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“Objective Growing interest in seizure prediction exists as a means to deliver newer antiepileptic therapies, though patient self-termination of seizures has received little attention

Methods Two hundred twenty-three patients able to recognize seizure onset were surveyed in an outpatient epilepsy clinic A seven-question survey administered prospectively assessed self-reported seizure prediction and clinical techniques used for self-termination Survey responses

targeted percentage predictability of seizures, timing of clinical prediction. likelihood/timing BAY 57-1293 solubility dmso of termination. frequency and effectiveness of methods used, and perspectives of patient and physician belief in self-termination

Results. Two hundred twenty-three patients (89 males) with a mean age of 42.7 years, average duration of epilepsy of 20 8 years and monthly mean seizure frequency of 4.1 comprised the study group. Thirty-eight percent completed >75% of the survey prior treatment included a mean of 6.0 AEDs (40/192 had surgery). 65% had ongoing seizures Sixty percent of 223 patients reported a history of an aura, and 39% consistently noted auras for >75% of their current seizures Of the patients with auras, seizure triggers were reported in 74%, with worry and stress (N=69), sleep deprivation (N=60), and missed medication (N=56) most frequently IPI-549 price cited. Seventeen

percent were positive/somewhat sure they could predict onset, with approximately 20% noting rapid onset in <15 seconds Twenty-two of 82 noted that they had some ability to self-terminate their seizures. and 9% were positive that they Could do

so Methods to self-terminate were effective (>75% certainty) in 35% (26/75) The primary methods were lying down/resting and taking extra medication

Conclusion. The majority of patients with partial seizures recognize triggers of seizure onset In addition, store than one-third believe they can effectively self-terminate their partial-onset seizures Lying down, resting, and taking extra medication were the most common techniques instituted by patients. Correlating clinical symptoms at seizure onset with termination may help improve the sensitivity in seizure Selleckchem MLN0128 prediction (C) 2009 Elsevier Inc All rights reserved”
“The atomic structure of Pd ultrathin films grown on Ni(111) at 300 K is investigated by low-energy electron diffraction and scanning tunneling microscopy. It is determined atomically that the growth of monolayer Pd films leads to a periodic arrangement of triangular misfit dislocation loops in the underlying Ni(111) surface, resulting in a triangular superstructure on the monolayer Pd surface. The triangular dislocation loops tend to align at an angle of about 5 degrees from the Ni atom row, owing to a slight rotation of the Pd films with respect to the Ni substrate, and appear as a moirelike superstructure on the multilayer Pd surfaces.