Influence of painful physical symptoms in the treatment of Japanese patients with melancholic major depressive disorder: A prospective cohort study.

The aim of this study was to clarify how painful physical symptoms affect treatment outcomes in patients with melancholic major depressive disorder. The subjects comprised 100 consecutive Japanese outpatients with melancholic major depressive disorder who visited our clinic from October 2011 to October 2014. All subjects were interviewed for Diagnostic and Statistical Manual of Mental Disorders Axis 2, 3, and 4 and family history of major depressive disorder, and then grouped according to the presence of painful physical symptoms. We evaluated painful physical symptoms at baseline and after 12, 24, and 36 weeks of treatment and scores on the 17-item Hamilton Rating Scale for Depression, compared major depressive disorder remission between groups, and assessed responsiveness to antidepressants. The group with painful physical symptoms had a significantly more positive family history of major depressive disorder. The major depressive disorder remission rate was high in both groups, and no significant differences were observed. However, a significant relationship between major depressive disorder and painful physical symptoms remission was observed in the group with painful physical symptoms. A significantly higher number of remitted patients with painful physical symptoms (N=61) were administered serotonin-noradrenaline reuptake inhibitors, with significantly more receiving duloxetine than milnacipran.

Effect of augmentation with olanzapine in outpatients with depression in partial remission with melancholic features: consecutive case series.

The aim of the present 12-week, open-label study was to investigate the effect of olanzapine augmentation in outpatients with depression with melancholic features who demonstrated partial response to standard antidepressants but who were reluctant to change antidepressants. The subjects consisted of 22 outpatients meeting the DSM-IV-TR criteria for major depression. Olanzapine was initially added at 2.5 mg/day and the dose was adjusted according to the clinical condition. Data were analyzed using an intention-to-treat methodology. A paired t-test was used to compare total Montgomery Asberg Depression Rating Scale (MADRS) scores before treatment, at baseline (prior to olanzapine), and 4, 8, and 12 weeks after starting olanzapine. Of 22 enrolled patients, 20 completed the trial. The mean (±SD) MADRS score was 17.1 ± 1.0 at baseline and decreased significantly to 8.1 ± 3.2 at 4 weeks after the administration of olanzapine. This significant reduction continued until 12 weeks, when the mean MADRS score was 4.9 ± 2.9, indicating full remission. These results suggest that olanzapine augmentation may be useful for patients with depression in partial remission. A controlled, double-blind trial, however, is needed to confirm these preliminary findings.

Nest thermoregulation in Polybia scutellaris (White) (Hymenoptera: Vespidae).

Polybia scutellaris (White) builds large nests characterized by numerous spiny projections on the surface. In order to determine whether or not the nest temperature is maintained because of homeothermic conditions of the nest individuals or otherwise, we investigated the thermal conditions within the nests built by P. scutellaris. We measured the temperature within active and abandoned nests. The temperature in the active nest was almost stable at 27°C during data collection, whereas the temperature in the abandoned nest varied with changes in ambient temperature. These results suggest that nest temperature was maintained by the thermogenesis of the individuals of the colony. This is the first report of nest incubation caused by thermogenesis of species of Polybia wasps.

The acceptance rate of young wasps by alien colonies depends on colony developmental stages in the swarm-founding wasp, Polybia paulista von ihering (Hymenoptera: Vespidae)

In social insects, newly emerged individuals learn the colony-specific chemical label from their natal comb shortly after their emergence. These labels help to identify each individual's colony of origin and are used as a recognition template against which individuals can discriminate nestmates from non-nestmates. Our previous studies with Polybia paulista von Ihering support this general pattern, and the acceptance rate of young female and male wasps decreased as a function of their age. Our study also showed in P. paulista that more than 90 percent of newly emerged female wasps might be accepted by conspecific unrelated colonies. However, it has not been investigated whether the acceptance rate of newly emerged female wasps depends on colony developmental stage of recipient colonies. We introduced newly emerged female wasps of P. paulista into different colony developmental stags of recipient colonies, i.e., worker-producing and male-producing colonies. We found that the acceptance rate of newly emerged female wasps by alien colonies was pretty lower by male-producing colonies than worker-producing colonies. This is the first study to show that the acceptance rate of young female wasps depends on stages of recipient colonies.

A long slit-like entrance promotes ventilation in the mud nesting social wasp, Polybia spinifex: visualization of nest microclimates using computational fluid dynamics.

Polybia spinifex Richards (Hymenoptera: Vespidae) constructs mud nests characterized by a long slit-like entrance. The ventilation and thermal characteristics of the P. spinifex nest were investigated to determine whether the nest microclimate is automatically maintained due to the size of the entrance. In order to examine this hypothesis, a numerical simulation was employed to predict the effects of the entrance length. The calculations were performed with 3D-virtual models that simulated the P. spinifex nest conditions, and the reliability of the simulations was experimentally examined by using gypsum-model nests and a P. spinifex nest. The ventilation effect was determined by blowing air through the nest at 1-3 m/s (airflow conditions); the airspeed was found to be higher in models with a longer entrance. The ventilation rate was also higher in models with longer entrances, suggesting that the P. spinifex nest is automatically ventilated by natural winds. Next, the thermal effect was calculated under condition of direct sunlight. Under a calm condition (airflow, 0 m/s), thermal convection and a small temperature drop were observed in the case of models with a long entrance, whereas the ventilation and thermoregulation effects seemed small. Under airflow conditions, the temperature at the mid combs steeply dropped due to the convective airflow through the entrance at 1-2 m/s, and at 3 m/s, most of the heat was eliminated due to high thermal conductivity of the mud envelope, rather than convection.

Nest thermoregulation in Polybia scutellaris (White) (Hymenoptera: Vespidae)

Polybia scutellaris (White) builds large nests characterized by numerous spiny projections on the surface. In order to determine whether or not the nest temperature is maintained because of homeothermic conditions of the nest individuals or otherwise, we investigated the thermal conditions within the nests built by P. scutellaris. We measured the temperature within active and abandoned nests. The temperature in the active nest was almost stable at 27°C during data collection, whereas the temperature in the abandoned nest varied with changes in ambient temperature. These results suggest that nest temperature was maintained by the thermogenesis of the individuals of the colony. This is the first report of nest incubation caused by thermogenesis of species of Polybia wasps.

The acceptance rate of young wasps by alien colonies depends on colony developmental stages in the swarm-founding wasp, Polybia paulista von ihering (Hymenoptera: Vespidae).

In social insects, newly emerged individuals learn the colony-specific chemical label from their natal comb shortly after their emergence. These labels help to identify each individual's colony of origin and are used as a recognition template against which individuals can discriminate nestmates from non-nestmates. Our previous studies with Polybia paulista von Ihering support this general pattern, and the acceptance rate of young female and male wasps decreased as a function of their age. Our study also showed in P. paulista that more than 90% of newly emerged female wasps might be accepted by conspecific unrelated colonies. However, it has not been investigated whether the acceptance rate of newly emerged female wasps depends on colony developmental stage of recipient colonies. We introduced newly emerged female wasps of P. paulista into different colony developmental stags of recipient colonies, i.e., worker-producing and male-producing colonies. We found that the acceptance rate of newly emerged female wasps by alien colonies was pretty lower by male-producing colonies than worker-producing colonies. This is the first study to show that the acceptance rate of young female wasps depends on stages of recipient colonies.

Promotion of thermoregulatory insulation in nests of neotropical wasps by building extra-combs with empty cells.

We examined the hypotheses that the empty combs of Polybia occidentalis Olivier (Hymenoptera: Vespidae) nest insulate the inside of the nest. To examine this hypotheses, two kinds of temperature measurements were carried out: 1) with the outer comb of the nest intact (Control) and 2) removed (Treatment), using a large and a small nest. In the large nest, the daily nest temperatures (outer part, Tn1; inner part, Tn2) in Control were lower by 0.6 degrees C (Tn1) and 1.2 degrees C (Tn2) than those in Treatment, because of a higher ambient temperature (Ta) throughout temperature assessment in Treatment. However, the excess temperature (Tn - Ta) in Control was higher than that in Treatment. The value was higher by 0.7 degrees C at Tn1 and 0.1 degrees C at Tn2. In the small nest, the excess temperature in outer part was similar between experiments, while that in inner part of Control was lower than that of Treatment. The temperature fluctuation in the nests was lower in the Control than that in Treatment both the outer and inner part of the comb. We conclude that the unused comb is ecologically invaluable for raising and protecting the brood from extreme changes in ambient temperature during the winter period, because it helps not only keeping a higher nest temperature but also decreasing the temperature fluctuation around the brood combs. In addition, such a high temperature may influence the performance of adult wasps.

Promotion of thermoregulatory insulation in nests of neotropical wasps by building extra-combs with empty cells / Promoção de isolamento térmico em ninhos de vespas neotropicais pela construção de favos com células vazias

We examined the hypotheses that the empty combs of Polybia occidentalis Olivier (Hymenoptera: Vespidae) nest insulate the inside of the nest. To examine this hypotheses, two kinds of temperature measurements were carried out: 1) with the outer comb of the nest intact (Control) and 2) removed (Treatment), using a large and a small nest. In the large nest, the daily nest temperatures (outer part, Tn1; inner part, Tn2) in Control were lower by 0.6°C (Tn1) and 1.2°C (Tn2) than those in Treatment, because of a higher ambient temperature (Ta) throughout temperature assessment in Treatment. However, the excess temperature (Tn - Ta) in Control was higher than that in Treatment. The value was higher by 0.7°C at Tn1 and 0.1°C at Tn2. In the small nest, the excess temperature in outer part was similar between experiments, while that in inner part of Control was lower than that of Treatment. The temperature fluctuation in the nests was lower in the Control than that in Treatment both the outer and inner part of the comb. We conclude that the unused comb is ecologically invaluable for raising and protecting the brood from extreme changes in ambient temperature during the winter period, because it helps not only keeping a higher nest temperature but also decreasing the temperature fluctuation around the brood combs. In addition, such a high temperature may influence the performance of adult wasps.

Examinou-se a hipótese de que os favos vazios dos ninhos de Polybia occidentalis Olivier (Hymenoptera: Vespidae) atuam como isolamento térmico dos elementos internos da colônia. Para avaliar essa hipótese dois tipos de medidas de temperatura foram tomadas: 1) com o favo externo intacto (Controle) e 2) removido (Tratamento), usando um ninho grande e um ninho menor. As temperaturas diárias no ninho grande (parte externa Tn1; parte interna Tn2), no Controle, foram 0,6°C (T n1) e 1,2°C (Tn2) mais baixas que aquelas do Tratamento, devido à temperatura ambiente (Ta) mais alta durante todo o período avaliado. Entretanto, a temperatura excedente (Tn - Ta) no Controle foi mais alta que no Tratamento. O valor foi 0,7°C mais alto em Tn1 e 0,1°C em Tn2. No ninho menor, a temperatura excedente na parte externa foi semelhante entre os experimentos, e na parte interna a temperatura do Controle foi inferior à do Tratamento. A flutuação térmica nos ninhos foi menor no Controle que no Tratamento, tanto na parte externa quanto interna dos favos. Conclui-se que o favo sem uso é ecologicamente muito importante para criar ou proteger a cria das alterações extremas de temperatura ambiente no inverno, uma vez que ele auxilia na manutenção de temperatura alta no ninho e também no decréscimo da flutuação de temperatura ao redor dos favos de cria. Além disso, essas temperaturas mais altas influenciam as atividades dos adultos.

Passive body heating ameliorates sleep disturbances in patients with vascular dementia without circadian phase-shifting.

OBJECTIVE: This study investigated the sleep-promoting, thermoregulatory, and circadian phase-shifting actions of passive body heating (PBH) in elderly insomniac patients (IPs) with mild-to-moderate vascular dementia. METHODS: Thirteen elderly IPs with vascular dementia (mean age 76.9 years; male/female ratio 2/11) were subjected to a PBH trial session. This session comprised a 3-day baseline period, 2-day PBH period, and 1-day post-PBH period. In the PBH period, the subjects received PBH (immersion in hot water about 40.0 degrees C to mid-thorax level) for 30 minutes beginning 2 hours before bedtime. Sleep-waking, estimated by actigraph, core body temperature (cBT), and heart rate variability were continuously monitored. Dim-light melatonin-onset time (DLMO) was determined in the baseline and post-PBH periods. RESULTS: PBH significantly improved subjects' sleep quality; sleep latency decreased; sleep efficiency increased; and wake time after sleep onset decreased. These trends were more prominent in the latter half of the sleep time. PBH induced a rapid cBT elevation of approximately 0.80 degrees C, on average, followed by enhanced heat loss (DeltacBT: difference in cBT between just after the PBH and bedtime), lasting 1.5 hours before sleep. There was a significantly positive correlation between DeltacBT and sleep latency. PBH induced no significant phase shift in DLMO. Heart-rate variability data showed that PBH induced parasympathomimetic action during sleep time in the subjects. CONCLUSION: PBH may have a sleep-promoting effect by intervening in the thermoregulatory and autonomic systems in elderly IPs with vascular dementia.