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Sample records for central precocious puberty

  1. [Precocious puberty].

    Science.gov (United States)

    Krysiak, Robert; Okopień, Bogusław; Herman, Zbigniew Stanisław

    2006-04-01

    Precocious puberty is usually defined as the appearance of secondary sexual development before the age of 8 years in girls and 9 years in boys. Precocious puberty is a heterogenous condition generally divided into central and peripheral forms driven respectively by hypothalamic-pituitary axis or by excessive production of sex steroids. Taking into account the risk associated with the underlying disorder as well as the impact of precocious puberty on stature growth and development of reproductive and mental functions, this condition has important consequences for affected children and their families. In this paper, the pathophysiology, clinical presentation, laboratory and radiological features, and treatment of the disorders leading to precocious puberty are reviewed. Particular attention is devoted to the results of the recently published studies.

  2. Genetics Home Reference: central precocious puberty

    Science.gov (United States)

    ... difference in gene activation is caused by a phenomenon called genomic imprinting. Because only the copy of ... cause the disorder. When passed from parent to child, the condition is known as familial central precocious ...

  3. Virilizing adrenocortical carcinoma advancing to central precocious puberty after surgery.

    Science.gov (United States)

    Kim, Min Sun; Yang, Eu Jeen; Cho, Dong Hyu; Hwang, Pyung Han; Lee, Dae-Yeol

    2015-05-01

    Adrenocortical carcinoma (ACC) in pediatric and adolescent patients is rare, and it is associated with various clinical symptoms. We introduce the case of an 8-year-old boy with ACC who presented with peripheral precocious puberty at his first visit. He displayed penis enlargement with pubic hair and facial acne. His serum adrenal androgen levels were elevated, and abdominal computed tomography revealed a right suprarenal mass. After complete surgical resection, the histological diagnosis was ACC. Two months after surgical removal of the mass, he subsequently developed central precocious puberty. He was treated with a gonadotropin-releasing hormone agonist to delay further pubertal progression. In patients with functioning ACC and surgical removal, clinical follow-up and hormonal marker examination for the secondary effects of excessive hormone secretion may be a useful option at least every 2 or 3 months after surgery.

  4. Central precocious puberty and gonadotropin releasing hormone agonist treatment

    NARCIS (Netherlands)

    W. Oostdijk (Wilma)

    1996-01-01

    textabstractIn order to understand the processes occurring during precocious puberty, one needs to specify what is currently known about normal pubertal development. Puberty can be defined as a maturational process of the hypothalamic-pituitarygonadal axis, which results in the development of the go

  5. Precocious puberty in two girls with Chiari I malformation: a contribution to a larger use of brain MRI in the diagnosis of central precocious puberty.

    Science.gov (United States)

    Pucarelli, I; Accardo, F; Tarani, L; Demiraj, V; Segni, M; Pasquino, A M

    2010-06-01

    Up to now Chiari malformation has been reported only in four subjects with precocious puberty, with a prevalence among boys. This article describes the case of two female children affected by progressive precocious puberty detected through brain magnetic resonance imaging (MRI). Brain imaging, even without neurological signs, can identify patients at risk of developing subsequently severe neurological symptoms. Our observation supports the usefulness of brain MRI both in males and females, even when no symptoms are present, to identify and detect high risk cases. However, there is no consensus in Literature in performing MRI in all the patients of both sexes with central precocious puberty, due to its high costs.

  6. Insulin sensitivity and lipid profiles in girls with central precocious puberty before and during gonadal suppression

    DEFF Research Database (Denmark)

    Sørensen, Kaspar; Mouritsen, Annette; Mogensen, Signe Sloth;

    2010-01-01

    Early menarche is associated with increased risk of cardiovascular disease in adulthood. It is unknown whether metabolic risk factors are adversely affected in girls with central precocious puberty (CPP) already at time of diagnosis....

  7. Virilizing Adrenocortical Carcinoma Advancing to Central Precocious Puberty after Surgery

    OpenAIRE

    Kim, Min Sun; Yang, Eu Jeen; Cho, Dong Hyu; Hwang, Pyung Han; Lee, Dae-Yeol

    2015-01-01

    Adrenocortical carcinoma (ACC) in pediatric and adolescent patients is rare, and it is associated with various clinical symptoms. We introduce the case of an 8-year-old boy with ACC who presented with peripheral precocious puberty at his first visit. He displayed penis enlargement with pubic hair and facial acne. His serum adrenal androgen levels were elevated, and abdominal computed tomography revealed a right suprarenal mass. After complete surgical resection, the histological diagnosis was...

  8. Insulin sensitivity and lipid profiles in girls with central precocious puberty before and during gonadal suppression

    DEFF Research Database (Denmark)

    Sørensen, Kaspar; Mouritsen, Annette; Mogensen, Signe Sloth;

    2010-01-01

    Early menarche is associated with increased risk of cardiovascular disease in adulthood. It is unknown whether metabolic risk factors are adversely affected in girls with central precocious puberty (CPP) already at time of diagnosis.......Early menarche is associated with increased risk of cardiovascular disease in adulthood. It is unknown whether metabolic risk factors are adversely affected in girls with central precocious puberty (CPP) already at time of diagnosis....

  9. Gonadothropin-releasing hormone agonist as a treatment of choice for central precocious puberty

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    Jose R.L. Batubara

    2010-11-01

    Full Text Available Precocious puberty is defi ned as pubertal development which occurs too early. The age limit in this term is based on the onset of puberty in normal population. Some points have to be taken into account, such as ethnicity, gender, nutritional conditions, and secular trends. In girls, precocious puberty is defi ned by breast development occured before 8 years old. In boys, precocious puberty is defi ned as gonadarche or pubarche before 9 years of age. The clinical course of precocious puberty varies widely, ranging from alternating, slowly progressive, and rapidly progressive    form. The rapidly progressive forms of idiopathic central precocious puberty need to be treated because it may result in early epiphyseal closure and short fi nal height, and also pyschosocial problems in the affected children and the family. The aims of treatment are to arrest physical maturation, prevent early menarche, and also improve adult height combined with normal body proportions. Gonadotropin releasing hormone analogue is the treatment of choice for central precocious puberty. Gonadotropin releasing horomone analogue has suppressive effect on the pituitarygonadal axis, therefore it suppresses LH secretion. This leads to the return of estradiol and testosterone to prepubertal levels. Treatment using gonadotropin releasing horomone analogue is shown to reduce breast size, pubic hair, ovarian and uterine size in girls, and decrease testicular size in boys. Gonadotropin releasing hormone analogue is effective in halting progression of secondary sexual characteristics development, presenting menstrual cycle, slowing bone-age advancement, and also improving fi nal height. (Med J Indones 2010; 19:287-92Keywords: gonadache, GRH analogue, pubarche , precocious puberty

  10. Final adult height of girls with central precocious puberty or early and fast puberty could be improved by treatment of gonadotropin-releasing hormone analogs

    Institute of Scientific and Technical Information of China (English)

    陈秋莉

    2013-01-01

    Objective To assess the efficacy and impact factors of treatment with Gonadotropin-releasing hormone analogs(GnRHa) in central precocious puberty(CPP)or early and fast puberty(EFP)girls in a retrospective unicenter study

  11. Hormonal changes during GnRH analogue therapy in children with central precocious puberty

    DEFF Research Database (Denmark)

    Müller, J; Juul, A; Andersson, A M;

    2000-01-01

    Gonadotropin releasing hormone analogues (GnRHa) have been used for treatment of central precocious puberty (CPP) for more than 15 years. They are generally considered safe although data on potential long-term side effects are scarce. However, GnRHa therapy has profound effects on both the hypoth...

  12. The mystery of puberty initiation: genetics and epigenetics of idiopathic central precocious puberty (ICPP).

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    Leka-Emiri, Sofia; Chrousos, George P; Kanaka-Gantenbein, Christina

    2017-03-01

    Puberty is a major developmental stage. Damaging mutations, considered as "mistakes of nature", have contributed to the unraveling of the networks implicated in the normal initiation of puberty. Genes involved in the abnormal hypothalamic-pituitary-gonadal (HPG) axis development, in the normosmic idiopathic hypogonadotropic hypogonadism (nIHH), in the X-linked or autosomal forms of Kallmann syndrome and in precocious puberty have been identified (GNRH1, GNRHR, KISS1, GPR54, FGFR1, FGF8, PROK2, PROKR2, TAC3, TACR3, KAL1, PROK2, PROKR2, CHD7, LEP, LEPR, PC1, DAX1, SF-1, HESX-1, LHX3, PROP-1). Most of them were found to play critical roles in HPG axis development and regulation, the embryonic GnRH neuronal migration and secretion, the regulation and action of the hypothalamic GnRH. However, the specific neural and molecular mechanisms triggering GnRH secretion remain one of the scientific enigmas. Although GnRH neurons are probably capable of autonomously generating oscillations, many gonadal steroid-dependent and -independent mechanisms have also been proposed. It is now well proven that the secretion of GnRH is regulated by kisspeptin as well as by permissive or opposing signals mediated by neurokinin B and dynorphin. These three supra-GnRH regulators compose the kisspeptin-neurokinin B-dynorphin neuronal (KNDy) system, a key player in pubertal onset and progression. Moreover, an ongoing increasing number of inhibitory, stimulatory and permissive networks acting upstream on GnRH neurons, such as GABA, NPY, LIN28B, MKRN3 and others integrate diverse hormonal and peripheral signals and have been proposed as the "gate-keepers" of puberty, while epigenetic modifications play also an important role in puberty initiation.

  13. Serum inhibin A and inhibin B in central precocious puberty before and during treatment with GnRH agonists

    DEFF Research Database (Denmark)

    Sehested, A; Andersson, A M; Müller, J;

    2000-01-01

    Serum levels of the gonadal hormones inhibin A and inhibin B are undetectable or low in prepubertal girls, and rise during puberty. In girls with central precocious puberty (CPP) the hypothalamic-pituitary-gonadal axis is prematurely activated, if the girl is thereafter treated with GnRH agonists...

  14. Final height in central precocious puberty after long term treatment with a slow release GnRH agonist

    NARCIS (Netherlands)

    Oostdijk, W; Rikken, B; Schreuder, S; Otten, B; Odink, R; Rouwe, C; Jansen, M; Gerver, WJ; Waelkens, J; Drop, S

    1996-01-01

    Objective-To study the resumption of puberty and the final height achieved in children with central precocious puberty (CPP) treated with the GnRH agonist triptorelin. Patients-31 girls and five boys with CPP who were treated with triptorelin 3.75 mg intramuscularly every four weeks. Girls were trea

  15. LIN28B polymorphisms are associated with central precocious puberty and early puberty in girls

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    Sung Won Park

    2012-10-01

    Full Text Available <B>Purpose:</B> Single-nucleotide polymorphism (SNP markers within <i>LIN28B</i> have been reported to be related to the timing of pubertal growth. However, no study has investigated the frequency of genetic markers in girls with precocious puberty (PP or early puberty (EP. This study aimed to determine the frequency of putative genetic markers in girls with PP or EP. <B>Methods:</B> Genomic DNAs were obtained from 77 and 109 girls that fulfilled the criteria for PP and EP, respectively. The controls in this study were 144 healthy volunteers between 20 and 30 years of age. The haplotypes were reconstructed using 11 SNPs of <i>LIN28B</i>, and haplotype association analysis was performed. The haplotype frequencies were compared. Differences in the clinical and laboratory parameters were analyzed according to the haplotype dosage. <B>Results:</B> Eleven SNPs in <i>LIN28B</i> were all located in a block that was in linkage disequilibrium. The haplotype could be reconstructed using 2 representative SNPs, rs4946651 and rs369065. The AC haplotype was less frequently observed in the PP group than in the controls (0.069 vs. 0.144, <I>P</I>=0.010. The trend that girls with non-AC haplotypes tended to have earlier puberty onset (<I>P</I>=0.037 was illustrated even in the EP+PP patient group by Kaplan-Meier analysis. <B>Conclusion:</B> The results of the present study showed that non-AC haplotypes of <i>LIN28B</i>had a significant association with PP in girls.

  16. Hypomelanosis of Ito associated with precocious puberty.

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    Rutland, Beth M; Edgar, Mark A; Horenstein, Marcelo G

    2006-01-01

    Hypomelanosis of Ito has been associated with precocious puberty in two cases. This study reports a third case involving a female with hypomelanosis of Ito including severe mental retardation and seizure disorder with autonomic symptoms (gastroesophageal reflux and asthma). At age 5 she developed vaginal discharge, thelarche, and adrenarche. Soon after, she died of pneumonia stemming from her neurologic deficits. A postmortem examination revealed normal gonads and endocrine organs. The breasts and vulva were prematurely developed. Central nervous system findings included megalencephaly, neuronal eosinophilic inclusions, leptomeningeal neuroglial heterotopias, and cortical dysplasia. Both previously reported cases of hypomelanosis of Ito associated with precocious puberty had abnormal gonads and responded to cyproterone acetate therapy, indicating a peripheral mechanism of precocious puberty (gonadotrophin-independent). The current case, which was autopsied, lacks significant gonadal pathology, and has extensive neurologic involvement that suggests that a central mechanism of precocious puberty (gonadotrophin-dependent) can also be associated with hypomelanosis of Ito.

  17. Prospective assessment of pituitary size and shape on MR imaging after suppressive hormonal therapy in central precocious puberty

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    Beek, J.T. van; Sharafuddin, M.J.A.; Kao, S.C.S. [Department of Radiology-JPP 3889, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52246 (United States); Luisiri, A. [Cardinal Glennon Children' s Hospital, St. Louis, Missouri (United States); Garibaldi, L.R. [Children' s Hospital of New Jersey, Newark Beth Israel Medical Center, Newark, New Jersey (United States); St. Barnabas Medical Center, Livingston, New Jersey (United States)

    2000-07-01

    Objective. The diagnostic significance of an enlarged pituitary gland regarding both shape and size parameters on MR imaging has previously been demonstrated in children with central precocious puberty. This study was designed to assess changes in these parameters following successful suppressive therapy of central precocious puberty with the gonadotropin-releasing hormone (GnRH) analogue. Materials and methods. Twelve girls (mean age 7.3 years) with central precocious puberty were prospectively enrolled in our study protocol. Sagittal and coronal MR images of the pituitary region were obtained in all patients before treatment and after at least 6 months of GnRH analogue therapy (mean 18.0 months). Parameters measured included pituitary gland height, length, width, sagittal cross-sectional area, and volume. Results. All patients had excellent clinical response to treatment with arrest of secondary sexual development, normalization of serum estradiol levels, and complete obliteration of the LH response to diagnostic GnRH stimulation. No significant change occurred in any pituitary size or shape parameter following GnRH analogue therapy. Conclusion. Favorable clinical response to GnRH analogue therapy in central precocious puberty is not accompanied by significant a change in pituitary gland size and shape. (orig.)

  18. A missense mutation in MKRN3 in a Danish girl with central precocious puberty and her brother with early puberty

    DEFF Research Database (Denmark)

    Känsäkoski, Johanna; Raivio, Taneli; Juul, Anders;

    2015-01-01

    BACKGROUND: Idiopathic central precocious puberty (ICPP) results from the premature reactivation of the hypothalamic-pituitary-gonadal axis leading to development of secondary sexual characteristics prior to 8 y in girls or 9 y in boys. Since the initial discovery of mutations in the maternally...

  19. Leuprolide Acetate 1-Month Depot for Central Precocious Puberty: Hormonal Suppression and Recovery

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    Neely EKirk

    2011-01-01

    Full Text Available Methods. This prospective US multicenter trial of leuprolide acetate 1-month depot (7.5–15 mg for central precocious puberty utilized an open-label treatment period, long-term follow-up, and adult callback. Forty-nine females Results. Subjects were treated for years. Mean peak GnRH-stimulated LH and FSH were prepubertal after the first dose and remained suppressed throughout treatment. During treatment, mean estradiol decreased to the limit of detection and mean testosterone decreased but remained above prepubertal norms. During posttreatment follow-up ( years, all patients achieved a pubertal hormonal response within 1 year and menses were reported in all females ≥12 years old. No impairment of reproductive function was observed at adulthood (mean age: 24.8 years.

  20. Agricultural pesticides and precocious puberty.

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    Ozen, Samim; Goksen, Damla; Darcan, Sukran

    2014-01-01

    The onset and course of puberty is under the control of the neuroendocrine system. Factors affecting the regulation of timing and order of this system's functions may alter the onset and course of puberty. Several environmental endocrine disruptors (EDs) with significant influences on the normal course of puberty have been identified. Despite the numerous animal and human studies on EDs that may extensively affect human health, there are still several issues that need to be clarified. This chapter discusses the effects of pesticides, which constitute a significant portion of disruptors and have been increasingly used in agriculture, on precocious puberty.

  1. Treatment of Peripheral Precocious Puberty

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    Schoelwer, Melissa; Eugster, Erica A.

    2017-01-01

    There are many etiologies of peripheral precocious puberty (PPP) with diverse manifestations resulting from exposure to androgens, estrogens, or both. The clinical presentation depends on the underlying process and may be acute or gradual. The primary goals of therapy are to halt pubertal development and restore sex steroids to prepubertal values. Attenuation of linear growth velocity and rate of skeletal maturation in order to maximize height potential are additional considerations for many patients. McCune-Albright syndrome (MAS) and familial male-limited precocious puberty (FMPP) represent rare causes of PPP that arise from activating mutations in GNAS1 and the LH receptor gene, respectively. Several different therapeutic approaches have been investigated for both conditions with variable success. Experience to date suggests that the ideal therapy for precocious puberty secondary to MAS in girls remains elusive. In contrast, while the number of treated patients remains small, several successful therapeutic options for FMPP are available. PMID:26680582

  2. Bone mineral density and body composition in girls with idiopathic central precocious puberty before and after treatment with a gonadotropin-releasing hormone agonist

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    Sandra B. Alessandri

    2012-01-01

    Full Text Available OBJECTIVES: Idiopathic central precocious puberty and its postponement with a (gonadotropin-releasing hormone GnRH agonist are complex conditions, the final effects of which on bone mass are difficult to define. We evaluated bone mass, body composition, and bone remodeling in two groups of girls with idiopathic central precocious puberty, namely one group that was assessed at diagnosis and a second group that was assessed three years after GnRH agonist treatment. METHODS: The precocious puberty diagnosis and precocious puberty treatment groups consisted of 12 girls matched for age and weight to corresponding control groups of 12 (CD and 14 (CT girls, respectively. Bone mineral density and body composition were assessed by dual X-ray absorptiometry. Lumbar spine bone mineral density was estimated after correction for bone age and the mathematical calculation of volumetric bone mineral density. CONEP: CAAE-0311.0.004.000-06. RESULTS: Lumbar spine bone mineral density was slightly increased in individuals diagnosed with precocious puberty compared with controls; however, after correction for bone age, this tendency disappeared (CD = -0.74 + 0.9 vs. precocious puberty diagnosis = -1.73 + 1.2. The bone mineral density values of girls in the precocious puberty treatment group did not differ from those observed in the CT group. CONCLUSION: There is an increase in bone mineral density in girls diagnosed with idiopathic central precocious puberty. Our data indicate that the increase in bone mineral density in girls with idiopathic central precocious puberty is insufficient to compensate for the marked advancement in bone age observed at diagnosis. GnRH agonist treatment seems to have no detrimental effect on bone mineral density.

  3. Efficacy of Subcutaneous Administration of Gonadotropin-releasing Hormone Agonist on Idiopathic Central Precocious Puberty

    Institute of Scientific and Technical Information of China (English)

    LIANG Yan; WEI Hong; ZHANG Jianling; HOU Ling; LUO Xiaoping

    2006-01-01

    In order to assess the feasibility of subcutaneous administration of Triptorelin with 6-week intervals for the suppression of pituitary-gonadal axis and changes of clinical signs in girls with idiopathic central precocious puberty (ICPP), 46 girls with ICPP were treated with GnRHa.Triptorelin (Decapeptyl, 3.75 mg) was administered subcutaneously (SC) at 6-weeks intervals or intramuscularly (IM) at 4-weeks intervals randomly for more than 12 months consecutively. During GnRHa therapy, clinical parameters and laboratory data, including height, weight, pubertal stage,bone age, uterine volume and ovarian size, serum levels of luteinizing hormone (LH), follicle stimulating hormone (FSH) and estradiol (E2), were monitored and analyzed. It was found that both treatment regimes led to regression of precocious puberty and reversal of secondary sexual characteristics.Breast developments regressed. Uterine volume was decreased after treatment, but there was no statistically significant difference. Mean ovarian volume did not change significantly during treatment.The height velocity was decreased significantly from 6.3±1.4 cm/year to 5.8±1.2 cm/year in group SC and 6.7±1.3 cm/year to 5.4±1.0 cm/year in group IM, respectively. The rate of bone maturation was reduced significantly during treatment. The ratio of deltaBA/deltaCA was 1.2±0.2 or 1.3±0.3 at the onset of therapy and decreased significantly after the treatment to 0.7±0.2 or 0.9±0.1, respectively.The predicted adult height was increased significantly and progressively during therapy. The levels of serum LH, FSH and E2 returned to the prepubertal condition. No significant side effects of therapy were noted. The most common side effect during SC treatment was that a non-irritating, 1 cm in diameter mass was palpated at the site of subcutaneous injection in the abdominal wall of patients,which disappeared after 6- 12 weeks. Two girls had minimal withdrawal vaginal bleeding episodes after the first injection. It was

  4. Luteinizing Hormone Secretion during Gonadotropin-Releasing Hormone Stimulation Tests in Obese Girls with Central Precocious Puberty

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    Lee, Hae Sang; Yoon, Jong Seo; Hwang, Jin Soon

    2016-01-01

    Objective: Girls with precocious puberty have high luteinizing hormone (LH) levels and advanced bone age. Obese children enter puberty at earlier ages than do non-obese children. We analyzed the effects of obesity on LH secretion during gonadotropin-releasing hormone (GnRH) tests in girls with precocious puberty. Methods: A total of 981 subjects with idiopathic precocious puberty who had undergone a GnRH stimulation testing between 2008 and 2014 were included in the study. Subjects were divided into three groups based on body mass index (BMI). Auxological data and gonadotropin levels after the GnRH stimulation test were compared. Results: In Tanner stage 2 girls, peak stimulated LH levels on GnRH test were 11.9±7.5, 10.4±6.4, and 9.1±6.1 IU/L among normal-weight, overweight, and obese subjects, respectively (p=0.035 for all comparisons). In Tanner stage 3 girls, peak stimulated LH levels were 14.9±10.9, 12.8±7.9, and 9.6±6.0 IU/L, respectively (p=0.022 for all comparisons). However, in Tanner stage 4 girls, peak stimulated LH levels were not significantly different among normal, overweight, and obese children. On multivariate analysis, BMI standard deviation score was significantly and negatively associated with peak LH (β=-1.178, p=0.001). Conclusion: In girls with central precocious puberty, increased BMI was associated with slightly lower peak stimulated LH levels at early pubertal stages (Tanner stages 2 and 3). This association was not valid in Tanner stage 4 girls. PMID:27215137

  5. Central Precocious Puberty: Treatment with Triptorelin 11.25 mg

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    Elena Chiocca

    2012-01-01

    Full Text Available Background. Few data are available on quarterly 11.25 mg GnRH analog treatment in central precocious puberty (CPP. Aim. To assess the efficacy of triptorelin 11.25 mg in children with CPP. Patients. 17 patients (16 females with CPP (7.9±0.9 years were treated with triptorelin 11.25 mg/90 days. Methods. Gonadotropins, basal-, and GnRH-stimulated peak, gonadal steroids, and pubertal signs were assessed at preinclusion and at inclusion visit, 3 months, 6 months, and 12 months of treatment. Results. At 3, 6, and 12 months, all patients had suppressed LH peak (<3 IU/L after GnRH stimulation, as well as prepubertal oestradiol levels. Mean LH peak values after GnRH test significantly decreased from 25.7±16.5 IU/L at baseline to 0.9±0.5 IU/L at M3 (<0.0001; they did not significantly changed at M6 and M12. Conclusions. Triptorelin 11.25 mg/90 days efficiently suppressed the pituitary-gonadal axis in children with CPP from first administration.

  6. Treatment of central precocious puberty by GnRH analogs:long-term outcome in men

    Institute of Scientific and Technical Information of China (English)

    Silvano Bertelloni; Dick Mul

    2008-01-01

    In boys, central precocious puberty (CPP) is the appearance of secondary sex characteristics driven by pituitary gonadotropin secretion before the age of 9 years. In the last years, relevant improvements in the treatment of CPP have been achieved. Because CPP is rare in boys, the majority of papers on this issue focus on girls and do not address specific features of male patients regarding end results and safety. In the present paper, recent advances of CPP management with GnRH analogs in men are summarized. End results in untreated and treated patients are also reviewed by an analysis of the recently published literature on treatment of CPP in men. The available data indicate that therapy with GnRH analogs can improve final height into the range of target height without significant adverse short-term and long-term effects, but longer follow-up of larger series of patients is still required to draw definitive conclusions. (Asian J Androl 2008 Jul; 10: 525-534)

  7. A case of pediatric virilizing adrenocortical tumor resulting in hypothalamic-pituitary activation and central precocious puberty following surgical removal.

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    Miyoshi, Yoko; Oue, Takaharu; Oowari, Mitsugu; Soh, Hideki; Tachibana, Makiko; Kimura, Sadami; Kiyohara, Yuki; Yamada, Hiroyuki; Bessyo, Kazuhiko; Mushiake, Sotaro; Homma, Keiko; Hasegawa, Tomonobu; Sasano, Hironobu; Ozono, Keiichi

    2009-01-01

    We present a 6-year-old boy with a virilizing adrenocortical tumor who initially presented with peripheral precocious puberty. Development of facial acne, pubic hair and a growth spurt were noted at the age of five. A low-pitched voice as well as maturation of external genitalia was noted at the age of six. Both serum and urinary levels of adrenal androgens were elevated. Abdominal computed tomography revealed a large right suprarenal mass and he underwent surgical resection without any complications. The histological diagnosis was adrenocortical carcinoma according to the criteria of Weiss. Following surgical removal of the androgen-producing tumor, the patient subsequently developed hypothalamic-pituitary activation and demonstrated central precocious puberty. He was treated with a gonadotropin-releasing hormone agonist in order to delay further pubertal progression. Clinical follow-up of potential secondary effects of excess hormone secretion after removal is important in some pediatric patients with virilizing adrenocortical tumor.

  8. Combined therapy with GnRH analog plus growth hormone in central precocious puberty.

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    Pucarelli, I; Segni, M; Ortore, M; Moretti, A; Iannaccone, R; Pasquino, A M

    2000-07-01

    GnRH analogues (GnRHa) arrest pubertal development, and slow growth velocity (GV) and bone maturation, thus improving adult height in central precocious puberty (CPP). In some patients, however, GV decreases to such an extent that it compromises the improvement in predicted adult height (PAH) and therefore the addition of GH is suggested. Of 20 patients with idiopathic CPP (treated with GnRHa [depot-triptorelin] at a dose of 100 microg/kg every 21 days i.m. for at least 2-3 yr) whose GV fell below the 25th percentile for chronological age (CA), ten received, in addition to the GnRHa, GH at a dose of 0.3 mg/kg/wk, s.c. 6 days weekly, for 2-4 yr. Ten patients matched for BA, CA, and duration of GnRHa treatment who showed the same growth pattern but refused GH treatment, served to evaluate the efficacy of the addition of GH. No patient showed classical GH deficiency. Both groups discontinued treatment at a comparable BA (mean +/- SEM): 13.2 +/- 0.2 yr in GnRHa + GH vs 13.0 +/- 0.1 yr in the control group. At the conclusion of the study all the patients had achieved adult height. Adult height was considered to be attained when the growth during the preceding year was less than 1 cm, with a BA of over 15 yr. Patients of the group treated with GH + GnRHa showed an adult height significantly higher (p<0.001) than pretreatment PAH (160.6 +/- 1.3 vs 152.7 +/- 1.7 cm). Height SDS for BA significantly increased from -1.5 +/- 0.2 at start of GnRHa to -0.21 +/- 0.2 at adult height (p<0.001). Target height was significantly exceeded. The GnRH alone treated group reached an adult height not significantly higher than pretreatment PAH (157.1 +/- 2.5 vs 155.5 +/- 1.9 cm). Height SDS for BA did not change (from -1.0 +/- 0.3 at start of GnRHa to -0.7 +/- 0.4 at adult height). Target height was just reached but not significantly exceeded. The gain in centimeters obtained calculated between pretreatment PAH and final height was 7.9 +/- 1.1 cm in patients treated with GH combined with Gn

  9. Cognitive, emotional and psychosocial functioning of girls treated with pharmacological puberty blockage for idiopathic central precocious puberty

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    Slawomir Wojniusz

    2016-07-01

    Full Text Available Central precocious puberty (CPP develops due to premature activation of the hypothalamic-pituitary-gonadal (HPG axis, resulting in early pubertal changes and rapid bone maturation. CPP is associated with lower adult height and increased risk for development of psychological problems. Standard treatment of CPP is based on postponement of pubertal development by blockade of the HPG axis with gonadotropin releasing hormone analogs (GnRHa leading to abolition of gonadal sex hormones synthesis. Whereas the hormonal and auxological effects of GnRHa are well researched, there is a lack of knowledge whether GnRHa treatment influences psychological functioning of treated children, despite the fact that prevention of psychological problems is used as one of the main reasons for treatment initiation. In the present study we seek to address this issue by exploring differences in cognitive function, behavior, emotional reactivity, and psychosocial problems between GnRHa treated CPP girls and age-matched controls.Fifteen girls with idiopathic CPP; median age 10.4 years, treated with slow-release GnRHa (triptorelin acetate – Decapeptyl SR ® 11.25 and 15 age-matched controls, were assessed with a comprehensive test battery consisting of paper and pencil tests, computerized tasks, behavioral paradigms, heart rate variability, and questionnaires filled in by the children’s parents. Both groups showed very similar scores with regard to cognitive performance, behavioral and psychosocial problems. Compared to controls, treated girls displayed significantly higher emotional reactivity (p = 0.016; Cohen’s d = 1.04 on one of the two emotional reactivity task conditions. Unexpectedly, the CPP group showed significantly lower resting heart rates than the controls (p = 0.004; Cohen’s d = 1.03; lower heart rate was associated with longer treatment duration (r = - 0.582, p = 0.037. The results suggest that GnRHa treated CPP girls do not differ in their cognitive or

  10. PRECOCIOUS PUBERTY DUE TO OVARIAN CYST – CASE REPORT

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    Teresa M Guimarães

    2017-01-01

    Discussion/Conclusion: Most autonomous ovarian cysts regress spontaneously with regression of pubertal signs, as in the present case. Therapy with a GnRH agonist may become necessary in the case of transformation from precocious pseudopuberty to central precocious puberty after recurrences of the ovarian cysts or when there is significant loss of height potential.

  11. Serum insulin-like growth factor I (IGF-I) and IGF-binding protein 3 levels are increased in central precocious puberty

    DEFF Research Database (Denmark)

    Juul, A; Scheike, Thomas Harder; Nielsen, C T;

    1995-01-01

    Central precocious puberty (CPP) is characterized by early activation of the pituitary-gonadal axis, which leads to increased growth velocity and development of secondary sexual characteristics. It is generally believed that gonadal sex steroids stimulate pulsatile GH secretion, which, in turn......, stimulates insulin-like growth factor I (IGF-I) and IGF-binding protein 3 (IGFBP-3) production. However, little is known about GH, IGF-I, and IGFBP-3 serum levels in children with precocious puberty. Treatment of CPP by GnRH agonists has become the treatment of choice. However, the effect of long term...

  12. Suprasellar epidermoid presenting with precocious puberty

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    Nigel Peter Symss

    2007-01-01

    Full Text Available Epidermoids are inclusion tumors of the central nervous system and are rare, benign slow-growing tumors. They are estimated to constitute 0.5-1.8% of the brain tumors and have an affinity for the subarachnoid cisterns at the base of the brain, the suprasellar cistern being one of the most favoured sites. We report a case of suprasellar epidermoid in a 2-year-old male child with an unusual CT and MRI appearance, who presented to us in February 1995 with features of precocious puberty. In October 2004, at the age of 11 years, he presented with symptoms and signs of raised ICP.

  13. Serum insulin-like growth factor I (IGF-I) and IGF-binding protein 3 levels are increased in central precocious puberty

    DEFF Research Database (Denmark)

    Juul, A; Scheike, Thomas Harder; Nielsen, C T;

    1995-01-01

    Central precocious puberty (CPP) is characterized by early activation of the pituitary-gonadal axis, which leads to increased growth velocity and development of secondary sexual characteristics. It is generally believed that gonadal sex steroids stimulate pulsatile GH secretion, which, in turn, s...

  14. Growth hormone deficiency and central precocious puberty in Klinefelter syndrome: report of a case and review of KIGS database.

    Science.gov (United States)

    Gonzales-Ellis, Bryn A; Pingul, Mia M; Reddy, Sujana; Boney, Charlotte M; Wajnrajch, Michael P; Quintos, Jose Bernarto

    2013-01-01

    Growth hormone deficiency (GHD) and central precocious puberty (CPP) have each, individually, been described in patients with Klinefelter syndrome. However, the combination of GHD, CPP, and Klinefelter syndrome has never been reported. We described a Klinefelter syndrome patient who developed GHD at age 2 10/12 years and CPP at 8 6/12 years. Despite CPP, GnRH agonist therapy was not initiated because of his excellent predicted adult height. At 11 8/12 years, his height was 164.6 cm, close to his mid-parental target height of 165 cm. We report an additional nine patients with Klinefelter syndrome and GHD from the Pfizer International Growth Study (KIGS) database, none of whom had CPP. We conclude that the combination of GHD and CPP is very rare in Klinefelter syndrome and that CPP is unlikely to compromise final adult height.

  15. Precocious puberty: A blessing in disguise!

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    Soumik Goswami

    2013-01-01

    Full Text Available Germ cell tumors may lead to incomplete isosexual male precocity and are commonly located in the pineal gland. Germinomas of the basal ganglia are almost always unilateral and precocious puberty is a rare manifestation in them. We report a 9.5-year-old boy who presented with incomplete isosexual precocity due to bilateral basal ganglia germinoma.

  16. Results of a Second Year of Therapy with the 12-Month Histrelin Implant for the Treatment of Central Precocious Puberty

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    Shulman Dorothy

    2009-02-01

    Full Text Available Background. Gonadotropin releasing hormone analogs (GnRHas are standard of care for central precocious puberty (CPP. The histrelin subcutaneous implant is safe and effective in the treatment of CPP for one year. Objective. The study evaluates a second year of therapy in children with CPP who received a new implant after one year of treatment. Methods. A prospective one-year study following an initial 12-month treatment period was conducted. Results. Thirty-one patients (29 girls aged years received a second implant. Eighteen were naïve to GnRHa therapy at first implantation. Peak LH declined from  mIU/mL at 12 months to  mIU/mL at 24 months ( mIU/mL at 12 months to  mIU/mL at 24 months ( in previously treated subjects. Predicted adult height increased by 5.1 cm at 24 months (. Minor implant site reactions occurred in 61%, while minor difficulties with explantation occurred in 32.2% of subjects. Conclusion. The histrelin implant demonstrates profound hypothalamic-pituitary-gonadal axis suppression when a new implant is placed for a second year of treatment. Prospective follow-up of this therapeutic modality for the treatment of CPP is needed.

  17. Efficacy and Safety of Domestic Leuprorelin in Girls with Idiopathic Central Precocious Puberty: A Multicenter, Randomized, Parallel, Controlled Trial

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    Wen-Jing Li

    2015-01-01

    Full Text Available Background: In central precocious puberty (CPP, the pulse secretion and release of gonadotropin-releasing hormone (GnRH are increased due to early activation of the hypothalamic-pituitary-gonadal axis, resulting in developmental abnormalities with gonadal development and appearance of secondary sexual characteristics. The CPP without organic disease is known as idiopathic CPP (ICPP. The objective of the study was to evaluate the clinical efficacy and safety of domestic leuprorelin (GnRH analog in girls with ICPP. Methods: A total of 236 girls with ICPP diagnosed from April 2012 to January 2014 were selected and were randomized into two groups. One hundred fifty-seven girls in the test group were treated with domestic leuprorelin acetate, 79 girls in the control group were treated with imported leuprorelin acetate. They all were treated and observed for 6 months. After 6-month treatment, the percentage of children with peak luteinizing hormone (LH ≤3.3 U/L, the percentage of children with peak LH/peak follicle stimulating hormone (FSH ratio 0.05. Conclusions: Domestic leuprorelin is effective and safe in the treatment of Chinese girls with ICPP. Its effectiveness and safety are comparable with imported leuprorelin.

  18. Etiology of precocious puberty, 10 years study in Endocrine Reserch Centre (Firouzgar, Tehran

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    Fatemeh Safari

    2012-01-01

    Full Text Available Background: Precocious puberty, as early physical development and low final height might lead to psychosocial problems.Objective: To evaluate etiology and clinical feature of precocious puberty in a cohort of Iranian children.Materials and Methods: In this case-series study, 44 girls and 8 boys with precocious puberty referred to Endocrine Reserch Centre (Firouzgar, Institute of Endocrinology and Metabolism (Hemmat Campus, were examined in a 10 years period of time. Results: Mean age of girls and boys was 7.43±1.4 years and 5.8±2.1 years respectively. Most of the patients fell within the age category of 7-7.9 years old (40.9% for girls and 50% for boys. Patients, concerning etiology of precocious puberty were classified in three categories: 42.6% of patients had central precocious puberty (CPP, including idiopathic CPP (87.5% and neurogenic CPP (12.5%. 23.3% of patients had peripheral precocious puberty (PPP, including congenital adrenal hyperplasia (CAH (42.8%, ovarian cysts (28.4%, McCune-Albright syndrome (14.2% and adrenal carcinoma (14.2%. 34.1% of girls and 25% of boys had normal variant puberty including premature thelarche (57%, premature adrenarche (38% as well as premature menarche (4.7%l. Conclusion: The most common etiology of precocious puberty in girls was idiopathic central precocious puberty and premature thelarche, while in boys they were neurogenic central precocious puberty and CAH. Therefore precocious puberty in girls is usually benign. In boys, CNS anomalies should first be considered in the differential diagnosis of CPP. Therefore brain Magnetic Resonance Imaging (MRI is mandatory in all cases.

  19. Results of a Second Year of Therapy with the 12-Month Histrelin Implant for the Treatment of Central Precocious Puberty

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    Samar Rahhal

    2009-01-01

    Full Text Available Background. Gonadotropin releasing hormone analogs (GnRHas are standard of care for central precocious puberty (CPP. The histrelin subcutaneous implant is safe and effective in the treatment of CPP for one year. Objective. The study evaluates a second year of therapy in children with CPP who received a new implant after one year of treatment. Methods. A prospective one-year study following an initial 12-month treatment period was conducted. Results. Thirty-one patients (29 girls aged 7.7±1.5 years received a second implant. Eighteen were naïve to GnRHa therapy at first implantation. Peak LH declined from 0.92±0.58 mIU/mL at 12 months to 0.51±0.33 mIU/mL at 24 months (P < .0001 in naïve subjects, and from 0.74±0.50 mIU/mL at 12 months to 0.45±0.35 mIU/mL at 24 months (P=.0081 in previously treated subjects. Predicted adult height increased by 5.1 cm at 24 months (P=.0001. Minor implant site reactions occurred in 61%, while minor difficulties with explantation occurred in 32.2% of subjects. Conclusion. The histrelin implant demonstrates profound hypothalamic-pituitary-gonadal axis suppression when a new implant is placed for a second year of treatment. Prospective follow-up of this therapeutic modality for the treatment of CPP is needed.

  20. Factors influencing final/near-final height in 12 boys with central precocious puberty treated with gonadotrophin-releasing hormone agonists. Italian Study Group of Physiopathology of Puberty.

    Science.gov (United States)

    Rizzo, V; De Sanctis, V; Corrias, A; Fortini, M; Galluzzi, F; Bertelloni, S; Guarneri, M P; Pozzan, G; Cisternino, M; Pasquino, A M

    2000-07-01

    Gonadotrophin-releasing hormone agonists (GnRHa) have been demonstrated as the therapy of choice for central precocious puberty (CPP). Few studies have provided male patients' adult height data. In our multicenter study we evaluated long-term effects of different GnRHa preparations and final/near-final height (FH) in 12 boys with CPP and analyzed the factors influencing FH. Patients' mean chronological age at the time of diagnosis was 7.6 +/- 0.9 yr. Three patients were treated only with triptorelin at a mean dose of 90 microg/kg i.m. every 28 days. Nine patients initially received buserelin (at a mean initial dose of 53.4 microg/kg/day i.n. divided into 3-6 equal doses) or buserelin (at a mean dose of 36.7 microg/kg/day s.c.) and were subsequently switched to triptorelin. The GnRHa therapy was continued for 4.1 +/- 0.6 yr (range 2.9-5.4). The mean predicted adult height increased from 169.9 +/- 4.2 cm at diagnosis to 180.7 +/- 6.0 cm at the end of treatment. Mean FH was 176.1 +/- 6.1 cm (170.1-190.7), corresponding to mean SDS(CA) 0.4 +/- 0.8 (-0.6/2.5), mean SDSBA 0.2 +/- 0.9 (-0.6/2.4) and mean corrected SDS for target height of 0.4 +/- 0.6 (-0.8/1.2). Multiple regression analysis revealed that FH was mainly influenced by target height and height at discontinuation of GnRHa therapy. The present data indicate that GnRHa therapy significantly improves growth prognosis in boys with CPP and fully restores genetic height potential.

  1. True precocious puberty following treatment of a Leydig cell tumour: two case reports and literature review

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    Alberto eVerrotti

    2015-11-01

    Full Text Available Leydig cell testicular tumours are a rare cause of precocious pseudopuberty in boys. Surgery is the main therapy and shows good overall prognosis. The physical signs of precocious puberty are expected to disappear shortly after surgical removal of the mass. We report two children, 7.5 and 7.7 year-old boys, who underwent testis-sparing surgery for a Leydig cell testicular tumour causing precocious pseudopuberty. During follow-up, after an immediate clinical and laboratory regression, both boys presented signs of precocious puberty and ultimately developed central precocious puberty. They were successfully treated with gonadotropin releasing hormone analogues. Only 6 other cases have been described regarding the development of central precocious puberty after successful treatment of a Leydig cell tumour causing precocious pseudo puberty. Gonadotropin-dependent precocious puberty should be considered in children treated for a Leydig cell tumour presenting persistent or recurrent physical signs of puberty activation. In such cases, therapy with gonadotropin releasing hormone analogues appears to be the most effective medical treatment.

  2. Efficacy and Safety of Domestic Leuprorelin in Girls with Idiopathic Central Precocious Puberty: A Multicenter,Randomized, Parallel, Controlled Trial

    Institute of Scientific and Technical Information of China (English)

    Wen-Jing Li; Chun-Xiu Gong; Mei-Jie Guo; Jie Xing; Tang Li; Wen-Hui Song; Xiao-Ping Luo

    2015-01-01

    Background:In central precocious puberty (CPP),the pulse secretion and release ofgonadotropin-releasing hormone (GnRH) are increased due to early activation of the hypothalamic-pituitary-gonadal axis,resulting in developmental abnormalities with gonadal development and appearance of secondary sexual characteristics.The CPP without organic disease is known as idiopathic CPP (ICPP).The objective of the study was to evaluate the clinical efficacy and safety of domestic leuprorelin (GnRH analog) in girls with ICPP.Methods:A total of 236 girls with ICPP diagnosed from April 2012 to January 2014 were selected and were randomized into two groups.One hundred fifty-seven girls in the test group were treated with domestic leuprorelin acetate,79 girls in the control group were treated with imported leuprorelin acetate.They all were treated and observed for 6 months.After 6-month treatment,the percentage of children with peak luteinizing hormone (LH) ≤3.3 U/L,the percentage of children with peak LH/peak follicle stimulating hormone (FSH) ratio <0.6,the improvements of secondary sexual characteristics,gonadal development and sex hormone levels,the change of growth rate of bone age (BA) and growth velocity,and drug adverse effects between two groups were compared.Results:After the treatment,the percentage of children with a suppressed LH response to GnRH,defined as a peak LH ≤3.3 U/L,at 6 months in test and control groups were 96.80% and 96.20%,respectively,and the percentage of children with peak LH/FSH ratio ≤0.6 at 6 months in test and control groups were 93.60% and 93.70%,respectively.The sizes of breast,uterus and ovary of children and the levels of estradiol (E2) were significantly reduced,and the growth rate of BA was also reduced.All the differences between pre-and post-treatment in each group were statistically significant (P < 0.05),but the differences of the parameters between two groups were not significant (P > 0.05).Conclusions

  3. Male Central Precocious Puberty: Serum Profile of Anti-Müllerian Hormone and Inhibin B before, during, and after Treatment with GnRH Analogue

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    Romina P. Grinspon

    2013-01-01

    Full Text Available We aimed to describe the functional changes of Sertoli cells, based on the measurement of serum anti-Müllerian hormone (AMH and inhibin B during treatment with GnRHa and after its withdrawal in boys with central precocious puberty. Six boys aged 0.8 to 5.5 yr were included. AMH was low at diagnosis in patients >1 yr but within the normal range in younger patients. AMH increased to normal prepubertal levels during treatment. After GnRHa withdrawal, AMH declined concomitantly with the rise in serum testosterone. At diagnosis, inhibin B was elevated and decreased throughout therapy, remaining in the upper normal prepubertal range. In patients with testicular volume above 4 mL AMH remained higher in spite of suppressed FSH. After treatment withdrawal, inhibin B rose towards normal pubertal levels. In conclusion, AMH did not decrease in patients <1 yr reflecting the lack of androgen receptor expression in Sertoli cells in early infancy. Serum inhibin B might result from the contribution of two sources: the mass of Sertoli cells and the stimulation exerted by FSH. Sertoli cell markers might provide additional tools for the diagnosis and treatment followup of boys with central precocious puberty.

  4. 超声辅助检查在女童特发性真、假性性早熟鉴别诊断中的作用分析%Effect of ultrasonic auxiliary examination on the differential diagnosis of central precocious puberty and pseudo precocious puberty of girls

    Institute of Scientific and Technical Information of China (English)

    曾理; 胡晶; 马继斌

    2014-01-01

    Objectives:To investigate the effect of ultrasonic auxiliary examination on the differential diagnosis of central precocious puberty and pseudo precocious puberty of girls.Methods:77 girls with sexual precocity were divided into two groups,44 cases in the central precocious puberty group,while 31 cases in the pseudo precocious puberty group. Another 30 healthy girls were selected as the control group.The uterine and ovarian ultrasound testing results of the three groups were recorded and compared.Results:The transverse diameters,vertical diameters and volumes of the uterine and the largest follicle diameter in the central precocious puberty group were significantly higher than those in the pseudo precocious puberty group and the control group (P 0.05).The transverse diameters,vertical diameters,antero-posterior diameters and volumes of the uterus in the central precocious puberty group were significantly higher than those in the control group (P <0.05).Conclusion:Ultrasonic auxiliary examination plays an important role in the differential diagnosis of central precocious puberty and pseudo precocious puberty of girls.%目的:探讨超声辅助检查在女童特发性真、假性性早熟鉴别诊断中的作用。方法:将75例性早熟女童按照真、假性性早熟分为真性组(n =44例)和假性组(n =31例),并选取健康女童30例作为对照组,比较三组女童的子宫和卵巢超声检查结果。结果:真性组卵巢横径、卵巢纵径、卵巢容积、最大卵泡直径均高于假性组和对照组,差异有统计学意义(P <0.05),假性组卵巢横径、卵巢纵径、卵巢容积、最大卵泡直径与对照组比较差异无统计学意义(P >0.05);真性组子宫纵径、子宫横径、子宫前后径、子宫容积均高于对照组,差异有统计学意义(P <0.05)。结论:超声辅助检查在女童特发性真性、假性性早熟鉴别诊断中具有重要价值。

  5. Adult height in girls with central precocious puberty treated with gonadotropin-releasing hormone analogues and growth hormone.

    Science.gov (United States)

    Pasquino, A M; Pucarelli, I; Segni, M; Matrunola, M; Cerroni, F; Cerrone, F

    1999-02-01

    GnRH analogues (GnRHa) represent the treatment of choice in central precocious puberty (CPP), because arresting pubertal development and reducing either growth velocity (GV) or bone maturation (BA) should improve adult height. However, in some patients, GV decrease is so remarkable that it impairs predicted adult height (PAH); and therefore, the addition of GH is suggested. Out of twenty subjects with idiopathic CPP (treated with GnRHa depot-triptorelin, at a dose of 100 microg/kg im every 21 days, for at least 2-3 yr), whose GV fall below the 25th percentile for chronological age, 10 received, in addition to GnRHa, GH at a dose of 0.3 mg/kg x week s.c., 6 days weekly, for 2-4 yr; and 10 matched for BA, chronological age, and duration of GnRHa treatment, who showed the same growth pattern but refused GH treatment, served to evaluate the efficacy of GH addition. No patient showed classical GH deficiency. Both groups discontinued treatment at a comparable BA (mean +/- SEM): 13.2 +/- 0.2 in GnRHa plus GH vs. 13.0 +/- 0.1 yr in the control group. At the conclusion of the study, all the patients had achieved adult height. Adult height was considered to be attained when the growth during the preceding year was less than 1 cm, with a BA of over 15 yr. Patients of the group treated with GH plus GnRHa showed an adult height significantly higher (P < 0.001) than pretreatment PAH (160.6 +/- 1.3 vs. 152.7 +/- 1.7 cm). Target height (TH) was significantly exceeded. The group treated with GnRH alone reached an adult height not significantly higher than pretreatment PAH (157.1 +/- 2.5 vs. 155.5 +/- 1.9 cm). TH was just reached but not significantly exceeded. The gain in centimeters obtained, calculated between pretreatment PAH and final height, was 7.9 +/- 1.1 cm in patients treated with GH combined with GnRHa; whereas in patients treated with GnRHa alone, the gain was just 1.6 +/- 1.2 cm (P = 0.001). Furthermore, no side effects have been observed either on bone age progression

  6. MRI study in children with central precocious puberty%头颅MRI在儿童中枢性性早熟的应用研究

    Institute of Scientific and Technical Information of China (English)

    王秀民; 陆文丽; 董治亚; 王伟

    2012-01-01

    目的:探索头颅鞍区MRI在小儿中枢性性早熟(central precocious puberty,CPP)病因诊断中的应用价值.方法:分析44例CPP患儿的垂体MRI资料,于SE序列T1WI头颅正中、矢状及冠状面上观测垂体的大小、形态及信号特征,并比较其与临床特征间的联系.结果:6~10岁CPP患儿的头颅MRI检查显示,其垂体冠状高径与正常均值间的差异明显(P<0.0.5),且比其他各径线更有意义.患儿性发育的程度、年龄对应身高标准差积分与颅内MRI阳性发现率间存在一定联系.结论:应重视CPP患儿的头颅MRI检查,其垂体形态、结构的阳性发现有助于临床疾病的诊断及鉴别,必要时应随访MRI,综合临床表现进行诊治及预后判断.%Objective To study the value of brain MRI in the pathogenetic diagnosis of central precious puberty. Methods The brain MRI of 44 children with central precious puberty were analyzed. Size, shape and signal characteristics of pituitary gland were measured on SE series T1WI medial sagittal and coronary view, and their correlation with clinical characteristic was analyzed. Result Brain MRI of central precious puberty children aged <10 showed that the maximum diameter of coronary view of pituitary gland was significantly higher than the average normal value (P<0.05), and was of more significance than other measures. There was a correlation between degree of sexual development, age related height standard score and brain MRI positive findings. Conclusions Children with central precious puberty should have a brain MRI performed, size, shape and structure findings are helpful for the clinical and differential diagnosis of central precious puberty, and MRI should be followed if necessary.

  7. Quantitative calcaneal ultrasound parameters and bone mineral density at final height in girls treated with depot gonadotrophin-releasing hormone agonist for central precocious puberty or idiopathic short stature.

    NARCIS (Netherlands)

    Kordelaar, S. van; Noordam, C.; Otten, B.J.; Bergh, J.P.W. van den

    2003-01-01

    To evaluate the effect of gonadotrophin-releasing hormone (GnRH) agonist treatment on bone quality at final height, we studied girls with central precocious puberty (CPP) and with idiopathic short stature (ISS). A total of 25 Caucasian girls were included: group A (n=14) with idiopathic CPP (mean ag

  8. Serum concentrations of type I and III procollagen propeptides in healthy children and girls with central precocious puberty during treatment with gonadotropin-releasing hormone analog and cyproterone acetate

    DEFF Research Database (Denmark)

    Hertel, Niels; Stoltenberg, Meredin; Juul, A;

    1993-01-01

    Serum levels of type I and III procollagen propeptides (s-PICP and s-PIIINP) were measured in 466 healthy school children and in 23 girls with central precocious puberty (CPP) during GnRH analog and cyproterone acetate therapy, using two commercially available RIAs. In normal children, s-PICP and...

  9. Serum IGF1 and insulin levels in girls with normal and precocious puberty

    DEFF Research Database (Denmark)

    Sørensen, Kaspar; Aksglaede, Lise; Petersen, Jørgen Holm;

    2012-01-01

    IGF1 plays an important role in growth and metabolism during puberty. IGF1 levels are increased in girls with central precocious puberty (CPP). However, the relationship with insulin before and during gonadal suppression is unknown. In addition, the influence of the exon 3-deleted GH receptor gene...

  10. Puberdade precoce central como única manifestação de cisto aracnoide supraselar Central precocious puberty as a sole manifestation of suprasellar arachnoid cyst

    Directory of Open Access Journals (Sweden)

    Adriana Mangue E. Aun

    2011-03-01

    Full Text Available OBJETIVO: Os cistos aracnoides são achados raros. Em 10% dos casos, sua localização é supraselar e ocorrem quase exclusivamente em crianças. Em geral, apresentam manifestações neurológicas e visuais, sendo incomum a puberdade precoce central como sinal clínico de sua presença. DESCRIÇÃO DO CASO: Menina avaliada aos dois anos e sete meses por telarca iniciada com um ano e oito meses e pubarca e axilarca com dois anos, com aumento da velocidade de crescimento (13cm/ano e da idade óssea (sete anos e um mês. Ao exame, apresentou peso de 22,6kg (Z+4,0, estatura de 106cm (Z+3,5 e Tanner de M3P2. Exames realizados: teste de estímulo com GnRH (LH basal 8,3 UI/L, pico aos 30 minutos 94,3 UI/L; FSH basal=10,1 UI/L, pico aos 30 minutos 29,5 UI/L, ressonância nuclear magnética de crânio com cisto aracnoide supraselar e demais testes de função hipofisária normais. Foi iniciado tratamento com análogo de GnRH. Atualmente, aos quatro anos e três meses com estadio puberal M3P2, velocidade de crescimento e desenvolvimento neuropsicomotor normais para a idade. COMENTÁRIOS: A puberdade precoce central pode ser manifestação única de um cisto aracnoide, sendo essenciais o diagnóstico e o tratamento precoces, além de seguimento prolongado, uma vez que outras disfunções hipofisárias podem ocorrer tardiamente.OBJECTIVE: Arachnoid cysts (AC are a rare finding; 10% of them are suprasellar and occur almost exclusively in children. They are frequently associated with neurological and visual manifestations. Central precocious puberty as a sole manifestation is uncommon. CASE DESCRIPTION: Girl evaluated at the age of two years and seven months. She started breast development at the age of one year and eight months, pubic and axillary hair at the age of two years, with growth velocity acceleration (13cm/year and increased bone age (seven years and one month. On exam: weight: 22.6kg (Z+4.0, height: 106cm (Z+3.5 and puberal stage of B3P2. The Gn

  11. Serum levels of growth hormone binding protein in children with normal and precocious puberty

    DEFF Research Database (Denmark)

    Juul, A; Fisker, Sidse; Scheike, Thomas Harder

    2000-01-01

    To study the regulation of GHBP serum levels by gonadal steroids in normal and precocious puberty.......To study the regulation of GHBP serum levels by gonadal steroids in normal and precocious puberty....

  12. 458例注射抑那通治疗中枢性性早熟儿童的护理%Nursing for 458 central precocious puberty children treated with enantone

    Institute of Scientific and Technical Information of China (English)

    赵迎春; 刘姝嫔; 黄书妹

    2012-01-01

    Objective To discuss the nursing methods for central precocious puberty children treated with enantone. Methods The nursing process of 458 central precocious puberty children treated with enantone was statistically analyzed to summarize effective nursing methods. Results The adolescence symptoms of the 458 children stopped or decreased. The rapid growth of the children slowed down and skeletal maturity was brought back to the normal. Conclusion The guidance in psychology,sleep,diet,and exercise is conducive to the recovery of central precocious puberty children with pharmacotherapy.%目的 探讨抑那通治疗中枢性性早熟的护理方法.方法 对458例中枢性性早熟患儿的护理过程进行回顾性分析,总结抑那通治疗中枢性性早熟护理方法.结果 458例患儿治疗前已有的青春期症状停止或减少,患儿迅猛的生长速度减慢,骨骼的成熟也减慢到正常速度.结论 对中枢性性早熟患儿在药物治疗的基础上对患儿进行心理、睡眠、饮食、运动等方面的指导,有利于患儿康复.

  13. Application of ultrasonic combined with Back-propagation neural network in the diagnosis of central precocious puberty%超声结合 BP 神经网络技术诊断女童中枢性性早熟

    Institute of Scientific and Technical Information of China (English)

    梁哲浩; 鲁伟

    2015-01-01

    目的:探讨超声结合人工神经网络技术在女童中枢性性早熟诊断中的应用价值。方法选用170例性早熟女童进行常规超声检查子宫、卵巢,以其中130例的子宫体积、卵巢体积以及双侧卵巢最大卵泡内径为输入变量,以中枢性性早熟或非中枢性性早熟为输出变量,建立反向传播(BP)神经网络,并对另40例性早熟病例分类。结果利用 BP 神经网络结合常规超声检查对中枢性性早熟诊断的敏感性、特异性和准确率分别为95.0%、85.0%、90.0%。结论神经网络结合超声检查对中枢性性早熟的诊断和鉴别诊断具有较大的价值。%Objective To explore the value of ultrasonic combined with Back‐propagation artificial neural network in the diagnosis of central precocious puberty .Methods In 170 girls with precocious puberty ,the uterine and ovarian were ex‐amined with ultrasound ,in which 130 cases of uterine volume ,ovarian volume and bilateral ovarian follicles biggest diame‐ter were taken as inputs ,the central precocious puberty or non‐central precocious puberty as output variable .The back‐propagation (BP) neural network was established using such data .The other 40 cases were sorted by this BP neural net‐work .Results The diagnostic sensitivity ,specificity and accuracy of the BP neural network combination of ultrasound were 95 .0% ,85 .0% and 90 .0% ,respectively .Conclusion The BP neural network in combination of ultrasound is help‐ful in diagnosing central precocious puberty .

  14. Serum concentrations of type I and III procollagen propeptides in healthy children and girls with central precocious puberty during treatment with gonadotropin-releasing hormone analog and cyproterone acetate

    DEFF Research Database (Denmark)

    Hertel, Niels; Stoltenberg, Meredin; Juul, A;

    1993-01-01

    Serum levels of type I and III procollagen propeptides (s-PICP and s-PIIINP) were measured in 466 healthy school children and in 23 girls with central precocious puberty (CPP) during GnRH analog and cyproterone acetate therapy, using two commercially available RIAs. In normal children, s-PICP and s...... after 6 months of therapy (r = 0.64; P children, but due to the large variation, both propeptides seem unsuitable as markers for screening of growth disorders in children....

  15. Effect of gonadotropin-releasing hormone agonist therapy on body mass index and growth in girls with idiopathic central precocious puberty

    Directory of Open Access Journals (Sweden)

    Ahmet Anik

    2015-01-01

    Full Text Available Objective: The study aimed to assess the effect of gonadotropin-releasing hormone (GnRH agonist therapy on body mass index (BMI and growth in girls diagnosed with idiopathic central precocious puberty (CPP. Materials and Methods: Hospital records of 32 girls with idiopathic CPP who have been receiving GnRH agonist therapy for at least 12 months were retrospectively reviewed and auxological, clinical and laboratory parameters of the patients were recorded. BMI, body mass index standard deviation score (BMI SDS for chronological age body mass index standard deviation score (CA-BMI SDS, BMI SDS for bone age body mass index standard deviation score (BA-BMI SDS, ratios of obesity and overweight were assessed before treatment and on the 12 th month of therapy in patients diagnosed with idiopathic CPP. Results: The study comprised of 32 girls diagnosed with idiopathic CPP. BMI values showed statistically significant increase in the 1 st year of treatment (19.16 ± 2.8 vs. 20.7 ± 3.4, P = 0.001. Despite a mild increase in CA-BMI SDS in the 1 st year of treatment versus before treatment, it was no statistically significant (1.0 ± 0.8 vs. 1.1 ± 0.9, P = 0.061. However, significant increase was observed in BA-BMI SDS in the 1 st year of treatment versus before treatment (0.8 ± 0.7 vs. 0.4 ± 0.8, P < 0.001. Before treatment, 37.5% (12/32 of the patients were overweight and 21.9% (5/32 were obese, whereas in the 1 st year, 34.4% (11/32 of the patients were overweight and 31.3% were obese (P = 0.001. Conclusion: Whilst 1/3 of the cases diagnosed with idiopathic CPP were overweight and obese at the time of diagnosis, GnRH agonist therapy caused statistically significant weight gain in patients diagnosed with CPP. Therefore, these patients should be closely monitored and weight control should be provided by diet and exercise programs in the course of treatment.

  16. Frequency of different types of precocious puberty, determining the predisposing factor and need to treatment in children - Emam Hospital (1993-2000

    Directory of Open Access Journals (Sweden)

    Moayeri H

    2002-07-01

    Full Text Available Background: This study was performed in order to detect the frequency of different types of precocious puberty, predisposing factors and to show which group of patients need to treatment. Materials and Methods: In this study, 74 patients who referred to pediatric endocrine clinic of Imam Khomeini Hospital and private office from 1993-2000 were assessed. A complete history was taken and physical examination was done in all patients by pediatrics endocrinologist. Bone age was done in all patients and specific hormonal tests were measured in some of them. Results: Among 74 patients, 50 cases (67.6 percent were female and 24 cases (32.4 percent were male. The age of the patients was between 0.8-10 years old with mean 5.37 year. 75 percent of male patients had central (complete precocious puberty and 25 percent had peripheral (incomplete precocious puberty. 40 percent of female patients had central precocious puberty, 46 percent had premature telarche, 8 percent had premature pubarche, 2 percent had premature menarche and 4 percent had other kinds of precocious puberty (one case with hypothyroidism and one case with Mccune-Albright syndrome. 10 percent of female patients with central precocious puberty had predisposing factor and 90 percent of them were idiopathic. 38.8 percent of male patients with central precocious puberty had predisposing factor and 61.2 percent of them were idiopathic. 100 percent of male patients with peripheral precocious puberty had congenital Adrenal Hyperplasia. 38 percent of female patients and 100 percent of male patients needed to treatment. Conclusion: According to this study and references, precocious puberty in female usually benign but in male patients it should be evaluated thoroughly because they usually have a serious disorder which needs treatment.

  17. Precocious puberty in a girl with floating-harbor syndrome.

    Science.gov (United States)

    Stagi, Stefano; Galluzzi, Fiorella; Bindi, Giuseppe; Lapi, Elisabetta; Cecchi, Cecilia; Salti, Roberto; Chiarelli, Francesco

    2007-12-01

    Floating-Harbor syndrome (FHS) is a rare genetic disorder characterized by short stature, delayed bone age, mild to moderate mental retardation, speech problems, and peculiar craniofacial features. In these patients pubertal development has been reported to be normal. In this paper, we describe a girl with FHS who developed precocious puberty. FHS diagnosis was made at 2 years 5 months on the basis of peculiar clinical features. At 7 years 7 months, the girl began pubertal development; her height was 112.5 cm (-2.42 SDS) and pubertal staging was B2 PH2 AH1. LHRH test underlined LH and FSH peak values of 11.7 mIU/ml and 6.2 mIU/ml, respectively. Plasma levels of 17beta-estradiol were normal (8.5 pg/ml). Ophthalmological and neurological examinations, including nuclear magnetic resonance imaging of the brain, were normal. Treatment with gonadotrophin-releasing hormone analogue was begun. At 10 years 1 month, because of reduced height velocity, her growth hormone secretion was evaluated with diagnosis of neurosecretory dysfunction; hGH therapy was begun. The patient showed a good response to hGH treatment, reaching a normal adult height (156.1 cm; -1.20 SDS). This report suggests that, in patients with FHS, precocious puberty should be taken into consideration; in these patients, a careful endocrinological followup for the possible presence of growth and pubertal disorders is needed.

  18. [Precocious puberty due to HCG secreting pinealoma (author's transl)].

    Science.gov (United States)

    Rosenberg, D

    The present report concerns a six years nine months old boy in whom a HCG secreting pineal tumor (pinealocytoma type I) was responsible for precocious puberty. Features : polydipsia, deepened voice, pubic hair, penile enlargement without corresponding testicular growth. Serum basal concentrations of LH (150 mU/ml), testosterone (85.80 nanomole/l), HCG (115 ng/ml) and its beta subunit (15 ng/ml) were markedly elevated, FSH was low (3.9 mU/ml) ] dissociated hypopituitarism was also present. A surgical removal of the tumor was performed (RIA of the neoplastic tissue revealed high HCG and beta HCG activity) and after the operation the child had radiation therapy. Recovery for the foregoing procedure was rapid, but after some months, in spite chemotherapy his condition deteriorated progressively. The apparent limitation of pinealoma and precocious puberty to the male sex is discussed and supposed to be partly the result of the ectopic gonadotropin secretion. These tumors are compared to other HCG secreting carcinomas located elsewhere in the body and causing sexual precocity in boys only.

  19. Precocious puberty in Turner Syndrome: report of a case and review of the literature

    Directory of Open Access Journals (Sweden)

    Improda Nicola

    2012-10-01

    Full Text Available Abstract Introduction Turner Syndrome (TS is caused by monosomy or structural abnormalities of the X chromosome, with a prevalence of about 1/2000 females live birth. Most important clinical features of TS are short stature and gonadal failure. Approximately one third of girls with TS may undergo spontaneous puberty. Here we report on the case of a girl with a rare 45X0/47XXX mosaic TS exhibiting a precocious puberty. Case report The patient was diagnosed with TS at the age of 4 years, upon a diagnostic work-up for dysmorphic features. Chromosome analysis revealed a mosaic karyotype (45X0/47XXX. She presented with normal height and normal growth velocity so that Growth Hormone (GH therapy was not started. She was referred to our Department at the age of 7 years and 10 months, because of vaginal bleeding. A physical examination revealed a Tanner stage III for breast and Tanner stage III for pubic hair development. Height and weight were within the normal range for age. Psychological evaluation showed moderate global developmental delay, together with emotional and social immaturity and reading difficulties. The growth rate was accelerated. Her bone age was 10 years. Pelvic ultrasound demonstrated increased size for age of both the uterus and the ovaries, with bilateral ovarian follicles. GnRH stimulation test revealed pubertal response of gonadotropins (peak LH 22.5 mIU/ml. MRI of the brain was normal. These clinical, radiologic and laboratory findings were consistent with a diagnosis of idiopathic central precocious puberty; therefore, GnRH analog therapy was started, in order to slow pubertal progression and to preserve adult stature. Furthermore, GH treatment was added to further improve adult height. Conclusion Our case highlights the possibility of precocious puberty as an atypical clinical feature of TS. Thus, precocious puberty may occur in TS girls when a dosage compensation by the cell line with more than two X chromosomes allows normal

  20. Influence of GnRH analogue on body mass index in girls with precocious puberty: a prospective study

    Directory of Open Access Journals (Sweden)

    Heshmat Moaieri

    2014-06-01

    Conclusion: Gonadotropin-releasing hormone analog (GnRHa therapy in central precocious puberty (CPP is safe for BMI and increasing of BMI is not significant, long- term follow-up study is required to elucidate whether GnRHa treatment affects adult obesity. Using growth hormone concomitantly, the effect on increasing height is significant.

  1. Precocious puberty due to human chorionic gonadotropin secreting germinoma

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    Daiane J Nascimento

    2012-01-01

    Full Text Available This study aims to report a rare case of precocious puberty (PP due to a human chorionic gonadotropin (hCG-producing germinoma located in the suprasellar region. A 10-year-old male patient presented with sexual precocity, headache, drowsiness, loss of appetite, and papilledema. Significant acceleration of bone age in relation to chronological age, high serum total testosterone levels, and hypopituitarism (unresponsiveness to stimulation test were observed. Magnetic resonance imaging (MRI of the brain showed a large suprasellar tumor and triventricular dilatation. High hCG levels were found in both blood and cerebrospinal fluid. Hormone replacement therapy and transcranial surgery associated with radiotherapy were performed, with complete regression of sexual characteristics and normal laboratory tests post-operatively. Clinical and laboratory findings, in addition to MRI scans, led to the diagnosis of an hCG-producing tumor and PP, which represents a rare report in the literature.

  2. Increased risk of precocious puberty in internationally adopted children in Denmark

    DEFF Research Database (Denmark)

    Teilmann, G.; Pedersen, Carsten Bøcker; Skakkebæk, N.E.

    2006-01-01

    in the timing of puberty, and large variations in age at menarche are observed worldwide. Age at menarche is reported to be in the same age range in South Korea as in well-off populations in other parts of the world, indicating that the different risk of precocious puberty observed between Korean and other...... immigrating with their family, and descendants of immigrants living in Denmark. METHODS: Patients who were registered with the diagnosis of precocious puberty during the period 1993-2001 were identified through the national patient registry. The background population of children born from 1983 to 2001 were...... of origin. The incidence rate ratio was significantly higher in children adopted after the age of 2. In children immigrating with their family, we found no effect of age at migration. DISCUSSION: In this large, nationwide, register-based study including 655 cases of precocious puberty, we found...

  3. Precocious puberty: clinical and endocrine profile and factors indicating neurogenic precocity in Indian children.

    Science.gov (United States)

    Bajpai, Anurag; Sharma, Jyoti; Kabra, Madhulika; Kumar Gupta, Arun; Menon, P S N

    2002-01-01

    The objective of this study was to evaluate the clinical and endocrine profile of patients with precocious puberty followed up in a tertiary care hospital. Records of 140 patients (114 girls, 26 boys) with precocious puberty were reviewed. Clinical features including age of onset, stage of pubertal development, presenting symptoms, features suggestive of CNS involvement and family history were analyzed. Endocrine investigations included basal and GnRH-stimulated levels of LH and FSH as well as 17OHP, DHEA, hCG and thyroid profile. Abdominal and pelvic ultrasonography and CNS imaging were correlated with clinical features. Girls outnumbered boys in this series (4.4:1). Neurogenic central isosexual precocious puberty (CIPP) was more common in boys (10 out of 18, 55.6%) than girls (16 out of 77, 20.8%). The most common cause of neurogenic CIPP was hypothalamic hamartoma present in five girls and four boys. Other causes of neurogenic CIPP included neurotuberculosis, pituitary adenoma, hydrocephalus, post radiotherapy, CNS tumors and malformations. Peripheral precocious puberty (PPP) was secondary to adrenal causes in boys and ovarian cysts in girls. Benign variants of precocious puberty, such as premature thelarche and premature adrenarche, were present in 23 and six girls, respectively. Hypothyroidism was present in four girls and McCune-Albright syndrome in one girl. Girls with neurogenic CIPP had a lower age of onset as compared to idiopathic CIPP (3.6 +/- 2.7 years vs 5.4 +/- 2.5 years, p = 0.014). The lowest age of onset was seen in girls with hypothalamic hamartoma (1.6 +/- 0.9 years). Forty-seven girls with CIPP (seven neurogenic and 40 idiopathic) presented after the age of 6 years. Features of CNS involvement, in the form of seizures, mental retardation, raised intracranial tension or focal neurological deficits, were present in seven girls (43.8%) and four boys (40%), and gelastic seizures were present in three children. Girls with CIPP had greater bone age

  4. Pathological and incidental findings on brain MRI in a single-center study of 229 consecutive girls with early or precocious puberty

    DEFF Research Database (Denmark)

    Mogensen, Signe Sloth; Aksglaede, Lise; Mouritsen, Annette;

    2012-01-01

    Central precocious puberty may result from organic brain lesions, but is most frequently of idiopathic origin. Clinical or biochemical factors which could predict a pathological brain MRI in girls with CPP have been searched for. With the recent decline in age at pubertal onset among US and Europ......Central precocious puberty may result from organic brain lesions, but is most frequently of idiopathic origin. Clinical or biochemical factors which could predict a pathological brain MRI in girls with CPP have been searched for. With the recent decline in age at pubertal onset among US...

  5. Challenges and controversies in diagnosis and management of gonadotropin dependent precocious puberty: An Indian perspective

    Directory of Open Access Journals (Sweden)

    Manoj Kumar

    2015-01-01

    Full Text Available Managing precocious puberty (PP has been a challenge due to lack of standardized definition, gonadotrophins assay, gonadotrophin stimulation, timings for blood sampling, and parameters for assessing outcomes. This review evaluated available literature to simplify the algorithm for managing gonadotrophin dependent/central PP (CPP, with an Indian perspective. CPP is one of the commonest forms of PP and mimics the normal course of puberty, at an age 3.5 cm and uterine volume of >1.8 ml are two most specific indicators for true CPP. Therapy is indicated in children with CPP with accelerated bone age, height advancement, or psychosocial stress. Treatment goal is to halt puberty progression to a socially acceptable age, allowing the child to attain optimal height potential. GnRHa is the treatment of choice, with best height outcomes when initiated <6 years age. Treatment is recommended till 11 years age. LH suppression to <3 U/L may be a reasonable target in patients on GnRHa therapy. Medroxyprogesterone acetate holds an important place in managing PP in India, cause of high costs associated with GnRHa therapy. There is an urgent need for clinical trials from India, for establishing Indian cut-off for diagnosis, treatment and follow-up of children with PP.

  6. Kallmann综合征1例%Ultrasonography in differential diagnosis of precocious puberty in girls

    Institute of Scientific and Technical Information of China (English)

    邓大同; 朱晖; 孙莉; 章秋; 杨明功

    2011-01-01

    @@ Kallmann综合征是先天性遗传性疾病,又称为"男性特发性低促性腺激素性腺功能减退症(idiopathic hypogonadotropic hypogonadism,IHH)",发病率男性为1/l万,女性为1/5万,笔者于2010年7月27日发现1例,报道如下. 1 临床资料 患者男性,20岁.因"睾丸、阴茎小,男性第二性征不发育"入住我院.患者自幼出现嗅觉障碍,无法辨识出水与酒精的气味,无法辨识香、臭味,但可辨别水与食醋气味差别.父母非近亲结婚,两个妹妹生长发育正常.%Aim To investigate the differential diagnostic value of ulrasound with precocious puberty. Methods The uterine,ovarian follicles were measured by ultrasound. Then these indexes were compared with the normal control groups in the same age. Results The uterine indexes of girls with true-precocious puberty and pseudo-precocious puberty were significantly larger than the normal girls (P < 0.05). The volume of ovary and the largest follicle diameter, a section of the largest number of follictes in true-precocious puberty are larger than the normal girls (P < 0.05). The volume of ovary and the largest follicle diameter, a section of the largest number of follicles in pseudo-precocious puberty are similar to the normal girls(P <0.05). Conclusion Ultrasonography has great value on differential diagnosis of precocious puberty in girls.

  7. Diagnosis and constitutional and laboratory features of Korean girls referred for precocious puberty

    Directory of Open Access Journals (Sweden)

    Doosoo Kim

    2012-12-01

    Full Text Available &lt;B&gt;Purpose:&lt;/B&gt; Precocious puberty is defined as breast development before the age of 8 years in girls. The present study aimed to reveal the diagnosis of Korean girls referred for precocious puberty and to compare the constitutional and endocrinological features among diagnosis groups. &lt;B&gt;Methods:&lt;/B&gt; The present study used a retrospective chart review of 988 Korean girls who had visited a pediatric endocrinology clinic from 2006 to 2010 for the evaluation of precocious puberty. Study groups comprised fast puberty, true precocious puberty (PP, pseudo PP, premature thelarche, and control. We determined the height standard deviation score (HSDS, weight standard deviation score (WSDS, and body mass index standard deviation score (BMISDS of each group using the published 2007 Korean growth charts. Hormone tests were performed at our outpatient clinic. &lt;B&gt;Results:&lt;/B&gt; The PP groups comprised fast puberty (67%, premature thelarche (17%, true PP (15%, and pseudo PP (1%. Advanced bone age and levels of estradiol, basal luteinizing hormone (LH, and peak LH after gonadotropin-releasing hormone stimulation testing were significantly high in the fast puberty and true PP groups compared with the control group. HSDS, WSDS, and BMISDS were significantly higher in the true PP group than in the control group (P&lt;0.05. &lt;B&gt;Conclusion:&lt;/B&gt; The frequent causes of PP were found to be fast puberty, true PP, and premature thelarche. Furthermore, BMISDS were significantly elevated in the true PP group. Therefore, we emphasize the need for regular follow-up of girls who are heavier or taller than others in the same age group.

  8. Treatment of precocious puberty in a female with Prader-Willi syndrome.

    Science.gov (United States)

    Pusz, Erin Rose; Rotenstein, Deborah

    2008-05-01

    Prader-Willi syndrome (PWS) is characterized by neonatal hypotonia, hyperphagia, childhood obesity at an early age, short stature, varying degrees of mental deficiency, and hypogonadism. In PWS, puberty is usually delayed and fails to complete, with most females never having regular menstrual cycles. We report a female patient with uniparental disomy, who experienced precocious puberty with menarche at age 8 years. The patient was treated with luteinizing hormone releasing hormone (LHRH) analog, which suppressed pubertal development. From our search of the literature this is the first application of LHRH analog to a female PWS patient for precocious puberty. Use of LHRH analog along with recombinant human growth hormone (rhGH) permitted stature closer to target height. The clinical course of this patient with PWS underscores the need for individualized treatment.

  9. Pathological and incidental findings on brain MRI in a single-center study of 229 consecutive girls with early or precocious puberty.

    Directory of Open Access Journals (Sweden)

    Signe Sloth Mogensen

    Full Text Available UNLABELLED: Central precocious puberty may result from organic brain lesions, but is most frequently of idiopathic origin. Clinical or biochemical factors which could predict a pathological brain MRI in girls with CPP have been searched for. With the recent decline in age at pubertal onset among US and European girls, it has been suggested that only girls with CPP below 6 years of age should have brain MRI performed. OBJECTIVE: To evaluate the outcome of brain MRI in girls referred with early signs of puberty in relation to age at presentation as well as clinical and biochemical parameters. METHOD: A single-center study of 229 consecutive girls with early or precocious puberty who had brain imaging performed. We evaluated medical history, clinical and biochemical factors, and four groups were defined based on the outcome of their MRI. RESULTS: Thirteen out of 208 (6.3% girls with precocious puberty, but no other sign of CNS symptoms, had a pathological brain MRI. Importantly, all 13 girls were above 6 years of age, and 6 girls were even 8-9 years old. Twenty girls (9.6% had incidental findings on brain MRI. Furthermore, 21 girls had known CNS pathology at time of evaluation. Basal LH was significantly higher in girls with newly diagnosed CNS pathology compared to girls with a non-pathological MRI (p = 0.025; no cut of value was found as values overlapped. CONCLUSION: A high frequency of 6-8 year old girls with precocious puberty in our study had a pathological brain MRI, which could not be predicted from any clinical nor biochemical parameters. Thus, we believe that girls with precocious pubertal development of central origin before 8 years of age should continue to be examined by a brain MRI.

  10. Pathogenetic Regulation of Female Precocious Puberty and the Mechanism of Therapy with Traditional Chinese Medicine

    Institute of Scientific and Technical Information of China (English)

    cai; de-pei

    2001-01-01

    In recent ten-odd years the pathogenetic regulation of female idiopathic precocious puberty was studied in our hospital, in terms of the function of hypothalamic-pituitary-gonadal axis (HPG axis) and the status of skeletal development as indicators. The therapy with Chinese herbal medicine (CHM) in predominance was formulated, according to our understanding of the regulation and Syndrome Differentiation of traditional Chinese medicine (TCM). It has been clinically verified that the therapy could successfully modulate the course of pubertal development and optimize skeletal development in children with precocious puberty. The mechanism of effectiveness of the drugs has been further studied focusing on the neuroendocrine regulation and gene expression with modern medical techniques.……

  11. Pathogenetic Regulation of Female Precocious Puberty and the Mechanism of Therapy with Traditional Chinese Medicine

    Institute of Scientific and Technical Information of China (English)

    蔡德培; 季志英; 陈伯英; 张炜

    2001-01-01

    @@In recent ten-odd years the pathogenetic regulation of female idiopathic precocious puberty was studied in our hospital, in terms of the function of hypothalamic-pituitary-gonadal axis (HPG axis) and the status of skeletal development as indicators. The therapy with Chinese herbal medicine (CHM) in predominance was formulated, according to our understanding of the regulation and Syndrome Differentiation of traditional Chinese medicine (TCM). It has been clinically verified that the therapy could successfully modulate the course of pubertal development and optimize skeletal development in children with precocious puberty. The mechanism of effectiveness of the drugs has been further studied focusing on the neuroendocrine regulation and gene expression with modern medical techniques.

  12. Progress in the treatment of precocious puberty%性早熟治疗进展

    Institute of Scientific and Technical Information of China (English)

    郑郁; 母义明

    2011-01-01

    近年来,性早熟的发病率越来越高,然而其治疗中尚存在许多问题.本文根据国内外最新的文献报道,就如何界定性早熟的年龄、不同病因性早熟的治疗方案、治疗目标、治疗指征、停药指征及药物相关不良反应等进行综述.%Since recent years, the incidence of precocious puberty has been rising. However, questions regarding its treatment and other conditions remain. This article reviews recent published papers with long-term outcome data and guidelines, and systemical introduction to identification of precocious puberty, different treatment options, therapeutic goals, and indications for different types of diseases, as well as adverse effects of drugs.

  13. 46,XX/69,XXX diploid-triploid mixoploidy with hypothyroidism and precocious puberty.

    OpenAIRE

    Järvelä, I E; Salo, M.K.; Santavuori, P.; Salonen, R K

    1993-01-01

    We report a 20 month old female patient with diploid-triploid mixoploidy (46,XX/69,XXX) syndrome with hypothyroidism and precocious puberty. The triploid cell line was only expressed in the fibroblast culture and comprised the majority (95%) of the cells. Chromosome analysis of the fetal blood sample and peripheral blood sample were normal. The patient shows typical features of full triploidy (growth and severe mental retardation, cranial and facial dysmorphism, complete syndactyly of fingers...

  14. Clinical Analysis of 30 Cases of Peripheral Precocious Puberty%外周性性早熟30例临床分析

    Institute of Scientific and Technical Information of China (English)

    刘晓景; 李春枝; 卫海燕

    2016-01-01

    目的:总结外周性性早熟临床特点。方法回顾性分析我院2013年1月~2015年7月收治的30例外周性性早熟临床资料。结果30例外周性性早熟男孩17例,女孩13例,先天性肾上腺皮质增生症8例,肾上腺肿瘤2例,误服避孕药12例,卵巢囊肿3例,McCune-Albright综合征3例,原发性甲状腺功能减退症1例,分泌HCG生殖细胞瘤1例。结论外周性性早熟多为继发性,多数病历进展快,可转为中枢性性早熟,由肿瘤引起的外周性性早熟尚可危及生命,应积极寻找原发病,以免延误疾病。%Objective To summarize the clinical characteristics of peripheral precocious puberty. Methods A retrospective analysis of our hospital from January 2013 to July 2015, 30 cases of clinical data of peripheral precocious puberty. Results 30 cases with peripheral precocious puberty, 17 cases with peripheral precocious boy, 13 cases of girls, 8 cases of congenital adrenal hyperplasia, 2 cases of adrenal tumor, swallowed the pill in 12 cases, 3 cases of ovarian cyst , McCune-Albright syndrome in 3 cases, 1 patients of primary hypothyroidism, secretion hCG germ cell tumor in 1 case. Conclusion It is secondary of peripheral precocious puberty, most medical progress quickly, can turn for central precocious puberty, caused by tumor peripheral precocious puberty passable life-threatening, should be actively looking for primary disease, so as not to delay the disease.

  15. Factors to predict positive results of gonadotropin releasing hormone stimulation test in girls with suspected precocious puberty.

    Science.gov (United States)

    Nam, Hyo-Kyoung; Rhie, Young Jun; Son, Chang Sung; Park, Sang Hee; Lee, Kee-Hyoung

    2012-02-01

    Sometimes, the clinical findings and the results of the gonadotropin-releasing hormone (GnRH) stimulation test are inconsistent in girls with early breast development and bone age advancement. We aimed to investigate the factors predicting positive results of the GnRH stimulation test in girls with suspected central precocious puberty (CPP). We reviewed the records of 574 girls who developed breast budding before the age of 8 yr and underwent the GnRH stimulation test under the age of 9 yr. Positive results of the GnRH stimulated peak luteinizing hormone (LH) level were defined as 5 IU/L and over. Girls with the initial positive results (n = 375) showed accelerated growth, advanced bone age and higher serum basal LH, follicle-stimulating hormone, and estradiol levels, compared to those with the initial negative results (n = 199). Girls with the follow-up positive results (n = 64) showed accelerated growth and advanced bone age, compared to those with the follow-up negative results. In the binary logistic regression, the growth velocity ratio was the most significant predictive factor of positive results. We suggest that the rapid growth velocity is the most useful predictive factor for positive results in the GnRH stimulation test in girls with suspected precocious puberty.

  16. Kisspeptin-GPR54-GnRH神经元轴在雌性大鼠中枢性性早熟中的作用%Effect of Kisspeptin-GPR54-GnRH neuron axis in central precocious puberty of female rats

    Institute of Scientific and Technical Information of China (English)

    王海莲; 葛伟; 薛江

    2012-01-01

    目的 探讨Kisspeptin-GPR54 -GnRH神经元轴在雌性大鼠中枢性性早熟(CPP)中的作用.方法 选择雌性SD大鼠50只,随机分为对照1组(正常青春前期)、对照2组(正常青春早期)、对照3组(正常青春中期)、实验1组(性早熟青春早期)、实验2组(性早熟青春中期)各10只.实验组皮下注射N-甲基-DL-天冬氨酸(NMA)建立CPP模型.观察各组阴道开放时间及性周期,测量其子宫指数、卵巢指数、卵巢黄体出现个数、子宫壁厚度和血清黄体生成素;用Real-Time RT-PCR法检测下丘脑中的KISS-1 mRNA、GPR54 mRNA、促性腺激素释放激素(GnRH) mRNA表达;在电镜下观察各组下丘脑内分泌神经元的超微结构.结果 实验组性发育起始时间早于对照组,实验组各检查指标明显高于对照1组(P均<0.05),实验1组与对照2组、实验2组与对照3组比较均无统计学差异.随着青春期发育,实验组和对照组大鼠下丘脑中KISS-1 mRNA、GPR54 mRNA、GnRH mRNA表达均逐渐升高,下丘脑内分泌神经元代谢逐渐活跃,分泌旺盛.结论 应用NMA可建立理想的雌性大鼠CPP模型,随着大鼠青春期发育,其下丘脑中的KISS-1 mRNA、GPR54 mRNA、GnRH mRNA表达逐渐升高;提示Kisspeptin-GPR54-GnRH神经元轴在CPP的发生、发展中起重要作用.%Objective To study the effect of Kisspeptin-GPR54-GnRH neuron axis in central precocious puberty (CPP) of female rats. Methods Fifty female rats were randomly assigned to five groups, the first control group (normal prepuberty) , the second control group (early phase of normal puberty) , the third control group (metaphase of normal puberty) , the first experimental group (early phase of precocious puberty), the second experimental group (metaphase of precocious puberty) , ten rats in each group. Experimental group received subcutaneous injection of N-methyl-DL-aspartale acid (NMA) in order to establish the central precocious puberty model. The vaginal open and

  17. Expression and significance of netrin-1 and its receptor UNC5C in precocious puberty female rat hypothalamus

    Institute of Scientific and Technical Information of China (English)

    Yan-Chao Shang; Jie Zhang; Yan-Qiu Shang

    2015-01-01

    Objective:To study expressions of netrin-1 and its receptor UNC5C in female precocious puberty rat hypothalamus, and explore its effect on precocious puberty process.Methods:Forty female one-week-old SD rats were randomly divided into four groups: experimental group A (precocious puberty early youth), experimental group B (precocious puberty medium youth), group A (normal pre-puberty), group B (normal early youth) with 10 rats in each group. Precocious puberty experimental rats were induced with Danazol and rats in control group were injected with saline. Uterus and ovaries were removed, specimens were weighed, uterus index and ovarian index were calculated, and amount of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) were detected from the blood by ELISA. Real-time PCR was used to detect netrin-1 and its receptor UNC5C, as well as hypothalamic gonadotropin-releasing hormone (GnRH) mRNA expression in hypothalamus tissues; and then, a co-immunoprecipitation study of interactions between netrin-1 and its receptor UNC5C was carried out.Results: Relative target gene expression levels of control group A, control group B, experimental group A, and experimental group B (withβ-actin as an internal control for normalization) were as follows: Netrin-1: 3.5±0.9, 5.4±0.7, 4.9±1.0, 5.3±0.3; UNC5C: 0.8±0.04, 1.7±0.2, 1.82±0.23, 1.58±0.4; GnRH: 1.2±0.3, 2.7±0.3, 2.4±0.7, 3.2±0.4.Conclusions:LH and FSH concentrations, netrin-1 and its receptor expression are increased in precocious puberty animal models.

  18. Feminizing adrenocortical adenoma presenting as heterosexual precocious puberty: report of one case.

    Science.gov (United States)

    Hsiao, Hui-Pin; Chao, Mei-Chyn; Lin, Chao-Yu; Chen, Hsiu-Lin; Chen, Shiu-Lin; Chiou, Shyh-Shin; Chen, Bai-Hsiun

    2005-01-01

    We report on a case of a 2 2/12-year-old boy with heterosexual precocious puberty secondary to a feminizing adrenocortical adenoma. The boy, with no previous history of disease or treatment, presented with bilateral gynecomastia and pubic hair development (Tanner III breasts and Tanner II pubic hair). Plasma estradiol and testosterone were 410.9 pg/ml and 126.2 ng/dl respectively. Basal plasma LH and FSH levels were within the normal range. Bolus i.v. injection of GnRH showed unresponsiveness of LH and FSH. Abdominal echography and abdominal magnetic resonance imaging revealed a well-defined mass at the left suprarenal region (measuring 4.0 x 2.7 x 3.6 cm in size). After removal of the adrenal tumor, the estradiol and testosterone levels fell to normal in 2 weeks. The gynecomastia and pubic hair regressed with time. The pathology of the tumor showed compact pattern with polygonal cells containing moderate eosinophilic cytoplasm without mitotic figure. These findings were consistent with an adrenocortical adenoma secreting estradiol and testosterone as the cause of the patient's heterosexual precocious puberty.

  19. Predictive Value of Dental Maturity for a Positive Gonadotropin-Releasing Hormone Stimulation Test Result in Girls with Precocious Puberty

    Science.gov (United States)

    2017-01-01

    Dental maturity is associated with skeletal maturity, which is advanced in girls with central precocious puberty (CPP). We investigated the performance of dental maturity as a screening method for CPP using mandibular second premolar and molar calcification stages, assessed the associated anthropometric and laboratory factors, and evaluated pubertal response predictors using the gonadotropin-releasing hormone stimulation test (GnRHST) in prepubertal and pubertal girls. A prospective case-control study was conducted in girls, aged 7.0–8.9 years, classified into pubertal (peak luteinizing hormone [LH] after GnRHST ≥ 5 IU/L), prepubertal (peak LH < 5 IU/L), and control groups. Auxological and biochemical tests, panoramic radiographs, and GnRHSTs in participants with breast development were conducted. Dental maturity was assessed using the Demirjian index (DI). We included 103 girls (pubertal, 40; prepubertal, 19; control, 44). Chronological age (CA) was not significantly different between groups. Bone age (BA) and BA advancement was higher in the pubertal and prepubertal groups. Increased DI values at the mandibular second premolar and molar were significantly associated with CA, BA, BA advancement, height standard deviation score (SDS), peak LH after GnRHST, and insulin-like growth factor-I (IGF-I) (all P < 0.05). Moreover, odds ratio (OR) of the mandibular second premolar and molar (a DI value of ≥ E) for predicting a positive response to GnRHST was 8.7 (95% confidence intervals [CI], 2.9–26.1) and 5.2 (95% CI, 2.2–12.7), respectively. Dental maturity was a strong predictor for diagnosing CPP. Determining dental maturity in girls with suspected precocious puberty might help determine the performance of GnRHSTs. PMID:28049241

  20. Prostate specific antigen in boys with precocious puberty before and during gonadal suppression by GnRH agonist treatment

    DEFF Research Database (Denmark)

    Juul, A; Müller, J; Skakkebaek, N E

    1997-01-01

    antigen (PSA) is a marker of the androgen-dependent prostatic epithelial cell activity and it is used in the diagnosis and surveillance of adult patients with prostatic cancer. We have measured PSA concentrations in serum from boys with precocious puberty before and during gonadal suppression with GnRH...

  1. Etiology and therapeutic outcomes of children with gonadotropin-independent precocious puberty

    Science.gov (United States)

    Kang, Eungu; Cho, Ja Hyang; Choi, Jin-Ho

    2016-01-01

    Purpose This study was performed to investigate the etiology, clinical features, and outcomes of patients with gonadotropin-independent precocious puberty (GIPP). Methods The study included 16 patients (14 female and 2 male patients) who manifested secondary sexual characteristics, elevated sex hormones, or adrenal androgens with prepubertal luteinizing hormone levels after gonadotropin releasing hormone stimulation diagnosed between May 1994 and December 2015. Patients with congenital adrenal hyperplasia were excluded. Clinical features, laboratory findings, treatment modalities, and outcomes were retrospectively reviewed. Results The median age at diagnosis was 2.6 years (range, 0.7–7.9 years) and median follow-up duration was 4.6 years (range, 1 month–9.8 years). Patients with McCune-Albright syndrome (n=5) and functional ovarian cysts (n=4) presented with vaginal bleeding and elevated estradiol levels (23.3±17.5 pg/mL); adrenocortical tumors (n=4) with premature pubarche and elevated dehydroepiandrosterone sulfate levels (87.2–6,530 µg/dL); and human chorionic gonadotropin (hCG)-producing tumor (n=1) with premature pubarche and elevated β-human chorionic gonadotropin levels (47.4 mIU/mL). Two patients were idiopathic. Six patients transited to gonadotropin-dependent precocious puberty median 3.3 years (range, 0.3–5.1 years) after the onset of GIPP. Initial and follow-up height standard deviation scores (0.99±0.84 vs. 1.10±1.10, P=0.44) and bone age advancement (1.49±1.77 years vs. 2.02±1.95 years, P=0.06) were not significantly different. Conclusion The etiologies of GIPP are heterogeneous, and treatment and prognosis is quite different according to the etiology. Efficacy of treatment with aromatase inhibitors needs to be evaluated after long-term follow-up. PMID:27777905

  2. Prostate specific antigen in boys with precocious puberty before and during gonadal suppression by GnRH agonist treatment

    DEFF Research Database (Denmark)

    Juul, A; Müller, J; Skakkebaek, N E

    1997-01-01

    In healthy boys, the pituitary-gonadal axis exhibits diurnal variation in early puberty. Serum testosterone levels are higher during the night and low or immeasurable during the day. These fluctuating levels of circulating androgens in early pubertal boys are difficult to monitor. Prostate specific...... antigen (PSA) is a marker of the androgen-dependent prostatic epithelial cell activity and it is used in the diagnosis and surveillance of adult patients with prostatic cancer. We have measured PSA concentrations in serum from boys with precocious puberty before and during gonadal suppression with Gn...

  3. 性早熟病因的研究进展%Study Progress in Etiologies of Precocious Puberty

    Institute of Scientific and Technical Information of China (English)

    孙艳艳; 俞建

    2011-01-01

    性早熟是发于儿童的一种生长发育异常性疾病.多科研究表明,其发病因素是多方面的,是以遗传为基础,遗传因素和环境因素相互作用的结果,现对性早熟的病因在遗传、环境、营养方面的进展作如下综述.%Precocious puberty is an abnormality in children's growth and development. Multiple studies indicate that its pathogenic factors are various. Based on the genetics, it attributes to the interactions between genetics and environments. Coupled with the increasing incidence of precocious puberty, more studies about its etiology have being discovered. Now the article is to summarize them simply.

  4. Fulvestrant treatment of precocious puberty in girls with McCune-Albright syndrome

    Directory of Open Access Journals (Sweden)

    Sims Emily K

    2012-09-01

    Full Text Available Abstract Background McCune-Albright Syndrome (MAS is usually characterized by the triad of precocious puberty (PP, fibrous dysplasia, and café au lait spots. Previous treatments investigated for PP have included aromatase inhibitors and the estrogen receptor modulator, tamoxifen. Although some agents have been partially effective, the optimal pharmacologic treatment of PP in girls with MAS has not been identified. The objective of this study was to evaluate the safety and efficacy of fulvestrant (FaslodexTM, a pure estrogen receptor antagonist, in girls with progressive precocious puberty (PP associated with McCune-Albright Syndrome (MAS. Methods In this prospective international multicenter trial, thirty girls ≤ 10 years old with MAS and progressive PP received fulvestrant 4 mg/kg via monthly intramuscular injections for 12 months. Changes in vaginal bleeding, rates of bone age advancement, growth velocity, Tanner staging, predicted adult heights, and uterine and ovarian volumes were measured. Results Median vaginal bleeding days decreased from 12.0 days per year to 1.0 day per year, with a median change in frequency of -3.6 days, (95% confidence interval (CI -10.10, 0.00; p = 0.0146. Of patients with baseline bleeding, 74% experienced a ≥50% reduction in bleeding, and 35% experienced complete cessation during the study period (95% CI 51.6%, 89.8%; 16.4%, 57.3%, respectively. Average rates of bone age advancement (ΔBA/ΔCA decreased from 1.99 pre-treatment to 1.06 on treatment (mean change -0.93, 95% CI -1.43, -0.43; p = 0.0007. No significant changes in uterine volumes or other endpoints or serious adverse events occurred. Conclusions Fulvestrant was well tolerated and moderately effective in decreasing vaginal bleeding and rates of skeletal maturation in girls with MAS. Longer-term studies aimed at further defining potential benefits and risks of this novel therapeutic approach in girls with MAS are needed. Trial

  5. Puberdade precoce: a experiência de um ambulatório de Ginecologia Infanto-Puberal Precocious puberty: the experience of o Pediatric and Adolescent Gynecology Clinic

    Directory of Open Access Journals (Sweden)

    Márcia Neves de Carvalho

    2007-02-01

    Full Text Available OBJETIVO: avaliar os casos com suspeita de puberdade precoce, em relação à classificação diagnóstica e etiológica, atendidos no período compreendido entre os anos de 2000 e 2005. MÉTODOS: foram revisados os prontuários de 58 pacientes com suspeita diagnóstica de puberdade precoce atendidas no período compreendido entre os anos de 2000 e 2005 para análise de dados relevantes. Os critérios de inclusão foram desenvolvimento de mamas e/ou pêlos pubianos antes dos oito anos de idade. As pacientes foram classificadas de acordo com o quadro clínico e os exames complementares em uma das seguintes categorias: puberdade precoce central (PPC, pseudopuberdade precoce, telarca precoce e pubarca precoce. RESULTADOS: dos 58 casos revisados, 28 tiveram diagnóstico de PPC, um de pseudopuberdade precoce, dez de telarca precoce e 19 de pubarca precoce. Todos os casos de PPC foram de origem idiopática, com exceção de uma paciente em que houve ativação do eixo hipotálamo-hipófise-ovariano secundária a hiperplasia adrenal congênita. Houve um caso com suspeita diagnóstica de pseudopuberdade precoce devido à síndrome de McCune-Albright. Todos os casos de telarca precoce foram de origem idiopática, exceto um caso que foi associado a hipotireoidismo primário. Todos os casos de pubarca precoce foram de origem idiopática. CONCLUSÕES: dentre os casos atendidos com diagnóstico de puberdade precoce no período de cinco anos, o diagnóstico final predominante foi PPC e a grande maioria dos casos foi de origem idiopática, havendo baixa incidência de patologias orgânicas.PURPOSE: to evaluate the classification and the etiology of girls attended in a Pediatric and Adolescent Gynecology Clinic. METHODS: The hospital charts of 58 female patients attended from 2000 to 2005 with diagnosis of probable precocious puberty were reviewed and relevant data analyzed. Inclusion criteria were breast and/or pubic hair growth before eight years old. The

  6. Fatores determinantes do ganho na altura em meninas com puberdade precoce central idiopática tratadas com análogo de GnRH Predictive factors for height gain in idiopathic central precocious puberty treated with GnRH analogues

    Directory of Open Access Journals (Sweden)

    Cristina Laguna Benetti-Pinto

    2008-12-01

    Full Text Available OBJETIVO: avaliar fatores determinantes de maior ganho na estatura como resultado do tratamento com GnRHa. MÉTODOS: estudo retrospectivo de 33 meninas com puberdade precoce central idiopática tratadas com GnRHa. Foram avaliadas: idade no início dos sintomas e no início do tratamento, tempo decorrido entre o início de aparecimento dos caracteres puberais e o início do tratamento, idade óssea, avanço da idade óssea, duração do tratamento com GnRHa, altura real e escore Z, altura predita e escore Z e dosagens hormonais de FSH e LH após estímulo com GnRH, que foram correlacionadas com o ganho de altura no final do tratamento, calculada pela diferença entre altura predita no final e início do tratamento. Para análise estatística foi utilizada a correlação linear de Pearson, além da regressão linear múltipla. RESULTADOS: a média de idade no início do tratamento foi 7,8±1,3 anos, com idade óssea média de 10,1±1,6 anos. O avanço da idade óssea era de 2,3±1,1 anos e foi controlado com o tratamento. O ganho em altura predita foi de 2,5±1,3 cm e foi correlacionado positivamente com o tempo decorrido entre o início dos sintomas e o início do tratamento e com o avanço da idade óssea, além de se correlacionar negativamente com o escore Z da altura no início do tratamento e com a altura predita no início do tratamento, sendo este último o principal fator determinante do ganho obtido com o tratamento. CONCLUSÕES: meninas com maior comprometimento da altura predita para a idade adulta, visualizado pelo maior desvio em relação à população (escore Z e pelo maior avanço na idade óssea foram as que obtiveram maior benefício com o tratamento com GnRHa, não devendo ser excluídas do grupo a ser tratado.PURPOSE: to evaluate predictive factors of response to GnRHa treatment in girls with idiopathic central precocious puberty. METHODS: a retrospective cohort study was conducted involving 33 girls diagnosed with idiopathic

  7. Maternal uniparental isodisomy of human chromosome 14 associated with a paternal t(13q14q) and precocious puberty.

    Science.gov (United States)

    Tomkins, D J; Roux, A F; Waye, J; Freeman, V C; Cox, D W; Whelan, D T

    1996-01-01

    Cytogenetic and molecular investigation of a boy with precocious puberty and motor developmental delay revealed a 45,XY,t(14q14q) or i(14q) karyotype with no paternal chromosome 14 contribution. VNTR analysis of loci on four other chromosomes excluded non-paternity with greater than 99% confidence. Results of VNTR and CA repeat analyses of ten loci along the entire length of chromosome 14 were consistent with homozygosity at all loci, suggesting that the chromosomal rearrangement was a maternal isochromosome for 14q. As the proband's father had a balanced Robertsonian translocation, t(13q14q), we suggest that the origin of the maternal uniparental disomy (UPD) was fertilization by a nullisomy 14 sperm with formation of the isochromosome in the early embryo. Also, the proband has several clinical features in common with six previously reported liveborn cases of maternal UPD 14: hypotonia and motor developmental delay, mild dysmorphic facial features, low birth weight and growth abnormalities, and, more specifically, precocious puberty among the four cases old enough to assess. The emergence of a syndrome associated with maternal UPD 14 suggests the possibility of genomic imprinting of regions of chromosome 14, especially a gene involved in the onset of puberty.

  8. The status survey of children with precocious puberty in Chinese cities%中国城市儿童性早熟现状的调查研究

    Institute of Scientific and Technical Information of China (English)

    朱迪卿; 朱红

    2016-01-01

    目的:对国内城市儿童性早熟现状进行调查,为制定有效的预防策略,并推动儿童性早熟的临床规范化和个性化治疗提供理论依据。方法2014年3月至12月在全国范围内开展“中国城市儿童性早熟现状调研”活动。调研共收集来自全国10余省市的2687份问卷,其中1714份问卷纳入统计分析。结果调查人群大多分布在全国10个主要省市,包括北京、上海、重庆、江苏、湖北等;调查患儿以女童为主,其男女比例约1∶16。诊断为中枢性性早熟的患者占75.79%(1299/1714);调查中初次诊断为中枢性性早熟患者占88.91%(1524/1714)。调查患者的骨龄为(10.00±1.77)岁,高于实际年龄(8.29±1.60)岁,差异有统计学意义(P <0.001);初次诊断为 CPP 的患者的骨龄为(10.11±1.70)岁,高于实际年龄(8.35±1.57)岁,差异均有统计学意义(P <0.001)。结论国内城市儿童性早熟就诊患者的年龄偏大,为防止患者就诊时已错过最佳的干预和治疗时机,应引起对疾病筛查的高度重视,做到早发现、早诊断和早治疗。%Objective To investigate the status of patients with precocious puberty in Chinese cities,and provide a theoretical basis for making effective prevention strategy,and promoting clinical standardization and per-sonalized treatment of precocious puberty.Methods "Precocious Puberty Research in Chinese cities" activities be-gan in the period between March and December 2014.Among a total of 2 687 questionnaires,1 714 were included in the final statistical analysis.Results The survey of patients with city distribution were mainly in 10 cities,the top three being Chongqing(21.28%),Changzhou(9.26%)and Shanghai(8.37%).Girls dominated the survey,and male to female ratio was about 1 ∶16;In secondary inspection,patients diagnosed with central precocious puberty accounted for 75.79% by GnRH stimulation test.Initial diagnosis of patients with central

  9. Precocious puberty with hypothalamic hamartoma and non classical form of congenital adrenal hyperplasia. Report of two cases.

    Science.gov (United States)

    Pasquino, A M; Pucarelli, I; Cambiaso, P; Cappa, M

    2009-10-01

    Two girls with central precocious puberty (CPP) associated with hypothalamic hamartoma (HH) and non classical form of congenital adrenal hyperplasia (NCAH), are reported. Case 1. The first patient, who showed at age around 4 years the onset of CPP, was submitted in view of some organic lesion to magnetic resonance (MRI) of the brain which documented the presence of HH. The remarkable acceleration of bone age (BA) advanced of 3 SD and some clinical signs of hyperandrogenism suggested the coexistence of NCAH, proved by adrenocorticotropic hormone (ACTH) test and molecular analysis. She resulted carrier of partial 21-hydroxylase deficiency. Case 2. In the second girl with CPP, aged 6.5 years, the remarkable advancement (4 SD) of bone age (BA) alerted to adrenal involvement. ACTH stimulation test and molecular analysis showed NACH due to 21-hydroxylase deficiency. Brain MRI, performed mainly for severe headache, showed the presence of HH. Yearly brain MRI to monitor HH dimensions and neurological examination with EEG, in order to exclude anomalies referable to gelastic epilepsy are advisable, in both cases. The authors' observation emphasizes the need to be careful in young patients with CPP, with fast progression of pubertal development and remarkable BA advancement. The association of CPP with HH and NCAH should be considered, performing not only MRI of the brain, but also ACTH test, beside LHRH test for the diagnosis of CPP. At the authors' knowledge this association has not been reported so far. Further observations are needed to understand if this rare combination is occasional or genetically determined.

  10. 儿童肥胖与性早熟的研究进展%Research progress of childhood obesity and precocious puberty

    Institute of Scientific and Technical Information of China (English)

    尤箫萌; 单川; 沈秀华

    2012-01-01

    自20世纪60年代起,儿童性早熟的发病率与儿童肥胖率呈连年上升趋势.专家指出儿童肥胖与性早熟确实存在关联.研究发现肥胖女童的性早熟发病率显著高于正常体质量女童;但在男童方面,情况较为复杂.瘦素被认为是儿童肥胖与性早熟的纽带因素,其与肥胖儿童性早熟关系的相关研究也有较多报道.该文就儿童肥胖与性早熟的研究进展作一综述.%Since 1960s, the prevalences of precocious puberty and childhood obesity have been rising, and it has been pointed out by many experts that childhood obesity may be relevant with precocious puberty. Some studies have revealed that the prevalence of precocious puberty in obese girls is significantly higher than that in girls with normal body weight. However, the results are complicated when it comes to boys. Leptin may be one of the links between childhood obesity and precocious puberty, and there have been many reports about its relationship with precocious puberty in children with obesity. The research progress of childhood obesity and precocious puberty is reviewed in this paper.

  11. 超声影像检查在诊断女孩真性性早熟中的应用%APPLICATION OF ULTRA SONOGRAPHY IN DIAGNOSIS OF GIRLS WITH PRECOCIOUS PUBERTY

    Institute of Scientific and Technical Information of China (English)

    李娜

    2011-01-01

    [目的]探讨超声影像检查对女孩特发性真性性早熟诊断的应用价值.[方法]应用超声监测性早熟女孩子宫、卵巢大小及卵泡直径,检测血清性激素水平.[结果]女孩特发性真性性早熟子宫、卵巢大小及容积明显大于正常值:随青春成熟度增加,性激素水平提高,卵泡直径与个数增加.[结论]超声影像检查是一种间接观察下丘脑-垂体-性腺轴功能的简便易行的可靠方法.%[Objective] To investigate the value of ultra stenography in the diagnosis and treatment of girls with precocious puberty. [Methods] Used ultrasound techniques to measure the uterus, ovary size and follicle diameter of precocious puberty girls, serum sex hormone levels. [Results] The idiopathic central precocious puberty uterus, ovary size and volume were significantly greater than normal; with the increasing maturity, sex hormone levels rose, the number and diameter of follicles increased. [Conclusion] Ultrasound imaging is a simple and reliable method of the indirect examination of the function of hy-pothalamus - pituitary - gonadal axis.

  12. Pilot study on the dietary habits and lifestyles of girls with idiopathic precocious puberty from the city of Rome: potential impact of exposure to flame retardant polybrominated diphenyl ethers.

    Science.gov (United States)

    Tassinari, Roberta; Mancini, Francesca R; Mantovani, Alberto; Busani, Luca; Maranghi, Francesca

    2015-11-01

    Puberty is regulated by the endocrine system, which when disrupted can affect reproductive health. Endocrine disrupters (ED) are involved in the pathogenesis of idiopathic central precocious puberty (ICPP). Polybrominated diphenyl ethers (PBDE) are lipophilic, persistent ED used as flame retardants in several products; thus, human population is exposed through food and domestic dust. PBDE exposure during the peripubertal period is suspected to interfere with reproductive development. The study aimed to investigate PBDE serum concentration in 31 girls with ICPP as well as describe their dietary habits and lifestyles. The PBDE median level was 59 ng/g of lipids, higher than in healthy girls in comparable studies. Interestingly, elder girls and girls with higher body mass index (BMI) showed higher PBDE serum levels. Considering the relevance of altered puberty onset as a risk factor for reproductive health, studies on food contribution to PBDE exposure in Italian children, and efforts to ameliorate risk assessment for emerging chemicals are suggested.

  13. 儿童期性早熟42例临床分析%Clinical analysis on 42 childish cases of precocious puberty.

    Institute of Scientific and Technical Information of China (English)

    冯玉贞

    2011-01-01

    Objective To summarize the clinical features of precocious puberty in order to improve clinical understanding of pediatric physician s. Methods The clinical data of 42 cases of precocious puberty in pediatric department of this hospital from January 2006 to February 2010 were retrospectively reviewed and analyzed. Results Among these 42 childish patients, 19 cases suffered from precocious puberty, 17 cases of pseudo precocious puberty and 6 cases of partial precocious puberty and the ratio of girls to boys was 10 : 1. Precocious puberty in majority of children was manifested as acceleration in height growth, in advance of bone age, enlargement of gon ads and positive stimulation of luteinizing hormone release test ( LHRH ). In cases of pseudo - precocious puberty, suspicious inducing factors could be found in most of them, some of them with accerated height growth and advanced bone age, and enlargement of gon ads is not obvious. LHRH stimulation test was negative. Conclusion In precocious children, girls are more prevalent than boys, precocious puberty is mostly idiopathic in girls. The majority of children with precocious puberty have related inducing factors. The determination of bone age, gonadal BUS and LHRH stimulation test are important in dfferential diagnosis of precocious puberty in children.%目的 总结儿童性早熟的临床特点,提高临床儿保科医师对儿童性早熟的认识.方法 回顾性分析我院儿保科2006年1月月至2010年2月诊断明确的性早熟儿童42例的病例临床资料.结果 女孩:男孩=10:1;真性性早熟19例,假性性早熟17例,部分性性早熟6例.真性性早熟儿童多数表现为身高增速,骨龄提前,性腺增大,促性腺激素释放激素(LHRH)兴奋试验阳性.假性性早熟:多数可以问及可疑诱因,部分患儿有身高增速,但骨龄提前、性腺增大不明显.LHRH兴奋试验阴性.结论 性早熟儿童女孩明显多于男孩,女孩真性性早熟多数为特发性,多数性

  14. Etiology and prognosis of peripheral precocious puberty in children%外周性性早熟患儿的病因及预后随访

    Institute of Scientific and Technical Information of China (English)

    杨晓红; 陈瑞敏; 张莹; 林祥泉

    2011-01-01

    tumor (n = 1 ). The causes in 14 cases were unknown. Follow-up showed that the sexual characteristics of 72 cases due to exogenous hormones intake subsided after 1 -6 months. Of 11 cases with ovarian cysts, the sexual characteristics subsided spontaneously in 8 cases after 1 to 4 months, but one case was transformed to central precocious puberty after 2 years and three months. One child with ovarian cysts underwent an operation and than the sexual characteristics subsided. The sexual characteristics of the patient who had an ovarian teratoma subsided after operation. The clinical symptoms of children with McCune-Albright syndrome or CAH were alliaviated partly after treatment, and 7 cases were transformed to central precocious puberty. The clinical symptoms of 2 cases of adrenal tumors subsided after operation. One child with handle pituitary tumor died one year after operation. Conclusions Varied causes may contribute to peripheral precocious puberty and therefore must be carefully identified through history taking, physical examination, and auxiliary examinations. The prognosis may differ for patients with different etiologies of peripheral precocious puberty.

  15. 从小儿体质特点探讨性早熟防治的重要性%Importance investigation of prevention and treatment of precocious puberty based on the physical characteristics of children

    Institute of Scientific and Technical Information of China (English)

    王亚君; 琚玮; 郑宏

    2013-01-01

    With the development of society, the incidence of precocious puberty in children was significantly higher than before. This paper analyzes the correlation of precocious puberty and physical characteristics that explore the importance of prevention and treatment of precocious puberty.%随着社会的发展,小儿性早熟的发病率明显增高,本文通过分析性早熟与体质特征的相关性,探讨防治性早熟的重要性。

  16. Ultrasonography in differential diagnosis of precocious puberty in girls%超声在女童性早熟鉴别诊断中的价值

    Institute of Scientific and Technical Information of China (English)

    锁仁静; 穆仲平; 余春燕

    2011-01-01

    Aim To investigate the differential diagnostic value of ulrasound with precocious puberty. Methods The uterine , ovarian follicles were measured by ultrasound. Then these indexes were compared with the normal control groups in the same age. Results The uterine indexes of girls with true-precocious puberty and pseudo-precocious puberty were significantly larger than the normal girls( P <0. 05 ) . The volume of ovary and the largest follicle diameter, a section of the largest number of follictes in true-precocious puberty are larger than the normal girls( P< 0. 05 ) . The volume of ovary and the largest follicle diameter,a section of the largest number of follicles in pseudo-precocious puberty are similar to the normal girls ( P< 0. 05 ) . Conclusion Ultrasonography has great value on differential diagnosis of precocious puberty in girls.%目的 探讨超声在女童性早熟不同类型的鉴别诊断中的价值.方法 对临床及实验室检查确诊的真性性早熟,假性性早熟及正常女童三组患者进行超声检查,观察其子宫大小,卵巢大小,一个切面最大卵泡数和最大卵泡直径,比较检查结果.结果 真性性早熟患儿子宫测量各径线均大于正常同龄女童,卵巢容积、最大卵泡直径及一个切面卵泡数量均大于正常同龄女童(P<0.05).假性性早熟患儿子宫测量各径线均大于正常同龄女童(P0.05).结论 超声对于不同类型女童性早熟的鉴别诊断有重要价值.

  17. 儿童性早熟192例临床分析%Clinical analysis on 192 children with precocious puberty

    Institute of Scientific and Technical Information of China (English)

    胡华燕; 谢薇; 杨培; 郭相锐

    2012-01-01

    Objective: To explore the age, causes, and clinical characteristics of precocious puberty, elevate cognition of children with precocious puherty. Methods: The age, clinical characteristics, causes, laboratory data of 192 children (including 5 boys and 187 girls) with precocious puberty who were diagnosed and treated in the hospital from April 2007 to May 2010 were analyzed retrospectively. Results; The proportion of girls among the children with precocious puberty was 97.4% ; the percentages of children aged 8 months-one year, -3 years, -9 years accounted for 2. 08% , 28. 12% , and 69.79% , respectively. The most common clinical manifestation was breast hyperplasia, accounting for 92.9% , followed by breast pigmentation (65. 5% ) , increase of vulval secretion (12. 3% ) , premature pubarche ( for 4. 3 % ), augmentation of clitoris (cauda salax) and didymus (4.6% ), and vaginal bleeding (0.01 %) . Causes; the children with gonadotropic hormone dependent precocious puberty accounted for 26.4%. Among the girls with isosexual precocious puberty, except two girls with pituitary neoplasms, one girl with congenital hypothyroidism (CH) , and one girl with Williams syndrome, other girls were diagnosed as idiopalhic precocious puberty. Two boys were diagnosed as congenital adrenal cortical hyperplasia (CAH) . The children with non - gonadotropic hormone dependent precocious puberty accounted for 73. 6%. All the girls manifested as isosexual precacious puberty; 3 boys manifested as heterosexual precocious puberty because of intake of exogenous estrogen (contraceptives) . The preva-lence of precocious puberty among the infants less than three years was 28. 12%. Except one child with CAH and one child with pituitary neoplasms , other children were diagnosed as non - gonadotropic hormone dependent precocious puberty; among the children with precocious puberty, rural children accounted for 87% , stay - at - home children accounted for most of the children, the main causes

  18. Study on Realationship of Child Obesity and Precocious Puberty%儿童肥胖与性早熟关系的研究

    Institute of Scientific and Technical Information of China (English)

    卫海燕; 王会贞; 李春枝; 陈永兴; 王凌飞; 罗淑颖

    2011-01-01

    Objective To explore the relationship between obesity and precocious puberty. Methods Totally 8750 children from 3 to 12 years old were selected from Zhengzhou by stratified and cluster sampling. All the individuals selected were medical examined, and the data was analyzed by descriptive statistics, Chi - square tests, tendency tests. Results The detection rates of precocious puberty in overweight and obesity children (1.4 % ) was higher than that of the normal children (0. 6% ) , and the detection rates of precocious puberty in overweight and obesity girls (3. 1% ) was much higheT than that of the normal girls (1.1%), while there were no significance in boys. With the increase of the degree of obesity, the detection rates of precocious puberty also increased ( t = 10. 629, P =0. 001). Conclusions There was close relationship between obesity and precocious puberty , and the detection rate of precocious puberty among the overweight and obese children was higher than normal weight children. The girls' incidence of precocious puberty was colser with BMI than boys' , and with the increasing of the degree of obesity, the detection rates of precocious puberty also increased among girls.%目的 了解儿童肥胖与性早熟发生之间的关系。方法 以郑州地区3~12岁儿童为对象,采用分层随机整群抽样方法,共获取研究对象8750名,全部进行体格检查,进行描述性统计分析、卡方检验、趋势检验,检验水准α=0.05。结果 超重和肥胖儿童中性早熟的检出率(1.4%)高于正常体重儿童(0.6%),差异有统计学意义(P=0.002);其中超重和肥胖女童性早熟的检出率(3.1%)高于正常体重女童(1.1%),差异有统计学意义(P=0.001);男童差异无统计学意义,随着肥胖度的增加女童性早熟的检出率呈上升趋势。结论 郑州地区儿童肥胖与性早熟的发生密切相关,超重和肥胖儿童中性早熟的检出率高于正常体重儿童,且女童

  19. Precocious puberty in a patient with Oculo-Auriculo-Verebral spectrum (OAVS

    Directory of Open Access Journals (Sweden)

    A. Berio

    2014-06-01

    Full Text Available The authors report on the first case of OAVS (Oculo-Auriculo- Vertebral-Spectrum, with hemifacial microsomy, hydrocephalus, pubertas precox, thelarche at 4 years of age, vaginal bleeding at 5 years, and left ovary of adult type on echography (right ovary initially not visualized. FISH and CGH-ARRAYS methods were negative. By GnRH therapy the delay of onset puberty was obtained. The authors ascribe facial and ovary asymmetry to a derangement of blastogenesis, during which axial right-left structures begin the develop with consequent migration or interation with surrounding tissues of neural crest cells and alteration of diencephalic pituitary systems.

  20. Etiology and clinical characteristics of 78 boys presenting with isosexual precocious puberty.%男性儿童同性性早熟78例病因及临床分析

    Institute of Scientific and Technical Information of China (English)

    曾婷; 苏喆; 马华梅; 李燕虹; 杜敏联; 陈红珊; 陈秋莉

    2011-01-01

    目的 分析男性儿童同性性早熟的病因及临床特点.方法 回顾性分析1988年1月至2009年4月中山大学附属第一医院收治的明确病因诊断的78例男性同性性早熟病例的病因及临床特点.结果 中枢性性早熟(CPP)55例(70.51%),按构成比前三位病因为特发性性早熟、下丘脑错构瘤、先天性肾上腺皮质增生症(CAH)继发,其中下丘脑错构瘤患儿就诊年龄小、GnRHa激发试验后LH浓度最高,CAH患儿骨龄提前最多、HtSDSba负值最大;外周性性早熟(PPP)23例(29.49%),分泌HCG生殖细胞瘤和CAH为主要病因,CAH患儿由PPP转变为CPP的比例较大(5/9),尤其是初治年龄较大者更易发生.分泌HCG的生殖细胞瘤血和(或)脑脊液的β-HCG水平均升高.结论 男性儿童性早熟以器质性病变引起多见,在诊治过程中应积极寻找病因.%Objective To review the etiology and clinical characteristics of isosexual precocious puberty in boys. Methods Seventy-eight boys referred for evaluation with isosexual precocity in Department of Pediatrics of the First Affiliated Hospital of Sun Yat-sen University between Jan. 1988 and Apr.2009 were reviewed. Results Of the 78 boys referred for isosexual precocity, 55(70.51%) were GnRH-dependent precocious puberty (central precocious puberty,CPP) and 23(29.49%) were GnRH-independent precocious puberty (peripheral precocious puberty, PPP). The three most common diagnoses in CPP were idiopathic precocosious puberty (ICPP), hypothalamic hamartoma and secondary CPP with congenital adrenal hyperplasia(CAH) in order. Among them, the medical age of the hypothalamic hamartoma was the smallest, and the concentration of LH after the GnRHa Stimulation test was the highest. The CAH children had the highest incidence rate of advanced bone age and the maximum negative value of HtSDSba.And the two most common diagnosis in PPP were HCG-secreting germ cell tumor and congenital adrenal hyperplasia (CAH). CAH patients from

  1. Partial benefit of anastrozole in the long-term treatment of precocious puberty in McCune-Albright syndrome.

    Science.gov (United States)

    Alves, Cresio; Silva, Sheila Ferreira

    2012-01-01

    We report a long-term follow-up on the use of anastrozole in the treatment of peripheral precocious puberty (PP) in McCune-Albright syndrome (MAS). A girl, age 3 years and 9 months, was diagnosed with MAS due to PP, café-au-lait spots, and polyostotic fibrous dysplasia. Serum estradiol was elevated, and gonadotropins were suppressed. Pelvic ultrasound showed an enlarged uterus and a follicle cyst (13 mm) in the left ovary. Bone scintigraphy showed osteogenic lesions on the skull, humerus, tibia, and acetabulum. Bone age was 3 years and 5 months at the chronological age of 3 years. After 36 months of treatment with anastrozole (1 mg/day), there was suppression of breast growth, normalization of growth velocity and serum estradiol, and disappearance of ovarian cysts. However, there was increase in uterine volume, advancement of bone age, and two episodes of vaginal bleeding (18th and 24th months). This report shows the partial benefit of anastrozole in the treatment of peripheral PP of girls with MAS.

  2. Body image and depression in girls with idiopathic precocious puberty treated with gonadotropin-releasing hormone analogue

    Science.gov (United States)

    Choi, Min-Seon

    2016-01-01

    Purpose Precocious puberty (PP) is associated with psychological and behavioral problems. This study aimed to evaluate the perception of body image and depression in girls with PP receiving gonadotropin-releasing hormone (GnRH) analogue therapy. Methods From March to August 2013, 82 girls with PP receiving GnRH analogue therapy were enrolled. Height, weight, body mass index, and stages of pubertal development were assessed. Participants completed a series of questionnaires on their body image perception and pubertal self-assessment. The depression score was calculated using the Korean Kovacs' Children's Depression Inventory. Results The patients perceived their body to be more obese than the controls did. The mean depression score did not differ between the patients and controls. The mean depression scores according to Tanner stages (1: prepubertal, 2: early pubertal, and 3–5: mid to late pubertal stage) by self-assessment were 5.2±3.6, 6.8±4.9, and 11.4±10.1 (Pperception of overall body build and figure (%) and the mean depression scores in patients were: dissatisfied (25.6%, 9.7±7.8) and satisfied (74.4%, 5.5±3.4) (Pperception of pubertal status and satisfaction about height or weight are unrelated to objective physical findings. Patients with PP are prone to distorted perception about their body image and breast development. Such incorrect body image seems to contribute to depression score. PMID:27777908

  3. Effect of combined treatment of minidose estrogen and gonadotropin releasing hormone analogues for children with idiopathic central precocious puberty%小剂量雌激素联合促性腺激素释放素类似物治疗儿童特发性中枢性性早熟

    Institute of Scientific and Technical Information of China (English)

    赵岫; 张琴; 高晓杰

    2011-01-01

    目的 观察小剂量雌激素联合促性腺激素释放素类似物(GnRHa)治疗特发性中枢性性早熟(ICPP)的效果.方法 45例ICPP伴生长减速患儿分为3组:雌激素联合GnRHa治疗组、重组人生长激素(rhGH)联合GnRHa治疗组、单纯GnRHa治疗组,每组15例.分别于治疗前和治疗6个月后观察3组患儿骨龄(BA)、年生长速率(GV)、体质量、身高(Ht)、骨龄身高(Htba)、成年预测身高(PAH)、血脂、血糖、胰岛素、甲状腺功能、雌二醇(E2)、睾酮(T)、泌乳素(PRL)、血胰岛素样生长因子1(IGF-1)、乳房及子宫卵巢B超等的变化;另行GnRH激发试验监测促黄体生成素(LH)和促卵泡雌激素(FSH)水平.结果 3组患儿治疗前Ht、Htba、骨龄/年龄(BA/CA)、PAH、GV、体质量、IGF-1比较差别均无统计学意义(P>0.05).治疗6个月后,雌激素联合GnRHa治疗组患儿GV、Ht、PAH明显高于治疗前(P<0.05),rhGH联合GnRHa治疗组患儿GV.、Ht、PAH、IGF-1明显高于治疗前(P<0.05);且雌激素联合GnRHa治疗组和rhGH联合GnRHa治疗组患儿GV、Ht、PAH明显高于单纯GnRHa治疗组(P<0.05);rhGH联合GnRHa治疗组患儿IGF-1明显高于雌激素联合GnRHa治疗组和单纯GnRHa治疗组(P<0.05).3组治疗前后E2、T、PRL、乳房及子宫和卵巢B超结果均无明显变化,GnRH激发试验LH、FSH和LH/FSH亦无明显变化(P>0.05).结论 小剂量雌激素联合GnRHa治疗ICPP,能在不加速BA的情况下有效地提高生长速率,且雌激素价格便宜,患者依从性好.%Objective To assess the effect of combined treatment of minidose estrogen and gonadotropin releasing hormone analogues (CnRHa) for children with idiopathic central precocious puberty (ICPP). Methods Forty-five female patients with ICPP and growth deceleration were divided into three groups:estrogen plus GnRHa group,recombinant human growth hormone (rhGH) plus GnRHa group and GnRHa group, fifteen patients in each group. The bone age (BA ) , growth

  4. Combined treatment with bicalutamide and anastrozole in a young boy with peripheral precocious puberty due to McCune-Albright Syndrome.

    Science.gov (United States)

    Tessaris, Daniele; Matarazzo, Patrizia; Mussa, Alessandro; Tuli, Gerdi; Verna, Francesca; Fiore, Ludovica; Lala, Roberto

    2012-01-01

    McCune-Albright Syndrome (MAS) is a congenital endocrine disorder due to mosaic tissutal hyper-function. We describe a boy with a molecularly confirmed MAS, clinically evident with congenital café-au-lait spots, bone fibrous dysplasia, hyperthyroidism, and renal phosphate wasting syndrome. At 4.6 years of age he disclosed a rapid progression of peripheral puberty, so we decided to treat him with bicalutamide 25 mg/day and anastrozole 1 mg/day. Combined third generation aromatase inhibitors - competitive androgen receptor blockers were employed in familial male precocious puberty (FMPP). Combined treatment was performed for 49 months from the age of 4.6 to 6.7 years. The patient underwent clinical, laboratory, and instrumental evaluation twice a year from the first admission to the current age. This treatment caused a rapid normalization of growth velocity, subsequent reduction of penile androgenization, and stabilization of testicular volume. The therapy was well tolerated for all its duration and neither side effects, nor secondary hypothalamic activation were noted. This report provides further evidence of effectiveness and safety of combined third generation aromatase inhibitors - competitive androgen receptor blockers in male precocious peripheral puberty, firstly employed in male MAS, and contributes to expand the spectrum of disorders in which their employment may reveal promising.

  5. Expression of melatonin receptor in the hypothalamus and pituitary of female rats with precocious puberty%雌性性早熟大鼠下丘脑、垂体褪黑素受体表达的变化

    Institute of Scientific and Technical Information of China (English)

    周巧利; 石星; 倪世宁; 顾威; 朱子阳; 刘倩琦; 王旭

    2013-01-01

    Objective; To explore the effect of melatonin and melatonin receptors on the onset of the puberty by observing the plasma concentration of melatonin and melatonin receptors (MT1 ,MT2)of hypothalamus and pituitary in precocious puberty female rats. Methods; A total of 40 26-day-old female SD rats were divided into the precocious puberty group (A), the treated group (B)and the control groups including the prepuberty group(Cl)and the normal puberty group(C2). N-methyl-DL-aspartic acid(NMA)was used to establish precocious puberty female rat model. GnRH analog (Triptorelin) were used to treat precocious puberty. The nocturnal plasma melatonin and luteinizing hormone (LH) level were assayed by enzyme linked immunosorbent assay (ELISA)and the expressions of melatonin receptors (MT1 ,MT2) and GnRH mRNA were conducted in hypothalamus and pituitary by real time-PCR. Results; There was no significant difference in the plasma melatonin level in each group. The expression of MT1 mRNA of rat hypothalamus and pituitary in the group A was significantly lower than in the group B and Cl,and similar with the group C2. Each group showed no significant differences in the expressions of MT2 of hypothalamus and pituitary. Conclusion: The expressions of MT1 mRNA decreased in precocious puberty female rats. GnRH analog may upregulate the expression of MT1 mRNA in hypothalamus and pituitary. The inhibitory effects of melatonin may decline due to the decreased expression of melatonin receptors in the central nervous system by decrease the expression of melatonin receptor in the hypothalamus. Melatonin and its receptors may participate in normal puberty or precocious puberty.%目的:通过研究雌性性早熟大鼠血浆褪黑素(melatonin,MT)水平,下丘脑、垂体MT受体MT1、MT2表达,探讨MT及MT受体在性发育启动和性早熟中的作用.方法:正常26日龄雌性SD大鼠40只,随机分为性早熟组、性早熟干预组、生理盐水对照组,后者又分为青春前期组

  6. Diagnostic work-up of 449 consecutive girls who were referred to be evaluated for precocious puberty

    DEFF Research Database (Denmark)

    Mogensen, Signe Sloth; Aksglaede, Lise; Mouritsen, Annette;

    2011-01-01

    A decrease in age at pubertal onset has been observed internationally. The aim of this study was to describe a large cohort of Caucasian girls referred with signs of early puberty according to etiology and compare biochemical characteristics....

  7. Diagnostic work-up of 449 consecutive girls who were referred to be evaluated for precocious puberty

    DEFF Research Database (Denmark)

    Mogensen, Signe Sloth; Aksglaede, Lise; Mouritsen, Annette;

    2011-01-01

    A decrease in age at pubertal onset has been observed internationally. The aim of this study was to describe a large cohort of Caucasian girls referred with signs of early puberty according to etiology and compare biochemical characteristics.......A decrease in age at pubertal onset has been observed internationally. The aim of this study was to describe a large cohort of Caucasian girls referred with signs of early puberty according to etiology and compare biochemical characteristics....

  8. Study on Correlation of Serum Diethylhexyl Phthalate in Girls with Precocious Puberty%血清邻苯二甲酸二辛酯水平与女童性早熟的相关性研究

    Institute of Scientific and Technical Information of China (English)

    邓敏; 秦原; 李华

    2016-01-01

    went up by about 10 percent surely on average.In 78 cases of PP group,34 cases were central precocious puberty (CPP),and 44 cases were peripher-al precocious puberty (PPP);The detection rates of DEHP in the control group,CPP group and PPP group were 39.74%,88.24% and 95.45% respectively.Compared with the control group,the detection rates and lev-els of DEHP in CPP group and PPP group increased significantly(P<0.05).Peak value of LH(r=0.912,P=0.002),uterine volume(r=0.887,P=0.004)and ovarian volume(r=0.889,P=0.017)were positively as-sociated with serum DEHP levels of CPP group respectively.The uterine volume(r=0.916,P=0.003)was positively associated with serum DEHP levels of PPP group.Conclusion:The serum level of DEHP is an im-portant factor that affects girls with precocious puberty,and its increased level are closely related to the func-tion of gonad axis activation in advance,reproductive organ development in advance and secondary sexual characteristics presented in advance.

  9. Paraneoplastic precocious puberty and excessively rapid somatic growth associated with pediatric malignant hepatic tumor: 1 report of 2 cases

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ok Hwa; Bahk, Yong Whee [Cathalic University College of Medicine, Seoul (Korea, Republic of)

    1990-04-15

    Sexual precocity in a 28-months-old boy and markedly accelerated skeletal growth with large body in a 5 years and 5 months-old-girl are reported. The former resulted from human chorionic gonadotropin-producing hepatoblastoma and the latter from cerebral gigantism associated with hepatoma. These two different disorders are discussed on the common basis of rare association of malignant hepatic tumors with precocious sexual and / or somatic growth. The clinical manifestations, chemical abnormalities, and the radiologic findings are presented with a brief review of the literature.

  10. Nocturnal urinary gonadotropin in diagnosis of precocious puberty in girls%夜尿促性腺激素检测对女童性早熟的诊断价值

    Institute of Scientific and Technical Information of China (English)

    张婷婷; 徐庄剑; 马亚萍; 王勍; 赵金玲; 卢隽滢

    2012-01-01

    Objective To assess the diagnostic value of the nocturnal urinary gonadotropin for precocious puberty in girls. Methods Sixty- three girls with precocious puberty, in which 42 girls had central precocious puberty and other 21 girls had non - CPP, were hospitalized for gonadotropin releasing hormone analogue stimulating test. Nocturnal spontaneous urine was collected at 12 h as Gn samples before the test. Urine amount was also recorded. Serum samples, which were obtained at midnight before the test and Omin during the test, were respectively regarded as the samples of spontaneous nocturnal and diurnal gonadotropin. Luteinizing hormone (LH) and follicle - stimulating hormone (FSH) in serum and urine were examined by imrnunochemilurninometric assay. Results The correlation coefficient between the urinary LH quantity (concentration X volume) and serum peak LH (PLH) wasO.597 (P<0.001), for diurnal spontaneous serum LH and PLH 0.514 (P<0.001), for nocturnal spontaneous serum LH and PLH 0.423 (P<0.01). The areas under the receiver operator characteristic curves of urinary LH quantity, diurnal spontaneous serum LH, nocturnal spontaneous serum LH for the diagnoses of CPP were 0.825, 0.680 and 0.654, respectively. The sensitivity and specificity for the diagnoses of CPP were 71.4% and 90.5% respectively when urinary LH quantity was not less than 0.113 IU. Conclusion Noninvasive determination of timed 12 - hour nocturnal spontaneous urinary gonadotropin by immunochemiluminometric assay can be used as a screening tool for CPP in girls. The value of nocturnal urinary LH quantity may be higher than that of spontaneous LH.%目的 探讨免疫化学放光法检测夜尿促性腺激素(Gn)检测对女童性阜熟的诊断价值.方法 性早熟女童63例,其中中枢性性早熟(CPP)42例,非CPP 21例,均住院行促性腺激素释放激素类似物激发试验.激发试验前留取夜间12h尿作为自发性夜尿Cn标本,并计尿量;激发试验0min与前夜f间 00:00血,分

  11. Effects of combined gonadotropin-releasing hormone agonist and growth hormone therapy on adult height in precocious puberty: a further contribution.

    Science.gov (United States)

    Pucarelli, Ida; Segni, Maria; Ortore, Massimiliano; Arcadi, Elena; Pasquino, Anna Maria

    2003-09-01

    Out of 35 girls with idiopathic central precocious puberty (CPP) treated with gonadotropin-releasing hormone agonist (GnRHa) (depot-triptorelin) at a dose of 100 microg/kg every 21 days i.m. for at least 2-3 years whose growth velocity fell below the 25th percentile for chronological age (CA), 17 received growth hormone (GH) in addition at a dose of 0.3 mg/kg/week, s.c., 6 days per week, for 2-4 years. The other 18, matched for bone age (BA), CA and duration of GnRHa treatment, who showed the same growth pattern but refused GH treatment, remained on GnRHa alone, and were used as a control group to evaluate GH efficacy. No patient was GH deficient. Both groups discontinued treatment at a comparable BA (mean +/- SD): BA 13.4 +/- 0.6 in GnRHa plus GH group vs 13.0 +/- 0.5 years in the GnRHa alone group. The 35 patients have reached adult height (i.e. growth during the preceding year was less than 1 cm, with a BA of over 15 years). Patients of the group treated with GH plus GnRHa showed an adult height (161.2 +/- 4.8 cm) significantly higher (p < 0.001) than pre-treatment predicted adult height (PAH) calculated according to tables either for accelerated girls (153.2 +/- 5.0 cm) or for average girls (148.6 +/- 4.3 cm). The adult height of the GnRH alone treated group (156.6 +/- 5.7) was not significantly higher than pre-treatment PAH if calculated on Bayley and Pinneau tables for accelerated girls (153.9 +/- 3.8 cm), whilst it remained significantly higher if calculated on tables for average girls (149.6 +/- 4.0 cm) (p < 0.001). The gain between pre-treatment PAH and final height was 8.2 +/- 4.8 cm according to tables for accelerated girls and 12.7 +/- 4.8 cm according to tables for average girls in patients treated with GH plus GnRHa; while in patients treated with GnRH alone the gain calculated between pre-treatment PAH for accelerated girls was just 2.3 +/- 2.9 cm and 7.1 +/- 2.7 cm greater than pre-treatment PAH for average girls. The difference between the gain

  12. 中医治疗儿童性早熟辨证用药规律探析%Exploration of regularity of TCM syndrome differentiation and treatment of precocious puberty

    Institute of Scientific and Technical Information of China (English)

    黄蓉; 汪永红; 俞建

    2011-01-01

    自20世纪80年代以来.中医界关于儿童性早熟的诊疗已逐步形成一些基本共识,但尚缺乏有力论证.本研究选取了1981年-2010年共30年间国内中医药治疗儿童性早熟的学术论文,制定纳入标准和排除标准,进行文献筛选、计量分析,从而探析其辨证用药规律,为既有共识提供有力依据,推动中医药诊疗性早熟的规范化进程.%Basic consensuses on TCM diagnosis and treatment of precocious puberty were formed since 1980s, but seldom certificated. Research papers of TCM treatment for precocious puberty from 1981-2010 during recent 30 years were included. An inclusive and exclusive criterion for selecting literatures was established. Metrological analysis was performed in order to explore regularity of syndrome differentiation and treatment, demonstrate these consensuses powerfully and fuel standardization process of TCM diagnosis and treatment for precocious puberty.

  13. Analysis on epidemiological characteristics and related risk factors of precocious puberty among children%性早熟儿童流行特征以及相关危险因素分析

    Institute of Scientific and Technical Information of China (English)

    杨玉; 黄慧; 杨利; 谢理玲

    2011-01-01

    目的:探讨性早熟的流行特征及危险因素,为儿童卫生保健、青春期健康教育提供依据.方法:选择2009年1月~2010年12月在江西省儿童医院内分泌科确诊为性早熟及南昌地区4所小学诊断为性早熟儿童共600人,对其家庭因素、社会因素、生活方式、饮食等多个方面进行问卷调查.结果:多因素Logistic回归分析结果发现,父母关系是否和睦、母亲初潮年龄、居住区域、家庭中使用塑料制品、喜爱看言情类电视剧、小说等、服用营养滋补品、喜食动物性食品或高蛋白饮食、经常食用洋快餐、经常食用饮料等含防腐剂、色素食品等因素与儿童性早熟有相关性(P<0.1).结论:改善家庭关系,帮助儿童养成良好的饮食习惯和生活习惯有利于降低儿童性早熟的发病率.%Objective; To explore the epidemiological characteristics and risk factors of precocious puberty, provide a basis for health care of children and health education during puberty. Methods: 600 children diagnosed as precocious puberty were selected from department of endocrinology in the hospital and 4 primary schools in Nanchang city from January 2009 to December 2010, their family factor, social factor, life style and diet were surveyed by a questionnaire. Results: Multivariate logistic regression analysis showed that harmonious relationship between parents, menarche age of their mothers, living region, using plastic products, favoring romance drama class and novels, taking nutritional supplements, eating animal food or high protein diet, regular consumption of Western fast food, regular consumption of drinks containing preservatives and pigment were correlated with precocious puberty (P < 0. 1) . Conclusion: Harmonious relationship between parents, developing good dietary habit and living habit may be helpful to reduce the incidence of precocious puberty.

  14. The research progress of Chinese medicine's treatment to precocious puberty simple early breast development%性早熟单纯乳房早发育中医药研究进展

    Institute of Scientific and Technical Information of China (English)

    褚艾妮

    2014-01-01

    文章通过收集整理近十年来中医药治疗性早熟单纯乳房早发育的进展和研究概况,得出结论为中医药治疗单纯乳房早发育的效果确实显著。其优点又在于无特殊不良反应。中医在辨证论治的基础上采用各种有效方药、中成药和外治疗法,研究治疗上,取得了可喜的进展,呈现着向内治与外治相结合的趋势发展。为中医药防治性早熟研究的进一步标准化提供了理论的支持和起到了指导作用。%The research of Chinese medicine treatment of precocious puberty simple early breast development is done by collecting materias including research and progress of this symptom in recent ten years. The conclusion of this research is that Chinese treatment effective .Having no special adverse reactions is the advantage of Chinese treatment. The early development of traditional Chinese medicine treatment of pure breast is based on syndrome differentiation, using a variety of effective prescription, Chinese medicine and external therapy, which has made a gratifying progress and presente a developing trend of combination of internal and external treatment. As a Chinese traditional medicine for the treatment of precocious puberty can provides theoretical support and guidance for the further standardization of precocious puberty simple early breast development study.

  15. GnRH依赖型性早熟遗传调控系统研究进展%Research Progress of the Genetic Regulation System in GnRH-dependent Precocious Puberty

    Institute of Scientific and Technical Information of China (English)

    韩威; 李慧芳; 朱云芬; 宋迟; 徐文娟

    2013-01-01

    性早熟在人类上表现为病理状态,而在家禽生产上则是一个具有重要经济价值的性状.人类性早熟调控机理的研究较为透彻,尤其是近年来全基因关联分析方法的应用,使得研究者对于性成熟启动相关新基因发掘及其调控网络的认识更加深入.论文综述了人类GnRH依赖型性早熟(GDPP)的5个基因调控系统,包括kisspeptin系统、γ-GABA系统、NPY和leptin系统、LIN28B系统和NKB系统的研究进展,为禽类早熟性状研究提供依据.%Precocious puberty performs as pathological condition in humans, but it is an important trait in animal production. The research of human precocious puberty regulation mechanism is more thorough, especially in recent years the genome-wide association study method contributes to find more new genes and deeply understand the genetic networks. This paper summarized the progress of genetic systems in human GnRH-dependent precocious puberty, including kisspeptin system, γ-GABA system, NPY and leptin system, LIN28B system and NKB system. These could supply a basis for the relevant study in animals

  16. 环境内分泌干扰物与儿童性早熟发病的关系*%The relationship of the environment endocrine disruptors with precocious puberty

    Institute of Scientific and Technical Information of China (English)

    蔡德培; 乔丽丽; 郑力行

    2013-01-01

      目的:探讨环境内分泌干扰物(EEDs)与儿童性早熟发病的关系.方法:收集2005年3月至2005年9月在性早熟专科门诊就诊的初诊患儿110例及正常儿童100例.采用高效液相色谱及气相色谱分析法测定性早熟患儿及正常儿童血清中辛基酚(OP)、双酚A(BPA)和邻苯二甲酸二丁酯(DBP)的含量.同时测定患儿的子宫、卵巢体积和血清雌二醇(E2)含量.将血清EEDs含量与靶器官发育的指标作相关性分析.结果:正常儿童中,5.0%血清检测到OP(中位数,下同)为2.72 ng/ml,2.0%检测到BPA(2.11 ng/ml),4.0%检测到DBP(0.52 ng/ml);性早熟患儿中,33.6%血清检测到OP(7.38 ng/ml),40.9%检测到BPA(9.15 ng/ml),27.3%检测到DBP(2.76 ng/ml).性早熟患儿血清中EEDs含量显著高于正常儿童(P<0.001).患儿血清OP、BPA、DBP含量与其子宫体积均呈显著正相关(P<0.05或0.01),血清OP、DBP含量与其卵巢体积均呈显著正相关(P<0.05或0.01).结论:当前的正常儿童已有一部分暴露于EEDs,性早熟患儿EEDs的暴露程度比正常儿童严重得多.EEDs与性早熟的发病密切相关,是其重要的致病因素之一.%ABSTRACT Objective:To explore the relationship of the environmental endocrine disruptors(EEDs) with the onset of precocious puberty. Method:The blood samples were collected from 110 cases of precocious puberty and 100 cases of normal children who initially visited the precocious puberty outpatient department from March to Sept. 2005. The concentrations of octylphenol (OP), bisphenol A (BPA) and di-n-butyl phthalate (DBP) in the serum were measured with high performance liquid chromatography(HPLC) and gas chromatography. The volume of uterus and ovary, and the content of estradiol (E2) in the serum of precocious puberty were determined at the same time. The contents of EEDs in the serums and the indices of the target organs were analyzed by the methods of correlation and regression. Result:In normal control group

  17. Value of uterus and ovaries by ultrasound in girls with precocious puberty%超声子宫及卵巢大小在性早熟女童中应用价值

    Institute of Scientific and Technical Information of China (English)

    曹媛

    2014-01-01

    Objective To analyse the value of the uterus and ovaries in girls with precocious puberty by ultrasound. Methods Forty-nine patients with precocious puberty from December 2010 to December 2013 in our hospital were studied, and 30 healthy girls were chosen to be controlled. The uterus, ovary size and follicle diameter, and serum hormone level were detected. Results The uterus, ovarian volume of precocious puberty girls was greater than that of normal girls (P<0. 05);sex hormone levels and follicle diameters in 9-10 year old girls were significantly higher than those in 7-8 years old girls (P<0. 05). Conclusion Ultrasound can be used as a simple and relia-ble noninvasive assessment method in the diagnosis of precocious puberty.%目的:探讨超声检查女童子宫及卵巢大小在判定女童性早熟的应用价值。方法选取2010年12月至2013年12月在本院性早熟门诊就诊的患儿49例,选择同期正常的儿童30例进行对比研究,采用超声监测性早熟女童和正常女童子宫、卵巢大小及卵泡直径,同时进行血清性激素水平检测。结果性早熟女童的子宫、卵巢容积均大于正常女童(P<0.05);9-10岁女童性激素水平和卵泡直径均显著高于7~8岁女童(P<0.05)。结论超声检查可以作为一种简便可靠的无创性评估性早熟的方法应用于特发性性早熟的诊断。

  18. 儿童性早熟与环境内分泌干扰素的相关性%Study on the relationship between the onset of precocious puberty and endocrine interferon

    Institute of Scientific and Technical Information of China (English)

    何明

    2016-01-01

    Objective To explore the relationship between children's precocious puberty and environmental endocrine interferon ( EEDs) .Methods 63 cases of girls with precocious puberty in our hospital from April 2013 and March 2015 were selected as the ob-servation group, and 63 cases of healthy girls were selected as control group.The levels of serum EEDs and serum estradiol, ovarian volume, and uterine volume of both groups were detected and compared.Results The levels of DEHP, Op, BPA EEDs of the obser-vation were significantly higher than those of the control group, the difference between the two groups has statistical significance ( P <0.01);The ovarian volume, uterine volume, and estradiol level of the observation group were also significantly higher than those of the control group, the difference is statistically significant ( P <0.01).Conclusion EEDs and the onset of precocious puberty were closely related, which maybe the main cause of precocious puberty.%目的:探讨儿童性早熟与环境内分泌干扰素( EEDs)的相关性。方法选择我院2013年4月至2015年3月收治的63例性早熟女童为观察组,另选健康女童63例为对照组,检测两组血清EEDs水平及卵巢体积、子宫体积、血清雌二醇水平等,进行对比分析。结果观察组DEHP、OP、BPA等EEDs指标水平明显高于对照组,两组差异有统计学意义( P <0.01);观察组卵巢体积、子宫体积、雌二醇等指标水平显著较对照组高,差异有统计学意义( P <0.01)。结论 EEDs与性早熟发病呈密切相关性,可能是导致儿童性早熟的主要原因。

  19. 儿童肿瘤相关性早熟的病因和临床特征分析%Etiological analysis of children with tumor -associated precocious puberty and its clinical characteristics

    Institute of Scientific and Technical Information of China (English)

    庞智东; 宁旦

    2015-01-01

    Objectives:To investigate and analyze children with tumor -associated precocious puberty and its clinical characteristics.Methods:40 children with tumor -associated precocious puberty in our hospital from January 201 3 to January 201 4 were selected as research subjects.Comprehensive analysis was conducted based on hormone level detection,breast development,testicular volume,penis length and their clinical manifestations and treatment status,to summarize the etiology and clinical characteristics of children with tumor -associated precocious puberty.Results:The experimental results showed that gender had no effect on tumor -associated precocious pu-berty,and hypothalamic hamartomas was the most common cause,with peripheral precocious puberty being the main form.The clinical characteristics of male patients were genital development,and for female children,breast devel-opment and vaginal bleeding were initial features.Conclusion:Tumor is one of the important causes leading to pre-cocious puberty,and hypothalamic hamartoma is the most common type of tumor.Therefore,attention should be paid to the development of children’s endocrine organs,as well as the diagnosis of rare tumor,for comprehensive diagnosis and timely prevention.%目的:探讨分析儿童肿瘤相关性早熟的病因及临床特征。方法:筛选2013年1月至2014年1月我院收治的肿瘤相关性早熟患儿40例作为研究对象。通过对其进行激素水平检测、乳房发育、睾丸容积、阴茎长度结合临床表现及治疗情况进行综合分析,总结儿童肿瘤相关性早熟的病因及临床特征。结果:本组实验结果表明性别对儿童肿瘤相关性早熟无影响,病因以下丘脑错构瘤较为多见,并且以外周性早熟为主要性早熟形式,其中男患儿以肾上腺皮质肿瘤、女患儿以卵巢囊肿致性早熟居多;临床特征分析中男患儿均以外生殖器发育,女患儿以乳房发育、阴道出血等为首发特征

  20. Hormonal changes during GnRH analogue therapy in children with central precocious puberty

    DEFF Research Database (Denmark)

    Müller, J; Juul, A; Andersson, A M;

    2000-01-01

    as well as markers of androgen action such as SHBG and prostate specific antigen have demonstrated marked suppression of gonadal function possibly to infra-physiological levels. The possible long-term consequences of these observations have yet to be determined. Detailed analyses of the GH-IGF-I axis have...

  1. Vaginal bleeding in a 4-month-old preterm girl : extreme minipuberty mimicking central precocious puberty

    NARCIS (Netherlands)

    de lange, Aafke H. M.; Bocca, Gianni

    2013-01-01

    We present a 4-month-old girl who showed vaginal bleeding and breast development. She was born preterm at 25 weeks and 4 days of gestation. Luteinizing hormone and follicle-stimulating hormone levels were extremely elevated. Magnetic resonance imaging showed a lesion of unknown nature in the pituita

  2. Endogenous Cushing's Syndrome with Precocious Puberty in an 8-Year-Old Boy due to a Large Unilateral Adrenal Adenoma

    Science.gov (United States)

    Hossain, Muhammad Rajib; Alam, Md. Mashiul; Nabi, Junaid; Kibria, Mahzabin

    2013-01-01

    Adrenocortical tumors (ACTs) causing Cushing's syndrome are extremely rare in children and adolescents. Bilateral macronodular adrenocortical disease which is a component of the McCune-Albright syndrome is the most common cause of endogenous Cushing's syndrome. We report the case of a boy with Cushing's syndrome who presented with obesity and growth retardation. The child was hypertensive. The biochemical evaluation revealed that his serum cortisol levels were 25.80 μg/dL, with a concomitant plasma ACTH level of 10.0 pg/mL and nonsuppressed serum cortisol on high-dose dexamethasone suppression test (HDDST) to be 20.38 μg/dL. Computed tomography of the abdomen demonstrated a 8 × 6 × 5 cm left adrenal mass with internal calcifications. Following preoperative stabilization, laparotomy was carried out which revealed a lobulated left adrenal mass with intact capsule weighing 120 grams. Histopathological examination revealed a benign cortical neoplastic lesion, suggestive of adrenal adenoma; composed of large polygonal cells with centrally placed nuclei and prominent nucleoli without capsular and vascular invasion. On the seventh postoperative day, cortisol levels were within normal range indicating biochemical remission of Cushing's syndrome. On followup after three months, the patient showed significant clinical improvement and had lost moderate amount of weight and adrenal imaging was found to be normal. PMID:23533838

  3. 深圳市宝安区性早熟儿童行为的问题分析及综合干预%Behavioral analysis and comprehensive intervention about children with precocious puberty in Bao'an District, Shenzhen

    Institute of Scientific and Technical Information of China (English)

    邓英华; 冯承芸; 牛丽; 王瑛

    2013-01-01

    [目的]调查分析性早熟儿童行为问题的综合干预措施,为建立基层干预体系提供科学依据. [方法]通过对深圳市宝安区7个街道明确诊断的120例4~10岁性早熟儿童进行Achenbach儿童行为量表评分分析,与正常儿童进行比较. [结果]性早熟儿童在郁抑、违纪、社交退缩、分裂样强迫性、攻击性、早恋等行为问题发生率均明显高于正常儿童(P<0.05). [结论]针对性早熟儿童的行为问题,应加强儿童及家长的相关健康教育,对其采取综合干预措施,促进儿童健康发育成长.%[Objective] To explore establishing the comprehensive intervention and grassroots intervention system of puberty children's behavior problems.[Methods] A total of 120 cases of 4~ 10 years old precocious puberty children were selected,from 7 street diagnosis of Baoan district,Shenzhen,they were investigated by the questionnaires of Achenbach Children's Behavior,the scores were compared with the normal children.[Result] The incidence of behavior problems such as depression,discipline and social withdrawal,split sample compulsive,aggressiveness,early love of precocious puberty children were significantly higher than those of normal children (P<0.05).[Conclusion] The related health education and comprehensive intervention measures should be strengthened to the precocious children and parents,establishment of a basic intervention system should be speeded up to promote the healthy growth of children.

  4. Circulating MKRN3 levels decline during puberty in healthy boys

    DEFF Research Database (Denmark)

    Busch, Alexander S; Hagen, Casper P; Almstrup, Kristian;

    2016-01-01

    role of the protein on GnRH secretion. OBJECTIVE: To investigate peripubertal circulating MKRN3 levels in healthy boys Design: Population-based longitudinal study in healthy Danish boys Setting: General community Patients or Other Participants: Healthy boys (n = 60) aged [median (range)] 9.3 (5.8 - 11...... to pubertal onset support MKRN3 as an inhibitor of GnRH secretion during mid-childhood.......CONTEXT: Initiation and progression of puberty requires concerted action of hypothalamic activating and inhibiting factors. Recently, cases of familial central precocious puberty have been linked to loss-of-function mutations of makorin RING-finger protein 3 (MKRN3) indicating a pivotal inhibitory...

  5. Premature thelarche: identification of clinical and laboratory data for the diagnosis of precocious puberty Telarca precoce: identificação de dados clínicos e laboratoriais preditivos para o diagnóstico de puberdade precoce

    Directory of Open Access Journals (Sweden)

    Thais Della Manna

    2002-01-01

    Full Text Available PURPOSE: Two groups of girls with premature breast development were studied retrospectively. We tried to identify clinical, radiological, and hormonal parameters that could distinguish between a benign, nonprogressive premature thelarche and a true precocious puberty. METHODS: The clinical outcome of 88 girls with breast enlargement before 6.1 years of age was analyzed. Taking into account the progression of their sexual maturation, we allocated the children into 2 groups: "Isolated Premature Thelarche" (n = 63 and "Precocious Puberty" (n = 25 groups. Chronological and bone ages, height and growth velocity centiles, computerized tomography of hypothalamus-pituitary area, pelvic ultrasonography, gonadotropin response to luteinizing hormone-releasing hormone stimulation as well as basal levels of luteinizing hormone, follicle-stimulating hormone, estradiol, and prolactin were studied in both groups. Statistical analysis were performed using the Student t test to compare the sample means. Fisher's exact test and chi² test were used to analyze the nonparametric variables. RESULTS: Isolated premature thelarche most frequently affected girls younger than 2 years who presented exaggerated follicle-stimulating hormone response to luteinizing hormone-releasing hormone stimulation test. The precocious puberty group had higher initial stature, accelerated growth rate and bone age, increased uterine and ovarian volumes, high spontaneous luteinizing hormone levels by immunofluorimetric assay, as well as a high luteinizing hormone response and peak luteinizing hormone/follicle-stimulating hormone ratio after luteinizing hormone-releasing hormone stimulation. CONCLUSION: At initial presentation, girls who undergo true precocious puberty present advanced bone age, increased uterine and ovarian volumes in addition to breast enlargement, as well as an luteinizing hormone-predominant response after a luteinizing hormone-releasing hormone stimulation test

  6. 兴奋性氨基酸受体激动剂诱导雌性大鼠性早熟模型的建立%Establishment of the precocious puberty model in female rats induced by excitatory amino acids receptor agonist

    Institute of Scientific and Technical Information of China (English)

    葛伟; 王海莲; 薛江

    2011-01-01

    [目的]应用兴奋性氨基酸受体激动剂建立雌性大鼠性早熟模型. [方法]雌性SD大鼠50只,随机分为5组:实验Ⅰ组(性早熟青春早期组),实验Ⅱ组(性早熟青春中期组),对照Ⅰ组(正常青春前期组),对照Ⅱ组(正常青春早期组),对照Ⅲ组(正常青春巾期组),实验组皮下注射N-甲基-D,L-天冬氨酸(NMA),对照组注射生理盐水,观察大鼠阴道开放时间及性周期,测量子宫指数、卵巢指数、卵巢黄体出现率、子宫壁厚度、黄体生成素浓度. [结果]实验组大鼠阴道开放及首次发情问期出现的时间较对照组提前,实验组各项指标较对照Ⅰ组有显著差异,实验Ⅰ组较对照Ⅱ组、实验Ⅱ组较对照Ⅲ组差异无统计学意义. [结论]应用兴奋性氨基酸受体激动剂可以使雌性大鼠正常的性发育提前,建立性早熟模型.%[Objective] Establish the precocious puberty model in female rats induced by excitatory amino acids receptor agonist. [Methods] Fifty 26-day-old female rats were randomly assigned to 5 groups, experimental group Ⅰ (early phase of precocious puberty), the second experimental group Ⅱ (metaphase of precocious puberty), control group Ⅰ (normal prepuberty), control group Ⅱ (early phase of normal puberty), control group Ⅲ (metaphase of normal puberty). Study group received subcutaneous injection of N-methyl-DL-aspartate acid(NMA) twice a day until vaginal opening(VO) occurred and control groups received saline. The parameters of puberty were analyzed, which including index of ovary, index of uterus, incidence of corpora lutea, thickness of uterus and serum luteinizing hormone. [Results] The age of VO and first diestrus of experimental groups were earlier than the control groups. The parameters of puberty in experimental groups were different from control group Ⅰ . The parameters of puberty in experimental group Ⅰ were not different from control group Ⅱ. The parameters of puberty in experimental

  7. Clinical analysis of polycystic ovary syndrome in adolescence associated with homosexual precocious puberty diagnosed in girls%以女童同性性早熟起病的青春期多囊卵巢综合征诊疗分析

    Institute of Scientific and Technical Information of China (English)

    李豫川; 巩纯秀; 吴迪; 谷奕; 曹冰燕

    2014-01-01

    Objective The report was focused on polycystic ovary syndrome(PCOS) in female adolescents related to homosexual precocious puberty,and the new awareness of its influence on long-term health of homosexual precocious girls.Methods A girl with idiopathic central precocious puberty (ICPP) but diagnosed as PCOS in adolescence was reported and the data were reviewed.Results A girl was diagnosed as ICPP when she was near 8 years old with obesity,but without hyperinsulinemia,then she received the treatment of a 3.75 mg dose gonadotropin hormone analogues (GnRHa) every 28 days.Her gonads development was under control while her growth was arrested.Growth hormone(GH) injection started at 13 months.She stopped all medications when finished GH and GnRHa treatment for 12 months and 25 months.She went to see doctors again because of no menarche after discontinuing medication for nearly 2 years.She appeared obese and acne,hirsutism,athanens negricans and purple purple striae on the skin.Hyperinsulinemia and hypertestosterone were demonstrated.Pelvic B ultrasonography showed polycystic ovary,and she was diagnosed as PCOS.She was ordered to lose weight and to take metformin.And adrenocorticotropic hormone stimulating test was done,and B ultrasonography again ruled out atypical congenital adrenal hyperplasia and tumor of adrenal gland.She got her menarche 1 month later.Twelve months after the PCOS diagnosis and treatment,she had 4 menses,her insulin level decreased,glucose tolerance and her serum testosterone level turned normal.At the same time,the form of ovarian and follicular was significantly reduced.After taking mefformin for 20 months,her height and weight did not change,her menstrual was regular every 35-40 days,each time lasting about 7 days.She was followed up.We also reviewed literatures and learnt that precocious puberty might not be a benign situation and it might have an intrinsic relation to obesity,precocious puberty and PCOS.It might be the cofactors for causing PP

  8. Endogenous Cushing’s Syndrome with Precocious Puberty in an 8-Year-Old Boy due to a Large Unilateral Adrenal Adenoma

    Directory of Open Access Journals (Sweden)

    Muhammad Rajib Hossain

    2013-01-01

    Full Text Available Adrenocortical tumors (ACTs causing Cushing’s syndrome are extremely rare in children and adolescents. Bilateral macronodular adrenocortical disease which is a component of the McCune-Albright syndrome is the most common cause of endogenous Cushing’s syndrome. We report the case of a boy with Cushing’s syndrome who presented with obesity and growth retardation. The child was hypertensive. The biochemical evaluation revealed that his serum cortisol levels were 25.80 g/dL, with a concomitant plasma ACTH level of 10.0 pg/mL and nonsuppressed serum cortisol on high-dose dexamethasone suppression test (HDDST to be 20.38 g/dL. Computed tomography of the abdomen demonstrated a 8 × 6 × 5 cm left adrenal mass with internal calcifications. Following preoperative stabilization, laparotomy was carried out which revealed a lobulated left adrenal mass with intact capsule weighing 120 grams. Histopathological examination revealed a benign cortical neoplastic lesion, suggestive of adrenal adenoma; composed of large polygonal cells with centrally placed nuclei and prominent nucleoli without capsular and vascular invasion. On the seventh postoperative day, cortisol levels were within normal range indicating biochemical remission of Cushing’s syndrome. On followup after three months, the patient showed significant clinical improvement and had lost moderate amount of weight and adrenal imaging was found to be normal.

  9. 光照因素对褪黑素分泌及性早熟形成影响的研究进展%Research Progress of Effects of light factor on melatonin secretion and precocious puberty

    Institute of Scientific and Technical Information of China (English)

    谢亮; 罗婷; 胡妍钰; 付雅茜; 郭子依; 谢东东; 夏妍

    2016-01-01

    Melatonin is secreted by the pineal gland an indole chemical class. In recent years, with the deepening of its research, the many physiological functions of melatonin has been continuously discovered medicine has broad prospects. Gonadal axis, including its sexual inhibition, in fact, human understanding comes from its original destructive pineal tumor-induced premature. The research shows that melatonin can inhibit the hypothalamic - pituitary - gonadal axis activity was negatively correlated with the secretion of sex hormones. It was thus possible to consider suppressed by exogenous melatonin hormone secretion gonadal axis to achieve the purpose of treating precocious puberty , this treatment is affected by many factors, the most important thing is light, it is because melatonin secretion can change with illumination exhibit circadian secretion of law, that exhibit high biological day and night low regularit. Unfortunately, the article reports at home and abroad there is little to link these two, from this point of our study is cut, exogenous melatonin illumination investigate the therapeutic effects of puberty, but before this study, first at home and abroad need to do a review of this research to understand the results of previous studies, provide the right direction for future research.%褪黑素(N-乙酰基-5-甲氧基色胺)是松果腺分泌的一种吲哚类的化学物质,近年来,随着对其研究的不断深入,褪黑素的诸多生理功能被不断发现。其中包括它对性腺轴的抑制作用,人类对它最初的认识来自松果体破坏性肿瘤所致的性早熟。通过研究发现褪黑素抑制下丘脑-垂体-性腺轴的活动与性激素的分泌呈负相关。因此有人提出可以考虑通过补充外源性褪黑素抑制性腺轴分泌性激素来达到治疗性早熟的目的。这种治疗方法受到多种因素的影响,其中最重要的就是光照。因为褪黑素的分泌随着光照的变化而表现出

  10. Expressions of hypothalamic KISS-1 and G protein-couple receptor 54 genes in female rats with precocious puberty%KISS-1和GPR54基因在雌性性早熟大鼠下丘脑中的表达

    Institute of Scientific and Technical Information of China (English)

    葛伟; 王海莲; 薛江

    2012-01-01

    Objective To investigate expressions of hypothalamic KISS-1 and G protein-couple receptor 54 (GPR54) genes in female rats with precocious puberty and their effects on development of precocious puberty. Methods Fifty 26-day-old female rats were randomly divided into 5 groups, the first experimental group, the second experimental group, the first control group, the second control group, and the third control group. Experimental groups received a subcutaneous injection of N-methyl-DL-aspartate acid (NMA) twice a day until vaginal opening(VO) occurred, while control groups received normal saline. Parameters of puberty were analyzed, including the day of VO, estrous cycle of the rat, index of the ovary, index of the uterus, incidence of the corpora lutea, thickness of the uterus and serum lutein-izing hormone(LH). Expressions of hypothalamic KISS-1 and GPR54 genes in the five groups were detected by Realtime reverse transcription polymerase chain reaction (Real-time RT-FCR). Results The age of VO and first diestrus in experimental groups were earlier than in control groups(P<0.05). All parameters of puberty gradually increased with the development of puberty (P<0.05). In the same puberty developmental stage, parameters in experimental groups were not different from those in control groups (P>0.05). Conclusion Expressions of KISS-I and GPRS4 genes are associated with developmental stages of puberty, indicating that KISS-1 and GPR54 genes may play important roles in onset and development of true precocious puberty.%目的 研究KISS-1和GPR54基因在雌性性早熟大鼠下丘脑中的表达,探讨其在性早熟发生中的作用.方法 将雌性26日龄SD大鼠50只随机分为实验1组、实验2组、对照1组、对照2组、对照3组.实验组皮下注射N-甲基-D,L-天冬氨酸(NMA)每天2次直至阴道开放,对照组注射生理盐水,观察大鼠阴道开放时间及性周期,测量子宫指数、卵巢指教、卵巢黄体出现率、子宫壁厚度

  11. Risky, early, controversial. Puberty in medical discourses.

    Science.gov (United States)

    Cozzi, Donatella; Vinel, Virginie

    2015-10-01

    This article comes within the compass of a research program (entitled CorAge. Bodily Experiences and AgePassages among 9-13 year-olds (ANR-09-ENFT-017) conducted between 2009 and 2013 about the emergence of a "new" age in life--"preadolescence"--as instanced in France (Alsace, Lorraine) and Italy (Venetia). The impressive amount of references to "early puberty" and "precocious puberty", in a context of feeling of a premature end of childhood, led us to make an in-depth study of this issue: first, through an analysis of international and French and Italian medical journals; second, through interviews with health professionals. Following the thesis of Foucault, we assume that the discourses on puberty timing participate of classifications of the child body drenched with moral representations of childhood, especially on gender and age issue. Our results: the question of whether a secular trend in puberty timing even exists continues to be debated between American and European scientists. Second, the terms "puberty", "precocious puberty", "early puberty" have been used to indicate a variety of puberty markers, increasing confusion. A controversy has focused on early breast development in girls, because this attribute is questioning the order of ages and gender. Moreover, psychosocial factors presented as accelerating early puberty, do not demonstrate the relation between earliness and risk behavior. The literature, as it is moved by the female precocity, creates a medical category to objectify the complex and flexible process of puberty and invent female child precocity. These differences between American and European scholars and the interviews with French and Italian health professional show a gap between the international literature and practitioners, clinicians and nurses who regularly work with children: they neither find pubertal advancement, nor increase of "true precocious puberty", although they share concerns about premature feminization of girls (France) or

  12. Serum concentrations of free and total insulin-like growth factor-I, IGF binding proteins -1 and -3 and IGFBP-3 protease activity in boys with normal or precocious puberty

    DEFF Research Database (Denmark)

    Juul, A; Flyvbjerg, Allan; Frystyk, Jan;

    1996-01-01

    Circulating IGF-I and IGF binding protein-3 (IGFBP-3) levels both increase in puberty where growth velocity is high. The amount of free IGF-I is dependent on the IGF-I level and on the concentrations of the specific IGFBPs. Furthermore, IGFBP-3 proteolysis regulates the bioavailability of IGF......-I. However, the concentration of free IGF-I and possible IGFBP-3 proteolytic activity in puberty has not previously been studied....

  13. A report of familial male-limited precocious puberty caused by a germ-line heterozygous mutation (M398T) in luteinizing hormone receptor gene%生殖细胞系黄体生成素受体基因杂合突变(M398T)导致家族性男性性早熟

    Institute of Scientific and Technical Information of China (English)

    茅江峰; 伍学焱; 聂敏; 卢双玉; 龚凤英; 戴宇飞

    2010-01-01

    目的 阐明1个家族性男性性早熟(familial male-limited precocious puberty)家系的黄体生成素(luteinizing hormone,LH)受体基因的突变状态,增加对LH受体激活突变导致男性性早熟发病机制的认识.方法 (1)描述1例5岁男孩假性性早熟患者临床表现、辅助检查特点和治疗过程;(2)对患者及其父母外周血白细胞LH受体基因的11个外显子进行 PCR扩增和DNA自接测序,同时对20例正常男性LH受体基因的外显子进行测定.结果 (1)患者临床确诊为男性假性性早熟,应用芳香化酶抑制剂后,身高增长速度减缓;(2)患者及其母亲LH受体基因存在杂合突变,c1193 T→C,导致398位的甲硫氨酸变为苏氨酸(M398T),持续性激活LH受体;(3)患者及其父母和20例正常男性均存在c935 A→G和c1065 T→C碱基改变.结论 (1)生殖细胞系LH受体基因杂合突变(c1193 T→C,M398T)导致LH受体功能持续激活,不断刺激睾丸Leydig细胞分泌雄激素,引起非LH依赖性男性性早熟的临床表现;(2)患者母亲存在相同杂合突变,但无异常临床表现,表明女性可为本病携带者,能将突变基因传给子代,但仅限男性患病;(3)汉族人群LH受体基因可能存在多态性.%Objective To clarify the possible gene mutations in luteinizing hormone(LH) receptor gene in a boy with LH independent precocious puberty and probe the mechanism the of diseases caused by LH receptor activating mutations. Methods ( 1 ) Describe the clinical manifestations and laboratory data in a 5-year-old boy with LH independent precocious puberty. (2) Peripheral leukocytes were collected from the proband, his parents and other 20 normal puberty developed males. PCR and direct DNA sequence of 11 exons in LH receptors gene were conducted. Results (1) The proband was diagnosed to have LH independent precocious puberty according to the clinical symptoms and the laboratory tests. (2) A germ-line heterozygous point mutation in the 11 exon of LH

  14. An 8.9 Mb 19p13 duplication associated with precocious puberty and a sporadic 3.9 Mb 2q23.3q24.1 deletion containing NR4A2 in mentally retarded members of a family with an intrachromosomal 19p-into-19q between-arm insertion.

    Science.gov (United States)

    Lybaek, Helle; Ørstavik, Karen Helene; Prescott, Trine; Hovland, Randi; Breilid, Harald; Stansberg, Christine; Steen, Vidar Martin; Houge, Gunnar

    2009-07-01

    In a 2 and a half-year-old girl with onset of puberty before the age of 5 months, short stature, hand anomalies and severe mental retardation, an 8.9 Mb interstitial 19p13 duplication containing 215 predicted genes was detected. It was initially assumed that the duplication involved the kisspeptin receptor gene, GPR54, known to stimulate induction of puberty, but more refined duplication mapping excluded this possibility. In an attempt to further understand the genotype-phenotype correlation, global gene expression was measured in skin fibroblasts. The overall expression pattern was quite similar to controls, and only about 25% of the duplicated genes had an expression level that was increased by more than 1.3-fold, with no obvious changes that could explain the precocious puberty. The proband's mother carried a balanced between-arm insertion of the duplicated segment that resembled a pericentric inversion. The same insertion was found in several other family members, including one who had lost a daughter with severe mental retardation and menarche at the age of 10 years. Another close relative was severely mentally retarded, but neither dysmorphic nor microcephalic. His phenotype was initially ascribed to a presumed cryptic chromosome 19 imbalance caused by the 19p-into19q insertion, but subsequent array-CGH detected a 3.9-Mb deletion of 2q23.3q24.1. This novel microdeletion involves seven genes, of which FMNL2, a suggested regulator of Rho-GTPases, and NR4A2, an essential gene for differentiation of dopaminergic neurons, may be critical genes for the proposed 2q23q24 microdeletion syndrome.

  15. Turner syndrome masquerading as normal early puberty

    Science.gov (United States)

    Hong, Yong Hee

    2014-01-01

    Approximately 50% of patients with Turner syndrome (TS) have complete loss of one X chromosome, whereas the rest of the patients with TS display mosaicism or structural abnormalities of the X chromosome. Most well-known common features are short stature and gonadal failure. Approximately one third of girls with TS may enter spontaneous puberty, but only half those completed with menarche. However, some atypical features of TS have been described. Many studies have been conducted to verify and delineate proposed loci for genes pertaining to the TS phenotype, and correlations between karyotype and phenotype. A few rare cases of precocious puberty with TS have been described. Here we describe a case of TS with the Xp22.1 deletion presenting with short final stature, early normal onset of spontaneous puberty, and Graves' disease, without short stature during puberty. PMID:25654070

  16. Early pituitary-gonadal activation before clinical signs of puberty in 5- to 8-year-old adopted girls: a study of 99 foreign adopted girls and 93 controls

    DEFF Research Database (Denmark)

    Teilmann, Grete Katrine; Boas, Malene; Petersen, Jørgen H;

    2007-01-01

    Recent studies have indicated that internationally adopted girls are at high risk of developing precocious puberty. Clinical studies including a contemporary control group are lacking.......Recent studies have indicated that internationally adopted girls are at high risk of developing precocious puberty. Clinical studies including a contemporary control group are lacking....

  17. 环境内分泌干扰物与儿童性早熟发病的关系%Correlation between environmental endocrine disruptors and onset of precocious puberty in children

    Institute of Scientific and Technical Information of China (English)

    朱琳; 蔡德培

    2011-01-01

    Environmental endocrine disruptors are pollutants of many chemical classes,which are ubiquitous and persistent in the environment and can exert adverse effects on the endocrine system. Environmental endocrine disruptors are easily absorbed by the body, but not excreted. They are synergistic and hereditary. Therefore,environmental endocrine disruptors will severely destroy public health. Environmental endocrine disruptors, bringing about changes in morphology and function of the hypothalamus-pituitary-gonadal axis, interfering with the metabolism and transportation of estrogen, improve estrogen levels. They can activate estrogen receptor and enhance its sensitivity. By these means, environmental endocrine disruptors lead to early puberty development.%环境内分泌干扰物是普遍存在于环境中的一类化学物质,能够造成机体内分泌系统功能紊乱.环境内分泌干扰物易被机体吸收而不易排出,相互之间具有协同作用,且具有遗传性及传代性,因此能严重影响人类的健康.环境内分泌干扰物可以导致下丘脑-垂体-性腺轴形态和功能的改变,影响其调节功能;干扰雌激素的代谢及转运,提高体内雌激素水平;激活雌激素受体,增强其敏感性,从而导致青春期发育提前.

  18. The Establishment of Environmental Endocrine Disruptors Induced Precocious Puberty Macaca Fascicularis Model and the Intervention of Yin Nourishing Fire Purging Chinese Materia Medica%由环境内分泌干扰物引致食蟹猴性早熟疾病模型建立及滋阴泻火中药治疗干预的实验研究

    Institute of Scientific and Technical Information of China (English)

    朱琳; 蔡德培

    2012-01-01

    目的 建立灵长类--食蟹猴的由环境内分泌干扰物(environmental endocrine disruptors,EEDs)引致的性早熟疾病模型,验证滋阴泻火中药对EEDs拟雌激素活性的拮抗作用.方法 (1)不同月龄组青春前期雌性食蟹猴喂饲高、低剂量EEDs,通过观察EEDs拟雌激素作用,以确定最佳月龄、染毒剂量及染毒时间.(2)15只青春前期雌性食蟹猴随机分为染毒组、治疗组及对照组,每组5只.染毒组喂饲壬基酚(nonylphenol,4-NP)及双酚A(bisphenol,BPA),治疗组将染毒物质及滋阴泻火中药合剂同时喂饲,对照组喂饲溶剂玉米油.疗程4周.疗程完成时,检测血清雌激素水平、阴道脱落细胞成熟指数,取出子宫,测定其子宫湿重、子宫内膜及环形平滑肌厚度、子宫内膜上皮细胞及腺上皮细胞高度.结果 (1)20月龄为最佳染毒月龄,低剂量EEDs为最佳染毒剂量,4周为最佳染毒时间.(2)与对照组比较,染毒组血清雌激素水平明显升高,阴道脱落细胞成熟指数显著增加,子宫湿重、子宫内膜厚度及环形平滑肌厚度、子宫内膜上皮细胞及腺上皮细胞高度显著增加(P<0.05).与染毒组比较,治疗组上述指标均显著降低(P<0.05).结论 本研究成功地建立了灵长类--食蟹猴由EEDs引致性早熟的疾病模型,证实了EEDs具有显著的拟雌激素活性,并验证了滋阴泻火中药合剂对其拟雌激素活性具有显著的拮抗作用.%Objective To establish the environmental endocrine disruptors (EEDs) induced precocious puberty macaca fascicularis model, thus verifying the antagonism of yin nourishing fire purging Chinese materia medica (YNFPCMM) against the estrogenic effects. Methods (1) The female prepubescent monkeys at different months old were fed with high dose and low dose EEDs. By observing EEDs' estrogenic effects, the optimal age, the optimal exposure dose, and the optimal exposure time were determined. (2) Fifteen female prepubescent monkeys were

  19. Effect of Nourishing “Yin”-Removing “Fire” Chinese Herbal Mixture on Hypothalamic NKB/NK3R Expression in Female Precocious Rats

    Directory of Open Access Journals (Sweden)

    Shiran Wang

    2014-01-01

    Full Text Available Aim. The present study aims to investigate the effects of nourishing “Yin”-removing “Fire” Chinese herb mixture on the hypothalamic NKB/NK3R expression in female precocious model rats. Materials and Methods. Female Sprague-Dawley rats were randomly divided into four groups: normal (N, central precocious puberty (CPP model (M, CPP fed with Chinese herbal mixture (CHM, and CPP fed with normal saline (MS. Rats on postnatal day 5 were given a single subcutaneous injection of 300 μg to establish CPP model rats. Rats of CHM and MS groups were continuously administered with nourishing “Yin”-removing “Fire” Chinese herb mixture or saline since postnatal day 15. The expressions of hypothalamic NKB/NK3R were detected by means of real-time PCR, western blot, and immunofluorescence histochemistry. Results. The day of vaginal opening and establishment of two regular estrous cycles were delayed in the CHM group compared with M and MS groups. The expression of hypothalamic NKB/NK3R mRNA and protein in the arcuate nucleus (ARC and medial preoptic (MPO area were decreased significantly in the CHM group compared with the M and MS groups on the day of onset-puberty. Conclusions. These results indicate that the NKB/NK3R signaling pathway might be involved in the effect of herbal mixture treatment on CPP.

  20. Early puberty in internationally adopted girls: hormonal and clinical markers of puberty in 276 girls examined biannually over two years

    DEFF Research Database (Denmark)

    Petersen, Jørgen H; Teilmann, Grete; Petersen, Jørgen Holm;

    2009-01-01

    BACKGROUND AND AIMS: Retrospective studies have indicated that internationally adopted girls are at high risk of developing precocious puberty. Hypothetically, this could be due to selection bias. The aim of this study was to determine age at reaching pubertal milestones in healthy internationally......-sectionally. RESULTS: Mean age at B2+ was 9.5 years (95% prediction interval 7.1-12.0 years) and mean age at menarche was 12.1 (10.2-14.0) years in adopted girls, which was significantly lower compared to the reference group (p puberty...

  1. [Rapidly progressive puberty in a patient with mosaic Turner syndrome: a case report and literature review].

    Science.gov (United States)

    Liang, Y; Wei, H; Yu, X; Huang, W; Luo, X P

    2017-02-02

    Objective: To explore the clinical characteristics of diagnosis and treatment in patients with Turner syndrome and rapidly progressive puberty. Method: A rare case of rapidly progressive puberty in Turner syndrome with a mosaic karyotype of 45, X/46, X, del(X)(p21)(80%/20%)was diagnosed at Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology in January. 2015. Clinical characteristics and the related literature were reviewed. Original papers on precocious puberty or rapidly progressive puberty in Turner syndrome, published until Apr. 2016 were retrieved at PubMed and CNKI databases by the use of the key words "Turner syndrome" , "precocious puberty" and "rapidly progressive puberty" . Result: The patient was born at term with birth weight of 2 450 g and was diagnosed with SGA at 3 years of age for the first evaluating of growth and development. Then recombined human growth hormone (rhGH )was given at 4 years of age due to short stature (heightcases have been reported in the literature. Six of them showing mosaic TS, three karyotypes with structural abnormality of short arm of X chromosome, one with the karyotype 45, X. Conclusion: It is the first time that rapidly progressive puberty in a 45, X/46, X, del(X)(p21) mosaic Turner syndrome is reported. Although short stature and ovarian dysgenesis are common in TS, precocious puberty may occur in TS, which is liable to cause delayed diagnosis and misdiagnosis. Careful examination is recommended for patients with unusual growth pattern, even though girls have normal height in accord with standard growth curve or spontaneous puberty. Evaluation for TS and subsequent investigation should be prompted.

  2. How Do Health Care Providers Diagnose Precocious Puberty and Delayed Puberty?

    Science.gov (United States)

    ... a health care provider to monitor organs and blood flow in real time An MRI (magnetic resonance imaging) scan of the brain and pituitary gland using an instrument that produces detailed images of organs ... 3 : Blood tests to measure hormone levels Blood tests to ...

  3. Delayed Puberty (For Teens)

    Science.gov (United States)

    ... Puberty en español El retraso puberal Jeff hates gym class. It's not that he minds playing soccer ... more muscular. These changes are caused by the sex hormones (testosterone in guys and estrogen in girls) ...

  4. Hypothesis: exposure to endocrine-disrupting chemicals may interfere with timing of puberty

    DEFF Research Database (Denmark)

    Mouritsen, A; Aksglaede, L; Sørensen, K;

    2010-01-01

    A recent decline in onset of puberty - especially among girls - has been observed, first in the US in the mid-1990s and now also in Europe. The development of breast tissue in girls occurs at a much younger age and the incidence of precocious puberty (PP) is increasing. Genetic factors...... of normal puberty are poorly understood. This hampers investigation of the possible role of environmental influences. There are many types of EDCs. One chemical may have more than one mode of action and the effects may depend on dose and duration of the exposure, as well as the developmental stage...... in life. Most known EDCs have oestrogenic and/or anti-androgenic actions and only few have androgenic or anti-oestrogenic effects. Thus, it appears plausible that they interfere with normal onset of puberty. The age at menarche has only declined by a few months whereas the age at breast development has...

  5. Ultrasonography in diagnosing central precocious puberty of girls and clinical effect of drug therapy%超声对中枢性性早熟女童的辅助诊断

    Institute of Scientific and Technical Information of China (English)

    孙终霞; 刘晟; 蔡海芳; 陈方红; 王立刚

    2013-01-01

    目的 探讨超声检查在女童中枢性性早熟的辅助诊断及药物治疗的疗效评价.方法 对28例中枢性性早熟患儿进行促性腺激素释放激素类似物(GnRHa)治疗,应用超声检测治疗前、治疗后3个月、治疗后6个月的子宫、卵巢大小及形态学变化,并与28例正常同龄女童的子宫、卵巢进行对比,予以促性腺激素释放激素(GnRH)激发试验采用化学发光法测定血清黄体生成素(LH)和卵泡刺激素(FSH).结果 中枢性性早熟女童治疗前的子宫容积、卵巢容积、卵泡直径、LH值、FSH值均大于正常女童,差异均有统计学意义(t分别=6.24、14.40、7.41、10.43、8.56,P均<0.05).中枢性早熟女童治疗前、GnRHa治疗后3个月与6个月子宫、卵巢容积、卵泡直径、LH值、FSH值差异均有统计学意义(F分别=19.93、18.89、30.18、52.31、41.07,P均<0.05).经LSD-t检验两两比较发现:与治疗前相比,治疗3个月和治疗6个月子宫容积、卵巢容积、卵泡直径、LH值、FSH值均下降,差异均有统计学意义(t分别=-8.32、-19.65、-7.89、-26.78、-9.61;-12.13、-9.31、-11.67、-30.15、-12.08,P均<0.05);治疗6个月与3个月相比,子宫容积、卵巢容积、卵泡直径减小,差异均有统计学意义(t分别=-5.32、-8.65、-6.89,P均<0.05);在GnRHa治疗6个月后子宫容积、卵巢容积与正常女童差异均有统计学意义(t分别=7.65、5.05,P均<0.05).结论 超声检查对中枢性性早熟女童的检出率高,对其治疗后的临床疗效的评价及疗效随访具有实用价值.

  6. Increasing incidence of premature thelarche in the Central Region of Denmark - Challenges in differentiating girls less than 7 years of age with premature thelarche from girls with precocious puberty in real-life practice

    DEFF Research Database (Denmark)

    Sømod, Mia Elbek; Vestergaard, Esben Thyssen; Kristensen, Kurt

    2016-01-01

    RH) stimulated LH and follicle stimulating hormone (FSH), basal and stimulated LH/FSH ratio, and sex-hormone binding globulin (SHBG). Apart from SHBG there was considerable overlap of the variables between the PT and the PP groups. CONCLUSIONS: First, the incidence of PT appears to increase. Second, SHBG...... was the variable which best discriminated PT from PP. Third, stimulated LH in 1-3 years old girls with PT is similar to stimulated LH in 5-7 years old girls with PP. Age, BMISDS, ethnicity, bone age, stimulated gonadotropins and LH/FSH and SHBG are all useful variables for differentiating PP from PT. However...

  7. Understanding Puberty (For Parents)

    Science.gov (United States)

    ... also occur. Many boys become concerned about their penis size. A boy may need reassurance, particularly if he tends to be a later developer and he compares himself with boys who are further along in ... penis. For a Girl Puberty generally starts earlier for ...

  8. Disease: H00937 [KEGG MEDICUS

    Lifescience Database Archive (English)

    Full Text Available H00937 Precocious puberty, including: Central precocious puberty (CEPREPU); Familial male precocio...us puberty (FMPP) Precocious puberty has been classically defined as the onset of secondary s...exual characteristics in girls younger than 8 years old and in boys younger than 9 and a half years old. Central precocio...d that heterozygous mutations of the LHCGR gene cause gonadotropin-independent precocious puberty in males, ...et C, Latronico AC New genetic factors implicated in human GnRH-dependent precocious puberty: the role of ki

  9. Puberty and type 1 diabetes

    Directory of Open Access Journals (Sweden)

    Subhankar Chowdhury

    2015-01-01

    Full Text Available Various data on type 1 diabetes mellitus (T1DM have showed that the incidence of T1DM peaks at puberty. However, diabetes control and complications could be adversely affected by the physiological changes of puberty. In early years of insulin therapy, severe growth retardation with pubertal delay, like in Mauriac syndrome, have been reported. Insulin and leptin are metabolic factors, circulating in the periphery, which participate in the hypothalamic control of metabolism and reproduction. Insulin may be an important regulator of leptin in humans. Increased levels of advanced glycation end products suppress activation of the gonadotropin-releasing hormone (GnRH pulse generator, resulting in pubertal delay. Glycemic control deteriorates during puberty as the lean body mass doubles mainly over a period of 25 years, which increases insulin requirement. There is also an increase in insulin resistance over the period of puberty. In normal individuals, fasting and postprandial insulin concentrations reach a peak in both sexes in mid to late puberty. Puberty, at all stages, has the worst insulin resistance. It has been observed that an excessive GH secretion in T1DM during puberty has significant effects on ketogenesis. Adolescent T1DM tends to decompensate very rapidly and develop ketoacidosis when the late night insulin dose is omitted. Adolescence is a critical developmental phase that presents unique challenges and opportunities to individuals with diabetes, their families and their healthcare providers.

  10. Epigenetic Control of Female Puberty

    Science.gov (United States)

    Lomniczi, Alejandro; Loche, Alberto; Castellano, Juan Manuel; Ronnekleiv, Oline K.; Bosch, Martha; Kaidar, Gabi; Knoll, J. Gabriel; Wright, Hollis; Pfeifer, Gerd. P.; Ojeda, Sergio R.

    2013-01-01

    The timing of puberty is controlled by many genes. The elements coordinating this process have not, however, been identified. Here we show that an epigenetic mechanism of transcriptional repression times the initiation of female puberty in rats. We identify silencers of the Polycomb group (PcG) as major contributors to this mechanism, and show that PcG proteins repress Kiss1, a puberty-activating gene. Hypothalamic expression of two key PcG genes, Eed and Cbx7, decreases and methylation of their promoters increases preceding puberty. Inhibiting DNA methylation blocks both events and results in pubertal failure. The pubertal increase in Kiss1 is accompanied by EED loss from the Kiss1 promoter and enrichment of histone H3 modifications associated with gene activation. Preventing the eviction of EED from the Kiss1 promoter disrupts pulsatile GnRH release, delays puberty, and compromises fecundity. Our results identify epigenetic silencing as a novel mechanism underlying the neuroendocrine control of female puberty. PMID:23354331

  11. Transient pseudo-precocious puberty by probable oestrogen intake in 3 girls

    Science.gov (United States)

    Pasquino, A M; Balducci, R; Bitti, M L Manca; Spadoni, G L; Boscherini, B

    1982-01-01

    We report the clinical and laboratory findings in 3 prepubertal girls with transient signs of sexual precocity. Accidental oestrogen intake from contaminated food was the most likely cause, the luteinsing hormone—releasing hormone test showing suppressed secretion of follicle-stimulating hormone and luteinsing hormone at the time of maximal oestrogenisation. PMID:6758707

  12. Precocious scaling in lattice gauge theories

    Science.gov (United States)

    Gliozzi, F.; Ravanini, F.; Sciuto, S.

    1982-12-01

    We propose a method to evaluate numerically and in some cases analytically the two-loop contributions to physical quantities without computing Feynman graphs. Such contributions are negligible for the SU(2) Wilson action, which shows a precocious scaling; on the contrary they are important for other actions (including Manton and heat kernel ones) and account for the observed violations of universality.

  13. Early and late endocrine effects in pediatric central nervous system diseases.

    Science.gov (United States)

    Aslan, Ivy R; Cheung, Clement C

    2014-01-01

    Endocrinopathies are frequently linked to central nervous system disease, both as early effects prior to the disease diagnosis and/or late effects after the disease has been treated. In particular, tumors and infiltrative diseases of the brain and pituitary, such as craniopharyngioma, optic pathway and hypothalamic gliomas, intracranial germ cell tumor, and Langerhans cell histiocytosis, can present with abnormal endocrine manifestations that precede the development of neurological symptoms. Early endocrine effects include diabetes insipidus, growth failure, obesity, and precocious or delayed puberty. With improving prognosis and treatment of childhood brain tumors, many survivors experience late endocrine effects related to medical and surgical interventions. Chemotherapeutic agents and radiation therapy can affect the hypothalamic-pituitary axes governing growth, thyroid, gonadal, and adrenal function. In addition, obesity and metabolic alterations are frequent late manifestations. Diagnosing and treating both early and late endocrine manifestations can dramatically improve the growth, well-being, and quality of life of patients with childhood central nervous system diseases.

  14. Origins of knowledge: Insights from precocial species

    Directory of Open Access Journals (Sweden)

    Elisabetta eVersace

    2015-12-01

    Full Text Available Behavioural responses are influenced by knowledge acquired during the lifetime of an individual and by predispositions transmitted across generations. Establishing the origin of knowledge and the role of the unlearned component is a challenging task, given that both learned and unlearned knowledge can orient perception, learning, and the encoding of environmental features since the first stages of life. Ethical and practical issues constrain the investigation of unlearned knowledge in altricial species, including human beings. On the contrary, precocial animals can be tested on a wide range of tasks and capabilities immediately after birth and in controlled rearing conditions. Insects and precocial avian species are very convenient models to dissect the knowledge systems that enable young individuals to cope with their environment in the absence of specific previous experience. We present the state of the art of research on the origins of knowledge that come from different models and disciplines. Insects have been mainly used to investigate unlearned sensory preferences and prepared learning mechanisms. The relative simplicity of the neural system and fast life cycle of insects make them ideal models to investigate the neural circuitry and evolutionary dynamics of unlearned traits. Among avian species, chicks of the domestic fowl have been the focus of many studies, and showed to possess unlearned knowledge in the sensory, physical, spatial, numerical and social domains. Solid evidence shows the existence of unlearned knowledge in different domains in several species, from sensory and social preferences to the left-right representation of the mental number line. We show how non-mammalian models of cognition, and in particular precocial species, can shed light into the adaptive value and evolutionary history of unlearned knowledge.

  15. NEUROBEHAVIORAL RELATIONSHIPS AND PUBERTY - ANOTHER TRANSFORMATION

    NARCIS (Netherlands)

    SOORANILUNSING, RJ

    1993-01-01

    In a follow-up study of the Groningen Perinatal Project (GPP) on minor neurological dysfunction (MND) at 12 and 14 years the onset of puberty appeared to play a role. The children were selected on the presence (n = 185) and absence (n = 185) of MND at 9 years. Puberty was defined by the presence of

  16. The physiology and timing of male puberty

    DEFF Research Database (Denmark)

    Tinggaard, Jeanette; Mieritz, Mikkel Grunnet; Sørensen, Kaspar;

    2012-01-01

    To describe available markers of male puberty, discuss associations between adiposity and pubertal timing and to review recent evidence of a possible secular trend in male pubertal timing.......To describe available markers of male puberty, discuss associations between adiposity and pubertal timing and to review recent evidence of a possible secular trend in male pubertal timing....

  17. Television Watching May Hasten Puberty

    Institute of Scientific and Technical Information of China (English)

    Gaia; Vince; 王锦云

    2005-01-01

    儿童长时间看电视会使青春期(puberty)提前!一项新的研究认为,如果儿童长时间看电视,就会减少体内的褪黑激素,而这种被称为"睡眠激素"的激素与儿童的青春期到来的具体时间有关,那些不看电视、不玩电脑和游戏机的年轻人体内的褪黑激素比平均值高出30%。

  18. Public health implications of altered puberty timing

    DEFF Research Database (Denmark)

    Golub, M.S.; Collman, G.W.; Foster, P.M.

    2008-01-01

    for chemicals. Recent US legislation has mandated improved chemical testing approaches for protecting children's health and screening for endocrine-disrupting agents, which has led to changes in the US Environmental Protection Agency's risk assessment and toxicity testing guidelines to include puberty...... sexual debut, potential sexual abuse, and psychosocial difficulties. Altered puberty timing is also of concern for the development of reproductive tract cancers later in life. For example, an early age of menarche is a risk factor for breast cancer. A low age at male puberty is associated...

  19. Public health implications of altered puberty timing

    DEFF Research Database (Denmark)

    Golub, Mari S; Collman, Gwen W; Foster, Paul M D

    2008-01-01

    . Altered timing of puberty also has implications for behavioral disorders. For example, an early maturation is associated with a greater incidence of conduct and behavior disorders during adolescence. Finally, altered puberty timing is considered an adverse effect in reproductive toxicity risk assessment...... for chemicals. Recent US legislation has mandated improved chemical testing approaches for protecting children's health and screening for endocrine-disrupting agents, which has led to changes in the US Environmental Protection Agency's risk assessment and toxicity testing guidelines to include puberty......-related assessments and to the validation of pubertal male and female rat assays for endocrine screening....

  20. Adolescent Violent Victimization and Precocious Union Formation.

    Science.gov (United States)

    C Kuhl, Danielle; Warner, David F; Wilczak, Andrew

    2012-11-01

    This article bridges scholarship in criminology and family sociology by extending arguments about "precocious exits" from adolescence to consider early union formation as a salient outcome of violent victimization for youths. Research indicates that early union formation is associated with several negative outcomes; yet the absence of attention to union formation as a consequence of violent victimization is noteworthy. We address this gap by drawing on life course theory and data from the National Longitudinal Study of Adolescent Health (Add Health) to examine the effect of violent victimization ("street" violence) on the timing of first co-residential union formation-differentiating between marriage and cohabitation-in young adulthood. Estimates from Cox proportional hazard models show that adolescent victims of street violence experience higher rates of first union formation, especially marriage, early in the transition to adulthood; however, this effect declines with age, as such unions become more normative. Importantly, the effect of violent victimization on first union timing is robust to controls for nonviolent delinquency, substance abuse, and violent perpetration. We conclude by discussing directions for future research on the association between violent victimization and coresidential unions with an eye toward the implications of such early union formation for desistance.

  1. Stephen C. Woods: a precocious scientist.

    Science.gov (United States)

    Smith, Gerard P

    2011-04-18

    To investigate the early scientific development of Steve Woods, I reviewed his research during the first decade after he received his doctoral degree in 1970. The main parts of his research program were conditioned insulin secretion and hypoglycemia, Pavlovian conditioning of insulin secretion before a scheduled access to food, and basal insulin as a negative-feedback signal from fat mass to the brain. These topics were pursued with experimental ingenuity; the resulting publications were interesting, clear, and rhetorically effective. Although the theoretical framework for his experiments with insulin was homeostatic, by the end of the decade he suggested that classic negative-feedback homeostasis needed to be revised to include learning acquired by lifestyle. Thus, Woods functioned as a mature scientist from the beginning of his research-he was very precocious. This precocity also characterized his teaching and mentoring as recalled by two of his students during that time, Joseph Vasselli and Paul Kulkosky. The most unusual and exemplary aspect of his precocity is that the outstanding performance of his first decade was maintained during the subsequent 30years.

  2. The role of puberty in the making and breaking of young ballet dancers: Perspectives of dance teachers.

    Science.gov (United States)

    Mitchell, Siobhan B; Haase, Anne M; Malina, Robert M; Cumming, Sean P

    2016-02-01

    Physical changes associated with puberty may conflict with functional and aesthetic ideals for a career in ballet. The dance teacher is in a position to guide young dancers through the pubertal transition, although dancers rather than teachers are often the focus of research. This study explores the social stimulus value of the female body in ballet as perceived by the dance teacher and how value may change during puberty. Ten UK dance teachers were interviewed; interpretative phenomenological analysis was used. Four main themes perceived by dance teachers emerged as central to the social stimulus value of the body among adolescent dancers: the ideal body; teacher approaches to managing puberty in the dance environment; puberty as a 'make or break' stage in ballet; and teacher awareness of pubertal onset and the implications of timing. Dance teachers can play an important role in moderating external and individual expectations during the pubertal transition.

  3. 不同治疗方法对特发性中枢性性早熟女童初潮年龄及成年终身高的影响%Effects of different therapeutic methods on menarche age and final adult height of girls with idiopathic central precocious puberty

    Institute of Scientific and Technical Information of China (English)

    吴静; 吕瑞丽; 何春风; 李慧竹

    2014-01-01

    目的:探讨不同治疗方法对特发性中枢性性早熟(ICPP)女童初潮年龄及成年终身高的影响.方法:回顾性分析2007年12月底前明确诊断,且2013年12月底前达到终身高的84例ICPP女童的临床及随访资料,其中未治疗组41例(A组);单用促性腺激素释放激素类似物(GnRHa)治疗组28例(B组);GnRHa联合生长激素(rhGH)治疗15例(C组).比较3组女童研究之初、治疗结束时终身高以及初潮年龄的差异.结果:3组患儿治疗前身高无统计学差异(F=0.51,P>0.05).3组的成年终身高分别为(150.06±2.33) cm,(155.35±2.42) cm和(156.75±2.15) cm,B、C两组均显著大于A组(t =9.02,P<0.01;t=9.70.P<0.01),但B组和C组间未发现统计学差异(t=1.88,P=0.07).未治疗组的身高净获为(-1.89±3.03)cm,显著低于B组和C组(P<0.05),C组大于B组(P<0.01).A组月经初潮年龄小于B组和C组女童.结论:对ICPP患儿给予GnRHa治疗是有效和必要的,能够有效推迟女童的月经初潮年龄,增加患儿的成年终身高;两药联用对终身高的改善有一定的效果.

  4. A study of factors influencing advanced puberty

    Directory of Open Access Journals (Sweden)

    Yong Jun Park

    2010-02-01

    Full Text Available Purpose : The purpose of this study was to evaluate the timing of puberty and the factors inducing advanced puberty in elemental school students of low grades. Methods : The 1st, 2nd, and 3rd grade elemental students from the Goyang province were randomly selected, and their sexual maturation rate was assessed by physical examination. After obtaining an informed consent, a questionnaire was administered to the parents; eating habits, lifestyle, use of growth-inducing medication, and present illness of the students were evaluated to determine the factors that induced advanced puberty. The data were statistically analyzed. Results : We selected 170 children and the girls:boys sex ratio was 1.2:1. Two 9-year-old boys were in genital stage 2. Two (14.3% 6-year-old girls, 6 (19.4% 7-year-old girls, 15 (39.6% 8-year-old girls, and 4 (57.1% 9-year-old girls were in breast stage 2. The average pubertal timing predicted for girls was 9.11¡?#?.86; years. The main factors influencing pubertal timing were obesity scale, frequency of eating fast food, and the use of growth-inducing medication. A high rating on the obesity scale and high frequency of eating fast food indicated advanced stage of puberty. Growth-inducing medication induced puberty through obesity. Conclusion : We proposed that predictive average pubertal timing in girls was 9.11¡?#?.86; years, which was consistent with the previously reported findings from abroad. The significant influencing factors in advanced puberty were obesity scale and frequency of fast food.

  5. Tricho-dento-osseous syndrome and precocious eruption.

    Science.gov (United States)

    Jain, Parul; Kaul, Rahul; Saha, Subrata; Sarkar, Subir

    2017-03-01

    Tricho-dento-osseous syndrome (TDO), an uncommon form of ectodermal dysplasia is an autosomal dominant genetic disorder which is characterized by inherited defects in tissues arising from epithelial-mesenchymal interaction. Genetic studies have revealed that it is caused by mutation in the DLX3 gene. TDO presents with a great phenotypic heterogeneity and studies have suggested that this heterogeneity is the result of environmental factors or other genetic modifiers. In this article, we report a case of TDO in which the child had typical clinical features of hair, teeth and bone defects, as seen in TDO. Parents of the child were unaffected. Genetic analysis of the child revealed mutation in DLX3 gene. The child also showed precocious eruption of the permanent molars, a clinical feature which has been rarely reported. We suggest that the precocious eruption seen in TDO is probably due to a markedly increased osteoblastic activity. Key words:Tricho-dento-osseous syndrome, DLX3 gene, precocious eruption.

  6. Is There a Progressive Withdrawal of Physiological Protections against High-Intensity Exercise-Induced Fatigue during Puberty?

    Directory of Open Access Journals (Sweden)

    Sébastien Ratel

    2015-12-01

    Full Text Available Puberty is characterized by a large number of physiological modifications that translate into increased neuromuscular fatigue during high-intensity exercise in adolescents compared to prepubertal children. This greater neuromuscular fatigue in adolescents could be attributed to peripheral (i.e., muscular and central (i.e., nervous factors that change through puberty. Among the peripheral changes are muscle mass, fiber type composition, energy metabolism and musculo-tendinous stiffness. Among the central modifications are the voluntary activation level, the antagonist co-activation and a differential interplay between central and peripheral fatigue. The objective of this review article will be to underline the importance of these factors on the development of neuromuscular fatigue during high-intensity exercise throughout puberty and to highlight that the adolescents could be physiologically less protected against fatiguing high-intensity exercise than their prepubertal counterparts.

  7. Sexual precocity of Nellore bulls that are offspring of super precocious, precocious and normal cows in extensive farming conditions.

    Science.gov (United States)

    Siqueira, J B; Oba, E; Pinho, R O; Guimarães, S E F; Neto, T M; Guimarães, J D

    2014-10-01

    The objective of this work was to verify that mothers classified as super precocious (M1) and precocious (M2) produce more precocious bulls than females classified as normal (M3). This study included 21,186 animals with an average age of 21.29 ± 1.77 months that underwent a breeding soundness evaluation from 1999 to 2008. Of these animals, 2019, 6059 and 13,108 were offspring of M1, M2 and M3 females, respectively. In the breeding soundness examination, the animals were classified as sound for reproduction, sound under a natural mating regime, unsound for reproduction and discarded. To compare the averages obtained for each category of mother within the individual breeding soundness classes, a chi-square test with a 5% error probability was used, considering the effects of year and month of birth and farm. For the three classes of mothers (M1, M2 and M3), 67.26, 67.22 and 64.16% of bull calves were considered sound for reproduction and 19.71, 19.46 and 21.90% were considered unsound for reproduction, respectively. There was no difference in the frequency of animals that were sound for reproduction under the natural breeding regime between the three classes of mothers (8.87, 9.31 and 9.19%, respectively). There was a difference between the numbers of precocious and normal females that were discarded, with frequencies of 4.01 and 4.75%, respectively (p bull offspring of super precocious and precocious cows presented a higher percentage of approval in the breeding soundness examination than the bull offspring of normal cows, demonstrating that the selection for precocity of females has contributed to an increase in the sexual precocity of the herd in relation to the sexual maturity of bulls.

  8. Growth and puberty after treatment for acute lymphoblastic leukemia Crescimento e puberdade após tratamento da leucemia linfoblástica aguda

    Directory of Open Access Journals (Sweden)

    Claudia Helena Bastos da Silva Alves

    2004-01-01

    Full Text Available Over the last 20 years, after combining treatment of chemotherapy and radiotherapy, there has been an improvement in the survival rate of acute lymphoblastic leukemia patients, with a current cure rate of around 70%. Children with the disease have been enrolled into international treatment protocols designed to improve survival and minimize the serious irreversible late effects. Our oncology unit uses the international protocol: GBTLI LLA-85 and 90, with the drugs methotrexate, cytosine, arabinoside, dexamethasone, and radiotherapy. However, these treatments can cause gonadal damage and growth impairment. PATIENTS AND METHOD: The authors analyzed 20 children off therapy in order to determine the role of the various doses of radiotherapy regarding endocrinological alterations. They were divided into 3 groups according to central nervous system prophylaxis: Group A underwent chemotherapy, group B underwent chemotherapy plus radiotherapy (18 Gy, and group C underwent chemotherapy plus radiotherapy (24 Gy. Serum concentrations of LH, FSH, GH, and testosterone were determined. Imaging studies included bone age, pelvic ultrasound and scrotum, and skull magnetic resonance imaging. RESULTS: Nine of the patients who received radiotherapy had decreased pituitary volume. There was a significant difference in the response to GH and loss of predicted final stature (Bayley-Pinneau between the 2 irradiated groups and the group that was not irradiated, but there was no difference regarding the radiation doses used (18 or 24 Gy. The final predicted height (Bayley-Pinneau was significantly less (P = 0.0071 in both groups treated with radiotherapy. Two girls had precocious puberty, and 1 boy with delayed puberty presented calcification of the epididymis. CONCLUSION: Radiotherapy was been responsible for late side effects, especially related to growth and puberty.Nos últimos 20 anos, após o tratamento de pacientes portadores de leucemia linfoblástica aguda, com

  9. Puberty and fertility in congenital adrenal hyperplasia.

    NARCIS (Netherlands)

    Otten, B.J.; Stikkelbroeck, M.M.L.; Claahsen-van der Grinten, H.L.; Hermus, A.R.M.M.

    2005-01-01

    Congenital adrenal hyperplasia (CAH) is a disorder of adrenal steroid synthesis. The symptoms and signs of CAH depend on the degree of enzyme deficiency; severe salt-wasting (SW) form, less severe simple virilizing (SV) form and mild nonclassic (NC) form. In this paper, puberty and fertility in CAH

  10. NEUROBEHAVIORAL RELATIONSHIPS AFTER THE ONSET OF PUBERTY

    NARCIS (Netherlands)

    SOORANILUNSING, RJ; HADDERSALGRA, M; HUISJES, HJ; TOUWEN, BCL

    1994-01-01

    The behavioural and cognitive development were studied of 68 children with and 259 without minor neurological function (MND) at 14 years, when the majority of children showed three or more physical signs of puberty. MND was differentiated into fine manipulative disability, co-ordination problems, ch

  11. Puberty in the Girl Who is Retarded.

    Science.gov (United States)

    Pattullo, Ann

    Designed to help mothers of mentally retarded girls deal with the problems and concerns of puberty, the booklet provides information on physical and emotional changes, menstruation, masturbation, heterosexual behavior, contraception, protection against sexual aggression, the possibilities of marriage, and additional sources of information.…

  12. Puberty in male atlantic cod (Gadus morhua)

    NARCIS (Netherlands)

    Almeida, F.F.L.

    2009-01-01

    Puberty is the process by which a juvenile acquires for the first time the capacity to reproduce sexually, a critical basis for the conservation of a species. In general, the biological processes constituting the first gonadal maturation and the mechanisms involved in this process are similar among

  13. Prevalence and incidence of precocious pubertal development in Denmark

    DEFF Research Database (Denmark)

    Teilmann, Grete; Pedersen, Carsten; Jensen, Tina Kold

    2005-01-01

    To our knowledge, no population-based epidemiologic studies on the incidence and prevalence of precocious pubertal development have been published. Danish national registries provide sufficient data for estimating the prevalence and incidence of this condition. The aim of this study was to estimate...

  14. Time course and role of LH and FSH in the expansion of the Leydig cell population at the time of puberty in the rhesus monkey (Macaca mulatta)

    Science.gov (United States)

    Verhagen, I.; Ramaswamy, S.; Teerds, K.J.; Keijer, J.; Plant, T. M.

    2014-01-01

    In higher primates development of the adult population of Leydig cells has received little attention. Here, the emergence of 3β-hydroxysteroid dehydrogenase (HSD3B) positive cells in the testis of the rhesus monkey was examined during spontaneous puberty, and correlated with S-phase labeling in the interstitium at this critical stage of development. In addition, the relative role of LH and FSH in initiating the pubertal expansion of Leydig cells was studied by precociously stimulating the juvenile testis in vivo with pulsatile 11-day infusions of recombinant LH and FSH, either alone or in combination. At the time of castration, testes were immersion fixed in Bouin’s, embedded in paraffin and sectioned at 5 μm. Leydig cells/testis were enumerated using HSD3B as a Leydig cell marker. Leydig cell number per testis increased progressively during puberty to reach values in the adult approximately 10 fold greater than in early pubertal animals. The rise in cell number was associated with an increase in nuclear diameter. That the pubertal expansion of Leydig cell number was driven primarily by the increase in LH secretion at this stage of development was suggested by the finding that precocious stimulation of mid juvenile monkeys with LH, either alone or in combination with that of FSH, resulted in a 20 to 30 fold increase in the number of HSD3B positive cells. Interestingly, precocious FSH stimulation, alone, also resulted in appearance of Leydig cells as indicated by the occasional HSD3B positive cell in the interstitium. The nuclear diameter of these Leydig cells, however was less than that of those generated in response to LH. PMID:25269763

  15. The impact of puberty on adolescent brain development

    OpenAIRE

    Goddings, A. M.

    2015-01-01

    Research has demonstrated that the human brain undergoes significant change in both structure and function during adolescence, but little is known about the role of puberty in this developmental process. The aim of this thesis is to investigate the relationship between puberty and brain development during adolescence. The first two chapters of this thesis summarise the current understanding of the behavioural and brain changes associated with both adolescence and puberty, and review the metho...

  16. Tricho-dento-osseous syndrome and precocious eruption

    Science.gov (United States)

    Kaul, Rahul; Saha, Subrata; Sarkar, Subir

    2017-01-01

    Tricho-dento-osseous syndrome (TDO), an uncommon form of ectodermal dysplasia is an autosomal dominant genetic disorder which is characterized by inherited defects in tissues arising from epithelial-mesenchymal interaction. Genetic studies have revealed that it is caused by mutation in the DLX3 gene. TDO presents with a great phenotypic heterogeneity and studies have suggested that this heterogeneity is the result of environmental factors or other genetic modifiers. In this article, we report a case of TDO in which the child had typical clinical features of hair, teeth and bone defects, as seen in TDO. Parents of the child were unaffected. Genetic analysis of the child revealed mutation in DLX3 gene. The child also showed precocious eruption of the permanent molars, a clinical feature which has been rarely reported. We suggest that the precocious eruption seen in TDO is probably due to a markedly increased osteoblastic activity. Key words:Tricho-dento-osseous syndrome, DLX3 gene, precocious eruption. PMID:28298997

  17. THALASSAEMIA AND ABERRATIONS OF GROWTH AND PUBERTY

    Directory of Open Access Journals (Sweden)

    Andreas Kyriakou

    2009-07-01

    Full Text Available Endocrine dysfunction in Thalassaemia major (TM is a common and disturbing complication, which requires prompt recognition and treatment. The contribution of the underlying molecular defect in TM to the development of endocrinopathies is significant because the patients with the more severe genetic defects have a greater rate of iron loading through higher red cell consumption. TM patients frequently present delay of growth and puberty with reduction of final height. The pathogenesis of growth failure is multifactorial and is mainly due to chronic anemia and hypoxia, chronic liver disease, zinc and folic acid deficiency, iron overload, intensive use of chelating agents, emotional factors, and endocrinopathies (hypogonadism, delayed puberty, hypothyroidism and GH-IGF-1 axis dysregulation. Although appropriate iron chelation therapy can improve growth and development, TM children and adolescents treated intensively with desferrioxamine remain short as well, showing body disproportion between the upper and lower body segment. Body disproportion is independent of prepubertal or pubertal period of greater height gain. Treatment with recombinant GH (rhGH is recommended when GH deficiency is established, and even so, the therapeutic response is often non satisfactory. Growth acceleration is mostly promoted with sex steroids in children with associated pubertal delay. Sexual complications in TM, which include Delayed Puberty, Arrested Puberty and Hypogonadism, present the commonest endocrine complication. Iron deposition on gonadotroph cells of the pituitary leads to disruption of gonadotrophin production which is proven by the poor response of FSH and LH to GnRH stimulation. In the majority of patients gonadal function is normal as most women with Amenorrhea are capable of achieving pregnancy with hormonal treatment and similarly men with azoospermia become fathers. Secondary Hypogonadism appears later in life,    and is manifested in women as

  18. Normal female puberty in a developmental perspective

    DEFF Research Database (Denmark)

    Bourguignon, Jean-Pierre; Juul, Anders

    2012-01-01

    are suggested by the still evolving pattern of the pubertal process both clinically and mechanistically. For instance, secular trends towards earlier breast development have been observed during the two past decades in some countries, resulting in possible skewing of the age distribution of that pubertal sign...... with less obvious changes in menarcheal age. Conceptually, puberty and subsequent reproduction appear now to be influenced by conditions not only at the time when they occur, but also during fetal and perinatal life. In addition, these influences can be apparently opposing since early maturation follows...

  19. Delayed puberty and hypogonadotropic hypogonadism. Differential diagnosis and treatment

    NARCIS (Netherlands)

    Snoep, Marinus Cornelis

    1978-01-01

    This thesis describes a method enabling a prospecrive differential diagnosis to be made berween delayed puberty (DP) and hypogonadotropic hypogonadism (HH). The influence of androgen administration on the gonadal feedback sysrem of patients with delayed puberty was also studied. ... Zie: Summary

  20. Increase in urinary growth hormone excretion in puberty.

    OpenAIRE

    Price, D A; Addison, G. M.; Herbert, E D

    1990-01-01

    During the pubertal years the overnight urinary excretion rate of growth hormone (hGHu) increases to three to four times the prepubertal rate, reaching a peak in girls at 13 years and in boys at 15 years. After puberty the mean rate of overnight hGHu is twice that before puberty.

  1. Trends in puberty timing in humans and environmental modifiers

    DEFF Research Database (Denmark)

    Toppari, Jorma; Juul, Anders

    2010-01-01

    Secular trends in timing of puberty appear to continue although under-nutrition has not been any longer a limiting factor for pubertal development. Now obesity and other environmental reasons have been suspected to cause this trend, and endocrine disrupting chemicals have become into focus...... as possible contributors. Epidemiological studies on endocrine disrupters are still scarce and show only weak associations between exposures and timing of puberty. Since genetic background explains 50-80% of variability in the timing of puberty, it is not surprising that the observed environmental effects...... are rather modest when individual exposures are assessed. Despite that, some exposures have been reported to be associated to early (e.g., polybrominated biphenyls) or delayed (e.g., lead) puberty. Here we shortly review the available data on recent trends in timing of puberty and the possible role...

  2. Evaluation of 451 Danish Boys With Delayed Puberty

    DEFF Research Database (Denmark)

    Lawaetz, Jacob Gerner; P. Hagen, Casper; Mieritz, Mikkel Grunnet;

    2015-01-01

    Context: Few data exist on the diagnostic criteria, and on the effects of puberty induction, in boyswith constitutional delay in growth and puberty (CDGP). Objective: To develop puberty nomograms based on Danish boys with normal pubertal development.To evaluate the different diagnostic criteria...... and the effect of oral testosterone undecanoate(TU) in boys with CDGP. Design: A cross-sectional and longitudinal study of Danish boys with normal pubertal development(COPENHAGEN puberty study). A retrospective observational study of 451 boys evaluated fordelayed puberty between 1990 and 2013. Setting: Tertiary...... referral center for pediatric endocrinology. Participants: One hundred and sixty-four (36%) boys evaluated for CDGP were excluded due tomissing data, reclassification, or associated comorbidities, yielding 287 (64%) eligible for analysis. Main Outcome Measures: The number of patients with CDGP classified...

  3. 动物性成熟启动的调控机理%Regulation Mechanism of Puberty Onset in Animals

    Institute of Scientific and Technical Information of China (English)

    韩威; 李慧芳; 朱云芬; 宋迟; 陶志云

    2012-01-01

    Precocious puberty was pathologic for humans, but was an important trait for animals. Onset of puberty was a complex biological process, and was under the control of HPG axis. Permissive signals and development clock provided the information on somatic growth, energy balance and environment changes, time the awakening of GnRH neurons that were quiescent during the prepubertal stage. The decrease in inhibition input and increase in excitation input led to high frequency GnRH pulse release, promoted the gametogenesis and gonadal steroid secretion. In turn, steroid hormones affected the GnRH release by negative feedback, and also promoted sexual behavior. In addition to GnRH neurons, the glial cells were also involved in puberty onset, mainly included growth factor families, the neural cell adhesion molecule and contactin. The epigenetic modulation of GnRH gene may play an important role in puberty onset.%人类的性早熟表现为病理状态,而在动物上,性早熟则是一个在生产上具有重要价值的经济性状.动物性成熟启动是一个复杂的生物学过程,受下丘脑—垂体—性腺轴调控.“允许信号”和“发育时钟”传达了机体生长发育、能量平衡和环境变化信息,决定了性成熟启动前期处于休眠状态的GnRH神经元激活;GnRH神经元抑制性输入减少和兴奋性输入增加引发了高频GnRH脉冲分泌,促进配子形成和性类固醇激素分泌;类固醇激素又通过负反馈通路影响GnRH分泌并促进性行为.神经胶质细胞也参与了性成熟的启动,主要涉及生长因子家族、神经细胞粘合分子和神经接触蛋白.GnRH基因的表观遗传修饰变化可能在动物性成熟启动过程中发挥了重要作用.

  4. Obesity and growth during childhood and puberty.

    Science.gov (United States)

    Marcovecchio, M Loredana; Chiarelli, Francesco

    2013-01-01

    Growth during childhood and adolescence occurs at different rates and is influenced by the interaction between genetic and environmental factors. Nutritional status plays an important role in regulating growth, and excess body weight early in life can influence growth patterns. Childhood obesity is a growing and alarming problem, associated with several short-term and long-term metabolic and cardiovascular complications. In addition, there is evidence suggesting that excess adiposity during childhood influences growth patterns and pubertal development. Several studies have shown that during prepubertal years obese children have higher height velocity and accelerated bone age compared to lean subjects. However, this prepubertal advantage in growth tends to gradually decrease during puberty, when obese children show a reduced growth spurt compared with lean subjects. Growth hormone (GH) secretion in obese children is reduced, therefore suggesting that increased growth is GH independent. Factors which have been implicated in the accelerated growth in obese children include increased leptin and insulin levels, adrenal androgens, insulin-like growth factor (IGF)-1, IGF-binding protein-1 and GH-binding proteins. Excess body weight during childhood can also influence pubertal development, through an effect on timing of pubertal onset and levels of pubertal hormonal levels. There is clear evidence indicating that obesity leads to early appearance of pubertal signs in girls. In addition, obese girls are also at increased risk of hyperandrogenism. In boys, excess adiposity has been associated with advanced puberty in some studies, whereas others have reported a delay in pubertal onset. The existing evidence on the association between childhood and adolescence obesity underlines a further reason for fighting the epidemics of childhood obesity; that is preventing abnormal growth and pubertal patterns.

  5. Age at puberty and the emerging obesity epidemic

    DEFF Research Database (Denmark)

    Aksglaede, Lise; Juul, Anders; Olsen, Lina W;

    2009-01-01

    BACKGROUND: Recent studies have shown that puberty starts at younger ages than previously. It has been hypothesized that the increasing prevalence of childhood obesity is contributing to this trend. The purpose of this study was to analyze the association between prepubertal body mass index (BMI....... Irrespective of level of BMI at age seven, there was a downward trend in the age at attaining puberty in both boys and girls, which suggests that the obesity epidemic is not solely responsible for the trend....

  6. Precocious germination and its regulation in embryos of triticale caryopses

    Directory of Open Access Journals (Sweden)

    Stanisław Weidner

    2014-01-01

    Full Text Available Triticale var. Lasko embryos, isolated from grain gathered at milk ripeness, the beginning of wax ripeness and at full ripeness, were allowed to germinate for 48 h on agar with glucose. The highest incorporation of tritiated adenosine into polyribosomal RNA during germination was found in the ribosome fractions from embryos of grain gathered at full ripeness, lower incorporation was in preparations from embryos of milk ripe grain and the lowest in preparations from embryos of wax ripe grain. Different tendencies were observed in respect to the synthesis of ribosomal proteins. The highest incorporation of 14C-amino acids into ribosomal proteins was found in preparations of ribosome fractions from embryos of milk ripe grain, lower in preparations of embryos from fully ripe grain, the lowest in preparations of embryos from wax ripe grain. ABA (10-4 M completely inhibited the external symptoms of germination of immature embryos, while its inhibition of the synthesis of polyribosomal RNA and ribosomal proteins was greater the more mature the embryos that were germinated. The greatest stimulation of precocious germination by exogenous BA and GA3 was demonstrated in the least mature embryos isolated from milk ripe grain. Under the influence of both stimulators, an increase of the proportion of polyribosomes in the total ribosome fraction occurred in this sample, as did a rise in the intensity of ribosomal protein synthesis. The incorporation of 3H-adenosine into polyribosomal RNA, however, was lower than in the control sample. The results obtained suggest that the regulation of precocious germination of triticale embryos by phyto-hormones is not directly related to transcription.

  7. Neuropathology and functional deficits in a model of birth asphyxia in the precocial spiny mouse (Acomys cahirinus).

    Science.gov (United States)

    Hutton, Lisa C; Ratnayake, Udani; Shields, Amy; Walker, David W

    2009-01-01

    Birth asphyxia can result in sensory impairment, learning and memory deficits without gross brain injury and severe motor deficits. We developed a model of birth asphyxia resulting in mild neurological injury and cognitive impairment using a long-gestation species with precocial fetal development. Spiny mice (Acomys cahirinus) underwent caesarean-section delivery or 7.5 min of asphyxia at 37 days gestational age (term is 39 days). Brain histology was examined at 1 and 7 days of age, and behaviour was evaluated to 28 days of age. Asphyxiated offspring showed significant impairment in non-spatial memory and learning tasks, accompanied by central nervous system inflammation and increased apoptotic cell death but without the presence of large necrotic or cystic lesions.

  8. Role of environmental factors in the timing of puberty

    DEFF Research Database (Denmark)

    Euling, S.Y.; Selevan, S.G.; Pescovitz, O.H.

    2008-01-01

    Protection Agency, the National Institute of Environmental Health Sciences, and Serono Symposia International was convened to examine the evidence of a secular trend, identify potential environmental factors of concern, and identify research needs regarding environmental factors and puberty timing at "The......Puberty-timing measures have historically been used as indicators of adequate nutrition and growth. More recently, these measures have been examined in relation to exposure to estrogenic or antiandrogenic agents, as well as other environmental factors. The scientific community has debated whether...... puberty timing is occurring earlier today than in the mid-1900s in the United States and, if so, whether environmental factors play a role; however, no one has asked a multidisciplinary panel to resolve this question. Thus, a multidisciplinary expert panel jointly sponsored by the US Environmental...

  9. The role of estrogen in bone growth and formation: changes at puberty

    Directory of Open Access Journals (Sweden)

    Divya Singh

    2010-12-01

    Full Text Available Divya Singh1, Sabyasachi Sanyal2, Naibedya Chattopadhyay11Division of Endocrinology, 2Division of Drug Target Discovery and Development, Central Drug Research Institute (Council of Scientific and Industrial Research, Lucknow, Uttar Pradesh, IndiaAbstract: A high peak bone mass (PBM at skeletal maturity is a good predictor for lower rate of fracture risks in later life. Growth during puberty contributes significantly to PBM achievement in women and men. The growth hormone (GH/insulin-like growth factor 1 (IGF-1 axis has a critical role in pubertal bone growth. There is an increase in GH and IGF-1 levels during puberty; thus, it is assumed that sex steroids contribute to higher GH/IGF-1 action during growth. Recent studies indicate that estrogen increases GH secretion in boys and girls, and the major effect of testosterone on GH secretion is via aromatization to estrogen. Estrogen is pivotal for epiphyseal fusion in young men and women. From studies of individuals with a mutated aromatase gene and a case study of male patient with defective estrogen receptor-alpha (ER-α, it is clear that estrogen is indispensable for normal pubertal growth and growth plate fusion. ER-α and estrogen receptor-beta (ER-β have been localized in growth plate and bone. ER knockout studies have shown that ER-α-/- female mice have reduced linear appendicular growth, while ER-β-/- mice have increased appendicular growth. No such effect is seen in ER-β-/- males; however, repressed growth is seen in ER-α-/- males, resulting in shorter long bones. Thus, ER-β represses longitudinal bone growth in female mice, while it has no function in the regulation of longitudinal bone growth in male mice. These findings indicate that estrogen plays a critical role in skeletal physiology of males as well as females.Keywords: peak bone mass, puberty, estrogen, growth plate

  10. Serum inhibin B levels during male childhood and puberty

    DEFF Research Database (Denmark)

    Andersson, A M; Skakkebaek, N E

    2001-01-01

    Inhibin B is a testicular peptide hormone that regulates FSH secretion in a negative feedback loop. In males serum levels of inhibin B are detectable throughout life with prominent changes in the first year of life and during puberty. Serum inhibin B is normally detectable throughout childhood...... normal or near-normal levels are seen in cryptorchidism and disorders with preserved Sertoli cell function in spite of absence of germ cells or impaired androgen biosynthesis or action. During puberty a developmental change in the regulation of serum inhibin B occurs. In contrast to childhood inhibin B...

  11. Hyperandrogenism during puberty in the development of polycystic ovary syndrome.

    Science.gov (United States)

    Nader, Shahla

    2013-07-01

    The hormonal events of puberty, from adrenarche to menarche and beyond, include the secretion of androgens as well as estrogen and P. This normal pubertal process is briefly reviewed and a physiologic role for pubertal androgens proposed. It is further suggested that the hyperandrogenic state we call polycystic ovary syndrome is a maladaptation of the advantageous role of normal pubertal androgens.

  12. The importance of puberty for adolescent development: conceptualization and measurement.

    Science.gov (United States)

    Berenbaum, Sheri A; Beltz, Adriene M; Corley, Robin

    2015-01-01

    How and why are teenagers different from children and adults? A key question concerns the ways in which pubertal development shapes psychological changes in adolescence directly through changes to the brain and indirectly through the social environment. Empirical work linking pubertal development to adolescent psychological function draws from several different perspectives, often with varying approaches and a focus on different outcomes and mechanisms. The main themes concern effects of atypical pubertal timing on behavior problems during adolescence, effects of pubertal status (and associated hormones) on normative changes in behaviors that can facilitate or hinder development (especially risk-taking, social reorientation, and stress responsivity), and the role of puberty in triggering psychopathology in vulnerable individuals. There is also interest in understanding the ways in which changes in the brain reflect pubertal processes and underlie psychological development in adolescence. In this chapter, we consider the ways that puberty might affect adolescent psychological development, and why this is of importance to developmentalists. We describe the processes of pubertal development; summarize what is known about pubertal influences on adolescent development; consider the assumptions that underlie most work and the methodological issues that affect the interpretation of results; and propose research directions to help understand paths from puberty to behavior. Throughout, we emphasize the importance of pubertal change in all aspects of psychological development, and the ways in which puberty represents an opportunity to study the interplay of biological and social influences.

  13. Physiology and Endocrinology Symposium. Factors controlling puberty in beef heifers

    Science.gov (United States)

    The Physiology and Endocrinology Symposium on “Factors controlling puberty in beef heifers” was held at the joint annual meeting of the American Dairy Science Association and the American Society of Animal Science in New Orleans, Louisiana, USA, July 10 to 14, 2011. The objective of the symposium w...

  14. Nutritional and Genetic Determinants of Early Puberty

    Science.gov (United States)

    2006-06-01

    congenital adrenal hyperplasia , develop a more central adipose tissue distribution. This suggests that circulating testosterone favors an increase in...for dietary intake, body size and composition, sexual maturation, growth and bone density. Data collection will be extended by conducting a third...two years later in 2002-2003, for dietary intake, body size and composition, sexual maturation (Tanner staging), growth and bone density. Data

  15. Unknown syndrome: peculiar face, severe hypodontia of permanent teeth, and precocious choroid calcifications.

    OpenAIRE

    Pallotta, R; Fusilli, P

    1998-01-01

    We describe a mother and her twin daughters affected with severe hypodontia of the permanent teeth, precocious calcification of the choroid plexus, and minor digital anomalies. The presence of inner telecanthus, broad and flattened nasal bridge, mild ocular proptosis, small nose with anteverted nostrils, and slight microretrognathia gives them an unusual appearance. All three affected persons are of normal intelligence.

  16. The energetic implications of precocial development for three shorebird species breeding in a warm environment

    NARCIS (Netherlands)

    Tjorve, K. M. C.; Underhill, L. G.; Visser, G. H.

    2008-01-01

    We investigated the effect of body size, parental behaviour and timing of breeding on the chick growth and energetics of three precocial shorebird (Charadrii) species in a warm sub-tropical environment: the Kittlitz's Plover Charadrius pecuarius, Blacksmith Lapwing Vanellus armatus, and Crowned Lapw

  17. Regulatory Differences in Natal Down Development between Altricial Zebra Finch and Precocial Chicken.

    Science.gov (United States)

    Chen, Chih-Kuan; Ng, Chen Siang; Wu, Siao-Man; Chen, Jiun-Jie; Cheng, Po-Liang; Wu, Ping; Lu, Mei-Yeh Jade; Chen, Di-Rong; Chuong, Cheng-Ming; Cheng, Hsu-Chen; Ting, Chau-Ti; Li, Wen-Hsiung

    2016-08-01

    Birds can be classified into altricial and precocial. The hatchlings of altricial birds are almost naked, whereas those of precocial birds are covered with natal down. This regulatory divergence is thought to reflect environmental adaptation, but the molecular basis of the divergence is unclear. To address this issue, we chose the altricial zebra finch and the precocial chicken as the model animals. We noted that zebra finch hatchlings show natal down growth suppressed anterior dorsal (AD) skin but partially down-covered posterior dorsal (PD) skin. Comparing the transcriptomes of AD and PD skins, we found that the feather growth promoter SHH (sonic hedgehog) was expressed higher in PD skin than in AD skin. Moreover, the data suggested that the FGF (fibroblast growth factor)/Mitogen-activated protein kinase (MAPK) signaling pathway is involved in natal down growth suppression and that FGF16 is a candidate upstream signaling suppressor. Ectopic expression of FGF16 on chicken leg skin showed downregulation of SHH, upregulation of the feather growth suppressor FGF10, and suppression of feather bud elongation, similar to the phenotype found in zebra finch embryonic AD skin. Therefore, we propose that FGF16-related signals suppress natal down elongation and cause the naked AD skin in zebra finch. Our study provides insights into the regulatory divergence in natal down formation between precocial and altricial birds.

  18. Acquired versus innate prey capturing skills in super-precocial live-bearing fish

    NARCIS (Netherlands)

    Lankheet, Martin J.; Stoffers, Twan; Leeuwen, van Johan L.; Pollux, Bart J.A.

    2016-01-01

    Live-bearing fish start hunting for mobile prey within hours after birth, an example of extreme precociality. Because prenatal, in utero, development of this behaviour is constrained by the lack of free-swimming sensory-motor interactions, immediate success after birth depends on innate, evolutio

  19. Foraging behavior and physiological changes in precocial quail chicks in response to low temperatures

    NARCIS (Netherlands)

    Krijgsveld, KL; Visser, GH; Daan, S

    2003-01-01

    We examined whether low ambient temperatures influence foraging behavior of precocial Japanese quail chicks and alter the balance between investment in growth and thermogenic function. To test this, one group of chicks was exposed to 7 degreesC and one group to 24 degreesC during foraging throughout

  20. Trabecular bone of precocials at birth; Are they prepared to run for the wolf(f)?

    NARCIS (Netherlands)

    Gorissen, Ben M C; Wolschrijn, Claudia F; van Vilsteren, Anouk A M; van Rietbergen, Bert; van Weeren, P René

    2016-01-01

    Bone is a dynamic tissue adapting to loading according to "Wolff's law of bone adaptation." During very early life, however, such a mechanism may not be adequate enough to adapt to the dramatic change in environmental challenges in precocial species. Their neonates are required to stand and walk wit

  1. Taken to the limit--Is desiccation stress causing precocious encystment of trematode parasites in snails?

    Science.gov (United States)

    O'Dwyer, Katie; Poulin, Robert

    2015-12-01

    When hosts experience environmental stress, the quantity and quality of resources they provide for parasites may be diminished, and host longevity may be decreased. Under stress, parasites may adopt alternative strategies to avoid fitness reductions. Trematode parasites typically have complex life cycles, involving asexual reproduction in a gastropod first intermediate host. A rare phenomenon, briefly mentioned in the literature, and termed 'precocious encystment' involves the next stage in the parasites' life cycle (metacercarial cyst) forming within the preceding stage (redia), while still inside the snail. In the trematode Parorchis sp. NZ using rocky shore snails exposed to long periods outside water, we hypothesised that this might be an adaptive strategy against desiccation, preventing parasite emergence from the snail. To test this, we first investigated the effect of prolonged desiccation on the survival of two species of high intertidal snails. Secondly, we measured the reproductive output (cercarial production) of the parasite under wet and dry conditions. Finally, we quantified the influence of desiccation stress on the occurrence of precocious encystment. Snail mortality was higher under dry conditions, indicating stress, and it was somewhat exacerbated for infected snails. Parasite reproductive output differed between wet and dry conditions, with parasites of snails kept in dry conditions producing more cercariae when placed in water. Little variation was observed in the occurrence of precocious encystment, although some subtle patterns emerged. Given the stresses associated with living in high intertidal environments, we discuss precocious encystment as a possible stress response in this trematode parasite.

  2. Daily energy expenditure in precocial shorebird chicks : Smaller species perform at higher levels

    NARCIS (Netherlands)

    Krijgsveld, Karen L.; Ricklefs, Robert E.; Visser, G. Henk

    2012-01-01

    We measured daily energy expenditure (DEE) during the development periods of precocial chicks of five species of Arctic shorebirds spanning a broad range in size, in order to investigate the relationships between DEE, body size, and growth rate. We also quantified the effect of weather conditions on

  3. Timing of puberty and synchronization of seasonal rhythms by simulated natural photoperiods in female Siberian hamsters.

    Science.gov (United States)

    Butler, Matthew P; Trumbull, Justin J; Turner, Kevin W; Zucker, Irving

    2007-07-01

    The timing of puberty is a critical life history trait of short-lived species; spring-born individuals mature rapidly and breed in the season of birth, whereas young born in mid- to late summer delay puberty until the next spring. The cues that govern the transition from rapid to delayed maturation in natural populations remain unknown. To identify ecologically relevant photoperiod cues that control timing of puberty, we monitored nine cohorts of female Siberian hamsters (Phodopus sungorus) born every 2 wk from 4 wk before to 12 wk after the summer solstice in a simulated natural photoperiod (SNP). Hamsters born by the summer solstice underwent rapid somatic growth and achieved puberty that summer; among females born 2-4 wk after the solstice, some delayed puberty by many weeks, whereas others manifested early puberty. Hamsters born 6 or more weeks after the solstice generally delayed puberty until the following spring. The transition from accelerated to delayed pubertal development in the SNP occurred at day lengths that induce early puberty when presented as static photoperiods. Despite differences in timing of birth and timing of puberty, fall and subsequent spring seasonal events occurred at similar calendar dates in all cohorts. We found no evidence that prenatal photoperiod history influenced postnatal development of female hamsters. Considered together with a parallel study on males, the present findings point to sex differences in responsiveness to natural photoperiod variations. In both sexes, incrementally changing photoperiods exert a strong organizing effect on seasonal rhythms.

  4. Testes and brain gene expression in precocious male and adult maturing Atlantic salmon (Salmo salar

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    Houeix Benoit

    2010-03-01

    Full Text Available Abstract Background The male Atlantic salmon generally matures in fresh water upon returning after one or several years at sea. Some fast-growing male parr develop an alternative life strategy where they sexually mature before migrating to the oceans. These so called 'precocious' parr or 'sneakers' can successfully fertilise adult female eggs and so perpetuate their line. We have used a custom-built cDNA microarray to investigate gene expression changes occurring in the salmon gonad and brain associated with precocious maturation. The microarray has been populated with genes selected specifically for involvement in sexual maturation (precocious and adult and in the parr-smolt transformation. Results Immature and mature parr collected from a hatchery-reared stock in January were significantly different in weight, length and condition factor. Changes in brain expression were small - never more than 2-fold on the microarray, and down-regulation of genes was much more pronounced than up-regulation. Significantly changing genes included isotocin, vasotocin, cathepsin D, anamorsin and apolipoprotein E. Much greater changes in expression were seen in the testes. Among those genes in the testis with the most significant changes in expression were anti-Mullerian hormone, collagen 1A, and zinc finger protein (Zic1, which were down-regulated in precocity and apolipoproteins E and C-1, lipoprotein lipase and anti-leukoproteinase precursor which were up-regulated in precocity. Expression changes of several genes were confirmed in individual fish by quantitative PCR and several genes (anti-Mullerian hormone, collagen 1A, beta-globin and guanine nucleotide binding protein (G protein beta polypeptide 2-like 1 (GNB2L1 were also examined in adult maturing testes. Down-regulation of anti-Mullerian hormone was judged to be greater than 160-fold for precocious males and greater than 230-fold for November adult testes in comparison to July testes by this method. For

  5. [Mutations in the personality nucleus at puberty and adolescence].

    Science.gov (United States)

    Schiopu, U

    1989-01-01

    The author considers that analysing the personality by means of concrete research, the axis "self-perceptual Ego and the prospective, ideal Ego" make up an operational axis included in personality nucleus. The selected interference of the alter image about the Ego permanently readjusts this axis. In this purpose an adjective checklist and the projective test TST in two alternative have been used. The author concludes that during puberty and adolescence several changes take place as far as the number of adjective used, descriptors prevailing characteristics, and affective finality are concerned.

  6. Age at puberty in beef heifers: Criollo cattle versus british crossbred cattle.

    Science.gov (United States)

    Age at puberty is an important factor in estimating the potential productivity of the bovine female. A study was conducted at the ARS-USDA Jornada Experimental Range in 2006 and 2007 to compare onset of puberty, BW, and serum insulin in Criollo and Angus-Hereford crossbred heifers. In 2006, 7 Crioll...

  7. Sex hormone-binding globulin levels predict insulin sensitivity, disposition index, and cardiovascular risk during puberty

    DEFF Research Database (Denmark)

    Sørensen, Kaspar; Aksglaede, Lise; Munch-Andersen, Thor;

    2009-01-01

    Early puberty is associated with increased risk of subsequent cardiovascular disease. Low sex hormone-binding globulin (SHBG) levels are a feature of early puberty and of conditions associated with increased cardiovascular risk. The aim of the present study was to evaluate SHBG as a predictor of ...

  8. The changes in running economy during puberty in overweight and normal weight boys

    OpenAIRE

    Maciejczyk Marcin; Gradek Joanna; Szymura Jadwiga; Cempla Jerzy; Więcek Magdalena; Tota Łukasz

    2015-01-01

    Study aim: running economy (RE) is important indicator of endurance performance. During puberty dynamic changes in body composition and function are observed, as such RE is also expected to change. The aim of the study was to compare the running economy (RE) in overweight and normoweight boys during a running exercise performed with constant velocity, and the assessment of changes in RE during puberty.

  9. A Signaling Role for Leptin in Puberty Onset in Female Rats?

    NARCIS (Netherlands)

    Zeinoaldini, S.; Swarts, J.J.M.; Heijning, van de B.J.M.

    2006-01-01

    The brain might initiate puberty in response to adequate leptin signaling from the periphery. We studied the link between whole body fat, plasma leptin levels, and puberty onset, in both controls and food-restricted female Wistar rats from age 22 to 42 days. Body fat correlated positively with the p

  10. What Educational Contexts Should Teachers Consider for Their Puberty Education Programmes?

    Science.gov (United States)

    Collier-Harris, Christine A.; Goldman, Juliette D. G.

    2017-01-01

    This paper analyses some contemporary educational contexts that teachers should consider for their puberty education programmes and/or curricula, for primary and secondary school students. The educational contexts addressed here include significant international puberty education framework documents, socio-biological factors including earlier…

  11. Is puberty a risk factor for back pain in the young? a systematic critical literature review

    DEFF Research Database (Denmark)

    Lardon, A.; Leboeuf-Yde, C.; Le Scanff, C.

    2014-01-01

    BACKGROUND: Back pain is a common condition that starts early in life and seems to increase markedly during puberty. A systematic review was performed in order to investigate the link between puberty and back pain, using some Bradford Hill criteria for causality. OBJECTIVES: We sought to obtain...

  12. Precocious metamorphosis in the juvenile hormone-deficient mutant of the silkworm, Bombyx mori.

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    Takaaki Daimon

    Full Text Available Insect molting and metamorphosis are intricately governed by two hormones, ecdysteroids and juvenile hormones (JHs. JHs prevent precocious metamorphosis and allow the larva to undergo multiple rounds of molting until it attains the proper size for metamorphosis. In the silkworm, Bombyx mori, several "moltinism" mutations have been identified that exhibit variations in the number of larval molts; however, none of them have been characterized molecularly. Here we report the identification and characterization of the gene responsible for the dimolting (mod mutant that undergoes precocious metamorphosis with fewer larval-larval molts. We show that the mod mutation results in complete loss of JHs in the larval hemolymph and that the mutant phenotype can be rescued by topical application of a JH analog. We performed positional cloning of mod and found a null mutation in the cytochrome P450 gene CYP15C1 in the mod allele. We also demonstrated that CYP15C1 is specifically expressed in the corpus allatum, an endocrine organ that synthesizes and secretes JHs. Furthermore, a biochemical experiment showed that CYP15C1 epoxidizes farnesoic acid to JH acid in a highly stereospecific manner. Precocious metamorphosis of mod larvae was rescued when the wild-type allele of CYP15C1 was expressed in transgenic mod larvae using the GAL4/UAS system. Our data therefore reveal that CYP15C1 is the gene responsible for the mod mutation and is essential for JH biosynthesis. Remarkably, precocious larval-pupal transition in mod larvae does not occur in the first or second instar, suggesting that authentic epoxidized JHs are not essential in very young larvae of B. mori. Our identification of a JH-deficient mutant in this model insect will lead to a greater understanding of the molecular basis of the hormonal control of development and metamorphosis.

  13. Salt tolerance of precocious-dwarf cashew rootstocks: physiological and growth indexes

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    Carneiro Paulo Torres

    2004-01-01

    Full Text Available The cashew crop (Anacardium occiedentale L. is of great economic and social importance for Northeast Brazil, a region usually affected by water and soil salinity. The present study was conducted in a greenhouse to evaluate the effects of four salinity levels established through electrical conductivity of irrigation water (ECw: 0.7, 1.4, 2.1 and 2.8 dS m-1, at 25ºC, on growth and physiological indexes of five rootstocks of dwarf-precocious cashew varieties CCP06, CCP09, CCP1001, EMBRAPA50, and EMBRAPA51. Plant height, leaf area, dry weight of root, shoot and total; water content of leaves, root/shoot ratio, leaf area ratio, absolute and relative growth rates and rate of net assimilation were evaluated. The majority of the evaluated variables were found to be affected by ECw and the effects varied among clones; however, no significant interactive effects were observed for factors. The value of ECw = 1.39 dS m-1 was considered as a threshold tolerance for the precocious cashew rootstocks used in this study. The dwarf-precocious cashew is moderately sensible to soil salinity during the formation phase of rootstock. Clones EMBRAPA51 and EMBRAPA50 presented, respectively, the least and the best development indexes.

  14. Chronic leptin infusion advances, and immunoneutralization of leptin postpones puberty onset in normally fed and feed restricted female rats

    NARCIS (Netherlands)

    Zeinoaldini, S.; Swarts, J.J.M.; Heijning, van de B.J.M.

    2006-01-01

    Does leptin play a vital role in initiating puberty in female rats and can it overrule a nutrionally imposed (i.e. a 30% feed restriction, FR) delay in puberty onset? Prepubertal female rats were chronically infused for 14 days with leptin (icv or sc) or leptin-antiserum (icv) while puberty onset wa

  15. Back pain reporting in young girls appears to be puberty-related

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    Froberg Karsten

    2005-11-01

    Full Text Available Abstract Background There is a large increase in back pain reporting in the early teens. In no previous study has the prevalence of low back pain been investigated in relation to the onset of puberty. The objective of this study was to establish whether the onset of puberty is associated with back pain reporting in young girls. Methods A subsample of 254 girls aged 8–10 years and 165 girls aged 14–16 years from a cross-sectional survey of 481 children aged 8–10 years and 325 adolescents aged 14–16 years of both sexes. Main outcome measures were back pain defined as low back pain, mid back pain, and/or neck pain in the past month. Other variables of interest were Puberty (five different stages, age, body mass index, and smoking. Independent information on onset of puberty was obtained through a physical examination and on back pain through an individual structured interview. The association was studied between onset of puberty and the outcome variable (the one month period prevalence of back pain, controlling for overweight, and smoking. Odds ratios with 95% confidence intervals were used to describe bivariate associations, logistic regression with robust standard errors was used for multivariate analyses. Results There is a highly significant trend for increased back pain reporting with increasing level of puberty until maturity is reached. The biggest leap appears between the second level (beginning of puberty and the third level (mid puberty and the findings remain after controlling for the covariates. These results emanate from the low back, whereas pain in the mid back and neck do not seem to be linked with pubertal stage. Conclusion In girls, the reporting of low back pain increases in frequency during puberty until maturity, regardless of age. Why some girls are susceptible to back pain in the early stage of puberty is unknown.

  16. Urinary Sex Steroids and Anthropometric Markers of Puberty - A Novel Approach to Characterising Within-Person Changes of Puberty Hormones.

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    Gurmeet K S Singh

    Full Text Available The longitudinal relationships of within-individual hormone and anthropometric changes during puberty have not ever been fully described. The objectives of this study were to demonstrate that 3 monthly urine collection was feasible in young adolescents and to utilise liquid chromatography-tandem mass spectrometry assay methods for serum and urine testosterone (T, estradiol (E2 and luteinizing hormone (LH in adolescents by relating temporal changes in urine and serum hormones over 12 months to standard measures of pubertal development.A community sample of 104 adolescents (57 female was studied over 12 months with annual anthropometric assessment, blood sampling and self-rated Tanner staging and urine collected every 3 months. Serum and urine sex steroids (T, E2 were measured by liquid chromatography-tandem mass spectrometry (LC-MS/MS and LH by immunoassay.A high proportion (92% of scheduled samples were obtained with low attrition rate of 6.7% over the 12 months. Urine hormone measurements correlated cross-sectionally and longitudinally with age, anthropometry and Tanner stage.We have developed a feasible and valid sampling methodology and measurements for puberty hormones in urine, which allows a sampling frequency by which individual pubertal progression in adolescents can be described in depth.

  17. Urinary Sex Steroids and Anthropometric Markers of Puberty - A Novel Approach to Characterising Within-Person Changes of Puberty Hormones

    Science.gov (United States)

    Singh, Gurmeet K. S.; Balzer, Ben W. R.; Kelly, Patrick J.; Paxton, Karen; Hawke, Catherine I.; Handelsman, David J.; Steinbeck, Katharine S.

    2015-01-01

    Background/Aims The longitudinal relationships of within-individual hormone and anthropometric changes during puberty have not ever been fully described. The objectives of this study were to demonstrate that 3 monthly urine collection was feasible in young adolescents and to utilise liquid chromatography-tandem mass spectrometry assay methods for serum and urine testosterone (T), estradiol (E2) and luteinizing hormone (LH) in adolescents by relating temporal changes in urine and serum hormones over 12 months to standard measures of pubertal development. Methods A community sample of 104 adolescents (57 female) was studied over 12 months with annual anthropometric assessment, blood sampling and self-rated Tanner staging and urine collected every 3 months. Serum and urine sex steroids (T, E2) were measured by liquid chromatography-tandem mass spectrometry (LC-MS/MS) and LH by immunoassay. Results A high proportion (92%) of scheduled samples were obtained with low attrition rate of 6.7% over the 12 months. Urine hormone measurements correlated cross-sectionally and longitudinally with age, anthropometry and Tanner stage. Conclusion We have developed a feasible and valid sampling methodology and measurements for puberty hormones in urine, which allows a sampling frequency by which individual pubertal progression in adolescents can be described in depth. PMID:26599397

  18. Influence of Timing of Puberty on Adolescent Boys'Depression,Anxiety and Behavioral Problems%青春期发动时相对男生抑郁、焦虑及问题行为的影响

    Institute of Scientific and Technical Information of China (English)

    粟丹; 凌辉; 孙中平

    2016-01-01

    Objective:To explore the influence of timing of puberty on adolescent boys'depression,anxiety and be-havioral problems.Methods:431 Randomly collected objectives in Hunan province from 11 to 17 years old boys,com-pleted Pubertal Development Scale,Depression Self-Rating Scale for Children,State Trait Anxiety Inventory and Chinese Secondary School Students Depression Scale.Results:①There was significant differences during puberty time,small part of boys belong to precocious puberty13.92% and late-maturing 22.74%,most boys belong to mod-erate puberty63.33%;②The scores of depression were not significant different in adolescence start time(F=1.61,P>0.05);③ Anxiety scores(F=8.02,P0.05)无显著性差异;③焦虑总得分(F=8.02,P<0.001)及其状态(F=5.95,P<0.01)和特质(F=9.27,P<0.001)两维度上存在显著性差异,提前组的焦虑得分显著高于适时组和延迟组,适时组和延迟组的得分差异不显著;④学习适应不良(F=5.31,P<0.01)、攻击行为(F=3.58,P<0.05)、违纪行为(F=9.29,P<0.001)等在青春期开始时间上差异显著,提前组的学习适应不良和攻击行为显著高于适时组和延迟组,适时组和延迟组的得分差异不显著.提前组的违纪行为显著高于适时组和延迟组,适时组显著高于延迟组.结论:青春期发动时相能够影响男生的焦虑、学习适应不良、攻击行为和违纪行为,而对抑郁、退缩、神经质和考试焦虑的影响不明显.

  19. An approach to constitutional delay of growth and puberty

    Directory of Open Access Journals (Sweden)

    Ashraf T Soliman

    2012-01-01

    Full Text Available Constitutional delay of growth and puberty is a transient state of hypogonadotropic hypogonadism associated with prolongation of childhood phase of growth, delayed skeletal maturation, delayed and attenuated pubertal growth spurt, and relatively low insulin-like growth factor-1 secretion. In a considerable number of cases, the final adult height (Ht does not reach the mid-parental or the predicted adult Ht for the individual, with some degree of disproportionately short trunk. In the pre-pubertal male, testosterone (T replacement therapy can be used to induce pubertal development, accelerate growth and relieve the psychosocial complaints of the adolescents. However, some issues in the management are still unresolved. These include type, optimal timing, dose and duration of sex steroid treatment and the possible use of adjunctive or alternate therapy including: oxandrolone, aromatase inhibitors and human growth hormone.

  20. Declining age of puberty of school girls in southern Thailand

    Institute of Scientific and Technical Information of China (English)

    Somchit Jaruratanasirikul; Atchariya Chanpong; Nuttaporn Tassanakijpanich; Hutcha Sriplung

    2014-01-01

    Background: Declines in the onset age of secondary sexual development have been reported in a number of recent studies in western and Asian countries. A study of Hat-Yai school girls in 1994 in Thailand showed that the ages at thelarche and menarche were 9.9 and 12.4 years, respectively. This study was to determine whether there was a decline in the average age of puberty in Hat-Yai school girls from 1994 to 2012. Methods: A cross-sectional study was conducted in 2140 healthy Hat-Yai school girls, aged 6-18 years, from June 2011 to March 2012. Breast and pubic hair development was assessed by the Tanner staging method. Probit analysis was used to calculate the median ages of different stages of breast and pubic hair development, and the age of menarche. Results: The median ages of girls having thelarche and menarche were 9.6 (95% CI, 9.4-9.8) and 12.2 (95% CI, 11.9-12.4) years, which declined from 9.9 (95% CI, 9.7-10.1) and 12.4 years (95% CI, 12.2-12.6) in the 1994 study respectively, however, without statistical significance. The youngest ages of girls who had breast stage 2 and menarche were 7.2 and 9.2 years, respectively. The fi nal height at age 14 years in this cohort (157.3 cm) was 2.3 cm greater than that of girls in 1994 (155.0 cm). Conclusions: From 1994 to 2012, the age at onset of thelarche and menarche of girls in Hat-Yai municipality declined by 0.2 and 0.3 years, respectively. The earlier age at onset of puberty had no effect on fi nal adult height.

  1. HYPERANDROGENISM OF PUBERTY AGE AS A FACTOR REDUCING FERTILITY

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    E. M. Bogatyreva

    2016-01-01

    Full Text Available Aim. Hyperandrogenism is a common cause of infertility in women. The onset of symptoms of hyperandrogenism takes place during puberty in the majority of women. Hyperandrogenism reduces reproductive potential,so early detection and development of its prognostic factors, allows us to solve serious problems of puberty and prevent infertility.Materials and methods. 113 adolescent girls with hyperandrogenism from 14 to 19 years were included. The control group consists of 25 healthy girls of a similar age. To confirm the prediction of decreased reproductive capacity were examined 35 women with hyperandrogenism from 19 to 36 years. In addition to routine methods of examination (anamnesis, physical examination, anthropometry, assessment of the hairline using Ferriman – Gallwey scale, ultrasound of the pelvic organs, the definition of the hormonal status (LH, FSH, prolactin, 17-OHP, estradiol, TSH, DHEAS-s, GHPG, testosterone, glucose, insulin, glucose tolerance test and dexamethasone suppression test when necessary.Results. We have proved the reduction of reproductive potential of adolescent girls with high free androgen index (FAI. When the FAI has increased from 36 to 100 conventional units it caused reduction of the reproductive capacity in 9.7 times in comparison with control group (χ2=56,24; p < 0.001; overall prediction accuracy of 92.8%.Conclusion. Free androgen index more than 36 conventional units is a high risk factor of reduced fertility.

  2. TESTICULAR GROWTH DURING PUBERTY IN BOYS WITH AND WITHOUT A HISTORY OF CONGENITAL CRYPTORCHIDISM

    DEFF Research Database (Denmark)

    Sadov, Sergey; Koskenniemi, Jaakko J; Virtanen, Helena E;

    2016-01-01

    CONTEXT: The pattern of testicular growth during puberty may provide important information about early testicular damage and reproductive potential in adulthood. OBJECTIVE: To evaluate pubertal testicular growth in boys with congenital cryptorchidism and controls. DESIGN: Longitudinal case...... mL by orchidometer and 25 mm by ruler as cut-offs in definition of the onset of puberty. An orchidometer size of 3 mL and ruler length of 25 mm corresponded to 1.6 and 1.7 mL by ultrasound (with Lambert's formula), respectively. CONCLUSIONS: Testicular growth in puberty was impaired in congenitally...

  3. Precocious Degenerative Arthropathy And Bluish Patches On Ears : Ochronosis And Alkaptonuria

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    Mahajan Vikram K

    2004-01-01

    Full Text Available Alkaptonuria is a rare, autosomal recessive disorder of phenylalanin/tyrosine metabolism due to congenital deficiency of the enzyme homogentisic acid oxidase. The diagnosis is clinical and the triad of homogentisic aciduria, ochronosis and precocious degenerative arthritis is characteristic. Its diagnosis in infancy and early therapeutic intervention help delaying its complications. These patients may remain undiagnosed until the darkening of urine soaked diapers is noticed or the early degenerative arthropathy develops. This paper describes two cases of alkaptonuria presenting late in life; one of them had associated hyperthyroidism.

  4. Fatness rather than leptin sensitivity determines the timing of puberty in female mice.

    Science.gov (United States)

    Bohlen, Tabata M; Silveira, Marina A; Zampieri, Thais T; Frazão, Renata; Donato, Jose

    2016-03-05

    Leptin is a permissive factor for the onset of puberty. However, changes in adiposity frequently influence leptin sensitivity. Thus, the objective of the present study was to investigate how changes in body weight, fatness, leptin levels and leptin sensitivity interact to control the timing of puberty in female mice. Pre-pubertal obesity, induced by raising C57BL/6 mice in small litters, led to an early puberty onset. Inactivation of Socs3 gene in the brain or exclusively in leptin receptor-expressing cells reduced the body weight and leptin levels at pubertal onset, and increased leptin sensitivity. Notably, these female mice exhibited significant delays in vaginal opening, first estrus and onset of estrus cyclicity. In conclusion, our findings suggest that increased leptin sensitivity did not play an important role in favoring pubertal onset in female mice. Rather, changes in pubertal body weight, fatness and/or leptin levels were more important in influencing the timing of puberty.

  5. Influence of growth hormone on growth and onset of puberty of Rahmani ewe lamb

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    K.H. El-Shahat

    2014-09-01

    Conclusion: Somatotropin administration enhanced puberty in Rahmani ewe lambs. This is due to increased provision of trophic signals (represented by increased Serum IGF-1 secretions and/or blood-borne metabolites (glucose, cholesterol and lipid.

  6. Association of Body Mass Index to Onset of Puberty in Male

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    Jeevithaambigai Subramaniam

    2016-03-01

    Full Text Available Background: Puberty is the period where the developmental process takes place, marks the transition from childhood to adulthood with physical and physiological changes. This study was conducted to discover association between body mass index (BMI and onset of puberty in male. Methods: A cross-sectional study was conducted from May to November 2013 using simple random sampling which was part of bigger research study by Nutrition and Metabolism Working Group on Jatinangor Cohort, especially Puberty Survey in Jatinangor, by Department of Epidemiology and Biostatistics Faculty of Medicine Universitas Padjadjaran. Respondents were 286 males, 9–15 years old from Elementary School (Sekolah Dasar/SD and Junior High School (Sekolah Menengah Pertama/SMP. Inclusion criteria were students who are healthy at the time and do did not have obvious disease, attained puberty within 1 year or did not yet attained it, and voluntarily followed the study procedure. The questionnaire was provided after getting informed consent from the respondents. The data analysis was done conducted using Pearson Correlation. Results: The magnitude of association of BMI to the onset of puberty in male among school students in Jatinangor was 0.243 which showed there was positive correlation coefficient between BMI to onset of puberty in male. Test results with the t-test showed t-value of 2.683 with p-value of 0.008. Conclusions: There is association of BMI to the onset of puberty in male among school students in Jatinangor. Positive correlation indicates that the higher the BMI, the faster the onset of puberty in male.

  7. The changes in running economy during puberty in overweight and normal weight boys

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    Maciejczyk Marcin

    2015-03-01

    Full Text Available Study aim: running economy (RE is important indicator of endurance performance. During puberty dynamic changes in body composition and function are observed, as such RE is also expected to change. The aim of the study was to compare the running economy (RE in overweight and normoweight boys during a running exercise performed with constant velocity, and the assessment of changes in RE during puberty.

  8. The endocrinologist's office-puberty suppression: saving children from a natural disaster?

    Science.gov (United States)

    Sadjadi, Sahar

    2013-06-01

    In the past few years, the introduction and rapid acceptance of puberty suppression has transformed the clinical treatment of children diagnosed with Gender Identity Disorder. This essay analyzes the narratives used by some advocates of this treatment, particularly the elements of saving children from the looming disaster of puberty and from future abject lives of violence and suicide as transgender adults. It briefly addresses the potential implications of this account for the well being of the children brought under clinical purview.

  9. The influence of perinatal and current dioxin and PCB exposure on puberty: a review

    OpenAIRE

    Leijs M.M.; van der Linden L.M.; Koppe J.G.; de Voogt P; Olie K; van Aalderen W.M.C.; ten Tusscher G.W.

    2014-01-01

    Over the last two decades much has been written about the consequences of perinatal dioxin and PCB exposure in humans. In this paper we strive to elucidate the data on puberty in relation to these endocrine disruptive compounds in human populations. Effects in PCB/dioxin-exposed human populations on puberty are seen, not only in highly exposed cohorts, but also in average populations with background exposures. Study showed effects like increased weight, a delay in pubic hair growth and male g...

  10. The experience of puberty in Iranian adolescent girls: a qualitative content analysis

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    Golchin Nayereh Azam

    2012-08-01

    Full Text Available Abstract Background Adolescence is an important stage in human life span. Physiologic changes associated with puberty manifest themselves in often complex and bizarre ways to which girls show different reactions. This study aims to explore to puberty experiences in adolescent girls who live in the city of Sari in Iran. Methods The present study is a qualitative study of content analysis. Sampling took place in the city of Sari, Iran and was objective focused in accordance with qualitative studies. Participants were 38 girls of 12–20 years old who had at least experienced 3 menstrual cycles. Data was collected by means of focus group and in-depth interviews. Results As follows, Seven main themes were extracted from the interviews are follows: Menarche as the most unpleasant event in puberty, getting nervous about and ashamed of bodily changes, psychological changes, discordance with parents, sexual orientation and the need for education on this issue, scholastic dysfunction and religious considerations. Conclusion The results showed that for the majority of the participants puberty was an unpleasant experience. Most of them were in need of education on how to go about the issues surrounding puberty. The society, families and of course the adolescents themselves are responsible to work together in order to create an atmosphere in which correct information on puberty and the associated issues are readily accessible.

  11. Timing in neural maturation: arrest, delay, precociousness, and temporal determination of malformations.

    Science.gov (United States)

    Sarnat, Harvey B; Philippart, Michel; Flores-Sarnat, Laura; Wei, Xing-Chang

    2015-05-01

    Timing is primordial in initiating and synchronizing each developmental process in tissue morphogenesis. Maturational arrest, delay, and precociousness all are conducive to neurological dysfunction and may determine different malformations depending on when in development the faulty timing occurred, regardless of the identification of a specific genetic mutation or an epigenetic teratogenic event. Delay and arrest are distinguished by whether further progressive development over time can be expected or the condition is static. In general, retardation of early developmental processes, such as neurulation, cellular proliferation, and migration, leads to maturational arrest. Retardation of late processes, such as synaptogenesis and myelination, are more likely to result in maturational delay. Faulty timing of neuronal maturation in relation to other developmental processes causes neurological dysfunction and abnormal electroencephalograph maturation in preterm neonates. Precocious synaptogenesis, including pruning to provide plasticity, may facilitate prenatal formation of epileptic circuitry leading to severe postnatal infantile epilepsies. The anterior commissure forms 3 weeks earlier than the corpus callosum; its presence or absence in callosal agenesis is a marker for the onset of the initial insult. An excessively thick corpus callosum may be due to delayed retraction of transitory collateral axons. Malformations that arise at different times can share a common pathogenesis with variations on the extent: timing of mitotic cycles in mosaic somatic mutations may distinguish hemimegalencephaly from focal cortical dysplasia type 2. Timing should always be considered in interpreting cerebral dysgeneses in both imaging and neuropathological diagnoses.

  12. Laterization of epileptiform discharges in patients with epilepsy and precocious destructive brain insults

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    Teixeira Ricardo A.

    2004-01-01

    Full Text Available Unilateral destructive brain lesions of early development can result in compensatory thickening of the ipsilateral cranial vault. The aim of this study was to determine the frequency of these bone changes among patients with epilepsy and precocious destructive lesions, and whether a relationship exists between these changes and epileptiform discharges lateralization. Fifty-one patients had their ictal / interictal scalp EEG and skull thickness symmetry on MRI analyzed. Patients were divided into three main groups according to the topographic distribution of the lesion on the MRI: hemispheric (H (n=9; main arterial territory (AT (n=25; arterial borderzone (Bdz (n=17. The EEG background activity was abnormal in 26 patients and were more frequent among patients of group H (p= 0.044. Thickening of the skull was more frequent among patients of group H (p= 0.004. Five patients (9.8% showed discordant lateralization between epileptiform discharges and structural lesion (four of them with an abnormal background, and only two of them with skull changes. In one of these patients, ictal SPECT provided strong evidence for scalp EEG false lateralization. The findings suggest that compensatory skull thickening in patients with precocious destructive brain insults are more frequent among patients with unilateral and large lesions. However, EEG lateralization discordance among these patients seems to be more related to EEG background abnormalities and extent of cerebral damage than to skull changes.

  13. Compromised Rat Testicular Antioxidant Defence System by Hypothyroidism before Puberty

    Directory of Open Access Journals (Sweden)

    Dipak K. Sahoo

    2012-01-01

    Full Text Available Altered thyroid function during early stages of development is known to affect adversely testicular growth, physiology, and antioxidant defence status at adulthood. The objective of the present study is to investigate the modulation of antioxidant defence status in neonatal persistent hypothyroid rats before their sexual maturation and also to identify the specific testicular cell populations vulnerable to degeneration during neonatal hypothyroidism in immature rats. Hypothyroidism was induced in neonates by feeding the lactating mother with 0.05% 6-n-propyl-2-thiouracil (PTU through the drinking water. From the day of parturition till weaning (25 day postpartum, the pups received PTU through mother's milk (or drinking water and then directly from drinking water containing PTU for the remaining period of experimentation. On the 31st day postpartum, the animals were sacrificed for the study. An altered antioxidant defence system marked by elevated SOD, CAT, and GR activities, with decreased GPx and GST activities were observed along with increased protein carbonylation, disturbed redox status in hypothyroid immature rat testis. This compromised testicular antioxidant status might have contributed to poor growth and development by affecting the spermatogenesis and steroidogenesis in rats before puberty as indicated by reduced germ cell number, complete absence of round spermatids, decreased seminiferous tubule diameter, and decreased testosterone level.

  14. The Patient with Turner Syndrome: Puberty and Medical Management Concerns

    Science.gov (United States)

    Gonzalez, Luisa; Witchel, Selma Feldman

    2013-01-01

    Turner Syndrome (TS) affects approximately 1 in 2500 liveborn females and is characterized by loss or structural anomalies of an X chromosome. Clinical features vary among patients; multiple organ systems can be affected. Endocrinologists are involved in the management of short stature, delayed puberty, and infertility. Endocrine therapies can include growth hormone, estrogen, and progestagen to promote linear growth and pubertal development. The duration of estrogen and progestagen treatment (HRT) is generally more than 40 years. There is not one standard HRT protocol that is suitable for all women. Thus, general guidelines are provided for HRT to induce pubertal development. Additional considerations regarding choice of HRT include thrombotic risk and disorders associated with thrombophila. Involvement of cardiologists is important because approximately 50% of patients with TS have congenital structural cardiac anomalies linked to an increased risk for aortic dissection and rupture. Although oocyte donation offers the chance to carry a pregnancy, accumulating information has highlighted the potential dangers associated with pregnancy. Advances in the care of infants, girls, and women with TS have been achieved. Management of infants, girls, and women with TS involves coordinated care from a multi-disciplinary team including endocrinologists, cardiologists, geneticists, otolaryngologists, behavioral health experts, nurse educators, and social workers. PMID:22884020

  15. Treatment of early puberty in adopted and non-adopted children: when, why and how : Auxological, psychological and ethical aspects of growth promoting treatment around puberty

    NARCIS (Netherlands)

    D. Mul (Dick)

    2000-01-01

    textabstractNormal puberty is the result of the maturation of the hypothalamo-pituitary-gonadal (HPG) axis. Primary and secondary sexual characteristics develop by the increase in the serum levels of gonadal steroids: oestradiol in girls and testosterone in boys. The main players in the process of n

  16. Parents' Support during Different Writing Tasks: A Comparison between Parents of Precocious Readers, Preschoolers, and School-Age Children

    Science.gov (United States)

    Aram, Dorit; Besser-Biron, Shira

    2017-01-01

    The study aimed to deepen the understanding of parental sensitivity to their children's abilities and the nature of their scaffolding during writing tasks. We compared the parent-child writing interactions of three groups: precocious readers (PRs), same age preschoolers (SA), and older children with the same reading level (SRL) as the PRs. Each of…

  17. Early metabolic programming of puberty onset: impact of changes in postnatal feeding and rearing conditions on the timing of puberty and development of the hypothalamic kisspeptin system.

    Science.gov (United States)

    Castellano, Juan M; Bentsen, Agnete H; Sánchez-Garrido, Miguel A; Ruiz-Pino, Francisco; Romero, Magdalena; Garcia-Galiano, David; Aguilar, Enrique; Pinilla, Leonor; Diéguez, Carlos; Mikkelsen, Jens D; Tena-Sempere, Manuel

    2011-09-01

    Kiss1 neurons have recently emerged as a putative conduit for the metabolic gating of reproduction, with leptin being a regulator of hypothalamic Kiss1 expression. Early perturbations of the nutritional status are known to predispose to different metabolic disorders later in life and to alter the timing of puberty; however, the potential underlying mechanisms remain poorly defined. Here we report how changes in the pattern of postnatal feeding affect the onset of puberty and evaluate key hormonal and neuropeptide [Kiss1/kisspeptin (Kp)] alterations linked to these early nutritional manipulations. Female rats were raised in litters of different sizes: small (four pups per dam: overfeeding), normal (12 pups per dam), and large litters (20 pups per litter: underfeeding). Postnatal overfeeding resulted in persistently increased body weight and earlier age of vaginal opening, as an external sign of puberty, together with higher levels of leptin and hypothalamic Kiss1 mRNA. Conversely, postnatal underfeeding caused a persistent reduction in body weight, lower ovarian and uterus weights, and delayed vaginal opening, changes that were paralleled by a decrease in leptin and Kiss1 mRNA levels. Kisspeptin-52 immunoreactivity (Kp-IR) in the hypothalamus displayed similar patterns, with lower numbers of Kp-IR neurons in the arcuate nucleus of postnatally underfed animals, and a trend for increased Kp-positive fibers in the periventricular area of early overfed rats. Yet, gonadotropin responses to Kp at puberty were similar in all groups, except for enhanced responsiveness to low doses of Kp-10 in postnatally underfed rats. In conclusion, our data document that the timing of puberty is sensitive to both overfeeding and subnutrition during early (postnatal) periods and suggest that alterations in hypothalamic expression of Kiss1/kisspeptin may underlie at least part of such programming phenomenon.

  18. Transcriptome profiling of the eyestalk of precocious juvenile Chinese mitten crab reveals putative neuropeptides and differentially expressed genes.

    Science.gov (United States)

    Xu, Zhiqiang; Zhao, Muzi; Li, Xuguang; Lu, Quanping; Li, Yuehua; Ge, Jiachun; Pan, Jianlin

    2015-09-15

    Chinese mitten crabs that reach maturity 1 year earlier than normal crabs are known as precocious juvenile crabs. The molecular mechanisms underlying the precocity of the Chinese mitten crab are poorly understood. To identify the genes that may be involved in the control of precocity in Chinese mitten crab, we measured the expression profile of eyestalk genes in precocious and normally developed juvenile crabs using high-throughput sequencing on an Illumina HiSeq 2500 platform. We obtained 56,446,284 raw reads from the precocious crabs and 58,029,476 raw reads from the normally developed juvenile crabs. Reads from the two libraries were combined into a single data set. De novo assembly of the combined read set yielded 78,777 unigenes with an average length of 1563 bp. A total of 41,405 unigenes with predicted ORFs were selected for functional annotation. Among these genes, we identified three neuropeptide genes belonging to the crustacean hyperglycemic hormone family and two neuropeptide genes encoding the chromatophorotropic hormones. Transcriptome comparison between the two libraries revealed 42 genes that exhibited significant differential expression, of which 29 genes were up-regulated and 13 genes were down-regulated in the precocious crabs. To confirm the sequencing data, six differentially expressed genes with functional annotations were selected and validated by qRT-PCR. In conclusion, we obtained the comprehensive transcriptome of the eyestalk tissues of precocious juvenile crabs. The sequencing results may provide new insights into the biomolecular basis of precocity in the Chinese mitten crab.

  19. Prenatal neurogenesis in the telencephalon of the precocial mouse Acomys cahirinus.

    Science.gov (United States)

    Brunjes, P C; Korol, D L; Stern, K G

    1989-12-15

    [3H]thymidine autoradiography was employed to examine the times of formation of the major neuronal classes in the forebrain of the precocial mouse Acomys cahirinus. Dams received 3 thymidine injections over a 24 h period on either embryonic Day 14, 18, 20, 22, 29 or 36. Age-related changes in the distribution and number of heavily labeled cells were noted. Acomys exhibited later onset and more protracted periods of cell generation than the phylogenetically related, altricial laboratory rat or mouse, indicating considerable differences in patterns of early growth between the species. Understanding the factors responsible for these differences could lend important insights into evolutionary mechanisms involved in the process of speciation.

  20. Serum leptin concentration during puberty in healthy nonobese adolescents

    Directory of Open Access Journals (Sweden)

    Brandão C.M.A.

    2003-01-01

    Full Text Available Data obtained during the past five years have indicated that there are important age- and gender-based differences in the regulation and action of leptin in humans. To study the physiological changes of leptin during puberty in both sexes, and its relationship with body composition and sexual maturation, we measured leptin concentrations in 175 healthy adolescents (80 girls, 95 boys, 10-18 years of age, representing all pubertal stages. We excluded individuals with a body mass index (BMI below the 5thor above the 95th percentile relative to age. Serum concentrations of leptin were determined by a monoclonal antibody-based immunofluorimetric assay, developed in our laboratory. Body composition was determined by dual-energy X-ray absorptiometry. Pubertal stage was assigned by physical examination, according to Tanner criteria for breast development in females and genital development in males. Leptin concentration in girls (N = 80 presented a positive linear correlation with age (r = 0.35, P = 0.0012, BMI (r = 0.65, P < 0.0001 and %fat mass (r = 0.76, P < 0.0001. In boys (N = 95 there was a positive correlation with BMI (r = 0.49, P < 0.0001 and %fat mass (r = 0.85, P < 0.0001, but a significant negative linear correlation with Tanner stage (r = -0.45, P < 0.0001 and age (r = -0.40, P < 0.0001. The regression equation revealed that %fat mass and BMI are the best parameters to be used to estimate leptin levels in both sexes. Thus, the normal reference ranges for circulating leptin during adolescence should be constructed according to BMI or %fat mass to assure a correct evaluation.

  1. Heritability estimate and genetic correlations of reproductive features in Nellore bulls, offspring of super precocious, precocious and normal cows under extensive farming conditions.

    Science.gov (United States)

    Siqueira, J B; Oba, E; Pinho, R O; Quintino, H P; Eler, J P; Miranda Neto, T; Guimarães, S E F; Guimarães, J D

    2012-04-01

    The present work aimed to estimate heritability and genetic correlations of reproductive features of Nellore bulls, offspring of mothers classified as superprecocious (M1), precocious (M2) and normal (M3). Twenty one thousand hundred and eighty-six animals with average age of 21.29 months were used, evaluated through the breeding soundness evaluation from 1999 to 2008. The breeding soundness features included physical semen evaluation (progressive sperm motility and sperm vigour), semen morphology (major, minor and total sperm defects), scrotal circumference (SC), testicular volume (TV) and SC at 18 months of age (SC18). The components of variance, heritability and genetic correlations for and between the features were estimated simultaneously by restricted maximum likelihood, with the use of the vce software system vs 6. The heritability estimates were high for SC18, SC and TV (0.43, 0.63 and 0.54; 0.45, 0.45 and 0.44; 0.42, 0.45 and 0.41, respectively for the categories of mothers M1, M2 and M3) and low for physical and morphological semen aspects. The genetic correlations between SC18 and SC were high, as well as between these variables with TV. High and positive genetic correlations were recorded among SC18, SC and TV with the physical aspects of the semen, although no favourable association was verified with the morphological aspects, for the three categories of mothers. It can be concluded that the mother's sexual precocity did not affect the heritability of their offspring reproduction features.

  2. Induction of puberty in the hypogonadal girl--practices and attitudes of pediatric endocrinologists in Europe

    DEFF Research Database (Denmark)

    Kiess, W; Conway, G; Ritzen, M;

    2002-01-01

    The management of children and adolescents with hypogonadism and in particular the induction of puberty in the hypogonadal girl is subject to controversy. Therefore, under the auspices and through organization of the Drugs and Therapeutics Committee of the European Society of Paediatric Endocrino......The management of children and adolescents with hypogonadism and in particular the induction of puberty in the hypogonadal girl is subject to controversy. Therefore, under the auspices and through organization of the Drugs and Therapeutics Committee of the European Society of Paediatric...... of the results of the questionnaires and discussions of that session to further the discussion on and knowledge of current concepts of induction of puberty in the hypogonadal girl in Europe. It became clear from the data accumulated here that the start of treatment, the aims of therapy and the modalities of how...

  3. Increase in first morning voided urinary luteinizing hormone levels precedes the physical onset of puberty

    DEFF Research Database (Denmark)

    Demir, Ahmet; Voutilainen, R; Juul, A;

    1996-01-01

    Determinations of serum gonadotropin concentrations by ultra-sensitive methods have improved the diagnosis of pubertal disorders. The onset of puberty can be estimated by measuring serum gonadotropin pulsation, but as this requires serial nocturnal blood sampling, it is not a routine investigation...... before clinical signs of puberty can be detected. The correlation between FMV urine and S-LH values was good (r = 0.64; P ... for S-LH. A significant increase in FMV U-LH concentration occurs before the first clinical signs of puberty in a sex-independent fashion. Our data indicate that FMV U-LH measurement is a clinically relevant, noninvasive method for the evaluation of pubertal development, and it may be helpful...

  4. The Relationship between Puberty and Risk Taking in the Real World and in the Laboratory.

    Science.gov (United States)

    Collado-Rodriguez, A; MacPherson, L; Kurdziel, G; Rosenberg, L A; Lejuez, C W

    2014-10-01

    Adolescence is marked by the emergence and escalation of risk taking. Puberty has been long-implicated as constituting vulnerability for risk behavior during this developmental period. Sole reliance on self-reports of risk taking however poses limitations to understanding this complex relationship. There exist potential advantages of complementing self-reports by using the BART-Y laboratory task, a well-validated measure of adolescent risk taking. Toward this end, we examined the association between self-reported puberty and both self-reported and BART-Y risk taking in 231 adolescents. Results showed that pubertal status predicted risk taking using both methodologies above and beyond relevant demographic characteristics. Advantages of a multimodal assessment toward understanding the effects of puberty in adolescent risk taking are discussed and future research directions offered.

  5. Primary School Puberty/Sexuality Education: Student-Teachers' Past Learning, Present Professional Education, and Intention to Teach These Subjects

    Science.gov (United States)

    Goldman, Juliette D. G.; Coleman, Stephanie J.

    2013-01-01

    Primary school teachers are often tasked with puberty/sexuality education for students who are undergoing sexual maturation at ever-earlier ages. This study explores the changing trajectories of the pre-service learning and teaching of primary school puberty/sexuality education at an urban university, including student-teachers' childhood…

  6. Spermaturia and serum hormone concentrations at the age of puberty in boys prenatally exposed to polychlorinated biphenyls

    DEFF Research Database (Denmark)

    Mol, Nanette M; Sørensen, Nicolina; Weihe, Pal;

    2002-01-01

    To determine whether prenatal exposure to polychlorinated biphenyls (PCBs) with possible hormone-disrupting effects is capable of affecting sexual differentiation in boys at the age of puberty.......To determine whether prenatal exposure to polychlorinated biphenyls (PCBs) with possible hormone-disrupting effects is capable of affecting sexual differentiation in boys at the age of puberty....

  7. Girls’ Diets Affect Puberty,Later Disease Risk

    Institute of Scientific and Technical Information of China (English)

    卢钦虢

    2000-01-01

    本刊上期刊登了吴春拂选注的一篇文章,题目是:Dieting May HarmGirl’s IQs。该文标题中的Dieting的意思是“节食”,节食,会降低女孩的智商;而本文标题中的Diets却是“饮食”的意思。本文的主题句就亮出一个或多或少与前文相左的意见: Young girls who consume diets rich in animal protein and fat may be eatingtheir way to an early puberty(青春期)and possibly increasing their risk for chronicdisease later in life. 女孩如果多吃富含动物蛋白质和动物脂肪的食物将过早进入青春期,并可能日后患上慢性疾病的风险。 根据专家的意见,女孩的“健康饮食”应该是:to reduce intakes of saturated(饱和的)fat and red meat and excess calories and to increase fruit/vegetable intakesin children. 如此饮食,其收效是:result in lower breast cancer rates,along with otherhealth benefits. 也许读者不会料到,如此饮食同样存在着“负面作用”:but the risk ofosteoporosis,and perhaps of other diseases,might increase. 两文并读,或者就单读此文,读者朋友就会深感左右为难,无所适从。 其实,深入一步想,这些意见并不矛盾,世界上许多事情都应该一分为二地去看,去思考。

  8. Temporal dynamics of milk composition of the precocial caviomorph Octodon degus (Rodentia: Octodontidae) Dinámica temporal de la composición de la leche del caviomorfo precocial Octodon degus (Rodentia: Octodentidae)

    OpenAIRE

    CLAUDIO VELOSO; G.J. KENAGY

    2005-01-01

    During lactation, both the nutritional and energetic requirements of suckling change gradually. These changes normally are accompanied by modifications in chemical composition of the milk. We investigated the temporal course of milk composition during lactation in a precocial caviomorph rodent, the "degu" (Octodon degus) under laboratory condition. Female degus were kept in laboratory during gestation and lactation and fed with commercial food pellets. Milk was collected at three stages of la...

  9. Precocious transitions and long-term heroin use outcomes: A longitudinal study of gang-affiliated Mexican-American males.

    Science.gov (United States)

    Cepeda, Alice; Nowotny, Kathryn M; Frankeberger, Jessica; Valdez, Avelardo

    2016-09-01

    A longitudinal study (15years) investigates heroin use patterns following precocious transition experiences for gang-affiliated Mexican-American males (n=119) in San Antonio, Texas. Five precocious transitions are examined: cohabitation, early nest leaving, school dropout, teenage parenthood, and unemployment (while not in school). Half of these men used heroin over the follow-up period for an average of under 4years. Findings from a zero-inflated Poisson model indicate that while these transitions do not have a significant effect on initiation of heroin use, they do have an important influence on individual's drug trajectories once they have initiated. Early-nest leaving and teenage parenthood are protective factors for continued heroin use while dropping out of high school and cohabiting during this same period are risk factors. Findings are discussed within the context of these disadvantaged and marginalized communities.

  10. Precocial hindlimbs and altricial forelimbs: partitioning ontogenetic strategies in mallards (Anas platyrhynchos).

    Science.gov (United States)

    Dial, Terry R; Carrier, David R

    2012-11-01

    Precocial development, in which juveniles are relatively mature at hatching or birth, is more common among vertebrates than altricial development, and is likely to be the basal condition. Altricial development characterizes many birds and mammals and is generally viewed as an alternate strategy, promoting fast growth rates, short developmental periods and relatively poor locomotor performance prior to attaining adult size. Many aquatic birds such as Anseriformes (ducks, geese and swans), Charadriformes (gulls and terns) and Gruiformes (rails) undergo distinctive developmental trajectories, in that hatchlings are able to run and swim the day they hatch, yet they do not begin to fly until fully grown. We hypothesized that there should be tradeoffs in apportioning bone and muscle mass to the hindlimb and forelimb that could account for these patterns in locomotor behavior within the mallard (Anas platyrhynchos). Growth of the musculoskeletal system in the forelimbs and hindlimbs was measured and compared with maximal aquatic and terrestrial sprint speeds and aerial descent rates throughout the 2-month-long mallard ontogenetic period. At 30 days post hatching, when body mass is 50% of adult values, hindlimb muscle mass averages 90% and forelimb muscle mass averages 10% of adult values; similarly, bone growth (length and width) in the hindlimbs and forelimbs averages 90 and 60% of adult values, respectively. The attainment of mallard locomotor performance parallels the morphological maturation of forelimb and hindlimb morphometrics - hindlimb performance initiates just after hatching at a relatively high level (~50% adult values) and gradually improves throughout the first month of development, while forelimb performance is relatively non-existent at hatching (~10% adult values), experiencing delayed and dramatic improvement in function, and maturing at the time of fledging. This divergence in ontogenetic strategy between locomotor modules could allow developing

  11. Selection for superior growth advances the onset of puberty and increases reproductive performance in ewe lambs.

    Science.gov (United States)

    Rosales Nieto, C A; Ferguson, M B; Macleay, C A; Briegel, J R; Martin, G B; Thompson, A N

    2013-06-01

    The reproductive efficiency of the entire sheep flock could be improved if ewe lambs go through puberty early and produce their first lamb at 1 year of age. The onset of puberty is linked to the attainment of critical body mass, and therefore we tested whether it would be influenced by genetic selection for growth rate or for rate of accumulation of muscle or fat. We studied 136 Merino ewe lambs with phenotypic values for depth of eye muscle (EMD) and fat (FAT) and Australian Sheep Breeding Values at post-weaning age (200 days) for live weight (PWT), eye muscle depth (PEMD) and fat depth (PFAT). First oestrus was detected with testosterone-treated wethers and then entire rams as the ewes progressed from 6 to 10 months of age. Blood concentrations of leptin and IGF-I were measured to test whether they were related to production traits and reproductive performance (puberty, fertility and reproductive rate). In total, 97% of the lambs reached first oestrus at average weight 39.4 ± 0.4 kg (mean ± s.e.m.) and age 219 days (range 163 to 301). Age at first oestrus decreased with increases in values for PWT (P growth can accelerate the onset of puberty and increase fertility and reproductive rate of Merino ewe lambs. The metabolic hormones, IGF-I and leptin, might act as a physiological link between the growing tissues and the reproductive axis.

  12. MINOR NEUROLOGICAL DYSFUNCTION FROM BIRTH TO 12 YEARS .2. PUBERTY IS RELATED TO DECREASED DYSFUNCTION

    NARCIS (Netherlands)

    LUNSING, RJ; HADDERSALGRA, M; HUISJES, HJ; TOUWEN, BCL

    1992-01-01

    To determine whether puberty is related to decreased minor neurological dysfunction (MND), 174 children from the Groningen Perinatal Project who had had MND at nine years were re-examined at 12 years. No signs of MND could be demonstrated in 39 of the children, 33 of whom showed at least three signs

  13. Other-Sex Relationship Stress and Sex Differences in the Contribution of Puberty to Depression

    Science.gov (United States)

    Llewellyn, Nicole; Rudolph, Karen D.; Roisman, Glenn I.

    2012-01-01

    Research suggests that the pubertal transition, particularly when experienced earlier than age-matched peers, is associated with heightened depression in girls but less depression in boys. This study examined whether stress within other-sex relationships serves as one process through which puberty differentially contributes to depression for girls…

  14. The timing of normal puberty and the age limits of sexual precocity

    DEFF Research Database (Denmark)

    Parent, Anne-Simone; Teilmann, Grete; Juul, Anders

    2003-01-01

    During the past decade, possible advancement in timing of puberty has been reported in the United States. In addition, early pubertal development and an increased incidence of sexual precocity have been noticed in children, primarily girls, migrating for foreign adoption in several Western Europe...

  15. Hormonal regulation of puberty onset in female rats: is leptin a missing link?

    NARCIS (Netherlands)

    Zeinoaldini, S.

    2005-01-01

    Numerous factors in the hypothalamus-pituitary-gonadal axis (HPG) are involved in the timing of puberty onset.Leptin signals the nutritional status and the presence of an adequate amount of loaded adipose tissue, as a long-term resour

  16. The clinical course of juvenile idiopathic arthritis-associated uveitis in childhood and puberty

    NARCIS (Netherlands)

    Hoeve, Maretta; Ayuso, Viera Kalinina; Schalij-Delfos, Nicoline E.; Los, Leonoor I.; Rothova, Aniki; de Boer, Joke H.

    2012-01-01

    Aim The long-term course of juvenile idiopathic arthritis (JIA)-associated uveitis is not known yet. This study investigates the course and activity of JIA-associated uveitis in childhood and puberty. Design Retrospective study of the clinical data of 62 JIA patients with uveitis. The main outcome m

  17. MINOR NEUROLOGICAL DYSFUNCTION AFTER THE ONSET OF PUBERTY - ASSOCIATION WITH PERINATAL EVENTS

    NARCIS (Netherlands)

    SOORANILUNSING, RJ; HADDERSALGRA, M; HUISJES, HJ; TOUWEN, BCL

    1993-01-01

    In order to study the hypotheses that puberty is related to a decrease of minor neurological dysfunction (MND) and that persisting MND is associated with perinatal factors, two groups (174 normal, 172 MND) of the Groningen Perinatal Project were followed from 12 to 14 years. At 14 years almost all t

  18. Examination of US puberty-timing data from 1940 to 1994 for secular trends

    DEFF Research Database (Denmark)

    Euling, Susan Y; Herman-Giddens, Marcia E; Lee, Peter A

    2008-01-01

    Whether children, especially girls, are entering and progressing through puberty earlier today than in the mid-1900s has been debated. Secular trend analysis, based on available data, is limited by data comparability among studies in different populations, in different periods of time, and using ...

  19. Minor neurological dysfunction from birth to 12 years. II : Puberty is related to decreased dysfunction

    NARCIS (Netherlands)

    Lunsing, R J; Hadders-Algra, M; Huisjes, H J; Touwen, B C

    1992-01-01

    To determine whether puberty is related to decreased minor neurological dysfunction (MND), 174 children from the Groningen Perinatal Project who had had MND at nine years were re-examined at 12 years. No signs of MND could be demonstrated in 39 of the children, 33 of whom showed at least three signs

  20. Neuroendocrine pathways mediating nutritional acceleration of puberty: insights from ruminant models

    Directory of Open Access Journals (Sweden)

    Marcel eAmstalden

    2011-12-01

    Full Text Available The pubertal process is characterized by an activation of physiological events within the hypothalamic-adenohypophyseal-gonadal axis which culminate in reproductive competence. Excessive weight gain and adiposity during the juvenile period is associated with accelerated onset of puberty in females. The mechanisms and pathways by which excess energy balance advances puberty are unclear, but appear to involve an early escape from estradiol negative feedback and early initiation of high frequency episodic gonadotropin-releasing hormone (GnRH secretion. Hypothalamic neurons, particularly neuropeptide Y and proopiomelanocortin neurons are likely important components of the pathway sensing and transmitting metabolic information to the control of GnRH secretion. Kisspeptin neurons may also have a role as effector neurons integrating metabolic and gonadal steroid feedback effects on GnRH secretion at the time of puberty. Recent studies indicate that leptin-responsive neurons within the ventral premammillary nucleus play a critical role in pubertal progression and challenge the relevance of kisspeptin neurons in this process. Nevertheless, the nutritional control of puberty is likely to involve an integration of major sensor and effector pathways that interact with modulatory circuitries for a fine control of GnRH neuron function. In this review, observations made in ruminant species are emphasized for a comparative perspective.

  1. Examination of US puberty-timing data from 1940 to 1994 for secular trends

    DEFF Research Database (Denmark)

    Euling, Susan Y; Herman-Giddens, Marcia E; Lee, Peter A

    2008-01-01

    Whether children, especially girls, are entering and progressing through puberty earlier today than in the mid-1900s has been debated. Secular trend analysis, based on available data, is limited by data comparability among studies in different populations, in different periods of time, and using...

  2. Significant decline in anticancer immune capacity during puberty in the Tasmanian devil

    Science.gov (United States)

    Cheng, Yuanyuan; Heasman, Kim; Peck, Sarah; Peel, Emma; Gooley, Rebecca M.; Papenfuss, Anthony T.; Hogg, Carolyn J.; Belov, Katherine

    2017-01-01

    Tasmanian devils (Sarcophilus harrisii) are at risk of extinction in the wild due to Devil Facial Tumour Disease (DFTD), a rare contagious cancer. The prevalence of DFTD differs by age class: higher disease prevalence is seen in adults (2–3 years) versus younger devils (<2 years). Here we propose that immunological changes during puberty may play a role in susceptibility to DFTD. We show that the second year of life is a key developmental period for Tasmanian devils, during which they undergo puberty and pronounced changes in the immune system. Puberty coincides with a significant decrease in lymphocyte abundance resulting in a much higher neutrophil:lymphocyte ratio in adults than subadults. Quantitative PCR analysis of gene expression of transcription factors T-bet and GATA-3 and cytokines interferon gamma (IFN-γ) and interleukin 4 (IL-4) revealed a drastic increase in GATA-3 and IL-4 expression during puberty. These changes led to a significantly lower IFN-γ:IL-4 ratio in 2-year-olds than <1 year olds (on average 1.3-fold difference in males and 4.0-fold in females), which reflects a major shift of the immune system towards Th2 responses. These results all indicate that adult devils are expected to have a lower anticancer immune capacity than subadults, which may explain the observed pattern of disease prevalence of DFTD in the wild. PMID:28300197

  3. The Role of Mother in Informing Girls About Puberty: A Meta-Analysis Study

    Directory of Open Access Journals (Sweden)

    Sooki

    2016-02-01

    Full Text Available Context Family, especially the mother, has the most important role in the education, transformation of information, and health behaviors of girls in order for them to have a healthy transition from the critical stage of puberty, but there are different views in this regard. Objectives Considering the various findings about the source of information about puberty, a meta-analysis study was conducted to investigate the extent of the mother’s role in informing girls about puberty. Data Sources This meta-analysis study was based on English articles published from 2000 to February 2015 in the Scopus, PubMed, and Science direct databases and on Persian articles in the SID, Magiran, and Iran Medex databases with determined key words and their MeSH equivalent. Study Selection Quantitative cross-sectional articles were extracted by two independent researchers and finally 46 articles were selected based on inclusion criteria. STROBE list were used for evaluation of studies. Data Extraction The percent of mothers as the current and preferred source of gaining information about the process of puberty, menarche, and menstruation from the perspective of adolescent girls was extracted from the articles. The results of studies were analyzed using meta-analysis (random effects model and the studies’ heterogeneity was analyzed using the I2 calculation index. Variance between studies was analyzed using tau squared (Tau2 and review manager 5 software. Results The results showed that, from the perspective of teenage girls in Iran and other countries, in 56% of cases, the mother was the current source of information about the process of puberty, menarche, and menstruation. The preferred source of information about the process of puberty, menarche, and menstruation was the mother in all studies at 60% (Iran 57%, and other countries 66%. Conclusions According to the findings of this study, it is essential that health professionals and officials of the ministry of

  4. Precocious reproduction increases at the leading edge of a mangrove range expansion.

    Science.gov (United States)

    Dangremond, Emily M; Feller, Ilka C

    2016-07-01

    Climate change-driven shifts in species ranges are ongoing and expected to increase. However, life-history traits may interact with climate to influence species ranges, potentially accelerating or slowing range shifts in response to climate change. Tropical mangroves have expanded their ranges poleward in the last three decades. Here, we report on a shift at the range edge in life-history traits related to reproduction and dispersal. With a common garden experiment and field observations, we show that Rhizophora mangle individuals from northern populations reproduce at a younger age than those from southern populations. In a common garden at the northern range limit, 38% of individuals from the northernmost population were reproductive by age 2, but less than 10% of individuals from the southernmost population were reproductive by the same age, with intermediate amounts of reproduction from intermediate latitudes. Field observations show a similar pattern of younger reproductive individuals toward the northern range limit. We also demonstrate a shift toward larger propagule size in populations at the leading range edge, which may aid seedling growth. The substantial increase in precocious reproduction at the leading edge of the R. mangle range could accelerate population growth and hasten the expansion of mangroves into salt marshes.

  5. Exogenous R-Spondin1 Induces Precocious Telogen-to-Anagen Transition in Mouse Hair Follicles.

    Science.gov (United States)

    Li, Na; Liu, Shu; Zhang, Hui-Shan; Deng, Zhi-Li; Zhao, Hua-Shan; Zhao, Qian; Lei, Xiao-Hua; Ning, Li-Na; Cao, Yu-Jing; Wang, Hai-Bin; Liu, Shuang; Duan, En-Kui

    2016-04-20

    R-spondin proteins are novel Wnt/β-catenin agonists, which signal through their receptors leucine-rich repeat-containing G-protein coupled receptor (LGR) 4/5/6 and substantially enhance Wnt/β-catenin activity. R-spondins are reported to function in embryonic development. They also play important roles in stem cell functions in adult tissues, such as the intestine and mammary glands, which largely rely on Wnt/β-catenin signaling. However, in the skin epithelium and hair follicles, the information about R-spondins is deficient, although the expressions and functions of their receptors, LGR4/5/6, have already been studied in detail. In the present study, highly-enriched expression of the R-spondin family genes (Rspo1/2/3/4) in the hair follicle dermal papilla is revealed. Expression of Rspo1 in the dermal papilla is specifically and prominently upregulated before anagen entry, and exogenous recombinant R-spondin1 protein injection in mid-telogen leads to precocious anagen entry. Moreover, R-spondin1 activates Wnt/β-catenin signaling in cultured bulge stem cells in vitro, changing their fate determination without altering the cell proliferation. Our pioneering study uncovers a role of R-spondin1 in the activation of cultured hair follicle stem cells and the regulation of hair cycle progression, shedding new light on the governance of Wnt/β-catenin signaling in skin biology and providing helpful clues for future treatment of hair follicle disorders.

  6. Desynapsis and precocious cytokinesis in Brachiaria humidicola (Poaceae) compromise meiotic division

    Indian Academy of Sciences (India)

    Vergílio Calisto; Veridiana Aparecida Fuzinatto; Hugo José Message; Andréa Beatriz Mendes-Bonato; Kellen Regina Boldrini; Maria Suely Pagliarini; Cacilda Borges Do Valle

    2008-04-01

    The forage grass species Brachiaria humidicola is native to African savannas. Owing to its good adaptation to poorly drained and infertile acid soils, it has achieved wide utilization for pastures in Brazilian farms. Among the 55 accessions of B. humidicola analysed from the Embrapa Beef Cattle collection, one (H022), presented desynapsis and an abnormal pattern of cytokinesis in the first meiotic division. Among 28 inflorescences analysed in this accession, 12 were affected by the anomaly. In affected meiocytes, the first cytokinesis occurred in metaphase I and was generally perpendicular to a wide-metaphase plate, dividing the genome into two parts with an equal or unequal number of chromosomes. The normal cytokinesis after telophase I did not occur, and the meiocytes entered metaphase II, progressing to the end of meiosis with the occurrence of the second cytokinesis. As the first cytokinesis occurred precociously, whereas the second was normal, tetrads were formed but with unbalanced chromosome numbers in microspores. Abnormal cytokinesis occurred only in those meiocytes that underwent desynapsis after diakinesis. The implications of this abnormality in the Brachiaria breeding programme are discussed.

  7. Increased functional connectivity with puberty in the mentalising network involved in social emotion processing.

    Science.gov (United States)

    Klapwijk, Eduard T; Goddings, Anne-Lise; Burnett Heyes, Stephanie; Bird, Geoffrey; Viner, Russell M; Blakemore, Sarah-Jayne

    2013-07-01

    This article is part of a Special Issue "Puberty and Adolescence". There is increasing evidence that puberty plays an important role in the structural and functional brain development seen in adolescence, but little is known of the pubertal influence on changes in functional connectivity. We explored how pubertal indicators (salivary concentrations of testosterone, oestradiol and DHEA; pubertal stage; menarcheal status) relate to functional connectivity between components of a mentalising network identified to be engaged in social emotion processing by our prior work, using psychophysiological interaction (PPI) analysis. Female adolescents aged 11 to 13years were scanned whilst silently reading scenarios designed to evoke either social emotions (guilt and embarrassment) or basic emotions (disgust and fear), of which only social compared to basic emotions require the representation of another person's mental states. Pubertal stage and menarcheal status were used to assign participants to pre/early or mid/late puberty groups. We found increased functional connectivity between the dorsomedial prefrontal cortex (DMPFC) and the right posterior superior temporal sulcus (pSTS) and right temporo-parietal junction (TPJ) during social relative to basic emotion processing. Moreover, increasing oestradiol concentrations were associated with increased functional connectivity between the DMPFC and the right TPJ during social relative to basic emotion processing, independent of age. Our analysis of the PPI data by phenotypic pubertal status showed that more advanced puberty stage was associated with enhanced functional connectivity between the DMPFC and the left anterior temporal cortex (ATC) during social relative to basic emotion processing, also independent of age. Our results suggest increased functional maturation of the social brain network with the advancement of puberty in girls.

  8. Puberty and the Manifestations of Loss of Control Eating in Children and Adolescents

    Science.gov (United States)

    Vannucci, Anna; Tanofsky-Kraff, Marian; Ranzenhofer, Lisa M.; Kelly, Nichole R.; Hannallah, Louise M.; Pickworth, C. Katherine; Grygorenko, Mariya V.; Brady, Sheila M.; Condarco, Tania A.; Kozlosky, Merel; Demidowich, Andrew P.; Yanovski, Susan Z.; Shomaker, Lauren B.; Yanovski, Jack A.

    2014-01-01

    Objective We investigated the manifestations of pediatric loss of control (LOC) eating at different stages of pubertal development. Methods Participants were a non-clinical sample of 468 youth (8–17y). Physical examination determined pubertal stage. LOC eating and disordered eating attitudes were assessed with the Eating Disorder Examination. In a randomized crossover design, a subset (n=244) ate ad libitum from two test meals designed to capture normal and LOC eating. Results There were no differences in the prevalence rates or frequency of reported LOC eating episodes across pubertal stages (ps≥.50). There were, however, puberty by LOC eating interactions in disordered eating attitudes and palatable food consumption (ps≤.05), even after adjusting for age and body composition. LOC eating was associated with elevated global disordered eating attitudes, weight concern, and shape concern in post-pubertal youth (ps≤.001), but not pre-pubertal youth (ps≥.49). In late-puberty, youth with LOC eating consumed less energy from protein (p<.001) and more from carbohydrate (p=.003) and snack-type foods (p=.02) than those without LOC eating, whereas endorsement of LOC eating in pre- or early-to-mid-puberty was not associated with differences in eating behavior (ps≥.20). Conclusions Findings suggest that puberty may be a critical risk period, when LOC eating behaviors in boys and girls may become accompanied by greater weight and shape concerns and more obesogenic food consumption patterns. Interventions for LOC eating during pre-puberty should be evaluated to determine if they are particularly beneficial for the prevention of exacerbated eating disorder psychopathology and adverse weight outcomes. PMID:24888295

  9. Cognitive sex differences are not magnified as a function of age, sex hormones, or puberty development during early adolescence.

    Science.gov (United States)

    Herlitz, Agneta; Reuterskiöld, Lena; Lovén, Johanna; Thilers, Petra P; Rehnman, Jenny

    2013-01-01

    Are cognitive sex differences magnified by individual differences in age, sex hormones, or puberty development? Cross-sectional samples of 12- to 14-year-old boys (n = 85) and girls (n = 102) completed tasks assessing episodic memory, face recognition, verbal fluency, and mental rotations. Blood estradiol, free testosterone, and self-rated puberty scores were obtained. Sex differences were found on all cognitive measures. However, the magnitude was not larger for older children, hormones and cognitive performance were not associated, and early maturers did not perform better than late maturers. Thus, cognitive sex differences were not associated with age, levels of sex hormones, or puberty development.

  10. 抗苗勒管激素与女性生殖功能障碍及性早熟'%Evolution of Anti-müllerian Hormone in Female Dysgenesia and Precocious Puberty

    Institute of Scientific and Technical Information of China (English)

    田春花

    2011-01-01

    抗苗勒管激素(anti-mullerian hormone,AMH)是转化生长因子β超家族的成员,在女性中仅表达于卵巢的颗粒细胞,可用于评估卵巢的储备功能.其有Ⅰ~Ⅲ型受体,现已明确人类的AMH通过其II型受体(AMHR Ⅱ)发挥作用.目前多囊卵巢综合征(PCOS)、卵巢功能早衰(POF)是引起育龄期妇女不孕的主要原因.AMH在PCOS患者血清中浓度较高;而在POF患者血清中浓度较低,甚至检测不到;在性早熟(PA)患儿血清中的浓度接近正常.研究发现,AMH及AMHR Q的基因多态性与PCOS和POF的发病密切相关.AMH可作为PCOS,POF和PA等疾病的诊断依据,并可指导PCOS患者的临床治疗.

  11. Pre-Conditioning Induces the Precocious Differentiation of Neonatal Astrocytes to Enhance Their Neuroprotective Properties

    Directory of Open Access Journals (Sweden)

    Ellora Sen

    2011-07-01

    Full Text Available Hypoxic preconditioning reprogrammes the brain's response to subsequent H/I (hypoxia-ischaemia injury by enhancing neuroprotective mechanisms. Given that astrocytes normally support neuronal survival and function, the purpose of the present study was to test the hypothesis that a hypoxic preconditioning stimulus would activate an adaptive astrocytic response. We analysed several functional parameters 24 h after exposing rat pups to 3 h of systemic hypoxia (8% O2. Hypoxia increased neocortical astrocyte maturation as evidenced by the loss of GFAP (glial fibrillary acidic proteinpositive cells with radial morphologies and the acquisition of multipolar GFAP-positive cells. Interestingly, many of these astrocytes had nuclear S100B. Accompanying their differentiation, there was increased expression of GFAP, GS (glutamine synthetase, EAAT-1 (excitatory amino acid transporter-1; also known as GLAST, MCT-1 (monocarboxylate transporter-1 and ceruloplasmin. A subsequent H/I insult did not result in any further astrocyte activation. Some responses were cell autonomous, as levels of GS and MCT-1 increased subsequent to hypoxia in cultured forebrain astrocytes. In contrast, the expression of GFAP, GLAST and ceruloplasmin remained unaltered. Additional experiments utilized astrocytes exposed to exogenous dbcAMP (dibutyryl-cAMP, which mimicked several aspects of the preconditioning response, to determine whether activated astrocytes could protect neurons from subsequent excitotoxic injury. dbcAMP treatment increased GS and glutamate transporter expression and function, and as hypothesized, protected neurons from glutamate excitotoxicity. Taken altogether, these results indicate that a preconditioning stimulus causes the precocious differentiation of astrocytes and increases the acquisition of multiple astrocytic functions that will contribute to the neuroprotection conferred by a sublethal preconditioning stress.

  12. The lack of autophagy triggers precocious activation of Notch signaling during Drosophila oogenesis

    Directory of Open Access Journals (Sweden)

    Barth Julia MI

    2012-12-01

    Full Text Available Abstract Background The proper balance of autophagy, a lysosome-mediated degradation process, is indispensable for oogenesis in Drosophila. We recently demonstrated that egg development depends on autophagy in the somatic follicle cells (FC, but not in the germline cells (GCs. However, the lack of autophagy only affects oogenesis when FCs are autophagy-deficient but GCs are wild type, indicating that a dysfunctional signaling between soma and germline may be responsible for the oogenesis defects. Thus, autophagy could play an essential role in modulating signal transduction pathways during egg development. Results Here, we provide further evidence for the necessity of autophagy during oogenesis and demonstrate that autophagy is especially required in subsets of FCs. Generation of autophagy-deficient FCs leads to a wide range of phenotypes that are similar to mutants with defects in the classical cell-cell signaling pathways in the ovary. Interestingly, we observe that loss of autophagy leads to a precocious activation of the Notch pathway in the FCs as monitored by the expression of Cut and Hindsight, two downstream effectors of Notch signaling. Conclusion Our findings point to an unexpected function for autophagy in the modulation of the Notch signaling pathway during Drosophila oogenesis and suggest a function for autophagy in proper receptor activation. Egg development is affected by an imbalance of autophagy between signal sending (germline and signal receiving cell (FC, thus the lack of autophagy in the germline is likely to decrease the amount of active ligand and accordingly compensates for increased signaling in autophagy-defective follicle cells.

  13. Pre-conditioning induces the precocious differentiation of neonatal astrocytes to enhance their neuroprotective properties

    Directory of Open Access Journals (Sweden)

    Sandra J Hewett

    2011-07-01

    Full Text Available Hypoxic preconditioning reprogrammes the brain's response to subsequent H/I (hypoxia–ischaemia injury by enhancing neuroprotective mechanisms. Given that astrocytes normally support neuronal survival and function, the purpose of the present study was to test the hypothesis that a hypoxic preconditioning stimulus would activate an adaptive astrocytic response. We analysed several functional parameters 24 h after exposing rat pups to 3 h of systemic hypoxia (8% O2. Hypoxia increased neocortical astrocyte maturation as evidenced by the loss of GFAP (glial fibrillary acidic protein-positive cells with radial morphologies and the acquisition of multipolar GFAP-positive cells. Interestingly, many of these astrocytes had nuclear S100B. Accompanying their differentiation, there was increased expression of GFAP, GS (glutamine synthetase, EAAT-1 (excitatory amino acid transporter-1; also known as GLAST, MCT-1 (monocarboxylate transporter-1 and ceruloplasmin. A subsequent H/I insult did not result in any further astrocyte activation. Some responses were cell autonomous, as levels of GS and MCT-1 increased subsequent to hypoxia in cultured forebrain astrocytes. In contrast, the expression of GFAP, GLAST and ceruloplasmin remained unaltered. Additional experiments utilized astrocytes exposed to exogenous dbcAMP (dibutyryl-cAMP, which mimicked several aspects of the preconditioning response, to determine whether activated astrocytes could protect neurons from subsequent excitotoxic injury. dbcAMP treatment increased GS and glutamate transporter expression and function, and as hypothesized, protected neurons from glutamate excitotoxicity. Taken altogether, these results indicate that a preconditioning stimulus causes the precocious differentiation of astrocytes and increases the acquisition of multiple astrocytic functions that will contribute to the neuroprotection conferred by a sublethal preconditioning stress.

  14. Maternal diet influences offspring feeding behavior and fearfulness in the precocial chicken.

    Directory of Open Access Journals (Sweden)

    Nadège Aigueperse

    Full Text Available BACKGROUND: In chicken, oils in the maternal diet confer a specific scent to the yolk. Embryos are known to perceive and memorize chemosensory signals of the surrounding environment; however, the potential impact of the maternal diet has not previously been investigated. In the present study, we hypothesized that chicken embryos memorize the chemical signals of the maternal diet and that this perceptual learning may orient subsequent feeding behavior of the hatchlings. METHODOLOGY/PRINCIPAL FINDINGS: Laying hens were fed standard food enriched with 2% menhaden oil (MH group or 2% soybean oil (controls. The scent of menhaden was significantly more detected in MH egg yolks than in control yolks by a human panel. We analyzed the development and behavior of offspring towards different types of food, bearing or not bearing the menhaden scent. When chicks were exposed to a 3-min choice test between the familiar food bearing the menhaden scent and the familiar food without menhaden, no effect of treatment was observed. In a 3-min choice test with unfamiliar food (mashed cereals MH chicks showed a clear positive orientation toward the unfamiliar food bearing the menhaden scent. By contrast, control chicks showed a preference for the non-odorized unfamiliar food. MH chicks expressed higher emotional reactivity level than control chicks as expressed by food neophobia and longer immobility in a restraint test. CONCLUSION/SIGNIFICANCE: Chicks exposed in ovo to menhaden oil via the maternal diet preferentially oriented their feeding behavior towards food containing menhaden oil, but only when the food was unfamiliar. We propose that oil in the maternal diet engenders maternal effects and contributes to the development of behavioral phenotype in the offspring. In ovo chemosensory learning may have evolved to prepare precocial offspring for their environment. This suggests a common principle of embryonic chemosensory learning across vertebrate taxa.

  15. Analysis of differentially expressed genes in the precocious line of Eimeria maxima and its parent strain using suppression subtractive hybridization and cDNA microarrays.

    Science.gov (United States)

    Dong, Hui; Lin, Jiaojiao; Han, Hongyu; Jiang, Lianlian; Zhao, Qiping; Zhu, Shunhai; Huang, Bing

    2011-04-01

    The precocious line of Eimeria spp., obtained by repeated passages of oocysts initially collected from feces of previously infected chickens, has unique phenotypes and plays an important role in immunizing chickens against coccidiosis. However, the genetic basis of precocious phenotype in Eimeria is still poorly understood. To investigate gene expression changes in sporulated oocysts between the precocious line of E. maxima and its parent strain, subtractive cDNA libraries were constructed by suppression subtractive hybridization (SSH). A total of 3,164 cDNA fragments were selected from the SSH cDNA libraries to fabricate cDNA microarrays and further identify the differentially expressed genes. The credibility of the microarray data was verified by real-time PCR. A total of 360 valid expressed sequence tags (ESTs) were obtained, which represented 32 unique sequences. Twenty-one genes were validated as downregulated and 11 genes as upregulated in the precocious line. Homology searching of the public sequence database showed that six genes encoded proteins homologous with previously reported proteins, including rhomboid-like protein and transhydrogenase of E. tenella, serpin, and cation-transporting ATPase of E. acervulina, a heat-shock protein of E. maxima, and a conserved hypothetical protein of Toxoplasma gondii. Thus, the remaining 26 ESTs have not been previously reported. Further characterization of these differentially expressed genes will be useful in understanding the genetic basis for the precocious phenotype in Eimeria spp.

  16. Spring Chinook Salmon Interactions Indices and Residual/Precocial Monitoring in the Upper Yakima Basin, 1998 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    James, Brenda B.; Pearsons, Todd N.; McMichael, Geoffrey A. (Washington Department of Fish and Wildlife, Olympia, WA)

    1999-12-01

    Select ecological interactions and spring chinook salmon residual/precocial abundance were monitored in 1998 as part of the Yakima/Klickitat Fisheries Project's supplementation monitoring program. Monitoring these variables is part of an effort to help evaluate the factors that contribute to, or limit supplementation success. The ecological interactions that were monitored were prey consumption, competition for food, and competition for space. The abundance of spring chinook salmon life-history forms that have the potential to be influenced by supplementation and that have important ecological and genetic roles were monitored (residuals and precocials). Residual spring chinook salmon do not migrate to the ocean during the normal emigration period and continue to rear in freshwater. Precocials are those salmon that precocially mature in freshwater. The purpose of sampling during 1998 was to collect baseline data one year prior to the release of hatchery spring chinook salmon which occurred during the spring of 1999. All sampling that the authors report on here was conducted in upper Yakima River during summer and fall 1998. The stomach fullness of juvenile spring chinook salmon during the summer and fall averaged 12%. The food competition index suggested that mountain whitefish (0.59), rainbow trout (0.55), and redside shiner (0.55) were competing for food with spring chinook salmon. The space competition index suggested that rainbow trout (0.31) and redside shiner (0.39) were competing for space with spring chinook salmon but mountain whitefish (0.05) were not. Age-0 spring chinook salmon selected a fairly narrow range of microhabitat parameters in the summer and fall relative to what was available. Mean focal depths and velocities for age 0 spring chinook salmon during the summer were 0.5 m {+-} 0.2 m and 0.26 m/s {+-} 0.19 m/s, and during the fall 0.5 m {+-} 0.2 m and 0.24 m/s {+-} 0.18 m/s. Among potential competitors, age 1+ rainbow trout exhibited the

  17. Determinants of puberty health among female adolescents residing in boarding welfare centers in Tehran: An application of health belief model.

    Science.gov (United States)

    Shirzadi, Shayesteh; Asghari Jafarabadi, Mohammad; Nadrian, Haidar; Mahmoodi, Hassan

    2016-01-01

    Background: Adolescence is a critical stage of growth and development. That is associated with changes in body shape and appearance. Issues such as irregular menstrual periods, amenorrhea, and menstrual cycle are major issues in women's health. The purpose of this study was to examine the determinants of physical puberty health based on the Health Belief Model (HBM) among female adolescents. Methods: This analytical cross sectional study was conducted in welfare boarding centers in Tehran, Iran. Data were collected in 2011 by a structured and valid questionnaire. Total 61 female adolescents (age range: 12-19 yrs) participated in this study from welfare boarding centers in Iran, Tehran, by using convenience sampling method. The questionnaire consisted of demographic characteristics, health belief model constructs and physical puberty health behaviors gathered by using interview. A series of univariate general linear models were used to assess the relationship between puberty health and health belief model constructs. Results: According to the results of this study there were positive significant relationships between perceived susceptibility, perceived benefits, perceived barriers, cues to action and increased puberty health in female adolescents (phealth behaviors. Conclusion: Based on the results of the study to improve the physical Puberty health behaviors of female adolescents should make them aware of the benefits of health behaviors, and remove or reform the perceived barriers of health behaviors. Also, the appropriate information resources should be introduced for obtaining information about puberty health.

  18. The Effect of Puberty Education on Knowledge, Attitude and Function of Girl's Students

    Directory of Open Access Journals (Sweden)

    Shahrban Mehrabi

    2016-07-01

    Full Text Available Introduction: The study was examined effect of puberty education on knowledge, attitude and function in girl's student in Jiroft. Materials & Methods: this was a quasi experimental study and the target population was girl's student at grade 1 high school in jiroft city and 40 girls were selected and were educated in a 12 sessions. The content of the educational course including physical signs of puberty, physiologic change in menstrual period, nutrition, sleep and psychological changes. The subjects completed in pretest and posttest a researcher made questionnaire that measure knowledge, attitude and function. The data was analyzed using descriptive indexes, t- and F-tests. The significant level was considered in less than 0.05. Results: The results showed that the average difference between pre-test and post-test knowledge, attitude and function in both experimental and control groups was significant (p

  19. Early puberty is associated with mental health problems in middle adolescence.

    Science.gov (United States)

    Kaltiala-Heino, Riittakerttu; Marttunen, Mauri; Rantanen, Päivi; Rimpelä, Matti

    2003-09-01

    This study set out to assess the relationship between pubertal timing and emotional and behavioural problems in middle adolescence. The study involved a school based survey of health, health behaviour and behaviour in school as well as questions about emotional and behavioural problems (the School Health Promotion Study). Secondary schools in four regions and 13 towns in Finland participated in the study in 1998. The respondents were 36,549 adolescents aged 14-16. The study included questions on depression, bulimia nervosa, psychosomatic symptoms, anxiety, drinking, substance use, smoking, bullying and truancy. Among girls, both internalising and externalising symptoms were more common the earlier puberty occurred. Among boys, externalising symptoms only were associated with early puberty. It is concluded that early pubertal timing is associated with increased mental health problems. Professionals working with adolescents should consider the mental health needs of early maturing adolescents.

  20. Changes in breast sensitivity at puberty, during the menstrual cycle, and at parturition.

    Science.gov (United States)

    Robinson, J E; Short, R V

    1977-05-07

    Sensitivity to pain and touch was measured in the nipple, areola, and cutaneous breast tissue of prepubertal boys and girls, postpubertal men and nuliparous women before and after delivery. Before puberty there were no differences between the sexes, but after puberty the tactile sensitivity of all areas of the women's breast was significantly greater than the men's. Tactil sensitivity of all areas also varied during the menstrual cycle, with maximal sensitivity at midcycle and at menstruation; the mid-cycle peak was absent when the women were taking oral contraceptives. But the most dramatic changes occured within 24 hours of parturition, when there was a great increase in breast sensitivity. This may be the key event for activating the suckling-induced discharge of oxytocin and prolactin and inhibiting ovulation during lactation.

  1. Application of the assay of urine FSH β-subunit in patients with pubertal disorders

    Institute of Scientific and Technical Information of China (English)

    Cui Yu-gui; Song Lin; Yang Xiao-fang; Feng Ting; Jia Yue; Pan Qin-qin; Di Fu-song; Zhou Zuo-min; Sha Jia-hao

    2004-01-01

    Objective: To evaluate the diagnostic predictive value in the identification of puberty disorders by means of ELISA of β-FSH subunit levels in successively collected urine samples compared to RIA of intact FSH in serum obtained from the normal control subjects and patients with puberty disorders, respectively.Subjects and Methods: Five male and four female volunteers were recruited as controls. Four patients with the hypogonadotropic hypogonadism, five patients with hypergonadotropic hypogonadism, four patients with the central precocious puberty and one patient with isosexual peripheral precocious puberty collected successively their early-morning urine samples for 30 to 32 days.The urine β-FSH subunit was assayed with the method of ELISA, then adjusted by creatinine (Cr) concentration.Results:Comparing with their cotemporary groups, patients with the hypogonadotropic hypogonadism had lower levels of urine β-FSH, and patients with idiopathic hypergonadism had higher levels with irregular fluctuation. Meanwhile, patients with the central precocious puberty had much higher levels of urine β-FSH with irregular peaks, and patients with isosexual peripheral precocious puberty had almost normal levels. The patterns were coincident with the clinical characteristics and serum FSH levels.Conclusion: The ELISA of urine β-FSH subunit possesses a number of advantages over the RIA of serum FSH level, such as low cost, simplicity and reliability in the clinical practice. It can be used for the diagnoses of puberty disorders. In addition, it is possible and much easier, comparing with blood samples, to collect successively urine samples for research of pathophysiological dynamics of FSH secretion in puberty disorders and other reproductive dysfunction.

  2. Ghrelin Levels in Children with Constitutional Delay of Growth and Puberty

    OpenAIRE

    Şen, Tolta Altuğ; Gökşen Şimşek, Damla; Darcan, Şükran; Çoker, Mahmut

    2010-01-01

    Objective: In this study, we aimed to show the role of ghrelin in growth delay in children with constitutional delay of growth and puberty (CDGP). Methods: Thirty male children with CDGP constituted the study group and fifteen healthy children with normal growth of similar ages−the control group. In both groups, fasting and postprandial plasma ghrelin levels, serum insulin−like growth factor−1 (IGF−1) and IGF−binding protein−3 (IGFBP−3) levels were determined. Results: There were no differenc...

  3. Delay of the Onset of Puberty in Female Rats by Prepubertal Exposure to T-2 Toxin

    Science.gov (United States)

    Yang, Rong; Wang, Yi-Mei; Zhang, Li-Shi; Zhang, Li; Zhao, Zeng-Ming; Zhao, Jun; Peng, Shuang-Qing

    2015-01-01

    Growing evidence has revealed the deleterious influence of environmental and food contaminants on puberty onset and development in both animals and children, provoking an increasing health concern. T-2 toxin, a naturally-produced Type A trichothecene mycotoxin which is frequently found in cereal grains and products intended for human and animal consumption, has been shown to impair the reproduction and development in animals. Nevertheless, whether this trichothecene mycotoxin can disturb the onset of puberty in females remains unclear. To clarify this point, infantile female rats were given a daily intragastric administration of vehicle or 187.5 μg/kg body weight of T-2 toxin for five consecutive days from postnatal day 15 to 19, and the effects on puberty onset were evaluated in the present study. The results revealed that the days of vaginal opening, first dioestrus, and first estrus in regular estrous cycle were delayed following prepubertal exposure to T-2 toxin. The relative weights of reproductive organs uterus, ovaries, and vagina, and the incidence of corpora lutea were all diminished in T-2 toxin-treated rats. Serum levels of gonadotropins luteinizing hormone, follicle-stimulating hormone, and estradiol were also reduced by T-2 toxin treatment. The mRNA expressions of hypothalamic gonadotropin-releasing hormone (GnRH) and pituitary GnRH receptor displayed significant reductions following exposure to T-2 toxin, which were consistent with the changes of serum gonadotropins, delayed reproductive organ development, and delayed vaginal opening. In conclusion, the present study reveals that prepubertal exposure to T-2 toxin delays the onset of puberty in immature female rats, probably by the mechanism of disturbance of hypothalamic-pituitary-gonadal (HPG) axis function. Considering the vulnerability of developmental children to food contaminants and the relative high level of dietary intake of T-2 toxin in children, we think the findings of the present study

  4. Increased functional connectivity with puberty in the mentalising network involved in social emotion processing

    OpenAIRE

    Klapwijk, Eduard T.; Goddings, Anne-Lise; Heyes, Stephanie Burnett; Bird, Geoffrey; Viner, Russell M; Blakemore, Sarah-Jayne

    2013-01-01

    There is increasing evidence that puberty plays an important role in the structural and functional brain development seen in adolescence, but little is known of the pubertal influence on changes in functional connectivity. We explored how pubertal indicators (salivary concentrations of testosterone, oestradiol and DHEA; pubertal stage; menarcheal status) relate to functional connectivity between components of a mentalising network identified to be engaged in social emotion processing by our p...

  5. Mental illness and cognition in relation to age at puberty: a hypothesis.

    Science.gov (United States)

    Saugstad, L F

    1989-09-01

    Onset of puberty is usually considered to coincide with the last major step in brain development: the elimination of some 40% of neuronal synapses. Mean pubertal age has declined by some 4 years during the last 100 years. There is a relation between age at puberty and body build, and between body build and mental illness. The difference in body build between schizophrenia (S) and manic-depressive psychosis (MDP) is similar to that between late and early maturers. It is suggested that S affects late-maturing individuals and MDP very early maturers. The observed marked rise in MDP and decline in the most malignant forms of S (non-paranoid) are in agreement with MDP and S as neurodevelopmental disorders occurring at the extremes of maturation. Maturational irregularities are most likely to occur at the extremes, and it is suggested that abbreviation of the regressive process may have led to persistent redundancy of neuronal synapses in MDP and that prolongation of the process past the optimal has yielded an inadequate synaptic density in S. The lack of cerebral abnormality in the majority of MDP and the presence of only subtle structural deficits in S, are in agreement with this. The two disorders are probably as old as mankind, and early puberty is the necessary factor for the development of MDP and late puberty is the necessary factor for that of S. There is an inverse relation between spatial ability and rate of maturation, whereas verbal ability is unaffected by maturational rate. From a previous predominance in both sexes, spatial ability (Performance IQ scores) has been reduced to below verbal ability (Verbal IQ scores) in the female sex and in early maturing males.

  6. Cognitive efficiency on a match to sample task decreases at the onset of puberty in children.

    Science.gov (United States)

    McGivern, Robert F; Andersen, Julie; Byrd, Desiree; Mutter, Kandis L; Reilly, Judy

    2002-10-01

    Electrocortical evidence indicates that a wave of synaptic proliferation occurs in the frontal lobes around the age of puberty onset. To study its potential influence on cognition, we examined 246 children (10-17 years) and 49 young adults (18-22 years) using a match-to-sample type of task to measure reaction times to assess emotionally related information. Based upon the instruction set, subjects made a yes/no decision about the emotion expressed in a face, a word, or a face/word combination presented tachistoscopically for 100 ms. The faces were images of a single individual with a happy, angry, sad or neutral expression. The words were 'happy,' 'angry,' 'sad,' or 'neutral,' In the combined stimulus condition, subjects were asked to decide if the face and word matched for the same emotion. Results showed that compared to the previous year, reaction times were significantly slower for making a correct decision at 11 and 12 years of age in girls and boys, the approximate ages of puberty onset. The peripubertal rise in reaction time declined slowly over the following 2-3 years and stabilized by 15 years of age. Analyses of the performance of 15-17 year olds revealed significantly longer reaction times in females to process both faces and words compared to males. However, this sex difference in late puberty appeared to be transient since it was not present in 18-22 year olds. Given the match-to-sample nature of the task employed, the puberty related increases in reaction time may reflect a relative inefficiency in frontal circuitry prior to the pruning of excess synaptic contacts.

  7. Effect of exogenous prolactin on ultrastructure of pinealocyte in female pigs during puberty

    Energy Technology Data Exchange (ETDEWEB)

    Przybylska, B.; Dusza, L.; Lewczuk, B.; Ciesielska-Myszka, L. [Akademia Rolniczo-Technicza, Olsztyn (Poland)

    1994-12-31

    Influence of the administration of prolactin to female swine during puberty on the ultrastructure of pinealocytes has been examined by means of morphometric analysis. Prolactin administration for 15 consecutive days resulted in a decrease in the cytoplasmic dense bodies type MBB-2, lysosomes and multivesicular bodies. Some differences in structure of pinealocytes were also observed. Prolactin appeared to stimulate the process of transformation of cytoplasmic dense bodies. (author). 28 refs, 5 figs.

  8. Delay of the Onset of Puberty in Female Rats by Prepubertal Exposure to T-2 Toxin

    Directory of Open Access Journals (Sweden)

    Rong Yang

    2015-11-01

    Full Text Available Growing evidence has revealed the deleterious influence of environmental and food contaminants on puberty onset and development in both animals and children, provoking an increasing health concern. T-2 toxin, a naturally-produced Type A trichothecene mycotoxin which is frequently found in cereal grains and products intended for human and animal consumption, has been shown to impair the reproduction and development in animals. Nevertheless, whether this trichothecene mycotoxin can disturb the onset of puberty in females remains unclear. To clarify this point, infantile female rats were given a daily intragastric administration of vehicle or 187.5 μg/kg body weight of T-2 toxin for five consecutive days from postnatal day 15 to 19, and the effects on puberty onset were evaluated in the present study. The results revealed that the days of vaginal opening, first dioestrus, and first estrus in regular estrous cycle were delayed following prepubertal exposure to T-2 toxin. The relative weights of reproductive organs uterus, ovaries, and vagina, and the incidence of corpora lutea were all diminished in T-2 toxin-treated rats. Serum levels of gonadotropins luteinizing hormone, follicle-stimulating hormone, and estradiol were also reduced by T-2 toxin treatment. The mRNA expressions of hypothalamic gonadotropin-releasing hormone (GnRH and pituitary GnRH receptor displayed significant reductions following exposure to T-2 toxin, which were consistent with the changes of serum gonadotropins, delayed reproductive organ development, and delayed vaginal opening. In conclusion, the present study reveals that prepubertal exposure to T-2 toxin delays the onset of puberty in immature female rats, probably by the mechanism of disturbance of hypothalamic-pituitary-gonadal (HPG axis function. Considering the vulnerability of developmental children to food contaminants and the relative high level of dietary intake of T-2 toxin in children, we think the findings of

  9. Cerebral white matter in early puberty is associated with luteinizing hormone concentrations.

    Science.gov (United States)

    Peper, Jiska S; Brouwer, Rachel M; Schnack, Hugo G; van Baal, G Caroline M; van Leeuwen, Marieke; van den Berg, Stéphanie M; Delemarre-Van de Waal, Henriëtte A; Janke, Andrew L; Collins, D Louis; Evans, Alan C; Boomsma, Dorret I; Kahn, René S; Hulshoff Pol, Hilleke E

    2008-08-01

    Puberty is a period in which cerebral white matter grows considerably, whereas gray matter decreases. The first endocrinological marker of puberty in both boys and girls is an increased secretion of luteinizing hormone (LH). Here we investigated the phenotypic association between LH, global and focal gray and white matter in 104 healthy nine-year-old monozygotic and dizygotic twins. Volumetric MRI and voxel-based morphometry were applied to measure global gray and white matter and to estimate relative concentrations of regional cerebral gray and white matter, respectively. A possible common genetic origin of this association (genetic correlation) was examined. Results showed that higher LH levels are associated with a larger global white matter proportion and with higher regional white matter density. Areas of increased white matter density included the cingulum, middle temporal gyrus and splenium of the corpus callosum. No association between LH and global gray matter proportion or regional gray matter density was found. Our data indicate that a common genetic factor underlies the association between LH level and regional white matter density. We suggest that the increase of white matter growth during puberty reported earlier might be directly or indirectly mediated by LH production. In addition, genes involved in LH production may be promising candidate genes in neuropsychiatric illnesses with an onset in early adolescence.

  10. 论被成人误读的青春期%Puberty Misunderstood by Adults

    Institute of Scientific and Technical Information of China (English)

    林蓉

    2011-01-01

    由于成人的视角,教育和社会等因素的影响,成人在不同程度上误读了青春期,这对青春期个体的发展有消极的影响,甚至会阻碍个体的发展.要改变这种状况,成人必须通过对青春期的普遍性和必然性的认识,消除对青春期的误读,正确对待青春期,确保青春期个体获得良好的发展。%As the adults' perspective, education and social factors, they misunderstand puberty on varying degrees. It has negative effects for the individual's adolescent development and even hinder the development of individual. To change this situation, the adults must be on the adolescent's understanding of the universality and necessity, to eliminate the misunderstanding of puberty, the correct treatment of adolescence, to ensure that individuals get a good development of puberty.

  11. Targeted resequencing of the pericentromere of chromosome 2 linked to constitutional delay of growth and puberty.

    Directory of Open Access Journals (Sweden)

    Diana L Cousminer

    Full Text Available Constitutional delay of growth and puberty (CDGP is the most common cause of pubertal delay. CDGP is defined as the proportion of the normal population who experience pubertal onset at least 2 SD later than the population mean, representing 2.3% of all adolescents. While adolescents with CDGP spontaneously enter puberty, they are at risk for short stature, decreased bone mineral density, and psychosocial problems. Genetic factors contribute heavily to the timing of puberty, but the vast majority of CDGP cases remain biologically unexplained, and there is no definitive test to distinguish CDGP from pathological absence of puberty during adolescence. Recently, we published a study identifying significant linkage between a locus at the pericentromeric region of chromosome 2 (chr 2 and CDGP in Finnish families. To investigate this region for causal variation, we sequenced chr 2 between the genomic coordinates of 79-124 Mb (genome build GRCh37 in the proband and affected parent of the 13 families contributing most to this linkage signal. One gene, DNAH6, harbored 6 protein-altering low-frequency variants (< 6% in the Finnish population in 10 of the CDGP probands. We sequenced an additional 135 unrelated Finnish CDGP subjects and utilized the unique Sequencing Initiative Suomi (SISu population reference exome set to show that while 5 of these variants were present in the CDGP set, they were also present in the Finnish population at similar frequencies. Additional variants in the targeted region could not be prioritized for follow-up, possibly due to gaps in sequencing coverage or lack of functional knowledge of non-genic genomic regions. Thus, despite having a well-characterized sample collection from a genetically homogeneous population with a large population-based reference sequence dataset, we were unable to pinpoint variation in the linked region predisposing delayed puberty. This study highlights the difficulties of detecting genetic variants

  12. α-fetoprotein involvement during glucocorticoid-induced precocious maturation in rat colon

    Institute of Scientific and Technical Information of China (English)

    Min Chen; Peng Sun; Xiao-Yan Liu; Dan Dong; Jun Du; Luo Gu; Ying-Bin Ge

    2011-01-01

    AIM: To investigate the role of α-fetoprotein (AFP), a cancer-associated fetal glycoprotein, in glucocorticoidinduced precocious maturation in rat colon. METHODS: Colons from suckling Sprague-Dawley rats were used in this study. Corticosterone acetate at a dose of 100 μg/g body weight was given to normal pups on days 7, 9 and 11 after birth to induce hypercorticoidism. Control animals were injected with identical volumes of normal saline. Some rats receiving corticosterone 7 d after birth were also treated with mifepristone (RU38486), a glucocorticoid cytoplasm receptor antagonist to investigate the effects of glucocorticoids (GCs). The morphological changes of the crypt depth and villous height of the villous zone in colon were observed as indices of colon maturation. Expression levels of AFP in colons were detected by reverse transcriptase polymerase chain reaction and Western blotting. To identify the cellular localization of AFP in developing rat colons, double-immunofluorescent staining was performed using antibodies to specific mesenchymal cell marker and AFP. RESULTS: Corticosterone increased the crypt depth and villous height in the colon of 8- and 10-d-old rats with hypercorticoidism compared with that in the control animals (120% in 8-d-old rats and 118% in 10-d-old rats in villous height, P = 0.021; 145% in 8-d-old rats and 124% in 10-d-old rats in crypt depth, P = 0.017). These increases were accompanied by an increase of AFP expression in both mRNA and protein (2.5-folds in 8-dold and 2.5-folds in 10-d-old rats higher than in control animals, P = 0.035; 1.8-folds in 8-d-old and 1.3-folds in 10-d-old rats higher than in control animals, P = 0.023). Increased crypt depth and villous height and increased expression of AFP in the colon of rats with hypercorticoidism were blocked by mifepristone. Both had positive staining for AFP or vimentin, and overlapped in mesenchymal cells at each tested colon.

  13. Trabalho precoce: realidade social e desafio de política pública Precocious labor: a social reality and a challenge to public policy

    Directory of Open Access Journals (Sweden)

    Sonia Rocha

    2003-01-01

    Full Text Available This article presents the basic characteristics of precocious labor in Brazil in the nineties. Since the age individuals start working does not seem to be an important determinant of future income, we examined its related aspects, such as school attendance and hard work incidence of. As precocious labor still involves large contingents of children in Brazil under quite different working conditions, it is essential to distinguish the most critical situations so as to support a social policy design targeted at a specific clientele.

  14. Lin28B Gene Expression and its Role in the Onset of Puberty of Sheep%Lin28B基因表达与绵羊初情期启动的关系研究

    Institute of Scientific and Technical Information of China (English)

    卢萍平; 邢凤; 刘博丹; 梁志鹏

    2014-01-01

    初情期是家畜从不能繁殖到获得繁殖能力的标志,是雌性动物发育过程中的一个关键阶段。研究以性早熟的多浪羊和性晚熟的和田羊为研究对象,对其 L in28B 基因外显子3进行克隆,采用 Real-time PCR 技术分析 Lin28B 基因在多浪羊和和田羊幼年期、初情期下丘脑、卵巢中表达变化,结果显示多浪羊和和田羊 L in28B 基因外显子3序列相同,多浪羊下丘脑和卵巢中 L in28B 基因 mRNA 表达量在初情期时低于幼年期( P <0.05);和田羊卵巢L in28B 基因 mRNA 表达量在初情期时低于幼年期(P<0.05)。研究结果表明,L in28B 基因表达下调与初情期启动呈正相关,该研究对于揭示 L in28B 基因在绵羊初情期启动中的作用及机制提供了科学依据。%Puberty of animals marked their fertility and is a key stage in female animal development . Precocious sheep breed ,Duolang sheep ,and late-maturing sheep breed ,Hetian sheep were selected as sub-jects in the study ,the exon 3 of Lin28B gene of the selected animals were cloned ,and the real-time PCR technology was used to examine the mRNA expression level of Lin28B gene in the hypothalamus and ovary of juvenile stage and pubertal stage .The results showed the sequences alignment of Lin28B exons 3 of Duo-lang sheep and Hetian sheep were the same ;the expression level of Lin28B gene in the hypothalamus and ovary were significantly lower than that in juvenlie period of Duolang sheep (P< 0 .05) ,the expression lev-el of Lin28B gene in the ovary was significantly lower than that in the juvenlie period of Hetian sheep (P<0 .05) .The results indicated that the down-regulated expression of Lin28B gene was positively correlated with the onset of puberty in sheep .The study can help to provide a scientific basis for revealing the effect and mechanism of Lin28B gene in the onset of puberty in sheep .

  15. Genome-scan analysis for genetic mapping of quantitative trait loci underlying birth weight and onset of puberty in doe kids (Capra hircus).

    Science.gov (United States)

    Esmailizadeh, A K

    2014-12-01

    The objective of this study was to locate quantitative trait loci (QTL) causing variation in birth weight and age of puberty of doe kids in a population of Rayini cashmere goats. Four hundred and thirty kids from five half-sib families were genotyped for 116 microsatellite markers located on the caprine autosomes. The traits recorded were birth weight of the male and female kids, body weight at puberty, average daily gain from birth to age of puberty and age at puberty of the doe kids. QTL analysis was conducted using the least squares interval mapping approach. Linkage analysis indicated significant QTL for birth weight on Capra hircus chromosomes (CHI) 4, 5, 6, 18 and 21. Five QTL located on CHI 5, 14 and 29 were associated with age at puberty. Across-family analysis revealed evidence for overlapping QTL affecting birth weight (78 cM), body weight at puberty (72 cM), average daily gain from birth to age of puberty (72 cM) and age at puberty (76 cM) on CHI 5 and overlapping QTL controlling body weight at puberty and age at puberty on CHI 14 at 18-19 cM. The proportion of the phenotypic variance explained by the detected QTL ranged between 7.9% and 14.4%. Confirming some of the previously reported results for birth weight and growth QTL in goats, this study identified more QTL for these traits and is the first report of QTL for onset of puberty in doe kids.

  16. Association of ghrelin and leptin with reproductive hormones in constitutional delay of growth and puberty

    Directory of Open Access Journals (Sweden)

    El hawary Amany K

    2010-12-01

    Full Text Available Abstract Background Constitutional delay of growth and puberty (CDGP is a variation of the onset and timing of pubertal development without a defined endocrine abnormality. Recently published studies indicate that leptin and ghrelin play a role in puberty initiation and progress. They have been implicated in regulation of GnRH secretion, with ghrelin having inhibitory and leptin, facilitatory effects. We hypothesized that elevated ghrelin and reduced leptin concentrations could be implicated in altering the tempo of puberty in adolescents with CDGP. So in the current study we evaluate variations in leptin and ghrelin levels in adolescent boys with CDGP, the relationships between both hormones and reproductive hormones including LH, FSH and testosterone were also evaluated. Methods The study enrolled 23 adolescent boys with CDGP and 20 healthy controls matched for age and sex. Weight, height, BMI, testicular volume, bone age, bone age delay, serum FSH, LH, testosterone, leptin and ghrelin were assessed. Results Adolescent boys with CDGP had significantly lower leptin and higher ghrelin than normal controls. Leptin was positively correlated with BMI, bone age, testicular volume, FSH, LH and testosterone and negatively correlated with delayed bone age and ghrelin. Ghrelin was negatively correlated with BMI, bone age, testicular volume, FSH, LH and testosterone. With multiple regression analysis BMI, FSH, LH, testosterone and ghrelin remained independently correlated with leptin while BMI, LH and testosterone remained independently correlated with ghrelin. Conclusion Elevated serum ghrelin and decreased leptin concentrations and their associations with reproductive hormones may explain the sexual immaturity in adolescent boys with CDGP.

  17. The effects of nutrition, puberty and dancing on bone density in adolescent ballet dancers.

    Science.gov (United States)

    Burckhardt, Peter; Wynn, Emma; Krieg, Marc-Antoine; Bagutti, Carlo; Faouzi, Mohamed

    2011-06-01

    Ballet dancers have on average a low bone mineral content (BMC), with elevated fracture-risk, low body mass index (BMI) for age (body mass index, kg/m2), low energy intake, and delayed puberty. This study aims at a better understanding of the interactions of these factors, especially with regard to nutrition. During a competition for pre-professional dancers we examined 127 female participants (60 Asians, 67 Caucasians). They averaged 16.7 years of age, started dancing at 5.8 years, and danced 22 hours/week. Assessments were made for BMI, BMC (DXA), and bone mineral apparent density (BMAD) at the lumbar spine and femoral neck, pubertal stage (Tanner score), and nutritional status (EAT-40 questionnaire and a qualitative three-day dietary record). BMI for age was found to be normal in only 42.5% of the dancers, while 15.7% had a more or less severe degree of thinness (12.6% Grade2 and 3.1% Grade 3 thinness). Menarche was late (13.9 years, range 11 to 16.8 years). Food intake, evaluated by number of consumed food portions, was below the recommendations for a normally active population in all food groups except animal proteins, where the intake was more than twice the recommended amount. In this population, with low BMI and intense exercise, BMC was low and associated with nutritional factors; dairy products had a positive and non-dairy proteins a negative influence. A positive correlation between BMAD and years since menarche confirmed the importance of exposure to estrogens and the negative impact of delayed puberty. Because of this and the probable negative influence of a high intake of non-dairy proteins, such as meat, fish, and eggs, and the positive association with a high dairy intake, ballet schools should promote balanced diets and normal weight and should recognize and help dancers avoid eating disorders and delayed puberty caused by extensive dancing and inadequate nutrition.

  18. Influence of growth hormone on growth and onset of puberty ofRahmani ewe lamb

    Institute of Scientific and Technical Information of China (English)

    K H El-Shahat; N F Khaled; F I El-Far

    2014-01-01

    Objective:To study the effect of somatotropin administration on growth and puberty attainment of Rahmani ewes -lamb.Methods:TwelveRahmani ewes–lamb of6-7 months of age and average body weight(24.75±0.16) kg were randomly allotted into two equal groups.The first group served as control and the second group was somatotropin-treated.The ewe-lambs were weighed at the start and at the end of the experiment.In addition, the body condition score, withers height and heart girth were determined at the end of the study.Blood samples were collected weekly till the end of experiment(Twelve weeks).Sera samples were assayed for progesterone, insulin-like growth factor-1(IGF-1) glucose, total cholesterol, high density lipoprotein and urea.Results:It indicated that the somatotropin-treated group attained puberty2.5 weeks(18 days) earlier than control one.Somatotropin-treatedRahmani ewe lambs had higher body weight, and body condition score than those of the control one.A similar tendency was observed in average daily gain, withers height and heart girth.Somatotropin administration had a beneficial effect on blood born metabolites as indicated by increased serum glucose, total lipids, cholesterol,IGF-1 and decreased urea ofRahmani ewes- lamb as compared to control one.Conclusion:Somatotropin administration enhanced puberty inRahmani ewe lambs.This is due to increased provision of trophic signals(represented by increasedSerumIGF-1 secretions) and/or blood-borne metabolites(glucose, cholesterol and lipid).

  19. Helping a boy with chronic medical problems get on friendly terms with his body and puberty.

    Science.gov (United States)

    Todd, Victoria

    2012-01-01

    "My mom wants me to shave off my facial hair, but I like it. I think it makes me look mature," said sixteen-year-old Alex as he proudly stroked the crop of hairs sprouting from his chin. I was speechless. Why? Because for years I had heard about all the medical things that were wrong with Alex's body. Then, when puberty arrived, his distress about his changing body was intense. So how did psychoanalysis help him get on friendly terms with body changes, even enjoying signs of growing up? We shall see.

  20. 成年礼与考试%Puberty Rite and Test

    Institute of Scientific and Technical Information of China (English)

    李维喆

    2011-01-01

    The nature, purpose, content and form of puberty rite decides that it is the rudiment of the test, and it has a positive effect on the personal and social development and has inspiration to people's exam concept and educational philosophy.%成年礼的性质、目的、内容、形式等决定了它是考试的雏形,它对当时个人与社会的发展有积极作用,对当今人们的考试观、教育观不乏启迪意义.

  1. Puberdade em touros Nelore criados em pasto no Brasil: características corporais, testiculares e seminais e de índice de capacidade andrológica por pontos Puberty in Nellore bulls raised at pasture in Brazil: body, testicular and seminal characteristics and breeding soundness evaluation

    Directory of Open Access Journals (Sweden)

    G.E. Freneau

    2006-12-01

    ages of the presence of first spermatozoa in the ejaculate (ISEM1, first motile spermatozoa in the ejaculate (ISEM2, seminal puberty (IDPUB and detachment between penile and prepuce (IDPPRE were calculated. Scores of breeding soundness were measured. ISEM1, ISEM2, IDPUB and IDPPRE were 13.1±2.2, 13.6±2.3, 14.8±1.8 and 18.1±1.9 months, respectively. At 16 months of age, the animals presented 91.4%, 82.6% and 73.9% with ISEM1, ISEM2 and IDPUB reached, respectively. High positive correlation were observed between age and corporal and testicular growth or seminal physical aspects. Negative correlation was verified between age and spermatic defects. High negative correlation was observed between age and score of scrotal circumference at puberty (-0.7;7 P<0.001. Precocious puberty was observed before 15 months of age. From ISEM1 to IDPUB, 51 days were elapsed. Young bulls with larger testicles reached puberty earlier.

  2. Plasma androgenic activity in women with acne vulgaris and in healthy girls before, during and after puberty.

    Science.gov (United States)

    Odlind, V; Carlström, K; Michaëlsson, G; Vahlqvist, A; Victor, A; Mellbin, T

    1982-03-01

    The possible relationship between plasma androgenic activity and acne vulgaris was investigated. Plasma testosterone and sex hormone binding globulin (SHBG) levels were determined in healthy girls during different stages of puberty, in healthy adult women and in women with acne vulgaris. Testosterone increase during puberty, whereas SHBG decreased during the early stages before it increased and stabilized plasma concentrations of testosterone and SHBG. Women with severe acne vulgaris had testosterone levels in the same range but the SHBG levels were significantly lower than those of healthy women and women with mild acne. These results show a high androgenic activity in the intermediate stages of puberty, when acne vulgaris is a common complaint and an increased androgenic activity in adult women with severe acne vulgaris.

  3. UNESCO's Guidance on Puberty and Sexual Health Education for Students Aged 9-12 Years Compared to an Upper Primary School Curriculum

    Science.gov (United States)

    Goldman, Juliette D. G.

    2015-01-01

    Background: Children and young adolescents are reaching puberty earlier. Providing information about such changes before puberty can help them develop in a more competent and informed manner. Context and Objective: UNESCO's "International Technical Guidance on Sexuality Education" forms a comprehensive, evidence-based, authoritative…

  4. Primary School Puberty/Sexuality Education: Student-Teachers' Past Learning, Present Professional Education, and Intention to Teach These Subjects

    Science.gov (United States)

    Goldman, Juliette D. G.; Coleman, Stephanie J.

    2013-01-01

    Primary school teachers are often tasked with puberty/sexuality education for students who are undergoing sexual maturation at ever-earlier ages. This study explores the changing trajectories of the pre-service learning and teaching of primary school puberty/sexuality education at an urban university, including student-teachers' childhood…

  5. Genome-wide screening in human growth plates during puberty in one patient suggests a role for RUNX2 in epiphyseal maturation

    NARCIS (Netherlands)

    Emons, Joyce; Dutilh, Bas E.; Decker, Eva; Pirzer, Heide; Sticht, Carsten; Gretz, Norbert; Rappold, Gudrun; Cameron, Ewan R.; Neil, James C.; Stein, Gary S.; Wijnen, van Andre J.; Wit, Jan Maarten; Post, Janine N.; Karperien, Marcel

    2011-01-01

    In late puberty, estrogen decelerates bone growth by stimulating growth plate maturation. In this study, we analyzed the mechanism of estrogen action using two pubertal growth plate specimens of one girl at Tanner stage B2 and Tanner stage B3. Histological analysis showed that progression of puberty

  6. Genome-wide screening in human growth plates during puberty in one patient suggests a role for RUNX2 in epiphyseal maturation.

    NARCIS (Netherlands)

    Emons, J.; Dutilh, B.E.; Decker, E.; Pirzer, H.; Sticht, C.; Gretz, N.; Rappold, G.; Cameron, E.R.; Neil, J.C.; Stein, G.S.; Wijnen, A.J. van; Wit, J.M.; Post, J.N.; Karperien, M.

    2011-01-01

    In late puberty, estrogen decelerates bone growth by stimulating growth plate maturation. In this study, we analyzed the mechanism of estrogen action using two pubertal growth plate specimens of one girl at Tanner stage B2 and Tanner stage B3. Histological analysis showed that progression of puberty

  7. Relationships between day one piglet serum immunoglobulin immunocrit and subsequent growth, puberty attainment, litter size, and lactation performance.

    Science.gov (United States)

    Vallet, J L; Miles, J R; Rempel, L A; Nonneman, D J; Lents, C A

    2015-06-01

    Colostrum affects gut and uterine gland development in the neonatal piglet, suggesting that subsequent growth and reproductive performance may be affected. Measuring immunoglobulin in piglet serum using the immunoglobulin immunocrit on Day 1 of age provides a simple, inexpensive indication of the amount of colostrum acquired by the piglet in the first day of life. Relationships between serum immunoglobulin immunocrit measures and subsequent growth rates, age at puberty, incidence of puberty failure, litter size, and lactation performance were examined in pigs born and subsequently farrowing between 2009 and 2013. Immunoglobulin immunocrit measures were collected on 16,762 piglets on Day 1 of age. Of these piglets, BW measurements were available from 15,324 (7,684 males and 7,640 females) piglets at a range of ages from weaning to 200 d of age, allowing an assessment of growth rates. Age at puberty was recorded from a subset of 2,857 of the females after observing them for estrous behavior from approximately 170 to 250 d of age. To examine relationships between d 1 immunocrit and puberty failure, gilts with immunocrit measures that failed to reach puberty (n = 119) were matched with littermate gilts with immunocrit measures that achieved puberty (n = 167). Similarly, number born alive was collected on a subset (n = 799) of females from first to fourth parities for which d 1 immunocrits were measured on them as neonates. Finally, d 1 immunocrit effect on adult lactational competence was assessed by measuring litter average (offspring of 440 females) and litter average piglet preweaning growth rate (offspring of 774 females) in females where d 1 immunocrits were available from them as neonates. Results indicated that low d 1 immunocrits were subsequently associated with reduced growth (P piglets would result in beneficial changes in production efficiency, particularly for gilts destined for the breeding herd. It also suggests that the immunoglobulin immunocrit can be

  8. Brain acetylcholinesterase and its molecular forms in a precocial murid, Acomys cahirinus, and rat during post-natal development.

    Science.gov (United States)

    Michalek, H; Pintor, A; Fortuna, S; Bisso, G M

    1984-01-01

    Brain acetylcholinesterase (AChE) and its molecular forms of a precocial murid, Acomys cahirinus, characterized by a large hippocampus, were measured during post-natal development and compared with rat. The activity of soluble AChE in Acomys increased slightly up to 4 weeks after birth. The total AChE activity increased somewhat more but, in rats, this increase was still greater. Three main molecular forms of AChE were separated by 7.5% polyacrylamide gel electrophoresis. Their close similarity to the rat AChE forms was assessed by gradient polyacrylamide gel electrophoresis and electrofocusing. Maturation of these forms, i.e., conversion of simple into more complex forms in the soluble fraction of AChE was, however, considerably delayed reaching only after 4 weeks the pattern comparable to that of rat.

  9. Premature translation of protamine 1 mRNA causes precocious nuclear condensation and arrests spermatid differentiation in mice.

    Science.gov (United States)

    Lee, K; Haugen, H S; Clegg, C H; Braun, R E

    1995-01-01

    Translational control is a major form of regulating gene expression during gametogenesis and early development in many organisms. We sought to determine whether the translational repression of the protamine 1 (Prm1) mRNA is necessary for normal spermatid differentiation in mice. To accomplish this we generated transgenic animals that carry a Prm1 transgene lacking its normal 3' untranslated region. Premature translation of Prm1 mRNA caused precocious condensation of spermatid nuclear DNA, abnormal head morphogenesis, and incomplete processing of Prm2 protein. Premature accumulation of Prm1 within syncytial spermatids in mice hemizygous for the transgene caused dominant male sterility, which in some cases was accompanied by a complete arrest in spermatid differentiation. These results demonstrate that correct temporal synthesis of Prm1 is necessary for the transition from nucleohistones to nucleoprotamines. Images Fig. 1 Fig. 2 Fig. 3 Fig. 4 PMID:8618919

  10. Precocious locomotor behavior begins in the egg: development of leg muscle patterns for stepping in the chick.

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    Young U Ryu

    Full Text Available BACKGROUND: The chicken is capable of adaptive locomotor behavior within hours after hatching, yet little is known of the processes leading to this precocious skill. During the final week of incubation, chick embryos produce distinct repetitive limb movements that until recently had not been investigated. In this study we examined the leg muscle patterns at 3 time points as development of these spontaneous movements unfolds to determine if they exhibit attributes of locomotion reported in hatchlings. We also sought to determine whether the deeply flexed posture and movement constraint imposed by the shell wall modulate the muscle patterns. METHODOLOGY/PRINCIPAL FINDINGS: Synchronized electromyograms for leg muscles, force and video were recorded continuously from embryos while in their naturally flexed posture at embryonic day (E 15, E18 and E20. We tested for effects of leg posture and constraint by removing shell wall anterior to the foot. Results indicated that by E18, burst onset time distinguished leg muscle synergists from antagonists across a 10-fold range in burst frequencies (1-10 Hz, and knee extensors from ankle extensors in patterns comparable to locomotion at hatching. However, burst durations did not scale with step cycle duration in any of the muscles recorded. Despite substantially larger leg movements after shell removal, the knee extensor was the only muscle to vary its activity, and extensor muscles often failed to participate. To further clarify if the repetitive movements are likely locomotor-related, we examined bilateral coordination of ankle muscles during repetitive movements at E20. In all cases ankle muscles exhibited a bias for left/right alternation. CONCLUSIONS/SIGNIFICANCE: Collectively, the findings lead us to conclude that the repetitive leg movements in late stage embryos are locomotor-related and a fundamental link in the establishment of precocious locomotor skill. The potential importance of differences

  11. RNAi-mediated silencing of vitellogenin gene function turns honeybee ( Apis mellifera) workers into extremely precocious foragers

    Science.gov (United States)

    Marco Antonio, David Santos; Guidugli-Lazzarini, Karina Rosa; Do Nascimento, Adriana Mendes; Simões, Zilá Luz Paulino; Hartfelder, Klaus

    2008-10-01

    The switch from within-hive activities to foraging behavior is a major transition in the life cycle of a honeybee ( Apis mellifera) worker. A prominent regulatory role in this switch has long been attributed to juvenile hormone (JH), but recent evidence also points to the yolk precursor protein vitellogenin as a major player in behavioral development. In the present study, we injected vitellogenin double-stranded RNA (dsVg) into newly emerged worker bees of Africanized genetic origin and introduced them together with controls into observation hives to record flight behavior. RNA interference-mediated silencing of vitellogenin gene function shifted the onset of long-duration flights (>10 min) to earlier in life (by 3 4 days) when compared with sham and untreated control bees. In fact, dsVg bees were observed conducting such flights extremely precociously, when only 3 days old. Short-duration flights (<10 min), which bees usually perform for orientation and cleaning, were not affected. Additionally, we found that the JH titer in dsVg bees collected after 7 days was not significantly different from the controls. The finding that depletion of the vitellogenin titer can drive young bees to become extremely precocious foragers could imply that vitellogenin is the primary switch signal. At this young age, downregulation of vitellogenin gene activity apparently had little effect on the JH titer. As this unexpected finding stands in contrast with previous results on the vitellogenin/JH interaction at a later age, when bees normally become foragers, we propose a three-step sequence in the constellation of physiological parameters underlying behavioral development.

  12. The CXC chemokine cCAF stimulates precocious deposition of ECM molecules by wound fibroblasts, accelerating development of granulation tissue

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    Li Qi-Jing

    2002-06-01

    Full Text Available Abstract Background During wound repair, fibroblasts orchestrate replacement of the provisional matrix formed during clotting with tenascin, cellular fibronectin and collagen III. These, in turn, are critical for migration of endothelial cells, keratinocytes and additional fibroblasts into the wound site. Fibroblasts are also important in the deposition of collagen I during scar formation. The CXC chemokine chicken Chemotactic and Angiogenic Factor (cCAF, is highly expressed by fibroblasts after wounding and during development of the granulation tissue, especially in areas where extracellular matrix (ECM is abundant. We hypothesized that cCAF stimulates fibroblasts to produce these matrix molecules. Results Here we show that this chemokine can stimulate precocious deposition of tenascin, fibronectin and collagen I, but not collagen III. Studies in culture and in vivo show that tenascin stimulation can also be achieved by the N-terminal 15 aas of the protein and occurs at the level of gene expression. In contrast, stimulation of fibronectin and collagen I both require the entire molecule and do not involve changes in gene expression. Fibronectin accumulation appears to be linked to tenascin production, and collagen I to decreased MMP-1 levels. In addition, cCAF is chemotactic for fibroblasts and accelerates their migration. Conclusions These previously unknown functions for chemokines suggest that cCAF, the chicken orthologue of human IL-8, enhances healing by rapidly chemoattracting fibroblasts into the wound site and stimulating them to produce ECM molecules, leading to precocious development of granulation tissue. This acceleration of the repair process may have important application to healing of impaired wounds.

  13. White matter development in adolescence: the influence of puberty and implications for affective disorders.

    Science.gov (United States)

    Ladouceur, Cecile D; Peper, Jiska S; Crone, Eveline A; Dahl, Ronald E

    2012-01-01

    There have been rapid advances in understanding a broad range of changes in brain structure and function during adolescence, and a growing interest in identifying which of these neurodevelopmental changes are directly linked with pubertal maturation—at least in part because of their potential to provide insights into the numerous emotional and behavioral health problems that emerge during this developmental period. This review focuses on what is known about the influence of puberty on white matter development in adolescence.We focus on white matter because of its role in providing the structural architectural organization of the brain and as a structural correlate of communication within complex neural systems. We begin with a review of studies that report sex differences or sex by age interactions in white matter development as these findings can provide, although indirectly,information relevant to puberty-related changes. Studies are also critically reviewed based on methodological procedures used to assess pubertal maturation and relations with white matter changes. Findings are discussed in light of their implications for the development of neural systems underlying the regulation of emotion and behavior and how alterations in the development of these systems may mediate risk for affective disorders in vulnerable adolescents.

  14. Maternal Preeclampsia and Androgens in the Offspring around Puberty: A Follow-Up Study

    Science.gov (United States)

    Janszky, Imre; Åsvold, Bjørn O.; Økland, Inger; Forman, Michele R.; Vatten, Lars J.

    2016-01-01

    Background Children born after preeclampsia may have a dominant androgen profile in puberty compared with other children. Circulating androgen concentrations at 11–12 years of age were compared between offspring born after preeclampsia, and children whose mothers did not have preeclampsia. Methods A total of 611 mother-offspring pairs were followed up 11 (daughters) or 12 (sons) years after birth: 218 pairs in the preeclampsia group, and 383 pairs without preeclampsia. Circulating total testosterone, androstenedione, dehydroepiandrosterone sulfate (DHEAS), and insulin-like growth factor I (IGF-I) were measured in the children. In boys, testicular volume was also measured. Results Among girls born after preeclampsia, DHEAS concentrations were higher than in unexposed girls (ppreeclampsia with severe features had the lowest DHEAS levels. In contrast, testosterone concentrations were highest in girls born after preeclampsia with severe features, both compared to other girls in the preeclampsia group, and compared to unexposed girls (ppreeclampsia group compared with unexposed boys (ppreeclampsia with severe features had the lowest concentrations of DHEAS. Compared with unexposed boys, testicular volume (p = 0.015) and IGF-I (p = 0.004) were higher for boys in the preeclampsia group, except for boys in the clinically severe preeclampsia group. Conclusions In utero exposure to preeclampsia is associated with androgen hormonal patterns in early puberty that depend on clinical severity of preeclampsia and sex of the offspring. The hormonal differences may reflect different timing of pubertal development, and may have consequences for future health of the offspring. PMID:27992610

  15. Tonic control of kisspeptin release in prepubertal monkeys: implications to the mechanism of puberty onset.

    Science.gov (United States)

    Kurian, Joseph R; Keen, Kim L; Guerriero, Kathryn A; Terasawa, Ei

    2012-07-01

    Previously we have shown that a reduction in γ-amino butyric acid (GABA) inhibition is critical for the mechanism initiating puberty onset because chronic infusion of the GABA(A) receptor antagonist, bicuculline, significantly increased GnRH release and accelerated the timing of menarche and first ovulation in female rhesus monkeys. Because previous studies in our laboratory indicate that in prepubertal female monkeys, kisspeptin release in the medial basal hypothalamus is low, whereas kisspeptin-10 can stimulate GnRH release, we hypothesized that a low level of kisspeptin release prior to puberty onset is due to tonic GABA inhibition. To test this hypothesis we examined the effects of bicuculline infusion on kisspeptin release using a microdialysis method. We found that bicuculline at 1 μM dramatically stimulates kisspeptin release in the medial basal hypothalamus of prepubertal monkeys but had little effect on kisspeptin release in midpubertal monkeys. We further examined whether bicuculline-induced GnRH release is blocked by the presence of the kisspeptin antagonist, peptide 234. We found that inhibition of kisspeptin signaling blocked the bicuculline-induced stimulation of GnRH release, suggesting that kisspeptin neurons may relay inhibitory GABA signals to GnRH neurons. This implies that a reduction in tonic GABA inhibition of GnRH release is, at least in part, mediated through kisspeptin neurons.

  16. [Effects of puberty on glucose-lipid balance during exercise in the obese child].

    Science.gov (United States)

    Zunquin, Gautier; Theunynck, Denis; Sesboüé, Bruno; Arhan, Pierre; Bouglé, Dominique

    2006-08-01

    The aim of the present study was to investigate effect of puberty on substrate oxidation rates using a graded exercise test to exhaustion. Two groups of obese adolescent males (34 prepubertal: body mass index (BMI) = 25,94 +/- 2,63; Z-score = 4,43 +/- 1,83; and 26 postpubertal: BMI = 31,14 +/- 4,88; Z-score = 5,264 +/- 1,76) performed an exercise test on a cycle ergometer. The test consisted in a series of graded exercises on a cycle ergometer. Stage duration was 3 min 30 s. Fat and carbohydrate rates were calculated during the last 30 s of each stage using stoichiometric equations, and this permitted us to calculate substrate oxidation according to exercise intensity. Lipid oxidation rates are significantly higher in the postpubertal group. When the fat oxidation rates are reported relative to fat free mass, fat oxidation rates are higher in the prepubertal group. Puberty decreases significantly the capacity of fat free mass to oxidize fat for a same level of exercise.

  17. Delayed Puberty

    Science.gov (United States)

    ... problems such as Turner syndrome in girls or Klinefelter syndrome in boys • Some cancer treatments that affect sex ... Menopause/upload/polycystic- ovary-syndrome-bilingual-071509.pdf ——Klinefelter Syndrome: www.hormone.org/Resources/ upload/FS_MH_Klinefelter_ ...

  18. Delayed Puberty

    DEFF Research Database (Denmark)

    Kolby, Nanna; Busch, Alexander Siegfried; Juul, Anders

    2017-01-01

    of diagnostic evaluation today remain in distinguishing the benign CDGP from underlying pathological causes such as hypogonadotropic hypogonadism (HH) and hypergonadotropic hypogonadism. Several techniques have been investigated for this purpose and are reviewed in this chapter; however, no single test is yet...

  19. The Impact of Puberty and Sexual Activity upon the Health and Education of Adolescent Girls and Boys.

    Science.gov (United States)

    Brooks-Gunn, J.

    1987-01-01

    Sex equity issues which are emphasized in this article include: (a) how boys and girls negotiate reproductive transitions; (b) how male and female sexual maturity is treated differently by parents, educators, and society; and (c) how the consequences of puberty and sexual behavior may differ for boys and girls. (IAH)

  20. Stress before Puberty Exerts a Sex- and Age-Related Impact on Auditory and Contextual Fear Conditioning in the Rat

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    Maria Toledo-Rodriguez

    2007-01-01

    Full Text Available Adolescence is a period of major physical, hormonal, and psychological changes. It is also characterized by a significant increase in the incidence of psychopathologies and this increase is gender-specific. Stress during adolescence is associated with the development of psychiatric disorders later in life. In this study, we evaluated the impact of psychogenic stress (exposure to predator odor followed by placement on an elevated platform experienced before puberty (days 28–30 on fear memories and hormonal response of male and female rats during adolescence and early adulthood. Stress before puberty impacted in a sex- and age-specific way on the responses to auditory and contextual fear conditioning in adolescence and adulthood: (a increased conditioned fear to the tone in males during adolescence but not during adulthood; (b impaired extinction to the tone in adult males; and (c reduced freezing responses to the context in adolescent females. Stress before puberty did not influence the corticosterone levels 30 minutes after an additional stressor given in adulthood. These results indicate that stress experienced prior to puberty can exert a sex-related differential impact on fear-related behaviors displayed by individuals during late adolescence and early adulthood.

  1. The Role of Sex Hormone Replacement Therapy on Self-Perceived Competence in Adolescents with Delayed Puberty.

    Science.gov (United States)

    Schwab, Jacqueline; Kulin, Howard E.; Susman, Elizabeth J.; Finkelstein, Jordan W.; Chinchilli, Vernon M.; Kunselman, Susan J.; Liben, Lyye S.; D'Arcangelo, M. Rose; Demers, Lawrence M.

    2001-01-01

    Examined role of sex steroids in development of self-perceived competence among adolescents receiving hormone therapy for delayed puberty. Found that hormone treatments had a significant positive effect for both males and females in perceived job competence. Significant positive effects were also obtained for perceptions of romantic appeal and…

  2. Gitelman syndrome manifesting in early childhood and leading to delayed puberty: a case report

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    Raza Farhan

    2012-10-01

    Full Text Available Abstract Introduction Gitelman syndrome is an inherited autosomal recessive renal salt-wasting disorder. It presents with variable clinical symptoms including muscle weakness and fatigue, and the diagnosis is based on metabolic alkalosis, hypokalemia, hypomagnesemia and hypocalciuria. It is usually diagnosed incidentally in early adulthood. There are rare cases of Gitelman syndrome presenting in early childhood; however, to the best of our knowledge it has not previously been associated with delayed puberty. Case presentation A 17-year-old South Asian man with recurrent episodes of generalized muscle weakness, fatigue and cramps from the age of two years was admitted for further workup. Before the age of 12 years, the episodes had been mild, but they then got progressively worse. Other symptoms include polyuria, polydipsia, nocturia, paresthesia and occasional watery diarrhea. He also had a history of short stature, poor weight gain and delayed developmental landmarks. His family history was unremarkable except for the consanguineous marriage of his parents. An examination revealed a thin and lean man with blood pressure of 95/60mmHg. His height and weight were below the third percentile and his sexual development was at Tanner Stage II. Laboratory work revealed serum sodium of 124mmol/L, potassium 2.4mmol/L, calcium 6.5mmol/L and magnesium of 1.2mg/dL. His testosterone level was low (0.85ng/mL, normal for his age 2.67 to 10.12ng/mL with normal levels of luteinizing hormone and follicle-stimulating hormone. The sex hormone findings were attributed to delayed puberty. A 24-hour urinary analysis revealed decreased excretion of calcium (25.9mg/24 hours. Based on the findings of hypokalemic metabolic alkalosis without hypertension, severe hypomagnesemia and hypocalciuria, a diagnosis of Gitelman syndrome was made. Treatment was started with oral supplementation of potassium, magnesium and calcium along with spironolactone and liberal salt intake

  3. The influence of stress at puberty on mood and learning: role of the α4βδ GABAA receptor.

    Science.gov (United States)

    Smith, S S

    2013-09-26

    It is well-known that the onset of puberty is associated with changes in mood as well as cognition. Stress can have an impact on these outcomes, which in many cases, can be more influential in females, suggesting that gender differences exist. The adolescent period is a vulnerable time for the onset of certain psychopathologies, including anxiety disorders, depression and eating disorders, which are also more prevalent in females. One factor which may contribute to stress-triggered anxiety at puberty is the GABAA receptor (GABAR), which is known to play a pivotal role in anxiety. Expression of α4βδ GABARs increases on the dendrites of CA1 pyramidal cells at the onset of puberty in the hippocampus, part of the limbic circuitry which governs emotion. This receptor is a sensitive target for the stress steroid 3α-OH-5[α]β-pregnan-20-one or [allo]pregnanolone, which paradoxically reduces inhibition and increases anxiety during the pubertal period (post-natal day ∼35-44) of female mice in contrast to its usual effect to enhance inhibition and reduce anxiety. Spatial learning and synaptic plasticity are also adversely impacted at puberty, likely a result of increased expression of α4βδ GABARs on the dendritic spines of CA1 hippocampal pyramidal cells, which are essential for consolidation of memory. This review will focus on the role of these receptors in mediating behavioral changes at puberty. Stress-mediated changes in mood and cognition in early adolescence may have relevance for the expression of psychopathologies in adulthood.

  4. Evaluation of GnRH analogue testing in diagnosis and management of children with pubertal disorders

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    Hemchand K Prasad

    2012-01-01

    Full Text Available Context: Gonadotrophin releasing hormone (GnRH stimulation test is pivotal in the assessment of children with pubertal disorders. However, lack of availability and high cost often result in the test falling into disfavor. We routinely use the GnRH analogue stimulation test as an alternative at our center. Aim: To present the data on children with endocrine disorders who underwent GnRH agonist stimulation test in pediatric endocrine clinic of a tertiary care referral hospital. Setting and Design: Pediatric endocrine clinic of a tertiary care referral hospital. Retrospective analysis of case records. Materials and Methods: The details pertaining to clinical and radiological parameters and hormonal tests were retrieved from case records of 15 children who underwent GnRH agonist stimulation test from May 2010 to April 2011. Results: Indications for testing with GnRH analogue were evaluation of delayed puberty, diagnosis of precocious puberty, assessment of hormonal suppression in treatment of precocious puberty and micropenis in two, nine, three and one cases, respectively. The results of the test and clinical and radiological parameters were in concordance. The test was also crucial in diagnosing the onset of central precocious puberty in two children with congenital adrenal hyperplasia. Conclusion: GnRH agonist test is a convenient, safe test that can be performed on an out-patient basis and can help the clinicians in the correct diagnosis and appropriate treatment of various puberty-related disorders.

  5. Puberty as a vulnerable period to the effects of immune challenges: Focus on sex differences.

    Science.gov (United States)

    Kane, Leanne; Ismail, Nafissa

    2017-03-01

    Puberty is a critical period of development during which sexual maturity is attained. It is also a critical period for brain reorganization and it is vulnerable to exposure to certain environmental factors. Exposure to stress during this period can cause enduring neural and behavioral alterations. More specifically, exposure to an immune challenge during this period can alter reproductive as well as a number of non-reproductive behaviors and can permanently alter the brain's response to gonadal hormones. The present review examines the enduring effect of exposure to LPS and poly(I:C) during the pubertal period. Age and sex differences in acute response to LPS are discussed as possible mechanisms of vulnerability to adverse effects. Moreover, this review suggests new research directions to improve our understanding of the vulnerability of the pubertal period to immunological stressors.

  6. Maturation of kisspeptinergic neurons coincides with puberty onset in male rats

    DEFF Research Database (Denmark)

    Bentsen, Agnete H; Ansel, Laura; Simonneaux, Valerie;

    2010-01-01

    at any age, numerous kisspeptin-positive neurons in the arcuate nucleus were detected in the adult rat. Increasing doses of kisspeptin-54 given peripherally to male rats at PND15, 30, 45, and 60 evoked roughly similar effects, as revealed by the induction of c-Fos in the pituitary and secretion of LH...... periventricular nucleus (AVPV) and the arcuate nucleus of male rats along pubertal development. Neurons expressing Kiss1 mRNA were first detected at PND15, but increased significantly around puberty, and declined again in the adult rat. While virtually no immunoreactive cell bodies were detectable in the AVPV...... and testosterone. These results show that both Kiss1 mRNA and the peptide increase in arcuate nucleus along pubertal maturation. Since kisspeptin signaling is potentially functional, even for peripheral activation, and well before the kisspeptin neuronal system is fully matured, our data support...

  7. Psoriasis: Female Skin Changes in Various Hormonal Stages throughout Life—Puberty, Pregnancy, and Menopause

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    Romana Ceovic

    2013-01-01

    Full Text Available Psoriasis is one of the most prevalent immune mediated skin diseases worldwide. Despite the large prevalence in both men and women, the pathogenesis of this disease has not yet been fully clarified. Nowadays, it is believed that psoriasis is most likely a T helper Th1/Th17 induced inflammatory disease. Stressful life situations are known to cause flare-ups and psoriasis activity may be linked to stress from major life events. We know that stress greatly affects both the hormone and immune systems and that there are many different hormonal phases throughout a woman’s lifetime. The severity of psoriasis may fluctuate or be influenced by each phase and this relationship can be seen as disease frequency seems to peak during puberty, postpartum, and menopause when hormone levels fall, while symptoms improve during pregnancy, a state when hormone levels are increased.

  8. A rare case of puberty onset congenital erythropoietic porphyria with ophthalmological manifestations

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    Debjani Mishra

    2016-01-01

    Full Text Available A 27-year-old male patient was presented with foreign body sensation in both the eyes for 2 years duration and blisters followed by scarring and pigmentation in the photo-exposed areas of the body over the previous 12 years. His urine was reddish colored for the previous year. On examination, there was scarring, hyper-pigmentation of photo-exposed parts of the body along with resorption of the distal phalanges of fingers in both hands except the smallest digit which had onycholysis. Ocular examination indicated scleral necrosis in the interpalpebral areas in both eyes and bilateral dry eye. Hematological examination indicated a picture suggestive of hemolytic anemia. Abdominal ultrasonography indicated an enlarged spleen. These clinical features are suggestive of puberty onset congenital erythropoietic porphyria with ophthalmological manifestations.

  9. Female rats are less susceptible during puberty to the lethal effects of percutaneous exposure to VX

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    Linnzi K.M. Wright

    2016-01-01

    Full Text Available Nerve agents with low volatility such as VX are primarily absorbed through the skin when released during combat or a terrorist attack. The barrier function of the stratum corneum may be compromised during certain stages of development, allowing VX to more easily penetrate through the skin. However, age-related differences in the lethal potency of VX have yet to be evaluated using the percutaneous (pc route of exposure. Thus, we estimated the 24 and 48 h median lethal dose for pc exposure to VX in male and female rats during puberty and early adulthood. Pubescent, female rats were less susceptible than both their male and adult counterparts to the lethal effects associated with pc exposure to VX possibly because of hormonal changes during that stage of development. This study emphasizes the need to control for both age and sex when evaluating the toxicological effects associated with nerve agent exposure in the rat model.

  10. Assessment of High Rates of Precocious Male Maturation in a Spring Chinook Salmon Supplementation Hatchery Program, Annual Report 2002-2003.

    Energy Technology Data Exchange (ETDEWEB)

    Larsen, Donald; Beckman, Brian; Cooper, Kathleen

    2003-08-01

    The Yakima River Spring Chinook Salmon Supplementation Project in Washington State is currently one of the most ambitious efforts to enhance a natural salmon population in the United States. Over the past five years we have conducted research to characterize the developmental physiology of naturally- and hatchery-reared wild progeny spring chinook salmon (Oncorhynchus tshawytscha) in the Yakima River basin. Fish were sampled at the main hatchery in Cle Elum, at remote acclimation sites and, during smolt migration, at downstream dams. Throughout these studies the maturational state of all fish was characterized using combinations of visual and histological analysis of testes, gonadosomatic index (GSI), and measurement of plasma 11-ketotestosterone (11-KT). We established that a plasma 11-KT threshold of 0.8 ng/ml could be used to designate male fish as either immature or precociously maturing approximately 8 months prior to final maturation (1-2 months prior to release as 'smolts'). Our analyses revealed that 37-49% of the hatchery-reared males from this program undergo precocious maturation at 2 years of age and a proportion of these fish appear to residualize in the upper Yakima River basin throughout the summer. An unnaturally high incidence of precocious male maturation may result in loss of potential returning anadromous adults, skewing of female: male sex ratios, ecological, and genetic impacts on wild populations and other native species. Precocious male maturation is significantly influenced by growth rate at specific times of year and future studies will be conducted to alter maturation rates through seasonal growth rate manipulations.

  11. New protocetid whale from the middle eocene of pakistan: birth on land, precocial development, and sexual dimorphism.

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    Philip D Gingerich

    Full Text Available BACKGROUND: Protocetidae are middle Eocene (49-37 Ma archaeocete predators ancestral to later whales. They are found in marine sedimentary rocks, but retain four legs and were not yet fully aquatic. Protocetids have been interpreted as amphibious, feeding in the sea but returning to land to rest. METHODOLOGY/PRINCIPAL FINDINGS: Two adult skeletons of a new 2.6 meter long protocetid, Maiacetus inuus, are described from the early middle Eocene Habib Rahi Formation of Pakistan. M. inuus differs from contemporary archaic whales in having a fused mandibular symphysis, distinctive astragalus bones in the ankle, and a less hind-limb dominated postcranial skeleton. One adult skeleton is female and bears the skull and partial skeleton of a single large near-term fetus. The fetal skeleton is positioned for head-first delivery, which typifies land mammals but not extant whales, evidence that birth took place on land. The fetal skeleton has permanent first molars well mineralized, which indicates precocial development at birth. Precocial development, with attendant size and mobility, were as critical for survival of a neonate at the land-sea interface in the Eocene as they are today. The second adult skeleton is the most complete known for a protocetid. The vertebral column, preserved in articulation, has 7 cervicals, 13 thoracics, 6 lumbars, 4 sacrals, and 21 caudals. All four limbs are preserved with hands and feet. This adult is 12% larger in linear dimensions than the female skeleton, on average, has canine teeth that are 20% larger, and is interpreted as male. Moderate sexual dimorphism indicates limited male-male competition during breeding, which in turn suggests little aggregation of food or shelter in the environment inhabited by protocetids. CONCLUSIONS/SIGNIFICANCE: Discovery of a near-term fetus positioned for head-first delivery provides important evidence that early protocetid whales gave birth on land. This is consistent with skeletal

  12. Heritability of volumetric brain changes and height in children entering puberty.

    Science.gov (United States)

    van Soelen, Inge L C; Brouwer, Rachel M; van Baal, G Caroline M; Schnack, Hugo G; Peper, Jiska S; Chen, Lei; Kahn, René S; Boomsma, Dorret I; Hulshoff Pol, Hilleke E

    2013-03-01

    The human brain undergoes structural changes in children entering puberty, while simultaneously children increase in height. It is not known if brain changes are under genetic control, and whether they are related to genetic factors influencing the amount of overall increase in height. Twins underwent magnetic resonance imaging brain scans at age 9 (N = 190) and 12 (N = 125). High heritability estimates were found at both ages for height and brain volumes (49-96%), and high genetic correlation between ages were observed (r(g) > 0.89). With increasing age, whole brain (+1.1%), cerebellum (+4.2%), cerebral white matter (+5.1%), and lateral ventricle (+9.4%) volumes increased, and third ventricle (-4.0%) and cerebral gray matter (-1.6%) volumes decreased. Children increased on average 13.8 cm in height (9.9%). Genetic influences on individual difference in volumetric brain and height changes were estimated, both within and across traits. The same genetic factors influenced both cerebral (20% heritable) and cerebellar volumetric changes (45%). Thus, the extent to which changes in cerebral and cerebellar volumes are heritable in children entering puberty are due to the same genes that influence change in both structures. The increase in height was heritable (73%), and not associated with cerebral volumetric change, but positively associated with cerebellar volume change (r(p) = 0.24). This association was explained by a genetic correlation (r(g) = 0.48) between height and cerebellar change. Brain and body each expand at their own pace and through separate genetic pathways. There are distinct genetic processes acting on structural brain development, which cannot be explained by genetic increase in height.

  13. Does a facultative precocious life cycle predispose the marine trematode Proctoeces cf. lintoni to inbreeding and genetic differentiation among host species?

    Science.gov (United States)

    Valdivia, I M; Criscione, C D; Cárdenas, L; Durán, C P; Oliva, M E

    2014-03-01

    Intraspecific variability in parasite life cycle complexity (number of hosts and species of hosts in the life cycle) may have an impact how parasite genetic variation is partitioned among individual parasites, host individuals or host species within a given area. Among digenean trematodes, a three-host life cycle is common. However, a few species are precocious and may reach sexual maturity in what is typically regarded as the second intermediate host. The objective of this study was to determine whether a precocious life cycle predisposes digeneans to possible inbreeding or genetic subdivision among host species. As a study system, we used the digenean Proctoeces cf. lintoni whose metacercariae precociously mature (facultative) without a cyst wall in the gonads of multiple sympatric species of keyhole limpets (Fissurella spp.), typically regarded as the second intermediate hosts. Genotyped parasites were collected from four species of limpets and the clingfish Sicyases sanguineus, the third and final host where sexual maturity occurs. We found very high microsatellite diversity, Hardy-Weinberg equilibrium over all genotyped individuals, and little to no genetic structuring among parasites collected from the different host species. The fact that metacercariae do not encyst in the keyhole limpets, coupled with the high mixing potential of an aquatic environment, likely promote panmixia in local populations of P. cf. lintoni.

  14. Accelerated CCl4-induced liver fibrosis in Hjv-/- mice, associated with an oxidative burst and precocious profibrogenic gene expression.

    Directory of Open Access Journals (Sweden)

    Giada Sebastiani

    Full Text Available Hereditary hemochromatosis is commonly associated with liver fibrosis. Likewise, hepatic iron overload secondary to chronic liver diseases aggravates liver injury. To uncover underlying molecular mechanisms, hemochromatotic hemojuvelin knockout (Hjv-/- mice and wild type (wt controls were intoxicated with CCl(4. Hjv-/- mice developed earlier (by 2-4 weeks and more acute liver damage, reflected in dramatic levels of serum transaminases and ferritin and the development of severe coagulative necrosis and fibrosis. These responses were associated with an oxidative burst and early upregulation of mRNAs encoding α1-(I-collagen, the profibrogenic cytokines TGF-β1, endothelin-1 and PDGF and, notably, the iron-regulatory hormone hepcidin. Hence, CCl4-induced liver fibrogenesis was exacerbated and progressed precociously in Hjv-/- animals. Even though livers of naïve Hjv-/- mice were devoid of apparent pathology, they exhibited oxidative stress and immunoreactivity towards α-SMA antibodies, a marker of hepatic stellate cells activation. Furthermore, they expressed significantly higher (2-3 fold vs. wt, p<0.05 levels of α1-(I-collagen, TGF-β1, endothelin-1 and PDGF mRNAs, indicative of early fibrogenesis. Our data suggest that hepatic iron overload in parenchymal cells promotes oxidative stress and triggers premature profibrogenic gene expression, contributing to accelerated onset and precipitous progression of liver fibrogenesis.

  15. Observation of the excretion pattern of a precocious line of Eimeria necatrix and the strengthening of immune homogeneity.

    Science.gov (United States)

    Chen, Rui-Ai; Wang, Wen-Li; Lin, Rui-Qing; Liu, Li-Dan; Liao, Gui-Cheng; Tang, Jian-Hong; Wu, Song-Ming; Tan, Zhi-Jian; Weng, Ya-Biao

    2016-05-01

    The excretion frequencies of cecal and intestinal droppings of Chinese Lingnan yellow chickens were observed for 10 consecutive days. The chickens were then orally inoculated with a precocious line of Eimeria necatrix, and the oocysts present in the cecal and intestinal droppings were separately collected and monitored using the McMaster method. The results showed that the excretion frequency of cecal droppings was significantly lower than that of intestinal droppings, and the oocysts of E. necatrix were distributed primarily in the cecal droppings. This distribution affects the homogeneity of the second and third generation of oocysts ingested by the chickens and therefore affects the immune effect observed during E. necatrix immunization. To artificially strengthen the immunologic homogeneity against E. necatrix, a method of artificially strengthening the second immunization was applied, and the immune effect was evaluated based on oocyst excretion, body weight gain, fecal scores, intestinal lesion scores and survival percentages. The results showed that no significant intestinal damage was caused by immunization reactions in the chickens. In addition, the number of excreted oocysts in the immunized chicken groups could be significantly increased, and the immunologic homogeneity of the immunized chickens could be improved by artificially strengthening the second immunization, which could in turn improve the immune protective effect.

  16. Attenuation of a drug-sensitive strain of a turkey protozoan parasite Eimeria meleagrimitis by selection for precocious development.

    Science.gov (United States)

    Rathinam, T; Gadde, U; Chapman, H D

    2016-01-30

    An attenuated line of Eimeria meleagrimitis was established by repeated propagation of the parasite in 9-day old turkey poults and subsequent selection for precocious development. Following 20 passages, the prepatent period decreased from 120 to 104h. A series of experiments were conducted to evaluate the pathogenicity, immunogenicity and fecundity of the newly selected line. Judged by body weight gain, feed consumption and feed efficiency following infection, the attenuated line had appreciably reduced pathogenicity. Immunogenicity of the attenuated line was examined by infecting poults successively with incremental doses of 10(2), 10(3) and 10(4) oocysts at 0, 7, and 14 days of age respectively. No oocysts were detected following challenge with 5×10(2) oocysts, indicating that the attenuated line had retained immunogenicity. Fecundity was assessed by infecting two-week old birds with 5×10(2) oocysts of either parent or attenuated line. Oocyst production from 96 to 240h post-infection showed that the patent period of the attenuated line commenced earlier and was of shorter duration than the parent line.

  17. Behavioural effects of near-term acute fetal hypoxia in a small precocial animal, the spiny mouse (Acomys cahirinus).

    Science.gov (United States)

    Ireland, Zoe; Dickinson, Hayley; Fleiss, Bobbi; Hutton, Lisa C; Walker, David W

    2010-01-01

    We have previously developed a model of near-term intra-uterine hypoxia producing significant neonatal mortality (37%) in a small laboratory animal - the spiny mouse - which has precocial offspring at birth. The aim of the present study was to determine if this insult resulted in the appearance of behavioural abnormalities in those offspring which survived the hypoxic delivery. Behavioural tests assessed gait (using footprint patterns), motor coordination and balance on an accelerating rotarod, and spontaneous locomotion and exploration in an open field. We found that the near-term acute hypoxic episode produced a mild neurological deficit in the early postnatal period. In comparison to vaginally delivered controls, hypoxia pups were able to remain on the accelerating rotarod for significantly shorter durations on postnatal days 1-2, and in the open field they travelled significantly shorter distances, jumped less, and spent a greater percentage of time stationary on postnatal days 5 and 15. No changes were observed in gait. Unlike some rodent models of cerebral hypoxia-ischaemia, macroscopic examination of the brain on postnatal day 5 showed no gross cystic lesions, oedema or infarct. Future studies should be directed at identifying hypoxia-induced alterations in the function of specific brain regions, and assessing if maternal administration of neuroprotective agents can prevent against hypoxia-induced neurological deficits and brain damage that occur at birth.

  18. Low-dose exposure to bisphenol A and replacement bisphenol S induces precocious hypothalamic neurogenesis in embryonic zebrafish.

    Science.gov (United States)

    Kinch, Cassandra D; Ibhazehiebo, Kingsley; Jeong, Joo-Hyun; Habibi, Hamid R; Kurrasch, Deborah M

    2015-02-01

    Bisphenol A (BPA), a ubiquitous endocrine disruptor that is present in many household products, has been linked to obesity, cancer, and, most relevant here, childhood neurological disorders such as anxiety and hyperactivity. However, how BPA exposure translates into these neurodevelopmental disorders remains poorly understood. Here, we used zebrafish to link BPA mechanistically to disease etiology. Strikingly, treatment of embryonic zebrafish with very low-dose BPA (0.0068 μM, 1,000-fold lower than the accepted human daily exposure) and bisphenol S (BPS), a common analog used in BPA-free products, resulted in 180% and 240% increases, respectively, in neuronal birth (neurogenesis) within the hypothalamus, a highly conserved brain region involved in hyperactivity. Furthermore, restricted BPA/BPS exposure specifically during the neurogenic window caused later hyperactive behaviors in zebrafish larvae. Unexpectedly, we show that BPA-mediated precocious neurogenesis and the concomitant behavioral phenotype were not dependent on predicted estrogen receptors but relied on androgen receptor-mediated up-regulation of aromatase. Although human epidemiological results are still emerging, an association between high maternal urinary BPA during gestation and hyperactivity and other behavioral disturbances in the child has been suggested. Our studies here provide mechanistic support that the neurogenic period indeed may be a window of vulnerability and uncovers previously unexplored avenues of research into how endocrine disruptors might perturb early brain development. Furthermore, our results show that BPA-free products are not necessarily safer and support the removal of all bisphenols from consumer merchandise.

  19. A Precocious Cerebellar Ataxia and Frequent Fever Episodes in a 16-Month-Old Infant Revealing Ataxia-Telangiectasia Syndrome

    Directory of Open Access Journals (Sweden)

    Luigi Nespoli

    2013-01-01

    Full Text Available Ataxia-telangiectasia (AT is the most frequent progressive cerebellar ataxia in infancy and childhood. Immunodeficiency which includes both cellular and humoral arms has variable severity. Since the clinical presentation is extremely variable, a high clinical suspicion will allow an early diagnosis. Serum alpha-fetoprotein is elevated in 80–85% of patients and therefore could be used as a screening tool. Here, we present a case of a 5-year-old female infant who was admitted to our department at the age of 16 months because of gait disorders and febrile episodes that had begun at 5 months after the cessation of breastfeeding. Serum alfa-fetoprotein level was elevated. Other investigations showed leukocytopenia with lymphopenia, reduced IgG2 and IgA levels, and low titers of specific postimmunization antibodies against tetanus toxoid and Haemophilus B polysaccharide. Peripheral lymphocytes subsets showed reduction of T cells with a marked predominance of T cells with a memory phenotype and a corresponding reduction of naïve T cells; NK cells were very increased (41% with normal activity. The characterization of the ATM gene mutations revealed 2 specific mutations (c.5692C > T/c.7630-2A > C compatible with AT diagnosis. It was concluded that AT syndrome should be considered in children with precocious signs of cerebellar ataxia and recurrent fever episodes.

  20. [Assessment of the effects of age at start of puberty on mental health in pre-adolescence: results of a longitudinal study (1989-1991)].

    Science.gov (United States)

    Bolognini, M; Plancherel, B; Nuñez, R; Bettschart, W

    1993-01-01

    The transition from childhood to adolescence is widely believed to be a stressful period in which the child faces multiple changes: physical changes, school choices, development of new social roles, and changes in the relation with his or her parents and friends. We investigated the effects of the timing of puberty on mental health, studied in a population of 219 young adolescents who were followed during three years (mean age at the beginning of the study was 12.5 years). The changes in the perception of the individual's body associated with puberty depended on the child's gender. Significant events during puberty had a negative effect on mental health. Although puberty remains a critical period of temporary unstable and fragile transition, most of the young adolescents coped relatively well with the physiological, psychological and social changes they faced.

  1. [Attempts at biotechnical induction of puberty in young female pigs. 2. Effects of various time intervals between one puberty induction with PMS and HCG to the following estrus synchronization on estrus and ovulation in animals about 190 days old].

    Science.gov (United States)

    Bergfeld, J

    1977-01-01

    A biological engineering approach to induce puberty in 125 young female fattening pigs aged 190 days was undertaken on the basis of a mixture of 500 IU PMS (Prolosanserum, Dessau) with 250 IU HCG (Gonabion, Dresden). The injections were made subcutaneously. Pronounced oestrus symptoms were recorded from the external genital organs of 80% of the probands up to ten days after injection, associated with toleration in 52.8% of them. Toleration usually started on the fourth to sixth days after injection. Cycles began to develop in 57.1% up to the next oestrus period. Animals with -/x weight increase per die of 400 g exhibited lower responses. Results in terms of heat and ovulation were lower along with shorter intervals, when oestric synchronisation was undertaken 53, 32, and 17 days after the induction of puberty (20 days Suisynchron, Bernburg; 750 IU PMS).

  2. Self-reported onset of puberty and subsequent semen quality and reproductive hormones among 1,068 healthy young Danish men

    DEFF Research Database (Denmark)

    Jensen, Tina Kold; Finne, Katrine Folmann; Skakkebæk, Niels Erik;

    2016-01-01

    puberty onset had not yet fully matured although most were in Tanner stage 5. WIDER IMPLICATIONS OF THE FINDINGS: Approximately 15% of young Danish men have self-reported later onset of puberty than their peers. We found poorer testicular function in young men with a history of later pubertal development...... Environmental Protection Agency and Kirsten and Freddy Johansens Foundation (grant 95-103-72087). There are no competing interests....

  3. The value of comparative approaches to our understanding of puberty as illustrated by investigations in birds and reptiles.

    Science.gov (United States)

    Ball, Gregory F; Wade, Juli

    2013-07-01

    This article is part of a Special Issue "Puberty and Adolescence". Studies of birds and reptiles have provided many basic insights into the neuroendocrine control of reproductive processes. This research has elucidated mechanisms regulating both early development, including sexual differentiation, and adult neuroendocrine function and behavior. However, phenomena associated with the transition into sexual maturation (puberty) have not been a focus of investigators working on species in these taxonomic classes. Research is complicated in birds and reptiles by a variety of factors, including what can be extended times to maturation, the need to reach particular body size regardless of age, and environmental conditions that can support or inhibit endocrine responses. However, careful selection of model systems, particularly those with available genetic tools, will lead to important comparative studies that can elucidate both generalizability and diversity of mechanisms regulating the onset of reproductive maturity.

  4. Self-reported onset of puberty and subsequent semen quality and reproductive hormones in healthy young men

    DEFF Research Database (Denmark)

    Jensen, Tina Kold; Finne, Katrine Folmann; Skakkebæk, Niels E

    2016-01-01

    their fitness for military service from 2008 to 2012. PARTICIPANTS/MATERIALS, SETTINGS, METHODS: A total of 1068 healthy, young Danish men (mean age 19 years) participated. They were asked to assess whether onset of penile and testicular growth, development of pubic hair and voice break occurred earlier......STUDY QUESTION: Is there an association between pubertal onset and subsequent reproductive health in young men? SUMMARY ANSWER: Self-reported later onset of puberty was associated with reduced semen quality and altered serum levels of reproductive hormones among 1068 healthy, young Danish men. WHAT...... IS KNOWN ALREADY: The long-term effects of variations in the onset of male puberty on subsequent reproduction remain largely unstudied. STUDY DESIGN, SIZE, DURATION: In a cross-sectional study, young healthy Danish men were approached when they attended a compulsory medical examination to determine...

  5. Age at Puberty and Some Biological Parameters of Awassi and its First Crosses with Charollais and Romanov Rams

    Directory of Open Access Journals (Sweden)

    Ahmad Qasem Al-Momani

    2010-01-01

    Full Text Available The aim of this experiment was to determine the age at puberty of both ram and ewe lambs of three genotypes: Awassi (A, Charollais x Awassi (CA, and Romanov x Awassi (RA F1crosses. Twenty, six-month old lambs (10 from each sex from each genotype were used. Ram and ewe lambs were kept in separate groups from the beginning until the end of the experiment. Birth weight and weaning weight were recorded for all animals. Body weights and body condition scores were recorded at monthly intervals between 6.5 and 12 months of age. Blood samples were collected weekly from ewe lambs and fortnightly from ram lambs to monitor progesterone and testosterone profiles, respectively. Semen character- istics and scrotal circumferences (SC were evaluated fortnightly. Weight at puberty in ewe and ram lambs were not sig- nificantly different among the three genotypes and ranged around 35 kg and 42 kg, respectively. In ewe lambs, age at puberty was significantly higher (P< 0.01 in A (280±11.5 d than in RA (232±11 d and CA (255±11.5 d. Age at puber- ty of ram lambs was also significantly different (P < 0.01 among the three genotypes being higher in A (243±5 d than in CA (223±5 d and RA (226±5 d ram lambs. Semen parameters improved with age in all genotypes. The RA ram lambs had greater semen concentration and lower abnormal spermatozoa than the other two genotypes (P< 0.05. Results of the present study indicate that crossing Awassi ewes with either Charollais or Romanov sires tends to improve reproduc- tive characteristics of the Fcrossbreds through advancing age at puberty in both ram and ewe lambs.

  6. [Relationship between endocrinology and craniofacial growth. I: Puberty and craniofacial growth. II: Growth of the craniofacial skeleton].

    Science.gov (United States)

    Verdonck, A; De Ridder, L; De Zegher, F; Carine, C; Carels, C

    1994-12-01

    In this literature, a review is given of the endocrinology and morphology of the craniofacial complex. This article reviews in a first part the endocrinology of puberty and general growth aspects. Afterwards the adolescence growth spurt of the face and the hormonal regulation will be focused. In a second part the morphogenetic aspects together with growth area's and growth theories of the craniofacial complex will be discussed. At last a detailed description of the maxillary and mandibular growth is given.

  7. Association of Obesity with Onset of Puberty and Sex Hormones in Chinese Girls: A 4-Year Longitudinal Study.

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    Lingling Zhai

    Full Text Available To examine the influence of childhood obesity on the early onset of puberty and sex hormones in girls.Healthy girls with different percentages of body fat at baseline (40 obese, 40 normal, and 40 lean were recruited from three elementary schools in Shenyang, China. These girls (mean age 8.5 years were also matched by height, school grade, Tanner stage, and family economic status at baseline. Anthropometry, puberty characteristics, and sex hormone concentrations were measured at baseline and at each follow-up visit. The generalized estimating equation model and analysis of variance for repeated measures using a generalized linear model were used to determine the differences in puberty characteristics and sex hormones among three groups.Over 4 years, mean age of breast II onset was earlier among obese girls (8.8 years than normal girls (9.2 years and lean girls (9.3 years. The prevalence (% of early-maturation in the obese, normal, and lean groups was 25.9%, 11.1%, and 7.4%, respectively. Obesity was associated with an increased risk for breast stage II (year 2: RR, 6.3; 95% CI, 1.9-21.1 and year 3: RR, 6.9; 95% CI, 0.8-60.1. None of the girls experienced menarche in the first year; however, by the fourth year 50.0% of obese girls had menarche onset, which was higher than normal weight (27.5% and lean girls (8.1%. The mean estradiol level increased with age in the obese, normal, and lean groups. The mean estradiol concentration was higher in obese girls than in normal and lean girls throughout the 4-year period (P<0.05.Childhood obesity contributes to early onset of puberty and elevated levels of estradiol in girls.

  8. Role of Gonadotropin-releasing Hormone Stimulation Test in Diagnosing Gonadotropin Deficiency in Both Males and Females with Delayed Puberty

    Institute of Scientific and Technical Information of China (English)

    Qi-Hong Sun; Yu Zheng; Xiao-Lin Zhang; Yi-Ming Mu

    2015-01-01

    Background:Delayed puberty can result either from constitutional delay of growth and puberty (CDP) or idiopathic hypogonadotropic hypogonadism (IHH).Gonadotropin-releasing hormone (GnRH) stimulation test has been generally accepted as a current method for diagnosing delayed puberty.The objective of this research was to assess the cut-off values and the efficacy of GnRH stimulation test in the diagnosis of delayed puberty in both males and females.Methods:A study of 91 IHH,27 CDP patients,6 prepubertal children,and 20 pubertal adults was undertaken.Blood samples were obtained at 0,30,60,and 120 min after GnRH administration and the levels of luteinizing hormone (LH) and follicle-stimulating hormone (FSH) were measured.For each parameter,the sensitivities and specificities were estimated,and the receiver operating characteristic (ROC) curves were constructed.Results:The ROC curves indicated that a serum basal LH <0.6 IU/L or peak LH <9.74 IU/L resulted in moderate sensitivity (73.8% or 80.0%) and specificity (90.9% or 86.4%) in the diagnosis of HH in males.Serum basal LH <0.85 IU/L or basal FSH <2.43 IU/L resulted in moderate sensitivity (80.0% or 100.0%) and specificity (75.0% or 50.0%) in the diagnosis of HH in females.Conclusions:Our data suggest that isolated use of the gonadorelin stimulation test is almost sufficient to discriminate between HH and CDP in males,but unnecessary in females.The most useful predictor is serum basal or peak LH to differentiate these two disorders in males,but serum basal LH or FSH in females.

  9. The effect of puberty on fat oxidation rates during exercise in overweight and normal-weight girls.

    Science.gov (United States)

    Chu, L; Riddell, M C; Schneiderman, J E; McCrindle, B W; Hamilton, J K

    2014-01-01

    Excess weight is often associated with insulin resistance (IR) and may disrupt fat oxidation during exercise. This effect is further modified by puberty. While studies have shown that maximal fat oxidation rates (FOR) during exercise decrease with puberty in normal-weight (NW) and overweight (OW) boys, the effect of puberty in NW and OW girls is unclear. Thirty-three NW and OW girls ages 8-18 yr old completed a peak aerobic capacity test on a cycle ergometer. FOR were calculated during progressive submaximal exercise. Body composition and Tanner stage were determined. For each participant, a best-fit polynomial curve was constructed using fat oxidation vs. exercise intensity to estimate max FOR. In a subset of the girls, IR derived from an oral glucose tolerance test (n = 20), and leptin and adiponectin levels (n = 11) were assessed in relation to FOR. NW pre-early pubertal girls had higher max FOR [6.9 ± 1.4 mg·kg fat free mass (FFM)(-1)·min(-1)] than NW mid-late pubertal girls (2.2 ± 0.9 mg·kg FFM(-1)·min(-1)) (P = 0.002), OW pre-early pubertal girls (3.8 ± 2.1 mg·kg FFM(-1)·min(-1)), and OW mid-late pubertal girls (3.3 ± 0.9 mg·kg FFM(-1)·min(-1)) (P obesity potentially masks the effect of puberty on FOR during exercise in girls.

  10. Age and sex-specific relationships between phthalate exposures and obesity in Chinese children at puberty.

    Directory of Open Access Journals (Sweden)

    Yunhui Zhang

    Full Text Available To examine the age and sex-specific associations of urine levels of six mono-phthalates with body size and fat distribution in Chinese children at puberty.Four hundred and ninety-three school-aged children (247 boys, 246 girls were recruited. Obesity related anthropometric indices were measured and body fat proportion (BF% was calculated. Spot urine samples were collected and phthalate monoesters were detected by an API 2000 electrospray triple quadrupole mass spectrometer (ESI-MS/MS. Associations between phthalate exposure and overweight/obesity measures and their trends were examined by multiple linear regression and Logistic regression analyses, respectively.Di-2-ethylhexyl phthalate (DEHP metabolites and monobutyl phthalate (MBP were found to be the most detectable chemicals. In 8-10 years (yrs group, concentrations of MEHP and MBP were significantly higher in girls than those in boys. However, concentrations of all phthalate monoesters, except for MEP and MEHP, in 11-13 yrs boys were significantly higher than those in girls. After adjusting for confounders including puberty onset, urinary concentrations of MBP and sum of low molecular-weight phthalate metabolites (∑LMP were positively associated with boys' obesity in a concentration-effect manner, while concentrations of MEHP, MEHHP and sum of DEHP metabolites (∑MEHP were negatively associated with girls' obesity. Associations between phthalate exposure levels and BMI z-score changes were age- and sex-specific in school-age children.There are age and sex-specific concentration-effect associations between phthalate exposure and fat distribution in Chinese children. Urinary phthalate levels in 11-13 yrs boys were about 30 percent higher than those in girls, and ∑MEHP levels in younger boys (10 yrs. Associations were positive for MBP and ∑LMP with both BMI z-score and fat distribution in boys >10 years of age, and negative for ∑MEHP with fat distribution in girls <10 years of age.

  11. Bone Mineralization in Rhythmic Gymnasts Entering Puberty: Associations with Jumping Performance and Body Composition Variables

    Science.gov (United States)

    Võsoberg, Kristel; Tillmann, Vallo; Tamm, Anna-Liisa; Maasalu, Katre; Jürimäe, Jaak

    2017-01-01

    This study examined bone mineral density (BMD) accrual in prepubertal rhythmic gymnasts entering puberty and their age-matched untrained control girls, and associations with baseline jumping performance and body composition over the 3-year period. Whole body (WB) and femoral neck (FN) BMD, WB fat mass (FM) and fat free mass (FFM), countermovement jump (CMJ) and rebound jumps for 15 s (RJ15s) were assessed in 25 rhythmic gymnasts and 25 untrained controls at baseline and after 3-year period. The changes over this period were calculated (Δ scores). Pubertal maturation over the 3-year period was slower in rhythmic gymnasts compared to untrained controls, while no difference in bone age development was seen. WB BMD increased similarly in both groups, while the increase in FN BMD was higher in rhythmic gymnasts compared with untrained controls. In rhythmic gymnasts, baseline FFM was the most significant predictor of ΔWB BMD explaining 19.2% of the variability, while baseline RJ15s was the most significant predictor of ΔFN BMD explaining 18.5% of the variability. In untrained controls, baseline FM explained 51.8 and 18.9% of the variability in ΔWB BMD and ΔFN BMD, respectively. In conclusion, mechanical loading of high-intensity athletic activity had beneficial effect on BMD accrual in rhythmic gymnasts and may have counterbalanced such negative factors on bone development as slower pubertal maturation and lower body FM. Baseline FFM and repeated jumps test performance were related to BMD accrual in rhythmic gymnasts, while baseline FM was related to BMD accrual in untrained controls. Key points Sudy examined bone mineralization in prepubertal rhythmic gymnasts entering puberty and their age-matched untrained control girls, and associations with baseline jumping performance and body composition. Jumping performance and fat free mass values predicted bone mineral accrual in rhythmic gymnasts. Fat mass predicted bone mineral accrual in untrained control girls

  12. Overexpression of SETβ, a protein localizing to centromeres, causes precocious separation of chromatids during the first meiosis of mouse oocytes.

    Science.gov (United States)

    Qi, Shu-Tao; Wang, Zhen-Bo; Ouyang, Ying-Chun; Zhang, Qing-Hua; Hu, Meng-Wen; Huang, Xin; Ge, Zhaojia; Guo, Lei; Wang, Ya-Peng; Hou, Yi; Schatten, Heide; Sun, Qing-Yuan

    2013-04-01

    Chromosome segregation in mammalian oocyte meiosis is an error-prone process, and any mistake in this process may result in aneuploidy, which is the main cause of infertility, abortion and many genetic diseases. It is now well known that shugoshin and protein phosphatase 2A (PP2A) play important roles in the protection of centromeric cohesion during the first meiosis. PP2A can antagonize the phosphorylation of rec8, a member of the cohesin complex, at the centromeres and thus prevent cleavage of rec8 and so maintain the cohesion of chromatids. SETβ is a protein that physically interacts with shugoshin and inhibits PP2A activity. We thus hypothesized that SETβ might regulate cohesion protection and chromosome segregation during oocyte meiotic maturation. Here we report for the first time the expression, subcellular localization and functions of SETβ during mouse oocyte meiosis. Immunoblotting analysis showed that the expression level of SETβ was stable from the germinal vesicle stage to the MII stage of oocyte meiosis. Immunofluorescence analysis showed SETβ accumulation in the nucleus at the germinal vesicle stage, whereas it was targeted mainly to the inner centromere area and faintly localized to the interchromatid axes from germinal vesicle breakdown to MI stages. At the MII stage, SETβ still localized to the inner centromere area, but could relocalize to kinetochores in a process perhaps dependent on the tension on the centromeres. SETβ partly colocalized with PP2A at the inner centromere area. Overexpression of SETβ in mouse oocytes caused precocious separation of sister chromatids, but depletion of SETβ by RNAi showed little effects on the meiotic maturation process. Taken together, our results suggest that SETβ, even though it localizes to centromeres, might not be essential for chromosome separation during mouse oocyte meiotic maturation, although its forced overexpression causes premature chromatid separation.

  13. [Multifactorial etiology of obesity: nutritional and central aspects].

    Science.gov (United States)

    Sengier, A

    2005-09-01

    World-wide obesity and its effects are public health problems. Research on way of life and eating habits give some indications of etiological factors. Breast feeding and quantity of proteins intake in formulas are factors influencing the risks of obesity later on in life. Research undertaken by Rolland Cachera shows us the importance of the curve of BMI and how the obesity rebound can be predictive of obesity in later years allowing early decisions of weight control. Energy intake and energy expenditure are regulated by the central nervous system. It is a complex mechanism of afferent and efferent systems through the hypothalamus. The inverse effects of ghreline and of leptine on energy balance are more and more studied and cases of precocious obesity are explained by the identification of rare forms of monogenic obesity linked to the metabolism of leptine. The importance of inherited genes has a role and genetic predisposition is a reality. This new approach allows a clinical, etiological and, in the future, probably therapeutic attitude in case of severe precocious obesity.

  14. Female genital mutilation of a karyotypic male presenting as a female with delayed puberty

    Directory of Open Access Journals (Sweden)

    Gisselsson D

    2006-03-01

    Full Text Available Abstract Background Female genital mutilation (FGM is commonly practiced mainly in a belt reaching from East to West Africa north of the equator. The practice is known across socio-economic classes and among different ethnic, religious, and cultural groups. Few studies have been appropriately designed to measure the health effects of FGM. However, the outcome of FGM on intersex individuals has never been discussed before. Case presentation The patient first presented as a female with delayed puberty. Hormonal analysis revealed a normal serum prolactin level of 215 Mu/L, a low FSH of 0.5 Mu/L, and a low LH of 1.1 Mu/L. Type IV FGM (Pharaonic circumcision had been performed during childhood. Chromosomal analysis showed a 46, XY karyotype and ultrasonography verified a soft tissue structure in the position of the prostate. Conclusion FGM pose a threat to the diagnosis and management of children with abnormal genital development in the Sudan and similar societies.

  15. Consultation for Disordered Puberty: What Do Adolescent Medicine Patients Teach Us?

    Science.gov (United States)

    Michaud, Pierre-André; Ambresin, Anne-Emmanuelle

    2016-01-01

    The period of adolescence is not only marked by important growth and pubertal events, but is also characterized by important psychosocial changes driven by a search for autonomy and the construction of one's identity. It can thus be easily understood that puberty disorders interfere heavily with these process, requiring from the endocrinologist not only medical knowledge, but also a great deal of emotional and psychological skills. They must progressively move from an educational approach that heavily involves the parents to one of shared information and decision making that places the young patient at the center of the therapeutic process. This can be achieved in several ways: respecting the affective and cognitive development of the adolescent; securing his privacy and (if requested by him) confidentiality; exploring his self-image and self-esteem and adapting the therapeutic process to the patient's expectations; reviewing the teenager's lifestyle, including the issue of sexuality and sexual behavior, and involving him in any therapeutic choice that has to be made, even if it does not match with the parents' expectations. The skills required for this respectful and holistic follow-up often exceed the abilities of any physician; it is thus suggested that a team approach involving a clinical nurse and/or a psychologist and/or social worker(s) be set up whenever possible.

  16. Catch up in bone acquisition in young adult men with late normal puberty.

    Science.gov (United States)

    Darelid, Anna; Ohlsson, Claes; Nilsson, Martin; Kindblom, Jenny M; Mellström, Dan; Lorentzon, Mattias

    2012-10-01

    The aim of this study was to investigate the development of bone mineral density (BMD) and bone mineral content (BMC) in relation to peak height velocity (PHV), and to investigate whether late normal puberty was associated with remaining low BMD and BMC in early adulthood in men. In total, 501 men (mean ± SD, 18.9 ± 0.5 years of age at baseline) were included in this 5-year longitudinal study. Areal BMD (aBMD) and BMC, volumetric BMD (vBMD) and cortical bone size were measured using dual-energy X-ray absorptiometry (DXA) and pQCT. Detailed growth and weight charts were used to calculate age at PHV, an objective assessment of pubertal timing. Age at PHV was a strong positive predictor of the increase in aBMD and BMC of the total body (R(2) aBMD 11.7%; BMC 4.3%), radius (R(2) aBMD 23.5%; BMC 22.3%), and lumbar spine (R(2) aBMD 11.9%; BMC 10.5%) between 19 and 24 years (p bone size, whereas cortical and trabecular vBMD were 0.7% (p males was associated with a substantial catch up in aBMD and BMC in young adulthood, leaving no deficits of the lumbar spine, femoral neck, or total body at age 24 years.

  17. Factors influencing aggression toward females by male rats exposed to anabolic androgenic steroids during puberty.

    Science.gov (United States)

    Cunningham, Rebecca L; McGinnis, Marilyn Y

    2007-01-01

    Previous results showed that male rats pubertally exposed to anabolic androgenic steroids (AAS) displayed aggression towards females in response to physical provocation. This experiment examined two factors that may modulate AAS-induced behavior towards females: olfactory cues and frustration. Gonadally intact males began one of three AAS treatments at puberty (D40): testosterone propionate (T), stanozolol (S), T+S, or vehicle control. To test for the relevance of olfactory cues in the elicitation of behavior toward females, a hidden neighbor paradigm was used. The proximal stimulus was an ovariectomized (OVX) female, estrogen plus progesterone (E+P) female, or an E+P female with tape-obstructed vagina (OBS). Distal olfactory cues from a hidden neighbor were delivered from a separate cage connected to the testing arena. The vaginally obstructed, sexually receptive female (OBS) was used to determine the effects of frustration on behavior by AAS males. Both sexual and aggressive behaviors were measured. The presence of distal olfactory cues had no effect on either sexual or aggressive behavior. In the presence of E+P and OBS females, all males displayed sex behaviors, not aggression. However, AAS males displayed significantly more aggression towards proximal OVX females than controls. AAS males mounted OBS females significantly more than controls, indicating a persistence of once rewarded behavior. These results suggest (1) proximal cues of the conspecific female are more salient than distal olfactory cues in determining behavior and (2) AAS males display frustration-induced persistence in response to vaginally obstructed receptive females.

  18. Hypothalamic glial-to-neuronal signaling during puberty: influence of alcohol.

    Science.gov (United States)

    Srivastava, Vinod K; Hiney, Jill K; Dees, W Les

    2011-07-01

    Mammalian puberty requires complex interactions between glial and neuronal regulatory systems within the hypothalamus that results in the timely increase in the secretion of luteinizing hormone releasing hormone (LHRH). Assessing the molecules required for the development of coordinated communication networks between glia and LHRH neuron terminals in the basal hypothalamus, as well as identifying substances capable of affecting cell-cell communication are important. One such pathway involves growth factors of the epidermal growth factor (EGF) family that bind to specific erbB receptors. Activation of this receptor results in the release of prostaglandin-E(2) (PGE(2)) from adjacent glial cells, which then acts on the nearby LHRH nerve terminals to elicit release of the peptide. Another pathway involves novel genes which synthesize adhesion/signaling proteins responsible for the structural integrity of bi-directional glial-neuronal communication. In this review, we will discuss the influence of these glial-neuronal communication pathways on the prepubertal LHRH secretory system, and furthermore, discuss the actions and interactions of alcohol on these two signaling processes.

  19. Adaptive reaction of boys’ sympathetic-adrenal system to physical activity in puberty.

    Directory of Open Access Journals (Sweden)

    Alekcei Anatolevich Zverev

    2016-04-01

    Full Text Available This paper deals with the study of adaptive reactions of the sympathetic-adrenal system of 11-16-year-old boys to graduated exercise at different pubertal stages. To evaluate the functional state of the cardiovascular system, the heart rate, systolic and cardiac output were determined. The state of the sympathetic-adrenal system was analyzed by the excretion level of catecholamines and DOPA. Cardiac output in response to graduated exercise in boys at pubertal stages 1-2 is substantially ensured by the increased heart rate, and at the other stages of puberty - mainly due to increase in stroke volume, which is estimated as a favorable response to exercise. In mechanisms of urgent adaptation to graduated exercise, the boys of third and fourth pubertal stages show an intensive functioning of the cardiovascular system and a reducing reserve capacity of the sympathetic-adrenal system. The adolescents of fifth pubertal stage show economical response to functional tests, a reduced reactivity of the components of the sympathetic-adrenal system on the background of a significant increase in the excretion of precursors.

  20. Morphological changes of gonadotropin-releasing hormone neurons in the rat preoptic area across puberty

    Institute of Scientific and Technical Information of China (English)

    Haogang Xue; Xiaodong Gai; Weiqi Sun; Chun Li; Quan Liu

    2014-01-01

    Gonadotropin-releasing hormone (GnRH) neurons in the preoptic area may undergo mor-phological changes during the pubertal period when their activities are upregulated. To clarify the regulatory mechanism of puberty onset, this study aimed to investigate the morphological changes of GnRH neurons in the preoptic area of GnRH-enhanced green lfuorescent protein transgenic rats. Under confocal laser microscopy, pubertal GnRH neurons exhibited an inverted Y distribution pattern. Prepubertal GnRH neurons were generally unipolar and bipolar, and were distinguished as smooth type cells with few small processes or irregular type cells with many spine-like processes in the proximal dendrites. The number of GnRH neurons in the preoptic area and spine-like processes were increased during the course of reproductive matu-ration. There was no signiifcant difference between male and female rats. Immunolfuorescence staining revealed synaptophysin punctae close to the distal end of GnRH neurons, indicating that some presynaptic terminals may form a synaptic linkage with these neurons.

  1. Genetic variation in LIN28B is associated with the timing of puberty.

    Science.gov (United States)

    Ong, Ken K; Elks, Cathy E; Li, Shengxu; Zhao, Jing Hua; Luan, Jian'an; Andersen, Lars B; Bingham, Sheila A; Brage, Soren; Smith, George Davey; Ekelund, Ulf; Gillson, Christopher J; Glaser, Beate; Golding, Jean; Hardy, Rebecca; Khaw, Kay-Tee; Kuh, Diana; Luben, Robert; Marcus, Michele; McGeehin, Michael A; Ness, Andrew R; Northstone, Kate; Ring, Susan M; Rubin, Carol; Sims, Matthew A; Song, Kijoung; Strachan, David P; Vollenweider, Peter; Waeber, Gerard; Waterworth, Dawn M; Wong, Andrew; Deloukas, Panagiotis; Barroso, Inês; Mooser, Vincent; Loos, Ruth J; Wareham, Nicholas J

    2009-06-01

    The timing of puberty is highly variable. We carried out a genome-wide association study for age at menarche in 4,714 women and report an association in LIN28B on chromosome 6 (rs314276, minor allele frequency (MAF) = 0.33, P = 1.5 × 10(-8)). In independent replication studies in 16,373 women, each major allele was associated with 0.12 years earlier menarche (95% CI = 0.08-0.16; P = 2.8 × 10(-10); combined P = 3.6 × 10(-16)). This allele was also associated with earlier breast development in girls (P = 0.001; N = 4,271); earlier voice breaking (P = 0.006, N = 1,026) and more advanced pubic hair development in boys (P = 0.01; N = 4,588); a faster tempo of height growth in girls (P = 0.00008; N = 4,271) and boys (P = 0.03; N = 4,588); and shorter adult height in women (P = 3.6 × 10(-7); N = 17,274) and men (P = 0.006; N = 9,840) in keeping with earlier growth cessation. These studies identify variation in LIN28B, a potent and specific regulator of microRNA processing, as the first genetic determinant regulating the timing of human pubertal growth and development.

  2. Genetic associations between intelligence and cortical thickness emerge at the start of puberty.

    Science.gov (United States)

    Brouwer, Rachel M; van Soelen, Inge L C; Swagerman, Suzanne C; Schnack, Hugo G; Ehli, Erik A; Kahn, René S; Hulshoff Pol, Hilleke E; Boomsma, Dorret I

    2014-08-01

    Cognitive abilities are related to (changes in) brain structure during adolescence and adulthood. Previous studies suggest that associations between cortical thickness and intelligence may be different at different ages. As both intelligence and cortical thickness are heritable traits, the question arises whether the association between cortical thickness development and intelligence is due to genes influencing both traits. We study this association in a longitudinal sample of young twins. Intelligence was assessed by standard IQ tests at age 9 in 224 twins, 190 of whom also underwent structural magnetic resonance imaging (MRI). Three years later at age 12, 177/125 twins returned for a follow-up measurement of intelligence/MRI scanning, respectively. We investigated whether cortical thickness was associated with intelligence and if so, whether this association was driven by genes. At age 9, there were no associations between cortical thickness and intelligence. At age 12, a negative relationship emerged. This association was mainly driven by verbal intelligence, and manifested itself most prominently in the left hemisphere. Cortical thickness and intelligence were explained by the same genes. As a post hoc analysis, we tested whether a specific allele (rs6265; Val66Met in the BDNF gene) contributed to this association. Met carriers showed lower intelligence and a thicker cortex, but only the association between the BDNF genotype and cortical thickness in the left superior parietal gyrus reached significance. In conclusion, it seems that brain areas contributing to (verbal) intellectual performance are specializing under the influence of genes around the onset of puberty.

  3. Experience of office hysteroscopy for diagnostics of abnormal uterine bleeding causes in puberty girls

    Directory of Open Access Journals (Sweden)

    Bezhanishvili Е.М.

    2016-09-01

    Full Text Available Objective: to prove the role of office hysteroscopy as an important additional method in diagnostics of puberty abnormal uterine bleeding (AUB. Material and methods. The study involved 68 patients with AUB. The average age was 13.4 years (10-17 years. The main complaint of patients concerned bleeding from genital tract during 10-45 days (on an average 28.4 days. Patients were divided into 3 groups according to the type of AUB determined based on the level of serum estradiol, physical and sexual development, internal genitalia ultrasound data: 35 hypo estrogenic girls, 24 girls with normal estrogenic and 9 girls with hyper estrogenic type of AUB. All of the girls took the office hysteroscopy. Results. When performing hysteroscopy it was revealed that there were a clear relationship between the degree of estrogenic saturation and visual picture obtained in the course of the study. Conclusion. Hysteroscopy enables maximum visualization of uterine cavity, which allows to verify the diagnosis, to reduce the "over diagnosis" rate of organic pathology, perform a differentiated approach to treatment of diseases, based on determination of estradiol level in serum and data obtained in the study.

  4. Possible involvement of locus-specific methylation on expression regulation of leafy homologous gene (CiLFY during precocious trifoliate orange phase change process.

    Directory of Open Access Journals (Sweden)

    Jin-Zhi Zhang

    Full Text Available DNA methylation plays an essential role in regulating plant development. Here, we described an early flowering trifoliate orange (precocious trifoliate orange, Poncirus trifoliata L. Raf was treated with 5-azacytidine and displayed a number of phenotypic and developmental abnormalities. These observations suggested that DNA methylation might play an important role in regulating many developmental pathways including early flowering trait, and then the expression level of five key or integrated citrus flowering genes were analyzed. Our results showed that flowering locus T (CiFT relative expression level was increased with the increasing concentrations of 5-AzaC. However, leafy (CiLFY, APETELA1 (CiAP1, terminal flower1 (CiTFL1, and flowering locus C (CiFLC showed highest relative expression levels at 250 µΜ treatment, while decreased sharply at higher concentrations. In order to further confirm DNA methylation affects the expression of these genes, their full-length sequences were isolated by genome-walker method, and then was analyzed by using bioinformatics tools. However, only one locus-specific methylation site was observed in CiLFY sequence. Therefore, DNA methylation level of the CiLFY was investigated both at juvenile and adult stages of precocious trifoliate orange by bisulfate sequencing PCR; it has been shown that the level of DNA methylation was altered during phase change. In addition, spatial and temporal expression patterns of CiLFY promoter and a series of 5' deletions were investigated by driving the expression of a β-glucuronidase reporter gene in Arabidopsis. Exogenous GA3 treatment on transgenic Arabidopsis revealed that GA3 might be involved in the developmental regulation of CiLFY during flowering process of precocious trifoliate orange. These results provided insights into the molecular regulation of CiLFY gene expression, which would be helpful for studying citrus flowering.

  5. Precocious anaphase and expression of Securin and p53 genes as candidate biomarkers for the early detection in areca nut-induced carcinogenesis.

    Science.gov (United States)

    Kurkalang, Sillarine; Banerjee, Atanu; Dkhar, Hughbert; Nongrum, Henry B; Ganguly, Buddha; Islam, Mohammad; Rangad, Gordon M; Chatterjee, Anupam

    2015-05-01

    Research over the years has generated enough evidence to implicate areca nut, as a carcinogen in humans. Besides oral, significant rise in the incidence of cancers of the oesophagus, liver and stomach was seen among areca nut chewers. Early diagnosis seems key to understand the initial processes of carcinogenesis which is highly curable. In North-East India, betel quid contains raw areca nut (RAN), lime and small portion of betel leaf without any other constituents. This study was not intended to isolate any active ingredients from the RAN and to look its action. The present objective is to validate the screening of precocious anaphase and analysis of expression of Securin and p53 in non-target cells like human peripheral blood lymphocytes (PBLs) and mouse bone marrow cells (BMCs) as early indicative parameters of RAN + lime-induced cancers. A total of 35 mice were examined at different time points for following ad libitum administration of RAN extract in drinking water with lime. Peripheral blood was collected from 32 human donors of which, 24 were RAN + lime heavy chewers. Expression of genes was assessed by immunoblotting and/or by immunohistochemistry. Histological preparation of stomach tissue of mice revealed that RAN + lime induced stomach cancer. A gradual increase in the frequency of precocious anaphases and aneuploid cells was observed in both RAN + lime-treated mouse BMC and human PBL of RAN heavy chewers. Levels of p53 and Securin were increased in these cells during early days of RAN + lime exposure. The level of Securin was significantly higher in human tumour samples than their adjacent normal counterpart. The expression of Securin was increased significantly in RAN + lime-administered mice as well as in stomach tumour. Present study revealed that precocious anaphase and expression of p53 and Securin in non-target cells are significantly associated with an increased risk of RAN-induced cancer and thus these parameters can be of early diagnostic value.

  6. Consensus statement on the use of gonadotropin-releasing hormone analogs in children

    DEFF Research Database (Denmark)

    Carel, Jean-Claude; Eugster, Erica A; Rogol, Alan;

    2009-01-01

    OBJECTIVE: Gonadotropin-releasing hormone analogs revolutionized the treatment of central precocious puberty. However, questions remain regarding their optimal use in central precocious puberty and other conditions. The Lawson Wilkins Pediatric Endocrine Society and the European Society...... for Pediatric Endocrinology convened a consensus conference to review the clinical use of gonadotropin-releasing hormone analogs in children and adolescents. PARTICIPANTS: When selecting the 30 participants, consideration was given to equal representation from North America (United States and Canada) and Europe...... assembly for final review. If consensus could not be reached, conclusions were based on majority vote. All participants approved the final statement. CONCLUSIONS: The efficacy of gonadotropin-releasing hormone analogs in increasing adult height is undisputed only in early-onset (girls

  7. Deployable centralizers

    Energy Technology Data Exchange (ETDEWEB)

    Grubelich, Mark C.; Su, Jiann-Cherng; Knudsen, Steven D.

    2017-02-28

    A centralizer assembly is disclosed that allows for the assembly to be deployed in-situ. The centralizer assembly includes flexible members that can be extended into the well bore in situ by the initiation of a gas generating device. The centralizer assembly can support a large load carrying capability compared to a traditional bow spring with little or no installation drag. Additionally, larger displacements can be produced to centralize an extremely deviated casing.

  8. Endocrine evaluation of reproductive function in girls during infancy, childhood and adolescence

    DEFF Research Database (Denmark)

    Juul, Anders; Hagen, Casper P; Aksglaede, Lise

    2012-01-01

    a spectrum of disorders such as premature thelarche, premature adrenarche, central and peripheral precocious puberty, adolescent polycystic ovarian syndrome, functional ovarian hyperandrogenism, late-onset congenital adrenal hyperplasia, primary and secondary amenorrhea, and premature ovarian insufficiency....... Diagnosis of these reproductive disorders includes biochemical as well as clinical evaluation. The biochemical evaluation of reproductive function includes measurement of basal reproductive hormone levels and dynamic pituitary or adrenal hormone testing. Correct interpretation of such test results requires...

  9. [Puberty-delaying hormone therapy in adolescents with gender identity disorder].

    Science.gov (United States)

    Nakatsuka, Mikiya

    2013-01-01

    The guideline for the treatment of people with gender identity disorder (GID) of the Japanese Society of Psychiatry and Neurology was revised in January 2012. The guideline eased restrictions for the endocrine treatment of transsexual adolescents. A medical specialist can start treating transsexual adolescents at the age of 15 after the diagnosis of GID. It recommends that transsexual adolescents (Tanner stage 2 [mainly 12-13 years of age]) are treated by endocrinologists to suppress puberty with gonadotropin-releasing hormone (GnRH) agonists until the age of 15 years old, after which cross-sex hormones may be given. Female-to-male transsexuals do not necessarily want to start androgen therapy before presenting female secondary sexual characteristics because androgen can easily stop menstruation, cause beard growth, and lower the voice. On the contrary, male-to-female transsexuals want to start estrogen therapy before presenting male secondary sexual characteristics because estrogen cannot alter the beard and low voice. It is important to identify children with gender dysphoria in school and help them receive medical advice. However, approximately half of school teachers think that children with gender dysphoria are very rare and they do not know of the notification from Ministry of Education, Culture, Sports, Science and Technology, JAPAN, which aims to help children with gender dysphoria. The revision of the guideline for the treatment of transsexual people and endocrine treatment of transsexual adolescents by medical specialists may prevent them from attempting suicide, being depressive, and refusing to attend school. Furthermore, the treatment may help avoid mental disorders, aid being employed with the desired sexuality, and, subsequently, getting married and having children.

  10. Age, gender, and puberty influence the development of facial emotion recognition.

    Science.gov (United States)

    Lawrence, Kate; Campbell, Ruth; Skuse, David

    2015-01-01

    Our ability to differentiate between simple facial expressions of emotion develops between infancy and early adulthood, yet few studies have explored the developmental trajectory of emotion recognition using a single methodology across a wide age-range. We investigated the development of emotion recognition abilities through childhood and adolescence, testing the hypothesis that children's ability to recognize simple emotions is modulated by chronological age, pubertal stage and gender. In order to establish norms, we assessed 478 children aged 6-16 years, using the Ekman-Friesen Pictures of Facial Affect. We then modeled these cross-sectional data in terms of competence in accurate recognition of the six emotions studied, when the positive correlation between emotion recognition and IQ was controlled. Significant linear trends were seen in children's ability to recognize facial expressions of happiness, surprise, fear, and disgust; there was improvement with increasing age. In contrast, for sad and angry expressions there is little or no change in accuracy over the age range 6-16 years; near-adult levels of competence are established by middle-childhood. In a sampled subset, pubertal status influenced the ability to recognize facial expressions of disgust and anger; there was an increase in competence from mid to late puberty, which occurred independently of age. A small female advantage was found in the recognition of some facial expressions. The normative data provided in this study will aid clinicians and researchers in assessing the emotion recognition abilities of children and will facilitate the identification of abnormalities in a skill that is often impaired in neurodevelopmental disorders. If emotion recognition abilities are a good model with which to understand adolescent development, then these results could have implications for the education, mental health provision and legal treatment of teenagers.

  11. Age, gender and puberty influence the development of facial emotion recognition

    Directory of Open Access Journals (Sweden)

    Kate eLawrence

    2015-06-01

    Full Text Available Our ability to differentiate between simple facial expressions of emotion develops between infancy and early adulthood, yet few studies have explored the developmental trajectory of emotion recognition using a single methodology across a wide age-range. We investigated the development of emotion recognition abilities through childhood and adolescence, testing the hypothesis that children’s ability to recognise simple emotions is modulated by chronological age, pubertal stage and gender. In order to establish norms, we assessed 478 children aged 6-16 years, using the Ekman-Friesen Pictures of Facial Affect. We then modelled these cross-sectional data in terms of competence in accurate recognition of the six emotions studied, when the positive correlation between emotion recognition and IQ was controlled. Significant linear trends were seen in children’s ability to recognise facial expressions of happiness, surprise, fear and disgust; there was improvement with increasing age. In contrast, for sad and angry expressions there is little or no change in accuracy over the age range 6-16 years; near-adult levels of competence are established by middle-childhood. In a sampled subset, pubertal status influenced the ability to recognize facial expressions of disgust and anger; there was an increase in competence from mid to late puberty, which occurred independently of age. A small female advantage was found in the recognition of some facial expressions. The normative data provided in this study will aid clinicians and researchers in assessing the emotion recognition abilities of children and will facilitate the identification of abnormalities in a skill that is often impaired in neurodevelopmental disorders. If emotion recognition abilities are a good model with which to understand adolescent development, then these results could have implications for the education, mental health provision and legal treatment of teenagers.

  12. Growth, puberty, and carcass characteristics of Brahman-, Senepol-, and Tuli-sired F1 Angus bulls.

    Science.gov (United States)

    Chase, C C; Chenoweth, P J; Larsen, R E; Hammond, A C; Olson, T A; West, R L; Johnson, D D

    2001-08-01

    Postweaning growth, sexual development, libido, and carcass data were collected from two consecutive calf crops using 31 Brahman x Angus (B x A), 41 Senepol x Angus (S x A), and 38 Tuli x Angus (T x A) F1 bulls. Following weaning (by mid-September) and preconditioning, at the start of the study (late September) bulls were fed concentrate (three times each week at a rate equivalent to 4.5 kg/d) on bahiagrass pasture for approximately 250 d. At the start of the study and at 28-d intervals, BW, hip height, and scrotal circumference (SC) were measured. Concurrently at 28-d intervals, when the SC of a bull was > or = 23 cm, semen collection was attempted using electroejaculation. Ejaculates were evaluated for presence of first spermatozoa (FS), 50 x 10(6) sperm with at least 10% motility (PU), and 500 x 10(6) sperm with at least 50% motility (PP). After all bulls reached PP they were subjected to two libido tests. Carcass data were collected on all bulls (n = 110) and Warner-Bratzler shear (WBS) force values were assessed on a subset (n = 80). For both years, B x A bulls were heavier (P 0.10) gain in BW or hip height during the study. Scrotal circumference of T x A bulls was larger (P 0.10) of breed type by the end of the study. At PU and PP, B x A bulls were older (P carcass traits; B x A bulls had the heaviest (P carcass weight, greatest (P 0.10) USDA quality grade. In conclusion, tropically adapted F1 bulls produced from Senepol (Bos taurus) and Tuli (Sanga) sires bred to Angus cows in Florida had lighter BW, shorter hip heights, and smaller carcasses than those from Brahman sires but reached puberty earlier and had higher libido scores and lower WBS force values.

  13. Changes in dendritic architecture: Not your "usual suspect" in control of the onset of puberty.

    Directory of Open Access Journals (Sweden)

    Peter eHemond

    2013-06-01

    Full Text Available Until the recent past, the search for the underlying drive for the pubertal increase in gonadotropin-releasing hormone (GnRH hormone from the GnRH-containing neurons in the hypothalamus was largely focused on extrinsic factors. The most recent evidence however indicates changes in the structure of GnRH neurons themselves may contribute to this fundamental event in development. Based on our studies in males, dendritic architecture is not static from birth until adulthood. Instead, dendrites undergo a dramatic remodeling during the postnatal period which is independent of testosterone and occurs before the pubertal increase in GnRH release. First, the number of dendrites emanating from somata is reduced between infancy and adulthood. Moreover, a dendrite of adult GnRH neurons invariability arises at angle of 180° from the axon as opposed to the extraordinary variability in location during infancy. In fact, in some neurons from infants, no dendrite even resides in the adult location. Thus, there is a spatially selective remodeling of primary dendrites. Secondly, dendrites of GnRH neurons from infants were highly branched prior to assuming the compact morphology of adults. Finally, other morphological aspects of GnRH neurons such as total dendritic length, the numbers of dendrite branches and the lengths of higher order branches were significantly greater in infants than adults, indicating a consolidation of dendritic arbors. Activity in multi-compartment models of GnRH neurons, suggest the impact of structure on neuronal activity is exerted with both active and passive dendrites. Thus, passive properties make a defining contribution to function. Accordingly, changes in morphology alone are likely to have functional consequences for the pattern of activity in GnRH neurons. Our findings suggest structural remodeling of dendrites during the postnatal period likely facilitates repetitive action potentials and thus, GnRH release at the time of puberty.

  14. Leptin’s effect on puberty in mice is relayed by the ventral premammillary nucleus and does not require signaling in Kiss1 neurons

    Science.gov (United States)

    Donato, Jose; Cravo, Roberta M.; Frazão, Renata; Gautron, Laurent; Scott, Michael M.; Lachey, Jennifer; Castro, Inar A.; Margatho, Lisandra O.; Lee, Syann; Lee, Charlotte; Richardson, James A.; Friedman, Jeffrey; Chua, Streamson; Coppari, Roberto; Zigman, Jeffrey M.; Elmquist, Joel K.; Elias, Carol F.

    2010-01-01

    Studies in humans and rodents indicate that a minimum amount of stored energy is required for normal pubertal development. The adipocyte-derived hormone leptin is a key metabolic signal to the neuroendocrine reproductive axis. Humans and mice lacking leptin or the leptin receptor (LepR) (ob/ob and db/db mice, respectively) are infertile and fail to enter puberty. Leptin administration to leptin-deficient subjects and ob/ob mice induces puberty and restores fertility, but the exact site or sites of leptin action are unclear. Here, we found that genetic deletion of LepR selectively from hypothalamic Kiss1 neurons in mice had no effect on puberty or fertility, indicating that direct leptin signaling in Kiss1 neurons is not required for these processes. However, bilateral lesions of the ventral premammillary nucleus (PMV) of ob/ob mice blunted the ability of exogenous leptin to induce sexual maturation. Moreover, unilateral reexpression of endogenous LepR in PMV neurons was sufficient to induce puberty and improve fertility in female LepR-null mice. This LepR reexpression also normalized the increased hypothalamic GnRH content characteristic of leptin-signaling deficiency. These data suggest that the PMV is a key site for leptin’s permissive action at the onset of puberty and support the hypothesis that the multiple actions of leptin to control metabolism and reproduction are anatomically dissociated. PMID:21183787

  15. Photosynthetic and fluorescent characteristics of precocious walnut in field%早实核桃田间光合荧光特性的研究

    Institute of Scientific and Technical Information of China (English)

    辛洪河; 杨俊明; 曹书敏; 张国君; 代波; 刘艳芳; 杨晴

    2011-01-01

    Photosynthetic and fluorescent characteristics of three precocious walnuts Liaoning No.1, Liaoning No.7and Zhonglin No.1 were studied in field.The results indicated that precocious walnuts's photosynthetic "nap" phenomenon was caused by the non-stoma limitation factors.The response curves of photosynthesis in mature precocious walnut leaves to the illumination intensity, air CO2 concentration and leaves temperature could all be described by quadratic equations.The light saturation point values (VLSP) of the three precocious walnut cultivars were in range from 1 106 to 1 750μmol · m-2s-1 , which showed that precocious walnut was a kind of heliophile.Light compensation point values (VLCP) were from 18.12 to 25.04 μmol · m-2s-1, and Liao No.7 showed good adaptability of strong light.The CO2 saturation point values(VCSP) of the precocious walnut cultivars were range from 500to 628 μmol · mol-1 , and CO2 compensation point values(VCCP) were range from 29 to 119 μmol · mol-1, Liao No.7 had maximum carboxylation efficiency and net photosynthetic rates (Pn).The most suitable temperature scope of precocious walnuts photosynthesis was from 28 ℃ to 36 ℃, and Liao No.1 had better adaptability to temperature Correlation of most parameters between fluorescence and photosynthetic were significant.Around noon,primary photochemical efficiency (Fv/Fm), the effective quantum yield of photosystem Ⅱ (EYield) and photochemical quenching coefficient (CqP) were lower than those in other time frame, while non-photochemical quenching (VNPQ)and electron transport rate (RETR) were higher, PS Ⅱ 's activity decreased, photosynthetic effect was low, plants were limited by photoinhibition.But the photoinhibition was a self-protective mechanism, and heat dissipation and light breathing were the main protective ways of the precocious walnuts.%以早实核桃辽宁1号、辽宁7号和中林1号为试材,田间测定了光合与荧光参数的变化特征.结果表明:早实核桃光

  16. Genetic variability of the length of postpartum anoestrus in Charolais cows and its relationship with age at puberty

    Directory of Open Access Journals (Sweden)

    Ménissier François

    2000-07-01

    Full Text Available Abstract Fertility records (n = 1 802 were collected from 615 Charolais primiparous and multiparous cows managed in an experimental herd over an 11-year period. The objectives of the study were to describe the genetic variability of the re-establishment of postpartum reproductive activity and the relationship with body weight (BW and body condition score (BCS at calving and age at puberty. The length of postpartum anoestrus was estimated based on weekly blood progesterone assays and on twice daily detection of oestrus behaviour. The first oestrus behaviour was observed 69 days (± 25 days s.d. post-calving and the first positive progesterone measurement (≥ 1 ng mL-1 was observed at 66 days (± 22 days s.d. for the group of easy-calving multiparous suckling cows. Estimates of heritability and repeatability were h2 = 0.12 and r = 0.38 respectively, for the interval from calving to first oestrus (ICO. Corresponding values were h2 = 0.35 and r = 0.60 for the interval from calving to the first positive progesterone test (ICP. The genetic correlation between both criteria was high (rg = 0.98. The genetic relationships between postpartum intervals and BW and BCS of the female at calving were negative: the genetic aptitude to be heavier at calving and to have high body reserves was related to shorter postpartum intervals. A favourable genetic correlation between age at puberty and postpartum intervals was found (rg between 0.45 and 0.70. The heifers which were genetically younger at puberty also had shorter postpartum intervals.

  17. Clinical Analysis of Ovarian Tumor in Puberty%青春期卵巢肿瘤临床分析

    Institute of Scientific and Technical Information of China (English)

    王刚

    2015-01-01

    目的 探析青春期卵巢肿瘤的临床特点. 方法 随机选择2013年3月—2014年3月期间该院收治的青春期卵巢肿瘤患者50例为研究对象,对其临床治疗资料进行回顾性分析. 结果 50例青春期卵巢肿瘤患者中,45例为良性肿瘤,占90%,其中行卵巢囊肿剥除术患者40例,行患侧附件切除术者5例;5例为恶性肿瘤,占10%,均行生育功能保留手术. 结论 青春期卵巢肿瘤大部分均为良性,主要为生殖细胞肿瘤,应该进一步强化青春期女性的自我保健意识,定期到医院进行妇科B超检查,从而更好地预防肿瘤.%Objective To study the clinical characteristics of ovarian tumor in puberty. Methods 50 patients with ovarian tumor in puberty in our hospital from March 2013 to March 2014 were selected as the research object, and the clinical data were retrospec-tively analyzed. Results In the 50 patients, 45 were found with benign tumors, accounting for 90%, and 40 of them underwent oophorocystectomy and 5 received unilateral adnexectomy; 5 were found with malignant tumors, accounting for 10%, and under-went fertility-sparing surgery. Conclusion Ovarian tumor in puberty mostly is benign germ cell tumor. Females in Puberty should further strengthen the consciousness of self health care and receive gynecological B ultrasound examination regularly so as to better prevent tumor.

  18. Ovarian and uterine characteristics and onset of puberty in adolescent offspring: effects of maternal diet and selenium supplementation in sheep.

    Science.gov (United States)

    Grazul-Bilska, Anna T; Neville, Tammi L; Borowczyk, Ewa; Sharma, Akanksha; Reynolds, Lawrence P; Caton, Joel S; Redmer, Dale A; Vonnahme, Kimberly A

    2014-04-15

    The aim of this study was to determine the effects of maternal diet with adequate (A) or high (H) selenium (Se) supplementation on ovarian and uterine characteristics, and onset of puberty in adolescent offspring. Sheep were fed a maintenance (M) diet with ASe or HSe levels from breeding to parturition. From Day 50 to parturition, a portion of the ewes from ASe and HSe groups was fed restricted (R, 60% of M) or excess (E, 140% of M) diet. Immediately after birth, lambs were separated from their dams and given artificial colostrum for 20 hours, followed by milk replacer. From Day 57.3 ± 0.6, ewe lambs were fed a pelleted grower diet until Day 116.3 ± 0.6 when they were transitioned to a finisher diet. From Day 99 to 180, serum samples were collected weekly from jugular vein for progesterone analysis to determine onset of puberty. Reproductive tissues were collected on Day 180.1 ± 0.4 of age. Maternal diet or Se supplementation did not affect uterine or ovarian weight and onset of puberty. However, area under the curve for progesterone was greater (P = 0.05) in ASe compared with HSe groups, and was greater in ASeM than HSeM group. In CLs, labeling index (LI; a proportion of proliferating cells) was less (P < 0.04) in HSeM than ASeM group, and in stroma was less (P < 0.05) in R and E groups than M group. Maternal diet did not affect the LI of any follicle types. For all groups combined, LI was the greatest (P < 0.001) in antral, less in early antral and secondary, and the least in atretic follicles. Our results demonstrate that maternal diet influenced ovarian but not uterine characteristics or onset of puberty. These results indicate that maternal plane of nutrition and/or Se supplementation may have specific effects on reproductive function in offspring.

  19. Effect of a postnatal high-fat diet exposure on puberty onset, estrous cycle regularity, and kisspeptin expression in female rats

    DEFF Research Database (Denmark)

    Lie, Maria Elena Klibo; Overgaard, Agnete; Mikkelsen, Jens D

    2013-01-01

    Kisspeptin, encoded by Kiss1, plays a key role in pubertal maturation and reproduction as a positive upstream regulator of the hypothalamic-pituitary-gonadal (HPG) axis. To examine the role of high-fat diet (HFD) on puberty onset, estrous cycle regularity, and kisspeptin expression, female rats...... were exposed to HFD in distinct postnatal periods. Three groups of rats were exposed to HFD containing 60% energy from fat during the pre-weaning period (postnatal day (PND) 1-16, HFD PND 1-16), post-weaning period (HFD PND 21-34), or during both periods (HFD PND 1-34). Puberty onset, evaluated...... that postnatal HFD exposure induced irregular estrous cycles, but had no effect on puberty onset or kisspeptin....

  20. Neural systems supporting cognitive-affective interactions in adolescence: The role of puberty and implications for affective disorders

    Directory of Open Access Journals (Sweden)

    Cecile D. Ladouceur

    2012-08-01

    Full Text Available Evidence from longitudinal studies suggests that adolescence may represent a period of vulnerability that, in the context of adverse events, could contribute to developmental trajectories toward behavioral and emotional health problems, including affective disorders. Adolescence is also a sensitive period for the development of neural systems supporting cognitive-affective processes, which have been implicated in the pathophysiology of affective disorders such as anxiety and mood disorders. In particular, the onset of puberty brings about a cascade of physical, hormonal, psychological, and social changes that contribute in complex ways to the development of these systems. This article provides a brief overview of neuroimaging research pertaining to the development of cognitive-affective processes in adolescence. It also includes a brief review of evidence from animal and human neuroimaging studies suggesting that sex steroids influence the connectivity between prefrontal cortical and subcortical limbic regions in ways that contribute to increased reactivity to emotionally salient stimuli. We integrate these findings in the context of a developmental affective neuroscience framework suggesting that the impact of rising levels of sex steroids during puberty on fronto-limbic connectivity may be even greater in the context of protracted development of prefrontal cortical regions in adolescence. We conclude by discussing the implications of these findings for future research aimed at identifying neurodevelopmental markers of risk for future onset of affective disorders.

  1. The Effect of Puberty on Interaction between Vitamin D Status and Insulin Resistance in Obese Asian-Indian Children

    Directory of Open Access Journals (Sweden)

    Rajesh Khadgawat

    2012-01-01

    Full Text Available To study the effect of puberty on the relationship between serum 25-hydroxyvitamin D (25(OHD and parameters of insulin kinetics in obese Asian-Indian children. Material and Methods. The study population included 62 obese Asian-Indian children and adolescents in the age group of 6–17 years. Blood glucose, serum insulin, and serum 25(OHD were measured. Total body fat was measured by dual energy X-ray absorptiometry. Indices of insulin resistance (HOMA-IR, AUC for insulin and sensitivity (WBISI were calculated after oral glucose tolerance test. Result. A total of 62 subjects (35 boys; mean age = 13.0 ± 3 years; BMI = 29.3 ± 4.8 kg/sq M; 19 subjects in Tanner stage 1, 11 in stage 2, 6 in stage 3, 3 in stage 4, and 23 subjects in Tanner stage 5 were studied. All study subjects were vitamin D deficient with a mean serum 25(OHD of 8.5 ± 4.2 ng/mL. No significant relationship was observed between serum 25(OHD and parameters of insulin kinetics in prepubertal children. However, a significant inverse correlation was seen between serum 25(OHD and HOMAIR (=−0.41, =0.03 in postpubertal subjects. Conclusion. The relationship between vitamin D status and parameters of insulin kinetics are affected by puberty.

  2. Autosomal dominant precocious osteoarthropathy due to a mutation of the cartilage oligomeric matrix protein (COMP) gene: further expansion of the phenotypic variations of COMP defects

    Energy Technology Data Exchange (ETDEWEB)

    Kawaji, Hiroyuki [Department of Orthopaedic Surgery, Sanyudo Hospital, 6-1-219 Chuou, Yonezawa, Yamagata 992-0045 (Japan); Nishimura, Gen [Department of Radiology, Nasu Chuou Hospital, Tochigi (Japan); Watanabe, Sobei; Sasaki, Akira; Sano, Tokuhisa [Department of Orthopaedic Surgery, Tohoku Kohsei-Nenkin Hospital, Miyagi (Japan); Mabuchi, Akihiko; Ikeda, Toshiyuki; Ikegawa, Shiro [Laboratory for Bone and Joint Diseases, SNP Research Center, Tokyo (Japan); Ohashi, Hirofumi [Division of Medical Genetics, Saitama Children' s Medical Center, Saitama (Japan)

    2002-12-01

    We report on a Japanese family of four generations with an autosomal dominant precocious osteoarthropathy. The cardinal clinical manifestations of affected individuals were painful weight-bearing large joints, which started in late childhood or adolescence. The radiological hallmarks included coxa plana, mild epiphyseal dysplasia of the knee, and round talar domes with tibiotalar slant in childhood, which evolved into degenerative joint diseases in adulthood. The disease phenotype was cosegregated with a mutation of the cartilage oligomeric matrix protein (COMP) gene in the family members, who underwent molecular evaluation. COMP mutations have been reported in a mild form of multiple epiphyseal dysplasia (MED), Ribbing type, as well as allied disorders with more severe manifestations, such as MED Fairbank type and pseudoachondroplasia. Unlike previously reported cases with the Ribbing type, the present patients did not have short stature or brachydactyly. This report expands further the phenotypic variations of COMP defects. (orig.)

  3. INaP selective inhibition reverts precocious inter- and motorneurons hyperexcitability in the Sod1-G93R zebrafish ALS model

    Science.gov (United States)

    Benedetti, Lorena; Ghilardi, Anna; Rottoli, Elsa; De Maglie, Marcella; Prosperi, Laura; Perego, Carla; Baruscotti, Mirko; Bucchi, Annalisa; Del Giacco, Luca; Francolini, Maura

    2016-01-01

    The pathogenic role of SOD1 mutations in amyotrophic lateral sclerosis (ALS) was investigated using a zebrafish disease model stably expressing the ALS-linked G93R mutation. In addition to the main pathological features of ALS shown by adult fish, we found remarkably precocious alterations in the development of motor nerve circuitry and embryo behavior, and suggest that these alterations are prompted by interneuron and motor neuron hyperexcitability triggered by anomalies in the persistent pacemaker sodium current INaP. The riluzole-induced modulation of INaP reduced spinal neuron excitability, reverted the behavioral phenotypes and improved the deficits in motor nerve circuitry development, thus shedding new light on the use of riluzole in the management of ALS. Our findings provide a valid phenotype-based tool for unbiased in vivo drug screening that can be used to develop new therapies. PMID:27079797

  4. A comparative study of prenatal development in the olfactory bulb, neocortex and hippocampal region of the precocial mouse Acomys cahirinus and rat.

    Science.gov (United States)

    Brunjes, P C

    1989-09-01

    Unlike the remainder of the rodent subfamily Muridae, Acomys cahirinus (the 'spiny' mouse) is born in a precocial state after a long (39 day) gestation. In this paper, the development of the olfactory bulb, neocortex and hippocampal formation of Acomys from prenatal days 14-34 was examined and the rate of maturation compared with that of its cousin, the laboratory rat (Rattus norvegicus). At the earliest stages examined, Acomys was approximately 2 days less mature than the same post-conception aged rat. The difference between the two species increased: Acomys at 28 days postconception resembled the 22-day rat. By the end of gestation, Acomys and the rat were in a relatively similar developmental state. Therefore, Acomys exhibits a quite different timetable of early maturation which includes a protracted period of relatively slow growth during mid-gestation. As such, it offers many benefits as a subject for studies of both early ontogenesis and the mechanisms which result in species differences.

  5. Spring Chinook Salmon Interactions Indices and Residual/Precocial Monitoring in the Upper Yakima Basin; Yakima/Klickitat Fisheries Project Monitoring and Evaluation, 2001-2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Pearsons, Todd N.; James, Brenda B.; Johnson, Christopher L. (Washington Department of Fish and Wildlife, Olympia, WA)

    2003-05-01

    This report examines some of the factors that can influence the success of supplementation, which is currently being tested in the Yakima Basin using upper Yakima stock of spring chinook salmon. Supplementation success in the Yakima Basin is defined relative to four topic areas: natural production, genetics, ecological interactions, and harvest (Busack et al. 1997). The success of spring chinook salmon supplementation in the Yakima Basin is dependent, in part, upon fish culture practices and favorable physical and biological conditions in the natural environment (Busack et al. 1997). Shortfalls in either of these two topics (i.e., failure in culturing many fish that have high long-term fitness or environmental conditions that constrain spring chinook salmon production) will cause supplementation success to be limited. For example, inadvertent selection or propagation of spring chinook that residualize or precocially mature may hinder supplementation success. Spring chinook salmon that residualize (do not migrate during the normal migration period) may have lower survival rates than migrants and, additionally, may interact with wild fish and cause unacceptable impacts to non-target taxa. Large numbers of precocials (nonanadromous spawners) may increase competition for females and significantly skew ratios of offspring sired by nonanadromous males, which could result in more nonanadromous spring chinook in future generations. Conditions in the natural environment may also limit the success of spring chinook supplementation. For example, intra or interspecific competition may constrain spring chinook salmon production. Spring chinook salmon juveniles may compete with each other for food or space or compete with other species that have similar ecological requirements. Monitoring of spring chinook salmon residuals, precocials, prey abundance, carrying capacity, and competition will help researchers interpret why supplementation is working or not working (Busack et al

  6. Estimating survival of precocial chicks during the prefledging period using a catch-curve analysis and count-based age-class data

    Science.gov (United States)

    McGowan, C.P.; Millspaugh, J.J.; Ryan, M.R.; Kruse, C.D.; Pavelka, G.

    2009-01-01

    Estimating reproductive success for birds with precocial young can be difficult because chicks leave nests soon after hatching and individuals or broods can be difficult to track. Researchers often turn to estimating survival during the prefledging period and, though effective, mark-recapture based approaches are not always feasible due to cost, time, and animal welfare concerns. Using a threatened population of Piping Plovers (Charadrius melodus) that breeds along the Missouri River, we present an approach for estimating chick survival during the prefledging period using long-term (1993-2005), count-based, age-class data. We used a modified catch-curve analysis, and data collected during three 5-day sampling periods near the middle of the breeding season. The approach has several ecological and statistical assumptions and our analyses were designed to minimize the probability of violating those assumptions. For example, limiting the sampling periods to only 5 days gave reasonable assurance that population size was stable during the sampling period. Annual daily survival estimates ranged from 0.825 (SD = 0.03) to 0.931 (0.02) depending on year and sampling period, with these estimates assuming constant survival during the prefledging period and no change in the age structure of the population. The average probability of survival to fledging ranged from 0.126 to 0.188. Our results are similar to other published estimates for this species in similar habitats. This method of estimating chick survival may be useful for a variety of precocial bird species when mark-recapture methods are not feasible and only count-based age class data are available. ?? 2009 Association of Field Ornithologists.

  7. Puberty induction in Turner syndrome: Results of oestrogen treatment on development of secondary sexual characteristics, uterine dimensions and serum hormone levels

    NARCIS (Netherlands)

    Bannink, E.M.N.; Sassen, C. van; Buuren, S. van; Jong, F.H. de; Lequin, M.; Mulder, P.G.H.; Muinck Keizer-Schrama, S.M.P.F. de

    2009-01-01

    Background: Besides short stature, gonadal dysgenesis leading to a lack of oestrogen is one of the main characteristics of Turner syndrome (TS). In most TS girls, puberty is induced with exogenous oestrogens. Objective: To describe the pubertal development and uterine dimensions achieved by low-dose

  8. Direct mixed antiglobulin reaction (MAR) test in semen at follow-up after testicular biopsy of maldescended testes operated in puberty

    DEFF Research Database (Denmark)

    Cortes, Dina; Brandt, B; Thorup, Jørgen Mogens

    1990-01-01

    In thirty patients bilateral orchiopexy was performed in puberty. At the operation twenty-five patients underwent bilateral testicular biopsies, and five patients underwent unilateral biopsies only. In adulthood the semen was analysed for antisperm antibodies by the direct mixed antiglobulin...

  9. Age at puberty, ovulation rate, and reproductive tract traits of developing gilts fed two lysine levels and three metabolizable energy levels from 100 to 260 d of age

    Science.gov (United States)

    The objective of this study was to determine the effect of feeding different lysine and metabolizable energy (ME) levels to developing gilts on age at puberty and reproductive tract measurements. Crossbred Large White × Landrace gilts (n = 1221) housed in groups from 100 d of age until slaughter (ap...

  10. The timing of the onset of puberty, extension of the breeding season, and length of postpartum anestrus in the female mouflon (Ovis gmelini musimon).

    Science.gov (United States)

    Santiago-Moreno, J; Lopez-Sebastian, A; Gonzalez-Bulnes, A; Gomez-Brunet, A; Tortonese, D

    2001-06-01

    The timing of the onset of puberty, duration of seasonal ovulatory activity, and length of postpartum anestrus were studied by means of blood plasma progesterone concentrations in a flock of European female mouflons (Ovis gmelini musimon) maintained in captivity under natural photoperiod (40 degrees 25'N). Concentrations of progesterone in the peripheral blood were determined by radioimmunoassay in samples collected from the jugular vein twice a week. First ovulations in the breeding season were highly synchronized and occurred in mid-October. In contrast, the cessation of ovulatory cycles showed significant variation among females and extended from February to May, depending on age, with 2-yr-old animals exhibiting the longest anovulatory period (P mouflon lambs that reached a minimum threshold body weight (23.8 +/- 0.6 kg) in their first breeding season reached puberty at 8 mo of age. In those with slower growth rates, however, the prepubertal period was extended throughout the first breeding and nonbreeding seasons, reaching puberty during the breeding season of the following year at 19 mo of age and 27 +/- 0.3 kg body weight. Further, attainment of puberty in ewe lambs born in June/July was also delayed until the breeding season of the following year, when animals had reached a threshold body weight at 17 mo of age.

  11. Pineal attrition, loss of cognitive plasticity, and onset of puberty during the teen years: is it a modern maladaptation exposed by evolutionary displacement?

    Science.gov (United States)

    Yun, A Joon; Bazar, Kimberly A; Lee, Patrick Y

    2004-01-01

    Cognitive plasticity, a developmental trait that promotes acquisition of complex skills such as language or playing musical instruments, diminishes substantially during puberty. The loss of plasticity has been attributed to surge of sex steroids during adolescence, but the phenomenon remains poorly understood. We hypothesize that pineal involution during puberty may contribute to plasticity decay. The pineal gland produces melatonin, the level of which declines dramatically during onset of puberty. Emerging evidence suggest that melatonin may modulate cognitive plasticity, independent of the effects of sex steroids, and low sex steroids and high melatonin may be simultaneously required to maintain cognitive plasticity. Potential mechanisms by which melatonin may modulate plasticity are examined within the sleep and hippocampal long-term potentiation frameworks. Implications for psychiatric conditions that involve sleep disorders and learning dysfunctions such as schizophrenia and autism are discussed, and the potential adaptive roles of postprandial and postcoital sleep are explored. From the Darwinian perspective, development and reproductive maturity may represent distinct phases that require tailored cognitive strategies to maximize fitness. While cognitive flexibility and susceptibility to new skills may be paramount during development, reduced cognitive flexibility and increased cognitive determinism may enable more efficient responses to stimuli during adulthood. Thus, cognitive plasticity and cognitive determinism may represent trade-off adaptations and different dimensions of intelligence. The decline of plasticity and emergence of puberty during the second decade may be relics of prehistoric times when the human lifespan was short and the environment was relatively simple and static. Today, when the environment is more complex and dynamic, and humans are living far longer, the early obsolescence of plasticity during puberty may represent a Darwinian

  12. Teaching adolescents about changing bodies: Randomized controlled trial of an Internet puberty education and body dissatisfaction prevention program.

    Science.gov (United States)

    Cousineau, Tara M; Franko, Debra L; Trant, Meredith; Rancourt, Diana; Ainscough, Jessica; Chaudhuri, Anamika; Brevard, Julie

    2010-09-01

    This study tested the efficacy of an Internet-based prevention program, Trouble on the Tightrope: In Search of Skateboard Sam, on pubertal knowledge, body esteem, and self-esteem. One hundred and ninety participants (mean age 11.6 years) were randomized to either an intervention or attention placebo control condition and were assessed at baseline, after three Internet-based sessions, and at 3-month follow-up. Although the primary hypotheses were not supported, exploratory moderator analyses indicated that the intervention was beneficial for select students. Specifically, pubertal status moderated the effects on weight-related body esteem and several domains of self-esteem, resulting in positive effects for participants in the intervention group who had begun puberty. Gender differences were found on self-esteem subscales, indicating more robust effects for girls than boys. Tailored Internet programs based on personal characteristics such as gender and pubertal status may be a fruitful area for future research with adolescents.

  13. Behavioral aggressiveness in boys with sexual precocity

    Directory of Open Access Journals (Sweden)

    Bindu Kulshreshtha

    2012-01-01

    Full Text Available Background: Some boys with sexual precocity are known to have behavioral problems like increased physical and verbal aggression and school and social maladjustments. It is believed to be due to premature androgen exposure. However, it is not clear why only some develop this problem, difference in etiology could be one explanation. Aim: The aim of the study is to assess behavioral aggression in boys with sexual precocity due to different disorders. Materials and Methods: Seven children, ages three to seven years, were enrolled for this study. Two were diagnosed to have congenital adrenal hyperplasia (CAH, three had testotoxicosis, while two had central precocious puberty. Parents of children with precocious puberty underwent the (CASP questionnaire (children′s aggression scale-parent version. Results: Testosterone levels were high in all patients. Parents denied any history of physical or verbal aggression in the two boys with CAH. Their CASP rating was 0. In contrast, the CASP ratings in the two boys with testotoxicosis and the two with precocious puberty for five domains ranged from 3.1 - 24.2, 2.6 - 8.3,1-5.6,0 - 7.1, and 0 - 1, respectively. In the present study, increased aggression was seen among all the patients with testotoxicosis and both with precocious puberty. In contrast, there were no symptoms of either increased verbal or physical aggression in either of the two patients with CAH. Conclusions: The hormonal milieu in the boys with CAH versus those with sexual precocity due to other causes differed in terms of cortisol and androgen precursors. The androgen excess in CAH children was a consequence of cortisol deficiency. It is possible that cortisol sufficiency is required for androgen-mediated behavioral effects.

  14. Intervention levels in a precocious detection program for breast cancer and evaluation of four participant units; Niveles de intervencion en un programa de deteccion precoz del cancer de mama y evaluacion de cuatro unidades participantes

    Energy Technology Data Exchange (ETDEWEB)

    Carrera M, F.; Velazquez M, S.; Manzano M, F.J.; Sanchez S, J. [Hospital `Juan Ramon Jimenez` Ronda Norte s/n 21005. Huelva, Espana (Spain)

    1998-12-31

    It is presented the basis to make a cost benefit analysis for a breast cancer precocious detection program and consequently the keys for its optimization from the radiological point of view. Taking this as a reference it is made an exhaustive quality control to four mammographic unities which were participating or they were candidates to participate in a breast cancer precocious detection program. Also it is presented its results. It is followed the protocol for quality control in mammography in Spain obtaining values for the measurement of twelve interesting parameters. It should be maintained the standard breast dose about 1 mGy/ image. It should be available a 24 x 30 cm portacassete and considering the utilization of a single projection by breast. (Author)

  15. Central line infections - hospitals

    Science.gov (United States)

    ... infection; Central venous catheter - infection; CVC - infection; Central venous device - infection; Infection control - central line infection; Nosocomial infection - central line infection; Hospital acquired ...

  16. Central Solenoid

    CERN Multimedia

    2002-01-01

    The Central Solenoid (CS) is a single layer coil wound internally in a supporting cylinder housed in the cryostat of the Liquid Argon Calorimeter. It was successfully tested at Toshiba in December 2000 and was delivered to CERN in September 2001 ready for integration in the LAr Calorimeter in 2003. An intermediate test of the chimney and proximity cryogenics was successfully performed in June 2002.

  17. 芳香化酶抑制剂在McCune-Albright综合征和睾丸毒症中的应用进展%Advancement for Applications of Ais in the Treatment of McCune-Albright Syndrome and Family Male-Limited Precocious Puberty

    Institute of Scientific and Technical Information of China (English)

    李建涛; 史亦丽; 茅江峰

    2011-01-01

    目的 了解芳香化酶(AIs)在McCune-Albright综合征和睾丸毒症中的应用.方法 通过文献复习对AIs在这两种少见的外周性性早熟疾病中的应用进行综述.结果 随着分子病因学研究的不断深入,已对这两种疾病的病理生理和发病机制有了较多了解,但临床一直缺少有效的药物治疗.第3代AIs(来曲唑等),由于可有效降低机体雌二醇水平,延缓骨骺闭合,对患者获得较好的最终身高有利,且副作用小,而用于临床研究.结论 临床应用表明,对于女性McCulie-Albright综合征的疗效可能较差,但在治疗男性性早熟中,第3代AIs(来曲唑等)显示出比较理想的疗效.

  18. Regulative Actions of Chinese Herbal Medicine for Nourishing Yin and Purging Fire in Precocious Puberty Model Rats Hypothalamic-pituitary-gonadal axis' function%滋阴泻火方对性早熟模型大鼠下丘脑-垂体-性腺轴的影响

    Institute of Scientific and Technical Information of China (English)

    孙青; 李海浪; 郑意楠; 邹爱峰

    2007-01-01

    目的:观察滋阴泻火方对性早熟大鼠下丘脑-垂体-性腺轴功能的影响.方法:26d雌性SD大鼠60只,随机分成正常对照(N)组、性早熟模型(P)组、亮丙瑞林(L)组、中药大剂量(C-H)组、中药中剂量(C-M)组和中药小剂量(C-L)组.除N组外,其余组建立由N-甲基-DL-天冬氨酸(NMA)诱导的性早熟大鼠模型.L组、C-H组、C-M组和C-L组在建立模型的同时,分别用L、C-H、C-M及C-L进行干预.测定各组大鼠卵巢、子宫指数,卵巢黄体出现率,下丘脑GnRHmRNA和垂体GnRH-RmRNA表达水平.结果:①与N组比较,P组、C-L组上述观察指标显著升高(P<0.05),而L组、C-H组和C-M组未见统计学差异(P>0.05).②与L组比较,C-H组、C-M组以上指标未见统计学差异(P>0.05).结论:滋阴泻火方能抑制NMA诱导的雌性大鼠性早熟的发生,并使其维持在正常青春前期状态,其作用与亮丙瑞林相似.其干预机制可能是通过下调下丘脑GnRH和垂体GnRH-R基因的表达,从而抑制下丘脑-垂体-性腺轴的功能来实现的.

  19. Primary Glucocorticoid Resistance Syndrome Presenting as Pseudo-precocious Puberty and Galactorrhea%以假性性早熟、溢乳为主要临床表现的原发性糖皮质激素抵抗综合征

    Institute of Scientific and Technical Information of China (English)

    向淑麟; 何利平; 冉兴无; 田浩明; 李秀钧; 梁荩忠

    2008-01-01

    报告1例以假性性早熟、溢乳为主要临床表现的原发性糖皮质激素抵抗综合征(PGRS)患者.患儿,男,7岁,因发现乳房长大、身高增长快13+月,体毛增多7+月,声音变粗3+月入院.查体:身高135 cm,体质量31 kg,语音低沉,全身皮肤色素沉着,发际低,体毛增多,双侧乳房发育,乳晕色深,溢乳,阴茎色素沉着,成人型,长约6 cm,阴毛Tanner 3级,睾丸约1 cm×2 cm,质软.无阳性家族史.否认外源性激素服用史.实验室及辅助检查:血清转氨酶升高但肝炎标志物均为阴性;多次血清皮质醇升高但生理波动存在,血浆ACTH正常或轻度升高,血清E2、P、T、LH、FSH、脱氢表雄酮水平正常,硫酸脱氢表雄酮及血清泌乳素水平升高,尿游离皮质醇正常,尿双氢睾酮水平升高.GnRH兴奋试验示无反应;胰岛素低血糖刺激试验反应正常,地塞米松(DEX)抑制试验示血清皮质醇及血浆ACTH均能被0.5 mg DEX抑制.骨龄13岁,肾上腺及垂体MRI未见异常,乳腺B超示双侧乳腺增生.因此PGRS临床诊断明确.给予DEX 0.75~1.0 mg/d口服,2月后溢乳症状未缓解,故加用溴隐亭1.25~3.75 mg/d治疗.随访24月,皮肤色素沉着明显减轻,外生殖器及乳房无进一步发育,溢乳症状消失,声音低沉有所缓解,骨龄增长速度减慢,但多毛症状无明显缓解,未发现长期服用糖皮质激素的副作用.

  20. Europa central

    Directory of Open Access Journals (Sweden)

    Karel BARTOSEK

    2010-02-01

    Full Text Available La investigación francesa continúa interesándose por Europa Central. Desde luego, hay límites a este interés en el ambiente general de mi nueva patria: en la ignorancia, producto del largo desinterés de Francia por este espacio después de la Segunda Guerra Mundial, y en el comportamiento y la reflexión de la clase política y de los medios de comunicación (una anécdota para ilustrar este ambiente: durante la preparación de nuestro coloquio «Refugiados e inmigrantes de Europa Central en el movimiento antifascista y la Resistencia en Francia, 1933-1945», celebrado en París en octubre de 1986, el problema de la definición fue planteado concreta y «prácticamente». ¡Y hubo entonces un historiador eminente, para quién Alemania no formaría parte de Europa Central!.

  1. Impact of the growth hormone receptor exon 3 deletion gene polymorphism on glucose metabolism, lipids, and insulin-like growth factor-I levels during puberty

    DEFF Research Database (Denmark)

    Sørensen, Kaspar; Aksglaede, Lise; Munch-Andersen, Thor;

    2009-01-01

    the impact of the GHRd3 gene polymorphism on insulin sensitivity, insulin secretion, lipids, and IGF-I levels in healthy children and adolescents. DESIGN: This was cross-sectional and was part of the COPENHAGEN puberty study. SETTING: The study was conducted at a tertiary center for pediatric endocrinology......-I levels. RESULTS: Insulin secretion was higher in children and adolescents with a least one GHRd3 allele, even after adjustment for age, sex, pubertal stage, and insulin sensitivity (P = 0.018). Disposition index was higher in GHRd3-positive subjects (P = 0.026). In addition, the GHRd3 allele...... was associated with higher triglyceride (P = 0.028), but not IGF-I levels. CONCLUSION: The presence of at least one GHRd3 allele was associated with higher insulin secretion for a given degree of insulin sensitivity in healthy children and adolescents during puberty. In addition, the presence of the GHRd3 allele...

  2. Maturation of kisspeptinergic neurons coincides with puberty onset in male rats

    DEFF Research Database (Denmark)

    Bentsen, Agnete H; Ansel, Laura; Simonneaux, Valerie;

    2010-01-01

    Kisspeptins, derived from the Kiss1 gene play a central role in activation of the hypothalamo-pituitary gonadal (HPG) axis via stimulation of GnRH neurons. Both Kiss1 and Kiss1R (receptor) mRNA levels are found to be low in pre-pubertal rats, but whether an increase in kisspeptin and/or its...... and testosterone. These results show that both Kiss1 mRNA and the peptide increase in arcuate nucleus along pubertal maturation. Since kisspeptin signaling is potentially functional, even for peripheral activation, and well before the kisspeptin neuronal system is fully matured, our data support...

  3. Brain choline acetyltransferase and muscarinic receptor sites, brain and liver cholinesterases in precocial Acomys cahirinus and altricial rat during post-natal development.

    Science.gov (United States)

    Michalek, H; Pintor, A; Fortuna, S; Bisso, G M

    1988-01-01

    Brain choline acetyltransferase, acetylcholinesterase with its molecular forms, and muscarinic receptor sites, as well as liver total cholinesterases were evaluated during the first postnatal month in pups of a precocial (Acomys cahirinus) and altricial (rat) murid species. At birth the levels of brain cholinergic markers were higher in the Acomys than in the rat, but in adulthood the differences were smaller or even reversed. The postnatal increase up in the markers to weaning was considerably more pronounced in the rat. However, substantial variations in the patterns of development of the three cholinergic markers within and between species were observed. Liver cholinesterases were considerably higher in Acomys than in rats at all ages investigated. These and literature data are discussed in relation to postnatal, post-conception and post-organogenesis age of pups belonging to the two species. The variability of the ontogenetic patterns between the enzymes suggests that there is some biological control of individual rates of maturation and that it is necessary to be careful in broadly interpreting growth patterns across organs within the same species and across species.

  4. Precocious flowering of juvenile citrus induced by a viral vector based on Citrus leaf blotch virus: a new tool for genetics and breeding.

    Science.gov (United States)

    Velázquez, Karelia; Agüero, Jesús; Vives, María C; Aleza, Pablo; Pina, José A; Moreno, Pedro; Navarro, Luis; Guerri, José

    2016-10-01

    The long juvenile period of citrus trees (often more than 6 years) has hindered genetic improvement by traditional breeding methods and genetic studies. In this work, we have developed a biotechnology tool to promote transition from the vegetative to the reproductive phase in juvenile citrus plants by expression of the Arabidopsis thaliana or citrus FLOWERING LOCUS T (FT) genes using a Citrus leaf blotch virus-based vector (clbvINpr-AtFT and clbvINpr-CiFT, respectively). Citrus plants of different genotypes graft inoculated with either of these vectors started flowering within 4-6 months, with no alteration of the plant architecture, leaf, flower or fruit morphology in comparison with noninoculated adult plants. The vector did not integrate in or recombine with the plant genome nor was it pollen or vector transmissible, albeit seed transmission at low rate was detected. The clbvINpr-AtFT is very stable, and flowering was observed over a period of at least 5 years. Precocious flowering of juvenile citrus plants after vector infection provides a helpful and safe tool to dramatically speed up genetic studies and breeding programmes.

  5. The role of the embryoless parts of triticale caryopses in inhibiting precocious germination and transcription in the embryo during development and maturation of caryopses

    Directory of Open Access Journals (Sweden)

    Stanisław Weidner

    2014-01-01

    Full Text Available The experiments were conducted on developing and ripening triticale cv. Dagro caryopses. Increasing capability for precocious germination of the caryopses was seen as development and maturation progressed. A significant role of the embryoless parts of the caryopses (testa, pericarp and endosperm in preventing germination processes was found. Isolated embryos (after 8 days of incubation germinated by 100% from the 32nd day after flowering, while only 10% of whole caryopses from this sample germinated. Removal of the outer pericarp strongly stimulated germination of unripe caryopses. However, incising the caryopses near the embryo only slightly stimulated this process, which indicates that hypoxia of the embryo is not the cause of triticale embryo dormancy. Another very sensitive indicator of release of dormancy in the caryopses was the increased synthesis of embryo polyribosomal RNA induced by germination. The results of investigations on RNA synthesis in embryos - which undergoes extreme intensification when germination processes are initiated in the caryopses - were in agreement with those of biological studies based on observation of the elongation of the radicle. The lowest inhibition of transcription in the embryo was found when it was completely separated from the testa, pericarp and endosperm. A smaller effect was seen upon removal of the outer pericarp from developing and ripening caryopses, and decidedly the smallest effect still of incising the caryopses near the embryo.

  6. 听障学生青春期教育刍议%Humble Opinions on the Puberty Education of Hearing-impaired Students

    Institute of Scientific and Technical Information of China (English)

    张鹏; 鹿崇涛

    2011-01-01

    青春期作为人一生中朝气蓬勃、充满活力的时期,也是人身体、心理发育成长的一个关键期。当前,青春期教育虽已然引起关注,但在聋教育领域仍有许多问题值得探索,有些尚属空白。结合我们的实践研究体会,现就"听障学生青春期教育"话题中的几个关键性问题,即"青春期听障学生生存现状透视与教育重点""听障学生青春期教育的有效实施策略""值得进一步探讨的几个问题"等,谈些粗浅的看法。%Puberty is a period in which human beings are vibrant and full of vigor as well as a critical period for the growth of the human body and human's psychological development. Currently, puberty education has aroused much attention but there are still many problems in hearing-impaired students' education field, which deserve exploration, and some of which are still almost in blank. Based on our practice research experience, we intend to put forward some simple views on a couple of critical issues in the subject, the puberty education of hearing-impaired students, that is, the analysis of the current survival status and the education status of hearing-impaired students, effective implementation strategies on hearing-impaired students' puberty education, several issues deserving further discussion and so on.

  7. 青春发育提前的相关基因研究进展%The progress on genes associated with early puberty

    Institute of Scientific and Technical Information of China (English)

    蔡春艳

    2014-01-01

    人类青春期的启动是由再度出现的下丘脑-垂体-性腺轴促性腺激素释放激素的释放幅度和频率明显增加所触发.一系列研究发现许多基因调控青春期启动,包括KISS1和GPR54基因、雌激素受体基因、能量平衡相关基因、LIN28B基因以及MKRN3基因等,这些基因的突变和单核苷酸多态性与青春发育提前相关.该文就这些基因的遗传改变与青春发育提前的关系作一综述.%Puberty onset is triggered by re-emergence of the hypothalamic-pituitary-gonadal axis (HPGA),which is characterized by the significantly increasing amplitude and frequency of gonadotropin-releasing hormone (GnRH) secretion in human being.A series of studies found that many genes control puberty onset,including KISS1 and GPR54 gene,estrogen receptor (ESR) gene,energy balance-related genes,LIN28B gene,MKRN3 gene and so on.Studies have been confirmed that the mutation and single nucleotide polymorphisms (SNP) of the genes above are associated with early puberty.In this paper,the relationship between genetic alterations of these genes and early puberty are summarized as follows.-

  8. Integrity of the plasma membrane, the acrosomal membrane, and the mitochondrial membrane potential of sperm in Nelore bulls from puberty to sexual maturity

    Directory of Open Access Journals (Sweden)

    L.S.L.S. Reis

    2016-06-01

    Full Text Available ABSTRACT This study evaluated the plasma membrane integrity, acrosomal membrane integrity, and mitochondrial membrane potential of Nelore bull sperm from early puberty to early sexual maturity and their associations with sperm motility and vigor, the mass motility of the spermatozoa (wave motion, scrotal circumference, and testosterone. Sixty Nelore bulls aged 18 to 19 months were divided into four lots (n=15 bulls/lot and evaluated over 280 days. Semen samples, collected every 56 days by electroejaculation, were evaluated soon after collection for motility, vigor and wave motion under an optical microscope. Sperm membrane integrity, acrosomal integrity, and mitochondrial activity were evaluated under a fluorescent microscope using probe association (FITC-PSA, PI, JC-1, H342. The sperm were classified into eight integrity categories depending on whether they exhibited intact or damaged membranes, an intact or damaged acrosomal membrane, and high or low mitochondrial potential. The results show that bulls have a low amount of sperm with intact membranes at puberty, and the sperm show low motility, vigor, and wave motion; however, in bulls at early sexual maturity, the integrity of the sperm membrane increased significantly. The rate of sperm membrane damage was negatively correlated with motility, vigor, wave motion, and testosterone in the bulls, and a positive correlation existed between sperm plasma membrane integrity and scrotal circumference. The integrity of the acrosomal membrane was not influenced by puberty. During puberty and into early sexual maturity, bulls show low sperm mitochondrial potential, but when bulls reached sexual maturity, high membrane integrity with high mitochondrial potential was evident.

  9. Habitually Higher Dietary Glycemic Index During Puberty Is Prospectively Related to Increased Risk Markers of Type 2 Diabetes in Younger Adulthood

    Science.gov (United States)

    Goletzke, Janina; Herder, Christian; Joslowski, Gesa; Bolzenius, Katja; Remer, Thomas; Wudy, Stefan A.; Roden, Michael; Rathmann, Wolfgang; Buyken, Anette E.

    2013-01-01

    OBJECTIVE Carbohydrate nutrition during periods of physiological insulin resistance such as puberty may affect future risk of type 2 diabetes. This study examined whether the amount or the quality (dietary glycemic index [GI], glycemic load [GL], and added sugar, fiber, and whole-grain intake) of carbohydrates during puberty is associated with risk markers of type 2 diabetes in younger adulthood. RESEARCH DESIGN AND METHODS The analysis was based on 226 participants (121 girls and 105 boys) from the Dortmund Nutritional and Anthropometric Longitudinally Designed Study (DONALD) with an average of five 3-day weighed dietary records (range 2–6) during puberty (girls, age 9–14 years; boys, age 10–15 years) and fasting blood samples in younger adulthood (age 18–36 years) (average duration of follow-up 12.6 years). Multivariable linear regression was used to analyze the associations between carbohydrate nutrition and homeostasis model assessment–insulin resistance (HOMA-IR) as well as the liver enzymes alanine aminotransferase (ALT) and γ-glutamyltransferase (GGT) (n = 214). RESULTS A higher dietary GI was prospectively related to greater values of HOMA-IR (Ptrend = 0.03), ALT (Ptrend = 0.02), and GGT (Ptrend = 0.04). After adjustment for sex, adult age, baseline BMI, and early life and socioeconomic factors as well as protein and fiber intake, predicted mean HOMA-IR values in energy-adjusted tertiles of GI were 2.37 (95% CI 2.16–2.60), 2.47 (2.26–2.71), and 2.59 (2.35–2.85). The amount of carbohydrates, GL, and added sugar, fiber, and whole-grain intake were not related to the analyzed markers. CONCLUSIONS Our data indicate that a habitually higher dietary GI during puberty may adversely affect risk markers of type 2 diabetes in younger adulthood. PMID:23349549

  10. The progression of small-follicle reserves in the ovaries of wild African elephants (Loxodonta africana) from puberty to reproductive senescence.

    Science.gov (United States)

    Stansfield, F J; Nöthling, J O; Allen, W R

    2013-01-01

    This study aimed to determine whether the follicle reserve in the ovary of the African elephant declines progressively after puberty and whether its depletion constrains the fertility of older females. Elephant ovaries were fixed in 4% neutral buffered formalin and small-follicle counts made using stereological protocols. Excepting a slight rise in small-follicle numbers between 16 and 25 years of age, there was a trend for follicle numbers to fall from puberty to 70 years. Reproductive status did not impact significantly on small-follicle numbers (P=0.31). The number of early primary follicles, initially higher in number than true primary follicles, fell from post-puberty to nil at 45 years of age. Six of the seven oldest animals in the study showed signs of recent ovarian activity in the form of antral follicles, corpora lutea or large corpora nigra. The four oldest elephants (mean age 69 years) had a median small-follicle count of 11,113. In summary, it appears that the elephant ovary is capable of supplying oocytes for ovulation right up to the time of death at the age of maximum life expectancy, although the follicle reserve becomes depleted in some older elephants.

  11. Central pain.

    Science.gov (United States)

    Singh, Supreet

    2014-12-01

    Questions from patients about pain conditions and analgesic pharmacotherapy and responses from authors are presented to help educate patients and make them more effective self-advocates. The topic addressed in this issue is central pain, a neuropathic pain syndrome caused by a lesion in the brain or spinal cord that sensitizes one's perception of pain. It is a debilitating condition caused by various diseases such as multiple sclerosis, strokes, spinal cord injuries, or brain tumors. Varied symptoms and the use of pharmacological medicines and nonpharmacological therapies will be addressed.

  12. central t

    Directory of Open Access Journals (Sweden)

    Manuel R. Piña Monarrez

    2007-01-01

    Full Text Available Dado que la Regresión Ridge (RR, es una estimación sesgada que parte de la solución de la regresión de Mínimos Cuadrados (MC, es vital establecer las condiciones para las que la distribución central t de Student que se utiliza en la prueba de hipótesis en MC, sea también aplicable a la regresión RR. La prueba de este importante resultado se presenta en este artículo.

  13. Physical activity and bone mineral accrual in boys with different body mass parameters during puberty: a longitudinal study.

    Directory of Open Access Journals (Sweden)

    Donvina Vaitkeviciute

    Full Text Available The aim of our longitudinal study was to investigate the relationships between physical activity and bone mass in boys with different body mass status during the years surrounding pubertal growth spurt. Two hundred and six boys entering puberty took part in this study. The subjects were divided into underweight (BMI 26.02 groups at baseline according to age related categories. Whole-body DXA scans were performed at baseline, after 12 and 24 months to assess body composition (lean body mass, fat mass, and total body (TB, lumbar spine (LS and femoral neck (FN bone mineral density (BMD parameters. Physical activity was measured by 7-day accelerometry. For longitudinal analysis, multilevel fixed effects regression models were constructed. Biological age, height and lean body mass had an effect for explanation of TB BMD, FN BMD and LS BMD. Moderate to vigorous physical activity (MVPA, vigorous physical activity (VPA and sedentary time (SED had the significant effect only on FN BMD. Being an underweight boy at the baseline indicated greater chance (p<0.01 to have lower TB BMD in the future (2 years at follow up development, compared to normal weight (estimates = -0.038, overweight (estimates = -0.061 and obese boys (estimates = -0.106.

  14. Delusional development in child autism at the onset of puberty: vicissitudes of psychic dimensionality between disintegration and development.

    Science.gov (United States)

    Bisagni, Francesco

    2012-06-01

    Although the psychogenetic hypotheses on child autism have been superseded, psychoanalysis can still reflect on the relational exchange and its sensory aspects in concomitance with the mental development of these patients. Without making generalizations as regards the pathogenesis, but considering the specific features of each autistic child, it may be possible to achieve an integration of those islands of competence that make up these patients' limited personal heritage. Such integration may be reached through the analysis of representational, emotional and relational transformations. The first part of this article describes the case of an autistic child in treatment from the age of four on a four-times-weekly basis who, during puberty, developed severe formal thought disorders together with delusional and hallucinatory formations. The second part develops some post-Jungian theoretical contributions, such as the concept of self as nothingness and the idea of the unsaturated archetype, so as to evaluate the function of some a-priori concepts in support of the analyst's position. These concepts are considered in relation to Bion's model of transformation, and to the formulations on dimensional awareness, especially on the shift from a two-dimensionality to three-dimensionality view, as well as to the rhythm of the object's presence and absence.

  15. Therapeutic and Ethical Dilemma of Puberty and Menstruation Problems in an Intellectually Disabled (Autistic) Female: a Case Report.

    Science.gov (United States)

    Memarian, Azadeh; Mehrpisheh, Shahrokh

    2015-10-01

    Intellectual disability is a term used when a person has certain limitations in mental functioning and skills. Autism is a group of developmental brain disorders, collectively called autism spectrum disorder (ASD). Teenagers with learning and physical disabilities are more likely to have menstrual problems compared to the general populations. The parents of a 12-year-old girl with autism spectrum disorder and intellectual disability referred to the coroner due to her numerous problems of puberty (menstruation) including: poor hygiene and polluting herself and the environment, not allowing to put or change the pads and changes in mood and physical health prior period, requested for the surgery (hysterectomy). In legal medicine organization after reviewing the medical records, physical exams and medical consultations with a gynecologist and psychiatric, surgery was not accepted. Hysterectomy (surgery) due to the age of the child, either physically or morally is not recommended. The use of hormone replacement therapy has side effects such as osteoporosis. In these cases, it seems noninvasive methods (behavioral therapy and learning care skills) under the welfare experts is also more effective and morally.

  16. Comparison of Changes in Body Composition during Puberty Development of Obese and Normal-weight Children in China

    Institute of Scientific and Technical Information of China (English)

    JUN MA; NING FENG; SHI-WEI ZHANG; YONG-PING PAN; YONG-BO HUANG

    2009-01-01

    Objective To compare the changes in body composition, including fat mass index (FMI) and fat free mass index (FFMI) during puberty development of obese and normal-weight children in China, and to explore the effect of age and gender on body composition. Methods A total of 356 children at the age of 7-15 years were enrolled in this study. Body composition of 10 normal-weight and obese children in each age group was measured by dual-energy x-ray absorptiometry (DEXA). FFMI and FMI were calculated according to the following formula: FFMI (kg·mT~(-2))= FFM(kg) / height~2 (m~2) and FMI (kg· m~2)= FM (kg) / height~2 (m~2). Results The fat mass and fat free mass of obese children were significantly higher than those of normal-weight children (P<0.05). The FMI and FFMI of obese children increased significantly with age and were higher than those of the same sex, gender, and age normal-weight children (P<0.05). Conclusion The levels of fat mass, fat free mass, FMI, and FFMI are different in obese and normal-weight children, and gender effects are significant in boys having higher levels of these indicators than in girls. FFMI and FMI can be used as monitoring indexes in weight control of obese children.

  17. Stress during puberty boosts metabolic activation associated with fear-extinction learning in hippocampus, basal amygdala and cingulate cortex.

    Science.gov (United States)

    Toledo-Rodriguez, Maria; Pitiot, Alain; Paus, Tomáš; Sandi, Carmen

    2012-07-01

    Adolescence is characterized by major developmental changes that may render the individual vulnerable to stress and the development of psychopathologies in a sex-specific manner. Earlier we reported lower anxiety-like behavior and higher risk-taking and novelty seeking in rats previously exposed to peri-pubertal stress. Here we studied whether peri-pubertal stress affected the acquisition and extinction of fear memories and/or the associated functional engagement of various brain regions, as assessed with 2-deoxyglucose. We showed that while peri-pubertal stress reduced freezing during the acquisition of fear memories (training) in both sexes, it had a sex-specific effect on extinction of these memories. Moreover hippocampus, basal amygdala and cingulate and motor cortices showed higher metabolic rates during extinction in rats exposed to peri-pubertal stress. Interestingly, activation of the infralimbic cortex was negatively correlated with freezing during extinction only in control males, while only males stressed during puberty showed a significant correlation between behavior during extinction and metabolic activation of hippocampus, amygdala and paraventricular nucleus. No correlations between brain activation and behavior during extinction were observed in females (control or stress). These results indicate that exposure to peri-pubertal stress affects behavior and brain metabolism when the individual is exposed to an additional stressful challenge. Some of these effects are sex-specific.

  18. Prevalence of the Precocious Caries in Infancy in Children of 6 the 36 Months in Public Day-Care Centers of Caruaru/PE, Brazil

    Directory of Open Access Journals (Sweden)

    Shirley Suely Veras Vieira MACIEL

    2007-03-01

    Full Text Available Objective: Describe the prevalence of the precocious caries in infancy in children of 6 the 36 months in public day-care centers of Caruaru-PE, and its association with characteristics of the child, as well as analyzing the knowledge of the responsible parents or related the buccal health. Method: The study drawing is of the type transversal cut (to cross-over. Had been collected through information on knowledge related to the buccal health, as well as had been examined to the dental conditions of the children and through the Sinasc the characteristics of the gestation, the childbirth and the child had been collected. For the tests of association for chi-squared (x2 to evaluate the relationship between the dependent variable (ceo-d and the independent variable, the Program was used Epi-info version 6.04. Results: Of the total of 168 studied children, on average examined 14.65 teeth for child. Of these 62.3% were healthy and carious only 3.3%. 92.9% of the parents had knowledge of that the teeth of its children were of milk and knew of its importance; 78.6% already brushed teeth of the children; 74.4% knew as they were the teeth of the children, although only 16.2% to identify carie would indent and 6.0% to tell that the son had tooth ache. But 12.5% had been to the dentist, being 27.3% for revision and control. Of 22.6% of the children who had caries, 79.4% of them consumed nocturnal baby’s bottle, being that 40.7% of them sweetened; 30.4% consumed candies between the meals increasing this consumption to the 25 months of age. Conclusion: The dental caries increases in function of the age in consequence of the increase of the eruption tooth number and the consumption of sugar in the diet.

  19. Impact of puberty status and melengestrol acetate supplementation before the breeding period on reproductive efficiency of Bos indicus beef heifers.

    Science.gov (United States)

    Martins, J H; Santos, C S; Silva, M A V; Aguiar, H M V S B; França, I G; Pereira, H G; Ribeiro, D L; Chaves, R M; Souza, J A T; Monteiro, B M; Sá Filho, M F; Torres-Júnior, J R S

    2015-06-01

    Two experiments were designed to evaluate the impact of puberty status and the administration of melengestrol acetate (MGA) before onset of the breeding period on ovulatory responses (Exp. 1) and conception rate after AI performed on estrus detection during 10 d and the pregnancy rate through 80 d of breeding period (Exp. 2) of pasture-grazed beef heifers. In Exp. 1, heifers (15 pubertal and 15 prepubertal) received 0.5 mg per heifer/d -1 of MGA over 14 d. No differences in the ovulatory responses were found 10 d after the MGA administration (pubertal = 46.7% vs. prepubertal P = 53.3%; P = 0.72). In Exp. 2, 368 heifers were randomly assigned to groups according to pubertal status and the MGA treatment. All heifers were inseminated on estrus detection for up 10 d after MGA administration and following exposure to bulls between 20 and 80 d. The MGA-treated heifers exhibited a greater AI service rate than control heifers (72.1 vs. 41.6%;P breeding period (95.3 vs. 87.5%;P breeding period. At onset of the breeding period, pubertal heifers presented a greater pregnancy rate following AI (pubertal P = 42.2% vs. prepubertal P = 24.9%; P = 0.01). Therefore, pubertal heifers seem to have greater overall reproductive efficiency than prepubertal heifers, particularly at the beginning of the breeding period. Interestingly, administration of MGA before the onset of the breeding period increased AI service rate but did not alter the rate of pregnancy throughout the breeding period of pasture-grazed beef heifers.

  20. Maturation, proliferation and apoptosis of seminal tubule cells at puberty after administration of estradiol, follicle stimulating hormone or both

    Institute of Scientific and Technical Information of China (English)

    Renata Walczak-Jedrzejowska; Jolanta Slowikowska-Hilczer; Katarzyna Marchlewska; Krzysztof Kula

    2008-01-01

    Aim: To assess proliferative and apoptotic potential of the seminiferous epithelium cells in relation to Sertoli cell maturation in newborn rats under the influence of estradiol, follicle stimulating hormone (FSH) or both agents given together. Methods: From postnatal day (PND) 5 to 15 male rats were daily injected with 12.5 μg of 17β-estradiol benzoate (EB) or 7.5 IU of human purified FSH (hFSH) or EB + hFSH or solvents (control). On postnatal day 16, autopsy was performed. Sertoli cell maturation/function was assessed by morphometry. Proliferation of the semini- ferous epithelium cells was quantitatively evaluated using immunohistochemical labeling against proliferating cell nuclear antigen and apoptosis using the TUNEL method. Results: Although EB inhibited Sertoli cell maturation and hFSH was not effective, a pronounced acceleration of Sertoli cell maturation occurred after EB + hFSH. Whereas hFSH stimulated Sertoli cell proliferation, EB or EB + hFSH inhibited Sertoli cell proliferation. All treatments signifi- cantly stimulated germ cell proliferation. Apoptosis of Sertoli cells increased 9-fold and germ cells 2-fold after EB, and was not affected by hFSH but was inhibited after EB + hFSH. Conclusion: At puberty, estradiol inhibits Sertoli cell maturation, increases Sertoli and germ cell apoptosis but stimulates germ cell proliferation. Estradiol in synergism with FSH, but neither of the hormones alone, accelerates Sertoli cell maturation associated with an increase in germ cell survival. Estradiol and FSH cooperate to induce seminal tubule maturation and trigger first spermatogenesis. (Asian J Androl 2008 Jul; 10: 585-592)

  1. Age, puberty, body dissatisfaction, and physical activity decline in adolescents. Results of the German Health Interview and Examination Survey (KiGGS

    Directory of Open Access Journals (Sweden)

    Finne Emily

    2011-10-01

    Full Text Available Abstract Background Physical activity (PA shows a marked decline during adolescence. Some studies have pointed to pubertal status or timing as possible PA determinants in this age group. Furthermore, it was supposed that the impact of pubertal changes on PA might be mediated by psychological variables like body dissatisfaction (BDS. Methods The 11- to 17-year-old subsample of the German Health Interview and Examination Survey (KiGGS was used (n = 6 813; 51.3% male, response rate = 66.6%. Through sex-specific sequential multinomial logistic regressions we analysed the univariate and independent associations of chronological age, absolute pubertal status, relative pubertal timing, and BDS with the frequency of PA. Results Chronological age showed a significantly negative association with PA in both sexes, independent of puberty. The odds of inactivity in contrast to nearly daily PA increased about 70% in boys and 35% in girls for each year of age, respectively. Adjusted for age and other possible confounders, inactivity was significantly less likely for boys in late pubertal stages (OR = 0.27, 95% CI = 0.09-0.78. The risk of inactivity was more than doubled in boys maturing earlier than peers in terms of relative pubertal timing (OR = 2.20, 95% CI = 1.36-3.56. No clear significant puberty effects were found in girls, but the inactivity was more likely for those with irregular menstruation (OR = 1.71, 95% CI = 1.06-2.75. BDS also contributed to the prediction of PA in both sexes. It partially mediated puberty effects in boys but not in girls. Conclusions Overall, chronological age was a far more important predictor of PA in German adolescents than absolute pubertal status or relative pubertal timing. Further possible explanatory variables like sociocultural influences, social support or increasing time requirements for education should be analysed in conjunction with chronological age in future studies.

  2. Heritability of regional and global brain structure at the onset of puberty: a magnetic resonance imaging study in 9-year-old twin pairs.

    Science.gov (United States)

    Peper, Jiska S; Schnack, Hugo G; Brouwer, Rachel M; Van Baal, G Caroline M; Pjetri, Eneda; Székely, Eszter; van Leeuwen, Marieke; van den Berg, Stéphanie M; Collins, D Louis; Evans, Alan C; Boomsma, Dorret I; Kahn, René S; Hulshoff Pol, Hilleke E

    2009-07-01

    Puberty represents the phase of sexual maturity, signaling the change from childhood into adulthood. During childhood and adolescence, prominent changes take place in the brain. Recently, variation in frontal, temporal, and parietal areas was found to be under varying genetic control between 5 and 19 years of age. However, at the onset of puberty, the extent to which variation in brain structures is influenced by genetic factors (heritability) is not known. Moreover, whether a direct link between human pubertal development and brain structure exists has not been studied. Here, we studied the heritability of brain structures at 9 years of age in 107 monozygotic and dizygotic twin pairs (N = 210 individuals) using volumetric MRI and voxel-based morphometry. Children showing the first signs of secondary sexual characteristics (N = 47 individuals) were compared with children without these signs, based on Tanner-stages. High heritabilities of intracranial, total brain, cerebellum, and gray and white matter volumes (up to 91%) were found. Regionally, the posterior fronto-occipital, corpus callosum, and superior longitudinal fascicles (up to 93%), and the amygdala, superior frontal and middle temporal cortices (up to 83%) were significantly heritable. The onset of secondary sexual characteristics of puberty was associated with decreased frontal and parietal gray matter densities. Thus, in 9-year-old children, global brain volumes, white matter density in fronto-occipital and superior longitudinal fascicles, and gray matter density of (pre-)frontal and temporal areas are highly heritable. Pubertal development may be directly involved in the decreases in gray matter areas that accompany the transition of our brains from childhood into adulthood.

  3. Expression of kisspeptin in hypothalamus and the relationship between kisspeptin and puberty%下丘脑Kisspeptin表达与青春期发育的关系

    Institute of Scientific and Technical Information of China (English)

    丁海珍

    2010-01-01

    The priming of puberty is date from the increase of the secretion of hypothalamic gonadotropin-releasing hormone (GnRH). Recently,Kisspeptins/ GPR54 signaling were found critical to promote the secretion of GnRH and the onset of puberty. KISSI expresses in special area of hypothalamus and is regulated by sex steroids in the estrous cycle.Kisspeptins transitive steroid feedback signals to GnRH cells, especially the positive feedback signal which causes preovulatory GnRH / LH secretion. Kisspeptins bind KISS1R in the hypothalamic GnRH neurons and evoke the release of GnRH and the onset of puberty.%青春期启动始于下丘脑促性腺激素释放激素(GnRH)分泌的提高.Kisspeptin/G蛋白耦联受体(GPR 54或KISSIR)信号通路是最近发现能促进GnRH分泌和正常青春期启动的关键因素.KISS1表达定位于下丘脑的特定区域,在动情周期中受性激素调节,Kisspeptin传递性激素的反馈信号至GnRH细胞,特别是正反馈信号可以引起排卵前的GnRH/黄体生成素分泌.Kisspetin与位于下丘脑GnRH神经元上的受体KISS1R相互作用,导致GnRH脉冲性释放和青春期启动.

  4. Glucose metabolism, insulin sensitivity and β-cell function in type A insulin resistance syndrome around puberty: a 9-year follow-up.

    Science.gov (United States)

    Huang, Z; Liu, J; Ma, L; Wan, X; He, X; Fang, D; Liao, Z; Li, Y

    2014-01-01

    Diabetes mellitus is thought to be progressive. Insufficient insulin secretion in compensation for insulin resistance leads to glucose intolerance. A previously reported proband with type A insulin resistance syndrome and her younger twin brothers with and without the R1174W missense mutation in the insulin receptor gene were followed for 9 years to study the progression of glucose metabolism, insulin sensitivity, and β-cell function around puberty. Five-hour OGTT was performed in them at each visit. Areas under the curves of glucose, insulin and C-peptides, insulinogenic index, AIR, and Homa indices were assessed. Intramyocellular lipids (IMCLs) were quantified in the proband and compared to those of 12 nondiabetic subjects, 118 newly diagnosed type 2 diabetic patients. The proband maintained normal HbA1c (27-37 mmol/mol) and fasting plasma glucose (3.7-4.5 mmol/l), and her glucose tolerance ameliorated over years. The proband's Homa-IR decreased into adulthood, while her Homa-B, insulinogenic index, AIR, AUCs of insulin, and C-peptide decreased accordingly. Homa-B to Homa-IR ratios stayed significantly higher than normal. Homa-B, AUCs of insulin, and C-peptide of the twin brothers increased in response to the increment of Homa-IR as they entered middle and late puberty. The changes were more dramatic in the twin brothers carrying the mutation. IMCLs of the proband were lower than those of the nondiabetic counterparts and were disproportional for the degree of insulin resistance. Our longitudinal data of type A insulin resistance syndrome around puberty provide significant information for the study of insulin secretion in compensation for insulin resistance.

  5. Developmental Programming: Prenatal and Postnatal Androgen Antagonist and Insulin Sensitizer Interventions Prevent Advancement of Puberty and Improve LH Surge Dynamics in Prenatal Testosterone-Treated Sheep.

    Science.gov (United States)

    Padmanabhan, Vasantha; Veiga-Lopez, Almudena; Herkimer, Carol; Abi Salloum, Bachir; Moeller, Jacob; Beckett, Evan; Sreedharan, Rohit

    2015-07-01

    Prenatal T excess induces maternal hyperinsulinemia, early puberty, and reproductive/metabolic defects in the female similar to those seen in women with polycystic ovary syndrome. This study addressed the organizational/activational role of androgens and insulin in programming pubertal advancement and periovulatory LH surge defects. Treatment groups included the following: 1) control; 2) prenatal T; 3) prenatal T plus prenatal androgen antagonist, flutamide; 4) prenatal T plus prenatal insulin sensitizer, rosiglitazone; 5) prenatal T and postnatal flutamide; 6) prenatal T and postnatal rosiglitazone; and 7) prenatal T and postnatal metformin. Prenatal treatments spanned 30-90 days of gestation and postnatal treatments began at approximately 8 weeks of age and continued throughout. Blood samples were taken twice weekly, beginning at approximately 12 weeks of age to time puberty. Two-hour samples after the synchronization with prostaglandin F2α were taken for 120 hours to characterize LH surge dynamics at 7 and 19 months of age. Prenatal T females entered puberty earlier than controls, and all interventions prevented this advancement. Prenatal T reduced the percentage of animals having LH surge, and females that presented LH surge exhibited delayed timing and dampened amplitude of the LH surge. Prenatal androgen antagonist, but not other interventions, restored LH surges without normalizing the timing of the surge. Normalization of pubertal timing with prenatal/postnatal androgen antagonist and insulin sensitizer interventions suggests that pubertal advancement is programmed by androgenic actions of T involving insulin as a mediary. Restoration of LH surges by cotreatment with androgen antagonist supports androgenic programming at the organizational level.

  6. Increased intake of carbohydrates from sources with a higher glycemic index and lower consumption of whole grains during puberty are prospectively associated with higher IL-6 concentrations in younger adulthood among healthy individuals.

    Science.gov (United States)

    Goletzke, Janina; Buyken, Anette E; Joslowski, Gesa; Bolzenius, Katja; Remer, Thomas; Carstensen, Maren; Egert, Sarah; Nöthlings, Ute; Rathmann, Wolfgang; Roden, Michael; Herder, Christian

    2014-10-01

    Chronic low-grade inflammation represents a likely intermediary in the relation between carbohydrate nutrition and both type 2 diabetes and cardiovascular disease. This study assessed the prospective association between carbohydrate quantity and quality [dietary glycemic index (GI), glycemic load (GL), and added sugar, fiber, and whole-grain intake] during puberty, a potentially critical period for later disease, and low-grade inflammation in younger adulthood. The analysis was based on 205 participants (113 girls and 92 boys) from the DONALD (Dortmund Nutritional and Anthropometric Longitudinally Designed) study with at least 2 3-d weighed dietary records during puberty (girls: 9-14 y, boys: 10-15 y) and blood samples in younger adulthood (18-36 y). Multivariable linear regression models were used to analyze the associations between carbohydrate nutrition and circulating concentrations of pro- and anti-inflammatory immune mediators [high-sensitivity C-reactive protein (hs-CRP), interleukin (IL) 6, IL-18, and adiponectin]. A higher intake of carbohydrates during puberty (P-trend = 0.005), particularly from higher-GI food sources (P-trend = 0.01), was prospectively related to higher concentrations of IL-6 in younger adulthood, independently of baseline BMI and early life, socioeconomic, and other nutritional factors. Furthermore, a higher dietary GL (P-trend = 0.002) and a lower intake of whole grains (P-trend = 0.01) were independently associated with higher IL-6 concentrations in adults. Dietary GI and added sugar and fiber intakes were not independently associated with IL-6 (P-trend ≥ 0.09). Carbohydrate nutrition during puberty was not independently related to hs-CRP, IL-18, and adiponectin concentrations (all P-trend > 0.1). During puberty, a higher intake of carbohydrates from higher-GI food sources and lower whole-grain consumption prospectively predict greater IL-6 concentrations in young adulthood. These data support the hypothesis that diet during

  7. Causes and Prevention Measures of Dehiscent Fruit Disease on Facilities Precocious 6-12 Grape%设施早熟葡萄6-12裂果病发生原因及防治措施

    Institute of Scientific and Technical Information of China (English)

    龙彦荣; 邓光娟; 谢志强; 夏湛河

    2015-01-01

    总结了早熟葡萄6-12裂果病发生的原因,在生产上提出了防治裂果病的综合技术措施,包括选择抗病品种尧改变传统整形修剪方法尧加强土肥水管理尧中耕除草尧合理负载尧及时套袋尧合理用药等内容,以期为设施早熟葡萄6-12裂果病的防治提供参考。%Causes of dehiscent fruit disease on facilities precocious 6-12 grape were summarized.Integrated prevention measures of dehiscent fruit disease in the production were put forward,including selecting disease-resistant varieties,changing traditional pruning methods,strengthening the disease-carrying insectharms management,hoe weeding,reasonable load,timely bagging,rational drug use etc,so as to provide the reference for the prevention and control of dehiscent fruit disease of facilities precocious 6-12 grape.

  8. 青春发育异常的分类和诊断%Classification and diagnosis of abnormal development of puberty

    Institute of Scientific and Technical Information of China (English)

    伍学焱; 茅江峰; 史轶蘩

    2007-01-01

    临床上,对青春发育异常的诊断,应着重对其时间性、方向性以及青春发育开始后的速度节律等三个方面的问题进行评估。其中临床上最常见和关注最多的是青春发育的时间性。青春发育异常的分类也多以其时间的早迟粗略地分为性早熟(precocious puberty)和青春发育延迟(delayed puberty)。

  9. Spring Chinook Salmon Interactions Indices and Residual/Precocious Male Monitoring in the Upper Yakima Basin; Yakima/Klickitat Fisheries Project Monitoring and Evaluation, 2004-2005 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Pearsons, Todd N.; Johnson, Christopher L. (Washington Department of Fish and Wildlife, Olympia, WA); James, Brenda B. (Cascade Aquatics, Ellensburg, WA)

    2005-05-01

    This report examines some of the factors that can influence the success of supplementation, which is currently being tested in the Yakima Basin using upper Yakima stock of spring chinook salmon. Supplementation success in the Yakima Basin is defined relative to four topic areas: natural production, genetics, ecological interactions, and harvest (Busack et al. 1997). The success of spring chinook salmon supplementation in the Yakima Basin is dependent, in part, upon fish culture practices and favorable physical and biological conditions in the natural environment (Busack et al. 1997; James et al. 1999; Pearsons et al., 2003; Pearsons et al. 2004). Shortfalls in either of these two topics (i.e., failure in culturing many fish that have high long-term fitness or environmental conditions that constrain spring chinook salmon production) will cause supplementation success to be limited. For example, inadvertent selection or propagation of spring chinook that residualize or precocially mature may hinder supplementation success. Spring chinook salmon that residualize (do not migrate during the normal migration period) may have lower survival rates than migrants and, additionally, may interact with wild fish and cause unacceptable impacts to non-target taxa. Large numbers of precocials (nonanadromous spawners) may increase competition for females and significantly skew ratios of offspring sired by nonanadromous males, which could result in more nonanadromous spring chinook in future generations. Conditions in the natural environment may also limit the success of spring chinook supplementation. For example, intra or interspecific competition may constrain spring chinook salmon production. Spring chinook salmon juveniles may compete with each other for food or space or compete with other species that have similar ecological requirements. Monitoring of spring chinook salmon residuals, precocials, prey abundance, carrying capacity, and competition will help researchers

  10. Lipodistrofia parcial familiar do tipo Dunnigan: atenção ao diagnóstico precoce Dunnigan-type familial partial lipodystrophy: attention to precocious diagnosis

    Directory of Open Access Journals (Sweden)

    Lenora Maria Camarate Silveira Martins Leão

    2011-02-01

    Full Text Available A lipodistrofia parcial familiar tipo Dunnigan é uma doença autossômica dominante rara. Em sua forma clássica, é resultante de uma mutação missense heterozigótica no gene LMNA, que codifica a proteína nuclear denominada lâmina tipo A/C. Caracteriza-se pelo desaparecimento progressivo do tecido adiposo subcutâneo nos membros, região glútea, abdome e tronco, que se inicia na puberdade, acompanhado de acúmulo de gordura em outras áreas, como a face, queixo, grandes lábios e região intra-abdominal, conferindo o aspecto de hipertrofia muscular e simulando o fenótipo de síndrome de Cushing. Mulheres afetadas são particularmente predispostas à resistência à insulina e suas complicações, incluindo sinais da síndrome dos ovários policísticos. Com o objetivo de alertar para o diagnóstico precoce, que possibilita a adoção de medidas que minimizam os graves distúrbios metabólicos vinculados à desordem, relatamos o caso de uma paciente em que a investigação foi realizada somente ao final da quinta década de vida. A aparente hipertrofia muscular e o acentuado depósito de gordura nos grandes lábios possibilitam aos médicos ginecologistas a suspeita diagnóstica.Dunnigan-type familial partial lipodystrophy (FPLD is an autosomal dominant disease that results from heterozygous missense mutations in LMNA, the gene that encodes nuclear lamin A/C. FPLD is characterized by a progressive disappearance of subcutaneous adipose tissue in the limbs, gluteal region, abdomen and trunk, beginning at the time of or after puberty, and excessive amount of fat in the face, chin, labia majora, and intra-abdominal region, leading to a Cushingoid appearance and increased muscularity phenotype. Affected women are particularly predisposed to insulin resistance and its complications, including features of polycystic ovary syndrome. To emphasize the importance of an early FPLD diagnosis, which is necessary to prevent serious metabolic

  11. Boys and Puberty

    Science.gov (United States)

    ... including at night. Some call this a “wet dream.” This happens when a boy’s testosterone level rises. ... friends and love interests. Their work and organizational habits may improve, as will their plans for their ...

  12. Understanding Puberty (For Parents)

    Science.gov (United States)

    ... Looking for Health Lessons? Visit KidsHealth in the Classroom What Other Parents Are Reading Your Child's Development ( ... voice is a sign that his voice is changing and will become deeper. Dark, coarse, curly hair ...

  13. The effect of maternal malnutrition during lactation on the endometrial ERalpha expression, collagen type, and blood vessels in the rats offspring at puberty.

    Science.gov (United States)

    Bittencourt Brasil, Flávia; Silva Faria, Tatiane; Barcellos Sampaio, Francisco José; da Fonte Ramos, Cristiane

    2010-01-01

    The aim of this manuscript was to evaluate the effects of maternal protein-energy-restriction and energy restriction during lactation on endometrial collagen and blood vessels, uterus Eralpha expression, and estradiol serum levels in the rats offspring at puberty. At parturition, dams were grouped as: control group (C), with free access to standard rat chow containing 23% protein and 17,038.7 KJ/Kg; protein-energy restricted group (PER), with free access to formulated chow containing 8% protein but made isoenergetic to the C diet (17,038.7 KJ/Kg); and energy-restricted group (ER), which received standard rat chow containing 23% protein based on the mean ingestion of the PER group corresponding to 60% of that consumed by the control group. After weaning, all female pups had free access to standard laboratory chow until puberty, when they were killed at the diestrum stage. The uterine ERalpha expression was determined by Western-Blot and estradiol serum levels by radioimmunoassay. Endometrial collagen and blood vessels were quantified by stereology. The volumetric density of blood vessels (C = 70.7 +/- 2.2; PER = 29.2 +/- 2.4; ER = 32.3 +/- 3.6; P < 0.001) and endometrial collagen (C = 31.1 +/- 1; PER = 26.9 +/- 1.0; ER = 26.5 +/- 0.7; P < 0.05) were significantly reduced in both malnourished groups. The ER group presented higher estradiol serum levels (C = 69.2 +/- 6.4; PER = 73.4 +/- 5.5; ER = 101.0 +/- 5.4; P < 0.01) in relation to C and PER groups. ERalpha expression was greater in both malnourished groups (C = 0.11 +/- 0.02; PER = 0.41 +/- 0.12; ER = 0.35 +/- 0.03; P < 0.05). In conclusion, maternal malnutrition during lactation caused changes in endometrial angiogenesis, collagen deposition, and Eralpha expression in female offspring that will appear in puberty and could affect the reproductive biology of the female offspring.

  14. 青春期多囊卵巢综合征的诊断%Diagnosis of Polycystic Ovary Syndrome in Puberty

    Institute of Scientific and Technical Information of China (English)

    徐芳; 马明; 侯丽辉

    2013-01-01

    多囊卵巢综合征(PCOS)以稀发排卵或无排卵、临床和/或生化的高雄激素血症、卵巢的多囊样改变为特征.PCOS患者多于月经初潮前后出现症状,而正常青春期女孩也会出现月经变化和卵巢的多囊样改变,青春期因为环境改变如体重增加也会发生PCOS,目前国际上尚无青春期PCOS的诊断标准,这使得青春期PCOS的诊断困难,PCOS的结局既有生殖障碍,又有代谢异常,且容易发生糖尿病、心血管疾病、子宫内膜癌等远期并发症.所以早期诊断PCOS,进行相应治疗,可有效预防远期并发症的发生.文章认为应从排卵功能障碍和月经紊乱、临床的高雄激素血症、生化的高雄激素血症、卵巢的多囊样改变、促性腺激素异常、肥胖和代谢障碍、破坏性的睡眠呼吸暂停等方面考虑对PCOS的诊断.%Polycystic ovary syndrome( PCOS )is characterized as less ovulation or anovulation, clinical and/or biochemical hyperandrogenism and polycystic ovary changes. The symptoms of PCOS happen commonly around menarche.The healthy girls in puberty also have menstrual changes and polycystic ovary alternations. PCOS may also occur in puberty because of the environmental changes such as body weight gaining. Currently, the diagnostic standard on puberty PCOS has not been issued yet in the world, which brings the difficulty in the diagnosis. The consequences of PCOS include reproductive disturbance, metabolic abnormality and the long-term complications such as diabetes, cardiovascular diseases and endometrial cancer. Therefore , the early diagnosis of PCOS and treatment can effectively prevent the long-term complications. The paper believed that PCOS diagnosis should be considered in terms of ovulatory dysfunction,menstrual disorders, clinical hyperandrogenism, biochemical hyperandrogenism, polycystic ovary changes, gonadotropin abnormality , obesity, metabolic disturbance, destructive sleep apnea, etc.

  15. Central bank Financial Independence

    OpenAIRE

    J.Ramon Martinez-Resano

    2004-01-01

    Central bank independence is a multifaceted institutional design. The financial component has been seldom analysed. This paper intends to set a comprehensive conceptual background for central bank financial independence. Quite often central banks are modelled as robot like maximizers of some goal. This perspective neglects the fact that central bank functions are inevitably deployed on its balance sheet and have effects on its income statement. A financially independent central bank exhibits ...

  16. Spring Chinook Salmon Interactions Indices and Residual/Precocial Monitoring in the Upper Yakima Basin; Yakima/Klickitat Fisheries Project Monitoring and Evaluation Report 5 of 7, 2003-2004 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Pearsons, Todd N.; Johnson, Christopher L.; James, Brenda B. (Washington Department of Fish and Wildlife, Olympia, WA)

    2004-05-01

    This report examines some of the factors that can influence the success of supplementation, which is currently being tested in the Yakima Basin using upper Yakima stock of spring chinook salmon. Supplementation success in the Yakima Basin is defined relative to four topic areas: natural production, genetics, ecological interactions, and harvest (Busack et al. 1997). The success of spring chinook salmon supplementation in the Yakima Basin is dependent, in part, upon fish culture practices and favorable physical and biological conditions in the natural environment (Busack et al. 1997; James et al. 1999; Pearsons et al., 2003). Shortfalls in either of these two topics (i.e., failure in culturing many fish that have high long-term fitness or environmental conditions that constrain spring chinook salmon production) will cause supplementation success to be limited. For example, inadvertent selection or propagation of spring chinook that residualize or precocially mature may hinder supplementation success. Spring chinook salmon that residualize (do not migrate during the normal migration period) may have lower survival rates than migrants and, additionally, may interact with wild fish and cause unacceptable impacts to non-target taxa. Large numbers of precocials (nonanadromous spawners) may increase competition for females and significantly skew ratios of offspring sired by nonanadromous males, which could result in more nonanadromous spring chinook in future generations. Conditions in the natural environment may also limit the success of spring chinook supplementation. For example, intra or interspecific competition may constrain spring chinook salmon production. Spring chinook salmon juveniles may compete with each other for food or space or compete with other species that have similar ecological requirements. Monitoring of spring chinook salmon residuals, precocials, prey abundance, carrying capacity, and competition will help researchers interpret why supplementation

  17. 能量代谢因子促生长激素释放肽与青春期启动%Energy metabolism factor ghrelin and puberty onset

    Institute of Scientific and Technical Information of China (English)

    孙艳艳

    2012-01-01

    促生长激素释放肽与机体摄食和能量代谢的调节有关,同时能够调节机体与性激素分泌相关的促性腺激素类物质释放,是连接能量代谢与下丘脑-垂体-性腺轴的桥梁因子.生殖系统功能的启动与成熟与机体的营养状态密切相关,儿童青春期的启动需要一定的体脂储备,肥胖儿童青春期易提前启动,促生长激素释放肽可能是传递机体营养状态的信号因子之一,可能在青春期的启动中发挥一定的作用.%Ghrelin is involved in the process of feeding behavior and regulation of related energy metabolism,it also modulates the secretion of gonadotropins or transmitters concerning sex hormone releasing.It is considered as the factor connecting the HPG axis and energy metabolism.Body's nutrition has a bearing upon the process of reproductive system's onset and maturation.Adequate body weight is necessary for normal puberty onset.Obese children tend to have an earlier menarche.Ghrelin may pass on the information about nutrition to the hypothamalus in puberty onset.

  18. Long-term effects of human growth hormone-releasing hormone and photoperiod on hormone release and puberty in dairy heifers.

    Science.gov (United States)

    Ringuet, H; Pelletier, G; Brazeau, P; Gaudreau, P; Guilbault, L A; Morisset, J; Couture, Y; Petitclerc, D

    1994-10-01

    Forty-eight Holstein dairy heifers (98.9 kg BW; 3 mo old) were subjected for 246 d to twice-daily s.c. injections of saline (CTL) or human growth hormone-releasing hormone (GRH; 5 micrograms/kg BW) and to photoperiods of 8 h of light (L): 16 h of dark (D) or 16L:8D according to a 2 x 2 factorial arrangement of treatments. Jugular blood samples were collected from 16 heifers at 3, 4, 8, and 11 mo of age to monitor prolactin, growth hormone, and estradiol-17 beta. Plasma progesterone concentrations were monitored weekly in all heifers as an index of puberty (> 1 ng/mL). Growth hormone release was induced by GRH (P GRH heifers. However, GRH-induced GH response was less (P GRH, photoperiod, and days of treatment on GRH-induced GH response; AUC was greater in GRH-16L:8D than in GRH-8L:16D heifers at 3 mo but less at 8 mo of age. The PRL concentrations were similar for both photoperiods at 3 mo (36.4 vs 41.7 ng/mL) and 8 mo (16.2 vs 12.8 ng/mL) of age but were greater in 16L:8D vs 8L:16D heifers at 4 mo (18.4 vs 39.3 ng/mL) and 11 mo (26.3 vs 44.1 ng/mL) of age (photoperiod x day interaction, P GRH-treated heifers (271 vs 284 kg BW; GRH x photoperiod interaction, P = .10). In conclusion, GH response is maintained throughout 8 mo of GRH treatment, and a 16L:8D photoperiod will reduce age and weight at puberty in heifers. Furthermore, refractoriness to photoperiod-induced PRL changes was detected.

  19. Casos Clínicos Hamartoma hipotalámico, una causa de pubertad precoz: Caso clínico

    OpenAIRE

    Alvarado R,José; López M,José Manuel

    2001-01-01

    Hypothalamic hamartomas are non neoplastic lesions that may cause precocious puberty with or without complex seizures, personality disorders and mental retardation. We report a 14 years old male that had a precocious puberty at the age of 11 and a prolonged episode of altered sensorium with automatism, that was diagnosed as a complex seizure. Physical examination showed a sexual development classified as Tanner stage III-IV, a height of 168 cm and a weight of 61 kg. Neurological examination w...

  20. Analysis on the proportion of incidence of etiological agents in 133 cases with constitutional delayed puberty%青春发育延迟133例病因构成比分析

    Institute of Scientific and Technical Information of China (English)

    刘德云; 杨琍琦; 胡静; 戴瑞

    2011-01-01

    Objective To analyze the proportion of incidence of etiological agents in 133 cases with constitutional delayed puberty.Methods Clinical data of etiological agents in 133 patients with constitutional delayed puberty were retrospectively analyzed.Results Etiological agents in 133 cases with constitutional delayed puberty were as follows:Hypo-gonadotrophic hormone group(56.39%,n=75):39 cases with unknown reason(idiopathy,3 cases were female),intrapartum asphyxia/hypoxia or hemorrhage(n=23),pituitary glands dysplasia(n=6),cephal trauma(n=3),postoperative craniopharyngioma(n=2),empty sella turciea(n=2),combined hormone deficiency(n=59).Hyper-gonadotrophic hormone group(17.29%,n=23):17 cases with chromosomal disorders(n=17,male:female=7:16),3 cases with unknown reason(idiopathy).31 cases with constitutional delayed puberty(23.31%),4 cases with functional delayed puberty(3.01%).Conclusion Many etiological agents could result in delayed puberty,different origins of delayed puberty had different therapies.Classification of etiological agents in patients with constitutional delayed puberty phyed an important role in guiding option of clnical treatment.%目的 分析青春发育延迟(constitu tionaldelayed puberty,CDP)病因构成比并指导治疗.方法 对符合青春发育延迟的患者133例,进行病因分析.结果 133例青春发育延迟患者依据病因分为:低促性腺激索性青春发育延迟组(HH)占56.39%(75/133):其中病因未明(特发性)39例(包括女性3例),另外36例分别为:出生时缺氧窒息、出血(23例)、垂体发育不良(6例)、头颅外伤(3例)、颅咽管瘤术后(2例)、空泡蝶鞍2例,75例中同时有联合激素缺乏(2种及以上垂体激素缺乏)患者59例,占HH组总数的78.3%;高促性腺激素性青春发育延迟组占17.29%(23/133),其中有染色体异常者17例,男性7例中:染色体病变4例、睾丸病变3例.女:16例中,13例为染色体病变,另外3例(女)病因未明(特发性).体质

  1. NIDDK Central Repository

    Data.gov (United States)

    U.S. Department of Health & Human Services — The NIDDK Central Repository stores biosamples, genetic and other data collected in designated NIDDK-funded clinical studies. The purpose of the NIDDK Central...

  2. Central Neuropathic Pain Syndromes.

    Science.gov (United States)

    Watson, James C; Sandroni, Paola

    2016-03-01

    Chronic pain is common in patients with neurologic complications of a central nervous system insult such as stroke. The pain is most commonly musculoskeletal or related to obligatory overuse of neurologically unaffected limbs. However, neuropathic pain can result directly from the central nervous system injury. Impaired sensory discrimination can make it challenging to differentiate central neuropathic pain from other pain types or spasticity. Central neuropathic pain may also begin months to years after the injury, further obscuring recognition of its association with a past neurologic injury. This review focuses on unique clinical features that help distinguish central neuropathic pain. The most common clinical central pain syndromes-central poststroke pain, multiple sclerosis-related pain, and spinal cord injury-related pain-are reviewed in detail. Recent progress in understanding of the pathogenesis of central neuropathic pain is reviewed, and pharmacological, surgical, and neuromodulatory treatments of this notoriously difficult to treat pain syndrome are discussed.

  3. Central venous catheter - flushing

    Science.gov (United States)

    ... during cancer treatment Bone marrow transplant - discharge Central venous catheter - dressing change Peripherally inserted central catheter - flushing Sterile technique Surgical wound care - open Review Date 9/22/2016 Updated by: ...

  4. GnIH/GPR147和Kisspeptin/GPR54与青春发育启动%GnIH/GPR147 and Kisspeptin/GPR54 in puberty onset

    Institute of Scientific and Technical Information of China (English)

    李素环(综述); 汪永红(审校)

    2014-01-01

    The initiation of puberty is associated with the hypothalamus-pituitary-gonadal( HPG) axis. The activation of gonadotropin-releasing hormone( GnRH) is the key factor in the initiation of puberty. The initi-ation of puberty is a complicated process,GnRH is under the influence of many associated neuropeptides. Re-cently,the studies have found that GnIH and Kisspeptin can respectively inhibit and promote the hypothalamus GnRH secretion of mammals,indicating that GnIH and Kisspeptin on regulation of reproductive endocrine axis play very important roles. Therefore,GnIH/GPR147 and Kisspeptin/GPR54 pathways may be closely associated with the initiation of puberty.%小儿青春发育启动与下丘脑-垂体-性腺轴的发动有关,而下丘脑促性腺激素释放激素( gona-dotropin-releasing hormone,GnRH)神经元的激活是青春期启动的关键。青春期启动过程是一个复杂的过程,GnRH又受到许多相关神经肽调节的影响。近来研究发现促性腺激素抑制激素( gonadotropin-inhibitory hormone,GnIH)和 Kisspeptin 分别能够抑制和促进哺乳类动物的下丘脑 GnRH 的分泌,提示 GnIH 和Kisspeptin对生殖内分泌轴起着非常重要的调节作用。因此,GnIH/GPR147和Kisspeptin/GPR54两条通路可能与小儿青春发育启动密切相关。

  5. Central Laboratories Services

    Data.gov (United States)

    Federal Laboratory Consortium — The TVA Central Laboratories Services is a comprehensive technical support center, offering you a complete range of scientific, engineering, and technical services....

  6. Recent secular trends in pubertal timing

    DEFF Research Database (Denmark)

    Sørensen, Kaspar; Mouritsen, Annette; Aksglaede, Lise

    2012-01-01

    The decline in age at puberty in the general population has been paralleled by an increase in the number of girls referred for evaluation of precocious puberty (PP). In 1999, The Lawson Wilkins Pediatric Endocrine Society recommended a lowering of the age limit for evaluation of PP in girls. Howe...

  7. The influence of puberty onset, body mass index, and pressure to be thin on disordered eating behaviors in children and adolescents.

    Science.gov (United States)

    Tremblay, Line; Lariviere, Michel

    2009-04-01

    The main objective of this study is to verify the hypothesis that pubertal development, obesity, body satisfaction, as well as family and peer influences predict unhealthy eating habits in children and adolescents. A randomized stratified sample of young Quebecers aged 9, 13, and 16 years on March 31, 1999 [608 children aged of 9 years (325 girls and 283 boys) and 662 adolescents aged of 13 and 16 years (349 girls and 313 boys)] were used. Children's weight, height, and Body Mass Index (BMI) were recorded. Questionnaires were administered to children and a parent (usually the mother). Among 9-year-old children, this study found that weight loss or weight control behaviors were predicted mainly by the onset of puberty, lower maternal abusive control, and the level of peer pressure. Among adolescents, mother's BMI, income, peer pressure, and negative comments about the child's weight most strongly predicted behaviors to control weight, strategies to lose weight and the frequency of such behaviors. The findings suggest that both parents and children need to understand the impact of comments on a child's behavior.

  8. A case of anemia caused by combined vitamin B12 and iron deficiency manifesting as short stature and delayed puberty Anemia

    Directory of Open Access Journals (Sweden)

    Seung Min Song

    2010-05-01

    Full Text Available Anemia caused by vitamin B12 deficiency resulting from inadequate dietary intake is rare in children in the modern era because of improvements in nutritional status. However, such anemia can be caused by decreased ingestion or impaired absorption and/ or utilization of vitamin B12. We report the case of an 18-year-old man with short stature, prepubertal sexual maturation, exertional dyspnea, and severe anemia with a hemoglobin level of 3.3 g/dL. He had a history of small bowel resection from 50 cm below the Treitz ligament to 5 cm above the ileocecal valve necessitated by midgut volvulus in the neonatal period. Laboratory tests showed deficiencies of both vitamin B12 and iron. A bone marrow examination revealed dyserythropoiesis and low levels of hemosiderin particles, and a cytogenetic study disclosed a normal karyotype. After treatment with parenteral vitamin B12 and elemental iron, both anemia and growth showed gradual improvement. This is a rare case that presented with short stature and delayed puberty caused by nutritional deficiency anemia in Korea.

  9. Ultrasound imaging of the patellar tendon attachment to the tibia during puberty: a 12-month follow-up in tennis players.

    Science.gov (United States)

    Ducher, G; Cook, J; Spurrier, D; Coombs, P; Ptasznik, R; Black, J; Bass, S

    2010-02-01

    This longitudinal study investigated the ultrasound appearance of the patellar tendon attachment to the tibia throughout puberty in young tennis players with and without Osgood-Schlatter disease (OSD). Twenty-eight competitive players (17 boys), aged 10.6-15.3 years, had bilateral ultrasound imaging of the patellar tendon attachment to the tibia at baseline and 1 year later. On each occasion, anthropometric measurements, pubertal status and injury history were recorded. Ultrasound appearance of the patellar tendon attachment was categorized into three stages: cartilage attachment, insertional cartilage and mature attachment. Stage 1 appearance, a large anechoic region with or without ossicles and irregularity of the apophysis that are classically associated with OSD, was found in eight players, seven of them were pain free. A majority (62%) of the patellar tendons in stage 1 at baseline progressed toward stage 2 or stage 3 1 year later. Likewise the patellar tendon attachment in most athletes with cartilage insertion showed progression to a mature enthesis over 1 year. The imaging appearance that is classically interpreted as OSD was common in asymptomatic knees. This ultrasonographic description of the patellar tendon attachment to the tibia during growth provides a reference for the assessment of bone tendon attachments in adolescents.

  10. Therapeutic and Ethical Dilemma of Puberty and Menstruation Problems in an Intellectually Disabled (Autistic Female: a Case Report and Review of the Literature

    Directory of Open Access Journals (Sweden)

    Azadeh Memarian

    2015-10-01

    Full Text Available Intellectual disability is a term used when a person has certain limitations in mental functioning and skills. Autism is a group of developmental brain disorders, collectively called autism spectrum disorder (ASD. Teenagers with learning and physical disabilities are more likely to have menstrual problems compared to the general populations. The parents of a 12-year-old girl with autism spectrum disorder and intellectual disability referred to the coroner due to her numerous problems of puberty (menstruation including: poor hygiene and polluting herself and the environment, not allowing to put or change the pads and changes in mood and physical health prior period, requested for the surgery (hysterectomy. In legal medicine organization after reviewing the medical records, physical exams and medical consultations with a gynecologist and psychiatric, surgery was not accepted. Hysterectomy (surgery due to the age of the child, either physically or morally is not recommended. The use of hormone replacement therapy has side effects such as osteoporosis. In these cases, it seems noninvasive methods (behavioral therapy and learning care skills under the welfare experts is also more effective and morally.

  11. Effect of omega-3 and omega-6 polyunsaturated fatty acid enriched diet on plasma IGF-1 and testosterone concentration, puberty and semen quality in male buffalo.

    Science.gov (United States)

    Tran, L V; Malla, B A; Sharma, A N; Kumar, Sachin; Tyagi, Nitin; Tyagi, A K

    2016-10-01

    The objective of the present study was to evaluate the effect of omega-3 and omega-6 PUFA enriched diet on plasma IGF-1 and testosterone concentrations, puberty, sperm fatty acid profile and semen quality in male buffalo. Eighteen male buffalo calves were distributed randomly in three different groups and fed concentrate mixture along with green fodder and wheat straw in 50:40:10 ratios as per requirements. Basis ration of animals in group I was supplemented with 4% of prilled fat (PFA), while in group II and group III were added 4.67% of Calcium salt from Soybean (CaSFA) and Linseed oil (CaLFA), respectively. Male buffalo fed omega-3 PUFA high diet significantly increased concentrations of IGF-1 and testosterone in plasma as compared to two other diets (pdiet (CaLFA) had the largest influence as compared to other diets (PFA and CaSFA). Feeding of n-3 PUFA rich diet significantly increased the DHA (C22:6n-3) content in sperm (pdiet increased IGF-1 and testosterone secretion, reduced pubertal age and improved both fresh and post-thawing semen quality in male buffalo.

  12. Central Pain Syndrome

    Science.gov (United States)

    ... or hands. Central pain syndrome often begins shortly after the causative injury or damage, but may be delayed by months or even years, especially if it is related to post-stroke pain. × Definition Central pain syndrome is a neurological ...

  13. Central centrifugal cicatricial alopecia

    Directory of Open Access Journals (Sweden)

    Collin Blattner

    2013-01-01

    Full Text Available Central centrifugal cicatricial alopecia is a common cause of progressive permanent apical alopecia. This unique form of alopecia includes entities previously know as "hot comb alopecia," "follicular degeneration syndrome," "pseudopelade" in African Americans and "central elliptical pseudopelade" in Caucasians. The etiology appears to be multifactorial and the condition occurs in all races.

  14. Optimal central bank transparency

    NARCIS (Netherlands)

    van der Cruijsen, C.A.B.; Eijffinger, S.C.W.; Hoogduin, L.

    2008-01-01

    Should central banks increase their degree of transparency any further? We show that there is likely to be an optimal intermediate degree of central bank transparency. Up to this optimum more transparency is desirable: it improves the quality of private sector inflation forecasts. But beyond the opt

  15. Optimal central bank transparency

    NARCIS (Netherlands)

    van der Cruijsen, C.A.B.; Eijffinger, S.C.W.; Hoogduin, L.H.

    2010-01-01

    Should central banks increase their degree of transparency any further? We show that there is likely to be an optimal intermediate degree of central bank transparency. Up to this optimum more transparency is desirable: it improves the quality of private sector inflation forecasts. But beyond the opt

  16. Study of Recombinant Human Growth Hormone′s Curative Effects on Puberty Idiopathic Short Stature%重组人生长激素对不同青春期特发性矮小症疗效研究

    Institute of Scientific and Technical Information of China (English)

    何毅; 钟燕; 赵莎; 丁大为

    2011-01-01

    目的 探讨重组人生长激素对不同青春期时期特发性矮小症(ISS)患儿的疗效.方法 应用重组人生长激素治疗青春期不同时期ISS患儿6个月,比较三组患儿治疗前后生长发育、血糖、甲状腺功能和血胰岛素样生长因子1及胰岛素样生长因子结合蛋白3的差异.结果 三组ISS患儿治疗后的身高、体质量、生长速度和骨龄较治疗前增加,其中在身高和生长速度方面的差异具有统计学意义(P<0.05).青春期前期组ISS患儿治疗后的生长速度改善显著高于青春期中期组和后期组患儿(P<0.05).三组ISS患儿治疗前后的血糖和甲状腺功能均处于正常状态,且三组间血糖和甲状腺功能无明显差异(P>0.05).三组患儿治疗后的血胰岛素样生长因子1和胰岛素样生长因子结合蛋白3浓度较治疗前均显著增加(P<0.05),其中青春前期组患儿改善程度显著高于青春期中期组和后期组(P<0.05).结论 重组人生长激素对青春期前期ISS患儿疗效最好,ISS患儿应早期治疗.%Objective To study recombinant human growth hormone's curative effects on idiopathic short stature(ISS) in different puberty stages. Methods Children with ISS in different puberty stages were treated for 6 months with recombinant human growth hormone. Growth, blood glucose, thyroid function, insu-lin-like growth factor 1 and insulin-like growth factor binding protein 3 were compared. Results The height, weight,growth velocity and bone age were significantly promoted especially 3 months after treatment. The pro-motions in pre-puberty group were significantly higher than that in mid-puberty and post-puberty groups( P 0.05 ). Blood insulin-like growth factor 1 and insulin-like growth factor binding protein 3 signifi-cantly increased especially in pre-puberty group( P <0.05 ). Conclusion Recombinant human growth hor-mone has the best curative effects on pre-puberty children with ISS. Children with ISS should be

  17. 和缓艾美耳球虫早熟系选育及其生物学特性研究%Eimeria mitis : Selection and Characteristics of a Precocious Line

    Institute of Scientific and Technical Information of China (English)

    索勋

    2005-01-01

    按照Jeffers建立的艾美耳属球虫早熟系选育方法,对和缓艾美耳球虫涿州株(Eimeria mitis Zhuozhou strain, EmiZ)进行了早熟选育.经石歧杂肉仔鸡15次传代之后,EmiZ潜在期由96 h缩短至77 h, 缩短了19 h.选育出的和缓艾美耳球虫涿州株早熟系(Eimeria mitis Zhuozhou strain precocious line, EmiZP)在致病性与繁殖力上均较母株弱,但保留了母株的免疫原性.经EmiZP免疫的石歧杂肉仔鸡,可抵抗母株EmiZ的攻虫.对选育的早熟系EmiZP进行放松选择传代10代,其潜在期、排卵囊高峰、卵囊产量和致病性均保持了早熟系的特征,说明所选育的EmiZP已在遗传上保持了稳定.

  18. Gestação na adolescência precoce e tardia: há diferença nos riscos obstétricos? Precocious and late pregnancy in adolescents: is there a difference comparing the obstetric risks?

    Directory of Open Access Journals (Sweden)

    Maria de Lourdes Caltabiano Magalhães

    2006-08-01

    ça nos escores de Apgar no primeiro minuto.PURPOSE: to describe the obstetric outcomes in pregnant adolescents at a tertiary hospital and to compare the maternal and labor outcomes between precocious and late adolescents. METHODS: in a transversal analytical study, 2058 cases were evaluated, considering 322 (15.65% from the precocious group and 1736 (84.35% from the late group that delivered at the "Maternidade Escola Assis Chateaubriand/UFC" from January 1, 2000 to December 31, 2000. The clinical complications in the prenatal period, kind of delivery, indications for cesarean section, birth gestational age at birth, birth weight, comparison of birth weight and gestational age, Apgar score at the first and fifth minute, presence of malformations, and neonatal death were analyzed. The exact Fisher and the chi2 tests were used to compare both groups. The prevalence ratio was calculated. RESULTS: from of total of deliveries, 25.95% belonged to adolescents. The average age was 17.19 years. Prenatal visits were made by 88% of the patients, but 60% had an insufficient number of visits. The most frequent clinical situations were preeclampsia (14.72%, anemia (12.97% and urinary tract infections (6.37%, with no statistical difference between the groups. Thirty-one and three percent of the births were by cesarean section, preeclampsia being the main indication in the two age groups (25 and 23%, respectively. The frequency of an Apgar score less than 7 at the first minute was 19,9% in the precocious adolescent group and 14,2% in the late adolescent group (x²=6,96, p=0.008. There was no statistical difference regarding prematurity rate (20.2 vs 16.1%, low-birth weight infants (12.4 vs 10.4%, low Apgar score at the fifth minute (5.3 vs 3.3%, congenital malformations (3.1 vs 2.7%, and neonatal death (5.3 vs 3.3%. CONCLUSIONS: the precocious and late pregnant adolescents presented similar pregnancy evolution and obstetric outcomes, except for the differences of the first minute Apgar

  19. Differential precocious sexual development of Proctoeces lintoni (Digenea: Fellodistomidae) in three sympatric species of keyhole limpets Fissurella spp. may affect transmission to the final host.

    Science.gov (United States)

    Balboa, L; George-Nascimento, M; Ojeda, F P

    2001-10-01

    The prevalence, abundance, and developmental status of the digenetic trematode Proctoeces lintoni Siddiqui et Cable 1960 were compared in 3 species of keyhole limpets Fissurella. A total of 197 limpets was collected at Caleta Chome, south-central Chile. Fissurella picta and F. costata had the highest prevalence of infection, whereas F. picta showed the greatest abundance of parasites, which increased with host shell length. However, the frequency of P. lintoni specimens with eggs in the uterus was greatest in F. costata. These results suggest that an increased rate of development of a parasite in the intermediate host may shorten the residence time necessary for maturation in the final host. Thus, faster development of the parasite in F. costata suggests the possibility that the parasites transmitted through this host species have shorter maturation times in clingfishes than individuals transmitted via other limpet species.

  20. The central peak revisited

    Energy Technology Data Exchange (ETDEWEB)

    Shirane, G.

    1995-10-27

    The central peak in SrTiO{sub 3} was first observed by Riste and his collaborators in 1971. This was one of the key discoveries leading to an understanding of the dynamics of phase transitions. The most recent discovery of two length scales in SrTiO{sub 3} motivated a reinvestigation of the soft phonon and associated central peak by neutron scattering. These recent experiments shed new light on the nature of the central peak. It is now well established to be strongly sample dependent and it originates from defects in bulk crystals.

  1. Imaging central pain syndromes.

    Science.gov (United States)

    Veldhuijzen, Dieuwke S; Greenspan, Joel D; Kim, Jong H; Coghill, Robert C; Treede, Rolf-Detlef; Ohara, Shinji; Lenz, Frederick A

    2007-06-01

    Anatomic, functional, and neurochemical imaging studies have provided new investigative tools in the study of central pain. High-resolution imaging studies allow for precise determination of lesion location, whereas functional neuroimaging studies measure pathophysiologic consequences of injury to the central nervous system. Additionally, magnetic resonance spectroscopy evaluates lesion-induced neurochemical changes in specific brain regions that may be related to central pain. The small number of studies to date precludes definitive conclusions, but the recent findings provide information that either supports or refutes current hypotheses and can serve to generate new ideas.

  2. Central nervous system resuscitation

    DEFF Research Database (Denmark)

    McIntosh, T K; Garde, E; Saatman, K E;

    1997-01-01

    Traumatic injury to the central nervous system induces delayed neuronal death, which may be mediated by acute and chronic neurochemical changes. Experimental identification of these injury mechanisms and elucidation of the neurochemical cascade following trauma may provide enhanced opportunities ...

  3. Central Asian Republic Info

    Data.gov (United States)

    US Agency for International Development — CAR Info is designed and managed by the Central Asian Republic Mission to fill in the knowledge and reporting gaps in existing agency systems for that Mission. It...

  4. Central nervous system

    Science.gov (United States)

    The central nervous system is composed of the brain and spinal cord. Your brain and spinal cord serve as the main "processing center" for your entire nervous system. They control all the workings of your body.

  5. Central nervous system resuscitation

    DEFF Research Database (Denmark)

    McIntosh, T K; Garde, E; Saatman, K E

    1997-01-01

    Traumatic injury to the central nervous system induces delayed neuronal death, which may be mediated by acute and chronic neurochemical changes. Experimental identification of these injury mechanisms and elucidation of the neurochemical cascade following trauma may provide enhanced opportunities...

  6. "Central Station" Londonis

    Index Scriptorium Estoniae

    2000-01-01

    Londoni galeriis Milch seitsme läti, leedu ja eesti kunstniku projekt "Central Station". Kuraatorid Lisa Panting, Sally Tallant. Eestist osalevad Hanno Soans (Catarina Campinoga koostöös valminud video), Kiwa, Kai Kaljo

  7. Central Station Design Options

    DEFF Research Database (Denmark)

    2011-01-01

    The purpose of EDISON Work Package 4.1 is the evaluation of possible Central (charging) Stations design options for making possible the public charging of Electric Vehicles (EVs). A number of scenarios for EVs are assessed, with special emphasis on the options of Fast Charging and Battery Swapping....... The work identifies the architecture, sizing and siting of prospective Central Stations in Denmark, which can be located at shopping centers, large car parking lots or gas stations. Central Stations are planned to be integrated in the Danish distribution grid. The Danish island of Bornholm, where a high.......g. due to vandalism, the charge supply circuit is disconnected. More electrical vehicles on the market are capable today of quick charging up to 50 kW power level. The feasibility of Central Stations with fast charging/swapping option, their capacity, design, costs and grid impact, as well as battery...

  8. Gangs in Central America

    Science.gov (United States)

    2008-10-17

    Citizen Security held in July 2008 indicated that Guatemala now has the second highest murder rate in Central America (roughly 45 per 100,000 people...training regional security forces.48 In recent years, the U.S. Southern Command has taken a leading role in discussing the problem of citizen security in...the results CRS-19 51 “Memo: The Merida Initiative and Citizen Security in Mexico and Central America,” Washington Office on Latin America, March 2008

  9. Outsourcing central banking

    DEFF Research Database (Denmark)

    Khoury, Sarkis Joseph; Wihlborg, Clas

    2005-01-01

    The literature on Currency Boards (CB) stops at the water edge in terms of dealing with the totality of the functions of a central bank. Monetary policy, and banking supervisioncan be "outsourced" in an open economy with substantial foreign direct investment (FDI)in the banking sector if political...... the feasibility of, and constraints on, outsourcing of central bank functions. A brief discussion of the Argentinian experience is used for contrast.Key words: Currency Board, Foreign Banks, Supervision, Regional Integration,outsourcing....

  10. Role of nuclear factor kappa B in central nervous system regeneration

    Institute of Scientific and Technical Information of China (English)

    Christian Engelmann; Falk Weih; Ronny Haenold

    2014-01-01

    Activation of nuclear factor kappa B (NF-κB) is a hallmark of various central nervous system (CNS) pathologies. Neuron-speciifc inhibition of its transcriptional activator subunit RelA, also referred to as p65, promotes neuronal survival under a range of conditions, i.e., for ischemic or excitotoxic insults. In macro-and microglial cells, post-lesional activation of NF-κB triggers a growth-permissive program which contributes to neural tissue inlfammation, scar formation, and the expression of axonal growth inhibitors. Intriguingly, inhibition of such inducible NF-κB in the neuro-glial compartment, i.e., by genetic ablation of RelA or overexpression of a trans-dominant negative mutant of its upstream regulator IκBα, significantly enhances functional recovery and promotes axonal regeneration in the mature CNS. By contrast, depletion of the NF-κB subunit p50, which lacks transcriptional activator function and acts as a transcriptional repressor on its own, causes precocious neuronal loss and exacerbates axonal degeneration in the lesioned brain. Collectively, the data imply that NF-κB orchestrates a multicellular pro-gram in whichκB-dependent gene expression establishes a growth-repulsive terrain within the post-lesioned brain that limits structural regeneration of neuronal circuits. Considering these subunit-speciifc functions, interference with the NF-κB pathway might hold clinical potentials to improve functional restoration following traumatic CNS injury.

  11. Expression of the IGF and the aromatase/estrogen receptor systems in human adrenal tissues from early infancy to late puberty: implications for the development of adrenarche.

    Science.gov (United States)

    Belgorosky, Alicia; Baquedano, María Sonia; Guercio, Gabriela; Rivarola, Marco A

    2009-03-01

    Adrenarche is a process of postnatal sexual maturation occurring in higher primates, in which there is an increase in the secretion of adrenal androgens. It is the consequence of a process of postnatal organogenesis characterized by the development of a new zone in the adrenal cortex, the zona reticularis (ZR). The mechanism of this phenomenon remains poorly understood, suggesting that it might be a multifactorial event. A relationship between circulating IGF-I, insulin sensitivity, and adrenal androgens has been postulated. Boys and girls have different patterns of changes in insulin sensitivity at puberty, perhaps secondary to differences in the estrogen milieu. Estrogen effects may also play a role in premature adrenarche. Peripheral or local IGF-1 actions could regulate adrenal progenitor cell proliferation and migration. Since adrenal progenitor cells as well as IGF-I and the IGF-R1 are located in the outer zone of the adrenal cortex during childhood and adolescence, this peripheral cell layer, below the capsule, may contain undifferentiated progenitor cells. Therefore, the IGF-R1 signaling pathway might positively modulate the proliferation and migration of adrenal progenitor cell to stimulate the development of adrenal zones, including ZR. However, no evidence of a direct action of IGF-I on ZR was found. In addition, a role for estrogens in the ontogenesis of ZR is suggested by the presence of aromatase (CYP19) in the subcapsular zona glomerulosa and in the adrenal medulla. Estrogens produced locally could act on ZR by interacting with estrogen receptor beta (ERbeta), but not alpha, and membrane estrogen receptor GPR-30. An estradiol-induced increase in DHEA/cortisol ratio was indeed seen in cultures of adrenocortical cells from post-adrenarche adrenals. In summary, several lines of evidence point to the action of multiple factors, such as local adrenal maturational changes and peripheral metabolic signals, on postnatal human adrenal gland ZR formation.

  12. Relative importance of prenatal and postnatal androgen action in determining growth of the penis and anogenital distance in the rat before, during and after puberty.

    Science.gov (United States)

    van den Driesche, S; Scott, H M; MacLeod, D J; Fisken, M; Walker, M; Sharpe, R M

    2011-12-01

    Experimental animal studies show that measurement of anogenital distance (AGD) and/or penis length may provide lifelong 'read-outs' of foetal androgen exposure during the masculinization programming window (MPW). However, variation in postnatal androgen exposure may complicate interpretation of such measurements. This is important to clarify if such measurements are to be applied to humans. The present aim was to evaluate effects of prenatal and/or postnatal manipulation of androgen production/action on growth of AGD and the penis in rats. Pregnant rats were treated daily before (e13.5-e21.5) and after birth (postnatal days 1-15) with either vehicle, 500 mg/kg di(n-butyl) phthalate (DBP) or 100 mg/kg flutamide (postnatal only) in prenatal + postnatal treatment combinations (N = 6 treatment combinations); DBP impairs androgen production whereas flutamide impairs androgen action. Male offspring were killed on postnatal day 8 (prepuberty), 25 (early puberty) or 90 (adulthood) when AGD was measured, the penis dissected out and its weight and length measured; plasma testosterone and ventral prostate weight were measured at day 90 to assess endogenous androgen exposure. In controls, penis length, girth and AGD increased 2.2-, 5.3-and 5.9-fold respectively from day 8 to day 90. Significant inhibition of penis growth and final length and girth was induced by treatments that inhibited postnatal androgen action. Conversely, growth and ultimate (adult) AGD was inhibited by prenatal inhibition of androgen production whereas postnatal androgen inhibition had negligible effect. Nevertheless, AGD and penis length were highly correlated at every age (R(2) > 0.33; p penis size reflects both prenatal + postnatal androgen exposure. At the group treatment level, prepubertal measurement of either AGD or penis size accurately predicts their size in adulthood.

  13. Uso de drogas entre trabalhadores precoces na atividade de malabares Uso de drogas entre trabajadores precoces en la actividad de malabarista Use of drugs between precocious workers in the activity of jugglers

    Directory of Open Access Journals (Sweden)

    Daniele Cristine da Silva Cirino

    2009-09-01

    , susceptible de concretización por medio de la escuela.This study aims to identify the factors that motivate the use of drugs among diligent boys in street condition in the city of João Pessoa - PB; to characterize the work activity of jugglers and to relate the precocious work and the use of drugs with the future perspectives of these citizens. The research was developed through the territorialization, comment and unsystematic register and half-structuralized interviews, with analyzed data from the content's analysis of Bardin (1979. 06 citizens were interviewed, between 11 and 16 years old, all of the masculine sex. The drugs used by them were alcoholic beverages, cigarette, glue and marijuana. The reasons to use them were the group's imposition and the unfamiliarity of the real effect of drugs. We still verified that for the precocious workers there is the construction of future perspectives glimpsed through their professional insertion when adult, possible to be realized from the school.

  14. CENTRAL PLATEAU REMEDIATION

    Energy Technology Data Exchange (ETDEWEB)

    ROMINE, L.D.

    2006-02-01

    A systematic approach to closure planning is being implemented at the Hanford Site's Central Plateau to help achieve the goal of closure by the year 2035. The overall objective of Central Plateau remediation is to protect human health and the environment from the significant quantity of contaminated material that resulted from decades of plutonium production in support of the nation's defense. This goal will be achieved either by removing contaminants or placing the residual contaminated materials in a secure configuration that minimizes further migration to the groundwater and reduces the potential for inadvertent intrusion into contaminated sites. The approach to Central Plateau cleanup used three key concepts--closure zones, closure elements, and closure process steps--to create an organized picture of actions required to complete remediation. These actions were merged with logic ties, constraints, and required resources to produce an integrated time-phased schedule and cost profile for Central Plateau closure. Programmatic risks associated with implementation of Central Plateau closure were identified and analyzed. Actions to mitigate the most significant risks are underway while high priority remediation projects continue to make progress.

  15. The Naive Central Banker

    Directory of Open Access Journals (Sweden)

    Marcelo de Carvalho Griebeler

    2015-09-01

    Full Text Available There has been in some countries a trend of assigning other functions to central banks besides price stability. The most suggested function to be added to monetary authority’s obligations is to pursue economic growth or full employment. In this paper we characterize the behavior and analyse the optimal monetary policy of, what we call, a naive central banker. We describe the naive behavior as one that does face the inflation-unemployment trade-off, but it tries to minimize both variables simultaneously. Our findings, both under discretion and commitment, indicate that the naive central banker delivers lower expected inflation and inflation variance than the benchmark behavior whenever the economy is rigid enough. However, the degree of conservativeness also affects this result, such that the less conservative the naive policymaker, the more rigidity is necessary.

  16. SOCRATES Invades Central Europe

    Directory of Open Access Journals (Sweden)

    Joseph Slowinski

    1998-04-01

    Full Text Available The objective of this article is to explore the current reality faced by higher education students in Central and Eastern Europe and to draw out the implications of this current reality for policy makers in the future. In the article, I explore the influence of transnational corporations' training programs on education as it currently pertains to Central and Eastern European higher education and employment. In addition, multinational corporate entities exercise influence on European Union policy through the role of lobby organizations and activities. I explore the influence of these practices on education with an emphasis on the emerging importance of Western language skills. In addition, I focus on the European Union and its efforts to expand into Central and Eastern Europe in order to provide a focal point for analysis.

  17. Central Bank independence

    Directory of Open Access Journals (Sweden)

    Vasile DEDU

    2012-08-01

    Full Text Available In this paper we present the key aspects regarding central bank’s independence. Most economists consider that the factor which positively influences the efficiency of monetary policy measures is the high independence of the central bank. We determined that the National Bank of Romania (NBR has a high degree of independence. NBR has both goal and instrument independence. We also consider that the hike of NBR’s independence played an important role in the significant disinflation process, as headline inflation dropped inside the targeted band of 3% ± 1 percentage point recently.

  18. Several Centuries of Centrality

    OpenAIRE

    Roth, Dana L.

    2015-01-01

    As Carolyn Bertozzi mentioned in her inaugural editorial, the relationship of “Central Science” to “Chemistry” became popularized over 40 years ago with the publication of the first edition of Brown and LeMay’s Chemistry: The Central Science, now in its 13th edition. Yet as late as 2003, Prof. Sason Shaik at The Hebrew University claimed “popularization of chemistry remains scant.” He goes on to share [his] “own experience of popularizing chemistry by delivering the following universal messag...

  19. Glueballs A central mystery

    CERN Document Server

    Close, Francis Edwin

    2000-01-01

    Glueball candidates and qqbar mesons have been found to be produced with different momentum and angular dependences in the central region of pp collisions. This talk illustrates this phenomenon and explains the phi and t dependences of mesons with JPC = 0++,0-+, 1++, 2++ and 2-+. For production of 0++ and 2++ mesons the analysis reveals a systematic behaviour in the data that appears to distinguish between qqbar and non-qqbar or glueball candidates. An explanation is given for the absence of 0-+ glueball candidates in central production at present energies and the opportunity for their discovery at RHIC is noted.

  20. Retiring the central executive.

    Science.gov (United States)

    Logie, Robert H

    2016-10-01

    Reasoning, problem solving, comprehension, learning and retrieval, inhibition, switching, updating, or multitasking are often referred to as higher cognition, thought to require control processes or the use of a central executive. However, the concept of an executive controller begs the question of what is controlling the controller and so on, leading to an infinite hierarchy of executives or "homunculi". In what is now a QJEP citation classic, Baddeley [Baddeley, A. D. (1996). Exploring the central executive. Quarterly Journal of Experimental Psychology, 49A, 5-28] referred to the concept of a central executive in cognition as a "conceptual ragbag" that acted as a placeholder umbrella term for aspects of cognition that are complex, were poorly understood at the time, and most likely involve several different cognitive functions working in concert. He suggested that with systematic empirical research, advances in understanding might progress sufficiently to allow the executive concept to be "sacked". This article offers an overview of the 1996 article and of some subsequent systematic research and argues that after two decades of research, there is sufficient advance in understanding to suggest that executive control might arise from the interaction among multiple different functions in cognition that use different, but overlapping, brain networks. The article concludes that the central executive concept might now be offered a dignified retirement.

  1. Central Nervous System Tuberculosis

    OpenAIRE

    Bano, Shahina; Chaudhary, Vikas; Yadav, Sachchidanand

    2012-01-01

    Central nervous system tuberculosis is a rare presentation of active tuberculosis and accounts for about 1% of cases (1). The three clinical categories include meningitis, intracranial tuberculomas, and spinal tuberculous arachnoiditis. We report a case of a young man who presented with active pulmonary tuberculosis in addition to tuberculous meningitis and the presence of numerous intracranial tuberculomas.

  2. Central venous line - infants

    Science.gov (United States)

    A central venous line (CVL) is a long, soft, plastic tube that is put into a large vein in the chest. WHY IS A CVL USED? A CVL is often put in when a baby cannot get a ... (MCC). A CVL can be used to give nutrients or medicines to a ...

  3. CMS Central Hadron Calorimeter

    OpenAIRE

    Budd, Howard S.

    2001-01-01

    We present a description of the CMS central hadron calorimeter. We describe the production of the 1996 CMS hadron testbeam module. We show the results of the quality control tests of the testbeam module. We present some results of the 1995 CMS hadron testbeam.

  4. Ecodesign in Central America

    NARCIS (Netherlands)

    Crul, M.R.M.

    2003-01-01

    This PhD thesis describes and analyses the change process started by the Ecodesign project in Central America, executed between 1998 and 2002. The project started using the concept and praxis developed in Europe. Nine ecodesign projects were performed in industry, and ecodesign was introduced to cou

  5. Central nervous system tuberculosis.

    Science.gov (United States)

    Torres, Carlos; Riascos, Roy; Figueroa, Ramon; Gupta, Rakesh K

    2014-06-01

    Tuberculosis (TB) has shown a resurgence in nonendemic populations in recent years and accounts for 8 million deaths annually in the world. Central nervous system involvement is one of the most serious forms of this infection, acting as a prominent cause of morbidity and mortality in developing countries. The rising number of cases in developed countries is mostly attributed to factors such as the pandemic of acquired immunodeficiency syndrome and increased migration in a globalized world. Mycobacterium TB is responsible for almost all cases of tubercular infection in the central nervous system. It can manifest in a variety of forms as tuberculous meningitis, tuberculoma, and tubercular abscess. Spinal infection may result in spondylitis, arachnoiditis, and/or focal intramedullary tuberculomas. Timely diagnosis of central nervous system TB is paramount for the early institution of appropriate therapy, because delayed treatment is associated with severe morbidity and mortality. It is therefore important that physicians and radiologists understand the characteristic patterns, distribution, and imaging manifestations of TB in the central nervous system. Magnetic resonance imaging is considered the imaging modality of choice for the study of patients with suspected TB. Advanced imaging techniques including magnetic resonance perfusion and diffusion tensor imaging may be of value in the objective assessment of therapy and to guide the physician in the modulation of therapy in these patients.

  6. Central Dogma Goes Digital.

    Science.gov (United States)

    Lin, Yihan; Elowitz, Michael B

    2016-03-17

    In this issue of Molecular Cell, Tay and colleagues (Albayrak et al., 2016) describe a new technique to digitally quantify the numbers of protein and mRNA in the same mammalian cell, providing a new way to look at the central dogma of molecular biology.

  7. Multicultural Central Asia.

    Science.gov (United States)

    Boyle, Eric D.

    This article addresses the multicultural aspect of Central Asia in response to the discussion on diversity in U.S. classrooms. Many areas of the world are more diverse than the U.S., and these areas experience successes and failures with many of the same issues the U.S. is currently struggling with. Comparing the U.S. diversity debate with similar…

  8. Channeling the Central Dogma.

    Science.gov (United States)

    Calabrese, Ronald L

    2014-05-21

    How do neurons and networks achieve their characteristic electrical activity, regulate this activity homeostatically, and yet show population variability in expression? In this issue of Neuron, O'Leary et al. (2014) address some of these thorny questions in this theoretical analysis that starts with the Central Dogma.

  9. Company activities - central region

    Energy Technology Data Exchange (ETDEWEB)

    Ayling, G.

    2007-06-15

    The first section of the article gives an overview of exploration and new developments in the field of gold, nickel, diamond and opal mining in central Queensland. The second part looks at coal, coal seam gas and petroleum exploration and development projects in the area. 1 fig.

  10. Testing for central symmetry

    NARCIS (Netherlands)

    Einmahl, John; Gan, Zhuojiong

    2016-01-01

    Omnibus tests for central symmetry of a bivariate probability distribution are proposed. The test statistics compare empirical measures of opposite regions. Under rather weak conditions, we establish the asymptotic distribution of the test statistics under the null hypothesis; it follows that they a

  11. Central areolar choroidal dystrophy.

    NARCIS (Netherlands)

    Boon, C.J.F.; Klevering, B.J.; Cremers, F.P.M.; Zonneveld-Vrieling, M.N.; Theelen, T.; Hollander, A.I. den; Hoyng, C.B.

    2009-01-01

    OBJECTIVE: To describe the clinical characteristics, follow-up data and molecular genetic background in a large group of patients with central areolar choroidal dystrophy (CACD). DESIGN: Retrospective case series study. PARTICIPANTS: One hundred three patients with CACD from the Netherlands. METHODS

  12. 巨型艾美耳球虫和柔嫩艾美耳球虫早熟株对8种抗球虫药的敏感试验%SENSITIVITY OF PRECOCIOUS LINES OF EIMERIA MAXIMA AND EIMERIA TENELLA TO EIGHT ANTICOCCIDIAL DRUGS

    Institute of Scientific and Technical Information of China (English)

    赵其平; 李婷; 董辉; 韩红玉; 孔春林; 姜连连; 朱顺海; 黄兵

    2011-01-01

    为检测巨型艾美耳球虫和柔嫩艾美耳球虫早熟株对常用抗球虫药的敏感性,选用地克珠利、氯苯胍、二硝托胺、癸氧喹酯、尼卡巴嗪、马杜米星、盐霉素和拉沙洛西等8种抗球虫药进行鸡体试验,通过抗球虫活性百分比(percent of optimum anticoccidial aetivity,POAA)、病变记分减少率(reduction of lesion scores,RLS)、相对卵囊产量(relative oocyst production,ROP)和抗球虫指数(anticoccidial index,ACI)4项指标进行综合评价。结果表明,巨型艾美耳球虫早熟株对8种药物敏感;柔嫩艾美耳球虫早熟株对盐霉素轻度敏感,对地克珠利、氯苯胍、二硝托胺、癸氧喹酯、尼卡巴嗪、马杜米星和拉沙洛西敏感。本研究结果可为对球虫早熟株疫苗的开发与应用提供实验依据。%In order to test sensitivity of the precocious lines of Eimeria maxima and E.tenella to anticoccidial drugs,eight drugs including of diclazuril,robenidine,dinitolmide,decoquinate,nicarbazin,maduramicin,salinomycin and lasalocidt were selected to use in the study.Based on the percent of optimum anticoccidial activity(POAA),reduction of lesion scores(RLS),relative oocyst production(ROP) and anticoccidial index(ACI),the results showed that the precocious line of E.maxima was completely sensitive to eight anticoccidial drugs,and the precocious line of E.tenella was partly sensitive to salinomycin and completely sensitive to diclazuril,robenidine,dinitolmide,decoquinate,nicarbazin,maduramicin and lasalocidt.This study will provide experimental bases for development and application of the precocious lines vaccines of coccidia.

  13. The roles of puberty and age in explaining the diminished effectiveness of parental buffering of HPA reactivity and recovery in adolescence.

    Science.gov (United States)

    Doom, Jenalee R; Hostinar, Camelia E; VanZomeren-Dohm, Adrienne A; Gunnar, Megan R

    2015-09-01

    associated with puberty.

  14. Growth and development of the ovary and small follicle pool from mid fetal life to pre-puberty in the African elephant (Loxodonta africana

    Directory of Open Access Journals (Sweden)

    Stansfield Fiona J

    2012-07-01

    Full Text Available Abstract Background Follicle numbers and developing ovarian morphology, particularly with reference to the presence of interstitial tissue, are intimately linked within the ovary of the African elephant during the period spanning mid-gestation to puberty. These have not been previously quantified in any studies. The collection of 7 sets of elephant fetal ovaries between 11.2 and 20.2 months of gestation, and 29 pairs of prepubertal calf ovaries between 2 months and 9 years of age during routine management off-takes of complete family groups in private conservancies in Zimbabwe provided an opportunity for a detailed study of this period. Results The changing morphology of the ovary is described as the presumptive cortex and medulla components of the fetal ovary settled into their adult form. Interstitial tissue dominated the ovary in late fetal life and these cells stained strongly for 3β–hydroxysteroid dehydrogenase. This staining continued postnatally through to 4.5 years of age suggesting continued secretion of progestagens by the ovary during this period. The considerable growth of antral follicles peaked at 28% of ovarian volume at around 16.7 months of fetal age. The numbers of small follicles (primordial, early primary and true primary, counted in the cortex using stereological protocols, revealed fewer small follicles in the ovaries of animals aged 0 to 4.5 years of age than during either late fetal life or prepubertal life. Conclusions The small follicle populations of the late-fetal and prepubertal ovaries of the African elephant were described along with the changing morphology of these organs. The changes noted represent a series of events that have been recorded only in the elephant and the giraffe species to date. The expansion of the interstitial tissue of the fetal ovary and its continued presence in early post natal life may well contribute to the control of follicle development in these early years. Further

  15. Induced, endogenous and exogenous centrality

    OpenAIRE

    Everett, Martin G.; Stephen P. Borgatti

    2010-01-01

    Centrality measures are based upon the structural position an actor has within the network. Induced centrality, sometimes called vitality measures, take graph invariants as an overall measure and derive vertex level measures by deleting individual nodes or edges and examining the overall change. By taking the sum of standard centrality measures as the graph invariant we can obtain measures which examine how much centrality an individual node contributes to the centrality of the other nodes in...

  16. Do Central Banks Need Capital?

    OpenAIRE

    Peter Stella

    1997-01-01

    Central banks may operate perfectly well without capital as conventionally defined. A large negative net worth, however, is likely to compromise central bank independence and interfere with its ability to attain policy objectives. If society values an independent central bank capable of effectively implementing monetary policy, recapitalization may become essential. Proper accounting practice in determining central bank profit or loss and rules governing the transfer of the central bank’s ope...

  17. 阴道斜隔综合征早期诊断与治疗%The clinical analysis of the early diagnosis and therapy of oblique vaginal septum syndrome in puberty

    Institute of Scientific and Technical Information of China (English)

    孙志华

    2012-01-01

    目的 提高临床医生对青春期阴道斜膈综合征早期诊治的认识.方法 回顾性分析我院在2005年7月~2010年12月诊治的4例患者的临床资料,并复习文献.结果 4例患者全部行阴道斜隔切除术及处女膜修复术.结论 早期诊治青春期阴道斜隔综合征对预防生殖系统疾病的发生和保护生育能力有重要的临床意义.%Objective To improve the realization of the clinician with the early diagnosis and therapy of oblique vaginal septum syndrome in puberty. Methods The clinical data of 4 cases diagnosed as oblique vaginal septum syndrome from July 2005 to December 2010 in our hospital were analyzed retrospectively, and literatures were reviewed. Results All cases were taken the resection of oblique vaginal septum and repair of hymen. Conclusion The early diagnosis and therapy of oblique vaginal septum syndrome in puberty may possess an important clinical significance in prevention of genital system diseases and protection of fertility.

  18. Central simple Poisson algebras

    Institute of Scientific and Technical Information of China (English)

    SU Yucai; XU Xiaoping

    2004-01-01

    Poisson algebras are fundamental algebraic structures in physics and symplectic geometry. However, the structure theory of Poisson algebras has not been well developed. In this paper, we determine the structure of the central simple Poisson algebras related to locally finite derivations, over an algebraically closed field of characteristic zero.The Lie algebra structures of these Poisson algebras are in general not finitely-graded.

  19. Central corneal abscess.

    Science.gov (United States)

    van Bijsterveld, O P

    1976-05-01

    Central corneal abscess developed in the experimental animal after inoculation of biologically active staphylococcal strains in a paracentral epithelial lesion of the cornea. These abscesses did not ulcerate, developed only with high inocula, occurred more frequently in immunized rabbits. A serpiginous type of ulceration did not develop at the site of the initial epithelial lesion nor at any other place in the cornea. Histologically, the lesions consisted of densely packed polymorphonuclear leukocytes between the corneal lamellae.

  20. FNAL central email systems

    Energy Technology Data Exchange (ETDEWEB)

    Schmidt, Jack; Lilianstrom, Al; Pasetes, Ray; Hill, Kevin; /Fermilab

    2004-10-01

    The FNAL Email System is the primary point of entry for email destined for an employee or user at Fermilab. This centrally supported system is designed for reliability and availability. It uses multiple layers of protection to help ensure that: (1) SPAM messages are tagged properly; (2) All mail is inspected for viruses; and (3) Valid mail gets delivered. This system employs numerous redundant subsystems to accomplish these tasks.