Medicine
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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty
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Item Evaluation of reproductive hormone profile in relation to semen quality in male partners of subfertile couples(Sri Lanka Association for the Advancement of Science, 2007) Dissanayake, D.M.A.B.; Palihawadana, T.S.; Wijesinghe, P.S.; Ratnasooriya, W.D.; Wimalasena, S.The objective of the study was to assess the reproductive hormone profile of a Sri Lankan subfertile male population and to relate it to their semen parameters. Male partners of 152 subfertile couples who sought treatment at the subfertility unit of the department of Obstetrics and Gynaecology at the Faculty of Medicine, Ragama were included in the study. Serum samples were assayed for follicle stimulating hormone (FSH), luteinizing hormone (LH), prolactin (PRL), Estradiol (E2) and testosterone (T) levels, using electrochemiluminescence immunoassay (ECLIA). A semen sample was obtained from each participant on the same day. Seminal fluid analysis was done according to the WHO guidelines. The mean (SEM) of FSH, LH, PRL, E2 and T levels of the males were 5.35 (0.53) mIU/mL, 6.20 (0.33) mIU/mL, 17.53 (0.60) ng/mL, 30.48 (1.80) pg/mL and 523.80 (14.74) ng/dL and the prevalence of abnormalities of these hormones were 9.8% (n=15), 5.9% (n=9), 13.15% (n=20), 0.6% (n=1) and 2.6% (n=4) respectively. Of the study population 20.3% (n=31) men had either single or combination of hormone abnormalities. When the mean hormone levels of the men with normal semen parameters were compared with those of men with abnormal semen parameters, none showed a statistically significant difference; FSH - 4.18 (2. 78) Vs 4.58 (3.15), LH - 5.90 (2.78) Vs 5.70 (2.36), PRL - 28.63 (14.96) Vs 17.59 (7.63) and T -551.39ñ208.17 Vs 515.73 (158.25). Mean (SD), FSH and LH levels were significantly higher among azoospermic participants compared with normozoospermics; 19.69 (9.93) Vs 4.18 (2.78) for FSH, 12.82 (11.82) Vs 5.90 (2.78) for LH, p<0.01). Similarly FSH and LH levels were significantly higher in severe oligospermic participants compared with the normozoospermics; 7.58 (4.34) Vs 4.18 (2.78) for FSH, and 6.96 (2.65) Vs 5.90 (2.78) for LH, p<0.05). The serum FSH level showed an inverse correlation with sperm concentration (r= -0.203, p<0.05) and total sperm count (r= -0.206, p<0.05). In conclusion, an endocrinopathy was present in up to 20% of this population. Abnormalities in Gonadotrophin levels were related with azoospermia and severe oligozoospermia. Serum FSH showed a negative correlation with the sperm concentration and the total sperm count. Other hormones failed to show a significant relationship with the semen parameters in this population. Acknowledgement: National Science Foundation research grant No. RG/2004/M/14Item Effects of zinc supplementation on sexual behavior of male rats(Medknow Publications, 2009) Dissanayake, D.; Wijesinghe, P.S.; Ratnasooriya, W.D.; Wimalasena, S.CONTEXT: Effects of zinc on male sexual competence are poorly understood. Aim: To study the effects of different doses of zinc on the sexual competence of males using a rat model. MATERIALS AND METHODS: Three subsets (eight in each subset) of sexually experienced adult male rats were supplemented with three different oral doses of zinc sulphate (a daily dose of 1 mg, 5 mg and 10 mg respectively) for two weeks. A subset of eight animals without zinc supplementation was used as the control group Sexual behavior was observed by placing them individually in cages with receptive females. Statistical ANALYSIS : Data analysis was done using SPSS v10 for windows computer software. RESULTS: Supplementation of 5 mg of zinc/day for two weeks led to a prolongation of ejaculatory latency; 711.6 sec. (SEM 85.47) vs. 489.50 sec. (SEM 67.66), P < 0.05 and an increase in number of penile thrusting; 52.80 (SEM 11.28) vs. 26.50 (SEM 6.17), P < 0.05, compared to controls. The same group had elevated prolactin (PRL) and testosterone (T) levels compared to controls at the end of treatment period; PRL- 7.22 ng/dl (SEM 3.68) vs. 2.90 ng/dl (SEM 0.34) and T- 8.21 ng/ml (SEM 6.09) vs. 2.39 ng/ml (SEM 1.79), P < 0.05. In contrast, reduction of libido was evident in the same group, but this effect was not statistically significant ( P > 0.05). However, partner preference index was positive and 5 mg zinc supplementation did not exert a significant adverse effect on the muscle strength and co-ordination. The subset of rats supplemented with 1 mg/day did not show a difference from the control group while supplementation with 10 mg/day led to a reduction of the libido index, number of mounts and intromissions. CONCLUSIONS : Zinc therapy improves sexual competence of male rats; the effect is dose dependent. Increase in the T levels is beneficial in this regard. However, increase in PRL is responsible for the reduced libido index. Further studies on pigs and monkeys are needed to evaluate the therapeutic use of zinc in sexual dysfunctionItem A Study to access the prevalence of zinc abnormalities and the effect of zinc on semen parameters in subfertile population(Faculty of Allied Health Sciences, University of Peradeniya, 2009) Dissanayake, D.M.A.B.; Palihawadana, T.S.; Herath, H.M.R.P.; Wimalasena, S.; Ratnasooriya, W.D.; Wijesinghe, P.S.OBJECTIVE: To study the relationship between serum zinc levels and semen quality in a subfertile population. STUDY DESIGN: Study was carried out as a cross sectional prospective study at the Infertility unit, Department of Obstetrics and Gynaecology, Faculty of medicine, Ragama. SUBJECTS AND METHODS: One hundred and fifty two male partners of couples who were seeking fertility treatment were recruited after excluding possible confounding factors. A semen sample and a blood sample were obtained from each subject. Semen samples were analyzed according to WHO guidelines and serum level of zinc was estimated using flame atomic absorption spectrometry. Mean daily intake of zinc was assessed by 24 hour dietary recall method. RESULTS: There were twenty one males (13.8 %) with serum zinc deficiency and seven (4.6 %) with serum zinc levels above the normal reference value. The mean serum zinc levels were not significantly different between normal and abnormal groups of individual seminal parameters There was no significant difference of zinc levels between normozoospermics and pathozoospermics, 0.92 Ilg/ml (SD 0.37) vs. 1.01 Ilg/ml (SD 0.35), P = 0.136. There was a weak positive correlation between serum zinc levels and seminal pH (r = 0.167, P < 0.039), but not between zinc levels and other semen parameters. The mean daily zinc intake in the study population was 13.67 mg (SD 1.55). There were no correlations between zinc intake and social aspects (income or educational level) or serum zinc levels. CONCLUSION: Prevalence of serum zinc abnormalities in this population was 18.4 %. There was no significant effect of serum zinc on the quality of semen. Assessment of serum zinc levels may have no advantage in evaluating male fertility.Item Diuretic activity of leaf and stem decoctions of Anisomeles indica(2003) Dharmasiri, M.G.; Ratnasooriya, W.D.; Thabrew, M.I.Anisomeles indica (Lamiaceae) is a wild perennial herb growing in South and South East Asia. A decoction of leaves and stems of this plant is said to be diuretic but this point has not been verified in a controlled scientific investigation. The aim of the study was to scientifically investigate the diuretic activity of the decoctions of leaves and stems of both preflowering (E1) and flowering (E2) plants. Rats were used for experiments. The results showed that A. indica has powerful diurecti action and justify the use of the plant in traditional medicine in Sri Lanka. It is concluded that only the preflowering plants possessed marked diuretic activity. The selection of proper stage of the plant is vital for the induction of diuresis.Item Water extracts of leaves and stems of pre-flowering but not flowering plants possess analgesic and antihyperalgesic activities in rat(Informa Healthcare, 2003) Dharmasiri, M.G.; Ratnasooriya, W.D.; Thabrew, M.I.According to Sri Lankan traditional medicine, a decoction made from stems and leaves of Anisomeles indica Kuntze (Lamiaceae) possesses analgesic activity. However, the validity of this claim has not been scientifically tested. The aim of this study was to investigate analgesic and antihyperalgesic activities of this plant using a water extract made from the leaves and stems. The water extracts were made from leaves and stems of both preflowering (E1) and flowering plants (E2). E1 showed a dose-dependent analgesic effect up to 6 h of treatment when tested in rats using the hot plate and the tail flick techniques. Further, the analgesic effect of E1 was not accompanied by toxic effects. This effect was neither gender dependent nor dependent on the stage of the estrous cycle. E1 also showed a dose-dependent antihyperalgesic activity in the hot plate test. In contrast, E2 did not show any analgesic effect (500 mg/kg). The analgesic effect produced by E1 was not abolished by naloxone. E1 dose-dependently retarded the amplitude of the spontaneous contractions of isolated dioestrous rat uterus. Further, E1 induced a dosedependent plasma membrane stabilisation effect on rat erythrocytes. Collectively, these observations suggest that the analgesic and antihyperalgesic effects of E1 are mediated from inhibition of COX-1, thus impairing the synthesis of prostaglandins. A change in chemical contents that accompanies flowering could be one possible reason for the inability of E2 to demonstrate analgesic effect.Item Anti-inflammatory activity of decoction of leaves and stems of Anisomeles indica at pre-flowering and flowering stages(Informa Healthcare, 2002) Dharmasiri, M.G.; Ratnasooriya, W.D.; Thabrew, M.I.A decoction of leaves and stems of Anisomeles indica (Lamiaceae) is claimed to possess anti-inflammatory activity in Sri Lankan traditional medicine. The plants at both preflowering and flowering stages are used as an anti-inflammatory agent. However, the anti-inflammatory activity of the plant has not been scientifically evaluated thus far. The aims of this study were to evaluate scientifically the anti-inflammatory activity of decoctions of leaves and stems of A. indica at pre-flowering and flowering stages and possible toxic effects of the decoctions. Three doses of the freeze-dried decoction of a pre-flowering plant (E1) (125, 250 and 500 mg/kg) and one dose of the decoction of a plant at flowering stage (E2) (500 mg/kg) were orally administered to rats. The anti-inflammatory activity was evaluated using the carrageenan-induced paw edema, formaldehyde-induced paw edema and adjuvant-induced paw edema models in rats. E1 demonstrated a significant (P < 0.01) and dose-dependent anti-inflammatory effect in all three models, while E2 did not demonstrate significant anti-inflammatory activity. E1 demonstrated a significant (P < 0.01) and dose-dependent antihistamine activity and free radical scavenging activities in addition to the previously reported membrane stabilising and cyclooxygenase-I inhibitory activities. However, E1 failed to impair significantly the in vitro activity of lipoxygenase. A 30-day treatment with 500 mg/kg of E1 was not liver toxic or renotoxic, and it did not have a significant effect on body weights. It was concluded that the anti-inflammatory activity of E1 is contributed by cyclooxygenase-1 inhibition, plasma membrane stabilisation, antihistamine and free radical scavenging activities, but not by the inhibition of lipoxygenase. These observations prove scientifically the anti-inflammatory activity of A. indica, mentioned in the Sri Lankan traditional medicine, while revealing a loss of the activity after flowering.