Association of periodontal disease and histologic lesions in multiple organs from 45 dogs

Male and female subjects (n = 125) were measured on a battery of anthropometric tests every six months for a period of five years. Using maturity status as the temporal component (pubescent assessment stages one through five), proportionality characteristics of subjects were monitored as they matured toward the adult form. Subjects were assigned to one of the Hi, Mid and Lo sub-groups based on their score at PA stage one for each of 15 proportionality characteristics. Subsequently, those in the Mid group were removed from the analysis, while male and female subjects were pooled for the final ANOVA model. The results showed that a number of variables remained stable from PA stages one through five. That is, differences between the Hi and Lo groups were maintained throughout maturation. Predominantly, these included the proportional body segment breadth measures. Proportionality characteristics of the upper limbs appeared to stabilise from mid-adolescence. However, those related to the lower limb were not stable. In other words, a significant difference for the lower limb variables at PA stage one was not maintained through stages four and five. The results raised some doubts as to the suitability of using lower limb proportions as selection criteria in talent identification programs.     

Serum digoxin concentration: dependence on body weight and age

In patients of a cardiological practice, 121 digoxin serum concentrations were determined by radioimmunoassay (RIA). Some drugs were suspected of interfering with the RIA or with the pharmacokinetics of digoxin. Patients having such additional drugs or patients with elevated serum creatinine were not included. The daily maintenance dose of digoxin was roughly adjusted to body weight. Patients with 0.5 mg digoxin daily showed unexpectedly low serum digoxin levels not fully explained by the relatively high body weight. This dose group was not included in the following correlations. At a maintenance dose of 0.25 and 0.375 mg digoxin and in the age groups 40-69 years (n = 66) there was an approximately inverse proportionality between serum digoxin concentration (per 0.25 mg digoxin daily) and body weight. When all age classes from 20 to 89 years were included (n = 96), a week positive correlation between serum digoxin concentration (per 0.25 mg digoxin daily and per 69.28 kg body weight) and age was found. A similar positive correlation resulted between serum digoxin concentration (per 0.25 mg digoxin daily) and the reciprocal of the nomographically determined creatinine clearance, always within the normal serum creatinine range. Based on these correlations, two simplified formulas are presented to predict the serum concentration and therapeutic maintenance dose of digoxin. The formulas are valid for the normal serum creatinine range and for digoxin tablets of optimal bioavailability.     

Low body weight in Alzheimer's disease is associated with mesial temporal cortex atrophy

There are reports of weight loss and low body mass index (BMI) in patients with AD. The mesial temporal cortex (MTC) is involved in feeding behavior and memory and is preferentially involved in AD. We studied 74 subjects, including 58 AD patients and 16 control subjects, to determine whether BMI is associated with atrophy of the MTC or other brain regions. We used MRI morphometric analysis to provide measures of regional brain atrophy. AD patients had significant brain atrophy in all measured brain regions, except the white matter, compared with normal control subjects. The MTC was the only brain region significantly associated with BMI in AD patients (r = 0.39, p = 0.003). Multiple-regression analysis indicated that addition of brain regions other than the MTC to the model did not significantly add to the prediction of BMI. We conclude that low BMI correlates best and specifically with MTC atrophy. This finding supports a connection between limbic system damage and low body weight in AD.     

Hip fracture risk in older white men is associated with change in body weight from age 50 years to old age

BACKGROUND: Change in body weight is a potentially modifiable risk factor for hip fracture in older women but, to our knowledge, its relationship to risk in older men has not been reported previously. OBJECTIVE: To investigate the effects of weight loss and weight gain from age 50 years to old age on the risk of hip fracture among elderly men. METHODS: The association between weight change and risk of hip fracture was studied in a cohort of 2413 community-dwelling white men aged 67 years or older from 3 sites of the Established Populations for Epidemiologic Study of the Elderly. RESULTS: The older men in this study, observed for a total of 13620 person-years during the 8 years of follow-up, experienced 72 hip fractures, yielding an overall incidence rate of 5.3 per 1000 person-years. Extreme weight loss (> or =10%) beginning at age 50 years was associated in a proportional hazards model with increased risk of hip fracture (relative risk, 1.8; 95% confidence interval, 1.04-3.3). Weight loss of 10% or more was associated with several indicators of poor health, including physical disability, low mental status score, and low physical activity (P<.05). Weight gain of 10% or more beginning at age 50 years provided borderline protection against the risk of hip fracture (relative risk, 0.4; 95% confidence interval, 0.1-1.00). CONCLUSIONS: Despite differences between older men and women in the incidence of and risk factors for hip fracture, weight history is also an important determinant of the risk of hip fracture among older men. Weight loss of 10% or more beginning at age 50 years increases the risk of hip fracture in older white men; weight gain of 10% or more decreases the risk of hip fracture. The relationship between extreme weight loss and poor health suggests that weight loss is a marker of frailty that may increase the risk of hip fracture in older men. Physicians should include weight history in their assessment of the risk of hip fracture among older men.     

Association of fungal colonization and invasive disease in very low birth weight infants

BACKGROUND: Fungi are common pathogens of nosocomial infections in the very low birth weight (VLBW) infants. The purpose of this study was to investigate the fungal colonization rate in VLBW infants and the association between fungal colonization and systemic fungal diseases. MATERIALS: Between January 1, 1996, and December 31, 1996, 116 infants with birth weight < 1500 g admitted to the neonatal intensive care unit of Chang Gung Children's Hospital in the first day of life were included in this prospective study. METHODS: Cultures from oropharynx, rectum, skin (groin and axilla), bag urine and endotracheal aspirates were obtained in the first 24 h after birth and weekly thereafter throughout their neonatal intensive care unit stay. Medical records were reviewed weekly. RESULTS: Fungal colonization was detected in 25 infants, among whom 17 infants developed colonization by 2 weeks of life. Candida albicans (61%) and Candida parapsilosis (29%) were the 2 most common organisms. The rectum (76%) was the most frequent site of colonization. Factors significantly associated with colonization were prolonged administration of antibiotic therapy, parenteral nutrition and intralipid emulsion. Three of 116 infants developed fungemia. The association between colonization and subsequent fungemia was demonstrated in 1 infant, representing 4% of colonized infants. CONCLUSION: Fungal colonization was detected in one-fifth of VLBW infants and represents a risk factor for fungemia. Because disease occurred in the absence of apparent colonization, factors other than colonization may contribute to invasive candidiasis.     

An analysis of age and body weight at first calving for Holsteins in the United States

In a national survey of US dairy producers, only 2.7 +/- 0.5% of Holstein dairy operations reported achieving recommended target ranges of age < or = 24 months and body weight (BW) > or = 550 kg at first calving. Allowing for wider target ranges, still only 14.6 +/- 1.3% of Holstein dairy operations reported achieving age < or = 25 months and BW > or = 544.3 kg at first calving. Ages of individual first-calf heifers observed at calving were heavily skewed toward older individuals. Dairy producers reported an average age at first calving that was 1.3 months lower than the mean and 1.0 months lower than median age of first-calf heifers' observed calving on the operations. Stepwise logistic regression was used to identify the herd characteristics associated with producers reporting first calvings within the wider age and BW target ranges for Holsteins. Rolling herd average milk production > or = 7711 kg/yr, using a computer for recordkeeping, and not tying preweaned heifers in a barn with cows, were associated with achieving the target BW and age at first calving.     

Perception of others’ body size influences weight loss and regain for European American but not African American women.

Objective: The authors investigated whether European American (EA) and African American (AA) women took longer to lose weight, and were less likely to maintain weight loss if they perceived others to be overweight. Design: Overweight EA and AA women completed a Figure Rating Scale and the Three-Factor Eating Questionnaire prior to a weight loss intervention. Body composition was assessed by dual energy X-ray absorptiometry prior to and following weight loss. Main Outcome Measures: rate of weight loss, % body fat at follow-up. Results: For EA, but not AA women, perception of others’ body size was inversely associated with rate of weight loss and cognitive restraint, and positively associated with body fat gain following intervention. In linear regression modeling, EA, but not AA, women who perceived others as large, subsequently had greater percent body fat 1 year after weight loss than did those who perceived others as lean, independent of age, baseline body fat, and body size deemed “acceptable.” Inclusion of cognitive restraint in the model weakened this effect. Conclusion: Among EA but not AA women, perception of others’ body size influenced weight loss and maintenance. This effect may have been mediated by cognitive restraint. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Selection for body weight at eight weeks of age. 11. Ovulation and oviposition patterns

Two experiments were conducted to study oviposition patterns and ovarian activity at various physiological ages in S15 and S16 generation pullets from lines selected bidirectionally for high (HWS) and low (LWS) juvenile body weight. The fixed periods of lay for random samples of pullets from the date of first egg were 20, 40, 60, and 80 days in the first experiment and 40, 80, 120, and 160 days in the second experiment. HWS pullets matured significantly earlier than LWS pullets in both generations. The frequency and the percentage hen-day production (%HDP) of defective eggs were significantly greater in the HWS than LWS line in both generations. Delayed sexual maturity did not significantly change the pattern of defective egg production for a fixed period of lay. In the HWS line the %HDP of defective eggs progressively increased until about 40 days of lay and tended to decline thereafter, while in the LWS line the percentage decreased from 20 to 40 days and then stabilized. The frequency of normal unbroken eggs to 80 days of production did not differ among lines either in the S15 or S16 generation. When measurements were extended to 160 days of lay in the S16 generation HWS pullets produced significantly more normal eggs than LWS pullets. Possible effects of ovarian activity on the egg production pattern during the laying cycle are discussed. There was a significantly higher incidence of internal laying and atrecia of the growing follicles in the HWS than in the LWS pullets. Ovarian activity, evidenced by the number of developing and ruptured follicles, was significantly greater in the HWS than the LWS line, as was the incidence of ova developing in pairs. Product moment correlations and multiple regressions among the measurements of ovarian activity were calculated within lines. In the HWS line, 62.5% of the variation in %HDP of defective eggs could be accounted for by the %HDP of normal eggs and the number of developing follicles while in the LWS line these variables accounted for only 7.29% of the variation in %HDP of defective eggs.     

Hodgkin's disease in American Negroes. Histologic classification of the disease in 143 untreated patients, and age distribution

The Rye histologic classification of Hodgkin's disease has been applied to 143 previously untreated cases of Hodgkin's disease in Negro patients seen in four hospitals in Washington, D.C.,during a 16-year period (1959-1974). The frequencies and age distributions of histologic subtypes were compared with those in American and two African series. Those histologic subtypes associated with poor prognoses (mixed-cellularity and lymphocytic depletion) predominated in American Negroes and in Negroes from Ibadan, Nigeria, and Kampala, Uganda. In an American series from Connecticut (approximately 98% Caucasian) the histologic subtypes lymphocytic predominance and nodular sclerosis were preponderant. There were statistically significantly less of the nodular sclerosis subtype (P less than 0.005), and more of the mixed-cellularity subtype in American Negroes compared with the Connecticut series (P less than 0.001). In contrast to findings in predominantly Caucasian populations, there was a predilection of the nodular sclerosis subtype for males in American and in African Negroes. This study showed that Hodgkin's disease in American Negroes epidemiologically corresponds to the so-called "intermediate pattern" of the disease.     

Association between hyperadrenocorticism and development of calcium-containing uroliths in dogs with urolithiasis

OBJECTIVE: To determine, among dogs with urolithiasis, whether dogs that had hyperadrenocorticism would be more likely to have calcium-containing uroliths than would dogs that did not have clinical evidence of hyperadrenocorticism. DESIGN: Retrospective case-control study. ANIMALS: 20 dogs that had urolithiasis and hyperadrenocorticism and 42 breed-matched dogs that had urolithiasis but did not have clinical evidence of hyper-adrenocorticism. PROCEDURE: Signalment, urolith composition, results of bacterial culture of urine, and results of adrenal axis tests were recorded. A multivariate logistic regression model was created, including terms for age, sex, and hyperadrenocorticism. The outcome variable was presence or absence of calcium-containing uroliths. RESULTS: Among dogs with urolithiasis, those that had hyperadrenocorticism were 10 times as likely to have calcium-containing uroliths as were dogs that did not have clinical evidence of hyperadrenocorticism (odds ratio, 10.5; 95% confidence interval, 1.5 to 23.4). Neutered and sexually intact females were less likely to have calcium-containing uroliths than were neutered males (odds ratios, 0.041 [95% confidence interval, 0.0057 to 0.29] and 0.024 [95% confidence interval, 0.0012 to 0.51, respectively). CLINICAL IMPLICATIONS: Prompt diagnosis and treatment of hyperadrenocorticism may decrease prevalence of calcium-containing uroliths in dogs.     

Effect of caging variables on body weight and weight gain in mice

The effects on body weight of mixing litters to attain constant density of mice per cage, as opposed to housing litters in separate cages, was studied. Mixing litters resulted in a decreased weight gain between 21 and 42 da of age and a decreased adult body weight at 63 da of age compared to housing litters in separate cages, whether the separately housed litters were allowed to vary in density or not. Mixed litter housing also increased the variance of the body weight measures among males. Housing litters separately, even if it entails variable density of housing, appears to be the preferred method for studies involving inheritance of body weight.     

Treatment paradigms in periodontal disease

The prevailing treatment paradigm in periodontal disease relies on debriding the tooth surfaces to keep the bacterial load below the level that triggers tissue loss. When debridement cannot be easily accomplished because of deep pocketing, access surgery is recommended. The debridement approach that involves access surgery is successful in 80% to 85% of patients. Patients who do not respond are often treated with systemic antibiotics. This paradigm, which is based on the nonspecific plaque hypothesis, is labor-intensive and relies on antibiotics only as a last resort. This nonspecific treatment paradigm is in contrast with the specific plaque hypothesis, which states that a limited number of bacterial species are specifically involved in most forms of periodontal disease. Some studies have significantly associated anaerobic bacteria with advanced forms of periodontal disease. These observations led us to hypothesize that most forms of periodontal disease are anaerobic infections, which can be treated by antimicrobials such as metronidazole or clindamycin. Three double-blind studies have shown that 1 to 2 weeks of unsupervised use of metronidazole-plus-debridement was significantly better than placebo-plus-debridement in reducing the need for periodontal surgery. These findings suggest that treatments based on the specific plaque hypothesis give clinicians and patients a choice regarding treatment options in periodontal disease.     

Hypertension and coronary heart disease. Global risk moderation through control of body weight

The moderation control of blood pressure is one key strategy to control the progression of coronary artery disease. In the pathogenesis of coronary artery disease, hypertension should not be viewed on its own; however, other risk factors, which may influence hypertension and atherogenesis at the same time, should be evaluated carefully. In primary and also secondary prevention of coronary artery disease, overweight and obesity play an important modulating role. Especially the abdominal (visceral) form of obesity should be controlled. The reduction of dietary fat intake seems to be the major strategy to control body fat accumulation and weight gain, since the intake of excess fat does not lead to an increased oxidation of fat. The reduction of fat intake is also the major nonpharmacological strategy to promote regression of atherosclerosis and to control body weight.     

Locomotor activity rhythms in dogs vary with age and cognitive status.

Beagle dogs exhibited diurnal patterns of locomotor activity that varied as a function of age, cognitive status, and housing environment. Aged dogs housed in an indoor facility showed a delayed onset of activity following lights on and displayed shorter bouts of activity, with more rest periods during the day, compared with young dogs. Cognitively impaired aged dogs were more active and showed a delayed peak of activity compared with unimpaired aged dogs. Housing in continuous light did not disrupt activity rhythms. The effect of age was less prominent in dogs housed in an indoor/outdoor facility. This suggests that bright sunlight and natural light-dark transitions are better able to consolidate and synchronize the activity rhythms of the dogs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Serum leptin and body weight in females with anorexia and bulimia nervosa

In this study we hypothesized that there is a correlation between serum leptin levels and body mass indices within patients with anorexia nervosa or bulimia nervosa during a twelve weeks' course of in-patient treatment. We evaluated leptin levels weekly in female in-patients with anorexia (n = 17) or bulimia nervosa (n = 18). Only patients with anorexia nervosa were therapeutically encouraged to gain weight throughout the treatment episode. For the whole cohort, body mass indices and serum leptin levels were highly correlated upon admission (r = 0.89, p < 0.001). The median intra-individual correlation in the anorexia group was higher than in the bulimia group (0.63 and 0.39, respectively). The intra-individual correlations were higher in those anorexia nervosa patients who showed increments of their body mass index within the observation span. This dynamic aspect is important specifically in patients with anorexia nervosa during therapeutically induced weight gain.     

北美特殊扣套管综述

介绍了北美生产和应用比较广泛的Ultra-DQX、USS CDC、Tenaris Wedge500、Tenaris Blue、SealLock Apex等几种套管特殊扣的螺纹形式、密封形式、扭矩台肩等结构特点,阐述了特殊扣的优缺点和适用特点。结合国内套管特殊扣的开发和使用情况,指出了国内套管特殊扣的使用和开发过程中需要解决的问题,对国内自主知识产权的油套管特殊扣产品的开发提出了建议。     

Opinion of alumni about the teaching of nursing diagnosis according to North American Nursing Diagnosis Association

Family members who care for chronically ill relatives at home are subject to demands beyond their usual daily responsibilities. These demands can develop into a pattern that disrupts all aspects of the life of the caregiver. The article examines the existing literature on caregiver burden and reconceptualizes the dimensions of caregiver burden within the context of the Roy adaptation model.     

Changes in body weight with chronic, high-dose gabapentin therapy

The authors reviewed changes in body weight in 44 patients treated with Gabapentin (GPN) for a period of 12 or more months. All patients had a seizure disorder and the dose of GPN was increased aiming at complete seizure control or until side effects limited further increase. Twenty-eight patients were receiving GPN dosages of > 3000 mg/day. Observed changes in body weight were as follows 10 patients gained more than 10% of their baseline weight, 15 patients gained 5% to 10% of baseline, 16 patients had no change, and 3 patients lost 5% to 10% of their initial weight. Weight increase started between the second and the third months of GPN treatment in most patients and tended to stabilize after 6 to 9 months of treatment, although the doses of GPN remained unchanged. Weight gain occurred in patients taking GPN in combination with each of the major antiepileptic drugs including Felbatol and also occurred with GPN monotherapy.