Myocardial stunning following combined modality combretastatin-based chemotherapy: two case reports and review of the literature.

Myocardial stunning, known as stress cardiomyopathy, broken-heart syndrome, transient left ventricular apical ballooning, and Takotsubo cardiomyopathy, has been reported after many extracardiac stressors, but not following chemotherapy. We report 2 cases with characteristic electrocardiographic and echocardiographic features following combined modality therapy with combretastatin, a vascular-disrupting agent being studied for treatment of anaplastic thyroid cancer. In 1 patient, an ECG performed per protocol 18 hours after drug initiation showed deep, symmetric T-wave inversions in limb leads I and aVL and precordial leads V(2) through V(6). Echocardiography showed mildly reduced overall left ventricular systolic function with akinesis of the entire apex. The patient had mild elevations of troponin I. Coronary angiography revealed no epicardial coronary artery disease. The electrocardiographic and echocardiographic abnormalities resolved after several weeks. The patient remains stable from a cardiovascular standpoint and has not had a recurrence during follow-up. An electrocardiogram performed per protocol in a second patient showed deep, symmetric T-wave inversions throughout the precordial leads and a prolonged QT interval. Echocardiography showed mildly reduced left ventricular function with hypokinesis of the apical-septal wall. Acute coronary syndrome was ruled out, and both the electrocardiographic and echocardiographic changes resolved at follow-up. Although the patient remained pain-free without recurrence of anginal symptoms during long-term follow-up, the patient developed progressive malignancy and died.

Association between bipolar disorder and monoamine oxidase A gene polymorphisms: results of a multicenter study.

OBJECTIVE: Although genetic factors have been implicated in the etiology of bipolar disorder, no specific gene has been conclusively identified. Given the link between abnormalities in serotonergic neurotransmission and bipolar disorder, a candidate gene association approach was applied to study the involvement of the monoamine oxidase A (MAOA) gene, which codes for a catabolic enzyme of serotonin, in the susceptibility to bipolar disorder. METHOD: In France and Switzerland, 272 patients with bipolar disorder and 122 healthy subjects were typed for three polymorphic markers of the MAOA gene: the MAOA-CA repeat, the MAOA restriction fragment length polymorphism (RFLP), and a repeat directly adjacent to the variable number of tandem repeats (VNTR) locus. RESULTS: A significant difference in the distribution of the alleles for the MAOA-CA repeat was observed between the female bipolar patients and comparison group. CONCLUSIONS: The results obtained in the French and Swiss population confirm findings from two studies conducted in the United Kingdom.

Diagnostic interview for genetic studies (DIGS): inter-rater and test-retest reliability of the French version.

The National Institute of Mental Health developed the semi-structured Diagnostic Interview for Genetic Studies (DIGS) for the assessment of major mood and psychotic disorders and their spectrum conditions. The DIGS was translated into French in a collaborative effort of investigators from sites in France and Switzerland. Inter-rater and test-retest reliability of the French version have been established in a clinical sample in Lausanne. Excellent inter-rater reliability was found for schizophrenia, bipolar disorder, major depression, and unipolar schizoaffective disorder while fair inter-rater reliability was demonstrated for bipolar schizoaffective disorder. Using a six-week test-retest interval, reliability for all diagnoses was found to be fair to good with the exception of bipolar schizoaffective disorder. The lower test-retest reliability was the result of a relatively long test-retest interval that favored incomplete symptom recall. In order to increase reliability for lifetime diagnoses in persons not currently affected, best-estimate procedures using additional sources of diagnostic information such as medical records and reports from relatives should supplement DIGS information in family-genetic studies. Within such a procedure, the DIGS appears to be a useful part of data collection for genetic studies on major mood disorders and schizophrenia in French-speaking populations.

Influence of the ratio between wheat straw and ground barley, ground corn or dried sugar beet pulp on in sacco dry matter degradation of ryegrass and wheat straw, rumen fermentation and apparent digestibility in sheep.

Castrated male sheep were fed with 5 different rations varying in the straw to concentrate ratio between 100: 0, 75: 25, 50: 50, 25: 75 and 0: 100. Ground barley, ground corn and dried sugar beet pulp were used as concentrate sources. Chopped winter wheat straw was fed as roughage source. All rations were supplemented with a protein-mineral-vitamin-premix. In sacco dry matter degradability of artificially dried ryegrass, untreated and ammonia treated wheat straw was measured within three rumen fistulated sheep. Nylon bags were incubated for 48 h in the rumen of sheep. Volatile fatty acids of rumen fluid were determined by gas chromatography. Samples were taken via rumen fistula 3 h after morning feeding. Apparent digestibility of organic matter and fibre fractions of total rations were determined within five sheep. Increased concentrate portion decreased in sacco dry matter degradability of incubated roughages. Decrease of dry matter degradability was much higher for ammonia treated (from 55.0 to 22.5%) and untreated straw (from 50.9 to 22.7%) than for ryegrass (from 75.6 to 69.2%), when concentrate increased from 0 to 100% of ration. The highest concentrate portions did not show any increase of degradability of ammonia treated straw. Specific concentrate effects were observed when 75 and 100% concentrate were fed (unphysiological level). Ground barley as concentrate source decreased rumen pH to a larger extent (down to 5.18) than corn and sugar beet pulp (down to 5.60 and 5.57). Sheep suffered from rumen acidosis in some cases. Higher concentrate levels increased concentration of total volatile fatty acids of rumen liquid and molar concentration of propionate and butyrate, but decreased acetate. Various concentrate sources showed different influences on parameters of rumen fermentation. Apparent digestibility of organic matter of total rations increased from 52.7 to 86.1% if concentrate portions enhanced from 0 to 100%. High portions of ground barley decreased cellulolytic activity and fibre digestion. On the other hand high levels of sugar beet pulp increased digestibility of crude fibre and neutral detergent fibre.

Influence of yeast (Saccharomyces cerevisiae as Yea-Sacc or Levaferm) on in Sacco dry matter degradability and ruminal parameters of variously fed small ruminants.

Two series of experiments with rumen fistulated castrated male sheep and goats were carried out. In experiment I three sheep each consumed rations rich in concentrate (700 g concentrate, 200 g chopped wheat straw) or roughage (700 g artificially dried ryegrass, 200 g chopped wheat straw per animal per day) and supplemented with 0, 1, 2 or 4 g Yea-Sacc (Saccharomyces cerevisiae; USA) per sheep per day. In experiment II three sheep were fed with 1000 g artificially dried ryegrass and 200 g concentrate, three goats consumed 750 g ryegrass and 150 g concentrate. 0, 0.5, 1 or 2 g Levaferm (Saccharomyces cerevisiae; Germany) per animal per day were added. Rations of all animals were supplemented with minerals and vitamins. After 14 days of feeding wheat straw, ammonia treated wheat straw and artificially dried grass (exp. I) or wheat straw and artificially dried grass (exp. II) were incubated in nylon bags in the rumen for 6, 12, 24, 48 and 72 hours. At the end of the experiments rumen fluid was taken via cannulae and parameters of rumen fermentation were measured. Higher levels of added Yea-Sacc decreased in sacco dry matter degradability of all incubated feeds. Depression was much higher if Yea-Sacc was added to the concentrate ration (overall mean for 24, 48 and 72 h incubation time: 55.1, 47.1, 46.1 and 44.5 for 0, 1, 2 and 4 g Yea-Sacc) than to the roughage diet (58.7, 56.3, 55.0 and 54.1%). Levaferm did not significantly influence the rumen dry matter degradability of incubated feeds (overall mean for 24, 48, and 72 h incubation time: 64.0; 64.9; 64.9 and 64.2% for sheep; 63.0; 63.2; 63.2 and 61.6% for goats, if added with 0, 0.5, 1 and 2 g Levaferm per animal per day). Rumen pH, concentration of volatile fatty acids and molar concentration of fatty acids in rumen fluid were not significantly influenced by added yeasts. More research seems necessary to find out the mode of action of yeast and to quantify and to reproduce the effects of added yeast.

[Effect of graduated vitamin D3 doses and different ration composition on the 25OH-vitamin D3 plasma concentration and fattening and slaughter production of bulls]. / Einfluss gestaffelter Vitamin-D3-Gaben und unterschiedlicher Rationsgestaltung auf die 25OH-Vitamin-D3-Plasma-Konzentration sowie Mast- und Schlachtleistung von Mastbullen.

In a individual feeding experiment (348 days) 24 fattening bulls were given either a ration high in roughage (2.8 kg concentrate mixture, wheat straw ad libitum: group I) or high in concentrate (5.6 kg concentrate mixture, wheat straw ad libitum group II) supplemented with various levels of vitamin D3 (0, 250, 500, 1,000, 2,000, 4,000 and 8,000 IU per 100 kg body weight (bw) and day) and minerals as required. After 58, 101, 134, 172, 205, 277 and 340 days 25-OH-D3 plasma concentration was estimated. Fattening and slaughtering parameters were measured. The 25OH-D3 plasma concentration was significantly influenced by vitamin D3 supply, kind of ration and day of taking samples. 25-OH-D3 plasma concentration decreased below 5 ng per ml when vitamin D3 supply was less than or equal to 250 IU per 100 kg bw and day. The initial plasma levels were maintained when 500 IU vitamin D3 per 100 kg bw and day was given (6.6 ng per ml). Administration of greater than or equal to 1,000 IU per 100 kg bw and day increased 25OH-D3 plasma level (greater than 10 ng/ml). Plasma 25OH-D3 concentration was significant higher when bulls consumed diets rich in concentrate (10.6 and 18.2 ng/ml for I and II after 340th day). Differences in content of cell walls and crude fat of rations may be responsible for results. Daily weight gain of bulls amounted to 712 and 945 g when fed diets I or II. Dry matter intake and live weight gain were not significantly influenced by different vitamin D3 supply. Clinical symptoms of rachitis did not appear.

[The effect of avoparcin on apparent digestibility, characteristics of rumen fermentation and fattening and slaughter output of growing cattle]. / Untersuchungen zum Einfluss von Avoparcin auf scheinbare Verdaulichkeit, Kennzahlen der Pansenfermentation sowie Mast- und Schlachtleistung wachsender Rinder.

Four digestion experiments with 5 wethers each (0, 15, 30 or 60 mg avoparcin per animal and day), three individual feeding experiments (28, 18 or 56 bulls per experiment; 0 and 150/200; 0, 250 and 500 or 0 and 200 mg avoparcin per animal and day in the experiments 1, 2 or 3) and two group feeding experiments (60 bulls and 161 heifers per experiment; salt lick stones without or with 2.5 g avoparcin per kg) were carried out in order to investigate the influence of avoparcin on apparent digestibility, figures of rumen fermentation, fattening and slaughtering results as well as protein, fat and energy retention. Avoparcin supplementation did not significantly influence the apparent digestibility of organic matter and crude nutrients. Concentration of acetate of rumen liquid was decreased (16 or 36) and that of propionate was increased (25 or 50 mmoles per mol) when 200 or 500 mg avoparcin per animal and day were added. Acetate:propionate ratio decreased from 4.2 to 3.5 and 3.1:1. Avoparcin did not influence feed intake, enhanced daily weight gain (37 to 174 g per animal and day) and improved feed efficiency (5 to 26%). Salt lick stones with avoparcin increased weight gain (58 and 96 g per animal and day). Slaughtering results and body composition of bulls were not influenced by avoparcin. Daily retention of protein, fat and energy was significantly increased (16 to 18%; P less than 0.05) when avoparcin was supplemented.

[Methodologic recommendations for the determination of 25-OH vitamin D3 in plasma using HPLC]. / Methodische Hinweise zur Bestimmung von 25-OH D3-Vitamin im Plasma mittels HPLC.

A method for measuring 25-OH D3-vitamin (calcidiol) in plasma samples of cattle is described. The samples were purified using non-polar C 18-cartridges and 25-OH D3 was determined by high-performance liquid chromatography (HPLC) on a silicic acid straight phase liquid chromatography column (retention time 11.5 min). The detection limit for 25-OH D3 is about 0.5 ng injection quantity, the average recovery was 90%, the standard error amounted to 8%.

[The influence of different fiber types on the fecal nitrogen excretion and the content of volatile fatty acids in the feces of broiler hen breeds]. / Einfluss verschiedener Faseraten auf die fäkale Stickstoff-ausscheidung und den Gehalt an flüchtigen Fettsäuren im Kot bei Briolerzuchthennen.

4 colostomized adult broiler breeding hens each received 120 g mixed feed per day. In addition, the animals were given 10, 20, 30 and 40 g/day cellulose powder or apple pectin resp. and 10, 20, 30 g/day straw cellulose. The DM content of the faeces was increased by cellulose powder and decreased by pectin (P less than 0.01) in comparison to the control group. DM excretion in g/animal and day increased more quickly after supplementing cellulose powder than after supplementing pectin. Straw cellulose produced results in between. The fibre supplements increased N excretion in faeces. It was, however, only significantly increased per 100 g DM intake by large pectin supplements (greater than 20 g). The TCA soluble N quota in the total N of the faeces remained largely unchanged after pectin supplements and increased after cellulose and straw cellulose supplements. Pectin supplements significantly increased the formation of acetate, propionate and butyrate in comparison to the other groups. Propionate could sporadically be detected in the faeces of the other test animals, butyrate not at all. In combination with 40 g apple pectin/animal and day, Bisergon (chinoxalin derivative) increased the formation of the 3 volatile fatty acids significantly.

Profile of isoacids in rumen fluid and influence of added isoacids on in sacco dry matter disappearance of untreated and ammonia treated wheat straw.

The influence of type of diet and time after feeding on concentration of isoacids in rumen fluid of 6 fistulated sheep were investigated. The concentration of isoacids in rumen fluid was higher in diets rich in concentrate and protein (5.6) than in roughage diets (3.4) or in straw-starch-urea diets poor in native protein (highest concentration: 2.1 mmol/l rumen fluid). Feeding of roughage diet or straw-starch-urea-diet effected a significant decrease of concentration of isoacids in the rumen fluid after morning feeding, but concentrate-roughage diet, increased the isoacids-concentration. Reasons for decreased concentration of isoacids may be a shortage of corresponding amino acids and a high activity of cellulolytic microbes. Infusion of isoacids (3 g per day) in the rumen of sheep fed with a straw-starch-sugar-urea diet did not significantly influence the in sacco dry matter degradability of untreated wheat straw, but increased the dry matter loss of ammonia treated wheat straw from 16.0; 26.6; 39.4; 54.0 and 58.8% to 17.3; 29.7; 43.1; 56.3 and 63.0% after 6; 12; 24; 48 and 72 h rumen incubation time respectively. Further experiments seem to be necessary. The effect of isoacids may be expected to occur with poor quality feeds, rich in fibre low in protein and hence low in branched-chain amino acids.

Effect of dietary choline on volatile fatty acids in rumen liquid of sheep and rumen dry matter degradability of untreated and ammonia-treated wheat straw.

Three rumen fistulated wethers consumed a roughage (1200 g artificially dried grass) or a concentrate/roughage diet (600 g concentrate, 400 g dried grass per animal and day). The diets were unsupplemented or 0.5, 1 or 2 g choline per animal and day were added. After a 14-day feeding period, samples of rumen liquid were taken 0, 1, 2, 3, 4 and 6 h after morning feeding. In a second experiment, untreated and ammonia-treated wheat straw were incubated in nylon bags for 6, 12, 24, 48 and 72 h in rumen of 5 sheep fed on 1.2 kg dried grass and without or with 1 g choline per day. Choline supplementation decreased the total concentration of volatile fatty acids in rumen liquid in both types of diet (roughage: 106, 83, 89 and 87; concentrate/roughage: 142, 114, 91 and 106 mmol/l for 0, 0.5, 1 and 2 g choline per day resp.). Concentration of acetate and branched chain fatty acids in both diets and butyrate in concentrate/roughage diet was reduced as total acids. Butyrate in roughage diet was increased by added choline. Molar propionate concentration was not significantly influenced by choline (P greater than 0.05). Choline resulted in a little increase (P greater than 0.05) of dry matter degradability in rumen, especially when NH3-treated straw was incubated. The effect of choline on milk fat production of cows fed with diets rich in concentrate is probably not related to changes in rumen fermentation and digestion.

Influence of dietary niacin on volatile fatty acids in rumen liquid of sheep and rumen dry matter degradability of untreated and ammonia-treated wheat straw.

Three rumen fistulated sheep were fed with roughage (1200 g artificially dried grass) or a concentrate/roughage diet (600 g concentrate, 400 g artificially dried grass per animal and day). The diets were unsupplemented or 0.5, 1 and 2 g niacin per animal and day were added. After a 14-day adaptation period samples of rumen liquid were taken 0, 1, 2, 3, 4 and 6 h after morning feeding. In a second experiment untreated and NH3-treated wheat straw were incubated in nylon bags for 6, 12, 24, 48 and 72 h in the rumen of 5 sheep fed with 1.2 kg artificially dried grass and unsupplemented or supplemented with 1 g niacin per day. Niacin did not significantly influence the total concentration of volatile fatty acids, acetate and branched chain fatty acids in both types of diet (P less than 0.05). 0.5 and 1 g niacin in the roughage and 0.5 g niacin in concentrate/roughage diet increased the propionic acid concentration and reduced the butyric acid concentration in rumen liquid of sheep (P less than 0.05). Niacin resulted in a small decrease (P greater than 0.05) of dry matter degradability in rumen. After 48 h incubation time, the dry matter disappearance of untreated and NH3-treated wheat straw amounted to 35.4 and 46.2% resp. The effects of niacin on rumen fermentation may be useful in avoiding ketogenic situations in dairy cows.