THE ROLE OF HIGH FOLLICULAR LEVELS OF ANGIOTENSIN II AND VASCULAR ENDOTHELIAL GROWTH FACTOR IN ANTICIPATING THE DEVELOPMENT OF SEVERE OVARIAN HYPERSTIMULATION SYNDROME IN PATIENTS WITH PROPHYLACTIC CABERGOLINE THERAPY UNDERGOING AN IN VITRO FERTILIZATION PROCEDURE.

BACKGROUND AND AIMS: Severe Ovarian Hyperstimulation Syndrome (OHSS) forms with very aggressive clinical evolution are still common, despite prophylactic measures. Besides the Vascular Endothelial Growth Factor (VEGF), there are other angiogenic factors, like Renin-Angiotensin-Aldosterone System (RAS), that might be associated with this disorder. Our study aims to evaluate the role of VEGF and Angiotensin II (ANG II) in the development of early severe OHSS, in high risk patients under prophylactic Cabergoline therapy. MATERIAL AND METHODS: We recruited 192 patients undergoing in vitro fertilization (IVF) procedures with high risk for OHSS development. Out of these, 106 patients with OHSS were enrolled in the study, of which 28 subjects had a severe form of disease (group I), and 78 patients had a mild/moderate form (group II). We collected blood and follicular fluid from our study participants and determined serum and follicular VEGF and ANG II levels using Enzyme-Linked Immunosorbent Assay (ELISA) technique. RESULTS: Follicular VEGF, ANG II, and serum VEGF levels were significantly higher in group I versus group II. Serum VEGF titers were 645.97 versus 548.62 (p = 0.0008), follicular VEGF titers were 2919.52 versus 1093.68 (p < 0.0001), and follicular ANG II levels were 281.64 versus 65.76 (p < 0.0001). No significant differences have been shown between the two groups for serum ANG II levels. CONCLUSION: Our study results provide evidence of a OHSS phenotype that is more prone to undergo severe clinical forms of disease, despite treatments with VEGF receptor blockers, and show that ANG II appears to play a major role alongside VEGF, in the development of these severe forms of disease.

Paternal exposure to antirheumatic drugs-What physicians should know: Review of the literature.

Reproduction capacity and long-term preserved hormonal function are important aspects with big impacts on patients' quality of life. Updated information on the interaction between drug therapy and reproductive function is essential when discussing family planning with patients. Currently, limited data is published regarding paternal exposure to different medications. Thus, it may be a challenge for the practitioner to choose the right therapy for a young male patient. Therefore we reviewed the literature, for effects of antirheumatic drugs on male gonadal function with a focus on spermatogenesis and offspring.

Pheromone trap and population model-based control of the codling moth, Cydia pomonella L., in Romanian apple culture.

Like in most parts of the world, the codling moth, Cydia pomonello (L.), is one of the most important pests in apple orchards in the Romanian Banat region. There, the control of this pest is often inadequate and the damage and economic losses are therefore enormous. This lack of control is caused by structural problems such as the absence of an advanced distribution network for phytopharmaceutical products, obsolete spraying equipment and the insufficient exchange of knowledge and expertise of those products and the pest itself between the local research facilities and the apple growers. The purpose of this research project is rather demonstrative, because a change in the Romanian pome culture's attitude is urgently needed. Pheromone trapping and the computerized population model RIMpro Cydia, which predicts important phenological events such as adult flight and egg hatch, were used to determine the optimal spray timing. These modern pest management techniques would not only minimize pressure on the environment, but also on the income of the Romanian apple grower, for whom phytopharmaceuticals are a high-priced investment. In July 2006 a comparative study between the supervised pest control program using Calypso, Runner and Reldan, all easily obtainable and commercially available insecticides in the region, and a conventional Romanian management programme was conducted. The control plot and the two test plots were all three located in a high codling moth pressure orchard in Timisoara. In the control plot 9,44 % of the fruits were damaged by codling moth larvae. In the plot containing the trees that were treated according to the traditional Romanian management programme 5,56 % damage was recorded, while the supervised management plot showed only 1,1% damage. Additionally damage was measured in another orchard in Periam, about 60 km away from the other plots. There, an intensive control program using Reldan, Calypso, Actare, Karate and Insegar was applied and damage measured only 0.2%. While at first glance that approach seems most efficient, it has to be noticed that it used twice as much insecticide treatments as were used in the supervised control program. Furthermore, 1 % damage is suggested by most references as being the economical threshold for treatments. The results of this comparative study clearly show that supervised codling moth control proofs to be the most profitable. Starting from August the same year, all of the control programmes in Timisoara were stopped. Therefore the second and possibly the third generation of codling moth larvae could develop freely. In the plot which was earlier sprayed according to the warnings of RIMpro Cydia and the pheromone trap this resulted in 27.5% damaged fruits during harvest in September. In the control plot damage reached 60.95%. These results highlight the necessity of the development of an efficient codling moth control program. Once that program is fine-tuned it should be presented to the local apple growers in order to give the Romanian pome culture a boost.

Management of apple scab (Venturia inaequalis) in Romania based on electronic warnings.

Apple scab, Venturia inaequalis (Cke) Wint., is a major problem in Romanian apple orchards and is responsible for serious economic losses. The purchase of spraying equipment and phytopharmaceutical products is very expensive in comparison to the income of local apple growers. This is one of the reasons why reduced fungicide sprayings are becoming more and more important. That's why a project was started to investigate the influence of West-European control measures and to improve interaction between local apple growers and research facilities. This experiment took place in an orchard of the university of Timisoara (USABT), where occurrence of apple scab was very high, and in a well managed commercial orchard, both in the Banat region. In July 2006, a comparative study between a traditional Romanian management program, a calendar-based program and a computerized weather-based management program was conducted. Four test plots were taken. The sprayments in plot 1 happened according to the integrated computerized model. No sprayings took place in plot 2. In plot 3 were some sprayments done with sulphur according to the traditional Romanian program. The sprayings in plot 4 were done following a calendar-based spraying program. The products that were used for the sprayments were all easy to obtain in Romania such as dodine (Sillit flow), dithianon (Delan flow), difenoconazole (Score), pyrimethanil (Scala), metiram (Polyram), kresoxim-methyl (Stroby). The occurrence of scab in plot 1 was very low in comparison to the other plots. Analysing the data, on average, the treatments done in plot 1 caused about 50% less damage than the traditional sprayings. This indicated that with a relative small amount of well timed sprayings a enormous amount of damage can be prevented. A calendar-based management program seems to be less effective (more sprayings needed and the results are worse). These results also emphasize the importance of the development of an adequate apple scab management program that should be presented to local apple growers.

Comparison of reactive oxygen species concentration in seminal plasma and semen parameters in partners of pregnant and non-pregnant patients after IVF/ICSI.

The aims of this study were (i) to determine and compare the concentration of reactive oxygen species (ROS) and total antioxidant status (TAS) in seminal plasma and sperm parameters of the male partners of patients undergoing IVF or intracytoplasmic sperm injection (ICSI) treatment and (ii) to establish the relationship between ROS and TAS concentrations and sperm quality and their effect on fertilization and pregnancy rate of patients who achieved a pregnancy and those who were unsuccessful. Twenty-six IVF and 22 ICSI patients were included in this study. The ROS concentration in seminal plasma and sperm concentration, vitality (eosin test), motility, morphology, membrane integrity (HOS test), maturity (chromomycin, CMA3) and DNA fragmentation (TUNEL) results and their relationship to fertilization and pregnancy were analysed. ROS concentrations were similar regarding the seminal plasma of male partners of patients who achieved a pregnancy and those who were unsuccessful. The other semen parameters, concentration, motility, vitality, membrane and DNA integrity, were comparable in both groups. However, both groups demonstrated a negative correlation between ROS concentration and sperm vitality, membrane integrity and morphology. Moreover, an inverse correlation was found between TUNEL, vitality, and membrane integrity. In conclusion, ROS concentration in seminal plasma affects the quality of spermatozoa. A negative correlation between the ROS concentration in seminal plasma and fertilization rate in both IVF/ICSI programmes was shown.