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Monthly Archive for March, 2009

Drugs & Clinical Trials

Lithium as a Neuroprotectant?

March 5, 2009 | By Sajid Surve, DO | 8 Comments

Lithium is an elemental chemical found naturally as an alkali metal. The ionic form can be used to form salts which are readily available for medicinal purposes. Although the exact mechanism of action for lithium is unknown, it is believed to function by simultaneously raising serotonin levels and lowering norepinephrine levels. Lithium is used primarily as a mood stabilizer, as it has the unique ability to treat both mania and depression. Unfortunately, the downside of lithium is that it has a very narrow therapeutic window, meaning the blood levels which provide benefits are very close to the blood levels which cause side effects and toxicity. Because of the need for such close monitoring of blood levels, the medication has largely fallen out of favor except for certain diseases like bipolar disorder.

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Psychology & Psychiatry

Poor Outcomes for Older Adults with Depression

March 3, 2009 | By Jennifer Gibson, PharmD | No Comments

Depression creates significant physical, psychological, and social burdens for all age groups. Depression can lead to decreased daily functioning, the onset of chronic illnesses, mortality, and increased use of health care services. Older adults are not immune to depressive symptoms or its negative effects, and may have poorer outcomes than younger age groups, according to a new study published in the British Medical Journal (BMJ).

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Petri dish with medium

Health & Healthcare

Logistical Barriers to Stem Cell Research

March 1, 2009 | By Sajid Surve, DO | 7 Comments

I recently attended a lecture by Wise Young, MD, PhD, who is a prolific researcher in the fields of spinal cord injury and stem cells. The lecture was fascinating, and part of the discussion was the current model for stem cell research. Currently we have two types of stem cells which are available for study: embryonic stem cells and induced pluripotent stem cells (iPSCs). As is well known, embryonic stem cells are derived from fertilized embryos that are allowed to multiply briefly before the cells are harvested. iPSCs are precursor cells found in adults, which are then chemically treated to revert them back to a stem cell.

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