PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “DEE”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 127 records · Page 7Linked to original sources

Competition between Eurasian red and introduced Eastern grey squirrels: the energetic significance of body-mass differences.

Daily energy expenditure (DEE) was measured in sympatric populations of red and grey squirrels using the doubly labelled water technique. Grey squirrels had significantly higher DEEs than red squirrels. However, the difference between the species was not separable from the effects of body mass on DEE. The DEEs of both species were in accordance with published allometric predictions incorporating body mass and ambient temperature. The differences in energetic requirements and social dominance, both consequences of body size, may represent means by which grey squirrels exert more interspecific competition on red squirrels than do conspecifics, potentially driving populations below viable levels in some sites.

Analysis of Variance↗

Organochlorine and mercury contamination in United Kingdom seals.

In 1988 and 1989 tissue samples were obtained from the grey seal (Halichoerus grypus) population found in the Dee estuary in the north west of England and from harbour seals (Phoca vitulina) from the populations in the Wash and north east Scotland and analysed for mercury and organochlorine compounds. Adult seals from the Dee estuary were highly contaminated with mercury and polychlorinated biphenyls (PCBs), and one animal from the Dee contained traces of dichlorodiphenyltrichloroethane (DDT), suggesting the recent use of this banned pesticide. The levels of hexachlorobenzene in the livers of two Dee seals exceeded those in the blubber, possibly indicating liver malfunction or recent exposure. The same relationship was found for hexachlorobenzene in three specimens from the Wash and, in one of these animals, the liver was also more highly contaminated than the blubber with dieldrin and PCBs. Levels of contamination were lower in seals from the Wash and even lower in animals sampled in Scotland, where only dichlorophenyldichloroethylene, the metabolite of DDT, was routinely detected. The toxicological significance of the results is discussed, particularly in relation to the mortality observed in the seal epizootic of 1988.

Adipose Tissue↗

Energy expenditure measurement in male cross-country skiers: comparison of two field methods.

The purpose of this study was to compare estimations of daily energy expenditure (DEE) made with a physical activity journal (PAJ) and a heart rate monitoring method (HR-VO2) in endurance athletes. Seven male cross-country skiers (21 +/- 5 yr of age, mean +/- SD) with high aerobic power (70.4 +/- 7.2 mlO2.kg-1.min-1) and eight lean and moderately active males serving as controls (22 +/- 1 yr; 50.9 +/- 9.9 mlO2.kg-1.min-1) were tested. VO2max, resting metabolic rate (RMR), energy cost of standardized activities, PAJ, HR monitoring, and food diaries for measurement of daily energy intake (DEI) were measured in October, before the specific training period. Results indicated that the skiers had a higher RMR (P < 0.05) than the controls (8.2 +/- 1.6 vs 6.9 +/- 0.6 MJ.d-1), as measured by indirect calorimetry. DEE estimates made with the PAJ and the HR-VO2 methods were similar in the controls subjects but the HR-VO2 method yielded significantly higher results in the skiers (17.0 +/- 4.0 vs 13.1 +/- 2.1 MJ.d-1). DEI measurements were similar to HR-VO2 DEE in both groups. Thus, it appears that the PAJ, which was established with a sedentary population, underestimated DEE in trained cross-country skiers. Thus, the physical activity status of subjects has to be investigated before using a physical activity diary.

Adult↗

Regulation of human prostate-specific antigen gene expression in transgenic mice: evidence for an enhancer between the PSA and human glandular kallikrein-1 genes.

The human prostate-specific antigen (PSA) and glandular kallikrein-1 (hGK-1, also known as hK2) genes are tandemly located on chromosome 19, separated by a 12-kb intergenic region. The coordinate regulation of these two genes suggests the presence of common regulatory elements responsible for tissue specificity and/or levels of expression within this region. To identify such regulatory elements, we generated two sets of transgenic mice, which had incorporated either the PSA gene alone or together with the intergenic region. Both sets of transgenics exhibit remarkably prostate-specific expression of the transgene. However, the presence of the intergenic region abrogates the dependence on high PSA gene copy-number for high levels of PSA expression. This suggests the existence of a positive regulatory element in the intergenic region. By using a previously identified distal enhancer element of PSA (termed DEE 1) as a probe, we identified a cross-hybridizing fragment, which we termed DEE 2, in the intergenic region. Sequence analysis shows that DEE 2 is 76% identical to DEE 1, and it includes a putative androgen-responsive element. Here, we propose a model to illustrate how the two enhancers may work to regulate the transcription of PSA and hK2.

Animals↗

Downstream flow event sampling of acid mine drainage from the historic Mt Morgan Mine.

Numerous scientific reports concur that the Dee River is heavily impacted by acid mine drainage from the historic gold and copper mine at Mt Morgan, Central Queensland. The water quality along the Dee River, for 18 km downstream of the mine she to is junction with Fletcher Creek, is characterised by low pH, typically 2.8 to 4.2. With respect to metal concentrations, the Dee River has been described as one of Australia's most polluted rivers. Measurements of pH along the Dee River clearly demonstrated the movement of a slug of acidic water down the river during each of the four flow events between November 2000 and February 2001. Laboratory analysis of water samples collected during November indicated Al, Cu and Zn concentrations orders of magnitude above ANZECC guidelines. Fish kills occurred with each flow event and killed an estimated total of 26,000 fish.

Animals↗

Personalized follow-up increases return rate at urban eye disease screening clinics for African Americans with diabetes: results of a randomized trial.

OBJECTIVE: To evaluate the effectiveness of using personalized follow-up, as compared to reminder letters, in increasing return rates at urban eye disease screening clinics for African Americans with diabetes, and to identify factors predictive of the patient's likelihood of returning for annual follow-up exams. RESEARCH DESIGN AND METHODS: All patients attending free community-based retinopathy screening clinics who were advised to return in one year for another diabetes eye evaluation (DEE) were randomized to standard or personalized follow-up interventions. Patients in the standard follow-up group received reminder letters a month before it was time to return for their next annual DEE. Patients in the intensive personalized intervention also received the letters, but those patients who did not call for an appointment within 10 days received a phone call from project staff, encouraging them to return for a DEE. RESULTS: One hundred thirty-two African Americans with diabetes were randomized to one of the 2 treatments. The return rate for the intensive, personalized follow-up group was 66%, significantly (P=.001) higher than the 35% return rate for the standard follow-up group. CONCLUSION: This study demonstrated the efficacy of personal contact by telephone in improving return rates for annual DEEs in this population of patients. This finding is consistent with one of the key design principles of the project, which was to establish credible personal relationships with community leaders and patients as a means to maximize the utilization of the eye screening clinics.

Adult↗

Management of bladder exstrophy and incontinent epispadias: 25 years of experience with urinary diversion.

OBJECTIVES: Achieving complete urinary continence with preservation of the upper urinary tract in the exstrophy-epispadias complex must be the primary aim. To determine the optimal surgical approach, we reviewed the records of patients treated at our institution. METHODS: During the last 26 years, 95 patients with bladder exstrophy and 20 with incontinent epispadias were operated upon at our department. For this retrospective study a total of 102 patients could be interviewed. Mean followup after the first operation was 16.7 years. Of the 102 patients, in 43 primary treatment was performed at our institution (urinary diversion n = 39, modified Young Dees n = l, sling plasty n = 3). A further 59 patients were referred to our institution for secondary treatment, 34 of whom after primary bladder closure and/or bladder neck reconstruction (urinary diversion n = 27, modified Young Dees n = 7). RESULTS AND CONCLUSION: Of the 8 patients with modified Young Dees, 5 required conversion to a Mainz Pouch I due to obstruction of the reconstructed bladder neck or incontinence. Continence rates are 96% for the rectal reservoirs, 97% for the Mainz Pouch I and 67% for the modified Young Dees procedure. Presently, none of the 102 patients has deterioration of the upper urinary tract or has renal insufficiency; none has developed severe metabolic complications or bowel neoplasms. The physical, social and psychological development of the patients treated at our institution appears to be comparable to that of the general population. All children over 6 years of age attend elementary school, most of the adults are, well-educated, only three are unemployed and one lives in a therapeutic center as a result of multiple physical problems. Rectal reservoirs are the urinary diversion of choice at our institution in patients with bladder exstrophy or incontinent epispadias. When the upper urinary tract has deteriorated, a colon conduit is created with the option of conversion to a continent form of diversion as soon as renal and ureteral functions have recovered. In patients with failed urinary tract reconstruction/insufficient anal sphincter function, we prefer the Mainz Pouch 1.

Adolescent↗

recA mutants of E. coli K12: a personal turning point.

A first year graduate student, Ann Dee Margulies, changed my research career in 1962 by challenging me to direct her in the isolation of recombination-deficient mutants of Escherichia coli K-12. She succeeded in isolating two mutants, which conjugated with donor strains and received the donor DNA, but could not recombine that DNA with their own chromosomes. Ann Dee showed that both mutants were much more sensitive to UV radiation than was the wild type. Furthermore, she showed that one of these mutants carried a single mutation affecting both recombination and resistance. This work, published in 1965, was the first demonstration of the recA gene of E. coli. Subsequent work led to the discovery of many more recombination genes, the phenomenon of post replication-recombination repair, the invention of the SOS hypothesis and the discovery of genes encoding proteins with similar primary structure and function in all major groups of organisms. This article honors the memory of Ann Dee.

Escherichia coli↗

Exercise tolerance and daily life in McArdle's disease.

McArdle's disease is a common disorder of muscle metabolism and is due to myophosphorylase deficiency. The major complaint of patients with this disease is effort intolerance. Although the clinical features of affected patients are well known, their daily lifestyle is not well documented. The main objective of this work was to assess their mean daily energy expenditure (DEE) and compare it with control subjects. Thirty patients and 87 control subjects completed a questionnaire. A 3-day self-record of daily physical activities was used to estimate the mean DEE for patients and control subjects. A separate section of the questionnaire was used to assess patients' clinical features and daily lifestyle. The DEE of patients (44.1 +/- 6.9 kcal/kg) was not significantly different from control subjects (44.5 +/- 5.6 kcal/kg). Half of the patients with McArdle's disease performed a daily physical leisure activity as sport, sometimes at a high level (17%). Despite large individual variation, physical abilities and patients' symptoms were negatively correlated. Physical leisure activity significantly decreased the sensation of muscle pain (P < 0.03). These findings show that patients with McArdle's disease do not have a strictly sedentary lifestyle. Moreover, physical exercise appears to have positive effects on the main clinical features, such as effort intolerance. Thus, regular, moderate physical activity may be beneficial in McArdle's disease.

Activities of Daily Living↗

Testosterone increases activity but not daily energy expenditure in captive male dark-eyed juncos, Junco hyemalis.

Plasma testosterone (T) levels in male dark-eyed juncos peak early in the breeding season, then decline. If T enhances opportunities for reproductive success, as suggested by previous experiments, why does elevated T not occur naturally? To address this question, we prolonged the early peak level throughout the breeding season and explored potential energetic costs of maintaining elevated T. We measured daily energy expenditure (DEE) of treated males (T-males) and controls (C-males) using doubly labelled water (DLW). We also conducted behaviour scans of T- and C-males housed in outdoor aviaries. DEE was not higher in T-males than in C-males. However, T-males did increase locomotion and foraging and decrease rest and self-maintenance. These results suggest that elevated T may increase the contribution of some components of DEE and lower the contribution of others. Furthermore, the T-induced decrease in allocation of time to rest and maintenance may represent a long-term cost that has led to selection against the maintenance of elevated T beyond the natural early spring peak. Copyright 2000 The Association for the Study of Animal Behaviour.

Journal Article↗

Preparation, preservation and application of pure isotope-enriched phenyltin species.

A method combining liquid/liquid extraction and chromatographic fractionation has been developed for the preparation of pure monophenyltin (MPhT), diphenyltin (DPhT), and triphenyltin (TPhT), synthesized from isotope-enriched Sn metal using phenylation of SnI(4) in diethylether (DEE) followed by quenching with HBr and water. After two successive extractions of the aqueous HBr phase with DEE, >99% of both DPhT and TPhT was recovered in the combined DEE phase and 94% of the MPhT remained in the aqueous phase. The MPhT in the aqueous phase was extracted into dichloromethane. The organic phases were vaporized and the PhTs were redissolved in MeOH/water/acetic acid/sodium acetate (59/30/6/8, v/v/v/w), which was also used as storing solution. Aliquots of the two solutions containing either DPhT and TPhT or MPhT were injected into a silica-based C(18) column for isolating and purifying single species. The yields of pure MPhT, DPhT, and TPhT, each synthesized from isotope-enriched (118)Sn metal, (122)Sn metal, and (124)Sn metal, were better than 99%. After chromatographic separation, the single phenyltin compounds were mixed to prepare a spike for multiple-isotope species-specific isotope dilution (MI-SSID). MI-SSID was successfully used to determine phenyltin compounds in the certified reference material, mussel tissue BCR CRM-477. At -20 degrees C, all of the fractionated phenyltin species were stable in the storage solution for at least 197 days. When these standards were stored at 4 degrees C or 22 degrees C, 4-6% of the DPhT and TPhT degraded within 27 days. The degradation of DPhT and TPhT increased with the ionic strength and acidity of the storage solution.

Chemical Fractionation↗

Nutritional status and physical fitness of elderly sportsmen.

The nutritional status of elderly sportsmen has not been reported on, neither has the nutritional balance nor the precise relationship between nutritional status and physical fitness been detailed for this population. Thus, group of 18 sportsmen [age 63 (SD 4.5) years] was monitored by weighing their food during a 6-day period. Macro nutrient, mineral and vitamin content was derived from tables. Daily energy expenditure (DEE) and sport activity (DSA) were quantified over a 7-day period using a questionnaire. Physical fitness was assessed by maximal oxygen uptake (VO2max) measurements. The DEE was 11429 (SD 1890) kJ x day(-1). The DSA corresponded to 38% of DEE and VO2max to 35.9 (SD 6.1) ml x min(-1) x kg(-1). When compared with French recommended dietary allowances (RDA) intakes were higher for energy (+ 24%), macro nutrients, and most minerals and vitamins. Despite high energy intakes, some subjects had mineral and vitamin deficits. Energy intakes were significantly related to intakes of magnesium, phosphorus, iron, vitamins B2, B6, C and to VO2max, but not to age. Stepwise regressions indicated that vitamin C intake was the only determinant to have a relationship with VO2max. Thus, most elderly sportsmen had higher nutritional status than RDA, although some had mineral and vitamin deficits. It is therefore suggested that elderly sportsmen should be encouraged to consume food with higher mineral and vitamin contents.

Aged↗

Site-directed mutants of the beta subunit of protein kinase CK2 demonstrate the important role of Pro-58.

The following amino acids of the Xenopus laevis beta subunit of protein kinase CK2 (casein kinase 2) were changed to alanine: Pro-58 (beta P-->A); Asp-59 and Glu-60 and Glu-61 (beta DEE-->AAA); His-151-153 (beta HHH-->AAA). The last 37 amino acids of the carboxyl end were deleted (beta delta 179-215). Stimulation of CK2 alpha catalytic subunit activity was measured with casein as substrate and the following relative activities were observed: beta P-->A > beta DEE-->AAA >>> beta WT > beta HHH-->AAA >>> beta delta 179-215. The beta DEE-->AAA and beta P-->A were similar to beta WT in reducing CD2 alpha binding to DNA but beta delta 179-215 was less active. The results indicate that both Pro-58 and the surrounding acidic cluster play roles in dampening the activation of CK2 alpha and that the carboxyl end of beta is involved in the interaction with CK2 alpha.

Animals↗

General condition biomarkers in relation to contaminant burden in European flounder (Platichthys flesus).

In respect to the differences found for vitellogenin (VTG) expression in male and immature flounder, general biological aspects and a set of chemical residues in the liver were compared between flounder from the Mersey and Dee estuaries (UK). Except for alpha-HCH, all pollutant chemicals analysed in flounder liver differed highly significantly between Mersey and Dee fish. Overall, the higher liver contaminant concentrations were found in VTG-induced Mersey flounder. The biomarkers studied were not found to indicate significant differences between Mersey and Dee fish. However, when all of the minor differences are taken into consideration, it appears that the slightly lower growth rates after age 2 in Mersey flounder, lower gonadosomatic index in both mature male and female animals, less precise seasonal patterns of condition factor (CF), hepatosomatic index and gonadosomatic index, and lower CF in immature Mersey fish may well be signs of a contaminant-affected Mersey population.

Age Factors↗

The psychosocial supports and interventions accessed by family members of patients with developmental and epileptic encephalopathies: A systematic review.

AIM: Family members of patients with developmental and epileptic encephalopathies (DEEs) face profound emotional, social and practical challenges, yet little is known about how they access psychosocial support. We synthesised the literature on the psychosocial support accessed by family members of patients with DEEs, including evidence-based interventions. METHOD: Four databases were searched. Two reviewers independently screened and extracted data, appraised study quality (QualSyst Tool), and determined certainty of evidence (GRADE-CERQual Framework). Data were synthesised using inductive thematic analysis. RESULTS: 28 papers comprising 27 unique studies were included and methodological quality was high overall (median&#xa0;=&#xa0;0.91, IQR&#xa0;=&#xa0;0.85-1.00). Most studies focused on parent experiences; only two included siblings' perspectives. Families reported high psychological needs which were rarely met by psychological support. Clinicians rarely provided adequate information, quality communication or addressed mental health. Families valued respite care, but experienced barriers to access. Peer support was the most common and valued resource. Three studies tested interventions and appeared feasible and acceptable for parents. However, evidence for intervention effectiveness is preliminary and limited to small, uncontrolled pilot studies. INTERPRETATION: Gaps exist in psychosocial support provision for families of patients with DEEs, including insufficient research on siblings' and grandparents' needs, and lack of evidence-based interventions. We propose evidence-informed research and implementation strategies to address these gaps.

Humans↗

Failed bladder neck reconstruction: options for management.

During the last 10 years 17 patients have been seen at this institution for persistent urinary incontinence after Young-Dees-Leadbetter bladder neck reconstruction. Of these patients 16 were born with classical bladder exstrophy and 1 with complete epispadias. Six patients underwent 1, 10 underwent 2 and 1 underwent 3 prior bladder neck procedures. As salvage procedures 8 patients underwent another Young-Dees-Leadbetter procedure, 1 repeat bladder neck reconstruction and augmentation cystoplasty, 3 augmentation alone, 4 bladder augmentation with creation of a continent abdominal stoma and 1 augmentation with implantation of an artificial urinary sphincter. Of the 8 patients who underwent a repeat Young-Dees-Leadbetter procedure 7 are dry for 3 hours or more and 1 is dry for greater than 3 hours on intermittent self-catheterization. All of those who are dry for greater than 3 hours are dry at night and 1 wears pads when engaging in strenuous physical activity. Of the 9 patients who underwent augmentation cystoplasty along with other adjunctive procedures 8 are continent for greater than 3 hours on intermittent catheterization, 6 are dry at night if they perform catheterization at bedtime and 1 remains totally incontinent after removal of the artificial urinary sphincter. Thus, with persistence and creativity a child with a previously failed bladder neck reconstruction or even multiple failed repairs can be made socially continent, providing a satisfactory alternative without resorting to urinary diversion.

Adolescent↗

Success of the artificial urinary sphincter after failed surgery for incontinence.

We implanted the artificial urinary sphincter in 15 incontinent patients for whom multiple urethral and bladder neck operations, including sphincter placement, had been unsuccessful. The 5 male and 10 female patients ranged from 3 to 26 years old (mean age 11 years). The etiology of incontinence was neurogenic bladder in 10 patients, epispadias in 2, exstrophy in 1, ectopic ureters in 1 and traumatic urethral disruption in 1. Of the 15 patients 13 required augmentation enterocystoplasty and clean intermittent catheterization. The initial anti-incontinence procedures were Young-Dees-Leadbetter bladder neck reconstruction in 10 patients, artificial urinary sphincter placement in 4 and bladder neck suspension in 1. Causes of failure of the primary treatment were erosion (artificial urinary sphincter), and incontinence and/or difficult catheterization (Young-Dees-Leadbetter). Followup from the last salvage operation averaged 21 months (range 6 to 37 months). A total of 58 operations was performed. Among the 4 patients in whom the artificial urinary sphincter eroded the bladder neck repeated attempts to place the cuff at the same site were unsuccessful and erosion occurred in all 4 within 1 year. Sphincter placement was more successful among the 11 patients who initially underwent Young-Dees-Leadbetter bladder neck reconstruction or bladder neck suspension; acceptable continence was attained in 8 patients (73%). We conclude that placement of the sphincter cuff around a previously eroded bladder neck probably will result in erosion. Sphincter implantation should be attempted in patients in whom bladder neck reconstruction has failed. Persistence in the treatment of these patients is essential because multiple operations often are necessary to achieve continence.

Adolescent↗

Bladder neck reconstruction with omentum, silicone and augmentation cystoplasty--a preliminary report.

A new method of bladder neck reconstruction in which the Young-Dees tube was wrapped with omentum and silicone was used in 39 patients during a 20-month period. In 43 per cent of the patients simultaneous augmentation cystoplasty also was performed. The silicone was intended to maintain the Young-Dees tube length and to allow safe artificial sphincter cuff placement later when necessary. Among exstrophy patients 85 per cent of those who underwent augmentation and 15 per cent of those who did not are dry. A dry exstrophy patient had a remarkably easy sphincter cuff placement 6 months after bladder neck reconstruction. Of the epispadias patients 25 per cent are dry and 58 per cent have a dry interval of 2 hours or less. Erosion of silicone into the Young-Dees tube occurred in the first 5 patients in whom a thick (0.01-inch) wrap was used and in 14 per cent of those in whom a thin (0.005-inch) sheet was used. The details of this technique and modifications to reduce further the complication rate are discussed.

Adolescent↗