Cushing's Syndrome: A Historic Review of the Treatment Strategies and Corresponding Outcomes in a Single Tertiary Center over the Past Half-Century.

Cushing's syndrome (CS) is associated with serious comorbidities and an increased mortality rate that could be reduced only if strict biochemical control is achieved. The aim of this study was to show the 50-year experience of a single tertiary center in the management of CS patients - the different treatment modalities used over the years and the corresponding outcomes. It was a retrospective study of a large cohort of patients from the Bulgarian CS database: 613 patients (374 with ACTH-dependent and 239 with ACTH-independent CS).

Anticipatory postural adjustments associated with arm movements during balancing on unstable support surface.

This study aims to investigate the pattern of anticipatory postural adjustments associated with arm movements during balancing on unstable support surface as a mechanism of coordination between movement and posture in this specific motor task. The experiments were arranged in two series: (1) the subjects stood on a force platform, and (2) on unstable platform (see-saw). They performed self-paced arm elevations as fast as possible for each support condition.

Modulation of somatosensory evoked potentials during coordination between posture and movement.

Somatosensory evoked potentials (SEPs) elicited during execution of voluntary movements undergo modification in their amplitude ('gating'). We have studies SEP changes during a motor task that includes anticipatory postural adjustment and focal movement. Upright standing subjects were performing fast forward elevation of one arm.

Brain macropotentials associated with distinct phases of voluntary sustained isometric contraction in man.

Brain potentials recorded from the scalp during voluntary sustained isometric contraction have been consistently found to accompany both the beginning and the termination of the contraction. This study attempts to evaluate the dependence of the potentials related to the voluntary termination of a sustained effort on the physical parameters of the motor task and also to further investigate the relationship between potentials related to the initiation and to the termination of action. Brain potentials from healthy male volunteers performing hand-grip squeeze were time-locked to (1) beginning of contraction; (2) execution of an additional effort; and (3) the moment of voluntary relaxation, and then averaged.

Somatosensory evoked potentials modification related to isometric voluntary contraction.

Somatosensory evoked potentials were elicited by applying an electrical stimulus to the median nerve while the subjects performed a handgrip isometric contraction. Somatosensory evoked potentials (SEPs) were recorded from scalp positions C3 + 2 and C3-2. SEPs during the increase phase and decrease phase of force, and during the hold phase (period of maintenance of steady force) of isometric contraction were compared with potentials during rest.