnant women attending antenatal clinics between 1 December 2021 through 30 January 2022 across seven hospitals in Pakistan. The healthcare professionals providing care at the participating hospitals administered the survey. Four hundred and five pregnant women fully consented and completed the study. The majority of the study participants (70.6%, n = 286) were aged between 25 and 34 and had a previous successful pregnancy history. More than half of the study participants (56.0%, n = 227) did not receive COVID-19 vaccination at the time of data collection despite their family members (93.9%, n = 372) had already received at least one dose of COVID-19 vaccine. Among those who received COVID-19 vaccination (n = 173), vaccine efficacy, protection for the foetus, and risk of COVID-19-associated hospitalisation were the main driving factors for vaccine hesitancy. The majority of the unvaccinated women (77.8%, n = 182) had no intention of receiving the vaccine. However, more than two-thirds (85.7%, n = 342) consulted the doctor about COVID-19 vaccines, and most were recommended to receive COVID-19 vaccines by the doctors (80.7%, n = 280). Women were significantly more likely to be vaccinated if they had employment (odds ratio [OR] 4.47, 95% confidence interval [CI]: 2.31–8.64) compared with their counterparts who were homemakers, consulted their doctors (OR 0.12, 95% CI: 0.04–0.35), and if they did not have pregnancy-related issues (OR 6.02, 95% CI: 2.36–15.33). In this study, vaccine hesitancy was prevalent, and vaccine uptake was low among pregnant women. Education and employment did impact COVID vaccination uptake, emphasising the need for more targeted efforts to enhance the trust in vaccines

Educate, Empower And Protect People Through Timely Authentic Information: Explore How Bangladeshi Newspapers Response To COVID-19 Pandemic

This study analyzed the coverage of the coronavirus disease of 2019 (COVID-19) news by three prominent Bangladeshi dailies named The Daily Star, The Daily Kalerkantho, and The Daily Ittefaq. The research aimed to explore the attention cycle of the selected newspapers about this ongoing outbreak. It also identified the significant differences in framing and used sources in the news stories by respective daily newspapers