Timing of postprandial dyspeptic symptoms and transpyloric passage of gastric contents

BACKGROUND: Patients with functional dyspepsia often experience early satiety and discomfort after a meal. The role of early gastric emptying in symptom generation is not known. Our aim was to relate timing of symptoms and early postprandial emptying in functional dyspepsia. METHODS: Twelve patients with functional dyspepsia were investigated during 3 min of fasting, during 3 min of ingesting 500 ml of a meat soup, and during the first 10 min postprandially by means of duplex sonography. RESULTS: Gastric emptying commenced on average 52 sec after the start of ingestion. Transpyloric movements of gastric contents unrelated to peristalsis (that is, alternating transpyloric emptying and reflux within a common chamber created by the terminal antrum, the pylorus, and the duodenal bulb) appeared before peristaltic-related emptying, which commenced after on average 116 sec. In all patients epigastric, meal-related discomfort was experienced after the commencement of transpyloric emptying, on average after 143 sec. A negative correlation was found between intensity of fullness and duration of presymptomatic transpyloric movements of gastric contents (that is, the duodenal 'tasting' period). CONCLUSIONS: The early occurrence of meal-related symptoms suggests that gastric distension is the main factor in symptom generation. However, the onset of symptoms after the commencement of gastric emptying suggests that intestinal tasting receptors are involved in symptom generation. The inverse relationship between the duration of the tasting period and symptom intensity suggests that the time allowed for duodenal tasting might be too short in patients with FD.     

Diagnosis of Trypanosoma evansi in Saudi Arabian camels (Camelus dromedarius) by the passive haemagglutination test and Ag-ELISA

The passive haemagglutination test and Ag-ELISA were employed to monitor antibody titres and antigenaemia levels in 4 Najdi camels experimentally infected with Trypanosoma evansi. The two tests were also used to determine the prevalence of trypanosomiasis in a total of 218 Najdi camels in the Gassim region, Central Saudi Arabia, during the period from October 1992 to September 1993. Trypanosoma evansi antibodies in the experimentally infected camels rose after 14-21 days and reached a maximum of between 1:64 and 1:128 by the 12th week post infection. Circulating antigens were detected in the experimentally infected camels one week post infection and antigenaemia levels fluctuated but generally remained above preinfection OD values. The results obtained from the field survey showed that 5.5% of the sampled camels were parasitologically positive for trypanosomes, while 19.7% were serologically positive by the passive haemagglutination test and 13.8% by Ag-ELISA. No significant age difference in seropositivity was observed in the tested camels.     

Thermometry of the surface of human skin. A study on a model using thermocouples, thermistors, thermovision and thermodyes

The temperature of the surface of a model of human skin is measured using a recently developed probe to house a thermocouple or thermistor. The results are compared with thermovision and thermodye measurements. The effect on skin temperature of hot and cold vessels at various depths is investigated.     

Activation of intrinsic and synaptic currents in leech heart interneurons by realistic waveforms

Leech heart interneurons were voltage-clamped with realistic waveforms to investigate the currents underlying the oscillation in the cells. By estimating the leak current parameters in regions in which there was little contamination by voltage-gated currents, it was possible to measure the Ca2+ current, the persistent Na+ current, Ip, and the hyperpolarization-activated inward current, Ih. The experiments verified a prediction of a computer model of HN cells that the shape of the typical waveform was such that the low-threshold Ca2+ currents were partially inactivated during a slow up-ramp to a plateau potential. A step within the same range of the membrane potential as the realistic waveform produced > 4 times as much Ca2+ current. In two-cell voltage-clamp experiments, the step produced 20 times more graded inhibition than the normal presynaptic waveform. When the presynaptic heart interneuron oscillated with spikes, the graded inhibition was larger. The difference may arise from integration of a slowly decaying component of the spike-mediated inhibition. The persistent Na+ current had a very low threshold. During the most hyperpolarized phase of the waveform, Ip deactivated to 50% of its maximum conductance. A substantial part of Ip, therefore, was effectively contributing to the leak current in the HN cells. The h-current increased for waveforms that had longer periods, whereas increasing the h-current in the model reduced the period. The h-current thus provides negative feedback to perturbations that alter the period of the oscillation.     

Clinical profile of primary hyperparathyroidism in adolescents and young adults

The development of new strategies on chemotherapy of parasitic protozoan diseases is one of the most exciting research fields of recent years. World Health Organization (WHO) reports have recognized that the physiology and biochemistry of protozoan parasites and the host-parasite relation are the main targets for the design of new drugs that can be used in the future against these diseases.