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Journal Article 2007; 28(5): 580-584 PubMed PMID: 17984952 Citation  Keywords:  Adult, China, Chromosome Aberrations, Chromosomes, Human, X, Cohort Studies, Cytogenetic Analysis, Decision Trees, Estrogens:blood, Female, Humans, Infertility, Female:blood, Primary Ovarian Insufficiency:blood, Progesterone:blood, Reproductive Techniques.   

OBJECTIVE: Infertility is one of important issues in patients with premature ovarian failure (POF) during their reproductive life. This study would analyze the features of infertility women with POF.

PATIENTS: 138 Chinese infertility women with POF were accrued from the women who visited the Reproductive Medical Center in Shandong Provincal Hospital of Shandong University between May 2003 and November 2006.

METHOD: This study analyzed the clinical, etiology features and karyotype of 138 patients, then evaluates the effect of the therapy.

RESULTS: It showed that most patients' physical situation were suitable for assisted reproductive therapy. The infertility women with POF had high rate of abnormal karyotype (11/65, 16.92%) and lower severe autoimmune disorders rate (2/138,1.45%). Some of them demonstrated family aggregation. FSH was dropped apparently after estrogen-progesterone therapy (p<0.05). The spontaneous pregnancy incidence of the women was 2.17% (3/138).

CONCLUSION: The infertility women with POF were suitable for assisted reproductive therapy and donor oocyte could be an alternate way. Their high chromosomal abnormality rate showed the importance of genetic screening. And estrogen-progesterone therapy was beneficial for improving their endocrine environment....

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Journal Article 2007; 28(5): 585-590 PubMed PMID: 17984949 Citation  Keywords:  Adaptation, Psychological:physiology, Aggression:physiology, Animals, Corticosterone:blood, Dominance-Subordination, Hypothalamo-Hypophyseal System:physiology, Male, Mice, Mice, Inbred BALB C, Social Environment, Stress, Psychological:blood, Territorialit.   

OBJECTIVE: Social stressors modulate the hypothalamic-pituitary-adrenal axis in rodents. However, reports on the association between corticosterone level and behavioural responses to the stressor are ambivalent. This may depend on the experimental paradigm, species- and strain-differences, duration of exposure to the stressor, but also on using either the social state (dominant or subordinate) or the coping style (proactive or passive) of an animal to correlate the corticosterone level with.

DESIGN AND SETTING: We used male Balb-C mice in a resident-intruder paradigm. Adolescent intruders (aged five to eight weeks) were transferred into the cage of an adult resident (aged about four month) for five minutes. The interactions were video-taped for behavioural analysis. Ten minutes after the encounters, intruders were sacrificed and blood samples were collected.

RESULTS: Dominant intruders showed offensive behaviours (attack, chase, tail tracking) and won most of the fights, whereas subordinate intrudes showed mainly submissive behaviours (flight, freezing) and were further classified into active and passive subordinates. Active subordinates displayed significantly more flight-behaviour than passive subordinates. Dominant intruders showed significantly higher post-stress levels of corticosterone than subordinates, which did not differ from control mice, which experienced five minutes of novel-cage exposure. Comparing all three behavioural phenotypes we found the lowest corticosterone levels in active subordinates.

CONCLUSION: Social state significantly affects the HPA-axis response to acute social stressors....

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Clinical Trial 2007; 28(5): 681-685 PubMed PMID: 17984944 Citation  Keywords:  Administration, Oral, Adolescent, Adult, Dietary Supplements, Exercise:physiology, Exercise Test, Fatigue:blood, Humans, Male, Physical Exertion:physiology, Testosterone:blood, Thyroid Hormones:blood, Thyroxine:blood, Trace Elements:administration & dosag.   

OBJECTIVE: The aim of this study was to determine how exercise affects thyroid hormones and testosterone levels in sedentary men receiving oral zinc for 4 weeks.

METHODS: The study included 10 volunteers (mean age, 19.47+/-1.7 years) who did not exercise. All subjects received supplements of oral zinc sulfate (3 mg/kg/day) for 4 weeks and their normal diets. The thyroid hormone and testosterone levels of all subjects were determined at rest and after bicycle exercise before and after zinc supplementation.

RESULTS: TT3, TT4, FT3, and total and free testosterone levels decreased after exercise compared to resting levels before supplementation (p<0.01). Both the resting and fatigue hormone values were higher after 4 weeks of supplementation than the resting and fatigue values before supplementation (p<0.05).

CONCLUSION: The results indicate that exercise decreases thyroid hormones and testosterone in sedentary men; however, zinc supplementation prevents this decrease. Administration of a physiologic dose of zinc can be beneficial to performance....

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Comparative Study 2007; 28(5): 717-720 PubMed PMID: 17984942 Citation  Keywords:  Animals, Estradiol:administration & dosage, Female, Homocysteine:blood, Hormone Replacement Therapy, Ovariectomy, Ovary:physiology, Pineal Gland:physiology, Progesterone:administration & dosage, Rats, Rats, Sprague-Dawley,.   

OBJECTIVE: Hyperhomocysteinemia plays a role in obstetric and gynecological diseases and such diseases are seen as a consequence of an impaired methionine cycle. In the present study, it was aimed to determine the effect of estradiol and progesterone on homocysteine levels in pinealectomized and ovariectomized rats.

MATERIALS AND METHODS: The study was carried out on 24 adult Spraque-Dawley female rats. Rats were divided into 4 groups as follows: Group 1: Sham ovariectomy group (Sham-Ovx), Group 2: Ovariectomized and sham pinealectomized group (Ovx-Sham-Px), Group 3: Ovariectomized and pinealectomized group (Ovx-Px), Group 4: Group which were supplemented with estradiol and progesterone after ovariectomy and pinealectomy (Ovx-Px-E+P). Serum homocysteine levels were determined after experimental period.

RESULTS: Homocysteine levels in Group 3 were higher than those in Groups 1, 2 and 4 (p<0.05). Homocysteine levels in Groups 2 and 4 were higher than those in Group 1 (p<0.05). Homocysteine levels in Groups 2 and 4 were not different.

CONCLUSION: The findings of the present study demonstrate that ovariectomy lead to increases homocysteine levels. Pinealectomy in addition to ovariectomy increases homocysteine levels. However, administration of estradiol and progesterone following pinealectomy prevents the increase in homocysteine levels in ovariectomized rats....

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Comparative Study 2007; 28(5): 614-620 PubMed PMID: 17984940 Citation  Keywords:  Adrenal Medulla:drug effects, Adrenergic Uptake Inhibitors:pharmacology, Adrenocorticotropic Hormone:blood, Analysis of Variance, Animals, Corticosterone:blood, Epinephrine:blood, Fluoxetine:pharmacology, Hypothalamo-Hypophyseal System:drug effects, Male,.   

OBJECTIVE: To estimate the influence of long-term treatment with noradrenergic and serotonergic reuptake inhibitors on activity of pituitary-adrenocortical and sympatho-adrenomedullar systems in animals, we compared the effects of maprotiline (a selective inhibitor of noradrenaline reuptake) and fluxilan (a selective inhibitor of serotonin reuptake) on plasma noradrenaline (NA), adrenaline (A), adrenocorticotropic hormone (ACTH) and corticosterone (CORT) levels in unstressed control and rats exposed to chronic unpredictable mild stress (CUMS).

METHODS: Plasma NA and A were assayed by a radioenzymatic method. Plasma CORT was measured using RIA kits and plasma ACTH by a chemiluminescent method.

RESULTS: CUMS did not affect blood plasma NA, A and ACTH content, but elevated plasma CORT level. Maprotiline elevated plasma NA content both in unstressed control and CUMS group, whereas plasma A remained unchanged. Fluxilan acted significantly increasing plasma NA and A concentrations both in control and CUMS rats. Neither maprotiline nor fluxilan affected plasma ACTH level both in unstressed control and CUMS animals. Plasma CORT level in unstressed control rats remained unchanged after maprotiline and fluxilan treatment, while being significantly decreased in CUMS rats.

CONCLUSION: Chronic treatment of adult rat males with maprotiline, a noradrenaline reuptake inhibitor activated sympathoneural system. On the other hand, fluxilan, a serotonin reuptake inhibitor activated both sympathoneural and adrenomedullar system, whereas both antidepressants desensitized HPA axis. The findings described here suggest that elevated plasma catecholamines my contribute to adverse effects of these drugs on cardiovascular parameters during antidepressant therapy....

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Journal Article 2007; 28(5): 610-613 PubMed PMID: 17984936 Citation  Keywords:  Adjustment Disorders:blood, Adrenocorticotropic Hormone:blood, Adult, Anxiety Disorders:blood, Circadian Rhythm:physiology, Crime Victims:psychology, Dehydroepiandrosterone:blood, Depressive Disorder:blood, Female, Humans, Hydrocortisone:blood, MMPI, Male.   

OBJECTIVES: Evidence in the literature suggests stress-related changes of hypothalamus-pituitary-adrenal (HPA) axis in mobbing. We investigated the association between HPA activity and psychological profiles in mobbing, using a multidisciplinary approach.

DESIGN: Forty-eight victims of mobbing were evaluated by a working group of the Departments of Occupational Medicine, Psychiatry and Internal Medicine. After an informed consent, a detailed occupational history, a psychiatric interview with Minnesota Multiphasic Personality Inventory 2 (MMPI-2) administration and a blood sample (8:00 AM) for the determination of basal adrenocorticotropin (ACTH), cortisol and dehydroepiandrosterone sulphate (DHEAS) plasma levels were collected. Twenty-six patients received an overnight dexamethasone (dex) test.

RESULTS: Mean ACTH, cortisol and DHEAS levels were within normal ranges. The dex-test response was normal, with a significant hormone suppression (ACTH p<0.001, cortisol p<0.001, DHEAS p<0.001). The correlations between basal hormones and the psychometric scales of MMPI-2 revealed that cortisol was significantly and negatively related to Psychasthenia (Pt, p=0.003) and Depression (D, p=0.006), while DHEAS showed a significant negative correlation to Hysteria (Hy, p=0.008). Basal ACTH levels were not significantly related to psychometric scales.

CONCLUSION: A significant inverse correlation between morning plasma cortisol levels and psychometric parameters in victims of mobbing with adjustment disorders was observed. A larger group of patients is necessary to identify and validate a cut-off cortisol level that may become an innovative biological parameter for the diagnosis and follow-up in victims of mobbing....

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Comparative Study 2007; 28(4): 433-437 PubMed PMID: 17693981 Citation  Keywords:  Adolescent, Adult, Endocrine System:physiology, Female, Humans, Hydrocortisone:blood, Male, Odorants, Olfactory Pathways:physiology, Sex Characteristics, Testosterone:blood,.   

OBJECTIVES: This study aimed to verify the influence of odor on the endocrine system (Cortisol, Testosterone).

MATERIAL AND METHODS: Three odors (Musk, Rose and Floral) and air were given to 16 healthy volunteers (8 males, 8 females), and cortisol (C) and testosterone (T) levels were measured before and after stimulation.

RESULTS: Each odor decreased levels of C, indicating that odor can attenuate stress. In males, T decreased with Musk, but increased with Floral. In females, T significantly increased with Musk, but decreased with Rose and Floral.

CONCLUSIONS: These results indicate that influences on hormone levels depend on the type of odor, and sex differences exist in response to odors....

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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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