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Frequency Decreased (frequency + decreased)
Selected AbstractsTrends in New Zealand daily temperature and rainfall extremesINTERNATIONAL JOURNAL OF CLIMATOLOGY, Issue 12 2001M.J. Salinger Abstract Trends in daily temperature and rainfall indices are described for New Zealand. Two periods were examined: 1951,1998, to describe significant trends in temperature and rainfall parameters; and 1930,1998, to ascertain the effects of two main circulation changes that have occurred in the New Zealand region around 1950 and 1976. Indices examined included frequencies of daily maximum and minimum temperatures, above and below specified percentile levels and at those levels, as well as frequencies of these above and below fixed temperature thresholds. Extreme daily rainfall intensity and frequency above the 95th percentile and the length of consecutive dry day sequences were the rainfall indices selected. There were no significant trends in maximum temperature extremes (,hot days') but a significant increase in minimum temperatures was associated with decreases in the frequency of extreme ,cold nights' over the 48-year period. There was a non-significant tendency for an increase in the frequency of maximum temperature extremes in the north and northeast of New Zealand. A decline occurred in frequency of the minimum temperature 5th percentile (,cold nights') of 10,20 days a year in many locations. Trends in rainfall indices show a zonal pattern of response, with the frequency of 1-day 95th percentile extremes decreasing in the north and east, and increasing in the west over the 1951,1996 period. Changes in the frequency of threshold temperatures above 24.9°C (25°C days) and below 0°C (frost days) are strongly linked to atmospheric circulation changes, coupled with regional warming. From 1930,1950 more south to southwest anomalous flow occurred relative to later years. In this period, 25°C days were less frequent in all areas except the northeast, and there was markedly more frost days in all but inland areas of the South Island compared with the 1951,1975 period. There was more airflow from the east and northeast from 1951 to 1975, the frequency of 25°C days increased and frost days decreased in many areas of New Zealand. In the final period examined (1976,1998), more prevalent airflow from the west and southwest was accompanied by more anticyclonic conditions. Days with a temperature of 25°C increased in the northeast only. Frost day frequencies decreased between 5 and 15 days a year in many localities, with little change in the west of the South Island and at higher elevation locations. Copyright © 2001 Royal Meteorological Society [source] Left Atrial Ablation at the Anatomic Areas of Ganglionated Plexi for Paroxysmal Atrial FibrillationPACING AND CLINICAL ELECTROPHYSIOLOGY, Issue 10 2010EVGENY POKUSHALOV M.D., Ph.D. Background:,Modification of left atrial ganglionated plexi (GP) is a promising technique for the treatment of paroxysmal atrial fibrillation (AF) but its therapeutic efficacy is not established. This study aimed at evaluating the effectiveness of anatomic GP modification by means of an implantable arrhythmia monitoring device. Methods:,In 56 patients with paroxysmal AF, radiofrequency ablation at anatomic sites, where the main clusters of GP have been identified in the left atrium, was performed. In all patients, an electrocardiogram monitor (Reveal XT, Medtronic Inc., Minneapolis, MN, USA) was implanted before (n = 7) or immediately after (n = 49) AF ablation. Results:,Average duration of the procedure was 142 ± 18 min and average fluoroscopy time 20 ± 7 min. In total, 53,81 applications of RF energy were delivered (mean of 18.2 ± 3.8 at each of the four areas of GP ablation). Heart rate variability was assessed in 31 patients. Standard deviation of RR intervals over the entire analyzed period, the root mean square of differences between successive RR intervals, and high frequencies decreased, while HRmin, HRmean, and LF to HF ratio increased immediately postablation; these values returned to baseline 6 months after the procedure. At end of 12-month follow-up, 40 (71%) patients were free of arrhythmia recurrence. Ten patients had AF recurrence, two patients had left atrial flutter, and four patients had episodes of flutter as well as AF recurrence. Duration of episodes of AF after ablation gradually decreased over the follow-up period. Conclusions:,Regional ablation at the anatomic sites of the left atrial GP can be safely performed and enables maintenance of sinus rhythm in 71% of patients with paroxysmal AF for a 12-month period. (PACE 2010; 33:1231,1238) [source] Exenatide: a review from pharmacology to clinical practiceDIABETES OBESITY & METABOLISM, Issue 6 2009R. Gentilella Background:, Exenatide is an incretin mimetic that activates glucagon-like-peptide-1 receptors. It blunts the postprandial rise of plasma glucose by increasing glucose-dependent insulin secretion, suppressing inappropriately high glucagon secretion and delaying gastric emptying. Methods:, In seven clinical trials performed in 2845 adult patients with type 2 diabetes mellitus who were inadequately controlled by a sulphonylurea and/or metformin (glycosylated haemoglobin, HbA1c ,11%), or by thiazolidinediones (with or without metformin) and treated for periods from 16 weeks to 3 years, exenatide (5 ,g b.i.d. s.c. for the first 4 weeks of treatment and 10 ,g b.i.d. s.c. thereafter) reduced HbA1c, fasting and postprandial glucose, and body weight dose dependently, and was similar to insulin glargine and biphasic insulin aspart in reducing HbA1c. Body weight diminished with exenatide, whereas it increased with both insulin preparations. Positive effects on the lipid profile and a reduction in C-reactive protein were also recorded with exenatide. Treatment extensions up to 3 years showed that benefits were maintained in the long term. Adverse events were usually mild to moderate in intensity, and generally the frequency decreased with continued therapy. The most common was nausea (whose incidence may be reduced by gradual dose escalation from 5 ,g b.i.d. to 10 ,g b.i.d.), vomiting, diarrhoea, headache and hypoglycaemia (almost exclusively in patients treated with a sulphonylurea). Results and conclusions:, Exenatide is a new, promising therapeutic option for type 2 diabetic patients inadequately controlled by oral agents, before insulin therapy, offering the added benefits of body weight reduction and tight postprandial glucose control. [source] Threatened obligatory riverine fishes in human-modified Polish riversECOLOGY OF FRESHWATER FISH, Issue 1-2 2000T. Penczak Abstract , The fate of obligatory riverine fish species (rheophils), which are the objects of anglers' exploitation (chub ,Leuciscus cephalus, nase ,Chondrostoma nasus, barbel ,Barbus barbus, gudgeon ,Gobio gobio), and brown trout (Salmo trutta m. fario) and grayling (Thymallus thymallus) (in the Gwda River basin only), were investigated in large alluvial rivers (Pilica and Warta) and in the medium-sized Gwda River basin. The Pilica (1973) and the Warta (1986,1987) were divided by large dams without fish ladders in their middle courses. The Gwda River was divided by only a few dams along its course, but its tributaries carrying pure water had numerous small dams that supplied water for fish farms. Other stresses influencing fish populations in these rivers were: pollution, overfishing, hydroelectric plants and bank revetments. Because the listed stresses occurred alternately and at various periods of time in these rivers, this enabled attributing the cause for extinction and reduction of the abundance and distribution. In the salmon Gwda River basin, a drastic decrease in spatial distribution and reduction of occurrence ranges of brown trout, grayling and barbel was evident in respect to the first study period (1980s) in the 1990s. In the large, alluvial Pilica River, nase, barbel and dace are on the edge of extinction and chub and gudgeon are vulnerable. In the Warta's tailwater, barbel is an extinct species, and chub, dace and gudgeon are vulnerable ones. In a site in the backwater, none of the above mentioned species became extinct, but their abundance and occurrence frequency decreased a bit in respect to the pre-impoundment period. Roach-generalist, which was used in this research as a "control" species, increased in abundance in all 3 rivers. These investigations univocally proved that the dams cause catastrophic stress for obligatory riverine species., [source] Brain Blood-flow Alterations Induced by Therapeutic Vagus Nerve Stimulation in Partial Epilepsy: II.EPILEPSIA, Issue 9 2004Low Levels of Stimulation, Prolonged Effects at High Summary:,Purpose: To measure vagus nerve stimulation (VNS)-induced cerebral blood flow (CBF) effects after prolonged VNS and to compare these effects with immediate VNS effects on CBF. Methods: Ten consenting partial epilepsy patients had positron emission tomography (PET) with intravenous [15O]H2O. Each had three control scans without VNS and three scans during 30 s of VNS, within 20 h after VNS began (immediate-effect study), and repeated after 3 months of VNS (prolonged study). After intrasubject subtraction of control from stimulation scans, images were anatomically transformed for intersubject averaging and superimposed on magnetic resonance imaging (MRI) for anatomic localization. Changes on t-statistical maps were considered significant at p < 0.05 (corrected for multiple comparisons). Results: During prolonged studies, CBF changes were not observed in any regions that did not have CBF changes during immediate-effect studies. During both types of studies, VNS-induced CBF increases were similarly located in the bilateral thalami, hypothalami, inferior cerebellar hemispheres, and right postcentral gyrus. During immediate-effect studies, VNS decreased bilateral hippocampal, amygdalar, and cingulate CBF and increased bilateral insular CBF; no significant CBF changes were observed in these regions during prolonged studies. Mean seizure frequency decreased by 25% over a 3-month period between immediate and prolonged PET studies, compared with 3 months before VNS began. Conclusions: Seizure control improved during a period over which some immediate VNS-induced CBF changes declined (mainly over cortical regions), whereas other VNS-induced CBF changes persisted (mainly over subcortical regions). Altered synaptic activities at sites of persisting VNS-induced CBF changes may reflect antiseizure actions. [source] Ontogeny of Acoustic and Feeding Behaviour in the Grey Gurnard, Eutrigla gurnardusETHOLOGY, Issue 3 2005M. Clara P. Amorim Although sound production in teleost fish is often associated with territorial behaviour, little is known of fish acoustic behaviour in other agonistic contexts such as competitive feeding and how it changes during ontogeny. The grey gurnard, Eutrigla gurnardus, frequently emits knock and grunt sounds during competitive feeding and seems to adopt both contest and scramble tactics under defensible resource conditions. Here we examine, for the first time, the effect of fish size on sound production and agonistic behaviour during competitive feeding. We have made sound (alone) and video (synchronized image and sound) recordings of grey gurnards during competitive feeding interactions. Experimental fish ranged from small juveniles to large adults and were grouped in four size classes: 10,15, 15,20, 25,30 and 30,40 cm in total length. We show that, in this species, both sound production and feeding behaviour change with fish size. Sound production rate decreased in larger fish. Sound duration, pulse duration and the number of pulses increased whereas the peak frequency decreased with fish size, in both sound types (knocks and grunts). Interaction rate and the frequency of agonistic behaviour decreased with increasing fish size during competitive feeding sessions. The proportion of feeding interactions accompanied by sound production was similar in all size classes. However, the proportion of interactions accompanied by knocks (less aggressive sounds) and by grunts (more aggressive) increased and decreased with fish size, respectively. Taken together, these results suggest that smaller grey gurnards compete for food by contest tactics whereas larger specimens predominantly scramble for food, probably because body size gives an advantage in locating, capturing and handling prey. We further suggest that sounds emitted during feeding may potentially give information on the motivation and ability of the individual to compete for food resources. [source] Topiramate as an Adjunctive Treatment in Migraine ProphylaxisHEADACHE, Issue 10 2003Héctor R. Martínez MD Background.,Anticonvulsants now are commonly used for headache prevention. Topiramate, one of the newer anticonvulsants, recently has been demonstrated to be effective as monotherapy for migraine prophylaxis. Objective.,To assess the efficacy, safety, and tolerability of topiramate as adjunctive prophylactic therapy for migraine. Material and Methods.,A prospective trial involving patients with more than 3 migraine attacks per month was performed. Patients continued their usual prophylactic treatment. Baseline analgesic use and frequency and duration of migraine attacks were recorded. A 4-point visual analog scale evaluated severity. Laboratory tests, electrocardiogram, and computed tomography or magnetic resonance imaging were performed before study entry. After informed consent was obtained, patients were instructed to take 25 mg of topiramate per day, with 25- to 50-mg weekly increments to a maximum of 100 mg per day. Safety was assessed at the first month; tolerability and efficacy were assessed every week for the first month and then every month for 3 months. Effectiveness was assessed by comparing baseline and on-treatment migraine status, and data were analyzed by the Fisher exact test. Results.,Twenty-five women and 11 men (mean age, 44 years) were evaluated. Existing prophylactic treatment was either propranolol or flunarizine (or both) in 80% of the patients. At 3 months of therapy with topiramate, headache frequency decreased from 17 to 3 episodes per month, headache duration from 559 to 32 minutes, and intensity from 9 to 1 by visual analog scale (P < .001). Improvement in frequency and severity of migraine was observed in 83% of patients. Slight or no changes in headache were observed in 6 patients. Tolerability was good in 30 patients. The most common side effects were acroparesthesias, weight loss, sleepiness, and headache worsening. No adverse interaction with propranolol or flunarizine was observed. Conclusions.,These results suggest that topiramate is efficacious and safe as an adjunctive treatment in patients with migraine whose prior response to prophylactic management has been less than satisfactory. [source] Amitriptyline Treatment in Chronic Drug-Induced Headache: A Double-Blind Comparative Pilot StudyHEADACHE, Issue 2 2001S. Descombes MD Objective.,To assess the effects of amitriptyline and sudden analgesic withdrawal on headache frequency and quality of life in patients suffering from chronic daily headache related to analgesics abuse. Methods.,Seventeen nondepressed patients with chronic drug-induced headache were included in a 9-week, parallel-group, randomized, double-blind, placebo-controlled study. After abrupt analgesic withdrawal, amitriptyline or an active placebo (trihexyphenidyl) was started. The primary efficacy variable was headache frequency recorded on a headache diary in the last 4 weeks of each treatment. The secondary efficacy variable was quality of life (Nottingham Health Profile). Results.,Headache frequency decreased by 45% in the amitriptyline group and by 28% in the trihexyphenidyl group. Amitriptyline enhanced all the dimensions of quality of life and significantly improved emotional reaction and social isolation. Conclusion.,This pilot study suggests a beneficial effect of amitriptyline on headache frequency and quality of life for patients with chronic drug-induced headache. [source] Spatial and temporal variation of fire regimes in a mixed conifer forest landscape, Southern Cascades, California, USAJOURNAL OF BIOGEOGRAPHY, Issue 8 2001R. Matthew Beaty Aim In this study, we evaluated the fire-forest mosaic of a mixed conifer forest landscape by testing the hypothesis that pre-fire suppression fire regime parameters vary with species composition (tree species), and environment (i.e. slope aspect, slope position, elevation). Location Our study was conducted in the 1587 ha Cub Creek Research Natural Area (CCRNA), Lassen National Forest, CA, USA. Methods We quantified the return interval, seasonal occurrence, size, rotation period, and severity of fires using dendroecology. Results Slope aspect, potential soil moisture, forest composition, and fire regime parameters in our study area co-vary. Median composite and point fire return intervals (FRI) were longest on higher, cooler, more mesic, north-facing (NF) slopes covered with white fir (Abies concolor), Douglas fir (Pseudotsuga menziesii),white fir, and red fir (A. magnifica),white fir forests, shortest on the dry, south-facing (SF) slopes covered with ponderosa pine (Pinus ponderosa),white fir forests and intermediate on west-facing slopes dominated by white fir,sugar pine (P. lambertiana),incense cedar (Libocedrus decurrens) forests. The spatial pattern for length of fire rotation (FR) was the same as that for FRI. Fires in CCRNA mixed conifer forests occurred mainly (90%) in the dormant season. Size of burns in CCRNA mixed conifer forests were generally small (mean=106 ha), however, during certain drought years widespread fires burned across fuel breaks and spread throughout the watershed. Fire severity was mainly high on upper slopes, low on lower slopes and moderate and low severity on middle slopes. Patterns of fire severity also varied with slope aspect. Fire frequency decreased dramatically in CCRNA after 1905. Conclusions In CCRNA, fire regime parameters [e.g. FRI, fire extent, FR, fire severity] varied widely with species composition, slope aspect and slope position. There was also temporal variation in fire extent with the most widespread fires occurring during drought years. The important contributions of topography and climate to variation in the fire regime indicates that exogenous factors play a key role in shaping the fire-forest structure mosaic and that the fire-forest structure mosaic is more variable, less predictable and less stable than previously thought. Finally, some characteristics of the fire regime (i.e. fire severity, season of burn) in CCRNA are different than those described for other mixed conifer forests and this suggests that there are geographical differences in mixed conifer fire regimes along the Pacific slope. [source] National survey of the prevalence and conditions of selection of HIV-1 reverse transcriptase K70E mutation,JOURNAL OF MEDICAL VIROLOGY, Issue 5 2008C. Delaugerre Abstract Tenofovir disoproxil fumarate (TDF) has become an important component of HIV combination therapy because of its potency and once-daily dosing. Key mutation associated with resistance to TDF is a K65R in the reverse transcriptase (RT) gene. According to occurrence of K70E mutation after failure to TDF regimen, this mutation was recently reported as a mutation associated with TDF resistance in most resistance genotypic algorithms. The aim of this study was to analyze, retrospectively, the prevalence and conditions of selection of HIV-1 RT K70E mutation from a national clinical survey. Absence of selection of K70E in 850 HIV-1-infected naive patients suggests its role in NRTI drug resistance. Prevalence of K70E RT was low (99/41601, 0.24%) in patients treated between 1999 and 2005. Conversely with K65R mutation, thymidine analog mutations (TAMs) can be concomitantly observed with K70E mutation but its frequency decreased as the number of TAM increases. Concomitant association of K65R and K70E was possible but infrequent (11%). At the time of K70E selection, 60% of patients had received or received TDF-containing regimen and one-third received exclusive NRTI regimen. In conclusion, the K70E mutation could be an alternative pathway of TDF resistance, but as the K65R mutation, other NRTI as ABC, ddI, and 3TC could be also associated with the K70E selection. J. Med. Virol. 80:762,765, 2008. © 2008 Wiley-Liss, Inc. [source] VISCOELASTIC CHARACTERIZATION OF RICE GELJOURNAL OF TEXTURE STUDIES, Issue 4 2003RASHMI JENA Rice flour dispersions with 15,25% solids were subjected to microwave heating for 0,75 s and samples were subjected to oscillatory frequency sweep between 0.01,10 Hz. The initial rapid increase in storage modulus (G1) with frequency decreased to a plateau at higher frequencies. An increase in G1 and complex viscosity (,*) with an increase in the time of treatment or concentration of solid indicate the extent of sol-gel transformation. The sensory data on hardness, elasticity and stickiness also followed similar trend. Principal component analysis (PCA) of the sensory results indicate that a minimum treatment time of 45 s is needed to achieve a rice gel with acceptable sensory characteristics. The G' values were modeled (0.936 , r , 0.988, P , .01) by the 4-element spring-dashpot model. [source] Inbreeding and PKU allele frequency: Estimating by microsatellite approachesAMERICAN JOURNAL OF HUMAN BIOLOGY, Issue 5 2010Luciana L. Santos Estimates of allele frequencies for recessive diseases are generally based on the frequency of affected individuals (q2). However, these estimates can be strongly biased due to inbreeding in the population. Objectives: The purpose of this study was to gain a better understanding of how inbreeding in the Minas Gerais State population affects phenylketonuria (PKU) incidence in the state and to determine the inbreeding coefficient based on microsatellites. Methods: Inbreeding coefficients of samples of 104 controls and 76 patients with PKU were estimated through a microsatellite approach. Besides, the amount and distribution of genetic variation within and among patients with PKU and control samples were characterized. Results: No genetic differentiation was observed between the samples. However, the Fis value found for samples of patients with PKU (0.042) was almost 15 times higher than that found among controls (0.003). When corrected by the inbreeding coefficient found among the controls, the PKU allele frequency decreased to 0.0057. Conclusions: The results enables us to infer that at least 35% of the PKU recessive homozygotes from the Minas Gerais population could be due to consanguineous marriages and suggest that microsatellites can be an useful approach to estimate inbreeding coefficients. Am. J. Hum. Biol. 22:716,719, 2010. © 2010 Wiley-Liss, Inc. [source] Hypoxic ventilatory depression in a patient with mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodesRESPIROLOGY, Issue 2 2001Shinobu Osanai We describe a case of a 21-year-old man with mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes (MELAS) who presented with hypoxic ventilatory depression. He had chronic hypoventilation, which was not explained by weakness of respiratory muscles. His hypercapnic ventilatory response was not impaired. In contrast, hypoxic ventilatory depression was observed in the isocapnic progressive hypoxic response test. After exposure to hypoxic conditions, his respiratory frequency decreased and tidal volume was unchanged. The hypoxic ventilatory depression was partially blocked by pretreatment with aminophylline. In conclusion, we need to be careful with patients with MELAS who are hypoxaemic because a vicious circle of hypoxia and hypoventilation can occur. [source] High-throughput tissue microarray analysis of 11q13 gene amplification (CCND1, FGF3, FGF4, EMS1) in urinary bladder cancerTHE JOURNAL OF PATHOLOGY, Issue 4 2003Boriana M Zaharieva Abstract Gene amplification is a common mechanism for oncogene overexpression. High-level amplifications at 11q13 have been repeatedly found in bladder cancer by comparative genomic hybridization (CGH) and other techniques. Putitative candidate oncogenes located in this region are CCND1 (PRAD1, bcl-1), EMS1, FGF3 (Int-2), and FGF4 (hst1, hstf1). To evaluate the involvement of these genes in bladder cancer, a tissue microarray (TMA) containing 2317 samples was screened by fluorescence in situ hybridization (FISH). The frequency of gains and amplifications of all genes increased significantly from stage pTa to pT1,4 and from low to high grade. In addition, amplification was associated with patient survival and progression of pT1 tumours. Among 123 tumours with amplifications, 68.3% showed amplification of all four genes; 19.5% amplification of CCND1, FGF4, and FGF3; and 0.8% co-amplification of FGF4, FGF3, and EMS1. Amplification of CCND1 alone was found in 9% of the tumours, while EMS1 alone was amplified in 1.6% and FGF4 in 0.8%. Overall, the amplification frequency decreased with increasing genomic distance from CCND1, suggesting that, among the genes examined, CCND1 is the major target gene in the 11q13 amplicon in bladder cancer. Copyright © 2003 John Wiley & Sons, Ltd. [source] A light- and electron-microscopic histopathological study of human bladder mucosa after intravesical resiniferatoxin applicationBJU INTERNATIONAL, Issue 4 2001C. Silva Objective To determine the morphology of bladder mucosa and the integrity of its mucin coat in patients with detrusor hyper-reflexia treated with intravesical resiniferatoxin. Patients and methods Seven patients with detrusor hyper-reflexia were treated intravesically with resiniferatoxin dissolved in 10% ethanol in saline (50 nmol/L solution in two and 100 nmol/L in five). Patients were clinically evaluated by a voiding chart and filling cystometry before and 3 months after each resiniferatoxin application. In addition, they underwent cystoscopy and bladder biopsies at 22,33 months after the first instillation and at 7,23 months after the last one. Tissue samples for light microscopy were fixed in 4% paraformaldehyde, embedded in paraffin and stained with haematoxylin-eosin or periodic acid-Schiff reagent (PAS). Those for electron microscopy were fixed in 5% glutaraldehyde and embedded in resin. Results The resiniferatoxin instillation was not painful. Three months after treatment the mean voiding frequency decreased and five incontinent patients became continent. The maximum cystometric capacity increased in all patients; at cystoscopy the bladders appeared normal. On light microscopy the urothelium was of normal morphology and stained with PAS in the luminal cells and in the basement membrane. Mononuclear inflammatory cells were occasionally apparent in the lamina propria. On electron microscopy epithelial cells were visible in a thick basal lamina. Superficial cells had the usual irregular contour and contained numerous membrane-coated vesicles. In the lamina propria, unmyelinated axonal profiles with occasional varicosities could be identified. Conclusions Intravesical resiniferatoxin improved urinary frequency, incontinence and bladder capacity in patients with detrusor hyper-reflexia, causing no morphological change in the bladder mucosa. The PAS reactivity of the carbohydrate moieties present in the mucin coat and the basement membrane was unchanged by resiniferatoxin. [source] Experience with topiramate monotherapy in elderly patients with recent-onset epilepsyACTA NEUROLOGICA SCANDINAVICA, Issue 3 2005J. Gro Objectives,,, To evaluate the effect of topiramate in elderly patients with onset of epilepsy after the age of 60, treatment-naive or non-responding to an initial antiepileptic drug. Methods,,, Analysis of patients with epilepsy diagnosed in the preceding 5 years, aged ,65 years (n = 43), enrolled in a larger open-label trial (n = 692). After titration to topiramate 100 mg/day over 4 weeks, the dose was adjusted according to individual response (maximum 400 mg/day). Patients were followed up for at least 7 months. Results,,, After 7 months, 79% of patients remained in the study. Seizure frequency decreased significantly vs baseline (P < 0.001); ,50% reduction in seizure frequency was achieved in 87% of patients, 64% remained seizure-free. Both previously treated and naive patients responded. Fourteen per cent dropped out because of insufficient tolerability. No unexpected or unusual adverse events were observed. Conclusions,,, The results indicate that elderly patients respond well to topiramate monotherapy. The high patient retention rate reflects a favourable tolerability profile in this population. [source] | |||||||||||||