Psychosocial functioning in patients with treatment-resistant depression after group cognitive behavioral therapy

<p>Abstract</p> <p>Background</p> <p>Although patients with Treatment Resistant Depression (TRD) often have impaired social functioning, few studies have investigated the effectiveness of psychosocial treatment for these patients. We examined whether adding group cognitive behavioral therapy (group-CBT) to medication would improve both the depressive symptoms and the social functioning of patient with mild TRD, and whether any improvements would be maintained over one year.</p> <p>Methods</p> <p>Forty-three patients with TRD were treated with 12 weekly sessions of group-CBT. Patients were assessed with the Global Assessment of Functioning scale (GAF), the 36-item Short-Form Health Survey (SF-36), the Hamilton Rating Scale for Depression (HRSD), the Dysfunctional Attitudes Scale (DAS), and the Automatic Thought Questionnaire-Revised (ATQ-R) at baseline, at the termination of treatment, and at the 12-month follow-up.</p> <p>Results</p> <p>Thirty-eight patients completed treatment; five dropped out. For the patients who completed treatment, post-treatment scores on the GAF and SF-36 were significantly higher than baseline scores. Scores on the HRSD, DAS, and ATQ-R were significantly lower after the treatment. Thus patients improved on all measurements of psychosocial functioning and mood symptoms. Twenty patients participated in the 12-month follow-up. Their improvements for psychosocial functioning, depressive symptoms, and dysfunctional cognitions were sustained at 12 months following the completion of group-CBT.</p> <p>Conclusions</p> <p>These findings suggest a positive effect that the addition of cognitive behavioural group therapy to medication on depressive symptoms and social functioning of mildly depressed patients, showing treatment resistance.</p

Branched-chain Sugars. IX. Reaction of 3,6-Anhydro-1,2-O-isopropylidene-α-D-ribo-hexofuranos-3-ulose with Nitromethane or Hydrogen Cyanide

3,6-Anhydro-1,2-O-isopropylidene-α-D-ribo-hexofuranos-3-ulose (2) was converted into 5,6-di-O-acetyl-1, 2-O-isopropylidene-α-D-ribo-hexofuranos-3-ulose (5) by the protection of the carbonyl function with hydroxylamine, followed by acetylation and removal of the protecting group with chromium(II) acetate. Nitromethane condensation of 2 and 5 at room temperature gave the corresponding 3-nitromethyl derivatives having D-gluco- and D-allo-configuration, respectively. The difference in the stereoselectivity was explained by the easiness of isomerization of the initial product to thermodynamically stable epimer, because the reaction temperature was essential to control the selectivity in the same reaction of 1,2 : 5,6-di-O-isopropylidene-α-D-ribo-hexofuranos-3-ulose. Reaction of 2 with hydrogen cyanide in dry pyridine followed by acetylation gave the corresponding 3,5,6-tri-O-acetyl-3-cyano derivative of D-allo-type, whereas, the reaction in water gave instantly 3-(hydroxycarbonimidoyl)-1,2-O-isopropylidene-α-D-allofuranose 3′,5-lactone, by the participation of the C5-hydroxyl group

肺癌におけるREG Iα遺伝子の発現は、腺癌、肩平上皮癌で異なったメカニズムにより、予後不良を示唆する。

The aim of the present study was to evaluate the effects of the REG Iα and REG Iβ genes on lung cancer cell lines, and thereafter, the expression of REG family genes (REG Iα, REG Iβ, REG III, HIP/PAP and REG IV) in lung cancer in relation to patient prognosis was evaluated. Lung adenocarcinoma (AD) and squamous cell carcinoma (SCC) cell lines expressing REG Iα or REG Iβ (HLC-1 REG Iα/Iβ and EBC-1 REG Iα/Iβ) were established, and cell number, cell invasive activity, and anchorage-independent cell growth were compared with these variables in the control cells. The expression levels of REG family genes were evaluated by real-time RT-PCR in surgically resected lung cancers, and disease-specific survival (DSS) curves were generated. The HLC-1 REG Iα/Iβ cell line showed significant increases in cell number and anchorage-independent cell growth compared with the control cells. EBC-1 REG Iα/Iβ cells showed significant increases in cell invasive activity and anchorage-independent cell growth as compared with the control cells. Except for the REG Iβ gene, expression of other REG family genes was observed in the surgically resected samples; however, DSS was significantly worse only in stage I patients who were positive for REG Iα expression than in patients who were negative for REG Iα expression. The effects of REG Iα on AD and SCC cells were different in the in vitro study, and a correlation between REG Iα expression and patient prognosis was noted in the in vivo study. Therefore, overexpression of REG Iα is a risk factor for poor prognosis caused by discrete mechanisms in AD and SCC patients.博士（医学）・乙第1339号・平成26年5月28日本文のリンク：http://dx.doi.org/10.3892/or.2013.2739Copyright © Spandidos Publications 201

Mechanical Properties and Histological Evaluation of Bone Grafting Materials Containing Different Ratios of Calcium Phosphate Cement and Porous β-tricalcium Phosphate Granules

Article信州医学雑誌 66(2): 139-150(2018)journal articl

Gene Expression Profiles of the Cochlea and Vestibular Endorgans: Localization and Function of Genes Causing Deafness

Objectives: We sought to elucidate the gene expression profiles of the causative genes as well as the localization of the encoded proteins involved in hereditary hearing loss. Methods: Relevant articles (as of September 2014) were searched in PubMed databases, and the gene symbols of the genes reported to be associated with deafness were located on the Hereditary Hearing Loss Honnepage using localization, expression, and distribution as keywords. Results: Our review of the literature allowed us to systematize the gene expression profiles for genetic deafness in the inner ear, clarifying the unique functions and specific expression patterns of these genes in the cochlea and vestibular endorgans. Conclusions: The coordinated actions of various encoded molecules are essential for the normal development and maintenance of auditory and vestibular function.ArticleANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY. 124:6S-48S (2015)journal articl

Transverse incision advantages for total knee arthroplasty

Background If a transverse incision can be safely used for total knee arthroplasty (TKA), decreases in scar formation, reduced injury of the infrapatellar branch of the saphenous nerve and improved kneeling motion will be observed. Methods We evaluated 95 patients (101 knees) on whom primary TKA was performed with follow-up of more than 2 years. A longitudinal incision was used for the first 40 knees and a transverse incision for the remaining 61 knees. Operation time, blood loss, complications and Knee Society Score were evaluated. Wound lengths, widths and the Manchester Scar Scale (MSS) were measured 1 year after the surgery. Further examination evaluated sensory disturbances and whether kneeling was possible. Results The complication rate in both groups was almost the same. The wound lengths measured at a 90° kneeflexed position were about 15 cm with no significant difference between the groups. The average width measured at a maximum area was significantly smaller in the transverse group than in the longitudinal group. MSS of the transverse group was also significantly lower than that of the longitudinal group. Sensory disturbance was found to be significantly smaller in the transverse group than in the longitudinal group both in subjective and objective evaluation at 1 year after surgery. When a transverse incision was used, the direction of the incision corresponded to the running direction of the saphenous nerve, and thus, we were able to reduce sensory disturbances on the distal lateral side of the knee joint. The transverse group (70.4%) performed significantly better than the longitudinal group (40.6%) at kneeling motion. Conclusions We showed that making a transverse incision is a safe method, resulting in a reduction of scar formation and less dysfunction of the infrapatellar branch of the saphenous nerve, and improvement of kneeling motion. © The Japanese Orthopaedic Association 2011

α,β-Unsaturated Carboxylic Acid Derivatives. IV. General Synthesis of Unsaturated Unsymmetric 3,6-Disubstituted-2,5-piperazinediones

A general synthetic route to unsymmetric 3,6-dialkylidene and 3-alkylidene-6-arylidene-2,5-piperazinediones is described. The condensation reaction of ethyl 2-oxocarboxylates with chloroacetamide in the presence of several acidic catalysts afforded N-chloroacetyldehydroamino acid esters. These compounds were cyclized in saturated ethanolic ammonia to give 3-monoalkylidene and benzylidene-2,5-piperazinediones (2). Compound 2 and 1-monoacetyl- or 1,4-diacetyl-3-alkylidene and benzylidene-2,5-piperazinediones, derived from a reaction of 2 with acetic anhydride, were condensed with alkyl and arylaldehyde in the presence of bases to afford 5

Branched-chain Sugars. VIII. On the Configuration of Branched-chain Sugars from Methyl 3-O-Benzoyl-4,6-O-benzylidene-α-D-arabino-hexopyranosid-2-ulose

Stereoselectivities in the Grignard, diazomethane and nitromethane reaction of methyl 3-O-benzoyl-4,6-O-benzylidene-α-D-arabino-hexopyranosid-2-ulose (1) were examined. In contrast to the Grignard reaction of 1 using methylmagnesium iodide to give a single 2-C-methyl derivative (4), the diazomethane reaction followed by reduction afforded another epimer (6). The nitromethan condensation product (10) of 1 was converted into the corresponding 2-C-acetaminomethyl derivative (13). The NMR spectrum of 2-O-acetate of 4 and comparison of the optical rotations of 4, 6, 10 and 13 in cupraramonium solution indicated that 4 and others have D-gluco-and D-manno-configuration, respectively. Discussions were made on the stereoselectivties of these reactions

Branched-Chain Sugars. II. On the Configuration of Branched-Chain Sugars from Methyl 2-O-Benzoyl-4,6-O-benzylidene-α-D-ribo-hexopyranosid-3-ulose

Stereoselectivities in diazomethane and nitromethane reaction of methyl 2-O-benzoyl-4,6-O-benzylidene-α-D-ribo-hexopyranosid-3-ulose were examined. Reduction of the epoxidation product (2) gave an epimeric 3-C-methyl derivative in contrast with that obtained by the Grignard reaction. Comparison of NMR spectra of the corresponding di-O-acetate of the both epimers proved that 2 has the gluco-configuration. Ring-opening of the epoxide with alkali, methanolic ammonia, and acid gave the corresponding 3-C-hydroxymethyl, 3-C-aminomethyl (17), and de-O-benzylidenated product, respectively. Hydrogenation of the 3-C-nitromethyl derivative (21) obtained by nitromethane condensation, in the presence of Raney nickel, accompanied with benzoyl-migration to give 3-C-benzamidomethyl derivative (22). De-benzoylation of 22 with methanolic potassium hydroxide gave 3-C-aminomethyl derivative (26) and an orthoester-type compound. Comparison of 26 with 17 and their derivatives indicated that 21 has the allo-configuration. The both configurations were also supported by the optical rotation of 3-C-benzamidomethyl derivatives in cuprammonium solution

The ground state of Sr3Ru2O7 revisited; Fermi liquid close to a ferromagnetic instability

We show that single-crystalline Sr3Ru2O7 grown by a floating-zone technique is an isotropic paramagnet and a quasi-two dimensional metal as spin-triplet superconducting Sr2RuO4 is. The ground state is Fermi liquid with very low residual resistivity (3 micro ohm cm for in-plane currents) and a nearly ferromagnetic metal with the largest Wilson ratio Rw>10 among paramagnets so far. This contrasts with the ferromagnetic order at Tc=104 K reported on single crystals grown by a flux method [Cao et al., Phys. Rev. B 55, R672 (1997)]. We have also found a dramatic changeover from paramagnetism to ferromagnetism under applied pressure. This suggests the existence of a substantial ferromagnetic instability on the verge of a quantum phase transition in the Fermi liquid state.Comment: 5 pages, 4 figures, to be published in Phys. Rev. B : Rapid co