Association between postpartum thyroid dysfunction and thyroid antibodies and depression.

OBJECTIVE--To define the relation between mood and autoimmune thyroid dysfunction during the eight months after delivery. DESIGN--Double blind comparison of the psychiatric status of women positive and negative for thyroid antibodies. Clinical examination and blood sampling for free triiodothyronine and thyroxine, thyroid stimulating hormone, and thyroid antibody concentrations at four weekly intervals. Psychiatric assessment at six, eight, 12, 20, and 28 weeks post partum. SETTING--Outpatient department of district hospital. PATIENTS--145 antibody positive women and 229 antibody negative women delivering between August 1987 and December 1989. MAIN OUTCOME MEASURES--Thyroid status. Number of cases of mental ill health by the general health questionnaire, research diagnostic criteria, Hamilton 17 item depression scale, hospital anxiety and depression scale, and Edinburgh postnatal depression scale. RESULTS--Six weeks after delivery the general health questionnaire showed 62 (43%) antibody positive women and 65 (28%) antibody negative women had mental ill health (chi 2 = 8.18, p less than 0.005). Follow up of 110 antibody positive and 132 antibody negative women showed significantly greater depression by research diagnostic criteria in antibody positive women (47%) than antibody negative women (32%) regardless of thyroid dysfunction. Antibody positive women showed higher mean scores for depression on the Hamilton (6.01 v 3.89, p = 0.0002), Edinburgh (7.45 v 5.92, p = 0.031), and hospital depression scales (4.95 v 3.79, p = 0.003). CONCLUSION--Depressive symptoms are associated with positive thyroid antibody status in the postpartum period.     

Resistance of Pseudomonas pseudomallei to Normal Human Serum Bactericidal Action

The effect of human normal serum (HNS) on Pseudomonas pseudomallei was determined. It is apparent from our data that the organism is resistant to the normal serum bactericidal mechanism. Ancillary experiments to confirm this serum-resistant property of P. pseudomallei were done by examining the effects of growth phase conditions of the bacteria (i.e., logarithmic and stationary phases) and different buffered systems used as diluent in our bactericidal assay. Results obtained showed similar degree of resistance to serum bactericidal killing by 5 strains of the organisms tested. The possible survival advantage of serum-resistant property to P. pseudomallei as bacterial pathogens known to invade the blood stream is discussed.     

Mineralization of15N-labelled legume residues in soils with different nitrogen contents and its uptake by Rhodes grass

Summary Soil was collected from pots that had grown 1,3 or 6 soybean (Glycine max) or Siratro (Macroptillium atropurpureum) crops that had received organic residue returns from each crop.¹⁵N-labelled residues were added to half the pots in the experiment and the other half left unamended. Half of each group was then sown to Rhodes grass (Chloris gayana) which was grown, under glasshouse conditions, for 12 weeks.Ten grams of organic matter residues were added to each pot (1.5 kg soil) and the pots subjected to two wetting and drying cycles. At the end of the second wet cycle, soil mineral N values ranged from 6 to 64 ppm in unamended soils and from 19 to 177 ppm in amended soils. These levels generally declined over a 12 week period both in the presence and absence of sown grass.Nitrogen uptake by the grass increased with the number of previous cycles and was higher in Siratro than soybean soils. Recovery of¹⁵N by plant growth from the incorporated soybean residues was little effected by previous crop history and averaged 15.4%. On the other hand, Siratro recoveries were 13.7, 42.4 and 55.5% from soils that had grown 1, 3 and 6 previous Siratro crops, respectively.The addition of organic residues stimulated the release of native organic N (positive priming effect) on all soils.These results show that the turnover rate of nitrogen from organic residues can be high and the net result of these additions depends on the nature of the organic residues and the soil system to which they are added. These data emphasise the need to consider the rate of nutrient turnover from organic sources rather than concentrate on the nature and size of the resident nutrient pools.