bluuebunny/crossref_metadata_2025 huggingface dataset:
Determinants of immunisation coverage of children aged 12–59 months in Indonesia: a cross-sectional study
Authors: Herliana Putri , Douiri Abdel
Published: December 2017

Objectives

Despite the adoption of WHO’s Expanded Programme on Immunisation in Indonesia since 1977, a large proportion of children are still completely unimmunised or only partly immunised. This study aimed to assess factors associated with low immunisation coverage of children in Indonesia.

Setting

Children aged 12–59 months in Indonesia.

Participant

The socioeconomic characteristics and immunisation status of the children were obtained from the most recent Demographic and Health Survey, the 2012 Indonesia Demographic and Health Survey. Participants were randomly selected through a two-stage stratified sampling design. Data from 14 401 children aged 12–59 months nested within 1832 census blocks were included in the analysis. Multilevel logistic regression models were constructed to account for hierarchical structure of the data.

Results

The mean age of the children was 30 months and they were equally divided by sex. According to the analysis, 32% of the children were fully immunised in 2012. Coverage was significantly lower among children who lived in Maluku and Papua region (adjusted OR: 1.94; 95% CI 1.42 to 2.64), were 36–47 months old (1.39; 1.20 to 1.60), had higher birth order (1.68; 1.28 to 2.19), had greater family size (1.47; 1.11 to 1.93), whose mother had no education (2.13; 1.22 to 3.72) and from the poorest households (1.58; 1.26 to 1.99). The likelihood of being unimmunised was also higher among children without health insurance (1.16; 1.04 to 1.30) and those who received no antenatal (3.28; 2.09 to 5.15) and postnatal care (1.50; 1.34 to 1.69).

Conclusions

Socioeconomic factors were strongly associated with the likelihood of being unimmunised in Indonesia. Unimmunised children were geographically clustered and lived among the most deprived population. To achieve WHO target of protective coverage, public health interventions must be designed to meet the needs of these high-risk groups.
Health impact of objective burden, subjective burden and positive aspects of caregiving: an observational study among caregivers in Switzerland
Authors: Fekete Christine , Tough Hannah , Siegrist Johannes , Brinkhof Martin WG
Published: December 2017

Objective

To investigate associations of objective caregiver burden, subjective caregiver burden and positive aspects of caregiving with self-reported health indicators in caregiving partners of persons with a severe physical disability (spinal cord injury).

Design

Cross-sectional, observational.

Setting

Community, Switzerland.

Participants

Caregiving partners of persons with spinal cord injury (n=118, response rate 19.7%).

Outcome measures

General health, role limitations due to physical health, role limitations due to mental health, pain intensity, mental health and vitality were assessed using items from the 36-Item Short Form Health Survey (SF-36). Three items were used to assess the frequency of different types of sleep problems.

Results

Subjective caregiver burden was associated to all self-reported health indicators. A high subjective burden was linked to poorer general health (OR 6.5, 95% CI 2.0 to 21.5), more role limitations due to physical health (OR 4.2, 95% CI 1.4 to 12.8), more role limitations due to mental health (OR 3.6, 95 % CI 1.1 to 11.7), higher pain intensity (OR 4.0, 95% CI 1.4 to 11.5), poorer mental health (coefficient −17.9, 95% CI −24.5 to −11.2), lower vitality (coefficient −20.3, 95% CI −28.4 to −12.1), and more frequent sleep problems (OR 5.3, 95% CI 1.6 to 18.4). Partners who indicated positive aspects of caregiving further reported better mental health (coefficient 6.5, 95% CI 0.2 to 12.8). Objective burden was not related to any health indicator.

Conclusions

Subjective burden and lack of positive aspects of caregiving were associated with poorer physical and mental health. Caregiver health may be promoted through the strengthening of psychological and psychosocial resources.
Qualitative and quantitative assessment of posterior segment optical coherence tomography images using standard photos: the Liwan Eye Study
Authors: Wang Sean K , Guo Xinxing , Xiao Ou , Chen Yanxian , Liu Ran , Huang Wenyong , He Mingguang
Published: December 2017

Background/aims

To develop a standardised grading scheme, using standard photos, for spectral-domain ocular coherence tomography (SD-OCT) images of the posterior eye and evaluate the interobserver agreement among trained ophthalmologists in identifying pathological changes.

Methods

Subjects were recruited from Liwan District, Guangzhou, with SD-OCT data collection from June 2013 to November 2013 as part of 10-year follow-up visits from the Liwan Eye Study. All subjects underwent SD-OCT imaging of the macula with scanning lines analysed by two ophthalmologists to assess for the presence of 12 different posterior segment lesions. Per cent agreement for each lesion between the graders and quantitative measures of dome-shaped macula (DSM) height and choroidal thickness were calculated.

Results

A total of 679 SD-OCT images from 679 subjects were independently evaluated by the two graders. Each of the 12 lesions was successfully graded as present or absent in over 96% of images. For all lesions, per cent agreement between observers was over 90%, ranging from 90.7% for epiretinal membranes and retinal pigment epithelium thickenings to 99.7% for full thickness macular holes and retinal detachments. Quantitative measurements of DSM height and choroidal thickness at three locations of the eye all exhibited intraclass correlation scores between the two graders of greater than 0.9.

Conclusion

Our study demonstrates high concordance between graders in characterising posterior segment lesions using SD-OCT images, validating the continued use of this imaging modality in the diagnosis of posterior eye disease.
Assessment of medium-term cardiovascular disease risk after Japan’s 2011 Fukushima Daiichi nuclear accident: a retrospective analysis
Authors: Toda Haruka , Nomura Shuhei , Gilmour Stuart , Tsubokura Masaharu , Oikawa Tomoyoshi , Lee Kiwon , Kiyabu Grace Y , Shibuya Kenji
Published: December 2017

Objective

To assess the medium-term indirect impact of the 2011 Fukushima Daiichi nuclear accident on cardiovascular disease (CVD) risks and to identify whether risk factors for CVD changed after the accident.

Participants

Residents aged 40 years and over participating in annual public health check-ups from 2009 to 2012, administered by Minamisoma city, located about 10 to 40 km from the Fukushima Daiichi nuclear plant.

Methods

The sex-specific Framingham CVD risk score was considered as the outcome measure and was compared before (2009–2010) and after the accident (2011–2012). A multivariate regression analysis was employed to evaluate risk factors for CVD.

Results

Data from 563 individuals (60.2% women) aged 40 to 74 years who participated in the check-ups throughout the study period was analysed. After adjusting for covariates, no statistically significant change was identified in the CVD risk score postaccident in both sexes, which may suggest no obvious medium-term health impact of the Fukushima nuclear accident on CVD risk. The risk factors for CVD and their magnitude and direction (positive/negative) did not change after the accident.

Conclusions

There was no obvious increase in CVD risks in Minamisoma city, which may indicate successful management of health risks associated with CVD in the study sample.
Clinical features and prognosis of patients with acute non-specific chest pain in emergency and cardiology departments after the introduction of high-sensitivity troponins: a prospective cohort study
Authors: Ilangkovan Nivethitha , Mickley Hans , Diederichsen Axel , Lassen Annmarie , Sørensen Thomas L , Sheta Hussam Mahmoud , Stæhr Peter B , Mogensen Christian Backer
Published: December 2017

Objectives

To determine the incidence of clinical, cardiac-related endpoints and mortality among patients presenting to an emergency or cardiology department with non-specific chest pain (NSCP), and who receive testing with a high-sensitivity troponin. A second objective was to identify risk factors for the above-noted endpoints during 12 months of follow-up.

Design

A prospective multicentre study.

Setting

Emergency and cardiology departments in Southern Denmark.

Subjects

The study enrolled 1027 patients who were assessed for acute chest pain in an emergency or cardiology department, and in whom a myocardial infarction or another obvious reason for chest pain had been ruled out. Patients were enrolled from September 2014 to June 2015 and followed for 1 year.

Main outcome measures

Clinical, cardiac-related endpoints (cardiac-related death, acute myocardial infarction, unstable angina and coronary revascularisation) and all-cause mortality.

Results

Over a period of 1 year, cardiac-related endpoints were found in 19 patients (1.9%): 0 patients experienced cardiac-related death, 2 (0.2%) had myocardial infarction, 4 (0.4%) had unstable angina pectoris and 17 (1.7%) underwent coronary revascularisation. All-cause mortality was observed in seven patients (0.7%). When compared with the general population, the standardised mortality ratio did not differ. The risk factors associated with the study endpoints included male gender, body mass index >25 kg/m2, previous known coronary artery disease, hypertension, hypercholesterolaemia, diabetes mellitus and the use of statins. A total of 73% of the endpoints occurred in males.

Conclusion

The prognosis for patients with NSCP is favourable, with a 1-year mortality after discharge that is comparable with the background population. Few clinical endpoints took place during follow-up, and those that did were predominantly in males.
Two-epoch cross-sectional case record review protocol comparing quality of care of hospital emergency admissions at weekends versus weekdays
Authors: Bion Julian , Aldridge Cassie P , Girling Alan , Rudge Gavin , Beet Chris , Evans Tim , Temple R Mark , Roseveare Chris , Clancy Mike , Boyal Amunpreet , Tarrant Carolyn , Sutton Elizabeth , Sun Jianxia , Rees Peter , Mannion Russell , Chen Yen-Fu , Watson Samuel Ian , Lilford Richard
Published: December 2017

Introduction

The mortality associated with weekend admission to hospital (the ‘weekend effect’) has for many years been attributed to deficiencies in quality of hospital care, often assumed to be due to suboptimal senior medical staffing at weekends. This protocol describes a case note review to determine whether there are differences in care quality for emergency admissions (EAs) to hospital at weekends compared with weekdays, and whether the difference has reduced over time as health policies have changed to promote 7-day services.

Methods and analysis

Cross-sectional two-epoch case record review of 20 acute hospital Trusts in England. Anonymised case records of 4000 EAs to hospital, 2000 at weekends and 2000 on weekdays, covering two epochs (financial years 2012–2013 and 2016–2017). Admissions will be randomly selected across the whole of each epoch from Trust electronic patient records. Following training, structured implicit case reviews will be conducted by consultants or senior registrars (senior residents) in acute medical specialities (60 case records per reviewer), and limited to the first 7 days following hospital admission. The co-primary outcomes are the weekend:weekday admission ratio of errors per case record, and a global assessment of care quality on a Likert scale. Error rates will be analysed using mixed effects logistic regression models, and care quality using ordinal regression methods. Secondary outcomes include error typology, error-related adverse events and any correlation between error rates and staffing. The data will also be used to inform a parallel health economics analysis.

Ethics and dissemination

The project has received ethics approval from the South West Wales Research Ethics Committee (REC): reference 13/WA/0372. Informed consent is not required for accessing anonymised patient case records from which patient identifiers had been removed. The findings will be disseminated through peer-reviewed publications in high-quality journals and through local High-intensity Specialist-Led Acute Care (HiSLAC) leads at the 121 hospitals that make up the HiSLAC Collaborative.
Bile acid structure and bile formation: a comparison of hydroxy and keto bile acids
Authors: Sewell R. B. , Hoffman N. E. , Smallwood R. A. , Cockbain S.
Published: December 2017

The effect of four bile acids, taurocholic (TC), taurochenodeoxycholic (TCDC), tauro-3 alpha,7 alpha-dihydroxy-12-keto-5 beta-cholanoic (T12K), and cholic (C), on bile lipid and water secretion was studied in the bile fistula cat over a 20-fold range of bile acid secretion rates. The critical micellar concentration (CMC) and lecithin-solubilizing capacity of TC, TCDC, and T12K were measured in vitro. T12K and C produced a greater choleresis than TC or TCDC; phospholipid secretion was strikingly reduced with T12K; and cholesterol secretion strikingly increased with TCDC, with a high cholesterol-phospholipid ratio. The estimated CMCs of TC, TCDC, and T12K were 3.3, 0.7, and 6.2 mM respectively; the relative lecithin-solubilizing capacities were 4.4:2.6:1. We conclude that the micellar characteristics of the bile acids studied do not explain the differences in water and lipid secretion observed, and that effects within the hepatocyte may be equally important.
Anion-stimulated phosphohydrolase activity of intestinal alkaline phosphatase
Authors: Humphreys M. H. , Kaysen G. A. , Chou L. Y. , Watson J. B.
Published: December 2017

Phosphohydrolase activity of a highly enriched commercial preparation of calf intestinal alkaline phosphatase was stimulated in the presence of HCO3. SO4, Cl, SCN, and acetate did not stimulate hydrolysis, whereas SO3 exhibited a bimodal effect, stimulating at low (25mM) concentration but inhibiting at high (100 mM) concentration. The pH optimum of this stimulation by HCO3 or SO3 was 8.5--9.0 and was maximal at a Mg concentration of 0.5 mM. HCO3 increased the Vmax of the reaction without changing the Km for ATP. ATP, GTP, UTP, and xanthosine triphosphate were equally effective as substrates, whereas AMP and p-nitrophenyl phosphate were much less effective. Alkaline phosphatase activity was inhibited by L-cysteine and L-phenylalanine, compounds that also inhibited the HCO3-ATPase activity of the preparation. Passage of the commercial preparation through an anion-exchange column yielded a fraction with enriched alkaline phosphatase and HCO3-ATPase activities; this fraction proved to be a single protein on sodium dodecyl sulfate-polyacrylamide gel electrophoresis, on isoelectric focusing, and by immunologic techniques. These studies strongly suggest that alkaline phosphatase and anion-stimulated phosphohydrolase activities are properties of the same protein in small intestine. It is possible that alkaline phosphatase may function as a HCO3-ATPase involved in intestinal absorption and secretion.
A physiological model for hepatic metabolism of transferrin-bound iron
Authors: Batey R. G. , Williams K. , Milsom J. P.
Published: December 2017

Hepatic iron and transferrin uptake following intravenous injection of purified native rat transferrin has been studied in the rat. Livers were removed at varying time intervals postinjection and were fractionated by isopycnic density gradient centrifugation. Neither 59Fe or 125I (labeling transferrin) appeared in the lysosomal or mitochrondrial fractions at any stage up to 14 days. 59Fe first appears in the supernatant zone of the sucrose gradient and with increasing time postinjection passes through regions of increasing density. By 16 h 59Fe became established at a density of 1.10 g/cm3 and it was identified as ferritin. Ferritin persisted labeled with 59Fe for up to 14 days. The study suggests hepatic iron uptake does not involve endocytosis. Iron is incorporated into ferritin of increasing density. This model can be used for the study of iron metabolism in human biopsy samples.
Effects of sodium nitroprusside and verapamil on lower esophageal sphincter
Authors: Goyal R. K. , Rattan S.
Published: December 2017

Infusions of verapamil (V) and sodium nitroprusside (NP) caused dose-dependent reductions in the lower esophageal sphincter pressure (LESP) in anesthetized opossums. Verapamil caused a gradual fall during the infusion and a gradual recovery upon cessation of the infusion. On the other hand, NP caused a prompt reduction and a prompt recovery. Both the agents also caused a fall in arterial blood pressure, but the fall in LESP was not related to the fall in the blood pressure. Both the agents antagonized the tonic and the phasic components of the LESP and, in large doses, both drugs almost abolished the LESP. Esophageal contractions were also antagonized by both agents, although verapamil was more effective than nitroprusside in this regard. These studies show that phasic and tonic components of LESP are not related to distinctive verapamil and nitroprusside sensitive calcium activation systems. Moreover, the V- and NP-sensitive calcium activation systems may lie in series rather than parallel.
Effects of vitamin D on the absorption and retention of lead
Authors: Barton J. C. , Conrad M. E. , Harrison L. , Nuby S.
Published: December 2017

A relationship between lead retention and vitamin D has been recognized for many years, but the reasons for this association remained unknown. In rats, the manipulation of dietary vitamin D content had no significant effect on the absorption of lead from isolated gut loops and parenteral vitamin D stimulation did not affect lead absorption in rachitic animals. In contrast, dietary vitamin D deficiency and repletion resulted in increased absorption in intact animals due to prolonged gastrointestinal transit time. Both dietary vitamin D deficiency and repletion were associated with decreased body retention of radiolead given intravenously. Further, single doses of parenteral vitamin D administered to animals previously given tracer radiolead resulted in a dose-related enhancement of lead excretion and changes in tissue lead content.
Regular and irregular cycles of interdigestive contractions in the stomach
Authors: Itoh Z. , Aizawa I. , Honda R. , Takeuchi S. , Mori K.
Published: December 2017

We have previously reported that during the interdigestive state repeated episodes of high-amplitude contractions interrupted by long-lasting motor quiescence were seen to occur regularly until the next meal in the dog. However, none of the dogs used in our laboratory showed such regular changes in gastric motor pattern all the time during the interdigestive state. In the present study, we measured plasma motilin concentrations and intraduodenal pH together with gastric motor activity in conscious dogs. It was found that as long as intraduodenal pH remained between 7.0 and 8.5 the regular occurrence of the interdigestive contractions was closely associated with increases in the plasma immunoreactive motilin (IRM) concentration. However, when intraduodenal pH became acid, there were no typical interdigestive contractions even though plasma IRM concentration was elevated. We consider that high-amplitude contractions like the interdigestive contractions could not be evoked in the acid-secreting stomach even if the plasma IRM concentration was elevated during the interdigestive state. Acid secretion during the fasted state, the cause of which is not known, seems to be one of the main factors in disturbing the regularity of the interdigestive motor pattern.
Circadian rhythm of intestinal disaccharidases of rats fed with adiurnal periodicity
Authors: Saito M. , Kato H. , Suda M.
Published: December 2017

The circadian rhythm of the activities of maltase and sucrase of the small intestine were examined in rats kept under conditions of continuous lighting with various fixed feeding periodicities for 20 days. When rats were fed once every 24 h, the enzymes showed circadian rhythmic changes with high activities around the feeding time, and the enzyme rhythm persisted even during subsequent starvation. Similar rhythmic changes in the enzyme activities were found in rats fed once every 48 h. When rats were fed once every 32 h, the enzymes showed rhythmic changes with a period of 32 h, but the activities were lowest during the feeding time. The enzyme rhythm with a period of 32 h was replaced by a 24-h circadian rhythm as soon as the rats were starved. It was concluded that the circadian rhythmic changes in disaccharidase activities are controlled by an endogenous mechanism, and that some circadian time-keeping system participates in this mechanism.
Bombesin-induced desensitization of enzyme secretion in dispersed acini from guinea pig pancreas
Authors: Lee P. C. , Jensen R. T. , Gardner J. D.
Published: December 2017

Incubating dispersed acini from guinea pig pancreas with bombesin and then washing the cells to remove bombesin reduced the subsequent stimulation of amylase secretion caused by bombesin, litorin, or ranatensin by as much as 80%, but did not alter the stimulation of amylase secretion caused by cholecystokinin, carbamylcholine, A23187 or vasoactive intestinal peptide. This bombesin-induced desensitization was reversible, and the onset of the process, as well as its reversal, were time and temperature dependent. Neither desensitization or resensitization were inhibited by abolishing protein synthesis. The concentrations of bombesin required to cause desensitization were in the same range as those required to stimulate amylase secretion. Incubating pancreatic acini with vasoactive intestinal peptide did not reduce the subsequent stimulation of amylase secretion caused by vasoactive intestinal peptide, bombesin, or cholecystokinin. These results indicate that bombesin-induced desensitization of pancreatic acini reflects changes that occur at or close to the bombesin receptor.
Autoradiographic evidence for hepatic lobular concentration gradient of bile acid derivative
Authors: Jones A. L. , Hradek G. T. , Renston R. H. , Wong K. Y. , Karlaganis G. , Paumgartner G.
Published: December 2017

Using an iodinated bile-acid analog with hepatic uptake and transport characteristics similar to conventional bile acids, the hepatic lobular gradient concept of Goresky was studied utilizing autoradiography. 125I-labeled cholylglycylhistamine (125I-CGH) was infused into the portal veins of male Sprague-Dawley rats and the livers were fixed for light microscopic autoradiography at 1 and 5 min after infusion. In two animals, sequential samples of bile were collected to assess the transport characteristics of 125I-CGH. By 1 min, virtually all (98%) of the injected 125I-CGH was taken up and retained by hepatocytes after perfusion fixation. Less than 15% of the label was lost during subsequent tissue processing. 125I-CGH appeared in bile within minutes, reaching maximum levels at 7 min. Quantitative autoradiography demonstrated that the first six to nine periportal hepatocytes were, by far, the most active (P less than 0.0005) in sequestering the bile-acid analog than were the remaining cells in the lobule. This study, therefore, provides the first autoradiographic evidence of a hepatic lobular concentration gradient for the uptake of a bile-acid analog.
Phosphatidylinositol turnover and calcium movement in the rat pancreas
Authors: Calderon P. , Furnelle J. , Christophe J.
Published: December 2017

Carbamylcholine, bombesin, pancreozymin, and pentagastrin elicited a similar increase in amylase secretion and phosphatidylinositol turnover in rat pancreatic fragments. The concentration of each secretagogue that provoked half-maximal stimulation of amylase secretion was three to six times lower than that which induced half-maximal stimulation of phosphatidylinositol turnover. The increased turnover of phosphatidylinositols due to carbamylcholine or pancreozymin, but not the secretory response, persisted in a calcium-free medium or in 90% heavy water. The replacement of the media Na+ with Li+ increased an atropine-resistant turnover of phosphatidylinositols, but did not stimulate secretion. The ionophore A-23187 (in a medium containing 2.5 mM Ca2+) and 10 mM NaF induced a high secretory response, but exerted no effect on phosphatidylinositol turnover. K+ at a 70 mM concentration provoked a phosphatidylinositol effect and hypersecretion. Secretin, vasoactive intestinal peptide, dibutyryl cAMP, dibutyryl cGMP, 8-bromo cGMP, and N2-monobutyryl cGMP stimulated amylase secretion without an increased turnover of phosphatidylinositols. It is concluded that, in the rat pancreas, the increased turnover of phosphatidylinositols was directly associated with secretagogues inducing calcium movements.
In situ micropuncture study of pancreatic duct pH
Authors: Caflisch C. R. , Solomon S. , Galey W. R.
Published: December 2017

The pH and chloride concentration in the extralobular duct system of the rabbit pancreas was investigated by using glass-membrane pH microelectrodes and microsampling techniques. The response of pH microelectrodes was compared to that of a pH macroelectrode system in buffer solutions containing common interfering substances and it was found that the electrodes were insensitive to these substances. Final pancreatic juice electrolyte concentrations and osmolality were found to be similar to that observed by others. Under free-flow conditions, a significant pH gradient was found between small extralobular ducts (7.47) and final juice (8.03). This gradient was nearly obliterated on stimulation with secretin. Duct chloride concentrations were found to be similar in all duct sizes and final juice under unstimulated conditions and after stimulation with secretin. It is concluded that glass-membrane pH microelectrodes are reliable and accurate indicators of pH in this system. The present experiments suggest that the entire extralobular ductal system may participate in the secretion of an alkaline fluid.
Effects of a meal and gut hormones on plasma motilin and duodenal motility in dog
Authors: Lee K. Y. , Kim M. S. , Chey W. Y.
Published: December 2017

Cyclic increases in the motilin level that coincided with phase III activity of interdigestive myoelectric activity of interdigestive myoelectric activity of the duodenum produced varied plasma motilin concentrations in a fasting dog. Ingestion of a meat meal not only abolished the cyclic increases in motilin concentrations, but also resulted in a significant decrease in the plasma motilin level that was accompanied by phase II-like myoelectric activity of the duodenum, a so-called digestive pattern. Although intravenous gastrin or cholecystokinin octapeptide (CCK-OP) or a combination of gastrin, CCK-OP, and secretin converted the interdigestive myoelectric activity to a digestive pattern, the cyclic increases in plasma motilin levels coulc not be changed by these hormones. This study indicates that a cyclic increase in motilin concentration occurs during the interdigestive period, but not during the digestive period. Instead, a significant decrease occurs. These changes in plasma motilin levels do not appear to be produced by three known gut hormones that are released after ingestion of a meal.
Contribution of bile to postprandial intestinal hyperemia
Authors: Kvietys P. R. , Gallavan R. H. , Chou C. C.
Published: December 2017

The role played by bile in postprandial intestinal hyperemia was examined by comparing the vascular effects of luminal placement of various nutrients with and without bile in situ jejunal segments of anesthetized dogs. The bile concentration was either 10 or 33% of that in the gallbladder. At these concentrations, bile per se in the jejunal lumen does not alter local blood flow. In the absence of bile, only glucose increased flow (+5% above control). With 10% bile, glucose and oleic acid increased flow by 10 and 24%, whereas with 33% bile, glucose, oleic acid, caproic acid, and amino acids increased flow by 22, 21, 12, and 12% above control, respectively. Triolein increased flow only after digestion by pancreatic enzymes and mixing with bile. Dipeptides did not alter flow with or without bile. Thus, bile plays an important role in postprandial intestinal hyperemia because it potentiates the glucose-induced hyperemia and because only in its presence can oleic acid, amino acids, caproic acid, and digested triolein increase intestinal blood flow.
Effect of deoxycholic acid on colonic motility in the rabbit
Authors: Snape W. J. , Shiff S. , Cohen S.
Published: December 2017

The purpose of the study was to determine the effect of the bile salt, deoxycholic acid, on colonic myoelectrical and contractile activity recorded from a loop of proximal colon in the anesthetized rabbit. Myoelectrical activity was recorded from bipolar electrodes attached to the serosal surface of the proximal colon. Contractile activity of the circular smooth muscle was measured with a strain gauge attached in the circular direction on the serosal surface of the colonic loop. The colonic slow wave frequency was 12.5 +/- 1.1 cycles/min. The slow wave frequency throughout the loop was homogeneous with a low coefficient of variation of the slow wave frequency (5.8 +/- 0.3). There were spike potentials superimposed on 78.1 +/- 3.4% of the slow waves. The addition of 8 or 16 mM deoxycholic acid did not change the slow wave or spike activity. However, deoxycholic acid stimulated a dose-dependent increase in migrating action potential complexes. These complexes were associated with a forceful contraction of the circular smooth muscle that propelled luminal contents in the direction of the burst. Deoxycholic acid also stimulated an increase in luminal fluid content.
Xylose transport pathways in rabbit ileum
Authors: Heyman M. , Dumontier A. M. , Desjeux J. F.
Published: December 2017

The D-xylose transepithelial transport mechanism was examined in rabbit ileum in vitro. The net flux of D-xylose (Jxylnet) from mucosa to serosa is abolished in the presence of 10(-4) M ouabain. D-Xylose stimulates the net flux of sodium (JNanet) and the short-circuit current (Isc) equally. The D-xylose concentration at which delta Isc reaches half its maximal value is 70 +/- 5 mM. The steady-state intracellular D-xylose concentration ([X]c) is lower than the extracellular concentration in all the situations examined. However, [X]c is Na dependent. The unidirectional influx across the luminal membrane (Jxyl m leads to c) decreases by 50% in the absence of Na; the Na-dependent Jxyl m leads to c is entirely inhibited by D-galactose (40 mM). However, in the absence of Na, Jxyl m leads to c is not inhibited by D-galactose, D-fructose, D-mannose, 2-deoxy-D-glucose or phloretin. In the absence of Na, J xyl m leads to c is a linear function of extracellular D-xylose concentrations up to 300 mM. In the presence of 10 mM D-glucose, there is a linear relationship between transepithelial D-xylose permeability, and polyethylene glycol (4,000 mol wt) permeability. These results indicate the possible existence of a cellular and a paracellular route for D-xylose and related molecules.
Effect of 1,25-(OH)2D3 on jejunal absorption of magnesium in patients with chronic renal disease
Authors: Schmulen A. C. , Lerman M. , Pak C. Y. , Zerwekh J. , Morawski S. , Fordtran J. S. , Vergne-Marini P.
Published: December 2017

These studies were performed to see if jejunal malabsorption of magnesium in patients with chronic renal disease was influenced by therapy with 1 alpha, 25-dihydroxyvitamin D3 [1,25-(OH)2D3; 2 microgram/day by mouth for 7 days]. This treatment restored normal serum concentrations of the vitamin D metabolite from 0.9 +/- 0.2 to 4.2 +/- 0.6 ng/dl. Jejunal absorption of magnesium, measured by a triple-lumen constant-perfusion technique, was enhanced in each of the seven patients by this therapy. The mean value rose from 0.04 +/- 0.02 to 0.13 +/- 0.02 mmol . 30 cm-1 . h-1. This last value is similar to the magnesium absorption rate in untreated normal subjects. These results demonstrate that magnesium absorption in the human jejunum is dependent on vitamin D, and they show that 1 alpha,25-dihydroxyvitamin D3 therapy in patients with chronic renal failure is associated with an enhanced jejunal absorption of magnesium.
Substrate dependency for HCl secretion by isolated piglet gastric mucosa
Authors: Forte J. G. , Black J. A. , Forte J. G.
Published: December 2017

Gastric mucosa was isolated from newborn piglets and bathed with balanced salt solutions. In the presence of glucose (ca. 0.01 M), this gastric preparation has been shown to be responsive to histamine by relatively prompt and vigorous H+ secretory rates. Secretion is dependent on glucose concentration in the serosal bathing solution, showing saturation kinetics with an apparent Km of about 2 mM glucose. Acetate and pyruvate were about as effective as glucose in sustaining H+ secretory rates. Short-chain fatty acids supported secretory rates that were significantly lower than rates measured with glucose. The order of effectiveness was butyrate greater than valerate greater than hexanoate greater than propionate. The results show absolute dependence of H+ secretion by piglet gastric mucosa on exogenous substrate and the preferential utilization of carbohydrate sources as substrates for secretion. They suggest that it is unlikely for any specialized and essential involvement of fatty acids in the primary H+ secretory mechanism as had been previously proposed.
Passage of proteins through membranes--old assumptions and new perspectives
Authors: Rothman S. S.
Published: December 2017

This article contains a summary of the ideas that led to the development of the equilibrium theory of protein secretion as an alternative to the current cisternal packaging-exocytosis paradigm. The argument has at its base the philosophical view that the simplest hypothesis should be favored until it is explicity excluded by the weight of evidence. For the transport of molecules across biological membranes this simplest hypothesis is diffusion, and the equilibrium theory simply includes proteins under this rubric. The article then goes on to consider a particular group of experiments that bear on one of three tests of a diffusion mechanism--evidence for the equilibrating nature of the transport process. The evidence that is presented is consistent with a diffusion-based process and does not support secretion by exocytosis. The article then speculates on the potential means by which individual proteins may pass through membranes and focuses on the observed interactions between a digestive enzyme and the membrane phospholipid, phosphatidylinositol. The potential significance of such interactions in the membrane transport of proteins is discussed.
Transport of glucose and leucine by intestinal membrane vesicles in genetic diabetes
Authors: Bennetts R. , Ramaswamy K.
Published: December 2017

Na+-dependent D-glucose and L-leucine uptakes by isolated small intestinal brush-border membrane vesicles were studied in normal and genetically diabetic mice (C57BL/KsJ-dbm). Vesicles from normal mice demonstrated transport characteristics and morphological appearances identical to those from other mammalian small intestinal brush-border membrane isolates. There was no difference found between genetically diabetic mice and their littermate controls. These data suggest that the small intestinal brush-border membrane transport is not altered in genetic diabetes in contrast to that found in drug-induced diabetes.
Development of enzymatic conjugation and sulfation of bile acids in hamster liver
Authors: Jordan J. T. , Killenberg P. G.
Published: December 2017

In vitro levels of enzyme activity were measured in liver from fetal and developing hamsters to study the fetal immaturity and postnatal development of bile acid conjugation and sulfation. Sulfation and conjugation were measured in the same animals. Partial reactions of bile acid conjugation were assayed independently; sulfation of conjugated and unconjugated lithocholate was measured separately. From 3 days before to 3 days after birth, specific activity for sulfation of lithocholate and lithocholate conjugates was similar; lithocholate sulfation was 80% of adult levels. In older hamsters, specific activity for sulfation of lithocholate conjugates was significantly higher than that for lithocholate. Specific activities of both partial reactions of bile acid conjugation were 12% of adult levels from 3 days before to 3 days after birth. Thereafter both activities increased together; the ratio of glycine to taurine-dependent conjugation was similar at all ages. The data suggest early development of a separate mechanism for lithocholate sulfation. Enzymes catalyzing bile acid conjugation and sulfation of bile acid conjugates exhibit maximal development after birth.
Gastrin and somatostatin secretion by perfused rat stomach: functional linkage of antral peptides
Authors: Saffouri B. , Weir G. C. , Bitar K. N. , Makhlouf G. M.
Published: December 2017

The isolated vascularly perfused rat stomach was used to study the polarity, kinetics, and stoichiometry of gastrin and somatostatin secretion and the interaction of the two antral peptides. The secretion of gastrin (79%) and somatostatin (95%) was predominantly in the circulation. Methacholine (5 x 10(-8) to 5 x 10(-4) M) produced a biphasic dose-dependent increase in gastrin secretion. The maximal gastrin response (434 +/- 89% above basal levels; P less than 0.001) was partially inhibited by 10(-8) M atropine and completely inhibited by 10(-7) M atropine. Methacholine produced a dose-dependent inhibition of somatostatin secretion; the inhibition was blocked by atropine. An inverse relationship between the secretion of gastrin and somatostatin was noted in the basal state and during infusion of methacholine or prostaglandin E2; the latter had effects on gastrin and somatostatin secretion opposite to those of methacholine. The data, together with data reported elsewhere that somatostatin antiserum stimulates gastrin secretion in the perfused stomach, are consistent with the hypothesis that gastric somatostatin secretion exerts a continuous restraint on basal gastrin secretion and that stimulation of gastrin secretion may be mediated in part by inhibition of somatostatin secretion.
Local disorganization of interdigestive migrating complex by perfusion of a Thiry-Vella loop
Authors: Eeckhout C. , De Wever I. , Vantrappen G. , Janssens J.
Published: December 2017

In dogs, a 50-cm Thiry-Vella loop was perfused with different glucose solutions (10-60%) and the effect on the interdigestive migrating myoelectric complex was studied. The perfusions did not disrupt the interdigestive pattern outside the loop, but produced a progressive "fall-out" of phase III, related to the concentration of the glucose solution. Quantitative analysis of the spike activity in the loop showed that the interdigestive pattern was partially disrupted by the 10% glucose solutions and that the 50 and 60% glucose perfusions induced a typical fed pattern characterized by short periods of spike activity alternating with short periods of quiescence. It was concluded that 1) perfusion of a Thiry-Vella loop with glucose solutions changes the myoelectrical activity of the loop from an interdigestive to a digestive pattern without interfering with the migrating myopelectric complex outside the loop; and 2) this local disorganization must be mediated by factors interfering with the effector mechanism in the loop.
A possible relation between the regulation of gastric emptying and food intake
Authors: Hunt J. N.
Published: December 2017

The greater the concentration of energy (kcal/ml) in the gastric contents, the less is the volume rate of transfer per minute to the duodenum. Two sets of duodenal receptors are involved, one stimulated by the osmotic properties of the digestion products of carbohydrate and protein and one by the digestion products of fat. All three food stuffs slow gastric emptying equally when their concentration is expressed as kilocalories per mililiter. Doubling the energy density of food from 0.7 to 1.4 kcal/ml increased the transfer from 116 to 176 kcal/30 min (50% instead of to 232 kcal/30 min had there been no slowing of gastric emptying. Changing the energy density of formula feedings given to infants from 0.7 to 1.4 kcal/ml increased their food intake by 50%. A tendency to choose diets with a high energy density is characteristic of persons with relatively high weight-to-height ratio. It seems possible that the regulation of gastric emptying and the control of food intake have components in common and that rapid gastroduodenal transfer of energy may be associated with high food intake.
Neurohumoral control of esophageal epithelial electrolyte transport
Authors: Boyd D. D. , Carney C. N. , Powell D. W.
Published: December 2017

The neurohumoral control of epithelial esophageal electrolyte transport was investigated by studying the effect of various hormones and neuroeffector agents on the potential difference (PD) in vivo or on the electrical parameters of electrolyte transport in vitro. The rabbit esophagus, which has no submucosal esophageal glands, demonstrated no effect of pentagastrin, cholecystokinin octapeptide, or synthetic secretin in vivo, and no effect of these hormones or of vasopressin, aldosterone, carbachol, epinephrine, or cAMP in vitro. The rabbit esophagus did respond to metabolic substrates (glucose) in vitro by increasing sodium absorption. In contrast, the opossum esophagus, which contains extensive submucosal glands, had a lower electrical resistance, PD, short-circuit current, and sodium absorption with higher chloride secretion. This esophagus responded to carbachol and epinephrine by sodium and chloride secretion. We believe that only the submucosal glands of the esophagus are under significant neurohumoral control while the sodium transporting function of the stratified squamous epithelium of this organ is important in maintaining its barrier function.
Stimulus-permeability coupling in rat lacrimal gland
Authors: Parod R. J. , Putney J. W.
Published: December 2017

Incubation of isolated cells wtih 10(-2) M ethylene glycol-bis-(beta-aminoethylether)-N,N'-tetraacetic acid or cobalt inhibits 22Na and 45Ca uptake stimulated by carbachol. The artificial introduction of Ca into the cytosol by the cation ionophore A23187 also initiates the 22Na uptake. Amiloride (10(-5) M) partially inhibits 22Na uptake induced by carbachol, but has no effect on receptor-stimulated 45Ca uptake or 86Rb release. Tetrodotoxin (TTX) has no effect on 22Na uptake stimulated by carbachol, whereas methoxyverapamil (D 600) produces a small but significant decrease in both 22Na and 45Ca uptake. This effect of D 600 may be related to a block of receptor activation and not to a block of Ca channel activation. Incubation in high K (56 mM) does not prevent the change in membrane permeability to Ca, K, and Na initiated by carbachol. It is concluded that carbachol stimulates the influx of Ca; the rise in the cytosolic Ca concentration then couples receptor activation to a change in membrane permeability to K and Na. The permeability mechanisms for Ca, K, and Na that are activated by carbachol appear to be specific for each of the three cations and appear to be dissimilar to permeability mechanisms in excitable tissue that carry the same ions.
Jejunal transport properties of piebald mouse model for Hirschsprung's disease
Authors: Cooke H. J. , Henning H. J. , Wood J. D. , Cooke A. R.
Published: December 2017

Unidirectional fluxes of alanine, methionine, and Na were measured in jejunal segments from 3- to 4-wk-old normal (N) mice or mice with congenital (P) or induced (I) megacolon in the absence of electrochemical gradients. Short-circuit currents were 286.8 +/- 16.3 and 302.1 +/- 32.6 mu A/cm2 for P and I mice, respectively, and were approximately 1.5-2 times greater than in N mice. Tissue conductances averaged 42.3 +/- 0.6 and 39.3 +/- 3.4 mS/cm2 for P and I mice, respectively, and were twice those found in N mice. Net Na absorption was 2-3 times greater in P than N mice and was increased by addition of alanine. Alanine and methionine were actively absorbed and the net fluxes of alanine were 2-3 times greater in p and I mice than in normals. Unidirectional alanine influx was enhanced in P and I mice. Jmax of 9.7 +/- 2.6 and 14.2 +/- 1.0 micro M x cm-2 x h-1 were obtained for N and P mice, respectively. These results show that the transport properties of jejunal mucosa of mice with megacolon differ from those of N mice. Mice with megacolon absorb alanine and Na at a greater rate than N mice and the enhanced amino acid absorptive rate can be explained by an increased alanine influx, probably due to an increased number of active transport carriers.
In vitro primate gastric mucosa: electrical characteristics
Authors: Tripathi S. , Rangachari P. K.
Published: December 2017

Ion transport by the resting, isolated, rhesus gastric mucosa was assessed under conditions of minimal diffusion limitation to oxygen by 1) the substitution of Na+ and Cl- of the bathing solutions with less permeant ions, 2) the drugs amiloride and ouabain, and 3) estimation of net fluxes of 22Na by methods designed to circumvent the problem of poorly matched tissues. The mucosae developed potential differences of 51.3 +/ 3.5 mV, serosal side positive and had conductances of 5.56 +/- 0.30 mS x cm-2. The permeabilities of the tissues to D-mannitol were between 7.80 x 10(-7) and 3.15 x 10(-7) cm x s-1. The relatively high conductance of this epithelium in the absence of significant edge damage and a low (32%) paracellular conductance stems mainly from a passive permeability to Cl-; active absorption of Na+ and active secretion of Cl- contribute equally to the short-circuit current. The mucosal entry step for Na+ is amiloride sensitive, whereas the serosal exit step can be inhibited by ouabain. The entry step for Cl- at the serosal membrane is possibly sodium dependent.
Muscarinic and alpha-adrenergic stimulation of Na and Ca uptake by dispersed lacrimal cells
Authors: Parod R. J. , Leslie B. A. , Putney J. W.
Published: December 2017

Rat lacrimal gland acinar cells were isolated and observed to be physiologically stable for several hours of incubation in vitro. With a double-isotope technique, it was found that carbachol and epinephrine stimulated the uptake of 22Na and 45Ca by lacrimal cells. These respnses were maximal at agonist concentrations of 10(-5) M and were blocked by atropine and phentolamine, respectively. It is concluded that muscarinic and alpha-adrenergic receptor activation increase the membrane permeability of the lacrimal gland acinar cell to Na and Ca, ions that may be important in the secretion of water by the lacrimal gland.
Isolated parietal cells: [3H]QNB binding to putative cholinergic receptors
Authors: Ecknauer R. , Thompson W. J. , Johnson L. R. , Rosenfeld G. C.
Published: December 2017

The tritiated muscarinic cholinergic antagonist quinuclidinyl benzilate, [3H]QNB, was used as a direct probe for the detection and characterization of muscarinic cholinergic receptors associated with the particulate fraction of isolated and purified rat gastric muscosal parietal cells. Specific binding is saturable (Bmax = 55 fmol/mg protein, KD = 0.78 nM), shows a single population of binding sites, and has appropriate pharmacological specificity. Nanomolar concentrations of muscarinic cholinergic antagonists, such as atropine and scopolamine, inhibit [3H]QNB binding by 50%, whereas micromolar concentrations are needed for agonists, such as acetylcholine, oxotremorine, and carbamylcholine. Binding is also stereoselective as shown by the more than 1,000-fold difference in inhibitory potencies of the stereoisomers of benzetimide. Noncholinergic agents, including pentagastrin, histamine, and the H2-receptor antagonists cimetidine and metiamide, have little or no effect on [3H]QNB binding at concentrations of 100 microM. These data support the existence of specific parietal cell muscarinic cholinergic receptors with which the secretagogue acetylcholine may directly interact to initiate gastric acid secretion.