Neurophysiological Predictors of Response to Medication in Parkinson's Disease

Background: Although dopaminergic medication has been the foundation of Parkinson's disease (PD) therapy for decades, sensitive and specific therapeutic response biomarkers that allow for better treatment optimization are lacking. Objective: We tested whether the features of Transcranial Magnetic Stimulation-based neurophysiological measures taken off-medication are associated with dopaminergic medication-induced clinical effects. Method: Motor cortex excitability [short-latency intracortical inhibition (SICI), intracortical facilitation (ICF), short-latency afferent inhibition (SAI), and input-output (IO) curve], and plasticity [paired associative stimulation (PAS) protocol] neurophysiological measures were examined in 23 PD patients off-medication. Clinical features were quantified by the motor section of the Unified Parkinson's Disease Scale (total score and lateralized total, bradykinesia, and rigidity sub-scores), and the differences between measures off-medication and on-medication (following the usual morning dose), were determined. Total daily dopaminergic medication dose (expressed as levodopa equivalent daily dose-LEDD), was also determined. Results: SICI significantly correlated with changes in lateralized UPDRS motor and bradykinesia sub-scores, suggesting that patients with stronger basal intracortical inhibition benefit more from dopaminergic treatment than patients with weaker intracortical inhibition. Also, ICF significantly negatively correlated with LEDD, suggesting that patients with stronger intracortical facilitation require less dopaminergic medication to achieve optimal therapeutic benefit. Both associations were independent of disease severity and duration. Conclusions: The results suggest variability of (patho) physiological phenotypes related to intracortical inhibitory and facilitatory mechanisms determining clinical response to dopaminergic medication in PD. Measures of intracortical excitability may help predict patients' response to dopaminergic therapy, thus potentially providing a background for developing personalized therapy in PD

Sex and age differences and outcomes in acute coronary syndromes

Background: There is conflicting information about sex differences in presentation, treatment, and outcome after acute coronary syndromes (ACS) in the era of reperfusion therapy and percutaneous coronary intervention. The aim of this study was to examine presentation, acute therapy, and outcomes of men and women with ACS with special emphasis on their relationship with younger age ( lt = 65 years). Methods: From January 2010 to June 2015, we enrolled 5140 patients from 3 primary PCI capable hospitals. Patients were registered according to the International Survey of Acute Coronary Syndrome in Transitional Countries (ISACS-TC) registry protocol (ClinicalTrials.gov: NCT01218776). The primary outcome was the incidence of in-hospital mortality. Results: The study population was constituted by 2876 patients younger than 65 years and 2294 patients older. Women were older than men in both the young (56.2 +/- 6.6 vs. 54.1 +/- 7.4) and old (74.9 +/- 6.4 vs. 73.6 +/- 6.0) age groups. There were 3421 (66.2%) patients with ST elevation ACS (STE-ACS) and 1719 (33.8%) patients without ST elevation ACS (NSTE-ACS). In STE-ACS, the percentage of patients who failed to receive reperfusion was higher in women than in men either in the young (21.7% vs. 15.8%) than in the elderly (35.2% vs. 29.6%). There was a significant higher mortality in women in the younger age group (age-adjusted OR 1.52, 95% CI: 1.01-2.29), but there was no sex difference in the older group (age-adjusted OR 1.10, 95% CI: 0.87-1.41). Significantly sex differences in mortality were not seen in NSTE-ACS patients. Conclusions: In-hospital mortality from ACS is not different between older men and women. A higher short-term mortality can be seen only in women with STEMI and age of 65 or less

Auswirkungen von UV-Strahlung und Temperatur auf den Schwammspinner und den Goldafter in Serbien

The impact of climate change on insect pests is an emerging topic in forestry and forest science. This study investigates the relationships between two broadleaved forest pests – spongy moth (Lymantria dispar L.) and brown-tail moth (Euproctis chrysorrhoea L.) – and oaks (Quercus sp.) as their hosts. Oak forests cover almost one-third of the total forest area of Serbia and are ecologically very valuable, but at the same time vulnerable, as being affected in adverse ways by several primary pests and pathogens. Since 1862, Serbia experienced several extremely large outbreaks of spongy moth with more than a hundred thousand hectares completely defoliated each time, while brown-tail moth occurred periodically with a much lower spatial extent. The aim of this research was to investigate the effect of UV radiation (UVR) and air temperature on spongy moth and brown-tail moth in Serbian forests. We used simulations of the coupled regional climate model EBU-POM (Eta Belgrade University-Princeton Ocean Model) for the A1B scenario for the period 2001-2030 as main input and different statistical methods to explore relationships between observations of pest spread and climate change impacts. Our results suggest (i) increasing the areas affected by spongy moth due to its sensitivity on UVR in May, and (ii) altitudinal spreading of brown-tail moth population up to 800 – 1000 m. This research indicates that in situ forest observations in Serbia are not only affected by climate change, but also by the combined effect of climate on forest pests. For further research, we recommend exploring other forest stressors or dieback phenomena in European forests by applying the same or similar regional climate model dataset

Larvicidal and antifeedant activity of some plant-derived compounds to Lymantria dispar L. (Lepidoptera : Limantriidae)

Ethanol solutions of essential oil of Ocimum basilicum and its main component, linalool (both isomer forms), all in three concentrations, as well as botanical standard Bioneem (0.5%), were tested for their toxicity and antifeedant activity against the second instar gypsy moth larvae in the laboratory bioassay. The essential oil of O. basilicum was subjected to gas chromatography analysis, and totally 37 compounds were detected, of which linalool was predominantly present. All tested solutions showed low to moderate larvicidal effect in both residual toxicity test and in chronic larval mortality bioassay. Chronic mortality tests showed that obtained mortality was a consequence of starving rather than ingestion of treated leaves. However, antifeedant index achieved by application of tested solutions in feeding choice assay was remarkable. Foliar application of all tested compounds deterred feeding by L2 in the same percent as Bioneem. Antifeedant index was relatively high at all tested treatments (85-94%); moreover, the larval desensitization to repelling volatiles has not occurred after five days of observation. Low toxic and high antifeedant properties make these plant-derived compounds suitable for incorporation in integrated pest management programs, especially in urban environments

Biological activity of essential oils of Athamanta haynaldii and Myristica fragrans to gypsy moth larvae

Ethanol solutions of essential oils obtained from Athmanta haynaldii and Myristica fragrans were tested for their toxicity and antifeedant activity against the second instar gypsy moth larvae in the laboratory bioassay. Both isolated oils were subjected to gas chromatography analysis in order to determine their chemical constitutions. Tested oils showed low to moderate larvicidal effect in both residual toxicity test and in chronic larval mortality bioassay. However, antifeedant index achieved by application of tested solutions in feeding choice assay was significantly higher in comparison to control, and almost same as one provided with botanical standard. Low toxic and high antifeedant properties (AF index 85-90%) make these essential oils suitable for integrated pest management programs. Special attention should be paid to further investigation of endemic and rare A. haynalidii in the terms its cultivation and usage of its unique set of biologically active compounds

Modeling and Mapping of Forest Fire Occurrence in the Lower Silesian Voivodeship of Poland Based on Machine Learning Methods

In recent years, forest fires have become an important issue in Central Europe. To model the probability of the occurrence of forest fires in the Lower Silesian Voivodeship of Poland, historical fire data and several types of predictors were collected or generated, including topographic, vegetation, climatic, and anthropogenic features. The main objectives of this study were to determine the importance of the predictors of forest fire occurrence and to map the probability of forest fire occurrence. The H2O driverless artificial intelligence (DAI) cloud platform was used to model forest fire probability. The gradient boosted machine (GBM) and random forest (RF) methods were applied to assess the probability of forest fire occurrence. Evaluation the importance of the variables was performed using the H2O platform permutation method. The most important variables were the presence of coniferous forest and the distance to agricultural land according to the GBM and RF methods, respectively. Model validation was conducted using receiver operating characteristic (ROC) analysis. The areas under the curve (AUCs) of the ROC plots from the GBM and RF models were 83.3% and 81.3%, respectively. Based on the results obtained, the GBM model can be recommended for the mapping of forest fire occurrence in the study area

Improvement of language functions in a chronic non-fluent post-stroke aphasic patient following bilateral sequential theta burst magnetic stimulation

In chronic non-fluent aphasia patients, inhibition of the intact right hemisphere (RH), by transcranial magnetic stimulation (TMS) or similar methods, can induce improvement in language functions. The supposed mechanism behind this improvement is a release of preserved left hemisphere (LH) language networks from RH transcallosal inhibition. Direct stimulation of the damaged LH can sometimes bring similar results too. Therefore, we developed a novel treatment approach that combined direct LH (Broca's area (BA)) stimulation, by intermittent theta burst stimulation (TBS), with homologue RH area's inhibition, by continuous TBS. We present the results of application of 15 daily sessions of the described treatment approach in a right-handed patient with chronic post-stroke non-fluent aphasia. The intervention appeared to improve several language functions, but most notably propositional speech, semantic fluency, short-term verbal memory, and verbal learning. Bilateral TBS modulation of activation of the language-related areas of both hemispheres seems to be a feasible and promising way to induce recovery in chronic aphasic patients. Due to potentially cumulative physiological effects of bilateral stimulation, the improvements may be even greater than following unilateral interventions

Ecologically Acceptable usage of Derivatives of Essential Oil of Sweet Basil, Ocimum basilicum,

Ethanol solutions of five fractions obtained from essential oil of sweet basil Ocimum basilicum L. (Lamiales: Lamiaceae) (F1–F5) were tested for their antifeedant properties against 2(nd) instar gypsy moth larvae, Lymantria dispar L. (Lepidoptera: Lymantriidae), in laboratory non-choice and feeding-choice experiments. Prior to bioassays, the chemical composition of each fraction was determined by gas chromatography analyses. Significant larval deterrence from feeding was achieved by application of tested solutions to fresh leaves of the host plant. The most effective were were F1 (0.5%), F4 (0.05, 0.1, and 0.5%), and F5 (0.1 and 0.5%), which provided an antifeedant index > 80% after five days. A low rate of larval mortality was observed in no-choice bioassay. In situ screening of chlorophyll fluorescence as an indicator of plant stress level (assessed by the induced fluorometry) confirmed that the tested compounds did not cause alternations in the photosynthetic efficiency of treated leaves