RESUMEN
The HLA-DRB1 and -DQB1 alleles in 161 healthy unrelated individuals, including Caucasians, Blacks and Mulattos (mixed Caucasian and Black), from the Northeastern region of the state of São Paulo, Brazil were analysed. The 36 different DRB1 alleles detected included not only common Caucasian alleles, but also DRB1*0411, 0807 and 1402, typical of Amerindians, and DRB1*0302, 1503, and 0804, typical of African American Blacks.
Asunto(s)
Genética de Población , Antígenos HLA-DQ/genética , Antígenos HLA-DR/genética , Alelos , Población Negra/genética , Brasil , Cadenas beta de HLA-DQ , Cadenas HLA-DRB1 , Haplotipos , Humanos , Indígenas Sudamericanos/genética , Polimorfismo Genético , Población Blanca/genéticaRESUMEN
BACKGROUND: Distressed behavior is common in infants and is often attributed to gastroesophageal reflux (GER) or food protein intolerance. OBJECTIVE: To examine the effect of a hypoallergenic amino acid-based infant formula (AAF) on distressed behavior and GER symptoms in infants who failed to respond to extensively hydrolyzed formula and antireflux medications. STUDY DESIGN: Nineteen distressed infants (9 boys and 10 girls; median age, 5.0 months) with presumed GER underwent gastroscopy (n = 17) and esophageal 24-hour pH monitoring (n = 14). Double-blind placebo-controlled (DBPC) formula challenges of AAF versus previously besttolerated formula were conducted. RESULTS: Nine infants had histologic evidence of esophagitis, and 9 had inflammatory changes in the stomach and/or duodenum. Symptoms remitted in all infants within 2 weeks of the start of feeding with AAF. On DBPC challenge after a median period of 3 months of receiving AAF, 12 infants were intolerant to active formula (distress score, 287 vs 580 min/wk,P =. 01; symptom score, 23.1 vs 36.1, P =.03). Seven infants did not relapse and were considered tolerant (distress score, 470 vs 581, P =.77; symptom score, 29.5 vs 20.2; P =.89). CONCLUSION: Treatment with AAF may reduce distressed behavior and symptoms of GER in infants with food protein intolerance.
Asunto(s)
Proteínas en la Dieta/efectos adversos , Esofagitis Péptica/complicaciones , Hipersensibilidad a los Alimentos/complicaciones , Conducta del Lactante , Aminoácidos/uso terapéutico , Método Doble Ciego , Femenino , Humanos , Lactante , Alimentos Infantiles , Masculino , Hipersensibilidad a la Leche/complicaciones , Vómitos/etiologíaRESUMEN
We examined 60 children 8.9 years (+/- 2.6 years) after surgical treatment of Hirschsprung disease to determine the extent of fecal incontinence. Thirty-two children (53%) had significant fecal soiling and 16 (27%) less severe soiling. The prevalence of incontinence did not diminish with increasing age.
Asunto(s)
Canal Anal/cirugía , Incontinencia Fecal , Enfermedad de Hirschsprung/cirugía , Complicaciones Posoperatorias , Canal Anal/fisiopatología , Niño , Trastornos de la Conducta Infantil/etiología , Preescolar , Estudios de Cohortes , Enfermedad de Hirschsprung/complicaciones , Enfermedad de Hirschsprung/fisiopatología , Humanos , Estudios Retrospectivos , Encuestas y CuestionariosRESUMEN
The mitochondrial genome of Black Mexican Sweet (BMS) maize includes the principal genome and two transcriptionally active minicircular DNAs of 1913 and 1445 bp. A cell suspension of this line was used to study the biology and replication of the minicircular DNAs. Synthesis of the DNAs was measured by (32)P incorporation; all mitochondrial DNAs (mtDNAs) were synthesized rapidly during logarithmic growth phases, whereas no synthesis could be detected in stationary phase. When stationary phase cultures were placed in fresh medium and incorporation was measured over time, the 1.9-kb minicircle renewed (32)P incorporation prior to incorporation into the 1.4-kb minicircle, the principal mitochondrial genome, or the nuclear genome. Interestingly, plastid DNA renewed incorporation at the same time as the 1.9-kb minicircle. The early replication of the 1.9-kb minicircle relative to the other DNAs increased the copy number of this DNA relative to the other mitochondrial DNAs. The copy number of the minicircular DNAs also varied between leaf cells and the cell suspension. This indicates that components of the mitochondrial genome exhibit differential replication. The ability to follow replication of individual mitochondrial components makes this system valuable for studies of DNA replication.