Effect of oral administration of Tribulus terrestris extract on semen quality and body fat index of infertile men.

Male fertility can be evaluated through complete semen analysis. Plants belonging to the Tribulus genus are known for their role in enhancing sex hormone levels and semen quality. The aim of this study was to evaluate the effects of T. terrestris on semen quality and physiological parameters. Sixty-five men with abnormal semen evaluation were included in this study, in which they were prescribed with oral administration of Androsten® (250 mg of Tribulus terrestris dried extract per capsule). Body fat percentage, lean muscle mass gain, fluctuation in steroid hormone levels and all semen parameters were analysed during the period of treatment. The results demonstrated that decrease in the percentage of body fat and increase in lean mass were significant, as well as increase in dihydrotestosterone levels. Complete semen analysis evaluated at the end of treatment showed significant enhancement in sperm concentration, motility and liquefaction time. Protodioscin, the main phytochemical agent of the Tribulus genus, acts on sertoli cells, germ cell proliferation and growth of seminiferous tubules. This component is known to convert testosterone into dihydrotestosterone, which plays important roles in male attributes. Our results indicate the therapeutic use of Tribulus terrestris by men presenting altered semen parameters, and/or undergoing infertility treatment.

High asthma prevalence and associated factors in urban malagasy schoolchildren.

INTRODUCTION: Studies about bronchial asthma in Africa are impeded by the dearth of reliable data for the vast majority of countries on the continent. This study was conducted to establish the first epidemiological data concerning bronchial asthma in urban Malagasy schoolchildren. METHODS: From three public and five private schools 1236 students aged 7-14 years were recruited and examined using a modified International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire. In a subgroup of 111 schoolchildren from two schools, lung function tests were conducted together with bronchodilator response (BDR) to establish reversible obstruction (change in FEV1 ≥ 12%). RESULTS: The overall prevalence of wheezing in schoolchildren was 25.2%, with strikingly more wheezing in children attending private schools than public schools (p = .0012). The risk was diminished in students with older siblings (p < .03), but was not affected by other variables like smoking habits at home, body mass index, or cooking fuel. In the schools where BDR was performed, we found a point prevalence for reversible bronchial obstruction of 9% through lung function tests. CONCLUSION: Bronchial asthma is of great relevance for schoolchildren living in urban Madagascar. Socioeconomic factors and air pollution seem to have a major impact in addition to the number of older siblings.

Ethnic differences in alcohol sensitivity.

Japanese, Taiwanese, and Koreans, after drinking amounts of alcohol that have no detectable effect on Caucasoids, respond with a marked facial flushing and mild to moderate symptoms of intoxication. Group differences are present at birth, and are probably related to variations in autonomic reactivity.

The orphans of Eritrea: are orphanages part of the problem or part of the solution?

OBJECTIVE: This study compared the mental health and cognitive development of 9- to 12-year-old Eritrean war orphans living in two orphanages that differed qualitatively in patterns of staff interaction and styles of child care management. METHOD: The directors and several child care workers at each institution were asked to complete staff organization and child management questionnaires. The psychological state of 40 orphans at each institution was evaluated by comparing their behavioral symptoms and performance on cognitive measures. RESULTS: Orphans who lived in a setting where the entire staff participated in decisions affecting the children, and where the children were encouraged to become self-reliant through personal interactions with staff members, showed significantly fewer behavioral symptoms of emotional distress than orphans who lived in a setting where the director made decisions, daily routines were determined by explicit rules and schedules, and interactions between staff members and the children were impersonal. CONCLUSIONS: When orphanages are the only means of survival for war orphans, a group setting where the staff shares in the responsibilities of child management, is sensitive to the individuality of the children, and establishes stable personal ties with the children serves the emotional needs and psychological development of the orphans more effectively than a group setting that attempts to create a secure environment through an authoritative style of management with explicit rules and well-defined schedules.

The effects of infantile malnutrition on behavioral development: a follow-up study.

Thirty-one children and young adults who had been severely malnourished in infancy due to intestinal disease, were compared with sibling controls for psychometric intelligence, academic performance as judged by teacher ratings, and developmental history as judged by parental questionnaires. Older members of the sample were also examined on the Lincoln-Oseretzky Motor Development Scale and by a brief psychiatric interview. There were no significant differences between patients and controls on any outcome measure. Furthermore, previously malnourished individuals were performing at or above age equivalent norms on all psychological tests. The findings suggest that the adverse behavioral effects of severe infantile malnutrition observed in children below the age of 5 yr are, to a large extent, compensated during development when the children are raised in supportive home and school environments.

The dynamics of bimanual coordination in developmental dyslexia.

The temporal organization of symmetric and asymmetric bimanual coordination tasks was compared between dyslexic adults and normally reading controls by means of a dynamical systems research strategy. Both groups demonstrated the influence of the intrinsic dynamics of rhythmic motor behavior on the performance of asymmetric bimanual tasks. In normal readers, manual asymmetries of motor control had a significant effect on the relative phasing of finger movements; no such effects were observed in dyslexic subjects. Group differences are discussed in terms of the interaction between neurological constraints and dynamic principles of spontaneous pattern formation.

Early stages in the acquisition of a bimanual motor skill.

Children and adults were trained and tested on a coordinated bimanual task that required them to rotate both hands either at the same or at different angular velocities in order to move the pen of an X-Y recorder along three angles of slant (45, 67 and 22 degrees), and to rotate both hands in the same clockwise direction rather than as mirror image movements. Initially both groups exhibited a tendency to rotate both hands at the same angular velocity even when the task required differential motor output from the two hands. With visual feedback, the tendency toward synchronization, such that both hands moved at the same angular velocity, was asymmetrically distributed, but under blindfolded conditions such asymmetries disappeared. Accuracy of performance increased with practice; and visual feedback enhanced accuracy of performance. The findings suggest that during early stages in the acquisition of a bimanual skill, unintended bilateral coactivation occurs at multiple levels of motor organization; mirror associated movements are only one simple subset of unintentional intermanual synergies.

Impaired motor timing control in specific reading retardation.

The temporal organizations of unimanual and coordinated bimanual finger tapping was compared between adolescent normal and retarded readers of above average intelligence. The same subjects were examined for speech articulation during the timed repetition of single syllables and syllable sequences. Retarded readers had substantially greater difficulty on tasks of interlimb coordination than on unimanual tapping and substantially greater difficulty rapidly sequencing syllable strings than repeating single syllables. An experimental manipulation of movement speed for both tasks indicated that the threshold at which movement speed degrades timing precision for coordinated action best characterizes the motor impairment of retarded readers.

Sex differences and ethnic variations in speed of automatized naming.

White American-Caucasian children from 6-12 yr showed significant sex differences on four tasks of rapid automatized naming; and in each case, girls outperformed boys. American-Chinese, native Japanese and native Korean schoolchildren did not differ from American-Caucasians in naming speed when scores for boys and girls were combined. However, in the three Asian subgroups, there were no sex differences on any naming task. It is suggested that biological as well as experiential factors contribute to behavioral sex differences; and that biological (genetic) variables associated with mating group membership modify the expression of cognitive sex differences.

Purification of fibroblast growth factor-2 from human placenta using tri(n-butyl)phosphate and sodium cholate.

Tri(n-butyl)phosphate (TNBP) and sodium cholate (SC) mixtures have been used to inactivate lipid-enveloped viruses like HIV and hepatitis B. We exploited the use of this combination to purify fibroblast growth factor-2 (FGF-2) from human placenta. Human placentas were extracted in the presence of 0.3% TNBP/0.2% SC and the clarified homogenate was adsorbed to S-Sepharose. The active fractions were further loaded onto a heparin-Sepharose column and purified FGF-2 was eluted with 2.0 M NaCl. FGF-2 purified this way was indistinguishable from FGF-2 purified without TNBP/SC in the extraction step in terms of yield, specific activity and biological response. The lipid-enveloped vaccinia virus was used in a parallel experiment to evaluate the inactivation capacity of our protocol. Under the conditions described here, the combined use of TNBP/SC did not eliminate but reduced significantly the number of vaccinia virus PFUs by log 2-3.

Coronary thrombolysis during acute myocardial infarction by intravenous BRL 26921, a new anisoylated plasminogen-streptokinase activator complex.

The safety and fibrinolytic efficacy of a new anisoylated plasminogen-streptokinase activator complex (APSAC) was tested in 50 patients with acute myocardial infarction (AMI) less than 4 hours in duration. APSAC (30 mg) was given intravenously as a bolus injection 151 +/- 47 minutes after clinical symptoms. Coronary angiography was then performed to assess coronary artery patency: 28 patients had an inferior AMI and 22 an anterior AMI. A patent infarct-related artery was found in 32 patients (64%) on first coronary angiography 66 +/- 21 minutes after administration of APSAC. Subsequent reperfusion was observed in 10 patients after 74 +/- 16 minutes (84%). Bleeding complications or hematomas were observed in 18 patients, of whom 3 required blood transfusions. Marked hypofibrinogenemia was observed within 24 hours in most patients. A control coronary angiogram was recorded in 37 patients (74%) after 25 +/- 19 days and showed reocclusion in 5 patients.

Family patterns of developmental dyslexia: clinical findings.

Two separate groups of dyslexia families were ascertained through probands attending special schools for dyslexic students. An additional control group of families was ascertained through randomly selected students attending public schools. The 3 groups were interviewed by questionnaire about the family's demographic characteristics, and about the incidence of reading and spelling disorders in all first and second order relatives. One group of dyslexia families was also examined by standardized intelligence and academic achievement tests. Developmental dyslexia was found to aggregate in families; there were 4-5 times as many affected males as females among clinically identified students attending the special schools, but the sex ratio of affected relatives after probands had been excluded was approximately 1.4 males for every female. Sibs were at greater risk for reading difficulties when one parent was affected than when neither parent was affected. Sibs were also at greater risk for academic difficulties, and affected sibs were more severely impaired, when the father rather than the mother was the affected parent. In dyslexia families with 2 affected parents, the sibs were at greater risk, and the affected sibs were more severely impaired, than in families where only one parent was affected. Moreover, in families with 2 affected parents, both of the parents were more severely impaired in reading and spelling than parents of the same sex in families with one affected parent. Some indirect evidence is presented that assortative mating may codetermine patterns of affectedness in dyslexia families.

Family patterns of developmental dyslexia. Part III: Spelling errors as behavioral phenotype.

The major trends in current research on developmental dyslexia assume that impaired phonological processing is the core deficit in this disorder. Our earlier studies indicated that half of all dyslexic persons have significant deficits of bimanual motor coordination, and that impaired temporal resolution in motor action may identify a vertically transmitted behavioral phenotype in familial dyslexia. This report examines the relationship between spelling errors as a measure of impaired phonological processing and motor coordination deficits in the same dyslexia families. Affected family members with motor coordination deficits made significantly more dysphonetic spelling errors than dyslexic family members without motor deficits, but there was no evidence that dysphonetic spelling is vertically transmitted in dyslexia families. On the other hand, affected offspring of affected parents with motor coordination deficits made relatively more dysphonetic spelling errors than the affected offspring of parents without motor coordination deficits. We suggest that dysphonetic spelling may be one outward expression of a vertically transmitted behavioral phenotype of impaired temporal resolution that is clearly expressed in coordinated motor action.

Family patterns of developmental dyslexia, part II: behavioral phenotypes.

The motor control of bimanual coordination and motor speech was compared between first degree relatives from families with at least 2 dyslexic family members, and families where probands were the only affected family members. Half of affected relatives had motor coordination deficits; and they came from families in which probands also showed impaired motor coordination. By contrast, affected relatives without motor deficits came from dyslexia families where probands did not have motor deficits. Motor coordination deficits were more common and more severe among affected offspring in families where both parents were affected than among affected offspring in families where only one parent was affected. However, motor coordination deficits were also more common and more severe in affected parents when both parents were affected than among affected parents in families where only one parent was affected. We conclude that impaired temporal resolution in motor action identifies a behavioral phenotype in some subtypes of developmental dyslexia. The observed pattern of transmission for motor deficits and reading impairment in about half of dyslexia families was most congruent with a genetic model of dyslexia in which 2 codominant major genes cosegregate in dyslexia pedigrees where the proband is also motorically impaired.

Variable expression of the fragile X syndrome in heterozygous females of normal intelligence.

The cognitive, linguistic and memory functions of non-retarded fragile X heterozygotes and matched controls were examined by a detailed protocol of neuropsychological measures in order to determine the incidence of specific learning disabilities in this subgroup, and to compare their performance profiles with those of control subjects (mothers of Down syndrome sons). There were no group differences in psychometric intelligence, but the heterozygotes scored significantly lower than controls on most academic achievement tests, as well as on language-based neuropsychological measures. By neuropsychological criteria, 8 of the 15 heterozygotes, but only one of the controls, exhibited performance profiles consistent with a diagnosis of specific learning disability, and similar to cognitive profiles commonly seen in individuals from the general population with developmental dyslexia.

Heroic measures when treating patients with hematologic malignancies - the economic cost of survival.

The survival of patients with hematologic malignancies who require admission to the intensive care unit (I.C.U.) is poor. The potential for cure in this group of patients necessitates aggressive treatment that can result in life-threatening complications. A medical, ethical and financial dilemma arises when aggressive therapy and intensive support is balanced with actual survival, meaningful survival and the financial burden to society and the patient's family. We collected complete financial information on 64 leukemia and lymphoma patients admitted for the first time to the intensive care unit (I.C.U.) at the H. Lee Moffitt Cancer Center and Research Institute between 7/1/88 and 6/30/90. The charges were calculated from actual itemized statements and included all inpatient and out-patient charges. Survival was addressed by individually evaluating candidate variables with parametric and non-parametric analysis. Survival after I.C.U. admission and hospital discharge were studied as dependent variables in a stepwise multiple regression analysis. The nadir of the platelet count and albumin level prior to and during the I.C.U. admission significantly affected survival. During the I.C.U. admission, the BUN, serum creatinine and the need for mechanical ventilation significantly affected survival. Seventy-eight percent of patients survived less than five months and spent less than two and one half months at home. Fifty percent of patients expired during the I.C.U. admission. Only 3.2% of patients who had received two or more chemotherapeutic regimens had survived more than one year. The cost per year of life gained for the entire group of patients was $189,339. The results of this study show that the majority of leukemia and lymphoma patients who are admitted to the I.C.U. expire prior to discharge or spend a minimal amount of time at home prior to expiring. This study suggests that the cost of meaningful survival must be borne in mind by physicians and should encourage them to discuss treatment options, potential outcomes, risks and benefits so that a reasonable strategy can be planned by the physician, patient and family prior to treatment.

Evolution and devolution of folkbiological knowledge.

In this paper we present evidence in support of the hypothesis that the average person's knowledge about trees, and about the natural world in general, has declined during the 20th century. Our investigations are based on examination of a large sample of written material from the 16th through 20th centuries contained in the Oxford English Dictionary. In Analysis 1, we show a precipitous decline in the use of tree terms after, but not before, the 19th century. In Analysis 2, we analyze tree terms at different levels of organization and show that the decline observed in Analysis 1 occurs for all levels of organization. This second analysis also reveals that during the 16th to 19th centuries tree terms became progressively more specific, suggesting that during these periods knowledge about trees increased. In Analysis 3, we show similar rates of decline in other folkbiological categories, indicating that the change in tree terms reflects a general decline in knowledge about living kinds. Also in Analysis 3, we show that several non-biological categories have experienced evolution during the 20th century, indicating that the declines in the 20th century for folkbiological categories are not an inevitable outcome of the corpus. Finally, Analysis 4 also shows declines in the frequency of quotations for which the tree term was not the topic of the sentence, and thus incidental to the purposes of the writer. The results from Analysis 4 reassure us that the results from Analyses 1-3 were not solely due to change in the aims and purposes of writers over the centuries. In sum, the analyses indicate that in the domain of trees, there has been a long and sustained period of conceptual evolution followed by a recent pronounced period of devolution.

Dual task performance during bimanual coordination.

Right-handed men and women tapped two mechanical keys in time to an entraining metronome, using each hand alone and the two hands in alternation. Concurrently, they recited familiar nursery rhymes or read unfamiliar text out loud. The direction of interference from the language-based tasks on manual performance was measured relative to baseline performance. Magnitude and direction of interference from both language tasks were greater during bimanual alternation than unimanual performance. However, the direction of interference during bimanual alternation differed significantly between right-handed men and women, and the sex differences in direction of interference differed according to the characteristics of the language-based secondary task. Right-handed subjects with a family history of sinistrality showed less overall and less lateralized dual task interference than right-handed persons without a family history of sinistrality.

Manual asymmetries of motor sequencing in boys with reading disability.

Boys with reading disability were asked to tap two mechanical keys in time to the beat of a metronome, with left and right hand alone, and with alternating hands. On the single hand trials these boys tapped as well as normal boys with both left and right hands, but when asked to alternate hands, their tapping stability, particularly of the left hand, deteriorated significantly and was worse than that of much younger normal boys. It is argued from evidence from patients with surgical commissurotomies that the motor deficiency in synchronizing left and right hands may be due to a disturbance in interhemishperic cooperation in the boys with reading disability, and it is suggested that the reading problems of these children may be the consequence of a developmental delay in interhemispheric cooperation.

Cancer-patients - the survival and expense of traditional care and hospice care.

Hospice care is a reasonable treatment strategy for those cancer patients whose disease process is no longer responsive to standard treatment regimens or who are unable to tolerate the adverse side effects of continued aggressive therapy. A 1:1 matched case-control study design that designated those patients selecting the hospice model of care as controls and those receiving acute care as cases was utilized. Data was abstracted from medical records and financial billing statements. The difference between total hospital charges plus hospice charges during the last 6 months of life for the hospice patients ($35,625) compared to the non-hospice patients ($50,152) was statistically significant. The hospice model of care may be a less costly option for those cancer patients where palliation is the objective.