Search NEL Online

Journal Article 2001; 22(1): 53-73 PubMed PMID: 11393163 Citation  Keywords:  Adrenal Glands:physiology, Animals, Biological Clocks, Blood Pressure:physiology, Chronobiology Disorders:physiopathology, Chronobiology Phenomena, Chronotherapy, Circadian Rhythm:physiology, Drug Administration Schedule, Genomics, Homeostasis, Humans, Pi.   

...

Read abstract

Journal Article 2001; 22(1): 53-73 PubMed PMID: 11393163 Citation  Keywords:  Adrenal Glands:physiology, Animals, Biological Clocks, Blood Pressure:physiology, Chronobiology Disorders:physiopathology, Chronobiology Phenomena, Chronotherapy, Circadian Rhythm:physiology, Drug Administration Schedule, Genomics, Homeostasis, Humans, Pi.   

...

Read abstract

Case Reports 2008; 29(6): 874-876 PubMed PMID: 19112420 Citation  Keywords:  Aged, Anti-Inflammatory Agents:therapeutic use, Autoimmune Diseases:complications, Azathioprine:therapeutic use, Diabetes Insipidus:etiology, Female, Humans, Hypothalamic Diseases:complications, Immunosuppressive Agents:therapeutic use, Methylprednisolone.   

: Autoimmune hypothalamitis is a rare autoimmune neuroendocirne disease. A case of a 70-year-old female with autoimmune hypothalamitis was reported. The chief clinical characteristics were diabetes insipidus and adenopituitary function deficiency. Cranial magnetic resonance imaging (MRI) scan indicated a mass in the hypothalamus. The diagnosis of autoimmune hypothalamitis was presumed. After treatment with prednisone, there was a marked reduction in the mass and the hypothalamus-adenopituitary function partially improved. However, after glucocorticoid therapy was withdrawn, the hypothalamic lesion relapsed progressively. High dose methylprednisolone pulse therapy (HDMPT) in combination with azathioprine was initiated thereafter. During follow-up, MRI scan indicated the lesion shrank strikingly, and the patient's clinical condition improved as well. In view of the good response of the hypothalamic lesion to glucocorticoid and immunodepressant, the putative diagnosis of autoimmune hypothalamitis was confirmed. This case report suggested that HDMPT in combination with azathioprine therapy might be an effective trial for autoimmune hypothalamitis treatment....

Read abstract  Full text PDF

Journal Article 2008; 29(6): 1015-120 PubMed PMID: 19112418 Citation  Keywords:  Adaptation, Physiological, Adrenal Medulla:enzymology, Analysis of Variance, Animals, Catecholamines:biosynthesis, Dopamine beta-Hydroxylase:genetics, Gene Expression Regulation:physiology, Immobilization, Male, Phenylethanolamine N-Methyltransferase:gene.   

OBJECTIVE: Isolation of adult animals represents a form of psychsocial stress that produces sympatho-adrenomedullar activation. The aim of this work was to investigate the changes in gene expression and protein levels of catecholamine biosynthetic enzymes: tyrosine hydroxylase (TH), dopamine-beta-hydroxylase (DBH) and phenylethanolamine N-methyltransferase (PNMT) in the adrenal medulla of naive control and chronically (12 weeks) socially isolated adult Wistar rat males and the response of these animals to additional immobilization stress (2 h).

METHODS: TH, DBH and PNMT mRNA levels were quantified by quantitative real-time RT-PCR (qRT-PCR). TH, DBH and PNMT immunoproteins were assayed by Western Blot.

RESULTS: In chronically isolated rats, gene expression levels of catecholamine biosynthetic enzymes in the adrenal medulla were decreased, but only TH mRNA was significantly decreased. However, protein levels of TH, DBH and PNMT of these animals were elevated by 55%, 20% and 18%, respectively, in relation to the corresponding control. Naive control and chronically socially isolated rats exposed to additional 2-h-immobilization showed increased gene expression of the examined enzymes, the increase being greater in socially isolated rats as compared to the controls. Additional immobilization of naive controls did not affect TH, DBH and PNMT protein levels. In contrast, this stress produced increased TH, DBH and PNMT protein levels in long-term socially isolated rats.

CONCLUSION: We can conclude that psychosocial stress expressed a differential influence on gene expression and protein levels of catecholamine biosynthetic enzymes in the adrenal medulla of adult rats. The results indicate a possible adaptation of catecholamine-synthesizing system at the level of TH gene expression in adrenal medulla of chronically isolated animals....

Read abstract  Full text PDF

Journal Article 2008; 29(6): 965-970 PubMed PMID: 19112417 Citation  Keywords:  Adolescent, Adult, Cross-Cultural Comparison, Female, Headache Disorders:classification, Humans, Migraine Disorders:classification, Migraine with Aura:diagnosis, Pakistan:epidemiology, Prevalence, Severity of Illness Index, Surveys and Questionnaires, You.   

: The International Headache Society (IHS) criteria-based questionnaires were given to 647 college-going females (faculty and students) of selected universities in Lahore, Pakistan. Forty five (7%) were diagnosed with Migraine with Aura (MWA), 181 (28%) with Migraine without Aura (MWOA) and 421 (65%) as NMH (non-migrainous headache). We found 'Photophobia and Phonophobia' as the most common headache-associated symptoms, and 'Stress' and lack of sleep' as the most commonly reported triggers of MWA (44%) and MWOA (38%). Most common headache management practice amongst migraineurs was 'sleep' [MWA (35%) and MWOA (39%)]. This is the first paper which elucidates the symptomatology, risk factors and treatment modalities of migraineurs in Pakistan....

Read abstract  Full text PDF

Case Reports 2008; 29(6): 857-866 PubMed PMID: 19112416 Citation  Keywords:  Antineoplastic Combined Chemotherapy Protocols:therapeutic use, Biological Therapy:methods, Breast Neoplasms:therapy, Carcinoma, Ductal, Breast:therapy, Complementary Therapies, Female, Hormone Antagonists:administration & dosage, Humans, Middle Aged, Neo.   

: In this case presentation, a woman with breast carcinoma who chose to try Prof. L. DiBella's biological therapy (MDB), was found, after seven months, to have a 50% reduction in objective measures of her carcinoma and was totally cured after 14 months. The patient's recovery extended to bilateral axillary adenopathies, and took place without the toxicity normally associated with cancer treatment. MDB entails the use of anti-proliferative molecules such as somatostatine, prolactin, and estrogen inhibitors, along with differentiating and apoptotic molecules such as melatonin, retinoids, vitamins C, D3, and E, calcium, and amino-sugars, combined with minimal doses of chemotherapy. The hemato-chemical exams showed no damage, with a progressive reduction of prolactin, estradiol, IGF1, and maintenance of low levels of GH. The achievement of objective results, without toxicity, in this case, proves the effectiveness of this therapy and confirms the positive results already published on the use of MDB for Low-Grade NHL, and pulmonary carcinomas in the 3rd and 4th stages. MDB, without the need for either hospitalization or day hospitalization, without toxicity, and without even minimally reducing the patient's daily work routine, allowed the patient to avoid surgical trauma and the significant collateral effects of chemo- and radiotherapy. Timely use of MDB as the first line therapy, in a patient which had not been debilitated by the mutagenic, toxic, and immuno-depressive effects of chemo- and radiotherapy, contributed greatly to the final outcome. We feel it is useful to highlight this case in an effort to stimulate interest and further study into the oncological potential of MDB biological and receptor therapy....

Read abstract  Full text PDF

Case Reports 2008; 29(6): 867-870 PubMed PMID: 19112415 Citation  Keywords:  Adult, Brain Neoplasms:complications, Central Nervous System Neoplasms:complications, Humans, Lymphoma, B-Cell:complications, Magnetic Resonance Imaging, Male, Multiple Sclerosis, Relapsing-Remitting:complications,.   

: We present the patient with the diagnosis of multiple sclerosis (MS), relapsing-remitting form with long lasting remission. Unexpectedly, this patient presented dramatical clinical deterioration and revealed clinical symptoms such as bradypsychia, cognitive symptoms, central vestibulare syndrome, spastic quadruparesis. Clinical findings suggested secondary progressive MS, but MRI called in question this diagnosis. The MRI appearance suggested, that MS had been complicated by a different brain pathological lesion, and the brain biopsy was indicated. A histological examination confirmed primary CNS lymphoma (PCNSL). This case exemplifies important aspects of clinical neurology. A re-evaluation of the diagnosis of MS should always be performed in a patient when new symptoms are presented that are unusual or could be due to other pathological processes. MRI offers the highly sensitive way to detect the coexistence of MS and other brain disease. Primary goal of imaging modalities is differential diagnosis between demyelinating diseases, such as MS and other brain lesions. Advanced focus demand contrast- enhancing and mass- effect lesions. It is important to realize, that contrast-enhancement and brain edema may be mitigated by treatment with corticosteroids. In some cases a brain biopsy is needed....

Read abstract  Full text PDF

Journal Article 2008; 29(6): 822-830 PubMed PMID: 19112414 Citation  Keywords:  Anesthesia, General:psychology, Animals, Brain:drug effects, Cognition:drug effects, Consciousness:drug effects, Humans, Psychophysiology,.   

: An explanation of consciousness is one of the major unsolved problems of modern science. The modern view of consciousness arose in the nineteenth century; the view presumed that mental activity correlates with distinct physical states. Is the problem of consciousness real? Crick and Koch made a tentative assumption that all different aspects of consciousness (pain, seeing, thinking, emotion, self-consciousness) are connected by a basic common mechanism. The next step towards understanding involved the neuronal theories of consciousness (correlates of consciousness), often referred as the NNC (neural correlates of consciousness). Many neuroscientists presume that consciousness must have a neuronal correlate. The neuroscience of anaesthesia can be defined as studying the effect of anaesthetic agents on consciousness and the preconsciousness brain mechanisms of cognitive function. Some of these mechanisms, such as recognition of the novel stimuli, are still present in deep anaesthesia, during continuous suppression. Anaesthesia is not "an all or nothing" phenomenon and consciousness awareness with explicit memory represents only one part of the spectrum of cognitive functions. The introduction of safe general anaesthesia represents one of the most important, although under-appreciated, advances in modern surgery. There is some difficulty in defining the term "consciousness" in relation to the anaesthetic state. The difference in brain activity between those under anaesthesia and those not under any such influence....

Read abstract  Full text PDF