Beta-oxidation of 1-[14C]-17-[131I]-iodoheptadecanoic acid following intracoronary injection in humans results in similar release of both tracers

Radioiodine labelled 17-iodo-heptadecanoic acid (IHA) is used for non-invasive study of myocardial metabolism in coronary heart disease and cardiomyopathy. Yet in the interpretation of in vivo myocardial tracer kinetics, it is controversial whether the intracellular degradation of IHA or the removal of iodide across cellular membranes is the rate-limiting step in iodide release from the myocardium. In five patients undergoing coronary sinus catheterization, a mixture of about 40 kBq of [¹²³I] NaI was injected into the left coronary artery. During the following 15-min period, frequent blood samples were taken from the aorta and the coronary sinus. In the aqueous phase of the venous blood, ¹⁴CO₂ and inorganic ¹³¹I appeared nearly in parallel, with a peak time of 4–5 min. Moreover, as shown by the AV difference, there was no significant back diffusion of IHA and no significant non-specific deiodination detectable over the period of observation. There was myocardial retention of inorganic iodide (¹²³I) injected into the left coronary artery. The data strongly support the premise that lipid turnover through -oxidation is the rate-limiting step in the externally measured release of iodide after IHA injection, provided that recirculating inorganic radioactive iodide is corrected for. In addition, 15 volunteers were studied using [¹¹C]palmitic acid and [¹²³I]IHA using PET and dynamic planar camera scintigraphy with iodide correction. There was no significant difference between the mean values of the elimination half-times, and also no significant correlation between half-times of both fatty acids for single individuals.     

Systemic Lupus Erythematosus: Perinatal and Neonatal Implications

Systemic lupus erythematosus (SLE) is a chronic autoimmune disorder that can affect almost all organ systems in the body. It is most common in women of childbearing age and may cause multiple peripartum complications. This article reviews the pathophysiology of SLE and the effects of SLE on fertility and pregnancy. The complexities of managing a pregnant patient with SLE are reviewed, and the importance of interdisciplinary collaboration discussed, as well as the effects of SLE on the fetus and a review of neonatal lupus erythematosus. Finally, a case report of a pregnant patient with SLE with challenging clinical management issues is presented.     

Pilot study of abuse of asthma inhalers by middle and high school students

During a school-based survey, middle and high school students (n = 1536) reported on their nonprescribed, lifetime use of asthma inhalers. Approximately 15% of 8th and 9th graders reported using nonprescribed asthma inhalers; the odds for this behavior were significantly higher for these students (2.25 and 2.30, respectively) and the nonprescribed use of asthma inhalers was significantly associated with higher rates of other drug use.     

'Every mother is a mini-doctor': ethnomedicinal uses of fish, shellfish and some other aquatic animals in Bangladesh

Aim of the study

This research article examines the zootherapeutic uses of fish, shellfish and some other aquatic animals in two fishing villages in Bangladesh-one floodplain and one coastal.

Materials and methods

The floodplain fishing village Volarkandi is located within the Hakaluki wetland ecosystem in the northern Bangladesh and is inhabited mostly by Muslim fishers, whereas the coastal fishing village Thakurtala is located on Moheskhali island and most of the inhabitants are caste-based Hindu fishers. Participatory techniques were used to collect and validate information from the key informants.

Results

The research revealed that, historically, fishers have used fish and other aquatic animals not only as food items for nutrition, but also to solve a host of physical problems and diseases. Fish and shellfish are widely used for their galactogogue and aphrodisiac properties, for quick recovery from long-time sickness, to enhance the ‘intelligence level’ of children, and to prevent and treat a host of diseases like night blindness, chicken pox, dysentery, piles, muscular inflammation, fistula, malaria, skin diseases and ‘big belly’ syndrome in children. Depending on the objective of the use, different parts of the animal body, its derivatives, or the whole animal are used. The research also clarified different forms of the recipes used. The socio-cultural construction of the ethnomedicinal uses and the distinct gender roles of the fisherwomen were analyzed.

Conclusion

The research revealed that the aetiologies and the preventive measures against folk illness are socio-culturally embedded and such indigenous medical systems grow and are sustained as a situated body of knowledge within the boundaries of a typical world view framed by local culture and biodiversity.