Background and Purpose-We sought to examine the relationship between depressive symptoms and the incidence of stroke among Japanese men and women. Methods-A 10.3-year prospective study on the relationship between depressive symptoms and the incidence of stroke was conducted with 901 men and women aged 40 to 78 years in a rural Japanese community. Depressive symptoms were measured at baseline with the use of the Zung Self-Rating Depression Scale (SDS). The incidence of stroke was ascertained under systematic surveillance. Results-During the 10-year follow-up, 69 strokes (39 ischemic strokes, 10 intracerebral hemorrhages, 10 subarachnoid hemorrhages, and 10 unclassified strokes) occurred. Age-and sex-adjusted prevalence of mild depression (SDS scores Ն40) at baseline was 25% among subjects with incident stroke and 12% among subjects without stroke (PϽ0.01).Persons with SDS scores in the high tertile had twice the age-and sex-adjusted relative risk of total stroke as those with scores in the low tertile. The excess risk was confined to ischemic stroke. After we adjusted for body mass index, systolic blood pressure level, serum total cholesterol level, cigarette smoking, current treatment with antihypertensive medication, and history of diabetes mellitus, these relative risks remained statistically significant for total stroke (1.9; 95% CI, 1.1 to 3.5) and ischemic stroke (2.7; 95% CI, 1.2 to 6.0). Conclusions-Depressive symptoms predict the risk of stroke, specifically ischemic stroke among Japanese. (Stroke.2001;32:903-908.)

The effectiveness of non-prey food items, such as pollen, honeydew, and microbes, in maintaining phytoseiid mite populations is widely accepted. However, the availability of such naturally occurring non-prey foods varies with the season and surrounding environment; thus, it is difficult to manipulate and maintain supplies of these food sources. A great deal of research has examined the development and reproduction of phytoseiid mites on artificial diets. Although phytoseiid mites frequently develop, several studies have detected low fecundities of adult females reared on artificial diets. Therefore, the use of artificial diets for commercial propagation is often difficult. However, the potential of artificial diets to maintain phytoseiid mite populations has not yet been evaluated. In this study, we investigated the developmental success and survival of Neoseiulus californicus (McGregor) on an artificial diet. This mite may be one of the most effective phytoseiid species used in agricultural systems for the control of spider mites. N. californicus successfully developed on the artificial diets: 93.5-100% of individuals reached adulthood 4-7 days after hatching. The survival rates of gravid adult females maintained on the AD-1 artificial diet composed of yeast components, saccharides, and egg yolk at 25 degrees C were 100, 80, and 48.9% over 36, 60, and 90 days, respectively. Moreover, >80% of the surviving females maintained on AD-1 for 36 or 60 days laid eggs after being switched to a diet of the spider mite Tetranychus urticae Koch, although they had laid few eggs during the maintenance periods on the artificial diet. Our results indicate that artificial diets can serve as a potentially useful food source for the long-term maintenance of N. californicus populations.

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We describe the case of a 48-year-old man with dermatomyositis (DM) who demonstrated rapidly progressive interstitial lung disease (RP-ILD) and refractory cutaneous involvement together with high levels of anti-melanoma differentiation-associated gene 5 antibody (anti-MDA5-Ab). Even after combination immunosuppressive therapy including a corticosteroid, cyclosporine A, and intravenous cyclophosphamide, his respiratory insufficiency and cutaneous involvement progressively worsened. However, the administration of rituximab (RTX) resulted in clinical remission as well as a visible reduction in anti-MDA5-Ab levels, suggesting that RTX could be a useful remedy in cases refractory to conventional immunosuppressive agents, especially those of RP-ILD related to anti-MDA5-Ab–positive DM.