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Biomedical subjects

S S Ward

Publications and source records attributed to S S Ward.

6 recordsLinked to original sources

Effect of maternal undernutrition in early gestation on the development of fetal myofibres in the guinea-pig.

A 40% restriction in maternal feed intake throughout gestation in the guinea-pig results in a 35% reduction in fetal body weight at term and a 20-25% reduction in muscle fibre number. To investigate the effect of maternal undernutrition in early gestation, four nutritional treatments were used: controls-pregnant females fed ad libitum throughout gestation; TR-fed 60% ad libitum intake throughout gestation; ER-fed 60% ad libitum for the first third of gestation (until Day 25), then ad libitum to term; LR-fed ad libitum for the first 25 days, then 60% of ad libitum to term. The LR group were complicated by a high degree of fetal resorption and early littering of viable litters. The biceps brachii and soleus muscles were removed from neonates and total muscle fibre numbers determined. In a second experiment a further 8 pregnant guinea-pigs were fed 60% ad libitum until Day 15 of gestation only, and then rehabilitated onto an ad libitum diet (VER). Of these, 5 guinea-pigs were killed at term and the remaining 3 at 45 days gestation. Fetuses and placentae were obtained from all VER animals and compared with TR and controls of a similar age. Body weights were reduced in all restricted groups at term when compared with controls (P < 0.05) by 12, 40 and 50% for VER = ER, TR and LR groups, respectively. Biceps fibre number was reduced (P < 0.05) in ER, TR and LR groups by 28, 20 and 25%, respectively, but was not affected in the VER group. Soleus fibre number was not significantly affected by any nutritional treatment. Restriction for 15 days in early gestation caused a significant 20% increase in fetal weight at 45 days' gestation compared with controls, but muscle and placental weights were not affected. Analysis of placental components at Days 45 and 65 suggested that underfeeding in early gestation and subsequent refeeding caused some placental adaptations to increase the exchange-surface area. A short period of maternal undernutrition in the first third of gestation alone (ER), therefore, resulted in a biceps brachii fibre number deficit similar to that caused by restriction throughout gestation only if the period of restriction extended as far as Day 25. Furthermore, fetal weight at term was impaired by short-term nutritional restriction in early gestation. Restriction in the last two-thirds of gestation, following an ad libitum diet in the first third, caused a reduction in biceps fibre number and had a severe effect on the maintenance of pregnancy. It is probable that undernutrition in early gestation had an indirect effect on muscle fibre number by affecting the development of the placenta. This could be avoided by nutritional rehabilitation before Day 25 of gestation, but appeared to be permanent thereafter. Undernutrition after Day 25 may have had a direct effect on the development of secondary fibres.

Animals↗

The effect of undernutrition in the early postnatal period on skeletal muscle tissue.

Guinea-pigs were undernourished from birth by first, cross-fostering in groups of six (in pairs for control animals) and then by feeding a diet of 60% of ad lib. intake from 2 to 6 weeks. The changing characteristics of muscle fibre types in the biceps brachii and soleus muscles were monitored by histochemistry. Undernutrition appeared to delay maturation of muscle fibres. Fibre cross-sectioned area was reduced in all fibres of the 60% of ad lib. intake group. Fibres of the biceps brachii were more affected than those of the soleus. Fibre area vulnerability was partly associated with a high relative growth rate in biceps brachii at this time. Total protein content in the semitendinosus muscle was depressed in the undernourished group compared with the control group. DNA concentrations were initially higher in the control group but decreased in both groups to similar levels by 6 weeks. RNA concentration increased up to 5 weeks in the control group and then decreased, but decreased after 2 weeks in the undernourished group.

Animals↗

Why are slow and fast muscles differentially affected during prenatal undernutrition?

The biceps brachii and soleus muscles (fast and slow twitch muscles, respectively) were taken from guinea-pig fetuses, undernourished via maternal dietary intake to 60% of ad lib, and examined for differences from their controls. At birth, muscle fiber number was found to be reduced by 26% in the biceps brachii but was unaltered in the soleus muscle. An examination of the muscles at ages through gestation revealed that any reduction in fiber number was associated with a reduction in the secondary/primary fiber ratio. There was a stage in soleus myogenesis at which fiber number was significantly lower than the control. The deficit was corrected by the continuation of secondary fiber hyperplasia beyond the time of usual cessation. A similar delay was found in the biceps brachii but it did not enable recovery to a full complement of fibers. The difference between the 2 muscles was thought to be related to the relative proportions of primary fibers in the muscles, primary fiber development being apparently unaffected by undernutrition in utero.

Animals↗

Serum lipids in humans fed diets containing beef or fish and poultry.

One half of a group of 129 men and women (74 men and 55 women), in a cross-over design at, within a self-selected diet, one egg and at least 5 oz of beef daily for 3 months while the other half at one egg and at least 5 oz of poultry and fish daily. Then they reversed their diets for 3 months. Blood samples were drawn by venipuncture before the study started and at the end of the 3 and 6 months, for analyses of serum total cholesterol, triglycerides, and high density lipoprotein cholesterol. No statistically significant changes were found in serum lipids in men. In women serum triglycerides but not other serum lipids were significantly higher when poultry and fish had been ingested.

Adult↗

Quality monitoring for maintenance of skin integrity.

In today's cost-conscious health care environment, the ET nurse is in a unique position to be instrumental in improving the quality of patient care. Continuous quality improvement in a cost-effective manner is the goal. Through collaborative efforts, the ET nurse and staff nurses have developed quality indicators for the maintenance of skin integrity in the belief that process, when provided effectively, will increase the probability of a desired outcome. Process indicators measure discrete nursing activities that contribute directly or indirectly to patient care. Closely linked process and outcome indicators were selected. Outcome refers to the effects of treatment on patients. Through evaluation, opportunities for improvement were identified and corrective action has been planned and will be implemented.

Enterostomy↗