Biomedical subjects

P A Bishop

Publications and source records attributed to P A Bishop.

At least 19 recordsLinked to original sources

PubMed2001

Micro-environment changes inside impermeable protective clothing during a continuous work exposure.

Protective clothing (PC) results in a micro-environment between itself and the body. Workers are then exposed to a heat stress greater than the ambient environment alone, which is a reflection of micro-environment, metabolic rate and time. Adjustments to the ambient environment to account for the micro-environment have been formulated as a means to predict heat strain for safety and productivity purposes. Measurement of the actual micro-environment was made for a mean of 63.1 +/- 7.9 min using a remote sensor at the shoulder, hip and thigh levels on 15 subjects during a continuous work protocol (300 kcal/h) in impermeable PC at an ambient temperature of 30.1 degrees C wet bulb globe temperature (WBGT) (32 degrees C dry, 29 degrees C wet, 33 degrees C globe). Micro-environment temperature increased over the duration of the work period. There was no statistically significant difference (p>0.05) between the measurements made at the three different body sites for temperature or humidity. The mean micro-environmental WBGT at the end of work was 34.6 degrees C WBGT. Micro-environment WBGT increased rapidly in the first 20 min of work then slowed, rising only 0.5 degrees C WBGT from 40 to 60 min. These results suggest that at this particular high ambient temperature (30.1 degrees C WBGT) an adjustment factor of 5 degrees C WBGT would give a more accurate indication of thermal stress for up to 1 h of continuous moderate work within PC. For shorter work durations, an even smaller adjustment would be appropriate.

Adult↗

PubMed2001

Prediction of rectal temperature from ear canal temperature.

Personal heat strain monitoring provides the best means for maximizing worker safety and productivity in hot jobs. The present study compared methods for reducing the environmental effect on aural canal temperature in an attempt to reduce the predictive error of a personal heat stress monitor (QST) and a simple ear thermistor (EAR). Subjects underwent three exposures in impermeable protective clothing (PC) in an environment of 30.1 degrees C wet bulb globe temperature (WBGT) wearing either ear plugs (PLG), ear moulds (MLD) or ear moulds and earmuffs (MFS). Mean work time across all trials was 63.1 +/- 7.9 min, with a mean rectal temperature at 60 min of 38.5 +/- 0.1 degrees C and a sweat production rate of 29.7 +/- 8.6 g/min. Rectal temperature was used as the criterion measure of core temperature. Although group mean predictions were satisfactory, large SD of mean differences (+/- 0.36) meant that predictive ability of QST for individuals was greatly impaired. A simple well-insulated ear thermistor showed slightly better accuracy (+/- 0.28) as a predictor of rectal temperature across time, particularly at peak temperatures. Incorporating the predictive error of aural temperature still extended the duration of safe work times relative to ACGIH guidelines. Further investigation is still necessary to ensure that predictions based on aural temperature are accurate and safe for the worker population across varying conditions.

Adult↗

PubMed2001

Rapid cooling techniques in joggers experiencing heat strain.

This study examined subjects that exercised on three occasions in a heated environment (WBGT = 39 degrees C] until they experienced heat strain. Since morbidity and mortality due to heat injury increase with the duration of elevated core temperature, it is important that techniques to lower core temperature be evaluated. Following three exercise sessions, subjects underwent each of three core cooling treatments in random order: 1) Torso immersion in cool water, 2) Hands and feet immersion in cool water, and 3) Sit-in-shade with a 1.5mph breeze provided. Subjects (n=5) consistently reached peak rectal temperatures of 38.8 (+/-0.1) degrees C following each exercise bout in the heated environment. Torso immersion produced a significantly (p<0.05) greater rate of decline in rectal temperature (0.25+/-0.10 degrees C/min) than the hands and feet immersion technique (0.16+/-0.05 degrees C/min) and the sit in the shade technique (0.11+/-0.04 degrees C/min). After only 10 minutes of cooling, the differences among cooling techniques were evident. Similar trends were observed for mean heart rate readings, albeit not significant (p>0.05). It was concluded that rectal temperatures can be reduced rapidly through the use of a cool water torso-immersion technique.

Abdomen↗

PubMed2001

Simulated shuttle egress: comparison of two Space Shuttle protective garments.

BACKGROUND: In a previous study from our laboratory, we observed carbon dioxide (CO2) accumulation in the helmet of the NASA Launch and Entry Suit (LES) during a simulated emergency egress from the Space Shuttle. Of 12 subjects, 8 were unable to complete the egress simulation with a G-suit inflation pressure of 1.5 psi. The purpose of this report was to compare CO2 accumulation and egress walking time in the new Advanced Crew Escape Suit (ACES) with that in the LES. METHODS: Four male subjects who previously were unable to complete the egress in the LES performed a simulated egress while wearing the ACES with the G-suit inflated to 1.5 psi. The egress simulation consisted of 6 min of seated rest, 2 min of standing, and 5 min of walking on a treadmill at 1.56 m x s(-1) (3.5 mph) and 0% grade. The helmet visor was closed with the subjects receiving 100% oxygen throughout the simulation. Inspired CO2 and walking time were measured. RESULTS: The rate of CO2 accumulation was significantly less (ACES: 0.53 +/- 0.03, LES: 1.07 +/- 0.15 %CO2 x min(-1); p = 0.05) and walk time was greater in the ACES (ACES: 5.0 +/- 0.0, LES: 2.7 +/- 0.2 min; p = 0.002). CONCLUSIONS: Changes in the design of the ACES from the LES resulted in a decreased rate of CO2 accumulation and an improved egress walking time compared with the LES.

Adult↗

PubMed2001

Simulated shuttle egress: role of helmet visor position during approach and landing.

BACKGROUND: We previously reported that carbon dioxide (CO2) rapidly accumulates in the helmet of the NASA Launch and Entry Suit (LES) during a simulated egress from the Space Shuttle following 6 min of visor-closed seated rest to simulate approach and landing. The purpose of this study was to determine if CO2 accumulation and walking time in the LES would be improved by helmet visor-open rather than visor-closed seated rest prior to the performance of the simulated egress. METHODS: Wearing the LES, 12 male subjects performed 4 laboratory egress simulations consisting of 6-min seated rest, 2-min stand, and 5-min walk at 1.56 m x s(-1) (3.5 mph). During seated rest, subjects sat either with the visor open, breathing room air until the visor was closed on standing, or with the visor closed for the duration of the simulation. For all visor-closed operations 100%, O2 was supplied. The G-suit was either deflated (0.0 psi) or inflated to 1.5 psi. Inspired CO2 and walking time were measured. Data were analyzed at the end of seated rest, standing, and after 5 min of walking at 0.0 psi or after 2 min of walking at 1.5 psi (>90% of data available). RESULTS: Walk time was not different following visor-open (0.0 psi: 5.0 +/- 0.0; 1.5 psi: 3.4 +/- 0.3 min) or visor-closed (0.0 psi: 4.8 +/- 0.2; 1.5 psi: 3.5 +/- 0.4 min) seated rest at either G-suit pressure. Inspired CO2 levels were not different between the two conditions during walking at 5 min at 0.0 psi (p = 0.50; Open: 4.39 +/- 0.14; Closed: 4.48 +/- 0.18%) or at 2 min at 1.5 psi (p = 0.53; Open: 3.59 +/- 0.12; Closed: 3.65 + 0.21%). CONCLUSIONS: Visor position during seated rest immediately preceding the egress walk had no effect on inspired CO2 or walking time.

Adult↗

PubMed2000

Gender differences in sweat lactate.

Sweat rate may affect sweat lactate concentration. The current study examined potential gender differences in sweat lactate concentrations because of varying sweat rates. Males (n = 6) and females (n = 6) of similar age, percentage body fat, and maximal oxygen consumption (VO2max) completed constant load (CON) cycling (30 min--approximately 40% VO2max) and interval cycling (INT) (15 1-min intervals each separated by 1 min of rest) trials at 32 (1) degrees C wet bulb globe temperature (WBGT). Trials were preceded by 15 min of warm-up (0.5 kp, 60 rpms) and followed by 15 min of rest. Blood and sweat samples were collected at 15, 25, 35, 45, and 60 min during each trial. Total body water loss was used to calculate sweat rate. Blood lactate concentrations (CON approximately equal to 2 mmol.l-1, INT approximately equal to 6 mmol.l-1) and sweat lactate concentrations (CON and INT approximately equal to 12 mmol.l-1) were not significantly different (P > 0.05) at any time between genders for CON or INT. Overall sweat rates (ml.h-1) were not significantly different (P > 0.05) between trials but were significantly greater (P < or = 0.05) for males than for females for CON [779.7 (292.6) versus 450.3 (84.6) ml.h-1] and INT [798.0 (268.3) versus 503.0 (41.4) ml.h-1]. However, correcting for surface area diminished the difference [CON: 390.7 (134.4) versus 277.7 (44.4) ml.h-1, INT: 401.5 (124.1) versus 310.6 (23.4) ml.h-1 (P < or = 0.07)]. Estimated total lactate secretion was significantly greater (P < or = 0.05) in males for CON and INT. Results suggest that sweat rate differences do not affect sweat lactate concentrations between genders.

Adult↗

PubMed2000

Effects of high and low blood lactate concentrations on sweat lactate response.

Sweat lactate results from eccrine gland metabolism, however, the possible clearance of blood lactate through sweat has not been resolved. On separate days in an environmental chamber (32 +/- 1 C) 12 subjects completed a constant load (CON) (30 min at 40% VO2 max) and an interval cycling trial (INT) (15 one-min intervals at 80% VO2 max, each separated by one min rest) each designed to elicit different blood lactate responses. Each 30 min cycling trial was preceded by 15 min warm-up (30 watts) and followed by 15 min passive rest. Sweat and blood were analyzed for lactate concentration at 15, 25, 35, 45, and 60 min during CON and INT. Total body water loss was used to calculate sweat rate (ml/hr). Blood lactate was significantly greater (p < or = 0.05) at 25, 35, 45, and 60 min during INT compared to CON (approximately 5 mmol/L vs 1.5 mmol/L). Sweat lactate was not significantly different (p>0.05) between trials at any time (approximately 10 mmol/L). Sweat rates (approximately 600ml/hr) and estimated total lactate secretion were not significantly different (CON vs. INT) (p > 0.05). Elevated blood lactate was not associated with changes in sweat lactate concentration. Sweat lactate seems to originate in eccrine glands independent of blood lactate.

Adult↗

PubMed1999

Direct detection of Prevotella intermedia and P. nigrescens in suppurative oral infection by amplification of 16S rRNA gene.

A specific 16S rDNA PCR and subsequent hybridisation reaction was designed to discriminate between strains of Prevotella intermedia (n = 15) and P. nigrescens (n = 15). This technique was then used to detect the presence of these two bacterial species in acute suppurative oral infection. A total of 36 pus samples aspirated from 26 peri-apical abscesses, three root canals, three periodontal abscesses, two cases of refractory periodontitis, one cyst and one haematoma was examined. A portion of the pus sample was processed by PCR and the remainder of the specimen was subjected to routine culture. The PCR-based technique gave an identical pattern of detection of P. intermedia or P. nigrescens to that obtained by culture for 30 of the 36 specimens. Either P. intermedia or P. nigrescens was present in 14 samples and neither species was detected in 16 samples. In the remaining six samples the PCR method indicated the presence of one (n = 3) or both (n = 3) of the Prevotella species but neither or only one species was isolated by culture. It is concluded that the presence of P. intermedia and P. nigrescens in pus can be detected rapidly and specifically by direct PCR amplification of 16S rDNA. P. nigrescens was detected more frequently than P. intermedia in suppurative peri-apical infection both by culture and PCR.

Bacteroidaceae Infections↗

PubMed1999

Carbon dioxide accumulation, walking performance, and metabolic cost in the NASA launch and entry suit.

BACKGROUND: In the event of an emergency on landing, Space Shuttle crewmembers while wearing the Launch and Entry Suit (LES) must stand, move to the hatch, exit the spacecraft with the helmet visor closed breathing 100% O2, and walk or run unassisted to a distance of 380 m upwind from the vehicle. The purpose of this study was to characterize the inspired CO2 and metabolic requirements during a simulated unaided egress from the Space Shuttle in healthy subjects wearing the LES. METHODS: As a simulation of a Shuttle landing with an unaided egress, 12 male subjects completed a 6-min seated pre-breathe with 100% O2 followed by a 2-min stand and 5-min walking at 1.56 m x s(-1) (5.6 km x h(-1), 3.5 mph) with the helmet visor closed. During walks with four different G-suit pressures (0.0, 0.5, 1.0, 1.5 psi; 3.4, 6.9, 10.3 kPa), inspired CO2 and walking time were measured. After a 10-min seated recovery, subjects repeated the 5-min walk with the same G-suit pressure and the helmet visor open for the measurement of metabolic rate (VO2). RESULTS: When G-suit inflation levels were 1.0 or 1.5 psi, only one-third of our subjects were able to complete the 5-min visor-closed walk after a 6-min pre-breathe. Inspired CO2 levels measured at the mouth were routinely greater than 4% (30 mmHg) during walking. The metabolic cost at the 1.5 psi G-suit inflation was over 135% of the metabolic cost at 0.0 psi inflation. CONCLUSION: During unaided egress, G-suit inflation pressures of 1.0 and 1.5 psi resulted in elevated CO2 in the LES helmet and increased metabolic cost of walking, both of which may impact unaided egress performance. Neither the LES, the LES helmet, nor the G-suit were designed for ambulation. Data from this investigation suggests that adapting flight equipment for uses other than those for which it was originally designed can result in unforeseen problems.

Adult↗

PubMed1999

Physiological determinants of performance on an indoor military obstacle course test.

Obstacle courses (OCs), physical challenge courses, and confidence courses are valuable in training and assessing military troops. However, OCs are not well characterized with regard to physical demands and requisite abilities. The purpose of this study was to evaluate the physical capabilities associated with success on an OC. Male subjects (N = 47) were assessed on an OC, skinfolds, upper and lower body aerobic and anaerobic power, muscular strength, and endurance. Faster performers were lighter (p < 0.003), leaner, and, relative to body weight, averaged greater arm anaerobic peak and mean power, leg aerobic power, one-repetition maximum leg press, and one-repetition maximum latissimus dorsi pull-down, than slower performers. There were significant correlations between OC time and weight (0.59), percent fat (0.54), anaerobic leg mean power (-0.43), arm anaerobic peak (-0.48) and mean power (-0.48), and arm (-0.51) and leg aerobic power (-0.53), all expressed relative to body weight. A three-variable regression model accounted for 35% of the variation in OC time. Good performers on this OC displayed many diverse physical capabilities.

Adult↗

PubMed1997

Comparison of a military chemical suit and an industrial usage vapor barrier suit across two thermal environments.

This study compared physiological responses to wearing military chemical protective clothing (MPC) and industrial vapor barrier protective clothing (IPC) across two thermal environments to determine the application of the MPC research toward IPC use. Ten males wore each ensemble in a wet bulb globe temperature (WBGT) = 18 and 26 degrees C environment for four test sessions. Each test session consisted of two 30-min work bouts separated by a 30-min recovery period. Each work bout consisted of walking on a treadmill with an oxygen demand of 1.4 L/min for 15 min followed by 7 min of arm curling of 0.9 L/min, followed by 8 min of walking. Work was stopped when either the 30-min time limit was met or a core temperature (Tre) of 38 degrees C was achieved. Variables included sweat rate, heart rate at the end of each work bout, change in (delta) Tre and mean skin temperature (mTsk), and heat stored (Whr). A repeated measures analysis of variance showed no significant difference (p > 0.05) between heart rates at the end of the work bouts between the MPC and IPC. A significant difference was found (p < 0.05) between sweat rates (MPC = 11.5, IPC = 7.4 g/min), delta mTsk, and heat stored, all independent of WBGT. A significant difference (p < 0.05) was also found between delta Tre (MPC = 0.52, IPC = 0.90) in the WBGT = 26 degrees C environment. Results indicate that these two suits elicit similar physiological responses in a cool environment (WBGT = 1 degrees C) but different Tre responses in a hot (WBGT = 26 degrees C) environment. Results show that MPC research can be applied toward IPC settings; however, comparisons between the two should be made with caution, particularly in regard to hot environments.

Adult↗

PubMed1997

A review of diagnostic ultrasound of the spine and soft tissue.

BACKGROUND: Current medical applications for diagnostic ultrasound are numerous. The technology is attractive because of its ease of use, noninvasive nature and low cost. Recent technological advances have improved ultrasound images of spine-related soft tissues. OBJECTIVE: To examine and summarize the spine-related diagnostic ultrasound literature to help aid in understanding its possible applications. DATA SOURCES: This literature search was part of a larger search in which several hundred musculoskeletal diagnostic ultrasound articles were collected. MEDLINE from 1970 to present was searched electronically. Chiropractic Research Archives Collection (Vol. I-IV) were inspected manually. Bibliographies and references from studies obtained were examined thoroughly for additional references. DATA SYNTHESIS: All articles related to diagnostic ultrasound and its spinal applications were collected and reviewed, except those focusing on intraoperative spinal ultrasound in neurosurgery. RESULTS: Ultrasound has long been used to measure the spinal canal, detect cord abnormalities and examine soft tissue abnormalities. Recently, it has been used to quantify scoliotic curves, measure multifidus muscle size and image sciatic nerve lesions. CONCLUSION: Several well-documented applications of spine-related diagnostic ultrasound, along with many new possible applications, make this technology important to any clinician interested in noninvasive diagnostic applications for the spine and soft tissue.

Bone Density↗

PubMed1995

Prevalence of penicillin resistant bacteria in acute suppurative oral infection.

Pus aspirated from acute suppurative oral infections in 78 patients (age range 13-76 years) yielded a total of 331 bacterial strains consisting of 143 facultative anaerobes (predominantly Streptococcus spp.) and 188 strict anaerobes (predominantly Prevotella spp.). Seventy-five isolates (23%) were resistant to penicillin (MIC > 1 mg/L), 37 (11%) were resistant to ampicillin (MIC > 2 mg/L) and 16 (5%) isolates were resistant to amoxycillin/clavulanic acid (MIC > 2 mg/L). Samples from 43 (55%) of the patients yielded at least one penicillin resistant isolate and within this group 30 samples (73%) contained at least one strain which produced beta-lactamase. A history of antibiotic therapy during the 6 months before enrollment in the study did not influence the isolation of penicillin resistant bacteria. It is concluded that penicillin resistant bacteria are often present in the microflora of acute dental infection.

Acute Disease↗

PubMed1995

Comparison of leg length inequality measurement methods as estimators of the femur head height difference on standing X-ray.

OBJECTIVE: To assess the validity and reliability of prone and supine measurements of leg length inequality and to determine the potential use of measurements at the iliac crests and patient demographics as predictors to estimate standing leg length differential. DESIGN: Repeated prone and supine measurements of leg length inequality were made by an experienced chiropractor and compared with iliac crest and femur head measurements made on X-rays of standing patients. Multiple regression analysis was performed. SETTING: Private chiropractic practice. PARTICIPANTS: The first 50 new patients with low back pain that were X-rayed were included in the study. RESULTS: Intraexaminer reliability was excellent for the prone measurements. The supine tests were less reliable. The prone measurements were highly correlated with the standing X-ray femur head measurement. The supine measurements were poorly correlated. Measurements of deficiency at the iliac crests on X-ray were most highly correlated with X-ray measurements of discrepancy. In multiple regression, the prone measurements and duration of problem were the only significant predictors of standing X-ray difference. CONCLUSIONS: In this study, crest measurements were made on X-ray; the degree of accuracy with which millimeter differences can be measured clinically on patients is unknown. In a few cases, the supine measurements were more accurate than the prone; however, the supine test validity was poor when compared with the standing X-ray measurements, and reliability was less than expected. Supine measurements should not be used to estimate standing leg length discrepancy in new low back pain patients but perhaps can be used in other clinically meaningful ways. Intraexaminer reliability of the prone measurements was higher, but further investigations need to focus on interexaminer reliability. The prone measurement as a predictor holds promise, but new measurement tools must be developed.

Adult↗

PubMed1994

Intermittent microclimate cooling during rest increases work capacity and reduces heat stress.

Requirements for special protective equipment while working in hazardous environments can present a significantly increased thermal burden and early onset of physical fatigue. Ambulatory (backpack) or tethered personal cooling can accelerate metabolic heat removal, but is often not practical from an ergonomic standpoint. The efficacy of incorporating personal cooling during non-ambulatory rest periods was evaluated in subjects (n = 8) with varying levels of fitness. Treadmill work (approximately 475 W, 40% VO2 max) was alternately performed for 30 min followed by 30 min of rest. Subjects walked and rested under three separate experimental conditions: (1) control (C), in which light clothing was worn; (2) CPE, in which a chemical protective ensemble (CPE) was worn, and (3) CPE plus intermittent microclimate cooling (COOL). The WBGT condition for all trials was 31 degrees C. During the COOL trial the subjects additionally wore a personal cooling vest which allowed for the circulation of chilled liquid over the torso during rest. Under C conditions, relatively modest changes in rectal temperature (Tre) were observed, which stabilized over time. CPE wear resulted in a progressive rise in Tre and early fatigue. The addition of intermittent cooling during each rest cycle (COOL trial) significantly attenuated heat storage such that an oscillating, but equilibrated Tre was established and work capacity was at least doubled. Moreover, the perceived cooling effect was appreciable for all subjects. Therefore, intermittent personal cooling provided a useful means of enhancing work productivity and may have application for certain military and industrial personnel performing heavy work in hot environments. This approach should provide a practical alternative for reducing stress/fatigue when work/rest cycles are employed.

Body Temperature Regulation↗

PubMed1994

An unclassified Eubacterium taxon in acute dento-alveolar abscess.

The microflora of pus samples aspirated from 50 acute dento-alveolar abscesses was examined. A total of 143 bacterial strains was isolated, consisting predominantly of Prevotella spp., alpha-haemolytic Streptococcus spp., Peptostreptococcus spp. and Eubacterium spp. An unclassified asaccharolytic Eubacterium taxon was encountered in 17 (34%) of the abscesses. This taxon was found to have a positive association with Fusobacterium spp. and a negative association with alpha-haemolytic Streptococcus spp.

Acute Disease↗

PubMed1993

Limitations to the study of man in space in the U.S. space program.

Research on humans conducted during spaceflight is fraught both with great opportunities and great obstacles. The purpose of this paper is to review some of the limitations to research in space in the United States with hope that an informed scientific community may lead to more rapid and efficient solution of these problems. Limitations arise because opportunities to study the same astronauts in well-controlled situations on repeated spaceflights are practically non-existent. Human research opportunities are further limited by the necessity of avoiding simultaneous mutually-interfering experiments. Environmental factors, including diet and other physiological perturbations concomitant with spaceflight, also complicate research design and interpretation. Technical limitations to research methods and opportunities further restrict the development of the knowledge base. Finally, Earth analogues of space travel all suffer from inadequacies. Though all of these obstacles will eventually be overcome, creativity, diligence, and persistence are required to further our knowledge of humans in space.

Humans↗

PubMed1992

Comparison of a manual and an automated enzymatic technique for determining blood lactate concentrations.

Although analysis of lactate concentrations with a Yellow Springs Instruments (YSI) automated analyzer has become very popular in Sports Medicine, the accuracy and reliability of this technique has not been carefully studied. Additionally, the influence of a common lysing agent Triton X-100 (TX) on blood lactate measurements has not been determined. Blood was collected from each of ten subjects at rest and 2, 6, 10, 14 and 20 minutes following maximal exercise (60 samples). Lactate concentration was measured by the YSI and Boehringer Mannheim (BMM) techniques. Two YSI 23L analyzers were supplied with buffer with TX (YSITX), and two without (YSINON) to permit comparisons of lysed and unlysed whole blood lactate levels over the physiological range. MANOVA analysis revealed a statistical difference (p less than .05) between duplicates only for one machine, and duplicates of that machine differed by less than 3%. Mean measurements between similarly prepared machines differed significantly for the NONTX machines, but only by less than 3%. Differences were significant between BMM and YSINON, but not between BMM and YSITX. Regression analysis indicated close agreement between BMM and YSITX (R2 = .99). There was a tendency for a large discrepancy between methods at resting concentrations.

Adult↗