Adult

Pratt K J, Williams S K and Jarrell B E 1989 Enhanoed adherenoe of human adult andethelial sells to plasma disoharge modified polyethylene J. Blamed. Mater. Res. 23 1131-47... 

The Problem. Suppose that the total serum cholesterol level in normal adults has been established as 200mg/100mL (mg%) with a standard deviation of 25 mg%, that is, p = 200 and ct = 25. (Please distinguish between mg% and % probability.) A patient s serum is analyzed for cholesterol and found to contain 265 mg% total cholesterol. 

The adult daily nutritional requirement, which is affected by various factors include weight and size, is about 300 mg/ day. 

Cholesterol is the central compound m any discussion of steroids Its name is a combination of the Greek words for bile (chole) and solid (stereos) preceding the characteristic alcohol suffix ol It is the most abundant steroid present m humans and the most important one as well because all other steroids arise from it An average adult has over 200 g of cholesterol it is found m almost all body tissues with relatively large amounts present m the brain and spinal cord and m gallstones Cholesterol is the chief constituent of the plaque that builds up on the walls of arteries m atherosclerosis... 

Poiseuille was a physician-physiologist interested in the flow of blood through blood vessels in the body. Estimate the viscosity of blood from the fact that blood passes through the aorta of a healthy adult at rest at a rate of about 84 cm sec , with a pressure drop of about 0.98 mmHg m". Use 9 mm as the radius of the aorta for a typical human. 

C-6 Hydroyylation. This biotransformation is more predominant in infants than in adults, and can prevent other metabohc transformations. 

Ordinarily based upon total population, not just adults. A small fraction of the population usually accounts for a major portion of the consumption. ... 

Growth and reproduction, min Adult maintenance, min Maximum suggested level Growth and reproduction, min Adult maintenance, min Maximum suggested level... 

Whatever the physiology of odor perception may be, the sense of smell is keener than that of taste (22). If flavors are classed into odors and tastes as is common practice in science, it can be calculated that there are probably more than 10 possible sensations of odor and only a few, perhaps five, sensations of taste (13,21,35—37). Just as a hereditary or genetic factor may cause taste variations between individuals toward phenylthiourea, a similar factor may be in operation with odor. The odor of the steroid androsterone, found in many foods and human sweat, may eflcit different responses from different individuals. Some are very sensitive to it and find it unpleasant. To others, who are less sensitive to it, it has a musk or sandalwood-like smell. Approximately 50% of the adults tested cannot detect any odor even at extremely high concentrations. It is befleved that this abiUty is genetically determined (38). 

Infants maybe sensitive to doses of vitamin A [11103-57-4] in the range of 75,000—200,000 lU (22.5—60 mg), although the toxic dose in adults is probably 2—5 million lU (90.6—1.5 g). Intakes in this range from normal food suppHes without oral supplements are simply beyond imagination (79). Vitamin D [1406-16-2] toxicity is much more difficult to substantiate clinically. Humans can synthesize active forms of the vitamin in the skin upon irradiation of 7-dehydrocholesterol. Toxic symptoms are relatively nonspecific, and dangerous doses seem to He in the range of 1000—3000 lU/kg body wt (25—75 flg/kg body wt) (80). Cases of toxicity of both vitamins E and K have been reported, but under ordinary circumstances these vitamins are considered relatively innocuous (81). 

Of the water-soluble vitamins, intakes of nicotinic acid [59-67-6] on the order of 10 to 30 times the recommended daily allowance (RE)A) have been shown to cause flushing, headache, nausea, and moderate lowering of semm cholesterol with concurrent increases in semm glucose. Toxic levels of foHc acid [59-30-3] are ca 20 mg/d in infants, and probably approach 400 mg/d in adults. The body seems able to tolerate very large intakes of ascorbic acid [50-81-7] (vitamin C) without iH effect, but levels in excess of 9 g/d have been reported to cause increases in urinary oxaHc acid excretion. Urinary and blood uric acid also rise as a result of high intakes of ascorbic acid, and these factors may increase the tendency for formation of kidney or bladder stones. AH other water-soluble vitamins possess an even wider margin of safety and present no practical problem (82). 

Sodium chloride [7647-14-5] is an essential dietary component. It is necessary for proper acid—base balance and for electrolyte transfer between the iatra-and extracellular spaces. The adult human requirement for NaCl probably ranges between 5—8 g/d. The normal diet provides something ia excess of 10 g/d NaCl, and adding salt duting cooking or at the table iacreases this iatake. 

Pituitary Dwarfism. Pituitary dwarfism is a condition characterized by an inabiHty to produce or secrete normal levels of endogenous hGH. The condition results in reduced heights of individuals afflicted with the condition and has been treated by intramuscular or subcutaneous injection of hGH. Pituitary hGH was used prior to the approval of biosynthetic hGH. If treatment is initiated early enough, the patient can attain a final adult height weU within the normal range. 

Nonspecific immunosuppressive therapy in an adult patient is usually through cyclosporin (35), started intravenously at the time of transplantation, and given orally once feeding is tolerated. Typically, methylprednisone is started also at the time of transplantation, then reduced to a maintenance dose. A athioprine (31) may also be used in conjunction with the prednisone to achieve adequate immunosuppression. Whereas the objective of immunosuppression is to protect the transplant, general or excessive immunosuppression may lead to undesirable compHcations, eg, opportunistic infections and potential malignancies. These adverse effects could be avoided if selective immunosuppression could be achieved. Suspected rejection episodes are treated with intravenous corticosteroids. Steroid-resistant rejection may be treated with monoclonal antibodies (78,79) such as Muromonab-CD3, specific for the T3-receptor on human T-ceUs. Alternatively, antithymocyte globulin (ATG) may be used against both B- and T-ceUs. 

Iron is indispensable in the human body (see Mineral nutrients). The average adult body contains 3 grams of iron. About 65% is found in hemoglobin, which carries oxygen from the lungs to the various parts of the body. Iron is also needed for the proper functioning of cells, muscles, and other tissues (4). 

The alimentary symptoms may be overshadowed by neuromuscular dysfunction, accompanied by signs of motor weakness that may progress to paralysis of the exterior muscles or the wrist (wrist drop), and less often, of the ankles (foot drop). Encephalopathy, the most serious result of lead poisoning, frequendy occurs in children as a result of pica, ie, ingestion of inorganic lead compounds in paint chips this rarely occurs in adults. Nephropathy has also been associated with chronic lead poisoning (147). The toxic effects of lead may be most pronounced on the developing fetus. Consequendy, women must be particulady cautious of lead exposure (148). The U.S. Center for Disease Control recommends a blood level of less than 10 p.m per 100 mL for children. 

Calcium. Calcium, the most abundant mineral element in mammals, comprises 1.5- -2.0 wt % of the adult human body, over 99 wt % of which... 

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