The Short-term Influence of a Mediterranean-type Diet and Mild Exercise with and without Red Wine on Patients with the Metabolic Syndrome

The metabolic syndrome is a target for the dietary prevention of cardiovascular disease. The effect of adding redwine to the diet has not been fully investigated. This study examined whether a Mediterranean-type dietcomplemented with red wine and mild exercise had an impact on patients with the metabolic syndrome in the shortterm. Twelve patients with the metabolic syndrome consumed a Mediterranean-type diet for four weeks withoutand with red wine respectively and performed mild exercise. We implemented the diagnostic criteria for themetabolic syndrome as formulated by the Adult Treatment Panel III (ATP III) in 2001. The patients were alsoscreened for multiple genetic markers implicated in cardiovascular disease. Weight, body mass index, abdominalcircumference and blood pressure were measured, as well as various biochemical, haematological andinflammatory markers. There was a significant decrease in the body weight (p = 0.04) and an increase in ORACvalue (p = 0.035) after the dietary intervention. A significant decrease in systolic blood pressure (p = 0.045) wasobserved. Red wine had no additional benefits. Although diet reduced weight and blood pressure, the lipoproteinand pro-coagulant profiles of patients with the metabolic syndrome were not affected in this study. These findingsmay be explained partly by the diverse genetic profile identified among the study participants, as 50% hadmutations involved in lipid metabolism that may influence the response to dietary intervention and alcoholconsumption

The influence of a Mediterranean Diet with and without Red Wine on the Haemostatic and Inflammatory Parameters of Subjects with the Metabolic Syndrome

This 8 week study examined whether a Mediterranean diet supplemented with red wine, had an acute impact onsubjects diagnosed with the metabolic syndrome. Twelve non-smoking subjects with diagnostic criteria of themetabolic syndrome on minimal medication, consumed a Mediterranean-like diet for 4 weeks respectively withoutand with red wine. The amount of red wine consumed was 250 ml (26 grams of alcohol) per day for male and 180ml (19 grams) per day for female participants. A nutrigenetic profile for cardiovascular risk factors was performedon each participant. Fasting blood specimens were taken at baseline, after the diet and after the diet with wineinterventions for platelet function, procoagulants FVII and FVIII, von Willebrand’s factor, fibrinogen, tissueplasminogen activator, plasminogen activator inhibitor-1, highly sensitive C-reactive protein and oxygen radicalabsorbance capacity (ORAC). After both periods of diet without wine and with wine, ORAC increased significantlycompared to baseline levels. Except for platelet H2O2 fluxes and FVII concentration, none of the haemostatic orinflammatory parameters changed significantly after the intervention periods compared with baseline levels.Genetic risk factors for cardiovascular disease were identified in all study participants and the potential genotypiceffects relevant to this study were generally in agreement with expected phenotypic response following the dietaryintervention. Our conclusions are that the period of intervention was too short for substantial changes inhaemostatic or in inflammatory parameters in subjects who already manifest some changes in their cardiovascularsystem and who showed diverse genetic profiles underlying increased cardiovascular risk

Peritoneal carcinomatosis from gastric cancer: a multi-institutional study of 159 patients treated by cytoreductive surgery combined with perioperative intraperitoneal chemotherapy

BACKGROUND: Peritoneal carcinomatosis (PC) from gastric cancer has long been regarded a terminal disease with a short median survival. New locoregional therapeutic approaches combining cytoreductive surgery with perioperative intraperitoneal chemotherapy (PIC) have evolved and suggest improved survival. MATERIALS AND METHODS: A retrospective multicentric study was performed in French-speaking centers to evaluate the toxicity and the principal prognostic factors in order to identify the best indications. All patients had cytoreductive surgery and PIC: hyperthermic intraperitoneal chemotherapy (HIPEC) and/or early postoperative intraperitoneal chemotherapy (EPIC). RESULTS: The study included 159 patients from 15 institutions between February 1989 and August 2007. The median follow-up was 20.4 months. HIPEC was the PIC used for 150 procedures. Postoperative mortality and grade 3-4 morbidity rates were 6.5 and 27.8%, respectively. By multivariate analysis, the institution had a significant influence on toxicity. The overall median survival was 9.2 months and 1-, 3-, and 5-year survival rates were 43, 18, and 13%, respectively. The only independent prognostic indicator by multivariate analysis was the completeness of cytoreductive surgery. For patients treated by complete cytoreductive surgery, the median survival was 15 months with a 1-, 3-, and 5-year survival rate of 61, 30, and 23%, respectively. CONCLUSIONS: The therapeutic approach combining cytoreductive surgery with PIC for patients with gastric carcinomatosis may achieve long-term survival in a selected group of patients (limited and resectable PC). The high mortality rate underlines this necessarily strict selection that should be reserved to experienced institutions involved in the management of PC and gastric surgery

Fatal Human Infection with Rabies-related Duvenhage Virus, South Africa

Duvenhage virus was isolated from a patient who died of a rabieslike disease after being scratched by a bat early in 2006. This occurred ≈80 km from the site where the only other known human infection with the virus had occurred 36 years earlier

The bilirubin albumin ratio in the management of hyperbilirubinemia in preterm infants to improve neurodevelopmental outcome: A randomized controlled trial - BARTrial

Background and Objective: High bilirubin/albumin (B/A) ratios increase the risk of bilirubin neurotoxicity. The B/A ratio may be a valuable measure, in addition to the total serum bilirubin (TSB), in the management of hyperbilirubinemia. We aimed to assess whether the additional use of B/A ratios in the management of hyperbilirubinemia in preterm infants improved neurodevelopmental outcome. Methods: In a prospective, randomized controlled trial, 615 preterm infants of 32 weeks' gestation or less were randomly assigned to treatment based on either B/A ratio and TSB thresholds (consensus-based), whichever threshold was crossed first, or on the TSB thresholds only. The primary outcome was neurodevelopment at 18 to 24 months' corrected age as assessed with the Bayley Scales of Infant Development III by investigators unaware of treatment allocation. Secondary outcomes included complications of preterm birth and death. Results: Composite motor (100±13 vs. 101±12) and cognitive (101±12 vs. 101±11) scores did not differ between the B/A ratio and TSB groups. Demographic characteristics, maximal TSB levels, B/A ratios, and other secondary outcomes were similar. The rates of death and/or severe neurodevelopmental impairment for th

Epidemiology of bacterial diseases of pome fruit trees caused by Pseudomonas syringae pv. syringae

Thesis (Ph. D.) -- University of Stellenbosch, 1986.Full text to be digitised and attached to bibliographic record

Histopathology of seed stalk necrosis of onion caused by Erwinia herbicola, with special reference to colonization

Thesis (M.Sc.) -- University of Stellenbosch, 1982.Full text to be digitised and attached to bibliographic record

Histopathology of seed stalk necrosis of onion caused by Erwinia herbicola, with special reference to colonization

Thesis (M.Sc.) -- University of Stellenbosch, 1982.Full text to be digitised and attached to bibliographic record