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The inhibiting effect of cola on gastric mucosal cell cycle proliferation in humans.

BACKGROUND: Acidic beverages may be involved in regulating the cell proliferation of the gastric mucosa. We therefore analyzed the interaction of Coca-Cola consumption and gastric mucosal proliferation by means of flow cytometry. METHODS: Sixteen healthy students agreed to participate in this study. All volunteers underwent an oesophagogastroduodenoscopy after a 12-h overnight fast. Endoscopic changes in the gastric mucosa were determined quantitatively. One day later, after a 12-h overnight fast, all volunteers received standard Coca-Cola (200 ml, pH 2.6, 4 degrees C). One hour later all volunteers again underwent oesophagogastroduodenoscopy, to measure gastric mucosal damage. During both the first and the second endoscopy at least four biopsy specimens were taken from the antrum for flow cytometric analysis. RESULTS: The endoscopic analysis showed that there was no difference before and after Coca-Cola consumption. However, the flow cytometric analysis showed that Coca-Cola inhibited the proliferation index and the S phase. Before Coca-Cola consumption G0/G1: 60 (57-62), G2/M: 0.6 (0.2-1), S: 40 (37-42), and PI: 0.40 (0.38-0.43) and after Coca-Cola consumption G0/G1: 70 (60-73), G2/M: 1.9 (1.2-2.5), S: 28 (26-32), and PI: 0.30 (0.27-0.34) the cell population G0/G1 and G2/M phases were significantly increased (P < 0.0001, 0.0003), and the cell population S and PI phases were significantly low compared with the pre-consumption data (P < 0.0002, 0.0001). CONCLUSION: The cell cycle analysis reflects that Coca-Cola inhibits a crucial event in the cell cycle occurring at the G1/S border.

Adult↗

Taste test: children rate flavoring agents used with activated charcoal.

OBJECTIVE: To compare flavoring agents added to activated charcoal (AC) to determine which mixture is most palatable to children. DESIGN: Healthy volunteers between the ages of 3 and 17 years participated in a prospective masked trial. Five identical pitchers were prepared containing AC alone, AC with chocolate milk, AC with Coca-Cola (Coca-Cola Corp, Atlanta, Ga), AC with cherry-flavored syrup, and AC with sorbitol. Subjects tasted all 5 substances in random order. Children younger than 8 years rated taste on a 10-point Faces Scale. Children 8 years and older used a 100-point visual analog scale to rate taste and, separately, ease of swallowing. All children were asked which mixture was best. Ratings were compared using 1-way analysis of variance, and comparisons for all pairs were made using the Tukey test. P<.05 was considered significant. RESULTS: Mean age among the 53 children enrolled was 8.3 years; 23 children were younger than 8 years. Girls made up 52% of the group. Taste scores for chocolate milk, Coca-Cola, and cherry-flavored syrup were significantly better than those for no flavoring agent. The scores for ease of swallowing for Coca-Cola, chocolate milk, and cherry-flavored syrup were significantly better than those for either no flavoring agent or sorbitol. When asked to choose a single best flavoring agent, 39% chose chocolate milk, 23% picked Coca-Cola, and 23% chose cherry-flavored syrup. CONCLUSION: The addition of chocolate milk, Coca-Cola, or cherry-flavored syrup to AC improves palatability for children and is favored over no flavoring agent or sorbitol.

Adolescent↗

Studies on the deterioration of antigen E in extracts of Ambrosia elatior.

Five per cent (w/v) extracts of defatted Ambrosia elatior pollen were prepared in bicarbonate-buffered saline (Coca's extract) and Coca's extract with 50% glycerol (Gly-Coca's extract). Sterile extracts were stored in untreated glassware and glassware coated with silicone. Stock extracts were diluted in phosphate-buffered saline (PBS) and stored at 5 +/- 3 degrees C. Extracts 1:20, 1:40, and 1:400 were assayed at approximately 6-wk intervals for antigen E. Quantitative determinations were made by modified double diffusion in agarose gels using known standards of antigen E for comparison. Results from the first year of this 3-yr study show no significant reduction in 1:20 Gly-Coca's extracts and a highly significant reduction of antigen E in 1:20 Coca's extracts. Further analysis of variance indicates significant reduction in all 1:40 and 1:400 extracts. Differences in the initial extracting solvents did not significantly affect these more dilute extracts. No significant differences were observed in the untreated and silicone-coated glassware. In terms of per cent antigen E reduction, 1:20 Gly-Coca's showed negligible reduction and Coco's at 1:20 declined nearly 50% in antigen E content. Extracts stored at 1:40 retained only 40% of the original antigen E content, while diluted extracts stored at 1:400 retained only 35% of the initial antigen E after 1 yr of storage at 5 +/- 3 degrees C.

Antigens↗

Protective effects of cannabinoid receptor ligands analogous to anandamide against cocaine toxicity.

The effects of the endogenous cannabinoid (CB) anandamide (AEA) and its analogs on cocaine (COCA)-induced toxic symptoms such as lethality, convulsive seizures and hyperactivity were examined in mice. In addition to AEA, the effects of the AEA analogs arachidonyl-2-chloroethylamide (ACEA), arachidonylcyclopropylamide (ACPA) and R-(+)-methanandamide (METH) were compared to the selective and strong CB1 agonist CP 55940 (CP). Intraperitoneal (i.p.) coadministrations of these drugs with COCA (75 mg/kg) demonstrated that AEA (10 and 15 mg/kg), ACEA (5 mg/kg), ACPA (5 mg/kg), METH (5, 10 and 15 mg/kg) and CP (2.5 and 5 mg/kg) all antagonized the COCA-induced lethality, and that ACEA (5 and 10 mg/kg), ACPA (5 and 10 mg/kg), METH (5, 10 and 15 mg/kg) and CP (1, 2.5 and 5 mg/kg) antagonized the COCA-induced convulsive seizures. When alterations in the COCA-induced toxic behaviors were also evaluated by an activity counting instrument, antidotal effects against the COCA-induced hyperactivity were also observed using the above doses. The effects against hyperactivity were stronger in the groups of mice cotreated with CP or ACEA than in the groups of mice cotreated with AEA or METH. However, the antidotal effects against the lethality and convulsive seizures were stronger in the METH-treated group than in the AEA-, ACEA- or ACPA-treated groups, although the selectivity of METH for brain CB1 receptors was lower than for ACEA or ACPA. The correlation with other brain receptors and/or peripheral CB receptors seemed to contribute to the strong antidotal effects of METH, which were not exceeded even by CP.

Animals↗

The 24-kDa protein from Fusarium oxysporum f.sp. erythroxyli: occurrence in related fungi and the effect of growth medium on its production.

A 24-kDa protein that elicits ethylene production and necrosis in leaves of dicotyledonous plants was previously purified from culture filtrates of Fusarium oxysporum Schlechtend:Fr. f.sp. erythroxyli. Antisera to the denatured 24-kDa protein detected 2.5 ng of the 24-kDa protein on Western blots at 100000-fold dilutions. The antisera cross-reacted with a 24-kDa protein on Western blots of culture filtrates from three other F. oxysporum formae speciales. Of seven Fusarium species, only F. oxysporum, F. acuminatum Ellis and Kellerm., and F. avenaceum (Fr.:Fr.) Sacc. isolates produced an antigenically related 24-kDa protein. Although there were differences in the profiles of proteins extracted from stems of coca (Erythroxylum coca var. coca L. Lam.) infected with F. oxysporum f.sp. erythroxyli compared with uninfected stems, antisera to the 24-kDa protein did not cross-react with any proteins from the infected coca stems. For the fungal isolates studied, the best medium tested for production of the 24-kDa protein contained 1% sucrose and 1% asparagine. Biological activity of the F. oxysporum culture filtrates on sweet basil leaves was consistently correlated with the presence of the 24-kDa protein. Production of the 24-kDa protein was limited in cultures containing pectin or cellulose as the primary carbon source, or in cultures lacking sucrose or casamino acids. Water-soluble extracts from coca stems inhibited production of the 24-kDa protein, whereas cellulose and pectin did not. Components produced by the plant may limit production of the 24-kDa protein in infected plant tissue and thereby limit the response of the plant to the fungus. These results suggest the 24-kDa protein does not function in the symptomatic phase of the F. oxysporum f.sp. erythroxylicoca disease interaction.

Culture Media↗

Association of common origin of the carotid arteries with anomalous origin of the left coronary artery from the pulmonary artery.

Common origin of the carotid arteries (COCA) is a common pattern of aortic arch vessels and is the single most common cause of tracheobronchial compression by a congenital cardiovascular anomaly. By no means all affected patients are symptomatic. Symptoms may range from recurrent pulmonary infections and "noisy respiration" to stridor and apneic spells. In our study of patients with anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) we found a highly significant association of COCA with ALCAPA (85%), although no patient with ALCAPA in this study had evidence of tracheal stenosis documented in the hospital chart. As COCA is easily correctable, we suggest consideration of COCA during evaluation and surgery of patients with ALCAPA so that, if the patient also has symptoms possibly related to COCA, the artery can be suspended from the posterior wall of the sternum.

Aorta, Thoracic↗

Changes in cocaine use as viewed by key informants: a qualitative study carried out in 1994 and 1999 in São Paulo, Brazil.

The characteristics of coca products use in São Paulo, Brazil during the years of 1994 and 1999 were investigated through interviews with 26 key informants (KIs; persons with knowledge of coca product users) in each of these years. The following information was yielded by the KIs: (1) there has been a large increase in coca products use in São Paulo from 1994 to 1999; concomitantly, there has been a decrease of hydrochloride use; (2) the increase has occurred due to the dissemination of crack which became cheap and easily available; (3) reasons for crack use changed greatly: in 1994, use was attributed mostly to pleasurable sensations produced by smoking; in 1999, use was intended to overcome compulsion/dependence or to put up with frustration/family conflicts; (4) crack users in 1999 came from practically all social classes of São Paulo; (5) use of alcohol and/or marijuana to cut down the anxiety and excitement produced by crack increased from 1994 to 1999; (6) even when police repression of traffic was effective, which rarely occurred, it affected only the price of coca products; (7) treatment services available were considered insufficient both in number and quality, and were run by ill-trained health professionals (this situation deteriorated even more in 1999); (8) many KIs heavily criticized the prevention programs because of the use of "scare techniques"; and (9) all KIs in 1999 believed that, unless the government changes its policy toward the drug problem, the situation would become worse in the next few years.

Adolescent↗

Time for tea, anyone?

There have been suggestions that urine samples positive for benzoylecognine, the diagnostic metabolite of cocaine, may be the result of consumption Mate de Coca, a commercially available tea made from coca (Erythroxylon coca) leaves. The Jockey Club in Great Britain commissioned research into this subject as several jockeys have tested positive for benzoylecognine over the past few years. Urine samples collected at various time points within 24 h after ingestion of a 250 ml infusion of Mate de Coca tea were analysed using three different methods. All samples tested positive for benzoylecognine.

Coca↗

Basic elements for a national comprehensive plan for drug abuse control in Peru.

The first part of the article describes the nature and extent of drug abuse in Peru, with particular reference to the illicit cultivation of the coca plant and the national responses to these problems. It is estimated that between 150,000 and 200,000 hectares are under illicit coca plant cultivation, although less than 18,000 hectares are sufficient for meeting the legitimate needs for this plant in the country. It was estimated that 1.3 million children and youth were at risk of drug abuse in 1985. Both the problems and national responses are analysed in the context of historical and current developments that have influenced Peruvian drug abuse control policy, as well as in terms of the adequacy of programmes carried out within the social sectors involved in such control. The second part of the article summarizes the salient points extracted from the new national comprehensive plan for drug abuse control, which is intended to achieve a maximum reduction in drug abuse concurrently with the elimination of drug trafficking and the eradication of illicit coca plant cultivation in the country. The plan clearly defines the objectives, the strategies and the division of responsibilities in its implementation, involving the following four major sectors of activity: prevention, treatment and rehabilitation; control and monitoring of substances used for legitimate purposes; suppression of the illicit drug traffic; and the eradication of illicit coca plant growing together with the promotion of agricultural, agro-industrial and forestial development. It is pointed out that the whole nation needs to be mobilized in the implementation of the plan in order to achieve its objectives fully.

Coca↗

Drug abuse problems in countries of the Andean subregion.

The scarcity of epidemiological data makes it difficult for an accurate and comprehensive assessment to be made of the drug abuse situation in countries of the Andean subregion. Available evidence, however, indicates that in Bolivia, Colombia and Peru prevalence and incidence rates of drug abuse, particularly of the abuse of basic cocaine paste, are relatively high. Studies indicate that in Bolivia 4-5 per cent of youth are habitual cocaine users and that in Colombia drug abuse was in 1984 the seventh leading cause of psychiatric morbidity. A survey in Peru shows that 37 per cent of secondary school students use drugs, while 27 per cent of the respondents used basic cocaine paste as their first drug. It appears that the abuse of basic cocaine paste has spread evenly across urban social classes. The illegal cultivation of the coca bush has drastically increased in countries of the Andean subregion. For example, it is estimated that more than 135,000 hectares of coca bush are cultivated in Peru, producing approximately 135,000 tons of coca leaves a year, while the amount needed for legitimate purposes in that country is estimated at 10,000 tons a year. In the same country, seizures of basic cocaine paste increased from 4,755 kg in 1980 to 7,168 kg in 1983, and of macerated coca leaf from 2,570 kg in 1979 to 27,822 kg in 1984. The demand for illicit cocaine has substantially increased in the world. It is estimated that the total amount of illicit cocaine consumed in the world was 33-45 tons in 1981 and 50-61 tons in 1983.

Adolescent↗

New patterns of cocaine use: changing doses and routes.

The history of coca and cocaine use is reviewed in terms of medical and nonmedical patterns of use. Use of coca leaves and coca extract products involved daily use of no more than 200 mg to 500 mg of cocaine. When cocaine became available after 1860, daily doses increased to as much as 1,620 mg and the oral route of administration became supplemented by intranasal, injection, topical, and smoking administration. Contemporary patterns of use between 1970 and 1978 involved social-recreational intranasal doses of 1 to 4 grams per month. From 1978 to 1982, doses increased to 1 to 3 grams per week with increased use of smoking cocaine freebase. Between 1982 and 1984, episodes of concentrated binding became more common, as did the development of experimental practices including intranasal cocaine freebase and the smoking of coca paste. These patterns are discussed in terms of several variables, including purity, dosages, dose regimes, routes of administration, paraphernalia, and changing perceptions of cocaine.

Coca↗

A laboratory approach to the control of cocaine in Bolivia.

Of the 4,196 samples of drugs seized and analysed at the Toxicology Laboratory of the National Bureau for the Control of Dangerous Substances during the period 1975-1982, 3,768 samples (89.8 per cent) contained coca paste, cocaine hydrochloride or related substances. Most of the samples analysed contained coca paste and came from La Paz, Santa Cruz and Cochabamba. With a slight exception in 1980, the number of samples increased steadily over an eight-year period. The increase in the number of seizures of cocaine-related substances was a result of the growth in the illicit production of these substances, which began to assume larger dimensions in 1976. In many areas, coca-paste and cocaine-related problems are growing out of all proportion. The smoking of cigarettes that contain a mixture of tobacco and coca paste, popularly known as pitillos, is the most common form of drug abuse.

Bolivia↗

The immobilization of all spermatozoa in vitro by bitter lemon drink and the effect of alkaline pH.

UNLABELLED: This study investigated the effects of increase in temperature and in pH of Coca-Cola, Afri-Cola, Pepsi-Cola and Krest bitter lemon drinks ("soft drinks") produced in Nigeria on the in vitro motility of spermatozoa. Semen was collected from 7 men, average age 28 years, of proven fertility, after 5 days' abstinence from sexual intercourse. The temperature and pH of the drinks were adjusted from 22 degrees C (room) to 37 degrees C, and pH 2.4 (acid) to 7.5 (alkaline), respectively. The mean % motility of spermatozoa in the adjusted and in the unadjusted drinks was compared for significant differences at the 1% level using the student's t-test. The results showed no significant differences in mean % motility in the drinks at 22 degrees C and at 37 degrees C. The mean % motility in all the drinks, except Coca-Cola, was significantly greater at alkaline than at acid pH; for Coca-Cola, motility was significantly greater at acid than alkaline pH. Of the drinks, Krest bitter lemon (unadjusted) immobilized all spermatozoa within 1 minute of addition. CONCLUSION: i) alkalinity decreases the spermicidal action of all drinks except Coca-Cola, and ii) Krest bitter lemon may achieve very high efficacy if used as post-coital douche, especially in the impoverished, densely populated Third World.

Adult↗

The effect of common origin of the carotid arteries in neurologic outcome after neonatal ECMO.

BACKGROUND: Common origin of the carotid arteries (COCA) is a normal anatomic variant reported to occur in approximately 11% of the general population. The objective of this study was to determine whether this variant places venoarterial extracorporeal membrane oxygenation (ECMO) patients at a higher risk for adverse neurologic sequelae owing to potential occlusion of both carotid arteries by the arterial cannula. METHODS: The authors reviewed clinical records and echocardiograms of the initial 220 ECMO patients at their institution. Aortic arch morphology was determined by a pediatric cardiologist blinded to all other data. After exclusion of predetermined patients, 131 patients were divided into 2 groups: those with separate origin of the carotid arteries (n = 111) and those with COCA (n = 20). The neurologic outcome variables studied included the results of magnetic resonance imaging (MRI); computed tomography (CT); electroencephalogram (EEG); brainstem auditory-evoked response (BAER), head ultrasound scan, and Bayley Scales of Infant Development reported as Psychomotor Developmental Index (PDI) and Mental Developmental Index (MDI). RESULTS: COCA had no predictive value in determining PDI and MDI outcomes and no significance in predicting an increased risk of adverse neurologic sequelae based on MRI, CT, EEG, BAER, or head ultrasound scan. CONCLUSIONS: This study confirms that COCA is a common aortic arch variant (15%, n = 20 of 131) and that this variant does not appear to increase the risk of neurologic injury in infants undergoing venoarterial ECMO.

Brachiocephalic Trunk↗

Relationship between cocaine-induced hepatotoxic neurobehavioral & biochemical changes in mice: the antidotal effects of buprenorphine.

Cocaine (COCA)-induced neurobehavioral symptoms, which can be observed simultaneously with exacerbation in biochemical markers, were evaluated in mice, and compared with the changes observed in a representative hepatic failure model induced by thioacetamide (TAA). The effects of pretreatment with buprenorphine (BUP) (0.25, 0.5 or 1 mg/kg i.p.), a mixed opioid agonist-antagonist and an antidote against fatal COCA toxicity, were also examined. At 5 min after the COCA administration (65 mg/kg i.p.), the liver ATP levels were attenuated, and an exacerbation of the CNS-stimulating effects of COCA could be characteristically observed for hepatotoxicity-related neurobehavioral symptoms (changes in alertness, interest, body tension, head movement and walking). At 24 h, the ALT (alanine aminotransferase) activity was elevated, and hepatotoxic attenuation was observed for all of the scores on the neurobehavioral symptoms; this was almost identical to the symptoms observed in the TAA-treated group of mice. Recovery was observed by 72 h for all of the morbid changes. The hepatotoxic biochemical changes and the sum score for all five neurobehavioral symptoms were significantly ameliorated by low doses (0.25 and 0.5 mg/kg) of BUP, both at 5 min and 24 h.

Adenosine Triphosphate↗

A comparison of the erosive susceptibility of cuspal and cervical enamel using an ultrasonic technique.

The aim of this study was to compare the erosive susceptibility of cuspal and cervical enamel from human premolar and molar teeth. Small blocks of cervical and cuspal enamel were immersed in either orange juice or Coca-Cola at 37 degrees C and the surface enamel loss was measured by surfometry at 1, 2, 3 and 4 h. Additionally, once-hourly enamel loss was measured, specimens were placed in an ultrasonic bath containing water and ultrasonicated for 5 s to determine the degree of surface demineralization. A further set of enamel specimens were prepared that had 100 microm of the enamel surface removed. This was done to remove the hypermineralized surface enamel layer. Surface enamel loss in orange juice at 4 h, following ultrasonication, ranged from 13.2 to 16.9 microm. The surface enamel loss in Coca-Cola at 4 h, following ultrasonication, ranged from 21.7 to 27.5 microm. Subsurface enamel loss in orange juice at 4 h, following ultrasonication, ranged from 10.7 to 16.1 microm. The subsurface enamel loss in Coca-Cola for 4 h, following ultrasonication, ranged from 36.8 to 37.2 microm. Overall, little difference was found in the erosive susceptibility of cervical and cuspal enamel to the effects of orange juice or Coca-Cola.

Bicuspid↗

Effects of sucrose, caffeine, and cola beverages on obesity, cold resistance, and adipose tissue cellularity.

Rats consuming Coca-Cola and Purina chow ad libitum increased their total energy intake by 50% without excess weight gain. Their resistance to cold was markedly improved. These phenomena were characterized by significant increases in interscapular brown adipose tissue weight (IBAT) (91%), cellularity (59%), triglyceride content (52%), protein content (94%), and cytochrome oxidase activity (167%). In contrast, Coca-Cola consumption did not significantly affect the cellularity or triglyceride content of parametrial white adipose tissue (PWAT), although it slightly augmented PWAT weight. The effects of Coca-Cola on cold resistance, IBAT cellularity, and composition were entirely reproduced by sucrose, but not caffeine, consumption. Although caffeine also increased IBAT cellularity and composition, it significantly decreased the rate of body weight gain, PWAT weight, and adipocyte size. Moreover, it markedly inhibited adipocyte proliferation in PWAT thereby mimicking the effects of exercise training and food restriction (Bukowiecki et al., Am. J. Physiol. 239 (Endocrinol. Metab. 2): E422-E429, 1980). It is concluded a) that sucrose and Coca-Cola consumption improve the resistance of rats to cold, most probably by increasing brown adipose tissue cellularity, and b) that moderate caffeine intake might be useful for inhibiting proliferative activity in white adipose tissue, thereby preventing obesity.

Adipose Tissue↗

The establishment of the Chiropractic & Osteopathic College of Australasia in Queensland (1996-2002).

INTRODUCTION: For chiropractors and osteopaths after graduation, the learning process continues by way of experience and continuing education (CE). The provision of CE and other vocational services in Queensland between 1996 and 2002 is the subject of this paper. METHODS: The Chiropractic & Osteopathic College of Australasia (COCA) implemented a plan, which involved continuing education, with speakers from a broad variety of health provider areas; and the introduction of the concepts of evidence-based practice. The plan also involved building membership. RESULTS: Membership of COCA in Queensland grew from 3 in June 1996 to 167 in 2002. There were a total of 25 COCA symposia in the same period. Evidence-based health care was introduced and attendees were generally satisfied with the conferences. DISCUSSION: The development of a vocational body (COCA) for chiropractors and osteopaths in Queensland was achieved. Registrants in the field have supported an organisation that concentrates on the vocational aspects of their practice.

Journal Article↗