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PubMedDate not supplied

Face lift, Part 3: Plication of the superficial musculoaponeurotic system.

It is thought that plicating or folding the superficial musculoaponeurotic system (SMAS) upon itself near the ear with permanent sutures will improve and help maintain the results of cheek-neck lifting of the skin layer alone. Getting proof of this conjecture with controlled studies is difficult in the existing medicolegal climate. However, many years ago, we did carry out a limited study in a few patients in whom plication was performed on one side only. We found that plication does have some relatively long-lasting effects, particularly in improvement of platysma cording and in elevation and deepening of the cervical angle. Plication is not a substitute for adequate skin and/or fat resection. Because the early improvement in cases with platysma cording was so marked in contrast to the unplicated side, we had to limit the series stringently. As time went by, the differences on the two sides lessened.

Face↗
PubMed2003

Diagnosis and treatment of oculopharyngeal dystrophy: a report of three cases from the same family.

Oculopharyngeal muscular dystrophy is a hereditary pathology transmitted in an autosomal dominant manner. The clinical symptoms are palpebral ptosis, oropharyngeal dysphagia and proximal limb weakness. Upper gastro-esophageal endoscopy is recommended to study the dysphagia, a video-radiology study with barium and an esophageal manometry to study the pharyngeo-esophageal motor disorder. Muscle biopsy reveals the presence of atrophic fibers substituted by an increase in fat and connective tissue. In 1998 Brais described the genetic alteration responsible for this pathology, a limited expansion of the triplet of GCG nucleotides in PABP2 gene on chromosome 14q11. Normal individuals have the homozygotic form (GCG)6 of this triplet, whereas patients with the described syndrome have the heterozygotic form (GCG)6-(GCG)9 or (GCG)6-(GCG)10. We present three siblings from the same family with diagnoses and genetic confirmations of oculopharyngeal dystrophy. Two of the patients underwent cricopharyngeal myotomy to relieve the dysphagia.

Aged↗
PubMed1998

Functional food science and behaviour and psychological functions.

The impact of ingesting various foods on psychological and behavioural functions is a topic of both interest and concern to the general public. In this article, the scientific literature concerning demonstrated cause-and-effect relationships is reviewed, beginning with methodological considerations specific to the quantification of particular behaviours and psychological events. The essential function of food is to satisfy hunger and the need for essential nutrients. The contributions of macronutrients to appetite and satiety are described, as well as their impact on metabolism and energy balance. Functional properties of macronutrient substitutes (high-intensity sweeteners, fat replacers) and flavour enhancers are examined in relation to their contribution to hunger, satiety, and energy balance. The effects of foods and individual nutrients on the performance of diverse psychomotor tasks are studied with consideration given to the various validated quantitative tools used to assess behaviour. The effects of food components on activation, sedation, and affective states such as dysphoria are also reviewed, with special attention given to brain function and neuroactive substances such as serotonin and the endorphins. The case of hyperactivity in children is given special emphasis with reference to the potential influence of sugar and food additives. Safety issues related to food constituents and additives are discussed. Finally, a set of criteria is proposed for the evaluation and elaboration of studies in the behavioural and psychological fields, along with suggestions for future research.

Affect↗
PubMed2005

Authenticity assessment of dairy products.

The authenticity of dairy products has become a focal point, attracting the attention of scientists, producers, consumers, and policymakers. Among many others, some of the practices not allowed in milk and milk products are the substitution of part of the fat or proteins, admixtures of milk of different species, additions of low-cost dairy products (mainly whey derivatives), or mislabeling of products protected by denomination of origin. A range of analytical methods to detect frauds have been developed, modified, and continually reassessed to be one step ahead of manufacturers who pursue these illegal activities. Traditional procedures to assess the authenticity of dairy products include chromatographic, electrophoretic, and immunoenzymatic methods. New approaches such as capillary electrophoresis, polymerase chain reaction, and isotope ratio mass spectrometry have also emerged alongside the latest developments in the former procedures. This work intends to provide an updated and extensive overview since 1991 on the principal applications of all these techniques together with their advantages and disadvantages for detecting the authenticity of dairy products. The scope and limits of different tools are also discussed.

Animals↗
PubMed2000

Chromium yeast affects growth performance and plasma traits but not carcass characteristics of growing-finishing pigs depending on the glycemic index.

Forty Swiss Large White pigs (barrows with 31.7 kg initial to 103.7 kg final BW) were equally and randomly assigned to one of four treatments (H0, H200, L0, L200) involving a combination of chromium supplementation (0 or 200 micrograms/kg) and glycemic index (high GI (H) or low GI (L)). Growth performance, energy and protein digestibility, carcass composition, and some plasma traits were investigated. The data indicated, that the substitution of dietary carbohydrates with fat and crude fibre (low GI) resulted in lower growth performance due to impaired energy digestibility. Moreover, the strong stimulation of insulin secretion due to the high and rapid availability of carbohydrates of the diets H0 and H200 caused increased carcass fat deposition. Chromium supplementation also affected plasma insulin and glucagon concentrations. Depending on glycemic index, chromium affected the growth performance. Daily gain was reduced in pigs of the L200 treatment compared to the L0 group. This finding indicated that the energy availability expressed as GI is one of several nutritional factors, which determine the efficacy of dietary chromium. We could not corroborate evidences that dietary chromium modifies the chemical composition of the whole carcass, but depending on GI, chemical composition of the longissimus muscle was affected.

Animal Feed↗
PubMed1987

Sex steroid hormones and adipose tissue metabolism in ovariectomized and adrenalectomized rats.

The effects of oestrogen and progesterone, alone or in combination, on regional adipose tissue metabolism and oestrogen binding were examined in rats which were not only ovariectomized but also adrenalectomized to allow a study under conditions such that no endogenous sex steroid production occurred. Under these conditions no effects on food intake of the sex steroid hormones were found. 17-beta-oestradiol plus progesterone tended to increase lipoprotein lipase in the parametrial but not retroperitoneal fat depot, but no effects were found of oestrogen or progesterone alone. Oestradiol alone or in combination with progesterone clearly increased basal and norepinephrine-stimulated lipolysis, most pronounced in the retroperitoneal depot. Progesterone alone had no effect. Cytoplasmic 17-beta-oestradiol binding was highest in the parametrial fat depot in non-substituted rats and decreased dramatically after oestrogen administration. It was concluded that in ovariectomized-adrenalectomized rats, oestrogen alone or in the presence of progesterone facilitates lipolysis, a clear effect which is thus possible to elicit without adrenal hormones. Both sex steroid hormones alone or in combination, have no or weak effects on food intake and lipoprotein lipase activity, respectively. These metabolic events as well as cytoplasmic oestrogen binding show regional variations.

Adipose Tissue↗
PubMed1995

Thermogenesis associated with spontaneous activity: an important component of thermoregulatory needs in rats.

1. Quantification of the energy cost of spontaneous activity in freely moving lean and obese Zucker rats was performed at 28 degrees C and during acute cold exposure (from 28 to 5 degrees C). 2. An open-circuit metabolic chamber was supplemented with an ultrasensitive ergometric platform equipped with six undirectional accelerometers and with an opto-electronic device for location of the rat's centre of mass. 3. Resting and mean metabolic rates during control and cold-exposure periods were similar in both groups of rats. The 'extra thermogenesis' (ET), i.e. the difference between mean and resting metabolic rate, amounted to 11.7 +/- 1.1 and 8.6 +/- 0.7% of resting metabolic rate at 28 degrees C, and 39.7 +/- 2.9 and 34.1 +/- 2.9% of resting metabolic rate during cold exposure for lean and obese rats, respectively. 4. During the control period obese rats moved 3.71 +/- 0.61 m h-1 and lean rats 8.69 +/- 0.57 m h-1, but during cold exposure the distance moved by obese rats increased 3.58 +/- 0.33-fold whereas that moved by lean rats only increased 1.40 +/- 0.06-fold. The external work performed during spontaneous activity seldom reached 1.0% of the increase in metabolic rate. 5. In obese rats, weight was a good predictor of the distance covered, and cold exposure induced the same percentage increase in both distance and ET. Activity-associated thermogenesis of obese rats was the predominant thermogenic source that substituted for their atrophied brown fat thermogenesis whereas in lean rats with active brown fat these correlations were not found.

Animals↗
PubMed2006

Reversal of parenteral nutrition-associated liver disease in two infants with short bowel syndrome using parenteral fish oil: implications for future management.

Here we report the reversal of cholestasis in 2 infants with intestinal failure and parenteral nutrition-associated liver disease. Treatment involved the substitution of a conventional intravenous fat emulsion with one containing primarily omega-3 fatty acids. Biochemical tests of liver function improved significantly. One child was removed from the liver transplantation list because of improved hepatic function, and the second child had complete resolution of cholestasis while solely on parenteral nutrition. This suggests that fat emulsions made from fish oils may be an effective means of treating and preventing this often-fatal condition. A randomized, controlled trial is necessary to study the efficacy of this new approach to parenteral nutrition-associated liver disease.

Alanine Transaminase↗
PubMed1993

Effectiveness of neutral detergent fiber in whole cottonseed and dried distillers grains compared with alfalfa haylage.

Sixteen Holstein cows in midlactation were used in a 4 x 4 Latin square design to determine the effect of replacing alfalfa NDF with NDF from whole, linted cottonseed or dried distillers grains. Low and high fiber control diets (13 and 19% of dietary DM from alfalfa haylage NDF, respectively) were compared with diets designed to contain 13% of DM from alfalfa haylage NDF plus 6% of DM from either cottonseed NDF or distillers grains NDF. Dry matter intake, milk yield, and milk protein yield were lower from the high fiber control diet. Milk fat percentage was lower for the low fiber control diet. The cottonseed diet was equal to the high fiber control diet in stimulating rumination. Rumen acetate to propionate ratio was higher for the high fiber control and cottonseed diets. Replacing alfalfa with either of these high fiber by-product feeds increased feed intake and yields of milk fat and protein. The effectiveness of the NDF in distillers grains and cottonseed was not significantly different from that of alfalfa NDF for maintaining milk fat yield. Whole cottonseed and dried distillers grains appear to be good sources of effective fiber for maintaining milk fat test when they are substituted for alfalfa haylage fiber in lactating cow rations.

Animals↗
PubMedDate not supplied

Treatment of Crohn's disease.

The treatment of Crohn's disease depends on disease location and disease activity. It can be divided into medical and surgical treatment. While surgery is reserved for complications such as abscesses or failure of pharmacological treatment (fistulae, perianal disease, or strictures) medical treatment aims at induction and maintenance of remission. In order to achieve these goals supportive and therapeutic strategies must be used. Supportive measures include substitution of vitamins, particularly fat-soluble vitamins, and minerals in deficiencies due to resection or disease involvement of the small bowel. All patients on long-term steroids should receive calcium and vitamin D in order to prevent osteoporosis. Therapeutic options include drug treatment (corticosteroids, antibiotics, salicylates, and immunosuppressives), nutrition (parenteral or enteral), and endoscopy (dilatation of strictures). Depending on disease location different pharmacologic preparations of salicylates or corticosteroids should be used, e.g., enemas for distal colitis. The most potent drugs for long-term control are immunosuppressive agents, particularly azathioprine. It is the most widely investigated immunosuppressive agent in Crohn's disease and should be the first line treatment for patients with steroid refractory, chronic steroid dependent, fistulating, and stenosing courses. In the future, more potent drugs and better risk stratification criteria should improve the treatment of Crohn's disease.

Adrenal Cortex Hormones↗
PubMed1987

[Adipose tissue repair of the bone cavities in treating chronic osteomyelitis].

The substitution of osseous cavities by fat pedicle flaps was performed in 29 patients with chronic osteomyelitis after radical surgical treatment of the osteomyelitic focus. Recovery was achieved in 24 patients after a single operation. Five patients were subjected to reoperations. The authors consider the fat tissue to be a reserve plastic material for surgery of chronic osteomyelitis.

Adipose Tissue↗
PubMed1985

[Carnitine--biochemistry and clinical aspects].

Carnitine was discovered in 1905. The human organism is able to synthetize carnitine from lysine and methionine. However the most important source of carnitine in human nutrition is meat. Carnitine plays a central role in the oxidation of long chain fatty acids, mediating their transport across the inner mitochondrial membrane. By means of the intramitochondrial reaction of acetyl-CoA with carnitine it favours an improved availability of CoA. This mechanism seems to be of major importance when pathological short chain fatty acids are accumulated within the mitochondrial matrix. Carnitine deficiency can be inborn or acquired. Thereby myopathy is always a prominent clinical symptom. Secondary carnitine deficiency occurs most frequently in uremic patients under intermittent hemodialysis. There is a positive inotropic effect of carnitine on the ischemic heart muscle. As a consequence of this effect, carnitine is on the way to become a substance with broadest clinical indications. If young infants are alimented parenterally with fat emulsions, carnitine should be substituted. This also happens to be the case in adult patients when total parenteral nutrition lasts longer than 20 days.

Carnitine↗
PubMed1997

Lipomatous metaplasia in left ventricular scar.

BACKGROUND AND OBJECTIVE: Substitution of interstitial tissue by fat may be observed in the right ventricle of hearts but is less common in the left ventricle. Fat was noted in myocardial scars of patients undergoing heart transplantation, prompting this retrospective study to determine the frequency of left ventricular myocardial scar being replaced by fat and its significance METHODS AND RESULTS: The left and right ventricles and coronary arteries were sampled systematically and lesions quantified histologically in 97 normal subjects dying accidentally; 116 consecutive failing hearts excised at transplantation from patients with ischemic heart disease, idiopathic dilated cardiomyopathy or chronic valvulopathy; and 34 autopsy hearts of apparently normal subjects with "silent' Chagas' heart disease who died suddenly and unexpectedly. Twenty-two left ventricular aneurysmectomy specimens from ischemic patients with heart failure were also studied. Among excised hearts lipomatous metaplasia of myocardial scar was observed in 68% of ischemic heart disease, in 37% of chronic valvulopathy and in 26% of idiopathic dilated cardiomyopathy patients; it was seen in 15% of Chagasic patients and in 55% of aneurysm walls. CONCLUSIONS: Lipomatous metaplasia of scar is often associated with severe heart failure and is more frequent and extensive in ischemic heart disease. Transformation of a compact scar into compressible and "sliding' adipose tissue may worsen ventricular wall function, thus facilitating and/or aggravating aneurysm formation. This phenomenon must be considered in the evaluation of myocardial repair, cardiac imaging of viable myocardium, quantitative morphology of autopsy specimens, and qualitative and quantitative biochemical analysis of myocardial tissue.

Adipose Tissue↗
PubMed2001

Polychlorinated dibenzo-p-dioxins, dibenzofurans, and polychlorinated biphenyls in human tissues, meat, fish, and wildlife samples from India.

Concentrations of polychlorinated dibenzo-p-dioxins (PCDDs), dibenzofurans (PCDFs), and non- and mono-ortho-substituted polychlorinated biphenyls (dioxin-like PCBs) were measured in tissues of humans, fishes, chicken, lamb, goat, predatory birds, and Ganges River dolphins collected from various locations in India. PCDDs/DFs were found in most of the samples analyzed with the liver of spotted owlet containing the highest concentration of 3,300 pg/g, fat wt. 2,3,7,8-Substituted PCDDs and PCDFs were found in human fattissues at concentrations ranging from 170 to 1,300 pg/g, fat wt. Concentrations of PCDDs were generally greaterthan those of PCDFs in human tissues, fishes, animal fat, and dolphin. Among fishes, meat, and wildlife samples analyzed, concentrations of PCDDs/DFs were found in the following order: country chicken < goat/lamb fat < fishes < river dolphins < predatory birds. Hepta-CDDs and OCDD were the major PCDD homologues found in humans, fishes, meat products, and dolphins. 2,3,7,8-Tetrachlorodibenzo-p-dioxin equivalents of PCDDs/DFs were greater than those of PCBs in selected fish, dolphin, and human samples. To our knowledge, this is the first report of PCDDs and PCDFs in human tissues, fishes, meat, and wildlife collected from India.

Adult↗
PubMed1985

Changes in the fatty acid composition of goat milk fat after a 48-hour fast.

Five lactating goats were milked twice daily. After a control period of 3 days, they were fasted for 48 hr. The milk was collected at each milking. At the end of the fasting period, milk yield fell to 28% and milk fat to 55% of the original yield. The percentage of milk fat increased. Generally, the relative concentrations of fatty acids with less than or equal to 16 carbons, containing even and odd-numbered straight-chain as well as monomethyl-substituted fatty acids of the milk fat, decreased significantly 24 hr after food was withheld. The decrease was most pronounced for the fatty acids with the shortest chain lengths. Longer-chain acids increased or did not change. Iso and anteiso-acids seemed to follow the same, although less pronounced trend, the effect being obvious after 48 hr of fasting. It is suggested that the decline in the proportions of fatty acids with less than or equal to 16 carbons was due to the inhibition of mammary gland synthesis. The increase in the proportions of longer-chain fatty acids was ascribed to adipose tissue lipolysis.

Animals↗
PubMed1985

Absorption of lard by infants.

The use of lard as the sole source of fat was investigated in a formula fed to healthy premature infants. It was absorbed as well as a conventional cow's milk fat/vegetable oil mixture in a control formula (which was otherwise identical), and is supported normal growth. Lard is cheaper than cow's milk fat and appears to be a satisfactory substitute as an energy source.

Absorption↗
PubMed1989

Measurement of the subcutaneous fat in the distal forearm by single photon absorptiometry.

The influence of subcutaneous fat on single photon (125I) absorptiometry (SPA) measurement of bone mineral content of the distal forearm was investigated. A fat correction model was tested by measurements on eight lean subjects with different amounts of porcine fat around their forearm, and further validated from measurements on 128 females. In addition, it is shown that the fat content in the distal forearm can be measured by SPA with a short-term precision at 1.9% in an obese subject and that it correlates well with total body fat (r2 = .7) measured by dual photon absorptiometry, skinfold thickness (r2 = .5), and body mass index (r2 = .6). By using this method in a double-blind placebo-controlled trial, hormonal substitutional therapy significantly decreased the forearm fat content without affecting the body weight in postmenopausal osteoporotic women.

Adipose Tissue↗
PubMed2006

A chemically derived milk substitute that is compatible with mouse milk for artificial rearing of mouse pups.

The object of this study was to prepare a chemically derived milk substitute that is compatible with mouse-milk. Milk was independently collected from ICR, BALB/c, and FVB/N mice, and analyzed for the protein, fat, and mineral contents to formulate a milk substitute. Thereafter, ICR mouse pups were artificially reared on the milk substitute to evaluate the rate of increase of their body weights. A gastric cannula tube was placed through the esophageal way into 8-day-old ICR pups, and the mice were fed with the milk substitute by computer-regulated infusion pumping by the pup-in-a-cup method. The analytical mean values of total protein and total fat in milk from ICR, BALB/c, and FVB/N mice were 10.23 +/- 0.49% and 21.34 +/- 1.31%, respectively. The milk substitute was constituted from purified bovine casein and whey proteins, five edible oils, including MCT oil, minerals, and vitamins. After 8 days of artificial rearing with the new milk substitute, 36 of the 42 pups had survived, and the growth rate of these mice was not significantly different from that of maternally reared littermate pups. In conclusion, we have succeeded in the preparation of a chemically derived milk substitute for mice pups which is available for clarifying the roles of dietary components such as milk-bone substance during the suckling period in mice pups including those of knockout and transgenic mice.

Animal Nutritional Physiological Phenomena↗