RESUMEN

Sunobinop is a novel, potent, selective partial agonist at nociceptin/orphanin FQ peptide (NOP) receptors. The primary objective of this randomized, double-blind, placebo-controlled study was to assess the next-day residual effects of an evening dose of sunobinop in healthy participants. Participants were randomized into 1 of 5 treatment sequences. Treatment consisted of 1 dose each of sunobinop 0.2, 0.6, 2, and 6 mg suspension and placebo suspension. Key pharmacodynamic (PD) measures included the digit symbol substitution test (DSST), Karolinska sleepiness scale (KSS), and body sway. The randomized safety population consisted of 25 participants. The DSST, KSS, and body sway showed dose-dependent effects following the administration of sunobinop, with no significant differences versus placebo at sunobinop doses <2 mg. At sunobinop 2 mg, PD effects were relatively small in magnitude and inconsistent. The last timepoint where significant differences between sunobinop 2 mg and placebo on the DSST, KSS, and body sway were observed was at 12 h, 16.5 h, and 13.5 h postdose, respectively. Sunobinop 6 mg resulted in larger and consistent PD effects, with significant differences from placebo at all timepoints up to 16.5-18 h postdose. Somnolence was the most frequently reported adverse event (AE), and all AEs were mild-to-moderate. No deaths occurred during the study or discontinuations due to an AE. Overall, a nighttime oral dose of sunobinop up to 2 mg was safe and generally well tolerated in healthy participants with limited next-day residual effects that were consistent with other sedative/hypnotic drugs.

RESUMEN

Integrated Pest Management (IPM) poses a challenge in determining the optimal timing of pesticide sprays to ensure that pest populations remain below the Economic Injury Level (EIL), due to the long-term residual effects of many pesticides and the delayed responses of pest populations to pesticide sprays. To address this issue, a specific pesticide kill-rate function is incorporated into a deterministic exponential growth model and a subsequent stochastic model. The findings suggest the existence of an optimal pesticide spraying cycle that can periodically control pests below the EIL. The results regarding stochasticity indicate that random fluctuations promote pest extinction and ensure that the pest population, under the optimal cycle, does not exceed the EIL on average, even with a finite number of IPM strategies. All those confirm that the modeling approach can accurately reveal the intrinsic relationship between the two key indicators Economic Threshold and EIL in the IPM strategy, and further realize the precise characterization of the residual effect and delayed response of pesticide application.

Asunto(s)

Plaguicidas , Plaguicidas/economía , Control de Plagas/economía , Control de Plagas/métodos , Animales , Procesos Estocásticos , Modelos Biológicos , Modelos Teóricos

RESUMEN

Studying the impact of residual soil nanomaterials is a promising challenge for sustainable agricultural development to improve soil health and crop productivity. The objective of this study is to assess the long-term impacts of 50, 100, and 250 mg kg-1 soil of nanobiochar (nB) and nano-water treatment residues (nWTR) on the fertility, biological activity, and yield of maize (Zea mays L.) growing in heavy metal-contaminated soils. The results showed that when nB and nWTR were added in larger quantities, the concentrations of lead (Pb), nickel (Ni), cadmium (Cd), and cobalt (Co) extracted with DTPA decreased. With the addition of nB or nWTR, it also showed a significant increase in exchangeable cations, cation exchange capacity (CEC), soil fertility, soil organic matter (OM), microbial biomass carbon (MBC), and a decrease in soil salinity and sodicity. Catalase and dehydrogenase activities rose as nB addition increased, while they decreased when nWTR addition increased. In comparison to the control, the addition of nB and nWTR greatly boosted maize yield by 54.5-61.4% and 61.9-71.4%, respectively. These findings suggest that the researched nanomaterials' residual effect provides an eco-friendly farming method to enhance the qualities of damaged soils and boost maize production. Our research suggested that adding recycling waste in the form of nanoparticles could immobilize heavy metals, improve soil characteristics, and increase the soil's capacity for productivity.

RESUMEN

Scaphoideus titanus is the main vector of phytoplasmas associated with Flavescence dorée (FD), one of the most serious threats to viticulture in many European countries. To minimize the spread of this disease, mandatory control measures against S. titanus were decided in Europe. In the 1990s, the repeated application of insecticides (mainly organophosphates) proved to be an effective measure to control the vector and the related disease in north-eastern Italy. These insecticides and most of the neonicotinoids were recently banned from European viticulture. Serious FD issues detected in the recent years in northern Italy could be related to the use of less effective insecticides. Trials aimed at evaluating the efficacy of the most used conventional and organic insecticides in the control of S. titanus have been performed in semi-field and field conditions to test this hypothesis. In efficacy trials, carried out in four vineyards, etofenprox and deltamethrin proved to be the best conventional insecticides, while pyrethrins were the most impactful among organic insecticides. Insecticide residual activity was evaluated in semi-field and field conditions. Acrinathrin showed the most significant residual effects in both conditions. In semi-field trials, most of the pyrethroids were associated with good results in terms of residual activity. However, these effects declined in field conditions, probably due to high temperatures. Organic insecticides showed poor results in terms of residual efficacy. Implications of these results in the context of Integrated Pest Management in conventional and organic viticulture are discussed.

RESUMEN

INTRODUCTION: Current hypnotic agents have next-day residual effects. The new orexin antagonist, suvorexant, has little muscle relaxation effect on the physical and cognitive function in the following morning and daytime. In this study, the effects of suvorexant, zolpidem, ramelteon and placebo in elderly subjects were evaluated. METHODS: Six men and eight women aged 63-75 years received a single tablet and lights were then turned off. Subjects were instructed to sleep from 23:00-6:00 with an interruption from 4:00-4:30 for evaluations. Suvorexant 10 mg, zolpidem 5 mg, ramelteon 4 mg or placebo was administered single time in a randomized, double-blind and crossover design with a one-week drug holiday in between each drug. Measures of objective parameters and subjective ratings were obtained every 2 h from 4:00 to 16:00. RESULT: No subjects showed serious side effects from physical observations and vital sign checks before and after hypnotics were taken. During the first sleep period, the REM sleep time with suvorexant was especially longer than that with zolpidem. During the second sleep period, suvorexant had shorter sleep latency and longer stage2 sleep time than ramelteon and zolpidem, respectively. During the whole entire sleep, the REM sleep time with suvorexant was longer than zolpidem and placebo. For the body sway test with closed eye, the main effects of the medicines and zolpidem were significantly better than suvorexant and ramelteon. CONCLUSION: The changes of physical and cognitive functions in healthy elderly after taking hypnotics were not remarkable. Therefore, these three hypnotics maybe appropriate for the elderly people with insomnia for single-time low dose administration.

Asunto(s)

Hipnóticos y Sedantes , Anciano , Azepinas , Método Doble Ciego , Femenino , Humanos , Hipnóticos y Sedantes/efectos adversos , Indenos , Masculino , Orexinas , Triazoles , Zolpidem

RESUMEN

Inmate misconduct continues to threaten safety and order within correctional institutions. Yet few studies have examined its longitudinal nature. In this paper we explore the correspondence between correctional programming and inmate misconduct. To do this, we draw from Linning et al.'s time-course framework devised to improve the design and evaluation of interventions by considering effects that can occur before, during, and after programming. We provide the first empirical demonstration of their framework using prisoner misconduct data collected from all Ohio prisons between January 2008 and June 2012. A cross-lagged panel analysis provides support for the use of a time-course framework. Results show that misconduct decreased during programming. However, we observed increases in misconduct prior to and following exposure to programming. Our results suggest that future work needs to improve our understanding of causal mechanisms of inmate misconduct and when their effects are expected.

Asunto(s)

Prisioneros , Problema de Conducta , Humanos , Ohio , Prisiones

RESUMEN

Malaria and leishmaniasis are the public health problems in southern Iran. The main activity of vector control is indoor residual spraying using pyrethroids, using different insecticides as larviciding and impregnated bednets. The aim of study was to evaluate the biological assays of bendiocarb wettable powder (WP) at different surfaces of wall. The residual effect of bendiocarb WP80 at 400 milligram/meter square (mg/m2) was evaluated on various local surfaces of rooms such as mud and plaster as well as thatch roofs and wooden. World Health Organization standard cones using contact bioassays were carried out using laboratory reared sugar-fed, 48-72 h old females of Anopheles stephensi. Contact bioassays were carried out on sprayed surfaces for 150 days. Contact bioassay on surfaces treated with bendiocarb WP80 at different surfaces was estimated about 2 months. Fumigant tests of bendiocarb WP80 at 400 mg/m2 revealed 50-93.83% mortality with 1 month persistency. The results showed that carbamate insecticide could be used as rotation with pyrethroids for malaria vector control. Monitoring and evaluation of environmental toxicology of pesticides is important for decision making for choosing appropriate pesticides for disease vector control.

RESUMEN

Solar ultraviolet radiation (UV) can have a wide range of negative effects on animal fitness that take place not only during, but also after exposure (carryover effects). UV-induced carryover effects and potential adaptations to avoid or mitigate them are understudied in terrestrial animals, including arthropods and their potentially most vulnerable life stages. The spined soldier bug, Podisus maculiventris, increases the emergence of its eggs that are exposed to UV radiation by coating them in sunscreen-like pigmentation, but consequences of these conditions of embryonic development for nymphs and adults are unknown. We measured stink bug nymph survival, adult size and sex ratio following exposure of differently pigmented eggs across a range of UV intensities. Nymph survival to adulthood decreased with higher intensity of embryonic UV exposure and this carryover effect decreased with higher level of egg pigmentation, similar to previously observed effects on embryonic survival. Nymph development time, adult size and sex ratio were not affected by embryonic exposure to UV radiation nor by photoprotective egg pigmentation. This study is the first to demonstrate the potential for lethal carryover effects of UV radiation in terrestrial insects, highlighting the need for more studies of how this pervasive environmental stressor can affect fitness across life stages.

Asunto(s)

Heterópteros/efectos de la radiación , Pigmentación/fisiología , Pigmentos Biológicos/fisiología , Rayos Ultravioleta/efectos adversos , Animales , Heterópteros/crecimiento & desarrollo , Longevidad , Ninfa/crecimiento & desarrollo , Ninfa/efectos de la radiación , Óvulo/fisiología , Óvulo/efectos de la radiación

RESUMEN

BACKGROUND: The interaction between exercise and nutritional supplementation is unclear among older adults at risk of sarcopenia. OBJECTIVES: We aimed to examine if ß-hydroxy-ß-methylbutyrate (HMB) supplementation enhances the effects of exercise on muscle mass, strength, and physical performance and observe potential residual effects in older women with low muscle mass. METHODS: This 12-wk, randomized, double-blind, placebo-controlled, 2 × 2 factorial design (exercise-only, HMB-only, both, and none) trial included 156 women aged 65-79 y with skeletal muscle index <5.7 kg/m2, and was followed by a 12-wk observational period. Resistance training twice weekly or education programs every 2 wk and calcium-HMB (1500 mg) or placebo supplements daily were provided. The primary outcome was the change in muscle mass from baseline to postintervention. Secondary outcomes included changes in muscle strength and physical performance. RESULTS: In total, 149 and 144 participants completed the assessment at weeks 12 and 24, respectively. ANOVAs based on the intention-to-treat principle showed no significant interactions between exercise and HMB on any primary outcomes. The main-effect analyses revealed that exercise improved the usual and maximal gait speed by 0.16 m/s (95% CI: 0.10, 0.21 m/s) and 0.15 m/s (95% CI: 0.09, 0.22 m/s), respectively; the knee extensor and hip adductor strength by 22.0 N (95% CI: 10.1, 33.9 N) and 21.8 N (95% CI: 12.9, 30.7 N), respectively; and timed up-and-go and sit-to-stand time by -0.5 s (95% CI: -0.7, -0.3 s) and -1.7 s (95% CI: -2.1, -1.3 s), respectively, relative to education. HMB improved usual gait speed by 0.06 m/s (95% CI: 0.01, 0.11 m/s) relative to placebo. Most improvements disappeared during the subsequent 12-wk observation period. CONCLUSIONS: HMB additively improved gait performance with negligible benefit and provided no enhancements in the effects of exercise on other outcomes. Exercise appeared to be the only effective intervention to improve outcomes in older women with low muscle mass.This trial was registered at www.umin.ac.jp/ctr/as UMIN000028560.

Asunto(s)

Suplementos Dietéticos , Ejercicio Físico , Fuerza Muscular/efectos de los fármacos , Músculo Esquelético/efectos de los fármacos , Rendimiento Físico Funcional , Valeratos/farmacología , Anciano , Composición Corporal , Método Doble Ciego , Femenino , Humanos , Valeratos/administración & dosificación

RESUMEN

The aim of this study was to evaluate the effect of indirect vibratory stimulation on different magnitudes of displacement on acute and residual neuromuscular responses. Fifteen healthy volunteers were randomly submitted to 3 experimental sessions, with intervals of 5 to 7 days (5 maximal voluntary contractions - MVC, 12 s of duration each and 5 min of recovery) between sessions. To determine the residual responses, the volunteers performed a MVC before and after each treatment for 12 s, with a 5-minute recovery. The experimental sessions were composed of isometric actions without vibrations (CONTROL) and two sessions of isometric actions with the addition of vibrations at 20 Hz and 3 mm (Sinusoidal Vibration A) and 5 mm (Sinusoidal Vibration B). Before and after each of the experimental sessions, an isometric evaluation without vibrations was performed. For the acute effect, it was verified that the addition of vibrations induced a facilitatory effect on the explosive strength variables (p < .05), independent of the type of studied displacement in relation to the control treatment. In short, it was verified that the addition of vibration induced an acute facilitating effect on the explosive strength. However, the induced effect was not persistent (residual effect) for the explosive strength.

Asunto(s)

Músculo Esquelético/fisiología , Vibración/efectos adversos , Adulto , Voluntarios Sanos , Humanos , Contracción Isométrica , Masculino

RESUMEN

Considering one health concept, human health is thought to be affected by many factors. Heavy metal toxicity is now gaining its place as one of the major factors contributing to detrimental outcomes for human health. The study encompassed to target sites close to the industrial area of Lahore where heavy metal levels are believed to be higher, as industrial waste is drained into the two main drains. Sheep and goats (n = 5 from each species) reared in the locality were included in the study, and effects of heavy metal toxicity were evaluated in the selected organs (intestine, kidneys, liver, and muscles) via histopathological examination along with residual concentration of these heavy metals in the aforementioned organs. Heavy metals chromium, copper, zinc, lead, iron, magnesium, manganese, and nickel were detected in sample of selected organs by atomic absorption spectrometry (AAS) along with digestion method. The findings of the study indicated a statistically significant difference of residual concentrations of almost all the selected elements in almost all the tissue samples between the two sites where the values of site 1 (close to the drain) were higher compared with site 2 (away from the drain). Similar trend was depicted in histopathological examination where a higher degree of tissue degeneration, necrosis, and hence organ damage was observed in tissue samples collected from site 1 compared with site 2.

Asunto(s)

Metales Pesados , Aguas Residuales , Animales , Cromo/análisis , Cobre/análisis , Monitoreo del Ambiente , Metales Pesados/análisis , Rumiantes , Ovinos

RESUMEN

OBJECTIVES: To examine acute and residual mood and cognitive performance in young adult regular cannabis users following smoked cannabis. METHODS: Ninety-one healthy young adults completed this double-blind, placebo-controlled, parallel-groups study. Participants were randomized to receive active (12.5% THC) or placebo cannabis with a 2:1 allocation ratio, and mood [Profile of Mood States (POMS)] and cognitive performance [Hopkins Verbal Learning Test - Revised (HVLT-R), Digit Symbol Substitution Test (DSST), Continuous Performance Test (CPT), grooved pegboard (GPB)] were assessed before and 1, 24, and 48 (h) after smoking cannabis ad libitum. High and Low THC groups were based on blood THC concentrations. RESULTS: One hour after smoking cannabis, compared to Placebo, in both the High and Low THC groups, there were increases in POMS Arousal and Positive Mood, and in the High THC group only, increases in Confusion, Friendliness, and Elation, and a decrease in Fatigue. Increases in Friendliness and Elation in the High THC group remained significant for 24 h. The only significant acute effect of cannabis on cognition was a decrease in the percent of words retained in the HVLT-R in the High THC group compared to Placebo (mean difference = 15.8%, 95% CI = 3.6-28.0%, p = 0.006). Unexpectedly, compared to Placebo, both the High and Low THC groups improved in DSST performance at 48 h (p ≤ 0.016). CONCLUSIONS: Under the present experimental conditions, in young regular cannabis users, smoking cannabis ad libitum had significant effects on mood, some of which persisted 24 h later, yet minimal effects on cognition, and no evidence of residual cognitive impairment.

Asunto(s)

Afecto/efectos de los fármacos , Cognición/efectos de los fármacos , Dronabinol/administración & dosificación , Psicotrópicos/administración & dosificación , Adulto , Cannabis/química , Método Doble Ciego , Dronabinol/efectos adversos , Fatiga/epidemiología , Femenino , Humanos , Masculino , Fumar Marihuana/efectos adversos , Fumar Marihuana/psicología , Pruebas Neuropsicológicas , Desempeño Psicomotor/efectos de los fármacos , Psicotrópicos/efectos adversos , Resultado del Tratamiento , Adulto Joven

RESUMEN

With the climate change problems being strongly emphasized by the international communities, sharing electric bicycle is promoted to reduce air pollution in China. However, the consumer attitude, intention, and behavior on the electric bicycle is not well verified. We thus propose a theoretical framework that hypothesizes service quality, attitude, subject norm, perceived behavioral control, and residual effects of past behavior on the intention and behavior toward the shared electric bicycles. An online survey was conducted with 503 users of the bicycles in China at year 2018, and the data were analyzed with the partial least sequenced structural equation modeling (PLS-SEM). We find that shared electric bicycle's service quality has a positive effect on attitude toward shared electric bicycle and behavior intention, which, in turn, influence low-carbon commuting of shared electric bicycle's behavior. However, the residual effects of past behavior has no effect on further behavior of shared electric bicycles. Moreover, we also find that perceived behavioral control positively affect shared electric bicycle' intention and positively moderate the relationship between attitude and behavioral intention. Based on our findings, we discuss the policy implications and further studies.

Asunto(s)

Actitud , Ciclismo , China , Comportamiento del Consumidor , Humanos , Intención , Encuestas y Cuestionarios

RESUMEN

BACKGROUND: Although driving under the influence of cannabis is increasingly common among young adults, little is known about residual effects on driver behavior. This study examined acute and residual effects of smoked cannabis on simulated driving performance of young cannabis users. METHODS: In this double-blind, placebo-controlled, parallel-group randomized clinical trial, cannabis users (1-4 days/week) aged 19-25 years were randomized with a 2:1 allocation ratio to receive active (12.5% THC) or placebo (0.009% THC) cannabis in a single 750 mg cigarette. A median split (based on whole-blood THC concentrations at the time of driving) was used to divide the active group into low and high THC groups. Our primary outcome was simulated driving performance, assessed 30 min and 24 and 48 h after smoking. Secondary outcomes included blood THC concentrations, subjective drug effects, and heart rate. RESULTS: Ninety-six participants were randomized, and 91 were included in the final analysis (30 high THC, 31 low THC, 30 placebo). Mean speed (but not lateral control) significantly differed between groups 30 min after smoking cannabis (p ≤ 0.02); low and high THC groups decreased their speed compared to placebo. Heart rate, VAS drug effect and drug high increased significantly immediately after smoking cannabis and declined steadily after that. There was little evidence of residual effects in any of the measures. CONCLUSION: Acutely, cannabis caused decreased speed, increased heart rate, and increases in VAS drug effect and drug high. There was no evidence of residual effects on these measures over the two days following cannabis administration.

Asunto(s)

Conducir bajo la Influencia/estadística & datos numéricos , Frecuencia Cardíaca/efectos de los fármacos , Fumar Marihuana/efectos adversos , Autoinforme , Adulto , Método Doble Ciego , Dronabinol/sangre , Femenino , Alucinógenos/farmacología , Humanos , Masculino , Fumar Marihuana/sangre , Desempeño Psicomotor/efectos de los fármacos , Adulto Joven

RESUMEN

A chart review was performed of 38 children diagnosed with autism spectrum disorder (ASD) by 3 years of age at an inner-city developmental program who subsequently experienced resolution of ASD symptomatology and no longer met diagnostic criteria for ASD at follow-up an average of 4 years later. Demographic, developmental/cognitive data, Childhood Autism Rating Scale, and Autism Diagnostic Observation Schedule data as available were reviewed from the initial diagnostic evaluation and at the time of follow-up. Services received by the children between the time of diagnosis and follow-up, educational setting at the time of follow-up, and emotional/behavioral and learning diagnoses made by the multidisciplinary team at follow-up were reviewed. The findings indicate that residual emotional/behavioral and learning problems were present at follow-up in the vast majority of children in this group and that the majority continued to require educational support.

Asunto(s)

Trastorno por Déficit de Atención con Hiperactividad/diagnóstico , Trastorno del Espectro Autista/diagnóstico , Discapacidades para el Aprendizaje/diagnóstico , Trastornos del Humor/diagnóstico , Niño , Preescolar , Diagnóstico Precoz , Femenino , Estudios de Seguimiento , Humanos , Masculino

RESUMEN

Next-day residual effects are a common problem with current hypnotics. The purpose of the present study was to evaluate the residual effects of eszopiclone on the physical and cognitive functions of healthy elderly people in the early morning and the day following drug administration. Four men and six women aged 63-72 years were administered eszopiclone 1 mg or placebo in a randomized, double-blind and crossover design. Measures of objective parameters and subjective ratings were obtained at 4:00, 6:00, and every 2 h from 6:00 to 16:00 hours. For the timed up-and-go test, the main effects of time were seen. For the critical flicker fusion, eszopiclone had significantly worse results compared to placebo in early morning (4:00). There were no significant differences between eszopiclone and placebo in other objective assessments. For the sleep latency, eszopiclone had significantly shorter results compared to placebo (eszopiclone vs placebo = 28.4 vs 52.5 min, p = 0.047). Feeling of deep sleep and the number of wake after sleep onset did not show any significant differences between eszopiclone and placebo. Based on the above results, the changes of physical and cognitive functions in the healthy elderly after taking hypnotics, it was found that eszopiclone 1 mg is likely to be unharmful for the healthy elderly. Further studies of elderly insomniacs with midnight awakenings are needed.

RESUMEN

BACKGROUND: Sleep and depression are comorbid problems that contribute to the development of chronic medical conditions (CMC) over time. Although racial and gender differences in the bidirectional associations between sleep, depression, and CMC are known, very limited information exists on heterogeneity of the residual effects of sleep problems over depressive symptoms on CMC across race by gender groups. AIM: Using a life-course perspective, the present study compared race by gender groups for residual effects of restless sleep over depressive symptoms on CMC. METHODS: We used data from waves 1 (year 1986), 4 (year 2001), and 5 (year 2011) of the Americans' Changing Lives Study (ACL). The study followed 294 White men, 108 Black men, 490 White women, and 237 Black women for 25 years. Restless sleep, depressive symptoms (Center for Epidemiological Studies-Depression scale [CES-D]), and number of chronic medical conditions (hypertension, diabetes, chronic lung disease, heart disease, stroke, cancer, and arthritis) were measured in 1986, 2001, and 2011. We employed multi-group cross-lagged modeling, with chronic medical conditions as the outcome and race by gender as the groups. RESULTS: Major group differences were found in the residual effect of restless sleep on CMC over depressive symptoms across race by gender groups. Restless sleep in 2001 predicted CMC 10 years later in 2011 among Black women (standardized adjusted B = .135, P < .05) and White men (standardized adjusted = .145, P < .01) and White women (standardized adjusted B = .171, P < .001) but not Black men (standardized adjusted B = .001, P > .05). CONCLUSION: Race by gender heterogeneity in the residual effect of restless sleep over depressive symptoms on CMC over 25 years suggests that comorbid poor sleep and depressive symptoms differently contribute to development of multi-morbidity among subpopulations based on the intersection of race and gender. Thus, interventions that try to prevent comorbid sleep problems and depression as a strategy to prevent medical conditions may benefit from tailoring based on the intersection of race and gender.

Asunto(s)

Negro o Afroamericano/psicología , Enfermedad Crónica/etnología , Depresión/etnología , Disparidades en el Estado de Salud , Trastornos del Sueño-Vigilia/etnología , Población Blanca/psicología , Adulto , Negro o Afroamericano/estadística & datos numéricos , Anciano , Femenino , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Distribución por Sexo , Estados Unidos/epidemiología , Población Blanca/estadística & datos numéricos

RESUMEN

OBJECTIVE: Next-day residual effects of a nighttime dose of gabapentin 250 mg were evaluated on simulated driving performance in healthy participants in a randomized, placebo-controlled, double-blind, multicenter, four-period crossover study that included diphenhydramine citrate 76 mg and triazolam 0.5 mg. METHODS: At treatment visits, participants (n = 59) were dosed at ~23:30, went to bed immediately, and awakened 6.5 h postdose for evaluation. The primary endpoint was the standard deviation of lateral position for the 100-km driving scenario. Additional measures of driving, sleepiness, and cognition were included. RESULTS: Study sensitivity was established with triazolam, which demonstrated significant next-day impairment on all driving endpoints, relative to placebo (p < 0.001). Gabapentin demonstrated noninferiority to placebo on standard deviation of lateral position and speed deviation but not for lane excursions. Diphenhydramine citrate demonstrated significant impairment relative to gabapentin and placebo on speed deviation (p < 0.05). Other comparisons were either nonsignificant or statistically ineligible per planned, sequential comparisons. Secondary endpoints for sleepiness and cognitive performance were supportive of these conclusions. CONCLUSIONS: Together, these data suggest that low-dose gabapentin had no appreciable next-day effects on simulated driving performance or cognitive functioning. Copyright © 2016 John Wiley & Sons, Ltd.

Asunto(s)

Aminas/efectos adversos , Conducción de Automóvil , Ácidos Ciclohexanocarboxílicos/efectos adversos , Difenhidramina/efectos adversos , Triazolam/efectos adversos , Ácido gamma-Aminobutírico/efectos adversos , Adulto , Aminas/administración & dosificación , Analgésicos/administración & dosificación , Analgésicos/efectos adversos , Ansiolíticos/administración & dosificación , Ansiolíticos/efectos adversos , Cognición/efectos de los fármacos , Estudios Cruzados , Ácidos Ciclohexanocarboxílicos/administración & dosificación , Difenhidramina/administración & dosificación , Método Doble Ciego , Femenino , Gabapentina , Humanos , Hipnóticos y Sedantes/administración & dosificación , Hipnóticos y Sedantes/efectos adversos , Masculino , Persona de Mediana Edad , Fases del Sueño/efectos de los fármacos , Factores de Tiempo , Triazolam/administración & dosificación , Ácido gamma-Aminobutírico/administración & dosificación

RESUMEN

With current hypnotic agents, next-day residual effects are a common problem. The purpose of the present study was to evaluate the residual effects of the commercially available hypnotics - zolpidem, triazolam, and rilmazafone - on the physical and cognitive functions of healthy elderly people in the early morning and the day following drug administration. In this study, the next-day residual effects of zolpidem, triazolam, and rilmazafone, following bedtime dosing in elderly subjects, were evaluated. Women (n = 11) and men (n = 2) aged 60-70 years received a single dose (at 23:00) of one of these, zolpidem 5 mg, triazolam 0.125 mg, rilmazafone 1 mg and placebo in a randomized, double-blind, crossover design. Measures of objective parameters and psychomotor performances (Timed up and Go test, Functional Reach Test, body sway test, critical flicker fusion test, simple discrimination reaction test, short-term memory test) and subjective ratings were obtained at 04:00, 07:00, and the next time of the day. All hypnotics were generally well tolerated; there were no serious adverse side effects and no subjects discontinued the evaluations. Compared to placebo, zolpidem and rilmazafone had good results on the Functional Reach Test. Although subjective assessments tended to be poor in the early morning, rilmazafone significantly improved the body sway test in the other hypnotics. A single dose of zolpidem 5 mg and triazolam 0.125 mg did not have any next-day residual effects on healthy elderly subjects. Residual effects appeared to be related to the compound's half-life and the dose used. Rilmazafone 1 mg exhibited steadiness in static and dynamic balance and seemed to be more favorable for the elderly with early morning awakening.

Asunto(s)

Hipnóticos y Sedantes/farmacología , Piridinas/farmacología , Triazolam/farmacología , Triazoles/farmacología , Anciano , Estudios Cruzados , Método Doble Ciego , Femenino , Voluntarios Sanos , Humanos , Hipnóticos y Sedantes/farmacocinética , Masculino , Persona de Mediana Edad , Desempeño Psicomotor/efectos de los fármacos , Piridinas/farmacocinética , Triazolam/farmacocinética , Triazoles/farmacocinética , Zolpidem

RESUMEN

BACKGROUND: The success of endodontic treatment depends largely on the control of microorganisms present in infected root canals. The aim of this study was to determine the residual antimicrobial activity of several final irrigation protocols with 7% maleic acid (MA) alone and combined with chlorhexidine (CHX), cetrimide (CTR) or both, in root canals infected with Enterococcus faecalis. Biofilms of E. faecalis were grown in uniradicular roots for 4 weeks. A total of 72 specimens were divided into 5 experimental groups according to the final irrigation regime used: Group 1: 2.5% NaOCl; Group 2: 7% MA; Group 3: 7% MA + 0.2% CTR; Group 4: 7% MA + 2% CHX; Group 5: 7% MA + 0.2% CTR + 2% CHX; and CONTROL GROUP: 0.9% saline solution. Twelve roots (2/group) that were instrumented and not infected served as negative or sterility controls. The proportion of ungrown samples over 60 days was evaluated using non-parametric Kaplan-Meier survival analysis. Differences among groups were tested using the log-rank test (p< 0.05). RESULTS: The association of MA with CHX and CHX + CTR as final irrigating solutions showed the best results, 5 and 4 samples out of 12, respectively, and without differences between them (p = 0.928), followed by 7% MA + 0.2% CTR with 7 out of 12. The 7% MA (11/12) group showed significant differences with respect to the groups in which MA was combined with CHX (p < 0.005) and CHX + CTR (p < 0.005). CONCLUSION: Final irrigating solutions of 7% MA combined with 2% CHX or 2% CHX + 0.2% CTR were found to effectively improve antimicrobial root canal disinfection.