A Comparison of Quantitative R1 and Cortical Thickness in Identifying Age, Lifespan Dynamics, and Disease States of the Human Cortex.

Brain development and aging are complex processes that unfold in multiple brain regions simultaneously. Recently, models of brain age prediction have aroused great interest, as these models can potentially help to understand neurological diseases and elucidate basic neurobiological mechanisms. We test whether quantitative magnetic resonance imaging can contribute to such age prediction models. Using R1, the longitudinal rate of relaxation, we explore lifespan dynamics in cortical gray matter. We compare R1 with cortical thickness, a well-established biomarker of brain development and aging. Using 160 healthy individuals (6-81 years old), we found that R1 and cortical thickness predicted age similarly, but the regions contributing to the prediction differed. Next, we characterized R1 development and aging dynamics. Compared with anterior regions, in posterior regions we found an earlier R1 peak but a steeper postpeak decline. We replicate these findings: firstly, we tested a subset (N = 10) of the original dataset for whom we had additional scans at a lower resolution; and second, we verified the results on an independent dataset (N = 34). Finally, we compared the age prediction models on a subset of 10 patients with multiple sclerosis. The patients are predicted older than their chronological age using R1 but not with cortical thickness.

Immune system and cardiac functions of progeny chicks from dams fed diets differing in zinc and manganese level and source.

This research was conducted to evaluate immunity (experiments 1 to 3), cardiac function, and ascities resistance (experiment 4) of progeny chicks from broiler breeders fed diets differing in trace metal level and source. Broiler breeders received a control diet (75 mg of Zn and 83 mg of Mn added/kg of diet), the control diet supplemented with inorganic Zn (75 mg/kg of diet) and Mn (80 mg/kg of diet), the control diet supplemented with organic Zn (75 mg/kg of diet) and inorganic Mn (80 mg/kg of diet), or the control diet supplemented with organic Zn (75 mg/kg of diet) and Mn (80 mg/kg of diet) in experiments 1, 2, and 3. In experiment 4, the control diet and diet supplemented with organic sources of Zn and Mn were fed to broiler breeders. Immune organ weights, circulating granulocytes vs. agranulocytes, CD4 and CD8 positive T cells, cutaneous basophil hypersensitivity, and antibody titers to SRBC and breeder vaccinations were measured in progeny. Some supplemental mineral treatments increased (P < or = 0.05) cutaneous basophil hypersensitivity and relative bursa weight. All supplemental mineral treatments increased (P < or = 0.05) relative thymus weight. In experiment 4, electrocardiograph, pulse oximetry, heart rate, hematocrits, ventricle weights, and ascites incidence were measured in progeny reared in a cold-stress environment. The supplemental organic minerals increased (P < or = 0.05) left ventricle plus septum and total ventricular weights. Although progeny ascites incidence did not differ between breeder mineral treatments, breeders fed supplemental Zn and Mn sired progeny with improved cardiac functional capacity and some improvements in immunity.

The effects of heat stress and sperm quality classification on broiler breeder male fertility and semen ion concentrations.

1. The present study was undertaken to determine the effects of heat exposure on fertility, semen quality, and semen ion concentrations of broiler breeders classified on sperm quality index (SQI) before heat stress. 2. Cobb males (108) were individually caged in 6 temperature-controlled rooms. Each room contained an equal number of males from each of the 4 SQI population quartiles as follows: best (B), good (G), fair (F), and poor (P). Three rooms were heated to 35 degrees C, and the other three rooms were maintained at a constant 23 degrees C as controls. For each SQI group in each room, 15 Leghorn hens were artificially inseminated (5 x 10(7) sperm/hen) once a week for 8 weeks for fertility observations. 3. Body weight, sperm concentration, SQI, and fertility of P males were lower than in the other three SQI groups. Body temperature of the top three SQI groups was increased by heat exposure, but body temperature was not altered by heat stress in the P group. Fertility, sperm viability, and SQI of the top three SQI groups, but not the P group, was decreased by heat stress. Seminal plasma K+ of P males was lower than that of B males. However, seminal plasma Ca2+ concentration of P males was higher than that of B males. 4. In conclusion, high ambient temperatures had more impact on semen quality and fertility of males in the top 75% of the SQI population than in males in the bottom 25% of the population. In addition, calcium ions (Ca2+) appear to play a major role in heat stress infertility.

Fertility of broiler breeders following categorization by the OptiBreed sperm quality index when hens are inseminated with a constant number of sperm.

If semen quality was known prior to insemination, sperm doses could possibly be decreased, maximizing the number of hens inseminated. The sperm quality index (SQI), an indicator of overall semen quality, is determined by the number of deflections in a light path due to sperm movement inside a capillary tube. The objectives of this study were 1) to determine the age at which the SQI becomes a static predictor of semen quality and 2) to determine if fertility of males with a higher SQI responds more favorably to insemination dose reduction than that of males with a lower SQI. Weekly from 23 to 32 wk of age, 144 Cobb males were tested for SQI. At 32 wk of age, males were placed into four groups that represented the SQI population quartiles as follows: poor, fair, good, and best. A fifth SQI group, uncategorized, was created to determine fertility of the original population by mixing equal amounts of semen from each of the four groups. Semen was collected weekly from 33 to 40 wk of age from 18 males in each of the four groups, pooled by group, and used to inseminate 30 hens per group with 50 or 100 million sperm. Eggs were collected daily, incubated, and broken out to determine fertility. Correlation coefficients between weekly SQI results and overall averages for individual males indicated that the SQI stabilized after the birds were 28 wk of age. The main effect for SQI selection revealed that the best SQI group had the highest fertility (88%), which did not differ from the good (83%) or fair group (82%) but was greater than the uncategorized group (80%). Fertilities of the top three groups and the uncategorized group were higher than the poor group (63%) (P < 0.0001, SEM 2.18). In addition, there was an interaction between SQI classification and insemination dose. Fertilities of the top three SQI groups were similar at the 50 and 100 million sperm doses. However, the poor and uncategorized SQI groups had lower fertility at the 50 million dose as compared to the 100 million dose. By categorizing males into SQI groups after 28 wk of age, insemination dose can be reduced, maximizing a male's fertilizing potential.

Role of seminal plasma in heat stress infertility of broiler breeder males.

The present research was undertaken to determine the role of seminal plasma in heat stress (HS) infertility. Males were exposed to HS at 32 C or maintained at 21 C as controls. Centrifugation and reconstitution of semen samples created four final treatments: control sperm + control plasma (CsCp), control sperm + HS plasma (CsHp), HS sperm + HS plasma (HsHp), and HS sperm + control plasma (HsCp). Semen samples with HS males' seminal plasma had lower sperm quality index values than those containing plasma from control males. Seminal plasma from HS males diminished fertility of control sperm, and control seminal plasma did not improve fertility of HS sperm. Therefore, regardless of seminal plasma source, HS sperm had a lower fertilization rate than control sperm. Also, seminal plasma from semen samples with HS sperm (HsHp and HsCp) contained lower Ca, Na+ and Cl- concentrations than seminal plasma from semen samples with control sperm (CSCp and CsHp). When HS seminal plasma was mixed with control sperm, plasma ion concentrations increased, indicating an efflux of ions from the control sperm to the HS seminal plasma. On the other hand, when control seminal plasma was mixed with HS sperm, plasma ion concentrations decreased, indicating an influx of ions from the control seminal plasma to the HS sperm. Therefore, control sperm appear to have higher intracellular ion concentrations than the sperm from HS males. In conclusion, high temperatures might decrease male fertility by decreasing seminal plasma and intracellular ion concentrations.

Growth and immunity of broiler chicks as affected by dietary arginine.

A dietary deficiency of Arg may suppress chick immune system functions; however, research evaluating immune function responsiveness of commercial broilers fed dietary Arg levels near NRC (1994) recommendations is sparse. Therefore, three experiments were conducted to evaluate growth and immunity of broilers fed varying Arg levels near NRC (1994) specifications. Because Arg and Lys are similar in structure and are known to compete in intestinal absorption, dietary Lys treatments [near NRC (1994) recommendations] were evaluated to determine if Arg and Lys interact to affect broiler immunity. There were four dietary treatments in Experiment 1 representing a 2 x 2 factorial design of additional Arg (120% of NRC) or additional Lys (120% of NRC) added to a control diet containing 100% of NRC Arg and Lys (six replications per treatment). Experiment 2 contained the following four treatments: the control diet; the control diet plus L-Arg (0.20% Arg of diet); the control diet plus L-Lys HCl (0.20% Lys of diet); and the control diet plus L-Arg-L-Glu (0.10% Arg of diet). Graduations of Arg were fed from 90 to 120% of NRC in 10% increments in Experiment 3. Also, half of the birds were exposed to vaccinations of Newcastle disease virus and infectious bronchitis virus in Experiment 3 to derive a 2 x 4 factorial design. Experiments 1 and 2 were conducted from Days 1 to 18 and Experiment 3 was conducted from Days 1 to 15 in Petersime battery brooders. No interactions occurred between dietary Lys and Arg in Experiment 1. Increasing dietary Arg, but not Lys, from 100 to 120% of the NRC recommendation increased (P < or = 0.05) Day 18 BW gain. Treatment differences in the cutaneous basophil hypersensitivity assay in Experiment 1 did not occur. In Experiment 2, treatment differences in growth responses, lymphoid organ development, and primary antibody titers to SRBC did not occur. Unvaccinated birds in Experiment 3 fed an Arg-deficient diet had lower (P < or = 0.05) feed conversion in comparison with vaccinated birds fed an Arg-deficient diet. Vaccinated birds had lower (P < or = 0.05) Day 15 BW than unvaccinated birds, but higher (P < or = 0.05) titers to Newcastle disease virus. Increasing dietary Arg in Experiment 3 increased plasma Arg (P < or = 0.05), but did not affect plasma Lys. Although increased dietary Arg improved BW gain in Experiment 1, minimal effects were noted in growth and immune system parameters throughtout this study. A dietary Arg level near the NRC (1994) recommendation should support proper immune system functions in healthy chicks.

Use of a sperm analyzer for evaluating broiler breeder males. 2. Selection of young broiler breeder roosters for the sperm quality index increases fertile egg production.

Previous research has shown that the sperm quality index (SQI) of rooster semen is indicative of overall semen quality. The objectives of the present experiments were to determine the correlation of the SQI with semen characteristics and fertility and to determine if selection of young males for the SQI would improve fertility. In Experiment 1 semen was collected from 35 Peterson males and was analyzed individually for sperm concentration and viability. To determine fertility, 100 microL of diluted semen was inseminated into 10 hens for each rooster. Positive correlations of the SQI with total and live sperm concentrations as well as fertility were found. A negative correlation of the SQI with the percentage of dead sperm was observed. In Experiment 2, four semen samples were collected at 2- to 3-d intervals from each of 142, 27-wk-old Peterson roosters to determine their SQI. Males were then allocated to six treatment groups based on their average SQI readings as follows: 0 to 150, 151 to 200, 201 to 250, 251 to 300, 301 to 350, and >350. For each SQI group, semen was collected weekly for 8 wk, pooled, and used at a rate of 50 microL/hen to inseminate 40 hens. The percentage of fertilized eggs increased linearly across the SQI groups, from a minimum of 65% for the 0 to 150 SQI group to a maximum of 98% for the >350 SQI group. The SQI groups of 301 to 350 and >350 produced the slowest decline in fertility over days postinsemination. Therefore, selection of males for the SQI at an early age appears to improve flock fertility.

Auricular ossification.

A patient with extensive bilateral auricular ossification presented with chondrodermatitis nodularis helicis on one side. The condition was otherwise asymptomatic. Ossification was detected on radiological and histological examination. Underlying medical conditions were not found. We believe this developed as a consequence of cold injury. Auricular ossification is an unusual cause of the so-called petrified external ear, in which the subcutaneous tissue is stony hard. It is more commonly caused by dystrophic calcification. Calcification and ossification are clinically identical and histological examination is required to definitively differentiate them.

A high incidence of melanoma found in patients with multiple dysplastic naevi by photographic surveillance.

OBJECTIVES: (1) To assess the incidence of melanoma in a cohort of patients with dysplastic melanocytic naevi (DMN) and the relationships between incident melanomas and preexisting naevi and between melanoma risk and numbers of DMN. (2) To examine the role of the patient versus the physician in detecting melanoma and the relative value of surveillance versus prophylactic excision. DESIGN: Prospective cohort study. PATIENTS AND SETTING: Two hundred and seventy-eight adults, each with five or more DMN, were followed up for a mean period of 42 months in a private dermatology practice. DMN were clinically diagnosed. RESULTS: Twenty new melanomas were detected in 16 patients, corresponding to an age-adjusted incidence of 1835/100000 person-years, 46 times the incidence in the general population. Eleven were detected because of changes evident in comparison with baseline photographs and nine were detected by patients or their partners. Thirteen of the 20 melanomas arose as new lesions and only three from DMN. Melanoma risk rose with increasing numbers of DMN. CONCLUSIONS: Increasing numbers of DMN are associated with increasing melanoma risk. Surveillance (baseline photography and follow-up) enabled early diagnosis of melanoma and was very much more cost-effective in preventing life-threatening melanoma than prophylactic excision of DMN.

The prevalence of seborrhoeic keratoses in an Australian population: does exposure to sunlight play a part in their frequency?

Although seborrhoeic keratoses (SKs) appear to be very common, there are very few studies reporting details of age-specific prevalence, distribution or possible cause. We report details on the frequency, nature and distribution of SKs in 100 Australian adults in the age groups 15-25, 26-50, 51-75 and those aged more than 75 years. There was an increase in prevalence of SKs from 12% of 15-25 year olds to 100% of those aged more than 50 years. The median number of lesions in those with them also increased with age from six per person in 15-25 year olds to 69 per person in those aged more than 75 years. There was no difference in prevalence or numbers of lesions/person between males and females. SKs on exposed areas were more often flat and more than 3 mm in diameter than those on the non-exposed areas. There was a higher prevalence of SKs on the exposed areas than non-exposed areas when taking into account the surface area. The data in this study demonstrate an increased frequency of SKs compared with those reported from the United Kingdom recently and from Australasia in the past, a phenomenon paralleling the changing frequency of skin cancer in these populations. This fact, plus the finding that SKs were more common as a function of skin surface area on the exposed areas of the body, suggests that sunlight may play a part in their development in those people who are predisposed to develop them.

Advice about management of skin conditions in the community: who are the providers?

A survey was undertaken in the central Victorian city of Maryborough to investigate the use of pharmacies and general practitioners as sources of advice about skin problems. In a 2 week period consumers purchasing either prescription or over the counter (OTC) products for skin, hair and nails in pharmacies were approached for interview. Simultaneously, each of the city's general practitioners (GP) completed questionnaires on all patients presenting with conditions of skin, hair and nails. Seventy per cent of the 315 consumers interviewed were purchasing OTC products and 50% prescription items. Of the OTC products, 42% were originally recommended by pharmacy staff and 18% by doctors. Over one-third of consumers buying OTC products described symptoms to pharmacy staff and in about half of the cases it was to the pharmacy assistant. One-third of people describing symptoms had already seen a doctor. Problems most frequently reported were dermatitis, skin dryness, acne and tinea. General practitioners recorded 265 conditions (of which 54% were new) in patients. The most common condition treated was solar keratosis, and GP wrote a prescription for 45% and recommended OTC products for 7% of conditions. People in Maryborough are seeking advice for their skin conditions from a variety of sources including GP, pharmacies and others.

Terminal restlessness--its management and the role of midazolam.

OBJECTIVE: To describe the clinical picture of the syndrome of terminal restlessness in dying patients and the role and mode of administration of midazolam. SETTING: Hospice unit of a public hospital. DESIGN: Retrospective review of patient records and search of the literature for reports of the use of midazolam in palliative care from 1988 to 1990 and of the effects and side effects of drugs commonly used in the management of terminal restlessness. PATIENTS AND INTERVENTION: Eighty-six patients with terminal restlessness received midazolam to alleviate their symptoms. MAIN OUTCOME MEASURES: Improved relaxation in the patients, a reduction in family anxiety and reduced staff stress. RESULTS: Of the 86 patients with terminal restlessness, all but one obtained benefit. No apparent side effects or adverse reactions to the drug were observed. CONCLUSION: Midazolam given by the subcutaneous route can usually provide effective palliation of terminal restlessness when other measures are ineffective. The drug is also useful for providing short-term sedation for uncomfortable procedures and for managing catastrophic terminal events.