Leptin, ghrelin, nesfatin-1, and orexin-A plasma levels in girls with premature thelarche.

PURPOSE: Reducing the mean age of puberty onset in recent years has crucial public health, clinical, and social implications. This study aimed to evaluate the serum levels of appetite-related peptides (leptin, ghrelin, nesfatin-1, and orexin-A) and anthropometric data in girls with premature thelarche (PT). METHODS: We enrolled 44 girls aged 4-8 years diagnosed with PT and 33 age-matched healthy girls as controls. The demographic data of the girls were obtained using a questionnaire. Anthropometric data were measured and fasting blood samples were collected. RESULTS: Body weight, height, body mass index (BMI), body fat mass, and basal metabolic rate (BMR) were higher in the PT group than in the control group (p < 0.05). Serum leptin (p < 0.001), nesfatin-1 (p = 0.001), and orxein-A (p < 0.001) levels were significantly higher in the PT group than in healthy controls. However, there were no significant differences in the serum ghrelin levels between the groups (p > 0.05). The results of multivariate logistic regression revealed that serum leptin level (OR (95% CI): 42.0 (10.91, 173.06), p < 0.001), orexin-A (OR (95% CI): 1.14 (1.04, 1.24), p = 0.006), and BMI for age z-score (OR (95% CI): 6.97 (1.47, 33.4), p = 0.014) elevated the risk of incidence of PT at 4-8 girls. CONCLUSION: These results suggest that in addition to serum leptin levels, serum orexin-A and nesaftin-1 can take part in the initiation of PT. Few studies have investigated the relationship between nesfatin-1 and orexin-A levels and age at onset of puberty; hence, it should be a subject for future studies.

A Unique Case: Arteriovenous Malformation of the Urinary Bladder Wall

ABSTRACT Arteriovenous malformation (AVM) of urinary bladder is a very rare condition in which a section of blood vessels lacks capillary vessels resulting in blood from an artery being delivered directly to a vein. We report a rare case of AVM of the bladder wall mimicking a bladder tumour presenting with acute abdomen.

Assessment of the nutritional status of children according to maternal reports: Are mothers' perceptions of their children's appetite accurate?

INTRODUCTION: This study determined whether there is a difference in the nutritional status of children with good and poor appetites, as reported by their mothers. METHODS: In all, 70 volunteer mothers of children aged 6-60 months participated in the study. Information about the nutrition of the child was obtained from the mothers via a questionnaire. RESULTS: Based on the mothers' statements, no significant difference was found in the mean or median values of the anthropometric measurements between children with good and poor appetites (p>.05), and no significant difference was observed between daily consumed energy and macro- and micronutrients (p>.05). While the blood zinc levels of children with a good appetite were higher than those with a poor appetite (p<.05), there was no difference regarding other parameters (p>.05). CONCLUSION: In this study, no significant difference was evident between children defined as having good or poor appetite by their mothers, especially in terms of energy and nutrients.

Mandibular tori are associated with mandibular bone quality: a case-control study.

BACKGROUND: Torus mandibularis (TM) is one of the most common oral exostoses. The presence of TMs has been correlated with high skeletal bone mineral density. This study aimed to evaluate the relationship between TM and mandibular bone quality based on the measurement of mandibular cortical index (MCI). MATERIALS AND METHODS: A case-control study was designed for patients who attended the Department of Dentomaxillofacial Radiology at the University of Hacettepe for routine dental examination. Patients with TMs were defined as cases, and those without TMs were defined as controls. The presence of tori was assessed by visual inspection and digital palpation. MCI assessments were done based on Klemetti's classification. The associations between the presence of TMs, MCI, and the parafunctional activity were assessed. RESULTS: The sample consisted of 80 subjects with TMs and 80 control subjects. The presence of TMs was strongly associated with the parafunctional activity (p = 0.036) and a non-eroded mandibular cortex (MCI C1, p = 0.001). CONCLUSIONS: Parafunctional activity may be a factor related to the formation or existence of TMs. The association between TMs and mandibular morphology may suggest that subjects with TMs may have a higher mandibular bone quality compared to those without TMs.

Primary vaginal endometrial stromal sarcoma associated with endometriosis: a case report with a review of the literature.

Extrauterine endometrial stromal sarcomas (ESSs) are quite rare tumors, and vagina is an unusual site for these tumors. This paper presents a very rare pathological entity of primary vaginal ESS. A 46-year-old woman with a complaint of postcoital vaginal bleeding, low abdominal pain, and constipation was admitted to the clinic. She had a mass of seven cm in size, located in the posterior fornix detected on physical examination. The preoperative biopsy showed ESS, surgical material, and evaluation of an endometrium confirmed the diagnosis of primary vaginal ESS. She underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy, and partial vaginectomy. The diagnosis of ESS performed by pathologic and immunohistochemical evaluation was: caldesmon (-), actin (-), desmin (-). CDIO (+), ER (+), PR (+), and vimentin (+). There was no ESS lesion in the endometrium. The patient was free of tumor for 22 months after the surgery without any additional therapy. In this study, the authors report the sixth case of primary vaginal ESS in the literature and aim to discuss diagnostic criteria and management protocols in the light of the literature.

Dose-dependent effects of endosulfan and malathion on adult Wistar albino rat ovaries.

In this study, histological effects and malondialdehyde (MDA) levels were investigated by endosulfan and malathion in adult female rat ovaries. An increase of MDA level in rat ovarium tissues due to endosulfan and malathion may be an indicator of the free radicals occurred during the metabolism and their lipid peroxidative inducing damage. In this study in accordance with the biochemical findings, the study demonstrated that there are pronounced structural defects in histological examinations of ovarian tissues in rats which were administered endosulfan and malathion. It has been observed that the size of ovarian tissues of rats which were administered endosulfan and malathion in different doses was decreased in various levels. There was a significant decrease healthy follicles and a significant increase atretic follicles in low dose of endosulfan and malathion (11 mg kg(-1)) treated rats. The histologic observations of the ovary revealed the presence of less number of healthy follicles and more number of atretic follicles and corpus luteums in high dose of endosulfan and malathion (33 mg kg(-1)) treated rats. Finally, a peroxidative damage occurs inavitably due to endosulfan and malathion for ovarium tissues. The biochemical results (MDA levels) also showed such a damage, similar with the histological results.

Clarithromycin in the treatment of RSV bronchiolitis: a double-blind, randomised, placebo-controlled trial.

Respiratory syncytial virus (RSV) bronchiolitis is the most common lower respiratory tract infection in infancy. To date, there is no effective therapy for RSV bronchiolitis. In order to investigate the efficacy of clarithromycin in the treatment of RSV bronchiolitis, the present authors conducted a randomised, double-blind, placebo-controlled trial comparing clarithromycin with placebo in 21 infants with a diagnosis of RSV bronchiolitis. The infants were randomised to receive clarithromycin or placebo daily for 3 weeks. Levels of interleukin (IL)-4, IL-8, eotaxin, and interferon-gamma were determined in plasma, before and after treatment, using ELISA. Six months after treatment, parents were surveyed as to whether their child had experienced wheezing within the previous 6 months. Treatment with clarithromycin was associated with a statistically significant reduction in the length of hospital stay, the duration of need for supplemental oxygen and the need for beta(2)-agonist treatment. There were significant decreases in plasma IL-4, IL-8 and eotaxin levels after 3 weeks of treatment with clarithromycin. Readmission to the hospital within 6 months after discharge was significantly lower in the clarithromycin group. In conclusion, clarithromycin has statistically significant effects on the clinical and laboratory findings in respiratory syncytial virus bronchiolitis. Therefore, clarithromycin treatment may be helpful in reducing the short-term effects of respiratory syncytial virus bronchiolitis.

Reduction of copper in porous matrixes. Stepwise and autocatalytic reduction routes.

The reduction of Cu(II) oxide species in siliceous matrixes of different porosity (MFI, FAU, MCM-48) and in alumosilicate MFI was studied by temperature-programmed reduction in hydrogen (TPR), by X-ray absorption fine structure (after stationary hydrogen treatments), and by transmission electron microscopy. It was found that the reduction may proceed in one or in two reduction steps. The two-step scheme known for zeolites was observed also for Cu(II) in siliceous microporous matrixes, with similar temperature of Cu(II) reduction onset as for the alumosilicate MFI. Therefore, the two-step scheme cannot be explained by the stabilization of Cu ions by intra-zeolite electrical fields. CuOx clusters in MCM-48 were reduced in a one-step scheme (similar to bulk CuO) at high Cu content (6 wt %) but in a two-step scheme at low Cu content (1 wt %). The two reduction steps observed with most samples cannot be identified with the transitions of all Cu(II) to Cu(I) and of Cu(I) to Cu(0). Instead, Cu(0) nuclei were observed already at low reduction temperatures and were found to coexist with Cu ions over temperature ranges of different extension. This coexistence range was narrow in materials that favor aggregation of the Cu nuclei into particles: Cu-MCM-48 of low Cu content and Cu-ZSM-5. In the latter, metal segregation from the pore system was found to be accompanied by an autocatalytic initiation of the second reduction step. In the siliceous microporous matrixes, the Cu(0) nuclei were observed to coexist with Cu ions over wide temperature ranges (100 K for MFI) at temperatures far above that of Cu reduction in the bulk oxide. These observations suggest that oligomeric Cu metal nuclei which may have been formed, e.g., at the intersections of the MFI channel system, may be unable to activate hydrogen, which would be required for rapid reduction of the coexisting Cu ions.

Misoprostol administration in first-trimester pregnancies with embryonic demise reduces uterine arterial blood flow.

OBJECTIVES: This study was designed to evaluate the effect of misoprostol on the blood flow in uterine arteries of pregnant women with first-trimester embryonic demise. METHODS: Transvaginal ultrasonographic Doppler examinations (resistance index, pulsatility index, systolic/diastolic ratio) of the uterine arteries in 61 pregnant women were performed before misoprostol administration and 90 min later. Following baseline Doppler measurements, each woman received 200 microg misoprostol intravaginally and 200 microg misoprostol orally. RESULTS AND CONCLUSION: All Doppler indices increased significantly after misoprostol administration (p < 0.0001), suggesting an increase in flow resistance.

Effects of pentoxifylline in the prevention of ovarian hyperstimulation syndrome in a rabbit model.

Tumor necrosis factor alpha (TNF-alpha) and other cytokines have been implicated in the pathogenesis of ovarian hyperstimulation syndrome (OHSS). Pentoxifylline, a methylxanthine derivative, was found to inhibit TNF-alpha synthesis. The aim of this study was to evaluate whether the use of pentoxifylline would prevent the occurrence of OHSS in a rabbit model. Thirteen rabbits were divided into two groups. The first group (n = 6) were given pentoxifylline 15 mg/kg intravenously and the second group (n = 7) were given physiological serum 15 mg/kg before ovulation induction. Ovarian hyperstimulation was induced in rabbits by 200 IU equine chorionic gonadotropin on day 1 and 100 IU human chorionic gonadotropin on day 3. Blood samples were analyzed for TNF-alpha on days 1, 3 and 5. All animals were autopsied on day 6 to evaluate the ovarian weight, ascites formation and histopathological changes. There was no difference between groups regarding weight gain, ascites formation and plasma TNF-alpha levels (p < 0.05). Ovarian weight and number of ovulations were significantly lower in the pentoxifylline group than the control group (p < 0.05). Pentoxifylline did not prevent ascites formation despite the observed decrease in ovarian weight and number of ovulations in OHSS in a rabbit model.

Bacteriology of antrum in adults with chronic maxillary sinusitis.

Swabs of 126 chronically inflamed maxillary sinuses were processed for aerobic and anaerobic bacteria during endoscopy. Bacterial growth was present in 113 of 126 specimens (90%). Anaerobic bacteria were isolated in 100 of 113 culture-positive specimens (88%). Anaerobes only were recovered in 59 cases (52%) and, in 41 (36%), they were mixed with aerobic or facultative bacteria. Aerobic or facultative bacteria were present in 13 cases (12%). A total of 323 isolates (2.8 per specimen), 228 (2.3 per specimen) anaerobes and 95 (1.7 per specimen) aerobes or facultatives, were isolated. The predominant anaerobic organisms were anaerobic cocci and Bacteroides species; the predominant aerobes or facultative bacteria were Streptococcus species and Staphylococcus aureus. These findings indicate the major role of anaerobic organisms in chronic sinusitis.