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Primary spheroidal degeneration of the cornea in Labrador and northern Newfoundland.

The reported prevalence and severity of primary spheroidal degeneration in Labrador and nothern Newfoundland is based on a survey of 929 patients. The degeneration is associated with man in outdoor occupations and with pinguecula, but not with glaucoma. Ultraviolet radiation is a probable causative factor and prophylaxis using appropriately filtering glass a possibilty.

Adolescent↗

Parotid gland tumors. Clinicopathologic study.

The clinical findings and histologic features of 154 parotid gland tumors treated at the Health Sciences Centre, Winnipeg, Canada, from 1957 to 1970 were reviewed. The study illustrates a wide variation in the natural history and degree of malignancy of parotid tumors. Approximately 80 per cent were benign; among these, mixed tumors were by far the commonest. For most benign tumors, the recommended surgical treatment is wide local excision with an adequate margin of normal glandular tissue, except when subtotal or conservative total parotidectomy is required because of the size or location of the tumor. The facial nerve should be visualized and preserved. This approach prevents recurrences and minimizes facial nerve injury, since risk of neural injury increases with the extent of the surgical procedure. Total removal of the gland on the basis of the multicentricity or malignant transformation of these tumors is not supported by the findings of this study. For malignant tumors a more radical procedure, that is, subtotal or total parotidectomy with or without node dissection, with sacrifice of the facial nerve if necessary is advisable, depending on the type and anatomic location of the tumor.

Adenocarcinoma↗

Relationships between mandibular joint size and craniofacial size in human groups.

Substantial evidence attests to the capability of the joint to undergo morphological alteration in response to biomechanical forces transmitted to it during function. Measurements expressing the size of mandibular condyles and fossae were obtained from skulls representative of a broad spectrum of subsistence practices and tooth use. Craniofacial dimensions were measured for some groups. Considerable differences in joint size were noted between groups roughly consistent with known or presumed intensity of masticatory stress. Size was largest in the hunter-gatherers, intermediate in aboriginal horticulturalists and smallest in 20th century American caucasoids and 17th century British. In each group, male joint size was absolutely larger than females. With the exception of condylar breadth, male joint dimensions were not relatively larger than female when corrected for differences in craniofacial size. In contrast, same-sex comparisons of Eskimo and American caucasoid means adjusted for differences in craniofacial size showed joint size in Eskimos to be significantly larger, both absolutely and relatively. Eskimo females had relatively larger joints than American caucasoid males. Thus, intergroup differences in joint size persist even when differences in craniofacial size are taken into account. Although the influence of genetic factors cannot be excluded, differences in the nature or intensity of tooth use during growth may account, at least in part, for the observed differences in joint size.

Adult↗

The effect of a menhaden oil-containing diet on hemostatic and lipid parameters of nonhuman primates with atherosclerosis.

Three species of nonhuman primates were fed an atherogenic diet for 6 months (baseline period) and a menhaden oil (EPA)-containing diet for 8 weeks (test period) during which various hemostatic and lipid parameters were compared. The EPA-rich diet prolonged bleeding times, inhibited platelet aggregation response to ADP and collagen, and increased mean platelet lifespan. This diet elicited an increase in the polyunsaturated fatty acids C20:5 (EPA) and C22:6 (docosahexaenoic acid) at the expense of C18:2 (linoleic acid) and C20:4 (arachidonic acid) in pooled samples of platelet membranes, creating an increase in the ratio of n-3/n-6 polyunsaturated fatty acids. The serum lipid response to a menhaden oil diet comprised a nonsignificant decrease in total serum cholesterol and a significant decrease in HDL cholesterol.

Animals↗

Apolipoprotein E and atherosclerosis in Alaska Natives.

Arterial, liver, and serum specimens were collected from 130 Alaska Natives who underwent forensic necropsy (mean age, 36.9 years; age range, 9-85 years; 38 females and 92 males). Based upon the observed frequencies of the six common apo E genotypes, the estimates of the relative frequencies of the corresponding alleles in the population are 0.020 +/- 0.009 for E2, 0.787 +/- 0.026 for E3 and 0.193 +/- 0.025 for E4. Analysis showed significant differences, by apo E genotype, in the extent of total surface lesion involvement in both the right and left coronary arteries. In all but the abdominal aorta, the pattern of lesion involvement by genotype is consistent with a decrease in lesions for genotypes with the E2 allele and an increase in lesions for the genotypes with the E4 allele, relative to the E3 homozygotes. After adjustment for low + very low density lipoprotein cholesterol (LDL + VLDL-C), the differences fell below statistically significant levels. Analysis by genotype of total serum cholesterol, high density lipoprotein cholesterol (HDL-C) and LDL + VLDL-C showed no statistically significant differences in analyte levels among genotypes. However, evidence is seen of a pattern in which total cholesterol and VLDL + LDL-C is less in genotypes with the E2 allele and greater in those with the E4 allele. We conclude that there does appear to be an effect by apo E genotype upon extent of atherosclerosis in the coronary arteries of Alaska Natives and this effect is likely due to the previously reported effect of apo E polymorphisms on serum cholesterol, particularly LDL + VLDL-C.

Adolescent↗