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Biomedical subjects

S Shannon

Publications and source records attributed to S Shannon.

12 recordsLinked to original sources

Health-risk behaviors of Army aircrew.

Data from the US Army Health Risk Appraisal Program were used to compare health and fitness levels in flight and nonflight personnel. Survey data collected from an aviation brigade, consisting of 428 aircrew and 899 support personnel, were compared with US Army summary statistics. Flight personnel scored better on evaluation of hypertension, stress, weight standards, and seatbelt use. However, the prevalence of smokeless tobacco use, heavy alcohol consumption, and driving after drinking or riding with someone who consumed alcohol was significantly higher in flight personnel. This study suggests that although Army aircrew have better lifestyle habits overall, high-risk behaviors have been identified that warrant further evaluation.

Adult

Effect of dietary fiber on symptoms and rectosigmoid motility in patients with irritable bowel syndrome. A controlled, crossover study.

The aims of this study were to determine (a) whether dietary fiber supplements modify symptoms in patients with irritable bowel syndrome, (b) the effect of fiber on rectosigmoid pressures, and (c) the relationship, if any, between rectosigmoid pressure and symptoms. Fourteen patients entered and 9 completed a double-blind, controlled, cross-over study of 7 mo duration. The mean age was 26 yr (range, 18-37). Patients received 4 cookies daily containing 20 mg corn fiber or placebo. Symptoms and compliance were evaluated monthly. Rectosigmoid pressures and dietary intake were evaluated at the outset and completion of each study arm. Symptoms improved during both fiber and placebo treatments. Those symptoms demonstrating significant improvement with time were pain severity, stool frequency, stool consistency (p = 0.001), number of additional gastrointestinal symptoms present (p = 0.02), and total symptom score (p less than 0.001). Rectosigmoid pressures were not significantly altered by fiber or placebo. Fasting pressures at the distal recording site tended to correlate with pain severity (r = 0.6; p = 0.06). It was concluded that (a) corn fiber and placebo were both effective in alleviating symptoms, (b) there was a correlation between symptom severity and fasting rectosigmoid pressure, and (c) there was a trend toward reduction in fasting and postprandial rectosigmoid pressures after fiber therapy.

Adult

Measurement of upper esophageal sphincter pressure. Effect of acute emotional stress.

Recent studies suggest that resting upper esophageal sphincter pressure is more labile than previously thought, being augmented during rapid manometric pull-through and markedly decreased during sleep and anesthesia. The effect of acute emotional stress on resting upper esophageal sphincter pressure was evaluated in 13 normal subjects with a manometric sleeve assembly. Manometric sideholes were positioned in the pharynx and cervical and thoracic esophagus while the sleeve sensor straddled the upper esophageal sphincter. Subjects were stressed intermittently by 14-min periods of a dichotic listening task. As incentive, a financial reward was offered and made commensurate with performance. Alterations of heart rate, blood pressure, and skin conductance confirmed the effectiveness of the stressor. The overall mean upper esophageal sphincter pressure during control periods was 46.5 mmHg (SEM = 4.7). During stress there was a significant mean increase (11.8 +/- 2.9 mmHg; p = 0.002) in upper esophageal sphincter pressure from control levels, and the pressure increase during the first 2-min epoch of stress was 20.8 +/- 3.9 mmHg (p = 0.0003). Emotional stress causes significant elevation of upper esophageal pressure in normal subjects. This effect is likely to influence resting sphincter pressure measurements, particularly if measurement conditions are stressful to the subject.

Acute Disease

The action of trimebutine maleate on gastrointestinal motility is mediated by opiate receptors in human subjects.

The effects of trimebutine on interdigestive motor activity of the small intestine and the colon were studied in healthy volunteers. Trimebutine induced in all subjects phase III-like motor complexes, which were similar to spontaneously occurring phase III complexes of the interdigestive cycle in antrum and duodenum. Trimebutine-induced complexes were suppressed by naloxone. Trimebutine and/or naloxone had no consistent effect on interdigestive contractile activity in the colon.

Adult

Comparison of methodologies for the measurement of antroduodenal motor activity in the dog.

We have compared the abilities of intraluminal strain gauges and manometry to record motor activity from the antrum and duodenum of the anesthetized dog. Responses to intraarterial carbachol, vagal stimulation, and field stimulation recorded by these devices were compared to those registered by strain gauges sewn onto the overlying serosa. In the antrum, the perfused tube (PT) recorded 98% and 97% of field- and vagal-stimulated phasic contractions, respectively, compared with 83% and 90% (p less than 0.005) registered by the intraluminal tube-mounted strain gauges (TSGs). In contrast, in the duodenum there was no difference between the accuracy of these devices in recording phasic activity induced by field stimulation (PT 90% and TSG 87%). Similarly, there was no difference between the abilities of these devices to record tonic contraction induced by carbachol in the antrum (PT 87% and TSG 90%) or duodenum (PT 82% and TSG 87%). However, TSGs misrepresented the configuration of phasic or tonic contractions, producing bifid, negative, or biphasic contractions substantially more frequently than did PT (p less than 0.005). These results illustrate that the accuracy of these two commonly used techniques may be influenced by anatomic factors as well as by the type of contraction recorded.

Animals

Energy balance and nitrogen balance in growing low birthweight infants fed human milk or formula.

Energy and nitrogen balances were measured in growing low birthweight infants fed either mother's expressed breast milk or a 20 kcal per ounce formula to determine whether or not there were differences between the two dietary groups in (1) the partition of energy among excretion, expenditure, and storage and (2) the relation of energy storage and nitrogen retention to weight gain. There were no significant differences between the human milk fed infants and formula fed infants in gross energy intake, metabolizable energy intake, nitrogen intake, or nitrogen retention. Energy expenditure was significantly lower in the human milk fed infants than in formula fed infants (221 kJ/(kg. day) and 244 kJ/(kg. day), respectively). There was no difference in mean energy storage between the two groups. Although weight gains were similar in both dietary groups, the ratio of energy storage to weight gain was significantly greater in infants fed with human milk (15.3 kJ/g, S.D. 2.0) than in infants fed formula (13.2 kJ/g S.D. 1.8). There was no significant difference between the two groups in the ratio of nitrogen stored to weight gain.

Body Weight

Sequestration and turnover of guinea-pig milk proteins and chicken ovalbumin in Xenopus oocytes.

The stability and distribution of proteins within the living cell can be studied using Xenopus laevis oocytes. Microinjection of messenger RNAs and secretory proteins, followed by cell fractionation, shows that transfer of ovalbumin and milk proteins across intracellular membranes of the oocyte only occurs during their synthesis. Thus milk protein primary translation products, made in the wheat germ cell-free system, when injected into oocytes remain in the cytosol and are not recovered within membrane vesicles. Such miscompartmentalized primary milk proteins are rapidly degraded (t 1/2 0.6 +/- 0.1 h). In contrast, processed milk proteins, extracted from oocytes injected with mammary gland RNA, are relatively stable when introduced into the cytosolic compartment (t 1/2 alpha-lactalbumin 20 +/- 8 h, casein A 6 h, casein B 4 h, casein C 8.3 h). The primary ovalbumin product is also stable (t 1/2 22 +/- 9 h). Indirect evidence that rapid degradation of miscompartmentalized milk protein primary translation products may occur in vivo was obtained by the injection of massive amounts of ovalbumin and milk protein mRNA. Under these conditions there is no accumulation of primary milk protein translation products, but a polypeptide resembling the unglycosylated ovalbium wheat germ primary product can be detected in the cytosol. Only the glyclosylated forms of ovalbumin are found in the oocyte membrane vesicle fraction. We discuss the roles played by the presence of detachable signal sequences and the absence of secondary modifications in determining the rate of degradation of primary translation products within the cytosol.

Animals