Afferent vagal stimulation via gastric electrical stimulation alters sympathetic-vagal balance in domestic pigs - a pilot trial.

The disturbance of the sympathetic-vagal balance with increasing sympathetic activity and consecutive increase in cytokine release is a major threat in numerous hyperinflammatory syndromes. Therapeutic interventions that modulate the activity in the sympathetic-vagal system are suggested as an effective treatment in these incidences. The purpose of this pilot study was to investigate the effect of electrical stimulation of the gastric wall on sympathetic-vagal balance. German domestic pigs (n=5) were prepared with a modified gastric tube (mGT) for repetitive gastric electrical stimulation (GES). Electrocardiogram was recorded continuously and heart rate variability (HRV) as measure of sympathetic-vagal activity was calculated for three-minute epochs at baseline condition before GES and during GES condition. In comparison to baseline, activity of the autonomic nervous system (ANS) shifted significantly toward increased dominance of vagal activity during GES with a decrease of normalized low frequency (nLF from 58.00 to 25.52) as marker of sympathetic dominance and parallel increase of normalized high frequency (nHF from 41.48 to 74.16) as marker of vagal dominance. During GES, compared to baseline, no difference in heart rate was found. These results indicate that electrical stimulation of the gastric wall may result in shifting the sympathetic-vagal balance toward a parasympathetic predominance.

[Assertive community treatment in patients with severe obsessive-compulsive disorders]. / Aufsuchende gemeindepsychiatrische Behandlung bei Patienten mit schweren Zwangsstörungen.

For the use of psychosocial treatments for severe mental illness, there is a high evidence level. Obsessive-compulsive disorders are accompanied by severe disabilities in one third of the cases, however, there is little scientific research on the use of psychosocial therapies in patients with obsessive-compulsive disorders. In the following, the concept of an outreaching multi-professional treatment based on the assertive community treatment (ACT) method for severe compulsive illnesses is presented and discussed based on two case studies. There was an obvious reduction in clinically rated severity of obsessive-compulsive disorder symptoms, as measured by the Yale-Brown obsessive-compulsive scale (Y-BOCS), over the course of ACT. Comparison between pre- and post-treatment states demonstrated a reduction in the total Y-BOCS score after the treatment (case 1: total Y-BOCS score 37 versus 26; case 2: total Y-BOCS score 36 versus 16).

Event-related potentials indicating impaired emotional attention in cerebellar stroke--a case study.

The cerebellum has been implicated in affective and attentional processes, but little is known about corresponding neural signatures. We investigated early and late components of event-related potentials (ERPs) to emotionally arousing pictures, with and without competing attentional tasks, in a patient with an ischemic right posterior cerebellar infarction, at two months post infarct and two year follow-up. The early posterior negativity (EPN) response to highly arousing emotional cues in the competing visual attention condition revealed that the augmentation over occipital areas, as typically seen in normals, was absent post-infarct but was restored after two years. The late positive potentials (LPP) response to highly arousing emotional cues showed augmentation over frontal areas post-infarct, and over centro-parietal regions after two years. These ERP findings suggest a specific pattern of disruption of neural function associated with emotional-behavioral disturbances following cerebellar lesions, which can revert to normal with long term recovery.

Are psychostimulants a treatment option in mania?

Mania and attention-deficit hyperactivity disorder (ADHD) show a high degree of symptom overlap and comorbidity. Clinical trials and case reports indicate that psychostimulants do not or only rarely trigger or aggravate manic episodes but can even produce rapid and pronounced antimanic effects. An explanatory model is presented here in which the sensation seeking, hyperactive behaviour observed in mania and ADHD is interpreted as an autoregulatory attempt to stabilize vigilance by increasing external stimulation. Accordingly, patients with both mania and ADHD show rapid declines to lower vigilance levels (e.g., sleep spindles in EEG) under resting conditions with low external stimulation. The "paradoxical" antimanic effect of psychostimulants possibly results from their vigilance stabilizing properties.

[Manic behavior as an autoregulatory attempt to stabilize vigilance]. / Ist manisches Verhalten ein autoregulatorischer Versuch zur Vigilanzstabilisierung?

In situations with low external stimulation, manic patients often present rapid declines in vigilance, with microsleeps occurring even in the 1st min of EEG recordings (lability of vigilance regulation). We postulate that manic symptoms creating a high level of external stimulation serve to stabilize vigilance. Theoretical arguments and empirical results are presented, showing that both mania and ADHD should be interpreted as vigilance autostabilization syndromes. The therapeutic effects of psychostimulants can be explained by their vigilance-stabilizing properties. They are well proven for ADHD and have repeatedly been shown to have a paradoxical effect in manic patients. The proposed concept opens new approaches for the treatment of acute mania.

[Epidemiological studies of the infection of ticks with borreliosis agents in small mammals from north Germany]. / Epidemiologische Untersuchungen zum Befall von Zecken mit Borreliose-Erregern von Kleinsäugern aus Norddeutschland.

In a two years study into the infestation of ticks with Borrelia burgdorferi from mice in North Germany 1330 mice out of 11 species could be examined. Altogether 508 mice showed to be parasitized by 1445 ticks belonging to three species of Ixodes. 777 I. ricinus from 334 mice could be tested for B. burgdorferi. In 66 ticks (8.5%) from 34 mice (10.2%) borreliae could be demonstrated. These discoveries came from 9 of 14 investigated forest regions in Lower Saxony.

[Ixodes ricinus bites]. / Ixodes-ricinus-Bisse.

Ticks (Ixodes ricinus) are found all over the world, with special preference of a few epidemic areas. They do not only invade their hosts one by one, but often in large groups.

Transmission of Megatrypanum trypanosomes to Cervus dama by Tabanidae.

Four fallow deer, Cervus dama, became infected with Trypanosoma (megatrypanum) sp. by oral application of triturated guts from tabanids collected in an area with deer but without any cattle; four control calves remained negative. Upon challenge with triturated guts from tabanids from an area with pastured cattle, the four calves became infected with Trypanosoma (M.) theileri. The prepatent period in deer was five days or less. Haematopota spp. and Tabanus spp. were identified as vectors of the deer trypanosomes. It is concluded that the trypanosomes of C. dama belong to a Megatrypanum species that is not identical with T. theileri.

Transmission of Trypanosoma theileri to cattle by Tabanidae.

Tabanids were collected in an area in northern Germany, where pastured cattle were abundant. Trypanosomatidae were identified in 14% of tabanids examined. Twelve cattle became infected with Trypanosoma theileri after applying usually 2-5 infected tabanids, to the intact oral mucosa. Haematopota pluvialis, Haematopota italica, Hybomitra micans and Tabanus bromius were identified as vectors. Infective stages of Trypanosoma theileri were identified in the gut and in the faeces of tabanids by transmission experiments. The minimum prepatent period was less than 4 days. No apparent signs of disease were observed in the infected cattle.

The physiological effects of feeding warfarin poultry.

A 20 week study using layer and broiler strain chicks of both sexes was undertaken to determine whether poultry were susceptible to warfarin-induced granulomatous endocardial lesions. Birds were fed a corn-soybean meal basal diet with no added vitamin K, supplemented with either 0, 25, 50, or 100 ppm of warfarin or vitamin K at .6 mg/kg of diet. Broiler chicks showed a higher incidence of hemorrhages, more mortality, and longer prothrombin times than did the layer strain fed the same diets. Regardless of the breed, female chicks fed the highest warfarin level had significantly longer prothrombin times than the male chicks. However, there were no sex differences associated with mortality or incidence of hemorrhages among birds fed the experimental diets. Growth was most significantly reduced for chicks fed the highest warfarin level and to a lesser degree for birds fed 50 ppm of warfarin. In contrast to the first 10 weeks of the study, there was a sharp decline in mortality, incidence of hemorrhages, and prothrombin times during the last 10 weeks of the study. Layer and broiler strains of chickens fed warfarin for 20 weeks showed no evidence of granulomatous endocardial lesions as was reported for swine (Oshiro and Brooks, 1975).