Population-based lipoprotein lipid reference values for pregnant women compared to nonpregnant women classified by sex hormone usage.
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Blood samples were collected from clinically healthy female cynomolgus monkeys imported from Indonesia, the Philippines and Malaysia. These animals were maintained under uniform environmental conditions for four to five years. The blood samples were examined for their hematological, serum biochemical and hormonal values. The ranges of the values as well as their arithmetic means and standard deviations have been tabulated with respect to each examination item.
BACKGROUND AND PURPOSE: There is a lack of information with regard to normal metabolic ratios acquired with MR spectroscopy utilizing a long echo time technique. Our purpose was to measure metabolic ratios in healthy adults to determine whether the metabolites varied across brain regions and by sex. METHODS: Single voxel proton spectra were acquired with an echo time of 135 milliseconds in 10 brain regions of 72 healthy subjects ranging in age from 20 to 44 years. Six gray matter sites in the cerebrum included four cortical areas in the frontal, parietal, temporal, and occipital lobes, and two deep nuclear sites in the basal ganglia and the thalamus. Two subcortical white matter regions were in the parietal and the frontal lobes. Two posterior fossa sites included the pons and the cerebellum. All 10 brain regions were not studied in each subject. For each spectrum, the metabolites n-acetylaspartate (NAA), creatine (Cr), and choline (Ch) were identified and ratios of NAA/Cr and Ch/Cr calculated for each brain region. A multifactorial analysis of variance was performed with the two metabolic ratios as dependent variables and with brain region and sex as independent variables. Post hoc statistical analysis consisted of the Scheffé F statistic for significant difference between pairs of brain regions for both metabolic ratios. RESULTS: There was significant regional variation for both the NAA/Cr ratio (P < .0001) and the Ch/Cr ratio (P < .0001). The NAA/Cr ratio was consistent within cortical gray and white matter but differed between cortical gray (smaller ratio) and white matter (larger ratio). The Ch/Cr ratio was variable in the gray matter, differed between some but not all gray and white matter regions, but was consistent within subcortical white matter regions. There was no difference between men and women for either metabolic ratio. CONCLUSION: There was variation of the NAA/Cr ratio and the Ch/Cr ratio across brain regions, but no sex differences were found. These findings provide the requisite normative values to use single voxel, long-echo-time MR spectroscopy in adult patients with neurologic disorders.
In 403 healthy subjects, 4 to 20 years of age, we measured total respiratory resistance (Rrs) and reactance (Xrs) between 4 and 26 Hz. When possible, vital capacity and forced expiratory volume in one second were also determined. The Rrs and Xrs vs frequency data depend on age or height, on sex, and slightly on weight. During growth, Rrs and the frequency dependence of Rrs decrease while Xrs increases. Only part of these changes may be explained entirely by a size effect. The variations with growth of ventilation unevenness, of airway wall compliance and of the topographic distribution of airway resistances probably also play a role. The influence of the interactions between height and age, and height and weight on Rrs and Xrs differ between sexes. Adult values for Rrs and Xrs are attained at the age of 15 years in girls and 18 years in boys.
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The provocative concentrations of inhaled methacholine that cause 6% (PC6) and 20% (PC20) falls in forced expiratory volume in one second (FEV1) were assessed in a population of 100 nonsmoking persons, equally distributed for sex, who ranged uniformly from 20 to 60 yr of age. These subjects had no respiratory symptoms, rhinitis, atopic history, or familial history of asthma. Single twofold dilutions of methacholine from 2 to 128 mg/ml were used; 81 and 34 subjects, respectively, showed PC6 and PC20 values less than 128 mg/ml. Eight subjects had PC20 values less than 16 mg/ml. In these subjects, the test had a good reproducibility (r = 0.92) when we repeated it, and serial measurements of peak expiratory flow rates did not suggest asthma. The fact that PC6 was related, although loosely, to baseline FEV, FEV/FVC, and forced expiratory flow during the middle half of the FVC (FEF) and that 4 of the 8 subjects with PC20 values less than 16 mg/ml had lower values of FEF might suggest that responsiveness to methacholine is partially linked with baseline airway caliber.
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Sialic acid levels were evaluated by means of the enzymatic colorimetric Biochemia method on 24 hours urine samples of 250 males and females; the urine analysis, serum urea and glucose and creatinine clearance were in normal range. Means values of urinary sialic acid on samples treated with charcoal powder activated to remove the pyruvate-oxidase inhibitors were: 53.4 mg/l, 63.5 mg/24 hours and 58.7 mg/24 hours/1.73 m2.
ABR (Auditory Brainstem Response) delivering the acoustic stimulus both through a headphone (PHN) and in free field (FF), have been recorded in 59 "normal" children divided into four age-related groups: (1) 22 children born at a gestational age ranging between the 36th and the 41st week; (2) 12 with ages ranging from 1 to 6 months; (3) 15 with ages ranging from 6 to 12 months; (4) 10 with ages ranging from 12 to 36 months. Peak latency values obtained with FF technique have been corrected by calculating the delay due to the distance between the loudspeaker and the tested ears (2.04 ms). When using this correction, no statistically significant differences were found between latency values of peaks JI and JV recorded using the two technique. While JI latency values of various groups do not differ significantly, groups 2--and especially group 1--JV latency values are statistically different from those of the 3rd and 4th group. This observation was confirmed by JV--JI interval values. JV wave in neonates (group 1), using PHN technique, is detectable at 60 dB p.e. SPL (82%) while in all other groups at 60 dB this wave is clearly detectable in all children (100%). Using FF technique, JV wave is still visible at 60 dB in 78% of the neonates (group 1) and in almost all children of the other groups. Considering ABR waveform, using PHN technique, in the first two groups only three waves are visible and the first one disappears at about 80 dB, while the typical 4--5 waves of normal adult tracings are detectable since 8--12 months of age. FF tracings instead show three peaks in all groups, the first (JI) being less evident when compared with the one obtained using PHN technique. JV amplitude values observed in FF are higher than those obtained delivering the stimulus through the headphone.
The gastric retention of a semisolid meal, labeled with 99mTc, was measured in 27 clinically healthy dogs, using a gamma camera coupled to a data acquisition and analysis system. A new mathematical analysis was introduced describing the retention (Q [t]) of a unit meal as a function of time (t), as follows: Q (t) = [1-(alpha/p)t]p Where alpha and p are fitting variables. The rate of gastric emptying depends strongly on the variable alpha. The shape of the retention pattern is influenced by the variable p, particularly by the value of 1-1/p (median, 0.51). The description includes the exponential and the linear model. Initial half-time (median, 87 minutes), real half-time (median, 66 minutes), and 95% emptying time (median, 148 minutes) were determined from alpha and p, the latter being obtained from computer fitting Q (t) to the data. A wide variation of the values between the dogs was observed. Initial half-time and the value of 1-1/p varied strongly in the individual dogs, but the real half-time was reproducible (r = 0.85, P less than 0.01, 10 dogs).
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Electrothermal atomic absorption spectrophotometry (ETAAS), inductively coupled plasma mass spectrometry (ICP-MS) and neutron activation analysis (NAA) were used for the quantitative determination of 13 trace elements in urine and seven trace elements in whole blood of healthy unexposed British subjects living in three regions of the United Kingdom. Careful control of pre-analytical and analytical factors have enabled the results obtained from more than 200 individuals to be used in proposing reference intervals for the following elements; Al, As, Cd, Co, Cr, Cu, Hg, Mn, Mo, Ni, Pb, Se, Tl in urine, and Cd, Cr, Hg, Mn, Pb, Se and Tl in blood.
OBJECTIVE: This study is designed to derive a normative database for nerve conduction values of the ulnar nerve in the wrist. METHODS: Ulnar nerve study at the wrist (UNSW) was performed in 204 hands of 102 control subjects. The UNSW was composed of motor and sensory tests. Motor UNSW was done with first dorsal interosseous muscle recording. Sensory UNSW was performed antidromically with fifth finger recording. The 3 stimulation points were 2 cm proximal to the pisiform, just lateral to pisiform, and 3 cm distal to the pisiform. RESULTS: Mean latency differences in the proximal and distal segments were 0.4 +/- 0.1 and 0.5 +/- 0.1 ms in motor UNSW and 0.4 +/ -0.1 and 0.5 +/- 0.1 ms in sensory UNSW. The 95th percentile values for motor and sensory UNSW were 0.5 ms in the proximal segment and 0.7 ms in the distal segment. CONCLUSIONS: When the 95-percentile value was considered as the normal upper limit, the criteria of abnormality for motor and sensory UNSW were greater than 0. 5 ms in the proximal segment and greater than 0.7 ms in the distal segment. SIGNIFICANCE: The normative values of UNSW may be useful in screening for ulnar neuropathy at the wrist.
The utilization of two WHO reference materials, liquid and lyophilized, permitted international standardization of apolipoprotein measurements. We report here the results of a collaborative study between Arcol, SFBC and SFRL in order to establish reference ranges for apo A1 and B on nine standardized systems. A population of 1027 men and women supposed healthy, 4 to 60 year old, have been selected in two Centers for Preventive Medicine. The serum samples were aliquoted frozen at -20 degrees C the day of sampling and analysed by the manufacturers with IFCC standardized calibrants. A specific quality control was performed using a frozen pool of sera. For apo A1, the centile 2.5 of the reference population varies from 1.04 to 1.16 g/l. The range values for the centile 97.5 varies from 1.87 to 2.24 g/l. For apoB, the centile 2.5 varies from 0.43 to 0.57 g/l, and the centile 97.5 from 1.30 to 1.39 g/l. Only one system has a problem of dispersion with an upper limit equal to 1.20 g/l. These results improve that international standardization allowed actually a good comparability of the results, especially for apoB.
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