Effects of antipsychotics on bone mineral density and prolactin levels in patients with schizophrenia: a 12-month prospective study.

OBJECTIVE: Effects of conventional and atypical antipsychotics on bone mineral density (BMD) and serum prolactin levels (PRL) were examined in patients with schizophrenia. METHODS: One hundred and sixty-three first-episode inpatients with schizophrenia were recruited, to whom one of three conventional antipsychotics (perphenazine, sulpiride, and chlorpromazine) or one of three atypical antipsychotics (clozapine, quetiapine, and aripiprazole) was prescribed for 12 months as appropriate. BMD and PRL were tested before and after treatment. Same measures were conducted in 90 matched healthy controls. RESULTS: Baseline BMD of postero-anterior L1-L4 range from 1.04 ± 0.17 to 1.42 ± 1.23, and there was no significant difference between the patients group and healthy control group. However, post-treatment BMD values in patients (ranging from 1.02 ± 0.15 to 1.23 ± 0.10) were significantly lower than that in healthy controls (ranging from 1.15 ± 0.12 to 1.42 ± 1.36). The BMD values after conventional antipsychotics were significantly lower than that after atypical antipsychotics. The PRL level after conventional antipsychotics (53.05 ± 30.25 ng/ml) was significantly higher than that after atypical antipsychotics (32.81 ± 17.42 ng/ml). Conditioned relevance analysis revealed significant negative correlations between the PRL level and the BMD values after conventional antipsychotics. CONCLUSION: The increase of PRL might be an important risk factor leading to a high prevalence of osteoporosis in patients with schizophrenia on long-term conventional antipsychotic medication.

GSHFA-HCP: a novel intelligent high-performance clustering protocol for agricultural IoT in fragrant pear production monitoring.

The agriculture Internet of Things (IoT) has been widely applied in assisting pear farmers with pest and disease prediction, as well as precise crop management, by providing real-time monitoring and alerting capabilities. To enhance the effectiveness of agriculture IoT monitoring applications, clustering protocols are utilized in the data transmission of agricultural wireless sensor networks (AWSNs). However, the selection of cluster heads is a NP-hard problem, which cannot be solved effectively by conventional algorithms. Based on this, This paper proposes a novel AWSNs clustering model that comprehensively considers multiple factors, including node energy, node degree, average distance and delay. Furthermore, a novel high-performance cluster protocol based on Gaussian mutation and sine cosine firefly algorithm (GSHFA-HCP) is proposed to meet the practical requirements of different scenarios. The innovative Gaussian mutation strategy and sine-cosine hybrid strategy are introduced to optimize the clustering scheme effectively. Additionally, an efficient inter-cluster data transmission mechanism is designed based on distance between nodes, residual energy, and load. The experimental results show that compared with other four popular schemes, the proposed GSHFA-HCP protocol has significant performance improvement in reducing network energy consumption, extending network life and reducing transmission delay. In comparison with other protocols, GSHFA-HCP achieves optimization rates of 63.69%, 17.2%, 19.56%, and 35.78% for network lifespan, throughput, transmission delay, and packet loss rate, respectively.