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Journal Article 2007; 28(4): 449-455 PubMed PMID: 17693983 Citation  Keywords:  5-Hydroxytryptophan:administration & dosage, Adolescent, Adult, Analysis of Variance, Antidepressive Agents, Second-Generation:administration & dosage, Autistic Disorder:blood, Case-Control Studies, Child, Humans, Hydrocortisone:blood, Male, Prolactin:blo.   

: Some studies have suggested that disorders in the central serotonergic function may play a role in the pathophysiology of autistic disorder. In order to assess the central serotonergic turnover in autism, this study examines the cortisol and prolactin responses to administration of L-5-hydroxy-tryptophan (5-HTP), the direct precursor of 5-HT in 18 male, post-pubertal, Caucasian autistic patients (age 13-19 y.; I.Q.>55) and 22 matched healthy volunteers. Serum cortisol and prolactin were determined 45 and 30 minutes before administration of 5-HTP (4 mg/kg in non enteric-coated tablets) or an identical placebo in a single blind order and, thereafter, every 30 minutes over a 3-hour period. The 5-HTP-induced increases in serum cortisol were significantly lower in autistic patients than in controls, whereas there were no significant differences in 5-HTP-induced prolactin responses between both study groups. In baseline conditions, no significant differences were found in serum cortisol and prolactin between autistic and normal children. The results suggest that autism is accompanied by a central serotonergic hypoactivity and that the latter could play a role in the pathophysiology of autism....

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Comparative Study 2007; 28(4): 496-501 PubMed PMID: 17693976 Citation  Keywords:  Administration, Oral, Administration, Topical, Adult, Capillaries:drug effects, Cholesterol, HDL:blood, Cholesterol, LDL:blood, Cross-Over Studies, Estradiol:administration & dosage, Estrogen Replacement Therapy:methods, Estrogens:administration & dosage,.   

OBJECTIVES: The aim of the study was to evaluate skin microvascular reactivity (MVR) measured by laser Doppler flowmetry in women early after bilateral ovarectomy treated with oral and transdermal estrogen replacement therapy (ERT).

DESIGN: Interventional, randomized study with a cross-over design.

PATIENTS AND METHODS: 41 patients (49+/-6 years, 6-12 weeks after surgical castration) were treated with 17-beta-estradiol transdermally (0.05 mg/day) or orally (2 mg/day) for three months and 20 healthy female subjects (47+/-5 years) served as controls.

RESULTS: Records of laser Doppler flowmetry were blinded prior to the evaluation. Maximal perfusion and velocity of perfusion increase during post-occlusive reactive hyperemia (PORH) were lower before ERT comparing to controls at baseline (36+/-16 vs. 48+/-18 PU, p<0.05, and 2.8+/-1.9 vs. 4.2+/-2.3 PU, p<0.05, respectively). Velocity of perfusion increase in PORH decreased after oral ERT compared to baseline and also to transdermal ERT (2.1+/-1.2 vs. 2.8+/-1.9 PU.s-1, p<0.05, and vs. 3.5+/-3.2 PU.s-1, p<0.01, respectively), nonsignificant increase of this parameter after transdermal ERT led to normalization when comparing to control group (3.6+/-3.2 vs. 4.2+/-2.3 PU.s-1, NS). Increase of HDL-cholesterol and decrease of LDL-cholesterol (2.1+/-0.4 vs. 1.8+/-0.4 mmol.l-1, p<0.01, and 2.5+/-0.7 vs. 3.1+/-1.0 mmol.l-1, p<0.01) was observed after oral ERT while HDL-cholesterol increase after transdermal ERT was less pronounced (1.96+/-0.42 mmol.l-1, p<0.05). LDL-cholesterol levels did not change. A correlation between HDL-cholesterol and maximal post-occlusive flow expressed in % of basal perfusion was observed in patients before treatment (r=0.47, p=0.002).

CONCLUSIONS: Microvascular reactivity is impaired in women early after bilateral ovarectomy. No statistically significant improvement of MVR was observed after oral estrogen replacement therapy, normalization of MVR after transdermal ERT was only partial. Changes of MVR and lipid profile differed between oral and transdermal routes of estrogen replacement therapy....

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Journal Article 2007; 28(4): 360-366 PubMed PMID: 17693960 Citation  Keywords:  Bottle Feeding, Chronotherapy, Circadian Rhythm:physiology, Dietary Carbohydrates:administration & dosage, Double-Blind Method, Feeding Behavior:physiology, Humans, Infant, Infant Formula:administration & dosage, Infant, Newborn, Prospective Studies, Slee.   

UNLABELLED: Some 30% of pre-weaning infants present problems of sleep during the night, especially those who are bottle-fed. The solution is for them to be breast-fed for as long as possible, or, if this is not possible, for the formula milk to reproduce breast-milk's natural circadian variations in the concentrations of tryptophan and those nucleotides which have a beneficial effect in consolidating the circadian sleep-wake cycle.

OBJECTIVE: To study in pre-weaning infants the effect on nocturnal sleep of the administration of formula milk dissociated into its day/night components.

MATERIALS AND METHODS: A prospective study was carried out on 30 pre-weaning infants of 4-20 weeks in age who preferentially showed sleep problems. The day dissociated formula, administered from 06:00-18:00, had lower levels of tryptophan and carbohydrates, and higher levels of proteins together with cytosine-5P, guanosine-5P, and inosine-5P. The night dissociated formula, administered from 18:00-06:00, had lower levels of proteins and medium-chain triglycerides, higher levels of tryptophan and carbohydrates, together with adenosine-5P and uridine-5P. In a random, double-blind, design, three one-week diets were administered: Diet A (Control): normal initiation milk; Diet B: 06:00-18:00 normal initiation milk, 18:00-06:00 dissociated night formula; and Diet C: day/night formulas with the schedule given above. The sleep patterns were analyzed by means of actimeters (Actiwatch). Statistical analysis consisted of an ANOVA with a Scheffe F-test, taking a value of p<0.05 to be statistically significant.

RESULTS: The children receiving the week of Diet C (with the day/night formulas in synchrony with the environment) showed increased hours of actual sleep (7.68 +/- 0.54 h vs. 6.77 +/- 0.12 h for the Diet A control) and improved sleep latency (0.44 +/- 0.04 h vs. 0.60 +/- 0.08 h for the Diet A control). The same children receiving the Diet B in another different week showed an improvement in sleep efficiency (76.43 +/- 3.4% vs. the Diet A control 69.86 +/- 0.94%) and sleep latency (0.45 +/- 0.04 h vs. the Diet A control 0.60 +/- 0.08h) The parents also reported, in response to follow-up questions, an improvement in the sleep of their infants during the Diet C week.

CONCLUSION: Day/night infant formula milks designed according to the principles of chrononutrition help to consolidate the sleep/wake rhythm in bottle-fed infants....

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Journal Article 2007; 28(4): 470-472 PubMed PMID: 17627273 Citation  Keywords:  Administration, Oral, Albinism:genetics, Alloxan, Animals, Ballota, Blood Glucose:metabolism, Diabetes Mellitus, Experimental:blood, Female, Hypoglycemic Agents:administration & dosage, Insulin:blood, Male, Plant Extracts:administration & dosage, Rats, Ra.   

: The hypoglycemic effect of Ballota nigra extract on albino rats was investigated. Alloxan-induced diabetes mellitus was accompanied by several fold increases in plasma glucose. Administration of aqueous extract of B. nigra extract significantly reduced glucose in both healthy and diabetic rats. These results suggest that B. nigra possess hypoglycemic effects in rats and therefore, can be useful for the treatment of diabetes mellitus....

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Journal Article 2007; 28(4): 473-476 PubMed PMID: 17627272 Citation  Keywords:  Administration, Oral, Alanine Transaminase:blood, Albinism:genetics, Animals, Aspartate Aminotransferases:blood, Ballota, Bilirubin:blood, Blood Glucose:metabolism, Cholesterol:blood, Creatine Kinase:blood, Female, Insulin:blood, Male, Plant Extracts:admi.   

: Ingestion of aqueous 70% ethanol extract of Ballota nigra (400 mg/kg body weight for 7 days) by albino rats (n=10) was investigated to study its effects on glucose, total cholesterol, triglycerides, aspartate aminotransferase (AST), alanine aminotransferase (ALT), troponin I (TnI), serum creatine kinase (CK), total protein, total bilirubin and blood urea. Ballota nigra extract caused a significant decrease in blood glucose, total serum cholesterol and CK levels. Blood levels of TnI, AST, ALT, triglycerides, total bilirubin, total protein and blood urea were unchanged. The hypoglycemic effect of Ballota nigra extract on albino rats was further investigated by conducting a glucose tolerance test intraperitoneally (IPGTT). Healthy rats that were fasting for 18 hours followed by administration of a dose of 400 mg/kg body weight of the crude extract of Ballota nigra, orally. A significant decrease in blood glucose levels (after 15, 30, and 45 minutes) with a significant increase in serum insulin level (after 15 and 30 minute) was noted. These results suggest that, the crude extract of Ballota nigra have hypoglycemic, insulin-releasing and cholesterol lowering effects in rats....

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Journal Article 2007; 28(3): 326-332 PubMed PMID: 17627271 Citation  Keywords:  Animals, Contraceptive Agents, Female:pharmacology, Drug Implants, Estradiol:analysis, Feces:chemistry, Female, Immunoenzyme Techniques, Levonorgestrel:administration & dosage, Macaca, Perineum:pathology, Progesterone:analysis,.   

OBJECTIVE: Administered levonorgestrel enables contraception under normal cyclicity of the ovaries and does not suppress the development of cyclic perineal swellings. This study investigated the influence of levonorgestrel on fecal gonadal steroid excretion rates and the expression of perineal swelling size.

SETTINGS: Two groups of Barbary macaque females were observed: Twenty-four implanted individuals under semifree conditions and five non-implanted individuals under caged conditions. Eight of the implanted females had large expressions of the perinea and sixteen reduced. The non-implanted group had no perineal swellings.

METHODS: To determine the individual steroid excretion rates and exzymeimmunoassay for decal samples was established.

RESULTS: Estradiol excretion rates did not differ in distinctively swollen implanted females, but were increased when compared to non-implanted individuals (df=2; p=0.0002). Implanted females with large perineal swellings had lower progesterone concentrations in the feces compared to individuals with reduced swellings and did not differ from the non-swollen group (df=2; p=0.054). Females with large perineal swellings showed a higher calculated estradiol to progesterone ratio index than the other groups (df=2; p=0.0005). Non-implanted individuals showed increased testosterone excretion rates (df.=2; p=0.0001).

MAIN FINDINGS: The results indicate a positive relationship between the perineal swelling size and levonorgestrel implantation.

CONCLUSION: The ratio of fecal estradiol and progesterone titers can be judged as an endocrine indicator for the expression rate of perineal swelling size....

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Comparative Study 2007; 28(Suppl 2): 17-18 PubMed PMID: 17558368 Citation  Keywords:  Aminoglycosides:administration & dosage, Anti-Bacterial Agents:administration & dosage, Carbapenems:administration & dosage, Child, Child, Preschool, Cross Infection:drug therapy, Drug Therapy, Combination, Glycopeptides:administration & dosage, Humans, I.   

: We have been unable to document a benefit of a combination of aminoglycosides with betalactam or carbapenem antibiotics in nosocomial meningitis. This was similar to the cases of sepsis, where survival of patients did not improve with combination therapy. Combination therapy did not increase the chance of appropriateness of the therapy. 30% of those on combination therapy were considered as inappropriately treated in comparison to 2.8% of those on monotherapy (p<0.01)....

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Comparative Study 2007; 28(2): 166-169 PubMed PMID: 17435668 Citation  Keywords:  Adiponectin:blood, Animals, Inflammation:chemically induced, Injections, Intraperitoneal, Lipopolysaccharides, Male, Pituitary Adenylate Cyclase-Activating Polypeptide:administration & dosage, Rats, Rats, Inbred WKY,.   

BACKGROUND: Pituitary adenylate cyclase activating peptide (PACAP 38) is a neuropeptide with anti-inflammatory activity. Vasoactive intestinal peptide (VIP)/PACAP receptors are found in immune cells, endocrine glands and also in adipose tissue. Adiponectin is an adipocyte-derived protein hormone which possesses anti-inflammatory, antidiabetic and antiatherogenic properties. The aim of this study was to examine the influence of PACAP 38 on adiponectin release in basal conditions and during lipopolysaccharide (LPS)-induced acute inflammation.

METHODS: Male Wistar-Kyoto rats were divided into four groups which received intraperitoneal injections of 0.9% NaCl, LPS, PACAP 38 or LPS+PACAP 38, respectively. Serum adiponectin concentrations were measured using an ELISA test.

RESULTS: LPS administration did not change adiponectin concentration; however, PACAP 38 administered alone decreased serum adiponectin concentration after 2 h (p<0.05) and 4 h (p<0.01). In the group that received LPS+PACAP38, compared with LPS alone, no difference in adiponectin concentration was observed.

CONCLUSIONS: We conclude that PACAP 38 may directly modulate adiponectin secretion by adipocytes in basal conditions....

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