Consensus statements on adherence issues in schizophrenia for Hong Kong.

AIM: In view of the clinical importance of the adherence issues in schizophrenia management, a consensus group of experienced local psychiatrists and nurse specialists gathered to outline a number of consensus statements for clinicians to consider enhancing adherence in their patients. PROCESS: Prior to the consensus group meeting, three core members drafted eight statements on the issue of adherence in schizophrenia. Using a modified Delphi method, published literature and published guidelines regarding the management of schizophrenia were reviewed by the full panel during the group meeting. After discussion and reflection from each individual member of the consensus group, the eight statements were reworded and electronically voted on anonymously in two steps: acceptance on quality of evidence and practicability in implementation. RESULTS: After modifications of the original statements, there was very high overall level of agreement and acceptance (reaching international standard) on all the five areas of adherence within the eight statements of the finalised statement. CONCLUSIONS: The present consensus statements are the first in Hong Kong to address systematically adherence issues in schizophrenia management. They include areas on adherence assessment and definition, treatment strategies in enhancing adherence, and treatment considerations at specific phases of schizophrenia. They are tailored to be of practical utility in the local Hong Kong setting.

Extract of white button mushroom affects skin healing and angiogenesis.

White button mushroom extract was examined in this study on (1) its potential effect on angiogenesis in chorioallantoic culture and (2) its recovering effect on the skin after injury in the ICR mice. Methods used included TUNEL assay on apoptosis, immunohistochemistry for vascular endothelial growth factor (VEGF), proliferative cell nuclear antigen (PCNA), epidermal growth factor (EGF), transforming growth factor ß (TGF-ß), and immune factor CD4 and western blotting. The results of chorioallantoic culture showed that the mushroom treatment led to significant increase in densities of VEGF sites. In the skin injury, ICR mice model increased EGF, PCNA, and collagen fibers, along with decrease of TUNEL positive apoptotic cells and limited reaction of TGF-ß and CD4 indicated that white button mushroom extract appeared to have beneficial effects on skin in regeneration and after injury.

Use of a quasi-Newton method in a feedforward neural network construction algorithm.

This paper describes an algorithm for constructing a single hidden layer feedforward neural network. A distinguishing feature of this algorithm is that it uses the quasi-Newton method to minimize the sequence of error functions associated with the growing network. Experimental results indicate that the algorithm is very efficient and robust. The algorithm was tested on two test problems. The first was the n-bit parity problem and the second was the breast cancer diagnosis problem from the University of Wisconsin Hospitals. For the n-bit parity problem, the algorithm was able to construct neural network having less than n hidden units that solved the problem for n=4,...,7. For the cancer diagnosis problem, the neural networks constructed by the algorithm had small number of hidden units and high accuracy rates on both the training data and the testing data.

Fluorescence of proteins induced by two-photon absorption.

At room temperature, the UV fluorescence of trypsin, thyroglobulin, hemoglobin and albumin are observed; these molecules undergo two-photon absorption when they are excited with the radiation of a frequency-duplicated Q-switched Nd:YAG laser. It is shown that the fluorescence of these proteins comes from the tryptophan residues and that it has a red shift of about 20 nm relative to the one-photon fluorescence. We suggest that the weak emission from tyrosine arises from the forbidden two-photon transition. The influence of concentration on the fluorescence of hemoglobin and tryptophan is discussed. The two-photon absorption cross-sections are estimated.