Severe carbamazepine intoxication unresponsive to albumin‐enhanced continuous venovenous hemodiafiltration with low dialysate flow

Carbamazepine (CBZ) intoxication can be associated with severe toxicity, including neurological and cardio‐respiratory abnormalities. Highly protein‐bound, CBZ is not removed efficiently through conventional hemodialysis. Charcoal hemoperfusion is the most effective extracorporeal elimination therapy for CBZ intoxication. Recent reports have indicated that continuous venovenous hemodiafiltration (CVVHDF), albumin‐enhanced continuous venovenous hemodialysis, high‐flux hemodialysis and plasma exchange can be as effective as charcoal hemoperfusion. In contrast to recent reports, which demonstrated the effectiveness of CVVHDF with high dialysate flow in CBZ intoxication, we observed that serum CBZ level was decreased minimally by albumin‐enhanced CVVHDF with low dialysate flow. Therefore, albumin‐enhanced CVVHDF with high dialysate flow should be considered in severe CBZ intoxication, if hemoperfusion is unavailable because of the lack of facilities or if it cannot be performed.     

Flexible sodium‐ion supercapacitor based on polypyrrole/carbon electrode by use of harmless aqueous electrolyte for wearable devices

With the emergence of various wearable devices, supercapacitors have gained immense attention because of their fast response rates. However, most supercapacitors use hazardous electrolyte materials, such as H₂SO₄, KOH, and acetonitrile. Leakage of these types of electrolytes during use would be very harmful to human skin. Therefore, a supercapacitor that does not employ hazardous materials is an attractive option for use in the energy‐storage components of wearable devices. Herein, we successfully demonstrate a Na‐ion supercapacitor (NISC) with a polypyrrole/carbon‐coated heat‐treated carbon felt electrode and an aqueous 0.4 M NaCl electrolyte, which is not harmful. Furthermore, our NISC with polypyrrole/carbon‐coated heat‐treated carbon felt exhibits a high specific capacitance (31.09 F g^?1) and a fast response rate (chargeable at 0.5‐s intervals). The proposed NISC with no harmful materials in the electrolyte has an excellent response rate. It will establish useful guidelines for the energy‐storage components in wearable devices Copyright © 2017 John Wiley & Sons, Ltd.     

Antioxidant activities and nutritional properties of Jeonyak prepared with beef bone stock and gelatin

The antioxidant activities and nutritional properties of Jeonyak made with beef bone stock and gelatin were investigated. Traditional Jeonyak (J1) was prepared with beef bone stock, whereas modified Jeonyak was made with gelatin and honey (J2) or with gelatin and oligosaccharides (J3). All 3 kinds of Jeonyak had antioxidant activities and J1 had the highest activity. The α-glucosidase inhibitory activity was measured to investigate the antidiabetic effect and J3 had the highest inhibitory activity of 80.47%. Glycine was the most abundant amino acid in all 3 kinds of Jeonyak. Both traditional and modified Jeonyaks have antioxidative and antidiabetic effects, suggesting that Jeonyak can be used as an effective traditional functional food.     

Extrusion process enhances the anti-inflammatory effect of Acanthopanax senticosus leaves

The anti-inflammatory effects of Acanthopanax senticosus leaves (ASL) and the effects of extrusion were evaluated. ASL exhibited in vitro and in vivo antiinflammatory activities in experimental systems. Extrusion increased the effect of ASL. ASL reduced C48/80-induced histamine release from HMC-1 cells as well as in vivo model, suggesting that ASL induces mast cell stabilization and has an anti-histamine activity. The effects of ASL and extruded ASL (ASLE) on pro-inflammatory cytokine production were evaluated. ASL treatment reduced MCP- 1, TNF-α, and IL-1β mRNA expressions and decreased their protein levels in HMC-1 cells. Decreases in serum NO, MDA, and TNF-α levels were observed in acute inflammatory rats, and extrusion increased the effects of ASL in a dose-dependent manner. These data support pharmacological basis of ASL and the effect of extrusion for future treatment of inflammation.     

A joint normalcy index to evaluate patients with gait pathologies in the functional aspects of joint mobility

Gait analysis using 3D motion capture systems provides joint kinematic and kinetic analysis results such as joint relative angles and moments that can be use used to evaluate the degrees of pathological gait patterns. However, the complex data produced using these 3D motion capture systems can only analyzed by experts, because the gait analysis is highly coupled to the kinematics of each joint. Therefore, several Several previous studies using gait analysis have relied on the data compression technique to represent gait deviation from the average normal profiles as a single value. Even though it is important to evaluate gait pathologies at the joint level, all these previous studies have just used a single value to evaluate the pathological gait pattern. Using just one variable for evaluation of a gait is limited in terms of determining which joint movement patterns are getting better during rehabilitation. Therefore, in this study, a method suitable for evaluating gait deviation during a gait was developed to provide three indices for the hip, knee and ankle joints. In addition, to validate the proposed method in clinical cases, experimental tests were conducted on thirty thirty-six normal walkers and six patients with cerebral palsy. Furthermore, to validate the proposed method in regards to rehabilitation, experimental tests were conducted on three classified walking groups with imposed ankle equinus constraints. The JNI for the hip joint, knee joint and ankle were 8.78 (±3.70), 2.92 (±3.25) and 8.79 (±4.38), respectively, in the normal walking group. However, these values were significantly different for the pathological walking group with cerebral palsy. The JNI of the hip joint, knee joint and ankle joint were 203.73 (±171.59), 81.23 (±52.13) and 248.39 (±149.99), respectively, for this group. There were also differences between any two of the three classified groups with imposed ankle equinus constraints. In particular, the JNI of the ankle joint was statistically different at the p<0.01 level, and this parameter clearly increased as the degree of the imposed ankle equinus was increased. These results demonstrate that the proposed JNI can be used as a scalar factor to evaluate the angular deviation of each joint in normal and patient groups. In addition, this approach can be adapted to evaluate rehabilitation and pre/post surgery.     

Palladium‐Catalyzed Direct Arylations of 1,2‐Azolo[1,5‐a]pyridines using Copper(I) Chloride as a Lewis Acid Activator and the Synthesis of 2,6‐Disubstituted Pyridines

A direct method for the arylation of 1,2‐azolo[1,5‐a]pyridines has been developed. In the process, the fused pyridines react with aryl halides in the presence of the palladium complex Pd(OAc)₂(Phen) as a catalyst and copper(I) chloride (CuCl) as a Lewis acid to form arylated derivatives. While pyrazolo[1,5‐a]pyridines and [1,2,4]triazolo[1,5‐a]pyridines are arylated at ortho‐positions of their pyridine rings using this method, in situ ring‐opening of the formed C‐7 arylated [1,5‐a]pyridine takes place to generate the 2,6‐disubstituted pyridine. Also, upon treatment with lithium diisopropylamide (LDA), C‐7 arylated pyrazolo[1,5‐a]pyridine‐3‐carboxylates react to produce diversely substituted 2,6‐disubstituted pyridines. Finally, a sequential C‐3 arylation was accomplished through a two‐step sequence involving hydrolysis of pyrazolo[1,5‐a]pyridine‐3‐carboxylates followed by the bimetallic Pd/Cu‐catalyzed decarboxylative coupling reaction with aryl bromide.