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The study authors, led by Rachel Manber, PhD, professor of psychiatry and behavioral sciences, said they hope the results will raise awareness of the problem of depression during pregnancy and provide patients and physicians an alternative to antidepressants. "This standardized acupuncture protocol could be a viable treatment option for depression during pregnancy," they wrote in a paper that will appear in the March issue of Obstetrics & Gynecology. Up to 14 percent of pregnant women may have major depressive disorder, a condition characterized by feelings of dread, gloom and hopelessness, and a loss of interest in normally pleasurable activities. Some women suffer from depression before becoming pregnant, stop taking their medication and then experience a relapse; in other women, pregnancy itself may cause depression.

For this study, the researchers recruited 150 women whose pregnancies were between 12 and 30 weeks gestation and who met the criteria for major depressive disorder. The women were randomized to receive one of three treatments: acupuncture specific for depression; control acupuncture, during which needles were inserted in points not known to help alleviate depressive symptoms; or massage. All of the women received eight weeks of therapy and were assessed for depression at the four- and eight-week marks by an interviewer who was unaware of the treatment each woman received. The researchers found that women who received the depression-specific acupuncture experienced a bigger reduction in depression symptoms than the women in the other groups. The response rate — defined as having a 50 percent or greater reduction in symptoms — was 63 percent for the women receiving depression-specific acupuncture, compared with 44 percent for the women in the other two treatment groups combined. The researchers weren't surprised by what they found — a pilot study yielded similar results, and other studies have shown acupuncture is an effective treatment for depression in the general public — but they were pleased with the results. "I don't think that one-size-fits-all treatments are appropriate for everyone, but acupuncture should be considered as an option," said Lyell. "I hope that people will respect the rigorous methodology used in this blinded, randomized, controlled trial and accept the result: Traditional acupuncture was associated with a significant improvement in depression."

Scanning electron micrograph of the nanofossil Chiasmolithus from about 60 million years ago. This genus arose after the Cretacious Paleogene boundary mass extinction. The size about 8 microns.

The darkness caused by the collision would impair photosynthesis and reduce nannoplankton reproduction. While full darkness did not occur, the effects in the north would have lasted for up to six months. However, with ample sunlight and large amounts of nutrients in the oceans, the populations should have bounced back, even in the North, but they did not. The researchers suggest that toxic metals that where part of the asteroid, heavily contaminated the Northern oceans and were the major factor inhibiting recovery. "Metal loading is a great potential mechanism to delay recovery," said Bralower. "Toxic levels in the parts per billions of copper, nickel, cadmium and iron could have inhibited recovery." On the one hand, the researchers considered an impact scenario causing perpetual winter and ocean acidification to explain the slow recovery, but neither explains the lag between Southern and Northern Hemispheres. Trace metal poisoning, on the other hand, would have been severe near the impact in the Northern Hemisphere. When the high temperature debris from the impact hit the water, copper, chromium, aluminum, mercury and lead would have dissolved into the seawater at likely lethal levels for plankton. Iron, zinc and manganese -- normally micronutrients -- would reach harmful levels shortly after the impact. Other metal sources might be acid-rain leached soils or the effects of wildfires. Metals like these can inhibit reproduction or shell formation. The toxic metals probably exceeded the ability of organic compounds to bind them and remove them from the system. Because nannoplankton are the base of the food chain, larger organisms concentrate any metals found in nannoplankton making the metal poisoning more effective. With the toxic metals remaining in the oceans and the lack of sunlight, the length of time for recovery might increase.