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Biomedical subjects

M Meguid

Publications and source records attributed to M Meguid.

10 recordsLinked to original sources

Systemic nicotine administration suppresses food intake via reduced meal sizes in both male and female rats.

The appetite suppressing effect of tobacco products, via the main pharmacological agent nicotine, is a major reason for its usage both by woman and man. Food intake (FI) could be changed by altering either meal size (MZ) or meal number (MN), which are regulated dependently in a reciprocal manner. The present study investigated the effect of systemic nicotine administration on the rat feeding pattern. Because of gender differences in the effects of nicotine, both male and female rats were studied. Alzet mini-osmotic pumps (Model 2001) and the automated rat eatometer were used to evaluate the feeding pattern of male and female Fischer 344 rats during seven days of systemic nicotine infusion (6 mg/kg b.w. s.c.). The main findings are: 1) systemic nicotine infusion decreased food intake in both sexes; 2) the decreased food intake was due to significantly reduced meal sizes while meal numbers were not altered significantly in either males or females; 3) the cyclical pattern of vaginal smears, food intake, meal number and meal size of female rats was not affected by nicotine administration. We conclude that the feeding suppressive effect of nicotine, which is due to reduced meal sizes and thus satiation, is not sex-hormones related.

Animals↗

Periareolar Breast Abscess: Redefining the Disease and Its Treatment.

Periareolar breast abscess has been an elusive condition, with much debate about its etiology over the last several decades. Presenting symptoms include nipple discharge, mastalgia, and recurrent abscesses with draining fistulas. Many experts disagree about whether this condition develops when inflammation of the duct leads to dilation or whether it begins with dilation that leads to inflammation. Because the frequency of asymptomatic dilated ducts found incidentally in patients during surgery or upon autopsy exceeds that of patients with symptomatic duct dilation or ectasia, we believe that mechanical obstruction with associated retention of secretions is at the core of this disease process. In this article, we term and characterize mammary-duct-associated inflammatory disease as a 3-phase pathologic process that leads to recurrent nonlactational periareolar breast abscess in nonpuerperal women. Effective treatment of abscesses should be based on the disease's pathogenic process and should include excision of all involved ducts. Treated by this method, patients appear to experience minimal sequelae and low recurrence of abscesses.

Journal Article↗

Binding of epidermal growth factor (EGF) and insulin to human liver microsomes and Golgi fractions.

Microsomes and Golgi fractions were isolated from 13 human liver samples without local malignancy. Binding of insulin to microsomes (per cent per 0.5 mg protein) was 14.4 +/- 7.9% with two classes of receptors: K1 = 1.4 nM, R1 = 0.28 pmol/mg; K2 = 8.1 nM, R2 = 0.62 pmol/mg. The binding was insignificantly lower than in rats. Binding of EGF was only 3.4 +/- 1.7% with two classes of receptors: K1 = 1.4 nM, R1 = 0.06 pmol/mg; K2 = 10.8 nM, R2 = 0.22 pmol/mg; the binding was much lower than in rats (26.3 +/- 5.8%). Binding of insulin to Golgi fraction (per cent per 0.1 mg protein) was 5.5 +/- 0.4% with straight line Scatchard plot; Kd = 5.6 nM, Ro = 3.06 pmol/mg; it was only half of that found in rats. In one case of hepatoma, the binding of insulin to microsomes was normal but that of EGF very low.

Aged↗

pH-tested reflux without hiatus hernia.

Gastroesophageal reflux was tested for with a pH telemetry capsule. In 29 individuals in whom no hiatus hernia was demonstrated on barium esophagram, the transverse diameter of the intrahiatal esophagus was compared to that of the intrathoracic. When the width of the intrahiatal esophagus was two-thirds or less that of the intrathoracic, pH-proven reflux was an infrequent event. When wider, reflux occurred with high frequency.

Gastric Acidity Determination↗

A new hyrogen ion telemetry technique for evaluating gastroesophageal reflux.

A new pH capsule telemetry technique was used to measure the pH fluxes in the upper part of the gastrointestinal tract in normal volunteers, symptomatic patients and in those with hiatal herniorrhaphy during the preoperative and postoperative period. The Darvon-sized pH capsule is swallowed with ease and with minimal discomfort by a fasting patient. The pH of the surrounding media activates an FM radio transmitter within the capsule to emit a continuous radio signal which is converted by a receiver to a linear graph on a strip chart recorder. This pH capsule telemetry test is easy to perform on an ambulatory basis and allows an accurate and reproducible determination of the presence or absence of esophageal reflux in patients with and without a hiatal hernia. Its correlation with symptomatic reflux is higher than that found with a conventional gastrointestinal series examination. The technique allows a much clearer distinction to be made between those patients with real symptomatic esophagitis secondary to actual reflux and those with other esophageal, cardiac or pulmonary symptoms existing withour reflux. This study also reveals a consistently lower fasting gastric pH in patients with signs and symptoms of reflux than in normal individuals without reflux. The technique enabled a more accurate assessment of the efficacy of hiatal hernia repair and revealed a reduced degree of esophageal reflux in those patients who had undergone successful repair with fundic plication.

Clinical Trials as Topic↗

[The bacteriological diagnosis of catheter-related sepsis. The advantages of quantitative blood cultures].

If sepsis due to a catheter is suspected in a patient receiving parenteral nutrition, the doctor responsible for the patient usually withdraws the catheter and sends the point to the bacteriological laboratory for examination. This operation is usually accompanied by the extraction of several blood samples for haemoculture. With this attitude, it has been observed that most of the catheters withdrawn are sterile or if they are contaminated, they are not the cause of the sepsis. This leads to a series of unnecessary expenses and risks. This problem has prompted us to design a clinical study for the prospective investigation of the efficiency of quantitative haemocultures in the diagnosis of sepsis due to the catheter. During an 8-month period, all the patients who received parenteral nutrition in our centre were followed up by members of the nutritional support unit and participated in the study. In the face of the clinical suspicion of sepsis due to the catheter, blood was obtained for haemoculture, both through the catheter and from the peripheral veins. However, the catheters were not withdrawn until after the results of the cultures, between 16 and 24 hours following the extraction. A count of colonies in blood proceeding from the catheter which was five times or more greater than the count in the peripheral blood was interpreted as sepsis due to the catheter and the catheter was withdrawn. Differences between both counts (central and peripheral) which were less were interpreted as sepsis with a different origin to the catheter and in this case, the catheter was not withdrawn. A total of 26 catheters were evaluated using this method.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗