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Effects of high temperature and high humidity stress on the negative feedback regulation of hippocampus on HPA axis in rats. 高温高湿应激对大鼠海马HPA轴负反馈调节的影响
IF 0.7 4区 医学
Neuro endocrinology letters Pub Date : 2021-09-10
Min Yang, Yong Luo, Xin-Zhong Hao, Ming-Yang Guo, Wan Li, Yong-He Hu
{"title":"Effects of high temperature and high humidity stress on the negative feedback regulation of hippocampus on HPA axis in rats.","authors":"Min Yang, Yong Luo, Xin-Zhong Hao, Ming-Yang Guo, Wan Li, Yong-He Hu","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the negative feedback regulation from rat hippocampus on hypothalamic-pituitary-adrenal (HPA) axis under high temperature and high humidity stress.</p><p><strong>Methods: </strong>Thirty (30) SD male rats were randomly divided into three groups: control group, high temperature and high humidity group, drug intervention group. The rats in control group were kept in the environment with temperature of 24 ± 1°C and humidity of 50 ± 5%, without any stimulation. The rats in the other groups were exposed to high temperature and high humidity environment for 4 h each day, with temperature of 35±1 °C and humidity of 85±5%. The rats in drug intervention group were intragastrically administered with the glucocorticoid receptor antagonist mifepristone. The administration was continued for 3 weeks. After 3 weeks, the serum levels of corticotropin releasing hormone (CRH), adrenocorticotropic hormone (ACTH) and corticosterone (CORT) were detected by ELISA.The protein and mRNA levels of corticosteroid receptors (MR), glucocorticoid receptors (GR) and inducible nitric oxide synthase (iNOS), transient receptor potential vanilloid 1 (TRPV1) and 11β-hydroxysteroid dehydrogenase 1 (11β-HSD1) in hippocampus were determined by immunohistochemistry and in situ hybridization, respectively. The apoptosis of hippocampal cells was examined with TUNEL apoptosis staining.</p><p><strong>Results: </strong>After stimulation with high temperature and high humidity stress for 3 weeks, the serum levels of CRH, ACTH and CORT in the high temperature and high humidity group were significantly increased compared to that of control group; the levels of these indicators in drug intervention group were decreased compared to that of high temperature and high humidity group (P<0.05). In high temperature and high humidity group, the protein and mRNA levels of MR, GR, iNOS in hippocampus of rats were significantly increased compared with that of control group (p<0.05); and the levels of these indicators in drug intervention group were lower than that of high temperature and high humidity group (p<0.05). In addition, compared with the control group, the TRPV1 protein level in hippocampus of rats in high temperature and high humidity group was not significantly changed (p>0.05), while the TRPV1 mRNA level was significantly increased (p<0.05). Neither the protein nor mRNA levels of 11β-HSD1 showed significant difference compared to control group (p>0.05). The apoptosis of hippocampus cells in the high temperature and high humidity group was significantly increased compared with that of control group (p<0.05); and it was lower in the drug intervention group than that of in high temperature and high humidity group while the result was not significant (p>0.05).</p><p><strong>Conclusion: </strong>High temperature and high humidity stress may up-regulate the local expression of iNOS in hippocampus and decrease the activity of glucocorticoids (GC) recepto","PeriodicalId":19098,"journal":{"name":"Neuro endocrinology letters","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39403299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Attachment in patients with an obsessive compulsive disorder. 强迫症患者的依恋。
IF 0.7 4区 医学
Neuro endocrinology letters Pub Date : 2021-09-10
Frantisek Hodny, Jan Prasko, Marie Ociskova, Jakub Vanek, Michaela Holubova
{"title":"Attachment in patients with an obsessive compulsive disorder.","authors":"Frantisek Hodny, Jan Prasko, Marie Ociskova, Jakub Vanek, Michaela Holubova","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>This review aims to present the current state of knowledge about attachment and obsessive-compulsive disorder (OCD), the connection to the disorder's course, and the treatment effectiveness.</p><p><strong>Method: </strong>A literature search was performed using PubMed, Google Scholar, Web of Science, and ScienceDirect databases using the following search terms: obsessive compulsive disorder, attachment, therapy, treatment, and long-term outcome. The period of extraction was between January 1990 and October 2020.</p><p><strong>Results: </strong>Insecure attachment leads to the formation of dysfunctional beliefs about the world and self, which influences the dynamics of OCD. It is associated with maladaptive cognitive processes such as an inflated sense of responsibility, perfectionism, and mind control. With worse emotional regulation and reduced self-esteem (which can also result from insecure attachment), it can lead to maladaptive behaviour such as perfectionistic and compulsive behaviour to secure and stabilize self-worth and safety. Of the two dimensions that define insecure adulthood attachment (anxiety and avoidance), attachment anxiety is more closely related to OCD. While anxious attachment can lead to a worse response in acute treatment, secure attachment is a protective factor that can improve remission.</p><p><strong>Conclusions: </strong>Anxious attachment is common in patients with OCD and interconnects with primary OCD symptomatology. From this perspective, strategies that promote feelings of safety, acceptance, and appreciation within a therapeutic relationship may be essential in treating OCD.</p>","PeriodicalId":19098,"journal":{"name":"Neuro endocrinology letters","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39403798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Atorvastatin pretreatment alleviate the ischemic brain injury linked to peroxisome proliferator-activated receptor coactivator-1α and angiogenic factors in diabetic mice. 阿托伐他汀预处理可减轻糖尿病小鼠与过氧化物酶体增殖激活受体辅激活剂-1α和血管生成因子相关的脑缺血损伤。
IF 0.7 4区 医学
Neuro endocrinology letters Pub Date : 2021-09-10
Zheng Li, Yun Luo, Jiahui Zhang
{"title":"Atorvastatin pretreatment alleviate the ischemic brain injury linked to peroxisome proliferator-activated receptor coactivator-1α and angiogenic factors in diabetic mice.","authors":"Zheng Li, Yun Luo, Jiahui Zhang","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to investigated whether pretreated with Atorvastatin be helpful in diabetic or wild-type mice, and clarify the possible mechanisms.</p><p><strong>Methods: </strong>C57/B6 and ob/ob mice treated with atorvastatin or not were subjected to middle cerebral artery occlusion (MCAO), which were killed after 2h of occlusion following by 22h of reperfusion. We used Neurological Severity Scores (NSS) to assess the severity of brain injury, and TTC staining was used to measure the infraction volume. Protein levels of PGC-1α, vascular endothelial growth factor (VEGF), angiopoietin-1 (Ang-1), Bcl2, Bax and signaling pathway protein of mitogen-activated protein kinase (MAPK) were estimated by western blot.</p><p><strong>Results: </strong>Atorvastatin could slake the cerebral ischemic/ reperfusion injury in ob/ob diabetic mice, but do nothing on wild-type mice. The expression of PGC-1α and related angiogenic factors such as VEGF and Ang-1 were lower in the diabetic mice after MCAO than wild-type, which could be effective reversed by atorvastatin pretreatment before MCAO. This may be one of the possible mechanisms for atorvastatin to alleviate ischemic injury. MAPK pathway and apoptosis-related proteins were also involved in this course.</p><p><strong>Conclusion: </strong>Impaired angiogenesis mediated by PGC-1α plays an important role in exacerbating ischemic cerebral insults in diabetic mice, and pretreatment with atorvastatin before MCAO has a protective effect through the regulation of PGC-1α and angiogenic factors.</p>","PeriodicalId":19098,"journal":{"name":"Neuro endocrinology letters","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39403729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hypoglycemia during treatment with the ketogenic diet in a child with refractory epilepsy-results of continuous glucose monitoring. 一名难治性癫痫患儿在接受生酮饮食治疗期间出现低血糖--持续葡萄糖监测的结果。
IF 0.7 4区 医学
Neuro endocrinology letters Pub Date : 2021-08-28
Klára Brožová, Anna Holubová, Petra Bořilová, Marek Brabec, Pavel Kohout, Jan Hadač, Jan Brož
{"title":"Hypoglycemia during treatment with the ketogenic diet in a child with refractory epilepsy-results of continuous glucose monitoring.","authors":"Klára Brožová, Anna Holubová, Petra Bořilová, Marek Brabec, Pavel Kohout, Jan Hadač, Jan Brož","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The ketogenic diet (KD) is an effective treatment for intractable epilepsy in children. Hypoglycemia can be one of its side-effects, which is considered to be present mainly during the introductory phase of KD. Continuous glucose monitoring in a 6-year old non-diabetic child treated with KD for more than 8 months revealed long periods of asymptomatic hypoglycemia (8.9% of the total time under 2.5 mmol/l, 10.6% of the total time in the range between 2.5-3.0, 29.1% in the range of 3.0-3.6 mmol/l). The episodes of serious hypoglycemia were associated with a fasting state. The amount of sacharides in KD was increased with substantial glycemic profile improvement.</p>","PeriodicalId":19098,"journal":{"name":"Neuro endocrinology letters","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39346329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effects of low-intensity resistance training with or without blood flow restriction on serum BDNF, VEGF and perception in patients with post-stroke depression. 有或无血流限制的低强度阻力训练对脑卒中后抑郁症患者血清 BDNF、VEGF 和知觉的影响。
IF 0.7 4区 医学
Neuro endocrinology letters Pub Date : 2021-08-28
Xiaochen Du, Wei Chen, Na Zhan, Xiguo Bian, Wenbing Yu
{"title":"The effects of low-intensity resistance training with or without blood flow restriction on serum BDNF, VEGF and perception in patients with post-stroke depression.","authors":"Xiaochen Du, Wei Chen, Na Zhan, Xiguo Bian, Wenbing Yu","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Post-stroke depression (PSD) has a significant effect on patients' quality of life and is often accompanied by a decrease in serum brain-derived neurotrophic factor (BDNF) and vascular endothelial growth factor (VEGF) levels. Although exercise is an effective way to improve the body's endocrine environment, traditional high-intensity resistance exercise is not yet readily accepted.</p><p><strong>Purpose: </strong>To compare the acute effects of high and low resistance training with or without blood flow restriction on perception, BDNF, and VEGF levels in patients with PSD.</p><p><strong>Method: </strong>A total of 24 patients with PSD participated in 2 40% 1- Repetition Maximum (RM) low-intensity resistance training sessions (the low-intensity resistance training group (LOW group) had no blood flow restriction belt; the low-intensity blood flow restriction group (L-BFR group) was required to wear a 120-160 mmHg pressure cuff at the proximal end of the limb) and 1 80% 1-RM high-intensity resistance training session (HIGH group). Elbow venous blood was collected before and after exercise to test for ratings of perceived exertion (RPE), serum blood lactic acid (BLA), BDNF, and VEGF levels.</p><p><strong>Result and conclusion: </strong>There were no statistical differences between the RPE, BLA, BDNF, and VEGF levels of each group before exercise. After exercise, the RPE, BLA, and BDNF levels of the LOW group increased significantly (P < 0.05); the change in VEGF level of the LOW group was not significantly different from that before exercise (P > 0.05), and the indexes of the L-BFR group and the HIGH group were significant after the increase in exercise (P < 0.05). Analysis between groups showed that the changes in BLA, BDNF, and VEGF levels in the L-BFR group and HIGH group were higher than those in the LOW group, and the statistical difference was significant (P < 0.05); there was no change between the statistical difference of the L-BFR group and HIGH group (P > 0.05). The difference in RPE before and after exercise in the HIGH group was significantly higher than that in the L-BFR group (P < 0.05) and the difference in RPE before and after exercise in the L-BFR group was significantly higher than that in the LOW group (P < 0.05). Blood flow restriction resistance exercise may increase the serum BNDF and VEGF levels of PSD patients by increasing the body's BLA concentration. Although its effect is similar to that of traditional high-intensity resistance exercise, subjective physical strength is lower during blood flow restriction resistance exercise.</p>","PeriodicalId":19098,"journal":{"name":"Neuro endocrinology letters","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39346955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence and incidence of primary hyperparathyroidism in Bahrain: A retrospective study from one medical center. 巴林原发性甲状旁腺功能亢进症的患病率和发病率:来自一家医疗中心的回顾性研究。
IF 0.7 4区 医学
Neuro endocrinology letters Pub Date : 2021-08-28
Jehan Abdulla, Yasmeen M Suwaifi
{"title":"Prevalence and incidence of primary hyperparathyroidism in Bahrain: A retrospective study from one medical center.","authors":"Jehan Abdulla, Yasmeen M Suwaifi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>Primary hyperparathyroidism (PHPT) is considered the third endocrine disorder worldwide. However, the incidence of PHPT is variable in different populations. Since there are no studies on PHPT performed in Bahrain or the surrounding Arab Middle Eastern countries, this study aimed to determine the prevalence and incidence of PHPT and its variants in Bahrain.</p><p><strong>Methods: </strong>A retrospective study was conducted over a 3-year period (2018-2020) at the Bahrain Defense Force Military Hospital. Patients' data with normal kidney function, age 14 years and older, and had related laboratory results (calcium, PTH, phosphorus, and vitamin D) were retrieved and analyzed for prevalence and incidence of hypercalcemia and PHPT according to age and sex.</p><p><strong>Results: </strong>Out of 9650 patients, 417 patients had corrected hypercalcemia. Of these, 240, 125, and 88 patients per 100,000 had classic, non-classic, or early/normocalcemic PHPT, respectively. These numbers resulted in a prevalence of PHPT of 274 per 100,000 in Bahrain. The age-adjusted incidence of all types of PHPT was 179 per 100,000/year. Overall, PHPT incidence, whether classic or not, significantly increased in the 50 years age group and above (OR 1.023 with 95% CI 1.013-1.033). Furthermore, hypercalcemia and non-classic PHPT were predominant in females than males. Lastly, vitamin D level was significantly less in classic PHPT than the non-classic variant.</p><p><strong>Conclusion: </strong>The high prevalence and incidence of PHPT should alarm physicians and clinical practices in Bahrain and the Middle East region to investigate routinely for classic and non-classic PHPT to control and manage the complications that arise from PHPT. However, more epidemiological studies in the Middle East region are warranted to investigate the reasons behind the high incidence of PHPT.</p>","PeriodicalId":19098,"journal":{"name":"Neuro endocrinology letters","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39346952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fatigue as the limiting factor for vaginal birth in patients with multiple sclerosis. 疲劳是多发性硬化症患者阴道分娩的限制因素。
IF 0.7 4区 医学
Neuro endocrinology letters Pub Date : 2021-08-28
Kamil Biringer, Stefan Sivak, Jana Sivakova, Róbert Ružiňák, Martina Martiníková, Ema Kantorova, Zuzana Biringerová, Erik Kudela, Egon Kurca
{"title":"Fatigue as the limiting factor for vaginal birth in patients with multiple sclerosis.","authors":"Kamil Biringer, Stefan Sivak, Jana Sivakova, Róbert Ružiňák, Martina Martiníková, Ema Kantorova, Zuzana Biringerová, Erik Kudela, Egon Kurca","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>Multiple sclerosis (MS) is a chronic autoimmune and neurodegenerative disease. This study evaluated pregnancy-related issues in patients with MS in one perinatological centre.</p><p><strong>Material and methods: </strong>A single-centre, retrospective study of the perinatal period in patients with MS admitted at the Dpt. of Gynaecology and Obstetrics, Jessenius Faculty of Medicine, Comenius University and the University Hospital in Martin, Slovak Republic, European Union from January 1, 2015 to December 1, 2020 was performed. Selected parameters from personal, obstetric, and neurological histories were analysed.</p><p><strong>Results: </strong>A cohort of 15 patients (32.5±5.3 years) with a relapsing-remitting form of MS gave birth to 16 children. The mean length of MS at the time of delivery was 9±3.6 years. The severity of the Expanded Disability Status Scale score was 2.0±1.5. Caesarean section (CS) was indicated in 14 deliveries (87.5%). It was elective CS in 10 patients. The most common indication for elective CS was a combination of significant chronic fatigue syndrome and neurological deficit (paresis).</p><p><strong>Conclusions: </strong>The basis for the management of pregnancy, childbirth, and the postpartum period in women with MS is a planned pregnancy based on close cooperation among patients, gynaecologists, and neurologists. Vaginal delivery is not primarily contraindicated. Indications for CS should be considered individually. One way to minimise the indications for CS is a more accurate diagnosis and personalised treatment of fatigue in pregnant women with MS. Presumably, both obstetricians and neurologists prefer vaginal delivery as the first choice in patients with fatigue syndrome.</p>","PeriodicalId":19098,"journal":{"name":"Neuro endocrinology letters","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39346954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dexamethasone induce osteoblast apoptosis in a duration- and dose-dependent manner. 地塞米松诱导成骨细胞凋亡的作用具有持续时间和剂量依赖性。
IF 0.7 4区 医学
Neuro endocrinology letters Pub Date : 2021-08-28
Xintong Guo, Xiangying Ding, Qinpei Ding, Min Liang
{"title":"Dexamethasone induce osteoblast apoptosis in a duration- and dose-dependent manner.","authors":"Xintong Guo, Xiangying Ding, Qinpei Ding, Min Liang","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>Osteoblasts play an important role in the process of osteogenesis and prevention of osteonecrosis. Dexamethasone, a type of glucocorticoids (GCs), induce apoptosis of osteoblasts and lead to the occurrence of non-traumatic osteonecrosis. This study aimed to explore the effects of different doses and duration of Dexamethasone on osteoblast apoptosis of rats in vitro.</p><p><strong>Methods: </strong>Proliferation and apoptosis of osteoblasts after Dexamethasone treatment were detected using cell counting kit-8 (CCK-8) assay and FITC-Annexin V/PI staining. The expressions of caspase-3 and -9 in osteoblasts after Dexamethasone treatment were analyzed using western blotting and qRT-PCR. Dexamethasone remarkably inhibited proliferation and induced apoptosis of osteoblasts in a dose-and duration-dependent manner.</p><p><strong>Results: </strong>As the intervention time extended, the expression of caspase-3 mRNA and caspase-9 mRNA in different Dexamethasone groups gradually increased in a duration-dependent manner. With the same time of intervention (12h, 24h, 48h), the expression of caspase-3 and -9 mRNA gradually increased in a dose-dependent manner. After treated with 5 * 10-8M, 5 * 10-7M, 5 * 10-6M and 5 * 10-5M Dexamethasone for 24 hours, the expression of cleaved caspase-3 and -9 protein increased in a dose-dependent manner.</p><p><strong>Conclusion: </strong>Dexamethasone can induce osteoblast apoptosis in a duration- and dose-dependent manner.</p>","PeriodicalId":19098,"journal":{"name":"Neuro endocrinology letters","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39346956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nightmares in obstructive sleep apnoea. 阻塞性睡眠呼吸暂停症患者的噩梦。
IF 0.7 4区 医学
Neuro endocrinology letters Pub Date : 2021-08-28
Jakub Vanek, Jan Prasko, Marie Ociskova, Samuel Genzor, Michaela Holubova, Milos Slepecky, Vlastimil Nesnidal, Dana Koncelikova, Kamila Minarikova, Krystof Kantor
{"title":"Nightmares in obstructive sleep apnoea.","authors":"Jakub Vanek, Jan Prasko, Marie Ociskova, Samuel Genzor, Michaela Holubova, Milos Slepecky, Vlastimil Nesnidal, Dana Koncelikova, Kamila Minarikova, Krystof Kantor","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Obstructive events in patients with obstructive sleep apnoea (OSA) cause recurrent sleep fragmentation and occasional desaturation, which can cause various parasomnias, including nightmares. Several lines of evidence suggest that OSA may be potentially associated with a higher frequency of nightmares.</p><p><strong>Method: </strong>We searched for studies published from January 2000 until November 2020 in PubMed, the Cochrane Library, Web of Science and Google Scholar. The keywords Obstructive Sleep Apnoea / OSA / Nightmares / CPAP / PTSD / Sleep Quality / Dream / were used in various combinations. The literature search identified 1361 articles which were eligible to more careful examination. Secondary texts were also examined, evaluated for suitability, and added to the primary document list. Finally, a total of 168 articles were included in the review.</p><p><strong>Results: </strong>According to current findings, OSA could affect emotional regulation via activation of limbic system during sympathetic activation and suppression of REM sleep essential to emotional regulation. The reviews also found an increased prevalence of nightmares in OSA patients. OSA is significantly associated with psychiatric morbidity, as was proved in several studies. There seems to be a strong link between nightmares, OSA, PTSD symptoms and other disorder such as unipolar depression.</p><p><strong>Conclusions: </strong>It is clear that therapy of OSA patients, especially those with psychiatric comorbidity, must be complex. In the case of nightmares, we should not forget to use psychotherapy as a first choice, particularly in patients with poor compliance to continuous positive airway pressure (CPAP) and poor sleep and overall life quality. In the same time, we should emphasise the healthy lifestyle and sleep hygiene.</p>","PeriodicalId":19098,"journal":{"name":"Neuro endocrinology letters","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39346957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Concurrent evaluation of salivary and urinary α-amylase activity following prolonged exercise with or without carbohydrate solution in aerobically active men. 同时评估有氧运动男性在有或无碳水化合物溶液的情况下进行长时间运动后唾液和尿液中的α-淀粉酶活性。
IF 0.7 4区 医学
Neuro endocrinology letters Pub Date : 2021-08-28
Nobuo Yasuda, Kohei Yamamoto, Naoki Iwashita
{"title":"Concurrent evaluation of salivary and urinary α-amylase activity following prolonged exercise with or without carbohydrate solution in aerobically active men.","authors":"Nobuo Yasuda, Kohei Yamamoto, Naoki Iwashita","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to determine the effects of 2-h moderately prolonged exercise with carbohydrate intake or water placebo on salivary and urinary α-amylase isoenzyme activity in trained men.</p><p><strong>Materials and methods: </strong>Eleven aerobically fit men participated in this study. On two different occasions, participants performed 2-h cycling corresponding to a constant power output at 60% peak oxygen uptake. The study design involved a random order, placebo-controlled and cross-over assignment. Participants consumed either 6.2% carbohydrate solution or water placebo every twenty minutes thereafter (2 ml/kg body mass) over 2-h endurance exercise. Unstimulated whole salivary samples were collected using the passive drooling method at the 10-min period before and after exercise for the quantification of salivary α-amylase, immunoglobulin A (IgA) and total protein. Two-hour urinary samples were obtained at three time points before (-2-0h), immediately (0-2 h) after and 24-26 h after exercise for the analysis of α-amylase isoenzyme activity (pancreas- and saliva-derived types).</p><p><strong>Results: </strong>The activity of α-amylase in saliva and urine was significantly increased in connect with salivary total protein concentration immediately after moderately long-lasting exercise, but salivary IgA concentration was not statistically significant with or without exogenous carbohydrate intake.</p><p><strong>Conclusion: </strong>These findings suggest that 2-h moderate exercise appears to lead to the enhanced α-amylase activity in saliva and urine regardless of exogenous carbohydrate availability, demonstrating enhanced mucosal immune defense.</p>","PeriodicalId":19098,"journal":{"name":"Neuro endocrinology letters","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39346958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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