The effect of bilateral lesions of the ventral noradrenergic bundle on endocrine-induced changes of tyrosine hydroxylase in the rat median eminence.

With the microdissection method of Palkovits, individual hypothalamic nuclei were removed from the brains of adult male rats, and the tyrosine hydroxylase (TH) activity of each nucleus was determined 7 days after gonadectomy or thyroidectomy. Following gonadectomy, TH activity increased significantly in the median eminence with no change in the periventricular (NPV), arcuate (NARC), and dorsomedial nuclei (NDM), or medial forebrain bundle (MF). Following thyroidectomy, TH activity increased significantly in all 5 hypothalamic nuclei examined. Placement of bilateral lesions in the ventral norepinephrine bundles resulted in a greater than an 85% fall in the dopamine-beta-hydroxylase activity of the median eminence, arcuate nucleus, and ventromedial nucleus, but had no effect on tyrosine hydroxylase activity measured in those same areas. Furthermore, placement of such lesions had no effect on the endocrine-induced increases of TH activity found in the median eminence following gonadectomy and thyroidectomy, but did prevent the increase of TH activity found in the NPV, NDM, and MFB following thyroidectomy. Three conclusions appear to be justified: (a) noradrenergic axons which innervate the median eminence, arcuate, and ventromedial nuclei course in the ventral norepinephrine bundles; (b) the TH content of noradrenergic neurons in the median eminence, arcuate nucleus, and ventromedial nuclei is quite small; and (c) the majority, if not all, of the endocrine-responsive catecholaminergic neurons in the median eminence are dopaminergic.     

Pulmonary air leaks resulting from outdoor sports. A clinical series and literature review.

The occurrence of pulmonary air leaks consequent to recreational sports is considered to be rare. We performed a retrospective records review for cases of pulmonary air leaks for the 5-year period 1993 to 1997 at a community hospital that serves a popular tourist destination area having intense year-round outdoor recreational activities. We identified 20 patients who had sustained a spontaneous or traumatic pulmonary air leak while engaged in an outdoor sport. All but one case (95%) were due to blunt chest trauma. A total of nine different sports were involved, but the majority of cases (11, or 55%) occurred during skiing or snowboarding. Three (15%) patients died. Nine (53%) of the surviving 17 patients sustained injuries serious enough to require hospitalization for tube thoracostomy and other trauma care. We concluded that pulmonary air leaks due to blunt chest trauma occur more frequently in outdoor sports than the literature suggests.     

Effect of lower extremity weightbearing load on motoneuron excitability in able-bodied subjects

Body weight support (BWS) is becoming an increasingly tool popular in rehabilitation settings, but little is known about how weight support effects reflex activity. Lower extremity Hoffman (H) reflex and tendon reflex responses were used to assess motoneuron excitability as a function of static lower extremity weightbearing load in neurologically normal individuals. Factors that are known to affect reflex activity, such as body orientation, movement and task phase were kept constant. Twenty three subjects were studied under three static load conditions (50%, 75% and 100% weightbearing) using four different stimulus conditions (soleus H-reflex, soleus H-reflex with vibration, Achilles tendon reflex, quadriceps tendon reflex). Load had no effect on any of the reflexes studied; we hypothesize that under static conditions, lower extremity reflexes are not affected by superincumbent load.