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Case Reports 2009; 30(1): 19-21 PubMed PMID: 19300384 Citation  Keywords:  Adult, Antipsychotic Agents:adverse effects, Clozapine:adverse effects, Humans, Male, Myocarditis:chemically induced, Parkinson Disease:complications, Periodicity, Psychotic Disorders:complications, Recurrence,.   

: Myocarditis is a rare but life threatening adverse effect of clozapine. Some symptoms of myocarditis--elevated temperature, tachycardia and fatigue--appear commonly during the onset of treatment with clozapine and during the dose titration. We present a case of a patient with concurrent schizoaffective disorder and Parkinson's disease, who twice developed clozapine-induced myocarditis. All symptoms disappeared after the discontinuation of the drug. Early diagnosis, discontinuation of clozapine and supportive therapy of myocarditis lower the risk of a fatal outcome....

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Journal Article 2009; 30(5): 643-646 PubMed PMID: 20035253 Citation  Keywords:  Adolescent, Choice Behavior:physiology, Decision Making:physiology, Emotions:physiology, Female, Games, Experimental, Humans, Neuropsychological Tests, Saliva:enzymology, Salivary alpha-Amylases:metabolism, Young Adult,.   

OBJECTIVES: This study aimed to examine the role of emotions in rejection of unfair offers in an ultimatum game, which is of interest in neuroeconomics of fairness.

METHODS: Thirty-seven participants played a one-shot ultimatum game as responders and decided whether to accept or reject the unfair offers by the proposers. Salivary alpha-amylase (sAA) was assessed before and after the ultimatum game.

RESULTS: Forty-four percent of the participants rejected the unfair offers. While sAA levels of the participants who rejected the unfair offers increased between pre- and post-experiment, sAA levels of the participants who accepted the unfair offers remain unchanged.

CONCLUSIONS: Emotional stress response was observed when participants rejected the unfair offers. Our results indicated that rejection of the unfair offers is a reflection of emotional arousal associated with adrenergic activations....

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Journal Article 2009; 30(Suppl 1): 22-24 PubMed PMID: 20027138 Citation  Keywords:  Administration, Oral, Animals, Antioxidants:metabolism, Aorta:physiopathology, Arthritis, Experimental:chemically induced, Edema:chemically induced, Freund's Adjuvant, Hexosaminidases:metabolism, Immunologic Factors:administration & dosage, Male, Mycobact.   

OBJECTIVES: The goal of this study was to evaluate the effect of sesame oil on functional damage induced by adjuvant arthritis (AA) and on changes of selected biochemical parameters reflecting oxidative tissue injury.

DESIGN: Mycobacterium butyricum in incomplete Freund's adjuvans was intradermally administered to Lewis male rats. Hind paw edema and endothelium-dependent relaxation of the aorta were determined on day 28. Further, plasmatic levels of TBARS, gamma-glutamyltransferase (GGT) activity in the joint and spleen tissues, level of protein carbonyls and total antioxidant capacity (TAC) in plasma, as well as activity of the lysosomal enzyme N-acetyl-glucosaminidase (NAGA) in serum were assessed. The effect of sesame oil (SO, 1ml/kg, daily oral administration) was evaluated on day 28.

RESULTS: The beneficial effect of sesame oil on markers of oxidative stress accompanying AA was demonstrated by decrease of plasma TBARS and decrease of GGT activity in the joint and spleen tissues. Level of protein carbonyls, TAC in plasma and activity of NAGA in serum and in the kidney were improved, yet not significantly. In the hind paw edema the maximal increase was found on day 28 of AA, and in the same time we observed a significant decrease of aortic endothelium-dependent relaxation. Administration of SO resulted in mild, non-significant decrease of hind paw swelling and in significantly increased acetylcholine-evoked relaxation.

CONCLUSION: We conclude that SO has beneficial effects on oxidative stress induced biochemical changes occurring in AA, moreover it improves endothelium-dependent relaxation of the aorta and tends to decrease hind paw edema....

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Case Reports 2009; 30(4): 437-449 PubMed PMID: 20010503 Citation  Keywords:  Antioxidants:therapeutic use, Drug Therapy, Combination, Humans, Infant, Magnetic Resonance Imaging, Male, Melatonin:therapeutic use, Neuroblastoma:diagnostic imaging, Positron-Emission Tomography, Remission Induction, Retinoids:therapeutic use, Retroperi.   

OBJECTIVES: The combined use (MDB) of Somatostatin, Melatonin, Retinoids, Vitamins E, C, and D3, with Calcium, Chondroitin sulfate, and microdoses of Cyclophosphamide in a seven-month old baby affected by a voluminous retroperitoneal neuroblastoma measuring 4 x 8 cm produced a 50% objective response in six months, an almost total response in one year and a complete response at 14 months, with cure and absence of disease for over ten years.

RESULTS: This paper discusses the rationale and the molecular mechanisms of action of the treatment which has a differentiating, apoptotic and antiproliferative effect, preserving and enhancing both the trophism and functionality of organs and tissues, and the neuroimmunoendocrine and antiblastic homeostasis. This result is in agreement with the positive results already published on the use of the MDB in lymphoproliferative diseases, in stage III and IV lung cancer, in breast cancer and in cancers of the upper aerodigestive epithelia. Without the need for hospitalisation and with no toxicity, the MDB rapidly reduced and then eliminated the voluminous tumoral mass, allowing a normal quality of life and a perfectly normal psychophysical development.

CONCLUSIONS: We believe it is of use to report this case in order to invite greater interest in the oncological possibilities offered by the immunoneuroendocrine and biological-receptorial properties of the MDB treatment....

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Journal Article 2009; 30(4): 496-500 PubMed PMID: 20010492 Citation  Keywords:  Cerebral Cortex:physiology, Decision Making:physiology, Emotions:physiology, Female, Game Theory, Games, Experimental, Gyrus Cinguli:physiology, Humans, Magnetic Resonance Imaging, Male, Social Behavior, Young Adult,.   

OBJECTIVES: This study examined the roles of the insula and the anterior cingulate activations in the rejection of unfair offers in the impunity game.

METHODS: Fifteen participants played the impunity game in ten trials as responders during neuroimaging.

RESULTS: About 45% of the unfair offers were rejected by the responders even when responders could not restore a fair outcome, which cannot be accounted for by social preference of inequity aversion. Imaging data showed that the right anterior insula was activated when participants faced and rejected unfair offers.

CONCLUSIONS: The insula activation during a rejection of the unfair offers is the reflection of an emotional response, rather than social preference of inequity aversion. The role of emotion in the neuroeconomics of fairness was demonstrated....

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Journal Article 2009; 30(2): 245-255 PubMed PMID: 19675514 Citation  Keywords:  Acromegaly:blood, Acylation, Adult, Aged, Blood Glucose:metabolism, Cholesterol:blood, Female, Ghrelin:blood, Growth Hormone:blood, Humans, Hypercholesterolemia:blood, Hyperglycemia:blood, Hyperinsulinism:blood, Insulin:blood, Insulin-Like Growth Factor I.   

UNLABELLED: It is unknown if altered ghrelin secretion might contribute to the development of metabolic complications in acromegaly. The AIM OF THE STUDY was to: 1) assess if serum concentrations of total and acylated ghrelin in patients with acromegaly differ in the presence of various metabolic complications (hypercholesterolemia, hyperinsulinemia, hyperglicemia). 2) assess the correlations between concentrations of ghrelin and concentrations of GH, IGF-1, cholesterol, insulin and glucose in patients with acromegaly.

MATERIALS: 24 patients with previously diagnosed acromegaly (11 subjects with active and 13 subjects with inactive disease) and 12 healthy subjects. 23 subjects were treated in the past with neurosurgery, 3 subjects with radiotherapy. 7 patients were receiving octreotide LAR at the time of the study.

METHODS: In all studied subjects the concentrations of total ghrelin, acylated ghrelin, GH, IGF-1, insulin, glucose, total cholesterol, LDL cholesterol, HDL cholesterol, triglicerydes, were measured.

RESULTS: The concentrations of total and acylated ghrelin did not significantly differ between patients with active and inactive disease. The mean concentrations of total and acylated ghrelin were significantly higher in acromegalic patients who presented with hypercholesterolemia compared with patients with normocholesterolemia. In patients with hypercholesterolemia the ratio of acylated/total ghrelin was 16%. In patients with active acromegaly there was a statistically significant positive correlation between the concentration of total ghrelin and the concentration of total cholesterol and LDL cholesterol. There was also a positive correlation between the concentration of acylated ghrelin and LDL cholesterol (without statistical significance). In patients with inactive acromegaly there was a statistically significant positive correlation between the concentration of acylated ghrelin and the concentration of triglycerides and a positive correlation between total ghrelin and triglycerides, but statistically insignificant. There were no differences in ghrelin levels depending on the insulin and glucose concentrations.

CONCLUSIONS: Some metabolic complications of the disease might result not only from GH hypersecretion but also from altered ghrelin secretion....

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Comparative Study 2008; 29(6): 889-894 PubMed PMID: 19125151 Citation  Keywords:  Adolescent, Body Height, Child, Circadian Rhythm, Female, Growth Disorders:blood, Humans, Longitudinal Studies, Male, Periodicity, Prolactin:blood, Reproducibility of Results,.   

OBJECTIVES: In normal conditions, prolactin (Prl) secretion manifests a circadian pattern. So far, there have only been but few studies, concerning intrasubject variability and repeatability of the circadian Prl secretion pattern, based on pulse analysis. It seems, that macroscopic analysis based on measurement of Prl concentration at nine time points every 3 hours during 24 hours is an appropriate method to assess Prl profile for clinical purposes. The aim of the study was to assess the repeatability of that circadian Prl secretion pattern in a group of short children without hormonal disorders.

MATERIALS AND METHODS: The analysis comprised the results of two circadian Prl profiles, performed from 2 to 14 months in 23 prepubertal children (16 boys) with idiopathic short stature, aged: 10.3+/-2.4 yrs.

RESULTS: There were no statistical differences between Prl concentrations at the same time points in the two consecutive profiles, but the comparison of Prl concentrations at 8:00 gave results which were close to the border of statistical significance (p=0.055), what indicated low repeatability of measurement results at that particular time point. There were no statistical differences between the values of particular parameters in macroscopic profile analysis in the first and in the second test.

CONCLUSION: Circadian Prl profile, based on nine Prl concentration measurements, taken every 3 hours during one day, is characterized by high repeatability of the results and low intrasubject variability in children, despite the results of Prl concentration at 08:00 o'clock....

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Journal Article 2008; 29(6): 831-836 PubMed PMID: 19112396 Citation  Keywords:  Adolescent, Adolescent Development, Age of Onset, Brain:growth & development, Child, Child Development, Critical Period (Psychology), Humans, Neuronal Plasticity:physiology, Neuropsychology, Schizophrenia:physiopathology, Schizophrenic Psychology,.   

: Schizophrenia is a disorder characterized by delay in neurodevelopment and by a central disorder of recognition (i.e. with generalized cognitive deficit). Connectivity impairments in the areas of the social brain and cerebellum are the "messenger" of abnormal CNS development in schizophrenia. Processes of neuronal reorganization in cortical and subcortical structures, aberrant forms of pruning, sprouting, and myelinization may play a major role in the pathogenesis of a schizophrenic breakdown. Models of neuroplasticity during adolescence can be connected with models of neurodevelopmental vulnerability and models of neurotoxicity to form an integrated approach in order to better understand premorbid adjustment, onset, and course of schizophrenia. The loss of plasticity and aberrant myelinization lead to a deterioration in cognitive functions, social dysfunction and, in individuals with specific genetic vulnerability, to expression of schizophrenia. This article discusses brain development in relation to the diagnosis of schizophrenia and the basic symptoms of childhood schizophrenia (with early and very early onset) and of adolescent schizophrenia....

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