Effect of Intraduodenal Bile and Taurodeoxycholate on Exocrine Pancreatic Secretion and on Plasma Levels of Vasoactive Intestinal Polypeptide and Somatostatin in Man

Intraduodenal (i.d.) application of bile or Na-taurodeoxycholate (TDC) dose dependently enhances basal exocrine pancreatic secretion. The hydrokinetic effect is mediated at least in part by secretin. This study should show, whether vasoactive intestinal polypeptide (VIP), a partial agonist of secretin, may also be involved in the mediation of the hydrokinetic effect. Furthermore, plasma concentrations of somatostatin-like immunoreactivity (SLI) were measured in order to check whether this counterregulating hormone is also released by bile and TDC. Twenty investigations were carried out on 10 fasting healthy volunteers provided with a double-lumen Dreiling tube. Bile and TDC were intraduodenally applied in doses of 2-6 g and 200-600 mg, respectively, at 65-min intervals. Plasma samples were withdrawn at defined intervals for radioimmunological determination of VIP and SLI. Duodenal juice was collected in 10-min fractions and analyzed for volume, pH, bicarbonate, lipase, trypsin, and amylase. I.d. application of bile or TDC dose dependently stimulated hydrokinetic and ecbolic pancreatic secretion. Bile exerted a slightly stronger effect than TDC. Pancreatic response was simultaneously accompanied by a significant increase of plasma VIP and SLI concentrations. The effect of bile on integrated plasma VIP and SLI concentrations seems to be dose dependent; the effect of TDC on integrated SLI, too. For the increase of integrated plasma VIP concentrations after TDC no dose-response relation could be established. We conclude that VIP may be a further mediator of bile-induced volume and bicarbonate secretion. The release of plasma SLI indicates that inhibitory mechanisms concomitantly are triggered by i.d. bile and TDC, as already shown during digestion for the intestinal phase of pancreatic secretion

On homotopies with triple points of classical knots

We consider a knot homotopy as a cylinder in 4-space. An ordinary triple point $p$ of the cylinder is called {\em coherent} if all three branches intersect at $p$ pairwise with the same index. A {\em triple unknotting} of a classical knot $K$ is a homotopy which connects $K$ with the trivial knot and which has as singularities only coherent triple points. We give a new formula for the first Vassiliev invariant $v_2(K)$ by using triple unknottings. As a corollary we obtain a very simple proof of the fact that passing a coherent triple point always changes the knot type. As another corollary we show that there are triple unknottings which are not homotopic as triple unknottings even if we allow more complicated singularities to appear in the homotopy of the homotopy.Comment: 10 pages, 13 figures, bugs in figures correcte

A characterization of the closure of inverse M-matrices

AbstractWe give the explicit form of a matrix A to belong to M−1, the closure of inverse M-matrices. This completes a result from a previous paper of the authors and C.R. Johnson and answers a question which was raised there to characterize singular matrices M−1

Assessing the promise of biofortification: A case study of high provitamin A maize in Zambia

AbstractIntroductionBiofortification is the breeding of new varieties of staple foods for increased micronutrient content. It is seen primarily as a complementary, rural-targeted strategy for better reaching remote populations. This paper presents an ex ante analysis of HarvestPlus’ provitamin A maize (PVAM) in Zambia and highlights an empirical approach based on the Zambian 2005/06 Living Conditions Monitoring Survey (LCMS). Because more than 115 countries regularly conduct a Household Consumption and Expenditure Survey (HCES), the approach developed in this LCMS-based study can be applied in many other countries to analyze varietal adoption and conduct ex ante studies.MethodsData from the LCMS and health statistics were used to characterize baseline indicators of vitamin A intake and Disability Adjusted Life Years (DALYs) lost. The introduction and scaling up of PVAM was modeled based on program plans, expert opinion and data on key adoption parameters. An adoption function was specified and expressed in terms of the percent of farmers expected to adopt PVAM over the next 30years. A logistic regression adoption function was estimated and used to identify the specific LCMS households adopting, producing and consuming PVAM each year. Information from the IFPRI International Model for Policy Analysis of Agricultural Commodities and Trade (IMPACT) of yearly maize production and demand were used to produce annual estimates of PVAM planted, harvested and consumed. Taking into account an LCMS-empirically-informed, specified market structure, individuals’ additional vitamin A intake was calculated. The number of DALYs saved were estimated using the change in vitamin A intake. Combining these estimates with cost data, the cost-effectiveness of PVAM was calculated.ResultsAssuming an adoption ceiling of 20% over 30years, implementation of PVAM will result in average additional intake of 12% of the Estimated Average Requirement (EAR), a 3 percentage point reduction in the prevalence of inadequate intake, and savings of 23% of total DALYs. Impacts are concentrated among farming households that have adopted PVAM and consume it from their own production. Their consumption will result in an average additional vitamin A intake of 172μg/day, more than 3 times the additional 54μg/day among the entire population. Among this group, the reduction in the prevalence of inadequate intake will be more than 5 times the national average (17.5 percentage points). Valuing a DALY at $1000, PVAM’s cumulative value of DALYs saved comes to exceed its cumulative total costs starting in 2019. Over 30years the cost-effectiveness of PVAM in Zambia was estimated to be$24 per DALY saved, making it very cost-effective.ConclusionThe methodologies employed in this study provide insights and inputs that can be used to target farmers who are most likely to adopt, to measure their vitamin A intake and to craft messages to promote adoption. PVAM is a long term investment that shows great promise in becoming a highly cost-effective addition to the public health arsenal for combatting micronutrient deficiencies if the 20% adoption rate can be achieved and maintained. Doing so will require effective marketing strategies, including efforts to couple this nutrition-sensitive intervention with nutrition-specific activities, such as targeted nutrition messaging and education, in order to increase the likelihood that adopting farmers will prioritize production for home consumption

Rank-preserving diagonal completions of a matrix

AbstractSuppose A is an n-by-n matrix over a field F. We prove that it is possible to complete the diagonal entries of A so that the resulting rank of A is as small as possible when n⩾3r, where r is the “off-diagonal rank” of A and (n,r)≠(3,1)

Random Walks Along the Streets and Canals in Compact Cities: Spectral analysis, Dynamical Modularity, Information, and Statistical Mechanics

Different models of random walks on the dual graphs of compact urban structures are considered. Analysis of access times between streets helps to detect the city modularity. The statistical mechanics approach to the ensembles of lazy random walkers is developed. The complexity of city modularity can be measured by an information-like parameter which plays the role of an individual fingerprint of {\it Genius loci}. Global structural properties of a city can be characterized by the thermodynamical parameters calculated in the random walks problem.Comment: 44 pages, 22 figures, 2 table

Food fortification - a feasible, cost-effective option in the fight against vitamin A deficiency in South Africa

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