Mesoporous Cu-Doped Manganese Oxide Nano Straws for Photocatalytic Degradation of Hazardous Alizarin Red Dye.

The present work reports the photocatalytic degradation of alizarin red (AR) using Cu-doped manganese oxide (MH16-MH20) nanomaterials as catalysts under UV light irradiation. Cu-doped manganese oxides were synthesized by a very facile hydrothermal approach and characterized by energy dispersive X-ray spectroscopy, powder X-ray diffraction, scanning electron microscopy, Brunauer-Emmett-Teller analysis, UV-vis spectroscopy, and photoluminescence techniques. The structural, morphological, and optical characterization revealed that the synthesized compounds are nanoparticles (38.20-54.10 nm), grown in high mesoporous density (constant C > 100), possessing a tetragonal phase, and exhibiting 2.98-3.02 eV band gap energies. Synthesized materials were utilized for photocatalytic AR dye degradation under UV light which was monitored by UV-visible spectroscopy and % AR degradation was calculated at various time intervals from absorption spectra. More than 60% AR degradation at various time intervals was obtained for MH16-MH20 indicating their good catalytic efficiencies for AR removal. However, MH20 was found to be the most efficient catalyst showing more than 84% degradation, hence MH20 was used to investigate the effect of various catalytic doses, AR concentrations, and pH of the medium on degradation. More than 50% AR degradation was obtained for all studied parameters with MH20 whereas the pseudo-first-order kinetic model was found to be the best-fitted kinetic model for AR degradation with k = 0.0015 and R2 = 0.99 indicating a significant correlation between experimental data.

Chlorpromazine-Induced Relapse of Tourette Syndrome in a Patient With Intellectual Disability, Attention Deficit Hyperactivity Disorder, and Schizophrenia.

Tourette syndrome (TS) is a chronic neuropsychiatric disorder characterized by recurrent multiple motor and vocal tics that last for at least one year and follow a waxing and waning course. A fundamental step in the pathophysiology of TS is the hyperactivity of dopaminergic system leading to increased dopamine release in the cortical-basal ganglia-thalamo-cortical (CBGTC) circuits, thereby providing the rationale for treatment with dopamine receptor, in particular D2, antagonists. Although antipsychotics have shown considerable efficacy against tics in most patients, there have been cases of paradoxical onset of tics in individuals without history, and relapse or exacerbation of tics in individuals with a history of tic disorders upon initiation of antipsychotics. Here we report a case of an individual with intellectual disability, attention deficit hyperactivity disorder (ADHD), and schizophrenia, who experienced a relapse of TS symptoms after initiation of chlorpromazine therapy.

Predictors of civil and forensic inpatient psychiatric readmissions at a Public Mental Health Hospital.

Inpatient psychiatric readmissions are increasingly prevalent and associated with worse prognostic outcomes and high economic costs, regardless of the medicolegal ramifications that necessitate them. Unlike most general medical readmissions, psychiatric readmissions are commonly warranted for both medical and legal purposes. However, studies focusing on analyzing the predictors of inpatient psychiatric readmission and their relationship to civil versus forensic readmission are limited. The purpose of this study was to examine the predictors of psychiatric readmission among civil and forensic patients admitted to a psychiatric hospital. In this retrospective chart review, we extrapolated data from medical records of 741 patients admitted from 2012 to 2017 with follow up until 2019. Analyses involved chi-square tests for comparing the distribution of demographic and clinical variables between forensic and civil readmission, and Cox regression to determine predictors of time to first readmission. Our results show that race, diagnosis, restraint/seclusion, type of admission, and disposition are significantly associated with an increased risk of psychiatric readmission. This study has important implications for healthcare providers and policy makers in revising mental health policies and improving systems-based practices for the mental health system. Future efforts in improving community psychiatric services and enhancing inpatient therapeutic environment may reduce psychiatric readmissions.