Three patients with insulin-treated diabetes and senile dementia of Alzheimer''s type

Caught between the successes of modern psychopharmacology, the requests of suffering patients for quick relief, and the shortsightedness of many third-party payers, psychodynamic psychotherapy might seem to be on the ropes. It is, however, thriving and providing crucial help to many individuals for whom medication and brief counseling are insufficient. Meanwhile, many more who could benefit from psychotherapy do not have an opportunity to do so. Although psychodynamic psychotherapy originated and developed within a medical framework, it has minimal visibility on the current medical scene, and many physicians have been provided with little meaningful information about it. This article is intended to give physicians a general idea of what psychodynamic psychotherapy is and how it works.     

Powdered formulation of liquid oil terpenoid included in cyclodextrins for chemical stabilization and improved handling

Teprenone (Tp) is a widely used pharmaceutically active ingredient in terpene anti-ulcer agents. We investigated Tp and cyclodextrin (CD) complexes for the objective of forming stable Tp powders. Tp was combined with each CD at a molar ratio of 1:2, kneaded together while adding an appropriate amount of water, then dried under reduced pressure and lightly milled into a powder to produce a kneaded mixture (KM). Powder X-ray diffraction of KM containing Tp and β- and γ-CD revealed new diffraction peaks. On infrared spectroscopy, the peak near 1718 cm^?1 corresponding to the carbonyl group of Tp had shifted to around 1701 cm^?1. Solid-state NMR spectroscopy showed signs of inhibited molecular mobility of Tp, which is liquid at room temperature, confirming that Tp had formed complexes with β- and γ-CD. Photostability analysis of Tp showed improved stability in the order of γ-CD > β-CD ? α-CD.     

A New Equation for Predicting the Dielectric Constant of a Mixture

The dielectric constant of a compound consisting of two different materials was simulated using the Monte Carlo and finite element methods. In the high concentration range of the higher dielectric constant material, the simulated value of the dielectric constant showed a "parallel-model"-like tendency. On the other hand, in the low concentration range of the higher dielectric constant material, the compound showed a "serial-model"-like behavior. Around 65% content of the higher dielectric constant material, it exhibited results similar to the logarithmic mixing rule. After careful consideration of these results, a new equation to predict the dielectric constant of the compound was derived. The agreement between the dielectric constant calculated by the new equation and the measured values was better than in any other case reported before.     

Comparison of the relative stability of pharmaceutical cocrystals consisting of paracetamol and dicarboxylic acids

Objective: The aim of this study is to evaluate the relative stability of pharmaceutical cocrystals consisting of paracetamol (APAP) and oxalic acid (OXA) or maleic acid (MLA).

Significance: These observations of cocrystal stability under various conditions are useful coformer criteria when cocrystals are selected as the active pharmaceutical ingredient in drug development.

Method: The relative stability was determined from the preferentially formed cocrystals under various conditions.

Result: Cocrystal of APAP–OXA was more stable than that of APAP–MLA in a ternary cogrinding system and possessed thermodynamical stability. On the other hand, when grinding with moisture or maintaining at high temperatures and relative humidity conditions, APAP–MLA was more stable, and OXA converted to OXA dihydrate. In the slurry method, APAP–OXA was more stable in aprotic solvents because the APAP–OXA with low-solubility product precipitated.

Conclusions: The relative stability order was affected by preparing conditions of presence of moisture. This order might attribute to the small difference of crystal structure in the extension of the hydrogen bond network.     

A new approach for body heat energy harvesting

A new approach for body heat energy harvesting was proposed, and the theoretical performance has been demonstrated for wearable health care sensors as a target. One of the most important issues in the wearable system is a power supply. Humans keep their body temperature constant as long as they are alive. If we use thermal energy effectively, we could get the energy no matter when and where we go. However, thermal energy has hardly been used as power supply because thermoelectric conversion efficiency is very low. Quite different from the conventional thermoelectric device, the new approach uses rotation of turbine by stack effect. The driving force for the turbine is the pressure difference (ΔP) created by stack effect in a closed system. To obtain high performance, the device parameters are optimized by theoretical analysis. The obtained power density is 97.2 mW/cm³ when the outside air temperature is 277.15 K, and the device size is 5 mm × 2 mm × 10 mm. The energy density of the device is five or more times larger than that of a solar cell. The energy device can be assembled directly inside the various kind of wearable health care sensors. Therefore, the new approach for the body heat energy harvesting is a promising power supply means for the wearable system.     

Clinical evaluation of a reagent for detection of DNA of Mycobacterium tuberculosis complex using the ligase chain reaction (LCR) method

We evaluated the clinical efficacy of LCR MTB, a reagent developed by Abbott in the USA, in the full automatic ligase chain reaction (LCR) for detection of DNA of M. tuberculosis complex using a thermostable ligase. Using 458 samples isolated from patients with tuberculosis, LCR was compared with a smear method and with a culture method, and was also compared with two other methods of gene amplification, MTD and Amplicor, using 340 and 200 of the 458 samples, respectively. The LCR method detected M. tuberculosis in 49.8% (228/458) of the samples, and was superior to the smear method (31.9%, 146/458) and the culture method (39.1%, 179/458) in sensitivity. The LCR method was also superior to the MTD and Amplicor methods; sensitivity were 37.9% (129/340) for MTD vs. 47.6% (162/340) for LCR, and 56.5% (113/200) for Amplicor vs. 59.5% (119/200) for LCR. These favorable results and the convenience of the LCR method, which enables rapid detection of target genes with a high degree of sensitivity, strongly suggest that LCR MTB is useful as a reagent for detection of M. tuberculosis using nucleic acid amplification.     

A study of virulence factors produced by MRSA strains isolated from blood samples

Toxic shock syndrome toxin-1 (TSST-1) and enterotoxins are important virulence factors produced by Staphylococcus aureus. It is reported that these toxins are associated with septic shock and toxic shock syndrome. We investigated the toxin production and coagulase types of 701 MRSA strains isolated in Sasebo City General Hospital between 1994 and 1996 TSST-1 or/and enterotoxins were detected in 67% of all MRSA strains, and those were detected in 88% of MRSA strains isolated from blood samples. 45% of all MRSA strains produced both TSST-1 and enterotoxin C, and 70% of MRSA strains obtained from blood produced those toxins. Frequency of TSST-1 or/and enterotoxin production by MRSA strains isolated from blood samples was significantly higher than that by MRSA strains isolated from urine and pharynx (p < 0.05), and frequency of both TSST-1 and enterotoxin C production by MRSA isolates from blood was significantly higher than that by MRSA strains isolated from pharyngeal sample (p < 0.05). This study indicated that investigation of virulence factors produced by MRSA might give the useful information on prevention and treatment of MRSA infection.     

Diacylglycerol oil for the metabolic syndrome

Excess adiposity has been shown to play a crucial role in the development of the metabolic syndrome. The elevated fasting and postprandial triglyceride-rich lipoprotein levels is the central lipid abnormality observed in the metabolic syndrome. Recent studies have indicated that diacylglycerol (DAG) is effective for fasting and postprandial hyperlipidemia and preventing excess adiposity by increasing postprandial energy expenditure. We will here discuss the mechanisms of DAG-mediated improvements in hyperlipidemia and in postprandial energy expenditure, and effects of DAG oil on lipid/glucose metabolism and on body fat. Further, the therapeutic application of DAG for the metabolic syndrome will be considered.     

Clustering and Vacancy Behavior in High- and Low-Solute Al-Mg-Si Alloys

The precipitate microstructure and vacancy distribution in Al-Mg-Si alloys with different amounts of solute and different heat treatments were investigated by transmission electron microscopy and muon spin relaxation measurements. A high amount of vacancies is normally present in Al-Mg-Si alloys as these bind to atomic clusters. We observe these vacancies to leave the material not before over-aging at very high temperatures such as 623 K (350 °C), meaning that vacancies do not bind to incoherent over-aged precipitates. For samples only stored at room temperature after solution heat treatment, a reduction of muon trapping was found at a temperature of 140 K (?133 °C) when reducing the amount of solute in the alloy. This might be connected to a lower number density of Cluster (1), which contrary to Cluster (2) do not nucleate precipitates upon further aging of the material.     

Interaction of cyclomaltononaose (delta-CD) with several drugs.

The effects of delta-cyclodextrin (delta-CD; cyclomaltononaose) on solubility of 14 drugs that are slightly soluble or insoluble in water were studied and compared with those of conventional cyclodextrins (CDs) such as alpha-cyclodextrin (alpha-CD), beta-cyclodextrin (beta-CD), and gamma-cyclodextrin (gamma-CD). In general, delta-CD had a weak complex-forming ability with the drugs examined in comparison with beta-CD and gamma-CD. However, in the case of digitoxin, delta-CD enhanced solubility of the guest molecules. To determine the mechanism of inclusion complex formation of delta-CD with digitoxin, the interaction of both drugs was investigated by the solubility method and spectroscopic methods such as ultraviolet (UV) and 1H-NMR (nuclear magnetic resonance). The changes in chemical shift (1H) and hypsochromic shift of UV suggested that digitoxin was partially included in the cavity of delta-CD.