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PubMed2000

Sound conditioning reduces noise-induced permanent threshold shift in mice.

The phenomenon of conditioning-related protection, whereby prior exposure to moderate-level, non-traumatic, sound protects the ear from subsequent traumatic exposure, has been documented in a number of mammalian species. To probe the molecular mechanisms underlying this effect, the mouse would be a useful model; however, a previous study reported no conditioning effects in this species (Fowler et al. , 1995). In our study, mice (CBA/CaJ) were exposed to a traumatic octave-band noise (8-16 kHz at 100 dB SPL for 2 h) with, or without, prior exposure to a sound-conditioning protocol consisting of exposure to the same noise band at lower sound pressure levels. Two conditioning protocols were investigated: one (81 dB SPL for 1 week) was analogous to those used in other conditioning studies in mammals; the second was significantly shorter (89 dB SPL for 15 min). Noise-induced permanent threshold shift (PTS) was assessed in a terminal experiment, after the traumatic exposure, via compound action potentials. Neither conditioning protocol elevated threshold, indeed both protocols increased amplitudes of distortion product otoacoustic emissions when animals were conditioned but not traumatized. Both conditioning exposures significantly reduced PTS from the subsequent traumatic exposure, compared to groups exposed without prior conditioning. Protective effects of 15-min conditioning were maximal when the condition-trauma interval was 24 h; protection disappeared when the traumatic exposure was presented 48 h after conditioning. These data are consistent with the view that protein synthesis is required for expression of the protective effect. The enhancement of distortion products in the condition-only state suggests that conditioning changes outer hair cell function.

Animals↗
PubMed2001

Latent inhibition and conditioning in rat strains which show differential prepulse inhibition.

Latent inhibition (LI) is the retardation of associative conditioning resulting from preexposure of the conditioned stimulus (CS) alone prior to conditioning. Schizophrenic patients show deficient prepulse inhibition (PPI) and, at least acutely, deficient LI as well. We recently found that Brown Norway (BN) rats show a PPI deficit compared to Wistar-Kyoto (WKY) rats. If PPI and LI depend on neural processes with common genetic substrates, then LI should be deficient in BN rats as well. Here, LI of a conditioned taste aversion was examined in BN and WKY rats. One group from each strain was preexposed to a saccharin-flavored solution (CS) the day prior to conditioning. For taste aversion conditioning, these two groups again consumed saccharin and were injected with lithium chloride (unconditioned stimulus) 10 min later. A second group from each strain was not preexposed to the CS and was treated identically during conditioning, while a third group was not conditioned (injected with sodium chloride). To test for taste aversion conditioning, saccharin was offered for 20 min/day for 3 days. Nonconditioned BN and WKY rats consumed equal amounts of saccharin on test days. In both strains, conditioned rats showed a saccharin aversion. However, conditioning was less robust in BN than in WKY rats. WKY rats showed good LI of the conditioned taste aversion in that preexposed WKY rats consumed significantly more saccharin on test days than conditioned, nonpreexposed WKY rats. Preexposed BN rats did not consume significantly more saccharin on test days than conditioned, nonpreexposed BN rats. The previously reported deficiency in PPI in the BN rats was confirmed here 1 week after the taste aversion experiment. These results suggest that BN rats show deficient LI as well as PPI and display poor associative learning, a trait also reported in schizophrenia.

Acoustic Stimulation↗
PubMed2003

The effects of ibotenic hippocampal lesions on discriminative fear conditioning to context in mice: impairment or facilitation depending on the associative value of a phasic explicit cue.

To what extent the hippocampus is required for contextual conditioning remains a matter of debate. The present experiments examined the effects of ibotenate hippocampal lesions on discriminative fear conditioning to context in mice using measures of freezing in two conditioning paradigms. In both paradigms animals received foot shock as the unconditional stimulus (US) when placed in the (conditioning) context and no foot-shock when placed in the other (neutral) context. In both contexts, animals were presented with a tone as the conditioned stimulus (CS). In the conditioning context there was either no interval (delay condition) or a 30-s interval (trace condition) between tone CS end and shock US onset. These two paradigms were used because theory predicts that in the trace condition animals would learn more about contextual cues as predictors, or not, of shock US occurrence than in the delay condition. In agreement with this, we observed that sham-operated mice learned the context discrimination faster in the trace than in the delay condition. Lesions of the hippocampus significantly retarded, but did not prevent, the acquisition of the context discrimination in the trace condition. In contrast, lesions produced an opposite (facilitatory) effect in the delay condition, which was mainly observed during tone CS presentation. The data suggest that mice used two distinct competing strategies in solving this discrimination task: (i) a strategy relying on the processing of background contextual stimuli allowing direct establishment of context-US associations of different strengths, and (ii) a conditional cue (tone)-based strategy. Hence, hippocampal lesions may impair the use of the former strategy while exacerbating (unmasking) the use of the latter.

Animals↗
PubMed1992

Air-conditioning and mortality in hot weather.

A cohort of 72,740 persons for whom information on household air-conditioning was available was monitored for mortality via the National Death Index from April 1980 through December 1985. A total of 2,275 deaths occurred among the members of this cohort. The basic question addressed was whether persons in households with air-conditioning experienced lower death rates during hot weather than persons in households without air-conditioning. This question was examined for both central and room air-conditioning. The analysis was based on a state-by-state approach, that cross-tabulated deaths by air-conditioning status (yes or no) and average temperature during the month of death (less than 21.2 degrees C (less than 70 degrees F) or greater than or equal to 21.2 degrees C (greater than or equal to 70 degrees F)). The Mantel-Haenszel and sign tests were used to summarize the data. For central air-conditioning versus no air-conditioning, statistically significant benefits (p less than 0.05, Mantel-Haenszel test) were observed for the overall total, for females, for persons not in the labor force, and for persons living in fewer than six rooms. These groups had more exposure to air-conditioning. The relative risk for the total group was 0.58, implying that in hot weather, the death rate for persons who had central air-conditioning was 42 percent lower than the rate for persons who did not have air-conditioning, after confounding variables had been controlled for. For room air-conditioning versus no air-conditioning, the odds ratio for the total group was 0.96, which was not significantly different from 1.0, suggesting that no real benefit was derived from room air-conditioning. Some reasons for the lack of a demonstrable benefit for room air-conditioning are given.

Aged↗
PubMed1997

Conditioned locomotor-activating and reinforcing effects of discrete stimuli paired with intraperitoneal cocaine.

Studies of conditioned locomotor activity typically use an entire environmental context as the conditioned stimulus. To determine whether conditioned locomotion can be elicited by specific, discrete stimuli similar to those used in traditional studies of classical conditioning, rats were injected intraperitoneally (i.p.) with saline before 30 min sessions in a locomotor activity chamber. Interspersed (one to two times a week) with these baseline sessions, the rats were injected with cocaine (20 mg/kg) and placed in the chamber with a tone or flashing light present. Although baseline levels of activity remained stable, locomotion increased (sensitized) over six drug-stimulus pairings. Conditioned locomotor activity was elicited when the stimuli were then presented in the absence of cocaine. When a cocaine challenge was administered, locomotor activity was higher in the presence of the conditioned stimuli than in their absence, indicating that conditioning contributed to sensitization. These conditioned effects did not occur in control groups in which cocaine was not associated with the stimulus. To determine whether reinforcing properties had been conditioned to the stimuli, the rats were then tested in an operant chamber where responding in one nose-poke hole produced a 2 s conditioned-stimulus presentation. Rats that had received stimulus-drug pairings responded at a higher rate in this hole than in another, inactive hole. Locomotor activity can thus be conditioned to discrete stimuli, and the reinforcing properties conditioned to these stimuli can transfer to other environments. In this respect, the drug-conditioning effects seen in rodents appear to be analogous to the conditioned responses observed when human drug abusers are presented with discrete, drug-related stimuli.

Animals↗
PubMed1998

Classical conditioning and brain systems: the role of awareness.

Classical conditioning of the eye-blink response, perhaps the best studied example of associative learning in vertebrates, is relatively automatic and reflexive, and with the standard procedure (simple delay conditioning), it is intact in animals with hippocampal lesions. In delay conditioning, a tone [the conditioned stimulus (CS)] is presented just before an air puff to the eye [the unconditioned stimulus (US)]. The US is then presented, and the two stimuli coterminate. In trace conditioning, a variant of the standard paradigm, a short interval (500 to 1000 ms) is interposed between the offset of the CS and the onset of the US. Animals with hippocampal lesions fail to acquire trace conditioning. Amnesic patients with damage to the hippocampal formation and normal volunteers were tested on two versions of delay conditioning and two versions of trace conditioning and then assessed for the extent to which they became aware of the temporal relationship between the CS and the US. Amnesic patients acquired delay conditioning at a normal rate but failed to acquire trace conditioning. For normal volunteers, awareness was unrelated to successful delay conditioning but was a prerequisite for successful trace conditioning. Trace conditioning is hippocampus dependent because, as in other tasks of declarative memory, conscious knowledge must be acquired across the training session. Trace conditioning may provide a means for studying awareness in nonhuman animals, in the context of current ideas about multiple memory systems and the function of the hippocampus.

Aged↗
PubMed1992

Changes in the activity of units of the cat motor cortex with rapid conditioning and extinction of a compound eye blink movement.

Patterns of spike activity were measured in the pericruciate cortex of conscious cats before and after development of a Pavlovian conditioned eye blink response. Unit activity was tested with presentations of a click conditioned stimulus (CS) and a hiss discriminative stimulus (DS) of similar intensity to the click. Unit discharge in response to the CS increased after conditioning, but not after backward conditioning when conditioned reflexes (CRs) were not performed. Rates of spontaneous, baseline discharge were not increased after conditioning with respect to rates of discharge measured in the naive state. It appeared that an increase in the ratio of CS-elicited discharge to background activity, together with an increase in the number of units responding to the CS after conditioning, supported discrimination of the CS from the DS and performance of the conditioned blink response. This is the first detailed characterization of patterns of a rapidly conditioned Pavlovian response. Activation of units by the CS preceded the onset of the CR, supporting the hypothesis that the activity played a role in initiating the conditioned eye blink movement. Extinction with retention of performance of the CR was associated with perseverance of the increased unit discharge in response to the CS. Extinction with substantially reduced performance of the CR was associated with diminution of the unit response to the CS below levels found with conditioning. Averages of patterns of spike activity elicited by the CS after conditioning showed components of discharge with onsets of 8-40 msec (alpha 1), 40-72 msec (alpha 2), 72-112 msec (beta), and greater than 112 msec (gamma), corresponding to each of four separate excitatory EMG components of the compound blink CR. Each component increased in magnitude after conditioning, relative to levels found in the naive state. The finding that long- as well as short-latency components of unit activation increased after conditioning supported the hypothesis that generation of both long- and short-latency blink CRs in normal animals may depend significantly on neural circuitry and mechanisms within the motor cortex.

Animals↗
PubMed2001

A national study of medical care expenditures for musculoskeletal conditions: the impact of health insurance and managed care.

OBJECTIVE: To provide estimates of all medical care expenditures on behalf of persons with musculoskeletal conditions in the United States in 1996, to estimate the increment in expenditures attributable to the musculoskeletal conditions among such persons, and to ascertain the impact of the presence or absence of health insurance and/or managed care on such expenditures. METHODS: The estimates were derived from the Medical Expenditure Panel Survey (MEPS), a national probability sample of 9,488 households, which includes responses from 21,571 persons. In the MEPS, respondents are surveyed every 6 months to report on medical care utilization and health care expenditures. Of the 21,571 persons surveyed, 4,161 reported having 1 or more musculoskeletal conditions. After weighting the data, these 4,161 individuals were inferred to represent 53.935 million persons in the nation as a whole. We tabulated all medical care expenditures of these individuals, stratified by comorbidity status, and then compared their expenditures with those among persons with chronic conditions other than musculoskeletal disease or with no chronic conditions. We then used regression techniques to estimate the increment of health care expenditures attributable to the musculoskeletal conditions. Finally, we used regression to estimate the impact of health insurance status and managed care status on the health care expenditures of the persons with musculoskeletal conditions. RESULTS: Per capita medical care expenditures in 1996 averaged $3,578 among persons with musculoskeletal conditions, for a national total of $193 billion, the equivalent of 2.5% of the Gross Domestic Product in that year. The largest components were hospital admissions (37%), physician visits (23%), and prescriptions (16%). Estimates of the per capita increment in total medical care expenditures attributable to musculoskeletal conditions ranged from a high of $723 when controlling for the other medical conditions present, to $364 when controlling for these variables and demographics. Persons with musculoskeletal conditions ages 16-64 who lacked health insurance reported total expenditures of $793, versus $3,249 among those with insurance (P < 0.0001). Among such persons with insurance, expenditures did not differ significantly between those in fee-for-service plans and those in managed care health plans. CONCLUSION: Persons with musculoskeletal conditions and health insurance experienced high total expenditures for medical care and high expenditures attributable to the musculoskeletal conditions. Insurance coverage under a managed care plan had no effect on the magnitude of these total expenditures, but lack of insurance coverage did have a significant effect among persons with musculoskeletal conditions.

Adolescent↗
PubMed2006

Prevalence and correlates of children's diagnosed eye and vision conditions.

PURPOSE: Little is known about the distribution of eye and vision conditions among children and about possible disparities in the distribution of these conditions. The purpose of this report is to describe the prevalence of diagnosed eye and vision conditions among children younger than 18 years in the United States. DESIGN: Repeated population-based cross-sectional study. PARTICIPANTS: Forty-eight thousand three hundred four members of randomly selected households in the U.S. who were younger than 18 years in the years 1996 through 2001 were analyzed. METHODS: The prevalence of children with diagnosed eye and vision conditions was estimated using self-reported information from the nationally representative Medical Expenditure Panel Surveys (MEPS) for 1996 through 2001. Descriptive statistics are presented, and the associations between the likelihood of diagnosed eye and vision conditions and child and family characteristics were assessed using logistic regression analyses adjusted for the complex survey design of MEPS. MAIN OUTCOME MEASURES: Prevalence of diagnosed eye and vision conditions and measures of the association between diagnosed eye and vision conditions and child and family characteristics. RESULTS: On average, approximately 6.8% (95% confidence interval [CI], 6.4%-7.2%) of children < 18 years in the U.S. have a diagnosed eye and vision condition, ranging from 8.6% (95% CI, 7.8%-9.5%) in 1996 to 5.8% (95% CI, 5.2%-6.4%) in 2001. Excluding conjunctivitis, the 4 most common conditions were refractive disorders, potentially blinding disorders, trauma or injury, and other disorders not elsewhere classified. White children, children with more educated mothers, and children living in higher income families were more likely to have a diagnosed eye and vision condition. Hispanic children, children in very good or excellent health, and uninsured children were less likely to have any self-reported diagnosed eye and vision condition. CONCLUSIONS: This article presents a method for using MEPS to identify children younger than 18 years with eye and vision conditions. Although this method does not identify all children with eye and vision conditions, it does identify children with diagnosed eye and vision conditions. Results provide some evidence that underprivileged children may be underdiagnosed, undertreated, or both, placing them at risk for future problems.

Adolescent↗
PubMed2002

Evaluating the crash and citation rates of Utah drivers licensed with medical conditions, 1992-1996.

BACKGROUND: Medical problems may affect the ability to drive motor vehicles, and programs that control the issuing of driver licenses to individuals with medical conditions exist in most states. The main activity of these programs is the imposition of restrictions upon the driving privileges of individuals with medical conditions that are deemed to pose some risk to public safety. However, little is known about the effectiveness of these licensing programs. OBJECTIVE: The objective of this study was to compare the rates of adverse driving events (crash, at-fault crash and citations) experienced by drivers licensed with medical conditions to those of age-, sex- and location-matched controls. Separate comparisons were made for drivers reporting medical conditions licensed with full driving privileges, and those with restricted driving privileges (e.g. speed, area and time of day). DESIGN: Retrospective case-control. METHODS: The study population was all drivers licensed in the state of Utah who reported a medical condition on their driver license application, over the 5-year period 1992-1996. Drivers enter the program by self-reporting their medical problems. Control drivers were chosen from the entire population of drivers licensed in Utah for the same period. Information on driver license status, participation in the medical conditions program, citations, involvement in crashes, and death certificate data was obtained from the relevant state agencies. Probabilistic linkage methodology was used to link the records in these disparate databases for eventual analysis. Rates of citation, crashes and at-fault crashes, expressed as events per 10000 license days, were calculated separately for program drivers and their corresponding control groups for each medical condition category and restriction status. These data were used to determine an estimate of relative risk (RR) and 95% confidence intervals. RESULTS: As a group, medical conditions drivers had modestly elevated rates of adverse driving events compared with control drivers (RR 1.09-1.74). Rates in the largest medical category, 'cardiovascular conditions', were not higher than controls. Rates were higher than control for some conditions, such as 'alcohol' and 'learning and memory', for some adverse events (RR 2.2 -5.75). Drivers with more than one medical condition appeared comparable to the general group of medical conditions program drivers. CONCLUSIONS: Drivers in Utah medical conditions program had modestly elevated rates of adverse driving events compared to matched controls. Possible underreporting of medical conditions and accurate assessment of exposure rates are potential weaknesses in the program.

Accidents, Traffic↗
PubMed2001

Modulation of startle and the startle-elicited P300 by the conditions of the cued continuous performance task in school-age boys.

OBJECTIVES: This study compares the modulation of the startle response by conditions requiring response preparation, production, and inhibition during a cued continuous performance task (CPT) in children to the results of previous studies in adults and evaluates the modulation of the startle-elicited P300 under the same conditions. The latter variable, reflecting the cognitive processing of the startling stimulus (SS), has not been studied under these conditions. METHODS: Normal boys completed a cued CPT in which the cue was the letter T, the go condition requiring a button press was an X following the T, and the no-go condition requiring response inhibition was a letter other than X following the T. SS were presented 450 ms following the letter of interest in each condition. The amplitudes of the startle-elicited P300 at Fz, Cz, and Pz and the startle blink were compared in the different CPT conditions. RESULTS: The startle blink, measured by orbicularis oculi electromyography, was not inhibited by the no-go CPT condition as is the case in adults. The vertical electro-oculogram was actually largest in the no-go condition. The startle-elicited P300 showed a central predominance and was significantly larger in the no-go condition and in the cue condition than in the go condition. CONCLUSIONS: The absence of inhibition of the startle response during the no-go condition probably reflects a relative inefficiency of prefrontal cortical mechanisms that mediate response inhibition in children compared to adults. The enhanced startle-elicited P300 in the no-go and cue conditions of the CPT reflects cognitive processing of the SS that has been influenced by response inhibition or its anticipation.

Blinking↗
PubMed2005

Changes in the condition factor have an impact on metabolic rate and swimming performance relationships in Atlantic cod (Gadus morhua L.).

In the field, Atlantic cod face seasonal changes in food availability that in turn lead to changes in condition. To examine the physiological consequences of these changes in condition, we measured routine metabolic rate (RMR) to estimate standard metabolic rate (SMR), active metabolic rate (AMR), aerobic scope, critical swimming speed (Ucrit), cost of transport, sprint performance, time to exhaustion, and postexhaustion metabolic rate (EMR) for 24 Atlantic cod from the Gulf of St. Lawrence. Cod were measured at their initial condition (condition factor of 0.676+/-0.076) and after 9 wk of feeding (condition factor of 0.923+/-0.096). These levels of condition are representative of wild cod in the Gulf of St. Lawrence during the spring and during the fall-early winter, respectively. The improved condition did not change mass-specific SMR. However, mass-specific AMR, aerobic scope, and EMR decreased with the improvement in condition. The various measures of swimming performance were affected differently. Ucrit increased and cost of transport at 1.3 and 1.5 body lengths s(-1) decreased with improved condition, but the cost of transport at 0.3, 0.9, 1.1, 1.7, and 1.9 body lengths s(-1), sprint performance, and time to exhaustion did not change. Hierarchies for the speed at first burst-coast, the proportion of Ucrit supported by burst-coasts, and time to exhaustion were maintained with the improvement in condition. The relationships between metabolic rates and swimming performance differed with condition level, with stronger correlations apparent in the cod at their initial condition. Given the low condition of wild cod stocks, these responses indicate that reduced performance, due to both maintenance of metabolic expenditures and modified swimming capacities, may impair survival under conditions of reduced food availability.

Animals↗
PubMed2007

The enumeration of chlorine-injured Escherichia coli and Enterococcus faecalis is enhanced under conditions where reactive oxygen species are neutralized.

AIM: To investigate the effect of neutralization of reactive oxygen species (ROS-neutralized conditions) on the enumeration of chlorine-injured Escherichia coli and Enterococcus faecalis using selective and nonselective media. METHODS: Pure cultures of E. coli NCTC8912 and Ent. faecalis NCTC775 were injured using dilute sodium hypochlorite, at free chlorine levels of 0.6 and 0.9 microg ml(-1), respectively, and then enumerated at 37 degrees C by surface plate counts on nonselective nutrient (N) agar and on several selective media, either under (i) standard aerobic conditions; (ii) aerobic conditions using growth medium, supplemented with 0.05%-w/v sodium pyruvate, to neutralize peroxides; or (iii) conditions designed to neutralize ROS, using a combination of 0.05%-w/v sodium pyruvate in the growth medium, together with incubation in an anaerobic jar. RESULTS: The counts obtained on the nonselective medium were lowest under aerobic conditions in unsupplemented medium, higher in pyruvate-supplemented (peroxide-neutralized) medium and highest for ROS-neutralized conditions. Counts for the selective media were often lower than those for nonselective N (nutrient) agar, with enhancement under peroxide-neutralized conditions and a further increase in counts under ROS-neutralized conditions. Broadly similar observations were made for three other strains of each organism. CONCLUSIONS: Chlorine-injured E. coli and Ent. faecalis become sensitive to ROS, giving higher counts under ROS-neutralized enumeration conditions than under conventional aerobic conditions. SIGNIFICANCE AND IMPACT OF THE STUDY: The enhancement in counts observed under ROS-neutralized conditions indicate that the addition of pyruvate to the growth medium may not fully counteract the effects of sublethal injury under aerobic conditions, which is a novel observation. Thus, ROS-neutralized conditions may be required for optimal enumeration of faecal indicator bacteria. Furthermore, the lower counts, obtained using selective media indicate that the sensitivity of chlorine-injured bacteria to selective agents is not necessarily reversed under ROS-neutralized conditions.

Bacteriological Techniques↗
PubMed1993

Choice and delay of reinforcement: Effects of terminal-link stimulus and response conditions.

In two experiments, pigeons were exposed to concurrent-chains schedules in which a single initial-link variable-interval schedule led to access to terminal links composed of fixed-interval or fixed-delay schedules. In Experiment 1, an 8-s (or 16-s) delay to reinforcement was associated with the standard key, while reinforcer delay values associated with the experimental key were varied from 4 to 32 s. The results of Experiment 1 showed undermatching of response ratios to delay ratios with terminal-link fixed-delay schedules, whereas in some pigeons matching or overmatching was evident with the fixed-interval schedules. In Experiment 2, one pair of reinforcer delay values, either 8 versus 16 s or 16 versus 32 s, was used. In the first condition of Experiment 2, different delays were associated with different keylight stimuli (cued condition). In the second condition, different terminal-link delays were associated with the same stimulus, either a blackout (uncued-blackout condition) or a white key (uncued-white condition). To examine the role of responses emitted during delays, the keys were retracted during a delay (key-absent condition) in the third condition and responses were required by a fixed-interval schedule in the fourth condition. Experiment 2 demonstrated that the choice proportions for the shorter delay were more extreme in the cued condition than in the uncued-blackout condition, and that the response requirement imposed by the fixed-interval schedules did not affect choice of the shorter delay, nor did the key-absent and key-present conditions. These results indicate that the keylight-stimulus conditions affected preference for the shorter of two delays and that the findings obtained in Experiment 1 depended mainly on the keylight-stimulus conditions of the terminal links (i.e., the conditioned reinforcing value of the terminal-link stimuli).

Journal Article↗
PubMed2002

Repeated-measure animal models to estimate genetic components of mature weight, hip height, and body condition score.

Information on mature weight, hip height, and body condition score from Angus cows was analyzed to estimate variance components and compare prediction models. Observations from repeated measures were analyzed with animal models with or without condition score as a covariate and with or without an effect for permanent environment. Heritability (repeatability) estimates for mature weight, hip height, and condition score from Method R procedures were 0.40 (0.77), 0.62 (0.81), and 0.11 (0.38), respectively, from animal models containing a permanent environmental effect but without a covariate for condition score. Heritability estimates from animal models without a permanent environmental effect were similar to repeatability estimates from animal models with it, suggesting inflated estimates of genetic variance from models not containing a permanent environmental effect. Regressing mature weight on condition score reduced both additive genetic variance and permanent environmental variance, increasing the heritability estimate of mature weight to 0.54 and altering the biological interpretation of the trait. The covariate for condition score had little effect on hip height. Regressions of mature weight and hip height on condition score were 25.9 kg/unit of body condition score and 0.4 cm/unit, respectively. Least-squares means for mature weight and hip height tended to increase until 7 and 5 yr of age, respectively. Condition score tended to increase until 6 yr of age and decrease after 8 yr of age. Correlations between breeding value solutions for the same trait were high whether or not prediction models included a permanent environmental effect or a covariate for condition score, and whether or not the variance components used were derived from models containing a covariate for condition score. Results suggest the importance of including a permanent environmental effect in genetic prediction models for these traits. Whether mature weight should be adjusted for body condition is arguable, depending on availability of condition score predictions and tools for analyzing mature weight and condition score predictions in an environment-specific context.

Age Factors↗
PubMed1986

Incidence, utilization, and costs associated with acute respiratory conditions, United States, 1980.

Acute respiratory conditions are common causes of health disturbance in the general population. They are generally self-limiting, although occasionally recurrent, and seldom result in large health care costs for each episode of illness. The National Medical Care Utilization and Expenditure Survey (NMCUES), conducted during 1980, provided an opportunity to assess the effect of acute respiratory conditions on utilization of medical services and on functional capability as well as the cost of related medical care. Acute respiratory conditions were reported by survey respondents and separated into five subgroups: colds, influenza, nasopharyngitis, otitis media, and lower respiratory infections. Allergic conditions and chronic respiratory disorders (tuberculosis, chronic obstructive pulmonary disease, and pneumoconioses) were excluded. The subgroupings of acute respiratory conditions appear to separate the disorders in a manner consistent with the epidemiologic characteristics of each condition. About one-half (50.4 percent) of the U.S. civilian noninstitutionalized population had one or more acute respiratory conditions during 1980. The highest rates for upper respiratory conditions (colds, influenza, nasopharyngitis, and otitis media) were reported for those under 18 years of age, and rates were lower in successively older groups. Lower respiratory infection rates were higher in the youngest and oldest groups. Despite a high incidence in the general population, most symptomatic episodes of colds, influenza, and nasopharyngitis did not result in ambulatory care visits or hospital admissions. Otitis media and lower respiratory infections were more often associated with medical visits. Acute respiratory conditions were associated with lower disability levels than the average for the U.S. civilian noninstitutionalized population during 1980 (5.9 restricted-activity days for acute respiratory conditions, compared with an overall average of 13.8 restricted-activity days). Persons with upper respiratory conditions (colds, influenza, otitis media, and nasopharyngitis) averaged 2.3 to 5.4 restricted-activity days, but persons with lower respiratory infections experienced an average of 8.2 restricted-activity days. Indirect costs attributed to acute respiratory conditions in 1980 were $7.7 billion for employed persons and $698 million for homemakers, for a total of $8.4 billion, about the same as total direct costs ($8.3 billion). These indirect costs were several times larger than the annual indirect costs estimated for either cardiovascular diseases or musculoskeletal diseases, two common chronic or recurrent condition groups. The high indirect costs reflect the high frequency of episodes in the general population during 1980 and the greater likelihood of associated bed-disability and work-loss days than for other conditions.(ABSTRACT TRUNCATED AT 400 WORDS)

Adolescent↗
PubMed1992

Relation among body condition score, milk production, and serum urea nitrogen and cholesterol concentrations in high-producing Holstein dairy cows in early lactation.

Body condition scoring (using a 5-point scale with quarter-point divisions) was performed on 66 Holstein dairy cows that began their second or later lactation in August, September, or October 1988. Body condition was scored, beginning on postpartum day 4(+/- 1) and subsequently at postpartum days (+/- 1) 18, 32, 46, 60, 73, and 87. Blood samples were obtained on the same dates. Kilograms of milk produced per cow was measured daily. Body condition score and changes in body condition score were evaluated in relation to daily milk production, cumulative 80-day milk yield, and serum urea nitrogen and cholesterol concentrations. Average daily milk production during week 1 was indicative of cumulative 80-day production, but not of 305-day milk yields. Cows that calved with body condition score greater than or equal to 3.50 did not differ in average daily milk production, cumulative 80-day milk yield, or 305-day milk yield, compared with cows that calved with body condition score less than 3.50. Cows that calved with body condition score greater than or equal to 3.50 lost more condition than did cows that calved with body condition score less than 3.50. Body condition score at calving and amount of body condition loss interacted with the rate of change in daily milk production. Serum urea nitrogen concentration did not differ for cows grouped by cumulative 80-day milk production or for cows grouped by amount of condition loss. Serum cholesterol values were higher than previously reported values and increased directly with milk production. Serum cholesterol values were inversely related to condition loss but changes in cholesterol concentration were not related to condition loss.

Animal Nutritional Physiological Phenomena↗
PubMed1996

Persons with chronic conditions. Their prevalence and costs.

OBJECTIVES: To determine (1) the number and proportion of Americans living with chronic conditions, and (2) the magnitude of their costs, including direct costs (annual personal health expenditures) and indirect costs to society (lost productivity due to chronic conditions and premature death). DESIGN: Analysis of the 1987 National Medical Expenditure Survey for prevalence and direct health care costs; indirect costs based on the 1990 National Health Interview Survey and Vital Statistics of the United States. SETTING: US population. PARTICIPANTS: For the estimate of prevalence and direct costs, the National Medical Expenditure Survey sample of persons who reported health conditions associated with (1) use of health services or supplies or (2) periods of disability. INTERVENTIONS: None. MAIN OUTCOME MEASURES: The number of persons with chronic conditions, their annual direct health care costs, and indirect costs from lost productivity and premature deaths. RESULTS: In 1987, 90 million Americans were living with chronic conditions, 39 million of whom were living with more than 1 chronic condition. Over 45% of noninstitutionalized Americans have 1 or more chronic conditions and their direct health care costs account for three fourths of US health care expenditures. Total costs projected to 1990 for people with chronic conditions amounted to $659 billion--$425 billion for direct health care costs and $234 billion in indirect costs. CONCLUSIONS: The prevalence and costs of chronic conditions as a whole have rarely been estimated. Because the number of persons with limitations due to chronic conditions is more regularly reported in the literature, the total prevalence of chronic conditions has perhaps been minimized. The majority of persons with chronic conditions are not disabled, nor are they elderly. Chronic conditions affect all ages. Because persons with chronic conditions have greater health needs at any age, their costs are disproportionately high.

Adolescent↗