Surgical treatment of familial polyposis of the colon and rectum.
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Biomedical subjects
Publications and source records attributed to S C Hsu.
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Most pouch and plug chewing tobaccos with high sugar contents are able to support the growth of S mutans and S sanguis in vitro. Snuff and unprocessed tobacco, although not able to stimulate growth of these organisms, do not inhibit growth. Inhibitory agents present in tobacco leaves do not preclude use of tobacco sugars by the organisms tested. Because factors other than bacterial populations play an important role in caries initiation, clinical studies are needed to identify the effects of commercial tobacco on the human dentition.
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Bile acid pool size was measured in 10 Chinese without gallstones, 14 with pigment stones, and 10 with mixed stones by an isotope dilutin technique. Functional status of gallbladder was evaluated by intravenous cholecystogram and its gross appearance at surgery. Biliary lipid composition was also determined. The control subjects had a bile acid pool size comparable to that of Caucasians. Regardless of the nature of gallstones, bile acid pools of stone patients with functioning gallbladder were within normal range, whereas the pools of those with non- or poorly-functioning gallbladder diminished to about two-thirds of the control. Thus, the diminution of bile acid pool size was apparently the consquence of loss of storage function of gallbladder rather than the cause of production of lithogenic bile. The common bile duct bile obtained from stone patients with nonfunctioning gallbladder had a relatively high lithogenic index, at least partly related to its low total lipid concentration.
Previous studies have produced conflicting reports about the possible relationship between the chewing and smoking of tobacco and the incidence of caries. This study identifies the total sugar and the fluoride concentrations of various forms of tobacco from different areas of the United States. This is the first part of an investigation of caries-promoting and caries-inhibiting substances in commercial tobacco products. The total sugar content of pouch and plug forms of tobacco was, on the average, highest, followed by decreasing concentration in the pipe, cigarette, cigar, and snuff forms of tobacco. Fluoride content of the plug and pouch forms of tobacco was highest, followed by cigar, snuff, pipe, and cigarette tobacco, respectively. Generally, nonsmoking forms of tobacco are most directly related to the potential promotion of caries. The total sugar content in the control tobacco leaves was comparable to that in cigars and snuff which have the least amount of sugar, whereas the fluoride content was similar to plug and pouch which have the highest amount of fluoride. Brands of snuff on average had the lowest concentrations of sugar (average 1.9%) and were among the products with the lowest fluoride content (average 0.26 ppm). Pouch and plug exceeded other forms in both sugar and fluoride content. Large variations in sugar and fluoride levels of tobacco products can exist form-to-form, store-to-store, brand-to-brand, and state-to-state. This may explain the diverse opinions of dental practitioners and investigators relative to the concept that tobacco increases or decreases dental caries.
The presence of fructose, glucose, sucrose, maltose, and isomaltose in commercial tobacco products was identified and quantitated. Gas-liquid chromatographic studies showed that these five types of sugar were present in the water-soluble extracts of pouch and plug chewing tobacco, yet only fructose and glucose were found in extracts of snuff and unprocessed natural tobaccos. The amount of sucrose present in pouch chewing tobacco was twice that in plug chewing tobacco. No detectable amount of sucrose was found in snuff or unprocessed natural tobaccos. The content of maltose and isomaltose was much less than the content of fructose, glucose, or sucrose. All unprocessed natural tobacco leaves studied as controls contained low amounts of fructose and glucose, and no detectable amounts of sucrose, maltose, or isomaltose. The larger amounts of fructose and glucose, and the additional sucrose, maltose, and isomaltose present in pouch and plug chewing tobaccos are probably added during the manufacturing process.
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Two types of glycosylated glycerolphosphates were synthesized when a particulate enzyme prepared from Streptococcus sanguis was incubated with [3H]-phosphatidylglycerol and uridine diphosphate-[14C]glucose in the presence of MgCl2. The first type was extractable with saline and contained no fatty acid. The second type was pellet bound and could be extracted with 0.1% sodium dodecyl sulfate. Both types of polymers were purified and partially characterized. The first type of polymer was fractionated into five polymers, peaks 2a, 2b, 2c, 3a, and 3b. All except peak 2a, which contained only [3H]glycerol, contained both [3H]glycerol and [14C]glucose. [3H]NaBH4 reduction of acid hydrolysates of the polymers revealed that all of the polymers contained glucose as the major sugar componenta nd xylose as the minor sugar component. The second type of polymer was fractionated into three polymers, P-1, P-2, and P-3. All contained [3H]-glycerol, [14C]glucose, and fatty acids. P-1 appeared to be pure, whereas P-2 and P-3 contained two polymers each, as judged from sodium dodecyl sulfate-polyacrylamide gel electrophoresis.
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