37 research outputs found

    Comparison of tremor induced by valproate and lithium in bipolar disorder using a hand steadiness tester

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    Background: Quantitative measurement of valproate and lithium induced tremor using hand steadiness tester and their comparison in bipolar disorder.Methods: 200 newly diagnosed patients of bipolar disorder were randomly allocated into two equal groups receiving lithium (300mg twice daily) and sodium valproate (500 mg twice daily) after they fulfilled the inclusion / exclusion criteria of the study. 87 patients from Lithium group and 93 from Valproate completed the study.  Hand Tremor was assessed quantitatively at 0, 6, 12, 18 and 24 weeks using hand steadiness tester. Anxiety level of the study subjects was assessed to be insignificant using a standardized anxiety scale.  Final data was assessed after 24 weeks by using Stat Calc and Z test. P value <0.05 was considered to be significant.Results: No significant difference was found in terms of the development and transition of tremor induced by valproate and lithium (p=0.22).  However more men developed tremor with lithium when compared with females (p<0.05) and the mean age of patients who developed tremor appeared to be significantly higher in lithium group (54.7±3.9) than valproate (39.6±5.1).Conclusions: Tremor of hands is a common side effect of lithium and valproate treatment. Timely, objective assessment of onset and extent of tremor has always remained a challenge to the clinicians. Hand Steadiness tester is a simple, portable, inexpensive, non-invasive instrument that can be used to ascertain the development and transition of tremor in a quantitative manner. This would guide the clinicians as when to intervene for better management of such tremors

    Formulation and Evaluation of Sustained Release Matrix Tablet of Atenolol Based on Natural Polymer

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    ABSTRACT The purpose of the present investigation was to develop sustained release matrix tablets of Atenolol (ATL) using Xanthan gum (XG) and Guar gum (GG) as matrix former. Different ratios of XG and GG were selected and their suitability was tested as drug carrier. A natural gum Jeol (JG) was used as binder and its effect on hardness and drug release profile of prepared tablets were examined. The in-vitro drug release studies were performed in 0.1N HCl for 2 h followed by phosphate buffer at pH 6.8. The drug release profiles reveal that the release is dependent upon the nature and concentration of the polymer. The matrix tablets composed of XG showed 20.64% drug release during 2h in the acid stage, whereas for XG-GG mixture tablets, it was 27.96% to 39.26%. The addition of JG was found to increase the hardness of the tablets. The dissolution data demonstrated that JG has significant influence on drug release from XG matrix whereas insignificant effect was observed in XG-GG mixture. Statistical analysis of the drug release data at 2h indicated that the drug release is significantly ( *** p&lt;0.0001) affected by the nature and concentration of the polymers as compared to marketed product Aten®

    Land surface‐precipitation feedback analysis for a landfalling monsoon depression in the Indian region

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    Abstract A series of numerical experiments are carried out to investigate the sensitivity of a landfalling monsoon depression to land surface conditions using the Weather Research and Forecasting (WRF) model. Results suggest that precipitation is largely modulated by moisture influx and precipitation efficiency. Three cloud microphysical schemes (WSM6, WDM6, and Morrison) are examined, and Morrison is chosen for assessing the land surface‐precipitation feedback analysis, owing to better precipitation forecast skills. It is found that increased soil moisture facilitates Moisture Flux Convergence (MFC) with reduced moisture influx, whereas a reduced soil moisture condition facilitates moisture influx but not MFC. A higher Moist Static Energy (MSE) is noted due to increased evapotranspiration in an elevated moisture scenario which enhances moist convection. As opposed to moist surface, sensible heat dominates in a reduced moisture scenario, ensued by an overall reduction in MSE throughout the Planetary Boundary Layer (PBL). Stability analysis shows that Convective Available Potential Energy (CAPE) is comparable in magnitude for both increased and decreased moisture scenarios, whereas Convective Inhibition (CIN) shows increased values for the reduced moisture scenario as a consequence of drier atmosphere leading to suppression of convection. Simulations carried out with various fixed soil moisture levels indicate that the overall precipitation features of the storm are characterized by initial soil moisture condition, but precipitation intensity at any instant is modulated by soil moisture availability. Overall results based on this case study suggest that antecedent soil moisture plays a crucial role in modulating precipitation distribution and intensity of a monsoon depression

    (2-Amino-7-methyl-4-oxidopteridine-6-carboxylato-&#954;3O4,N5,O6)aqua(ethane-1,2-diamine-&#954;2N,N&#8242;)nickel(II) dihydrate

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    The NiII atom in the title complex, [Ni(C8H5N5O3)(C2H8N2)(H2O)]&#183;2H2O, is six-coordinated in a distorted octahedral geometry by a tridentate 2-amino-7-methyl-4-oxidopteridine-6-carboxylate (pterin) ligand, a bidentate ancillary ethane-1,2-diamine (en) ligand and a water molecule. The pterin ligand forms two chelate rings. The en and pterin ligands are arranged nearly orthogonally [dihedral angle between the mean plane of the en molecule and the pterin ring = 77.1&#8197;(1)&#176;]. N&#8212;H...O, O&#8212;H...N and O&#8212;H...O hydrogen bonds link the complex molecules and lattice water molecules into a three-dimensional network. &#960;&#8211;&#960; interactions are observed between the pyrazine and pyrimidine rings [centroid&#8211;centroid distance = 3.437&#8197;(2)&#8197;&#197;]
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