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Some previous studies have shown that weight gain is associated with greater improvement in psychopathology during antipsychotic treatment in patients with chronic schizophrenia. However, the results are mixed due to many confounding factors. The current study aimed to investigate whether weight gain was associated with antipsychotic response in patients with antipsychotic-naive and first-episode (ANFE) DSM-IV--diagnosed schizophrenia.
526 ANFE patients and 313 healthy controls were enrolled in this study, which was conducted from January 2012 to December 2018. Treatment outcome was measured by the Positive and Negative Syndrome Scale (PANSS) at baseline and follow-up. Weight was measured at baseline and at the end of 8 weeks.
After treatment, PANSS scores were significantly reduced as follows positive symptoms (-10.40; 95% CI, -9.31 to -10.60), negative symptoms (-5.01; 95% CI, -4.43 to -5.54), general psychopathology (-13.01; 95% CI, -12.01 to -14.01), and PANSS total score (-28.53; 95% CI, -26.73 to -30.33). In addition, the average weight of ANFE patients increased by 2.89 kg (95% CI, 2.55 to 3.22), although it was still lower than the average weight of healthy controls. The proportion of patients with weight gain ≥ 7% after treatment was 38.2%. Weight gain was positively associated with decrease of PANSS positive symptoms, general psychopathology, and total score (all P < .05). Multiple linear regression analysis showed that baseline weight, decrease of PANSS total score, and sex were significantly associated with weight gain after treatment.
Our findings suggest that there is a significant association between weight gain and improvement of clinical symptoms after 8 weeks of antipsychotic treatment in patients with ANFE schizophrenia.
ClinicalTrials.gov identifier NCT04076371.
ClinicalTrials.gov identifier NCT04076371.
Several case reports have suggested an association between obsessive-compulsive disorder (OCD) and dementia. However, the exact relationship remains unclear.
Using the Taiwan National Health Insurance Research Database, 1,347 patients with OCD (ICD-9-CM code 300.3) aged ≥ 45 years and 13,470 controls matched for age, sex, residence, income, and dementia-related comorbidities were included between 1996 and 2013 for investigation of subsequent dementia from enrollment to the end of 2013. Stratified Cox regression analysis on each matched pair was applied to assess the dementia risk between the OCD and control groups. The analysis for the current study was performed in 2018.
Patients with OCD had increased risk of developing any dementia (hazard ratio [HR] = 4.28; 95% confidence interval [CI], 2.96-6.21), Alzheimer's disease (HR = 4.04; 95% CI, 1.55-10.54), and vascular dementia (HR = 3.95; 95% CI, 1.70-9.18) compared with controls.
Future research on the pathogenic mechanisms and molecular underpinnings of the relationship between OCD and dementia may lead to the development of novel therapeutics.
Future research on the pathogenic mechanisms and molecular underpinnings of the relationship between OCD and dementia may lead to the development of novel therapeutics.Alzheimer disease (AD) requires timely diagnosis and treatment initiation as early as possible to delay further loss of functioning. Clinicians must attempt to answer patients' and care partners' questions about treatment goals and expected challenges. In this webcast, Drs Burke and Apostolova address topics critical to the care of patients with early-stage AD. They highlight barriers to diagnosis, describe genetic risk factors, and emphasize the role of neuropsychologic testing. Drs Burke and Apostolova agree that, although current medications slow symptom progression associated with AD, emerging therapies offer hope for disease modification. These experts also talk about important conversations to have with patients and their care partners, such as about diet, exercise, driving, and plans for the later stage of illness.
Several promising studies investigated marine omega-3 fatty acids (ie, fish oil) in borderline personality disorder (BPD), but overall effects remain unclear. The aim of this study was to obtain estimates of effectiveness of omega-3 fatty acids in BPD using meta-analysis, with a priori differentiation of affective, impulsive, and cognitive-perceptual symptom domains.
We performed a literature search in PubMed, EMBASE, PsycINFO, and MEDLINE, using terms related to BPD and omega-3 fatty acids. Publication date was not a restriction.
We included randomized controlled trials (RCTs) that compared omega-3 fatty acids to placebo or any active comparator and pooled data using meta-analysis. Five studies were included in the meta-analysis, describing 4 RCTs testing effects of omega-3 fatty acids in 137 patients with BPD or BPD-related behavior.
Using a pre-piloted data extraction form, we obtained data including intervention dose, duration, and BPD symptom scale scores, differentiating affective, impulsive, ann. R406 Marine omega-3 fatty acids could be considered as add-on therapy.
To evaluate longitudinal prescription practice trends for patients diagnosed with posttraumatic stress disorder (PTSD) using a national cohort of veterans who engaged in Veterans Health Administration (VHA) care from 2009 to 2018.
Using ICD-9 and ICD-10 codes to determine diagnoses, 1,353,416 patients diagnosed with PTSD in VHA care were retrospectively identified who were not diagnosed with bipolar or psychotic spectrum disorder. Veterans were included in the analytic sample starting in the year of their first PTSD diagnosis for each year that they were active in VHA care. Outpatient prescription records were examined from 2009 to 2018 for medications that are commonly used as recommended (selective serotonin reuptake inhibitors [SSRIs], serotonin-norepinephrine reuptake inhibitors [SNRIs]) or second-line/adjunctive (atypical antipsychotics [AAPs], mirtazapine, prazosin, trazodone, tricyclic antidepressants, and non-benzodiazepine hypnotics) medications for PTSD. Benzodiazepine prescriptions were also ex the percentage of patients receiving PTSD medications may reflect concerns regarding effectiveness, adverse side effects, increases in access to evidence-based psychotherapy for PTSD, and/or symptom improvement such that medication was no longer needed.Schizophrenia is a severe, lifelong disorder that affects cognitive, behavioral, and emotional functioning. Many individuals living with schizophrenia experience numerous relapses and ongoing impairment. Adverse effects are a frequent reason for medication nonadherence among patients with schizophrenia, and nonadherence is the single biggest risk factor for relapse. This Academic Highlights addresses best practices for improving adherence and outcomes for people living with schizophrenia, including lessening the side effect burden and providing comprehensive, patient-centric care. Simplifying the medication regimen, using shared decision-making, and offering psychosocial interventions are strategies that may contribute to better outcomes.Alzheimer disease (AD) is the most common cause of dementia; in the United States alone, approximately 5.8 million people are living with the disease. This slide presentation offers education about AD pathogenesis, trajectory, and diagnostic criteria from the Diagnostic and Statistical Manual of Disorders, Fifth Edition, and from the National Institute on Aging-Alzheimer's Association. To diagnose mild cognitive impairment and early-stage AD, clinicians should employ a stepwise process that includes the following cognitive screening, laboratory assessments, structural imaging of the brain, full neuropsychologic assessment (if warranted), and biomarker confirmation.
In vivo prevascularization followed by pedicled transfer has emerged as a promising strategy for tissue engineering in recent years. We recently demonstrated that capsule tissue could serve as a novel axial in vivo vascular bed, although its high-density microvessels could only be maintained for about a week.
In this present study, we aimed to demonstrate whether low-intensity pulsed ultrasound (LIPUS) promotes angiogenesis in capsule tissue.
After successful induction of capsule tissue using a skin expander, 24 rabbits were randomly divided into the LIPUS group and the control group. The LIPUS group received LIPUS treatment 3 times per week. After 2 and 4 weeks of treatment, angiogenesis of the capsule tissue was assessed using in vivo and in vitro methods, including contrast-enhanced ultrasound (CEUS), photoacoustic imaging (PAI), photoacoustic microscope (PAM), and CD31 immunohistochemistry.
In vivo assessments (CEUS, PAI and PAM) showed that tissue perfusion, hemoglobin content and vascular density were all significantly higher in the LIPUS group, which was consistent with CD31 immunohistochemistry. The LIPUS also promoted protein and mRNA expression of vascular endothelial growth factor α (VEGFα) and basic fibroblast growth factor (bFGF) in capsule tissue. Furthermore, cell experiments showed that LIPUS enhanced tube formation of human microvascular endothelial cells (HMECs) and promoted secretion of VEGFα and bFGF.
The LIPUS treatment promoted angiogenesis of the capsule tissue by stimulating release of angiogenic factors such as VEGFα and bFGF from endothelial cells, making the capsule tissue more potent and sustained when acting as in vivo vascular bed.
The LIPUS treatment promoted angiogenesis of the capsule tissue by stimulating release of angiogenic factors such as VEGFα and bFGF from endothelial cells, making the capsule tissue more potent and sustained when acting as in vivo vascular bed.
Due to the low potential for primary biological healing of the anterior cruciate ligament (ACL), the most popular approach is currently reconstruction using a graft. Recent research indicates that the technique of strengthening a damaged ligament with synthetic tapes (internal bracing) may be an alternative to reconstructive treatment, especially in cases of partial ACL damage.
To compare and evaluate the possibility of using a synthetic graft (Neoligaments or FiberTape) to treat partial lesions of the ACL.
This was a retrospective cohort study. Selected from a pool of 128 patients undergoing primary unilateral intra-articular ACL reconstruction due to partial lesion of the ACL, group I (Neoligaments) and group II (FiberTape) each included 30 patients. Range of motion (ROM), the Lachman test, the anterior drawer test and the pivot-shift test, the Lysholm Knee Scoring Scale, and International Knee Documentation Committee (IKDC) 2000 scale were used for assessment. Follow-up was carried out after 2 years.assessment are comparable with the functional assessment results. The comparison between Neoligaments and FiberTape shows the same functional and objective results, although FiberTape is preferable from an economical perspective.
Cervical cancer is the 2nd most frequently diagnosed gynecological cancer. Therefore, it is clinically significant to discover an effective anti-cancer approach.
This study aimed to investigate the effects of low-intensity ultrasound irradiation (USI) on cervical cancer cells and associated mechanisms of cell death.
Normal human cervical HaCaT cells and cervical cancer cell lines C33A, Hela and Siha were cultured and γ-rays applied at a dosage of 2.0 Gy/min. The MTT assay was then used to assess viability (proliferation) of HaCaT, C33A, Hela, and Siha cells. Small interfering RNA (siRNA) sequences that silence the glucose-related protein (GRP78) gene were synthesized. Structural changes to cells exposed to USI were observed with scanning electron microscopy. Immunocytochemistry and western blotting were utilized to examine GRP78, C/EBP-homologous protein (CHOP), phosphorylated JNK (p-JNK), and caspase-12 expression in cervical cancer cells.
Ultrasound irradiation reduced the viability of cervical cancer cells and increased apoptosis, compared to untreated tumor cells (p < 0.
Website: https://www.selleckchem.com/products/R406.html
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