Αρχειοθήκη ιστολογίου

Τρίτη 19 Ιουλίου 2016

A LC-MS/MS assay for the quantitative determination of 2-pyridyl acetic acid, a major metabolite and key surrogate for betahistine, using low volume human K2 EDTA plasma.

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A LC-MS/MS assay for the quantitative determination of 2-pyridyl acetic acid, a major metabolite and key surrogate for betahistine, using low volume human K2 EDTA plasma.

Biomed Chromatogr. 2016 Jul 18;

Authors: Soni K, Bhatt C, Singh K, Bhuvaneshwari PC, Jha A, Patel P, Patel H, Srinivas NR

Abstract
Betahistine is widely used for the treatment of vertigo. Owing to first pass metabolism, 2-pyridyl acetic acid (2PAA, major metabolite of betahistine) was considered surrogate for quantitation. A specific and sensitive LC-MS/MS method was developed and validated for quantitation of 2PAA using turboion spray in a positive ion mode. A solid phase extraction was employed for the extraction of 2PAA and 2PAA d6 I(S) from human plasma. Chromatographic separation of analytes was achieved using an ACE CN, 5 µ (50 x 4.6 mm) column with a gradient mobile phase comprising of acetonitrile: methanol (90: 10% v/v) and 0.7% v/v formic acid in 0.5 mM ATFA in purified water (100% v/v). The retention times of 1.15 min and 1.17 min for 2-PAA acid and IS, respectively, was achieved. Quantitation of 2PAA acid and IS was by monitoring MRM transition pairs (m/z 138.1 to m/z 92.0) & (m/z 142.1 to m/z 96.1), respectively. The developed method was validated for various parameters. The calibration curves of 2PAA showed linearity from 5.0 to 1500 ng/mL, with a lower limit of quantitation of 5.0 ng/mL. The bias and precision for inter- and intra-batch assays were <10%. The developed method was used to support clinical sample analysis.

PMID: 27428039 [PubMed - as supplied by publisher]



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White matter lesions and vascular vertigo: clinical correlation and findings on cranial magnetic resonance imaging.

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White matter lesions and vascular vertigo: clinical correlation and findings on cranial magnetic resonance imaging.

Eur Rev Med Pharmacol Sci. 2016 Jul;20(13):2786-91

Authors: Gamba P, Pavia M

Abstract
OBJECTIVE: Vestibular disorders and anxiety are closely related, probably because they share some neuronal pathways. Ageing and patient comorbidities are important facilitating factors, and multiple vascular risk factors could contribute to the onset of a vestibular syndrome called vascular vertigo. White matter lesions (WMLs) are often seen on magnetic resonance imaging (MRI) scans of elderly people and are related to various geriatric disorders, including dizziness. The cause of this correlation could be the disruption of neuronal networks that mediate higher vestibular cortical function. Numerous neuronal pathways link the vestibular network with limbic structures and the prefrontal cortex modulates anxiety through its connections to the amygdala. These could also explain nausea and sickness. The aim of the present work was to investigate the correlation between WML, vascular vertigo and cognitive functions.
PATIENTS AND METHODS: Our team at the Poliambulanza Foundation Hospital of Brescia studied 90 patients (mean age 75 years) suffering from vascular vertigo with positive WML on MRI, by mapping the lesions and by grading anxiety and sickness symptoms. Furthermore, the same patients were treated with sulodexide (a glycosaminoglycan with antithrombotic activity) for 90 days (500 LSU/day for the first 45 days and 250 LSU/day for the following 45 days) to evaluate the efficacy on the vestibular symptoms.
RESULTS: The results showed that the most frequent WML sites were frontal (n=34) and capsule (n=30) areas. Patients had a significant improvement on anxiety and sickness scores (p=0.0001 and p=0.02 respectively) after sulodexide treatment.
CONCLUSIONS: In patients with vascular vertigo we confirmed the correlation between dizziness and anxiety and showed preliminary data regarding the efficacy of sulodexide in relieving in these patients anxiety and sickness.

PMID: 27424976 [PubMed - in process]



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Impact of joint contracture on older persons in a geriatric setting: A cross-sectional study.

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Impact of joint contracture on older persons in a geriatric setting: A cross-sectional study.

Z Gerontol Geriatr. 2015 Oct;48(7):625-32

Authors: Bartoszek G, Fischer U, Grill E, Müller M, Nadolny S, Meyer G

Abstract
BACKGROUND: Joint contractures are a common phenomenon in older persons and are assessed by measuring the range of motion; however, little is known about the impact of joint contractures on activities of daily living (ADL).
OBJECTIVES: The aim of the study was to identify problems related to joint contracture of older persons in a geriatric setting using the international classification of functioning, disability and health (ICF) as a framework.
MATERIAL AND METHODS: A cross-sectional study was conducted between February and July 2013 in nursing homes (n=11) and geriatric rehabilitation hospitals (n=3) in North Rhine-Westphalia, Germany. The study population included persons aged ≥65 years with at least one diagnosis of joint contracture. If the participant was unable to adequately answer the best informed next of kin or staff nurse acted as a proxy. A questionnaire with 124 ICF categories was completed through face-to-face interviews with the participants.
RESULTS: A total of 149 participants were included in the study. The mean age was 77.6±6.9 years and 69.8% were women. Problems in climbing (94.0%), walking long distances (92.6%) and kneeling (92.6%) were most frequently identified. The most often identified facilitators in environmental factors were health services, systems and policies (93.2%), whereas the leading barrier was climate (30.3%).
CONCLUSION: Joint contractures have a huge impact on functioning and social participation and particularly on personal mobility. From the nursing and rehabilitation perspective, assessments should not only measure joint mobility but also determine and quantify the consequences of contractures on ADL.

PMID: 25990007 [PubMed - indexed for MEDLINE]



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