Ctober anuary, November ebruary); and insufficient background data on the patients. In spite of these limitations, the present study delivers proof that the nonspecific effect of magnitude of ambient temperature transform was involved in the perceived placebo impact on LUTS, specially on storage symptoms, by switching drugs. The nonspecific impact on LUTS in BPH needs to be considered when evaluating subjective remedy efficacy on the drugs for LUTS in BPH in routine clinical practice. Moreover, the present study supports the life-style guidance “avoid exposing the lower body to cold temperature” or “keep warm when it can be cold”25 for LUTS with BPH.DisclosureThe authors report no conflicts of interest within this work.submit your manuscript | www.dovepress.comDovepressMorita et alDovepress 14. Zhang L, Emura K, Nakane Y. A proposal of optimal floor surface temperature according to survey of literatures associated to floor heating atmosphere in Japan. Appl Human Sci. 1998;17(2):616. 15. Rose G. Seasonal variation in blood stress in man. Nature. 1961;189: 235. 16. Brennan PJ, Greenberg G, Miall WE, Thompson SG. Seasonal variation in arterial blood stress. Br Med J (Clin Res Ed). 1982;285(6346): 91923. 17. Yoshimura K, Terai A. Fluctuation of night time frequency in individuals with symptomatic nocturia. Int J Urol. 2005;12(five):46973. 18. Ma S, Morilak DA. Chronic intermittent cold tension sensitises the hypothalamicpituitaryadrenal response to a novel acute strain by enhancing noradrenergic influence within the rat paraventricular nucleus. J Neuroendocrinol. 2005;17(11):76169. 19. Yamori Y, Ikeda K, Kulakowski EC, McCarty R, Lovenberg W. Enhanced sympatheticadrenal medullary response to cold exposure in spontaneously hypertensive rats. J Hypertens. 1985;three(1):636. 20. Andersson KE. Therapy in the overactive bladder: attainable central nervous system drug targets. Urology. 2002;59:184. 21. Andersson KE, Wein AJ. Pharmacology in the reduce urinary tract: basis for current and future treatments of urinary incontinence. Pharmacol Rev. 2004;56(4):58131. 22. Imamura T, Ishizuka O, Aizawa N, et al. Cold environmental stress induces detrusor overactivity by way of resiniferatoxinsensitive nerves in conscious rats. Neurourol Urodyn. 2008;27(4):34852. 23. Chen Z, Ishizuka O, Imamura T, et al. Role of alpha1adrenergic receptors in detrusor overactivity induced by cold strain in conscious rats. Neurourol Urodyn. 2009;28(three):25156. 24. Yoshimura K, Kamoto T, Tsukamoto T, Oshiro K, Kinukawa N, Ogawa O. Seasonal alterations in nocturia and other storage symptoms in 3 Japanese communities. Urology. 2007;69(5):86470. 25. Homma Y, Araki I, Igawa Y, et al; Japanese Society of Neurogenic Bladder. Clinical guideline for male lower urinary tract symptoms.191348-04-6 Chemscene Int J Urol.γ-Polyglutamic acid (γ-PGA) Formula 2009;16(10):77590.PMID:23916866 26. Madersbacher S, Alivizatos G, Nordling J, Sanz CR, Emberton M, de la Rosette JJ. EAU 2004 suggestions on assessment, therapy and followup of men with reduced urinary tract symptoms suggestive of benign prostatic obstruction (BPH suggestions). Eur Urol. 2004;46(five):54754. 27. McVary KT, Roehrborn CG, Avins AL, et al. Update on AUA guideline on the management of benign prostatic hyperplasia. J Urol. 2011;185(five):1793803.
Despite the high prevalence along with the rising worldwide burden of ischemic stroke, there are no approved neuroprotective agents in clinical use. The only approved therapy is thrombolysis with tissue plasminogen activator (tPA), which includes a narrow therapeutic window and hemorrhagic sid.