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David M Cooper

Publications and source records attributed to David M Cooper.

12 recordsLinked to original sources
PubMed2006

A linked spatial and temporal model of the chemical and biological status of a large, acid-sensitive river network.

Freshwater sensitivity to acidification varies according to geology, soils and land-use, and consequently it remains difficult to quantify the current extent of acidification, or its biological impacts, based on limited spot samples. The problem is particularly acute for river systems, where the transition from acid to circum-neutral conditions can occur within short distances. This paper links an established point-based long-term acidification model (MAGIC) with a landscape-based mixing model (PEARLS) to simulate spatial and temporal variations in acidification for a 256 km(2) catchment in North Wales. Empirical relationships are used to predict changes in the probability of occurrence of an indicator invertebrate species, Baetis rhodani, across the catchment as a function of changing chemical status. Results suggest that, at present, 27% of the river network has a mean acid neutralising capacity (ANC) below a biologically-relevant threshold of 20 microeq l(-1). At high flows, this proportion increases to 45%. The model suggests that only around 16% of the stream network had a mean ANC < 20 microeq l(-1) in 1850, but that this increased to 42% at the sulphur deposition peak around 1970. By 2050 recovery is predicted, but with some persistence of acid conditions in the most sensitive, peaty headwaters. Stream chemical suitability for Baetis rhodani is also expected to increase in formerly acidified areas, but for overall abundance to remain below that simulated in 1850. The approach of linking plot-scale process-based models to catchment mixing models provides a potential means of predicting the past and future spatial extent of acidification within large, heterogeneous river networks and regions. Further development of ecological response models to include other chemical predictor variables and the effects of acid episodes would allow more realistic simulation of the temporal and spatial dynamics of ecosystem recovery from acidification.

Acid Rain↗
PubMed2006

Screening of obstructive and central apnoea/hypopnoea in children using variability: a preliminary study.

AIM: Polysomnography (PSG) is the current standard protocol for sleep disordered breathing (SDB) investigation in children. Presently, there are limited reliable screening tests for both central (CE) and obstructive (OE) respiratory events. This study compared three indices, derived from pulse oximetry and electrocardiogram (ECG), with the PSG gold standard. These indices were heart rate (HR) variability, arterial blood oxygen de-saturation (SaO2) and pulse transit time (PTT). METHODS: 15 children (12 male) from routine PSG studies were recruited (aged 3-14 years). The characteristics of the three indices were based on known criteria for respiratory events (RPE). Their estimation singly and in combination was evaluated with simultaneous scored PSG recordings. RESULTS: 215 RPE and 215 tidal breathing events were analysed. For OE, the obtained sensitivity was HR (0.703), SaO2 (0.047), PTT (0.750), considering all three indices (0) and either of the indices (0.828) while specificity was (0.891), (0.938), (0.922), (0.953) and (0.859) respectively. For CE, the sensitivity was HR (0.715), SaO2 (0.278), PTT (0.662), considering all indices (0.040) and either of the indices (0.868) while specificity was (0.815), (0.954), (0.901), (0.960) and (0.762) accordingly. CONCLUSIONS: Preliminary findings herein suggest that the later combination of these non-invasive indices to be a promising screening method of SDB in children.

Adolescent↗
PubMed2005

Pulse transit time changes observed with different limb positions.

Pulse transit time (PTT) is a non-invasive measure of arterial compliance. It can be used to assess instantaneous blood pressure (BP) changes in continual cardiovascular measurement such as during overnight respiratory sleep studies. In these studies, periodic changes in limb position can occur randomly. However, little is known about their possible effects on PTT monitored on the various limbs. The objective of this study was to evaluate PTT differences on all four limbs during two positional changes (lowering and raising of a limb). Ten healthy adults (seven male) with a mean age of 27.0 years were recruited in this study. The results showed that the limb that underwent a positional change had significant (p < 0.05) local PTT differences when compared to its nominal baseline value, whereas PTT changes in the other remaining limbs were insignificant (p > 0.05). The mean PTT value measured from a vertically-raised limb increased by 42.7 ms, while it decreased by 28.1 ms with a half-lowered limb. The PTT differences observed during positional change can be contributed to by the complex interactions between hydrostatic pressure changes, autonomic and local autoregulation experienced in these limbs. Hence the findings herein suggest that PTT is able to reflect local circulatory responses despite changes in the position of other limbs. This can be useful in prolonged clinical observations where limb movements are expected.

Adaptation, Physiological↗
PubMed2005

In vitro evaluation of an asthma dosing device: the smart-inhaler.

Monitoring devices attached to pressurised metered dose inhalers provide an important objective measurement of patient adherence with asthma medications in clinical and research settings. The Smart-inhaler is a relatively new device that has not been previously validated. This study examines the accuracy of the Smart-inhaler in a bench-top experiment and compares it with a previously validated device, the Doser. Ten Smart-inhalers and five Dosers were actuated twice on two occasions per day for 30 days (120 doses). Six Smart-inhalers were also actuated 30 times in rapid succession to examine the ability of the Smart-inhaler to detect "dumping". Five Smart-inhalers failed to detect the first one or two doses. However, when the aerosol canister was placed more firmly in the device, actuating the device in the process, the following two doses were recorded accurately in all ten devices. Otherwise all ten Smart-inhalers and five Dosers recorded all actuations faithfully and there were no spurious recordings. The six Smart-inhalers recorded all 30 doses delivered in rapid succession. The Smart-inhaler and Doser are both highly accurate at measuring actuated doses and no spurious doses were recorded in an in vitro setting.

Administration, Inhalation↗
PubMed2005

Predictive regression equations and clinical uses of peripheral pulse timing characteristics in children.

Studies have shown that increased arterial stiffening can be an indication of cardiovascular diseases like hypertension. In clinical practice, this can be detected by measuring the blood pressure (BP) using a sphygmomanometer but it cannot be used for prolonged monitoring. It has been established that pulse wave velocity (PWV) is a direct measure of arterial stiffening but its usefulness is hampered by the absence of non-invasive techniques to estimate it. Pulse transit time (PTT) is a simple and non-invasive method derived from PWV. However, limited knowledge of PTT in children is found in the present literature. The aims of this study are to identify independent variables that confound PTT measure and describe PTT regression equations for healthy children. Therefore, PTT reference values are formulated for future pathological studies. Fifty-five Caucasian children (39 male) aged 8.4 +/- 2.3 yr (range 5-12 yr) were recruited. Predictive equations for PTT were obtained by multiple regressions with age, vascular path length, BP indexes and heart rate. These derived equations were compared in their PWV equivalent against two previously reported equations and significant agreement was obtained (p < 0.05). Findings herein also suggested that PTT can be useful as a continuous surrogate BP monitor in children.

Anthropometry↗
PubMed2005

Use of pulse transit time to distinguish respiratory events from tidal breathing in sleeping children.

STUDY OBJECTIVES: Currently, esophageal pressure monitoring is the "gold standard" measure for inspiratory efforts, but its invasive nature necessitates a better tolerated and noninvasive method to be used on children. Pulse transit time (PTT) has demonstrated its potential as a noninvasive surrogate marker for inspiratory efforts. The principle velocity determinant of PTT is the change in stiffness of the arterial wall and is inversely correlated to BP. Moreover, PTT has been shown to identify changes in inspiratory effort via the BP fluctuations induced by negative pleural pressure swings. In this study, the capability of PTT to classify respiratory events during sleep as either central or obstructive in nature was investigated. SETTING AND PARTICIPANTS: PTT measure was used in adjunct to routine overnight polysomnographic studies performed on 33 children (26 boys and 7 girls; mean +/- SD age, 6.7 +/- 3.9 years). The accuracy of PTT measurements was then evaluated against scored corresponding respiratory events in the polysomnography recordings. RESULTS: Three hundred thirty-four valid respiratory events occurred and were analyzed. One hundred twelve obstructive events (OEs) showed a decrease in mean PTT over a 10-sample window that had a probability of being correctly ranked below the baseline PTT during tidal breathing of 0.92 (p < 0.005); 222 central events (CEs) showed a decrease in the variance of PTT over a 10-sample window that had a probability of being ranked below the baseline PTT of 0.94 (p < 0.005). This indicates that, at a sensitivity of 0.90, OEs can be detected with a specificity of 0.82 and CEs can be detected with a specificity of 0.80. CONCLUSIONS: PTT is able to categorize CEs and OEs accordingly in the absence of motion artifacts, including hypopneas. Hence, PTT shows promise to differentiate respiratory events accordingly and can be an important diagnostic tool in pediatric respiratory sleep studies.

Abdomen↗
PubMed2004

Mucosal immune responses to infections in infants with acute life threatening events classified as 'near-miss' sudden infant death syndrome.

This study examined the hypothesis that dysregulation of mucosal immune responses to respiratory infections is a critical event, which could be causal in respiratory arrest of some previously healthy infants. To examine this hypothesis, a prospective study was undertaken of infants presenting to the emergency department of a major teaching hospital with acute life threatening events (ALTE) of unknown cause and classified as "near-miss" SIDS. Salivary immunoglobulin concentrations were measured on admission and again after 14 days. The salivary immunoglobulins were compared with three control groups: infants with a mild upper respiratory tract infection (URTI); bronchiolitis; and healthy age-matched infants. The salivary IgA and IgM concentrations in the ALTE infants at presentation to hospital indicated a significant mucosal immune response had already occurred, with nearly 60% of the IgA concentrations significantly above the population-based reference ranges. The hyper-immune response was most evident in the ALTE infants with pathology evidence of an infection; 87% of these infants had salivary IgA concentrations on average 10 times higher that the age-related median concentration. The most prevalent pathogen identified in the ALTE infants was respiratory syncytial virus (RSV) (64%). RSV was also identified in all subjects with bronchiolitis. Risk factors for SIDS were assessed in each group. The data indicated that the ALTE infants diagnosed as 'near-miss' SIDS were a relatively homogeneous group, and most likely these ALTE infants and SIDS represent associated clinical outcomes. The study identified exposure to cigarette smoke and elevated salivary IgA concentrations as predictors of an ALTE. The study findings support the hypothesis of mucosal immune dysregulation in response to a respiratory infection in some infants with an ALTE. They provide a plausible explanation for certain SIDS risk factors. The underlying patho-physiological mechanism of proinflammatory responses to infections during a critical developmental period might be a critical factor in infants who have life-threatening apnoea or succumb to SIDS. The study raises the possibility of using salivary IgA to test infants who present with mild respiratory infections to identify a substantial number of infants at risk of developing an ALTE or SIDS, thus enabling intervention management to prevent such outcomes.

Apnea↗
PubMed2004

Predominance and mineral stability diagrams revisited.

Predominance and mineral stability diagrams are most useful if they are based on a full chemical speciation. The diagrams can then include a wide range of reactions of importance in environmental chemistry including adsorption and ion exchange reactions. They can also take into account the possible interactions between a large number of components and are able to model changes at a fixed total concentration of each component rather than under the commonly used but less realistic assumption of a fixed activity. A "hunt-and-track" algorithm is described that enables predominance and mineral stability diagrams to be constructed using any general-purpose speciation program. Examples are given using PHREEQC and Orchestra.

Algorithms↗
PubMed2003

Application of a regional procedure to assess the risk to fish from high sediment concentrations.

Periods of high suspended sediment concentration in rivers can affect the behaviour, health and habitat of freshwater fish. A simple regional model relating daily mean suspended sediment concentration in rivers to flow and percentage of cropped and urban land has been applied to the Lower Swale, UK. The model uses a GIS catchment coverage of hydrological response units (HRUs) of area 5-8 km2, each of which is assumed hydrologically independent and drains to an identified river reach. The sediment delivery properties of each HRU are a function of its land use characteristics determined from existing databases, and hydrological conditions determined from effective rainfall measurements. Daily mean suspended sediment concentrations for each river reach were derived by cumulating simulated HRU flows and sediment loads down successive reaches. A map of the modelled 10% quantile sediment concentrations is presented for both HRUs and river reaches. The map is substantially different from existing erosion risk maps because the delivery model is driven by flow in addition to land use, rather than by soil type. Frequency curves showing the exceedance probability of mean simulated sediment concentrations over 1-6-day durations have been derived using peaks-over-threshold techniques. Maps of the risk of harm to fish, based on the probability of 1- and 4-day sediment concentrations exceeding 80 mg l(-1), are presented. Such maps can be used to assess the impact of sediment on fish and for setting appropriate river water quality objectives.

Agriculture↗
PubMed2003

Response of acid lakes in the UK to reductions in atmospheric deposition of sulfur.

United Kingdom emissions of sulfur dioxide declined by 82% between 1970 and 2000. This decline has been accompanied by reductions in the atmospheric deposition of anthropogenic sulfur. A further expected response, possibly delayed, is a reduction in sulfur concentrations, as sulphate, in upland surface waters. Associated water quality changes, including an increase in alkalinity and reduction in acidity are also anticipated. We examine annual data from 1988 to the present from 10 lakes in the UK acid waters monitoring network for evidence of changes in water chemistry as a response to reductions in the atmospheric deposition of sulfur. We show that there is a close association between reduction in sulfur deposition and reduction in lake water concentrations of sulphate and this provides some supporting evidence for the efficacy of the international agreements to reduce S emissions. However, only 3 of the 10 lakes show an upward trend in alkalinity, and this is not related in a simple fashion to reductions in sulphate concentrations. This suggests that recovery from acidification, measured as an increase in pH and alkalinity, while requiring a reduction in sulphate concentration, may not occur over the same time scale.

Journal Article↗
PubMed2002

Increased plasma fatty acid concentrations after respiratory exacerbations are associated with elevated oxidative stress in cystic fibrosis patients.

BACKGROUND: Oxidative stress and depleted antioxidant defenses occur in stable cystic fibrosis patients. During acute infection, the balance between oxidants and antioxidants may be further disturbed. OBJECTIVE: We examined the oxidative stress during acute infection in cystic fibrosis patients by measuring 8-iso-prostaglandin F(2 alpha) (8-iso-PGF(2 alpha)) and antioxidant defenses in relation to dietary intake, fatty acid status, immune function, and clinical status. DESIGN: Plasma concentrations of total 8-iso-PGF(2 alpha), vitamins E and C, beta-carotene, zinc, selenium, and copper; plasma fatty acid compositions; erythrocyte glutathione concentrations; glutathione peroxidase and superoxide dismutase activity; sputum glutathione and 8-iso-PGF(2 alpha) concentrations; lung function; clinical symptoms; and dietary intake were measured in 15 cystic fibrosis patients before and after 10-14 d of intravenous antibiotic treatment for a pulmonary exacerbation. RESULTS: After treatment, respiratory status improved (percentage of forced expiratory volume in 1 s: 60 +/- 6% at baseline compared with 74 +/- 7% after treatment, P = 0.01), quality of well-being improved (P = 0.001), and total plasma 8-iso-PGF(2 alpha) concentrations increased from 469 nmol/L at baseline (interquartile range: 373-554 nmol/L) to 565 nmol/L after treatment (interquartile range: 429-689 nmol/L; P = 0.008). Total energy, fat, carbohydrate, and protein intakes per kilogram body weight also increased; however, dietary antioxidant intake was unchanged. Plasma fatty acid concentrations increased after treatment, strongly correlating with plasma 8-iso-PGF(2 alpha) concentrations (r = 0.768, P = 0.001). There were no significant changes in white cell counts or plasma concentrations of vitamins E and C or beta-carotene. Erythrocyte glutathione peroxidase activity was reduced after treatment, whereas there was no significant change in superoxide dismutase activity. CONCLUSIONS: Oxidative stress increased after treatment for pulmonary exacerbations and was strongly linked to increased concentrations of plasma fatty acids. Although intravenous antibiotic therapy and physiotherapy improved lung function within 10-14 d of treatment, the biochemical effects of oxidation continued further. Thus, antioxidant intervention during treatment for and recovery from acute infection in cystic fibrosis should be considered.

Adolescent↗