Endocrinologic Control of Men's Sexual Desire and Arousal/Erection

Several hormones and neurotransmitters orchestrate men's sexual response, including the appetitive (sexual desire) and consummative (arousal and penile erection) phases. AIM: To provide an overview and recommendations regarding endocrinologic control of sexual desire and arousal and erection and their disturbances. METHODS: Medical literature was reviewed by the subcommittee of the International Consultation of Sexual Medicine, followed by extensive internal discussion, and then public presentation and discussion with other experts. The role of pituitary (prolactin, oxytocin, growth hormone, and α-melanocyte-stimulating hormone), thyroid, and testicular hormones was scrutinized and discussed. MAIN OUTCOME MEASURES: Recommendations were based on grading of evidence-based medical literature, followed by interactive discussion. RESULTS: Testosterone has a primary role in controlling and synchronizing male sexual desire and arousal, acting at multiple levels. Accordingly, meta-analysis indicates that testosterone therapy for hypogonadal individuals can improve low desire and erectile dysfunction. Hyperprolactinemia is associated with low desire that can be successfully corrected by appropriate treatments. Oxytocin and α-melanocyte-stimulating hormone are important in eliciting sexual arousal; however, use of these peptides, or their analogs, for stimulating sexual arousal is still under investigation. Evaluation and treatment of other endocrine disorders are suggested only in selected cases. CONCLUSION: Endocrine abnormalities are common in patients with sexual dysfunction. Their identification and treatment is strongly encouraged in disturbances of sexual desire and arousal

XMM-Newton observation of SNR J0533-7202 in the Large Magellanic Cloud

Aims. We present an X-ray study of the supernova remnant SNR J0533-7202 in the Large Magellanic Cloud (LMC) and determine its physical characteristics based on its X-ray emission. Methods. We observed SNR J0533-7202 with XMM-Newton (flare-filtered exposure times of 18 ks EPIC-pn and 31 ks EPIC-MOS1/MOS2). We produced X-ray images of the SNR, performed an X-ray spectral analysis, and compared the results to multi-wavelength studies. Results. The distribution of X-ray emission is highly non-uniform, with the south-west region brighter than the north-east. The X-ray emission is correlated with the radio emission from the remnant. We determine that this morphology is likely due to the SNR expanding into a non-uniform ambient medium and not an absorption effect. We estimate the size to be 53.9 (\pm 3.4) x 43.6 (\pm 3.4) pc, with the major axis rotated ~64 degrees east of north. We find no spectral signatures of ejecta and infer that the X-ray plasma is dominated by swept-up interstellar medium. Using the spectral fit results and the Sedov self-similar solution, we estimate an age of ~17-27 kyr, with an initial explosion energy of (0.09-0.83) x 10^51 erg. We detected an X-ray source located near the centre of the remnant, namely XMMU J053348.2-720233. The source type could not be conclusively determined due to the lack of a multi-wavelength counterpart and low X-ray counts. We find that it is likely either a background active galactic nucleus or a low-mass X-ray binary in the LMC. Conclusions. We detected bright thermal X-ray emission from SNR J0533-7202 and determined that the remnant is in the Sedov phase of its evolution. The lack of ejecta emission prohibits us from typing the remnant with the X-ray data. Therefore, the likely Type Ia classification based on the local stellar population and star formation history reported in the literature cannot be improved upon.Comment: 7 pages, 4 figures, accepted for publication in Astronomy and Astrophysic

Contralateral prophylactic mastectomies. Correlations between primary tumor and histological findings of controlateral breast

Backgound: In Italy in 2015 48,000 new cases of breast carcinomas were diagnosed. Women who are diagnosed with breast cancer have a significant risk of developing contralateral breast cancer during the rest of their lives and this risk is closely associated to the family history, to the onset of breast cancer at a young age and is expressed at about 0.5 to 1% of metachronous tumors per year. The purpose of this work was to evaluate which and how many neoplastic lesions were seen in the contralateral breast that underwent prophylactic mastectomy and to understand what factors predict the appearance of such lesions. Methods: 168 bilateral mastectomies were analyzed in patients with an average age of 47 years, carried out from July 2008 to April 2016, at the Breast Unit of the Sant’Andrea Hospital. We considered women of any age suffering from unilateral breast cancer without either clinical or radiological evidence of a malignant lesion in the contralateral breast and negative for mutations of the BRCA1-BRCA2 genes test. Of the 168 bilateral mastectomies 35 patients were excluded from the study because they underwent neoadjuvant chemotherapy, another 35 patients because they were suffering from a bilateral neoplasia and 7 cases because they had mutated BRCA1 or BRCA2 genes. Therefore the remaining 91 patients were included in the study. Results: Both the histological features of the primary tumor and any lesions found in the contralateral prophylactic breast were analyzed. Histological examination of the main breast showed 59 cases of Invasive Ductal Carcinoma (IDC), 17 cases of Invasive Lobular Carcinoma (ILC), 9 cases of In Situ Ductal Carcinoma (ISDC), 3 microinvasive ductal, 1 invasive tubular carcinoma, 1 in situ lobular and 1 widespread in situ. In the contralateral breast, the definitive histological examination revealed that 47 patients had an occult lesion in the prophylactic contralateral breast; in particular 2 cases of LIN 1, 7 cases of LIN2, 6 cases of lobular carcinoma in situ, 26 between DIN1A/DIN1A-B/DIN1B, 4 cases of carcinoma in situ and 2 cases of Invasive Ductal Carcinoma. The correlation obtained from the observation of the main tumor has shown that in a total of 59 invasive ductal carcinoma 32 have a controlateral occult lesions and in a total of 17 cases of invasive lobular carcinoma 9 have an occult lesion in the prophylactic breast. Of these lesions, the multicentric relationship is that 50% of invasive ductal and invasive lobular carcinoma of the main breast have a contralateral lesion. Conclusion: In conclusion we would like to remind, as demonstrated by our follow-up data and as the literature reiterates, that this surgery does not improve patient survival. Certainly patients with unilateral breast cancer have many surgical therapies to be able to deal with not only having a bilateral mastectomy. The end point of this work is try to understand the risk factors of having a contralateral breast lesion to reduce the probability of a metachronous cance

Rapid detection of copy number variations and point mutations in BRCA1/2 genes using a single workflow by ion semiconductor sequencing pipeline

Molecular analysis of BRCA1 (MIM# 604370) and BRCA2 (MIM #600185) genes is essential for familial breast and ovarian cancer prevention and treatment. An efficient, rapid, cost-effective accurate strategy for the detection of pathogenic variants is crucial. Mutations detection of BRCA1/2 genes includes screening for single nucleotide variants (SNVs), small insertions or deletions (indels), and Copy Number Variations (CNVs). Sanger sequencing is unable to identify CNVs and therefore Multiplex Ligation Probe amplification (MLPA) or Multiplex Amplicon Quantification (MAQ) is used to complete the BRCA1/2 genes analysis. The rapid evolution of Next Generation Sequencing (NGS) technologies allows the search for point mutations and CNVs with a single platform and workflow. In this study we test the possibilities of NGS technology to simultaneously detect point mutations and CNVs in BRCA1/2 genes, using the OncomineTM BRCA Research Assay on Personal Genome Machine (PGM) Platform with Ion Reporter Software for sequencing data analysis (Thermo Fisher Scientific). Comparison between the NGS-CNVs, MLPA and MAQ results shows how the NGS approach is the most complete and fast method for the simultaneous detection of all BRCA mutations, avoiding the usual time consuming multistep approach in the routine diagnostic testing of hereditary breast and ovarian cancers

Identification of onosma visianii roots extract and purified shikonin derivatives as potential acaricidal agents against tetranychus urticae

There is an increasing need for the discovery of reliable and eco-friendly pesticides and natural plant-derived products may play a crucial role as source of new active compounds. In this research, a lipophilic extract of Onosma visianii roots extract containing 12% of shikonin derivatives demonstrated significant toxicity and inhibition of oviposition against Tetranychus urticae mites. Extensive chromatographic separation allowed the isolation of 11 naphthoquinone derivatives that were identified by spectral techniques and were tested against Tetranychus urticae. All the isolated compounds presented effects against the considered mite and isobutylshikonin (1) and isovalerylshikonin (2) were the most active, being valuable model compounds for the study of new anti-mite agents

Self-consistent pedestal prediction for JET-ILW in preparation of the DT campaign

The self-consistent core-pedestal prediction model of a combination of EPED1 type pedestal prediction and a simple stiff core transport model is able to predict Type I ELMy (edge localized mode) pedestals of a large JET-ILW (ITER-like wall) database at the similar accuracy as is obtained when the experimental global plasma beta is used as input. The neutral penetration model [R. J. Groebner et al., Phys. Plasmas 9, 2134 (2002)] with corrections that take into account variations due to gas fueling and plasma triangularity is able to predict the pedestal density with an average error of 15%. The prediction of the pedestal pressure in hydrogen plasma that has higher core heat diffusivity compared to a deuterium plasma with similar heating and fueling agrees with the experiment when the isotope effect on the stability, the increased diffusivity, and outward radial shift of the pedestal are included in the prediction. However, the neutral penetration model that successfully predicts the deuterium pedestal densities fails to predict the isotope effect on the pedestal density in hydrogen plasmas