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Biomedical subjects

J F Patton

Publications and source records attributed to J F Patton.

At least 37 records · Page 2Linked to original sources

Isolation of a poxvirus from a black-tailed deer (Odocoileus hemionus columbianus).

A poxvirus was isolated during the latter half of 1993 from a black-tailed deer (Odocoileus hemionus columbianus) that died of fulminant adenovirus infection in California (USA). The poxvirus was isolated from a pooled tissue homogenate, after repeated serial blind passages in primary black-tailed deer testicular cells. Based on electron microscopic examination of the virus, we observed morphologic features typical of the genus Orthopoxvirus, although definitive characterization was not done.

Adenoviridae Infections↗

Compatibility of high-intensity strength and endurance training on hormonal and skeletal muscle adaptations.

Thirty-five healthy men were matched and randomly assigned to one of four training groups that performed high-intensity strength and endurance training (C; n = 9), upper body only high-intensity strength and endurance training (UC; n = 9), high-intensity endurance training (E; n = 8), or high-intensity strength training (ST; n = 9). The C and ST groups significantly increased one-repetition maximum strength for all exercises (P < 0.05). Only the C, UC, and E groups demonstrated significant increases in treadmill maximal oxygen consumption. The ST group showed significant increases in power output. Hormonal responses to treadmill exercise demonstrated a differential response to the different training programs, indicating that the underlying physiological milieu differed with the training program. Significant changes in muscle fiber areas were as follows: types I, IIa, and IIc increased in the ST group; types I and IIc decreased in the E group; type IIa increased in the C group; and there were no changes in the UC group. Significant shifts in percentage from type IIb to type IIa were observed in all training groups, with the greatest shift in the groups in which resistance trained the thigh musculature. This investigation indicates that the combination of strength and endurance training results in an attenuation of the performance improvements and physiological adaptations typical of single-mode training.

Adaptation, Physiological↗

Energy cost of wearing chemical protective clothing during progressive treadmill walking.

While chemical protective (CP) clothing is known to adversely affect physical performance, few data exist regarding the physiological response of wearing US military CP clothing during incremental, dynamic exercise. To quantify the effects of CP clothing on energy cost and to test the hypothesis that the mask contributes little to this effect, oxygen uptake (VO2) and ventilation (VE) were determined in 14 male soldiers who walked on a treadmill at 1.56 m.s-1 for 20 min each at 0, 5, and 10% grades in three clothing conditions: BDU (battledress uniform only), MASK (BDU + M-17 protective mask), and CP clothing (MASK + overgarment, gloves and boots). In BDU's, exercise intensities expressed as %VO2max were 29, 42, and 59% at the three grades, respectively. VO2 was significantly (p < 0.01) greater at all grades (range 13 to 18%) in CP clothing compared to BDU. However, no differences in VO2 were seen between BDU and MASK at any level of exercise. VE was significantly higher at the two highest grades in CP clothing compared to BDU but when expressed relative to VO2 (VE/VO2) was significantly lower at 0% and 5% grades but not at 10%. In the MASK condition, VE was significantly lower at the 10% grade and VE/VO2 was significantly lower at all grades compared to BDU. The results show that despite the mask induced hypoventilation, VO2 is unaffected at exercise intensities up to 60% of VO2max.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Lower and upper body anaerobic performance in male and female adolescent athletes.

Little data exist for upper and lower body mechanical power capability of adolescent athletes. This study compared arm (A) and leg (L) anaerobic peak and mean power (PP and MP) of 20 male and 20 female adolescent athletes after normalization for body mass (BM), fat-free mass (FFM), and lean A and L cross-sectional area (CSA). Power outputs were assessed by the Wingate anaerobic test. FFM and CSA were estimated via anthropometry. No significant (P > 0.05) differences existed between the sexes in Tanner sexual maturity, chronological age, or overall training activity. Males had higher (P < 0.001) absolute PP (W) (L 694 vs 442; A 494 vs 309) and MP (L 548 vs 307; A 337 vs 214). Ratio normalization and ANCOVA were used to remove the influence of body size differences. Ratio normalization showed that males had greater leg PP/BM, MP/BM, MP/FFM, MP/CSA, as well as arm PP/BM and MP/BM, whereas all leg and arm PP and MP ANCOVA adjusted means for BM, FFM, and CSA, except arm MP adjusted for FFM, were significantly (P < 0.01) higher for males than females. We conclude that factors other than muscle mass, possibly qualitative in nature, are responsible for the sex difference in anaerobic performance of adolescent athletes.

Adolescent↗

Serum lactate dehydrogenase and platelet count predict survival in thrombotic thrombocytopenic purpura.

A significant number (some 20%) of patients with thrombotic thrombocytopenic purpura do not respond to standard therapy and die. We reasoned that early identification of those who are likely to fail standard therapy would allow the rational introduction of other treatment modalities. To this end we prospectively evaluated 27 consecutive patients, examining serum LDH levels and platelet counts as markers of disease activity and as predictors of outcome. All patients were treated, according to a written protocol, with high volume plasma exchange (35 ml/kg), prednisone, aspirin, and persantine. Twenty-one of the 27 patients (78%) are alive following therapy. Initial LDH and platelet values did not distinguish between the survivors and nonsurvivors. However, by day 3 of therapy both LDH levels and platelet counts differed significantly between the two groups. Mean day 3 LDH level for survivors was 364 units/L, and for nonsurvivors, 891 units/L (P < 0.005). Mean day 3 platelet count for survivors was 119,000/microL, and for nonsurvivors, 46,000/microL (P < 0.005). Receiver Operator Characteristic curves were constructed and assessed by calculating the area under the curve. This analysis showed that LDH is able to discriminate survivorship one day earlier than platelet count. Both LDH level and platelet count are excellent predictors of survival, under standard therapy, after 3 days of treatment. Early identification of those at greatest risk will facilitate the early institution and evaluation of alternative methods of treatment, such as splenectomy, intravenous Ig, or Vincristine.

Adult↗

Serologic detection of bluetongue virus infection of black-tailed deer: comparison of serum neutralization, agar gel immunodiffusion, and competitive ELISA assays.

Three adult black-tailed deer (Odocoileus hemionus columbianus) and four fawns were inoculated with bluetongue virus (BTV) serotype 10 or 17, or epizootic hemorrhagic disease virus (EHDV) serotype 1. Animals were bled at irregular intervals thereafter and the presence of virus-specific antibodies in serum determined by agar gel immunodiffusion (AGID), serum neutralization (SN) and competitive enzyme-linked immunosorbent assay (C-ELISA) tests. Serum antibodies to BTV were detected in all three tests for 692 days after inoculation (DAI) of adult deer, but both the SN and AGID tests gave either erroneous or misleading results. Serum from one deer was negative by the AGID test at 409 DAI with BTV-10 but was positive at 248 and 692 DAI; also one adult and one fawn had antibodies by the SN test to serotypes of BTV with which they were not inoculated. The AGID test for EHDV had false positive results with some sera from animals inoculated only with BTV, and it consistently had false negative results with serum samples collected from an EHDV-inoculated deer at 140 DAI and thereafter. The C-ELISA was the most useful test for the detection of antibodies to BTV because it rapidly gave quantitative and accurate results.

Animals↗

Physiological responses to prolonged treadmill walking with external loads.

Limited information is available regarding the physiological responses to prolonged load carriage. This study determined the energy cost of prolonged treadmill walking (fixed distance of 12 km) at speeds of 1.10 m.s-1, 1.35 m.s-1, and 1.60 m.s-1, unloaded (clothing mass 5.2 kg) and with external loads of 31.5 and 49.4 kg. Fifteen male subjects performed nine trials in random order over a 6-week period. Oxygen uptake (VO2) was determined at the end of the first 10 min and every 20 min thereafter. A 10-min rest period was allowed following each 50 min of walking. No changes occurred in VO2 over time in the unloaded condition at any speed. The 31.5 and 49.4 kg loads, however, produced significant increases (ranging from 10 to 18%) at the two fastest and at all three speeds, respectively, even at initial exercise intensities less than 30% VO2max. In addition, the 49.4 kg load elicited a significantly higher (P less than 0.05) VO2 than did the 31.5 kg load at all speeds. The measured values of metabolic cost were also compared to those predicted using the formula of Pandolf et al. In trials where VO2 increased significantly over time, predicted values underestimated the actual metabolic cost during the final minute by 10-16%. It is concluded that energy cost during prolonged load carriage is not constant but increases significantly over time even at low relative exercise intensities. It is further concluded that applying the prediction model which estimates energy expenditure from short-term load carriage efforts to prolonged load carriage can result in significant underestimations of the actual energy cost.

Adult↗

Effects of high-intensity cycle exercise on sympathoadrenal-medullary response patterns.

Plasma proenkephalin peptide F immunoreactivity and catecholamines were examined on separate days in nine healthy males before and after maximal exercise to exhaustion at four intensities [36, 55, 73, and 100% of maximal leg power (MLP)] by use of a computerized cycle ergometer. The mean duration of 36, 55, 73, and 100% MLP was 3.31, 0.781, 0.270, and 0.1 min, respectively. All intensities were greater than those eliciting peak O2 uptake for the individual subjects. Blood samples were obtained before, immediately after exercise, and 5 and 15 min after exercise. Significant (P less than 0.05) increases in plasma peptide F immunoreactivity (i.e., from mean resting value of 0.18 to 0.43 pmol/ml) were observed immediately after exercise at 36% MLP. Significant increases in plasma epinephrine were observed immediately after exercise at 36% MLP (i.e., from mean resting value of 2.22 to 3.11 pmol/ml) and 55% MLP (i.e., from mean resting value of 1.67 to 2.98 pmol/ml) and 15 min after exercise at 100% MLP (i.e., from mean resting value of 1.92 to 3.88 pmol/ml). Significant increases for plasma norepinephrine were observed immediately after exercise (36, 55, 73, and 100% MLP), 5 min after exercise (36, 55, and 73% MLP), and 15 min after exercise (36% MLP). Increases in whole blood lactate were observed at all points after exercise for 36, 55, and 73% MLP and 5 min after exercise for 100% MLP. These data show that brief high-intensity exercise results in differential response patterns of catecholamines and proenkephalin peptide F immunoreactivity.

Adrenal Medulla↗

Factors in maximal power production and in exercise endurance relative to maximal power.

The relationship of muscle fiber type and mass to maximal power production and the maintenance of power (endurance time to exhaustion) at 36%, 55%, and 73% of maximal power was investigated in 18 untrained but physically active men. Power output was determined at constant pedalling rate (60 rev.min-1) on a cycle ergometer instrumented with force transducers and interfaced with a computer. Maximal power was determined for each subject as the highest one-revolution average power. Fat-free mass was determined by hydrostatic weighing, fat-free thigh volume by water displacement and skinfold measurement, and percentage and area of type II fibers from biopsy specimens taken from the vastus lateralis. Maximal power averaged 771 +/- 149 W with a range of 527-1125 W. No significant correlations were found among percentage of type II fibers, relative area of type II fibers, or fat-free thigh volume and maximal power or endurance times to exhaustion at any percentage of maximal power. Weak but significant relationships were found for fat-free mass with both maximal power (r = 0.57) and endurance time at 73% of maximal power (r = -0.47). These results show maximal power to be more dependent on factors related to body size than muscle-fiber characteristics. The low correlations for so many of the relationships, however, suggest that individuals employ either different combinations of these factors or utilize other strategies for the generation of high power.

Ergonomics↗

Hypothalamic-pituitary-adrenal responses to short-duration high-intensity cycle exercise.

beta-Endorphin (beta-EP), adrenocorticotropin (ACTH), and cortisol plasma concentrations were examined before and after maximal exercise at four intensities [36, 55, 73, and 100% of maximal leg power (MLP)] by means of a computerized cycle ergometer. All intensities were greater than those eliciting peak O2 uptake for the individual subjects. Blood samples were collected at rest, immediately after exercise, and at 5 and 15 min postexercise. Significant (P less than 0.05) increases were observed at 36% MLP for beta-EP and ACTH immediately after exercise and at 5 and 15 min postexercise. Plasma cortisol increased at 36% MLP at 15 min postexercise. Blood lactate significantly increased at all postexercise collection points for exercise intensities of 36, 55, and 73% MLP and at 5 min postexercise for 100% MLP. beta-EP concentrations at 36% MLP were significantly correlated (r = 0.75) with capillary density (mm-2), and cortisol concentrations at 36% MLP were significantly correlated (r = 0.89) with percentage of type II muscle fibers. No other significant relationships were observed. These data show that brief, high-intensity exercise up to maximal power production results in a nonlinear response pattern in peripheral blood hormone concentrations. Furthermore, blood lactate levels do not appear to be related to hypothalamic-pituitary-adrenal hormone plasma concentrations at high exercise intensities.

Adrenocorticotropic Hormone↗

A false-positive edrophonium test in a patient with a brainstem glioma.

We report a photographically documented false-positive edrophonium test in a patient with a histologically verified brainstem glioma. While a positive response to intravenous edrophonium should usually be regarded as confirmatory for myasthenia gravis, the possibility of a false-positive test must be considered in patients with atypical physical findings.

Adult↗

Effects of sustained manual work and partial sleep deprivation on muscular strength and endurance.

In a military field artillery trial, the effects of 8 days of sustained manual work and partial sleep loss on isometric right hand grip strength and upper and lower body anaerobic power (using the Wingate test) was investigated in 25 healthy young male soldiers. During the trial, the physical activity of each subject was essentially identical except that an experimental group (n = 18) manually handled a large quantity of artillery shells (weighing 45 kg) and charges (13 kg), whilst a control group (n = 7) merely simulated manual handling activities and did no lifting or loading of shells. The daily amount of sleep obtained by each group was similar (3 to 4 hours), as were their activity patterns and food and fluid intake. Isometric right hand grip strength for both groups fell progressively during the trial and did not return to pre-trial levels during 3 days of recovery. At the end of the 8 day trial, there were statistically significant reductions in the body weight (1.9%, p less than 0.001), % body fat (7.1%, p less than 0.001) and upper body mean power (7.3%, p less than 0.01) of the experimental group but not in the controls. Lower body peak and mean power were significantly increased at the end of the trial in both the experimental (14.7%, p less than 0.001 and 17.0%, p less than 0.001 respectively) and control (14.3%, p less than 0.01 and 15.0%, p less than 0.05 respectively) groups. Lower body power decrease was significantly increased (18.1%, p less than 0.05) in the experimental group but not in the controls.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Upper and lower body anaerobic power: comparison between biathletes and control subjects.

This study compared power outputs (PO) from both the upper body (UB) and lower body (LB) Wingate tests of anaerobic power between biathletes and control subjects. Ten biathletes (B) selected by the British Ski Federation for potential assignment to the British team and 13 control (C) subjects cranked or pedaled the same Bodyguard ergometer at maximal RPMs for 30 s against resistances of 2.94 and 4.41 J/rev/kg body weight (BW), respectively. POs were calculated in watts (W) and expressed as peak power (PP, highest 5-s interval), mean power (MP, the mean for 30 s), and power decrease (PD, difference between PP and lowest 5-s PO divided by time). Absolute PP and MP for both UB and LB did not differ between groups. A comparison of POs made relative to BW showed B to have higher values than C: 11.25 vs 10.25 W/kg for LB PP (P less than .05) and 9.21 vs 7.96 W/kg for LB MP (P less than .001). The data expressed relative to kg fat free mass (FFM) showed only MP to be significantly greater in B compared with C (P less than .001). Similar PO relationships were found for the UB where PP (P less than .01) and MP (P less than .001) expressed per kg BW and MP (P less than .001) expressed per kg FFM were higher for B than C. Concomitantly, PD was lower in B than C for both the UB (P less than .05) and LB (P less than .01).(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

An evaluation of tests of anaerobic power.

The objectives of this study were to examine the relationships between two recently developed laboratory tests of anaerobic power (AnP) and to compare these tests to other measures of AnP. Fifteen male subjects, aged 20-34 years, performed: a 30-s maximal cycle ergometer test (Wingate test), a 60-s isokinetic knee extension test (isokinetic endurance test), a 50-m sprint, a 200-m sprint, and the Margaria stair-climb test. Significant correlations ranging from 0.52-0.76 were found between the Wingate and isokinetic endurance tests for peak and mean values of power and torque, respectively. Indices from both these tests also correlated significantly with the other tests of AnP. The best single index was mean power from the Wingate test, which had correlations of -0.79, -0.82, and 0.74 with the 50-m and 200-m sprint times and the Margaria test, respectively. The data suggest that both the Wingate and isokinetic endurance tests represent valid laboratory tests for evaluating high-intensity, short-term exercise in which the muscle is primarily dependent upon anaerobic processes for energy release.

Adult↗

Exercise endurance time as a function of percent maximal power production.

To develop and validate a mathematical model of the relationship between endurance time (T) and power production, 15 male subjects were first tested for maximal power on an instrumented cycle ergometer at 60 rpm. On subsequent days, they were tested for T at various percentages of maximal power. Curves of T as a function of percent maximal power were curvilinear, and could be made to overlap among subjects by individual abscissa scaling, which resulted in the appearance of horizontal stretching or compression of the curves. The degree of stretching-compression was defined by a statistically obtained scaling factor (F) which served to quantify each subject's endurance ability at fractions of maximal power. F was used to transform percent of maximal power to a scaled power variable (Psc). A curve of the form T = a(Psc)b was developed on 10 of the subjects and validated on the remaining five. Correlation between predicted and actual T was 0.967 for the fitting group and 0.980 for the validation group. A maximal power test and a single endurance test at 40 to 50% of maximal power were found to establish individual endurance-power curves fairly well, with a correlation of 0.828 between actual and predicted T. The combination of F and maximal power for a given physical activity provide a useful profile of an individual's ability to perform at constant exercise intensity.

Adult↗

An analysis of aerobic capacity in a large United States population.

This study presents a description of aerobic capacity in a large US population comprised of 1,514 men and 375 women. Such influencing factors as age, training state, occupation, and body composition were evaluated. The population consisted of new recruits entering the US Army from civilian life as well as soliders in a variety of assignments and physical training programs. Age ranged from 17 to 55 yr. With the exception of one older group, aerobic capacity was determined as maximal O2 uptake measured directly by the Douglas bag technique during a standard discontinuous treadmill running procedure. New male and female recruits representing a young civilian population entered the service with maximal O2 uptake of 51 and 37 ml X kg body wt-1 X min-1, respectively, and thereafter increased 5% during initial basic training. The difference between genders, 30% on an absolute basis, was 14% when expressed as a function of fat-free weight. Aerobic capacity was less after occupational training and continued to decrease with age at an average yearly rate of 10%, or 0.5 ml X kg body wt-1 X min-1. Aerobic capacity varied with intensity of the occupational physical demand, except in groups with significant physical training programs. This first large US population study of aerobic capacity, using a direct treadmill procedure, demonstrates levels consistent with any previously reported population.

Adipose Tissue↗

Comparative anaerobic power of men and women.

The purpose of this study was to determine the differences in anaerobic power (AnP) between men and women and the contribution of anthropometric variables in accounting for these differences. There were 18 female and 19 male subjects who performed the 30-s Wingate test where power outputs in watts are expressed as mean power (MP, the mean for 30 s) and peak power (PP, the highest 5-s interval). Thigh volume (TV), lean body mass (LBM) and body weight (BW) were used as anthropometric variables. Absolute AnP of men was 35% and 40% higher (p less than 0.001) than that of women for PP and MP, respectively. These differences decreased to 10% and 17% for PP and MP when expressed relative to kg LBM. Anthropometric variables explained less than 50% of the variation in PP and MP for men, while in women, TV accounted for 66% and 71% of the variation in PP and MP, respectively. When the data were combined, TV, BW, and LBM explained 48%, 74%, and 79% of variation in MP and 53%, 71%, and 76% in PP, respectively. These data show that gender differences in indices of AnP are similar to those reported for muscular strength and aerobic power. Additionally, a larger portion of the between gender variation compared to the within gender variation in AnP can be accounted for by anthropometric variables.

Adolescent↗