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  • 1
    ISSN: 1432-0428
    Keywords: Keywords Type II diabetes ; obesity ; dyslipidaemia ; genetic epidemiology.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Type II (non-insulin-dependent) diabetes mellitus has a substantial genetic component; however, its molecular basis remains largely unknown. The mode of inheritance is likely to be polygenic, with penetrance influenced by environmental factors. Although the familial aggregation of Type II diabetes is acknowledged, there is little data concerning the prevalence of diabetes in the relatives of subjects with diabetes in comparison with the general population, and our objective was to address this question in the defined geographic region of Oxfordshire, England. We studied 139 first degree relatives of 90 probands with Type II diabetes who attended routine diabetes clinics in Oxfordshire and documented the fasting plasma glucose, triglyceride and HDL-cholesterol concentrations and BMI of these subjects. The probands were selected without regard to family history of diabetes. The control population data were derived from two large-scale Oxford community studies which documented the prevalences of known and newly diagnosed diabetes. The prevalences of newly diagnosed and known diabetes were calculated for each group. The mean BMI, and concentrations of fasting glucose, triglyceride and HDL-cholesterol were compared and prevalence ratios for obesity (defined as BMI 〉 30 kg/m2), hyperglycaemia (defined as fasting plasma glucose ≥ 6.1 mmol/l), and dyslipidaemia (defined as triglyceride 〉 2.0 mmol/l, HDL 〈 1.0 mmol/l) were calculated. There was a fourfold higher prevalence of hyperglycaemia in the first degree relatives of subjects with Type II diabetes compared with the control population: the prevalence ratio after adjustment for age, sex and BMI was 4.32 (95 % confidence interval 2.29–8.17). The relatives had a considerably higher fasting plasma glucose concentration than the control population (5.18 ± 0.67 mmol/l (mean ± 1 SD) vs 4.76 ± 1.59 mmol/l, p = 0.0001), and this difference remained statistically significant after adjustment for age, sex and obesity. The relatives were significantly more obese, had higher fasting plasma insulin concentrations and had lower HDL-cholesterol concentrations. In conclusion, there is a strong familial aggregation of hyperglycaemia and obesity in the relatives of subjects with Type II diabetes and these subjects have higher fasting plasma insulin concentrations and lower HDL-cholesterol than the general population. These data indicate the particular relevance of screening the first degree relatives of subjects with Type II diabetes, as intervention strategies which aim to improve the metabolic profile are indicated for a large proportion of these subjects. [Diabetologia (1999) 42: 24–27]
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  • 2
    ISSN: 1432-0428
    Keywords: Keywords Type II diabetes ; mortality ; cardiovascular disease ; cancer ; population study ; post-challenge hyperglycaemia.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Aims/hypothesis. The aim of this study was to examine the possible link between isolated post-challenge hyperglycaemia (2-h post-challenge plasma glucose ≥ 11.1 mmol/l, and fasting plasma glucose 〈 7.0 mmol/l) and mortality. Methods. The data from three population based longitudinal studies (in Mauritius, Fiji and Nauru) were pooled and mortality rates were determined in 9179 people who were followed for between 5 and 12 years. Results. There were 595 people with previously diagnosed diabetes, and 799 with newly diagnosed diabetes, of whom 243 (31) had isolated post-challenge hyperglycaemia. In comparison with people without diabetes, people with isolated post-challenge hyperglycaemia had an increased risk of all-cause mortality [Cox proportional hazards ratio (95 % CI): 2.7 (1.8–3.9) – men; 2.0 (1.3–3.3) – women], and of cardiovascular mortality [2.3 (1.2–4.2) – men; 2.6 (1.3–5.1) – women]. In addition, men with isolated post-challenge hyperglycaemia had a high risk of cancer death [8.0 (3.6–17.9)]. Conclusion/interpretation. These data show that isolated post-challenge hyperglycaemia, which can only be identified by the 2-h glucose, is common, and at least doubles the mortality risk. This should be considered in the design of screening programmes that use only fasting glucose [Diabetologia (1999) 42: 1050–1054]
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Calcified tissue international 2 (1968), S. 271-285 
    ISSN: 1432-0827
    Keywords: Growth ; Skull ; Face ; Cranial sutures ; Vital staining
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine , Physics
    Description / Table of Contents: Résumé Les auteurs ont étudié à l'aide de colorants vitaux à base d'acétate de Plomb, administrés à des lapins blancs de Nouvelle-Zélande et âgés de plus de trente cinq jours, le mode et la rapidité de formation des os de la voûte du crâne. Leurs résultats sont présentés et comparés à ceux obtenus par l'étude de la fixation osseuse du calcium radio-actif (45Ca) en des points homologues. Le mode de la croissance est différent pour chaque type de suture. L'allongement de la voûte du crâne se fait rapidement dans le sens antéropostérieur en regard du museau, en particulier au niveau des sutures: internasale et métopique, alors que la croissance est beaucoup moins évidente au niveau de la suture sagittale proprement dite. Il existe par ailleurs une croissance osseuse active à partir de l'os nasal en regard de la suture naso pré-maxillaire; par contre les auteurs constatent une résorbtion osseuse au niveau de la suture parieto pétro squameuse. L'accroissement de l'epaisseur de la voûte crànienne paraît être la conséquence du développement de l'os frontal et du pariétal: cette croissance s'effectuant plus aux dépens de la face exocranienne que de la face endocranienne de chacum de ces os. Au niveau des os de la voûte du crâne il existe une correspondance satisfaisante entre: les résultats des mesures linéaires utilisant les striés de plomb et ceux établis à partir de la fixation du45Ca, en particulier lorsque celui-ci est administré trois à six jours avant que l'animal ne soit sacrifié.
    Abstract: Zusammenfassung Bildungsweise und-geschwindigkeit einzelner Schädelknochen wurden anhand der Bleiacetat-Vitalfärbung bei 13 weißen Neuseeländer-Kaninchen vom 35. Lebenstag an untersucht. Die Resultate wurden jenen der45Ca-Aufnahme an bilateral vergleichbaren Stellen gegenübergestellt. Die Wachstumsmuster waren von Naht zu Naht verschieden. Es ließ sich ein rapides Längenwachstum des Schädeldaches in Richtung Schnauzengegend feststellen. Im sagittalen Nahtkomplex wurde ein aktives Wachstum an den Oberflächen der Verwachsungslinien der intranasalen und frontalen Nähte beobachtet, während die sagittalen Knochennähte ein viel geringeres Wachstum zeigten. Aktives Wachstum konnte auch an den Oberflächen der Knochennähte des Nasenbeins an der nasoprämaxillären Verwachsungsstelle beobachtet werden, während in der squamösen Naht an der Oberfläche des Scheitelbeins eine Resorption stattfand. Die Verdickung des Schädelgewölbes schien weniger eine Folge des Wachstums der endocranialen, als vielmehr der ectocranialen Oberflächen des Stirn- und Scheitelbeines zu sein. Es wurde eine gute Übereinstimmung zwischen linearen Messungen der Blei-Linien und der45Ca-Aufnahme in den Knochen des Schädeldaches festgestellt, besonders wenn45Ca 3 oder 6 Tage bevor man die Tiere opferte gegeben wurde.
    Notes: Abstract The mode and the rate of formation of individual bones in the cranium were studied by vital staining with lead acetate in 13 New Zealand white rabbits beginning at 35 days of age. These evaluations were compared with45Ca uptake at bilaterally comparable sites. The growth patterns differed from one suture to another. Elongation of the cranial vault in the anterior direction in the snout area was rapid. In the sagittal suture complex, active growth was observed on the intrasutural surfaces of the internasal and metopic sutures, while much less growth was taking place in the sagittal suture. Active growth also was taking place at the intrasutural surface of the nasal bone at the naso-premaxillary suture while resorption was found on the surface of the parietal bone in the squamosal suture. Increase in thickness of the cranial vault appeared to be the result of accretion on the ectocranial and to a lesser extent on the endocranial surfaces of the frontal and parietal bones. Good correlations between the linear measurement with the lead lines and45Ca uptake were observed in the bones of the cranial vault, especially when45Ca was administered 3 or 6 days before sacrifice.
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Calcified tissue international 2 (1968), S. 286-295 
    ISSN: 1432-0827
    Keywords: Growth ; Skull ; Face ; Cranial sutures ; Vital staining
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine , Physics
    Description / Table of Contents: Résumé Les auteurs ont injecté à de jeunes lapins blancs de Nouvelle-Zélande, mâles, des doses variables de: Rouge Alizarine S, bleu Trypan, Chlortetracycline ou Ca45. Ils ont étudié l'influence de ces différents facteurs sur la croissance osseuse à l'échelle microscopique, en comparaison avec les résultats fournis par la méthode utilisant des colorants vitaux à base d'acétate de plomb. Le45Ca s'est revelé sans effect. Par contre les autres substances entraînent une inhibition temporaire de la croissance; celle-ci est la plus marquée après administration de Rouge Alizarine S et minimum avec la Chlortetracycline; elle est d'autant plus nette que la dose administrée est plus forte. A la dose de 100 mg/kg le Rouge Alizarine S réduit seulement la croissance osseuse; celle-ci est stoppée par une dose de 150 mg/kg. De même une dose de 50 mg/kg de Chlortetracycline ou de 100 mg/kg de Bleu Trypan ralentit la croissance osseuse; une dose de 350 mg/kg de Bleu Trypan bloque toute activité ostéogénique. L'effet de la Chlortetracycline est très transitoire, celui des autres substances moins rapidement reversible.
    Abstract: Zusammenfassung Verschiedene Dosen von Alizarinrot S, Trypanblau, Chlortetracyclin und45Ca wurden jungen, männlichen, weißen Neuseeländer-Kaninchen injiziert. Der Einfluß dieser Substanzen auf das Knochenwachstum wurde anhand der Bleiacetat-Vitalfärbung im mikroskopischen Präparat untersucht. Vergleiche auf Grund des zwischen den Bleiacetat-Linien liegenden Abstandes zeigten, daß45Ca keine hemmende Wirkung auf das Knochenwachstum ausübt. Die stärkste temporäre Blockierung des Knochenwachstums wurde durch Alizarinrot S, die schwächste durch Chlortetracyclin hervorgerufen. Je höher die durchschnittlich gegebene Dosis Alizarinrot S, Trypanblau und Chlortetracyclin war, desto stärker machte sich deren hemmender Einfluß auf das Knochenwachstum bemerkbar. Bei einer Gabe von 100 mg/kg Alizarinrot S wurde das Knochenwachstum eingeschränkt, während 150 mg/kg einen kompletten Stillstand desselben bewirkten. Eine Dosis von 100 mg/kg Trypanblau und von 50 mg/kg Chlortetracyclin ließ die Knochenbildung abnehmen, während 350 mg/kg Trypanblau die osteogenetische Aktivität vollständig blockierten. Die Verzögerung des Knochenwachstums durch Chlortetracyclin war rasch überwunden, wogegen sich das normale Knochenwachstum nach Alizarinrot S- und Trypanblau-Gaben nur langsam wieder einstellte.
    Notes: Abstract Various doses of alizarin red S, trypan blue, chlortetracycline and45Ca were injected into young male New Zealand white rabbits. The influence of these agents on bone growth was studied at the microscopic level by comparison with vital staining by lead acetate. From evaluation of bone growth on the basis of the distance between the lead acetate lines,45Ca had no adverse effect; temporary inhibition of bone growth was the largest with alizarin red S and least with chlortetracycline. The higher the average level of alizarin red S, trypan blue and chlortetracycline the stronger was the inhibitory influence on bone growth. Alizarin red S at 100 mg/kg reduced the rate of bone growth and at 150 mg/kg caused complete cessation of bone growth. Trypan blue at 100 mg/kg and 50 mg/kg of chlortetracycline caused a decrease in bone formation and 350 mg/kg of trypan blue stopped osteogenetic activity. The retardation by chlortetracycline was quickly overcome but after alizarin red S and trypan blue, normal bone growth was regained slowly.
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