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Sample records for beriberi

  1. Beriberi

    Science.gov (United States)

    ... Affects the cardiovascular system. Dry beriberi and Wernicke-Korsakoff syndrome : Affects the nervous system. Beriberi is rare in ... movements, and walking difficulties may go away. However, Korsakoff syndrome (or Korsakoff psychosis) tends to develop as Wernicke ...

  2. Beriberi cardiovascular agudo (Shoshin-Beriberi Acute cardiovascular beriberi (shoshin-beriberi

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    Osvaldo D. López Gastón

    2002-08-01

    Full Text Available El beriberi, la deficiencia de tiamina (B1, fue referido en el siglo XVII en la literatura asiática, y pue de manifestarse por síntomas neurológicos (beriberi «seco» donde la neuropatía periférica y la debilidad muscular son los más destacados y/o síntomas cardiovasculares (beriberi «húmedo», con una variante «clásica» donde es predominante la insuficiencia cardíaca derecha con índice cardíaco (IC normal o alto y otra aguda o «shoshin-beriberi», caracterizada por insuficiencia biventricular, acidosis láctica e IC variable y que sin tratamiento precoz evoluciona al colapso vascular y la muerte. Se presenta una paciente de 58 años y antecedente de enolismo, con disnea, oliguria, sígnos de fallo cardíaco biventricular con patrón hiperdinámico, acidosis metabólica, disfunción tubular renal y lactacidemia de 5.6 mEq/L. El exámen neurológico mostró una polineuropatía sensitiva, simétrica y distal en MMII y deterioro cognitivo con sígnos frontales. Horas después de la administración de 100 mg de tiamina ev. se observó una manifiesta mejoría de los valores hemodinámicos y el estado ácido-base. Se concluye que si bien el beriberi cardiovascular agudo es de presentación infrecuente hay consenso en que además es subdiagnosticado. La presencia de acidosis láctica o cuadro de insuficiencia cardíaca de alto volumen minuto sin etiología manifiesta, en pacientes con riesgo de deficiencia de B1, es suficiente para hacer la prueba terapéutica.Beriberi (BB, thiamine deficiency, has been described in the Asian literature in the 17th century and is characterized by peripheral neuropathy and muscle weakness, also called «dry» beriberi (BB to differentiate it from «wet» BB, with essentially cardiovascular manifestations. Wet can be either «classic» wet BB in which signs and symptons of right-sided heart failure with normal or high cardiac output are the presenting features or the «shoshin» BB variant with severe

  3. Infantile encephalitic beriberi: magnetic resonance imaging findings

    Energy Technology Data Exchange (ETDEWEB)

    Wani, Nisar A. [Government Medical College Srinagar, Department of Pediatric Radiology, Jammu and Kashmir, Pin (India); Qureshi, Umar A.; Ahmad, Kaiser; Ahmad, Waseem [Government Medical College Srinagar, Department of Pediatrics, Jammu and Kashmir (India); Jehangir, Majid [Government Medical College Srinagar, Department of Radiology, Jammu and Kashmir (India)

    2016-01-15

    Thiamine deficiency in infants is still encountered in developing countries. It may present with acute neurological manifestations of infantile encephalitic beriberi. To review brain MRI findings in infantile encephalitic beriberi from a single institution. A retrospective review of MRI scans in 22 infants with acute-onset beriberi encephalopathy was carried out. Hyperintense lesions on T2-weighted images were seen symmetrically in the putamen in all patients, in the caudate nuclei in 16/22 (73%), the thalami in 7/22 (32%) and the globi pallidi in 3/22 (14%) of the infants. Altered signal intensity lesions in the cerebral cortex were seen in 7/22 (32%). The mammillary bodies were seen in one infant and the periaqueductal gray matter in two. There was restricted diffusion in 14/22 (64%), and 6/8 children with no evidence of restriction had been imaged ≥10 days after presentation. MR spectroscopy showed increased lactate peak in 6/8 infants (75%). Recognition of symmetrical T2-W hyperintense lesions in the basal ganglia with restricted diffusion and prominent lactate peak may allow early diagnosis of encephalitic beriberi in at-risk infants. (orig.)

  4. Epidemias de Escorbuto y Beriberi en la Historia de Colombia

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    Hugo Armando Sotomayor Tribin

    1993-08-01

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    El escorbuto por déficit en la dieta de alimentos ricos en vitamina C, o ácido ascórbico, y el beriberi por déficit de tiarnina o vitamina B1, tienen una historia universal vinculada, el primero a los viajes transoceánicos y a la ausencia durante ellos de frutas y legumbres frescas, y el segundo a zonas geográficas con el consumo de alimentos sin esa vitamina.

    Porque los indígenas colombianos siempre contaron en su dieta con fuentes ricas en vitamina C y tiamina, como el ají -hasta el extremo que el ayuno, el sacrificio y el castigo en esas comunidades se asociaba a la privación de esa planta (1, 2- Y por ser sus viajes marítimos, al igual que los viajes de los europeos hasta el siglo XIV y XV, de puerto a puerto, siguiendo la línea costera, ellos con seguridad no padecieron déficits importantes de esas vitaminas.

    Las manifestaciones clínicas del escorbuto son principalmente las hemorragias perifoliculares, las petequias, las equimosis, la hinchazón y sangrado de encías y la anemia. El escorbuto si no se trata es mortal (3.

    El beriberi, llamado así originalmente por los habitantes de Indonesia, parece que es una enfermedad conocida por los chinos hace cientos de años. Ella causa en el adulto la forma aguda o “húmeda” con manifestaciones cardiacas y edema y la forma crónica o “seca” con manifestaciones de neuropatía periférica expresada por sensación de pies quemantes, hormigueo en extremidades, debilidad y atrofia muscular. A veces compromete el sistema nervioso central (4...

  5. Shoshin Beriberi Induced by Long-Term Administration of Diuretics: A Case Report

    Science.gov (United States)

    Misumida, Naoki; Umeda, Hisashi; Iwase, Mitsunori

    2014-01-01

    Previous studies have suggested that diuretic therapy for heart failure may lead to thiamine deficiency due to the increased urinary thiamine excretion. Herein, we present the case of a 61-year-old man with shoshin beriberi, a fulminant form of wet beriberi, induced by long-term diuretic therapy. The patient had a history of heart failure with preserved ejection fraction and was receiving furosemide and trichlormethiazide therapy. He presented with worsening exertional dyspnea and was admitted for heart failure exacerbation. His condition failed to improve even after intensive treatment. A hemodynamic evaluation with the Swan-Ganz catheter revealed high-output heart failure with low peripheral vascular resistance. Thiamine was administered for suspected shoshin beriberi; his hemodynamic status improved dramatically within the next six hours. The serum thiamine level was below the normal range; the patient was therefore diagnosed with shoshin beriberi. The common causes of thiamine deficiency were not identified. Long-term diuretic therapy with furosemide and thiazide was thought to have played a major role in the development of thiamine deficiency. This case illustrates the importance of considering wet beriberi as a possible cause of heart failure exacerbation in patients taking diuretics, even when the common thiamine deficiency causes are not identified with history-taking. PMID:25105030

  6. Shoshin Beriberi Induced by Long-Term Administration of Diuretics: A Case Report

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    Naoki Misumida

    2014-01-01

    Full Text Available Previous studies have suggested that diuretic therapy for heart failure may lead to thiamine deficiency due to the increased urinary thiamine excretion. Herein, we present the case of a 61-year-old man with shoshin beriberi, a fulminant form of wet beriberi, induced by long-term diuretic therapy. The patient had a history of heart failure with preserved ejection fraction and was receiving furosemide and trichlormethiazide therapy. He presented with worsening exertional dyspnea and was admitted for heart failure exacerbation. His condition failed to improve even after intensive treatment. A hemodynamic evaluation with the Swan-Ganz catheter revealed high-output heart failure with low peripheral vascular resistance. Thiamine was administered for suspected shoshin beriberi; his hemodynamic status improved dramatically within the next six hours. The serum thiamine level was below the normal range; the patient was therefore diagnosed with shoshin beriberi. The common causes of thiamine deficiency were not identified. Long-term diuretic therapy with furosemide and thiazide was thought to have played a major role in the development of thiamine deficiency. This case illustrates the importance of considering wet beriberi as a possible cause of heart failure exacerbation in patients taking diuretics, even when the common thiamine deficiency causes are not identified with history-taking.

  7. Acute dilated cardiomyopathy in a patient with beriberi and cryoglobulinaemic vasculitis: an unusual potential complication of two rare disorders.

    Science.gov (United States)

    Tejedor, Ana; Solé, Manel; Prieto-González, Sergio; Alba, Marco Antonio; Grau, Josep Maria; Cid, Maria Cinta; Hernández-Rodríguez, José

    2014-01-01

    We report the case of a 45-year-old patient who presented with acute dilated cardiomyopathy. During admission the patient was consecutively diagnosed with cryoglobulinaemic vasculitis and beriberi. In both diseases, cardiac involvement may occur as dilated cardiomyopathy. Thiamin deficiency was the final cause for the severe cardiac manifestations (cardiac acute beriberi or Shoshin syndrome), which returned to normal after thiamin supplementation.

  8. Erythrocyte transketolase activity, markers of cardiac dysfunction and the diagnosis of infantile beriberi.

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    Douangdao Soukaloun

    Full Text Available BACKGROUND: Infantile beriberi is a potentially lethal manifestation of thiamin deficiency, associated with traditional post-partum maternal food avoidance, which persists in the Lao PDR (Laos. There are few data on biochemical markers of infantile thiamin deficiency or indices of cardiac dysfunction as potential surrogate markers. METHODOLOGY/PRINCIPAL FINDINGS: A case control study of 47 infants with beriberi and age-matched afebrile and febrile controls was conducted in Vientiane, Laos. Basal and activated erythrocyte transketolase activities (ETK and activation (α coefficients were assayed along with plasma brain natriuretic peptide, N-terminal pro-brain natriuretic peptide and troponin T. Basal ETK (and to a lesser extent activated ETK and plasma troponin T were the only infant biochemical markers that predicted infantile beriberi. A basal ETK ≤ 0.59 micromoles/min/gHb gave a sensitivity (95%CI of 75.0 (47.6 to 92.7% and specificity (95%CI of 85.2 (66.3 to 95.8% for predicting infantile beriberi (OR (95%CI 15.9 (2.03-124.2; p = 0.008 (area under ROC curve = 0.80. In contrast, the α coefficient did not discriminate between cases and controls. Maternal basal ETK was linearly correlated with infant basal ETK (Pearson's r = 0.66, p < 0.001. The odds of beriberi in infants with detectable plasma troponin T was 3.4 times higher in comparison to infants without detectable troponin T (OR 3.4, 95%CI 1.22-9.73, p = 0.019. Detectable troponin T had a sensitivity (95%CI of 78.6 (59.0 to 91.7 % and specificity (95%CI of 56.1 (39.7 to 71.5 % for predicting infantile beriberi. CONCLUSIONS/SIGNIFICANCE: Basal ETK is a more accurate biochemical marker of infantile beriberi than the activation coefficient. Raised plasma troponin T may be a useful indicator of infantile beriberi in infants at risk and in the absence of other evident causes.

  9. Beriberi (thiamine deficiency and high infant mortality in northern Laos.

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    Hubert Barennes

    2015-03-01

    Full Text Available Infantile beriberi (thiamine deficiency occurs mainly in infants breastfed by mothers with inadequate intake of thiamine, typically among vulnerable populations. We describe possible and probable cases of infantile thiamine deficiency in northern Laos.Three surveys were conducted in Luang Namtha Province. First, we performed a retrospective survey of all infants with a diagnosis of thiamine deficiency admitted to the 5 hospitals in the province (2007-2009. Second, we prospectively recorded all infants with cardiac failure at Luang Namtha Hospital. Third, we further investigated all mothers with infants (1-6 months living in 22 villages of the thiamine deficiency patients' origin. We performed a cross-sectional survey of all mothers and infants using a pre-tested questionnaire, physical examination and squat test. Infant mortality was estimated by verbal autopsy. From March to June 2010, four suspected infants with thiamine deficiency were admitted to Luang Namtha Provincial hospital. All recovered after parenteral thiamine injection. Between 2007 and 2009, 54 infants with possible/probable thiamine deficiency were diagnosed with acute severe cardiac failure, 49 (90.2% were cured after parenteral thiamine; three died (5.6%. In the 22 villages, of 468 live born infants, 50 (10.6%, 95% CI: 8.0-13.8 died during the first year. A peak of mortality (36 deaths was reported between 1 and 3 months. Verbal autopsy suggested that 17 deaths (3.6% were due to suspected infantile thiamine deficiency. Of 127 mothers, 60 (47.2% reported edema and paresthesia as well as a positive squat test during pregnancy; 125 (98.4% respected post-partum food avoidance and all ate polished rice. Of 127 infants, 2 (1.6% had probable thiamine deficiency, and 8 (6.8% possible thiamine deficiency.Thiamine deficiency may be a major cause of infant mortality among ethnic groups in northern Laos. Mothers' and children's symptoms are compatible with thiamine deficiency. The severity

  10. [Introduction of Indian medicine into China in the Wei-Jin-Southern-Northern dynasties as interpreted by beriberi].

    Science.gov (United States)

    Fan, J

    1995-01-01

    Since the sea route between China and all countries in the Western Region was unimpeded, many Buddhist monks came to China. Some of them settled in Lingnan Region. With them, Indian medicine was imported which greatly expanded the coverage of TCM. Some of the Northerners moved southward into Lingnan Region and contracted beriberi which were cured by Indian monks. The author explores the importation of Indian medcine through analysis of beriberi as an example.

  11. Beriberi, a Severe Complication after Metabolic Surgery - Review of the Literature

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    Christine Stroh

    2014-07-01

    Full Text Available Background: The epidemic growth of morbid obesity has led to an increase in the number of bariatric interventions. During the distribution process of bariatric surgical interventions, the risk for severe nutritious complications such as bariatric beriberi can rise. Methods: By means of systematic literature review, epidemiological data, clinical characteristics and diagnostic as well as therapeutic recommendations for bariatric beriberi were elicited. Databases and registries such as PubMed, Cochrane and Ovid were searched for a defined time period with the key words ‘lack of thiamine' / ‘Wernicke-Korsakoff syndrome' / ‘encephalopathy' after bariatric surgical interventions. Results: Up to December 2013, overall 255 patients had been found as published cases, indicating that the risk for the postoperative occurrence of thiamine deficiency and Wernicke-Korsakoff syndrome is increased in women. In addition, the risk correlates with patient's age. The majority of patients developed symptoms of a dry beriberi with peripheral neuritis, ataxia and paraplegia, indicating an advanced stage of disease approximately 4-12 weeks postoperatively. Laboratory analysis in case of a suspicious clinical finding is the appropriate diagnostics. As treatment, prompt initiation of parenteral thiamine substitution under clinical monitoring is required. Conclusion: Bariatric beriberi can occur within the first 1-3 postoperative months. To minimize the risk of severe consequences, immediate substitution of thiamine in clinical suspicion or prolonged parenteral nutrition is necessary. A delayed diagnosis or missing the correct diagnosis can lead to irreversible damages of the CNS with coma and fatal outcome. Knowledge on the subject, including development of thiamine deficiency, symptomatology and emergency treatment, are considered essential for bariatric surgeons but also for further medical disciplines involved in treatment.

  12. Rapidly progressive polyneuropathy due to dry beriberi in a man: a case report

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    Lekwuwa Godwin

    2010-12-01

    Full Text Available Abstract Introduction We describe a case of rapidly progressive and severely debilitating polyneuropathy in a patient with confirmed hypovitaminosis B1, consistent with dry beriberi. Crucially, this is a treatable condition, although sometimes with incomplete recovery, but it is probably under-recognized yet increasingly common given increasing levels of alcohol abuse in the western world. Case presentation A 49-year-old Caucasian British man presented with progressive weakness of both lower limbs of approximately seven months' duration. He noted difficulty climbing stairs. He also complained of lethargy, and loss of muscle bulk, including his thighs. He had a history of type 2 diabetes mellitus and admitted prior alcohol abuse but denied excessive alcohol intake in the five years prior to presentation. Initial clinical and neurophysiological examinations were consistent with a mild peripheral neuropathy and probable proximal myopathy. However, over the subsequent four months he evolved a marked tetraparesis, with profound sensory disturbance of all limbs. Repeat neurophysiology revealed a widespread polyneuropathy with extensive acute and sub-acute denervation changes in all four limbs, and reduced or absent sensory nerve action potentials. Hypovitaminosis B1 was confirmed (45 nmol/L, reference range 66-200 nmol/L. His rapid clinical deterioration was in keeping with dry beriberi. He was treated with thiamine. Subsequent follow-up revealed slow but significant improvement, such that by 15-16 months from the initial onset of symptoms, and approximately six months after the onset of his marked tetraparesis, he was able to stand independently and was gradually gaining confidence in walking pending a period of in-patient neurorehabilitation. Conclusion A potentially wide differential diagnosis exists for this type of presentation. Confirming hypovitaminosis B1 by requesting the assay prior to vitamin replacement ensures accurate diagnosis and

  13. Dry beriberi preceded Wernicke′s encephalopathy: Thiamine deficiency after laparoscopic sleeve gastrectomy

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    Debopam Samanta

    2015-01-01

    Full Text Available In recent times, pediatric obesity has become widely prevalent. If first-line treatment with lifestyle modification fails, bariatric surgery may be indicated for severely obese patients. Many patients now travel abroad to get these surgeries done. Some of these patients receive inadequate postoperative care. We described a morbidly obese 17-year-old girl who had a laparoscopic sleeve gastrectomy procedure for weight loss. Due to severe nausea, she stopped her multivitamin supplementation. Within a few weeks, she developed symptoms of dry beriberi was soon followed by classic symptoms of Wernicke′s encephalopathy. The prompt diagnosis was made with confirmation from serum thiamine level and brain magnetic resonance imaging. Thiamine supplementation reversed ophthalmological symptoms promptly. However, the patient needed inpatient rehabilitation for neuropathy. This case describes that thiamine deficiency can occur after restrictive bariatric surgery, despite lower risk of malnutrition in the absence of intestinal bypass procedure. This report highlights that in the presence of risk factors: dietary noncompliance, inadequate follow-up, and severe nausea with and without vomiting can precipitate the development of Wernicke′s encephalopathy, even after restrictive surgery. Physicians may increasingly encounter thiamine and other nutrient deficiencies in increasing numbers due to increasing prevalence of obesity disorders and availability of bariatric surgeries. This report also emphasized the importance of identifying vague sensory symptoms in thiamine deficiency.

  14. Wernicke’s Encephalopathy, Wet Beriberi, and Polyneuropathy in a Patient with Folate and Thiamine Deficiency Related to Gastric Phytobezoar

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    Nuria Huertas-González

    2015-01-01

    Full Text Available Background. Wernicke’s encephalopathy (WE is an acute neurological disorder resulting from thiamine deficiency. It is mainly related to alcohol abuse but it can be associated with other conditions such as gastrointestinal disorders. This vitamin deficiency can also present with cardiovascular symptoms, called “wet beriberi.” Association with folate deficit worsens the clinical picture. Subject. A 70-year-old man with gastric phytobezoar presented with gait instability, dyspnoea, chest pain associated with right heart failure and pericarditis, and folate deficiency. Furosemide was administered and cardiac symptoms improved but he soon developed vertiginous syndrome, nystagmus, diplopia, dysmetria, and sensitive and motor deficit in all four limbs with areflexia. Results. A cerebral magnetic resonance imaging (MRI showed typical findings of WE. He was immediately treated with thiamine. Neurological symptoms improved in a few days and abnormal signals disappeared in a follow-up MRI two weeks later. Conclusion. Patients with malabsorption due to gastrointestinal disorders have an increased risk of thiamine deficiency, and folate deficiency can make this vitamin malabsorption worse. An established deficiency mainly shows neurological symptoms, WE, or rarely cardiovascular symptoms, wet beriberi. Early vitamin treatment in symptomatic patients improves prognosis. We recommend administration of prophylactic multivitamins supplements in patients at risk as routine clinical practice.

  15. Wernicke's Encephalopathy, Wet Beriberi, and Polyneuropathy in a Patient with Folate and Thiamine Deficiency Related to Gastric Phytobezoar

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    Huertas-González, Nuria; Hernando-Requejo, Virgilio; Luciano-García, Zaida; Cervera-Rodilla, Juan Luis

    2015-01-01

    Background. Wernicke's encephalopathy (WE) is an acute neurological disorder resulting from thiamine deficiency. It is mainly related to alcohol abuse but it can be associated with other conditions such as gastrointestinal disorders. This vitamin deficiency can also present with cardiovascular symptoms, called “wet beriberi.” Association with folate deficit worsens the clinical picture. Subject. A 70-year-old man with gastric phytobezoar presented with gait instability, dyspnoea, chest pain associated with right heart failure and pericarditis, and folate deficiency. Furosemide was administered and cardiac symptoms improved but he soon developed vertiginous syndrome, nystagmus, diplopia, dysmetria, and sensitive and motor deficit in all four limbs with areflexia. Results. A cerebral magnetic resonance imaging (MRI) showed typical findings of WE. He was immediately treated with thiamine. Neurological symptoms improved in a few days and abnormal signals disappeared in a follow-up MRI two weeks later. Conclusion. Patients with malabsorption due to gastrointestinal disorders have an increased risk of thiamine deficiency, and folate deficiency can make this vitamin malabsorption worse. An established deficiency mainly shows neurological symptoms, WE, or rarely cardiovascular symptoms, wet beriberi. Early vitamin treatment in symptomatic patients improves prognosis. We recommend administration of prophylactic multivitamins supplements in patients at risk as routine clinical practice. PMID:26697247

  16. Severe Encephalopathy, Lactic Acidosis, Vegetative Instability and Neuropathy with 5-Fluorouracil Treatment – Pyrimidine Degradation Defect or Beriberi

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    A. Rosen

    2011-08-01

    Full Text Available We present the case of a 19-year-old female with nasopharyngeal carcinoma, who received two courses of chemotherapy with 5-fluorouracil (5-FU in combination with folic acid and cisplatin. Upon developing esophageal strictures in the course of her radiotherapy, she required total parenteral nutrition. In the course of therapy, the patient developed severe multisystem failure with encephalopathy, lactic acidosis, vegetative instability and neuropathy. The treatment with 5-FU can lead to severe toxicity due to enzyme deficiencies in the degradation of pyrimidines, but it can also lead to thiamine deficiency with the classic symptoms of beriberi. Beriberi is a rare disorder, usually attributed to malnutrition or alcoholism. 5-FU has been shown to induce thiamine depletion. Reduced food intake or total parenteral nutrition devoid of vitamin supplements may aggravate symptoms. We were unable to find a genetic cause for increased 5-FU toxicity in our patient, ruling out deficiencies of dihydropyrimidine dehydrogenase, dihydropyrimidinase or β-ureidopropionase and double-strand break repair deficits. We come to the conclusion that, even without any definable enzyme deficiency, treatment with 5-FU can lead to high toxicity due to thiamine deficiency if vitamin supplementation is not undertaken.

  17. Perfil epidemiológico do beribéri notificado de 2006 a 2008 no Estado do Maranhão, Brasil Epidemiological profile of reported beriberi cases in Maranhão State, Brazil, 2006-2008

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    Estela Maura Padilha

    2011-03-01

    Full Text Available O objetivo do estudo foi descrever o perfil epidemiológico dos casos e óbitos de beribéri notificados de 2006-2008 no Estado do Maranhão, Brasil. Informações foram obtidas de fichas de notificação da Secretaria de Estado da Saúde do Maranhão e utilizou-se o Índice Global de Moran para avaliar autocorrelação espacial. Foram notificados 1.207 casos e 40 óbitos. Regiões oeste e central mostraram forte presença de autocorrelação espacial da incidência. Ocorrência de casos e óbitos concentrou-se de maio a agosto, em homens jovens (20-40 anos. Hábito de consumir álcool e fumar esteve presente entre os óbitos; baixa renda e ocupação com atividade pesada, entre os casos. Os sintomas mais comuns foram diminuição da força, dormência e edema das pernas, dificuldade para caminhar e dor na panturrilha. O perfil dos acometidos e os sintomas, exceto edema de membros inferiores, são característicos de beribéri seco. É pertinente que estudos sobre seu ressurgimento no país sejam aprofundados.This study aimed to describe the epidemiological profile of beriberi cases and related deaths reported from 2006 to 2008 in Maranhão State, Brazil. Data were obtained from beriberi notification forms at the State Health Department. The global Moran index was used to evaluate spatial auto-correlation. 1207 cases and 40 deaths were reported. The western and central regions of the State showed strong spatial auto-correlation of incidence rates. Cases and deaths were concentrated from May to August, in young men (20-40 years. Regular alcohol consumption and smoking were recorded among fatal cases. Low income and heavy labor were widespread among cases. Common symptoms were asthenia, numbness, and swollen legs, difficulty walking, and calf pain. The profile of cases and their symptoms (except swollen legs are characteristic of dry beriberi. We recommend further studies on the resurgence of beriberi in Brazil.

  18. Effect of complex puccoon preparation on fungi which could cause beriberi%紫草复合制剂对脚气真菌的抑制作用研究

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    杨东方; 张玮玮; 蔡翠芳

    2016-01-01

    Objective:To observe the effect of complex puccoon preparation on fungi which could cause beriberi.Methods:Puccoon,propolis and bee pollen were selected as the main materials,complex puccoon preparation of different ratio was formulated.Inhibitory effects of complex puccoon preparation of different ratio on Candida tropicalis and Aspergillus niger were preliminarily studied by orthogonal design.Results:Complex puccoon preparation of different ratio have certain inhibitory effects on two kinds of fungi.A3BZC3 was optimal process and its inhibitory rate on Candida tropicalis was more than 95%.Conclusion:Long-period performance and stability of inhibitory effect of complex puccoon preparation on fungi should be continued to investigate.%目的:探究中药材紫草复合制剂对引起脚气病病菌的抑制效果。方法:选取紫草、蜂胶、蜂花粉为主要材料,配置不同配比的紫草复合制剂,采用正交设计就紫草复合制剂对热带假丝酵母与黑曲霉菌的抑制作用进行了初步研究。结果:不同配比的紫草复合制剂处理对两类真菌均有一定的抑制作用,本试验G号处理样A3B2C3为最优处理组合,对热带假丝酵母的抑菌率达到了95%以上。结论:其抑制真菌的长效性和稳定性还有待继续观察和研究。

  19. "Dry" and "wet" beriberi mimicking critical illness polyneuropathy

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    S Rama Prakasha

    2013-01-01

    Full Text Available Three cases with manifestations of right heart failure, shock, metabolic acidosis, and renal failure in varying combination were admitted with paraparesis. Nerve conduction study suggested predominantly motor and mainly axonal type of neuropathy. Rapid reversal of shock, acidosis, and multi-organ dysfunction with timely infusion of thiamine was followed by the complete neurological recovery.

  20. Maternal consumption of thiamin-fortified fish sauce during pregnancy and lactation improves maternal and infant thiamin status and breast milk thiamin concentrations.

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    Infantile beriberi, a disease caused by thiamin (vitamin B1) deficiency, remains a public health concern in Cambodia and other parts of Southeast Asia. Infantile beriberi presents during the exclusive breastfeeding period and without treatment commonly results in death within *24 hours of clinical p...

  1. Perinatal consumption of thiamine-fortified fish sauce in rural Cambodia. A randomized clinical trial

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    Infantile beriberi, a potentially fatal disease caused by thiamine deficiency, is a public health concern in Cambodia and regions where thiamine-poor white rice is a staple food. Low maternal thiamine intake reduces breast milk thiamine placing breastfed infants at risk of beriberi. The objective wa...

  2. Vitamin B1

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    ... Prize Alfred Nobel's Life and Work Teachers' Questionnaire Vitamin B1 - About The Chicken Farm educational game and ... the game window. Reading: "Christian Eijkman, Beriberi and Vitamin B1" - Who was Eijkman and why did he ...

  3. 'Polar anaemia': cardiac failure during the heroic age of Antarctic exploration.

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    Guly, H R

    2012-04-01

    On the Belgica expedition (1897-1899), Dr F.A. Cook described a disease that he called 'polar anaemia' and on this expedition it affected most of the expedition members and caused one death. The symptoms were shortness of breath, abnormalities of the pulse and oedema (swelling of the legs) and the disease was clearly cardiac failure. During the heroic age of Antarctic exploration a similar disease affected at least eight other expeditions causing five other deaths. This disease was very similar (and probably identical) to a disease affecting (mostly) Scandinavian seamen and called 'ship beri-beri'. Both diseases were almost certainly what is now called wet beri-beri due to thiamine (vitamin B1) deficiency though most sufferers were probably also vitamin C deficient and some may have had both beri-beri and scurvy. It may have been exacerbated by invalid diets. This paper describes the disease and how it was considered and treated at the time.

  4. The Robert E. Mitchell Center for Prisoner of War Studies: the Product of One Flight Surgeon’s Promise to Honor a Grateful Nation’s Warriors

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    2014-07-01

    nutritional deficienty vi. Peptic ulcer disease vii. Beriberi viii. Cirrhosis of the liver ix. Irritable bowel syndrome x. Pellagra and any other...Recovery c. Treatment d. Methods e. Political f. Medical and psychological effects 7. Diet and nutrition 8. Family health a. Physical b... nutritional deficiency xi. Peripheral neuropathy, except where directly related to infection causes xii. Osteoporosis 4. Policy, politics, and

  5. Are brain and heart tissue prone to the development of thiamine deficiency?

    NARCIS (Netherlands)

    Klooster, Astrid; Larkin, James R.; Wiersema-Buist, Janneke; Gans, Reinold O. B.; Thornalley, Paul J.; Navis, Gerjan; van Goor, Harry; Leuvenink, Henri G. D.; Bakker, Stephan J. L.

    2013-01-01

    Thiamine deficiency is a continuing problem leading to beriberi and Wernicke's encephalopathy. The symptoms of thiamine deficiency develop in the heart, brain and neuronal tissue. Yet, it is unclear how rapid thiamine deficiency develops and which organs are prone to development of thiamine deficien

  6. Perinatal consumption of thiamin-fortified fish sauce in rural Cambodia: a randomized controlled efficacy trial

    Science.gov (United States)

    Importance: Infantile beriberi, a potentially fatal disease caused by thiamin deficiency, remains a public health concern in Cambodia and regions where B-vitamin poor, polished white rice is a staple food. Low maternal thiamin intake reduces breast milk thiamin concentrations, placing breastfed infa...

  7. Military Nutrition Initiatives

    Science.gov (United States)

    1991-02-25

    Tomatoes , canned.............. .... I 2 1.41 2 Tomatoes . dehy....................... . 0.213 Total Tomatoes .................... 1 1- 041 2 1 Total... Tomatoes ......................... 2 1.411 2 Prunes............................. 0.38 0.46 0.5 Apples. evap............................. 0.13 0.131 0.25...scurvy, beriberi, xerophthalmia, and goiter (caused by lack of adequate dietary vitamin D, niacin, vitamin C, thiamin, vitamin A, and iodine

  8. The Clinical Cases of Moxibustion Therapy%艾灸疗法验案举偶

    Institute of Scientific and Technical Information of China (English)

    陈慧

    2013-01-01

    Moxibustion set lement, the float is Yang; can go three yin and permeability of the classics; can dampness and cold, from the il s and in addition to chronic il ness. Moxibustion treat corns, beriberi, dysmenorrhea, premenstrual pain, curative ef ect is bet er.%艾灸可以沉降而纳诸浮越之阳;可以走三阴而透诸经;可以祛湿散寒,起沉疴而除痼疾。用艾灸治疗鸡眼、脚气、痛经、经前腰痛,疗效较佳。

  9. A kinetic model of thiamine biosynthesis in Escherichia coli

    DEFF Research Database (Denmark)

    Matos, Marta; Herrgard, Markus; Andersen, Mikael Rørdam

    2014-01-01

    Thiamine can only be synthesized by prokaryotes and some eukaryotes, humans for example get it through their diet. Yet, it is key for the correct functioning of the carbohydrate and amino acid metabolism, and thiamine deficiency in humans can cause beriberi, which can result in muscle weakness...... or cardiovascular problems, among other symptoms. Nowadays it is common to add thiamine to commercial foods. Thus, it is important to produce it in a sustainable and efficient way. One approach to produce thiamine in a sustainable way is to use cell factories, and modeling of the metabolic network can be used...

  10. Clinically unapparent infantile thiamin deficiency in Vientiane, Laos.

    Directory of Open Access Journals (Sweden)

    Sengmanivong Khounnorath

    Full Text Available BACKGROUND: Beriberi occurs in Vientiane, Lao PDR, among breastfed infants. Clinical disease may be the tip of an iceberg with subclinical thiamin deficiency contributing to other illnesses. Thiamin treatment could improve outcome. METHODOLOGY/PRINCIPAL FINDINGS: A cohort of 778 sick infants admitted during one year without clinical evidence of beriberi were studied prospectively and erythrocyte transketolase assays (ETK performed. Biochemical thiamin deficiency was defined both in terms of the activation coefficient (α>31% and basal ETK activity 31% and 13.4 % basal ETK<0.59 micromoles/min/gHb. Infants≥2 months old had a higher frequency of biochemical markers of thiamin deficiency. Mortality was 5.5% but, among infants ≥2 months old, mortality was higher in those with basal ETK<0.59 micromoles/min/gHb (3/47, 6.4% than in those with basal ETK≥0.59 micromoles/min/gHb (1/146, 0.7% (P=0.045, relative risk=9.32 (95%CI 0.99 to 87.5. Multivariate regression analysis indicated that infant age≥2 months and fewer maternal years of schooling were independently associated with infant basal ETK<0.59 micromoles/min/gHb. CONCLUSIONS/SIGNIFICANCE: Clinically unapparent thiamin deficiency is common among sick infants (≥2 months old admitted to hospital in Vientiane. This may contribute to mortality and a low clinical threshold for providing thiamin to sick infants may be needed.

  11. Chapter 30: historical aspects of the major neurological vitamin deficiency disorders: the water-soluble B vitamins.

    Science.gov (United States)

    Lanska, Douglas J

    2010-01-01

    This historical review addresses major neurological disorders associated with deficiencies of water-soluble B vitamins: beriberi, Wernicke-Korsakoff syndrome, pellagra, neural tube defects, and subacute combined degeneration of the spinal cord. Beriberi: Beriberi was known for millennia in Asia, but was not described by a European until the 17th century when Brontius in the Dutch East Indies reported the progressive sensorimotor polyneuropathy. The prevalence of beriberi increased greatly in Asia with a change in the milling process for rice in the late 19th century. In the 1880s, Takaki demonstrated the benefits of dietary modification in sailors, and later instituted dietary reforms in the Japanese Navy, which largely eradicated beriberi from the Japanese Navy by 1887. In 1889 Eijkman in Java serendipitously identified dietary factors as a major contributor to "chicken polyneuritis," which he took to be an animal model for beriberi; the polyneuritis could be cured or prevented by feeding the chickens either unpolished rice or rice polishings. By 1901, Grijns, while continuing studies of beriberi in Java, suggested a dietary deficiency explanation for beriberi after systematically eliminating deficiencies of known dietary components and excluding a toxic effect. Wernicke-Korsakoff syndrome: In the late 1870s, Wernicke identified a clinicopathological condition with ophthalmoparesis, nystagmus, ataxia, and encephalopathy, associated with punctate hemorrhages symmetrically arranged in the grey matter around the third and fourth ventricles and the aqueduct of Sylvius. In the late 1880s, Korsakoff described a spectrum of cognitive disorders, including a confabulatory amnestic state following an agitated delirium, occurring in conjunction with peripheral polyneuropathy. Beginning around 1900, investigators recognized the close relationship between Korsakoff's psychosis, delirium tremens, and Wernicke's encephalopathy, but not until several decades later were Wernicke

  12. 《关于国外渗透性脱髓鞘综合征部分文献之重新分析:反思》英文摘要与说明

    Institute of Scientific and Technical Information of China (English)

    张海鹏; 王荣明; 杨子军; 闫四梅; 陈萌; 崔松; 张力; 杜长生; 陈宗羡; 曾伏虎; 翟所鑫; 李玉清; 刘庆梅; 朱玉忠

    2015-01-01

    Objectives: To explore the main etiological factors of central pontine myelinolysis (CPM) and of the “osmotic demyelination syndrome(ODS)”that occurs after hepatic transplantation, to explore the differential diagnosing the manifestation consisting of dysarthria, dysphagia and quadriplegia presented after vomiting for a number of times, and to explore which fraction to be mainly involved by the “ODS”, what to be the pathological mechanism of the “ODS”, and how to prevent the “ODS”.Methods: Physiopathological principles are applied on the base of the clinical certificates, the diagnostic results differring from those in the case reports (that have been analyzed again by us).Results and Conclusions: It could be suggested that (1) CPM based mainly on alcoholism should result mainly from beriberi, as was mentioned by HUANG Ke-wei, the well-known Chinese neurologist, before or in 1960; (2) The coma secondary to hepatic transplantation could be often caused by Wernicke encephalopathy(WE, one of beriberi), which could be asscociated with the postoperative elevated corticosteroid or/and high-starch food for liver cirrhosis, which complicated by hepatic encephalopathy; (3)The case that was in 1995 reported by Kabeer et al, of possiblity of the earliest reported CPM due to cyclosporine, appeared to be the bilateral type of pontine lower paracentral hematal syndrome, a bilateral uncomplete Foville syndrome. It should be considerable whether an epileptic attack related to both cyclosporine and corticosteroid could result from reverible posterior leukoencephalopath syndrome with negative MRI owing to the effect of corticosteroid; (4) It is cerebral cortex that could be mainly involved by the “ODS” following a number of times of vomiting, of which one of evidences has been the 2 cases reported by Tomlinson et al in 1976.The kind of “ODS” following the encephalopathy of alkalosis yet without hypoxemic hypoxia, is possibly preventable not only if the

  13. Dysautonomia, a Heuristic Approach to a Revised Model for Etiology of Disease

    Directory of Open Access Journals (Sweden)

    Derrick Lonsdale

    2009-01-01

    Full Text Available Dysautonomia refers to a disease where the autonomic nervous system is dysfunctional. This may be a central control mechanism, as in genetically determined familial dysautonomia (Riley-Day Syndrome, or peripherally in the distribution of the sympathetic and parasympathetic systems. There are multiple reports of a number of different diseases associated with dysautonomia. The etiology of this association has never been explained. There are also multiple publications on dysautonomia associated with specific non-caloric nutritional deficiencies. Beriberi is the prototype of autonomic dysfunction. It is the best known nutritional deficiency disease caused by an imbalance between ingested calories and the vitamins required for their oxidation, particularly thiamin. Long thought to be abolished in modern medical thinking, there are occasional isolated reports of the full-blown disease in developed Western cultures.

  14. Vitamin deficiency after gastric bypass surgery: a review.

    Science.gov (United States)

    Matrana, Marc R; Davis, William E

    2009-10-01

    More than 60% of the adult US population now meets the criteria for being overweight or obese. Gastric bypass surgery has become a popular and effective way to combat this medical problem. Despite the success of these procedures, they are associated with many complications, including malnutrition, neurological compromise, and vitamin deficiency. Research has determined that even with multivitamin supplementation for life, a large percentage of bypass patients develop vitamin deficiencies. We present a case of beriberi after Roux-en-Y bypass that illustrates the importance of close follow up. A thorough review of vitamin deficiencies in this unique patient population is explored. Vitamin supplementation and treatment recommendations are compiled from the most up-to-date sources. Even patients on regular supplements should be closely monitored for vitamin deficiencies. Patient education regarding vitamin supplementation is vital; it should begin prior to surgery and continue throughout the postoperative period and beyond.

  15. Molecular mechanisms of thiamine utilization.

    Science.gov (United States)

    Singleton, C K; Martin, P R

    2001-05-01

    Thiamine is required for all tissues and is found in high concentrations in skeletal muscle, heart, liver, kidneys and brain. A state of severe depletion is seen in patients on a strict thiamine-deficient diet in 18 days, but the most common cause of thiamine deficiency in affluent countries is alcoholism. Thiamine diphosphate is the active form of thiamine, and it serves as a cofactor for several enzymes involved primarily in carbohydrate catabolism. The enzymes are important in the biosynthesis of a number of cell constituents, including neurotransmitters, and for the production of reducing equivalents used in oxidant stress defenses and in biosyntheses and for synthesis of pentoses used as nucleic acid precursors. Because of the latter fact, thiamine utilization is increased in tumor cells. Thiamine uptake by the small intestines and by cells within various organs is mediated by a saturable, high affinity transport system. Alcohol affects thiamine uptake and other aspects of thiamine utilization, and these effects may contribute to the prevalence of thiamine deficiency in alcoholics. The major manifestations of thiamine deficiency in humans involve the cardiovascular (wet beriberi) and nervous (dry beriberi, or neuropathy and/or Wernicke-Korsakoff syndrome) systems. A number of inborn errors of metabolism have been described in which clinical improvements can be documented following administration of pharmacological doses of thiamine, such as thiamine-responsive megaloblastic anemia. Substantial efforts are being made to understand the genetic and biochemical determinants of inter-individual differences in susceptibility to development of thiamine deficiency-related disorders and of the differential vulnerabilities of tissues and cell types to thiamine deficiency.

  16. Molecular cloning of tissue-specific transcripts of a transketolase-related gene: Implications for the evolution of new vertebrate genes

    Energy Technology Data Exchange (ETDEWEB)

    Coy, J.F.; Duebel, S.; Kioschis, P.; Delius, H.; Poustka, A. [Deutsches Krebsforschungszentrum, Heidelberg (Germany)] [and others

    1996-03-05

    As part of a systematic search for differentially expressed genes, we have isolated a novel transketolase-related gene (TKR) (HGMW-approved symbol TKT), located between the green color vision pigment gene (GCP) and the ABP-280 filamin gene (FLN1) in Xq28. Transcripts encoding tissue-specific protein isoforms could be isolated. Comparison with known transketolases (TK) demonstrated a TKR-specific deletion mutating one thiamine binding site. Genomic sequencing of the TKR gene revealed the presence of a pseudoexon as well as the acquisition of a tissue-specific spliced exon compared to TK. Since it has been postulated that the vertebrate genome arose by two cycles of tetraploidization from a cephalochordate genome, this could represent an example of the modulation of the function of a preexisting transketolase gene by gene duplication. Thiamine defiency is closely involved with two neurological disorders, Beriberi and Wernicke-Korsakoff syndromes, and in both of these conditions TK with altered activity are found. We discuss the possible involvement of TKR in explaining the observed variant transketolase forms. 34 refs., 4 figs., 1 tab.

  17. THIAMINE–RESPONSIVE MEGALOBLASTIC ANEMIA, SENSORINEURAL DEAFNESS AND DIABETES MELLITUS

    Directory of Open Access Journals (Sweden)

    M. Kadivar R. Moradian

    2006-11-01

    Full Text Available Abstract- The syndrome of diabetes mellitus, sensorineural deafness and megaloblastic anemia dose not result from thiamine deficiency. The previous reported patients had no sign of beriberi, had normal nutrition, and had no evidence of malabsorption. The features of this syndrome with apparent inheritance of autosomal recessive trait may define this puzzling syndrome as a true thiamine dependency state. The first Iranian patient was described by Vossough et al. in 1995. We found nine new cases with diagnostic criteria of thiamine responsive megaloblastic anemia during eight years of our study. In two patients, presentation of diabetes and anemia was concomitant. All of them were deaf with sensorineural hearing loss which was detected in infancy up to two years of age. The presence of congenital valvular heart disease was eliminated by normal echocardiography, but cardiomyopathy was discovered in two. Nonspecific amino-aciduria was discovered in three but urinary screening tests for hereditary orotic aciduria were negative. Ox-Phos biochemistry of muscle mitochondria which demonstrates severe defect in complexes I, III, IV in diabetes mellitus associated with deafness, were done but was unremarkable in our patients. Urinary methylmalonic acid and methyl malonyl carnitine by GS/MS and TMS was done in our patients and showed abnormal results in six patients. Thiamine gene, SLC 19A2, was detected in four patients.

  18. Thiamine Deficiency in Tropical Pediatrics: New Insights into a Neglected but Vital Metabolic Challenge

    Science.gov (United States)

    Hiffler, Laurent; Rakotoambinina, Benjamin; Lafferty, Nadia; Martinez Garcia, Daniel

    2016-01-01

    In humans, thiamine is a micronutrient prone to depletion that may result in severe clinical abnormalities. This narrative review summarizes current knowledge on thiamine deficiency (TD) and bridges the gap between pathophysiology and clinical presentation by integrating thiamine metabolism at subcellular level with its function to vital organs. The broad clinical spectrum of TD is outlined, with emphasis on conditions encountered in tropical pediatric practice. In particular, TD is associated with type B lactic acidosis and classic forms of beriberi in children, but it is often unrecognized. Other severe acute conditions are associated with hypermetabolism, inducing a functional TD. The crucial role of thiamine in infant cognitive development is also highlighted in this review, along with analysis of the potential impact of TD in refeeding syndrome during severe acute malnutrition (SAM). This review aims to increase clinical awareness of TD in tropical settings where access to diagnostic tests is poor, and advocates for an early therapeutic thiamine challenge in resource-limited settings. Moreover, it provides evidence for thiamine as treatment in critical conditions requiring metabolic resuscitation, and gives rationale to the consideration of increased thiamine supplementation in therapeutic foods for malnourished children. PMID:27379239

  19. Dysautonomia, a heuristic approach to a revised model for etiology of disease.

    Science.gov (United States)

    Lonsdale, Derrick

    2009-03-01

    Dysautonomia refers to a disease where the autonomic nervous system is dysfunctional. This may be a central control mechanism, as in genetically determined familial dysautonomia (Riley-Day Syndrome), or peripherally in the distribution of the sympathetic and parasympathetic systems. There are multiple reports of a number of different diseases associated with dysautonomia. The etiology of this association has never been explained. There are also multiple publications on dysautonomia associated with specific non-caloric nutritional deficiencies. Beriberi is the prototype of autonomic dysfunction. It is the best known nutritional deficiency disease caused by an imbalance between ingested calories and the vitamins required for their oxidation, particularly thiamin. Long thought to be abolished in modern medical thinking, there are occasional isolated reports of the full-blown disease in developed Western cultures. Apart from genetically and epigenetically determined disease, evidence is presented that marginal high calorie malnutrition, particularly with reference to simple carbohydrates, is responsible for widespread dysautonomia. The brain and heart are the organs that have a fast rate of oxidative metabolism and are affected early by any mechanism that reduces oxidative efficiency. It is hypothesized that this results in a chaotic state of the hypothalamic/autonomic/endocrine axis. Due to the lack of adequate automatic controls, this may be responsible in some cases for breakdown of organ systems through long-standing energy deficiency, thus leading eventually to organic disease.

  20. Thiamine Deficiency in Tropical Pediatrics: New Insights into a Neglected but Vital Metabolic Challenge.

    Science.gov (United States)

    Hiffler, Laurent; Rakotoambinina, Benjamin; Lafferty, Nadia; Martinez Garcia, Daniel

    2016-01-01

    In humans, thiamine is a micronutrient prone to depletion that may result in severe clinical abnormalities. This narrative review summarizes current knowledge on thiamine deficiency (TD) and bridges the gap between pathophysiology and clinical presentation by integrating thiamine metabolism at subcellular level with its function to vital organs. The broad clinical spectrum of TD is outlined, with emphasis on conditions encountered in tropical pediatric practice. In particular, TD is associated with type B lactic acidosis and classic forms of beriberi in children, but it is often unrecognized. Other severe acute conditions are associated with hypermetabolism, inducing a functional TD. The crucial role of thiamine in infant cognitive development is also highlighted in this review, along with analysis of the potential impact of TD in refeeding syndrome during severe acute malnutrition (SAM). This review aims to increase clinical awareness of TD in tropical settings where access to diagnostic tests is poor, and advocates for an early therapeutic thiamine challenge in resource-limited settings. Moreover, it provides evidence for thiamine as treatment in critical conditions requiring metabolic resuscitation, and gives rationale to the consideration of increased thiamine supplementation in therapeutic foods for malnourished children.

  1. Characteristic Analysis of the Elsholtzia's Chemistry and Pharmacology in Clinical Application%香薷的化学、药理与临床应用特点分析

    Institute of Scientific and Technical Information of China (English)

    李敏; 苗明三

    2015-01-01

    香薷含有挥发油类、黄酮类、香豆素类等多种活性成分,具有抗病原微生物、消炎、解热、镇痛、解痉、增强免疫等药理作用,临床上常用于发汗解暑,行水散湿,温胃调中,夏月感寒饮冷,头痛发热,恶寒无汗,胸痞腹痛,呕吐腹泻,水肿,脚气等。香薷作为药食同源的植物具有广泛的应用性和广阔的应用前景,积极研究香薷的药用价值具有重要意义。%Elsholtzia includes many active ingredients,such as essential oil,flavonoid,coumarins,and so on. The pharmacologic action of elsholtzia is resistant microorganisms,anti-inflammatory,antipyretic and analgesic,spasmolysis,enhance immunity. In clinic,the elsholt-zia was used for diaphoresis relieving summer-heat,flowing water and dispersing damp,warm the stomach,in summer have a cold,have a headache and fever,aversion to cold and adiapneustia,feeling of stuffiness in chest and abdominal pain,vomit and diarrhea,edema, beriberi. Elsholtzia has extensive applicability and wide application prospect as a plant of homology of medicine and food. It has signifi-cant for study the medicinal value of elsholtzia.

  2. The discovery of niacin, biotin, and pantothenic acid.

    Science.gov (United States)

    Lanska, Douglas J

    2012-01-01

    The aim was to describe the discovery of niacin, biotin, and pantothenic acid. By the 1920s, it became apparent that 'water-soluble B' (vitamin B) is not a single substance. In particular, fresh yeast could prevent both beriberi and pellagra, but the 'antipolyneuritis factor' in yeast is thermolabile, while the antipellagra factor is heat stable, suggesting that there are at least two water-soluble vitamins. Various terms were proposed for these water-soluble factors, but vitamins B(1) and B(2) were most widely used to refer to the thermolabile and heat-stable factors, respectively. Although vitamin B(1) proved to be a single chemical substance (thiamin), vitamin B(2) was ultimately found to be a complex of several chemically unrelated heat-stable factors, including niacin, biotin, and pantothenic acid. Recognition that niacin is a vitamin in the early 20th century resulted from efforts to understand and treat a widespread human disease - pellagra. American epidemiologist and US Public Health Service officer Joseph Goldberger (1874-1929) had been instrumental to elucidating the nutritional basis for pellagra. Goldberger conducted a classic series of observational and experimental studies in humans, combined with an extensive series of experiments with an animal model of the condition (black tongue in dogs). In contrast, recognition that biotin and pantothenic acid are vitamins occurred somewhat later as a result of efforts to understand microbial growth factors. The metabolic roles in humans of these latter substances were ultimately elucidated by human experiments using particular toxins and by studies of rare inborn errors of metabolism. Symptomatic nutritional deficiencies of biotin and pantothenic acid were, and continue to be, rare.

  3. Enhancement of Thiamin Content in Arabidopsis thaliana by Metabolic Engineering.

    Science.gov (United States)

    Dong, Wei; Stockwell, Virginia O; Goyer, Aymeric

    2015-12-01

    Thiamin is an essential nutrient in the human diet. Severe thiamin deficiency leads to beriberi, a lethal disease which is common in developing countries. Thiamin biofortification of staple food crops is a possible strategy to alleviate thiamin deficiency-related diseases. In plants, thiamin plays a role in the response to abiotic and biotic stresses, and data from the literature suggest that boosting thiamin content could increase resistance to stresses. Here, we tested an engineering strategy to increase thiamin content in Arabidopsis. Thiamin is composed of a thiazole ring linked to a pyrimidine ring by a methylene bridge. THI1 and THIC are the first committed steps in the synthesis of the thiazole and pyrimidine moieties, respectively. Arabidopsis plants were transformed with a vector containing the THI1-coding sequence under the control of a constitutive promoter. Total thiamin leaf content in THI1 plants was up approximately 2-fold compared with the wild type. THI1-overexpressing lines were then crossed with pre-existing THIC-overexpressing lines. Resulting THI1 × THIC plants accumulated up to 3.4- and 2.6-fold more total thiamin than wild-type plants in leaf and seeds, respectively. After inoculation with Pseudomonas syringae, THI1 × THIC plants had lower populations than the wild-type control. However, THI1 × THIC plants subjected to various abiotic stresses did not show any visible or biochemical changes compared with the wild type. We discuss the impact of engineering thiamin biosynthesis on the nutritional value of plants and their resistance to biotic and abiotic stresses.

  4. Thiamine deficiency induces anorexia by inhibiting hypothalamic AMPK.

    Science.gov (United States)

    Liu, M; Alimov, A P; Wang, H; Frank, J A; Katz, W; Xu, M; Ke, Z-J; Luo, J

    2014-05-16

    Obesity and eating disorders are prevailing health concerns worldwide. It is important to understand the regulation of food intake and energy metabolism. Thiamine (vitamin B1) is an essential nutrient. Thiamine deficiency (TD) can cause a number of disorders in humans, such as Beriberi and Wernicke-Korsakoff syndrome. We demonstrated here that TD caused anorexia in C57BL/6 mice. After feeding a TD diet for 16days, the mice displayed a significant decrease in food intake and an increase in resting energy expenditure (REE), which resulted in a severe weight loss. At the 22nd day, the food intake was reduced by 69% and 74% for male and female mice, respectively in TD group. The REE increased by ninefolds in TD group. The loss of body weight (17-24%) was similar between male and female animals and mainly resulted from the reduction of fat mass (49% decrease). Re-supplementation of thiamine (benfotiamine) restored animal's appetite, leading to a total recovery of body weight. The hypothalamic adenosine monophosphate-activated protein kinase (AMPK) is a critical regulator of food intake. TD inhibited the phosphorylation of AMPK in the arcuate nucleus (ARN) and paraventricular nucleus (PVN) of the hypothalamus without affecting its expression. TD-induced inhibition of AMPK phosphorylation was reversed once thiamine was re-supplemented. In contrast, TD increased AMPK phosphorylation in the skeletal muscle and upregulated the uncoupling protein (UCP)-1 in brown adipose tissues which was consistent with increased basal energy expenditure. Re-administration of thiamine stabilized AMPK phosphorylation in the skeletal muscle as well as energy expenditure. Taken together, TD may induce anorexia by inhibiting hypothalamic AMPK activity. With a simultaneous increase in energy expenditure, TD caused an overall body weight loss. The results suggest that the status of thiamine levels in the body may affect food intake and body weight.

  5. [Thiamine and its derivatives in the regulation of cell metabolism].

    Science.gov (United States)

    Tylicki, Adam; Siemieniuk, Magdalena

    2011-07-06

    For over 70 years thiamine (vitamin B1) has aroused the interest of biologists, biochemists and medical doctors because of its multilateral participation in key biochemical and physiological processes. The thiamine molecule is composed of pyrimidine and thiazole rings which are linked by a methylene bridge. It is synthesized by microorganisms, fungi and plants, whereas animals and humans have to obtain it from food. There are several known forms of vitamin B1 inside cells: free thiamine, three phosphate esters (mono-, di-, and triphosphate), and the recently found adenosine thiamine triphosphate. Thiamine has a dual, coenzymatic and non-coenzymatic role. First of all, it is a precursor of thiamin diphosphate, which is a coenzyme for over 20 characterized enzymes which are involved in cell bioenergetic processes leading to the synthesis of ATP. Moreover, these enzymes take part in the biosynthesis of pentose (required for the synthesis of nucleotides), amino acids and other organic compounds of cell metabolism. On the other hand, recent discoveries show the non-coenzymatic role of thiamine derivatives in the process of regulation of gene expression (riboswitches in microorganisms and plants), the stress response, and perhaps so far unknown signal transduction pathways associated with adverse environmental conditions, or transduction of nerve signals with participation of thiamine triphosphate and adenosine thiamine triphosphate. From the clinical point of view thiamine deficiency is related to beri-beri, Parkinson disease, Alzheimer disease, Wernicke-Korsakoff syndrome and other pathologies of the nervous system, and it is successfully applied in medical practice. On the other hand, identifying new synthetic analogues of thiamine which could be used as cytostatics, herbicides or agents preventing deficiency of vitamin B1 is currently the major goal of the research. In this paper we present the current state of knowledge of thiamine and its derivatives, indicating

  6. The advanced glycation end product-lowering agent ALT-711 is a low-affinity inhibitor of thiamine diphosphokinase.

    Science.gov (United States)

    Krautwald, Martina; Leech, Dale; Horne, Stacey; Steele, Megan L; Forbes, Josephine; Rahmadi, Anton; Griffith, Renate; Münch, Gerald

    2011-08-01

    Advanced glycation end products (AGEs) are involved in age-related diseases, including the complications of diabetes and chronic renal impairment with arterial stiffening. Alagebrium chloride (ALT-711) is an AGE-lowering agent with beneficial effects in renal structural and functional parameters in diabetes, decreased diabetes-accelerated atherosclerosis, and age-related myocardial stiffening. ALT-711 exhibits a structural homology to thiamine, and it was suggested to interfere with thiamine metabolism. Thiamine is converted to thiamine diphosphate (TDP) by thiamine diphosphokinase (TDPK). TDP is a cofactor for pyruvate dehydrogenase, α-ketoglutarate dehydrogenase and transketolase. A decreased activity of these enzymes due to TDP deficiency results in disorders such as beriberi and Wernicke-Korsakoff syndrome. Therefore, we investigated whether ALT-711 is an inhibitor of TDPK. Molecular modeling studies showed that ALT-711 fits into the thiamine-binding pocket of TDPK, and there are three interactions between the thiazolium ring and the enzyme, as well as parallel stacking between the phenyl ring and the indole ring of Trp222B. Enzyme kinetic experiments also showed that ALT-711 dose-dependently decreased TDPK activity with K(i)s, calculated by different experiments and fitting models ranging from 0.88 to 1.09 mM. Fitting of the kinetic data favored mixed-mode inhibition with a major role for competitive inhibition. In summary, our results suggest that ALT-711 is a low-affinity inhibitor of TDPK, but is unlikely to interfere with thiamine metabolism at therapeutic concentrations. However, when new AGE-crosslink breakers based on thiamine are designed, care should be taken that they do not act as more potent competitive inhibitors than ALT-711.

  7. A simple turn on fluorescent sensor for the selective detection of thiamine using coconut water derived luminescent carbon dots.

    Science.gov (United States)

    Purbia, Rahul; Paria, Santanu

    2016-05-15

    In this study microwave-assisted hydrothermal method was used to prepare highly luminescent carbon dots (1-6 nm size) within a minute from tender coconut (Cocos nucifera) water. The synthesized carbon dots (C-dots) exhibit emission of blue and green lights while excited at 390 and 450 nm wavelengths, respectively. As an application, these C-dots were tested for a simple "turn on" fluorescent sensor for rapid detection of thiamine (vitamin B1). The detection of thiamine in human body is very important to prevent various diseases such as beriberi, neurological disorders, optic neuropathy, etc. The fluorescence emission intensity of C-dots quenches after addition of Cu(2+) ion and then again increases selectively (turn on) after the addition of thiamine. The fluorescence emission intensity enhancement of Cu(2+) ion modified C-dots in the presence of thiamine exhibits a linear relationship within the thiamine concentration range of 10-50 μM. The limit of detection was found to be 280 nM from this study. The selectivity of the detection was also tested in the presence of different organic molecules and inorganic ions (Ca(2+), Mg(2+), Na(+), K(+), Cl(-), SO4(2-), and NO3(-)) which are present in blood serum and urine and found to be almost no interference in the detection. Finally, to see the applicability in real samples a commercial vitamin capsule was tested and found less than 3% error in the detected concentration. The C-dots were also used for bioimaging of fungus and the results show they are also suitable for this application too.

  8. Sudden infant death syndrome and abnormal metabolism of thiamin.

    Science.gov (United States)

    Lonsdale, Derrick

    2015-12-01

    patient is treated with hyperalimentation, in spite of the pharmaceutical doses of thiamin in the intravenous fluid. Defective glucose metabolism, the vital fuel for energy synthesis, particularly in brain, must affect the developing fetus and the pattern of subsequent neonatal health. Sudden death in an apparently healthy infant, occurring at 3-4months, has long been known to result from feeding the infant with thiamin deficient breast milk. The early investigators of the cause of beriberi considered that this form of sudden death was pathognomonic of the infantile form of the disease.

  9. Efficacy of adding folic acid to foods.

    Science.gov (United States)

    Fajardo, Violeta; Varela-Moreiras, Gregorio

    2012-06-01

    In the past, food fortification along with nutritional education and the decrease in food costs relative to income have proven successful in eliminating common nutritional deficiencies. These deficiencies such as goiter, rickets, beriberi, and pellagra have been replaced with an entirely new set of "emergent deficiencies" that were not previously considered a problem [e.g., folate and neural tube defects (NTDs)]. In addition, the different nutrition surveys in so-called affluent countries have identified "shortfalls" of nutrients specific to various age groups and/or physiological status. Complex, multiple-etiology diseases, such as atherosclerosis, diabetes, cancer, and obesity have emerged. Food fortification has proven an effective tool for tackling nutritional deficiencies in populations; but today a more reasonable approach is to use food fortification as a means to support but not replace dietary improvement strategies (i. e. nutritional education campaigns). Folic acid (FA) is a potential relevant factor in the prevention of a number of pathologies. The evidence linking FA to NTD prevention led to the introduction of public health strategies to increase folate intakes: pharmacological supplementation, mandatory or voluntary fortification of staple foods with FA, and the advice to increase the intake of folate-rich foods. It is quite contradictory to observe that, regardless of these findings, there is only limited information on food folate and FA content. Data in Food Composition Tables and Databases are scarce or incomplete. Fortification of staple foods with FA has added difficulty to this task. Globally, the decision to fortify products is left up to individual food manufacturers. Voluntary fortification is a common practice in many countries. Therefore, the "worldwide map of vitamin fortification" may be analyzed. It is important to examine if fortification today really answers to vitamin requirements at different ages and/or physiological states. The

  10. Tiamina i jej pochodne w regulacji metabolizmu komórek

    Directory of Open Access Journals (Sweden)

    Adam Tylicki

    2011-07-01

    Full Text Available Tiamina (wit. B[sub]1[/sub] od ponad 70 lat cieszy się niesłabnącym zainteresowaniem biologów, biochemików i lekarzy ze względu na swój udział w głównych procesach biochemicznych i fizjologicznych. Cząsteczka tiaminy składa się z pierścienia pirymidynowego i tiazolowego połączonych mostkiem metylenowym. Jest ona syntetyzowana w komórkach mikroorganizmów, grzybów i roślin, natomiast zwierzęta i ludzie muszą pobierać ją z pożywieniem. W komórkach tiamina występuje w postaci wolnej oraz estrów fosforanowych (mono-, piro- i trifosforanu, a także – co niedawno stwierdzono – w postaci adenozynotrifosfotiaminy. Pirofosforan tiaminy jest koenzymem ponad 20 scharakteryzowanych enzymów związanych z różnymi szlakami metabolicznymi (udział w przemianach katabolicznych prowadzących do syntezy ATP, biosynteza pentoz niezbędnych do budowy nukleotydów, metabolizm aminokwasów i innych związków organicznych. Badania ostatnich lat dowodzą również niekoenzymatycznej funkcji pochodnych tiaminy w regulacji ekspresji genów (ryboprzełączniki u mikroorganizmów i roślin, reakcjach stresowych, transdukcji sygnałów nerwowych, a także w nieznanych dotąd szlakach transdukcji odbierających bodźce związane z niekorzystnymi warunkami środowiska. Niedobory tiaminy są kojarzone z wieloma stanami patologicznymi, takimi jak beri-beri, choroba Parkinsona, Alzheimera, Wernickego-Korsakowa, a także innymi patologiami układu nerwowego i krwionośnego. Dlatego witamina ta jest stosowana jako lek wspomagający w tych przypadkach. Rosnące zainteresowanie wzbudza uzyskiwanie coraz to nowych syntetycznych analogów tiaminy i możliwości ich wykorzystania jako antybiotyków, cytostatyków, herbicydów, czy też farmaceutyków łagodzących stan deficytu tej witaminy. W pracy przedstawiamy aktualny stan wiedzy dotyczący tiaminy i jej naturalnych, a także syntetycznych pochodnych, wskazując na udział tych związków w

  11. 以需求为导向的大众营养健康教育实施效果评价%Effect evaluation on nutritional health education based on public need

    Institute of Scientific and Technical Information of China (English)

    刘紫萍; 杜云; 蔡凤英

    2012-01-01

    目的 评价以大众营养健康教育需求为导向开展的营养健康教育效果,为有效开展大众营养健康教育进行有益探索.方法 以分层随机抽样方法抽取不同层次的调查对象,了解大众营养知识需求,并根据调查结果设计健康教育内容及教育效果干预前后评价问卷,进行健康教育干预.结果 健康教育干预后吃鱼有益健康、鸡蛋含胆固醇高、可补铁食物、可补钙食物、吃粗粮与脚气病的关系、可补锌食物6个知识点差异有统计学意义(P<0.01).营养对健康的重要性、希望得到营养师指导2个态度干预前后差异有统计学意义(P<0.01).搭配营养、调整晚餐2个行为干预前后差异有统计学意义(x2值分别为77.93和10.97,P<0.01).自愿参与率达到96.0%,满意率达到99.6%.结论 开展以需求为导向的营养健康教育效果显著,值得推广.%Objective To evaluate the effectivess of nutrition health education based on public need assessment, and explore the effective strategy for public nutritional health education. Methods By stratified random sampling method, participants were enrolled to investigate the general demand on nutrition knowledge. According to the baseline survey results, health education information and evaluation questionnaire were designed and health education intervention activities were carried out. Results After health education intervention, the awareness rates of "fish healthy, eggs containning high cholesterol and beriberi" and "don't eat coarse grains" , common iron, calcium, zinc had statistically significance ( P < 0. 01). Four nutrition attitudes were changed, and changes of attitudes to importance of nutrition, guidance from nutrition specialist ( P < 0. 01) had significant difference. Two nutrition behaviors were adjusted, behavior of diet nutrition (χ2 = 77. 93 , P < 0. 01) and adjusting dinner ( χ2 = 10. 97, P < 0. 01 ) have statistical significance. After intervention

  12. Exploration of ancient Chinese on the relation of geographical environment to human diseases%我国古代关于地理环境与人类疾病的探讨

    Institute of Scientific and Technical Information of China (English)

    朱建平

    2011-01-01

    In Warring States period, the Plain Questions of Inner Canon ofHuangdi discussed that different regions, the east, west, north, south and center of China, could led to different diseases. It brought forward a principle of treatment in accordance with local conditions. In Qin-Han-Wei-Jin period, Spring and Autumn Annals, Huai Nan Zi and On Health Maintenance recorded that local disease was a result of geological factors in gall water and soil, such as Yin (local goitre), yellow teeth (dental fluorosis) and other endemic diseases. It was considered Zhang (miasma) was related to summerheat dampness, asouth specific factor of geographical environment in Han dynasty. Zhang was linked to malaria in Jin dynasty. In Sui dynasty, General Treatise on Causes and Manifestations of All Diseases recorded that Zhang was a poisonous qi, a pathogenic factor leading to the malaria, seasonal disease, beriberi and other diseases. Zhang malaria was considered as an independent disease in Zhi Nan Zong Lun in South Song dynasty. In early Yuan dynasty. Ling Nan Wei Sheng Fang put clearly forward names of Zhang, such as hot Zhang, cold Zhang and dumb Zhang, the former was considered as malaria, the both later as cold pathogenic diseases which can be treated with prescription therapy for typhoid fever. Discussion about Zhang were quoted from the former in complete medical works of Ming and Qing dynasty. It recorded that Zhang disease was due to middle qi deficiency and prevent with a simple measure. To regional diseases, their viewpoint however showed a new trend from five-direction perspective towards two-direction perspective of north-west and east-south.%战国时期,《黄帝内经素问》论述了东、西、北、南、中不同地域可引发不同的疾病,提出因地异治的原则.秦汉魏晋时期,《吕氏春秋》、《淮南子》、《养生论》讨论由于地质水土因素而导致的瘿(地方甲状腺肿)、齿黄(氟牙症)等地方性疾病.汉代出现“瘴”,

  13. La Medicina en la Obra Literaria de Gabriel García Márquez

    Directory of Open Access Journals (Sweden)

    Fernando Sánchez Torres

    1999-08-01

    había hojeado todos y leído algunos.

    Si analizamos sus novelas, crónicas y cuentos con el propósito de extraer de ellos los temas médi-cos -que es lo que hice para poder escribir este ensayo- encontraremos que, en efecto, Gabriel García Márquez estaba muy familiarizado con los asuntos galénicos. Se advierte su afición y hasta su pasión por ellos. Además de haber leído enciclo-pedias, tuvo también que documentarse muy bien en otras fuentes para poder escribir con tanta propiedad, no siendo la medicina su profesión.

    En la década de los 60, cuando residía en Ciudad de México y daba a conocer en privado y a cuenta gotas Cien años de soledad, sus amigos compro-baron su obsesión documental, como que su mesa de trabajo acumulaba montones de libros que hablaban de alquimia, de navegantes, “manuales de medicina casera, crónicas sobre las pestes medievales, manuales de venenos y antídotos, crónicas de Indias, estudios sobre el escorbuto, el beriberi y la pelagra…” (6. No es de extrañar, entonces, que en su novela cumbre mencione que Melquíades “era un fugitivo de cuantas plagas y catástrofes habían flagelado al género humano. Sobrevivió -dice- a la pelagra en Persia, al escorbuto en el Archipiélago de Malasia, a la lepra en Alejandría, al beriberi en el Japón, a la peste bubónica en Madagascar…” (7

    Veremos luego que lo afirmado ahora salta a la vista en algunas de sus principales narraciones: Crónica de una muerte anunciada, El general en su laberinto, El amor en los tiempos del cólera, Sobre el amor y otros demonios…

    El inmortal Lope de Vega goza de la predilección de García Márquez. Otro tanto puede decirse del francés François Rabelais, según deduzco de un párrafo extraído de Cien años de soledad. En el último capítulo de su obra maestra aparece un personaje, Gabriel, que tenía una sigilosa novia llamada Mercedes. Formaba parte -dice el narrador- de un grupo de jóvenes intelectuales

  14. LA MEDICINA EN LA OBRA DE GARCÍA MÁRQUEZ: GABO, MÉDICO FRUSTRADO

    Directory of Open Access Journals (Sweden)

    Fernando Sánchez Torres

    2015-03-01

    los pueblos de la Guajira…” Dasso Saldívar refiere que en los pueblos Gabo visitaba a los médicos, jueces, notarios, alcaldes, para convencerlos de la bondad de los libros técnicos que ofrecía. De seguro, antes los había hojeado todos y leído algunos.

    Esta sospecha se vuelve evidencia al saber por el mismo Gabo que “en tiempos de hambruna llegué a leer desde tratados de cirugía hasta manuales de contabilidad, sin pensar que habían de servirme para mis aventuras de escritor”. Cuando cursaba su bachillerato en el Liceo Nacional de Zipaquirá, devoró todos los libros de literatura que reposaban en la biblioteca, como también las obras completas de Freud; no siendo propiamente literarias, debió leerlas por ser su autor un famoso médico.

    Como lo señalé atrás, sus novelas, crónicas y cuentos son pródigos en la temática médica, lo que –insisto– debe aceptarse como una prueba fehaciente de que el escritor estaba contagiado de ella. Además de haber leído enciclopedias tuvo también que documentarse en otras fuentes para poder escribir con tanta solvencia sobre aspectos galénicos.

    En la década de los 60, residiendo en Ciudad de México, daba a conocer, en privado y a plazos, pasajes de la novela que sería más tarde Cien años de soledad. Entonces sus amigos pudieron comprobar su obsesión documental, como que en su mesa de trabajo acumulaba montones de libros que hablaban de alquimia, de navegantes, “manuales de medicina casera, crónicas sobre pestes medioevales, manuales de venenos y antídotos, crónicas de Indias, estudios sobre escorbuto, el beriberi y la pelagra…” (El viaje a la semilla. No es de extrañar, pues, que en su obra cumbre mencione que Melquiades “era un fugitivo de cuantas plagas y catástrofes habían flagelado al género humano. Sobrevivió a la pelagra en Persia, al escorbuto en el archipiélago de Malasia, a la lepra en Alejandría, al beriberi en el Japón, a la peste bubónica en

  15. Polineuropatia nutricional entre índios Xavantes Polyneuropathy deficiency among Xavante indians

    Directory of Open Access Journals (Sweden)

    J.P.B. Vieira Filho

    1997-03-01

    polineuropatia dos Xavantes é diferente da neuropatia verificada entre os índios Kreen-Akrore e a observada entre os adolescentes índios do Parque do Xingu.The authors present two cases of polyneuropathy deficiency among Xavante indians where the sole food was rice in case 1 and almost so in case 2. The rice consumed by these indians was processed or hulled. Intoxication by cyanide from maniot or other vegetables was excluded. CASE REPORT - Two indians aged 18 and 25 years with a progressive history of weaness, decrease in muscular force and thinning were observed in their villages. On removal to the Hospital São Paulo, atrophy of the distal musculature of the upper and lower limbs, motor deficit distally with zero degree in the flexor musculature, abolished deep reflexes, plantar cutaneous reflex without response bilaterally, decreased tactile, painful and pallesthetic sensitivity distally in the lower limbs were noted on neurological examination of case 1. On neurological examination of case 2 proximal hyporeflexia in the upper limbs, areflexia in the distal portions of the upper and lower limbs, tactile and painful hypoesthesia in the feet, right hypoacousis were noted. Electromyography showed abnormalities compatible with symmetric sensorimotor polyneuropathy with an axonal demyelination pattern in case 1 and predominantly demyelinizing in case 2. Cerebrospinal fluid tests were normal. DISCUSSION - Polyneuropathy was characterized by the clinical history and by neurological, electromyographic and cerebrospinal fluid tests. The diagnosis of polyneuropathy deficiency was established by the clinical history and by electromyography suggesting peripheral polyneuropathy of nutritional origin. This neuropathy deficiency does not fit myeloneuropathies such as ataxic tropical neuropathy, spastic paraparesis and Cuba neuropathy. CONCLUSION - The Xavante polyneuropathy deficiency is caused by thiamine (vitamin B1 deficiency, that is dry beriberi, owing to consumption of

  16. 碳纳米颗粒修饰丝网印刷电极测定百合镉含量%Detection of cadmium content of lily by carbon nanoparticles modified screen-printed electrode

    Institute of Scientific and Technical Information of China (English)

    郑琦琦; 俞永华; 吴坚

    2015-01-01

    People are more and more interested in health foods with the improvement of living standard. Edible lily tastes sweet with a little bitter and can be used to treat cough, phthisis, beriberi, and so on. There are almost 10 species of edible lily in China. The production of lily is in rapid expansion. However, the sample of lily is usually found to have cadmium (Cd) above the national standard. Cd is one of the toxic heavy metals. It will cause damage of lung and kidney. There are a lot of methods to detect the cd in foods, such as graphite furnace atomic absorption spectrometry, atomic fluorescence spectrometry, and spectrophotometry. Although these methods have high precision, they need large-scale equipment, high cost, and professional staff, and even some use toxic reagents. Scientists developed several rapid determination methods, one of which was electrochemical detection. In this paper, we designed a novel electrode, which combined screen printing technique with carbon nanodots to detect cd in lily. Carbon nanodots were prepared with candle soot which was low-cost and easily obtained. The carbon nanodots of 1.5μL dissolving in dimethyl formamide were added twice onto the working electrode of screen-printed electrode which was fabricated in our laboratory. Using scanning electron microscope to compare the surface texture of modified screen-printed electrode with original one, we found that the former had more uniform particles. We also compared the electrochemical performance by cyclic voltammetry. The result showed that the modified screen-printed electrode had larger peak current and smaller peak separation which meant superior electrochemical performance. Furthermore, we tested an HAc-NaAc buffer solution with 75μg/L Cd2+ using 2 different electrodes noted above by square-wave anodic stripping voltammetry. The peak potential of original screen-printed electrode was?0.65 V, while modified one was?0.64 V. The anodic stripping voltammogarm showed that the

  17. Enfermedades y Geopolítica en Colombia

    Directory of Open Access Journals (Sweden)

    Hugo Armando Sotomayor Tribin

    1997-06-01

    social ha enfatizado que las soluciones para los problemas de salud de un grupo, un pueblo, no dependen de las decisiones impuestas desde fuera de ellos sino que ellas dependen de que las comunidades afectadas se apropien y desarrollen de los avances técnicos y médicos generados en su propio seno o fuera de él y participen activamente en la superación de sus problemas sociales y económicos.

    Para entender la historia de las enfermedades y su relación con la geopolítica en Colombia es necesario primero que todo ver cuál debió ser el panorama sanitario de las sociedades prehispánicas en lo que hoy es Colombia.

    De ellas se puede decir que no tuvieron altas densidades, ni fueron constituidas por familias numerosas, ni presentaron una natalidad desordenada; que aunque tuvieron expectativas de vida probablemente bajas conocieron y respetaron a los viejos; que eran compulsivamente aseados con su cuerpo y su vivienda; que no convivieron con animales intradomiciliarios; que por razones de densidad de población, tipo de economía y conceptos religiosos y mágicos cuidaron de las aguas y de los recursos alimenticios; que aprovecharon maravillosamente los enormes recursos alimenticios de las diversas regiones del territorio y que no sufrieron de hambre ni malnutrición proteico-calórica -como se colige de los datos etnohistóricos, arqueológicos y etnográficos- ni de carencias específicas de vitaminas -escorbuto, pelagra, beriberi, raquitismo-; que no padecieron de paludismo, uncinariasis por Necator americanusfiebre amarilla urbana, dengue, cólera, filariasis -diferente a laocasionada por la Mansonella ozzardi en las regiones más orientales de nuestra Amazonia-, que desconocieron el tifo exantemático y el murino, que no padecieron por las tenias saginata ni solium, que no tuvieron la plaga de los roedores de Rattus rattus, R. norvegicus y Mus musculus y sus pulgas, la Xenopsilla cheopis, que por no vivir con perros -muchas de las comunidades- no

  18. Evaristo García Piedrahita: el salubrista

    Directory of Open Access Journals (Sweden)

    Jesús Rico

    2006-03-01

    edades tempranas antes de cumplir los cinco años de donde resulta una gran cantidad de descendientes directos entre los cuales existen aún algunos nietos, una gran cantidad de bisnietos y algunos tataranietos. En su práctica médica realizó investigaciones sobre las principales enfermedades que afectaban a la población urbana y campesina, principalmente enfermedades infectocontagiosas, las diarreas, la lepra, el paludismo, el dengue, la fiebre tifoidea, el sarampión, la gripe o influenza y otras enfermedades respiratorias, el cólera, el herpes y la elefantiasis árabe y la malnutrición. Hizo una brillante investigación epidemiológica sobre la presencia de beriberi en la región de Buenaventura (1887 y determinó la naturaleza biológica y social de la enfermedad, sus causas y síntomas, diagnóstico y tratamiento, no sólo por el interés científico sino con la intención de prevenir a las autoridades sanitarias en Buenaventura para «revisar los sacos de arroz y rechazar para el uso los que presenten esos granos opacos, que se desmoronan a la presión entre los dedos, y que tengan señales de un principio de avería». El arroz alterado que provenía del exterior contenía el “bacillus beriberico” que era la causa de esa dolencia parasitaria. En el estudio sobre la «Elefantiasis de los Árabes» (1894 deja ver claramente su inclinación por la salud pública al deducir la «importancia de los progresos de la higiene pública, el uso de las aguas depuradas, de las mejoras en las casas de habitación, en los campos y en otras condiciones de la vida social, para poder disminuir las causas de la Elefantiasis en los climas calientes». En relación con los ofidios venenosos del Cauca y los gusanos urticantes desarrolló una casuística documentada y aplicó rigurosamente el método científico. No es por curiosidad o por capricho exótico de un naturalista que realiza uno de los estudios más interesantes que se han hecho sobre estos animales. Los accidentes