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1.
J Dairy Sci ; 104(11): 11580-11592, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-34454748

RESUMEN

The continuous trend for a narrowing margin between feed cost and milk prices across dairy farms in the United States highlights the need to improve and maintain feed efficiency. Yeast culture products are alternative supplements that have been evaluated in terms of milk performance and feed efficiency; however, less is known about their potential effects on altering rumen microbial populations and consequently rumen fermentation. Therefore, the objective of this study was to evaluate the effect of yeast culture supplementation on lactation performance, rumen fermentation profile, and abundance of major species of ruminal bacteria in lactating dairy cows. Forty mid-lactation Holstein dairy cows (121 ± 43 days in milk; mean ± standard deviation; 32 multiparous and 8 primiparous) were used in a randomized complete block design with a 7-d adaptation period followed by a 60-d treatment period. Cows were blocked by parity, days in milk, and previous lactation milk yield and assigned to a basal total mixed ration (TMR; 1.6 Mcal/kg of dry matter, 14.6% crude protein, 21.5% starch, and 38.4% neutral detergent fiber) plus 114 g/d of ground corn (CON; n = 20) or basal TMR plus 100 g/d of ground corn and 14 g/d of yeast culture (YC; n = 20; Culture Classic HD, Cellerate Yeast Solutions, Phibro Animal Health Corp.). Treatments were top-dressed over the TMR once a day. Cows were individually fed 1 × /d throughout the trial. Blood and rumen fluid samples were collected in a subset of cows (n = 10/treatment) at 0, 30, and 60 d of the treatment period. Rumen fluid sampled via esophageal tubing was analyzed for ammonia-N, volatile fatty acids (VFA), and ruminal bacteria populations via quantitative PCR amplification of 16S ribosomal DNA genes. Milk yield was not affected by treatment effects. Energy balance was lower in YC cows than CON, which was partially explain by the trend for lower dry matter intake as % body weight in YC cows than CON. Cows fed YC had greater overall ruminal pH and greater total VFA (mM) at 60 d of treatment period. There was a contrasting greater molar proportion of isovalerate and lower acetate proportion in YC-fed cows compared with CON cows. Although the ruminal abundance of specific fiber-digesting bacteria, including Eubacterium ruminantium and Ruminococcus flavefaciens, was increased in YC cows, others such as Fibrobacter succinogenes were decreased. The abundance of amylolytic bacteria such as Ruminobacter amylophilus and Succinimonas amylolytica were decreased in YC cows than CON. Our results indicate that the yeast culture supplementation seems to promote some specific fiber-digesting bacteria while decreasing amylolytic bacteria, which might have partially promoted more neutral rumen pH, greater total VFA, and isovalerate.


Asunto(s)
Lactancia , Rumen , Alimentación Animal/análisis , Animales , Bovinos , Dieta/veterinaria , Suplementos Dietéticos , Digestión , Eubacterium , Femenino , Fermentación , Fibrobacter , Leche , Embarazo , Rumen/metabolismo , Ruminococcus , Saccharomyces cerevisiae , Succinivibrionaceae
2.
J Dairy Sci ; 104(10): 10727-10743, 2021 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-34253357

RESUMEN

Feeding yeast culture fermentation products has been associated with improved feed intake and milk yield in transition dairy cows. These improvements in performance have been further described in terms of rumen characteristics, metabolic profile, and immune response. The objective of this study was to evaluate the effects of a commercial yeast culture product (YC; Culture Classic HD, Phibro Animal Health) on performance, blood biomarkers, rumen fermentation, and rumen bacterial population in dairy cows from -30 to 50 d in milk (DIM). Forty Holstein dairy cows were enrolled in a randomized complete block design from -30 to 50 DIM and blocked according to expected calving day, parity, previous milk yield, and genetic merit. At -30 DIM, cows were assigned to either a basal diet plus 114 g/d of ground corn (control; n = 20) or a basal diet plus 100 g/d of ground corn and 14 g/d of YC (n = 20), fed as a top-dress. Cows received the same close-up diet from 30 d prepartum until calving [1.39 Mcal/kg of dry matter (DM) and 12.3% crude protein (CP)] and lactation diet from calving to 50 DIM (1.60 Mcal/kg of DM and 15.6% CP). Blood samples and rumen fluid were collected at various time points from -30 to 50 d relative to calving. Cows fed YC compared with control showed a trend for increased energy-corrected milk (+3.2 kg/d). Lower somatic cell counts were observed in YC cows than in control. We detected a treatment × time interaction in nonesterified fatty acids (NEFA) that could be attributed to a trend for greater NEFA in YC cows than control at 7 DIM, followed by lower NEFA in YC cows than control at 14 and 30 DIM. In the rumen, YC contributed to mild changes in rumen fermentation, mainly increasing postpartal valerate while decreasing prepartal isovalerate. This was accompanied by alterations in rumen microbiota, including a greater abundance of cellulolytic (Fibrobacter succinogenes) and lactate-utilizing bacteria (Megasphaera elsdenii). These results describe the potential benefits of supplementing yeast culture during the late pregnancy through early lactation, at least in terms of rumen environment and performance.


Asunto(s)
Rumen , Saccharomyces cerevisiae , Animales , Biomarcadores/metabolismo , Bovinos , Dieta/veterinaria , Suplementos Dietéticos , Femenino , Fermentación , Fibrobacter , Lactancia , Leche , Embarazo , Rumen/metabolismo
3.
J Dairy Sci ; 103(1): 301-312, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31733851

RESUMEN

Tannins and other phytochemicals are known to improve RUP in the diet by binding protein and then limiting ruminal degradation, which may improve milk yield and milk protein synthesis. The objective of this study was to evaluate the effects of dietary phytochemicals (tannins and Capsicum species) as rumen modifiers on production parameters and milk efficiency in dairy cows. Twenty-four multiparous Holstein cows (96 ± 16 d in milk; mean ± standard deviation) were used in a replicated 3 × 3 Latin square design balanced to measure carryover effects. Cows were blocked according to days in milk, milk production, and body weight and randomly assigned to 1 of 3 groups (n = 8/group). Each group was assigned to a unique treatment sequence across the 3 periods in the Latin square. The experiment consisted of a 14-d covariate period and three 30-d treatment periods. Cows received a basal diet supplemented with soybean meal pellets (SB) as the control diet, phytochemicals (RUM; Rumiviv, CCPA, Janzé, France) pelleted with soybean meal, or expeller soybean meal (ESBM; SoyPlus, West Central Soy, Ralston, IA). Milk production and dry matter intake during the last 4 d of each period were used for statistical analysis. Blood and rumen fluid samples were collected on d 27 of each period. Rumen fluid was analyzed for ammonia N and volatile fatty acids as well as ruminal bacteria via quantitative PCR amplification of 16S ribosomal DNA genes. Greater milk yield (37.9 vs. 36 kg/d), energy-corrected milk (39.7 vs 37.1 kg/d), and protein yield (1.15 vs. 1.08 kg/d) were observed in RUM compared with SB, but these parameters were similar between RUM and ESBM. Concentrations of total volatile fatty acids (118.1 vs. 101.5 mM) were greater in RUM in comparison to SB and ESBM diets. Cows fed RUM had greater ß-hydroxybutyrate (0.49 vs. 0.42 mmol/L) than SB and ESBM. Selenomonas ruminantium, Succinimonas amylolytica, and Streptococcus bovis in rumen fluid were lower in RUM fed cows in comparison to SB and ESBM. Increased total volatile fatty acids and lower ruminal abundance of bacteria associated with low feed efficiency in RUM cows can partially explain the improvements observed in milk yield and milk efficiency. Overall, these data suggest that feeding a combination of tannin mixture and Capsicum can significantly affect rumen fermentation characteristics via partial manipulation of rumen microbiota, and these effects were reflected in improved milk production and efficiency.


Asunto(s)
Bovinos/metabolismo , Leche/metabolismo , Fitoquímicos/metabolismo , Rumen/metabolismo , Alimentación Animal/análisis , Animales , Dieta/veterinaria , Suplementos Dietéticos/análisis , Femenino , Fermentación , Fitoquímicos/administración & dosificación , Distribución Aleatoria , Glycine max/química
4.
J Dairy Sci ; 102(9): 8108-8119, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31301825

RESUMEN

Our objective was to evaluate growth performance, nutrient utilization, and health of calves supplemented with condensed whey solubles (CWS). Twenty-four Holstein calves (2 d old) in hutches were used in a 12-wk randomized complete block design study. Calves were blocked by birth date and sex. Treatments were (1) control (CON) with no supplement and (2) 50 g/d of CWS. Preweaning CWS was fed with milk and postweaning CWS was top-dressed on starter pellets. Calves were fed 2.83 L of pasteurized milk 2×/d during wk 1 to 5, 1×/d in wk 6, and weaned at d 42. Calves had ad libitum access to starter pellets and water. Individual intakes of milk and starter pellets were measured daily. Fecal scores (0 = firm, 3 = watery) and respiratory scores (healthy ≤3, sick ≥5), calculated from the sum of scores for rectal temperature, cough, ocular, and nasal discharge, were recorded daily. Body weights (BW), frame growth, and jugular blood samples were taken once every week at 3 h after the morning feeding. Fecal grab samples were collected in wk 12 for analysis of apparent total-tract digestibility. Data were analyzed using MIXED procedures of SAS 9.4 (SAS Institute Inc., Cary, NC) with repeated measures. Total dry matter intake was greater in calves fed CWS compared with CON. Calves fed CWS tended to have greater BW during the postweaning period. Gain:feed, average daily gains, withers heights, and concentrations of plasma urea nitrogen were not different. Concentrations of plasma ß-hydroxybutyrate were greater in calves fed CWS compared with CON. Serum glucose concentrations were greater in calves fed CON during the preweaning stage, but similar concentrations were found between treatments during the postweaning stage. Rumen pH, ammonia-N, and total volatile fatty acids were similar between treatments. The acetate:propionate ratio was greater in calves fed CWS. The apparent total-tract digestion of nutrients was similar; however, CON tended to have greater digestion of neutral detergent fiber. Fecal scores were not different, but a treatment by week interaction was observed. Supplementing CWS improved starter intake, postweaning BW, ß-hydroxybutyrate, fecal scores, and maintained frame growth.


Asunto(s)
Alimentación Animal/análisis , Bovinos/fisiología , Suplementos Dietéticos/análisis , Ingestión de Alimentos , Suero Lácteo/química , Animales , Peso Corporal , Bovinos/crecimiento & desarrollo , Dieta/veterinaria , Femenino , Fermentación , Masculino , Nutrientes/metabolismo , Prebióticos , Distribución Aleatoria , Aumento de Peso
5.
Chronobiol Int ; 33(9): 1267-1279, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27494399

RESUMEN

Despite widely published speculation regarding a potential potency advantage of short-wavelength (blue-appearing) light for Seasonal Affective Disorder (SAD) treatment, there have been few systematic studies. Those comparing short-wavelength to broad-wavelength (white) light under actual clinical conditions suggest equivalent effectiveness. This multicenter, parallel-group design trial was undertaken to compare the effects of light therapy on SAD using blue (~465 nm) versus blue-free (595-612 nm) LED lights. Fifty-six medication-free subjects aged 21-64 years who met DSM-IV-TR criteria for recurrent major depression with winter-type seasonal pattern were enrolled in this blinded study at five participating centers between January and March 2012. Thirty-five subjects met the criteria for randomization to 30 min of either blue (~465 nm) or blue-free (595-612 nm) daily morning light therapy. Twenty-nine subjects completed the study; three subjects withdrew due to treatment-related adverse events, including migraines, and three withdrew for non-study-related reasons. The primary effectiveness variable was depression score (SIGH-ADS) after six weeks of daily light treatment. Secondary effectiveness variables included quality-of-life (QoL) and suicidality ratings. Using an intent-to-treat analysis, mean depression scores were different at baseline for the blue group (29 ± 5 versus 26 ± 5, p = 0.05 blue versus blue-free, respectively), and the initial score was used as a covariate. Baseline scores were not significantly different between treatment groups among those who completed the study, and no significant differences in depression scores were observed after 6 weeks (mean ± SD scores at 6 weeks: 5.6 ± 6.1 versus 4.5 ± 5.3, p = 0.74, blue versus blue-free, respectively). In addition, the proportion of subjects who met remission criteria, defined as a depression score ≤8, was not significantly different between the two groups (p = 0.41); among the 29 subjects who completed the study, 76% of subjects experienced remission by the end of the trial, which coincided with the beginning of spring. The QoL and suicidality ratings were also significantly improved from pre- to post-treatment, with no significant difference between treatments. No subject experienced worsening or non-improved symptoms over the 6-week trial. The main finding of this study is that subjects treated with blue light did not improve more than subjects treated with blue-free light; both showed substantial improvement on multiple measures. Failure to find differences may have resulted from methodological constraints, including a small sample size. Recruitment began mid-winter during an unusually mild season, and the trial was terminated earlier than planned by the study sponsor due to a failure to detect a difference. However, if confirmed in a larger randomized sample, these results suggest that blue wavelengths are not necessary for successful SAD treatment.

6.
Aliment Pharmacol Ther ; 36(6): 503-16, 2012 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-22827693

RESUMEN

BACKGROUND: The intestinal microbiota is involved in the pathogenesis of inflammatory bowel disease (IBD). Faecal microbiota transplantation (FMT) has been used for the management of IBD as well as infectious diarrhoea. AIM: To undertake a systematic review of FMT in patients with IBD. METHODS: The systematic review followed Cochrane and PRISMA recommendations. Nine electronic databases were searched in addition to hand searching and contacting experts. Inclusion criteria were reports (RCT, nonrandomised trials, case series and case reports) of FMT in patients with IBD. RESULTS: Of the 5320 articles identified, 17 fulfilled the inclusion criteria, none of which were controlled trials. There were nine case series/case reports of patients receiving FMT for management of their IBD, and eight where FMT was for the treatment of infectious diarrhoea in IBD. These 17 articles reported on 41 patients with IBD (27 UC, 12 Crohn's, 2 unclassified) with a follow-up period of between 2 weeks and 13 years. Where reported, FMT was administered via colonoscopy/enema (26/33) or via enteral tube (7/33). In patients treated for their IBD, the majority experienced a reduction of symptoms (19/25), cessation of IBD medications (13/17) and disease remission (15/24). There was resolution of C. difficile infection in all those treated for such (15/15). CONCLUSIONS: Whilst the available evidence is limited and weak, it suggests that faecal microbiota transplantation has the potential to be an effective and safe treatment for IBD, at least when standard treatments have failed. Well-designed randomised controlled trials are required to investigate these findings.


Asunto(s)
Heces/microbiología , Tracto Gastrointestinal/microbiología , Enfermedades Inflamatorias del Intestino/terapia , Metagenoma , Humanos , Enfermedades Inflamatorias del Intestino/microbiología , Interacciones Microbianas , Ensayos Clínicos Controlados Aleatorios como Asunto , Trasplante/métodos
7.
J Dairy Sci ; 95(6): 3342-53, 2012 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-22612968

RESUMEN

Inclusion of hemicellulose extract (HE) in cattle diets have shown potential for improving fiber digestibility and production efficiency. The objective of this research was to evaluate production and digestibility effects of a HE on midlactation cows. Twelve multiparous Holstein cows (142 ± 44 d in milk, 685 ± 19 kg of body weight) including 4 with ruminal fistula were used in a 2 × 2 Latin square design with 21-d periods. Cows were fed a control (CON) diet containing 55% forage [dry matter (DM) basis, 2/3 corn silage and 1/3 alfalfa hay] or a similar diet where 1.0% of the diet DM was replaced with HE (TRT). Dry matter intake averaged 27.1 and 26.9 kg/d, for CON and TRT respectively, and was not affected by addition of extract. The percentage of milk protein (3.40 vs. 3.29%) was greater, whereas the percentage of milk fat (3.91 vs. 3.80%) tended to be greater, for cows fed the CON compared with the TRT diet. Because of numerically greater milk production (38.8 vs. 39.2 kg/d) for cows fed the TRT diet, no differences were observed in component yields other than lactose (1.86 vs. 1.94 kg/d), which tended to be greater for cows fed the TRT ration. Treatment improved neutral detergent fiber (NDF) digestibility (38.6 vs. 48.1%) for the TRT diet compared with the CON diet but did not affect apparent total-tract DM (67.8 vs. 68.5%), crude protein (67.2 vs. 67.9%), acid detergent fiber (ADF; 37.1 vs. 43.3%), or starch (92.8 vs. 92.2%) digestibility. For in situ determinations, Dacron bags containing corn silage, alfalfa hay, and either the CON or TRT ration were incubated in triplicate in the rumens of the cannulated cows at 0, 3, 6, 9, 12, 24, and 48 h on d 18 of each period. Each total mixed ration was incubated only in cows assigned to the corresponding diet. For corn silage, the rate of disappearance of NDF (1.70 vs. 4.27%) and ADF (1.79 vs. 4.66%) increased for cows fed the TRT diet. For alfalfa hay, the disappearance of fraction A of DM, NDF, and ADF decreased and fraction B of DM and NDF increased with treatment. The rate of disappearance for DM (8.03 vs. 11.04%), NDF (6.30 vs. 10.28%), and ADF (5.52 vs. 9.19%) increased for the alfalfa hay in rumens of treated cows. For the total mixed ration, the disappearance of the A fraction of NDF and ADF increased for cows fed the TRT diet. Supplementing diets of lactating dairy cows with an HE has beneficial effects on fiber degradation characteristics and provides opportunities for improving animal performance.


Asunto(s)
Dieta/veterinaria , Digestión/efectos de los fármacos , Lactancia/efectos de los fármacos , Polisacáridos/farmacología , Alimentación Animal , Animales , Bovinos , Suplementos Dietéticos , Digestión/fisiología , Ingestión de Alimentos , Grasas/análisis , Femenino , Lactancia/fisiología , Leche/química , Proteínas de la Leche/análisis , Polisacáridos/administración & dosificación
8.
Acta Psychiatr Scand ; 120(3): 203-12, 2009 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-19207131

RESUMEN

OBJECTIVE: Published dosing guidelines for treatment of Seasonal Affective Disorder (SAD) refer to photopic lux, which is not appropriate for short-wavelength light. Short wavelengths are most potent for many non-visual responses to light. If SAD therapy were similarly mediated, standards utilizing lux risk overestimating necessary dose. We investigated antidepressant responses to light using two light-emitting diode (LED) sources, each emitting substantial short-wavelength light, but <2500 lux. METHOD: A randomized, double-blind trial investigated 3-week 45 min/day out-patient treatment with blue-appearing (goLITE) or blue-enriched white-appearing light in 18 moderately-depressed adults (12F, 49.1 +/- 9.5 years). Equivalent numbers of photons within the short-wavelength range were emitted, but the white source emitted twice as many photons overall and seven-fold more lux. RESULTS: Depression ratings (SIGH-ADS; http://www.cet.org) decrease averaged 82% (SD = 17%) from baseline (P < 0.0001) in both white- and blue-light groups. Both sources were well tolerated. CONCLUSION: Short-wavelength LED light sources may be effective in SAD treatment at fewer lux than traditional fluorescent sources.


Asunto(s)
Fototerapia/métodos , Trastorno Afectivo Estacional/terapia , Adolescente , Adulto , Ritmo Circadiano , Manual Diagnóstico y Estadístico de los Trastornos Mentales , Método Doble Ciego , Femenino , Humanos , Masculino , Persona de Mediana Edad , Fotones , Trastorno Afectivo Estacional/diagnóstico , Trastorno Afectivo Estacional/psicología , Adulto Joven
9.
Health Phys ; 93(6): 636-44, 2007 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-17993844

RESUMEN

The National Institute for Occupational Safety and Health (NIOSH) is conducting a nested case-control study of mortality from multiple myeloma involving 581 subjects who worked at the Oak Ridge K-25 Gaseous Diffusion Plant. Internally-deposited uranium is the primary agent being considered in the exposure assessment. Routine operation and maintenance of the plant presented the potential for inhaling uranium of various enrichments. As part of the exposure assessment, records describing the various plant processes and procedures, documentation on the medical monitoring program, uranium urinalysis data, and procedures and analytical methods for monitoring uranium exposure were retrieved and reviewed. Uranium urinalysis data consisted of 161,055 uranium urinalysis results obtained by fluorometry and 171,914 results obtained by alpha particle counting. Approximately 20% of the workers were monitored for internal exposure using urine sampling. Mean and median uranium concentrations in urine for the monitored study subjects were slightly lower than for the entire population of monitored K-25 workers. The specific activity of uranium excreted in urine was determined by comparing results obtained using fluorometric and alpha activity measurements and indicate that the majority of internal exposure involved uranium that was depleted or enriched to no more than 4% U.


Asunto(s)
Exposición por Inhalación , Exposición Profesional , Contaminantes Radiactivos/orina , Uranio/orina , Carga Corporal (Radioterapia) , Humanos , Urinálisis
10.
Health Phys ; 93(2): 113-9, 2007 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-17622815

RESUMEN

Active bone marrow absorbed doses were estimated for 581 workers as part of a nested case-control study of multiple myeloma mortality at the Oak Ridge Gaseous Diffusion Plant (K-25). Uranium urinalysis results obtained by fluorometric and gross alpha measurements were available for about 20% of the 581 study subjects. These data were used to determine intakes of uranium as a result of occupational exposure during operation of the K-25 facility. Uranium solubility was inferred from the observed urinary excretion rate, job titles, and department codes. Data suggest that most study subjects were exposed to uranyl fluoride, a relatively soluble uranium compound. The median cumulative bone marrow dose determined for subjects with bioassay data was 0.06 mGy with a geometric standard deviation of 4.48. Subjects without bioassay data were assigned cumulative bone marrow dose based upon job titles and department codes.


Asunto(s)
Médula Ósea/efectos de la radiación , Exposición Profesional , Uranio/análisis , Carga Corporal (Radioterapia) , Médula Ósea/química , Humanos , Dosis de Radiación , Uranio/orina
11.
Water Sci Technol ; 51(10): 267-72, 2005.
Artículo en Inglés | MEDLINE | ID: mdl-16104430

RESUMEN

Approximately 30% of Minnesota's residents rely on onsite technologies for their wastewater treatment. There is a growing need for 'alternative' technologies to aid in treatment for difficult sites and sensitive environmental areas. Recirculating sand filters (RSFs) have been used since the 1970s for small communities with flows > 20,000 L per day, but use for small flow application (< 5,000 L/d) has been growing due to its small land use requirement. A research site was developed in southern Minnesota in 1995 to test alternative technologies, including two RSFs. In addition, in 1998, two RSFs were added to existing residential soil treatment systems that were having problems because of inadequate separation and fill soil conditions. All RSFs in this study used 0.6 metres of coarse sand for treatment, were loaded at approximately 204 L per day per square metre (5 gallons per square foot per day) and a recirculation rate of 5:1. All RSFs have effectively reduced Biochemical Oxygen Demand (BOD5), Total Suspended Solids (TSS), Fecal Coliform (FC) and Nutrients (nitrogen and phosphorus). These systems are able to achieve secondary effluent treatment levels for BOD5 and TSS. The median FC reduction was 90% with a value of 5.7 E4 cfu/100 mL, indicating additional treatment is necessary to protect health and the environment. The RSFs consistently removed 25% or more total phosphorus (TP) and 40% or more total nitrogen (TN). The RSFs did not show significantly decreased performance during the winter months. Two of the RSFs receiving rather high strength domestic waste were able to reduce a greater percentage of total nitrogen, indicated that the addition of carbon from the high strength waste is a benefit resulting in greater TN removal.


Asunto(s)
Frío , Eliminación de Residuos Líquidos/métodos , Purificación del Agua/métodos , Enterobacteriaceae/aislamiento & purificación , Filtración , Minnesota , Nitrógeno/aislamiento & purificación , Fósforo/aislamiento & purificación , Dióxido de Silicio , Suelo
12.
Int J Eat Disord ; 23(1): 93-7, 1998 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-9429924

RESUMEN

A 17-year-old female followed for atypical eating disorder characterized by restriction was noted to worsen medically during winter months in each of 2 consecutive years. A trial of bright light therapy was initiated during the second admission. Within days of light treatment, the patient showed signs of clinical improvement in mood and eating. Within 1 month of light treatment, the patient's depression ratings decreased from a Beck Depression Inventory (BDI) score of 37 (severe) to 17 (mild/moderate). In addition, her eating improved moderately as revealed both by a slight decrease in Eating Attitudes Test (EAT) score (78 to 64) and by significant improvements in dietary intake and medical status. The present report suggests that light therapy may be a useful adjunct in the clinical management of eating-disordered youth who present with seasonal patterns of exacerbation. Controlled studies of light treatment in younger eating disorder populations are warranted.


Asunto(s)
Anorexia Nerviosa/complicaciones , Fototerapia , Trastorno Afectivo Estacional/complicaciones , Trastorno Afectivo Estacional/terapia , Adolescente , Anorexia Nerviosa/psicología , Femenino , Humanos , Trastorno Afectivo Estacional/diagnóstico , Índice de Severidad de la Enfermedad
13.
Biol Psychiatry ; 42(11): 1000-5, 1997 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-9386851

RESUMEN

BACKGROUND: Several brain imaging studies of antidepressant pharmacologic treatment utilizing single photon emission computed tomography (SPECT) have reported a normalization of deficits in cerebral blood flow (CBF) associated with recovery; other studies report no change, or a reduction in CBF following successful treatment. There have been no published SPECT studies of seasonal affective disorder (SAD) assessing response to light treatment in relation to changes in regional CBF (rCBF). In this study, we sought to test the hypothesis that increases in rCBF would be observed in SAD patients who responded to light treatment. METHODS: Ten depressed patients with SAD underwent functional brain imaging studies with 99mTc-hexamethylpropyleneamine oxime SPECT before and after light treatment. RESULTS: Relative increases in rCBF were observed in all brain regions compared to cerebellum in treatment responders, whereas nonresponders showed no change or decreases in rCBF relative to cerebellum. Significant differences in mean percentage change in rCBF between responders (n = 5) and nonresponders (n = 5) were detected in frontal and cingulate cortex, and thalamus. CONCLUSIONS: These findings provide preliminary support for the hypothesis that an increase in rCBF is associated with recovery from depression in SAD.


Asunto(s)
Circulación Cerebrovascular/fisiología , Fototerapia , Trastorno Afectivo Estacional/fisiopatología , Trastorno Afectivo Estacional/terapia , Estaciones del Año , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Escalas de Valoración Psiquiátrica , Trastorno Afectivo Estacional/psicología , Tomografía Computarizada de Emisión de Fotón Único
14.
Adv Neuroimmunol ; 6(2): 119-29, 1996.
Artículo en Inglés | MEDLINE | ID: mdl-8876768

RESUMEN

This paper reviews research literature on the links between human immune functioning and mood disorders. It summarizes the initial steps of this fledgling research area since its inception in the late 1970s, and outlines a range of studies that are needed to increase our neuroimmunological sophistication. Future investigations will require greater specificity in several interrelated realms of inquiry: diagnostic, epidemiologic, and physiologic. In particular, this paper highlights basic physiological studies needed in both neurophysiology and immunology to provide a foundation for meaningful examination of their interface. Among the areas that require more specific investigation in both immunologic and mood disorders research is that of temporal organization. Just as psychiatric researchers have begun to scrutinize temporal cycles of mood, behavior, and neurophysiology, so too exploration of immune functioning must take into account predictable temporal cycles such as circadian and ultradian rhythms, as they shape responses to unanticipated external perturbations. Clarification of the temporal dimension will add significantly to our analysis of the links between immune functioning and mood disorders. The basic science of psychoneuroimmunology continues to mature, bringing new discoveries and revealing hitherto unknown mechanisms and interactions. This is a field of study in many ways still on the frontier, and explication of the long suspected links between mood disorders and immune functioning continues to beckon.


Asunto(s)
Trastorno Depresivo/inmunología , Psiconeuroinmunología , Enfermedades Autoinmunes/epidemiología , Enfermedades Autoinmunes/inmunología , Enfermedades Autoinmunes/psicología , Ritmo Circadiano , Comorbilidad , Trastorno Depresivo/epidemiología , Susceptibilidad a Enfermedades , Femenino , Humanos , Hipersensibilidad/epidemiología , Hipersensibilidad/inmunología , Hipersensibilidad/psicología , Síndromes de Inmunodeficiencia/etiología , Activación de Linfocitos , Recuento de Linfocitos , Masculino , Neoplasias/epidemiología , Neoplasias/inmunología , Neoplasias/psicología , Riesgo , Estrés Fisiológico/inmunología
15.
J Psychosom Res ; 38(4): 323-37, 1994 May.
Artículo en Inglés | MEDLINE | ID: mdl-8064650

RESUMEN

Disturbances of sleep are a hallmark of seasonal affective disorders (SAD), as they are of other mood disorders. Fall/winter SAD patients most often report hypersomnia. Among responses of 293 SAD patients on a symptom questionnaire, complaints of winter hypersomnia (80%) greatly exceeded insomnia (10%), hypersomnia plus insomnia (5%), or no sleep difficulty (5%). Increased sleep length in fall/winter is not unique to SAD. Among 1571 individuals across four latitudes surveyed at random from the general population, winter sleep increases of < or = 2 hr/day relative to summer were reported by nearly half. However, hypersomnia had a low correlation (r = 0.29) with the total number of other SAD symptoms that were reported in this sample. Ten SAD patients kept daily sleep logs across 1 yr that showed increases in fall and winter (sleeping most in October; least in May) whose maximum averaged 2.7 hr per day more weekend sleep than in spring and summer. These winter increases might have been somewhat attenuated since most received light therapy during part of the winter. Nocturnal EEG recordings of depressed SAD patients in winter showed decreased sleep efficiency, decreased delta sleep percentage, and increased REM density (but normal REM latency) in comparison with recordings: (1) from themselves in summer; (2) from themselves after > or = 9 days of light therapy; or (3) from age- and gender-matched healthy controls. Thus, the extent of fall/winter oversleeping recorded by our SAD patients did not differ dramatically from that reported by the general population, but sleep complaints of our SAD patients have been accompanied by features of sleep architecture that are different from healthy controls and are reversed by summer or by bright-light therapy.


Asunto(s)
Fototerapia , Trastorno Afectivo Estacional/psicología , Estaciones del Año , Fases del Sueño , Trastornos del Sueño-Vigilia/psicología , Adulto , Anciano , Ritmo Circadiano , Trastornos de Somnolencia Excesiva/psicología , Trastornos de Somnolencia Excesiva/terapia , Femenino , Humanos , Masculino , Persona de Mediana Edad , Polisomnografía , Valores de Referencia , Estudios Retrospectivos , Trastorno Afectivo Estacional/terapia , Trastornos del Inicio y del Mantenimiento del Sueño/psicología , Trastornos del Inicio y del Mantenimiento del Sueño/terapia , Trastornos del Sueño-Vigilia/terapia , Sueño REM
16.
Biol Psychiatry ; 32(8): 700-4, 1992 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-1457625

RESUMEN

Recurrent fall/winter depressions that remit during spring and summer have been called Seasonal Affective Disorders (SAD) (Wehr and Rosenthal 1989). The pathophysiology of SAD, its relationship to nonseasonal affective disorders, and the mechanism of action of light therapy, which is effective in treating SAD, remain to be elucidated (Depue et al 1989; Jacobsen et al 1987; James et al 1986; Joseph-Vanderpool et al 1991; Skwerer et al 1988, Terman et al 1989). Norepinephrine (NE) may play a role in the mechanisms of action of many antidepressant treatments (Schildkraut 1965) that alter NE metabolism (Schildkraut et al 1964 and 1965) and decrease the urinary output of NE and its metabolites, i.e., "whole-body NE turnover" (WBNET) (Golden et al 1988; Potter et al 1988). The present study explored whether light therapy also reduces the urinary output of NE and its metabolites.


Asunto(s)
Nivel de Alerta/fisiología , Norepinefrina/orina , Fototerapia , Trastorno Afectivo Estacional/terapia , Adulto , Trastorno Bipolar/psicología , Trastorno Bipolar/terapia , Trastorno Bipolar/orina , Trastorno Depresivo/psicología , Trastorno Depresivo/terapia , Trastorno Depresivo/orina , Femenino , Humanos , Metoxihidroxifenilglicol/orina , Persona de Mediana Edad , Normetanefrina/orina , Inventario de Personalidad , Trastorno Afectivo Estacional/psicología , Trastorno Afectivo Estacional/orina , Ácido Vanilmandélico/orina
17.
J Toxicol Environ Health ; 37(1): 1-9, 1992 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-1522606

RESUMEN

Diallyl thioethers (DATEs), naturally occurring compounds present in garlic, were investigated for their putative ability to inhibit benzo[a]pyrene-induced genotoxicity in ICR and C3H strains of mice. The mouse bone marrow micronucleus assay was used as an indicator of in vivo genotoxicity. A dose of 0.67 mmol total DATEs/kg body weight inhibited formation of micronucleated polychromatic erythrocytes (MPCEs) by 24%, and 0.33 mmol DATEs inhibited formation of MPCEs by 45%. Possibly the toxicity of DATEs accounted for less inhibition with the higher dose. Formation of MPCEs were inhibited only slightly by DATEs in C3H mice. These results indicate that the mouse bone marrow micronucleus assay can be used to identify organosulfur components of garlic that inhibit genotoxicity.


Asunto(s)
Compuestos Alílicos/farmacología , Antimutagênicos/farmacología , Benzo(a)pireno/antagonistas & inhibidores , Disulfuros/farmacología , Ajo/química , Plantas Medicinales , Sulfuros/farmacología , Animales , Antineoplásicos/farmacología , Benzo(a)pireno/toxicidad , Médula Ósea/efectos de los fármacos , Masculino , Ratones , Ratones Endogámicos C3H , Ratones Endogámicos ICR , Pruebas de Micronúcleos , Aceites de Plantas/farmacología
18.
J Clin Epidemiol ; 45(7): 733-42, 1992 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-1619453

RESUMEN

The relationship between reported coffee consumption and specific causes of death was examined in 9484 males enrolled in the Adventist Mortality Study in 1960 and followed through 1985. Coffee consumption was divided into three levels: less than 1 cup per day, 1-2 cups per day, and greater than or equal to 3 cups per day. Approximately one third of the subjects did not drink coffee. Cause-specific mortality rates were compared using survival analysis including Cox's proportional hazard model, and controlling for potential confounders such as body mass index, heart disease and hypertension at baseline, race, physical activity, marital status, educational level, smoking history, and dietary pattern. Inclusion of interaction terms between coffee consumption and attained age as time-dependent covariates allowed the hazard ratio to vary with age. Univariate analyses showed a statistically significant association (p less than 0.05) for coffee consumption and mortality for most endpoints. Multivariate analyses showed a small but statistically significant association between coffee consumption and mortality from ischemic heart disease, other cardiovascular diseases, all cardiovascular diseases, and all causes of death. For the major causes of death, the hazard ratios decreased from about 2.5 at 30 years of age to 1.0 around 95 years of age. These results indicate that abstinence from coffee leads to compression of mortality rather than an increase in lifespan.


Asunto(s)
Causas de Muerte , Café/efectos adversos , Mortalidad , Adulto , Anciano , Anciano de 80 o más Años , Análisis de Varianza , California , Factores de Confusión Epidemiológicos , Demografía , Humanos , Estilo de Vida , Longevidad , Masculino , Persona de Mediana Edad , Análisis Multivariante , Modelos de Riesgos Proporcionales , Análisis de Supervivencia
20.
Cancer Lett ; 45(1): 43-8, 1989 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-2496915

RESUMEN

Brussels sprouts (Brassica oleracea, L; Jade cross E, hybrid cultivar) were cultivated with inorganic selenium added to the plant growth medium. Sprague-Dawley, female, weanling rats were divided into groups and fed 20% brussels sprouts diets containing either 0.03, 0.58, 1.29, or 6.71 ppm of selenium naturally occurring in the sprouts. These diets were fed 2 weeks before and 2 weeks after a single dose of 7,12-dimethylbenz[a]anthracene (DMBA), and the rats were then placed on a low selenium basal diet for an additional 25 weeks. All brussels sprouts diets reduced the incidence of DMBA-induced mammary carcinogenesis. Increased dietary levels of naturally occurring selenium did not further depress mammary tumorigenesis. The time periods of selenium feeding may have been too brief to observe any additional tumor reductions.


Asunto(s)
Dieta , Neoplasias Mamarias Experimentales/patología , Selenio/farmacología , Verduras , 9,10-Dimetil-1,2-benzantraceno , Animales , Peso Corporal/efectos de los fármacos , Femenino , Hígado/metabolismo , Ratas , Ratas Endogámicas , Selenio/metabolismo
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