Spectrophotometric analysis of lithium carbonate used for bipolar disorder

Hemodynamics and arrhythmia disorder caused by lithium poisoning: A case report

Bipolar affective disorder refers to a category of mood disorders characterized clinically by the presence of both manic or hypomanic episodes and depressive episodes. Lithium stands out as the primary pharmacological intervention for managing bipolar affective disorder. However, its therapeutic dosage closely approaches toxic levels. Toxic symptoms appear when the blood lithium concentration surpasses 1.4 mmol/L, typically giving rise to gastrointestinal and central nervous system reactions. Cardiac toxicity is rare but serious in cases of lithium poisoning. The study reports a case of a patient with bipolar affective disorder who reached a blood lithium concentration of 6.08 mmol/L after the patient took lithium carbonate sustained-release tablets beyond the prescribed dosage daily and concurrently using other mood stabilizers. This resulted in symptoms such as arrhythmia, shock, impaired consciousness, and coarse tremors. Following symptomatic supportive treatment, including blood dialysis, the patient's physical symptoms gradually improved. It is necessary for clinicians to strengthen the prevention and recognition of lithium poisoning.

Advances in Therapeutic Monitoring of Lithium in the Management of Bipolar Disorder

Since the mid-20th century, lithium continues to be prescribed as a first-line mood stabilizer for the management of bipolar disorder (BD). However, lithium has a very narrow therapeutic index, and it is crucial to carefully monitor lithium plasma levels as concentrations greater than 1.2 mmol/L are potentially toxic and can be fatal. The quantification of lithium in clinical laboratories is performed by atomic absorption spectrometry, flame emission photometry, or conventional ion-selective electrodes. All these techniques are cumbersome and require frequent blood tests with consequent discomfort which results in patients evading treatment. Furthermore, the current techniques for lithium monitoring require highly qualified personnel and expensive equipment; hence, it is crucial to develop low-cost and easy-to-use devices for decentralized monitoring of lithium. The current paper seeks to review the pertinent literature rigorously and critically with a focus on different lithium-monitoring techniques which could lead towards the development of automatic and point-of-care analytical devices for lithium determination.

Nano optical and electrochemical sensors and biosensors for detection of narrow therapeutic index drugs

For the first time, a comprehensive review is presented on the quantitative determination of narrow therapeutic index drugs (NTIDs) by nano optical and electrochemical sensors and biosensors. NTIDs have a narrow index between their effective doses and those at which they produce adverse toxic effects. Therefore, accurate determination of these drugs is very important for clinicians to provide a clear judgment about drug therapy for patients. Routine analytical techniques have limitations such as being expensive, laborious, and time-consuming, and need a skilled user and therefore  the nano/(bio)sensing technology leads to high interest.

Attenuation Coefficients of Tubular Conduits for Liquid Phase Absorbance Measurement: Shot Noise Limited Optimum Path Length

We trace the history of liquid core waveguides (LCWs, also called liquid core optical fibers) and the role Teflon AF (TAF) has played in their development. We show that, in any shot noise limited situation, the optimum signal-to-noise ratio (S/N) occurs at a path length of 1/α_a{ln[1 + 2(α_a/α_b)]}, approximately 2/α_b under most conditions, α_a and α_b being the light attenuation coefficient due to the analyte and the background, respectively. The analysis shows that LCW length should be selected depending on the applicable α_b value. An overly long LCW may exhibit a lower signal-to-noise ratio. Water-filled TAF-clad fused-silica (FS) tubes show the lowest attenuation across the wavelength range. Nevertheless, except at λ ≥ 600 nm, the observed α_b values far exceed those reported for pure water: it appears that both impurities in the water and waveguide losses are involved. In examining the attenuation in various water-filled tubes, we find that the transmission of air-surrounded FS tubes is second only to TAF-clad FS tubes and is better than that of TAF tubes or externally mirrored FS tubes. Surprisingly, except for a window centered at ∼250 nm, light transmission in a water-filled poly(tetrafluoroethylene) (PTFE) tube is worse than in poly(ether ether ketone) (PEEK) tubing. Light transmission in PTFE tubes improves with increasing wall thickness.

Use of Transient Time Response as a Measure to Characterize Phononic Crystal Sensors

Phononic crystals are periodic composite structures with specific resonant features that are gaining popularity in the field as liquid sensors. The introduction of a structural defect in an otherwise periodic regular arrangement can generate a resonant mode, also called defect mode, inside the characteristic band gaps of phononic crystals. The morphology, as well as the frequency in which these defect modes appear, can give useful information on the composition and properties of an analyte. Currently, only gain and frequency measurements are performed using phononic crystal sensors. Other measurements like the transient response have been implemented in resonant sensors such as quartz microbalances showing great results and proving to be a great complimentary measure to the gain and frequency measurements. In the present paper, a study of the feasibility of using the transient response as a measure to acquire additional information about the analyte is presented. Theoretical studies using the transmission line model were realized to show the impact of variations in the concentration of an analyte, in this case, lithium carbonate solutions, in the transient time of the system. Experimental realizations were also performed showing that the proposed measurement scheme presents significant changes in the resulting data, indicating the potential use of this measure in phononic crystal sensors. This proposed measure could be implemented as a stand-alone measure or as a compliment to current sensing modalities.