Weight changes after jaw fixation due to sagittal split ramus osteotomy for correction of prognathous

Body weight changes, energy intake and symptoms experienced were studied in 13 patients whose jaws were fixated due to osteotomy for protruding mandible. All except one patient lost weight and the mean weight loss was 7.5 +/- 5.3 kg. The weight reduction was higher in the obese patient (11 +/- 4.2 kg), but also patients of normal weight lost 4.7 +/- 4.6 kg. The reduction of daily energy intake from the preoperative state as 1.5 +/- 1.0 MJ and was in obese patients about twice as much as in the lean ones (2.1 +/- 0.8 MJ and 1.0 +/- 1.0 MJ, respectively). The reduction of energy intake per loss of body weight by 1 kg was in all patients 8.5 +/- 0.67 MJ, in obese 8.3 +/- 0.64 MJ and in lean patients 8.6 +/- 0.75 MJ. The loss of weight was temporary and the patients regained their weights largely or wholly after the fixation period. Ten patients of the 13 felt hunger during fixation period, two had abdominal pains, five constipation and two pollacisuria. Jaw fixation due to osteotomy for protruding mandible decreased the food intake of the patients much and deteriorated their nutritional status by considerable weight loss. Thus advice about fortifying the diet is indicated so that the patients could consume food of high energy content during intermaxillary fixation due to sagittal split ramus osteotomy for correction of prognathous.     

Increase of body iron stores estimated by the increase of serum ferritin concentration during a treatment of 200 mg Fe++ daily after gastrointestinal surgery

A 6-week iron therapy of 200 mg Fe++ daily was given to 13 men and 12 women who had previously undergone various kinds of common gastrointestinal surgery and who had empty iron stores estimated from low serum ferritin concentration. The results were compared with those of a control group corresponding to the study group in respect of sex, number of patients, primary disease, previous operation, empty iron stores (serum ferritin), blood hemoglobin, serum iron, sedimentation rate, blood leukocytes, serum transferrin, folate and vitamin B12. The iron therapy restored the lack of body iron, for the serum ferritin concentrations increased from 12 +/- 7 to 30 +/- 11 micrograms/l (p less than 0.001) in the men and from 10 +/- 6 to 30 +/- 12 micrograms/l (p less than 0.001) in the women, whereas the corresponding changes in the control group were from 10 +/- 9 to 11 +/- 8 micrograms/l and from 11 +/- 8 to 13 +/- 11 micrograms/l in the men and women, respectively.(ABSTRACT TRUNCATED AT 250 WORDS)     

Treatment of Alcoholic Patients in a Psychiatric Hospital

This study was undertaken on 50 male patients chosen at random among the 188 who came in the last 6 months.     

Autoantibodies and immunoglobulin allotypes in healthy North American Blacks of different age groups

A population of 291 healthy North American Black subjects of different ages was studied for immunoglobulin (Ig) allotypes and the prevalence of autoantibodies, to determine possible associations between Ig allotypes and age, autoantibodies and age, and Ig allotypes and autoantibodies. Indirect immunofluorescence was used to detect anti-gastric parietal cell, anti-smooth muscle, anti-thyroid microsomal, anti-nuclear, and anti-mitochondrial antibodies. The sera were typed for the Ig allotypes Gm(1, 2, 3, 5, 6, 13, 14, 17, and 21) and Km(1) with a hemagglutination-inhibition assay. A significant association between advanced age and an increased prevalence of anti-nuclear antibodies was observed in females. There was no significant association between Ig allotypes and the autoantibodies tested. The results suggest that Ig allotypes are not involved in the development of autoantibodies in healthy Blacks.