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Query: UMLS:C0155339 (Brown)
 12,436 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Concerning small-bowel transplantation in children, the question arises whether a segmental small-bowel graft from an adult donor would permit normal growth of the young recipient. Orthotopic small-bowel transplantation was performed in 4- to 6-week-old Lewis rats weighing 100-135 g. The entire small bowel of the recipient was replaced with an intestinal allograft consisting of the entire small bowel (N = 6), the jejunum (N = 6), or the ileum (N = 6) from adult Brown Norway rats. Immunosuppression with cyclosporine (15 mg/kg im) on alternate days for 4 weeks achieved graft acceptance of indefinite duration. Six and twelve months after transplantation, all recipients demonstrated normal global nutritional parameters (hematocrit, serum albumin) and gained weight at a rate comparable to that for age-matched controls. Nutritional deficiencies did not become apparent clinically. By 10 to 12 months, the levels of fat-soluble vitamins (A and E) were reduced significantly in recipients of segmental grafts. Vitamin B12 levels were also reduced but not significantly. Fecal fat was significantly elevated in all rats with grafts (3.2 +/- 1.0 to 4.8 +/- 0.9 g fat/100 g stool; controls, 1.8 +/- 0.4), but the increase was most pronounced in those with jejunal grafts (4.7 +/- 0.9). This was paralleled by a reduction in serum triglyceride levels in all transplanted rats, a reduction which reverted to normal by 10 to 12 months for rats with entire small-bowel grafts but not for those with segmental grafts. Graft biopsy demonstrated normal intestinal architecture with villus hyperplasia of segmental grafts.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:Recipient growth and nutritional status following transplantation of segmental small-bowel allografts. 349 94

Kenkey, a cooked, fermented, white maize food, is widely used by low-income families in southern Ghana as a weaning pap. Of concern is the use of bare hands to mash the pap and untreated water to moisten the food. This study evaluated kenkey's nutritional value and the survival of selected pathogenic bacteria in kenkey's milieu. 10 samples of each of the 3 types of kenkey were purchased from commercial producers and molded into balls weighing 300 g. The crude protein content of dry matter, determined by the Kjedahl method, was 9.31% for Ga, 9.30% for Fanti-Brown, and 8.23% for Fanti-White kenkey. 450 g of kenkey (the maximum daily amount offered a 9 kg weanling) provides 13.13 g of crude protein and 141.14 g of dry matter. Mineral levels of wet kenkey, determined by atomic absorption spectrophotometry, failed to meet the recommended daily dietary allowances for weaning. Klebsiella pneumoniae and Staphylococcus aurens populations in a kenkey milieu of pH 4 were reduced by 1-3 logs in 30 minutes. The extent of microbial reduction depended on the initial contamination level. These findings indicate that kenkey must be supplemented by breast feeding for as long as possible or animal proteins to prevent malnutrition in weaning children. Recommended, to avert pathogenic contamination, are hand washing before mashing, use of treated water, and heating of the pap before serving.
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PMID:Nutrient content and survival of selected pathogenic bacteria in kenkey used as a weaning food in Ghana. 914 May 12

The effect of protein depletion on immune responsiveness was examined using a skin allograft model. Protein depletion was induced in adult Fischer (F344) male rats by the ad libitum provision of a 5% protein diet. Total serum protein, total body weight, total body nitrogen, and total body lipid were all markedly decreased in these rats. Skin from control-fed Brown Norway (BN) male rats was grafted to the middorsal region of control and protein-depleted F344 rats. BN skin allografts survived significantly longer on protein-depleted recipients (13.3 days) than on controls (8.5 days). Splenic lymphoid cells from skin grafted F344 rats were assayed for cytotoxicity against BN and F344 lymphoid cells in a 51Cr release assay. At effector to target ratios of 50:, 100:, and 200:1, spleen cells from control rats exhibited greater than 35% allospecific cytotoxicity 8 days after grafting. Spleen cells from protein-depleted rats exhibited no greater than 10% cytotoxicity from 6 to 15 days after grafting. A depression of cytotoxicity by protein depletion was also observed in rats immunized by i.p. injection of BN spleen cells. Heat-inactivated sera from skin grafted F344 rats were assayed against BN and F344 lymphoid cells in a complement-dependent trypan blue exclusion assay. Cytotoxic alloantibodies were measurable in both control and protein-depleted rats 9 days after grafting, but were of significantly lower titer in the protein-depleted group. The results indicate that both humoral and cell-mediated immune responses to alloantigens are impaired by protein-calorie malnutrition.
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PMID:Effects of protein-calorie restriction on the immune response to skin allografts in the rat. 1458 80

The diagnosis of attention-deficit/hyperactivity disorder (ADHD) in adults can be a challenging process because it includes making judgments based on clinical interviews, rating scale results, informant ratings, and objective supporting evidence. The patient evaluation should gather information on the severity and frequency of symptoms, the establishment of childhood onset of symptoms, the chronicity and pervasiveness of symptoms, and the impact of symptoms on major life activities. Some of the rating scales being used in the adult population are the Conners' Adult ADHD Rating Scales, the Brown Attention-Deficit Disorder Scale for Adults, the Wender Utah Rating Scale, the ADHD Rating Scale and ADHD Rating Scale-IV, the Current Symptoms Scale, and the recently-developed Adult ADHD Self-Report Scale-v1.1 Symptom Checklist. More research is needed to establish the usefulness of self-administered rating scales compared with investigator-administered scales in the assessment and diagnosis of adult ADHD.
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PMID:Assessing attention-deficit/hyperactivity disorder in adults: focus on rating scales. 1504 30

We tested the efficacy of bupropion in the treatment of persons with pathological gambling (PG). Nondepressed, healthy subjects with Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition PG were randomly assigned to placebo or flexibly dosed bupropion in a 12-week double-blind trial. Outcome measures included the Yale-Brown Obsessive-Compulsive Scale modified for PG, the Gambling Severity Assessment Scale, the Clinical Global Impression Improvement and Severity Scales, the Global Assessment Scale, the Timeline Follow Back, the Attention-Deficit/Hyperactivity Disorder Rating Scale, and the Sheehan Disability Scale. Thirty-nine subjects (28 men, 11 women) were randomized to bupropion (n = 18) or placebo (n = 21). The 2 groups were similar on demographic and clinical measures. There were few differences between the treatment groups on any primary or secondary outcome measure, although subjects in each cell experienced significant improvement. Of subjects with at least 1 postrandomization visit, 35.7% of bupropion and 47.1% of placebo recipients experienced "much" or "very much" improvement on the Clinical Global Impression Improvement Scale. The trial was complicated by a high noncompletion rate (43.6%). Bupropion was well tolerated. Bupropion and placebo recipients did equally well in a short-term trial, with improvement seen as early as the first week of treatment. The high placebo response rate and the high noncompletion rate each reflect the challenge inherent in treating persons with PG.
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PMID:Bupropion in the treatment of pathological gambling: a randomized, double-blind, placebo-controlled, flexible-dose study. 1741 36

Brown and varying lemmings of the central Canadian arctic showed changes in reproduction, mortality, and the properties of the individuals over a 4-year period of fluctuating population. These changes were not due to starvation or malnutrition, nor were there any obvious symptoms of stress. They may have been associated with changes in the behavior of the animals.
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PMID:Lemming Cycle at Baker Lake, Canada, during 1959-62. 1773 8

The objective of this study is to assess the association between tic severity, attention deficit disorder, obsessive-compulsive behavior, and quality of life (QOL) in children with Gilles de la Tourette syndrome (GTS). GTS is a multidimensional disorder with disturbances in motor function and behavior. However, little is known about what variables are associated with QOL in these patients. We evaluated 56 outpatients with a diagnosis of GTS. The mean age was 10 (range 5-17 years). Tics were assessed with the Yale Global Tic Severity Scale (YGTSS). Behavioral scales included the Leyton Obsessional Inventory-Child Version, Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS), and Attention-Deficit/Hyperactivity Disorder (ADHD) rating scale. The patient's parent also completed the TNO-AZL Children's Quality of Life scale (TACQOL). YGTSS scores ranged from 4 to 30, indicating mild to moderate tic severity. Motor and phonic tic ratings were not correlated with QOL. However, both ADHD and OCD were significantly related to QOL. Subanalysis of ADHD subtypes demonstrated that inattentiveness but not hyperactivity predicted lower QOL. When ADHD, Leyton OCD, and tic severity were considered simultaneously, tic severity remained non-significant, while both ADHD and OCD remained significant contributors to QOL. In summary, in patients with mild to moderate GTS, QOL relates primarily to co-morbidities of ADHD and obsessive-compulsive behavior. ADHD with predominantly inattentive symptoms, rather than hyperactivity symptoms, was associated with lower QOL. To improve QOL, clinicians must consider treatments of co-morbidities among tic patients.
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PMID:Determinants of quality of life in children with Gilles de la Tourette syndrome. 1930 79

Fragile X Syndrome is a neurodevelopmental disorder that is caused by the silencing of a single gene on the X chromosome, the Fragile X Mental Retardation 1 (FMR1) gene. In recent years, the premutation ("carrier") status has received considerable attention and there is now an emerging consensus that despite intellectual functioning being within the average range premutation males present with subtle executive function impairments that include poor inhibitory control, working memory deficits, and poor planning skills. The ranges of these skills, although not nearly as severe as seen in the full mutation, nonetheless serve to differentiate males with the premutation from males in the unaffected population. In the present study we extend these findings to suggest that behavioral markers, specifically self-report on the Brown Attention-Deficit Disorder Rating Scales, may serve as a clinically useful indicator or "signature" of the Fragile X Premutation status. We discuss the possibility that this measure provides a means to identify those at greatest risk for developing the newly identified neurodegenerative disorder that affects some premutation males - Fragile X Tremor/Ataxia Syndrome (FXTAS).
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PMID:Mapping self-reports of working memory deficits to executive dysfunction in Fragile X Mental Retardation 1 (FMR1) gene premutation carriers asymptomatic for FXTAS. 2057 35

Following their Nobel Prize-winning discovery of the defective gene causing familial hypercholesterolaemia, Brown and Goldstein misunderstood the mechanism involved in the pathogenesis of the associated arterial disease. They ascribed this to an effect of the high levels of cholesterol circulating in the blood. In reality, the accelerated arterial damage is likely to be a consequence of more brittle arterial cell walls, as biochemists know cholesterol to be a component of them which modulates their fluidity, conferring flexibility and hence resistance to damage from the ordinary hydrodynamic blood forces. In the absence of efficient receptors for LDL cholesterol, cells will be unable to use this component adequately for the manufacture of normally resilient arterial cell walls, resulting in accelerated arteriosclerosis. Eating cholesterol is harmless, shown by its failure to produce vascular accidents in laboratory animals, but its avoidance causes human malnutrition from lack of fat-soluble vitamins, especially vitamin D.
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PMID:The great cholesterol myth; unfortunate consequences of Brown and Goldstein's mistake. 2218 7

Before safe artificial nutrition, refrigeration, and microorganisms became known, thrush was a severe and frequently lethal disease in foundling hospitals. Overcrowded and understaffed, these institutions were the ideal breeding ground for this disease. Malnutrition, especially when breastfeeding was denied, contributed to the fatal course. Nosocomial infections and high mortality led to a prejudice against infant hospitals in the late 19th century. Candida albicans was discovered in 1840 when a cooperation at the Paris Foundling Hospital between the Hungarian emigrant David Gruby and the Swede Frederik Berg led to this organism being the first pathogen to be identified. After World War II, Candida infections increased with the use of antibiotics. The disease became less threatening after the development of nystatin, the result of an interdisciplinary cooperation in New York between the microbiologist Elizabeth Hazen and the biochemist Rachel Brown.
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PMID:Thrush - nightmare of the foundling hospitals. 2202 88


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