BACKGROUND: Poor adherence to treatment is one of the main challenges to symptom control and preventing recurrence in bipolar disorder (BD). Numerous studies have established an association between patients' poor adherence and an increased risk of recurrence, relapse of the symptoms and admission to hospital. AIM: To study the socio-demographic and clinical factors associated with medication nonadherence in patients with BD who were admitted to the hospital. SETTING: The study was conducted at the Institute of Psychiatry, Ain Shams University. METHODS: A 1-year longitudinal prospective study of 110 patients, aged 18-60 years, with BD-I. Young Mania Rating Scale, Clinical Global Impression, Global Assessment of Functioning, Sheehan Disability Scale and Insight and Treatment Attitude Questionnaire were applied before and 6 months after discharge. Adherence was measured using the Morisky 8-Item Medication Adherence Scale. Sociodemographic data and level of functioning were studied in relation to adherence. RESULTS: Higher adherence was noticed in female, married and older patients and those with a higher level of education. However, low adherence was more common in male, non-married and less educated patients. Follow-up after 6 months revealed that the high adherence group scored the lowest in terms of disability. Meanwhile, the low adherence group scored the highest scores in disability. CONCLUSION: Several socio-demographic and clinical variables were found to be associated with a low adherence rate to the prescribed medication in patients with BD-I. Age and impaired insight were found to be significant predictive factors for non-adherence.

The activated carbon produced from olive stones was chemically activated using sulfuric acid, (OS-S), and utilized as an adsorbent for the removal of Cr(VI) from aqueous solution in the concentration range 4-50 mg/L. Adsorption experiments were carried out in a batch process and various experimental parameters such as effect of contact time, initial chromium ion concentration, carbon dosage, and pH on percentage removal have been studied. Adsorption results obtained for activated carbon (OS-S) were compared with the acid-treated commercial activated carbon (CAC-S). The optimum efficiency shows that the Cr(VI) uptake being attained at pH 1.5. The equilibrium adsorption data was better fitted to the Langmuir adsorption model. The results of kinetic models showed that the pseudo-first-order kinetic model was found to correlate the experimental data well. It was concluded that activated carbon produced from olive stones (OS-S) has an efficient adsorption capacity compared to (CAC-S) sample.