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Biomedical subjects

Michel B Ducharme

Publications and source records attributed to Michel B Ducharme.

15 recordsLinked to original sources

Prediction of facial cooling while walking in cold wind.

A dynamic model of cheek cooling has been modified to account for increased skin blood circulation of individuals walking in cold wind. This was achieved by modelling the cold-induced vasodilation response to cold as a varying blood perfusion term, which provided a source of convective heat to the skin tissues of the model. Physiologically-valid blood perfusion was fitted to replicate the cheek skin temperature responses of 12 individuals experimentally exposed to air temperatures from -10 to 10 degrees C at wind speeds from 2 to 8 ms(-1). Resultant cheek skin temperatures met goodness-of-fit criteria and implications on wind chill predictions are discussed.

Adult↗

A three-compartment thermometry model for the improved estimation of changes in body heat content.

The aim of this study was to use whole body calorimetry to directly measure the change in body heat content (DeltaH(b)) during steady-state exercise and compare these values with those estimated using thermometry. The thermometry models tested were the traditional two-compartment model of "core" and "shell" temperatures, and a three-compartment model of "core," "muscle," and "shell" temperatures; with individual compartments within each model weighted for their relative influence upon DeltaH(b) by coefficients subject to a nonnegative and a sum-to-one constraint. Fifty-two participants performed 90 min of moderate-intensity exercise (40% of Vo(2 peak)) on a cycle ergometer in the Snellen air calorimeter, at regulated air temperatures of 24 degrees C or 30 degrees C and a relative humidity of either 30% or 60%. The "core" compartment was represented by temperatures measured in the esophagus (T(es)), rectum (T(re)), and aural canal (T(au)), while the "muscle" compartment was represented by regional muscle temperature measured in the vastus lateralis (T(vl)), triceps brachii (T(tb)), and upper trapezius (T(ut)). The "shell" compartment was represented by the weighted mean of 12 skin temperatures (T(sk)). The whole body calorimetry data were used to derive optimally fitting two- and three-compartment thermometry models. The traditional two-compartment model was found to be statistically biased, systematically underestimating DeltaH(b) by 15.5% (SD 31.3) at 24 degrees C and by 35.5% (SD 21.9) at 30 degrees C. The three-compartment model showed no such bias, yielding a more precise estimate of DeltaH(b) as evidenced by a mean estimation error of 1.1% (SD 29.5) at 24 degrees C and 5.4% (SD 30.0) at 30 degrees C with an adjusted R(2) of 0.48 and 0.51, respectively. It is concluded that a major source of error in the estimation of DeltaH(b) using the traditional two-compartment thermometry model is the lack of an expression independently representing the heat storage in muscle during exercise.

Absorptiometry, Photon↗

The Snellen human calorimeter revisited, re-engineered and upgraded: design and performance characteristics.

The measurement of whole body heat loss in humans and the performance characteristics of a modified Snellen whole body air calorimeter are described. Modifications included the location of the calorimeter in a pressurized room, control of operating temperature over a range of - 15 to + 35 degrees C, control of ambient relative humidity over a range of 20-65%, incorporation of an air mass flow measuring system to provide real time measurement of air mass flow through the calorimeter, incorporation of a constant load 'eddy current' resistance ergometer and an open circuit, expired gas analysis calorimetry system. The performance of the calorimeter is a function of the sensitivity, precision, accuracy and response time characteristics of the fundamental measurement systems including: air mass flow; thermometry and hygrometry. Calibration experiments included a calibration of the air mass flow sensor, the response of the thermometric measurement system for dry heat loss and the response of the hygrometric measurement system for evaporative heat loss. The air mass flow system was evaluated using standard differential temperature procedures to demonstrate linearity and sensitivity of the device. A novel procedure based on differential hygrometry was developed to ascertain the absolute calibration of air mass flow by resolving the unique system coefficient K. The results of the hygrometric calibration demonstrate the air mass flow response of the system is linear over the range of air mass flows from 6 to 15 kg min(-1). R(2) was 0.995. The average half response time (tR50) was 14.5 +/- 2.1 s. Similarly the results of the thermometric calibration demonstrate that the response of the apparatus is linear over the range of power input measured (coefficient of linearity R(2)=0.9997) with a precision of 0.72 W and an accuracy to within 0.36 W. The average (tR50) over all conditions was 6.0 +/- 1.9 min. In summary, modifications brought to the Snellen calorimeter have significantly improved the precision, accuracy and response time characteristics of the previous system while extending its operating range.

Air Conditioning↗

Insulation disks on the skin to estimate muscle temperature.

This study examined the use of insulation disks placed on the skin to estimate muscle temperature in resting subjects exposed to a thermoneutral (28 degrees C) ambient environment. The working hypothesis was that the skin temperature under each insulation disk would increase to a value corresponding to a specific muscle temperature measured by a control probe at 0.8+/-0.2, 1.3+/-0.2, 1.8+/-0.2, 2.3+/-0.2, and 2.8+/-0.2 cm below the skin surface. Eight subjects sat for 120 min while lateral thigh skin temperatures and vastus lateralis muscle temperature were directly measured. Vastus lateralis temperature was estimated non-invasively using two 5 cm diameter foam neoprene disks which were placed on top of the skin temperature probes (from time 60 to 120 min) located at 15.3 and 26.3 cm superior to the patella. The disks at the two locations were 3.2 and 4.8 mm thick, respectively. The placement of the 3.2- and 4.8-mm disks on the thigh for a minimum of 15 and 20 min, respectively, resulted in an increase in skin temperature under the disks which corresponded to the lateral thigh muscle temperature measured directly and invasively at 0.8+/-0.2 and 1.3+/-0.2 cm, respectively, below the skin.

Adult↗

Facial cold-induced vasodilation and skin temperature during exposure to cold wind.

One purpose of this study was to characterize the facial skin temperature and cold-induced vasodilation (CIVD) response of 12 subjects (six males and six females) during exposure to cold wind (i.e., -10 to 10 degrees C; 2, 5, and 8 m/s wind speed). This study found that at each wind speed, facial skin temperature decreased as ambient temperature decreased. The percentage of subjects showing facial CIVD decreased significantly at an ambient temperature above -10 degrees C. A similar CIVD percentage was observed between 0 degrees C dry and 10 degrees C wet (face sprayed with fine water mist) at each wind speed. No CIVDs were observed during the 10 degrees C dry condition at any wind speed. The incidence of CIVD response was more uniform across facial sites when there was a greater cold stress (i.e., -10 degrees C and 8 m/s wind). Another objective of the study was to examine the effect of the thermal state of the body (as reflected by core temperature) on the facial skin temperature response during rest and exercise. This study found that nose skin temperature was significantly higher in exercising subjects with an elevated core temperature even though there was no significant difference in face skin temperature between the two conditions. Therefore, this finding suggests that acral regions of the face, such as the nose, are more sensitive to changes in the thermal state of the body, and hence will stay warmer relative to other parts of the face during exercise in the cold.

Adult↗

American College of Sports Medicine position stand: prevention of cold injuries during exercise.

It is the position of the American College of Sports Medicine that exercise can be performed safely in most cold-weather environments without incurring cold-weather injuries. The key to prevention is use of a comprehensive risk management strategy that: a) identifies/assesses the cold hazard; b) identifies/assesses contributing factors for cold-weather injuries; c) develops controls to mitigate cold stress/strain; d) implements controls into formal plans; and e) utilizes administrative oversight to ensure controls are enforced or modified. The American College of Sports Medicine recommends that: 1) coaches/athletes/medical personnel know the signs/symptoms and risk factors for hypothermia, frostbite, and non-freezing cold injuries, identify individuals susceptible to cold injuries, and have the latest up-to-date information about current and future weather conditions before conducting training sessions or competitions; 2) cold-weather clothing be chosen based on each individual's requirements and that standardized clothing ensembles not be mandated for entire groups; 3) the wind-chill temperature index be used to estimate the relative risk of frostbite and that heightened surveillance of exercisers be used at wind-chill temperatures below -27 degrees C (-18 degrees F); and 4) individuals with asthma and cardiovascular disease can exercise in cold environments, but should be monitored closely.

Adaptation, Physiological↗

Heat stress of helicopter aircrew wearing immersion suit.

The objectives of the present study were to define the lowest ambient air and cabin temperatures at which aircrews wearing immersion protection are starting to experience thermal discomfort and heat stress during flight operations, and to characterize during a flight simulation in laboratory, the severity of the heat stress during exposure to a typical northern summer ambient condition (25 degrees C, 40% RH). Twenty male helicopter aircrews wearing immersion suits (insulation of 2.2 Clo in air) performed 26 flights within an 8-month period at ambient temperatures ranging between -15 and 25 degrees C, and cabin temperatures ranging between 3 and 28 degrees C. It was observed based on thermal comfort ratings that the aircrews were starting to experience thermal discomfort and heat stress at ambient and cabin air conditions above 18 degrees C and at a WBGT index of 16 degrees C. In a subsequent study, seven aircrews dressed with the same clothing were exposed for 140 min to 25 degrees C and 40% RH in a climatic chamber. During the exposure, the aircrews simulated pilot flight maneuvers for 80 min followed with backender/flight engineer activities for 60 min. By the end of the 140 min exposure, the skin temperature, rectal temperature and heart rate had increased significantly to 35.7 +/- 0.2 degrees C, 38.4 +/- 0.2 degrees C and between 110 and 160 beats/min depending on the level of physical activity. The body sweat rate averaged 0.58 kg/h and the relative humidity inside the clothing was at saturation by the end of the exposure. It was concluded that aircrews wearing immersion suits during the summer months in northern climates might experience thermal discomfort and heat stress at ambient or cabin air temperature as low as 18 degrees C.

Adult↗

Confounding factors in the use of the zero-heat-flow method for non-invasive muscle temperature measurement.

This study evaluated a zero-heat-flow (ZHF), non-invasive temperature probe for in- vivo measurement of resting muscle temperature for up to 2 cm below the skin surface. The ZHF probe works by preventing heat loss from the tissue below the probe by actively heating the tissue until no temperature gradient exists across the probe. The skin temperature under the probe is then used as an indicator of the muscle temperature below. Eight subjects sat for 130 min during exposure to 28 degrees C air. Vastus lateralis (lateral thigh) muscle temperature was measured non-invasively using a ZHF probe which covered an invasive multicouple probe (which measured tissue temperature 0.5 cm, 1 cm, 1.5 cm, and 2 cm below the skin) located 15 cm superior to the patella (T (covered)). T (covered) was evaluated against an uncovered control multicouple probe located 20 cm superior to the patella (T (uncovered)). Rectal temperature and lateral thigh skin temperature were also measured. Mean T (uncovered) (based on average temperatures at the 0.5 cm, 1 cm, 1.5 cm, and 2 cm depths) and Mean T (covered) were similar from time 0 min to 60 min. However, when the ZHF was turned on at 70 min, Mean T (covered) increased by 2.11 +/- 0.20 degrees C by 130 min, while T (uncovered) remained stable. The ZHF probe temperature was similar to T (covered) at 1 cm and after time 85 min, significantly higher than T (covered) at the 0.5 cm, 1.5 cm, and 2 cm depths; however from a physiological standpoint, the temperatures between the different depths and the ZHF probe could be considered uniform (< or =0.2 degrees C separation). Rectal and thigh skin temperatures were stable at 36.99 +/- 0.08 degrees C and 32.82 +/- 0.23 degrees C, respectively. In conclusion, the non-invasive ZHF probe temperature was similar to the T (covered) temperatures directly measured up to 2 cm beneath the surface of the thigh, but all T (covered) temperatures were not representative of the true muscle temperature up to 2 cm below the skin because the ZHF probe heated the muscle by 2.11 +/- 0.20 degrees C during its operation.

Adult↗

Warming by immersion or exercise affects initial cooling rate during subsequent cold water immersion.

INTRODUCTION: We examined the effect of prior heating, by exercise and warm-water immersion, on core cooling rates in individuals rendered mildly hypothermic by immersion in cold water. METHODS: There were seven male subjects who were randomly assigned to one of three groups: 1) seated rest for 15 min (control); 2) cycling ergometry for 15 min at 70% Vo2 peak (active warming); or 3) immersion in a circulated bath at 40 degrees C to an esophageal temperature (Tes) similar to that at the end of exercise (passive warming). Subjects were then immersed in 7 degrees C water to a Tes of 34.5 degrees C. RESULTS: Initial Tes cooling rates (initial approximately 6 min cooling) differed significantly among the treatment conditions (0.074 +/- 0.045, 0.129 +/- 0.076, and 0.348 +/- 0.117 degrees C x min(-1) for control, active, and passive warming conditions, respectively); however, secondary cooling rates (rates following initial approximately 6 min cooling to the end of immersion) were not different between treatments (average of 0.102 +/- 0.085 degrees C x min(-1)). Overall Tes cooling rates during the full immersion period differed significantly and were 0.067 +/- 0.047, 0.085 +/- 0.045, and 0.209 +/- 0.131 degrees C x min(-1) for control, active, and passive warming, respectively. DISCUSSION: These results suggest that prior warming by both active and, to a greater extent, passive warming, may predispose a person to greater heat loss and to experience a larger decline in core temperature when subsequently exposed to cold water. Thus, functional time and possibly survival time could be reduced when cold water immersion is preceded by whole-body passive warming, and to a lesser degree by active warming.

Adult↗

Effects of carbohydrate availability on sustained shivering II. Relating muscle recruitment to fuel selection.

The purpose of this study was to quantify how shivering activity would be affected by large changes in fuel metabolism (see Haman F, Peronnet F, Kenny GP, Doucet E, Massicotte D, Lavoie C, and Weber J-M, J Appl Physiol 96: 000-000, 2004). Adult men were exposed to 10 degrees C for 2 h after a low-carbohydrate diet and exercise (Lo) and after high-carbohydrate diet without exercise (Hi). Using simultaneous metabolic and electromyographic (EMG) measurements, we quantified the effects of changes in fuel selection on the shivering activity of eight large muscles representing >90% of total shivering muscle mass. Contrary to expectation, drastic changes in fuel metabolism [carbohydrates 28 vs. 65% of total heat production (Hprod), lipids 53 vs. 23% Hprod, and proteins 19 vs. 12% Hprod for Lo and Hi, respectively] are achieved without altering the EMG signature of shivering muscles. Results show that total shivering activity and the specific contribution of each muscle to total shivering activity are not affected by large changes in fuel selection. In addition, we found that changes in burst shivering rate ( approximately 4 bursts/min), relative contribution of burst activity to total shivering ( approximately 10% of total shivering activity), and burst shivering intensity ( approximately 12% of maximal voluntary contraction) are the same between Lo and Hi. Spectral analysis of EMG signals also reveals that mean frequencies of the power spectrum remained the same under all conditions (whole body average of 78 +/- 5 Hz for Lo and 83 +/- 7 Hz for Hi). During low-intensity shivering, humans are therefore able to sustain the same thermogenic rate by oxidizing widely different fuel mixtures within the same muscle fibers.

Adult↗

Finger dexterity, skin temperature, and blood flow during auxiliary heating in the cold.

The primary purpose of the present study was to compare the effectiveness of two forms of hand heating and to discuss specific trends that relate finger dexterity performance to variables such as finger skin temperature (T(fing)), finger blood flow (Q(fing)), forearm skin temperature (T(fsk)), forearm muscle temperature (Tfmus), mean weighted body skin temperature (Tsk), and change in body heat content (DeltaH(b)). These variables along with rate of body heat storage, toe skin temperature, and change in rectal temperature were measured during direct and indirect hand heating. Direct hand heating involved the use of electrically heated gloves to keep the fingers warm (heated gloves condition), whereas indirect hand heating involved warming the fingers indirectly by actively heating the torso with an electrically heated vest (heated vest condition). Seven men (age 35.6 +/- 5.6 yr) were subjected to each method of hand heating while they sat in a chair for 3 h during exposure to -25 degrees C air. Q(fing) was significantly (P < 0.05) higher during the heated vest condition compared with the heated gloves condition (234 +/- 28 and 33 +/- 4 perfusion units, respectively), despite a similar T(fing) (which ranged between 28 and 35 degrees C during the 3-h exposure). Despite the difference in Q(fing), there was no significant difference in finger dexterity performance. Therefore, finger dexterity can be maintained with direct hand heating despite a low Q(fing). DeltaH(b), Tsk, and T(fmus) reached a low of -472 +/- 18 kJ, 28.5 +/- 0.3 degrees C, and 29.8 +/- 0.5 degrees C, respectively, during the heated gloves condition, but the values were not low enough to affect finger dexterity.

Adult↗

Ultra-sound imaging for precision implantation of a multi sensor temperature probe in skeletal muscle tissue.

A technique for implanting multi sensor temperature probes in muscle tissue was developed to optimize the accuracy of the tissue temperature measurements and the internal localization of the probe. Real time ultra-sound imaging was used to (a) determine the best perpendicular insertion tract, (b) guide the insertion of the probe in order to avoid major blood vessels, and (c) verify the insertion point relative to discernable anatomic reference structures such as arteries and bone.

Body Temperature↗

Tissue temperature transients in resting contra-lateral leg muscle tissue during isolated knee extension.

This study was designed to evaluate the role of non-active tissue in the retention and dissipation of heat during and following intense isolated muscle activity. Six subjects performed an incremental isotonic test (constant angular velocity, increases in force output) on a KIN-COM isokinetic apparatus to determine their maximal oxygen consumption during single knee extensions (VO2sp). In a subsequent session, a thin wire multi-sensor temperature probe was inserted into the left vastus medialis under ultrasound guidance at a specific internal marker. The deepest temperature sensor (tip, Tmu10) was located approximately 10 mm from the femur and deep femoral artery with 2 additional sensors located at 15 (Tmu25) and 30 (Tmu40) mm from the tip. Implant site was midway between and medial to a line joining the anterior superior iliac spine and base of patella. Esophageal temperature (Tes) temperature was measured as an index of core temperature. Subjects rested in a supine position for 60 min followed by 30 min of seated rest in an ambient condition of 22 degree C. Subjects then performed 15 min of isolated single right knee extensions against a dynamic resistance on a KIN COM corresponding to 60% of VO2sp at 60 degree x sec(-1). Exercise was followed by 60 min of seated rest. Resting Tes was 37 degree C while Tmu10, Tmu25, and Tmu40 were 36.58, 36.55 and 36.45 degree C, respectively. Exercise resulted in a Tes increase of 0.31 C above pre-exercise resting. Tmu of the non-exercising leg increased 0.23, 0.19 and 0.09 degree C for Tmu10, Tmu25, and Tmu40, respectively. While Tes decreased to baseline values within approximately 15 min of end-exercise, Tmu10 reached resting values following approximately 40 min of recovery. These results suggest that during isolated muscle activity, convective heat transfer by the blood to non-active muscle tissue may have a significant role in maintaining resting core temperature.

Adult↗

Combined effect of repetitive work and cold on muscle function and fatigue.

This study compared the effect of repetitive work in thermoneutral and cold conditions on forearm muscle electromyogram (EMG) and fatigue. We hypothesize that cold and repetitive work together cause higher EMG activity and fatigue than repetitive work only, thus creating a higher risk for overuse injuries. Eight men performed six 20-min work bouts at 25 degrees C (W-25) and at 5 degrees C while exposed to systemic (C-5) and local cooling (LC-5). The work was wrist flexion-extension exercise at 10% maximal voluntary contraction. The EMG activity of the forearm flexors and extensors was higher during C-5 (31 and 30%, respectively) and LC-5 (25 and 28%, respectively) than during W-25 (P < 0.05). On the basis of fatigue index (calculated from changes in maximal flexor force and flexor EMG activity), the fatigue in the forearm flexors at the end of W-25 was 15%. The corresponding values at the end of C-5 and LC-5 were 37% (P < 0.05 in relation to W-25) and 20%, respectively. Thus repetitive work in the cold causes higher EMG activity and fatigue than repetitive work in thermoneutral conditions.

Adult↗

Effect of modafinil on core temperature during sustained wakefulness and exercise in a warm environment.

BACKGROUND: Previous studies have revealed that modafinil elevates resting core temperature during periods of sustained wakefulness. The purpose of this study was to examine the effects of modafinil on core temperature during rest and exercise throughout 40 h of sustained wakefulness in a warm environment. METHODS: Ten males performed a drug session (three 100 mg doses per day) and a placebo session that involved a control day, 40 h of sustained wakefulness, and a recovery sleep. For 38 h of the sustained wakefulness, subjects were exposed to 30 degrees C with 50% relative humidity. During the afternoon of both days of wakefulness and during the early morning of the second day, subjects performed 2 h of exercise at 60% VO2max while exposed to the warm environment. RESULTS: The data revealed that rectal temperature (Tre) was elevated at rest 0.15-0.2 degrees C following modafinil ingestion throughout the period of sustained wakefulness. This increase in body temperature at rest was due to an increase in heat production during the first day of wakefulness followed by a lower evaporative heat loss during the second day. During exercise, an inconsistent effect of the drug on Tre was observed throughout the 38-h period. On the first afternoon, the impact of modafinil on Tre was no longer evident after 20 min of exercise. In contrast, during the early morning and afternoon of the second day, the effects of the drug on Tre at rest remained during exercise. For seven subjects who had Tre data for 80 min during all exercise periods, Tre during the placebo session was 38.9, 38.4, and 38.7 degrees C after 80 min of exercise for periods one, two and three, respectively, whereas the corresponding values during the modafinil session were 38.8, 38.7, and 38.9 degrees C. CONCLUSION: With a greater cumulative dose of the drug, Tre remained elevated throughout the exercise period to an extent similar to the increase observed under resting conditions when compared with the placebo condition.

Adult↗