PILULE ORALE OESTRO-PROGESTATIVE

« Un jour viendra où le principal avantage d'apprendre la médecine sera de se protéger contre les médecins ». Cette phrase de Jacques Ferron illustre bien le sentiment que certain-e-s patient-e-s cultivent à l'égard du corps médical, une confiance en les connaissances fournies par la science, mais une méfiance envers ceux chargés de les transmettre. La pilule contraceptive en est certainement l'emblème. Ce médicament apparu il y a maintenant 52 ans, fait depuis son apparition l'objet de débats intenses. Débats tant sociaux que médicaux. Aujourd'hui, la contraception orale est devenue la forme de contraception la plus utilisée dans le monde occidental mais malgré sont succès, elle reste toujours au centre des débats. Toutefois le contexte, les préoccupations et même la pilule ont changés. Le contexte actuel pousse les femmes à prendre la pilule, pour diverses raisons, soit personnelles, sociales, médicales ou commerciales. D'un côté elle est présentée comme la contraception « idéale », comme l'outil permettant à une femme d'avoir une vie sexuelle et professionnelle « libérée » avec un rapport risques- bénéfices optimal et de l'autre côté les femmes se posent des questions face à une pilule qui doit être prise quotidiennement et souvent à long terme. Une pilule dont elles entendent régulièrement parler dans les médias comme véhiculant un danger camouflé par un complot pharmaco-médical. Parfois commencée à un jeune âge, lorsque l'on est plus tout à fait enfant et loin d'être femme, ce contraceptif accompagne leurs premières aventures sexuelles et leurs premiers pas dans leur processus de construction en tant que femme. Mais très vite la pilule pose de nombreuses questions. Parce que les copines en parlent, parce que les médias en parlent, parce qu'elles ont l'impression d'avoir prit du poids, d'avoir une baisse de libido, d'être plus triste. Les médecins parlent d'un médicament peu dangereux, avec peu d'effets secondaires, mais elles ne se sentent pas rassurées. Parce que partout on nous dit que la pilule peut être dangereuse. Il y a ce reportage sur cette fille qui a fait un AVC, il y a cette amie qui portera un collant (bas à compression) à vie, il y a cet article qui dit que les poissons changent de sexe à cause des oestrogènes de leur pilule. Il y a ce sentiment que l'on ne leur dit pas tout

Neuroendocrine responses in neonatal mother-deprived rabbits

To study both short- and long-term adaptation mechanisms activated by rabbits which were separated from their mothers (DLS) for 48 h between postnatal days 9 and 11, we examined plasma corticosterone concentrations before, during, and after DLS as well as the expression of glucocorticoid receptor (GR) in the hippocampus and the adrenal axis responses to a mild stress stimuli or exogenous ACTH injection. At postnatal day 10, plasma corticosterone concentration of DLS rabbits was similar to that of controls, but rose two-fold at day 11 (17.7 ± 1.3 vs. 9.3 ± 1.2 μg/dl, P < 0.01) and then decreased at day 12, when suckling was allowed again, to match those of controls with no difference thereafter. At postnatal day 14, both control and DLS rabbits had similar basal corticosterone concentrations (2.2 ± 0.4 vs. 2.3 ± 1.1 μg/dl, respectively) as well as at day 120 (8.8 ± 3.2 vs. 9.7 ± 2.8 μg/dl, respectively). After the standardized stress stimulus, plasma corticosterone concentrations were lower in DLS rabbits than controls at postnatal days 14 (P < 0.01) and 120 (P < 0.05). At day 120, corticosterone levels rose similarly seven-fold (P < 0.01) within 30 min after ACTH administration and remained sustained thereafter in both control and DLS rabbits. Positive immunoreactivity for GR was detected in the hippocampus and in the dorsal medial hypothalamic region at postnatal day 14. The present data suggest that 48 h DLS from postnatal days 9 to 11 results in a modified hypothalamic–pituitary–adrenal axis reactivity later in life

Immunohistochemistry detected and localized cannabinoid receptor type 2 in bovine fetal pancreas at late gestation

At present, data on the endocannabinoid system expression and distribution in the pancreatic gland appear scarce and controversial as descriptions are limited to humans and laboratory animals. Since the bovine pancreas is very similar to the human in endocrine portion development and control, studies on the fetal gland could prove to be very interesting, as an abnormal maternal condition during late pregnancy may be a predisposing trigger for adult metabolic disorders. The present investigation studied cannabinoid receptor type 2 presence and distribution in the bovine fetal pancreas towards the end of gestation. Histological analyses revealed numerous endocrinal cell clusters or islets which were distributed among exocrine adenomeri in connectival tissue. Immunohistochemistry showed that endocrine-islets contained some CB2-positive cells with a very peculiar localization that is a few primarily localized at the edges of islets and some of them also scattered in the center of the cluster. Characteristically, also the epithelium of the excretory ducts and the smooth muscle layers of the smaller arteries, in the interlobular glandular septa, tested positive for the CB2 endocannabinoid receptor. Conse quently, the endocannabinoid system, via the cannabinoid receptor type 2, was hypothesized to play a major role in controlling pancreas function from normal fetal development to correct metabolic functioning in adulthood

Leptin system in obese dog skin: A pilot study

Obesity predisposes to several health problems including skin diseases. However, information on the relationship between obesity and skin disorders in pets is very scarce. Leptin (LEP) is mainly produced by adipose tissue and has a prominent role in skin biology. This study evaluated the LEP system in the skin of obese dogs compared to normal-weight animals. The investigation was carried out on 10 obese (Obese group) and 10 normal-weight (Normal-weight group) dogs through Real-time PCR and immunohistochemistry. Cells of skin associated immune system were also evaluated. No differences were evidenced between the two groups as well as skin inflammation. LEP differences were no significant, while LEPR transcript appeared 10-fold higher in obesedogs than in normal-weight ones. Immunostaining for both molecules was observed in several skin structures such as the epidermis, hair follicles, and glands. No differences appeared in the skin associated immune system composition. This study is a preliminary report showing that LEP system changes in obese dog skin. The increased LEPR expression observed in the obese group suggests that the receptor plays a modulating role in the system control. However, the exact role of LEPin the skin under obesity conditions needs further elucidation

Statistical Consequences of Devroye Inequality for Processes. Applications to a Class of Non-Uniformly Hyperbolic Dynamical Systems

In this paper, we apply Devroye inequality to study various statistical estimators and fluctuations of observables for processes. Most of these observables are suggested by dynamical systems. These applications concern the co-variance function, the integrated periodogram, the correlation dimension, the kernel density estimator, the speed of convergence of empirical measure, the shadowing property and the almost-sure central limit theorem. We proved in \cite{CCS} that Devroye inequality holds for a class of non-uniformly hyperbolic dynamical systems introduced in \cite{young}. In the second appendix we prove that, if the decay of correlations holds with a common rate for all pairs of functions, then it holds uniformly in the function spaces. In the last appendix we prove that for the subclass of one-dimensional systems studied in \cite{young} the density of the absolutely continuous invariant measure belongs to a Besov space.Comment: 33 pages; companion of the paper math.DS/0412166; corrected version; to appear in Nonlinearit

Pasta consumption and connected dietary habits: Associations with glucose control, adiposity measures, and cardiovascular risk factors in people with type 2 diabetes—TOSCA.IT study

Background: Pasta is a refined carbohydrate with a low glycemic index. Whether pasta shares the metabolic advantages of other low glycemic index foods has not really been investigated. The aim of this study is to document, in people with type-2 diabetes, the consumption of pasta, the connected dietary habits, and the association with glucose control, measures of adiposity, and major cardiovascular risk factors. Methods: We studied 2562 participants. The dietary habits were assessed with the European Prospective Investigation into Cancer and Nutrition (EPIC) questionnaire. Sex-specific quartiles of pasta consumption were created in order to explore the study aims. Results: A higher pasta consumption was associated with a lower intake of proteins, total and saturated fat, cholesterol, added sugar, and fiber. Glucose control, body mass index, prevalence of obesity, and visceral obesity were not significantly different across the quartiles of pasta intake. No relation was found with LDL cholesterol and triglycerides, but there was an inverse relation with HDL-cholesterol. Systolic blood pressure increased with pasta consumption; but this relation was not confirmed after correction for confounders. Conclusions: In people with type-2 diabetes, the consumption of pasta, within the limits recommended for total carbohydrates intake, is not associated with worsening of glucose control, measures of adiposity, and major cardiovascular risk factors

Semilinear parabolic equations with superlinear reaction terms, and application to some convection-diffusion problems

We are interested in the existence of distributional solutions for two types of nonlinear evolution problems, whose models are (1.1) and (1.2) below. In the first one the nonlinear reaction term depends on the solution with a slightly superlinear growth. In the second one we consider a first order term depending also on the gradient of the solution in a quadratic way. The two problems are strictly related from the point of view of the a priori estimates we can obtain on their solutions. We point out that no boundedness is assumed on the data of the problems. This implies that the methods involving sub/super-solutions do not apply, and we have to use some convenient test-function to prove the a priori estimates

Effects of obesity on adiponectin system skin expression in dogs: A comparative study

Obesity is an important health issue in dogs since it influences a plethora of associated pathologies, including dermatological disorders. Considering the scarcity of information in pets, this work aimed to evaluate the localization and expression of adiponectin (ADIPOQ) and its two receptors (ADIPOR1 and ADIPOR2) in the skin of 10 obese dogs, compared with serum ADIPOQ level. Through immunohistochemistry, ADIPOQ and ADIPOR2 were observed in the adipose tissue, sweat and sebaceous glands, endothelium, and some connective cells. Both receptors were observed in the epidermis and the hair follicles, other than in the sweat and sebaceous glands. Real-time PCR evidenced that the ADIPOQ and ADIPOR2 transcripts were expressed 5.4-fold (p < 0.01) and 2.3-fold less (p < 0.01), respectively, in obese than in normal weight dogs, while ADIPOR1 expression did not change. Obese dogs showed lower serum ADIPOQ levels than the normal weight group. Accordingly, ADIPOQ and ADIPOR2 expression in the skin appear negatively correlated with obesity in the same way as the serum ADIPOQ level. These findings evidence that ADIPOQ system changes in the skin of obese dogs and suggest that the ADIPOQ effect on the skin is at least in part regulated by the reduced expression of ADIPOR2

Seasonal expression of NGF and its cognate receptors in the ovaries of grey squirrels (Sciurus carolinensis)

The grey squirrel is an invasive alien species that seriously threatens the conservation of the native red squirrel species. With the aim of characterizing the reproductive physiology of this species due to its great reproductive success, the function of the ovarian nerve growth factor (NGF) system was analyzed in a grey squirrel population living in central Italy. During the breeding and nonbreeding seasons, the ovarian presence, distribution, and gene expression of NGF, neurotrophic tyrosine kinase receptor 1 (NTRK1), and nerve growth factor receptor (NGFR), as well as NGF plasma concentrations, were evaluated in female grey squirrels. NGF was found in the luteal cells and in the thecal and granulosa cells of follicles, while NTRK1 and NGFR were only observed in follicular thecal and granulosa cells. NGF and NGFR transcripts were almost two-fold greater during the breeding season, while no seasonal differences were observed in NTRK1 gene expression. During the breeding season, NGFR was more expressed than NTRK1. Moreover, no changes were observed in NGF plasma levels during the reproductive cycle. The NGF system seems to be involved in regulating the ovarian cycle mainly via local modulation of NGF/NGFR, thus playing a role in the reproductive physiology of this grey squirrel population

Existence and multiplicity for elliptic problems with quadratic growth in the gradient

We show that a class of divergence-form elliptic problems with quadratic growth in the gradient and non-coercive zero order terms are solvable, under essentially optimal hypotheses on the coefficients in the equation. In addition, we prove that the solutions are in general not unique. The case where the zero order term has the opposite sign was already intensively studied and the uniqueness is the rule.Comment: To appear in Comm. PD