RESUMO
Mood disorders account for a significant global disease burden, and pharmacological innovation is needed as existing medications are suboptimal. A wide range of evidence implicates circadian and sleep dysfunction in the pathogenesis of mood disorders, and there is growing interest in these chronobiological pathways as a focus for treatment innovation. We review contemporary evidence in three promising areas in circadian-clock-based therapeutics in mood disorders: targeting the circadian system informed by mechanistic molecular advances; time-tailoring of medications; and personalizing treatment using circadian parameters. We also consider the limitations and challenges in accelerating the development of new circadian-informed pharmacotherapies for mood disorders.
Assuntos
Relógios Circadianos , Transtornos do Humor , Humanos , Transtornos do Humor/tratamento farmacológico , BiologiaRESUMO
AIM: The aim of this study was to compare frictional resistance which was produced between conventional brackets (0.022 slot Otho-Organiser) and self ligating brackets (active Forestadent and passive Damon III) by using various arch wire combinations (0.016 Niti, 0.018 Niti, 0.017 x 0.025 SS and 0.019 x 0.025 SS). METHODS: An experimental model which consisted of 5 aligned stainless steel 0.022-in brackets was used to assess frictional forces which were produced by SLBs (self ligating brackets) and CELs (conventional elastomeric ligatures) with use of 0.016 nickel titanium, 0.018 nickel titanium, 0.017 X 0.025"stainless steel and 0.019 X 0.025"stainless steel wires. STATISTICAL ANALYSIS: One way ANOVA test was used to study the effect of the bracket type, wire alloy and section on frictional resistance test . RESULTS: Conventional brackets produced highest levels of friction for all bracket/archwire combinations. Both Damon III and Forestadent brackets were found to produce significantly lower levels of friction when they were compared with elastomerically tied conventional brackets. CONCLUSION: SLBs are valid alternatives for low friction during sliding mechanics.