Juvenile,insulin‐dependent diabetes mellitus,type 1‐related dermatoses

Juvenile insulin‐dependent diabetes mellitus type 1 (IDDM) is a well‐recognized worldwide entity, the significance of which has increased because of its recent upsurging trends, warranting attention on variety of its clinical expressions, in particular, pertaining to skin, an aspect seldom taken cognizance of. Hence an endeavour to recap the related dermatoses, such as limited joint mobility syndrome including sclerodermoid (scleroderma–like) changes, xerosis, necrobiosis lipoidica diabeticorum, granuloma annulare, diabetic foot syndrome, has been made. Complexities relating to the recently explored issues of atopic dermatitis and drug hypersensitivity syndrome have also been covered adequately. In addition, the current concepts of the physiopathology of type 1 diabetes‐related dermatoses are briefly recapitulated for clarity.     

Peptide YY3-36 inhibits food intake in mice through a melanocortin-4 receptor-independent mechanism

Peptide YY(3-36) (PYY(3-36)), a peptide released postprandially by the gut, has been demonstrated to inhibit food intake. Little is known about the mechanism by which PYY(3-36) inhibits food intake, although the peptide has been shown to increase hypothalamic proopiomelanocortin (POMC) mRNA in vivo and to activate POMC neurons in an electrophysiological slice preparation. Understanding the physiology of PYY(3-36) is further complicated by the fact that some laboratories have had difficulty demonstrating inhibition of feeding by the peptide in rodents. We demonstrate here that, like cholecystokinin, PYY(3-36) dose-dependently inhibits food intake by approximately 20-45% over a 3- to 4-h period post ip administration, with no effect on 12-h food intake. This short-lived satiety effect is not seen in animals that are not thoroughly acclimated to handling and ip injection, thus potentially explaining the difficulty in reproducing the effect. Surprisingly, PYY(3-36) was equally efficacious in inducing satiety in wild-type and melanocortin-4 receptor (MC4-R)-deficient mice and thus does not appear to be dependent on MC4-R signaling. The expression of c-Fos, an indirect marker of neuronal activation, was also examined in forebrain and brainstem neurons after ip treatment with a dose of PYY(3-36) shown to induce satiety. The peptide induced no significant neuronal activation in the brainstem by this assay, and only modest activation of hypothalamic POMC neurons. Thus, unlike cholecystokinin, PYY(3-36)-induced satiety is atypical, because it does not produce detectable activation of brainstem satiety centers and is not dependent on MC4-R signaling.     

脊椎个性化模型的有限元分析：方法和精度的回顾

近十年来，通过医学图像的处理，建立脊椎个性化有限元模型的方法，随着计算方法的不断提高，得到了很大的发展。本文回顾了各种建模方法并对所生成模型的可靠精度做了评估。模型质量将受到网格密度和生成方法、材料属性分配和应用边界条件等诸多因素的影响。探讨了以上每个因素及其对模型误差所造成的影响。     

Trichotillomania ± trichobezoar: revisited

Trichotillomania is an intriguing psychosomatic entity in which there is an irresistible desire to pull out the hair from the scalp, eyelashes, eyebrows and other parts of the body. The process results in an instant release of tension, a sense of relief and security. However, non-scaring alopecia is its clinical presentation. The development of trichobezoar following ingestion of the pulled hair is its salient complication in a few cases. Subsequently, it may cause symptoms pertaining to the gastrointestinal tract culminating in intestinal obstruction, perforation, pancreatitis and obstructive jaundice. The Rapunzel syndrome (trichobezoar) may occur when gastrointestinal obstruction is produced by a rare manifestation of a trichobezoar with a long tail that extends to or beyond the ileocecal valve. In most cases in children, trichotillomania +/- trichobezoar is a habit disorder and thus has a better prognosis. However, in adults the psychopathology is usually deeper and thus entails a poor prognosis. The diagnosis is made after taking a thorough history, noting the clinical features and evaluating a hair-root examination, where telogen hair is (almost) completely lacking, which distinguish trichotillomania from other hair disorders. Treatment modalities vary in childhood and adult varieties. Apart from psychotherapy, the drug treatment involves several agents including selective serotonin reuptake inhibitors (SSRIs) and domipramine. Trichobezoar/Rapunzel syndrome requires surgical intervention.     

Dietary nutrient intake comparisons for rural and urban Russian boys,ages 6, 9, and 15 years,living in St. Petersburg and surrounding areas

Dietary intake data were gathered on 123 rural and 111 urban males, ages 6, 9, and 15 years, living in and near St. Petersburg, Russia. Data were analyzed to estimate intakes of kilocalories, protein, calcium, iron, vitamin A, thiamin, riboflavin, niacin, vitamin C, and percentage of kilocalories from protein, carbohydrate, and fat. Comparisons were made between nutrient intakes of urban and rural subjects; intakes were also compared with the Recommended Dietary Intakes (RDI) of the USSR Research Institute of Nutrition. There were no significant differences between rural and urban boys in energy intake at any age. Urban boys consumed more vitamin C at ages 6 and 9, had higher intakes of protein, calcium, and niacin at age 9, and consumed more protein at age 15. Rural boys had higher intakes of riboflavin and calcium than urban boys at age 6. Urban boys consumed larger proportions of energy as carbohydrate at age 6, protein at age 9, and both protein and fat at age 15 than rural subjects. Rural boys had higher proportions of kilocalories from fat at age 6 and carbohydrate at age 15 than urban boys. Mean nutrient intakes below the RDI were: energy for rural boys at 9 and 15 years; iron for rural subjects at ages 6 and 9 and urban boys at age 6; calcium for rural and urban boys at all ages; vitamin C for rural subjects at ages 6 and 9; vitamin A for rural and urban boys at age 15; and protein for rural boys at age 15. At age 6, rural boys had nutrient intakes superior to those of urban boys; urban nutrient intakes were better than rural at ages 9 and 15. © 1994 Wiley-Liss, Inc.