Barrettbradford6437

OBJECTIVE To review the published literature on clozapine associated cardiotoxicity (CACT), summarize diagnostic features, and evaluate monitoring procedures for safe clozapine re-challenge. RESULTS Clozapine-associated Myocarditis (CAM) - Incidence of early myocarditis (≤2 months) is infrequent but serious. Clinical diagnosis is confounded by variability in presentation and non-specificity of symptoms. Re-challenge considerations include clozapine impact on symptomatic severity and associated disability and risk of suicidality. Re-challenging is recommended only after full clinical resolution of myocarditis and cardiac function impairment, under closely controlled conditions, starting at very low dosage, extremely slow titration and frequent assays of lab and cardio biomarkers. Clozapine associated cardiomyopathy (CAC) -develops later but mortality has been reported at 12.5-24.0%. Re-challenge is generally not recommended due to paucity of outcome data. Monitoring Cardiac Toxicity Plausible steps include closer clinical monitoring, repeated assays of biomarkers, and echocardiographic studies, and cardiac MRI changes with unremarkable findings of cardiac dysfunction with echocardiography. Subclinical clozapine associated cardiotoxicity is more prevalent than CAM and CAC. Diagnosis is often challenging due to non specific presentation. Active monitoring is recommended. Rechallenging is feasible but should be done under close monitoring conditions. A protocol is proposed based on literature review and clinical experience in order to reduce the risk of CACT. CONCLUSION Clozapine-associated myocarditis and cardiomyopathy may have been underreported worldwide. Identification of subclinical cardiotoxic effects can improve outcomes by earlier recognition before clinical manifestations of cardiac impairments. A pragmatic close clinical monitoring protocol including cardiac biomarkers aimed at timely detection of cardiac toxicity, in the initial phase of treatment is proposed. Intact decision-making skills in the social context are essential for optimal functioning in the community. Despite its significance, social decision making in schizophrenia (SCZ) has not been adequately examined. Hence, we examined social decision making in SCZ using the Ultimatum Game(UG), a neuroeconomic paradigm that involves financial transactions between a proposer and a responder to split a sum of money between them. Thirty male patients with a diagnosis of schizophrenia as per DSM-IV (age = 30 ± 7.08) and thirty age-matched healthy male volunteers (HV;age = 28.48 ± 3.74) participated in the study. All participants functioned as responders and had to either accept or reject offers made by an anonymous proposer. We also examined whether the gender or emotional expression of the proposer influenced acceptance rates. SCZ had significantly lower acceptance rates than HV for slightly unequal offers (t = 3.94, p = less then 0.0001). However, there was no significant difference between SCZ and HV for other offers. Gender and emotional expression of the proposer did not significantly influence the outcome. These results suggest aberrant social decision making and increased inequity aversion in patients with SCZ. The difficulty in incorporating social components while engaging in financial interactions could have important implications for rehabilitation, functional recovery, and successful community living in SCZ. BACKGROUND Illness perceptions have been associated with patients' reactions to health threats and further health outcomes. The Illness Perception Questionnaire for Schizophrenia (IPQS)1 has been applied in different contexts. However, the validity and reliability of IPQS remain unknown in mainland China. AIMS AND OBJECTIVES To test the psychometric properties of the Chinese version of IPQS in mainland China. DESIGN A cross-sectional survey. METHODS A total of 200 community-dwelling patients with schizophrenia were surveyed in Beijing, China. The validity and reliability of the instrument were tested. As well as demographic data, the IPQS and the Knowledge About Schizophrenia Test (KAST)2 were also administered. RESULTS Factor analysis was utilised to refine the factor structure of the IPQS. The difference between IPQS and KAST denoted the discriminant validity. The subscale scores among patients of different illness duration, educational attainment, and medication adherence in the past two years were significantly different (P＜0.05), indicating the known-group validity of the IPQS. Except for 'personal control' and 'burdensome effect', other subscales were internally consistent. Most of the subscales proved stable over a four-week period. CONCLUSION The Chinese version of IPQS can be used, with some refinements, to assess illness perceptions about schizophrenia for patients in future studies. This will provide empirical evidence for its generalizability and clinical utility and provide deeper insight into Chinese patients' illness perceptions about schizophrenia. As an effective way to obtain solar energy and separate the soluble contaminants from water, solar-driven interfacial evaporation is used in desalination, wastewater treatment, electricity generation, and domestic water heating system. Herein, we demonstrate a monolithic sponge with three-dimensional porous structure as the solar-energy evaporator, which is composed of hydrophilic polymer (Konjac Glucomannan, KGM) and solar absorbent (reduced graphene oxide, rGO). Under one sun irradiation, the sponge achieves a rapid evaporation rate (1.60 kg m-2 h-1) and high interfacial water evaporation efficiency (92 %) due to its good absorption, photothermal, thermal insulation, and fast water transport properties. Meanwhile, the concentrations of radioactive elements (strontium, cesium, and uranium) in wastewater dropped from grams to micrograms after purification, even under radiation and acidic conditions. Additionally, the durability and repeatability of the sponge also have been verified. The results showed that solar-driven interfacial evaporation can effectively treat radioactive wastewater and enrich various radionuclides in a more energy-saving manner. In this work, the influence of oxygen-containing surface groups of activated carbon electrodes on the charge efficiency of electro-assisted adsorption of As(V) was investigated. It was distinguished between activated carbons modified through acidic (oxidation) and thermal (reduction) treatments, starting with a granular pristine commercial activated carbon of bituminous origin. The textural characterization of the three materials showed that the treatments did not produce significant changes in the surface area and in the distribution of pores. The three carbon samples were used to fabricate packed electrodes with stainless-steel mesh as electric current collector. This work report that the application of anodic potentials (1.01 and 1.41 V vs. NHE) increased the adsorption capacity and rate of arsenate uptake in solutions containing only this contaminant (2.5 mg L-1) at pH 7. The oxidized carbon electrode presented the lowest capacitance and adsorption capacity during electroadsorption (0.33 mg g-1), compared to pristine material (1.77 mg g-1). On the other hand, the reduced electrode displayed the highest adsorption capacity of arsenate (3.14 mg g-1) when applying a potential of 1.01 V. The results were correlated with the potential of zero charge values. In addition, for this material, the rate of kinetics increased 26.7 % compared to experiments without applied potential. In this work, a self-supported electrode has been designed and fabricated based on carbon cloth-supported polyaniline array and Pt nanosheets (Pt-PANI-CC). PANI array was firstly loaded on the surface of CC via chronoamperometry technique, and then, Pt nanosheets were deposited on the per-grown PANI array through amperometric measurement. The hierarchical structure of Pt-PANI-CC electrode and unique sheet-like Pt nanoparticles offered large specific surface and response centers. The electrochemical sensor based on Pt-PANI-CC electrode has been successfully constructed for detection of ammonia. The experiment results demonstrated that Pt-PANI-CC displayed great catalytic activity for electro-oxidation of ammonia and exhibited acceptable performances for sensing ammonia with low detection limit of 77.2 nM and wide linear range from 0.5 μM to 550 μM. Ko143 Moreover, the anti-interference ability, reusability, reproducibility and stability of sensor have been investigated and showed great performances. This work provides a promising way for designing self-supported sensing electrode toward a wide electrochemical detection. Crystal facets can affect the catalytic decomposition of ammonium perchlorate, but the underlying mechanisms have long remained unclear. Here, we use the nanorods, nanosheets and nanocubes of Co3O4 catalysts exposing 110, 111 and 100 facets as model systems to investigate facet effects on catalytic AP decomposition. The peak temperature of high temperature decomposition (HTD) process (THTD) of AP by nanorods, nanosheets and nanocubes Co3O4 decrease from 437.0 °C to 289.4 °C, 299.9 °C and 326.3 °C, respectively, showing obvious facet effects. We design experiments about AP decomposition under different atmospheres to investigate its mechanism and verify that the accumulation of ammonia (NH3) on AP surface can inhibit its decomposition and that the facet effects are related to the adsorption and oxidation of NH3. The binding energies of NH3 on the 110, 111 and 100 planes calculated via density functional theory (DFT) are -1.774 eV, -1.638 eV, and -1.354 eV, respectively, indicating that the 110 planes are more favorable for the adsorption of NH3. Moreover, the 110 planes are readily to form CoNO structure, which benefits the further oxidation of the NH3. Magnetic materials have been widely used for constructing substrate in surface enhanced Raman scattering (SERS) sensing due to the magnetic responsibility. Here, we reported a facile and effective approach to construct multi-functional SERS substrate based on assembling Ag nanoparticles (NPs) on porous Fe microspheres. The porous Fe microspheres were prepared through hydrogen reduction of Fe2O3 NPs with porous structure, in which the size and morphology of Fe could be well controlled. The surface of Fe was grafted with amino group, and then decorated with Ag NPs. The surface area and pore size of Fe microsphere were characterized by nitrogen adsorption and desorption. The Fe@Ag nanocomposite illustrated a good SERS activity. Furthermore, this substrate could be used for pesticide monitoring by portable Raman spectrometer. Especially, the porous Fe microsphere could adsorb analyte from target sample and the Fe@Ag could be concentrated by magnetic force to amplify the SERS signal for thiram detection. This research reports a new mercury adsorbent in which Fe3O4 as a core was embedded into the shell of ZIF-90 in a one-pot synthesis and the subsequent post synthesis modification (PSM) of its surface with cysteine covalently, via a Schiff's base reaction. Poly acrylic acid (PAA) was capped on the surface of nanoparticles to prevent agglomeration of the nanoparticles. In addition, -COOH groups of PAA coordinated with Zn2+ of ZIF-90 and this provided the platform for ZIF-90 to grow on the nanoparticles forming the core-shell structure. Based on the strong interactions between the thiol groups on the adsorbent and mercury ions as elucidated by the XPS analysis, the as-synthesized adsorbent showed selectivity for Hg2+. The sorbent exhibited high adsorption capacity of 900 mg g-1 towards Hg2+ as calculated at pH 4 and the adsorption kinetics followed pseudo-second-order kinetics model better. The Hg2+ loaded adsorbent was easily regenerated and it maintained about 70 % efficiency after the third use. Low-cost, readily available and green materials, facile preparation, efficient removal and the breakthrough in three times recyclability give the novel ZIF-90 based hybrid nanoadsorbent wide prospects in the field of environmental remediation as a good adsorbent for Hg2+ removal in wastewater.