Pregnanediol excretion in fertile women: age-related changes

1988 ◽  
Vol 119 (1) ◽  
pp. 153-157 ◽  
Author(s):  
M. G. Metcalf ◽  
J. H. Livesey
Keyword(s):  
Luteal Phase ◽  
Rank Correlation ◽  
Premenopausal Women ◽  
Significant Negative Correlation ◽  
Menopausal Transition ◽  
Reproductive Capacity ◽  
Menstrual Cycles ◽  
Age Related ◽  
Set Up ◽  
Excretion Rates

ABSTRACT In normal women reproductive capacity diminishes with age; the decline has been detected before the start of the menopausal transition. It is known that in premenopausal women most menstrual cycles are ovulatory. An investigation was set up to examine the possibility that there is an age-related decline in the ability of the corpus luteum to secrete progesterone at this time. Once-weekly urine samples for the measurement of pregnanediol were collected from 100 women aged 20–48 years, all of whom had regular 20- to 35–day menstrual cycles (1124 samples collected during the course of 312 menstrual cycles of which 96·8% were ovulatory). Pregnanediol excretion rates parallel the levels of progesterone in plasma. Examination of the rank correlation between age and pregnanediol excretion identified a significant negative correlation during the early and mid-follicular phases, but failed to detect any age-related change during the luteal phase. The evidence does not support the concept of an age-related increase in luteal phase defects before the start of the menopausal transition. J. Endocr. (1988) 119, 153–157

Gonadotrophin excretion in fertile women: effect of age and the onset of the menopausal transition

1985 ◽  
Vol 105 (3) ◽  
pp. 357-362 ◽  
Author(s):  
M. G. Metcalf ◽  
J. H. Livesey
Keyword(s):  
Rank Correlation ◽  
Menopausal Transition ◽  
Younger Women ◽  
Age Related ◽  
Cyclical Pattern ◽  
Pattern Characteristic ◽  
The Difference ◽  
Normal Women ◽  
Excretion Rates ◽  
Fertile Women

ABSTRACT In normal women the menopausal transition starts typically with a sudden break in regular menstrual cyclicity: gonadotrophin levels escape from the cyclical pattern characteristic of fertile women and increasingly rise into the postmenopausal range. An investigation was undertaken to determine whether this rise precedes the first appearance of ovarian dysfunction. Weekly urine samples for the measurement of FSH, LH and pregnanediol were collected from 100 women, all of whom had regular 20- to 35-day menstrual cycles (504 samples from 48 women aged 20–39 years and 620 samples from 52 women aged 40–48 years; 96·8% of these cycles were shown to be ovulatory). Excretion rates of FSH in excess of 5 i.u./24 h occurred more often in women aged ≥ 40 years than in younger women (incidence, 31·5 cf. 19·5%; P < 0·001). The difference was greatest at the time of the perimenstruum (7-day incidence, 32·5 cf. 13·9%) and declined to insignificance during the mid-cycle gonadotrophin surge (7-day incidence, 44·2 cf. 34·8%). Examination of the rank correlation between age and gonadotrophin excretion confirmed the age-related rise in FSH and identified a lesser but significant perimenstrual rise in LH. For both FSH and LH these changes were small compared with the increases observed in nine women presumed to have reached the menopausal transition during the trial (incidence FSH ≥ 5 i.u./24 h, 60·6%; incidence LH ≥ 5 i.u./24 h, 48·6%). It is concluded that in fertile women there is evidence of an age-related rise in FSH which is distinct from the changes occurring at the start of the menopausal transition. J. Endocr. (1985) 105, 357–362)

Evaluation of the clot burden score (cbs) for acute ischemic stroke (ais) in intent-to-treat patients.

2019 ◽  
Vol 1 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Sarah Yaziz ◽  
Ahmad Sobri Muda ◽  
Wan Asyraf Wan Zaidi ◽  
Nik Azuan Nik Ismail
Keyword(s):  
Ischemic Stroke ◽  
Clinical Outcome ◽  
Acute Ischemic Stroke ◽  
Predictive Value ◽  
Area Under The Curve ◽  
Rank Correlation ◽  
Treatment Decision ◽  
Roc Curves ◽  
Significant Negative Correlation ◽  
Clot Burden

Background : The clot burden score (CBS) is a scoring system used in acute ischemic stroke (AIS) to predict patient outcome and guide treatment decision. However, CBS is not routinely practiced in many institutions. This study aimed to investigate the feasibility of CBS as a relevant predictor of good clinical outcome in AIS cases. Methods:  A retrospective data collection and review of AIS patients in a teaching hospital was done from June 2010 until June 2015. Patients were selected following the inclusion and exclusion criteria. These patients were followed up after 90 days of discharge. The Modified Rankin scale (mRS) was used to assess their outcome (functional status). Linear regression Spearman Rank correlation was performed between the CBS and mRS. The quality performance of the correlations was evaluated using Receiver operating characteristic (ROC) curves. Results: A total of 89 patients with AIS were analysed, 67.4% (n=60) male and 32.6% (n=29) female. Twenty-nine (29) patients (33.7%) had a CBS ?6, 6 patients (6.7%) had CBS <6, while 53 patients (59.6%) were deemed clot free. Ninety (90) days post insult, clinical assessment showed that 57 (67.6%) patients were functionally independent, 27 (30.3%) patients functionally dependent, and 5 (5.6%) patients were deceased. Data analysis reported a significant negative correlation (r= -0.611, p<0.001). ROC curves analysis showed an area under the curve of 0.81 at the cut-off point of 6.5. This showed that a CBS of more than 6 predicted a good mRS clinical outcome in AIS patients; with sensitivity of 98.2%, specificity of 53.1%, positive predictive value (PPV) of 76%, and negative predictive value (NPV) of 21%. Conclusion: CBS is a useful additional variable for the management of AIS cases, and should be incorporated into the routine radiological reporting for acute ischemic stroke (AIS) cases.

Effects of oestradiol on sex hormone binding globulin

1982 ◽  
Vol 101 (2) ◽  
pp. 248-253 ◽  
Author(s):  
Viveca Odlind ◽  
Kerstin Elamsson ◽  
Doris E. Englund ◽  
Arne Victor ◽  
Elof D. B. Johansson
Keyword(s):  
Luteal Phase ◽  
Sex Hormone ◽  
Sex Hormone Binding Globulin ◽  
Hormone Binding ◽  
Pronounced Increase ◽  
Menstrual Cycles ◽  
Menopausal Women ◽  
Plasma Oestradiol

Abstract. Sex hormone binding globulin (SHBG) levels were studied for possible effects of oestradiol-17β on SHBG. No change in SHBG plasma was recorded during normal menstrual cycles or during treatment with oestradiol-17β to menopausal women. However, gonadotrophin treatment to amenorrhoeic women to induce ovulation resulted in high oestradiol concentrations and a pronounced increase in SHBG was found during the luteal phase of these cycles. A marked increase of SHBG was also recorded in a woman with pronounced fluctuations of oestradiol during treatment with levonorgestrel sc implants for contraception. In conclusion, effects on SHBG were only found when extraordinarily high levels of plasma oestradiol were recorded.

Immunohistochemical localization of pituitary gonadotrophins and gonadal steroids confirms the 'two-cell, two-gonadotrophin' hypothesis of steroidogenesis in the human ovary

1990 ◽  
Vol 126 (3) ◽  
pp. 483-NP ◽  
Author(s):  
M. Kobayashi ◽  
R. Nakano ◽  
A. Ooshima
Keyword(s):  
Luteal Phase ◽  
Immunohistochemical Analysis ◽  
Immunohistochemical Localization ◽  
Follicular Phase ◽  
Gonadal Steroids ◽  
Immunohistochemical Method ◽  
Human Ovary ◽  
Luteal Cells ◽  
Menstrual Cycles

ABSTRACT Ovaries from 37 women with normal menstrual cycles were analysed for localization of pituitary gonadotrophins and gonadal steroids using an immunohistochemical method. In the follicular phase, FSH and oestradiol-17β localized in the granulosa layer, and LH, progesterone and testosterone localized in the internal thecal layer. In the luteal phase, gonadotrophins and steroids localized in luteal cells. Particularly in the early luteal phase, FSH and oestradiol-17β localized in large luteal cells, and LH, progesterone and testosterone localized in small luteal cells. The results of the present immunohistochemical analysis confirm the two-cell, two-gonadotrophin hypothesis of steroidogenesis in the human ovary. Journal of Endocrinology (1990) 126, 483–488

Assessment of choroidal vascularity index during the menstrual cycle

2021 ◽  
pp. 112067212110576
Author(s):  
Nazife Aşikgarip ◽  
Emine Temel ◽  
Kemal Örnek
Keyword(s):  
Optical Coherence Tomography ◽  
Menstrual Cycle ◽  
Prospective Study ◽  
Luteal Phase ◽  
Choroidal Thickness ◽  
Optical Coherence ◽  
Menstrual Cycles ◽  
Healthy Women ◽  
Luminal Area ◽  
Choroidal Structure

Purpose To explore the effect of menstrual cycle on choroidal vascularity index (CVI). Methods Thirty six eyes of 36 healthy women were included in this prospective study. The menstrual cycles were regular and ranged from 28 to 30 days in length. Optical coherence tomography images were obtained in 3 different phases of the menstrual cycle. The choroidal thickness (CT), total choroidal area, luminal area, stromal area, and CVI were quantified. Results Mean subfoveal, nasal and temporal CT were significantly changed in mid-luteal phase in comparison to early follicular (p = 0.018, p = 0.006 and p = 0.001, respectively) and ovulatory phases (p = 0.037, p = 0.037, and p = 0.035, respectively). Mean CVI showed a significant change in mid-luteal phase when compared with early follicular (p = 0.001) and ovulatory phases (p = 0.036). Conclusion CVI seemed to be affected in mid-luteal phase of menstrual cycle. This should be considered while analyzing choroidal structure in otherwise healthy women.

scholarly journals Correlation between Degenerative Changes and Osteoporosis in Lumbar Spine of Elderly Women in Dhaka city, Bangladesh

2018 ◽  
Vol 10 (1) ◽  
pp. 18-21 ◽  
Author(s):  
Sultana Amena Ferdoucy ◽  
Md Anower Hussain Mian ◽  
Nasrin Akhter ◽  
Md Shafiqul Alam ◽  
MA Sadek
Keyword(s):  
Lumbar Spine ◽  
Elderly Women ◽  
Significant Negative Correlation ◽  
Cross Sectional Study ◽  
Degenerative Changes ◽  
Mineral Density ◽  
Cross Sectional ◽  
Age Related ◽  
Younger Age ◽  
Study Results

Aims: Degenerative joint diseases and decreased bone mass i.e.  osteoporosis are two common age related skeletal disorders  responsible for pain and disability. Bangladesh has a high incidence  of osteoporosis and the incidence particularly in women, occurs  among a relatively younger age group than in the developed world.  However little is known about the correlation between degenerative  changes and osteoporosis in lumbar spine of elderly women. The  purpose of this study was to clarify this relationship in elderly women  of Dhaka, Bangladesh.  Methods: A cross-sectional study was conducted at the department  of radiology and imaging of Bangladesh institute of research and  rehabilitation in diabetes, endocrine and metabolic disorders  (BIRDEM), Dhaka during the period of 1st January, 2009 to 31st  December, 2010. DEXA scan of spine and BMD measurement were  done at a renowned private hospital of Dhaka. Total 63 elderly female  aged between 50-75 years were randomly selected for this study.  Results: An inverse relationship between osteoporosis and  spondylosis in postmenopausal women as evaluated by bone  mineral density and semiquantitative scoring of spinal degeneration  was observed. A significant negative correlation (r=-0.53:p<0.05)  was found between T-score and grade. DOI: http://dx.doi.org/10.3329/cdcj.v10i1.13740 City Dent. Coll. J Volume-10, Number-1, January-2013

Age-Related Decreases in Finger Sensitivity Can Produce Error in Palpated Heart-Rate Determination

2000 ◽  
Vol 8 (2) ◽  
pp. 120-128
Author(s):  
Nobuo Takeshima ◽  
William F. Brechue ◽  
Setsuko Ueya ◽  
Kiyoji Tanaka
Keyword(s):  
Heart Rate ◽  
Radial Artery ◽  
Negative Correlation ◽  
Significant Negative Correlation ◽  
Elderly Individuals ◽  
Age Related ◽  
Intensity Of Exercise ◽  
Electrocardiogram Ecg

This study attempted to determine the accuracy of measuring heart rate by radial artery palpation in elderly individuals. Elderly (ELD; n = 26) and young (Y; n = 21) individuals completed 3 intensity levels of exercise on a treadmill, each carried out on a separate day. Participants determined their heart rate by palpating the radial artery (PR) after exercise. In ELD, there were significant differences between PR and electrocardiogram (ECG; p = .007). Heart-rate errors at each intensity of exercise were 7.2 ± 12.5, 6.6 ± 15.7, and 10.1 ± 16.5 beats/min. There were no differences in PR and ECG in Y. Fingertip sensitivity was significantly lower in ELD than in Y. A significant, negative correlation existed (r = -.56, n = 26) between heart-rate error and fingertip sensitivity in ELD. These data suggest that self-conducted PR by elderly individuals fails to accurately estimate heart rate. This appears to result from lessened vibrotactile sensitivity in the fingers.

scholarly journals Mapping gaseous amines, ammonia, and their particulate counterparts in marine atmospheres of China’s marginal seas: Part 1 – Differentiating marine emission from continental transport

2021 ◽  
Author(s):  
Dihui Chen ◽  
Yanjie Shen ◽  
Juntao Wang ◽  
Yang Gao ◽  
Huiwang Gao ◽  
...  
Keyword(s):  
Significant Negative Correlation ◽  
The Yellow Sea ◽  
Sea Spray ◽  
Marine Atmosphere ◽  
Coastal Site ◽  
Marginal Seas ◽  
Range Transport ◽  
Order Of Magnitude ◽  
Using Data ◽  
Set Up

Abstract. To study sea-derived gaseous amines, ammonia, and primary particulate aminium ions in the marine atmospheres of China's marginal seas, an onboard URG-9000D Ambient Ion Monitor-Ion chromatography (AIM-IC, Thermo Fisher) was set up on the front deck of the R/V Dongfanghong 3 to semi-continuously measure the spatiotemporal variations in the concentrations of atmospheric trimethylamine (TMAgas), dimethylamine (DMAgas), and ammonia (NH3gas) along with their particulate matter (PM2.5) counterparts. In this study, we differentiated marine emissions of the gas species originating from continental transport using data obtained from December 9 to 22, 2019 during the cruise over the Yellow and Bohai Seas, facilitated by additional measurements collected at a coastal site near the Yellow Sea during summer 2019. The data obtained during the cruise and the coastal site demonstrated that the observed TMAgas and protonated trimethylamine (TMAH+) in PM2.5 over the Yellow and Bohai Seas overwhelmingly originated from marine sources. During the cruise, there was no significant correlation (P > 0.05) between the simultaneously measured TMAH+ and TMAgas concentrations. Additionally, the concentrations of TMAH+ in the marine atmosphere varied around 0.28 ± 0.18 μg m−3 (average  ±  standard deviation), with several episodic hourly average values exceeding 1 μg m−3, which were approximately one order of magnitude larger than those of TMAgas (approximately 0.031 ± 0.009 μg m−3). Moreover, there was a significant negative correlation (P < 0.01) between the concentrations of TMAH+ and NH4+ in PM2.5 during the cruise. Therefore, the observed TMAH+ in PM2.5 was overwhelmingly derived from primary sea-spray aerosols. Using the TMAgas and TMAH+ in PM2.5 as tracers for sea-derived basic gases and sea-spray particulate aminium ions, the values of non-sea-derived DMAgas and NH3gas, as well as non-sea-spray particulate DMAH+ in PM2.5, were estimated, and the estimated average values of each species contributed to 16 %, 34 %, and 65 % of the observed average concentrations, respectively. Uncertainties remained in the estimations as TMAH+ may decompose into smaller molecules in seawater to varying extents. The non-sea-derived gases and non-sea-spray particulate DMAH+ likely originated from long-range transport from the upwind continents, according to the recorded offshore winds and increased concentrations of SO42− and NH4+ in PM2.5. The lack of a detectable increase in the particulate DMAH+, NH4+, and SO42− concentrations in several SO2 plumes did not support the secondary formation of particulate DMAH+ in the marine atmosphere.

scholarly journals Funding patterns for biomedical research and infectious diseases burden in Gabon

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Olouyomi Scherif Adegnika ◽  
Yabo Josiane Honkpehedji ◽  
Fabrice Mougeni Lotola ◽  
Selidji Todagbe Agnandji ◽  
Ayola Akim Adegnika ◽  
...  
Keyword(s):  
Biomedical Research ◽  
Negative Correlation ◽  
Research Funding ◽  
Rank Correlation ◽  
Significant Negative Correlation ◽  
World Health ◽  
African Countries ◽  
Research Partnerships ◽  
Malaria Burden ◽  
Burden Of Diseases

Abstract Background Biomedical research plays an important role in improving health. There seems to exist a negative correlation between the amount of biomedical research funding and disease burden from all Sub-Saharan African countries. In this study, we describe funding patterns for biomedical research, explore the correlation between funding and burden of diseases, and quantify inequalities in funds distribution across diseases in Gabon over the period 2005–2015. Methods Data on medical research funds from 2005 to 2015 were retrieved through a structured questionnaire distributed to Gabonese biomedical research institutions and by consulting online databases. Data on the burden of diseases were gathered from the World Health Organization and the Institute for Health Metrics and Evaluation. We used Kendall rank correlation coefficient to explore the correlation between cumulative funds over time and the burden of disease. The inequality distribution of funding across diseases was assessed through Gini coefficient and Lorenz curve. Results Biomedical research funding was characterized by a remarkable growth from 2005 to 2010 and a decline from 2010 to 2014. Funds were mostly from external sources and from partnerships. There was inequality in research funds allocation across diseases and malaria was far the most funded disease. There was a significant negative correlation between cumulative funding and the burden of HIV, tuberculosis, and of Helminthiasis (from 2006 to 2010) suggesting that research may be contributing to the management of such diseases. A positive, although not significant, correlation was found between cumulative funds and malaria burden. Conclusions The negative correlation between HIV and tuberculosis cumulative funding and burden suggests that research may be contributing to the management of such diseases but further research is needed to assess the causal direction of such as relationship. As the burden of non-communicable diseases is increasing, more research funds should be focused on those. While research partnerships have been and will remain fundamental, Gabon should increase the amount of national funds to overcome periods of reduced research funding flows from abroad.

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