Cerebellar repetitive transcranial magnetic stimulation (rTMS) for essential tremor: A double-blind, sham-controlled, crossover, add-on clinical trial.

BACKGROUND: There is controversial evidence about the effect of cerebellar low-frequency stimulation in patients with essential tremor (ET). OBJECTIVES: In this study we assessed safety and effectiveness of 1 Hz (low-frequency) cerebellar repetitive transcranial magnetic stimulation (rTMS) on tremor severity in patients with essential tremor in a sham-controlled crossover trial. METHODS: A total of 23 patients assigned into two groups to receive either sham (n = 10) or rTMS (n = 13) treatment, with crossing over after a two-month washout period. Intervention consisted of 900 pulses of 1 Hz rTMS at 90% resting motor threshold or the same protocol of sham stimulation over each cerebellar hemisphere for 5 consecutive days. Tremor severity was assessed by Fahn-Tolosa-Marin (FTM) scale at baseline and at days 5, 12 and 30 after intervention. The FTM consists of 3 subscales including tremor severity rating, performance of motor tasks, and functional disability. Carry-over and treatment effects were analyzed using independent samples t-test. RESULTS: There was no significant improvement in the total FTM scores in rTMS compared to the sham stimulation on day 5 (p = 0.132), day 12 (p = 0.574), or day 30 (p = 0.382). Similarly, FTM subscales, including tremor severity rating, motor tasks, and functional disability did not improve significantly after rTMS treatment. Mild headache and local pain were the most frequent adverse events. CONCLUSION: Although cerebellar rTMS seems to have acceptable safety when used in ET patients, this study could not prove any efficacy for it in reduction of tremor in these patients. Larger studies are needed to evaluate efficacy of this therapeutic intervention and to provide evidence about the optimal stimulation parameters.

The two-step chemical vapor deposition of Pd(allyl)Cp as an atom-efficient route to synthesize highly dispersed palladium nanoparticles on carbon nanofibers.

Highly dispersed palladium nanoparticles supported on carbon nanofibers, which show high catalytic activity and stability in the hydrogenation of cyclooctene, were synthesized by the two-step metal organic chemical vapor deposition (MOCVD) of allylcyclopentadienylpalladium (Pd(allyl)Cp) as precursor at atmospheric pressure.

Covalently modified magnetite nanoparticles with PEG: preparation and characterization as nano-adsorbent for removal of lead from wastewater.

BACKGROUND: Lead is one of the hazardous materials which is associated with pollution and toxicity problems. This paper describes a novel approach for removal of lead from wastewater. Although naked magnetic nanoparticles have been applied for removal of different pollutants from wastewater, there was no research on employment of covalently PEG modified magnetic nanoparticles for such purpose. RESULTS: A magnetic nano-adsorbent was prepared by chemically modification of magnetite nanoparticles (MNPs) with polyethylene glycol (PEG) for removal of lead ions. The surface of MNPs was coated covalently with 3-aminopropyltriethoxysilane (APTES) and PEG. Modified MNPs (MNPs-APTES-PEG) were characterized by FT-IR, XRD, SEM, and particle size analysis. Compared to the oleic acid coated MNPs, MNPs-APTES-PEG exhibited significant higher uptake capability for Pb(II) ions. The effective parameters on the extent of adsorption (time, temperature, Pb(II) concentration, contact time and pH) were studied and optimized by response surface methodology. Maximum uptake of MNPs-APTES-PEG for Pb(II) was determined to be 81.39 ± 2.5%. The results showed that the kinetic data was best described by Pseudo-second order model as evidenced by the relatively high value of determination coefficient (R(2) = 0.9998). Successful removal of Pb(II) from industrial wastewater was also accomplished by MNPs-APTES-PEG. CONCLUSIONS: The results revealed high capability and excellent efficiency of developed nano-adsorbents in removal of lead contaminants from industrial wastewater.