Advanced Age, Female Gender and Delay in Pacemaker Implantation May Cause TdP in Patients With Complete Atrioventricular Block

Aim

We aimed to report the clinical features related to torsades de pointes (TdP) in patients with complete AV block (CAVB).

Methods

Patients with CAVB who were admitted to our instituition between January 2007 and January 2010 were retrospectively evaluated in terms of the occurence of TdP. The clinical features were compared in patients with and without TdP using the software of SPSS.

Results

Sixty-four patients were determined to have CAVB. Three of them had documented episodes of TdP. All three patients experiencing TdP were females, whereas 48% of the patients with CAVB were females. The mean age of patients with TdP was significantly greater than the mean age of the other patients (85 ±3 vs. 78±7.6, respectively; p<0.05). In our archives, bradycardia exposure time could be determined in only 49 patients without TdP. Among them, just 10 patients had been exposed to bradycardia over 48 hours, whereas all of the 3 patients with TdP had been exposed to bradycardia over 48 hours (p<0.05). Additionally, in two patients with TdP, we demonstrated that QT and QTc prolongation increases as the duration of bradycardia is extended. Furthermore, all patients with TdP had notched T waves in the ECG on the occurrence day of TdP, whereas they did not have any notched T wave in their ECG on the admission day.

Conclusion

Among the patients with CAVB, elderly females are more susceptible to development of TdP. Delay in institution of physiological heart rate leads to further QT prolongation and thereby to TdP. Besides QT prolongation, the finding of T wave notching on ECG may also have a predictive value for TdP.     

The five-jump test for distance as a field test to assess lower limb explosive power in soccer players

The 5-jump test (5JT) was proposed to evaluate lower limb explosive power of athletes competing in various disciplines. Although 5JT performance is usually expressed in absolute terms as the overall distance covered (i.e., in meters), subject size can play a significant role in the performance. The aims of the present study were to test the relationship of 5JT absolute performance with laboratory tests for explosive power and to develop performance notations useful to improve the diagnostic value of 5JT. Fifteen elite soccer players, members of the Under-23 Tunisian national team, were tested for 5JT, force platform vertical jumping (squat jump [SJ] and arm-aided countermovement jump [Arm-CMJ]), and concentric isokinetic leg extension/flexion (90 degrees x s(-1) and 240 degrees x s(-1)). 5JT performance was expressed in absolute terms (meters), relative to leg length (5JT-relative) and with body mass-dependent notations (Body mass x 5JT, 5JT-body mass). 5JT performance was significantly correlated with SJ height and scaled (W x kg) peak power (0.72 and 0.77, respectively, p < 0.01). 5JT-relative values were significantly related to SJ and Arm-CMJ height (0.61 and 0.71, respectively, p < 0.05) and scaled peak power (0.57 and 0.59, respectively, p < 0.05). 5JT-body mass revealed significantly related of SJ (0.82, p < 0.0001) and Arm-CMJ peak power (0.54, p < 0.05) and to SJ and Arm-CMJ peak force (0.67 and 0.65, respectively p < 0.05). 5JT-relative and 5JT-body mass correlated significantly with knee extensors 240 degrees x s(-1) (0.60, p < 0.05) and knee flexors 90 degrees x s(-1) (0.67, p < 0.01) isokinetic acceleration time, respectively. The results of this study suggest that the 5JT may be regarded as an explosive strength diagnostic tool under field conditions in elite soccer players. The use of performance notation accounting for body size differences may improve the diagnostic ability of 5JT.     

Synthesis and antimicrobial activity of new 1,2,4-triazole and 1,3,4-thiadiazole derivatives

In this study, new 3-[(1(2H)-phthalazinone-2-yl(methyl/ethyl]-4-aryl-1,2,4-triazole-5-thione and 2-[[1(2H)-phthalazinone-2-yl]methyl/ethyl]-5-arylamino-1,3,4-thiadiazole derivatives were synthesized. Antimicrobial properties of the title compounds were investigated against two Gram (+) bacteria (S. aureus, B. subtilis), two Gram ( - ) bacteria (P. aeruginosa, E. coli) and two yeast-like fungi (C. albicans and C. parapsilosis) using the broth microdilution method. Generally the compounds were found to be active against B. subtilis and the fungi. Derivatives carrying a 1,3,4-thiadiazole ring generally showed higher antimicrobial activity against B. subtilis and the fungi when compared to other synthesized compounds.     

Bovidae (Mammalia) du Pliocène final d’Ahl al Oughlam, Casablanca, Maroc

Only seven bovid species are present at Ahl al Oughlam: aTragelaphus (rare), a Bovine close toPelorovis ? praeafricanus but mostly known by teeth, a new species of kob (perhaps of an endemic lineage), aParmularius slightly more primitive than at Olduvai,Beatragus (mentioned for the first time in North Africa),Gazella thomasi, and a new species of gazelle noticeable by its nasal region. The Ahl al Oughlam bovids are in good agreement with an age of 2.5 Ma. They point towards an open and probably rather unfavourable, perhaps cold, environment.     

Ultrasonographic and electrophysiologic evaluation of median and ulnar nerves in chronic stroke patients with upper extremity spasticity

Objective: To evaluate the upper extremity nerves of stroke patients morphologically and electrophysiologically and to determine whether there is a relationship between clinical evaluations, ultrasonographic measurements, and electrodiagnostic findings.

Methods: This cross-sectional study included 30 chronic stroke patients. After recording demographical data, clinical, ultrasonographic, and electrophysiological evaluations were performed. Clinical evaluations included Brunnstrom Recovery Stages (BRS), Fugl-Meyer Assessment (FMA), Modified Ashworth Scale (MAS), Motricity index (MI), Functional Independence Measurement (FIM), and Functional Ambulation Scale (FAS). For ultrasonographic measurements, median and ulnar nerves were scanned. Median and ulnar nerve conduction studies were performed bilaterally.

Results: Mean ages of the patients were 62.2?±?13.0 years (range 24–84 years; 22 males, 8 females). There was no significant difference in median/ulnar nerve ultrasonographic measurements between paretic and non-paretic sides (p?>?.05), whereas median nerve motor conduction velocity was significantly slower and median nerve F-wave latency was prolonged on the paretic side (p?<?.05). The median and ulnar nerve compound motor action potential (CMAP) amplitudes of paretic sides were positively correlated with lower extremity BRS and FAS scores. Median CMAP amplitudes were also positively correlated with FIM scores and ulnar CMAP amplitudes were positively correlated with motricity scores. Moreover, on the paretic side, there were positive correlations of median SNAP amplitudes with FIM and FAS scores (p?<?.05).

Conclusions: Our results showed electrophysiological changes in peripheral nerves on the paretic upper extremities, however, no morphological change was determined. Further studies with larger number of patients and longer follow-up periods are needed to clarify the effect of stroke and spasticity on the peripheral nervous system.     

Survival and adhesion ability of <Emphasis Type="Italic">Shigella</Emphasis> spp. strains after their incubation in seawater microcosms

In this study, we investigated the survival and adhesion ability of Shigella after their incubation in seawater microcosms at ambient temperature and at 4°C during 1 month. Our results showed that the number of cells was considerably decreased after this period of stress. In addition, we have revealed some modifications in the biochemical and enzymatic profiles of stressed cells. These modification were noted by the appearance or/and the disappearance of some activities. Indeed, antibiotic susceptibility of stressed cells has been changed. Adherence assays to KB cells showed on increase in the number of adherent cells from 0.7 to 6.7% after 1 month of incubation in seawater.     

A statistical approach for optimization of R-phycoerythrin extraction from the red algae Gracilaria verrucosa by enzymatic hydrolysis using central composite design and desirability function

The aim of this research is to statistically optimize enzymatic hydrolysis parameters for the production of R-phycoerythrin (RPE) from red algae Gracilaria verrucosa. Six independent variables, incubation temperature, incubation time, ratio of buffer to raw material, cellulase loading, xylanase loading, and pH, were selected for response surface methodology studies. A central composite design was employed to maximize RPE production. A mathematical model with high determination coefficient (R ²?=?0.86) was developed and could be employed to optimize RPE extraction. The optimal extraction conditions of RPE were determined as follows: incubation temperature (48°C), incubation time (6?h), ratio of buffer to raw material (20 w/v), cellulase loading (15%), xylanase loading (5%), and pH (6.5). Under this optimal condition, the experimental yield of RPE was 6.25?mg?g^?1. Based on the result of response surface methodology and desirability function approach study, total sugar, the main by-product in RPE extraction was considered as another response. A new optimal condition was predicted as follows: incubation temperature (30°C), incubation time (12?h), ratio of buffer to raw material (20, w/v), cellulase loading (15%), xylanase loading (5%), and pH (6). Under this condition, similar RPE levels were obtained while the concentration of total sugar decreased by 40%.     

Low doses of a neonicotinoid insecticide modify pheromone response thresholds of central but not peripheral olfactory neurons in a pest insect

Insect pest management relies mainly on neurotoxic insecticides, including neonicotinoids, leaving residues in the environment. There is now evidence that low doses of insecticides can have positive effects on pest insects by enhancing various life traits. Because pest insects often rely on sex pheromones for reproduction, and olfactory synaptic transmission is cholinergic, neonicotinoid residues could modify chemical communication. We recently showed that treatments with different sublethal doses of clothianidin could either enhance or decrease behavioural sex pheromone responses in the male moth, Agrotis ipsilon. We investigated now effects of the behaviourally active clothianidin doses on the sensitivity of the peripheral and central olfactory system. We show with extracellular recordings that both tested clothianidin doses do not influence pheromone responses in olfactory receptor neurons. Similarly, in vivo optical imaging does not reveal any changes in glomerular response intensities to the sex pheromone after clothianidin treatments. The sensitivity of intracellularly recorded antennal lobe output neurons, however, is upregulated by a lethal dose 20 times and downregulated by a dose 10 times lower than the lethal dose 0. This correlates with the changes of behavioural responses after clothianidin treatment and suggests the antennal lobe as neural substrate involved in clothianidin-induced behavioural changes.