Temporal Coherence in Ultradian Sleep EEG Rhythms

Background: Previous work has indicated that low temporal coherence of ultradian sleep electroencephalographic rhythms is characteristic of depressed patients and of depressed women, in particular. It may also be evident in one quarter of those at high risk, based on a family history of depression. Methods: The present study evaluated temporal coherence of sleep electroencephalographic rhythms in 41 adolescent girls with a maternal history of depression (high risk) and 40 healthy controls (low risk). The entire sample was followed clinically every 6 months for 2 years. Results: Temporal coherence was significantly lower among the high-risk girls than in controls. Regression analyses predicted group from coherence values and correctly classified 70% of the high-risk group with a false-positive rate of 5% among controls. Moreover, 54% of the high-risk girls were identified with extreme low coherence. On clinical follow up, 14 girls showed depressive symptoms, 9 in the high-risk group (22.5%) and 5 controls (12.2%). Six met DSM-IV criteria for firstepisode major depressive disorder, five high-risk and one control. Most importantly, 41% of those identified as having the most abnormal coherence values either showed symptoms of depression or met diagnostic criteria upon follow up. Conclusions: Low temporal coherence is evident in adolescent girls at high risk for depression. The more abnormal the coherence, the greater the risk of a first episode of major depressive disorder within 2 years of sleep study, approximately 10 times greater than in controls. Biol Psychiatry 2002;51:446–456 © 2002 Society of Biological Psychiatryhttp://deepblue.lib.umich.edu/bitstream/2027.42/60181/1/Morehouse, 2002.pd

Učinak dodatka kondenziranih tanina putem obroka od mješavine lišća Ficus infectoria i Psidium guajava na antioksidacijski status eritrocita, imunosni odgovor i želučano-crijevne obliće u janjadi (Ovis aries)

This experimental study was carried out to assess the effect of condensed tannins (CT) through a leaf meal mixture of Ficus infectoria and Psidium guajava, on erythrocytic antioxidant status, immune response and gastrointestinal nematodes in lambs. Twenty-four non-descript lambs were randomly divided into four groups, consisting of six lambs in each, in a completely randomized block design, and randomly allocated to 4 dietary treatments: CT-0, CT-1, CT-1.5 and CT-2 containing 0, 1, 1.5 and 2.0 percent CT, respectively. The erythrocytic antioxidant status was monitored in all lambs at 0, 45, 90, 135, 180 days of feeding, however, humoral and cell mediated immune responses were determined at the end of the feeding trial. Hemoglobin was found to be highest (P<0.05) in CT-1.5 followed by CT-1, CT-2 and CT-0, respectively. CT supplementation significantly (P<0.05) improved the antioxidant status, as indicated by increased levels of glutathione peroxidase, catalase, reduced glutathione, glutathione-S-transferase, superoxide dismutase, total thiol and protein bound thiol group and decreased lipid peroxidase in the lambs. Supplementation of CT significantly (P<0.05) improved the cell mediated immune response in lambs. The fecal egg counts (FEC) in lambs were significantly (P<0.01) higher in the control group (CT-0), followed by CT-1, CT-1.5 and CT-2. The pooled fecal cultures of the lambs revealed that the majority of the infective larvae were from Haemonchus contortus. The FEC in the control was significantly higher (P<0.05) throughout the study period compared to the CT-1.5 and CT-2 groups. It may be concluded that dietary supplementation of CT (1-2%) through LMM improved the erythrocytic antioxidant status and immune response, and reduced FEC in lambs.Istraživanje je provedeno u svrhu procjene učinka kondenziranih tanina (KT), dodanih putem obroka od mješavine lišća Ficus infectoria i Psidium guajava, na antioksidacijski status eritrocita, imunosni odgovor i želučano-crijevne obliće u janjadi. Dvadeset i četiri janjeta slučajnim su odabirom bila razvrstana u četiri skupine po šest janjadi u svakoj skupini. Randomiziranim kompletnim blok-dizajnom i nasumičnim pridjeljivanjem formirane su četiri skupine s različitim udjelom KT u obroku: skupina KT-0 (0% KT), skupina KT-1 (1%), skupina KT-1,5 (1,5%) i skupina KT-2 (2%). Kod sve janjadi praćen je antioksidacijski status eritrocita 0., 45., 90., 135. i 180. dan hranidbe, a na kraju istraživanja određen je humoralni i stanični imunosni odgovor. Najviša razina (P<0,05) haemoglobina utvrđena je u skupini KT-1,5 nakon koje su slijedile skupine KT-1, KT-2 i KT-0. Dodani je KT signifikantno (P<0,05) poboljšao antioksidacijski status janjadi što su pokazale povišene razine glutation-peroksidaze, katalaze, zatim redukcija razine glutationa, glutation-S-transferaze, superoksid-dismutaze, ukupnog tiola i protein vezane tiol skupine kao i sniženje razine lipidne peroksidaze. Dodavanje KT signifikantno je (P<0,05) poboljšalo stanični imunosni odgovor janjadi. Broj jaja u fecesu bio je signifikantno (P<0,01) viši u kontrolnoj skupini (KT-0) janjadi nakon koje su slijedile skupine KT-1, KT-1,5 i KT-2. Skupne kulture iz fecesa janjadi pokazale su da većina invazivnih larvi pripada vrsti Haemonchus contortus. Broj jaja u fecesu kontrolne skupine janjadi bio je tijekom cijeloga istraživanog razdoblja signifikantno povišen (P<0,05) u odnosu na skupine KT-1,5 i KT-2. Može se zaključiti da je dodavanjem mješavine lišća s 1 – 2% KT u obroku kod janjadi poboljšan antioksidacijski status eritrocita i imunosni odgovor te smanjen broj prazitskih jajašaca u fecesu

Hippocampal volume in early onset depression

BACKGROUND: Abnormalities in limbic structures have been implicated in major depressive disorder (MDD). Although MDD is as common in adolescence as in adulthood, few studies have examined youth near illness onset in order to determine the possible influence of atypical development on the pathophysiology of this disorder. METHODS: Hippocampal volumes were measured in 17 MDD subjects (age = 16.67 ± 1.83 years [mean ± SD]; range = 13 – 18 years) and 17 age- and sex-matched healthy controls (16.23 ± 1.61 years [mean ± SD]; 13 – 18 years) using magnetic resonance imaging (MRI). RESULTS: An analysis of covariance revealed a significant difference between MDD and control subjects (F = 8.66, df = 1, 29, P = 0.006). This was more strongly localized to the left hippocampus (P = 0.001) than the right hippocampus (P = 0.047). CONCLUSIONS: Our findings provide new evidence of abnormalities in the hippocampus in early onset depression. However, our results should be considered preliminary given the small sample size studied

Treatment of bipolar disorder: a complex treatment for a multi-faceted disorder

Background: Manic-depression or bipolar disorder (BD) is a multi-faceted illness with an inevitably complex treatment. Methods: This article summarizes the current status of our knowledge and practice of its treatment. Results: It is widely accepted that lithium is moderately useful during all phases of bipolar illness and it might possess a specific effectiveness on suicidal prevention. Both first and second generation antipsychotics are widely used and the FDA has approved olanzapine, risperidone, quetiapine, ziprasidone and aripiprazole for the treatment of acute mania. These could also be useful in the treatment of bipolar depression, but only limited data exists so far to support the use of quetiapine monotherapy or the olanzapine-fluoxetine combination. Some, but not all, anticonvulsants possess a broad spectrum of effectiveness, including mixed dysphoric and rapid-cycling forms. Lamotrigine may be effective in the treatment of depression but not mania. Antidepressant use is controversial. Guidelines suggest their cautious use in combination with an antimanic agent, because they are supposed to induce switching to mania or hypomania, mixed episodes and rapid cycling. Conclusion: The first-line psychosocial intervention in BD is psychoeducation, followed by cognitive-behavioral therapy. Other treatment options include Electroconvulsive therapy and transcranial magnetic stimulation. There is a gap between the evidence base, which comes mostly from monotherapy trials, and clinical practice, where complex treatment regimens are the rule

Antioxidant status, metabolic profile and immune response of lambs supplemented with tannin rich Ficus infectoria leaf meal

To study the effect of supplementation of tanniferous tree leaves Ficus infectoria on antioxidant status and immune response, twenty four lambs were randomly divided into four groups of six each in a completely randomized design and fed either a conventional supplement (CON) or experimental supplements (FILM-I, FILM-II and FILM-III) containing 1.0, 1.5 and 2.0% condensed tannins (CT), respectively by replacement of wheat bran of supplement CON with Ficus infectoria leaf meal (FILM). Blood biochemical profile was monitored in all lambs at 0, 45, 90, 135, 180 days of feeding. Although haemato-biochemical parameters remained similar, there was significant (p < 0.05) improvement in catalase activity, total thiol and protein thiol groups with reduction in lipid peroxidation (LPO) in lambs fed FILM diet irrespective of levels. However, intracellular status of reduced glutathione, and superoxide dismutase activity was improved (p < 0.05) only in FILM-II and FILM-III supplemented lambs. The cell-mediated immune response was significantly (p < 0.05) improved in all the lambs fed FILM supplemented diets. Improved antioxidant status and immunity in FILM supplemented lambs increased voluntary feed intake irrespective of level. However, the average daily gain for a period of 180 d showed a significant (p < 0.05) increase by the supplementation of FILM-II diet containing 1.5% CT. The present study reveals that the supplementation of Ficus infectoria leaf meal up to 21.2% in the concentrate mixture could improve the antioxidant status and immunity in lambs. However, as feed efficiency was reduced at higher levels due to presence of CT, 15.9% supplementation containing 1.5% condensed tannins in concentrate mixture is suggested to improve the health and production performance of lambs

A Proposed Framework for MAD-Cloud and MAD-Expert Service Module

Abstract I