Plasma neuropeptide-Y levels, monoamine metabolism, electrolyte excretion and drinking behavior in children with attention-deficit hyperactivity disorder

Introduction: This study was conducted against a background of the following four points: a) increased drinking behavior in children with attention-deficit hyperactivity disorder (ADHD), b) the parallel between some behaviours associated with ADHD and with hypertension, c) the use of the spontaneously hypertensive rat as a model for ADHD, and d) similarities in the changes of neuropeptide-Y (NPY) and catecholamine in the studies of hypertension and drinking, Methods: Measures of NPY, catecholamines and electrolyte balance were compared in the plasma and urine of healthy children and those with ADHD. Drinking was monitored during three hours of neuropsychological tests over two days in 14 ADHD (mean 9.8 years-of-age) and 9 healthy children (10.6 years-of-age). Results: Patients drank 4 times more water and showed twice the levels of NPY in controls. In controls there were positive and in patients there were negative relationships for NPY with drinking and restless behavior. Patients' plasma levels of norepinephrine (NE) and epinephrine were slightly elevated, but urinary levels of NE and the serotonin metabolite were markedly increased. Urinary excretion rates for sodium (not potassium), phosphate and, especially calcium were decreased in patients. NPY levels were inversely related to calcium excretion and drinking inversely to sodium circulating (but positively with potassium and phosphate excretion). Conclusions: Increases of drinking and increased levels of circulating NPY in ADHD children and decreased electrolyte excretion may reflect a common disturbance in the homeostatic control of metabolism.This may contribute to the impairments of attentional and behavioural control typical of ADHD children

Plasma arginine vasopressin concentrations in epileptics under monotherapy

Plasma arginine vasopressin concentrations were determined by radio-immunoassay in 112 adult epileptics who were taking carbamazepine, phenytoin, primidone, or sodium valproate in long-term monotherapy, and in 19 controls. No significant difference was found between the groups, but some epileptics taking carbamazepine and primidone showed low values. Serum concentrations of carbamazepine did not correlate with the concentrations of plasma arginine vasopressin. In conclusion, there was no evidence of a stimulating effect of chronic carbamazepine medication or a special inhibiting effect of phenytoin on the release of vasopressin arginine from the posterior pituitary

Adverse drug reactions in hospitalized children in Germany are decreasing: results of a nine year cohort-based comparison

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Closing the gap – detection of clinically relevant von Willebrand disease in emergency settings through an improved algorithm based on rotational Thromboelastometry

Abstract Background Hemorrhage and blood loss are still among the main causes of preventable death. Global hemostatic assays are useful point-of-care test (POCT) devices to rapidly detect cumulative effects of plasma factors and platelets on coagulation. Thromboelastography (TEG) and Thromboelastometry (ROTEM) are established methods in many anesthesiological departments for guided hemostatic treatment. However, von Willebrand disease remains undetected by standard ROTEM, especially during emergency care, despite being the most prevalent congenital hemostatic disorder. Methods In our monocentric cohort pilot study we focused on hemostatic challenges associated with von Willebrand disease. Twenty-seven patients with suspected von Willebrand disease were included. We modified the routine ROTEM assay by adding a preincubation with ristocetin and commercially available plasma-derived von Willebrand factor to identify clinically relevant von Willebrand disease (VWD). Results Addition of von Willebrand factor to the ristocetin assay of a VWD type 3 patient restored the reaction of the whole blood probe to match the response of a healthy person. Our modified ROTEM assay with ristocetin (Ricotem) showed that all high responders (n = 7) had VWD. In the low responder group (n = 16) – 10 of 16 had VWD and in the normal responder group (n = 5), 2 of 5 had mild type 1 VWD. Conclusions This new modification of the standard ROTEM assay enables the detection of otherwise unnoticed critical von Willebrand disease based on alterations in clot formation and might serve as a novel approach to reliably assess severe VWD patients by platelet-mediated blood clotting in an emergency setting. We recommend incorporating this new VWD-focused screening tool into the current ROTEM-based management algorithm of acute microvascular bleeding

Chapter X: The Tour de France: a success story in spite of competitive imbalance and doping

International audienceThe chapter goes as follows. In the first section it is demonstrated how the Tour de France is a high quality product. This is a result from its accurate design, its management, its economic model and its finance structure, both in comparison to other mega-sporting events and with reference to tournament theory. It is not easy to assess the competitive balance in the Tour de France since, as was demonstrated in chapter 10, it is at the same time an individual and a team sport contest. After reviewing some results published in literature so far, a new metrics for evaluating competitive balanced in the Tour de France is presented in section 2. Finally, the Tour de France cannot ignore doping as a potential threat to fan attendance and TV viewing. We therefore discuss the issue of doping and a new procedure to deal with doping in section 3

Особенности формирования гражданского общества в России: постперестроечный контекст

Актуальность доклада обусловлена необходимостью изучения перехода постперестроечной России от государства к гражданскому обществу. Идея гражданского общества в постперестроечный период обрела легитимность в академическом сообществе России, но недостаточно решенной в аналитическом плане осталась проблема влияния социально- политического контекста на процесс становления основ и институтов гражданского общества в постперестроечной России.The relevance of the report is conditioned by the need to study the transition of post-perestroika Russia from the state to civil society. The idea of civil society in the post-perestroika period gained legitimacy in the academic community of Russia, but the problem of the influence of the socio-political context on the process of formation of the foundations and institutions of civil society in post-perestroika Russia remained insufficiently solved in the analytical plan

Treatment of Travel Expenses by Golf Course Patrons: Sunk or Bundled Costs and the First and Third Laws of Demand

To attract golf patrons, sport managers must understand consumption patterns of the golfer. Importantly, the treatment of travel costs must be understood. According to the Alchian-Allen (1964) theorem, golfers treat travel costs as bundled costs (third law of economic demand) whereas classical consumer theory indicates that golfers treat travel costs as sunk costs (first law of economic demand). The purpose of this study was to determine if golf patrons treated travel costs as sunk costs or if they treated travel costs as a bundled cost. Data from a survey of course patrons in Ohio support the treatment of travel costs as bundled costs by golf course patrons, especially those classified as tourists. The strong, positive correlation found between distance traveled and the cost of greens fees enables managers to utilize geographic segmentation in choosing to whom to market their course based upon their product’s price compared to area competitors