Search PubMed⌕ Search

Biomedical subjects

L Laurian

Publications and source records attributed to L Laurian.

32 records · Page 2Linked to original sources
PubMed1975

Under-responsiveness of growth hormone secretion after L-dopa and deep sleep stimulation in obese subjects.

Plasma levels of glucose, free fatty acids and free 11-hydroxycorticosteroids, and serum levels of immunoreactive human growth hormone (HGH) and immunoreactive insulin were determined before and after L-dopa stimulation in 18 obese and six normal-weight subjects. A blunted response of HGH was found in the obese subjects who received 0.5 g L-dopa, but when the dose was doubled, a normal response was obtained in 7 of 13 of the obese subjects. No significant fluctuations in free 11-hydroxycorticosteroid, glucose or insulin levels were found in the obese and normal-weight groups and no increase in HGH was seen in the obese group after the subjects had been asleep for 90 min. In the obese subjects, the blunted response of HGH to stimulation with 0.5 g L-dopa and the lack of HGH increase during sleep are attributed to hypothalamic under-responsiveness, which is considered a basic disturbance in obesity.

11-Hydroxycorticosteroids↗
PubMedDate not supplied

Thyroid function following radiation and surgical therapy in head and neck malignancy.

A retrospective 10-year review of thyroid function in 144 patients treated for cancer of the head and neck by radiation therapy, surgery, and combined surgery and radiation therapy was done. In five patients, hypothyroidism had been found in the posttreatment period. Two of them had developed a pharyngeal fistula resistant to intensive local care and surgical procedures, and a third patient had edema and necrosis of the skin flap. The five hypothyroid patients reported here have all been treated for laryngeal malignancy. In any other group of patients treated for head and neck malignancies studied within this article, we did not find clinical or chemical signs of thyroid hypofunction. Our report stresses the importance of periodic evaluation of thyroid function in patients who underwent irradiation of the neck or combined therapy for malignancy in the neck, even if they were clinically euthyroid. Hypofunction may be more frequent than generally recognized after multimodality treatment, and hormonal replacement therapy may be the keystone in curing rebellious pharyngeal fistula and shortening the disabled state of the patient.

Adult↗
PubMedDate not supplied

Effect of diphenylhydantoin on patterns of insulin secretion in obese subjects.

The effect of short-term treatment with diphenylhydantoin (DPH) on the insulin secretion patterns during OGTT and on the daily insulin profile was studied in obese patients. DPH treatment for 3 days with a dose of 300 mg/die (100 mg, 3 times daily) significantly decreased the insulin release after glucose ingestion, but did not alter the basal insulin level. No effect on the fasting glucose concentration as well as on the glucose profiles during OGTT was observed after short-term DPH treatment. A smaller decrease of plasma free fatty acid concentration during OGTT performed after DPH administration confirmed the inhibitory effect of the drug on insulin release. Short-term DPH treatment was also shown to decrease markedly the postpradial insulin release in obese patients. No difference was noted between plasma 11-OHCS and serum HGH concentrations during OGTT before and after DPH treatment. The possible therapeutic role of DPH in obesity is discussed.

11-Hydroxycorticosteroids↗