Seasonal variation and circadian rhythmicity of the prolactin profile during the summer months in repeat-breeding Murrah buffalo heifers

The present study was undertaken to determine a detailed endocrine profile for prolactin and progesterone during the oestrous cycle in repeat-breeding Murrah buffalo heifers during summer and winter. Hormone concentrations were quantified in blood plasma samples collected over the oestrous cycle in both winter and summer, as well as in samples collected during the summer months to observe circadian rhythmicity. The mean plasma prolactin concentration during the winter months ranged from 3.10 +/- 0.48 to 9.17 +/- 1.39 ng mL(-1); during the summer months, plasma prolactin concentrations ranged from 248.50 +/- 16.03 to 369.63 +/- 25.13 ng mL(-1). During the winter months, the mean plasma progesterone concentration ranged from 0.20 +/- 0.00 to 3.04 +/- 0.34 ng mL(-1), which was significantly higher (P < 0.01) than the prolactin concentrations recorded in the summer months (range 0.20 +/- 0.00 to 1.48 +/- 0.13 ng mL(-1)). Plasma prolactin and progesterone concentrations were negatively correlated (r = -0.24) during the summer oestrous cycle, which indicates prolactin-induced suppression of progesterone secretion through poor luteal development. During the summer, a circadian rhythmicity was observed in buffaloes and the results indicate that high prolactin secretion contributes to poor fertility by lowering gonadal hormone (progesterone) secretion. It was concluded from the present study that prolactin and progesterone profiles during the summer and winter months are directly correlated with the reproductive performance of buffaloes. The finding also validates the hypothesis that hyperprolactinaemia may cause acyclicity/infertility in buffaloes during the summer months due to severe heat stress.     

School-level economic disadvantage and obesity in middle school children in central Texas,USA: a cross-sectional study

Background

Although children of lower socio-economic status (SES) in the United States have generally been found to be at greater risk for obesity, the SES-obesity association varies when stratified by racial/ethnic groups-with no consistent association found for African American and Hispanic children. Research on contextual and setting-related factors may provide further insights into ethnic and SES disparities in obesity. We examined whether obesity levels among central Texas 8^th grade students (n=2682) vary by school-level economic disadvantage across individual-level family SES and racial/ethnicity groups. As a secondary aim, we compared the association of school-level economic disadvantage and obesity by language spoken with parents (English or Spanish) among Hispanic students.

Methods

Multilevel regression models stratified by family SES and ethnicity were run using cross-sectional baseline data from five school districts participating in the Central Texas CATCH Middle School project. For family SES, independent multi-level logistic regression models were run for total sample and by gender for each family SES stratum (poor/near poor/just getting by, living comfortably, and very well off), adjusting for age, ethnicity, and gender. Similarly, multi-level regression models were run by race/ethnic group (African American, Hispanic, and White), adjusting for age, family SES, and gender.

Results

Students attending highly economically disadvantaged (ED) schools were between 1.7 (95% CI: 1.1-2.6) and 2.4 (95% CI: 1.2-4.8) times more likely to be obese as students attending low ED schools across family SES groups (p<.05). African American (OR_Adj =3.4, 95% CI: 1.1-11.4), Hispanic (OR_Adj=1.8, 95% CI 1.1-3.0) and White (OR_Adj=3.8, 95% CI: 1.6-8.9) students attending high ED schools were more likely to be obese as counterparts at low ED schools (p<.05). Gender-stratified findings were similar to findings for total sample, although fewer results reached significance. While no obesity differences across school ED categories were found for Hispanic Spanish-speaking students, Hispanic English-speaking students (HES) attending high ED schools were 2.4 times more likely to be obese as HES students at low ED schools (p=.003).

Conclusion

Findings support the need to prioritize economically disadvantaged schools for obesity prevention efforts and support further exploration of school SES context in shaping children’s physical activity and dietary behaviors.

     

Meckel-Gruber syndrome: a rare clinical entity

Meckel-Gruber syndrome is an inherited genetic disorder of unknown aetiology. It is an autosomal recessive condition and its incidence is as rare as 1:13,250 to 1:140,000. Some population show an increased incidence of this condition eg, Finnish and Gujarati Indians. Since the time it was first reported by Meckel in 1822 and subsequently by Gruber in 1934, only 200 cases have been reported. Here the case was diagnosed antenatally by an ultrasound and termination of the pregnancy at an early stage was done as per the wishes of the parents. This interesting and rare case of Meckel-Gruber syndrome is reported here.     

The evidence for reducing the pain of administration of local anesthesia and cosmetic injectables

Administration of injections, whether local anesthetic or cosmetic injectable, can result in significant distress and discomfort to patients. This review explores factors that can alleviate anxiety and pain associated with injections including cosmetic injectables. We highlight that many techniques used to reduce pain have only been reported based on anecdotal evidence and small series. The techniques that have been reported to reduce pain, by randomized controlled trials, include pretreatment with topical local anesthetic agents and combined cosmetic injectables with local anesthetics.     

Unusual presentation of metastatic amelanotic melanoma of unknown primary origin as a solitary breast lump

Breast is an uncommon site for metastasis from other malignancies especially melanomas. A 40-year-old lady presented with a rapidly growing, painless, solitary breast lump for 3 months. Past history was unremarkable for skin lesions, biopsy or any surgery. The lump was hard and freely mobile with normal overlying skin, nipple, and areola. Careful examination of the skin did not reveal any lesion. Grossly the tumor was partially circumscribed and gray white. Microscopically, a highly cellular lesion was seen showing nests and sheets of large anaplastic cells with atypical mitotic figures without any evidence of cytoplasmic pigment. Immunoreactivity for S-100 and HMB-45, confirmed the diagnosis of amelanotic melanoma. It is important to be aware of this atypical presentation of amelanotic melanoma in the breast and to utilize immunohistochemistry to differentiate from other commoner high-grade malignant tumors.     

Neuroimaging findings in a case of cerebral fat embolism syndrome with delayed recovery

A young male with multiple lower limb fractures admitted to our Intensive Care Unit was diagnosed with cerebral fat embolism syndrome (FES) based on clinical features and initial magnetic resonance imaging (MRI) which showed multiple hyperintensities on T2-weighted imaging, involving bilateral cerebral and cerebellar hemispheres, predominantly in the watershed territory. The serial MRI done at 3 weeks showed more prominent and larger sized lesions which were in line with the patient''s initial low Glasgow Coma Score and indicated severe cerebral insult. The patient responded well to supportive intensive care therapy; his neurological recovery though slow was consistent as he could return to his full functional status after 6 months. The follow-up MRI showed resolution of the most of earlier lesions. This indicates potentially good outcomes even in severe cases of cerebral FES with appropriate medical care.