ABSTRACT
The present study was undertaken to assess the effect of hyperthyroidism on stiffness in the common carotid artery (CCA) in patients with Graves' disease (GD) and elucidate the mechanism by which arterial stiffness is increased in hyperthyroidism. The arterial stiffness index beta (stiffness beta) was evaluated in the CCA using an ultrasonic phase-locked echo-tracking system. Stiffness beta was defined as the logarithm of the ratio of systolic to diastolic blood pressure divided by the fractional diameter increase during the cardiac cycle and thus established as a measure of arterial stiffness uninfluenced by the change in blood pressure. Seventy euthyroid GD patients were measured for CCA stiffness beta to determine its relationship to retinal blood flow and plasma levels of vascular injury markers. To investigate the effect of hyperthyroidism, 27 GD patients were measured for changes during antithyroid drug (ATD) therapy in stiffness beta and in hemodynamic parameters, retinal blood flow and plasma vascular injury markers. In euthyroid GD patients, stiffness beta in the CCA showed a significant and positive correlation with systolic blood pressure and pulse pressure, but not with peripheral blood flow in the central retinal artery. ATD therapy significantly reduced stiffness beta from 5.23 +/- 2.10 to 4.36 +/- 1.48. The fractional reduction of stiffness beta during ATD therapy correlated significantly with reductions in pulse pressure and retinal blood flow, but not with the reductions in systolic and mean blood pressure, or any of the plasma injury markers. In summary, the significant increase in stiffness beta in the hyperthyroid state may reflect the harmful effect of hyperthyroidism on the arterial wall, which may in turn result from increased stroke volume.
Subject(s)
Carotid Stenosis/physiopathology , Graves Disease/physiopathology , Adolescent , Adult , Aged , Carotid Artery, Common/pathology , Carotid Stenosis/pathology , Female , Graves Disease/pathology , Humans , Male , Middle Aged , Patients , Regression Analysis , Vascular Resistance/physiologyABSTRACT
Of 61 schizophrenic outpatients in remission, 33 who had relapses within the past 20 months were retrospectively examined for prodromal symptoms of relapse. Four weeks prior to the relapse, 63.6% manifested 4 prodromal symptoms, which were somatic concern, feeling of tiredness, anxiety and depressive mood. Contrarily, with the GAS evaluation, no significant deterioration was recognized until one week before the relapse. Subsequently, a prospective observation of symptoms in 43 patients was conducted for 7 months to determine whether therapeutic intervention at the time of the manifestation of prodromal symptoms could be effective in the prevention of relapses and the improvement of outcome of relapses, and to consider the therapeutic use of this method.
Subject(s)
Schizophrenia/diagnosis , Schizophrenic Psychology , Adult , Ambulatory Care , Antipsychotic Agents/therapeutic use , Combined Modality Therapy , Female , Follow-Up Studies , Humans , Life Change Events , Male , Middle Aged , Patient Compliance/psychology , Patient Readmission , Prospective Studies , Psychiatric Status Rating Scales , Recurrence , Rehabilitation, Vocational/psychology , Retrospective Studies , Risk Factors , Schizophrenia/rehabilitationABSTRACT
Reproductive traits of the mud crab Macrophthalmus banzai were compared in populations from Okinawa (26°13' N) and Amakusa (32°32' N). Crabs matured earlier and at a smaller size in Okinawa than in Amakusa, but growth rate did not differ between the two localities. Population density was much higher in Okinawa. Breeding occurred in winter in Okinawa and in summer in Amakusa. In Okinawa, females produced one brood at over 1 year of age and then died. In Amakusa, females produced one brood at over 1 year of age, and one or two broods at around 2 years of age, and then died. Egg weight in the Okinawa population was almost twice that of the Amakusa population. Furthermore, brood weight was larger in Okinawa than in Amakusa. Longevity was 16-19 months in Okinawa and 28-30 months in Amakusa. At high latitudes, the winter low temperature blocks reproduction of M. banzai. At low temperature blocks reproduction of M. banzai. At low latitudes, their short lifespan prevents iterative breeding. Thus, the difference in breeding season greatly affects other life-history traits.
