Profile and frequency of antiparkinsonian drugs adverse reactions: a systematic review and meta-analysis

Objective: to assess the predictors and prevalence of adverse drug reactions (ADRs) associated with antiparkinsonian drugs.Materials and methods. 18 clinical studies and randomized controlled trials were included in the analysis. We combined all registered ADRs for each drug and made direct comparisons with odds ratio (OR) and 95% confidence interval (95% CI) calculation.Results and discussion. Levodopa/benserazide (LB) had the best safety profile among levodopa drugs. Levodopa/carbidopa (LC) compared with LB was associated with more frequent development of nausea (OR=2.8; 95% CI: 1.51–5.21), aggravation of parkinsonism (OR=4.44; 95% CI: 2.12–9.28) and dizziness (OR=3.32; 95% CI: 1.5–7.33; p=0.002). Piribedil had the lowest number of ADRs among dopamine receptor agonists. Dizziness was more common with pramipexole and ropinirole than with levodopa (OR=1.82; 95% CI: 1.21–2.74 and OR=1.65; 95% CI: 1.11–2.44 respectively). Increased daytime sleepiness and peripheral edema have also been associated with pramipexole. Arterial hypertension was present in 9.6% of patients prescribed with piribedil. Amantadine compared with pramipexole was associated with a higher risk of hallucinations (OR=2.27; 95% CI: 1.24–4.12) and constipation (OR=2.40; 95% CI: 1.14–5.05). Patients prescribed with selegeline had higher odds of dizziness (OR=3.40; 95% CI: 1.76–6.55) and hallucinations (OR=4.30; 95% CI: 1.83–10.09) compared to rasagiline.Conclusion. Based on the results, we propose a diagram of the relationship between ADRs and their frequency with antiparkinsonian drugs. We hope that the study will find clinical application and allow neurologists to consider the effectiveness and the expected risks of ADRs in the treatment of PD.

First Insights into Photocatalytic Degradation of HDPE and LDPE Microplastics by a Mesoporous N–TiO2 Coating: Effect of Size and Shape of Microplastics

Microplastics (MPs), which are small plastic debris of ≤5 mm size, are polluting the oceans with negative consequences for their biota. In this work, visible-light photocatalysis of high-density polyethylene (HDPE) and low-density polyethylene (LDPE) MPs in aqueous medium using a mesoporous N–TiO2 coating is proposed as an alternative for fighting MP pollution. Spherical primary HDPE MPs were extracted from commercially available facial scrubs, while film-shaped secondary LDPE MPs were obtained from a plastic bag. For each plastic, two different sizes were tested. Degradation was measured by mass-loss and carbonyl-index (CI) calculation. The results obtained reveal that the photocatalytic degradation of HDPE and LDPE MPs using an N–TiO2 coating was affected by the size and shape of the MPs. Smaller MPs led to higher degradation, while film-shaped MPs led to lower degradation that was related to a poorly illuminated and oxygenated reaction medium. These results set the basis for further investigation on the on the design of more effective photocatalytic-reaction systems for decreasing MP inputs to the environment.

β-Tricalcium Phosphate Interferes with the Assessment of Crystallinity in Burned Skeletal Remains

The analysis of burned remains is a highly complex process, and a better insight can be gained with advanced technologies. The main goal of this paper is to apply X-ray diffraction, partially supported by infrared attenuated total reflectance spectroscopy to determine changes in burned human bones and teeth in terms of mineral phase transformations. Samples of 36 bones and 12 teeth were heated at 1050°C and afterwards subjected to XRD and ATR-IR. The crystallinity index was calculated for every sample. A quantitative evaluation of phases was documented by using the Rietveld approach. In addition to bioapatite, the following mineralogical phases were found in the bone: β-tricalcium phosphate (β-TCP) (Ca3(PO4)2), lime (CaO), portlandite (Ca(OH)2), calcite (CaCO3), and buchwaldite (NaCaPO4). In the case of bone, besides bioapatite, only the first two mineralogical phases and magnesium oxide were present. We also observed that the formation of β-TCP affects the phosphate peaks used for CI calculation. Therefore, caution is needed when its occurrence and evaluation are carried out. This is an important warning for tracking heat-induced changes in human bone, in terms of physicochemical properties related to structure, which is expected to impact in forensic, bioanthropological, and archaeological contexts.

Calculations on the origin of hyperporphyrin spectra in sequentially protonated meso-(dimethylaminophenyl) porphyrins

The spectra of porphyrins meso-substituted by 4-dimethylaminophenyl groups and protonated at the central pyrrole nitrogens show strong new bands in the visible (450–600 nm) and far-red (700–780 nm). On complete protonation the observed spectra are essentially normal except for enhanced intensity in the farthest red band at ∼ 650 nm. The new bands observed with partial protonation have been qualitatively interpreted as hyperporphyrin spectra due to transitions from 'the filled π orbitals on the amino nitrogen atoms… to the porphyrin LUMOs' [Ojadi ECA, Linschitz M, Gouterman M, Walter RI, Lindsey JS, Wagner RW,]. We now report spectra calculated using the CAChe computer program package. The best structures are determined by energy minimization using a semi-empiral AM1 algorithm; a semi-empirical INDO/CI calculation is then used to obtained the excited state transition energies and intensities. The calculated spectra, although generally blue-shifted compared to experiment, reproduce the hyperporphyrin spectra in those cases where they are observed. In these cases, in contrast to species with normal porphyrin spectra, the HOMO or HOMO-1 is not an orbital on the porphyrin ring but is rather a π-orbital on the unprotonated amino nitrogen that extends over the associated phenyl ring. The calculations suggest that the hyperporphyrin transitions are of Ph (π) → Por (π*) origin, where Ph (π) is an orbital on the phenylamine substitutent and Por (π*) is a LUMO on the porphyrin. It is further suggested that in the fully protonated species the intensity enhancement of the farthest red band in an otherwise normal porphyrin spectrum may relate to phenyl character in the HOMO or HOMO-1.