Behavioral management of epileptic seizures following EEG biofeedback training of the sensorimotor rhythm

Eight severely epileptic patients, four males and four females, ranging in age from 10 to 29 years, were trained to increase 12–14 Hz EEG activity from the regions overlying the Rolandic area. This activity, the sensorimotor rhythm(SMR), has been hypothesized to be related to motor inhibitory processes(Sterman, 1974). The patients represented a crosssection of several different types of epilepsy, including grand mal, myoclonic, akinetic, focal, and psychomotor types. Three of them had varying degrees of mental retardation. SMR was detected by a combination of an analog filtering system and digital processing. Feedback, both auditory and/or visual, was provided whenever one-half second of 12–14-Hz activity was detected in the EEG. Patients were provided with additional feedback keyed by the output of a 4–7-Hz filter which indicated the presence of epileptiform spike activity, slow waves, or movement. Feedback for SMR was inhibited whenever slow-wave activity spikes or movement was also present. During the treatment period most of the patients showed varying degrees of improvement. Two of the patients who had been severely epileptic, having multiple seizures per week, have been seizure free for periods of up to 1 month. Other patients have developed the ability to block many of their seizures. Seizure intensity and duration have also decreased. Furthermore, the successful patients demonstrated an increase in the amount of SMR and an increase in amplitude of SMR during the training period. Spectral analyses for the EEGs were performed periodically. The effectiveness of SMR conditioning for the control of epileptic seizures is evaluated in terms of patient characteristics and type of seizures.     

EEG and behavioral changes in a hyperkinetic child concurrent with training of the sensorimotor rhythm (SMR)

Reduced seizure incidence coupled with voluntary motor inhibition accompanied conditioned increases in the sensorimotor rhythm(SMR), a 12–14 Hz rhythm appearing over rolandic cortex. Although SMR biofeedback training has been successfully applied to various forms of epilepsy in humans, its potential use in decreasing hyperactivity has been limited to a few cases in which a seizure history was also a significant feature. The present study represents a first attempt to explore the technique's applicability to the problem of hyperkinesis independent of the epilepsy issue. The results of several months of EEG biofeedback training in a hyperkinetic child tend to corroborate and extend previous findings. Feedback presentations for SMR were contingent on the production of 12–14-Hz activity in the absence of 4–7-Hz slow-wave activity. A substantial increase in SMR occurred with progressive SMR training and was associated with enhanced motor inhibition, as gauged by laboratory measures of muscular tone(chin EMG) and by a global behavioral assessment in the classroom. Opposite trends in motor inhibition occurred when the training procedure was reversed and feedback presentations were contingent on the production of 4–7 Hz in the absence of 12–14-Hz activity. Although the preliminary nature of these results is stressed, the subject population has recently been increased to establish the validity and generality of the findings and will include the use of SMR biofeedback training after medication has been withdrawn.This research was a segment of the junior author's dissertation research.     

Osteogenesis imperfecta: the audiological phenotype lacks correlation with the genotype

Background

Neurofibromatosis 1 (NF1), a common autosomal dominant disorder, was shown in one study to be associated with a 15-year decrease in life expectancy. However, data on mortality in NF1 are limited. Our aim was to evaluate mortality in a large retrospective cohort of NF1 patients seen in France between 1980 and 2006.

Methods

Consecutive NF1 patients referred to the National French Referral Center for Neurofibromatoses were included. The standardized mortality ratio (SMR) with its 95% confidence interval (CI) was calculated as the ratio of observed over expected numbers of deaths. We studied factors associated with death and causes of death.

Results

Between 1980 and 2006, 1895 NF1 patients were seen. Median follow-up was 6.8 years (range, 0.4-20.6). Vital status was available for 1226 (65%) patients, of whom 1159 (94.5%) survived and 67 (5.5%) died. Overall mortality was significantly increased in the NF1 cohort (SMR, 2.02; CI, 1.6-2.6; P < 10^-4). The excess mortality occurred among patients aged 10 to 20 years (SMR, 5.2; CI, 2.6-9.3; P < 10^-4) and 20 to 40 years (SMR, 4.1; 2.8-5.8; P < 10^-4). Significant excess mortality was found in both males and females. In the 10-20 year age group, females had a significant increase in mortality compared to males (SMR, 12.6; CI, 5.7-23.9; and SMR, 1.8; CI, 0.2-6.4; respectively). The cause of death was available for 58 (86.6%) patients; malignant nerve sheath tumor was the main cause of death (60%).

Conclusions

We found significantly increased SMRs indicating excess mortality in NF1 patients compared to the general population. The definitive diagnosis of NF1 in all patients is a strength of our study, and the high rate of death related to malignant transformation is consistent with previous work. The retrospective design and hospital-based recruitment are limitations of our study. Mortality was significantly increased in NF1 patients aged 10 to 40 years and tended to be higher in females than in males.     

EEG signature and phenomenology of alpha/theta neurofeedback training versus mock feedback

Alpha/theta (a/t) neurofeedback training has in the past successfully been used as a complementary therapeutic relaxation technique in the treatment of alcoholism. In spite of positive clinical outcomes, doubts have been cast on the protocol's specificity when compared to alternative relaxation regimes. This study investigated the basic tenet underlying the a/t training rationale, that accurate a/t feedback representation facilitates the generation of these frequency components. Two groups of healthy volunteers were randomly assigned to either (a) real contingent a/t feedback training or (b) a noncontingent mock feedback control condition. The groups were compared on measures of theta/alpha (t/a) ratios within and across training sessions, as well as activational self-report scales after each session. The contingent a/t feedback group displayed significant within-session t/a ratio increments not evident in the mock control group, as well as higher overall t/a ratios in some but not all of the training sessions. No differences were found between the groups in terms of subjective activational phenomenology, in that both groups reported significantly lower levels of activation after training sessions. The data demonstrate that irrespective of considerations of clinical relevance, accurate a/t neurofeedback effectively facilitates production of higher within-session t/a ratios than do noncontingent feedback relaxation.     

Effects of contingent versus yoked temperature feedback on voluntary temperature control and cold stress tolerance

Twenty-four male internals(locus of control) and 24 externals were instructed to increase finger temperature under one of three conditions:(1) contingent feedback(CF),(2) yoked sham feedback(YF), or(3) no feedback(NF). Five 13-min training sessions were given. Feedback was then removed and subjects tested for voluntary temperature control. Finally, the cold pressor test, a laboratory analogue of natural cold stress, was administered under no-feedback conditions. Results demonstrated voluntary control of peripheral temperature following contingent feedback training, but not after yoked feedback temperature training. Contrary to expectation, the acquisition of voluntary control did not attenuate the stress response to thermal pain. Differences between internals and externals throughout the study were generally insignificant.     

The control of pulse transit time independently of interbeat interval by providing feedback from both

Sixteen subjects took part in a two-stage cardiovascular biofeedback experiment. For five sessions all subjects attempted to control their pulse wave transit time(TT), using TT feedback. The eight subjects who achieved control were given a further five sessions, during which they attempted to control their transit time without altering their interbeat interval(IBI) when provided with TT and IBI feedback. No evidence was found for complete dissociation of TT and IBI. When the single TT contingency was in operation, all subjects who had significant control of TT also showed significant changes in IBI in the same direction. When the dual contingency was introduced, subjects either controlled TT but failed to keep IBI stable or kept IBI stable but failed to control TT.     

Incentives to enhance the effects of electromyographic Feedback Training in stroke patients

The use of monetary incentives to enhance the effects of electromyographic(EMG) feedback training was studied in five stabilized stroke patients with hemiplegia. The study was divided into Baseline, EMG Feedback Training, Feedback Training Plus Incentives, and Follow-Up treatment conditions. Integrated EMG activity was recorded simultaneously from the anterior tibialis and medial gastrocnemius muscles during relaxation and dorsiflexion of the affected foot. Patients were instructed to try to increase anterior tibialis EMG activity while decreasing EMG activity in the medial gastrocnemius. Range of motion was measured both prior to and immediately following the Baseline and Feedback Training conditions. Results suggested that(a) EMG feedback training produced greater EMG control and range of motion than did unassisted practice, and(b) the addition of monetary incentives may enhance the effects of feedback training, possibly through its effect on patient motivation.     

Effects of elevated [CO2] and/or ozone on limitations to CO2 assimilation in soybean (Glycine max)

Soybean (Glycine max) was grown in open-top field chambers at ambient (360 mol mol^-1) or doubled [CO2] either in charcoal-filtered air (20 nmol mol^-1 [O3]) or in non-filtered air supplemented to 1,5 x ambient [O3] (70 nmol mol^-1) to determine the major limitations to assimilation under conditions of elevated [CO2] and/or [O3]. Through plant ontogeny, assimilation versus intercellular CO2 concentration (A/Ci) responses were measured to assess the limitations to assimilation imposed by the capacity for Rubisco carboxylation, RuBP regeneration, and stomatal diffusion.In the vegetative stages, no significant treatment effects of elevated [CO2] and/or [O3] were observed on Rubisco carboxylation efficiency (CE), light and CO2-saturated assimilation capacity (Amax), and chlorophyll content (Chl). However, for plants grown in elevated [CO2], the assimilation rate at growth [CO2] (A) was 60% higher than at ambient [CO2] up to the seed maturation stage, and the potential rate of assimilation by Rubisco capacity (Ap) was increased. Also in elevated [CO2]: A was 51% of Ap; the relative stomatal limitation (%Stomata) was 5%; and the relative RuBP regeneration limitation (%RuBP) was 44%. In ambient [CO2], O3 gradually decreased A per unit leaf area, but had little effect on Ap and the relative limitations to assimilation where A remained 51% of Ap, %Stomata was 27%, and %RuBP was 22%.During reproduction, CE declined for plants grown in elevated [CO2] and/or [O3]; Ap was unaffected by elevated [CO2], but was reduced by [O3] at ambient [CO2]; A increased to 72% of Ap in elevated [CO2] and/or [O3]-fumigated air; the %Stomata increased; and the %RuBP decreased, to become non significant in elevated [CO2] from the beginning of seed growth on, and in O3-fumigated air at ambient [CO2] at the seed maturation stage. The decrease in %RuBP occurred concomitantly with an increase in Amax and Chl. Significant [CO2] x [O3] interactions support the lack of an O3 effect on assimilation and its limitations at elevated [CO2] during seed maturation. These data suggest that elevated [CO2] alleviated some of the effects of O3 on photosynthesis.Keywords: CO2 by O3 interactions, elevated [CO2], O3 fumigation, Rubisco carboxylation efficiency, RuBP regeneration.      

Effect of slide projections and tape-recorded suggestions on thermal biofeedback training

A previous experiment(Herzfeld & Taub, 1977) demonstrated that slide projections and explicit suggestions relating to thermal experiences can significantly augment temperature self-regulations training(.5° F,p<.05). However, the experimental design was thought to result in an underestimate of the magnitude of the effect, since each subject served as his own control and could therefore make use on nonsuggestion training days of material provided on training days. In this experiment, separate groups of subjects either were given feedback combined with the suggestion procedure on each of 8 training days or were given feedback alone. The mean temperature self-regulation of the suggestion group(2.01° F) was significantly better than the self-regulation(.73) of the nonsuggestion group(t test,p<.01).a difference of 1.28° F.     

Interactive Effects of Elevated CO2 Concentration and Irrigation on Photosynthetic Parameters and Yield of Maize in Northeast China

Maize is one of the major cultivated crops of China, having a central role in ensuring the food security of the country. There has been a significant increase in studies of maize under interactive effects of elevated CO₂ concentration ([CO₂]) and other factors, yet the interactive effects of elevated [CO₂] and increasing precipitation on maize has remained unclear. In this study, a manipulative experiment in Jinzhou, Liaoning province, Northeast China was performed so as to obtain reliable results concerning the later effects. The Open Top Chambers (OTCs) experiment was designed to control contrasting [CO₂] i.e., 390, 450 and 550 µmol·mol⁻¹, and the experiment with 15% increasing precipitation levels was also set based on the average monthly precipitation of 5–9 month from 1981 to 2010 and controlled by irrigation. Thus, six treatments, i.e. C₅₅₀W_+15%, C₅₅₀W₀, C₄₅₀W_+15%, C₄₅₀W₀, C₃₉₀W_+15% and C₃₉₀W₀ were included in this study. The results showed that the irrigation under elevated [CO₂] levels increased the leaf net photosynthetic rate (P _n) and intercellular CO₂ concentration (C _i) of maize. Similarly, the stomatal conductance (G _s) and transpiration rate (T _r) decreased with elevated [CO₂], but irrigation have a positive effect on increased of them at each [CO₂] level, resulting in the water use efficiency (WUE) higher in natural precipitation treatment than irrigation treatment at elevated [CO₂] levels. Irradiance-response parameters, e.g., maximum net photosynthetic rate (P _nmax) and light saturation points (LSP) were increased under elevated [CO₂] and irrigation, and dark respiration (R _d) was increased as well. The growth characteristics, e.g., plant height, leaf area and aboveground biomass were enhanced, resulting in an improved of yield and ear characteristics except axle diameter. The study concluded by reporting that, future elevated [CO₂] may favor to maize when coupled with increasing amount of precipitation in Northeast China.     

The voluntary control of heart rate under differential somatic restraint

The purpose of this investigation was to test the hypothesis that subjects(Ss) can exert voluntary, bidirectional heart rate(HR) control in the absence of concomitant changes in respiration rate(RR) and muscle activity(chin EMG). Feedback-assisted HR control was studied under four experimental conditions involving increasing levels of somatic restraint:(a) No somatic controls,(b) RR pacing,(c) EMG feedback, to maintain constant muscle activity, and(d) RR pacing plus EMG feedback. FifteenSs, eight females and seven males, were assigned to each of these four conditions(N=60). The HR control task involved ten increase and ten decrease trials in random order, each lasting 60 sec and preceded by a 60-sec resting baseline period. The results indicated thatSs produced significant HR increases \((\overline X \Delta = + 3.4bpm)\) , but were unable to effect decreases \((\overline X \Delta = - .3bpm)\) . Furthermore, the magnitude of the obtained HR changes did not differ by experimental condition, i.e., by level of somatic restraint. While concomitant bidirectional RR changes were found, the pacing procedure effectively reduced, and on HR increase trials, nearly eliminated, RR involvement. No increases in EMG activity were found on HR increase trials for any of the four experimental conditions, whereas all groups showed some EMG decreases on HR deceleration trials. With respect to the question of somatic mediation of autonomic control, it is concluded that HR increases produced under paced respiration “favor” an interpretation of unmediated HR acceleration.     

Complex seizure disorder caused by Brunol4 deficiency in mice

Idiopathic epilepsy is a common human disorder with a strong genetic component, usually exhibiting complex inheritance. We describe a new mouse mutation in C57BL/6J mice, called frequent-flyer (Ff), in which disruption of the gene encoding RNA-binding protein Bruno-like 4 (Brunol4) leads to limbic and severe tonic–clonic seizures in heterozygous mutants beginning in their third month. Younger heterozygous adults have a reduced seizure threshold. Although homozygotes do not survive well on the C57BL/6J background, on mixed backgrounds homozygotes and some heterozygotes also display spike-wave discharges, the electroencephalographic manifestation of absence epilepsy. Brunol4 is widely expressed in the brain with enrichment in the hippocampus. Gene expression profiling and subsequent analysis revealed the down-regulation of at least four RNA molecules encoding proteins known to be involved in neuroexcitability, particularly in mutant hippocampus. Genetic and phenotypic assessment suggests that Brunol4 deficiency in mice results in a complex seizure phenotype, likely due to the coordinate dysregulation of several molecules, providing a unique new animal model of epilepsy that mimics the complex genetic architecture of common disease.     

Enantioselective hydrolysis of racemic styrene oxide and its substituted derivatives using newly-isolated Sphingopyxis sp. exhibiting a novel epoxide hydrolase activity

(S)-Styrene oxide, (S)-2-chlorostyrene oxide (CSO), (S)-3-CSO and (S)-4-CSO with 99.9 %ee were obtained with a yield of 20.6, 39.3, 28.7 and 26.8 % from 4 mM corresponding racemic substrates using 10 mg cells of a newly-isolated Sphingopyxis sp. at pH 8.0 and 25 °C in 1 ml 100 mM Tris/HCl buffer after 420, 100, 120 and 55 min, respectively. For racemic 2CSO, well-known for one of the racemates that is difficult to obtained in enantiomerically pure form, (S)-2-CSO with 99.9 %ee, 39.3 % yield (theoretical yield 50 %) and enantiomeric ratio of 42.1 was obtained. The newly-isolated strain can thus be used as whole-cell biocatalyst in the production of various (S)-CSO with a chlorine group at different positions.     

Incidence and Prevalence of Major Central Nervous System Involvement in Systemic Lupus Erythematosus: A 3-Year Prospective Study of 370 Patients

Background

The incidence and prevalence of CNS involvement in SLE remains unclear owing to conflicting results in the published studies. The aim of the study was to evaluate the incidence and prevalence of major definite CNS events in SLE patients.

Methods

370 SLE patients with no previous history of CNS involvement were prospectively evaluated in a tertiary hospital referral center for 3 years. Major CNS manifestations were codified according to ACR definitions, including chorea, aseptic meningitis, psychosis, seizures, myelopathy, demyelinating syndrome, acute confusional state and strokes. Minor CNS events were excluded. ECLAM and SLEDAI-SELENA Modification scores were used to evaluate disease activity and SLICC/ACR Damage Index was used to assess accumulated damage.

Results

16/370 (4.3%) patients presented with a total of 23 major CNS events. These included seizures (35%), strokes (26%), myelopathy (22%), optic neuritis (8.7%), aseptic meningitis (4.3%) and acute psychosis (4.3%). Incidence was 7.8/100 person years. Among hospitalizations for SLE, 13% were due to CNS manifestations. Epileptic seizures were associated with high disease activity, while myelopathy correlated with lower disease activity and NMO-IgG antibodies (P≤0.05). Stroke incidence correlated with APS coexistence (P = 0.06). Overall, CNS involvement correlated with high ECLAM and SLEDAI scores (P<0.001).

Conclusions

Clinically severe CNS involvement is rare in SLE patients, accounting for 7.8/100 person years. CNS involvement correlates with high disease activity and coexistence of specific features that define the respective CNS syndromes.     

The Runaway Evolution of SARS-CoV-2 Leading to the Highly Evolved Delta Strain

In new epidemics after the host shift, the pathogens may experience accelerated evolution driven by novel selective pressures. When the accelerated evolution enters a positive feedback loop with the expanding epidemics, the pathogen’s runaway evolution may be triggered. To test this possibility in coronavirus disease 2019 (COVID-19), we analyze the extensive databases and identify five major waves of strains, one replacing the previous one in 2020–2021. The mutations differ entirely between waves and the number of mutations continues to increase, from 3-4 to 21-31. The latest wave in the fall of 2021 is the Delta strain which accrues 31 new mutations to become highly prevalent. Interestingly, these new mutations in Delta strain emerge in multiple stages with each stage driven by 6–12 coding mutations that form a fitness group. In short, the evolution of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from the oldest to the youngest wave, and from the earlier to the later stages of the Delta wave, is a process of acceleration with more and more mutations. The global increase in the viral population size (M(t), at time t) and the mutation accumulation (R(t)) may have indeed triggered the runaway evolution in late 2020, leading to the highly evolved Alpha and then Delta strain. To suppress the pandemic, it is crucial to break the positive feedback loop between M(t) and R(t), neither of which has yet to be effectively dampened by late 2021. New waves after Delta, hence, should not be surprising.     

Mammography Screening in a Large Health System Following the U.S. Preventive Services Task Force Recommendations and the Affordable Care Act

Background

Practice recommendations for mammography screening were issued by the U.S. Preventive Services Task Force in 2009 and expansion of insurance coverage was provided under the Patient Protection and Affordable Care Act soon thereafter, yet the influence of these changes on screening practices in the United States is not known.

Methods

To determine changes in mammography screening and their associations with new practice recommendations and the Affordable Care Act, we examined patient-level data from 249,803 screening mammograms from January 1, 2008 through December 31, 2012 in a large community-based health system in the northwestern United States. Associations were determined by an intervention analysis of time-series data method.

Results

Among women screened, 64% were age 50-74 years; 84% self-identified as white race; 62% had commercial insurance; and 70% were seen in facilities located in metropolitan areas. Practice recommendations were associated with decreased screening volumes among women age <40 (-37.4 mammograms/month; -39.4% change; P<0.001), 40-49 (-106.0 mammograms/month; -11.2% change; P<0.001), and ≥75 (-54.7 mammograms/month; -10.0% change; P<0.001), but not women age 50-74. Implementation of the Affordable Care Act was associated with increased screening among women age 50-74 (+184.3 mammograms/month; +7.2% change; P=0.001), but not women <40 or ≥75; increases for age 40-49 were of borderline statistical significance (+56.9 mammograms/month; +6% change; P=0.06). Practice recommendations were also associated with decreased screening for women with commercial insurance, while the Affordable Care Act was associated with increased screening for women with Medicare, Medicaid, or other noncommercial sources of payment.

Conclusions

Mammography screening volumes in a large community health system decreased among women age <50 and ≥75 in association with new U.S. Preventive Services Task Force practice recommendations, while insurance coverage changes under the Affordable Care Act were associated with increased screening volumes among women age 50-74.     

小兴安岭十种典型森林群落凋落物生物量及其动态变化

在小兴安岭地区选取10种典型森林群落分别设置样地,研究该地区不同群落类型凋落物的年产量、月动态变化以及组成特征.结果表明:10种群落类型中年均凋落物量大小依次为椴树红松林(4.08t· hm-2·a-1)＞蒙古栎红松林(3.83 t·hm-2·a-1)＞云冷杉红松林(3.55 t·hm-2·a-1)＞云冷杉林(3.44t· hm-2·a-1)＞枫桦红松林(3.43t·hm-2· a-1)＞山杨次生林(3.26 t·hm-2·a-1)＞白桦次生林(3.04 t·hm-2·a-1)＞枫桦次生林(2.96 t·hm-2·a-1)＞杂木林(2.95 t·hm-2·a-1)＞白桦落叶松林(2.91 t·hm-2·a-1).凋落物各组分中均以落叶为主,约占凋落总量的60％以上,枝仅占凋落量的5.7％-9.4％.凋落物月动态模式主要有两种:单峰型的有蒙古栎红松林、椴树红松林、枫桦红松林、枫桦次生林、山杨次生林、白桦次生林、杂木林,高峰期在8-10月份;双峰型的有云冷杉红松林、云冷杉林、白桦落叶松次生林,前两种群落的凋落高峰期在4月和9月,后者高峰期在8月和10月.不同群落类型年凋落量差异显著,原始红松林凋落量高于天然次生林,且凋落高峰出现时问以及各组分所占比例与群落类型有关,同时也与树种生物学特性有关.     

Local control rates in stereotactic body radiotherapy (SBRT) of lung metastases associated with the biologically effective dose

AimTo evaluate dose differences in lung metastases treated with stereotactic body radiotherapy (SBRT), and the correlation with local control, regarding the dose algorithm, target volume and tissue density.BackgroundSeveral studies showed excellent local control rates in SBRT for lung metastases, with different fractionation schemes depending on the tumour location or size. These results depend on the dose distributions received by the lesions in terms of the tissue heterogeneity corrections performed by the dose algorithms.Materials and methodsForty-seven lung metastases treated with SBRT, using intrafraction control and respiratory gating with internal fiducial markers as surrogates (ExacTrac, BrainLAB AG), were calculated using Pencil Beam (PB) and Monte Carlo (MC) (iPlan, BrainLAB AG).Dose differences between both algorithms were obtained for the dose received by 99% (D_99%) and 50% (D_50%) of the planning treatment volume (PTV). The biologically effective dose delivered to 99% (BED_99%) and 50% (BED_50%) of the PTV were estimated from the MC results. Local control was evaluated after 24 months of median follow-up (range: 3–52 months).ResultsThe greatest variations (40.0% in ΔD_99% and 38.4% in ΔD_50%) were found for the lower volume and density cases. The BED_99% and BED_50% were strongly correlated with observed local control rates: 100% and 61.5% for BED_99% > 85 Gy and <85 Gy (p < 0.0001), respectively, and 100% and 58.3% for BED_50% > 100 Gy and <100 Gy (p < 0.0001), respectively.ConclusionsLung metastases treated with SBRT, with delivered BED_99% > 85 Gy and BED_50% > 100 Gy, present better local control rates than those treated with lower BED values (p = 0.001).     

Maximum standard metabolic rate corresponds with the salinity of maximum growth in hatchlings of the estuarine northern diamondback terrapin (Malaclemys terrapin terrapin): Implications for habitat conservation

I evaluated standard metabolic rates (SMR) of hatchling northern diamondback terrapins (Malaclemys terrapin terrapin) across a range of salinities (salinity = 1.5, 4, 8, 12, and 16 psu) that they may encounter in brackish habitats such as those in the Maryland portion of the Chesapeake Bay, U.S.A. Consumption of O₂ and production of CO₂ by resting, unfed animals served as estimates of SMR. A peak in SMR occurred at 8 psu which corresponds closely with the salinity at which hatchling growth was previously shown to be maximized (salinity ∼ 9 psu). It appears that SMR is influenced by growth, perhaps reflecting investments in catabolic pathways that fuel anabolism. This ecophysiological information can inform environmental conservation and management activities by identifying portions of the estuary that are bioenergetically optimal for growth of hatchling terrapins. I suggest that conservation and restoration efforts to protect terrapin populations in oligo-to mesohaline habitats should prioritize protection or creation of habitats in regions where average salinity is near 8 psu and energetic investments in growth appear to be maximized.