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1.
Molecules ; 28(21)2023 Oct 27.
Article in English | MEDLINE | ID: mdl-37959724

ABSTRACT

Lithium-sulfur (Li-S) batteries have emerged as one of the most hopeful alternatives for energy storage systems. However, the commercialization of Li-S batteries is still confronted with enormous hurdles. The poor conductivity of sulfur cathodes induces sluggish redox kinetics. The shuttling of polysulfides incurs the heavy failure of electroactive substances. Tremendous efforts in experiments to seek efficient catalysts have achieved significant success. Unfortunately, the understanding of the underlying catalytic mechanisms is not very detailed due to the complicated multistep conversion reactions in Li-S batteries. In this review, we aim to give valuable insights into the connection between the catalyst activities and the structures based on theoretical calculations, which will lead the catalyst design towards high-performance Li-S batteries. This review first introduces the current advances and issues of Li-S batteries. Then we discuss the electronic structure calculations of catalysts. Besides, the relevant calculations of binding energies and Gibbs free energies are presented. Moreover, we discuss lithium-ion diffusion energy barriers and Li2S decomposition energy barriers. Finally, a Conclusions and Outlook section is provided in this review. It is found that calculations facilitate the understanding of the catalytic conversion mechanisms of sulfur species, accelerating the development of advanced catalysts for Li-S batteries.

2.
Small Methods ; 7(9): e2300345, 2023 Sep.
Article in English | MEDLINE | ID: mdl-37231555

ABSTRACT

The demand for lithium-ion batteries has significantly increased due to the increasing adoption of electric vehicles (EVs). However, these batteries have a limited lifespan, which needs to be improved for the long-term use needs of EVs expected to be in service for 20 years or more. In addition, the capacity of lithium-ion batteries is often insufficient for long-range travel, posing challenges for EV drivers. One approach that has gained attention is using core-shell structured cathode and anode materials. That approach can provide several benefits, such as extending the battery lifespan and improving capacity performance. This paper reviews various challenges and solutions by the core-shell strategy adopted for both cathodes and anodes. The highlight is scalable synthesis techniques, including solid phase reactions like the mechanofusion process, ball-milling, and spray-drying process, which are essential for pilot plant production. Due to continuous operation with a high production rate, compatibility with inexpensive precursors, energy and cost savings, and an environmentally friendly approach that can be carried out at atmospheric pressure and ambient temperatures. Future developments in this field may focus on optimizing core-shell materials and synthesis techniques for improved Li-ion battery performance and stability.

3.
Mol Psychiatry ; 28(6): 2500-2507, 2023 06.
Article in English | MEDLINE | ID: mdl-36991129

ABSTRACT

Deep brain stimulation (DBS) of the ventral anterior limb of the internal capsule (vALIC) is a promising intervention for treatment-resistant depression (TRD). However, the working mechanisms of vALIC DBS in TRD remain largely unexplored. As major depressive disorder has been associated with aberrant amygdala functioning, we investigated whether vALIC DBS affects amygdala responsivity and functional connectivity. To investigate the long-term effects of DBS, eleven patients with TRD performed an implicit emotional face-viewing paradigm during functional magnetic resonance imaging (fMRI) before DBS surgery and after DBS parameter optimization. Sixteen matched healthy controls performed the fMRI paradigm at two-time points to control for test-retest effects. To investigate the short-term effects of DBS de-activation after parameter optimization, thirteen patients additionally performed the fMRI paradigm after double-blind periods of active and sham stimulation. Results showed that TRD patients had decreased right amygdala responsivity compared to healthy controls at baseline. Long-term vALIC DBS normalized right amygdala responsivity, which was associated with faster reaction times. This effect was not dependent on emotional valence. Furthermore, active compared to sham DBS increased amygdala connectivity with sensorimotor and cingulate cortices, which was not significantly different between responders and non-responders. These results suggest that vALIC DBS restores amygdala responsivity and behavioral vigilance in TRD, which may contribute to the DBS-induced antidepressant effect.


Subject(s)
Deep Brain Stimulation , Depressive Disorder, Major , Depressive Disorder, Treatment-Resistant , Humans , Depressive Disorder, Major/therapy , Depressive Disorder, Major/etiology , Depression , Deep Brain Stimulation/methods , Depressive Disorder, Treatment-Resistant/therapy , Amygdala , Treatment Outcome
4.
ACS Omega ; 7(36): 32740-32748, 2022 Sep 13.
Article in English | MEDLINE | ID: mdl-36120060

ABSTRACT

Silicon (Si) is an attractive anode material for Li-ion batteries (LIBs) due to its high theoretical specific capacity. However, the solid-electrolyte interphase (SEI) formation, caused by liquid electrolyte decomposition, often befalls Si electrodes. The SEI layer is less Li-ion conductive, which would significantly inhibit Li-ion transport and delay the reaction kinetics. Understanding the interaction between the SEI components and Li-ion diffusion is crucial for further improving the cycling performance of Si. Herein, different liquid electrolytes are applied to investigate the induced SEI components, structures, and their role in Li-ion transport. It is found that Si electrodes exhibit higher discharge capacities in LiClO4-based electrolytes than in LiPF6-based electrolytes. This behavior suggests that a denser and more conductive SEI layer is formed in LiClO4-based electrolytes. In addition, a coating of a Li3PO4 artificial SEI layer on Si suppresses the formation of natural SEI formation, leading to higher capacity retentions. Furthermore, galvanostatic intermittent titration technique (GITT) measurements are applied to calculate Li-ion diffusion coefficients, which are found in the range of 10-23-10-19 m2/s.

5.
ACS Appl Mater Interfaces ; 13(21): 24785-24794, 2021 Jun 02.
Article in English | MEDLINE | ID: mdl-34013732

ABSTRACT

A three-dimensional (3D) printing method has been developed for preparing a lithium anode base on 3D-structured copper mesh current collectors. Through in situ observations and computer simulations, the deposition behavior and mechanism of lithium ions in the 3D copper mesh current collector are clarified. Benefiting from the characteristics that the large pores can transport electrolyte and provide space for dendrite growth, and the small holes guide the deposition of dendrites, the 3D Cu mesh anode exhibits excellent deposition and stripping capability (50 mAh cm-2), high-rate capability (50 mA cm-2), and a long-term stable cycle (1000 h). A full lithium battery with a LiFePO4 cathode based on this anode exhibits a good cycle life. Moreover, a 3D fully printed lithium-sulfur battery with a 3D printed high-load sulfur cathode can easily charge mobile phones and light up 51 LED indicators, which indicates the great potential for the practicability of lithium-metal batteries with the characteristic of high energy densities. Most importantly, this unique and simple strategy is also able to solve the dendrite problem of other secondary metal batteries. Furthermore, this method has great potential in the continuous mass production of electrodes.

6.
Nat Commun ; 11(1): 3283, 2020 Jul 01.
Article in English | MEDLINE | ID: mdl-32612261

ABSTRACT

While intensive efforts have been devoted to studying the nature of the solid-electrolyte interphase (SEI), little attention has been paid to understanding its role in the mechanical failures of electrodes. Here we unveil the impact of SEI inhomogeneities on early-stage defect formation in Si electrodes. Buried under the SEI, these early-stage defects are inaccessible by most surface-probing techniques. With operando full field diffraction X-ray microscopy, we observe the formation of these defects in real time and connect their origin to a heterogeneous degree of lithiation. This heterogeneous lithiation is further correlated to inhomogeneities in topography and lithium-ion mobility in both the inner- and outer-SEI, thanks to a combination of operando atomic force microscopy, electrochemical strain microscopy and sputter-etched X-ray photoelectron spectroscopy. Our multi-modal study bridges observations across the multi-level interfaces (Si/LixSi/inner-SEI/outer-SEI), thus offering novel insights into the impact of SEI homogeneities on the structural stability of Si-based lithium-ion batteries.

7.
J Neurol Neurosurg Psychiatry ; 91(2): 189-195, 2020 02.
Article in English | MEDLINE | ID: mdl-31801845

ABSTRACT

OBJECTIVE: Deep brain stimulation (DBS) reduces depressive symptoms in approximately 40%-60% of patients with treatment-resistant depression (TRD), but data on long-term efficacy and safety are scarce. Our objective was to assess the efficacy and safety of DBS targeted at the ventral anterior limb of the internal capsule (vALIC) in 25 patients with TRD during a 1-year, open-label, maintenance period, which followed a 1-year optimisation period. METHODS: Depression severity was measured using the 17-item Hamilton Depression Rating Scale (HAM-D-17), Montgomery-Asberg Depression Rating Scale (MADRS) and self-reported Inventory of Depressive Symptomatology (IDS-SR). Primary outcomes were response rate (≥50% HAM-D-17 score reduction) after the maintenance phase, approximately 2 years after DBS surgery, and changes in depression scores and occurrence of adverse events during the maintenance phase. RESULTS: Of 25 operated patients, 21 entered and 18 completed the maintenance phase. After the maintenance phase, eight patients were classified as responder (observed response rate: 44.4%; intention-to-treat: 32.0%). During the maintenance phase, HAM-D-17 and MADRS scores did not change, but the mean IDS-SR score decreased from 38.8 (95% CI 31.2 to 46.5) to 35.0 (95% CI 26.1 to 43.8) (p=0.008). Non-responders after optimisation did not improve during the maintenance phase. Four non-DBS-related serious adverse events occurred, including one suicide attempt. CONCLUSIONS: vALIC DBS for TRD showed continued efficacy 2 years after surgery, with symptoms remaining stable after optimisation as rated by clinicians and with patient ratings improving. This supports DBS as a viable treatment option for patients with TRD. TRIAL REGISTRATION NUMBER: NTR2118.


Subject(s)
Deep Brain Stimulation/methods , Depressive Disorder, Treatment-Resistant/therapy , Internal Capsule , Deep Brain Stimulation/adverse effects , Female , Humans , Male , Middle Aged , Psychiatric Status Rating Scales , Treatment Outcome
8.
Small ; 16(4): e1906131, 2020 Jan.
Article in English | MEDLINE | ID: mdl-31885140

ABSTRACT

Benefiting from the natural abundance and low standard redox potential of potassium, potassium-ion batteries (PIBs) are regarded as one of the most promising alternatives to lithium-ion batteries for low-cost energy storage. However, most PIB electrode materials suffer from sluggish thermodynamic kinetics and dramatic volume expansion during K+ (de)intercalation. Herein, it is reported on carbon-coated K2 Ti2 O5 microspheres (S-KTO@C) synthesized through a facile spray drying method. Taking advantage of both the porous microstructure and carbon coating, S-KTO@C shows excellent rate capability and cycling stability as an anode material for PIBs. Furthermore, the intimate integration of carbon coating through chemical vapor deposition technology significantly enhances the K+ intercalation pseudocapacitive behavior. As a proof of concept, a potassium-ion hybrid capacitor is constructed with the S-KTO@C (battery-type anode material) and the activated carbon (capacitor-type cathode material). The assembled device shows a high energy density, high power density, and excellent capacity retention. This work can pave the way for the development of high-performance potassium-based energy storage devices.

9.
Adv Mater ; : e1801334, 2018 May 31.
Article in English | MEDLINE | ID: mdl-29855109

ABSTRACT

Sodium (Na) metal is one of the most promising electrode materials for next-generation low-cost rechargeable batteries. However, the challenges caused by dendrite growth on Na metal anodes restrict practical applications of rechargeable Na metal batteries. Herein, a nitrogen and sulfur co-doped carbon nanotube (NSCNT) paper is used as the interlayer to control Na nucleation behavior and suppress the Na dendrite growth. The N- and S-containing functional groups on the carbon nanotubes induce the NSCNTs to be highly "sodiophilic," which can guide the initial Na nucleation and direct Na to distribute uniformly on the NSCNT paper. As a result, the Na-metal-based anode (Na/NSCNT anode) exhibits a dendrite-free morphology during repeated Na plating and striping and excellent cycling stability. As a proof of concept, it is also demonstrated that the electrochemical performance of sodium-oxygen (Na-O2 ) batteries using the Na/NSCNT anodes show significantly improved cycling performances compared with Na-O2 batteries with bare Na metal anodes. This work opens a new avenue for the development of next-generation high-energy-density sodium-metal batteries.

10.
Materials (Basel) ; 10(9)2017 Sep 12.
Article in English | MEDLINE | ID: mdl-28895931

ABSTRACT

By ultrasonic spray deposition of precursors, conformal deposition on 3D surfaces of tungsten oxide (WO3) negative electrode and amorphous lithium lanthanum titanium oxide (LLT) solid-electrolyte has been achieved as well as an all-solid-state half-cell. Electrochemical activity was achieved of the WO3 layers, annealed at temperatures of 500 °C. Galvanostatic measurements show a volumetric capacity (415 mAh·cm-3) of the deposited electrode material. In addition, electrochemical activity was shown for half-cells, created by coating WO3 with LLT as the solid-state electrolyte. The electron blocking properties of the LLT solid-electrolyte was shown by ferrocene reduction. 3D depositions were done on various micro-sized Si template structures, showing fully covering coatings of both WO3 and LLT. Finally, the thermal budget required for WO3 layer deposition was minimized, which enabled attaining active WO3 on 3D TiN/Si micro-cylinders. A 2.6-fold capacity increase for the 3D-structured WO3 was shown, with the same current density per coated area.

11.
Brain Stimul ; 10(5): 959-966, 2017.
Article in English | MEDLINE | ID: mdl-28754306

ABSTRACT

BACKGROUND: Electroconvulsive Therapy (ECT) and Deep Brain Stimulation (DBS) are effective treatments for patients with treatment-resistant depression (TRD). However, a common side effect of ECT is autobiographical memory loss (e.g., personal experiences), whereas the impact of DBS on autobiographical memories has never been established. OBJECTIVE: Comparing autobiographical memories following DBS and ECT. METHODS: In two hospitals in The Netherlands, we interviewed 25 TRD patients treated with DBS of the ventral anterior limb of the internal capsule (vALIC), 14 TRD patients treated with ECT and 22 healthy controls (HC) with the Autobiographical Memory Inventory - Short Form (AMI-SF) in a prospective, longitudinal study between March 2010 and August 2016. Patients treated with DBS were interviewed before surgery, after surgery, and twice during treatment over 122.7 (SD: ±22.2) weeks. Patients treated with ECT were tested before ECT, after six right unilateral (RUL) ECT sessions and twice following ECT over 65.1 (±9.3) weeks. Controls were tested four times over 81.5 (±15.6) weeks. RESULTS: Compared to HC, the AMI-SF score decreased faster in both TRD groups (P < 0.001). More specifically, AMI-SF score decreased in a comparable rate as HC after DBS surgery, but decreased more during treatment. The AMI-SF decrease in the ECT group was larger than both the DBS and HC groups. CONCLUSIONS: Both ECT and vALIC DBS result in a faster autobiographical memory decline compared to HC. DBS might have a negative impact on autobiographical memories, although less so than ECT. Future work should dissect whether DBS or characteristics of TRD cause this decline.


Subject(s)
Deep Brain Stimulation/trends , Depressive Disorder, Treatment-Resistant/physiopathology , Depressive Disorder, Treatment-Resistant/therapy , Electroconvulsive Therapy/trends , Internal Capsule/physiology , Memory, Episodic , Adult , Cross-Over Studies , Deep Brain Stimulation/methods , Depressive Disorder, Treatment-Resistant/diagnosis , Double-Blind Method , Electroconvulsive Therapy/methods , Female , Humans , Longitudinal Studies , Male , Middle Aged , Prospective Studies , Treatment Outcome
12.
JAMA Psychiatry ; 73(5): 456-64, 2016 May 01.
Article in English | MEDLINE | ID: mdl-27049915

ABSTRACT

IMPORTANCE: Patients with treatment-resistant depression (TRD) do not respond sufficiently to several consecutive treatments for major depressive disorder. Deep brain stimulation (DBS) is a promising treatment for these patients, but presently placebo effects cannot be ruled out. OBJECTIVE: To assess the efficacy of DBS of the ventral anterior limb of the internal capsule (vALIC), controlling for placebo effects with active and sham stimulation phases. DESIGN, SETTING, AND PARTICIPANTS: Twenty-five patients with TRD from 2 hospitals in the Netherlands were enrolled between March 22, 2010, and May 8, 2014. Patients first entered a 52-week open-label trial during which they received bilateral implants of 4 contact electrodes followed by optimization of DBS until a stable response was achieved. A randomized, double-blind, 12-week crossover phase was then conducted with patients receiving active treatment followed by sham or vice versa. Response and nonresponse to treatment were determined using intention-to-treat analyses. INTERVENTIONS: Deep brain stimulation targeted to the vALIC. MAIN OUTCOMES AND MEASURES: The change in the investigator-rated score of the 17-item Hamilton Depression Rating Scale (HAM-D-17) was the main outcome used in analysis of the optimization phase. The primary outcome of the crossover phase was the difference in the HAM-D-17 scores between active and sham DBS. The score range of this tool is 0 to 52, with higher scores representing more severe symptoms. Patients were classified as responders to treatment (≥50% decrease of the HAM-D-17 score compared with baseline) and partial responders (≥25 but <50% decrease of the HAM-D-17 score). RESULTS: Of 25 patients included in the study, 8 (32%) were men; the mean (SD) age at inclusion was 53.2 (8.4) years. Mean HAM-D-17 scores decreased from 22.2 (95% CI, 20.3-24.1) at baseline to 15.9 (95% CI, 12.3-19.5) (P = .001), Montgomery-Åsberg Depression Rating Scale scores from 34.0 (95% CI, 31.8-36.3) to 23.8 (95% CI, 18.4-29.1) (P < .001), and Inventory of Depressive Symptomatology-Self-report scores from from 49.3 (95% CI, 45.4-53.2) to 38.8 (95% CI, 31.6-46.0) (P = .005) in the optimization phase. Following the optimization phase, which lasted 51.6 (22.0) weeks, 10 patients (40%) were classified as responders and 15 individuals (60%) as nonresponders. Sixteen patients entered the randomized crossover phase (9 responders [56%], 7 nonresponders [44%]). During active DBS, patients scored significantly lower on the HAM-D-17 scale (13.6 [95% CI, 9.8-17.4]) than during sham DBS (23.1 [95% CI, 20.6-25.6]) (P < .001). Serious adverse events included severe nausea during surgery (1 patient), suicide attempt (4 patients), and suicidal ideation (2 patients). CONCLUSIONS AND RELEVANCE: Deep brain stimulation of the vALIC resulted in a significant decrease of depressive symptoms in 10 of 25 patients and was tolerated well. The randomized crossover design corroborates that vALIC DBS causes symptom reduction rather than sham. TRIAL REGISTRATION: trialregister.nl Identifier: NTR2118.


Subject(s)
Deep Brain Stimulation/methods , Depressive Disorder, Major/therapy , Depressive Disorder, Treatment-Resistant/therapy , Internal Capsule/physiopathology , Adult , Cross-Over Studies , Deep Brain Stimulation/adverse effects , Depressive Disorder, Major/physiopathology , Depressive Disorder, Treatment-Resistant/physiopathology , Double-Blind Method , Electrodes, Implanted , Female , Humans , Intention to Treat Analysis , Male , Middle Aged , Netherlands , Treatment Outcome
13.
J Nanosci Nanotechnol ; 15(9): 6386-96, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26716192

ABSTRACT

Nowadays, it is a great challenge to eliminate toxic and harmful organic pollutants from air and water. This paper reviews the role of TiO2 as a photocatalyst, light source and photoreactor in the particular case of removal of formaldehyde using the photocatalytic reaction by titanium dioxide (TiO2) in aqueous and gaseous systems. The reaction mechanisms of the photocatalytic oxidation of gaseous formaldehyde are given. We also present a detailed review of published articles on photocatalytic degradation of formaldehyde by modified titanium dioxide doped with foreign species such as metal and non-metal components. We point out the most prospective developments of the photocatalyst compositions for the future potential commercial applications.


Subject(s)
Air Pollutants , Formaldehyde , Water Pollutants, Chemical , Air Pollutants/analysis , Air Pollutants/chemistry , Air Pollutants/isolation & purification , Environmental Restoration and Remediation , Formaldehyde/analysis , Formaldehyde/chemistry , Formaldehyde/isolation & purification , Photolysis , Titanium , Water Pollutants, Chemical/analysis , Water Pollutants, Chemical/chemistry , Water Pollutants, Chemical/isolation & purification
14.
Nat Commun ; 6: 7824, 2015 Jul 17.
Article in English | MEDLINE | ID: mdl-26183949

ABSTRACT

Photoelectrochemical hydrogen production from solar energy and water offers a clean and sustainable fuel option for the future. Planar III/V material systems have shown the highest efficiencies, but are expensive. By moving to the nanowire regime the demand on material quantity is reduced, and new materials can be uncovered, such as wurtzite gallium phosphide, featuring a direct bandgap. This is one of the few materials combining large solar light absorption and (close to) ideal band-edge positions for full water splitting. Here we report the photoelectrochemical reduction of water, on a p-type wurtzite gallium phosphide nanowire photocathode. By modifying geometry to reduce electrical resistance and enhance optical absorption, and modifying the surface with a multistep platinum deposition, high current densities and open circuit potentials were achieved. Our results demonstrate the capabilities of this material, even when used in such low quantities, as in nanowires.

15.
Nano Lett ; 14(7): 3715-9, 2014 Jul 09.
Article in English | MEDLINE | ID: mdl-24875657

ABSTRACT

Semiconductor nanowire arrays are expected to be advantageous for photoelectrochemical energy conversion due to their reduced materials consumption. In addition, with the nanowire geometry the length scales for light absorption and carrier separation are decoupled, which should suppress bulk recombination. Here, we use vertically aligned p-type InP nanowire arrays, coated with noble-metal-free MoS3 nanoparticles, as the cathode for photoelectrochemical hydrogen production from water. We demonstrate a photocathode efficiency of 6.4% under Air Mass 1.5G illumination with only 3% of the surface area covered by nanowires.

16.
Psychol Health ; 29(3): 253-63, 2014.
Article in English | MEDLINE | ID: mdl-24160441

ABSTRACT

Non-cardiac chest pain (NCCP) is common in clinical cardiology. Anxiety is an important factor in NCCP because of its role in the neurobehavioural processes of pain regulation. It is not well established that which specific anxiety symptoms are disproportionately elevated in NCCP and whether the association between anxiety and NCCP is independent of personality factors. Participants with NCCP (N = 46; mean age 44.9 ± 14.7; 67% women) were evaluated for anxiety (Spielberger State-Trait Anxiety Inventory[STAI]), clinical measures and personality factors (negative affectivity and social inhibition measured by the Type D inventory). Item analysis was conducted for each of the anxiety symptoms. A healthy reference group was used for comparison purposes (N = 1233; mean age 55.2 ± 14.3; 50% women). Results showed that NCCP was associated with elevated anxiety levels (STAI ≥ 45) compared to the reference group (OR = 3.27, 95% CI = 1.68-6.36; p < .001). Item analyses revealed that all anxiety symptoms were associated with NCCP (median rho = .125, range .08-.18), particularly worry, tension and feeling frightened. Associations between anxiety and NCCP remained significant when adjusting for demographic, clinical and personality factors (OR = 2.52; 95% CI = 1.17-5.40). It is concluded that anxiety is strongly associated with NCCP. This association is not limited to physical anxiety symptoms and is independent of personality factors.


Subject(s)
Anxiety/etiology , Chest Pain/psychology , Adult , Aged , Case-Control Studies , Fear/psychology , Female , Humans , Male , Middle Aged , Personality Inventory , Risk Factors
18.
J Clin Psychiatry ; 70(2): 223-31, 2009 Feb.
Article in English | MEDLINE | ID: mdl-19200421

ABSTRACT

OBJECTIVE: Lamotrigine is one of the pharmacologic options for the treatment of bipolar depression but has only been studied as monotherapy. This study compared the acute effects of lamotrigine and placebo as add-on therapy to ongoing treatment with lithium in patients with bipolar depression. METHOD: Outpatients (N = 124) aged 18 years and older with a DSM-IV bipolar I or II disorder and a major depressive episode (Montgomery-Asberg Depression Rating Scale [MADRS] score > or = 18 and Clinical Global Impressions-Bipolar Version [CGI-BP] severity of depression score > or = 4) while receiving lithium treatment (0.6-1.2 mmol/L) were randomly assigned to 8 weeks of double-blind treatment with lamotrigine (titrated to 200 mg/d) or placebo. The primary outcome measure was mean change from baseline in total score on the MADRS at week 8. Secondary outcome measures were response (defined as a reduction of > or = 50% on the MADRS and/or change of depression score on the CGI-BP of "much improved" or "very much improved" compared to baseline) and switch to mania or hypomania (defined as a CGI-BP severity of mania score of at least mildly ill at any visit). Patients were included in the study between August 2002 (Spain started in October 2003) and May 2005. RESULTS: Endpoint mean change from baseline MADRS total score was -15.38 (SE = 1.32) points for lamotrigine and -11.03 (SE = 1.36) points for placebo (t = -2.29, df = 104, p = .024). Significantly more patients responded to lamotrigine than to placebo on the MADRS (51.6% vs. 31.7%, p = .030), but not on the CGI-BP change of depression (64.1% vs. 49.2%, p = .105). Switch to mania or hypomania occurred in 5 patients (7.8%) receiving lamotrigine and 2 patients (3.3%) receiving placebo (p = .441). CONCLUSION: Lamotrigine was found effective and safe as add-on treatment to lithium in the acute treatment of bipolar depression. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT00224510.


Subject(s)
Anticonvulsants/therapeutic use , Antimanic Agents/therapeutic use , Bipolar Disorder/drug therapy , Depressive Disorder, Major/drug therapy , Lithium Carbonate/therapeutic use , Triazines/therapeutic use , Adult , Anticonvulsants/adverse effects , Antimanic Agents/adverse effects , Bipolar Disorder/diagnosis , Bipolar Disorder/psychology , Depressive Disorder, Major/diagnosis , Depressive Disorder, Major/psychology , Dose-Response Relationship, Drug , Double-Blind Method , Drug Administration Schedule , Drug Therapy, Combination , Female , Humans , Lamotrigine , Lithium Carbonate/adverse effects , Male , Middle Aged , Psychiatric Status Rating Scales , Triazines/adverse effects
19.
J Phys Chem B ; 112(41): 13038-50, 2008 Oct 16.
Article in English | MEDLINE | ID: mdl-18800784

ABSTRACT

The Poisson-Boltzmann (PB) equation is widely used to calculate the interaction between electric potential and the distribution of charged species. In the case of a symmetrical electrolyte in planar geometry, the Gouy-Chapman (GC) solution is generally presented as the analytical solution of the PB equation. However, we demonstrate here that this GC solution assumes the presence of a bulk region with zero electric field, which is not justified in microdevices. In order to extend the range of validity, we obtain here the complete numerical solution of the planar PB equation, supported with analytical approximations. For low applied voltages, it agrees with the GC solution. Here, the electric double layers fully absorb the applied voltage such that a region appears where the electric field is screened. For higher voltages (of order 1 V in microdevices), the solution of the PB equation shows a dramatically different behavior, in that the double layers can no longer absorb the complete applied voltage. Instead, a finite field remains throughout the device that leads to complete separation of the charged species. In this higher voltage regime, the double layer characteristics are no longer described by the usual Debye parameter kappa, and the ion concentration at the electrodes is intrinsically bound (even without assuming steric interactions). In addition, we have performed measurements of the electrode polarization current on a nonaqueous model electrolyte inside a microdevice. The experimental results are fully consistent with our calculations, for the complete concentration and voltage range of interest.


Subject(s)
Algorithms , Electrolytes/chemistry , Electrodes , Models, Chemical , Polarography , Surface-Active Agents/chemistry , Thermodynamics
20.
Chemphyschem ; 9(7): 1040-5, 2008 May 16.
Article in English | MEDLINE | ID: mdl-18444259

ABSTRACT

A new approach to describe the equilibrium kinetics of chemisorption is proposed. The description of the system is based on first-principles chemical reaction kinetics and statistical thermodynamics. The rate constants are described by using a novel way of activation energy characterization. General expressions for equilibrium gas pressure isotherms and forward/backward reaction rates are obtained as a function of surface coverage. A strong influence of attraction and repulsion interaction energies between the adsorbed species on the equilibrium kinetics is found.

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