Relationship of cow and calf circulating lipidomes with colostrum lipid composition and metabolic status of the cow.

Newborn calves rely on lipids in colostrum for energy and immune function. The lipid concentration in colostrum, however, is highly variable, and little is known about its composition and maternal factors that influence its composition. The first objective was to measure plasma lipid composition of multiparous cows at 35 d before calving (BC; 35 ± 3 d; ± standard deviation) and 7 d BC (7 ± 2 d), their colostrum, and serum lipid composition of calves (24 h after birth) using multiple reaction monitoring profiling, which is an exploratory and highly sensitive lipidomic analysis method that screens lipids based on chemical functionality. Second, data were analyzed to determine if there were relationships between circulating lipids in the cow, colostrum lipids, and calf serum lipids. Third, relationships between markers of metabolic status of the cows and circulating and colostrum lipids were analyzed with correlation analysis. Blood was sampled and plasma prepared from multiparous cows (n = 16) at 35 and 7 d BC. Within 3 h of parturition, colostrum was collected from cows and fed to her calf. Calves received another feeding of colostrum within 12 h after birth and a serum sample was collected from each calf 24 h after the first feeding of colostrum. The metabolic status of cows was evaluated using insulin, glucose, and nonesterified fatty acid area under the curve in response to an intravenous glucose tolerance test performed at 3 wk BC. Lipids were extracted from plasma, colostrum, and calf serum and were analyzed using multiple reaction monitoring profiling. Concentration of lipids were calculated using spiked in standards and expressed as percent of lipids identified. Data were uploaded into MetaboAnalyst 5.0 for multivariate and univariate analysis. Principal component analysis indicated that circulating lipids in the cow and calf were distinct from lipids in colostrum. Phosphatidylglycerol (PG) concentration was greater in colostrum and calf serum than in cow plasma, with 23 of the 24 PG found in colostrum also found in calf serum. In response to intravenous glucose tolerance test in late gestation, nonesterified fatty acid area under the curve was positively related to total triacylglycerols lipids in 7 d BC plasma (r = 0.63) but negatively related to total membrane lipids in colostrum (r = -0.55). Thus, the metabolic status of the dam influences circulating lipids and colostrum lipid content. Moreover, the circulating lipidome of the cow and calf are similar to one another and distinct from the colostrum lipidome, except for PG, where it appears that colostrum serves as the source for PG in the calf's circulation.

Meta-analysis of the relationship between milk trans-10 C18:1, milk fatty acids <16 C, and milk fat production.

The economic value of milk fat and its responsiveness to management strategies provides strong interest in maximizing milk fat production by minimizing occurrence of biohydrogenation-induced milk fat depression (BH-MFD) and maximizing de novo synthesized fatty acids (FA). Tools that allow a timely diagnosis of BH-MFD would improve nutritional management. Specific milk FA or FA categories correlate to milk fat concentration and are of interest for diagnosing the cause of changes in milk fat concentration. The objective of the current study was to characterize the relationship between milk fat concentration and trans-10 C18:1, a proxy for BH-MFD, and FA <16 carbons that originate solely from de novo lipogenesis using a meta-analysis approach that used data from the literature and unpublished Penn State experiments. Prior to the meta-analysis, the effect of FA methylation method on milk FA profile was tested to determine potential bias between papers. There was no difference between sodium methoxide, acid, and acid-base methylation methods on trans-10 C18:1 concentration, but acid methods resulted in loss of short-chain FA. The relationship between trans-10 C18:1 and milk fat percentage was investigated using a 2-component model, where one component described the fraction unresponsive to BH-MFD and the other described a responsive fraction that is exponentially related to trans-10 C18:1. The 2 fractions where characterized utilizing a Bayesian hierarchical model accounting for between-study variability. The model was defined by the function f(x, θ1, θ2, θ3) = θ1 + θ2exp(θ3), where the unresponsive θ1 fraction was 2.15 ± 0.09%, the responsive θ2 fraction was 1.55 ± 0.08%, and the exponential term θ3 was -0.503 ± 0.07 (posterior mean ± posterior standard deviation from the Bayesian hierarchical model). A Lin's concordance correlation coefficient of 0.67 suggested good agreement between observations and predictions from the Bayesian hierarchical model, computed only with the model's mean population parameters. There was a linear relationship between milk fat concentration and FA <16 C as a percentage of total FA (intercept = 2.68 ± 0.237 and slope = 0.043 ± 0.011; coefficient of determination = 0.31). The relationship between milk FA <16 C and milk fat concentration is weaker than what has been published, likely because multiple factors can reduce de novo FA without reducing milk fat and the broad range of diets present in the literature.

Postweaning response on growth and nutrient digestion to using different weaning strategies when feeding moderate and high amounts of milk replacer to Holstein calves.

Many changes occur in the rumen as calves transition from consuming a liquid diet to a completely solid diet. These changes can influence growth and calf health, being greatly affected by preweaning diet as well as the transitional steps used to wean calves. A 2 × 2 factorial design of moderate [MOD; 0.66 kg of dry matter (DM)] or high (HI; up to 1.1 kg of DM) feeding rates of milk replacer (MR) and abrupt (AB; 7-d step-down) or gradual weaning (GR; 21-d step-down) was used to study how preweaning program affects calf performance from 2 to 4 mo of age. Calves (n = 50) were randomly assigned to 1 of the 4 preweaning treatments. For the following 56-d grower portion of the experiment, calves were grouped into 12 pens based on MR program, with 4 to 5 calves per pen. Data were analyzed as a completely randomized design, with repeated measures when applicable, by PROC MIXED in SAS (version 9.4; SAS Institute Inc., Cary, NC). All calves received ad libitum access to water and a textured starter [42% starch and 20% crude protein (CP)] blended with 5% chopped grass hay. Overall, apparent digestibility coefficients (dC) of DM, neutral detergent fiber, and acid detergent fiber were greater for MOD compared with HI, and apparent dC of DM and ADF were greater for GR than for AB. No significant differences were detected between organic matter, CP, fat, starch, or sugar dC based on treatment, and no interactions were observed. However, by d 56 only starch dC differed by treatment. Weaning body weight (BW), hip width (HW), and hip height (HH) were greater for HI compared with MOD calves. Weaning HH was greater for AB than for GR calves. However, final BW, HW, HH, and body condition score, as well as average daily gain, did not differ among treatments. An interaction occurred where feed efficiency (gain/feed) was reduced with GR weaning in MOD, whereas the opposite occurred in the HI group. When feeding calves a moderate level of MR, a several-step gradual weaning is not necessary to ensure growth and development; however, calves should be gradually weaned when offered a high level of MR.

Effects of feeding different amounts of milk replacer on growth performance and nutrient digestibility in Holstein calves to 2 months of age using different weaning strategies.

Growth and the digestibility of nutrients can be greatly affected by diet preweaning and the rate at which calves are weaned. A 2 × 2 factorial design [moderate (MOD) or high (HI) milk replacer (MR) feeding rates and abrupt (AB) or gradual (GR) weaning] was used to compare these effects. Calves (n = 50) were randomly assigned to 1 of 4 treatments: MOD-AB, MOD-GR, HI-AB, and HI-GR. Calves assigned to MOD-AB were fed 0.66 kg of MR for the first 42 d and then 0.33 kg for the last 7 d; those assigned to MOD-GR were fed 0.66 kg of MR for 28 d, 0.33 kg for 14 d, and 0.17 kg for the last 7 d; those assigned to HI-AB were fed 0.66 kg of MR for 7 d, 0.82 kg for 7 d, 1.1 kg for 28 d, and 0.66 kg for the last 7 d; and those assigned to HI-GR were fed 0.66 kg of MR for 7 d, 0.82 kg for 7 d, 1.1 kg for 14 d, 0.66 kg for 14 d, and 0.33 kg for the last 7 d. All calves received the same MR [25% crude protein (CP), 17% fat; dry matter (DM) basis] and were given ad libitum access to water and a textured starter (42% starch and 20% CP). On d 26 to 30 and d 45 to 49, a fecal sample was taken from 5 calves in each treatment via the rectum to estimate apparent digestibility coefficients (dC). Apparent dC of DM, organic matter, and fat were greater for HI versus MOD calves. Apparent dC of neutral detergent fiber, acid detergent fiber, and sugar were greater for MOD versus HI calves. Apparent dC of DM was greater for AB versus GR calves [90.9, 89.0 ± 0.5384 (standard error)], and the apparent dC of acid detergent fiber was greater for GR versus AB calves (39.5, 32.3 ± 1.67). Feed efficiency was greater for HI versus MOD and AB versus GR. There were no significant differences between CP or starch dC based on treatment, and no interactions were observed. Starter consumption was greater for MOD calves compared with HI calves, and GR calves consumed more than AB calves. These results suggest that providing calves high amounts of MR preweaning enhanced readily available nutrient dC, but providing moderate amounts of MR resulted in increased fibrous fraction dC. Accordingly, the AB weaning strategy had higher dC for DM and organic matter, but there was a depression in fiber dC.

Technical note: A simple rumen collection device for calves: An adaptation of a manual rumen drenching system.

A limited amount of research is available related to the rumen microbiota of calves, yet there has been a recent spike of interest in determining the diversity and development of calf rumen microbial populations. To study the microbial populations of a calf's rumen, a sample of the rumen fluid is needed. One way to take a rumen fluid sample from a calf is by fistulating the animal. This method requires surgery and can be very stressful on a young animal that is trying to adapt to a new environment and has a depressed immune system. Another method that can be used instead of fistulation surgery is a rumen pump. This method requires a tube to be inserted into the rumen through the calf's esophagus. Once inside the rumen, fluid can be pumped out and collected in a few minutes. This method is quick, inexpensive, and does not cause significant stress on the animal. This technical note presents the materials and methodology used to convert a drenching system into a rumen pump and its respective utilization in 2 experiments using dairy bull calves.

Effects of gradual and later weaning ages when feeding high milk replacer rates on growth, textured starter digestibility, and behavior in Holstein calves from 0 to 4 months of age.

The objectives of this study were to evaluate calf performance, diet digestibility, and behaviors when feeding 4 milk replacer (MR) programs with different MR rates, weaning ages, and MR reduction steps. Male Holstein calves (n = 96; 40 ± 1 kg of body weight; 1 to 2 d of age) were housed in individual pens for 56 d. Feeding programs for MR were 0.66 kg for 35 d; then 0.33 kg for 7 d fed only in the a.m. (0.6 kg); 0.66 kg for 7 d, 0.82 kg for 35 d, 0.33 kg for 4 d in a.m. only, and 0.22 kg for 3 d in a.m. only (0.8 kg); 0.66 kg for 7 d, 0.82 kg for 7 d, 1.1 kg for 21 d, 0.82 kg for 7 d, 0.33 kg for 4 d in a.m. only, and 0.22 kg for 3 d in a.m. only (1.1 kg); and ad libitum allowance for 35 d, 0.82 kg for 7 d, 0.44 kg for 4 d in a.m. only, and 0.22 kg for 3 d in a.m. only (ad lib). Calves were fed a common MR [25% crude protein, 17% fat, dry matter (DM) basis]. A textured calf starter with whole corn and oats (20% crude protein and 39% starch, DM basis) and water were fed for ad libitum intake during the nursery trial. Daily behavior duration (rumination, eating, and activity) was continuously recorded from d 1 to 55 for 4 calves/treatment using ear tag accelerometers (CowManager SensOor; Agis, Harmelen, the Netherlands). All calves were moved into groups by MR program (4 calves/pen) at 56 d and fed the same starter blended with 5% grass hay. Fecal samples were collected from individual calves between d 52 to 56 and from pen floors on d 66 to 70 to estimate total-tract digestibility. Data were analyzed as a randomized complete block design with repeated measures when appropriate. Intake of MR averaged 25.3, 35.3, 40.9, and 46.5 kg of DM per calf for 0.6 kg, 0.8 kg, 1.1 kg, and ad lib treatments, respectively. Starter intake was greatest for 0.6 kg compared with others and average daily gain (ADG) differed among all 4 programs with 0.6 kg < 0.8 kg < 1.1 kg < ad lib during d 0 to 56. Intake of MR for ad lib was highly variable and was reflected in ADG. Daily rumination, eating, and activity durations did not differ among treatments from d 1 to 55 of the nursery trial. Digestibility of DM, organic matter, acid and neutral detergent fiber, and sugar at d 52 to 56 were greater for 0.6 kg versus ad lib. Digestibility of DM at d 66 to 70 differed for all treatments with 0.6 kg > 0.8 kg > 1.1 kg > ad lib and was mostly influenced by fiber digestibility. During the grower trial (d 56 to 112), ADG was greater for 0.6 kg versus 1.1 kg and ad lib. Hip width change was greater for 0.6 kg versus other treatments. Feeding more than 0.6 kg/d of MR increased ADG preweaning, but reduced diet digestibility postweaning resulted in similar calf BW and frame size by 4 mo of age among MR feeding programs.

[Effects of physical stimulation of spontaneous arteriolar vasomotion on microcirculation and the immune system in diabetes and impaired wound healing]. / Wirkungen einer physikalischen Stimulierung der spontanen arteriolären Vasomotion auf Mikrozirkulation und Immunsystem bei Diabetes und Wundheilungsstörungen.

BACKGROUND: Whether and to what extent the complementary use of a biorhythm-defined physical stimulation of insufficient spontaneous arteriolar vasomotion contributes to increasing the therapeutic success of established treatment concepts were examined. MATERIALS AND METHODS: In a placebo-controlled study on a biometrically defined sample of older diabetes patients with impaired wound healing, measurements of representative features of the functional status of the microcirculation and the immune system were investigated using high-resolution methods (intravital microscopy, reflective spectrometry, white light spectroscopy combined with laser Doppler microflow measurements). The stimulation signal corresponding to physiological spontaneous arteriolar vasomotion was transmitted using an electromagnetic alternating field of low magnetic flux density. RESULTS: During the 27-day treatment and observation period, a complementary treatment effect of the applied biorhythm-defined physical vasomotion stimulation could be detected.

Effects of feeding Saccharomyces cerevisiae fermentation products on the health and growth performance of Holstein dairy calves.

It is essential to reduce antibiotic use in the livestock industry, which leads to a need for alternatives to antibiotics that reduce illness and promote growth in dairy calves. The objective of this study was to evaluate the effect of feeding dairy calves Saccharomyces cerevisiae fermentation products (SCFP) on average daily gain (ADG) and antibiotic use in dairy calves through 4 mo of age. Holstein bull calves (n = 60; 5 ± 3 d old) were blocked by body weight (BW) and serum total protein (STP) and assigned to 1 of 2 treatments. The control treatment (CON) fed a 24% crude protein (CP):17% fat milk replacer (MR), calf starter, grower #1, and grower #2 with no SCFP added. The SCFP treatment fed the same MR with 1 g/d of SCFP, calf starter with 0.8% (dry matter; DM) SCFP, grower #1 with 0.44% (DM) SCFP, and grower #2 with 0.275% (DM) SCFP. Calves were offered 2.84 L (12.5% solids) of MR twice daily (0630 and 1630 h) through d 51 and MR once daily (0630 h) from d 52 to 56, and were weaned on d 57. From d 1 to 56, calves also received ad libitum access to calf starter and water. On d 57, calves were switched to grower #1 and on d 84, calves were switched to grower #2, which contained a lower level of CP and a higher level of neutral detergent fiber (NDF). Individual calf BW, body condition score (BCS), hip height (HH), and hip width (HW) were measured biweekly from d 0 to 112. Feed intake was recorded daily, and feed efficiency (gain:feed) and ADG were calculated. Daily fecal and respiratory scores were recorded for each calf through d 56, and all medical interventions were recorded for the duration of the study and grouped based on illness. We found no effect of treatment on STP, BW, BCS, HH, or HW at d 0 or 56, nor effects on preweaning ADG and feed efficiency. No treatment effect was observed for BCS or HH at d 112; however, BW and HW were increased in SCFP calves at d 112. A treatment tendency was observed for postweaning ADG, with SCFP calves being larger than CON calves and SCFP calves having improved feed efficiency compared with CON calves after weaning. A treatment effect was observed for respiratory treatments postweaning, with SCFP calves being treated less frequently than CON calves. Our results suggest that feeding SCFP to calves improves postweaning growth and feed efficiency, and reduces postweaning respiratory disease interventions.

Gene expression profile of aging and its retardation by caloric restriction.

The gene expression profile of the aging process was analyzed in skeletal muscle of mice. Use of high-density oligonucleotide arrays representing 6347 genes revealed that aging resulted in a differential gene expression pattern indicative of a marked stress response and lower expression of metabolic and biosynthetic genes. Most alterations were either completely or partially prevented by caloric restriction, the only intervention known to retard aging in mammals. Transcriptional patterns of calorie-restricted animals suggest that caloric restriction retards the aging process by causing a metabolic shift toward increased protein turnover and decreased macromolecular damage.

Influence of complementary Viscum album (Iscador) administration on microcirculation and immune system of ear, nose and throat carcinoma patients treated with radiation and chemotherapy.

With the techniques of vital microscopic and reflection spectrometric imaging, representative characteristics of microcirculation and immunology of white blood cells were evaluated before, during and after radiotherapy and chemotherapy of patients suffering from ear, nose and throat carcinomas. Adverse effects of radiotherapy and chemotherapy on the microcirculation and the immune system were decreased and reconstitution processes were accelerated by complementary administration of a standardized mistletoe extract (Iscador).

Controlling caloric consumption: protocols for rodents and rhesus monkeys.

One approach for investigating biological aging is to compare control-fed animals with others restricted in calorie intake by 20% or more. Caloric restriction (CR) is the only intervention shown to extend the maximum lifespan of several invertebrates and vertebrates including spiders, fish, rats and mice. The capacity of CR to retard aging in nonhuman primates is now being explored. The rodent studies show that CR opposes the development of many age-associated pathophysiological changes, including changes to the brain and changes in learning and behavior. One goal of studying CR in rodent is to determine the mechanisms by which it retards aging to design interventions that duplicate those effects. The methods that we use for conducting CR studies on mice and rhesus monkeys are described. We employ procedures designed to achieve a high degree of caloric control for all animals in the study. As used in our studies, this control includes the following features: 1) animals are individually housed, and 2) all individuals in the control group eat the same number of calories (i.e., they are not fed ad lib). Although this method results in strict caloric control for all animals, there seems to be considerable procedural flexibility for the successful conduct of CR studies.

Changes in the microcirculation of the intact rat heart after iodinated and gadolinium-containing contrast media.

RATIONALE AND OBJECTIVES: A new model was developed to study microcirculation in the intact heart of the anesthetized rat, and the effects of roentgenography and magnetic resonance imaging contrast media were investigated. METHODS: Roentgenography contrast media (600 mg iodine/kg), gadopentetate (0.25 mmol/kg), or physiological saline were injected intraarterially into anesthetized rats (N = 10) whose chests had been opened in a pressurized container. The effects on arterial and venous vasomotion and microhemodynamics of the capillary network were determined in vivo by combined incidental light-fluoroscopic microscopy using continuous 35-mm cine film and video recordings from 5 minutes before until 20 minutes after injection. The amplitude and frequency spectra were evaluated according to the Prony method and by Fourier analysis. Additionally, the number of perfused vessel bifurcations were counted. RESULTS: Gadopentetate exhibited no effects on microcirculation, and diatrizoate exhibited the largest ones. The deformation of the vasomotion spectrum reached 28%, and bifurcations were reduced by 21%. The effects were reversible within 10 minutes of injection. Iotrolan showed minimal disturbance. The other contrast media (iopromide, iopamidol, ioxaglate) fell between these two extremes. CONCLUSION: High-osmolar ionic roentgenography contrast media resulted in a transient deregulation of vasomotion and in a disturbed microcirculation in the rat heart. Isotonic or low-osmolar nonionic roentgenography contrast media or gadopentetate did not show this effect or showed it only to a minimal extent.

Elimination of the diatrizoate-induced effects on the microcirculation by the prostacyclin derivative, iloprost.

RATIONALE AND OBJECTIVES: Contrast media, especially high-osmolar ionic compounds elicit drastic effects on the microcirculation. In some areas of the microcirculatory network, blood flow decreases up to total stasis; in other areas, blood velocity increases. The authors studied the effect of the stable prostacyclin derivative, iloprost, added to the diatrizoate formulation on the number of perfused microvessels in the rat intestine. METHODS: Diatrizoate (600 mg iodine/kg) and increasing concentrations of iloprost, ranging from a total dose of 0 to 560 ng/kg, were injected intravenously into groups of four anesthetized male rats. The number of unperfused microvessels in the intestine were determined by in vivo microscopy. Each animal received two treatments at an interval of 35 minutes. One treatment consisted of diatrizoate alone, the other treatment consisted of diatrizoate plus iloprost. Two animals of each group received first diatrizoate alone and then diatrizoate plus iloprost. The other two animals first received diatrizoate plus iloprost and then diatrizoate alone. RESULTS: Diatrizoate alone reduced the number of perfused microvessels by 45%. The addition of iloprost resulted in a dose-dependent improvement of microcirculation. At a dose of 280 ng/kg, the effects of diatrizoate were completely abolished. Increasing the dose further diminished this effect. CONCLUSIONS: The addition of iloprost to diatrizoate eliminates the deleterious effects of diatrizoate on microcirculation.

Changes in immunological characteristics of white blood cells after administration of standardized mistletoe extract.

After administering standardized mistletoe extract, Viscum album L, (Iscador injections of 0.1 mg twice and 1.0 mg in defined intervals) the functional characteristics of microcirculation and immunological behavior of the white blood cells in different target tissues (derma, intestine) were investigated in healthy volunteers by vital microscopic investigation over 13 days of observation. The investigations showed a temporarily improved function of the microcirculation and an increased adhesion and transmigration of white blood cells in the target tissue areas. This observation was evaluated as a biologically relevant immunomodulation. Further investigations under pathophysiological conditions with regard to complementary administration of the test substance (e.g. to cancer patients) appear promising.

Effect of four treatment variants on the functional and cosmetic state of mature scars.

A randomised, intra-individual, comparative study demonstrated that both qualitative improvements and significant changes in skin functional condition can be achieved in the tissue of older, mature scars. Four treatment modalities were studied in an intra-individual comparison involving 12 volunteers with 2.5 to 4-year-old scars. The treatments were: a self-adherent, hydroactive, polyurethane dressing alone; polyurethane plus compression; silicone sheeting plus compression; and compression alone. Evaluation criteria were changes in the microcirculation, roughness and the skin temperature of the scar tissue. All treatment modalities were found to have significant effects both on tissue function and scar tissue surface structure. The most pronounced effects were achieved with the combination of polyurethane dressing plus compression or silicone sheeting plus compression. The positive effect of the polyurethane dressing alone on scar tissue was even slightly superior to that of compression therapy alone.

Nutrient removal in the river basin of the Ruhr--a German case study.

In the catchment area of the Ruhr, restructuring and upgrading measures in the domain of wastewater and stormwater treatment have been under way since 1990 to successively implement the currently applicable legal requirements for nutrient removal. With 2.1 million inhabitants and a design capacity of 3.7 million population equivalents (PE), it is expected that approximately DM 2 billion still have to be invested from 2000 onward. With this it will be possible to further cut the nutrient load in the Ruhr River, that has been declining consistently since the 1970s: by about 25% for Ntotal and about 10% for Ptotal. The anticipated decrease in ammonia-nitrogen in winter is particularly important for drinking water production from the river water (bank filtration). Whether and to what an extent the expected decline in phosphorus concentrations will curb eutrophication in the Ruhr with its several impounded stretches remains to be seen. Further nutrient load reductions cannot be achieved by sewage treatment-related measures. Load balances underline the adverse impact of diffuse or non-point sources, in particular, for nitrogen. Some potential to further improve the situation is seen in minimizing the nutrient releases from agricultural practices.

Microcirculatory effects of a homeopathic preparation in patients with mild vertigo: an intravital microscopic study.

The effects of the homeopathic preparation Vertigoheel on variables related to microcirculation were investigated using vital microscopy techniques in patients with vestibular vertigo. In a non-randomized, open study, 16 patients given Vertigoheel were compared with 16 untreated patients. Measurements were carried out in two areas (defined by selecting 60 blood-cell perfused nodal points of arterioles, venules, and capillaries with a mean diameter > or = 40 microm): the cuticulum/subcuticulum of the inside left lower arm and an area 5 mm behind the left earlobe. After 12 weeks of treatment, patients receiving the homeopathic preparation exhibited an increased number of nodal points, increased flow rates of erythrocytes in both arterioles and venules, increased vasomotion, and a slight reduction in hematocrit vs. baseline. None of these changes were observed in the control group and the differences between treatment groups were statistically significant. Partial oxygen pressure increased significantly in the Vertigoheel group compared with the control group. In addition, in Vertigoheel patients, significantly increased numbers of cell-wall adhering leucocytes were observed, accompanied by increased local concentrations of the adhesion molecules ICAM-1. The microcirculatory changes were associated with a reduction in the severity of vertigo in the actively treated patients, both as assessed by the treating physician and by the patients themselves. The data support a pharmacological effect on microcirculation from the treatment.

Water management for development of water quality in the Ruhr River basin.

On the Ruhr, a small river running through hilly country and with a mean flow of 76 m3/s, 27 water works use the method of artificial groundwater recharge to produce 350 million m3 of drinking water annually. On the basis of a special act, the Ruhr River Association is responsible for water quality and water quantity management in the Ruhr basin. The present 94 municipal sewage treatment plants ensure that the raw water is sufficiently good to be turned into drinking water. In the Ruhr's lower reaches, where dry weather results in a 20% share of the entire water flow being treated wastewater, comparatively high concentration of substances of domestic or industrial origin are likely, including substances which municipal wastewater treatment measures cannot entirely remove. These substances include ammonium, coliform bacteria or pathogens, boron and organic trace substances. Although water treatment measures have greatly contributed to the considerable improvement of the Ruhr's water quality in the last few decades, it is desirable to continue to aim at a high standard of drinking water production technologies since the Ruhr is a surface water body influenced by anthropogenic factors. However, in the case of substances infiltrating into drinking water, legislation is required if a reduction of pollution appears to be necessary.