A randomized prospective comparative study of efficacy of asenapine, iloperidone and zotepine in patients with psychosis

Background: Antipsychotic drugs constitute the mainstay in the treatment of schizophrenia and other psychotic disorders. For these medications to be maximally beneficial, they must be efficacious, with an acceptable side effect profile and be taken as prescribed. The objective of the study was to compare the efficacy of iloperidone, asenapine and zotepinein subjects with psychotic disorders.Methods: Randomized prospective study was conducted in the Department of Psychiatry of a tertiary care hospital, at Mysore, India. Sixty Patients who met the criteria for acute psychosis and schizophrenia according to ICD 10 were recruited. Atypical antipsychotics-asenapine, iloperidone and zotepine were administered and their efficacy was monitored by brief psychiatric rating scale (BPRS), which was administered on day one, week 1, week 3 and week 6.Results: Out of 60 recruited subjects 31 (51.7%) completed all four visits of the study. Iloperidone and asenapine showed significant improvement in efficacy than zotepine at week 6. Among the total dropouts 55.2% subjects didn’t come for follow-up and 44.8% were dropped due to development of side effects.Conclusions: In patients with acute psychosis and schizophrenia, iloperidone appears more effective and tolerated than the other two. Asenapine was effective but less tolerated and zotepine was less efficacious and produced poor response. Asenapine and zotepine have more dropouts and showed few uncommon extrapyramidal side effects

मीठापानी जलकृषि के वैविघीकरण केलिए आंडमान से एक उम्मीदवार जाति माक्रोब्रकियम लार-ए (Macrobrachium Lar-A)

कृपया पूरा लेखा पढ

Depletion of glutathione and enhanced lipid peroxidation in the CSF of acute psychotics following haloperidol administration

Haloperidol administration for 2 weeks results in significant reduction in the concentration of GSH in the CSF. Concomitantly, the levels of lipid peroxidation products increased as evidenced by increased malondialdehyde levels. The malondialdehyde levels in the CSF prior to haloparidol administration were not significantly higher than that seen in CSF from normal controls (data not shown) suggesting that increased oxidative stress did not exist in these patients prior to haloperidol administration. All the patients included in the present study were drug naive and hence the changes observed in the glutathione and malon6ialdehyde levels in the CSF were indeed mediated by haloperidol administration. The only other medication that was administered namely, anticholinergic drug, trihexyphenidyl is not known to cause any oxidative stress. The present study thus demonsuates that haloperidol administration results in significant oxidative stress. The generation of the oxidative stress is probably due to the increased turnover of dopemine caused by typical neuroleptics. Increased dopamine turnover is also observed in Parkinson's disease and the combination therapy consisting of antioxidant vitamin E and monoamine oxidase inhibitor, deprenyl has been shown to offer limited protection against the progression of the disease (Parkinson Disease Study Group 1989). In the present study, all the 15 patients exhibited extrapyramidal symptoms although the time of onset, the duration and the severity of the side effects differed between patients. On the presumption that the oxidative stress generated by haloperidel may cause extrapyramidal symptoms, the present study in humans taken together with the evidence provided in our earlier studies on rats (Shivakumar and Ravindranath 1992,1993) may justify experimental coadministration of antioxidanls (e.g., vitamin E) with typical neuroleptics like haloperidol to prevent the acute side effects

Utjecaj brzine doze pulsnoga zračenja na nastanak mikronukleusa u limfocitima periferne ljudske krvi

The micronucleus assay in human peripheral blood lymphocytes is a sensitive indicator of radiation damage and could serve as a biological dosimeter in evaluating suspected overexposure to ionising radiation. Micronucleus (MN) frequency as a measure of chromosomal damage has also extensively been employed to quantify the effects of radiation dose rate on biological systems. Here we studied the effects of 8 MeV pulsed electron beam emitted by Microtron electron accelerator on MN induction at dose rates between 35 Gy min-1 and 352.5 Gy min-1. These dose rates were achieved by varying the pulse repetition rate (PRR). Fricke dosimeter was employed to measure the absorbed dose at different PRR and to ensure uniform dose distribution of the electron beam. To study the dose rate effect, blood samples were irradiated to an absorbed dose of (4.7±0.2) Gy at different rates and cytogenetic damage was quantifi ed using the micronucleus assay. The obtained MN frequency showed no dose rate dependence within the studied dose rate range. Our earlier dose effect study using 8 MeV electrons revealed that the response of MN was linear-quadratic. Therefore, in the event of an accident, dose estimation can be made using linear-quadratic dose response parameters, without adding dose rate as a correction factor.Mikronukleus-test pokazao se osjetljivim pokazateljem oštećenja u limfocitima periferne ljudske krvi te se primjenjuje kao biološki dozimetar posumnja li se na prekomjerno izlaganje ionizirajućem zračenju. Mikronukleusi kao mjera oštećenja kromosoma često se rabe za procjenu učinaka zračenja u biološkim sustavima. Ovdje je istraženo djelovanje pulsnoga elektronskoga snopa od 8 MeV, dobivenog s pomoću elektronskoga akceleratora marke Microtron, na nastanak mikronukleusa u rasponu brzina doza od 35 Gy min-1 do 352.5 Gy min-1. Brzine doza mijenjale su se mijenjajući brzinu ponavljanja pulsa (tzv. pulse repetition rate, krat. PRR). Za mjerenje apsorbirane doze pri različitim PRR-ovima rabio se Frickeov dozimetar. Dozimetrijska su mjerenja također poslužila za ujednačavanje doze elektronskoga snopa. Za istraživanje utjecaja brzine doze, uzorci krvi ozračeni tako da apsorbiraju dozu od (4.7±0.2) Gy pri različitim brzinama doze, a zatim se s pomoću mikronukleus-testa utvrdilo citogenetsko oštećenje. Pokus s pulsnim snopovima energije 8 MeV upućuje na neovisnost broja mikronukleusa o brzinama doze u rasponu ispitanome u ovom istraživanju. Naše ranije istraživanje utjecaja doze pulsnoga elektronskoga zračenja energije 8 MeV upozorilo je na linearni do kvadratni odgovor izmjerenih parametara. Stoga se akcidentalna doza može procijeniti s pomoću linearnih do kvadratnih parametara odgovora na dozu, bez potrebe za korekcijom s pomoću brzine doze

A randomized open label comparative study to determine the various side effects and patient satisfaction of low dose continuous versus low dose intermittent oral isotretinoin therapy in moderate to severe acne vulgaris

Background: Acne Vulgaris is chronic inflammatory disease of pilosebaceous units. Oral isotretinoin is recommended for moderate to severe acne vulgaris who are not responding satisfactorily to conventional therapies. Recent reports indicate that acne patients have been benefiting from the low dose treatment protocols. However, long term daily use of this drug results in frequent side effects such mucocutaneous and systemic side effects. Our aim was to assess and compare the various side effects and patient satisfaction of oral isotretinoin in low dose continuous and intermittent treatment of moderate to severe acne vulgaris.Methods: This was a prospective randomized open labeled comparative study carried out at outpatient department in the Department of Dermatology in Mandya Institute of Medical sciences, Mandya. Patients with moderate to severe acne were assigned equally (50 subjects each) to one of the two treatment regimens by using block randomization technique, Group A was given low dose continuous regimen-20 mg oral isotretinoin once daily for 4 months and Group B was given low dose intermittent regimen-20 mg oral isotretinoin once daily for 1 week out of every 4 weeks. The patients were followed up every 4th week during the treatment period. The patients were examined and side effects were noted in each visit. A six month follow-up evaluation was done to analyze patient satisfaction.Results: Muco-cutaneous dryness was most common adverse effect noted in both the groups A and B. Itching (42%), Alopecia (44%), Myalgia (36%) were seen most commonly in group A and Acne flaring (47%) was most common with group B. With regard to patient satisfaction, in group A 42% were satisfied and 20% were very satisfied, in group B 36% were satisfied and 14% were very satisfied.Conclusions: Study suggests that, Muco-cutaneous dryness was most common side effect in both treatment regimens. Side effects were more frequent with low dose continuous than low dose intermittent isotretinoin regimen. Patient satisfaction was better in continuous regimen

Wear and Friction properties of H-Al-17Si alloy with dry, lubrication and coated (DLC-Star) conditions under HFRR

Dry, lubrication (SAE15W40), and coated (DLC-Star) reciprocating tribological tests on rapid solidified AlSi17Cu3.5-4Mg0.6-0.8 alloy was conducted using a high frequency linear reciprocating rig (HFRR) at ambient temperature. The alloy fabricated with the rheo-stir squeeze casting procedure under T-6 condition. However, at different loading (0-30 N) conditions, wear and friction properties of rapid solidified H-Al-17Si alloy are investigated. It is observed that the lower friction coefficient value obtained for DLC-Star coated H-Al-17Si alloy compared to dry and lubrication conditions. Though, for dry and lubricated sliding, the obtained wear coefficient values are 2.9X10-3 mm3/N.m and 4.0X10-4 mm3/N.m. A lower coefficient of wear value of 5.4X10-5 mm3/N.m was recorded with DLC-star coating under dry conditions. The alloy wear coefficient values first increases with applied load (up to 20 N) and then decreases (20 N to 30 N). EDS, AFM surface roughness profilometer, SEM, and advanced metallurgical microscope (AMM) analysis techniques used for the characterization of surface morphologies. The developments in friction and wear coefficients were fundamentally ascribed to the dispersion and size of primary Si elements and the development of tribo-oxide films on the rapid solidified AlSi17 alloy coated (DLC-Star) surfaces

Evaluation of wound healing activity of ethanolic extract of Azadirachta Indica leaves on incision and excision wound models in Wister albino rats

Background: Wound healing is complex cellular and biochemical cascade that lead to restitution of integrity and function. Recently, the traditional use of plants for wound healing has received attention by the scientific community, as traditional medicine is a source of less expensive, comprehensive medical care, especially in developing countries. Azadirachta indica (Neem) is well-known in India, as one of the most versatile medicinal plants having a wide spectrum of biological activity. Hence, this study was undertaken to evaluate the wound healing activity of the ethanolic extract of A. indica leaf in the experimentally-induced wound in rats.Methods: The healing effect produced by A. indica extract was assessed by the rate of wound contraction histopathology and skin breaking strength by using excision wound model and incision wound model in Wister albino rats. This was compared with control (soft white paraffin) and standard (1% w/w framycetin sulfate ointment). The results have been analyzed by calculating the mean values, standard deviation and compared by using student t-test.Results: The ethanol extract of leaves of A. indica significantly promoted the wound healing activity in both excision and incision wound models.Conclusion: The study revealed promising wound healing activity of ethanolic extract of A. indica and provides a scientific rationale for the traditional use in the management of wounds

A Novel Modelling Technique for Blast Analysis of Steel-Concrete Composite Panels

AbstractBlast resistant structures usually undergo large plastic deformation and absorb energy before collapse. There are many structural forms that have improved blast resistance are reported in literature. Among these, steel-concrete composite panel has been considered as extremely resilient to blast loading. Conventionally, steel-concrete composite panels are analysed using solid element model for plates, concrete as well as shear connectors. In this paper, a novel modelling technique is proposed for analysis of steel-concrete composite panels under blast loading. As per the proposed technique, shell, solid and link elements are used to model cover plates, concrete and shear connector respectively. Validation and performance studies are carried out with a problem available in literature. The proposed model is found to be better with less demand on modelling requirements. It is also computationally efficient, while retaining the accuracy of results. Parametric studies are carried out using the proposed model on steel-concrete composite panel with through-through connectors subjected to air blast loading. Steel plate thickness, concrete core thickness, connector spacing and diameter of connectors are varied to study their influence on the response behaviour of the panel. It is observed from the study that connector diameter and spacing and core thickness significantly affect the response than the plate thickness

An Efficient Model for Forest Fire Detection using Deep Convolutional Neural Networks

Forest fires are a significant natural disaster that causes extensive damage to both human and wildlife habitats. Early detection and management of forest fires are critical in preventing potential losses. In recent years, deep learning-based approaches have emerged as promising solutions for forest fire detection. This paper proposes a deep learning-based approach for forest fire detection using SqueezeNet model.The proposed approach utilizes still images captured from forest areas under different weather conditions to classify whether an image contains a fire or not. The models were trained and tested using accuracy, precision, and recall metrics. The experimental results show that SqueezeNet achieve high precision, and recall in detecting forest fires.SqueezeNet is a Convolutional Neural Networks (CNN) architecture designed to reduce the number of parameters and computations required in a deep learning model while maintaining high accuracy in image classification tasks.