Objective:To investigate the effect and safety of ketogenic diet(KD)for the treatment of paediatric patients with super-refractory status epilepticus(SRSE)in febrile infection-related epilepsy syndrome(FIRES).Method:F...Objective:To investigate the effect and safety of ketogenic diet(KD)for the treatment of paediatric patients with super-refractory status epilepticus(SRSE)in febrile infection-related epilepsy syndrome(FIRES).Method:From January 1,2015 to October 31,2017,ten critically ill paediatric patients with SRSE in FIRES were included in this study and treated with KD.The treatment effects of KD were evaluated by using continuous encephalography(CEEG)and amplitude-integrated electro-encephalography(aEEG).Results:All 10 patients fulfilled the diagnostic criteria of SRSE in FIRES and achieved ketosis within 24–72 h following the administration of KD.CEEG and aEEG were monitored for several weeks to assess the efficacy of KD on status epilepticus(SE).SE was contained in 8 patients within 2 to 19 days after initiation of KD,and KD was discontinued in the other 2 patients.One of the 10 patients demonstrated severe adverse effects.Conclusion:KD may be an alternative and safe treatment option in critical paediatric patients with SRSE in FIRES.展开更多
Two novel chiral Brønsted acids 3b and 3c were prepared without involving the complexity of Suzuki coupling.Catalyst 3c bearing two additional hydroxyl groups at 3 and 3'positions of axially chiral 1,1-binaph...Two novel chiral Brønsted acids 3b and 3c were prepared without involving the complexity of Suzuki coupling.Catalyst 3c bearing two additional hydroxyl groups at 3 and 3'positions of axially chiral 1,1-binaphthalene-2,2'-diol phosphoric acid was applied in a model Mannich reaction to affordβ-amino ester in high yield(92%)and enantiomeric excess(91%)at low reacting temperature of−40℃.In addition,thoseβ-amino ester derivatives with high yields and excellent enatioselectivities were obtained in the presence of catalyst 3c under the above condition.展开更多
基金“Omics-based precision medicine of epilepsy”entrusted by Key ResearchProject of the Ministry of Science and Technology of China(GrantNo.2016YFC0904400).
文摘Objective:To investigate the effect and safety of ketogenic diet(KD)for the treatment of paediatric patients with super-refractory status epilepticus(SRSE)in febrile infection-related epilepsy syndrome(FIRES).Method:From January 1,2015 to October 31,2017,ten critically ill paediatric patients with SRSE in FIRES were included in this study and treated with KD.The treatment effects of KD were evaluated by using continuous encephalography(CEEG)and amplitude-integrated electro-encephalography(aEEG).Results:All 10 patients fulfilled the diagnostic criteria of SRSE in FIRES and achieved ketosis within 24–72 h following the administration of KD.CEEG and aEEG were monitored for several weeks to assess the efficacy of KD on status epilepticus(SE).SE was contained in 8 patients within 2 to 19 days after initiation of KD,and KD was discontinued in the other 2 patients.One of the 10 patients demonstrated severe adverse effects.Conclusion:KD may be an alternative and safe treatment option in critical paediatric patients with SRSE in FIRES.
基金the Natural Science Foundations of Guizhou Province[Nos.KY(2014)317 and KY(2011)232]the Educational Ministry Foundation of Guizhou Province[No.KY(2012)018].
文摘Two novel chiral Brønsted acids 3b and 3c were prepared without involving the complexity of Suzuki coupling.Catalyst 3c bearing two additional hydroxyl groups at 3 and 3'positions of axially chiral 1,1-binaphthalene-2,2'-diol phosphoric acid was applied in a model Mannich reaction to affordβ-amino ester in high yield(92%)and enantiomeric excess(91%)at low reacting temperature of−40℃.In addition,thoseβ-amino ester derivatives with high yields and excellent enatioselectivities were obtained in the presence of catalyst 3c under the above condition.
