A testképtől a testképzavarig

The aim of this literature review is to integrate the results of various studies regarding body image and body image distortion into a unified framework. The concept of body image is complex and can be interpreted from multiple points of view. The first part of the study touches upon different age characteristics, attentional focus on the body, the early and important role of the body in identity formation, specific features in adolescence, gender differences, and the often-observed stability of body image (distortion), which may be present as a (trait) marker throughout the lifespan. The second part focuses on the organization of body image. The results of different studies on cognitive information processing are reviewed, the question of perceptual accuracy is addressed and the concepts of embodiment are examined. The third topic is body image distortion. First, the concept is contextualized along different continua, then discussed in a clinical sense along with the complexity of diagnostic methods, as well as the state and trait aspects of body image distortion. Orv Hetil. 2017; 158(19): 723-730

Despite its sequence identity with canonical H4, Drosophila H4r product is enriched at specific chromatin regions

Histone variants are different from their canonical counterparts in structure and are encoded by solitary genes with unique regulation to fulfill tissue or differentiation specific functions. A single H4 variant gene (His4r or H4r) that is located outside of the histone cluster and gives rise to a polyA tailed messenger RNA via replication-independent expression is preserved in Drosophila strains despite that its protein product is identical with canonical H4. In order to reveal information on the possible role of this alternative H4 we epitope tagged endogenous H4r and studied its spatial and temporal expression, and revealed its genome-wide localization to chromatin at the nucleosomal level. RNA and immunohistochemistry analysis of H4r expressed under its cognate regulation indicate expression of the gene throughout zygotic and larval development and presence of the protein product is evident already in the pronuclei of fertilized eggs. In the developing nervous system a slight disequibrium in H4r distribution is observable, cholinergic neurons are the most abundant among H4r-expressing cells. ChIP-seq experiments revealed H4r association with regulatory regions of genes involved in cellular stress response. The data presented here indicate that H4r has a variant histone function

Epilepsziasebészeti beavatkozások eredményei a Pécsi Epilepszia Centrumban 2005 és 2016 között = Postoperative outcome of surgical interventions for epilepsy between 2005 and 2016 at the Epilepsy Center of Pécs

Absztrakt: Bevezetés: Az epilepszia krónikus, súlyos neurológiai betegség, mely jelentősen befolyásolja az életminőséget. A megfelelő indikációval végzett epilepsziasebészeti beavatkozás rohammentességet eredményezhet, mely önmagában vagy rehabilitációt követően jelentősen javíthatja az életminőséget. Célkitűzés: Jelen tanulmányunk célkitűzése a Pécsi Epilepszia Centrumban 2005 és 2016 között epilepsziasebészeti beavatkozáson átesett betegek posztoperatív eredményeinek felmérése. Módszer: Az adatgyűjtés a betegek klinikai anyagának áttekintésén túlmenően kérdőívek alkalmazásával történt, a rohamállapot értékelésén kívül a foglalkoztatottsági státuszra mint az életminőség egyik fontos indikátorára is fókuszálva. Eredmények: Reszektív epilepsziasebészeti beavatkozás 72 esetben történt. A betegek 76%-a tartósan rohammentessé vált. A betegek 10%-ánál műtét után csak igen ritkán lépett fel roham, 7%-uknak jelentősen csökkent a rohamszáma, míg 7%-ban nem változott érdemben a rohamállapot. A rohammentes és a nem rohammentes betegek csoportjainak foglalkoztatottsági adatait vizsgálva azt találtuk, hogy a rohammentesség befolyásolja a páciensek elhelyezkedési lehetőségeit. A rohammentes betegek 67%-a állt foglalkoztatottság alatt, míg a nem rohammenteseknek mindössze a 19%-a (p<0,01, Fisher-féle egzakt teszt). Következtetés: Eredményeink a nemzetközi adatoknak megfelelve alátámasztják az epilepszia reszektív sebészi kezelésének klinikai és szociális eredményességét. Orv Hetil. 2019; 160(7): 270–278. | Abstract: Introduction: Epilepsy as a chronic, severe neurologic disease significantly influences the quality of life of the epileptic patients. In candidates well selected for surgery, the seizure freedom is realistically achievable, and the quality of life can be further improved with complex individual rehabilitation. Aim: We aimed to evaluate the postoperative outcome of patients who underwent epilepsy surgery between 2005 and 2016 at the Epilepsy Center at Pécs. Method: We evaluated seizure status at regular follow-up visits after surgery and the quality of life using questionnaires focusing on employment and social status. Results: 76% of the 72 patients who underwent surgical resection for epilepsy were free from disabling seizures , and 10% had rare disabling seizures (almost seizure-free), 7% experienced worthwhile improvement and 7% had no worthwhile improvement. Comparing the employment status of patients free from disabling seizures to patients not free from disabling seizures, we found that the employment status is significantly influenced by seizure freedom (p<0.01, Fisher’s exact test). While 67% of seizure-free patients were employed, only 19% of patients not free from disabling seizures were hired. Conclusion: Our results resemble the international tendencies and success rate, proving epilepsy surgery as an available, valid and effective treatment in well selected patients. Orv Hetil. 2019; 160(7): 270–278

Characterization of Neurons Expressing the Novel Analgesic Drug Target Somatostatin Receptor 4 in Mouse and Human Brains

Somatostatin is an important mood and pain-regulating neuropeptide, which exerts analgesic, anti-inflammatory, and antidepressant effects via its Gi protein-coupled receptor subtype 4 (SST4) without endocrine actions. SST4 is suggested to be a unique novel drug target for chronic neuropathic pain, and depression, as a common comorbidity. However, its neuronal expression and cellular mechanism are poorly understood. Therefore, our goals were (i) to elucidate the expression pattern of Sstr4/SSTR4 mRNA, (ii) to characterize neurochemically, and (iii) electrophysiologically the Sstr4/SSTR4-expressing neuronal populations in the mouse and human brains. Here, we describe SST4 expression pattern in the nuclei of the mouse nociceptive and anti-nociceptive pathways as well as in human brain regions, and provide neurochemical and electrophysiological characterization of the SST4-expressing neurons. Intense or moderate SST4 expression was demonstrated predominantly in glutamatergic neurons in the major components of the pain matrix mostly also involved in mood regulation. The SST4 agonist J-2156 significantly decreased the firing rate of layer V pyramidal neurons by augmenting the depolarization-activated, non-inactivating K+ current (M-current) leading to remarkable inhibition. These are the first translational results explaining the mechanisms of action of SST4 agonists as novel analgesic and antidepressant candidates

Mid-infrared time-domain study of recent dust production events in the extreme debris disc of TYC 4209-1322-1

Extreme debris discs are characterized by unusually strong mid-infrared excess emission, which often proves to be variable. The warm dust in these discs is of transient nature and is likely related to a recent giant collision occurring close to the star in the terrestrial region. Here we present the results of a 877 days long, gap-free photometric monitoring performed by the Spitzer Space Telescope of the recently discovered extreme debris disc around TYC 4209-1322-1. By combining these observations with other time-domain optical and mid-infrared data, we explore the disc variability of the last four decades, with particular emphasis on the last 12 years. During the latter interval the disc showed substantial changes, the most significant was the brightening and subsequent fading between 2014 and 2018 as outlined in WISE data. The Spitzer light curves outline the fading phase and a subsequent new brightening of the disc after 2018, revealing an additional flux modulation with a period of ~39 days on top of the long-term trend. We found that all these variations can be interpreted as the outcome of a giant collision that happened at an orbital radius of ~0.3 au sometime in 2014. Our analysis implies that a collision on a similar scale could have taken place around 2010, too. The fact that the disc was already peculiarly dust rich 40 years ago, as implied by IRAS data, suggests that these dust production events belong to a chain of large impacts triggered by an earlier even more catastrophic collision