Diurnal rhythms of body temperature, heart rate, and behaviour in the stanchioned adult Shiba goats

Using a data logger system, body temperature (dorsal subcutaneous temperature), heart rate, ingestive or ruminating behaviour and posture in adult Shiba goats tied to a stanchion were recorded automatically during 24 hours, to obtain basic information on the biological rhythms. A 600 g of usual ration mixed with hay cube, hay, beet pulp and wheat bran was fed twice a day (morning; 9:00-9:30, evening; 16:00-16:30). Animals kept under an artificial photoperiod (12L-12D, light period; 5:30-17:30) and about 10 degrees C room temperature. 1) Diurnal patterns of the above-mentioned items were recorded, mutual relationships relationships between these items were revealed. 2) The heart rate was higher after morning feeding, or during a light period and decreased gradually from midnight to early morning. Twice feeding greatly increased the heart rate. 3) The body temperature was lower in the early morning and increased gradually after morning feeding and showed the highest level during 1 to 1.5 hours after evening feeding. After that it decreased gradually till the early morning. 4) The numbers of jaw movement (bites/min) were a 70-90 bites in the ingestive behaviour and a 80-90 bites in the ruminating behaviour at dark period. 5) The total heart rate was a 110000 to 120000 beats/day, the total biting time was a 9.5 hours/day, and the mean standing time was a 9.3 to 11.7 hours/day. The standing time during light period (12 hours) was a 7.3 to 9.9 hours and that during dark period (12 hours) was a 1.8 to 2 hours.     

Chronotype,gender, and time for sex

The study aimed at testing chronotype and gender differences in the time of day when humans feel the greatest need for sex and the time of day they actually undertake sexual activity. A Polish sample of 565 participants aged between 18 and 57 was tested. In females, regardless of chronotype, the greatest need for sex occurred between 18:00 and 24:00, but a secondary peak appeared only in morning types at 6:00–9:00. In males, the greatest need for sex occurred either in the morning or evening hours: in evening types at 9:00–12:00 and 18:00–3:00; in neither types at 6:00–9:00 and 18:00–24:00; in morning types at 6:00–12:00 and 18:00–24:00. Considering time of day when subjects were undertaking sexual activity most frequently, this appeared between 18:00 and 24:00 for all the participants, and prolonged until 3:00 at night in evening type males. Morningness preference was more strongly related to the timing of need for sex than to the timing of actual sexual activity (r?=??0.275 vs. r?=??0.174), while the timing of desire and the timing of sexual activity were positively, but moderately related (r?=?0.320).     

Differential ecology of Anopheles punctulatus and three members of the Anopheles farauti complex of mosquitoes on Guadalcanal, Solomon Islands, identified by PCR-RFLP analysis

From a series of larval collections made across northern Guadalcanal during the dry season, October–November 1997, four members of the Anopheles punctulatus group of mosquitoes (Diptera: Culicidae) were identified using PCR‐RFLP analysis. Anopheline larvae were found in 54/57 (95%) of the sites sampled, comprising An. farauti Laveran sensu stricto (32 sites), An. farauti species no. 2 (39 sites), An. farauti no. 7 (36 sites) and An. punctulatus Dönitz (10 sites). Anopheles punctulatus occurred only on the coastal plain, where it was associated with the more transient sites. Anopheles farauti sensu lato was more widespread throughout the survey region, with similar proportions of all three sibling species in both transient and permanent sites. Two members of the An. farauti complex, An. farauti s.s. and species no. 2, were found in brackish water. All breeding sites of An. punctulatus were cohabited by An. farauti s.l., sometimes by all three sibling species. Anopheles farauti s.s. was the only species collected on human bait, with a much higher biting rate early in the evening (57 bites/human/hour at 18.30–20.00 hours) than later (0.8 bites/human/hour at 21.00–24.00 hours).     

Variability according to the individual of the efficacy of repellents with a base of vegetable oils in the individual protection against Simulium damnosum s. l. bites

In Ivory Coast, treatments against black flies larva are interrupted since December 1998 and these flies are back everywhere in abundance. They are now a severe source of discomfort, so it is therefore very important to propose to rural populations a personal protection method against their bites. This article is about the individual attraction of fly boys on the efficiency of lotions and creams of the different repellents (coconut, palm nut, gobi). Our works were carried out in savanna zone (Niakaramandougou) and in forest zone (Soubré) in Ivory Coast. The methodology consisted in capturing black flies on volunteers whose legs were rubbed with repellent. Coconut, palm nut and gobi formulas (lotions and creams) were tested on Simulium damnosum s.l. During each session, which lasted from 07:00 am to 12:00 and from 03:00 pm to 06:00 pm, one person without repellent was used as a control person. The results show that the least efficient repellent (gobi) ensures nonetheless a reduction of 90% of the number of bites that an individual would have received if he was not protected by the repellent. Experimentations allows to say that for a given repellent and formulas (lotion and cream), there is no significant difference between the number of Simulium damnosum s. l. bites received by fly boys.     

水鹿的群体结构和活动节律分析

水鹿是我国二级重点保护野生动物。2016年5月到2017年5月,利用红外相机技术在四川鞍子河自然保护区的非盐井生境和盐井生境(盐场)对水鹿的群体结构、日活动节律及舔盐活动节律进行了研究。基于设置的108个红外相机,共收集到水鹿在非盐井区域的独立照片620张,盐井区域的独立照片401张。水鹿日活动节律在不同季节具有较大差异：春季日活动高峰出现在17:00~20:00;夏季无明显日活动高峰;秋季日活动高峰出现在17:00~19:00;冬季日活动高峰分别出现在08:00~10:00、17:00~19:00、23:00~02:00。舔盐活动高峰出现在22:00~04:00,雌雄个体舔盐活动节律大致相同(重叠指数Δ=0.738)。水鹿有单独舔盐和集群舔盐两种方式,其中单独舔盐出现频率较高(占总访问频次的57.6%);舔盐的群体一般大小为2~7只,但以2只的群体居多(占总访问频次的21.5%)。在非盐井区域和盐井区域独立照片中水鹿的雌雄出现比例分别为2.05:1和2.66:1,表明雌鹿可能更需要补充盐分。本研究结果为保护区内水鹿的保护管理提供了基础的科学依据。     

刺槐叶瘿蚊成虫行为学特征及性诱效果的研究

本文在室内条件下研究了刺槐叶瘿蚊Obolodiplosis rohiniae(Haldemann)成虫羽化、交尾、产卵行为的时间动态节律以及雌蚊性诱效果.结果表明:雌虫5:00-6:00为羽化高峰期,雄虫1:00-2:00为羽化高峰期,雌虫羽化高峰期期迟于雄虫4 h左右.雌蚊羽化后20min左右即外伸产卵器吸引雄蚊交配...     

Hour of delivery in cynomolgus monkeys under indoor individually-caged conditions

The hour of delivery was surveyed in 152 cynomolgus monkeys (Macaca fascicularis) which were kept in individual cages placed in completely air-conditioned and artificially lit rooms. The deliveries took place during light hours (05:00–19:00) in 15 animals (10%) and during dark hours (19:00–05:00) in 137 (90%). No significant differences in delivery hour were observed between animals of feral origin and colony-bred F1 animals. In addition, there was no difference according to gravidity.     

Daily activity of the pest slug Arion lusitanicus under laboratory conditions

The daily activity of the slug Arion lusitanicus was studied using time‐lapse video analysis in the laboratory. Under constant temperature (18°C) and 16–h photoperiod, the activity of slugs was measured in half‐hourly periods as locomotor activity, feeding or resting. Track lengths were determined using image analysis. Locomotion of A. lusitanicus was greatest at 5:30, 1.5 h after sunrise, and at 20:30, 1 h after sunset; least locomotor activity occurred between 13:00 and 14:00. The mean distance travelled by A. lusitanicus in 24 h was 10.8 m. The largest slug was the most active and the smallest the least. Slugs spent 68% of 24 hours resting, mainly under artificial shelter traps, 27% in locomotion and 4% feeding. Feeding occurred mainly during the hours of dakness (76%). All categories of behaviour investigated varied greatly between individuals and also between times of day. Homing to artificial shelters and other roost sites was regularly observed within 24 h (41%), but decreased considerably thereafter. The behavioural patterns proved to be in agreement with those found in a previous field investigation and are therefore also discussed with a view to their importance in pest control.     

Dogs that bite.

OBJECTIVE--To study the circumstances of dog bites and identify risk factors. DESIGN--Postal questionnaire survey and case note review of victims of dog bites referred between 1982 and 1989. SETTING--One referral based regional plastic surgery unit. PATIENTS--146 consecutive patients referred for primary treatment of dog bites, for whom current addresses were available for 133, 107 (81%) of whom returned the questionnaire. RESULTS--The male to female ratio was 74:72; 79 (54%) patients were aged below 15 years. The commonest dogs producing bites were Staffordshire bull terriers (15 cases), Jack Russell terriers (13), medium sized mongrels (10), and Alsatians (nine). 82 of 96 (85%) dogs were male. 29 of 47 (62%) adults were bitten at home and 45 of 60 (75%) children at a friend''s, neighbour''s, or relative''s house. 91 of 107 (85%) bites occurred in the dog''s home. Bites occurred during playing with 13 (12%), petting 14 (13%), or waking 16 (15%) dogs. 45 (42%) bites were judged as unprovoked. 32 bites were identified as severe and 11 attacks as sustained. CONCLUSIONS--Most victims are bitten by male dogs which they either own or have had frequent contact with, and the bite occurs in the dog''s home.     

A single nocturnal exposure to 2-7 millitesla static magnetic fields does not inhibit the excretion of 6-sulfatoxymelatonin in healthy young men

The present study sought to evaluate possible acute effects on 6-sulfatoxymelatonin (aMT6s) excretion, a surrogate for melatonin levels in blood, in volunteers exposed to static magnetic fields with flux densities representative for workers in light metal reduction plants and operators of medical MRI in hospitals. Eleven healthy male volunteers (23-43 years) participated. Urine samples were collected for two consecutive 24 h periods from 22:00 hours day 1 (exposure day) through day 2 (day after exposure) and then for 24 h from 07:00 hours on day 7 (control day). On the day of exposure the subjects slept in the MRI room from 22:00 hours until 07:00 hours next morning, thus receiving a 9 h exposure to the magnetic field (2-7 mT). On the day after exposure and on the control day, they slept at home and otherwise performed their ordinary daily activities. Total daily urine production was collected in four parts: 22:00-07:00 hours, 07:00-11:00 hours, 11:00-18:00 hours, 18:00-22:00 hours, and the volume for each interval was measured and recorded. Samples were transferred to coded bottles and frozen for later RIA analysis of aMT6s. Pairs of values of mean hourly aMT6s excretion, both diurnal and for the four daily intervals, were compared using two-sided Wilcoxon signed ranks test. The day of exposure and the day after exposure were not significantly different from the control day, either for the total diurnal secretion or the interval data. In summary, the study shows no association between a single nocturnal exposure to a static magnetic field of strength 2-7 mT and excretion of aMT6s in urine.     

人工环境下棘胸蛙(Paa spinosa)繁殖期的行为谱及活动节律

2007年4月,利用红外线摄像设备记录人工环境下的棘胸蛙行为活动,采用扫描取样法和目标动物取样法对录像资料进行分析,对人工环境下棘胸蛙的个体行为和活动节律进行了研究。结果表明：人工环境下的棘胸蛙行为主要包括静止行为（休息、对视）;社会行为（打斗、追逐）;运动行为（游泳、呜叫、跳跃）;捕食行为;繁殖行为（求偶呜唱、侵占、驱赶、撕咬,摔跤、抱对、错抱、拒绝行为、产卵）等。日变化规律变化表明：棘胸蛙的静止行为占了多数,其余多数行为集中在夜间,在凌晨03：00～05：00间出现一个最高峰,与此不同的是棘胸蛙的打斗行为在白天06：00～07：00、08：00～09：00、11：00～12：00多次出现高峰,而在夜间17：00～24：00打斗行为时间分配很少。呜叫行为在06：00—07：00,13：oo～14：00出现两个高峰,而在夜间17：00～01：00鸣叫行为时间分配很少。棘胸蛙的繁殖行为也主要发生在夜间,在凌晨02：30—04：30为高峰,其间抱对行为占到67％,其次为摔跤17％,撕咬15％,而其余所占很少。在行为描述的基础上,对棘胸蛙的有关行为机制进行了探讨。     

柠条主根液流测定中ΔTmax与气象因子间的关系及时间步长的确定

上下两探针间温差的最大值(ΔTmax)是运用Granier方法计算树木液流速率的重要参数,确定这一参数的关键是选择合适的时间步长。运用TDP(Thermal Dissipation Probe)技术在对柠条(Caragana korshinskii)主根部液流速率(Fs)及主要环境要素进行实时、连续监测的基础上,比较分析了2008年4—10月间30d典型晴天日柠条根部液流的变化特征,结果表明,柠条根部液流测定中ΔTmax值的频率分布于夜间22:00—6:00的整个时间段,并主要集中在午夜前后的4h(占52.63%),其中ΔTmax在0:00频率最高。ΔTmax分布时刻与环境要素的相关性不明显,夜间液流的主要驱动力是体内与根系间的水势差而非大气因子。午间柠条主根液流最为旺盛,上下两探针间最小温差(ΔTmin)的频率分布峰值主要集中于10:00—16:00时段,其中以14:00的分布频率最高。ΔTmin频率的分布在13:00有一低谷,而此刻又是主要环境变量太阳辐射最高值(PYmax)与潜在蒸发散最大值(ET0max)分布频率最高的时刻,反映了午间气孔行为对液流的调控。太阳辐射是启动午间气孔行为的主要环境因子。Granier公式计算液流速率时适宜的时间步长为1周。     

Seasonal Variation in Biting Rates of Simulium damnosum sensu lato,Vector of Onchocerca volvulus,in Two Sudanese Foci

Background

The abundance of onchocerciasis vectors affects the epidemiology of disease in Sudan, therefore, studies of vector dynamics are crucial for onchocerciasis control/elimination programs. This study aims to compare the relative abundance, monthly biting-rates (MBR) and hourly-based distribution of onchocerciasis vectors in Abu-Hamed and Galabat foci. These seasonally-based factors can be used to structure vector control efforts to reduce fly-biting rates as a component of onchocerciasis elimination programs.

Methods

A cross-sectional study was conducted in four endemic villages in Abu-Hamed and Galabat foci during two non-consecutive years (2007–2008 and 2009–2010). Both adults and aquatic stages of the potential onchocerciasis vector Simulium damnosum sensu lato were collected following standard procedures during wet and dry seasons. Adult flies were collected using human landing capture for 5 days/month. The data was recorded on handheld data collection sheets to calculate the relative abundance, MBR, and hourly-based distribution associated with climatic factors. The data analysis was carried out using ANOVA and Spearman rank correlation tests.

Results

Data on vector surveillance revealed higher relative abundance of S. damnosum s.l. in Abu- Hamed (39,934 flies) than Galabat (8,202 flies). In Abu-Hamed, vector populations increased in January-April then declined in June-July until they disappeared in August-October. Highest black fly density and MBR were found in March 2007 (N = 9,444, MBR = 58,552.8 bites/person/month), and March 2010 (N = 2,603, MBR = 16,138.6 bites/person/month) while none of flies were collected in August-October (MBR = 0 bites/person/month). In Galabat, vectors increased in September-December, then decreased in February-June. The highest vector density and MBR were recorded in September 2007 (N = 1,138, MBR = 6,828 bites/person/month) and September 2010 (N = 1,163, MBR = 6,978 bites/person/month), whereas, none appeared in collection from April to June. There was a significant difference in mean monthly density of S. damnosum s.l. across the two foci in 2007–2008 (df = 3, F = 3.91, P = 0.011). Minimum temperature showed significant correlation with adult flies counts in four areas sampled; the adult counts were increased in Nady village (r_s = 0.799) and were decreased in Kalasecal (r_s = - 0.676), Gumaiza (r_s = - 0.585), and Hilat Khateir (r_s = - 0.496). Maximum temperature showed positive correlation with black fly counts only in Galabat focus. Precipitation was significantly correlated with adult flies counts in Nady village, Abu-Hamed, but no significance was found in the rest of the sampled villages in both foci. Hourly-based distribution of black flies showed a unimodal pattern in Abu-Hamed with one peak (10:00–18:00), while a bimodal pattern with two peaks (07:00–10:00) and (14:00–18:00) was exhibited in Galabat.

Conclusion

Transmission of onchocerciasis in both foci showed marked differences in seasonality, which may be attributed to ecology, microclimate and proximity of breeding sites to collection sites. The seasonal shifts between the two foci might be related to variations in climate zones. This information on black fly vector seasonality, ecology, distribution and biting activity has obvious implications in monitoring transmission levels to guide the national and regional onchocerciasis elimination programs in Sudan.     

Time-Dependent Variations in the Coagulation Factors II,VII, IX,and X in Young and Elderly Volunteers

The existence of circadian (24-h) rhythms in the coagulation activity of vitamin K-dependent coagulation factors (Factors II, VII, IX, and X) were studied in six healthy young (18–30 years old) and six healthy elderly (69–75 years old) men. Aliquots of 5 ml of blood were obtained from each of the 12 subjects at six different time points over a 24-h period. Factors II, VII, and X were quantified by the prothrombin time test, whereas Factor IX was analyzed by the activated partial thromboplastin time test. Significant circadian variations were found for Factors II and VII in both age groups. The peak and trough values for Factor II were observed at 16: 00 and 00: 00 in young men and at 12: 00 and 16: 00 in elderly men. The amplitude of the rhythmic variation of Factor II was 3.3 ± 1.0 and 4.2 ± 0.9% in young and elderly volunteers, respectively. For Factor VII, the highest values were found during the activity period (08: 00–16: 00), while the lowest values occurred at night (00: 00) for both groups of subjects. The amplitude of the rhythms was twice as large in the young (6.2 ± 2.3%) as in the elderly (3.7 ± 0.8%). The data suggest that age does not alter significantly the chronobiology of Factors II and VII.     

Time-Dependent Variations in the Coagulation Factors II, VII, IX, and X in Young and Elderly Volunteers

The existence of circadian (24-h) rhythms in the coagulation activity of vitamin K-dependent coagulation factors (Factors II, VII, IX, and X) were studied in six healthy young (18-30 years old) and six healthy elderly (69-75 years old) men. Aliquots of 5 ml of blood were obtained from each of the 12 subjects at six different time points over a 24-h period. Factors II, VII, and X were quantified by the prothrombin time test, whereas Factor IX was analyzed by the activated partial thromboplastin time test. Significant circadian variations were found for Factors II and VII in both age groups. The peak and trough values for Factor II were observed at 16: 00 and 00: 00 in young men and at 12: 00 and 16: 00 in elderly men. The amplitude of the rhythmic variation of Factor II was 3.3 ± 1.0 and 4.2 ± 0.9% in young and elderly volunteers, respectively. For Factor VII, the highest values were found during the activity period (08: 00-16: 00), while the lowest values occurred at night (00: 00) for both groups of subjects. The amplitude of the rhythms was twice as large in the young (6.2 ± 2.3%) as in the elderly (3.7 ± 0.8%). The data suggest that age does not alter significantly the chronobiology of Factors II and VII.     

Circadian phase, sleepiness, and light exposure assessment in night workers with and without shift work disorder

Most night workers are unable to adjust their circadian rhythms to the atypical hours of sleep and wake. Between 10% and 30% of shiftworkers report symptoms of excessive sleepiness and/or insomnia consistent with a diagnosis of shift work disorder (SWD). Difficulties in attaining appropriate shifts in circadian phase, in response to night work, may explain why some individuals develop SWD. In the present study, it was hypothesized that disturbances of sleep and wakefulness in shiftworkers are related to the degree of mismatch between their endogenous circadian rhythms and the night-work schedule of sleep during the day and wake activities at night. Five asymptomatic night workers (ANWs) (3 females; [mean ± SD] age: 39.2 ± 12.5 yrs; mean yrs on shift = 9.3) and five night workers meeting diagnostic criteria (International Classification of Sleep Disorders [ICSD]-2) for SWD (3 females; age: 35.6 ± 8.6 yrs; mean years on shift = 8.4) participated. All participants were admitted to the sleep center at 16:00 h, where they stayed in a dim light (<10 lux) private room for the study period of 25 consecutive hours. Saliva samples for melatonin assessment were collected at 30-min intervals. Circadian phase was determined from circadian rhythms of salivary melatonin onset (dim light melatonin onset, DLMO) calculated for each individual melatonin profile. Objective sleepiness was assessed using the multiple sleep latency test (MSLT; 13 trials, 2-h intervals starting at 17:00 h). A Mann-Whitney U test was used for evaluation of differences between groups. The DLMO in ANW group was 04:42 ± 3.25 h, whereas in the SWD group it was 20:42 ± 2.21 h (z = 2.4; p 相似文献   

Circadian rhythms may not influence the outcomes of thrombolysis in patients with ischemic stroke: A study from China

ABSTRACT

Circadian rhythms can affect physical or mental activities as well as the time of stroke onset. The impact of circadian rhythms on acute ischemic stroke (AIS) patients treated by recombinant alteplase (rt-PA) is still incongruent. This study aims to consider whether the outcomes of thrombolysis differ depending on stroke onset time and rt-PA infusion time in patients with AIS. A total of 447 AIS patients, who underwent rt-PA intravenous infusion within 4.5 hours after stroke onset, were enrolled in this study consecutively from June 2010 through December 2016. All of the patients were grouped based on the stroke onset time and rt-PA infusion time into two exact 12-hour intervals as daytime (06:01–18:00) and nighttime (18:01–06:00) and further divided into four subgroups at 6-hour time intervals (00:01–06:00, 06:01–12:00, 12:01–18:00 and 18:01–24:00). Major neurological improvement at 1 hour, 24 hours and 7 days, 7-day mortality rate and 24-hour hemorrhage transformation was recorded. The results showed that a total of 295 patients (66.4%) appeared with AIS and 252 (56.4%) were treated during daytime. Higher NIHSS at admission was observed when stroke occurred in nighttime, especially during 00:01–06:00. Patients with stroke onset in nighttime especially during 18:01–24:00 had a significant shorter onset-door time and onset-needle time. No differences of the major neurological improvement at 1 hour, 24 hours and 7 days, 24-hour hemorrhagic transformation and 7-day fatality rate were found among either 12-hour time frames or 6-hour time frames according to the time of stroke onset or rt-PA infusion. In conclusion, there was no evidence to predict that circadian rhythms could influence the outcomes of AIS patients treated with rt-PA in China, although stroke onset during nighttime might aggravate neurological impairment before treatment. Further, multicenter and prospective clinical trials with larger number of subjects are still needed to draw more reliable conclusions.     

大绒鼠及高山姬鼠体温调节和蒸发失水的日节律

为比较横断山区同域分布物种大绒鼠(Eothenomys miletus)和高山姬鼠(Apodemus chevrieri)的日节律特征,对两种鼠在24 h中4个时间段(04:00～06:00时、10:00～12:00时、16:00～18:00时和22:00～24:00时)的体温和蒸发失水进行了测定.结果显示,大绒鼠、高...     

Association of ischemic stroke onset time with presenting severity,acute progression,and long-term outcome: A cohort study

BackgroundPreclinical data suggest circadian variation in ischemic stroke progression, with more active cell death and infarct growth in rodent models with inactive phase (daytime) than active phase (nighttime) stroke onset. We aimed to examine the association of stroke onset time with presenting severity, early neurological deterioration (END), and long-term functional outcome in human ischemic stroke.Methods and findingsIn a Korean nationwide multicenter observational cohort study from May 2011 to July 2020, we assessed circadian effects on initial stroke severity (National Institutes of Health Stroke Scale [NIHSS] score at admission), END, and favorable functional outcome (3-month modified Rankin Scale [mRS] score 0 to 2 versus 3 to 6). We included 17,461 consecutive patients with witnessed ischemic stroke within 6 hours of onset. Stroke onset time was divided into 2 groups (day-onset [06:00 to 18:00] versus night-onset [18:00 to 06:00]) and into 6 groups by 4-hour intervals. We used mixed-effects ordered or logistic regression models while accounting for clustering by hospitals. Mean age was 66.9 (SD 13.4) years, and 6,900 (39.5%) were women. END occurred in 2,219 (12.7%) patients. After adjusting for covariates including age, sex, previous stroke, prestroke mRS score, admission NIHSS score, hypertension, diabetes, hyperlipidemia, smoking, atrial fibrillation, prestroke antiplatelet use, prestroke statin use, revascularization, season of stroke onset, and time from onset to hospital arrival, night-onset stroke was more prone to END (adjusted incidence 14.4% versus 12.8%, p = 0.006) and had a lower likelihood of favorable outcome (adjusted odds ratio, 0.88 [95% CI, 0.79 to 0.98]; p = 0.03) compared with day-onset stroke. When stroke onset times were grouped by 4-hour intervals, a monotonic gradient in presenting NIHSS score was noted, rising from a nadir in 06:00 to 10:00 to a peak in 02:00 to 06:00. The 18:00 to 22:00 and 22:00 to 02:00 onset stroke patients were more likely to experience END than the 06:00 to 10:00 onset stroke patients. At 3 months, there was a monotonic gradient in the rate of favorable functional outcome, falling from a peak at 06:00 to 10:00 to a nadir at 22:00 to 02:00. Study limitations include the lack of information on sleep disorders and patient work/activity schedules.ConclusionsNight-onset strokes, compared with day-onset strokes, are associated with higher presenting neurologic severity, more frequent END, and worse 3-month functional outcome. These findings suggest that circadian time of onset is an important additional variable for inclusion in epidemiologic natural history studies and in treatment trials of neuroprotective and reperfusion agents for acute ischemic stroke.

Wi-Sun Ryu and colleagues investigate the association of stroke onset time with presenting severity, early neurological deterioration (END), and long-term functional outcome in ischemic stroke.