PubMed · 7377768
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F Cirignotta, E Lugaresi. 1980. Eating epilepsy.. https://doi.org/10.1002/ana.410070429
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OBJECTIVE: A well-publicized January 2001 federal advisory recommended that pregnant women limit consumption of certain fish because of concerns about mercury contamination. We endeavored to estimate the extent to which pregnant women changed fish consumption habits after dissemination of this national advisory. METHODS: We performed interrupted time series analysis of data from a cohort of pregnant women (2235 who completed at least one dietary questionnaire) visiting obstetric offices in a multispecialty group practice in eastern Massachusetts, surveyed before the advisory from April 1999 through December 2000 and after the advisory from April 2001 through February 2002. Main outcome measures were consumption of total fish and of four fish types: canned tuna, dark meat fish, shellfish, and white meat fish. Subjects reported fish consumption on semiquantitative food frequency questionnaires administered at each trimester of pregnancy. RESULTS: We observed diminished consumption of dark meat fish, canned tuna, and white meat fish after the national mercury advisory. These decreases resulted in a reduction in total fish consumption of approximately 1.4 servings per month (95% confidence interval 0.7, 2.0) from December 2000 to April 2001, with ongoing declines through the end of the study period. There was no change in shellfish intake. CONCLUSION: After dissemination of federal recommendations, pregnant women in this cohort reported reduced consumption of fish, including tuna, dark meat fish, and white meat fish. Because these fish may confer nutritional benefits to mother and infant, public health implications of these changes remain unclear.
The aim of this study was to evaluate theoretical maximum daily intake (TMDI) and estimated daily intake (EDI) for Korean by using maximum residue levels (MRLs), food intake, residue data and correction factors, and compare with acceptable daily intake (ADI) in order to estimate the health risk based on the pesticide exposure. Then, the oncogenic risks of the pesticides were assessed from TMDI and estimated daily intake with treatment (adjusted EDI). The percent ratio of TMDI to ADI for 262 pesticides was mostly below 80%, but 42 pesticides (16.0%) exceeded the ADI. EDI without treatment (non-adjusted EDI) and estimated daily intake with treatment (adjusted EDI) were summed up to about 6.41 ml/day/capita and 2.94 ml/day/capita, respectively. The percentage of ADI was TMDI (101.04%) > non-adjusted EDI (0.08%) > adjusted EDI (0.01%), and the exposure level of Korean population to whole pesticides was below the level to produce health risk. The dietary oncogenic risk for Koreans was estimated to be 7.3x10(-4) on the basis of TMDI, 1.8x10(-7) on the basis of adjusted EDI, and although the level from TMDI exceeded the risk level (1x10(-6)) of the Environment Protection Agency (EPA), the level from adjusted EDI, real exposure level, was below it.
In this issue of Clinical Science, Fugmann and co-workers demonstrate a highly integrated cardiovascular response to changes in plasma concentrations of glucose, triacylglycerols (triglycerides), fatty acids and insulin. Since the different substrates, alone and combined, evoked these changes, this response is likely to be a physiological one and directed towards minimizing the extent and duration of substrate elevations that could cause vascular dysfunction.