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Antipsychotic Response Does Not Run on One Clock
When should an antipsychotic be judged effective—or ineffective? The usual answer is expressed in weeks. But a new study in The Lancet Psychiatry suggests that the more clinically useful question may be: Which symptoms are we waiting to improve? Leucht and colleagues analyzed individual-participant data from six antipsychotic trials involving 2,079 people with acute schizophrenia. Their findings show that the major symptom domains of schizophrenia improve on meaningfully diff
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Tuberculosis in California: 2025 Snapshot
1. Core Framework: "Getting to Zero" (Barry et al., 2016) The primary thesis established by Barry et al. in Current Epidemiology Reports (2016) is that standard TB control measures (prompt case finding and treatment of active disease) are insufficient for elimination. The Latent TB Infection (LTBI) Reservoir: The vast majority of active TB cases in California (>80%) stem from the reactivation of longstanding, untreated latent TB infections rather than recent transmission with
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Targeted protein degraders: Blood–brain barrier permeability and central nervous system exposure
Targeted protein degraders (TPDs), including PROTACs, are emerging as a revolutionary therapeutic strategy for central nervous system (CNS) proteinopathies by leveraging the body's cellular machinery to completely destroy disease-causing misfolded proteins. However, delivering these chemical macromolecules across the blood-brain barrier (BBB) presents a monumental challenge. Standard CNS drugs typically adhere to strict physicochemical parameters, such as low molecular weight
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A New Wave of Drug-Induced Movement Disorders
A new and large-scale trend of severe movement disorders has emerged in the United States and Canada, driven by the use of illicit synthetic opioids like fentanyl, often combined with methamphetamines or the veterinary sedative xylazine ("tranq"). Affected individuals frequently present with distinct, marked forward truncal and neck flexion while standing—postural abnormalities colloquially termed the "heroin hunch" or "fentanyl fold". While these abnormal, bent postures are
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