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Biomedical subjects

M S Bauer

Publications and source records attributed to M S Bauer.

At least 55 records · Page 3Linked to original sources
PubMed1990

Rapid cycling bipolar affective disorder. I. Association with grade I hypothyroidism.

Thirty patients with rapid cycling bipolar affective disorder were studied prospectively to assess presence and severity of thyroid hypofunction. Seven (23%) were classified as having grade I hypothyroidism, while 8 (27%) had grade II and 3 (10%) had grade III abnormalities. This prevalence of grade I hypothyroidism is significantly greater than that reported in studies of unselected bipolar patients during long-term treatment with lithium carbonate, although only 63% of this sample of rapid cycling patients was taking lithium carbonate or carbamazepine. The association of rapid cycling with grade I hypothyroidism cannot be accounted for by lithium carbonate use or by the preponderance of women among rapid cycling patients. These findings (1) indicate that hypothyroidism during bipolar illness is a risk factor for the development of rapid cycling, and (2) leads to the hypothesis that a relative central thyroid hormone deficit occurring in bipolar patients predisposes to a rapid cycling course.

Adult↗
PubMed1990

Rapid cycling bipolar affective disorder. II. Treatment of refractory rapid cycling with high-dose levothyroxine: a preliminary study.

Eleven patients with rapid cycling bipolar affective disorder whose symptoms were refractory to their current medication regimen were entered into an open trial of high-dose levothyroxine sodium added to a stable regimen of those medications. At baseline, all patients exhibited a rapid cycling pattern and were evaluated prospectively through at least one affective episode. Levothyroxine was added to the baseline medication regimen, and the dosage was increased until clinical response occurred or until side effects precluded further increase. While patients were taking levothyroxine, scores on both depressive and manic symptom rating scales decreased significantly compared with baseline. This improvement was due to the clear-cut response of depressive symptoms in 10 of 11 patients, with manic symptoms responding in five of the seven patients who exhibited them during baseline evaluation. Four patients then underwent single- or double-blind placebo substitution; three patients relapsed into either depression or cycling. Treatment response did not depend on previous thyroid status. In 9 of 10 responsive patients, supranormal circulating levels of free thyroxine were necessary to induce clinical response. Side effects were minimal, and there were no signs or symptoms of levothyroxine-induced hypermetabolism.

Adult↗
PubMed1990

Intensity and precision of circadian wheel running in three outbred rat strains.

The laboratory rat is widely used in many areas of neurobiologic and behavioral research. However, studies of circadian activity rhythms have usually employed other rodent species whose activity patterns are more amenable to measurement in the circadian paradigm. Nevertheless, the rat may be the optimal choice in certain investigations of circadian function because of the wealth of data on the neuroanatomy and neuropharmacology of this species. This study was undertaken to determine whether choice of rat strain could affect the quality of measured circadian activity data. Intensity of wheel running (wheel revolutions per day), precision of onset, and longevity of consistently interpretable running records were assessed in three common outbred rat stains, Long-Evans, Wistar, and Sprague-Dawley. Long-Evans rats showed greater intensity of wheel running while entrained and at four and eight weeks of free running in constant darkness. There was no difference in precision of running onset among the three strains. Thus, use of the Long-Evans strain, with its greater intensity of wheel running and similar precision of activity onset, may confer advantages in studies involving measurement of circadian activity rhythms in the rat.

Animals↗
PubMed1989

Pituitary-adrenal and thyroid effects on melatonin content of the rat pineal gland.

Based on clinical findings of diminished nocturnal serum melatonin levels in affective illness, we hypothesized that alterations in the pituitary-adrenal or thyroid axes of the rat might alter the nocturnal rise of melatonin content of the pineal gland in that species. Two experiments were conducted to investigate these issues. In the first, rats were injected for nine days with adrenocorticotropic hormone (ACTH) or corticosterone, timed to accentuate and prolong the normal circadian corticosterone rise. Although both these treatments produced significant elevations of serum corticosterone, there was no difference in pineal melatonin content during the day or night from that measured in control rats. In the second experiment, hypothyroidism was induced in rats by thyroid-parathyroidectomy, and hyperthyroidism was produced by injection of triiodothyronine (T3) for nine days. Despite clear evidence of metabolic and endocrine effects of these thyroid manipulations, pineal melatonin content was not altered during the day or night. The nocturnal increase of melatonin may have been phase-advanced in the hypothyroid group, although the experiment was not designed to detect such a shift. There thus is no evidence from this study in the rat to suggest that diminished nocturnal melatonin production in affective illness might be due to associated alterations in the pituitary-adrenal or thyroid systems.

Adrenocorticotropic Hormone↗
PubMed1988

Unsuccessful surgical repair of a short soft palate in a dog.

An 8-week-old male Miniature Schnauzer had nasal discharge of milk, food, and water since birth, especially during eating. Examination of the oral cavity revealed a short soft palate. Numerous unsuccessful surgical procedures were performed to construct a shelf of tissue to prevent oronasal reflux. The dog was euthanatized.

Animals↗
PubMed1988

Intramedullary pressure in canine long bones.

Intramedullary pressure was measured bilaterally in 36 dogs: in the diaphysis and distal metaphysis of the femur, in the proximal metaphysis of the tibia and humerus, and in the diaphysis of the radius. Pressure measurements were repeated in 5 dogs, 14 days after the initial recordings. Mean (+/- SD) pressures in the femoral diaphysis and distal metaphysis were 27.6 (+/- 15.4) mm of Hg and 17.6 (+/- 10.5) mm of Hg, respectively. Mean (+/- SD) pressures in the tibial diaphysis and proximal metaphysis were 26.4 (+/- 13.0) mm of Hg and 17.9 (+/- 11.8) mm of Hg, respectively. Mean (+/- SD) pressures in the humeral diaphysis and proximal metaphysis were 26.2 (+/- 15.8) mm of Hg and 13.4 (+/- 7.7) mm of Hg, respectively. The mean (+/- SD) pressure in the radial diaphysis was 15.4 (+/- 18.9) mm of Hg. Metaphyseal pressure was significantly (P less than 0.05) lower than diaphyseal pressure. Repeated pressure measurements in 5 dogs did not vary significantly from initial values, suggesting that the wide range of pressure was real not artifactual.

Animals↗
PubMed1986

Prostatic abscess rupture in three dogs.

Three dogs developed prostatic abscesses that subsequently ruptured. For various reasons, the dogs had been treated with glucocorticoids before abscess rupture. Immediately after the diagnosis was made, each dog was taken to surgery. Each dog developed septic shock. Two dogs died during surgery and one recovered. A glucose-insulin-potassium solution was used to treat septic shock in the dog that recovered. Few cases of ruptured prostatic abscesses have been reported. The purpose in the present study was to review the clinical signs, pathologic changes, and management of ruptured prostatic abscesses in 3 dogs.

Abscess↗
PubMed1986

The effect of changing thyroid function on cyclic affective illness in a human subject.

Thyroid function abnormalities are common in persons with rapid-cycling bipolar affective illness. Some women who cycle rapidly respond to thyroxine, but there is scant evidence that the people who have thyroid abnormalities are the ones who respond to thyroid treatment. The authors report successful thyroxine treatment of a man whose rapid cycling began and resolved after changes in his thyroid status. The period of his affective cycle was altered by both lithium and thyroxine. The authors suggest that CNS thyroid status may determine the clinical course of some persons with a fixed cycle of affective episodes.

Adult↗
PubMed1986

Effects of exposure to ambient air on articular cartilage of rabbits.

Effects of exposure to ambient air (20 to 22 C) on articular cartilage from rabbits were evaluated. Bilateral arthrotomies were performed on the stifles of 18 New Zealand White rabbits. The cranial surface of the left distal femur, including the articular cartilage of the trochlea, was exposed to air for 2 hours. The right stifle was opened and closed immediately. Six rabbits were killed at the end of the surgical operation (group 1), 6 after 2 weeks (group 2), and 6 after 4 weeks (group 3), and femurs were harvested. A distinct color change was seen in the exposed cartilage in group 1; however, minimal change was detected in group 2, and no change was seen in group 3. Proteoglycan content did not differ between the exposed and control cartilage in any group. The number of viable cells and empty lacunae in articular cartilage did not differ between the exposed and control femurs. Total cell counts and degenerative cell counts were similar, comparing the left and right trochlea in groups 1 and 3. A significant increase in cellularity was noticed in the radial zone of the exposed cartilage in group 2 (P less than 0.01). In the same group, a significantly increased number of degenerative cells were seen in the tangential zone of the exposed cartilage (P less than 0.05). Changes in cellularity were consistent with cartilage damage. Seemingly, exposing articular cartilage to air for 2 hours causes reversible cartilage damage.

Air↗
PubMedDate not supplied

Validity of seasonal pattern as a modifier for recurrent mood disorders for DSM-IV.

Data are reviewed regarding the validity of seasonal pattern (SP), according to DSM-III-R, as a modifier for recurrent mood disorders. The relationship of the DSM-III-R formulation of SP is compared with that of seasonal affective disorder (SAD) as used by the bulk of researchers in the area. Both definitions are evaluated against the criteria for validity suggested by Robins and Guze, by Kendell, and by Spitzer and Williams. While the two definitions are similar and available data support a distinct clinical syndrome of recurrent winter decrements of mood and energy, it is not yet clear whether what is identified as SP or SAD represents a distinct affective syndrome, a subtype of recurrent affective illness, or the most severe form of a widely distributed population trait. Several options for operationalized criteria sets are discussed.

Adult↗
PubMedDate not supplied

Mood and behavioral effects of four-week light treatment in winter depressives and controls.

This study investigated (1) the time-course and durability of antidepressant effects of bright light in winter depressives, and (2) the effects of bright light on mood and behavior in normal controls in a 4-week open treatment paradigm. Twelve subjects in a major depressive episode during recurrent major depressive or bipolar disorder with seasonal pattern and 12 control subjects received 2,500 lux light between 0600 and 0800 hours, while 12 controls arose at 0600 hours for quiet activities without exposure to bright light. In depressives, maximal decrements in depression ratings were not reached until the fourth week of treatment. Four depressives experienced clinically significant hypomanic symptoms. Controls treated with light demonstrated significantly higher clinician ratings of hypomanic symptoms than no-light controls. When depressives and controls were combined, seasonality, but not diagnosis, predicted the emergence of manic-like symptoms. Implications for bright light treatment in the clinical setting are discussed.

Adult↗
PubMedDate not supplied

Comparison of the internal state scale to clinician-administered scales in asthma patients receiving corticosteroid therapy.

Mood symptoms are reported frequently in asthma patients, particularly during corticosteroid therapy. This investigation compared the Internal State Scale (ISS), a self-report measure of symptoms of mania and depression, to the Hamilton Rating Scale for Depression (HRSD), Young Mania Rating Scale (YMRS), and Brief Psychiatric Rating Scale (BPRS) in a group of asthma patients (n=60 at baseline) before, during, and after a 1-2 week burst of prednisone. The depression and well being subscales of the ISS correlated well with HDRS scores. The perceived conflict subscale correlated with the BPRS scores. However, none of the ISS subscales correlated consistently and specifically with the YMRS in this population. Possible explanations for differences observed in bipolar versus asthma patients given the ISS are discussed. These data suggest the ISS may be a useful tool for depression symptoms and overall psychopathology in asthma patients and in patients receiving corticosteroid therapy. However, its ability may be attenuated outside of the population for which it was designed.

Anti-Inflammatory Agents↗
PubMedDate not supplied

Self-reported quality of life across mood states in bipolar disorder.

In distinction to the classic conceptualization of mania and hypomania, a growing body of work indicates that these episodes are not typically characterized by euphoric mood and sense of increased well-being, but rather by significant dysphoric symptoms. However, few data exist concerning self-perceived quality of life in mania or hypomania. Such data are important both for better understanding of the illness, and are particularly important for developing appropriate cost-utility studies. Accordingly, we hypothesized that two measures of self-reported quality of life, the mental subscale of the Short Form-12 (SF-12) and the EuroQol, would show reduced quality of life in patients in manic/hypomanic or mixed episodes, compared to those who were euthymic. Eighty-six patients with bipolar disorder from four Department of Veterans Affairs (VA) medical centers were assessed in a cross-sectional design. Mood state was categorized by physician diagnosis and separately by patient self-report using the Internal State Scale (ISS). Self-reported quality of life was quantified using the SF-12 and EuroQol. Findings were identical regardless of how mood state was determined. The SF-12 mental subscale and EuroQol differed significantly across mood states. Patients with mania/hypomania were either less than (SF-12 mental subscale) or equal to (EuroQol) euthymic patients, while patients in a mixed episode resembled those in a depressive episode on both indices. In contrast, SF-12 physical subscale scores showed no intergroup differences. These quality-of-life data provide further support for the conceptualization that mania and hypomania are syndromes characterized by reduced, rather than increased, sense of well-being and quality of life. Moreover, depressive symptoms appear to be the primary determinant of quality of life in bipolar disorder, although other factors may be associated with both depression and reduced quality of life in bipolar disorder.

Bipolar Disorder↗
PubMedDate not supplied

Thoracodorsal and caudal superficial epigastric axial pattern skin flaps in cats.

Nonselective angiography, selective angiography, and gross dissection of 15 cadavers were performed to delineate direct cutaneous arteries in the cat. The omocervical, deep circumflex iliac, thoracodorsal, and caudal superficial epigastric arteries were identified by nonselective angiography. Selective angiography and gross dissection allowed assessment of the origin and vascular territories of the thoracodorsal and caudal superficial epigastric arteries. Orthotopic and heterotopic transfers of thoracodorsal and caudal superficial epigastric island flaps were performed on eight cats. All flaps were successful although areas of necrosis at the caudodistal tips were evident in most of the thoracodorsal flaps. The rotated thoracodorsal flaps extended to the carpi. Caudal superficial epigastric flaps enabled coverage to the metatarsus. Seroma formation and partial dehiscence were minor complications.

Angiography↗