Obesity in the United States is a medical crisis with many people attempting to lose weight with caloric restriction. Some patients choose minimally invasive weight loss solutions, such as intragastric balloon systems. These balloon systems were approved by the Federal Drug Administration (FDA) in 2015-2016 and have been considered safe, with minimal side effects. We report a patient with a two-day history of melena, abdominal pain, hypotension, and syncope which developed five months after placement of an intragastric balloon. Esophagogastroduodenoscopy with balloon removal revealed a small 8-mm gastric ulcer in the incisura. This gastric ulcer probably developed secondary to mechanical compression of the stomach mucosa by the gastric balloon which contained 900 mL of saline. The FDA is now investigating five deaths since 2016 associated with these second-generation balloons. Clinicians should be aware of these complications when evaluating patients with gastrointestinal complications, such as bleeding.
Vestibular dysfunction has rarely been reported in MELAS syndrome. A 40-year-old male with long-term diabetes and hearing loss experienced a stroke-like episode with hemisensory disturbance and lactic acidosis. Brain MRI showed temporo-parieto-occipital cortical lesions, and a final diagnosis was made of MELAS syndrome with the mitochondrial 3243A>G mutation. Neuro-otologic evaluations revealed anterior-canal-sparing bilateral impairments of the vestibulo-ocular reflex in the video head impulse test and no caloric paresis. This unique pattern of vestibular dysfunction may aid in diagnosing MELAS syndrome.
Gaddy, Matthew A.;Kuang, Swana;Alfhili, Mohammad A.;Lee, Myon Hee
BMB Reports
/
v.54
no.5
/
pp.253-259
/
2021
Aging is characterized by a functional decline in most physiological processes, including alterations in cellular metabolism and defense mechanisms. Increasing evidence suggests that caloric restriction extends longevity and retards age-related diseases at least in part by reducing metabolic rate and oxidative stress in a variety of species, including yeast, worms, flies, and mice. Moreover, recent studies in invertebrates - worms and flies, highlight the intricate interrelation between reproductive longevity and somatic aging (known as disposable soma theory of aging), which appears to be conserved in vertebrates. This review is specifically focused on how the reproductive system modulates somatic aging and vice versa in genetic model systems. Since many signaling pathways governing the aging process are evolutionarily conserved, similar mechanisms may be involved in controlling soma and reproductive aging in vertebrates.
This paper reviews the magnetic refrigeration technology that is a novel cooling method utilizing magnetic field to obtain low temperature. The key component of the refrigeration is a novel magnetic refrigerant which should possess sufficiently large magneto-caloric effect so that a pseudo-Carnot magnetic refrigeration cycle can cover reasonably large temperature span. Otherwise, a regenerative concept should be employed to expand the temperature span of the refrigeration cycle. There is a growing interest in magnetic refrigeration as a viable refrigeration technology not only for cryogenics as well as room temperature range. This paper covers historical developments, fundamental concepts, key components, application classification, and recent research trend of magnetic refrigerators.
Purpose: This study was designed to characterize the nutritional status and assess obesity to determine the relationship between obesity and serum lipid profiles in 6~7 year old children. Methods: In 2007, we surveyed 483 children (233 boys and 250 girls) aged 6~7 years. The total cholesterol, triglyceride levels and HDL-cholesterol were measured in the fasting state. Dietary information was obtained by a questionnaire. Results: The prevalence of obesity was 9.9%. There was no significant difference between genders. The mean caloric intake was 1,781 kcal in boys and 1,640 kcal in girls. The prevalence of excessive calories was 33% in boys and 30% in girls. The prevalence of a total cholesterol ${\geq}$200 mg/dL was 8.4%, TG ${\geq}$130 mg/dL was 5.0%, LDL-cholesterol ${\geq}$130 mg/dL was 3.1%, and HDL-cholesterol <35 mg/dL was 4.4%. The prevalence of hypertension was 2.1%. There was no significant difference between genders. The systolic blood pressure, triglyceride levels and LDL-cholesterol were significantly related to an increased obesity index (p<0.05). The mean caloric intake and nutritive component were not related to the obesity index. The obesity group was compared to the control group: for triglycerides ${\geq}$130 mg/dL the odds ratio was 4.08; for LDL-cholesterol ${\geq}$130 mg the odds ratio was 2.85; for a TC/HDL-cholesterol ${\geq}$4.0 the odds ratio was 1.16. The BMI and triglyceride levels in the group with hypertension were higher than control group (p<0.05). There were significant positive correlations between the BMI and blood pressure as well as the LDL-cholesterol and triglycerides (p<0.05). The BMI was not correlated with the mean caloric intake or nutrition. Conclusion: The prevalence of hypertension and hyperlipidemia in 6~7 year old children was significantly related to an increased obesity index. The management of obesity in 6~7 year old children should include a reduction in the risk for hyperlipidemia and hypertension.
Although biomass syngas is very low calorific gas, it is utilized by means of dual fuel combustion technology in the fields of industrial furnace and boiler as a substitute oil technology. The basic structure of duel fuel combustion burner is designed so that low caloric gas fuel is supplied around an oil burner in the middle. In the present study, three types of mixing burners were manufactured to conduct performance experiment. Low caloric gas was evenly distributed around the oil burner and the method of changing the angle of gas nozzle was applied. CO generation decreased according to the increase of the amount of air for combustion. In addition, the shapes and colors of flame changed according to the proportions of gas and oil used. Remained flame after combustion was from the lack of atomization at the exit of oil burner. Although it was difficult to maintain the optimum air ratio due to different required air ratio for oil and syngas, stable combustion was able to maintained within excess oxygen concentration of 4.7~8.2%. From this study, it was shown that the oil atomization at the exit of fuel oil nozzle was promoted by the increased rate of syngas combustion and the CO concentration in flue gas lower than only fuel oil combustion.
Jo, Tae-Su;Lee, Oh-Kyu;Ahn, Byung-Jun;Choi, Joon-Weon
Journal of Korea Foresty Energy
/
v.25
no.1
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pp.9-17
/
2006
Properties of wood charcoal made from the domestic wood species at $300-900^{\circ}C$ have investigated to understand the correlation between carbonization temperature and chemical and physical characteristics of wood charcoal. In terms of charcoal yield at particular carbonization temperatures, it was drastically decreased until the temperature reaches up to $600^{\circ}C$ and the decrease ratio of yield was reduced at higher temperatures. As the carbonization temperature increased, pH of the wood charcoal increased so that it became basic at last. The wood charcoal prepared at $600{\sim}700^{\circ}C$ showed the highest caloric value and those of wood charcoals made at higher temperature became plateau at a little lower level than the peak. The caloric value of Japanese larch charcoal was a bit higher than that of Red oak charcoal. The carbon content in the wood charcoal was increased as the carbonization temperature increased, whereas the hydrogen content was decreased. Specific surface area of the wood charcoal became larger with increase in temperature up to $600^{\circ}C$ but it was decreased or reduced in the increasing ratio after, and then it rose again at higher temperature than $800^{\circ}C$. Absorption capacity of the wood charcoal against iodine and gaseous acetic acid became greater as the carbonization temperature increased. Japanese larch charcoal presented higher absorption capacity than Red oak charcoal. As the above results, it is revealed that carbonization temperature affects the chemical and physical properties of wood charcoal. Therefore, to use wood charcoal with maximum effect it should be prepared at optimum temperature for proper use.
Chung Sang-Jin;Han Young Shin;Chung Seung Won;Ahn Kang-Mo;Park Hwa Young;Lee Sang Il;Cho Young Yeun;Choi Hye Mi
Journal of Nutrition and Health
/
v.37
no.7
/
pp.540-549
/
2004
Infants and children with food related Atopic Dermatitis (AD) need extra dietary efforts to maintain optimal nutrition due to food restriction to prevent allergy reactions. However, nutrition ignorance and food faddism make patients even more confused and practice desirable diet more difficult. The objective of this study was to report the AD patients' malnutrition cases in Korea. We report on 2 cases of severe nutritional deficiency caused by consuming macrobiotic diets which avoid processed foods and most animal foods, i.e. one of vegetarian diet. Case 1, a 12-month-old male child, was admitted with severe marasmus. Because of a history of AD, he was started on mixed grain porridge at 3 months without any breast milk or formula feeding. His caloric intake was 66% and protein intake was 69% of the recommended dietary allowance. Patient's height and weight was under 3th percentile. On admission the patient was unable to crawl or roll over. Case 2, a 9-month-old AD female patient, was diagnosed with kwashiorkor and rickets. She was also started on mixed grain porridge at 100 days due to AD. Her caloric intake has been satisfied recommended dietary allowance until 7 months, however, she conducted sauna bath therapy and reduced both energy and protein intake at 8 months. The amount of protein intake for case 2 was higher than recommended dietary allowance, but, sauna therapy and severe AD with intakes of low guality protein may increase patient's protein requirement resulting in kwashiorkor. Case 2 patient's height and weight was on 3th percentile. Both cases showed low intake of calcium, iron, zinc, vitamin A, vitamin E and especially very low intake of vitamin B$_{12}$ and vitamin D. Allergy tests for certain foods had not done prior to admission for both cases. They followed the dietary advise operated by macrobiotic diet internet site. In conclusion, AD infants' parents and caregivers should contact a pediatrician trained as a specialist in allergy for accurate diagnosis. For infant patients, breast or formula feeding including hypoallergenic formula should be continued until their one year of age. When certain foods need to be restricted or to follow special diets such as vegetarian diet, consultation with pediatrician and dietitian is needed.d.
The relationship between diet diversity and nutrient intake was studied. Diet diversity, caloric intake and dietary nutrient density values were examined as contributors to the level of selected nutrients with the use of data obtained from 14-day dietary records of 60 college women. The subjects were grouped into quartiles on the basis of level of intake of each of the specific nutrients. The indexes of diet diversity were the number of different food items and Shannon & Weaver's diversity index. Differences in diet diversity were found among nutrients and indexes. In general, calorie and protein intake were more diverse, on the other hand, intake of vitamins A and C were less diverse. With the exception of calcium, iron, vitamin $B_1$, niacin and vitamin C, the number of food items increased at each quartile of intake of specific nutrients. It was concluded that for some nutrients(as with fat), the number of food items consumed may be useful in estimating nutrient intakes. For other nutrients(as with calcium), utilization of nutrient-specific diversity indexes is necessary. Increased nutrient intake was accompanied by increased caloric intake(except vitamins A and C) and dietary nutrient density for all nutrients.
The purpose of this study was to investigate dietary fat and individual fatty acids intake pattern of 174 college women living in Seoul and Gyong-gi province through internet nutritional assessment system. Each of the subjects was required to input their own food intake for three days, which included two days during the week and one day of the weekend, on the web program directly and all of the data collected were used for statistical analysis. The mean daily caloric intake of the subjects was 1,500.9 kcal which was at 71.5% of Estimated Energy Requirement (EER). Dietary fat contributed 27.6% of the total caloric intake which was slightly higher than the recommended limit of 25%. Daily cholesterol intake was 310.0 mg, which was also high to some degree. Mean daily N6 and N3 fatty acid intake was 6.1 g and 0.9 g, respectively, and calory % calculated from each were 3.63% and 0.53%. This result showed the intake of N3 fatty acid fell in Acceptable Macronutrient Distribution Ranges (AMR) $0.5\sim1.0%$ but that of N6 fatty acid was somewhat lower than the AMDR $4\sim8%$. N6/N3 ratio 8.5/l, however, was within the desirable range $4\sim10/1$. Considering overall dietary fatty acids intake, oleic acid was the most abundant, followed by linoleic and palmitic acid. And among polyunsaturated fatty acids intake, linoleic acid was exclusively high, accounting for 97.4% of total N6 fatty acid intake. On the contrary, three fatty acids, linolenic (67.3%), DHA (21.1%) and EPA (10.0%), together supplied 98.4% of total N3 fatty acid intake. Mean P/M/S was 0.9/l.1/1.0. The subjects' intake of fat, many fatty acids and cholesterol came from diverse food groups including meats, fats and oils, milk and milk products, eggs, fish, and soybean products. Nevertheless, the subjects tended to show unfavorable fat and fatty acids intake pattern in terms of quantity and quality. Based on these results, it is important to monitor dietary fat intake pattern of the general population continuously and an internet program such as the one used for this study would be valuable, especially for assessing dietary patterns in the younger generation.
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