Dietary fiber intake provides many health benefits. However, average fiber intakes for US children and adults are less than half of the recommended levels. Individuals with high intakes of dietary fiber appear to be at significantly lower risk for developing coronary heart disease, stroke, hypertension, diabetes, obesity, and certain gastrointestinal diseases. Increasing fiber intake lowers blood pressure and serum cholesterol levels. Increased intake of soluble fiber improves glycemia and insulin sensitivity in non‐diabetic and diabetic individuals. Fiber supplementation in obese individuals significantly enhances weight loss. Increased fiber intake benefits a number of gastrointestinal disorders including the following: gastroesophageal reflux disease, duodenal ulcer, diverticulitis, constipation, and hemorrhoids. Prebiotic fibers appear to enhance immune function. Dietary fiber intake provides similar benefits for children as for adults. The recommended dietary fiber intakes for children and adults are 14 g/1000 kcal. More effective communication and consumer education is required to enhance fiber consumption from foods or supplements.

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FosTER, J. W. (The University of Texas, Austin), AND RICHARD H. DAVIS. A methane-dependent coccus, with notes on classification and nomenclature of obligate, methane-utilizing bacteria. J. Bacteriol. 91:1924-1931. 1966.-A new coccusshaped bacterium capable of aerobic growth at the expense of methane or methanol in a mineral salts medium is described. The organism did not grow at the expense of any of the conventional substrates or homologous hydrocarbons tested. It is gram-negative, nonmotile, and thermotolerant. It grows well at 50 C, optimally at 37 C, but does not grow at 55 C. The cells are encapsulated and have a characteristic diplococcoid arrangement. Washed, "resting-cell" suspensions oxidized certain primary alcohols and short-chain alkanes, an example of "nongrowth oxidation." Of the methane-C utilized, 86% was "fixed" in organic form; the remainder was oxidized to CO2. The guanine-cytosine content of the extracted deoxyribonucleic acid was 62.5%. Obligate methane-utilizing bacteria are considered as "one-carbon" organisms rather than hydrocarbon utilizers. The assimilation pathway in the obligate methane-methanol bacteria is different from that in the facultative methanol utilizers. Nomenclatural problems arising from the use of the prefix "Methano-" to denote both bacteria that oxidize methane and bacteria that produce methane are discussed. The obligate, one-carbon, methane-methanol bacteria are considered as "methyl" utilizers, and the prefix "Methylo-" is suggested as a solution to the problem of generic cognomens. "Methylococcus capsulatus" gen. n., sp. n. is the name proposed for the new methane coccus.

The effects of domperidone, a peripherally acting dopamine antagonist, were compared with those of placebo in a double-blind randomized study in 16 patients with idiopathic gastric stasis, chronic symptoms of "nonulcer dyspepsia" (including nausea, vomiting, and abdominal pain), and altered gastroduodenal motility. Patients received either domperidone or placebo orally (20 mg before meals and at bedtime) for six weeks. Symptoms were assessed by daily diaries kept by the patients for two weeks while receiving no medication for their gastrointestinal complaints (baseline), and throughout the six-week treatment phase. Studies of gastric emptying of a radiolabeled solid-phase meal were performed at baseline and six weeks after treatment. All patients had delayed gastric emptying at baseline, defined as a half-emptying time of more than mean + 1 SD (from studies of normal controls). An 18- to 24-hr recording of gastroduodenal motor function during fasting was also performed at baseline and after six weeks of either domperidone or placebo treatment. After six weeks of treatment, the symptom scores significantly improved in the domperidone group (P less than 0.05), but not in the placebo group. Gastroduodenal motor activity was unchanged from baseline recordings after six weeks. Solid-phase gastric emptying also showed no improvement in either the domperidone or placebo group of patients. Although domperidone therapy had no significant effect on motility, it appears to be an effective drug for the treatment of the symptoms of nonulcer dyspepsia.

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In our referral population, gastroparesis is frequently seen in patients with small-duct chronic pancreatitis. For patients with small-duct disease whose abdominal pain does not respond to pancreatic enzyme therapy, clinicians should consider an evaluation for gastroparesis.

An explicit formula is given for the waiting-time distribution of any number of parallel, negative-exponential servers subject to Poisson demands from any number of priority classes. The demand rates may be different for the priority classes, but the service rate is the same for all classes. The queue discipline is first-come-within-priority class sequence.