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Biomedical subjects

E Ahonen

Publications and source records attributed to E Ahonen.

17 recordsLinked to original sources
PubMed1997

Are three-dimensional surface-shaded SPET images better than planar and coronal SPET images in the assessment of regional pulmonary perfusion?

Although single photon emission tomographic (SPET) imaging has been shown to be more sensitive than planar imaging in the diagnosis of pulmonary embolism, it has yet to be used routinely in clinical practice. The aims of this study were (1) to compare a new three-dimensional surface-shaded version of SPET (3-D SPET) with conventional planar imaging and coronal SPET slices, and (2) to evaluate observer agreement among these three modalities in the assessment of regional pulmonary perfusion. Compared with a consensus score (based on revised PIOPED criteria) of 29 cases, including nine with a clinical diagnosis of pulmonary embolism, 3-D SPET showed the highest number of normal scans, suggesting better specificity than planar or coronal SPET images. Five observers evaluated the three image sets twice within a 3-6 month period. Agreement with the consensus score was slightly better for the second reading and the average perfect agreement was 71-76%. No one image set was superior to any other in this respect. In conclusion, the number of normal scans using 3-D SPET is significantly greater relative to planar and coronal SPET scans as defined by the consensus view. Observer agreement rates are very similar with all three modalities.

Adult↗
PubMed1995

Energy expenditure and clearing snow: a comparison of shovel and snow pusher.

In order to assess the energy demands of manual clearing of snow, nine men did snow clearing work for 15 min with a shovel and a snow pusher. The depth of the snowcover was 400-600 mm representing a very heavy snowfall. Heart rate (HR), oxygen consumption (VO2), pulmonary ventilation (VE), respiratory exchange ratio (R), and rating of perceived exertion (RPE) were determined during the work tasks. HR, VE, R, and RPE were not significantly different between the shovel and snow pusher. HR averaged (+/- SD) 141 +/- 20 b min-1 with the shovel, and 142 +/- 19 beats.min-1 with the snow pusher. VO2 was 2.1 +/- 0.41.min-1 (63 +/- 12%VO2 max) in shovelling and 2.6 +/- 0.51.min-1 (75 +/- 14%VO2max) in snow pushing (p < 0.001). In conclusion manual clearing of snow in conditions representing heavy snowfalls was found to be strenuous physical work, not suitable for persons with cardiac risk factors, but which may serve as a mode of physical training in healthy adults.

Adult↗
PubMed1992

Comparison of instruments for dual-energy X-ray bone mineral densitometry.

While bone mineral densitometry has become a common laboratory test, it is important to pay attention to the compatibility of the results from different instruments. In this study results from three commercially available bone densitometers are compared using both patient and phantom studies. Overall correlation between instruments was good but there were systematic discrepancies in the results. The three instruments provided bone mineral density (BMD) values that differed by as much as 13.5% due to differences as large as 6% in bone mineral content and as large as 7% in bone area. Thus, the BMD values obtained from different manufacturers' instruments are not directly comparable.

Absorptiometry, Photon↗
PubMed1990

The physical strain of dairy farming.

The aim of this study was to estimate the physical stress and strain in diary farming, using ambulatory heart rate and oxygen consumption measurements. The rate of perceived exertion was estimated with Borg scale. The maximal oxygen consumption was measured in the laboratory. The study group consisted of eight male and 15 female farmers. The handling of feed and manure was the heaviest work task in dairy farming. The aerobic capacity (VO2 max) of female farmers (26 +/- 3 ml/min/kg) was below average, and their work required over 50% of VO2 max during most of the tasks. The VO2 max of male farmers (32 +/- 10 ml/min/kg) was moderate, and most work tasks required below 50% of VO2 max. The mean heart rate in dairy farming tasks was 99 beats min-1 in men and 116 beats min-1 in women. However, according to the rate of perceived exertion, the mean experienced the same work tasks as subjectively more heavy than did the women. The physical strain of female farmers in dairy farming seems to be too high because of heavy work tasks and relatively low VO2 max of women. Special attention should be paid to these factors in the occupational health services for farmers.

Dairying↗
PubMed1990

Haemodynamic information encoded in the aortic baroreceptor discharge during haemorrhage.

This study concerns the function of aortic baroreceptors during slow haemorrhage, in particular the mechanisms by which baroreceptors respond to hypovolaemia in the absence of hypotension and the manner in which haemodynamic information is encoded in the aortic nerve discharge. Beagle dogs, anaesthetized with morphine and chloralose, were instrumented for the recording of aortic pressure, aortic diameter, aortic flow and aortic nerve activity. The animals were subjected to slow haemorrhage (0.4 ml kg-1 min-1) of 20% of the estimated blood volume. Mean aortic pressure remained unchanged, whereas mean aortic diameter, mean aortic tension and aortic baroreceptor activity decreased during the haemorrhage. Baroreceptor sensitivity to mean aortic pressure, mean aortic diameter and mean aortic tension decreased as the haemorrhage proceeded. Also, the sensitivity of baroreceptors to mean aortic pressure and mean aortic diameter during acute pressure stimulation was attenuated. The results indicate that during non-hypotensive haemorrhage aortic baroreceptor discharge is reduced by two mechanisms: firstly, via constriction and stiffening of aortic smooth muscle and, secondly, via direct effects of the compensatory mechanisms on the baroreceptors. The reduced sensitivity renders the baroreceptors capable of responding to hypovolaemia prior to the onset of hypotension. In the regression analysis, systolic aortic diameter proved to be the best determinant of baroreceptor activity (r = 0.877). Of the neural variables, impulses per cardiac cycle and average discharge rate were the most reliable, but no difference in the relative importance of these two parameters could be observed.

Acid-Base Equilibrium↗
PubMed1989

Cardiorespiratory strain during walking in snow with boots of different weights.

In order to assess the physiological strain of different boot weights, seven male and three female subjects walked on a treadmill and a snow-field while wearing three types of boots: winter jogging boots (WJB), rubber boots (RB), and rubber safety boots (RSB), weighing (means +/- s.d.) 0.9 +/- 0.1, 1.9 +/- 0.4 and 2.5 +/- 0.2 kg, respectively During each walk the subjects wore the same clothing ensembles and moved at the same, individually determined speed. The mean (+/- s.e.) depths of the footprint impression in the snow while walking in the WJB, RB, and RSB were 26.1 +/- 1.5, 25.6 +/- 1.4 and 26.1 +/- 1.5 cm (NS), respectively. During walking on the treadmill, the means for oxygen consumption were 0.79 +/- 0.05, 0.81 +/- 0.06 and 0.83 +/- 0.04 l min-1 (NS) and in snow 2.24 +/- 0.18, 2.34 +/- 0.17 and 2.34 +/- 0.19 l min-1 (p less than 0.01) with the WJB, RB and RSB, respectively. The mean oxygen consumption levels observed during the walks averaged 23% and 65% of the subject's maximum oxygen consumption on the treadmill and in the snow-field, respectively. During the walking tests the corresponding mean heart rates were 106 +/- 4, 93 +/- 5, and 95 +/- 5 beats min-1 (p less than 0.05) on the treadmill, and 151 +/- 11, 150 +/- 11 and 151 +/- 12 beats min-1 (NS) in snow. No significant differences in ratings of perceived exertion were observed between the walking tests in snow with the three types of boots. In accordance with earlier studies, walking in snow was found to be strenuous work. In conclusion, the use of the RSB is recommended during logging work in snow, since they are known to provide greater protection than lighter boots and the increase in physiological strain experienced with RSB in this study was not appreciably greater than that with boots of lighter weight.

Adolescent↗
PubMed1989

Effect of acute intravenous volume loading on haemodynamics and aortic baroreceptor activity in dogs.

This study evaluates the effect of acute intravenous volume loading on haemodynamics and aortic baroreceptor activity in order to determine the mechanistic factors responsible for divergent heart rate responses to volume loading. Eleven beagles were anaesthetized and instrumented for the recording of aortic pressure, diameter, flow and aortic baroreceptor activity. Isotonic saline, equal to 20% of the estimated blood volume, was infused intravenously within 60-90 s. The animals were divided into tachycardiac and bradycardic groups according to their heart rate response to volume loading. In the group developing the tachycardic response, aortic baroreceptor activity increased. Total peripheral resistance was reduced by 31% and variables representing aortic stretch, mean aortic pressure, diameter and tension remained unchanged. In contrast, in the group developing the bradycardiac response, aortic baroreceptor activity increased markedly. Also in this group peripheral resistance decreased, but only by 15%, which was significantly less than in the tachycardiac group. Factors determining aortic stretch, mean aortic pressure, diameter and tension also increased significantly. Earlier studies show that regardless of the resulting heart rate response, atrial receptor activity increases during volume loading. Thus, we conclude that during cardiac acceleration, marked peripheral vasodilation eliminates the stimulation of baroreceptors and therefore the tachycardic response caused by atrial receptors develops. In the case of cardiac slowing, vasodilation also takes place, but is not sufficient to prevent activation of baroreceptors. In consequence, increased baroreceptor activity overrides the tachycardic drive coming from the atrial receptors and a typical baroreceptor reflex becomes manifested.

Animals↗
PubMed1988

The sauna and body fluid balance.

Sauna bathing may affect the fluid, electrolyte and acid-base balance. In addition to sweating and thirst, a sauna bath also has effects on many endogenous regulatory mechanisms maintaining the balance between the fluid compartments and appropriate distribution of the circulating blood. Although the sauna-induced fluid loss is usually not very severe, its adequate replacement as early as possible is important. In practice, the most convenient and effective way is to replace the fluid loss by small liquid doses repeated frequently during the bathing. If a sauna bath is taken after heavy physical activity, the fluid compensation may be necessary already before bathing.

Acid-Base Equilibrium↗
PubMed1987

Combined effect of low doses of propranolol and ethanol on cardiac function: a comparative study by radionuclide ventriculography in conscious dogs.

Trained, chronically instrumented, conscious dogs were used to evaluate the effect of propranolol (PRO), ethanol (ETH) or their combination (P + E) on the left ventricular (LV) function by first-pass radionuclide ventriculography (RNV). Six dogs were trained prior to a sterile left thoracotomy, where a left atrial catheter was implanted. After recovery of four days RNV was carried out by injecting a bolus of technetium-99m diethylenetriamine pentaacetic acid via the catheter to the left atrium. The data was collected for 12 sec. to a computer by frame rate of 20 frames/sec. from left lateral view of the dog. The experiments were performed both in four-leg standing and in 60-degree head-up tilted positions. After control measurements the data were obtained with 0.5 mg/kg of PRO, 0.45 g/kg of ETH and their combination. The P + E combination increased significantly LV end-diastolic and end-systolic volumes, whereas LV peak ejection rate and ejection fraction were decreased. Upright position diminished the LV volume and increased heart rate, while ejection fraction and cardiac output remained unchanged. The first-pass RNV method proved to be promising for measuring the cardiac pharmacological effects in conscious dogs. The combination of propranolol and ethanol in low doses induced an unexpectedly strong depression of LV function, which is supposed to be followed of latent cardiac depressing effect of ETH revealed by blockade of compensatory adrenergic mechanisms with PRO.

Animals↗
PubMed1987

First-pass radionuclide ventriculography in conscious dogs.

Trained, chronically instrumented, conscious dogs were used to study the function of the left ventricle by first-pass radionuclide ventriculography (RNV). Six dogs were trained prior to a sterile left thoracotomy, where a left atrial catheter was implanted. After recovery of four days RNV was carried out by injecting a bolus of technetium-99m-DTPA via the catheter to the left atrium. The data was collected for 12 s to a computer by frame rate of 20 frames/s from left lateral view of the dog. The experiments were performed both in four-leg standing and in 60 degrees head-up tilted positions. The measurements were done with two injection volumes (0.25 and 1.0 ml/kg) to study the effect of volume on the results. The body position had effect on left ventricular end-diastolic and stroke volumes, whereas ejection fraction remained unchanged. In comparison of the two injection volumes a minor difference was found in left atrial emptying, while the differences in left ventricular function were non-significant. In spite of training and careful standardization of experimental procedures, relatively high individual variation between animals was found in most parameters studied. The first-pass RNV method proved to be promising for measuring the left ventricular function in conscious dogs. Although the left atrium has reflectory tachycardic potential to distension, the volumes used for RNV did not affect the results. The left ventricular adaptation to head-up tilting in conscious dogs seems to consist mainly of decrease in left ventricular volume without significant effect on ejection fraction.

Animals↗
PubMed1985

Lipids and apolipoproteins A-I, B and C-II and different rapid weight loss programs (weight lifters, wrestlers, boxers and judokas).

Apolipoproteins A-I, B, C-II and lipids were studied before and after rapid weight loss schedules. The compared groups were all athletic. Apolipoproteins were determined by electroimmunoassay methods using apoproteins purified by chromatofocusing column method. Dextran T10 was shown to increase rocket height in ApoB assay. Over 1% Dextran concentrations gave poor response. The linearity during calibration was from 0.3 to 3.0 g ApoB/l. Baseline values of ApoA-I in wrestlers, weightlifters, boxers and judokas were slightly higher as compared to "normal" population; ApoB was clearly reduced (mean value of 690 mg/l). Weight-loss was significant in each experimental group; mean value of 4.1% in active exercise, sauna and diuretic groups together. Compared as the whole sportsmen group in passive weight loss (or sauna) and diuretic groups the most pronounced changes were seen to be elevated apoprotein concentrations, whereas weight-loss by active rapid exercise resulted no apoprotein changes, but instead an increment in HDL cholesterol and decrement in triglycerides, respectively. The present study was the first to evaluate baseline values of apoproteins A-I, B and C-II in first class athletes and also the possible changes in these and lipid values in rapid weight-loss practices.

Adolescent↗
PubMed1984

Differential effects of sauna-, diuretic-, and exercise-induced hypohydration.

The physiological effects on submaximal and maximal exercise of three methods commonly used by athletes for achieving rapid weight loss were determined by measuring cardiorespiratory variables in 62 nonendurance athletes. A mean weight loss of 4.1% was achieved by those who followed either a sauna (SAU), diuretic (DIU), or exercise (ACT) protocol, compared with the average weight loss of 1.2% in the control group. At maximal exercise O2 consumption, O2 pulse, blood lactate concentration, and work load decreased in SAU and DIU groups relative to the ACT group, whereas only a few differences were observed at the aerobic threshold. Weight loss achieved over a 48-h period was less detrimental to an athlete than was a more rapid (24-h) weight reduction achieved through sauna bathing or the use of diuretics. We conclude that not only the quantity of weight loss but also the method itself may limit physical performance.

Adult↗
PubMed1984

Effectiveness of acupuncture and physiotherapy on myogenic headache: a comparative study.

Twenty-two tension-neck and headache patients were divided into acupuncture and physiotherapy groups. The quantity of muscle tension (motor unit potential spikes per time unit) was estimated three times before the beginning of the therapy, four times during a therapy period of four weeks, and two times during the follow-up period of 28 weeks. Pain level was also estimated using a visual analogue scale. In both of the groups a significant reduction of muscle tension was observed during the therapy period. After a follow-up period of 28 weeks, there was still a significant reduction of EMG activity in both groups. Also, the subjective level of headache decreased in these groups during the therapy period, and it was also significantly lowered after 28 weeks of follow-up. It is concluded that either acupuncture therapy or physiotherapy relieves pain in tension-neck and headache patients.

Action Potentials↗
PubMed1983

Changes in serum lipids and lecithin: cholesterol acyltransferase enzyme during 1 week weight reduction of women on a low-calorie diet.

In 32 women of normal body weight who volunteered to participate in the study, the effect of rapid weight reduction by a low-calorie liquid diet on serum lipids and lecithin:cholesterol acyltransferase (LCAT) enzyme activity was studied. Women were on this 400 kJ/day diet for 7 days and fasting blood samples were drawn before and immediately after the diet. Serum cholesterol decreased from 5.7 +/- 1.0 to 5.2 +/- 1.1 mmol/l and high density lipoprotein cholesterol from 1.77 +/- 0.43 to 1.50 +/- 0.35 mmol/l. The serum LCAT activity decreased significantly during the weight reduction period. When serum LCAT activity was correlated to lipid parameters, a positive correlation was found with total cholesterol and triglyceride concentrations before weight reduction and also between changes in LCAT activity and total cholesterol concentration. The data suggest that serum LCAT activity might have a prominent role in the regulation of serum lipid levels.

Acyltransferases↗