Estrous cycle influences the expression of neuronal nitric oxide synthase in the hypothalamus and limbic system of female mice

<p>Abstract</p> <p>Background</p> <p>Nitric oxide plays an important role in the regulation of male and female sexual behavior in rodents, and the expression of the nitric oxide synthase (NOS) is influenced by testosterone in the male rat, and by estrogens in the female. We have here quantitatively investigated the distribution of nNOS immunoreactive (ir) neurons in the limbic hypothalamic region of intact female mice sacrificed during different phases of estrous cycle.</p> <p>Results</p> <p>Changes were observed in the medial preoptic area (MPA) (significantly higher number in estrus) and in the arcuate nucleus (Arc) (significantly higher number in proestrus). In the ventrolateral part of the ventromedial nucleus (VMHvl) and in the bed nucleus of the stria terminalis (BST) no significant changes have been observed. In addition, by comparing males and females, we observed a stable sex dimorphism (males have a higher number of nNOS-ir cells in comparison to almost all the different phases of the estrous cycle) in the VMHvl and in the BST (when considering only the less intensely stained elements). In the MPA and in the Arc sex differences were detected only comparing some phases of the cycle.</p> <p>Conclusion</p> <p>These data demonstrate that, in mice, the expression of nNOS in some hypothalamic regions involved in the control of reproduction and characterized by a large number of estrogen receptors is under the control of gonadal hormones and may vary according to the rapid variations of hormonal levels that take place during the estrous cycle.</p

Нові тенденції розвитку термінознавства : здобутки міжнародної наукової групи Р. Теммерман

Комплексно проаналізовано здобутки міжнародної наукової групи під керівництвом Р. Теммерман: розглянуто основні положення соціокогнітивного термінознавства, питання сутності терміна, фахової мови, фахової комунікації, динаміки терміна, розуміння терміна людиною за різних умов фахового спілкування, оперування великими масивами термінологічних даних, терміноонтографії й терміноонтології, інженерії знань та галузевих онтологій.The paper comprehensively analyses the achievements of the international research group led by R. Temmerman: it examines the main thesis of sociocognitive terminology, questions of the essence of a term, professional language, professional communication, dynamics of a term, understanding of a term by person under various conditions of professional communication, handling large corpora of terminological data, terminoontography and terminoontology, knowledge engineering and specialized ontologies

Contributo alla validazione della versione italiana della scala del Social Support di Susan Harter

Scopo del presente lavoro è proporre una versione italiana della Social Support Scale for adolescents di Susan Harter (1985) e di testarne le proprietà psicometriche. La scala permette di valutare il grado di supporto sociale percepito dal soggetto e la considerazione che sente di riceve da parte di altri significativi. La versione italiana è stata somministrata, in fase di pre-test, a 80 soggetti. I rilievi emersi hanno condotto ad alcuni adattamenti; la versione così ottenuta è stata somministrata ad un campione di 1203 soggetti (11-18 anni). Le analisi statistiche hanno consentito di verificare la consistenza interna e la struttura fattoriale della scala. Tali analisi hanno confermato l’attendibilità e la validità della versione italiana rispetto allo strumento originario. È stato inoltre realizzato un modello di Equazioni Strutturali, al fine di verificare la presenza di una struttura fattoriale sovrapponibile a quella originaria proposta dalla Harter. I rilievi emersi sembrano indicare che anche la versione italiana della scala proposta rappresenta un utile strumento per la comprensione e lo studio del supporto che l’adolescente percepisce di ricevere da parte di altri significativi. SUMMARY. In this paper we aim to propose an Italian version of the Social Support Scale for adolescents of Susan Harter (1985) and to explore its psychometric properties. The Social Support Scale allows to estimate the subject degree of perceived social support and the consideration from significant others. The Italian version was administered, in pre-test phase to 80 subjects. The results lead to some adaptations and this version was administered to a sample of 1203 subjects (11-18 years). The statistical analyses verified the internal consistency and the factorial structure of the Italian version with respect to the structure of the original scale. It was performed a Structural Equations modelling, to assess the properties of factorial structure. These results seem to indicate proposed Italian version of Social Support Scale can be a useful instrument to study the support that the adolescent perceives to receive from significant others

Modification of nitric oxide synthase immunoreactivity in female mouse limbic system during the estrous cycle

Nitric oxide (NO) is a gaseous neuronal messenger, synthesized by the enzyme nitric oxide synthase (NOS), and implicated in the regulation of several physiological and behavioral functions. NO-producing neurons have been localized in numerous regions of the mammalian and non-mammalian central nervous system. In rodents, NOS-immunoreactive neurons and fibers were described in hypothalamic and limbic nuclei belonging to neural circuits implicated in the control of reproductive behavior. Fluctuating levels of estradiol and progesterone during the estrous cycle may induce structural changes in several brain nuclei, where some neurons express estrogen receptors. Various reports indicate that the expression of nNOS is influenced by estrogens in the female. Therefore, to clarify if the nitrergic system is a target for gonadal hormones in physiological conditions, we have investigated the effects of estrous cycle in the expression of nNOS immunoreactivity in different nuclei of the limbic system on two-month-old intact female mice. Changes were observed in the medial preoptic area (significantly higher number in estrus) and in the arcuate nucleus (significantly higher number in proestrus). In the ventrolateral part of the ventromedial nucleus and in the bed nucleus of the stria terminalis no significant changes have been observed. In hippocampus the number of nNOS positive neurons fluctuates during the estrous cycle, reaching its peak during proestrus and metaestrus, and these variations were statistically significant. These results suggest that, in mice, the expression of nNOS in some limbic regions, involved in the control of reproduction and characterized by a large number of estrogen receptors, is under the control of gonadal hormones and may vary according to the short-term variations of hormonal levels that take place during the estrous cycle.? This study has been supported by grants from MURST and University of Torino (SG and GCP)

Infected pancreatic necrosis: outcomes and clinical predictors of mortality. A post hoc analysis of the MANCTRA-1 international study

: The identification of high-risk patients in the early stages of infected pancreatic necrosis (IPN) is critical, because it could help the clinicians to adopt more effective management strategies. We conducted a post hoc analysis of the MANCTRA-1 international study to assess the association between clinical risk factors and mortality among adult patients with IPN. Univariable and multivariable logistic regression models were used to identify prognostic factors of mortality. We identified 247 consecutive patients with IPN hospitalised between January 2019 and December 2020. History of uncontrolled arterial hypertension (p = 0.032; 95% CI 1.135-15.882; aOR 4.245), qSOFA (p = 0.005; 95% CI 1.359-5.879; aOR 2.828), renal failure (p = 0.022; 95% CI 1.138-5.442; aOR 2.489), and haemodynamic failure (p = 0.018; 95% CI 1.184-5.978; aOR 2.661), were identified as independent predictors of mortality in IPN patients. Cholangitis (p = 0.003; 95% CI 1.598-9.930; aOR 3.983), abdominal compartment syndrome (p = 0.032; 95% CI 1.090-6.967; aOR 2.735), and gastrointestinal/intra-abdominal bleeding (p = 0.009; 95% CI 1.286-5.712; aOR 2.710) were independently associated with the risk of mortality. Upfront open surgical necrosectomy was strongly associated with the risk of mortality (p &lt; 0.001; 95% CI 1.912-7.442; aOR 3.772), whereas endoscopic drainage of pancreatic necrosis (p = 0.018; 95% CI 0.138-0.834; aOR 0.339) and enteral nutrition (p = 0.003; 95% CI 0.143-0.716; aOR 0.320) were found as protective factors. Organ failure, acute cholangitis, and upfront open surgical necrosectomy were the most significant predictors of mortality. Our study confirmed that, even in a subgroup of particularly ill patients such as those with IPN, upfront open surgery should be avoided as much as possible. Study protocol registered in ClinicalTrials.Gov (I.D. Number NCT04747990)

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries