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Biomedical subjects

E Haus

Publications and source records attributed to E Haus.

At least 127 records · Page 7Linked to original sources
PubMedDate not supplied

The chronobiology of prostate-specific antigen (PSA): case report and chrono-metaanalysis.

The circadian profiles of circulating PSA of a 72-year-old man (FH) and of 11 other clinically relatively healthy men are compared. The time course of FH's PSA was also followed longitudinally with single samples for over 3 years. A transient peak in PSA exceeding the upper time-unspecified age-corrected reference limit prompted a retrospectively premature biopsy which indicated prostatitis. Watchful waiting and additional PSA determinations may be the preferred approach before biopsy, notably in the elderly, for reasons of cost and invasiveness of the procedure. The load associated with a biopsy is also evaluated by a cardiovascular response.

Aged↗
PubMedDate not supplied

Immunocytoma effect upon circadian variation in murine urinary excretion of beta-aminoisobutyric acid, beta-alanine, phenylalanine and tyrosine.

Under the conditions of disynchronization by the manipulation of both the alternation of light and darkness and the availability and unavailability of food, circadian rhythms characterize the excretion of several amino acids by inbred LOU rats bearing an immunocytoma. Large amplitude rhythms can be demonstrated for urinary beta-aminoisobutyric acid, beta-alanine, phenylalanine and tyrosine. Under the same conditions of disynchronization, control animals excrete the same compounds also with a marked circadian variation but at an invariably lower average rate. These excretory rhythms, along with those demonstrated earlier for polyamines and light-chains, are of interest as potential markers for the chronotherapy of cancer.

Amino Acids↗
PubMedDate not supplied

Marker rhythmometry with macrophage-colony stimulating factor (M-CSF).

In a patient with a debulked müllerian adenocarcinoma involving the ovary, an elevated serum concentration of macrophage-colony stimulating factor (M-CSF) (5.3 ng/ml) was lowered into the range of the age- and gender-matched controls by a 24-hour infusion of 135 mg/m2 of taxol, as was a Ca125 of 1480 U/ml by three such taxol courses given at 3-week intervals (to 14 U/ml). A downward trend of M-CSF in serum with an about-14-hour ultradian modulation during the first chemotherapy course resembles that of the concomitantly assessed Ca125. A decreasing trend modulated by an about-half-weekly component is found in M-CSF of fractionated urines collected at spontaneous voidings around the clock for 5 days. M-CSF may serve as a chronobiologic marker for optimizing, on an individualized basis, 1) the infradian scheduling of chemotherapy courses and 2) the ultradian-circadian within-course time patterns. Timing based on markers of the anticancer effect aims at teh as-yet unattained transfer from rodent to human of cancer cures that were not previously feasible without chronobiologic considerations. This goal can be pursued with M-CSF as well as Ca125 and UGP as possibly complementary chronobiologic markers in a chronotherapy trial with taxol in humans.

Aged↗
PubMedDate not supplied

Human mesor-hypertensive chronorisk.

Twelve endocrine variables in blood from a small number of clinically healthy adult women were sampled systematically around the clock and the seasons. Pattern discrimination methods singled out certain hormone values in certain seasons as classifiers for a high vs low risk of developing diseases associated with a high blood pressure. Further evidence in support of such classifiers is obtained on data from adolescent, menstrually cycling young adults and post-menopausal women, here analyzed as pool of series, with the scope of the data from any one age group greatly extended by a resampling procedure, namely, by bootstrapping. This mathematical approach was carried out on data series around the clock and seasons on several hormones as well as systolic and diastolic blood pressure. Classifier roles were strongly supported for plasma aldosterone and thyroid stimulating hormone, originally by an analysis of variance and, in the case of aldosterone, by circannual cosinor analysis and by numerical resampling. Circannual bootstrapping, a procedure recommended for broad routine use as a safeguard for hypothesis testing, was also done for plasma cortisol, dehydro-epi-androsterone sulfate and prolactin, variables for which (parametric) analyses of variance and cosinors did not reveal any difference between groups at high and low cardiovascular risk. In these instances, bootstrapping results are tentative and await further analyses. Results show the ability of circannual bootstrapping to detect outliers. Identification of classifiers provides cost-effective endocrine checks complementing the targeted automatic monitoring of blood pressure. Circannual indices for risk evaluation are, however, costly in several ways since it takes at least a year and quite a few samples to estimate them reliably. Accordingly, we also extended the scope of previous results by the application of an added procedure for circadian bootstrapping. With circadian as well as circannual bootstrapping, we here illustrate a major potential component of a system of chrono-engineering for health maintenance. This system should start with focus on the newborn. The results on adults here analyzed are likely to be more prominent in the neonate, to the extent that they are genetic in origin, yet amenable to modification by the extra-uterine environment.

Adolescent↗
PubMedDate not supplied

Circadian rhythm parameters of endocrine functions in elderly subjects during the seventh to the ninth decade of life.

The circadian rhythm of 17 endocrine parameters (ACTH, aldosterone, cortisol, C-peptide, DHEA-S, FSH, growth hormone, insulin, LH, 17-OH progesterone, prolactin, testosterone, total T3, total T4 and TSH and estradiol and progesterone in women only) were studied in 63 clinically apparently healthy men (124 profiles) and 86 women (154 profiles) during the 7th to 9th decade of life. The subjects lived under very uniform conditions in a home for the aged with their daily schedule standardized by institutional routine with rest at night on the average from 21:30 to 06:30 local time and 3 daily meals at 08:30, 13:00 and 18:30. Blood was drawn over a 24-h span at 4-h intervals. Circadian periodicity was ascertained and the rhythm parameters quantified by cosinor analysis. In clinically healthy elderly subjects, circadian periodicity persisted in most parameters studied well into the 9th decade of life. The timing of the circadian rhythm was comparable between subjects in their 7th decade and 9th decade of life with the exception of cortisol and DHEA-S, which showed a phase advance with advancing age. A decrease in circadian amplitude is limited during this part of the human life span to only a few of the functions investigated and with the exception of prolactin in the women, a decrease in amplitude did accompany a decrease in MESOR.

17-alpha-Hydroxyprogesterone↗
PubMedDate not supplied

Chronobiologic reference values in clinical chemistry.

Circadian rhythms of 23 biochemical parameters were studied in the serum of 194 children 11 +/- 1.5 years of age, 43 young adult subjects 21 +/- 2 years of age and 200 elderly subjects 77 +/- 8 years of age. In the children and the elderly subjects, the investigations extended over all four seasons allowing also the study of seasonal variations or circannual rhythms. The circadian rhythms were characterized by population mean cosinor for each group and sex. The circannual rhythms were explored by single cosinor and one and two way analysis of variance applied to the circadian means obtained during each season, and by the comparison of the circadian rhythm parameters obtained during the four seasons by the parameter test described by Bingham et al. Circadian rhythms were found in most and circannual rhythms in many parameters. The rhythm characteristics are presented as cosinor summaries. A number of laboratory parameters show high amplitude rhythms in one or the other frequency studies and require time-qualified reference ranges for a meaningful use of these variables for clinical diagnosis. The majority shows small amplitude rhythms, which do not pose diagnostic problems, but are indicators of the complex time structure of the human organism.

Adult↗
PubMedDate not supplied

Circadian rhythms in urinary trace element and electrolyte excretion in children with and without endemic goiter.

Six boys and six girls 11 +/- 1.5 years of age living in the endemic goiter area of Tîrgovişte, Romania were studied. Three of the children of each sex did have a palpable endemic goiter, three did not. The children followed a diurnal activity pattern synchronized by their school routine and ate their usual three meal diet. Urine was collected at 4-hour intervals over a 24 hour span (six samples). Urinary volume, pH, total (T) solids, protein, glucose, phosphorus, uric acid, urea nitrogen, creatinine, total and nondialyzable (ND) sodium and potassium were determined by conventional methods and the total and nondialyzable (ND) portion of urinary calcium, magnesium, and zinc and the ND portion of aluminum, copper, boron, lead and silicon were determined by an inductively coupled plasma (ICP) system.

Child↗
PubMedDate not supplied

Chronobiology of the endocrine system.

One-hundred and ninety-four children (11 +/- 1.5 years of age), 43 young adult subjects (21 +/- 2 years of age) and 149 elderly subjects studied in 278-24 hour profiles (77 +/- 8 years of age) were studied over one or several 24-hour spans. All subjects followed a diurnal activity pattern with rest during the night. Blood and urine were collected at 4-hour intervals over a 24-hour span (6 samples). The circadian rhythms of 22 endocrine parameters were explored in plasma and five in urine. In the children and the elderly subjects, the investigations extended over all four seasons allowing also the study of seasonal variations or circannual rhythms. The circadian rhythms were characterized by population mean cosinor for each group of subjects. The circannual rhythms were explored by single cosinor, by one and two way analysis of variance applied to the circadian means obtained during each season and by comparison of the circadian rhythm parameters obtained during the four seasons by the parameter test described by Bingham et al. Circadian rhythms were found in most and circannual rhythms in many parameters. The rhythm characteristics are presented as cosinor summaries and acrophase charts. Although there were certain differences in some rhythm parameters between the age groups, the elderly showed a remarkable maintenance of their circadian time structure. In the circannual frequency range, the elderly men showed more circannual periodicity as group phenomenon than the women. Many endocrine rhythms show high amplitude rhythms which have to be taken into account in the selection of the time for endocrine testing and in the interpretation of the results.

Adolescent↗
PubMedDate not supplied

Circadian and seasonal variations in iodine excretion in children with and without endemic goiter.

The urinary iodine excretion was measured in 193 children 11 +/- 1.5 years of age living in the endemic goiter area of Dîmboviţa, Romania. One hundred and thirty four of the children showed some degree of endemic goiter, 59 showed none. All children followed a diurnal activity pattern with rest during the night. They received their usual iodine supplement of 1 gm potassium iodide once a week during the school year (which included the time of all measurements made). Urine was collected in six 4-hour samples over a 24-hour span. The examinations were conducted during the months of March, June, September and December. Iodine was determined by an automated ceric ion arsenic acid method using a Technicon Autoanalyzer. Circadian and seasonal variations of urine volume and iodine excretion were statistically verified by the cosinor technique and the seasonal variations also by one way analysis of variance using the circadian means as input. A comparable circadian rhythm of iodine excretion was found in the children with and without endemic goiter, with an acrophase during the evening (20:16 with a 95% C.I., from 19:32 to 21:04). The circadian rhythm in iodine excretion has to be taken into account whenever an estimate of the 24-hour excretion is attempted from a sample covering less than the entire 24-hour span. There was a statistically significant seasonal variation of the 24-hour iodine excretion in the boys with and without endemic goiter and in the group as a whole. The 24-hour iodine excretion during March was 102 +/- 6 mcg, during June 81 +/- 4 mcg, during September 79 +/- 3 mcg and during December 102 +/- 7 mcg. The average 24-hour iodine excretion pooled over all seasons was 91 +/- 3 mcg/24 hrs in the children with and 91 +/- 5 mcg/24 hrs in the children without endemic goiter. During March and December the iodine excretion indicates an iodine intake not usually associated with a high prevalence of endemic goiter. However, during the months of June and September (and presumably even more during the months of July and August when during summer vacation no iodine supplementation was given in school) the 24-hour iodine excretion indicates some degree of iodine deficiency. The seasonal variation in urinary iodine excretion thus points to a time when increased iodine prophylaxis may be of value.

Child↗
PubMedDate not supplied

Circadian and circannual variations of FSH, LH, testosterone, dehydroepiandrosterone-sulfate (DHEA-S) and 17-hydroxy progesterone (17 OH-Prog) in elderly men and women.

A group of 63 men and 86 women 77 +/- 8 years of age institutionalized at the Berceni Clinical Hospital, Bucharest, Romania, on a diurnally active living schedule with rest at night, eating 3 comparable but not identical meals a day, were investigated over a 2-year span in 278 profiles extending over a 24-hour span each and distributed over all our seasons. On each day of sampling six samples of blood were collected at 4-hour intervals beginning at 0800 of the first day of the study to 0400 of the next. Plasma testosterone, dehydroepiandrosteronesulfate (DHEA-S), 17-hydroxyprogesterone (17-OH Prog), FSH and LH concentrations were determined by radioimmunoassay. Statistically significant circadian rhythms were detected and quantified by population mean cosinor for the men and women of the entire group and for the age groups of 51 to 70 (I), 71 to 80 (II) and above 80 years of age (III) separately. Circannual rhythms of the circadian means were sought and evaluated by one way analysis of variance. Statistically highly significant circadian rhythms were found in plasma testosterone, 17-OH Prog and DHEA-S, concentrations in men and women of all three age groups with a phase advance of over 2 hours in DHEA-S with advancing age. Circannual cycles were found for plasma testosterone concentration and for DHEA-S in men and women, with a likely phase difference between men and women in testosterone. In LH a circadian rhythm was found in the women and in FSH in men only and a circannual variation in LH only in men.

17-alpha-Hydroxyprogesterone↗
PubMedDate not supplied

Circadian rhythm of beta-endorphin in the plasma of clinically healthy subjects and in patients with adrenocortical disorders.

Immunoreactive beta-endorphin was determined in the plasma of 37 elderly subjects (73 +/- 7 years of age), in 3 young or young adult subjects without adrenal disease, in 4 women with clinical adrenogenital syndrome, in 1 man with Cushing's disease. Immunoreactive beta-endorphin in plasma was measured by radioimmunoassay in six samples of each subject collected at 4-hour intervals over a 24-hour span. The observation of a circadian rhythm in circulating immunoreactive beta-endorphin with highest values during the late night and early morning hours is extended to elderly subjects in the 8th decade. The beta-endorphin plasma concentrations in the few clinically healthy young adult subjects studied fell within the same range. The circadian variation of the group of elderly subjects was used as reference in the clinical evaluation of plasma beta-endorphin concentrations in patients with pituitary-adrenocortical disorders. The need for circadian rhythm qualified reference values is shown by the observation of the circadian variations of circulating immunoreactive beta-endorphins in the patients with adrenogenital syndrome and Cushing's disease in whom abnormalities in the concentration of circulating beta-endorphin were found at certain circadian stages but not at others.

Adolescent↗
PubMedDate not supplied

Chronobiology of serum iron concentration in subjects of different ages at different geographic locations.

The circadian rhythm in serum iron concentration was studied in 61 elderly men (74 +/- 6 years of age) and 93 women (78 +/- 8 years of age) in Bucharest, Romania, in 81 clinically healthy boys and 103 girls (11 +/- 1.5 years of age) in Tîrgovişte, Romania, in 4 elderly men and 19 women (71 +/- 5 years of age) and in 75 young-adult men (24 +/- 11 years of age) and 52 women (24 +/- 9 years of age) in St. Paul, Minnesota, USA. Six samples were obtained from each subject around a 24-hour span. The sampling sessions in the elderly subjects in Romania and in the children extended over all four seasons. A circadian rhythm statistically verified by Cosinor analysis was evident in all groups in both locations. A statistically significant sex difference with lower circadian mean (mesor) and a lower amplitude in the women was found in the Romanian elderly subjects. The children in Romania showed no sex difference in any circadian rhythm parameters. The young adult subjects in Minnesota showed a significantly higher mesor and a phase delay in the men as compared with the women. The elderly subjects of both sexes at both geographic locations had a lower circadian mesor than the young adults and the children. In the Romanian elderly subjects also the circadian amplitude was lower, which was not the case in the Minnesotans. While the acrophase in the elderly subjects and in the children in Romania was comparable (0928 and 0932 local time resp.), the young adults in Minnesota showed in comparison to the Romanians a phase delay (1132 local time) and the elderly in Minnesota showed a phase advance (0732 local time) in comparison to all other groups. The latter finding will have to be confirmed by more extensive studies. In the elderly subjects in Romania the circadian rhythm in serum iron concentration was in phase with the circadian rhythms in total serum bilirubin and alkaline phosphatase but showed significant phase differences from the circadian rhythms in serum albumin, urea nitrogen (BUN), gammaglutamyl transferase (Gamma-GT), serum globulins, glucose, insulin and total serum proteins. The elderly subjects in Romania showed a statistically significant circadian phase delay in summer as compared to fall but showed no seasonal variation of the mesor. The children showed a circadian phase advance in fall as compared to the other seasons and a seasonal variation of their mesor with higher values in spring and summer as compared with winter and fall.(ABSTRACT TRUNCATED AT 400 WORDS)

Adolescent↗
PubMedDate not supplied

Circannual rhythms of systolic and diastolic blood pressure in relation to plasma aldosterone and urinary norepinephrine in elderly subjects and in children.

Sixty six elderly men and 87 elderly women 77 +/- 8 (S.D.) years of age were studied in 285 profiles consisting of measurements of systolic and diastolic blood pressure obtained at 4 hour intervals during the waking hours of the subjects for 2 or 7 days and (among others) plasma aldosterone and urinary norepinephrine determinations collected in six samples at 4 hour intervals during one 24-hour span. The profiles were spread through all four seasons. The circadian means were calculated for each profile by the single cosinor method and the circannual variations were analyzed by the Bingham test and analysis of variance. A circannual rhythm of the systolic and the diastolic blood pressure was found with a peak systolic pressure in spring and peak diastolic pressure in summer. A circannual rhythm in urinary norepinephrine was statistically significant only in the women with a peak in winter, out of phase with the circannual rhythm in blood pressure. In plasma aldosterone, the highest values were found during fall and winter with statistical significance reached at the p less than .05 level in the women only. In contrast to the elderly subjects, 87 boys and 107 girls 11 +/- 1.5 (S.D.) years of age studied by the same methodology over one 24-hour span each spread throughout the four seasons showed a circannual rhythm in systolic and diastolic blood pressure and in norepinephrine excretion with a peak during winter. A circannual rhythm of the circadian mesor of the plasma aldosterone concentration was found in the children with highest values in fall and lowest values in spring (when the blood pressure values also were lowest). With all qualifications in mind about possible causal relations between rhythms showing a coincidence or a difference in phase, it appears that there are certain differences in the circannual time structure of cardiovascular and related endocrine functions between children and elderly subjects which may be of clinical importance.

Aged↗
PubMedDate not supplied

Circannual rhythms of laboratory parameters in serum of elderly subjects. Evaluation by cosinor analysis.

A total of 189 elderly subjects 76 +/- 8 years of age were studied in 230 24-hour profiles consisting of six blood samples collected at 4 hour intervals. The sampling sessions were spread over all four seasons. The circadian means were analyzed by single cosinor analysis for the presence of circannual variations. Statistically significant circannual variations were found in men and/or in women in the serum concentrations of: albumin, total bilirubin, calcium, chloride, CPK, glucose, LDH, potassium, sodium, triglycerides, and uric acid. Only in few functions is the extent of the circannual rhythms in the variables presented here large enough to present potential diagnostic problems in today's practice of laboratory medicine. However, the seasonal variations in metabolic functions, or if endogenous in nature, circannual rhythms may be of physiologic and pathobiologic importance. There is a need to quantify certain of these rhythms as a predictable portion of variability in laboratory values, and presumably as an indicator of human health.

Adaptation, Physiological↗
PubMedDate not supplied

Chronobiologic observations of calcium and magnesium in the elderly.

Sixty-two elderly men (average age 75 +/- 6 yrs) and 85 elderly women (average age 79 +/- 8 yrs) institutionalized at Berceni Clinical Hospital, Bucharest, Romania, were investigated over a 24 hour span, some of them repeatedly, leading to a total of 269 profiles. The subjects were studied in 12 subgroups spread over all four seasons. Total serum calcium, inorganic phosphate, total protein, albumin and urinary calcium and magnesium were determined. Circadian rhythms were found in all variables. There were statistically significant phase differences between serum calcium, total protein and serum albumin speaking against the serum protein rhythm (or circadian variations in hydration) being responsible for the circadian rhythm in total serum calcium. There are phase differences between the elderly (and young) subjects studied in Romania and several series reported from Germany and the USA. Circadian and circannual variations were found for urinary calcium and magnesium excretion, with maximum in fall and low values during summer. The peak excretion thus follows, rather than coincides, with the time of maximum sun exposure. The elderly subjects studied in Romania show a relatively low circadian (24-hour) mean calcium excretion, and the circadian acrophase in the elderly occurs during the night hours in keeping with the acrophase shift found in elderly subjects in urine volume and other electrolytes.

Aged↗