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Clinical Trial 2005; 26(1): 39-42 PubMed PMID: 15726018 Citation  Keywords:  Aging:physiology, Child, Preschool, Chorionic Gonadotropin:administration & dosage, Cryptorchidism:drug therapy, Humans, Infant, Injections, Intramuscular, Male, Scrotum:pathology,.   

OBJECTIVES: To evaluate the efficacy of hCG therapy on retractile testis in various testicular locations and age groups.r />r /> SETTING AND DESIGN: This study comprised 123 boys whose diagnosis were retractile testis with scrotal base, high scrotal and superficial inguinal localizations with an average age of 4,2 (1-8) years.r />r /> METHODS: 123 boys with retractile testes were given a total dose of 9000 hCG and its effect on scrotal base, high scrotal and superficial inguinal located testes were evaluated after 2 weeks and 6 months of completing hCG course. The patients were evaluated in four age groups such as less than 2 years of age, between 2-4, 4-6 years and more than 6 years of age and the response rates were also noted in these age groups.r />r /> RESULTS: In unilateral cases, the response in base, high scrotal and superficial inguinal levels were found as 100%, 83,3%, 72,7% respectively where as these rates were found as 100%, 92,6%, 76,3% respectively in bilateral cases after 2 weeks of hCG therapy. The response rates in less than 2 year old group, 2-4, 4-6 and more than 6 years group were found as 0%, 80%, 78,7%, 100% respectively in unilateral cases and 33,3%, 90%, 86,9% and 83,3% respectively in bilateral cases. After 6 months, reascend was observed in 12,4% in unilateral group and 6,7% in bilateral group.r />r /> MAIN FINDINGS: 72,7-100% of retractile testes respond to hCG administration with the highest response in the age of more than six year group.r />r /> CONCLUSION: High response rates observed in retractile testes after hCG therapy in more than 2 years old age group indicate that hCG must be given as a primary treatment in retractile testes and orchiopexy for the failures. Also patients must be followed up closely for reascend cases....

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Journal Article 2005; 26(1): 35-38 PubMed PMID: 15726017 Citation  Keywords:  3-Oxo-5-alpha-Steroid 4-Dehydrogenase:metabolism, Animals, Aromatase:metabolism, Brain Chemistry:physiology, Catecholamines:metabolism, Chromatography, Thin Layer, Dopamine:metabolism, Female, Feminization:physiopathology, Hypothalamus:metabolism, Male, N.   

OBJECTIVES: To study the role of opioids in early postnatal changes of the hypothalamic testosterone metabolism and catecholamine content underlying feminizing effect of prenatal stress on male sexual behavior in rats.r />r /> MATERIAL AND METHODS: 10 day-old male and female offspring from mothers given naltrexone prior to daily 1-hour restraint during the last gestational week were used in the study. Aromatase and 5 alpha-reductase activities, noradrenaline and dopamine contents in the brain preoptic area and medial basal hypothalamus were studied by thin layer chromatography, radiometric and spectrofluorimetric techniques.r />r /> RESULTS: Sexual dimorphism of testosterone metabolism enzymes activity and catecholamine content in discrete brain regions of 10 day-old rat pups was found. Prenatal stress attenuated these gender-related differences. Naltrexone pre-treatment of stressed dams prevented modifying effect of prenatal stress on aromatase activity and noradrenaline content in the male preoptic area.r />r /> CONCLUSIONS: The results of the study demonstrate preventive effect of naltrexone on stress-induced alterations of testosterone aromatization and noradrenaline concentration in the developing brain preoptic area associated with neuroendocrine control of the male sexual behavior in adult rats. These findings indicate that endogenic opioids mediate detrimental effect of prenatal stress on neurochemical determinants of the brain sexual differentiation that may underlie feminization of the male sexual behavior....

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Journal Article 2005; 26(1): 29-34 PubMed PMID: 15726016 Citation  Keywords:  Action Potentials:drug effects, Animals, Body Weight:drug effects, Electrophysiology, Fasting:physiology, Food Deprivation:physiology, Hypothalamus:drug effects, In Vitro Techniques, Nerve Tissue Proteins:pharmacology, Neurons:drug effects, Nutritional St.   

OBJECTIVES: The anorectic and catabolic action of CART is primarily mediated by the hypothalamus. The study proved the hypothesis that neurons of the hypothalamic regulatory system of body weight differentially react to CART in dependence of the nutritional state of the animal: overweight, fed or short-term fasting.r />r /> DESIGN AND SETTING: Single unit activity was extracellularly recorded in brain slices. The action of CART was studied in brains of 1. overweight adult rats previously subjected to early postnatal overfeeding in small litters (SL), compared to control litters, 2. normal rats that were deprived of food for 24 h, compared to fed rats.r />r /> RESULTS: Hypothalamic dorsomedial neurons of controls, but not SL rats were significantly excited by CART, ventromedial neurons of SL rats were significantly inhibited. Also neurons of hungry rats were significantly inhibited.r />r /> MAIN FINDINGS: Controls and overweight SL as well as fed and hungry rats differed significantly in the neuronal effects of CART. The predominant effect of the peptide did neither depend on weight nor on age of animals, but on neonatal development or nutritional state.r />r /> CONCLUSION: The increase in inhibition by CART of ventromedial and dorsomedial neuronal activity could in vivo contribute to increased food intake and reduced energy expenditure of overweight SL as of hungry rats. Since leptin is able to change synaptic wiring and the expression of excitatory and inhibitory synapses already within short time, the increased expression of inhibitory responses to CART may reflect a general mechanism in adaptation of neuronal regulatory systems to the nutritional state, in fed, adult small-litter rats acquired during the postnatal critical differentiation period, thus leading to permanently altered function....

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Journal Article 2005; 26(1): 25-28 PubMed PMID: 15726015 Citation  Keywords:  Aging:physiology, Animals, Animals, Newborn, Brachial Plexus:physiology, Electrophysiology, Entropy, Male, Neurons, Afferent:physiology, Pain:etiology, Rats, Rats, Wistar, Rhizotomy, Self Mutilation:etiology,.   

OBJECTIVES: The aim of the study was to describe the development of self-mutilation after extensive dorsal rhizotomy of the brachial plexus performed during early ontogeny in rats.r />r /> SETTINGS AND DESIGN: The rhizotomy was performed in three groups of rats according to the central nervous system maturation: infant, young, and adult. After the surgery the occurrence of self-mutilation behavior was compared. Rats from the infant group and non-mutilating deafferentated rats from the adult group underwent extracellular recordings from intralaminar thalamic neurons. Interspikes intervals of the records were compared by means of chaodynamic methods.r />r /> RESULTS: In the infant group self-mutilation did not develop at all. Among the young group self-mutilation developed in 40% of rats and consisted of superficial wounds in all cases. In adult self-mutilation appeared in 80% rats and consisted of both superficial wounds (75%) and amputation (25%). In the newborn group and the deafferentated adult group without any signs of self-mutilation means of the parameters were not significantly different and were significantly lower than those of intact adult rats.r />r /> MAIN FINDINGS: 1. Self-mutilation does not develop after the rhizotomy in the infant rats. 2. Neurons behave in chaotic way in adult as well as in young animals. 3. Chaodynamic parameters do not differ between infant and adult rats without any signs of self-mutilation.r />r /> CONCLUSIONS: The results suggest that development of self-mutilation behavior in rats strongly depends on the ontogenetical period of nervous system injury, and that mature nervous system is required for the development of described pathological behavior....

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Journal Article 2005; 26(1): 19-24 PubMed PMID: 15726014 Citation  Keywords:  Adolescent, Age of Onset, Body Height:drug effects, Child, Craniopharyngioma:surgery, Female, Growth Hormone:therapeutic use, Human Growth Hormone:blood, Humans, Hypothalamo-Hypophyseal System:abnormalities, Magnetic Resonance Imaging, Male, Pituitary Dis.   

AIMS: The aim of the study was an evaluation of final height and growth hormone (GH) secretion after completion of GH therapy (retesting) in patients with GH deficiency (GHD).r />r /> PATIENTS AND METHODS: The analysis comprised 53 patients (43 boys, 10 girls) with childhood-onset GHD, who completed GH therapy and reached final height. Magnetic resonance imaging (MRI), performed in all the patients, led to the following groups: pituitary stalk interruption syndrome (PSIS), pituitary hypoplasia (HP), craniopharyngioma (CP) -- patients after tumour excision, patients with normal hypothalamic-pituitary region (NP).r />r /> RESULTS: In 51 patients, final height was normal. The height gain was significantly (p<0.05) greater in PSIS than in that other groups. In retesting, GH secretion was significantly (p<0.005) lower in PSIS and CP than in HP and in NP and also (p<0.05) in HP than in NP. Permanent severe GHD was confirmed in all the patients with PSIS and CP and in some patients with HP (37.5%), while it was excluded in all the patients with normal pituitary in MRI.r />r /> CONCLUSIONS: It seems that in patients with PSIS and CP, the confirmation of persistent character of GHD needs no retesting, while in patients with normal MRI results, GHD diagnosis should be established with special attention....

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Journal Article 2005; 26(1): 13-18 PubMed PMID: 15726013 Citation  Keywords:  Adult, Altitude, Environment, Hormones:blood, Humans, Infertility, Male:epidemiology, Jordan:epidemiology, Luteinizing Hormone:blood, Male, Middle Aged, Oligospermia:blood, Sex Hormone-Binding Globulin:metabolism, Testosterone:blood,.   

: A correlation between serum levels of luteinizing hormone (LH), total testosterone (T), free T and sex-hormone binding globulin (SHBG) in normospermic and in oligospermic male people was done. This study was designed to measure serum levels of these hormones and of SHBG in people living at different altitude environments relative to sea level: at 209-408 meters below (the Jordan Valley, JV) and at 620 meters above (Irbid city, IC). In addition, a clinical awareness study of oligospermia was done in the North of Jordan (IC). Seminal analysis in 287 male people (age range, 18 to 40 years old) during the period between 12/6/1999 and 12/2/2002 showed an oligospermia of 31.4%. Serum levels of LH, total T, free T and SHBG in normospermic subjects in IC were similar to those in normospermic of the JV (3.4 +/- 1.2 vs. 4.0 +/- 1.7 MIU/ml, 19.9 +/- 4.0 vs. 20.4 +/- 5.6 ng/ml, 53.9 +/- 15.6 vs. 47.9 +/- 10.7 pg/ml, 19.5 +/- 3.2 vs. 18.6 +/- 2.16 nmol/l, respectively). Oligospermia was associated with increase in total T at both IC (27.5 +/- 4.6 vs. 19.9 +/- 4.0 ng/ml) and the JV (30.7 +/- 3.4 vs. 20.5 +/- 5.6). The higher serum level of total T in oligospermic people in both IC and the JV was associated with higher levels of SHBG compared to those levels in normospermic subjects. On the other hand, oligospermic subjects have lower serum level of free T than in normospermic males (41.5 +/- 10.0 vs. 53.9 +/- 15.6) only in IC, while in the JV, serum free T level was similar (46.5 +/- 6.1 vs. 47.9 +/- 10.7). Taken together data for both locations, IC and the JV, suggest a clear correlation between total T and SHBG levels in both groups' normospermic and oligospermic subjects....

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Case Reports 2005; 26(1): 7-12 PubMed PMID: 15726012 Citation  Keywords:  Adolescent, Adult, Anticonvulsants:therapeutic use, Brain:pathology, Child, Electroencephalography, Epilepsies, Myoclonic:complications, Female, Heme:therapeutic use, Humans, Hydroxymethylbilane Synthase:genetics, Male, Porphyria, Acute Intermittent:compl.   

OBJECTIVES: Myoclonic epilepsy (ME) syndrome is not rare in north-eastern Europe; it is also seen in various forms. Familial occurrence of ME syndrome and acute intermittent porphyria (AIP) was observed in three siblings. The following report was aimed the differentiation between co-morbidity of two different disorders or presence the epileptic seizures within the clinical picture of latent AIP.r />r /> MATERIAL AND METHODS: A case report of three siblings who suffered from seizures, myoclonias, ataxia and minor psychological changes since the age of 8 and 9 years is described in the following report.r />r /> RESULTS: The clinical picture most resembled that of "Baltic myoclonus" (dentate-rubral degeneration or dyssynergia cerebellaris myoclonica -- Ramsay-Hunt syndrome) with epilepsy and/or a benign form of progressive myoclonic epilepsy (PME). The possibility of juvenile myoclonic epilepsy (JME) and other aetiological factors, as less probable causes of ME syndrome, were considered. After 15 years of the treatment by anti-epileptic drugs in all three siblings, AIP was discovered.r />r /> CONCLUSION: Our interest lies in the differentiation of co-morbidity of two different disorders or presence of epileptic seizures as the clinical picture of latent AIP. We propose that the AIP attacks were caused by long-term administration of anti-epileptic drugs. At the same time we suggest it is a coincidence that the two independent genetic abnormalities coexist in the subjects (benign form of degenerative cerebral disease and AIP)....

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Journal Article 2004; 25(Suppl 1): 157-168 PubMed PMID: 15735600 Citation  Keywords:  Female, Fingers:physiology, Hand Strength, Humans, Infant, Newborn:physiology, Male, Physical Stimulation, Reference Values, Touch:physiology, Videotape Recording,.   

: The traditional view that the activity of the baby's hands are triggered by a stimulus in an automatic, compulsory, stereotyped way and persisting view that fingering does not occur prior to 4 months of age, have led perception researchers to the assumption that the processing, encoding, and retainment of sensory information could not take place through the manual mode. This study aims to investigate whether fingering and different types of grasping occur before 3 months of age and can be modulated by surface texture of three objects. Using naturalistic observations, this small sample developmental study applied the AB experimental design to achieve aims above. Babies were video taped every week for 12 weeks. Three special manual stimuli were developed for this study. Focal sampling method with either zero-sampling or instantaneous sampling recording rules were used to analyse data with the Observer Video Pro. Each session comprising baseline and 3 experimental conditions lasted for four minutes. Fingering or 'proto fingering' as it is suggested in this article emerges as early as the first week of postnatal life; texture of a handled object modulates both 'proto-palm' and hand-grasp behaviour of healthy newborns. Results suggest that texture also modulates 'proto-fingering' and challenge persisting current assumption that fingering does not occur before four months of age, and further validates the phrase 'neo-haptic' touch to describe hands-on exploration of the newborn. The author suggests that some 'mental representation' of the stimulus is present during 'neo-haptic' recognition of the objects which is in accordance to a constructivist approach to (touch) perception....

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