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Biomedical subjects

C Capelli

Publications and source records attributed to C Capelli.

At least 55 records · Page 3Linked to original sources
PubMed1996

Cognitive remediation of persons with severe and persistent mental illness.

There is a vast psychiatric literature describing the nature and degree of cognitive deficits present in persons suffering from severe and persistent mental illness, particularly schizophrenic spectrum disorders. A smaller, more recent literature has emerged addressing non-pharmaceutical interventions developed to remediate those deficits. The Cognitive Remediation Program was developed to remediate cognitive deficits in such areas as the ability to sustain attention and concentration, memory processes, concept formation, organizing visual and auditory stimuli into recognizable patterns, and shifting cognitive sets. The program consists of three fifteen minute intervals or "loops" that each contain a different type of task designed to promote remediation of cognitive deficits. The Program also employs behavioral techniques, using a token economy to aid in shaping behavior and motivating patients. The loops consist of: 1) a group that focuses on training in attention, concentration and cognitive flexibility; 2) a computer group utilizing a combination of game software and programs designed for use with a head injured population; 3) a group promoting the generalization of skills learned in the Program to other social arenas. On a ten week pre- and post-measure, participants improved significantly on both a digits forward and digits backward task, both measures of concentration and attention.

Adult↗
PubMed1996

Effect of the underwater torque on the energy cost, drag and efficiency of front crawl swimming.

Underwater torque (T') is defined as the product of the force with which the swimmer's feet tend to sink times the distance between the feet and the centre of volume of the lungs. It has previously been shown that experimental changes of T', obtained by securing around the swimmer's waist a plastic tube filled, on different occasions, with air, water or 2-kg lead, were accompanied by changes in the energy cost of swimming per unit of distance (Cs) at any given speed. The aim of this study was to investigate whether the observed increases of Cs with T' during front crawl swimming were due to an increase of active body drag (Db), a decrease of drag efficiency (eta /d) or both. The effect of experimental changes of T' on Cs, Db and eta /d were therefore studied on a group of eight male elite swimmers at two submaximal speeds (1.00 and 1.23 m.s-1). To compare different subjects and different speeds, the individual data for Cs, Db, eta /d and T' were normalized dividing them by the corresponding individual averages. These were calculated from all individual data (of Cs, Db, eta /d and T') obtained from that subject at that speed. It was found that, between the two extremes of this study (tube filled with air and with 2-kg lead), T' increased by 73% and that Cs, Db and eta /d increased linearly with T'. The increase of Cs between the two extremes was intermediate (approximately 20%) between that of Db (approximately 35%) and of eta /d (approximately 16%). Thus, the actual strategy implemented by the swimmers to counteract T', was to tolerate a large increase of Db. This led also to a substantial (albeit smaller) increase of r/d, the effect of which was to reduce the increase of Cs that would otherwise have occurred.

Adult↗
PubMed1996

Influence of different hepatitis C virus genotypes on the course of asymptomatic hepatitis C virus infection.

BACKGROUND & AIMS: The association of liver disease with hepatitis C virus (HCV) genotypes mainly refers to patients with serious liver damage; little information is available on symptomless carriers. The aim of this study was to investigate the correlation of genotypes with clinical course, risk factors for infection, and antibody to HCV reactivity in asymptomatic subjects. METHODS: One hundred nine viremic blood donors with at least 1 year of follow-up were studied; 41 underwent liver biopsy. Genotypes were determined by line-probe assay. RESULTS: Genotype 1 was found in 47 (43.1%), genotype 2 in 48 (44%), genotype 3 in 8 (7.3%), genotype 4 in 2 (1.8%), and coinfections in 4 (3.7%). The relative risk (RR) for a raised pattern of alanine aminotransferase, aspartate aminotransferase, and gamma-glutamyltranspeptidase was 2.1 (confidence interval [CI], 1.4-3.2), 1.7 (CI, 1.2-2.4), and 2.8 (CI, 1.6-4.9) in subjects with genotype 1 vs. 0.4 (CI, 0.2-0.7), 0.4 (CI, 0.3-0.7), and 0.4 (CI, 0.2-0.8) in subjects with genotype 2. Chronic hepatitis was found in 68%; the RR of chronic hepatitis was similar for genotypes 1 and 2 (RR, 1.1 [CI, 0.8-1.7] vs. RR, 1.0 [CI, 0.7-1.6]). Reactivity to NS4-derived antigens was infrequent in type 2-infected subjects. CONCLUSIONS: Genotype 2 was as frequent as genotype 1 but associated with less liver function impairment. The high prevalence of chronic hepatitis should be considered in counseling viremic asymptomatic donors.

Adult↗
PubMed1996

Multicenter evaluation of the 3% paraformaldehyde method for white cell counting in leukocyte-reduced red blood cells. BEST (Biomedical Excellence for Safer Transfusion) Working Party of the International Society of Blood Transfusion.

BACKGROUND/AIM: The 3% paraformaldehyde (PFA) method is a simple technique for counting residual white blood cells (WBC) in leukocyte-depleted red blood cells (RBC). Preliminary data suggested that its sensitivity is at least equal to PCR and flow cytometry. We report the results of a multicenter study conducted by the BEST Working Party to determine precision and accuracy of the 3% PFA method. STUDY DESIGN: In the 7 participating laboratories, 5 sets of samples containing nominal concentrations of 200, 100, 50, and 10 WBC/ml were prepared by diluting whole blood into 'WBC-free' RBC. Ten milliliters of each sample were processed using the 3% PFA method, which is based on erythrocyte lysis and WBC concentration into 5% of the original sample volume; a Nageotte chamber is used to count concentrated WBC. RESULTS: The precision of the technique varied according to the nominal concentration, ranging from a CV of 12% at 200 WBC/ml to 57% at 10 WBC/ml. The technique measured fewer than the nominal WBC concentrations (mean of all laboratories, -12.4%); underestimation was probably due to cell loss during sample manipulation. Overall accuracy was however acceptable, because statistical considerations establish that the actual WBC concentration would unlikely exceed 2 times the estimated count. CONCLUSIONS: The 3% PFA method is suitable for the enumeration of residual WBC at concentrations > or = 50/ml. It represents a useful tool for evaluation of high performance filters by reference laboratories.

Cell Separation↗
PubMed1996

Effects of body size, body density, gender and growth on underwater torque.

Two forces act on a human body motionless in water: weight (W) and buoyancy (B). They are applied to the center of mass (CM) and to the center of volume (CV) of the subject, respectively. CM and CV do not coincide; this generates a torque that is a measure of the tendency of the upper part of the body to rise, rotating around its center of mass. To quantify this tendency, Pendergast & Craig defined 'underwater torque' (T') as the product of the net force with which the feet of a subject lying horizontally in water tend to sink, times the distance between the feet and the center of volume of the lungs. In this paper we have investigated: (a) the relationships between T' and body weight (BW), height (H), body surface area (BS), body density (BD) and leg density (LD) in a group of 30 subjects (group A, 14 females and 16 males, age range 16-50 years); and (b) the effect of gender and growth on T' in a group of 110 subjects (group B, 67 girls and 43 boys, age range 12-17 years). In group A, T' was found to be linearly related with BW (r=0.833, P<0.001), H (r=0.803, P<0.001), BS (r=0.866, P<0.001), BD (r=0.617, P<0.001) and LD (r=0.549, P<0.005). A multiple linear regression analysis showed that BS and BD explained about 85% of the variability of T' (r2=0.85). In group B, T' was found to increase linearly with age (r=0.47, P<0.01), the increasing rate being three times higher in boys compared with girls. As a consequence, the T' ratio between boys and girls increased with age, from 1.69 at 13 years to 2.04 at 16 years.

Adolescent↗
PubMed1995

Effects of altitude on top speeds during 1 h unaccompanied cycling.

The present world record for 1 h unaccompanied cycling (55.291 km) was set by T. Rominger in November 1994 at sea level (Bordeaux, France). However, maximal aerobic cycling performances can be expected to increase at altitude because, for a given air temperature, air density decreases more than VO2max. The combined effect of these opposite trends results in an improvement of performances. In this study, based on the aerodynamics of track cycling, and assuming an average decrease of VO2max with altitude as from the literature, we show that the ideal altitude for Rominger is 4000 m where he could cover 60.1 km in 1 h. To our knowledge, only two cyclists attempted at close time intervals to set the 1 h record at sea level and at altitude (Mexico, 2230 m above sea level): F. Moser and J. Longo. Their increase of performance with altitude was only about 50% of that predicted on the basis of similar calculations as performed on Rominger. This suggests that the decrease of VO2max resulting from altitude is greater for athletes than for average trained subjects and/or that the fraction of VO2max that can be maintained throughout 1 h decreases with altitude.

Altitude↗
PubMed1995

DNA enzyme immunoassay of the PCR-amplified HLA-DQ alpha gene for estimating residual leukocytes in filtered blood.

Blood is filtered for selective removal of leukocytes (WBC) to reduce the immunological and virological risks of transfusion. Exceedingly low numbers of residual WBC in leukodepleted blood cannot be enumerated by conventional hematologic methods. Therefore, we investigated the application of a DNA enzyme immunoassay (DEIA) for detecting a region of the HLA-DQ alpha gene following amplification by PCR. After hybridization with a specific probe coated onto the wells of a microtiter plate, the PCR-amplified DNA was detected by adding monoclonal antibodies to double-stranded DNA, enzyme tracer, and chromogen substrate for colorimetric measurement. The sensitivities of DEIA and radioisotopic liquid hybridization were similar in five sets of experiments performed with a known number of human WBC. The optical density and the number of spiked human WBC in the range of 1.0 to 0.05 cells per microliter showed good correlation in five calibration experiments performed with human WBC suspended in heterologous blood. Using a calibration curve for DEIA, we estimated the concentration of residual WBC in five individual units of erythrocytes passed through blood filters. The postfiltration WBC count was 1.6 WBC per microliter in one unit, while in four other units it was below the lower detection limit (< 0.05 WBC per microliter) of the DEIA. DEIA obviates the use of radioisotopes in PCR for detection of exceedingly low numbers of residual WBC in filtered blood.

Animals↗
PubMed1995

Bioenergetics and biomechanics of front crawl swimming.

"Underwater torque" (T') is one of the main factors determining the energy cost of front crawl swimming per unit distance (Cs). In turn, T' is defined as the product of the force with which the swimmer's feet tend to sink times the distance between the feet and the center of volume of the lungs. The dependency of Cs on T' was further investigated by determining Cs in a group of 10 recreational swimmers (G1: 4 women and 6 men) and in a group of 8 male elite swimmers (G2) after T' was experimentally modified. This was achieved by securing around the swimmers' waist a plastic tube filled, on different occasions, with air, water, or 1 or 2 kg of lead. Thus, T' was either decreased, unchanged, or increased compared with the natural condition (tube filled with water). Cs was determined, for each T' configuration, at 0.7 m/s for G1 and at 1.0 and 1.2 m/s for G2. For T' equal to the natural value, Cs (in kJ.m-1.m body surface area-2) was 0.36 +/- 0.09 and 0.53 +/- 0.13 for G1 in women and men, respectively, and 0.45 +/- 0.05 and 0.53 +/- 0.06 for G2 at 1.0 and 1.2 m/s, respectively. In a given subject at a given speed, Cs and T' were linearly correlated. To compare different subjects and different speeds, the single values of Cs and T' were normalized by dividing them by the corresponding individual averages. These were calculated from all single values (of Cs or T') obtained from that subject at that speed.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1995

Effects of stride frequency on mechanical power and energy expenditure of walking.

The energetics and mechanics of walking were investigated at different speeds, both at the freely chosen stride frequency (FCSF) and at imposed ones (up to +/- 40% of FCSF). Metabolic energy expenditure was minimized at FCSF for each speed. Motion analysis allowed to calculate: the mechanical internal work rate (Wint), needed to move the segments with respect to the body center of mass (bcm); the external work rate (Wext), necessary to move bcm in the environment; and the total work rate (Wtot), equal to Wint+Wext. Wtot explains the metabolic optimization only at high speeds, while Wext, differently from previously reported, displays minima which better predict FCSF at all speeds (exception made for 1.39 m.s-1). This is probably caused by an overestimation of Wint due to a more ballistic movement of the limbs at low speeds (and low frequencies). The tendency of Wext to increase at high frequencies is due to a persistent minimal vertical excursion of bcm (about 0.02 m, the "locomotory dead space"). While the match between mechanics and energetics (at FCSF and imposed frequencies) occurs to a certain extent, it could be improved by removing the methodological assumptions about the energy transfer between segments and by the possibility to account for the coactivation of antagonist muscles.

Adult↗
PubMed1995

Hepatitis C virus RNA and liver histology in blood donors reactive to a single antigen by second-generation recombinant immunoblot assay.

The clinical significance of single band reactivity (indeterminate pattern) at anti-hepatitis C virus (HCV) second-generation recombinant immunoblot assay (RIBA-2) was investigated in symptomless subjects with normal liver function tests to obtain data for their counseling and clinical management. Serum and hepatic HCV RNA were determined by the nested polymerase chain reaction, and liver histology was evaluated in 40 symptomless blood donors with stable indeterminate RIBA-2 pattern, including 38 reactive to c22-3. All but one had normal alanine aminotransferase (ALT) levels. Two new immunoblot tests, RIBA-3 and INNO-LIA HCV Ab III (LIA-III), which incorporate additional HCV antigens, were also done to assess whether they could identify the viremic subjects. Ten cases (25%, confidence interval 12 to 38) were HCV RNA positive. Three of the HCV RNA-positive and none of the HCV RNA-negative subjects had chronic hepatitis. RIBA-2 strong intensity of reaction (score > 2+) was observed in all the HCV RNA-positive and in 12 HCV RNA-negative subjects. RIBA-3 and LIA-III gave positive results in 9 of 10 and 10 of 10 HCV RNA-positive, but also in 8 of 30 and 24 of 30 HCV RNA-negative subjects. A c-22-3 reactivity score of 4+ by RIBA-3 and E2/NS1 reactivity by LIA-III were both strongly associated with HCV RNA (P < .001). Based on relatively high prevalence of chronic hepatitis in our series (30%), apparently healthy subjects with stable indeterminate RIBA-2 pattern and HCV RNA positivity should be considered for liver biopsy independently of ALT profile.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1994

Assessment of cardiac output from noninvasive determination of arterial pressure profile in subjects at rest.

The stroke volume of the left ventricle (SV) was calculated from noninvasive recordings of the arterial pressure using a finger photoplethysmograph and compared to the values obtained by pulsed Doppler echocardiography (PDE). A group of 19 healthy men and 12 women [mean ages: 20.8 (SD 1.6) and 22.2 (SD 1.6) years respectively] were studied at rest in the supine position. The ratio of the area below the ejection phase of the arterial pressure wave (A(s)) to SV, as obtained by PDE, yielded a "calibration factor" dimensionally equal to the hydraulic impedance of the system (Zao = A(s).SV-1). The Zao amounted on average to 0.062 (SD 0.018) mmHg.s.cm-3 for the men and to 0.104 (SD 0.024) mmHg.s.cm-3 for the women. The Zao was also estimated from the equation: Zao = a.(d + b.HR + c.PP + e.MAP)-1, where HR was the heart rate, PP the pulse pressure, MAP the mean arterial pressure and the coefficients of the equation were obtained by an iterating statistical package. The value of Zao thus obtained allowed the calculation of SV from measurements derived from the photoplethysmograph only. The mean percentage error between the SV thus obtained and those experimentally determined by PDE amounted to 14.8 and 15.6 for the men and the women, respectively. The error of the estimate was reduced to 12.3 and to 11.1, respectively, if the factor Zao, experimentally obtained from a given heart beat, was subsequently applied to other beats to obtain SV from the A(s) measurement in the same subject.

Adult↗
PubMed1993

Effects of prolonged cycle ergometer exercise on maximal muscle power and oxygen uptake in humans.

The mechanical power (Wtot, W.kg-1) developed during ten revolutions of all-out periods of cycle ergometer exercise (4-9 s) was measured every 5-6 min in six subjects from rest or from a baseline of constant aerobic exercise [50%-80% of maximal oxygen uptake (VO2max)] of 20-40 min duration. The oxygen uptake [VO2 (W.kg-1, 1 ml O2 = 20.9 J)] and venous blood lactate concentration ([la]b, mM) were also measured every 15 s and 2 min, respectively. During the first all-out period, Wtot decreased linearly with the intensity of the priming exercise (Wtot = 11.9-0.25.VO2). After the first all-out period (t greater than 5-6 min), and if the exercise intensity was less than 60% VO2max, Wtot, VO2 and [la]b remained constant until the end of the exercise. For exercise intensities greater than 60% VO2max, VO2 and [la]b showed continuous upward drifts and Wtot continued decreasing. Under these conditions, the rate of decrease of Wtot was linearly related to the rate of increase of VO2 [(dWtot/dt) (W.kg-1 x s-1) = 5.0 x 10(-5) -0.20.(VO2/dt) (W.kg-1 x s-1)] and this was linearly related to the rate of increase of [la]b [(dVO2/dt) (W.kg-1 x s-1) = 2.3 x 10(-4) + 5.9 x 10(-5).(d[la]b/dt) (mM.s-1)].(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1993

Energy cost and efficiency of riding aerodynamic bicycles.

Traction resistance (Rt) was determined by towing two cyclists in fully dropped posture on bicycles with an aerodynamic frame with lenticular wheels (AL), an aerodynamic frame with traditional wheels (AT), or a traditional frame with lenticular wheels (TL) in calm air on a flat wooden track at constant speed (8.6-14.6 m.s-1). Under all experimental conditions, Rt increased linearly with the square of air velocity (v2a); r2 equal to greater than 0.89. The constant k = delta Rt/delta v2a was about 15% lower for AL and AT (0.157 and 0.155 N.s2 x m-2) than for TL bicycles (0.184 N.s2 x m-2). These data show firstly, that in terms of mechanical energy savings, the role of lenticular wheels is negligible and, secondly, that for TL bicycles, the value of k was essentially equal to that found by others for bicycles with a traditional frame and traditional wheels (TT). The energy cost of cycling per unit distance (Cc, J.m-1) was also measured for AT and TT bicycles from the ratio of the O2 consumption above resting to speed, in the speed range from 4.7 to 11.1 m.s-1. The Cc also increased linearly with v2a, as described by: Cc = 30.8 + 0.558 v2a and Cc = 29.6 + 0.606 v2a for AT and TT bicycles. Thus from our study it would seem that AT bicycles are only about 5% more economical than TT at 12.5 m.s-1 the economy tending to increase slightly with the speed.(ABSTRACT TRUNCATED AT 250 WORDS)

Aerobiosis↗
PubMed1993

Energetics of best performances in middle-distance running.

Oxygen consumption (VO2) and blood lactate concentration were determined during constant-speed track running on 16 runners of intermediate level competing in middle distances (0.8-5.0 km). The energy cost of track running per unit distance (Cr) was then obtained from the ratio of steady-state VO2, corrected for lactate production, to speed; it was found to be independent of speed, its overall mean being 3.72 +/- 0.24 J.kg-1 x m-1 (n = 58; 1 ml O2 = 20.9 J). Maximal VO2 (VO2max) was also measured on the same subjects. Theoretical record times were then calculated for each distance and subject and compared with actual seasonal best performances as follows. The maximal metabolic power (Er max) a subject can maintain in running is a known function of VO2max and maximal anaerobic capacity and of the effort duration to exhaustion (te). Er max was then calculated as a function of te from VO2max, assuming a standard value for maximal anaerobic capacity. The metabolic power requirement (Er) necessary to cover a given distance (d) was calculated as a function of performance time (t) from the product Crdt-1 = Er. The time values that solve the equality Er max(te) = Er(t), assumed to yield the theoretical best t, were obtained by an iterative procedure for any given subject and distance and compared with actual records.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1992

Blood lactate during leg exercise in microgravity.

Venous blood lactate concentration ([La]b) was measured in five male subjects (age: 30-50 years; BW: 72-84 kg, VO2max:2.2-3.6 l min-1) during cycloergometric exercise in microgravity obtained by parabolic flight maneuvers of approximately 25 s duration. The subject(s) exercised at 30, 60, 90 and 120 W (60 RPM) for at least 7 min at each intensity. Three consecutive parabolas with approximately 3 min interval were performed at each workload. [La]b was determined at rest and immediately after 60, 90 and 120 W exercise. The day after the flight experiments, the subject(s) underwent the same experimental protocol on the ground and the blood samples were taken at the very same time intervals as on the aircraft. [La]b in flight and control didn't show any appreciable difference once the values are plotted as a function of the relative exercise intensities expressed as a percent of the individual VO2max corrected for the moderate hypoxia prevailing inside the aircraft (cabin barometric pressure = 590 mmHg).

Adult↗