Nutrient composition and nutritional importance of green leaves and wild food resources in an agricultural district, Koutiala, in southern Mali

This paper discusses the nutrient composition and the nutritional importance of green leaves and wild gathered foods in an area with surplus food production in Mali. In this West African country, there is little information about the nutrient composition and the nutritional quality of foods in general, and of wild gathered foods in particular. Food frequency was collected in two cross-sectional surveys. Focus group discussions with women in the area were used to collect information about seasonality, availability and preparation of various foods. Selected food samples were collected for chemical analysis of nutrient composition. The food samples of green leaves (Adansonia digitata, Amaranthus viridis, Tamarindus indica, Allium cepa), seeds and flour (Parkia biglobosa) and fruits (Tamarindus indica) were analysed for water, energy, fat, protein, minerals, amino acids and carotenoids. Availability and use of the foods varied with seasons. In the rainy season, wild gathered foods (e.g. A. digitata) were used as much as fresh cultivated foods (e.g., A. viridis and A. cepa). The wild food resources were more frequently used in rural than in urban areas, with A. digitata as the dominating green leaves. Green leaves were rich in energy, protein and minerals (calcium, iron). Leaves of A. viridis were, in particular, rich in beta-carotene (3290 micrograms/100 g). Chemical score in dried green leaves varied from 47 (A. cepa) to 81 (A. digitata), with lysine as the first limiting amino acid. P. biglobosa fermented seeds, with 35% fat and 37% protein were a complementary source of lysine in the diet. Based on the seasonality, the frequency of use and the nutrient contents of selected green leaves and wild gathered foods in Koutiala district, it is concluded that these traditional and locally produced foods are valuable and important nutrient contributors in the diet both in rural and urban areas, but most important in rural areas.

Vascular plants as sensitive indicators of lead and PCB transport from local sources in the Canadian Arctic

Vascular plants collected at background locations in the Canadian Arctic were assessed as biological indicators of the aerial transport of contaminants from nearby military radar sites. Significantly higher levels of lead and PCBs were found in plants from site background areas (collected up to 10 km from any known sources of contamination) than remote locations (collected at least 20 km away from any human activity) which indicates that these contaminants are being aerially redistributed from the sites to plants in surrounding background areas. An analysis of individual PCB congener signatures in plant site background samples using principal components analysis (PCA) revealed that the past use of specific commercial PCB formulations at these sites, such as Aroclor 1260 on the east coast, is reflected in the PCB congener signature present in the plants. The implications of these findings in terms of elucidating sources and the distribution of contaminants in the Canadian Arctic are discussed.

Altered load history affects periprosthetic bone loss following cementless total hip arthroplasty

Dual energy x-ray absorptiometry was used to measure periprosthetic, distal femoral, and proximal tibial bone mass in the affected and contralateral limbs of eight patients 10 years after unilateral total hip arthroplasty with a cementless, porous-coated titanium alloy femoral stem. Gait analyses to assess the presence of asymmetries in loading of the lower extremities were also performed 10 years postoperatively. The patients had excellent clinical results and no other significant lower extremity pathology. On the basis of comparison of the affected and unaffected proximal femora, bone loss adjacent to the proximal medial aspect of the femoral stem was determined to be 34% (p < 0.001). However, the patients also had 16% less bone in the ipsilateral proximal tibia (p = 0.003) and 15% less bone in the ipsilateral femur 3 cm distal to the prosthesis (p = 0.007) compared with the contralateral limb. When normalized to the asymmetry in tibial bone mineral content, the estimated proximal medial periprosthetic bone loss was still statistically significant, but the magnitude was reduced from 34 to 17% (p = 0.009). The gait analyses indicated that several measures that influence the loads at the hip and knee joints were reduced in the involved limb compared with the contralateral limb. Furthermore, the bilateral difference in the vertical component of the external force acting on the proximal tibia was correlated with the bilateral difference in tibial bone mineral content (r = 0.80, p = 0.02). These data suggest that two mechanical factors, the local stress-shielding effect of the prosthesis and the global effect of decreased loading of the limb, can both make significant contributions to periprosthetic bone loss. It is apparent that the magnitude of the periprosthetic bone loss related to stress-shielding has been overestimated by as much as 50% in retrospective studies.

Augmentation of femoral neck fracture fixation with an injectable calcium-phosphate bone mineral cement

The first goal of this study was to determine if augmentation with an injectable, in situ setting, calcium-phosphate cement that is capable of being remodeled and was designed to mimic bone mineral significantly improved the strength and stiffness of fixation in a cadaveric femoral neck fracture model. The second goal was to determine if greater increases in fixation strength were achieved as the bone density of the specimen decreased. Sixteen pairs of fresh cadaveric human femora with a mean age of 70.9 years (SD = 17.2 years) were utilized. The bone density of the femoral neck was measured with dual-energy x-ray absorptiometry. The femoral head was impacted vertically with the femoral shaft fixed in 12 degrees of adduction using a materials testing machine to create a fully displaced fracture. Following fracture, 30% inferior comminution was created in each specimen. One randomly chosen femur from each pair underwent anatomic reduction and fixation with three cannulated cancellous bone screws, 7 mm in diameter, in an inverted triangle configuration. The contralateral femur underwent the same fixation augmented with calcium-phosphate cement. Specimens were preconditioned followed by 1.000 cycles to one body weight (611.6 N) at 0.5 Hz to simulate single-limb stance loading. The stiffness in the first cycle was observed to be significantly greater in cement-augmented specimens compared with unaugmented controls (p < 0.05). After cycling, each specimen was loaded at 10 mm/min until complete displacement of the fracture surface and failure of fixation occurred. Specimens augmented with bone mineral cement failed at a mean of 4,573 N (SD = 1,243 N); this was significantly greater (p < 0.01) than the mean for controls (3,092 N, SD = 1,258 N). The relative improvement in fixation strength (augmented/control x 100%) was not inversely correlated to femoral neck bone density (p = 0.25, R2 = 0.09), was weakly correlated to the volume of cement injected (p = 0.07, R2 = 0.22), and was inversely related to the fixation failure load of the control specimen (p = 0.001, R2 = 0.54). There was a mean relative improvement in fixation strength of 169.6% (SD = 77.5). These findings suggest that calcium-phosphate cement provides initial beneficial augmentation to fixation of femoral neck fractures.

Uranium isotopic distribution in the mineral phases of granitic fracture fillings by a sequential extraction procedure

In order to study the recent rock-water interaction processes in the E1 Berrocal site, a sequential leaching method has been applied to granitic fracture fillings to obtain the U isotopic distribution in the mineral phases of these samples. Based on the mineralogical composition of these materials, six dissolution steps have been chosen to extract U as exchangeable cation, from carbonates, amorphous Fe-oxyhydroxides, labile resistates and highly insoluble resistates. In this way, the processes involved in the rock-water interaction phenomena, mainly dissolution, precipitation, coprecipitation and adsorption can be distinguished and even approximately dated.

Monitoring the caries process. Optical methods for clinical diagnosis and quantification of enamel caries

Early detection of a caries lesion would enable the dentist, by using effective prophylactic measures, to enhance remineralization and conservation of the tooth substance rather than restoration of the dentition. The presently-used diagnostic methods of detecting early lesions require visual observation. Reflected light is used to detect changes in color, texture, and translucency of the tooth substance. Attempts to improve the traditional methods or to develop new ones have been numerous. For clinical use, only 2 quantitative methods are presently available: (i) a method based on the scattering of light by enamel crystals in relation to their surrounding environment, and (ii) a method that uses visible laser light within the blue-green region as the light source to excite the autofluorescence of enamel. The possibilities and limitations of these methods are evaluated, and clinical applications are presented and discussed.

Effect of dietary copper and fat on nutrient utilization, digestive enzyme activities, and tissue mineral levels in weanling pigs

Two 15-d nutrient balance trials were conducted using a total of 32 weanling barrows (averaging 6.8 kg, 26 d). The effect of the addition of 15 or 250 ppm Cu (as CuSO4.5H2O) to diets containing 0 or 5% added animal fat on nutrient utilization, digestive enzyme activities, and tissue mineral levels in weanling pigs was investigated. In each trial, four groups of four littermate barrows were randomly assigned to one of four treatments in a 2 x 2 factorial arrangement. The addition of 250 ppm Cu improved apparent fat digestibility and apparent nitrogen retention (P < .02). The addition of 5% fat increased apparent fat digestibility (P < .01). There were no Cu x fat interactions (P > .10) for any of the digestibility indices measured. The addition of 250 ppm of Cu stimulated small intestinal lipase (P < .01) and phospholipase A (P < .05) activities but had no effect (P > .10) on pancreatic lipase or phospholipase activities and no effect on trypsin, chymotrypsin, or amylase activities in the small intestine or the pancreas. The addition of 250 ppm Cu to the diet increased Cu (P < .001) in plasma, liver, and kidney and decreased Fe in plasma (P < .05) and liver (P < .02). The addition of 5% fat increased Fe in kidney (P < .05) and heart (P < .08). Copper x fat interactions were observed for spleen Ca (P < .01), Mg (P < .08), Na (P < .05), and K (P < .08) and spleen weight (P < .05). In additional in vitro assays, increased Cu concentrations tended to consistently stimulate purified porcine pancreatic lipase activity (linear, P < .01) but not purified porcine pancreatic phospholipase A activity (P > .10). The results from this study indicate that 250 ppm Cu stimulated intestinal lipase and phospholipase A activities, leading to an improvement of dietary fat digestibility in weanling pigs.

Microradiography and confocal laser scanning microscopy applied to enamel lesions formed in vivo with and without fluoride varnish treatment

The aim of the present investigation was to combine 2 techniques suitable for lesion characterization: quantitative microradiography (TMR) and confocal laser scanning microscopy (CLSM) on in vivo induced lesions with and without a fluoride varnish (Duraphat) treatment. Orthodontic bands were attached to premolars to be extracted for orthodontic reasons to induce enamel caries on the buccal surfaces. In the caries development part of the study, 1 tooth of each pair received at the start 1 topical application with the fluoride varnish Duraphat, the contralateral tooth serving as untreated control. All teeth were extracted after 4 weeks. In the caries progression part, the premolars were banded for 4 weeks without any treatment to induce caries, 1 premolar in each pair was then extracted and analyzed. The contralateral tooth received one Duraphat application and was extracted after another 2 weeks. In the caries development part of the study, TMR analysis showed that the Duraphat treatment on sound enamel reduced lesion depth by 48% compared to the untreated control. In the caries progression part, no significant difference was found between the untreated teeth extracted after 4 weeks and the fluoride treated lesions extracted after another 2 weeks. CLSM images agreed well with the TMR measurements. In the fluoride treated lesions, the CLSM images showed more light scattering indicating precipitation of material.

Exposure to total and respirable minerals in an abrasive manufacturing facility

This work describes the qualitative and quantitative determination of some elements found in emery dust in air from abrasive manufacturing industry materials. The analysis of samples was done by neutron activation analysis and atomic absorption spectrometry techniques. Silicon, aluminum, chromium, iron, magnesium, calcium, bromine, manganese, zinc, lead, nickel, and vanadium elements were found. The concentration of silicon in the sampling area was 15.87 +/- 0.87 mg/m3 and 7.93 +/- 0.45 mg/m3 to personal samples, which exceed the threshold limit values (TLV). The other elements were present in concentrations lower than their respective TLVs.

Body composition in patients on home parenteral nutrition

Dual energy X-ray absorptiometry (DXA) measures and separates three of the principal compartments of the body, fat mass (FM), fat-free mass (FFM), comprising muscle, inner organs and body water, and the total bone mineral content (TBMC). The aim of the present study was to determine body composition by DXA scan in 37 patients who had been on home parenteral nutrition (HPN) for 6-216 months. The height and weight of patients were significantly lower when compared to a group of healthy subjects. The weight, however, was relatively more reduced than the height. This is reflected by a significantly reduced body mass index in young female and male patients (p < 0.05). Fat-free mass and total body mineral content were significantly reduced (p < 0.05) in patients on home parenteral nutrition compared to a group of healthy subjects. However, the percentage of fat-free mass was unchanged. No significant change in fat mass was observed. We conclude that patients, with intestinal failure due to short bowel syndrome, who are on HPN have a smaller body size with a normal relative body composition.

In vitro mineral binding capacity of three fiber sources for Ca, Mg, Cu and Zn by two different methods

Acid-washing centrifugation (AWC) and cold-hot-water-enzyme incubation (WEI) methods were used to study the binding capacity (BC) of wheat bran, rice bran, and oat fiber for calcium, magnesium, copper, and zinc. Treated fibers were analyzed for protein, phytic acid (PA), total dietary fiber (TDF), and minerals. Protein content was significantly (P < 0.05) lower in WEI fibers than AWC fibers. WEI fibers had low protein concentration and no PA but higher TDF values (P < 0.05). Levels of Mg were the highest among the minerals studied. AWC treatment was significantly (P < 0.05) more efficient in stripping minerals than the WEI treatment. AWC fibers bound more minerals. Results indicate that the BC values of the fibers for minerals by the two methods were not comparable.

[Minerals in Tunisia's drinking water]

We have made the physico-chemical analysis of drinking waters sampled from different Tunisian areas. The results obtained show that those waters are rich in mineral elements particularly those of the south of the country. Calcium and magnesium level in south drinking water is about three times higher than the maximum admitted concentration by WHO an EEC. The sodium, chloride and sulfate level is twice higher. The nitrate contents slightly exceeds the EEC guide level. The high mineralization observed needs a chemical quality improvement of those waters.

Longitudinal assessment of the nutritional status of elderly veterans

Elderly persons are at risk for developing malnutrition due to a number of age-related factors, and conversely, malnutrition can worsen declining physiological and psychosocial conditions. The purpose of this study was to determine the nutritional status of an elderly, ambulatory outpatient population, and to evaluate change in nutritional status over a 2-year period. The 209 subjects were male veterans, over 65 years of age without acute disease-related nutritional risk factors. Nutrient intake was determined through food recalls and food frequency questionnaires. Anthropometrics included circumferences and skinfolds. Laboratory measures included selected minerals and vitamins, as well as hematological and lipid profiles. Mean intake of nutrients generally met or exceeded the Recommended Dietary Allowances with the exception of calories, although > 25% of subjects consumed inadequate amounts of thiamine, vitamin A, vitamin C, and calcium. Few subjects were found to be extremely underweight or obese, although skinfolds decreased over the two years. Mean laboratory measures were within normal range with the exception of selenium, cholesterol, and low density lipoprotein. Dietary, biochemical, and anthropometric data indicate good nutritional status in general, although dietary vitamin C, vitamin A, and calcium may be poor in subgroups; body fat as assessed by skinfolds appeared to decline; and selenium, lipid profiles, and hematological profiles warrant further investigation.

Chromium, copper, iron, manganese, selenium and zinc levels in dairy products: in vitro study of absorbable fractions

Because milk and dairy products are some of the most widespread foods in the human diet, they contribute a large fraction of mineral intake. We determined levels of chromium, copper, iron, manganese, selenium and zinc in 60 samples of 10 widely consumed dairy products. Graphite furnace atomic absorption spectrometry was used to analyze samples processed with a slurry procedure to minimize sample pretreatment. The accuracy and precision of our method were verified. In analyzed samples, mean values ranged from not detectable to 0.950 microgram/g for Cr, from 0.020 to 2.800 micrograms/g for Cu, from 0.750 to 20.0 micrograms/g for Fe, from 0.010 to 0.900 microgram/g for Mn, from not detectable to 0.140 microgram/g for Se, and from 0.250 to 4.500 micrograms/g for Zn. The highest levels of Cr, Cu, Fe, Mn and Zn were detected in children's milk. Increased concentrations of Cr, Cu, Fe and Mn were detected in products packaged in glazed ceramic containers. We also studied the absorbable fractions of these elements using in vitro techniques which simulate human gastric and intestinal digestion.

X-ray microtomography: a novel technique for the quantification of effects in enamel following CO2 laser application

X-ray microtomography (XMT) is a miniaturised version of the technique of computer axial tomography as used in medical diagnosis. As an example of the dental research applications of the technique, a pilot study is described in which the effects of a continuous wave carbon-dioxide laser on dental enamel are investigated and the use of XMT for the non-invasive measurement of mineral density changes within dental hard tissues is demonstrated. The results show clearly the ability of XMT to display graphically, and to quantify, changes in mineral density occurring within lased specimens, compared with a conventional SEM view of similar material. There have been many reports of the problems found when using lasers to cut dental hard tissues, and this paper demonstrates that XMT is of particular value in the study of the cracking induced by many lasers. We also suggest that XMT might be used in many studies investigating mineral density changes within dental hard tissues.

Reduction of lung dust burden in pneumoconiosis by whole-lung lavage

Pneumoconioses are characterized as irreversible, progressive respiratory diseases. No effective therapy exists to prevent progression of these diseases. Whole-lung lavage (WLL) might limit the rate of disease progression through the removal of dust, inflammatory cells, and cytokines. We performed WLL on a 54-year-old underground miner employed as a motorman and roof bolter and a 55-year-old driller at a surface coal mine. Both demonstrated normal lung function and chest radiographs showing ILO profusion category 2 nodular interstitial changes. From Subject 1, we recovered 5.24 x 10(8) cells (90% macrophages) from the right lung and 3.45 x 10(8) cells (94% macrophages) from the left lung. WLL removed 1.82 g of mineral dust (non-coal) on the right and 1.64 g on the left. From Subject 2, we recovered 7.49 x 10(8) cells (46% macrophages) from the right and 9.78 x 10(8) cells (69% macrophages) from the left lung. WLL removed 0.40 g of mineral dust on the right and 0.53 g on the left. Proinflammatory cytokines, growth factors, and cellular enzymes were also recovered. In cases of pneumoconiosis, WLL is capable of removing relatively large quantities of dust, cells, and soluble materials from the lungs. Only long-term follow-ups of individuals with progressive dust-induced disease who receive WLL therapy in the context of a clinical trial will provide information regarding the importance of removing mineral dust and inflammatory cells from the lung.

Interactions in indices of vitamin A, zinc and copper status when these nutrients are fed to rats at adequate and increased levels

The purpose of the present study was to determine the effects of feeding nutritionally adequate and increased levels of vitamin A (retinyl acetate at 1.4, 34.4, and 206.4 mg/kg diet) in combination with adequate or increased Zn (12 and 240 mg/kg) and Cu (5 and 50 mg/kg) on serum and tissue concentrations of retinol and retinyl palmitate and on indices of Cu and Zn status in female Sprague-Dawley rats, and to measure interactive effects of such nutrient imbalances. Rats fed on diets containing 34.4 and 206.4 mg vitamin A/kg had higher feed intakes and relative liver weights than those fed on diets containing 1.4 mg vitamin A/kg. An interaction between dietary Cu and Zn and an independent effect of vitamin A affected serum ceruloplasmin oxidase (EC 1.16.3.1) activity. Rats fed on high Zn, adequate-Cu diets (240 and 5 mg Zn and Cu/kg respectively) had lower serum ceruloplasmin oxidase levels than rats fed on adequate-Zn, adequate-Cu diets (12 and 5 mg Zn and Cu/kg respectively). This effect was not observed in rats fed on high-Zn, high-Cu diets (240 and 50 mg Zn and Cu/kg respectively). Alterations in dietary levels of Cu and vitamin A independently affected haemoglobin levels. Serum cholesterol concentration was affected by interactions between Zn and vitamin A and Cu and vitamin A. Levels of retinol and retinyl palmitate in liver and kidney were significantly higher in rats fed on diets with increased dietary vitamin A than in those fed on diets with adequate vitamin A. Three-way interactions among Cu, Zn, and vitamin A affected levels of retinol in serum and liver. Two-way interactions between Cu and vitamin A affected liver retinyl palmitate and the sum of liver retinol+retinyl palmitate. An independent effect of dietary Zn on these variables was also observed. Interactions between Cu and vitamin A affected levels of Cu in liver and kidney, while Fe and Zn in kidney were affected by interactions between Cu and Zn. This study demonstrates that differing interactions among variables of vitamin A metabolism and mineral status occur with higher dietary levels of vitamin A, Zn and Cu in the rat.

Nutritional evaluation of a high-temperature dried soft wheat pasta supplemented with cowpea (Vigna unguiculata (L) Walp)

The objective of this study was to determine the nutritional quality of the pasta described above. The work was unique in the following aspects: 1) the drying process was a nonconventional method, consisting of a high-temperature short-time (HTST) process; 2) the nutritional quality of the wheat pasta was improved by the cowpea supplementation. Cowpea was especially chosen due to it being a staple food in the diet of the people in Northeast Brazil. Benefits attributed to the HTST drying process include a reduction in bacterial counts, shorter processing time and less energy consumption. In addition, there are reports in the literature of improved pasta firmness, color intensity, and cooking characteristics, when non Triticum durum materials plus drying are used. The pasta produced in this work was made using 100% soft wheat flour (SP), and soft wheat flour (SF) mixed supplemented with 10, 20 and 30% dehulled cowpea meal (CM); referred to as 10, 20 and 30% SP, respectively. The methods utilized in this project included: AACC methods for proximate analyses and trypsin inhibitor activity determination, atomic absorption spectrophotometry for mineral determination, a dye binding procedure for measuring available lysine, HPLC for amino acid quantification., FAO/WHO amino acid scoring patterns for chemical scores and AOAC for protein digestibility. The protein content of the past as supplemented with CM ranged from 11.3 to 14.2%, while the 100% SF pasta (SP) contained 10.9%. CM supplementation resulted in 52 to 113% more total lysine, and 26 to 82% more available lysine in the CM pasta compared to the SP. Chemical scores for SP were 45 and 59% for preschool and school-age children, respectively. Adding 30% CM to SP improved the above chemical scores to 89 and 100+, respectively. However, the addition of CM compromised the in vitro protein digestibility of SP from 4 to 6%. The addition fo 30% CM provided the SP with greater calcium (Ca), iron (Fe), zinc (Zn) and copper (Cu): 44, 49, 91 and 402% respectively. Cooking the CM pasta resulted in a 50 to 90% retention of mineral content, with the greatest loss being for Cu. In the cooked 30% CM pasta, the contents of Fe, Zn and Ca were, respectively, 50, 67 and 243% greater than their content in the cooked SP. Of the cooked pasta, the only one displaying trypsin inhibitor activity was the 30% CM pasta, which had 0.8 TIU.

Mineral changes in a transgenic mouse model for osteogenesis imperfecta

A line of transgenic mice has been investigated that expressed moderate levels of an internally deleted human gene for the pro alpha 1(I) chain of type I procollagen to determine if they would make a good model for osteogenesis imperfecta (brittle bone disease). Previous workers have reported extensive fracturing in these mice, with femurs that were shorter and bone that had decreased ash weight, mineral and collagen content. These workers demonstrated increased brittleness in the bone by biomechanical measurements. The molar calcium to phosphorus ratio in bone from patients with osteogenesis imperfecta has previously been reported to be lower than that in normal human bone. Mineral changes were observed at the ultrastructural level in these mice and were comparable with those seen in patients with osteogenesis imperfecta. Bone from both transgenic and normal littermate mice was examined to determine if any similarity with the data for human osteogenesis imperfecta could be drawn. X-ray microanalysis of bone mineral demonstrated a lower calcium to phosphorus molar ratio in transgenic mouse bone than in normal littermates. Fourier-transform infra-red spectroscopy confirmed that the mineral present was apatitic in nature despite the lower calcium to phosphorus molar ratio. Multiple fracture calluses were present on the ribs and on the long bones of the transgenic mice; this was absent in normal littermates. This mouse model may lead to a better understanding of the underlying pathology resulting in fragile bones in osteogenesis imperfecta.

Characterization of bone mineral crystals in horse radius by small-angle X-ray scattering

The size and the orientation of the bone salt (mineral) crystals in the cranial and caudal zones in the transverse midshaft section of the equine radius were investigated by small-angle X-ray scattering (SAXS). The results are interpreted as indicating that the crystals had an elongated shape with an average thickness of T = 3.17 +/- 0. 15 nm in the caudal region and T = 3.79 +/- 0.20 nm in the cranial region. Their orientation was predominantly in the longitudinal direction of the bone. There was no preferential orientation within the transverse plane. The distribution of tilt angles with respect to the longitudinal direction was determined directly from the SAXS data: the average angle was about 30 degrees for the cranial region and 45 degrees for the caudal region. Assuming that the needle-like crystals are parallel with the collagen fibrils, the angular distribution of the crystals is in good agreement with previous measurements of collagen orientation using circularly polarized light microscopy.

Amount and composition of bone minerals in chronic liver disease

Alterations in bone mineral are a common complication of chronic liver disease. The aim of the current study was to assess bone mineral status in patients with chronic liver disease not treated with corticosteroids and to investigate any possible correlation with the histological stage of liver disease. Bone mineral status in 27 patient with chronic active hepatitis, and 17 with active cirrhosis was compared to that of matched controls. Partial body neutron activation analysis was applied for measuring hand bone phosphorus, single-photon absorptiometry for measuring forearm bone mineral content, and dual-energy x-ray absorptiometry for measuring spinal bone mineral density. These noninvasive measurements were supplemented with data obtained by high resolution radiography and biochemistry. Decreased metacarpal cortical thickness was found in five patients, all in the cirrhotic group. In addition, both mean intact parathyroid hormone and 25-hydroxyvitamin D levels were reduced in this group of patients. The mean values of the quantities assessed by the in vivo techniques in patients in the early stages of the hepatic disease did not differ statistically from those of matched normal controls. On the contrary, these quantities were reduced by 9% in the patients at the late stages relative to controls. In conclusion, only the late stages of liver disease are associated with an increased risk of fractures.

The use of modular nutrients in pediatrics

BACKGROUND

Nutrient modules are commonly used by pediatricians and dietitians. There is no readily available current literature to which those using nutrient modules can refer. Therefore, we review nutrient module composition, module use in pediatrics, and complications associated with the use of nutrient modules.

METHODS

Using an online database, Meduline, we searched the literature from 1996 through 1995.

RESULTS

Nutrient modules are single or multiple nutrients that can be combined with a diet to add nutrients or to change the composition of the diet. These nutrients exist as a food or as medically compounded elements of a diet but alone are not complete foods.

DISCUSSION

The addition of modules to a diet can alter the composition of a diet so that a single nutrient may become deficient and the diet cannot support normal growth and development. With use of nutrient modules, diets can be prepared to meet the specific needs of children with common or rare nutritional problems.

CONCLUSION

Health care providers who use nutrient modules must understand the importance of diet composition and the careful monitoring of pediatric patients.

Enrichment of food staples through plant breeding: a new strategy for fighting micronutrient malnutrition

Taken together, mineral and vitamin deficiencies affect a greater number of people in the world than does protein-energy malnutrition. If farmers could be induced to grow commonly eaten food staple crops that fortify their seeds with essential vitamins and minerals, a significant, lower cost improvement in human nutrition might occur.

Dual X-ray absorptiometry for alveolar bone: precision of peri-implant mineral measurements ex vivo

The precision of measurements of minor mineral changes in alveolar bone mineral content (ABMC) and alveolar bone mineral density (ABMD) on implant surfaces was determined in small regions (0.03 +/- 0.005 cm2) using dual X-ray absorptiometry (DXA). Dog hemimandibles with alveolar processes containing 17 implants were studied ex vivo. The precision was expressed as the coefficient of variation in percent (c.v. %). The ultra-high resolution protocol was applied to the mesial, distal and apical subregions of each implant. The line spacing was 0.0254 cm and the point resolution was 0.0127 cm. The mean c.v. (%) +/- s.d. for the ABMC in the mesial, distal and apical regions were 0.42 +/- 17, 0.47 +/- 0.21 and 0.48 +/- 0.18, respectively. For the ABMD these values were 0.42 +/- 0.16, 0.47 +/- 0.19 and 0.48 +/- 0.16. For each region approximately 68% of the 17 c.v. values were distributed within 1 s.d. from the mean c.v. These results indicate that measurements are highly reproducible (better than 0.48%) and that there are no differences in precision between several peri-implant regions. Changes as small as 0.85% in ABMC and ABMD in small areas adjacent to implant surfaces are measurable with a confidence level of 95%. Therefore the DXA technique will be expedient for our research evaluating the efficacy of the ceramic hydroxyapatite implant releasing agents affecting or inducing alveolar bone- and root cementum-like materials on its surface.

Quantification of the effects of secondary matrix on the analysis of sandstone composition, and a petrographic-chemical technique for retrieving original framework grain modes of altered sandstones

Most studies of sandstone provenance involve modal analysis of framework grains using techniques that exclude the fine-grained breakdown products of labile mineral grains and rock fragments, usually termed secondary matrix or pseudomatrix. However, the data presented here demonstrate that, when the proportion of pseudomatrix in a sandstone exceeds 10%, standard petrographic analysis can lead to incorrect provenance interpretation. Petrographic schemes for provenance analysis such as QFL and QFR should not therefore be applied to sandstones containing more than 10% secondary matrix. Pseudomatrix is commonly abundant in sandstones, and this is therefore a problem for provenance analysis. The difficulty can be alleviated by the use of whole-rock chemistry in addition to petrographic analysis. Combination of chemical and point-count data permits the construction of normative compositions that approximate original framework grain compositions. Provenance analysis is also complicated in many cases by fundamental compositional alteration during weathering and transport. Many sandstones, particularly shallow marine deposits, have undergone vigorous reworking, which may destroy unstable mineral grains and rock fragments. In such cases it may not be possible to retrieve provenance information by either petrographic or chemical means. Because of this, pseudomatrix-rich sandstones should be routinely included in chemical-petrological provenance analysis. Because of the many factors, both pre- and post-depositional, that operate to increase the compositional maturity of sandstones, petrologic studies must include a complete inventory of matrix proportions, grain size and sorting parameters, and an assessment of depositional setting.