A20 yr old female presents to the dermatologist with complaints of multiple small to large soft asymptomatic yellow color nodular lesions all over the body since age of two years. she was subsequently referred for bio chemical investigations, where an altered lipid profile was noticed. a detail history from the parents revealed that the patient developed the swelling since the age of two years which gradually increased to the present size. at the age of three years the patient was treated by a local doctor but the symptoms did not subside. there’s no history of chest pain breathlessness hypertension diabetes or any other illness. family history on the maternal side shows history of sudden deaths at a young age, 36-44 years, her uncle and three cousins have died at an early age due to possible myocardial infarction below is her lipid profile total cholesterol (mg/dl) 580 triglycerides (mg/dl) 134 ldl (mg/dl) 460 hdl (mg/dl) 93 vldl (mg/dl) 27 ldl/hdl ratio 4.94
describe a potential underlying mechanism for the elevated cholesterol levels found in this individual, also, describe how triglyceride levels would be normal but cholesterol levels could be elevated in this individual.

pre-sliced bread is a relatively recent development in baking technology. previous to that, it was always sold in a bakery in daily-made contiguous loaves with no wrapping, and was moderately perishable, usually being used with a day or two (which is why every bakery had a discounted “day-old” bread table.) therefore, pre-sliced bread would grow stale quickly. the hard crust provided a protective layer, and once the exposed dry slice left from the previous cut was removed, the interior was still soft.

what keeps bread soft is the moisture retained in the crumb (the light spongy part that’s not crust). the reason the crust develops is the surface of the dough gets exposed to hot dry air during baking which browns the outer layer and seals it, preventing all the moisture from escaping the dough. longer exposure to air will also eventually cause your bread to lose flavor and become stale.

people were used to cutting slices as they needed them and storing bread in a specially-made wooden or metal breadbox or pail with a lid to preserve it longer, but the first automatically sliced commercial loaves were produced on july 6, 1928, in chillicothe, missouri, using a machine invented by otto rohwedder, an iowa-born, missouri-based jeweler.[1] pre-sliced bread would indeed dry out, were it not for another 20th century technology: the plastic bag. bread could now be pre-sliced, and if the enclosing bag remains sealed as much as possible, the bread will remain soft and fresh for longer than if sitting unwrapped on a shelf or enclosed in a bread box that is not air-tight. sealed packaging meant bread could also be sold on store shelves and eliminate frequent trips to a bakery.

sealing bread in a plastic bag had another effect: the moisture in the loaf will re-distribute into the crust and soften it, which is sometimes more pleasing in a sandwich - especially for children whose teeth might not yet be strong enough to tear through a hard crust. a homemade loaf of bread can be sealed in a bag overnight and the crust will become soft like store-bought sandwich bread.

these were novel changes in how bread was produced and sold, which led to the coining of the phrase “the greatest thing since sliced bread.”

when the volume of gas is   changed from   717.73 ml   to 852 ml   the temperature will   change   from 315   c to 452   c

    calculation

this is calculated using the charles law formula

that is,   v1/t1 = v2/t2

          v1=?

        t1 = 315 c   into   kelvin = 315 +273 = 588 k

        v2 = 852   ml

        t2 = 425c + 273 =698 k

make v1   the subject of the formula ( by   multiplying both side by t1)

  v1=( v2 xt1) / t2

v1= (852 ml   x 588 k)/ 698 k= 717.73 ml