Impact of depressive episodes on cognitive deficits in early bipolar disorder: data from the Systematic Treatment Optimization Programme for Early Mania (STOP-EM).

BACKGROUND: Although manic episodes reportedly contribute to cognitive deficits in bipolar I disorder, the contribution of depressive episodes is poorly researched. AIMS: We investigated the impact of depressive episodes on cognitive function early in the course of bipolar I disorder. METHOD: A total of 68 patients and 38 controls from the Systematic Treatment Optimization Programme for Early Mania (STOP-EM) first-episode mania programme were examined. We conducted (a) a cross-sectional analysis of the impact of prior depressive episodes on baseline cognitive function and (b) a prospective analysis assessing the contribution of depression recurrence within 1 year following a first episode of mania on cognitive functioning. RESULTS: The cross-sectional analysis showed no significant differences between patients with past depressive episodes compared with those without, on overall or individual domains of cognitive function (all P>0.09). The prospective analysis failed to reveal a significant group×time interaction for cognitive decline from baseline to 1 year (P = 0.99) in patients with a recurrence of depressive episodes compared with those with no recurrence. However, impaired verbal memory at baseline was associated with a depression recurrence within 1 year. CONCLUSIONS: Although deficits in all domains of cognitive function are seen in patients early in the course of bipolar disorder, depressive episodes do not confer additional burden on cognitive function. However, poorer verbal memory may serve as a marker for increased susceptibility to depression recurrence early in the course of illness.

Changes at an activated sludge sewage treatment plant alter the numbers of airborne aerobic microorganisms.

In 1976, the activated sludge sewage treatment plant in Edmonton, Canada, was surveyed to determine the numbers of culturable airborne microorganisms. Many changes have been made at the plant to reduce odors and improve treatment efficiency, so in 2004 another survey was done to determine if these changes had reduced the bioaerosols. Covering the grit tanks and primary settling tanks greatly reduced the numbers of airborne microbes. Changing the design and operation of indoor automated sampling taps and sinks also reduced bioaerosols. The secondary was expanded and converted from a conventional activated sludge process using coarse bubble aeration to a biological nutrient removal system using fine bubble aeration. Although the surface area of the secondary more than doubled, the average number of airborne microorganisms in this part of the plant in 2004 was about 1% of that in 1976.