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Children of parents with mood and psychotic disorders are at elevated risk for a range of behavioral and emotional problems. However, as the usual reporter of psychopathology in children is the parent, reports of early problems in children of parents with mood and psychotic disorders may be biased by the parents' own experience of mental illness and their mental state.
Independent observers rated psychopathology using the Test Observation Form in 378 children and youth between the ages of 4 and 24 (mean = 11.01, s.d. = 4.40) who had a parent with major depressive disorder, bipolar disorder, schizophrenia, or no history of mood and psychotic disorders.
Observed attentional problems were elevated in offspring of parents with major depressive disorder, bipolar disorder and schizophrenia (effect sizes ranging between 0.31 and 0.56). Oppositional behavior and language/thought problems showed variable degrees of elevation (effect sizes 0.17 to 0.57) across the three high-risk groups, with the greatest difficulties observed in offspring of parents with bipolar disorder. Observed anxiety was increased in offspring of parents with major depressive disorder and bipolar disorder (effect sizes 0.19 and 0.25 respectively) but not in offspring of parents with schizophrenia.
Our results suggest that externalizing problems and cognitive and language difficulties may represent a general manifestation of familial risk for mood and psychotic disorders, while anxiety may be a specific marker of liability for mood disorders. Observer assessment may improve early identification of risk and selection of youth who may benefit from targeted prevention.
It is recognised that a limited cohort of patients receive open partial laryngeal surgery in specific centres within the UK, so sharing information around key clinical issues and recommendations for practice is necessary to improve outcomes.
This position statement provides practice recommendations based on a synthesis of the available evidence presented at the 12th Evidence Based Management day on ‘Laryngeal Cancer’ and the ensuing discussions. Literature searches and critical analysis of available evidence were undertaken and triangulated with the clinical experience of the authors to develop these recommendations.
Results and conclusion
This paper presents a comprehensive overview of challenges that the multidisciplinary team may encounter. It provides recommendations for swallow and speech rehabilitation after open partial laryngectomy, and suggests practical ways that these issues may be addressed pre- and post-operatively.
The consumption of nitrate-rich vegetables can acutely lower blood pressure and improve mediators shown to optimise vascular health. However, we do not yet understand the impact of long-term habitual dietary nitrate intake and its association with CVD. Therefore, the aim of this investigation was to examine the relationship between habitual dietary nitrate intakes and risk of CHD in women from the Nurses’ Health Study. We prospectively followed 62 535 women who were free from diabetes, CVD and cancer at baseline in 1986. Information on diet was updated every 4 years with validated FFQ. The main outcome was CHD defined by the occurrence of non-fatal myocardial infarction or fatal CHD. Cox proportional hazard regression models were used to estimate the relative risks (RR) and 95 % CI. During 26 years of follow-up, 2257 cases of CHD were identified. When comparing the highest quintile of nitrate intake with the lowest quintile, in aged-adjusted analysis there was a protective association for CHD (RR=0·77, 95 % CI 0·68, 0·97; P=0·0002) which dissipated after further adjustment for smoking, physical activity, BMI and race (RR=0·91; 95 % CI 0·80, 1·04; P=0·27). This magnitude of association was further attenuated once we adjusted for the Alternative Healthy Eating Index excluding vegetable and fruit consumption (RR=1·04, 95 % CI 0·91, 1·20; P=0·34). Dietary nitrate intake was not related to the risk of CHD after adjustment for other lifestyle and non-vegetable dietary factors in a large group of US women.
We aimed to quantify the proportion of people receiving care for HIV-infection that are 50 years or older (older HIV patients) in Latin America and the Caribbean between 2000 and 2015 and to estimate the contribution to the growth of this population of people enrolled before (<50yo) and after 50 years old (yo) (⩾50yo). We used a series of repeated, cross-sectional measurements over time in the Caribbean, Central and South American network (CCASAnet) cohort. We estimated the percentage of patients retained in care each year that were older HIV patients. For every calendar year, we divided patients into two groups: those who enrolled before age 50 and after age 50. We used logistic regression models to estimate the change in the proportion of older HIV patients between 2000 and 2015. The percentage of CCASAnet HIV patients over 50 years had a threefold increase (8% to 24%) between 2000 and 2015. Most of the growth of this population can be explained by the increasing proportion of people that enrolled before 50 years and aged in care. These changes will impact needs of care for people living with HIV, due to multiple comorbidities and high risk of disability associated with aging.
Antineuronal antibodies are associated with psychosis, although their clinical significance in first episode of psychosis (FEP) is undetermined.
To examine all patients admitted for treatment of FEP for antineuronal antibodies and describe clinical presentations and treatment outcomes in those who were antibody positive.
Individuals admitted for FEP to six mental health units in Queensland, Australia, were prospectively tested for serum antineuronal antibodies. Antibody-positive patients were referred for neurological and immunological assessment and therapy.
Of 113 consenting participants, six had antineuronal antibodies (anti-N-methyl-D-aspartate receptor antibodies [n = 4], voltage-gated potassium channel antibodies [n = 1] and antibodies against uncharacterised antigen [n = 1]). Five received immunotherapy, which prompted resolution of psychosis in four.
A small subgroup of patients admitted to hospital with FEP have antineuronal antibodies detectable in serum and are responsive to immunotherapy. Early diagnosis and treatment is critical to optimise recovery.
The Northern Ireland beef herd currently incorporates a very diverse range of genotypes which produces a very varied product in terms of carcass weight, fatness and conformation (Kirkland et al., 2004). However, factors other than genotype may also influence the expression of maternal traits and progeny carcass characteristics. The objective of the present study was to evaluate the influence of dam conformation, irrespective of genotype, on dystocia and progeny carcass traits.
In contrast to the Holstein-Friesian (HF) breed, Norwegian dairy cattle (NC) have been selected with emphasis on disease resistance and beef characteristics as well as milk production, and hence may be more suited to beef production than high genetic merit Holstein animals. The objective of this study was to evaluate the beef production potential of NC bulls, and to compare their performance with that of HF bulls.
Meat from Holstein-Friesian bulls, which are bred for dairy traits, is generally regarded as low quality and is usually destined for the commodity (mince) market. However, given their ready availability as a by-product from the dairy herd, it is important to determine if meat from these animals would be suited to higher-priced markets. Furthermore, meat from bulls is generally considered to be lower quality than that from steers, though there is a paucity of data comparing meat from both sources. Hence, the objective of this study was to evaluate the effect of slaughter weight on meat quality characteristics of Holstein-Friesian bulls and steers offered a cereal-based ration.
A considerable proportion of beef produced in the UK is a byproduct of the dairy industry. Young animals from this source are generally regarded as low in quality and meat from animals of this type is usually destined for the commodity minced beef market. The objective of the present study was to evaluate the effect of slaughter weight on sensory characteristics of meat from Holstein-Friesian bulls and steers offered a cereal-based ration.
The suckler beef industry in Northern Ireland comprises many differing dam breeds and breed crosses. However, there is a paucity of data on the influence of dam breed on parameters such as carcass weight, fatness and conformation, and on factors affecting management of the herd (e.g. dystocia and fertility). The latter are particularly important in view of the increasing number of part time beef farmers in Northern Ireland. The objective of the present study was to evaluate the influence of dam breed on production characteristics of the suckler herd in Northern Ireland.
The commercial value of beef carcasses can be assessed by several methods including the yield of primal joints and meat quality characteristics. However, it is also important to determine the composition of the carcass in terms of lean, fat and bone concentrations, and to evaluate individual fat components of the carcass, to provide an overall assessment of the commercial value of the carcass. The objective of the present study was to evaluate the effect of slaughter weight on carcass composition of Holstein-Friesian bulls and steers offered cereal-based rations.
Iodine value (IV) indicates the degree of unsaturation of milk fat, thus reflecting the presence of long chain unsaturated fatty acids (LCUFA), especially C18:1c. The higher the IV the greater the degree of unsaturation. Changes in dietary lipid content and composition can have a major effect on the IV of milk fat. The principal fatty acid in the forage component of the diet, namely grass or grass silage, is C18:3 (Murphy, 2000) while concentrate supplements contain varying proportions of C18:1 or C18:2 fatty acids. LCUFA undergo hydrolysis and biohydrogenation in the cow’s rumen producing mainly C18:0, the majority of which is converted to C18:1c by the desaturase enzyme systems, mainly in the mammary gland (Murphy, 2000). This experiment aimed to examine the relationship between milk fat IV and dietary lipid content, composition and diet type.
San Pietro and Rittenberg (1953) reported that urea appeared to meet all the requirements of a satisfactory tracer. Urea is non toxic, not foreign to the body and it shows an even and rapid distribution throughout the total body water without any physiological effect. For these reasons in addition to its easy and accurate measurement, urea is an ideal candidate tracer to estimate empty body water in vivo. Total body water volume (urea space) can be estimated by dividing the total amount of urea infused by the increase in plasma urea concentration from prior to infusion until 12 or 30 minutes after mean infusion time. Kock and Preston (1973) reported significant relationships between urea space measurements and percentage of empty body fat and water in cattle. However, Andrew et al. (1995) using 21 Holstein cows showed that prediction of empty body water using the urea space technique only explained 31 % of the variation. The objective of this experiment was to use the urea dilution technique to estimate the body composition of lactating dairy cows and produce relationships between urea space and body fat and protein content.
With increasing Holsteinisation of the dairy herd, the milk production potential of dairy cows has increased substantially over the past two decades. This development presents new challenges for managing dairy cows during grazing, particularly where the objective is to maximise the proportion of energy in the diet derived from forage (Mayne and Peyraud, 1996). The objective of the current study was to explore forage supplementation strategies to maintain high milk yields from grass and forage in dairy cows during the grazing season. A second objective of the study was to examine the effect of concentrates of contrasting degradability on milk production.
Minnesota is largely underlain by Precambrian crystalline bedrock that was weathered to an average depth of 30 m prior to Late Cretaceous time. The fresh-rock— weathered-rock interface is irregular, with as much as 45 m of relief. Weathering exploited joints, locally isolating meter-sized volumes of rock known as corestones. Variable amounts of residuum were removed through glaciation to leave (1) saprolite overlain by an in-situ Late Cretaceous soil profile; (2) partially eroded saprolite; and (3) undulating fresh rock surfaces (commonly mantled by rounded boulders) that display striae and glacial or fluvial polish.
Significant subglacial erosion of fresh bedrock is not required to form smoothly undulating bedrock surfaces with closed depressions; they may also form through removal of weathered bedrock and exposure of the weathering front. Large rounded boulders are not always shaped during transport; they may represent chemically rounded corestones resting at or near the bedrock source.
Unambiguous evidence for glacial erosion includes striae and streamlining of bedrock parallel to striae. Polish on rock can be created fluvially, and smoothed grooves and ridges in the rock may be chemically produced. Many rounded boulders found in glacial till and strewn on bedrock surfaces probably originated as corestones.
An experiment was carried out to evaluate the short-term effect of supplementing a nucleotide-rich yeast extract (NRYE) on growth performance, gut structure, immunity and microflora of piglets raised under sanitary and unsanitary conditions. A total of 84, 21-day old piglets were used in this study; 42 piglets were raised in a room designated as the clean room that was washed once per week, whereas the other 42 piglets were raised in a room designated as the unclean room in which 7 kg of manure from the sow herd was spread on each pen floor on day 1 and 7 and the room was not washed throughout the experiment. The pigs were fed a corn–soybean meal-based diet without or with 0.1% NRYE. Each treatment had 7 replicate pens in each room, and each pen housed 3 pigs. Feed disappearance and BW were recorded on day 1 and 14. On day 14, one pig per pen was euthanized to collect ileum, mesenteric lymph nodes and spleen tissues, and cecum and colon digesta. Overall, NRYE supplementation did not affect growth performance in both clean and unclean conditions, improved kidney weight in both clean (P=0.0002) and unclean room (P<0.0001) and tended to improve the villus height/crypt depth ratio in the clean room (P=0.073). Supplementing NRYE was associated with upregulation of Ileal programmed cell death gene-1 (P=0.0003), interleukin (IL)-1β (P<0.0001), IL-6 (P=0.0003), IL-10 (P<0.0001) and tumor necrosis factor-α (TNF-α) (P<0.0001) in pigs raised in the unclean room. Supplementing the NRYE in pigs raised in the clean room suppressed growth of cecal Enterobacteriacea (P<0.0001) members and colonic Enterococcus spp. (P<0.019), improved proliferation of cecal Lactobacillus spp. (P<0.002) and colonic Clostridium cluster IV (P<0.011) and XVIa members (P<0.0002). Supplementing the NRYE in the unclean room improved proliferation of cecal Clostridium cluster IV (P<0.026) and suppressed proliferation of colonic Enterococcus spp. (P<0.037). In conclusion, supplementing the NRYE to piglets under unsanitary conditions improved ileal immune response by upregulating inflammatory cytokines, and positively modulated proliferation of beneficial gut bacteria and suppression of harmful ones in both clean and unclean rooms.