Research on major depression has confirmed that it is caused by an array of biopsychosocial and lifestyle factors. Diet, exercise and sleep are three such influences that play a significant mediating role in the development, progression and treatment of this condition. This review summarises animal and human-based studies on the relationship between these three lifestyle factors and major depressive disorder, and their influence on dysregulated pathways associated with depression, namely neurotransmitter processes, immuno-inflammatory pathways, hypothalamic-pituitary-adrenal (HPA) axis disturbances, oxidative stress and antioxidant defence systems, neuroprogression, and mitochondrial disturbances. Increased attention in future clinical studies on the influence of diet, sleep and exercise on major depressive disorder and investigations of their effect on physiological processes will help to expand our understanding and treatment of major depressive disorder. Mental health interventions, taking into account the bidirectional relationship between these lifestyle factors and major depression are also likely to enhance the efficacy of interventions associated with this disorder.
Biomarkers are regularly used in medicine to provide objective indicators of normal biological processes, pathogenic processes or pharmacological responses to therapeutic interventions, and have proved invaluable in expanding our understanding and treatment of medical diseases. In the field of psychiatry, assessment and treatment has, however, primarily relied on patient interviews and questionnaires for diagnostic and treatment purposes. Biomarkers in psychiatry present a promising addition to advance the diagnosis, treatment and prevention of psychiatric diseases. This review provides a summary on the potential of peripheral biomarkers in major depression with a specific emphasis on those related to inflammatory/immune and oxidative stress/antioxidant defences. The complexities associated with biomarker assessment are reviewed specifically around their collection, analysis and interpretation. Focus is placed on the potential of peripheral biomarkers to aid diagnosis, predict treatment response, enhance treatment-matching, and prevent the onset or relapse of major depression.
Playing a prominent role in communications, quantum science, and laser physics, quantum nonlinear optics is an increasingly important field. This book presents a self-contained treatment of field quantization, and covers topics such as the canonical formalism for fields, phase-space representations, and the encompassing problem of quantization of electrodynamics in linear and nonlinear media. Starting with a summary of classical nonlinear optics, it then explains in detail the calculation techniques for quantum nonlinear optical systems and their applications, quantum and classical noise sources in optical fibers, and applications of nonlinear optics to quantum information science. Supplemented by end-ofchapter exercises and detailed examples of applications to different systems, this book is a valuable resource for graduate students and researchers in nonlinear optics, condensed matter physics, quantum information, and atomic physics. A solid foundation in quantum mechanics and classical electrodynamics is assumed, but no prior knowledge of nonlinear optics is required.
SUMMARY Facial flushing and sweating were investigated in five patients who complained of the sudden onset of unilateral facial flushing in hot weather or when exercising vigorously. One patient probably suffered a brainstem infarct at the time that the unilateral flush was first noticed, and was left with a subtle Homer's syndrome on the side opposite to the flush. The other four had no other neurological symptoms and no ocular signs of Homer's syndrome. Thermal and emotional flushing and sweating were found to be impaired on the non-flushing side of the forehead in all five patients whereas gustatory sweating and flushing were increased on that side in four of the five patients, a combination of signs indicating a deficit of the second sympathetic neuron at the level of the third thoracic segment. CT and MRI of this area failed to disclose a structural lesion but latency from stimulation of the motor cortex and thoracic spinal cord to the third intercostal muscle was delayed on the non-flushing side in one patient. The complaint of unilateral flushing and sweating was abolished in one patient by ipsilateral stellate ganglionectomy. The unilateral facial flushing and sweating induced by heat in all five patients was thus a normal or excessive response by an intact sympathetic pathway, the other side failing to respond because of a sympathetic deficit. The onset in the four cases of peripheral origin followed strenuous exertion, which suggested that an anterior radicular artery may have become occluded at the third thoracic segment during torsion of the thoracic spine.One of the most mysterious, dramatic and colourful of autonomic syndromes is the sudden appearance of flushing limited to one side of the face, a symptom that does not appear to have received attention in the past. The descriptive title of "harlequin syndrome" comes to mind although the analogy has been drawn previously by paediatricians who apply the term "harlequin colour change" to vasomotor instability in the newborn causing flushing of the dependent half of the body.1Unilateral sweating in response to spicy foods, heat and exercise may develop spontaneously as "idiopathic hyperhidrosis" which is sometimes accompanied by flushing2 3 and sometimes not.4 5 Unilateral flushing as a primary complaint does not seem to have been previously recorded.The stimulus for the present study was provided by five patients who observed asymmetry of facial flushing in hot weather or after exertion. Our investigations were planned to determine which side was at fault and to elucidate the mechanism of the syndrome. Case reportsThe main clinical characteristics are summarised in
Rates of obesity are higher than normal across a range of psychiatric disorders, including major depressive disorder, bipolar disorder, schizophrenia and anxiety disorders. While the problem of obesity is generally acknowledged in mental health research and treatment, an understanding of their bi-directional relationship is still developing. In this review the association between obesity and psychiatric disorders is summarised, with a specific emphasis on similarities in their disturbed biological pathways; namely neurotransmitter imbalances, hypothalamus-pituitary-adrenal axis disturbances, dysregulated inflammatory pathways, increased oxidative and nitrosative stress, mitochondrial disturbances, and neuroprogression. The applicability and effectiveness of weight-loss interventions in psychiatric populations is reviewed along with their potential efficacy in ameliorating disturbed biological pathways, particularly those mediating inflammation and oxidative stress. It is proposed that weight loss may not only be an effective intervention to enhance physical health but may also improve mental health outcomes and slow the rate of neuroprogressive disturbances in psychiatric disorders. Areas of future research to help expand our understanding of the relationship between obesity and psychiatric disorders are also outlined.
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