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[The occurrence of denticles in the craniums of Norwegian Samis (Lapps)].

The purpose of the present radiologic study was to establish prevalence and distribution of pulp stones in mandibular premolars and molars in skulls of Norwegian Samis. The results were compared to those of previous investigations of ancient Eskimos, medieval Norsemen from Greenland, Danish Stone Age People and ancient Nubians. Forty-eight dentitions were radiographed and pulp stones recorded according to number and location within the teeth. Twenty-six percent of the Samis exhibited pulp stones. Molars showed a significantly higher prevalence of pulp stones than did premolars. The giant pulp calcifications described previously were limited to first and second molars. Pulp stones were located in pulp chambers only. Symmetric occurrence of pulp stones was common in contralateral teeth. Further epidemiologic studies of pulp stones in ethnic groups are needed.

Dental Pulp Calcification↗

Fish oils and plasma lipid and lipoprotein metabolism in humans: a critical review.

Epidemiological studies in Greenland Eskimos led to the hypothesis that marine oils rich in n-3 fatty acids (also referred to as omega (omega)-3 fatty acids) are hypolipidemic and ultimately antiatherogenic. Metabolically controlled trials in which large amounts of fish oil were fed to normal volunteers and hyperlipidemic patients showed that these fatty acids (FAs) are effective at lowering plasma cholesterol and triglyceride levels. Although more recent trials using smaller, more practical doses of fish oil supplements have confirmed the hypotriglyceridemic effect, they have shown little effect on total cholesterol levels; hypertriglyceridemic patients have even experienced increases in low density lipoprotein cholesterol (LDL-C) levels of 10-20% while taking n-3 FA supplements. Discrepancies among fish oil studies regarding the effects of n-3 FAs on LDL-C levels may be understood by noting that, in the majority of studies reporting reductions in LDL-C levels, saturated fat intake was lowered when switching from the control diet to the fish oil diet. When fish oil is fed and saturated fat intake is constant, LDL-C levels either do not change or may increase. Levels of high density lipoprotein cholesterol have been found to increase slightly (about 5-10%) with fish oil intake. Plasma apolipoprotein levels change in concert with their associated lipoprotein cholesterol levels. Although the decrease in triglyceride levels appears to result from an inhibition in hepatic triglyceride synthesis, the mechanisms leading to the increases in LDL and HDL have not been determined. Finally, fatty fish or linolenic acid may serve as alternative sources of long-chain n-3 FAs, but further studies will be needed to document their hypolipidemic and/or antiatherogenic effects.

Animals↗

Fish oil in heart disease.

Observations of significantly lower total cholesterol, low density lipoprotein (LDL) cholesterol and higher levels of high density lipoprotein (HDL) cholesterol among Eskimos as compared to Danes in all age groups and both genders, and the current emphasis on the role of cholesterol in atherosclerosis have stimulated several studies that have examined the effects of dietary fish or fish oil supplements on plasma lipids. Conclusions from these studies suggest a favorable change in the plasma lipids in subjects with higher intake of dietary fish or those receiving fish oil supplements towards a decreased incidence of atherosclerosis and hence the coronary artery disease. This article is an attempt to review the current understanding of the effects of fish oil on blood lipids and its role in the heart disease.

Animals↗

Genetic studies of human apolipoproteins. IX. Apolipoprotein D polymorphism and its relation to serum lipoprotein lipid levels.

Apolipoprotein D (APO D) is a constituent of plasma high-density lipoproteins. Its precise role in lipid metabolism is not well established, though it may be involved in cholesterol esterification and cholester ester transport to the liver for catabolism. No genetic polymorphism has been reported in the APO D gene product. To investigate the extent of genetic variation at the APO D structural locus, we have developed an isoelectric focusing-immunoblotting technique and have screened a large number of plasma samples from U.S. whites, U.S. blacks, Nigerian blacks, the Aleuts of the Pribilof Islands, Eskimo groups from Kodiak Island and St. Lawrence Island, and Amerindian populations from Mexico and Canada. Except for the U.S. blacks and Nigerian blacks, the APO D locus is monomorphic in all other population groups tested. In populations with black ancestry, the products of two alleles, APO D*1 and APO D*2, have been observed at respective allele frequencies .987 and .013 in U.S. blacks and .978 and .022 in Nigerian blacks. The detection of a unique protein polymorphism in blacks makes APO D a useful black marker of significance in anthropogenetics and racial admixture studies. In addition to the interindividual variation observed, APO D reveals extensive intraindividual molecular variation with a multiple banding pattern. The basis of this molecular variation is explained, in part, by variation in the number of terminal sialic acid residues. We have investigated the effect of the APO D polymorphism on triglycerides, total cholesterol, LDL-, VLDL-, HDL-, and HDL3 cholesterol in 352 Nigerian blacks (190 males and 162 females).(ABSTRACT TRUNCATED AT 250 WORDS)

Alleles↗

[Population genetics study of the functional asymmetry of the brain in native and migrant population of the north-eastern USSR].

It is shown that ethnic groups of the North-East of the USSR (eskimos, coast and reindeer chukchi, koryaks and evens) differ significantly in phenotype frequencies of hemisphere interrelations, and the extent of differences conforms to non-similarity of the cultural and economic structure of these populations. Significant phenotype frequency dynamics observed in new-coming population, depending on the duration of dwelling under the North conditions, makes the phenotype of "long-livers" of the North more distant from the population of middle latitudes and closer to the aboriginal populations. Such a dynamics of phenotypic structure of new-coming populations is due to selective migration of the population. Great adaptability of the right hemisphere relationship type individuals of aboriginal as well as new-coming population to the North-East conditions is grounded. The role of hemisphere relationship type in adaptation to the environmental conditions is under discussion.

Asian People↗

[Correlation of genetic and demographic differences between populations of indigenous inhabitants of the Northeastern USSR].

Correlative analysis is given for some demographic characteristics in populations of asiatic eskimos, coastal and reindeer chuckchies, Kamchatka koryaks and Chukotka evens. Summarized estimation of population differences for 7 demographic parameters is presented. Highly reliable correlation of genetic distinctions as defined for 17 polymorphic loci, and demographic differences between populations estimated for 7 parameters (r = 0.868, P less than 0.001) was found. The role of ecological factors in formation of genetic structure features and application of demographic characteristics, as possible indicator of ecological particularities of the given populations, is considered.

Demography↗

[A statistical comparison study of glaucoma in the Third Affiliated Hospital of China Medical College and Kyushu University].

We classified 331 glaucoma patients who visited the eye clinic of the Third Affiliated Hospital of China Medical College during the 2 year period from January 1985 to December 1986 according to the type of glaucoma. The results were compared with those obtained from 275 glaucoma patients who visited the eye clinic of Kyushu University during an overlapping period of 2 years, from January 1986 to December 1987. Patients with glaucoma were found to comprise 1.5% of the 22,869 outpatients in the Third Affiliated Hospital of China Medical College, and 1.8% of the 15,585 outpatients in Kyushu University. The distribution of various types was as follows: primary angle closure glaucoma (76.4%), primary open angle glaucoma (4.8%), secondary glaucoma (11.8%), exfoliation glaucoma (0) and congenital glaucoma (5.7%) in the Third Affiliated Hospital of China Medical College, and primary angle closure glaucoma (34.5%), primary open angle glaucoma (12.7%), secondary glaucoma (22.2%), exfoliation glaucoma (14.9%) and congenital glaucoma (10.9%) in Kyushu University. The present results suggest that the incidence of primary angle closure glaucoma in China is higher than in Japan, and that the incidence of primary angle closure glaucoma is higher than that of primary open angle glaucoma in these two countries. It is of interest that the high incidence of primary angle closure glaucoma in China and Japan coincides with the study in Canadian Eskimos. The incidences of secondary glaucoma and exfoliation glaucoma in Japan are higher than in China. This might be due to differences in diagnostic facilities in the two countries.

Adult↗

Dietary fish oils containing eicosapentaenoic acid and the prevention of atherosclerosis and thrombosis.

Recent epidemiologic studies have shown that rates of cardiovascular disease are lower in populations such as the Greenland Eskimos than in those that do not eat seafood, even though the levels of dietary fat intake are often similar. Dietary fish oils are rich in eicosapentaenoic acid (EPA), a polyunsaturated fatty acid of the omega-3 series. EPA has been shown to prolong bleeding time and to decrease platelet aggregation and blood viscosity. EPA inhibits the production of prostaglandins from endogenous arachidonic acid, which is associated with the formation of thromboxane A2 and may also dampen cyclo-oxygenase and lipoxygenase metabolites involved in mediating endothelial cell proliferation. Dietary fish oils are now available in the form of EPA-enriched capsules. Short-term trials in humans have shown that EPA significantly reduces the levels of plasma triglycerides and may increase the levels of high-density lipoproteins; however, no consistent effect on serum cholesterol levels has been shown. The results of evaluations of EPA's use in patients with renal disorders, mild hypertension, inflammatory disorders or hyperlipidemia have been promising. On the basis of the epidemiologic and biologic evidence dietary fish oils warrant further study in extensive clinical trials.

Animals↗

Pancreatic beta-cell carcinoma with renal metastasis in a dog.

Severe hypoglycemia associated with a metastatic pancreatic beta-cell carcinoma was found in an adult female American Eskimo dog. Metastatic tumor was found in the renal glomeruli as opposed to the more common hepatic metastatic site.

Adenoma, Islet Cell↗

[Focal epithelial hyperplasia: first cases in Switzerland and review of the literature].

Three cases of 'focal epithelial hyperplasia' (FEH) of the oral mucosa observed for the first time in Switzerland are reported. The patients were of Turkish and North African extraction. The lesions of FEH were multiple, painless, located at various sites of the oral mucosa including the tongue, in the form of either soft papules or hard nodules. Evidence of a human papilloma virus origin was ascertained. Among the 1,067 cases reported in the literature and reviewed for this study, this condition has been described to occur among American Indians, Eskimos and Cape Coloureds; also in Israeli and European cases the disorder was often reported in individuals of Turkish or North African extraction.

Adult↗

[Evaluation of the hemorheologic effects of the eicosapentaenoic and docosahexaenoic acids in asymptomatic dyslipidemic and arteriopathic subjects].

The low incidence of cardiovascular disease in Greenlandic Eskimos is related to the effect of dietary omega-3 polyunsaturated fatty acids. An important anti-atherosclerotic mechanism of compounds such as EPA and DHA consist in the modulation of cell membrane and properties. A change in the lipid composition of the diet and a dietary supplementation with EPA and DHA contribute to suggested potential therapeutic effect on peripheral vascular disease. The Authors report the results obtained by Doppler C.W. ultrasound in hyperlipidemic-arteriopathic patients.

Aged↗

Biological mechanisms and cardiovascular effects of omega-3 fatty acids.

The mechanisms and cardiovascular effects of omega-3 fatty acids are reviewed. Omega-3 polyunsaturated fatty acids are the major ingredient found in commercially available fish oil products. The incidence of many diseases, including coronary heart disease, diabetes mellitus, and psoriasis, is lower in Eskimos, who ingest diets rich in omega-3 fatty acids, compared with European controls. Potential mechanisms by which these fatty acids cause their many physiologic effects include competing with omega-6 fatty acids for prostaglandin and leukotriene pathways and enhancing cell membrane fluidity by virtue of the high degree of unsaturation. Numerous studies have documented longer bleeding times and decreased platelet aggregation in subjects ingesting omega-3 fatty acids. Omega-3 fatty acids may reduce serum cholesterol concentrations by decreasing the synthesis of very low density lipoprotein and, therefore, low-density lipoprotein. Blood viscosity is significantly and uniformly lower in subjects receiving omega-3 fatty acids compared with controls. Potential risks of supplementation with fish oils include hypervitaminosis A and D, vitamin E deficiency, increased bleeding times, decreased platelets, and ingestion of contaminated fish. Supplementation with moderate amounts of omega-3 fatty acids appears to be relatively safe. Possible adverse effects include nausea, diarrhea, and a "fishy" taste. Properly controlled, long-term clinical trials are needed to determine whether supplementation with omega-3 fatty acids would be therapeutically beneficial in various patient populations and disease states.

Fatty Acids, Unsaturated↗

Otitis media, hearing loss, and child development: a NICHD conference summary.

Growing evidence indicates that a significant relationship exists between the conductive hearing loss resulting from recurrent otitis media (OM) during the first 3-5 years of life and subsequent problems in acquisition of language and academic skills. To assess current knowledge of OM and its consequences for cognitive and linguistic development, to exchange viewpoints, and, if possible, to determine directions for future research, a conference was sponsored by the National Institute of Child Health and Human Development (NICHD). Among the epidemiologic studies cited, some found a very high incidence of OM in North American Indians and Eskimos, caused, according to one hypothesis, by a genetically different eustachian tube. Another researcher advised that basic language development should be carefully assessed in all cases of OM in young children. Conferees agreed that intervention programs must be developed and implemented until preventive measures are available. One model program emphasizes prevention of developmental difficulties based on the known and suspected sequelae of OM and on the known principles of language development. Conference participants recommended that all infants and young children, particularly those at risk, be examined for OM during regular medical checkups. In addition to treating the disorder, measures should be taken to deal with any significant hearing loss. If drug therapy is inadequate to clear effusion from the middle ear, surgery should be considered. Speech and language intervention should be undertaken when required.

Child↗

Characteristics of Mongoloid populations based on the human immunoglobulin allotypes.

Since the discovery of Gm ab3st haplotype which characterizes Mongoloid populations in 1966, the distribution of the genetic markers of immunoglobulins (Gm) among the Mongoloid populations scattered from Southeast Asia through East Asia to South America has been investigated and concluded as follows: 1) Mongoloid populations characterized by the four Gm haplotypes, ag, axg, ab3st and afb 1b3 are divided into two groups on the basis of analysis of genetic distances based on the Gm haplotype frequencies: one is a southern group characterized by a remarkably high frequency of Gm afb 1b3 and a low frequency of Gm ag and the other is a northern group characterized by a high frequency of Gm a and an extremely low frequency of Gm afb 1b3. 2) Populations in China, mainly Han including minority nationalities, show remarkable heterogeneities from north to south, in sharp contrast to Korean and Japanese populations showing homogeneities, respectively. The center of dispersion of the Gm afb 1b3 characterizing southern Mongoloids must exist in Guangxi and Yunnan area in the southwest China. 3) The Gm ab3st gene found in the highest incidence among the north Baikal Buriats flows in all directions. The gene, however, shows precipitous drop which occur from mainland China to Southeast Asia and from North to South-America, although the Gm ab3st gene is still found in high incidences among Eskimos, Yakuts, Tibetans, Olunchuns, Koreans, Japanese and Ainus. On the other hand, the gene is introduced into Huis, Uighurs, Indians, Iranians and far Hungarians.(ABSTRACT TRUNCATED AT 250 WORDS)

Asian People↗

Worldwide experience in newborn screening for classical congenital adrenal hyperplasia due to 21-hydroxylase deficiency.

The need for a reliable screening test for classical congenital adrenal hyperplasia prompted development of newborn screening programs. Worldwide incidence of classical congenital adrenal hyperplasia in this report was taken from newborn screening programs in France, Italy, Japan, New Zealand, Scotland, and the United States. Two populations in which the occurrence of congenital adrenal hyperplasia among live births has been reported with greater than usual frequency are the Yupik Eskimos of southwestern Alaska (1:282) and the people of La Reunion, France (1:2,141). Aside from these populations, 1,093,310 newborns were screened between 1980 and 1988, of whom 77 had congenital adrenal hyperplasia. Thus, worldwide incidence of this disorder was estimated at 1:14,199 live births for homozygous patients, 1:60 for heterozygous subjects, with a gene frequency of 0.0083. Incidence of congenital adrenal hyperplasia among whites was estimated to be 1:11,909 (41:488,279) for homozygous patients, 1:55 for heterozygous subjects with a gene frequency of 0.0091. Incidence for the salt-wasting form of congenital adrenal hyperplasia was 1:18,850 (58:1,093,310) compared with 1:57,543 (19:1,093,310) for congenital adrenal hyperplasia in the simple virilizing form. Thus, salt-wasting congenital adrenal hyperplasia was three times more common than simple virilizing congenital adrenal hyperplasia. Estimated incidence of congenital adrenal hyperplasia in white populations in Italy and France (1:10,866) was higher than in Scotland (1:17,098), New Zealand (1:14,500). The incidence in an Asian population (Japan) (1:15,800) did not differ significantly from that of the white population. In four of five populations, overall incidence was higher than previously reported, as was the frequency of the salt-wasting form (75% v 50% to 66%), suggesting improved case detection by newborn screening.(ABSTRACT TRUNCATED AT 250 WORDS)

17-alpha-Hydroxyprogesterone↗

Clinical applications of fish oils.

Fish oil supplements are currently being nationally advertised, and many physicians are being queried about their clinical utility. Epidemiologic studies reveal a low incidence of cardiovascular disease in people, such as the Eskimos, who eat large amounts of seafood. Cardiovascular health may be improved because fish and fish oil supplements lower plasma lipid levels (especially triglycerides), inhibit platelet aggregation, and may decrease blood pressure and viscosity and increase high-density lipoprotein (HDL) levels. Preliminary observations also suggest a potential future role for fish oils in the treatment of some autoimmune diseases, such as atopic dermatitis, psoriasis, and rheumatoid arthritis. Patients with serum triglyceride levels greater than 5.64 mmol/L and/or cholesterol levels greater than 7.75 mmol/L refractory to dietary management may benefit from a medically supervised trial of fish oil supplements. Data currently available are insufficient to recommend fish oil supplements for the general public, or for patients with other diseases, and side effects must also be considered. These include occasional adverse lipid changes, potential for bleeding and vitamin E deficiency, and, with some preparations, vitamin A and D toxicity.

Adolescent↗

Genetic studies of low abundance human plasma proteins. II. Population genetics of coagulation factor XIIIB.

Plasma samples from a large number of different ethnic groups, consisting of U.S. whites, U.S. blacks, Eskimos from Kodiak and St. Lawrence Island, Aleuts of the Pribilof Islands, and three Amerindian groups from Canada and Mexico have been analyzed by isoelectric focusing followed by immunoblotting to determine the magnitude of genetic variation at the F XIIIB structural locus. The synthesis of published data and our new data demonstrate remarkable variation in the distribution of the three common alleles at this locus and establishes F XIIIB as an extremely informative marker for population differentiation and evolutionary studies. Genetic distance analysis based on this variation separates Caucasian, black, and Mongoloid populations into three distinct clusters.

Blood Proteins↗

Dietary effects of fish oils on human health: a review of recent studies.

The beneficial effects in humans of ingesting fish oils have attracted much attention among medical scientists and nutritionists recently. Human studies conducted in populations of Eskimos, Japanese, and Caucasians since 1970 are reviewed in this paper. The evidence shows that a diet rich in omega-3 fatty acids significantly reduces plasma cholesterol and triglyceride levels, improves fat tolerance, prolongs bleeding times, reduces platelet counts, and decreases platelet adhesiveness.

Blood Coagulation↗