The effect of antioxidant vitamins E and C on cognitive performance of the elderly with mild cognitive impairment in Isfahan, Iran: a double-blind, randomized, placebo-controlled trial.

PURPOSE: This study was carried out to investigate the effect of vitamins E and C on cognitive performance among the elderly in Iran. METHODS: About 256 elderly with mild cognitive impairment, aged 60-75 years, received 300 mg of vitamin E plus 400 mg of vitamin C or placebo daily just for 1 year. BACKGROUND: Demographic characteristics, anthropometric variables food consumption, cognitive function by Mini-Mental State Examination (MMSE), and some of the oxidative stress biomarkers were examined. RESULTS: Antioxidant supplementation reduced malondialdehyde level (P < 0.001) and raised total antioxidant capacity (P < 0.001) and glutathione (P < 0.01). The serum 8-hydroxydeoxyguanosine remained unchanged (P < 0.4). After adjusting for the covariates effects, MMSE scores following 6- (25.88 ± 0.17) and 12-month antioxidant supplementation (26.8 ± 0.17) did not differ from control group (25.86 ± 0.18 and 26.59 ± 0.18, respectively). CONCLUSION: Despite significant improvement in most of the oxidative stress biomarkers, antioxidants' supplementation was not observed to enhance cognitive performance. A large number of kinetic and/or dynamic factors could be suspected.

Apparent metabolizable energy value of expeller-extracted canola meal subjected to different processing conditions for growing broiler chickens.

The objective of this study was to investigate the effect of processing conditions and chemical composition on ileal digestible energy (IDE), AME, and AMEn of 6 expeller-extracted canola meal (ECM) samples subjected to conditioning temperature at 90, 95, or 100°C and high or low screw torque over the second presses in a 3 × 2 factorial arrangement. The ECM samples were incorporated into a corn-soybean meal reference diet at 30% by replacing energy-yielding ingredients. A total of 210 one-day-old male broiler chicks (Ross 308) were fed common starter and grower diets until d 18, and then assigned to 7 experimental diets replicated 6 times, with 5 chicks per cage. After a 5-d diet acclimation period from d 18 to 22, excreta was collected for 72 h. The difference method was used to determine AME, which was corrected to zero N balance to obtain AMEn. Medium seed conditioning temperature resulted in the highest IDE, AME, and AMEn compared with low or high temperature, and high screw torque resulted in higher energy utilization compared with low torque (P < 0.001). There was also an interaction (P < 0.001) between conditioning temperature and screw torque. For ECM subjected to low or medium conditioning temperature at low screw torque, IDE, AME, and AMEn values ranging from 2,137 to 2,705, 2,089 to 2,655, and 1,977 to 2,482 kcal/kg of DM, respectively, were obtained. The mean AMEn values were 2,260 kcal/kg of DM, indicating a 7% reduction compared with AME values. The AMEn values were negatively correlated with neutral detergent fiber (NDF; r = -0.93; P = 0.001) and NDIN (r = -0.87; P = 0.001). Stepwise regression to predict AMEn value resulted in the following equation: AMEn (kcal/kg of DM) = 3,397.8 + (-100.1 × NDF %) + (279.5 × ash %) + (-33.8 × ADF %) (R² = 0.91; SE = 61.9; P = 0.001). These results indicate that AMEn values vary markedly among ECM samples, and chemical constituents, especially the fiber components, may have a considerable effect on AMEn value.

Effect of sorghum distillers dried grains with solubles and microbial enzymes on metabolizable and net energy values of broiler diets.

There is generally no information regarding the influence of distillers dried grains with solubles (DDGS) on the net energy (NE) value of broiler diets. It was hypothesized that the ME content of DDGS may overestimate its productive energy, leading to higher heat increment when used in broiler diets. Furthermore, it was of interest to investigate the potential benefits of a mixture of carbohydrases and protease on energy partitioning in diets containing DDGS. In this study, 2 evaluations, comparative slaughter (CS) or indirect calorimetry (IC), were conducted using the same batch of birds and feed. Two levels of DDGS (0 or 30%) without or with an enzyme mixture were used in a 2 × 2 factorial arrangement of treatments. The CS evaluation used 240 male Ross 308 broiler chicks with 6 replicates (10 birds each) per treatment from d 18 to 28. Carcass energy values were examined in 2 birds per replicate on each of d 18 and 28 to determine heat production (HP), NE, and ME. The IC evaluation used 32 birds acclimatized to 16 closed-circuit calorimeters (2 birds per chamber) following energy partitioning measurement by gaseous exchange and total excreta collection from 18 to 24 d. Birds fed DDGS had increased feed efficiency during starter and grower phases (P < 0.001). The CS showed no difference in HP between birds fed diets with or without DDGS. When measured by IC, birds fed diets containing DDGS had higher HP and lower NE (P < 0.01). Enzyme supplementation had no effect on HP, ME, or NE:ME ratio measured using CS or IC but increased NE and NE intake (P < 0.01) from d 18 to 28. Carcass fat retention was decreased (P < 0.05) and there was a lower NE (P < 0.01) in birds fed the DDGS-diets. This study showed that 30% dietary DDGS affects energy partitioning in broilers with more heat produced, decreased dietary NE, and less fat retained in the carcass.

Evaluation of high dietary inclusion of distillers dried grains with solubles and supplementation of protease and xylanase in the diets of broiler chickens under necrotic enteritis challenge.

A 2 × 2 × 2 factorial experiment was conducted to investigate the effect of a high level of sorghum distillers dried grains with solubles (DDGS; 20%), with or without a combination of protease and xylanase in broiler chickens, under a necrotic enteritis disease challenge. A total of 576 male broiler chicks were randomly assigned to 8 experimental treatments, each replicated 6 times, with 12 birds per replicate for 35 d. Oral inoculation of the challenged group with Eimeria spp. occurred on d 9, followed by 3 consecutive inoculations of Clostridium perfringens from d 14 through 16. The disease challenge and DDGS inclusion significantly (P < 0.01) interacted, depressing BW gain and feed conversion ratio only in wk 3. Disease challenge adversely influenced (P < 0.01) BW gain and feed conversion ratio of the birds in the third week and across the 35-d study. Over the last 2 wk and across the 35-d trial, the interaction between DDGS and enzyme supplementation showed a tendency (P = 0.09) to gain more BW in birds regardless of the disease challenge. Inclusion of 20% DDGS markedly (P < 0.01) interacted with disease challenge, accelerating the proliferation of C. perfringens in the ceca at d 17. Inoculation of birds with C. perfringens resulted in higher (P < 0.01) counts of C. perfringens in both ileal and cecal contents. The necrotic enteritis-related lesions (d 17) were more severe (P < 0.05) in the intestine of infected birds fed DDGS diets than in birds fed the control diet. Incorporation of DDGS to the diets improved (P < 0.01) the IgA and IgG titer at d 13 but interacted with the disease challenge, reducing the concentration of IgA at d 21 and IgM at d 35 in the infected birds. In conclusion, incorporating a high level of DDGS in the diet of broiler chickens may increase susceptibility to necrotic enteritis. Supplementation of enzymes did not reveal significant mitigation effect in infected birds but helped the birds fed DDGS to maintain feed intake and BW gain.

Validity and reliability of the Persian language version of the neuropsychiatry unit cognitive assessment tool.

BACKGROUND/AIMS: Only a limited number of cognitive screening tools are available for the Persian-speaking population, and we sought to translate and validate the Neuropsychiatry Unit Cognitive Assessment Tool (NUCOG), a multidimensional cognitive screening tool. METHODS: We used multiple language specialists to translate and then back-translate the NUCOG, and administered the Persian language NUCOG and Mini-Mental State Examination (MMSE) to 184 individuals: 60 controls and 124 patients, 33 of whom had dementia, 30 non-dementing neurological disorders and 61 a psychiatric illness. RESULTS: The NUCOG outperformed the MMSE in differentiating the patient groups and controls. The 'profile' across the 5 NUCOG domains differentiated dementia subgroups such as senile dementia of the Alzheimer type (SDAT), frontotemporal dementia and mild cognitive impairment (MCI). Psychiatric patients with psychosis and posttraumatic stress disorder were more impaired than patients with affective disorders. The NUCOG reliably differentiated controls from patients with MCI (at 86.5/100, sensitivity of 83.3% and specificity of 87.5%) and SDAT (at 75/100, sensitivity and specificity of 100%) patients from controls. CONCLUSIONS: The Persian language NUCOG appears to perform strongly in an unselected population, reliably differentiating patients with dementia from controls, and detecting cognitive impairment in a range of clinical disorders.

Electroconvulsive therapy in single manic episodes: a case series.

OBJECTIVE: To evaluate the effectiveness of electroconvulsive therapy in the treatment of Bipolar I Disorder patients with a single manic episode. METHOD: In a retrospective study, we reviewed medical records of inpatients who had been admitted to treat a single manic episode of Bipolar I Disorder at Noor University Hospital, Isfahan, Iran between September 2004 and December 2008. RESULTS: Out of a total of 275 single episode manic patients, 39 underwent ECT. Male/female ratios were 19/20 (48.7% vs. 51.3%) for the ECT series and 137/99 (58% vs. 42%) for the exclusive pharmacological treatment series (p>0.05). Mean age of patients in the ECT series (23.64 ± 8.00) was significantly lower than the pharmacological treatment series (27.65 ± 11.30, p = 0.008). The mean length of stay (LOSs) for the ECT series (20.0 ± 7.90) was significantly higher than the other group (14.63 ± 9.84, p = 0.001). The mean time to first administered ECT (tECT) was 4.35 ± 3.79. There was no significant difference between the mean LOSs of the pharmacologic treatment series and the mean "LOSs minus tECT" (LOS-tECT) variable (16.57 ± 8.43) in the ECT series (p>0.05). The mean duration from the onset of the symptoms to time of admission was 19.22 ± 3.53 for the ECT series. Catatonia was the indication for application of ECT in one patient (2.6%), while 25 (64.10%) received ECT because of aggressive behavior. The proportion of patients administered chemical and physical restraints before ECT (77%) significantly dropped (7.7%) after ECT administration (p<0.001). CONCLUSION: ECT is an effective, safe, and probably underused treatment method for single episode manic patients. Reducing the time until commencement of ECT should be considered, even in a single manic episode.