A quantitative investigation of hippocampal pyramidal cell size, shape, and variability of orientation in schizophrenia.

Hippocampal abnormalities have been described in patients with schizophrenia, with disarray of pyramidal cells being one of the more intriguing findings. Controversy exists regarding whether disarray is present in the brains from schizophrenics in the Yakovlev collection at the Armed Forces Institute of Pathology, Washington, DC. We examined for disarray the CA1 region of the midhippocampus of 17 schizophrenics and 32 controls from this collection using computerized determination of neuronal angle and directional statistical analysis of the variability of neuronal angle. Neuronal area and shape were also assessed. We found no differences between patients and controls in these measures. Possible methodological reasons for the discrepancy between our and others' findings are discussed, as well as directions for further research into possible pathological study of the hippocampus and related structures in schizophrenia.

Increased numbers of CD5+ B lymphocytes in schizophrenic patients.

Autoimmune mechanisms have been postulated to play a role in the pathogenesis of schizophrenia. Recently, increased numbers of B lymphocytes expressing the CD5 (Leu-1) surface antigen have been observed in patients with certain autoimmune diseases. In the present study, approximately 30% of schizophrenic patients (11/34) were found by cytofluorometric methods to have similarly increased levels of circulating CD5+ B cells compared with 6% (2/33) of healthy individuals and 5% (1/20) of patients with bipolar affective disorder. In schizophrenic patients with a "high" CD5+ B-cell phenotype, the percentage of B cells expressing the CD5 surface marker (mean +/- SEM, 52.4% +/- 3.5%) was comparable to that reported for patients with rheumatoid arthritis and significantly greater than that reported for patients with bipolar affective disorder (25.7% +/- 2.5%) and healthy controls (31.0% +/- 1.8%). Schizophrenic patients with high levels of CD5+ B cells had increased numbers of total B cells compared with control subjects and patients with low levels of CD5+ B cells. An elevation in CD5+ B cells may delineate a subgroup of schizophrenic patients whose disease has an underlying autoimmune and/or genetic cause.

When symptoms persist: choosing among alternative somatic treatments for schizophrenia.

Many patients with schizophrenia continue to have significant disabling symptoms despite adequate trials of different types and doses of traditional neuroleptics. Clinicians treating these neuroleptic-resistant patients must look to other treatments in the hope of providing some relief. The literature on many of the alternative treatments is too scanty for firm conclusions. We offer criteria for deciding which treatments may warrant consideration. We review the evidence for the eight treatments we found to meet these criteria and discuss clinical points salient to their use in this population. Although not always conclusive, the data do offer clues for treatment guidelines and an approach to choosing among the available treatments is suggested.

Glucose determination by a pulsed photoacoustic technique: an experimental study using a gelatin-based tissue phantom.

A preliminary study of using a gelatin-based in vivo tissue model to investigate some of the near infrared photoacoustic characteristics that may influence the sensitivity of non-invasive photoacoustic detection of blood glucose in human tissue is described. It is shown that the optical absorption change due to glucose in the near infrared region is small and that the pulsed photoacoustic technique may offer a better detection sensitivity than other conventional optical transmission measurement systems being developed for blood glucose monitoring.

Laser photoacoustic determination of physiological glucose concentrations in human whole blood.

A glucose concentration analysis of human whole blood samples has been accomplished using pulsed laser photoacoustic spectroscopy (LPAS). Using a CO2 laser operating with microJ pulse energies, the technique has shown the required discrimination and sensitivity to determine glucose concentrations within the physiological range (18-450 mg dl-1) in whole blood samples. The sensitivity achieved with this system is comparable to that of the existing commercial enzyme-based diagnostic systems presently used in hospital clinical chemistry environments. The technique is compared with other optical methods that have recently been used for glucose determination, and its applicability for use in the development of an in vivo monitor is discussed.

Longitudinal growth analysis of horses following limited and ad libitum feeding.

Eighteen colts were assigned to one of two groups: limit or ad libitum feeding. Three periods were evaluated: 1) six to 12 months, 2) 12 to 18 months and 3) 18 to 24 months of age. At 24 months of age, ad libitum fed horses weighed 13 per cent (51 kg) more and were 3.6 per cent (5.2 cm) taller than those fed limited amounts. Total, fore and hind body mass increased quadratically irrespective of dietary treatment. Fore body mass comprised 57 per cent of total body mass for both groups and this did not change with age or dietary treatment. Heart girth was directly related (R2 = 0.96) to total body mass. Average daily gains in total body mass of ad libitum fed horses were 13 and 71 per cent more rapid (P less than 0.05) than for limit fed horses in Periods 1 and 3, respectively. Ad libitum fed horses gained hind body mass 25 per cent more rapidly (P less than 0.05) than limit fed horses only in Period 1. Growth curves of wither and croup heights were quadratic in form. Ad libitum fed horses gained 12 and 13 per cent more rapidly at the wither than limit fed horses in Period 1 and overall, respectively. Ad libitum fed horses grew 33 per cent more rapidly at the croup than limit fed horses but only in Period 2. From six to 12 months of age, the wither and croup grew two-fold and four-fold more rapidly than between 12 to 18 months and between 18 to 24 months of age, respectively.(ABSTRACT TRUNCATED AT 250 WORDS)

Effects of diet and climate on growing horses.

The effects of diet and climate were assessed in 42 light horse weanlings over 30 wk. Horses were fed diets varying in energy and phosphorus content. Diets were predominantly forage (73 to 77.5%) or concentrate (62 to 62.25%) and had 2.65 or 3.09 Mcal DE/kg DM, respectively. Horses were weighed every 14 d. Group feed intakes and climatic variables were recorded daily. Dietary phosphorus content did not affect intake or gain. Horses fed forage diets ate 18% more (P less than .001) DM than horses fed concentrate, but DE intakes did not differ. Average DE intakes, 21.5 Mcal daily, were 33% more than those given in 1978 National Research Council (NRC) tables. Overall ADG by forage- and concentrate-fed horses were .83 and .89 kg, respectively. These values were 23 and 32% above mean ADG values given for horses at 6 and 12 mo in 1978 NRC tables. Average daily gain declined (P less than .01) with age, although daily DE intake increased (P less than .01). Total DM and DE intakes were determined largely by body weight, but age was the main determinant of weight-scaled DE intake. Weight- and age-scaled DE intakes were reduced (P less than .001) by 6.1% at temperatures below -10 degrees C compared with temperatures above -10 degrees C. Temperatures below -20 degrees C had no greater effect on DE intake than those between -10 to -20 degrees C. Neither precipitation nor wind alone affected weight- and age-adjusted DE intake. In conclusion, weanling horses fed readily digested diets ad libitum gained weight at or above expected values even at severely cold ambient temperatures.

Effects of dietary energy and phosphorus content on blood chemistry and development of growing horses.

Growth and clinical biochemistry were examined over 30 wk in 42 light horse weanlings fed high-forage diets (73 to 77% alfalfa) or high-concentrate diets (63 to 65% grain and grain by-products) that were either low (.24 to .35%), normal (.68%) or high (.95 to 1.06%) in P. Body weights and blood samples were taken every 2 wk. Forage and concentrate diets contained 2.65 and 3.09 Mcal digestible energy/kg DM, respectively. Calcium and P digestibilities were highest (P less than .01) in those horses fed the low P diets, but only horses fed forage-low P diets may have absorbed insufficient P. Serum alkaline phosphatase activity, serum Ca, serum Mg and plasma Cu concentrations were unaffected by diet but varied (P less than .01) among sampling periods. The concentrations of serum Ca and P of all groups fluctuated to wk 10 before being stabilized at means of 2.77 and 2.03 mmol/liter, respectively. Plasma Zn concentrations increased quadratically with age and were 3.8% greater (P less than .05) for concentrate-fed horses than for forage-fed horses. Mild to moderate physitis and flexure limb deformities occurred in 88% of the weanlings principally between wk 6 and 8 of the study. Limb deformities had largely resolved by wk 12. Marginally deficient P intakes did not alter productivity, feed intake, blood mineral concentration in the final 20 wk or the occurrence of musculoskeletal abnormalities in weanling horses.

Energy uptake and utilization by limit- and ad libitum-fed growing horses.

Eighteen weanling horses were assigned to two treatments: limited or ad libitum feed intake. Growth and feed utilization were evaluated over a 78-wk period. Ad libitum-fed horses gained 24% more (P less than .05) weight than limit-fed horses. Total BW was distributed into 57% fore and 43% hind weight and did not differ between groups regardless of dietary treatment or age. Net gain and ADG in wither height of ad libitum-fed horses exceeded (P less than .05) that of limit-fed horses over 78 wk. Ad libitum-fed horses consumed 19, 44 and 34% more digestible energy (DE) than indicated in 1978 NRC tables from 6 to 12 mo, 12 to 18 mo and 18 to 24 mo of age, respectively. Total DE intakes were positively correlated to weight and therefore were confounded by age. Weight-scaled DE intake of ad libitum-fed weanling horses increased .2% for each 1 C degree decrease in barn temperature below 0 degree C. Maintenance energy requirements were estimated at 37.8 and 35.6 kcal DE/kg BW for limit- and ad libitum-fed horses, respectively. Grams of gain per megacalorie of DE consumed above maintenance ranged from 83 to 24 g/Mcal and were only 22 to 75% of values derived from 1978 NRC tables. Energy guidelines given by NRC were considered suitable for growth based on normalcy of musculoskeletal growth. However, the ADG by our horses, which were fed high-forage diets, were lower than those predicted by 1978 NRC.

Nutrient utilization by limit- and ad libitum-fed growing horses.

Eighteen Quarter Horse and Paint weanling colts were assigned to two treatments, either limit or ad libitum feeding. Nutrient digestibilities of diets were evaluated between 6 and 12 mo, 12 and 18 mo and 18 and 24 mo of age. From 6 to 12 mo, energy digestibility (64 to 68%) was unaffected by feed intake level. Ad libitum-fed horses had energy digestibilities 9 to 10% greater (P less than .05) than limit-fed horses between 12 and 24 mo of age, but adjustment for DM intake removed these differences. Limit-fed, mature ponies used dietary energy similarly to growing horses from 6 to 18 mo of age, but they used digested dietary energy more efficiently (P less than .05) than young horses at 24 mo of age. Ad libitum-fed horses digested more (P less than .05) dietary protein than limit-fed horses between 12 and 24 mo of age, but adjustment for DM intake removed these differences. True digestibilities of dietary Ca were estimated at 71 to 42% among periods, whereas true digestibilities of dietary P ranged from 52 to 6%. Sufficient P was absorbed by all horses between 6 and 18 of age, but by 24 mo of age horses were in negative P balance despite an apparently adequate P intake. Using regression analyses, daily endogenous fecal Ca and P were predicted to be 36 and 18 mg/kg body weight, respectively.

Effects of farrowing crate floors on health and performance of piglets and sows.

Three types of raised perforated floor were compared with floor-level concrete which had perforated flooring at the rear. Piglets on raised perforated floors grew faster (P less than 0.05) to 21 days than pigs on mainly solid floors (205 g/day and 198 g/day, respectively). The mortality in the first 21 days of all pigs born did not differ between raised (18.4 per cent) and mainly solid floors (18.7 per cent) and there were no effects of individual floor types on overall survival or on deaths due to crushing. The incidence of diarrhoea was not significantly less on raised than on solid floors (27 per cent and 34 per cent of litters, respectively) but antibiotic treatment time was shortened (0.9 days and 1.2 days, P less than 0.05). The incidence of splayleg was highest on fibreglass slats. Concrete floors caused most knee abrasions but the incidence of arthritis was unaffected. Approximately twice as many sows on mainly solid floors went off their feed or had a high rectal temperature compared with sows on raised perforated floors. No differences were observed between narrow or A-frame farrowing crates.

Environmental effects on thermoregulation and nutrition of horses.

Horses are reared in all types of weather. Temperatures as diverse as -40 degrees C to 40 degrees C are tolerated by horses. The nutrient requirement most influenced by cold weather is energy. In cold weather, feeding good quality hays free-choice is usually sufficient for mature horses in good body condition. Grain may have to be fed when poor quality hays are used. Hot weather (greater than 30 degrees C) necessitates heat loss to maintain body core temperature. Horses sweat to reduce body heat. Heat stress can be minimized by feeding diets that reduce the heat increment. Use of grain and fat in the diet, which have a lower heat increment than fibrous feeds such as hays, may benefit horses in hot climates. Wind or precipitation necessitate protection to minimize chilling in cold weather and discomfort in hot weather. However, it is a moot point whether horses will use shelters under these circumstances.

Predicting coronary artery disease with treadmill stress testing: changes in R-wave amplitude compared with ST segment depression.

Coronary angiograms and treadmill stress tests were reviewed independently in 108 nonconsecutively selected cases. There were 16 patients (15%) with infarcts on ECG. Changes in R-wave amplitude and ST segments during exercise were evaluated to determine the sensitivity and specificity of each as a predictor of coronary artery disease (CAD). ST segment changes had a sensitivity of 49%, and a specificity of 74%. The sensitivity increased to 55% when infarcts were excluded. R-wave amplitude changes had a sensitivity of 68% and a specificity of 84%. The sensitivity increased to 78% when infarcts were excluded. An index formed by the sum of the change in R-wave amplitude and the magnitude of ST segment change yielded a sensitivity of 76% and specificity of 78%. The sensitivity increased to 84% when infarcts were excluded. There was no statistical difference between specificities for each criteria. Of those patients with an R-wave amplitude decrease, 69% had no coronary artery atherosclerosis, while 31% had significant lesions. Of those patients with no change or an increase in R-wave amplitude, 83% had coronary artery atherosclerosis, while 17% were normal. Of the 83% with coronary artery atherosclerosis, 81% had two and three vessel disease, while only 19% had single vessel disease. No change or an increase in R-wave amplitude during treadmill stress testing is a more reliable indicator of CAD in our laboratory than ST segment changes.

Evaluation of R wave amplitude changes versus ST-segment depression in stress testing.

Exercise ECGs and coronary angiograms were reviewed in 266 patients (81 normals and 185 with significant coronary artery disease). Thirty-three false positive and 96 false negative ST responses to stress testing were purposely chosen to determine if the R wave could reduce the number of false ST responses. R wave amplitude changes were measured in the control and in the immediate postexercise period. An increase or no change in R wave was taken as evidence of an abnormal response, while a decrease in the R wave was a normal response. The sensitivity by ST segment was 48% and the specificity was 59%. These values were low because of the large number of false positive and negative ST responses in the study. It was our purpose to determine if these lowered values could be significantly improved by the R wave. Using R wave criteria, the sensitivity was 63% (P is less than 0.01) while the specificity was 79% (P is less than 0.01). The sensitivity and specificity of stress testing can be significantly improved using R wave changes.

Anatomical abnormalities in the brains of monozygotic twins discordant for schizophrenia.

Recent neuroradiologic and neuropathological studies indicate that at least some patients with schizophrenia have slightly enlarged cerebral ventricles and subtle anatomical abnormalities in the region of the anterior hippocampus. Using magnetic resonance imaging (MRI), we studied 15 sets of monozygotic twins who were discordant for schizophrenia (age range, 25 to 44 years; 8 male and 7 female pairs). For each pair of twins, T1-weighted contiguous coronal sections (5 mm thick) were compared blindly, and quantitative measurements of brain structures were made with a computerized image-analysis system. In 12 of the 15 discordant pairs, the twin with schizophrenia was identified by visual inspection of cerebrospinal fluid spaces. In two pairs no difference could be discerned visually, and in one the twin with schizophrenia was misidentified. Quantitative analysis of sections through the level of the pes hippocampi showed the hippocampus to be smaller on the left in 14 of the 15 affected twins, as compared with their normal twins, and smaller on the right in 13 affected twins (both P less than 0.001). In the twins with schizophrenia, as compared with their normal twins, the lateral ventricles were larger on the left in 14 (P less than 0.003) and on the right in 13 (P less than 0.001). The third ventricle also was larger in 13 of the twins with schizophrenia (P less than 0.001). None of these differences were found in seven sets of monozygotic twins without schizophrenia who were studied similarly as controls. We conclude that subtle abnormalities of cerebral anatomy (namely, small anterior hippocampi and enlarged lateral and third ventricles) are consistent neuropathologic features of schizophrenia and that their cause is at least in part not genetic. Further study is required to determine whether these changes are primary or secondary to the disease.

Morphometry of the corpus callosum in monozygotic twins discordant for schizophrenia: a magnetic resonance imaging study.

The corpus callosum (CC) has been the focus of several morphometric studies of patients with schizophrenia, but the results of these studies have been contradictory. In an attempt to improve the reliability of morphometric measurements of the corpus callosum, a computerised image analysis system was used to measure the shape, area, thickness and length of the CC on magnetic resonance imaging (MRI) in 12 pairs of monozygotic twins discordant for schizophrenia (SC). No differences in CC area (anterior, middle, posterior thirds and total), length or vertical thickness of the CC body (at three levels) were demonstrated by t test comparisons of the affected SC and unaffected twins. Statistical analysis of a Fourier expansion series suggested differences in shape between normal and SC cotwins in the second harmonic of the anterior and middle segments and effects of gender on posterior CC shape. These results fail to replicate previous findings of altered length, thickness and area in the schizophrenic CC, but implicate disease-related shape differences in the anterior and middle segment of the corpus callosum and gender-related differences in splenium shape. The disease-related shape distortion suggest ventriculomegaly rather than an intrinsic abnormality of the corpus callosum.