A 64-week, multicenter, open-label study of aripiprazole effectiveness in the management of patients with schizophrenia or schizoaffective disorder in a general psychiatric outpatient setting

<p>Abstract</p> <p>Objective</p> <p>To evaluate the overall long-term effectiveness of aripiprazole in patients with schizophrenia in a general psychiatric practice setting in Taiwan.</p> <p>Methods</p> <p>This was a prospective, open-label, multicenter, post-market surveillance study in Taiwanese patients with a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) diagnosis of schizophrenia or schizoaffective disorder requiring a switch in antipsychotic medication because current medication was not well tolerated and/or clinical symptoms were not well controlled. Eligible patients were titrated to aripiprazole (5-30 mg/day) over a 12-week switching phase, during which their previous medication was discontinued. Patients could then enter a 52-week, long-term treatment phase. Aripiprazole was flexibly dosed (5-30 mg/day) at the discretion of the treating physicians. Efficacy was assessed using the Clinical Global Impression scale Improvement (CGI-I) score, the Clinical Global Impression scale Severity (CGI-S) score, The Brief Psychiatry Rating Scale (BPRS), and the Quality of Life (QOL) scale, as well as Preference of Medicine (POM) ratings by patients and caregivers. Safety and tolerability were also assessed.</p> <p>Results</p> <p>A total of 245 patients were enrolled and switched from their prior antipsychotic medications, and 153 patients entered the 52-week extension phase. In all, 79 patients (32.2%) completed the study. At week 64, the mean CGI-I score was 3.10 and 64.6% of patients who showed response. Compared to baseline, scores of CGI-S, QOL, and BPRS after 64 weeks of treatment also showed significant improvements. At week 12, 65.4% of subjects and 58.9% of caregivers rated aripiprazole as better than the prestudy medication on the POM. The most frequently reported adverse events (AEs) were headache, auditory hallucinations and insomnia. A total of 13 patients (5.3%) discontinued treatment due to AEs. No statistically significant changes were noted with respect to fasting plasma glucose, lipid profile, body weight, and body mass index after long-term treatment with aripiprazole.</p> <p>Conclusions</p> <p>Although the discontinuation rate was high, aripiprazole was found to be effective, safe and well tolerated in the long-term treatment of Taiwanese patients with schizophrenia who continued to receive treatment for 64 weeks.</p

Government Support, FDI Clustering and Semiconductor Sustainability in China: Case Studies of Shanghai, Suzhou and Wuxi in the Yangtze Delta

With reference to the case studies of Shanghai, Suzhou, and Wuxi, in the Yangtze Delta, China, this paper demonstrates the local possibilities and various development paths for developing an indigenous semiconductor industry, using the government support within foreign direct investment (FDI)-dominated clusters for the New Industrializing Countries (NICs). Two important policy lessons are identified. The first is that the government may attract FDI and develop high-tech clustering by using policy support, but it does not necessarily provide conducive and positive influences on the sustainable development of domestic semiconductors. The second lesson is that the sustainability of the domestic semiconductor industry in the FDI cluster may start from three connected elements: (1) a pragmatic goal of government support; (2) complementarities of the domestic semiconductors with international leading firms in the market, technology and equipment linkages; and (3) a sustainable capacity of technical learning to drive local developments

Curcumin Sensitizes Hepatocellular Carcinoma Cells to Radiation via Suppression of Radiation-Induced NF-κB Activity

The effects and possible underlying mechanism of curcumin combined with radiation in human hepatocellular carcinoma (HCC) cells in vitro were evaluated. The effects of curcumin, radiation, and combination of both on cell viability, apoptosis, NF-κB activation, and expressions of NF-κB downstream effector proteins were investigated with 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT), NF-κB reporter gene, mitochondrial membrane potential (MMP), electrophoretic mobility shift (EMSA), and Western blot assays in Huh7-NF-κB-luc2, Hep3B, and HepG2 cells. Effect of I kappa B alpha mutant (IκBαM) vector, a specific inhibitor of NF-κB activation, on radiation-induced loss of MMP was also evaluated. Results show that curcumin not only significantly enhances radiation-induced cytotoxicity and depletion of MMP but inhibits radiation-induced NF-κB activity and expressions of NF-κB downstream proteins in HCC cells. IκBαM vector also shows similar effects. In conclusion, we suggest that curcumin augments anticancer effects of radiation via the suppression of NF-κB activation

Relationship of HS CRP and sacroiliac joint inflammation in undifferentiated spondyloarthritis

Elevation of serum high sensitivity C-reactive protein (hs-CRP) level has been demonstrated as a risk factor for varying diseases, as well as a biomarker for predicting recovery after operation of lumber disc herniation. Our objective was to investigate the relationship between serum hs-CRP and sacroiliac (SI) joint inflammation in patients with undifferentiated spondyloarthritis (uSpA)

Pelvic primary pyomyositis complicated by septic pulmonary embolism and shock in a young adult

Pyomyositis is an acute infection of skeletal muscles. It can be life-threatening if diagnosis and treatment are delayed. We present a case of a 23-year-old male delayed diagnosis of pyomyositis of the iliacus muscle and gluteal minimus muscle complicated with pulmonary septic embolism and septic shock who was treated with early goal directed cardiovascular resuscitation and surgical exploration combined with parenteral antibiotics. Computed tomography is useful in making the diagnosis. Early diagnosis and treatment may avoid surgery and reduce mortality

High-Performance Complementary Electrochromic Device Based on Iridium Oxide as a Counter Electrode

In complementary electrochromic devices (ECDs), nickel oxide (NiO) is generally used as a counter electrode material for enhancing the coloration efficiency. However, an NiO film as a counter electrode in ECDs is susceptible to degradation upon prolonged electrochemical cycling, which leads to an insufficient device lifetime. In this study, a type of counter electrode iridium oxide (IrO2) layer was fabricated using vacuum cathodic arc plasma (CAP). We focused on the comparison of IrO2 and NiO deposited on a 5 × 5 cm2 indium tin oxide (ITO) glass substrate with various Ar/O2 gas-flow ratios (1/2, 1/2.5, and 1/3) in series. The optical performance of IrO2-ECD (glass/ITO/WO3/liquid electrolyte/IrO2/ITO/glass) was determined by optical transmittance modulation; ∆T = 50% (from Tbleaching (75%) to Tcoloring (25%)) at 633 nm was higher than that of NiO-ECD (ITO/NiO/liquid electrolyte/WO3/ITO) (∆T = 32%). Apart from this, the ECD device demonstrated a fast coloring time of 4.8 s, a bleaching time of 1.5 s, and good cycling durability, which remained at 50% transmittance modulation even after 1000 cycles. The fast time was associated with the IrO2 electrode and provided higher diffusion coefficients and a filamentary shape as an interface that facilitated the transfer of the Li ions into/out of the interface electrodes and the electrolyte. In our result of IrO2-ECD analyses, the higher optical transmittance modulation was useful for promoting electrochromic application to a cycle durability test as an alternative to NiO-ECD

Highly conductive PEDOT:PSS film by incorporating secondary doping and post-treatment for ITO-free polymer dispersed liquid crystal display

In this paper, highly conductive poly(3,4-ethylenedioxythiphene):poly(styrenesulfonate) (PEDOT:PSS) thin films realized by incorporating secondary doping technique with post-treatment process is demonstrated. The conductivity of the PEDOT:PSS film enhanced greatly from 0.6 S/cm to 736 S/cm after 1.25% of p-toluenesulfonic acid solution was doped into the PEDOT:PSS dispersion. The post-treatment using dimethyl sulfoxide further improved the conductivity to 1549 S/cm. We found that the electro-optical properties of the polymer dispersed liquid crystal (PDLC) cells fabricated by the highly conductive PEDOT:PSS films were comparable to those constructed by ITO. This work reveals that highly conductive PEDOT:PSS film is a suitable material for manufacturing ITO-free liquid crystal devices

Highly conductive PEDOT:PSS film by doping p-toluenesulfonic acid and post-treatment with dimethyl sulfoxide for ITO-free polymer dispersed liquid crystal device

In this paper, the highly conductive poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) (PEDOT:PSS) film realized by applying the doping technique and the post-treatment process is demonstrated. The conductivity of the spin coated PEDOT:PSS film enhanced greatly from 0.7 S/cm to 736 S/cm after 1.25% of p-toluenesulfonic acid solution (50 wt%) was doped into the PEDOT:PSS aqueous dispersion. The post-treatment using dimethyl sulfoxide further improved the conductivity to 1549 S/cm. The highly conductive PEDOT:PSS film was used as transparent electrode to fabricate ITO-free polymer dispersed liquid crystal (PDLC) cell. The experimental results showed that the electro-optical properties of the PDLC cell fabricated by the highly conductive PEDOT:PSS film were comparable to those of the PDLC cell constructed by ITO. This study reveals that the highly conductive PEDOT:PSS film is a prospective material for manufacturing ITO-free liquid crystal devices