Gastroplasty for morbid obesity

With the advent of autosuture devices, gastric partitioning procedures have recently become popular surgical treatment of morbid obesity. One such procedure is Gomez gastroplasty. Using an autosuture device a small gastric fundal pouch, having a reservoir capacity of 60 ml and communicating with the remaining stomach through a 12 mm stoma is created along the greater curvature of the stomach. A 3-0 polyprolene internal seromuscular suture is used to reinforce the stoma without incising the stomach. This gastroplasty is extremely attractive because of the disarming simplicity of the procedure and its noninterruption of the normal sequence of the digestive tract.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/48152/1/261_2005_Article_BF01887641.pd

Study of 300,486 individuals identifies 148 independent genetic loci influencing general cognitive function

Correction Volume: 10, Article Number: 2068 DOI: 10.1038/s41467-019-10160-w WOS:000466339700001General cognitive function is a prominent and relatively stable human trait that is associated with many important life outcomes. We combine cognitive and genetic data from the CHARGE and COGENT consortia, and UK Biobank (total N = 300,486; age 16-102) and find 148 genome-wide significant independent loci (P <5 x 10(-8)) associated with general cognitive function. Within the novel genetic loci are variants associated with neurodegenerative and neurodevelopmental disorders, physical and psychiatric illnesses, and brain structure. Gene-based analyses find 709 genes associated with general cognitive function. Expression levels across the cortex are associated with general cognitive function. Using polygenic scores, up to 4.3% of variance in general cognitive function is predicted in independent samples. We detect significant genetic overlap between general cognitive function, reaction time, and many health variables including eyesight, hypertension, and longevity. In conclusion we identify novel genetic loci and pathways contributing to the heritability of general cognitive function.Peer reviewe

Brain energy rescue:an emerging therapeutic concept for neurodegenerative disorders of ageing

The brain requires a continuous supply of energy in the form of ATP, most of which is produced from glucose by oxidative phosphorylation in mitochondria, complemented by aerobic glycolysis in the cytoplasm. When glucose levels are limited, ketone bodies generated in the liver and lactate derived from exercising skeletal muscle can also become important energy substrates for the brain. In neurodegenerative disorders of ageing, brain glucose metabolism deteriorates in a progressive, region-specific and disease-specific manner — a problem that is best characterized in Alzheimer disease, where it begins presymptomatically. This Review discusses the status and prospects of therapeutic strategies for countering neurodegenerative disorders of ageing by improving, preserving or rescuing brain energetics. The approaches described include restoring oxidative phosphorylation and glycolysis, increasing insulin sensitivity, correcting mitochondrial dysfunction, ketone-based interventions, acting via hormones that modulate cerebral energetics, RNA therapeutics and complementary multimodal lifestyle changes

Bumble bees selectively use native and exotic species to maintain nutritional intake across highly variable and invaded local floral resource pools

1. Changes to plant community composition after invasion are well documented but how these shifts directly affect higher trophic levels is still poorly understood. One potentially important factor is the change in nutritional availability after an invasion. Shifts in nutrient availability could affect the nutrient intake of organisms that live in invaded habitats, causing reduced fecundity and survival. 2. The effects of the interaction among nutrient availability, selection, and diet on nutrient intake of a native bumble bee were examined. No nutritional differences were found between exotic and native pollen or collected and non-collected pollen in protein or amino acid content, suggesting that differences in nutrient intake from random are based on selection. 3. Nutrient intake was simulated when pollen was selected randomly across all available plant species and when selection was restricted to native plants only or exotic plants only using a permutation model and compared with observed collection. The results suggest that pollen collection is non-random and that selecting only native or exotic plants cannot provide the protein or amino acid intake observed. 4. These results may help to explain why the responses of native bees to exotic plants are so variable. If the exotic plants in a community can supply the necessary nutrients, bees may readily incorporate them into their diets, but if not, exotic plants may be avoided

Bumble bees selectively use native and exotic species to maintain nutritional intake across highly variable and invaded local floral resource pools

1. Changes to plant community composition after invasion are well documented but how these shifts directly affect higher trophic levels is still poorly understood. One potentially important factor is the change in nutritional availability after an invasion. Shifts in nutrient availability could affect the nutrient intake of organisms that live in invaded habitats, causing reduced fecundity and survival. 2. The effects of the interaction among nutrient availability, selection, and diet on nutrient intake of a native bumble bee were examined. No nutritional differences were found between exotic and native pollen or collected and non-collected pollen in protein or amino acid content, suggesting that differences in nutrient intake from random are based on selection. 3. Nutrient intake was simulated when pollen was selected randomly across all available plant species and when selection was restricted to native plants only or exotic plants only using a permutation model and compared with observed collection. The results suggest that pollen collection is non-random and that selecting only native or exotic plants cannot provide the protein or amino acid intake observed. 4. These results may help to explain why the responses of native bees to exotic plants are so variable. If the exotic plants in a community can supply the necessary nutrients, bees may readily incorporate them into their diets, but if not, exotic plants may be avoided