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Query: UMLS:C0009443 (cold)
 92,137 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The basic pattern of body water exchange was studied in four Japanese male divers during exposure to a thermoneutral 31 ATA (He-O2) environment for 3 d (Seadragon V). The hyperbaric chamber temperature was raised from 25 degrees C +/- 0.5 degrees C at 1 ATA (air) predive to 31.5 degrees C +/- 0.3 degrees C at 31 ATA. Both rectal and mean skin temperatures were measured every hour (including during sleep) and were maintained at the same level at both pressures. The exposure to 31 ATA induced an increase in the daily urine flow and a corresponding reduction in the insensible (and evaporative) water loss without changing the total daily water output. However, the daily fluid intake decreased by 600 ml at 31 ATA, and hence the divers developed a state of negative fluid balance, as reflected by a reduction in body weight and an increase in hematocrit. All changes in the pattern of body water exchange observed at 31 ATA were gradually reversed during subsequent decompression. As observed in a previous dive to 31 ATA (Seadragon IV) in which there was a subtle cold stress (as indicated by the 1 degree C reduction in mean skin temperature at 31 ATA), the increase in daily urine flow at pressure was almost entirely due to the increase in overnight urine flow. However, the hyperbaric nocturia observed in the present dive was a water diuresis in nature whereas that in the previous dive was an osmotic diuresis. These results indicate that the hyperbaric diuresis at 31 ATA is due to an increase in overnight urine flow and that the hyperbaric nocturia is not in any way related to the subtle cold stress attendant in many hyperbaric environments.
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PMID:Hyperbaric diuresis at a thermoneutral 31 ATA He-O2 environment. 653 12

Five male volunteers were exposed for 4 days to a 4-ATA helium-oxygen saturation dive. Partitional calorimetry was performed during 2-h test periods at various ambient temperatures (Ta). Heat production during the period at 4 ATA in helium-oxygen was identical to that at 1 ATA in air. The nonevaporative heat loss (convective and radiant heat losses) was increased with a concomitant decrease in evaporative heat loss. The mean skin and mean body temperatures fell significantly at 4 ATA, and a slight reduction was observed in the rectal temperature. The conductive heat transfer coefficient from the core to skin (hk) was reduced, probably due to vasoconstriction at 4 ATA. Subjective thermal neutrality at rest at 4 ATA was obtained around Ta = 32 degrees C. A diuresis was observed at 4 ATA, but it disappeared with an increase in chamber temperature. An inverse relationship of urine flow to mean skin temperature was observed. An increase in urine flow at 4 ATA might be attributed to cold stress due to lower skin temperature that was caused by the increased nonevaporative heat loss.
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PMID:Body heat balance and urine excretion during a 4-day saturation dive at 4 ATA. 716 97

Interactions of temperature and hydrostatic pressure were examined in three types of cardiac tissue. Decreases in temperature from 37 degrees C to 27 degrees C and increases in pressure from 1 to 150 ATA slowed conduction significantly in rabbit atria, dog atria, and dog Purkinje fibers. The combination of lowest temperature and highest pressure produced the greatest decreases in conduction in all three tissues. Purkinje fiber action potentials revealed that slowing of conduction can be attributed to depressed excitability, decreased membrane potential, and reduced maximum upstroke velocity of the action potential. These action potential variables exhibited the greatest change at the lowest temperature and highest pressure. Cooling or elevations in pressure increased the duration of the action potential. At 27 degrees C, however, the duration was unaffected by increases in pressure. Aberrant conduction developed occasionally, at 27 degrees C and 150 ATA, and could be explained by changes in action potential variables. The significance of this finding is discussed with respect to the possible development of cardiac arrhythmias in divers exposed to cold hyperbaric stress.
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PMID:Combined influence of temperature and hydrostatic pressure on cardiac conduction. 742 59

The relationship of metabolic heat production to skin and core temperatures, cutaneous heat flow, and respiratory heat loss was measured in 10 male subjects cooled in hyperbaric helium at 20.7 ATA and 15 or 20 degrees C for 60-120 min. Under these conditions, metabolic heat production tended to compensate for the sum of convective and radiant heat losses from the skin but did not increase sufficiently to compensate for additional respiratory heat losses. There was a positive correlation between respiratory heat loss and fall in rectal temperature. Individual variability in ventilatory response to cold hyperbaric helium exposure as shown by a wide range of minute ventilation-to-oxygen consumption ratios (VE/VO2) was similar to that reported during cold water immersion. Subjects with high VE/VO2 had low mean physiological shell insulation values and lost more heat through the skin as well as through the respiratory tract than subjects with low VE/VO2.
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PMID:Thermal responses in humans exposed to cold hyperbaric helium-oxygen. 744 Feb 97

Thermoregulatory responses of eight healthy subjects (six men and two women) were compared when they were head-out immersed in 15 degrees C water at both 1 and 6 ATA. Both trials were conducted in a hyperbaric chamber. During the immersions, esophageal temperature (T(es)) and skin temperature at two sites (chest and calf) were recorded at minute intervals. Oxygen uptake was determined at 5-min intervals with the Douglas bag method. The order of the two trials was alternated. The rate of T(es) cooling was greater during the 6-ATA trial [2.1 +/- 0.5 degrees C/h (SE)] than during the 1-ATA trial (1.3 +/- 0.5 degrees C/h; P < 0.01). Despite the greater rate of core cooling, and presumably a greater thermal drive for shivering, the oxygen uptake response for a similar decrement in T(es) was lower during exposure to 6 than to 1 ATA (P < 0.05). Also, for similar displacement in T(es), the subjects perceived the immersions at 6 ATA to be less cold than those at 1 ATA (P < 0.05). It is concluded that the development of hypothermia in compressed-air divers may be due, in large part, to the attenuation of heat production and cold perception. Most likely, the observed effects on the autonomic responses and thermal perception are due to an inhibitory action of hyperbaric nitrogen on central neural structures involved in temperature regulation.
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PMID:Nitrogen narcosis attenuates shivering thermogenesis. 766 24

Two independent cold-sensitive pet mutants in the gene (ATP5) coding for the oligomycin sensitivity conferring protein (OSCP) have been isolated in the yeast Saccharomyces cerevisiae. The mutations in both strains alter the initiating methionine codon in the ATP5 gene: ATG to ATA (Ile) and AAG (Lys). Western blot analysis of total yeast protein after the cells were grown at 18 degrees C, 30 degrees C, and 37 degrees C, indicates that the level of OSCP decreased 80% relative to the wild type strain. In addition, the level of the oligomycin-sensitive ATPase decreased 85% relative to the wild type strain, after growth at 30 degrees C. These findings indicate that for S. cerevisiae, the level of oxidative phosphorylation can decrease 85% without showing a large growth defect on media containing glycerol at 30 degrees C, but not at 18 degrees C.
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PMID:Level of ATP synthase activity required for yeast Saccharomyces cerevisiae to grow on glycerol media. 816 23

Severe cases of carbon monoxide (CO) poisoning from all over Israel are treated at the Israel Naval Medical Institute with hyperbaric oxygen (HBO). Between 1.11.94 and 15.2.95. 24 cases of CO poisoning were treated. Poisoning was usually due to domestic gas-fired heating systems, CO being the only toxin involved. Since delay between termination of CO exposure and arrival at the emergency department averaged 55 minutes, the level of carboxyhemoglobin measured on presentation did not always reflect the true severity of the poisoning. Poisoning was defined as severe and requiring HBO treatment when 1 or more of the following indications was present: evidence of neurological involvement, cardiographic signs of acute ischemic injury, metabolic acidosis, carboxyhemoglobin level greater than 25%, and pregnancy. 20 (84%) recovered consciousness during the course of 1 session (90 min.) of HBO treatment (pO2 2.8 ATA) or immediately thereafter, with resolution of other signs of CO poisoning. 3 required a second treatment session before their symptoms resolved. A patient who arrived in deep coma with severe cerebral edema died. HBO is an important element in the combined treatment of severe CO poisoning. There should be greater awareness of the danger of CO poisoning and the means of preventing it, both among medical staff and the population as a whole, mainly in areas in which cold weather requires use of heating systems, which may be gas-fired.
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PMID:[Hyperbaric oxygen for carbon monoxide poisoning]. 903 76

Following bone marrow stem cell transplantation allo-responses against haemopoietic progenitor cells (HPC), causing graft rejection and graft-versus-leukaemia effects, can be induced by donor T cells recognizing peptides derived from polymorphic endogenous proteins present in HPC. Since CD33 and CD34 are both expressed on HPC, we looked for genetic polymorphisms that might be the source of minor histocompatibility antigens (mHA) on such cells. Bone marrow from 14 donors and their HLA-identical recipients undergoing BMT for haematological malignancies were studied. Using non-radioactive single-strand conformation polymorphism analysis (cold SSCP) of complementary DNA encoding CD33 and CD34, three DNA polymorphisms, two in CD33 and one in CD34 were found and sequenced. Two were in non-coding regions, but in CD33, ATA or ATG at codon 183 resulted in an Ile or Met in the protein sequence. Nonapeptides derived from both alleles were predicted to bind to HLA A68.1. Thus two alleles of CD33 protein exist that could be mHA. With an alternate allele frequency of < 10%, allo-responses against CD33 would be uncommon after marrow transplantation. However, donors homozygous for this allele could be used to generate cytotoxic T cells against the frequent CD33 allele, for adoptive therapy of leukaemia.
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PMID:Polymorphism in CD33 and CD34 genes: a source of minor histocompatibility antigens on haemopoietic progenitor cells? 975 70

The present study was designed to assess the cardiac changes induced by cold water immersion compared with dry conditions during a prolonged hyperbaric and hyperoxic exposure (ambient pressure between 1.6 and 3 ATA and PiO(2) between 1.2 and 2.8 ATA). Ten healthy volunteers were studied during a 6 h compression in a hyperbaric chamber with immersion up to the neck in cold water while wearing wet suits. Results were compared with measurements obtained in dry conditions. Echocardiography and Doppler examinations were performed after 15 min and 5 h. Stroke volume, left atrial and left ventricular (LV) diameters remained unchanged during immersion, whereas they significantly fell during the dry session. As an index of LV contractility, percentage fractional shortening remained unchanged, in contrast to a decrease during dry experiment. Heart rate (HR) significantly decreased after 5 h, although it had not changed during the dry session. The changes in the total arterial compliance were similar during the immersed and dry sessions, with a significant decrease after 5 h. In immersed and dry conditions, cardiac output was unchanged after 15 min but decreased by almost 20% after 5 h. This decrease was related to a decrease in HR during immersion and to a decrease in stroke volume in dry conditions. The hydrostatic pressure exerted by water immersion on the systemic vessels could explain these differences. Indeed, the redistribution of blood volume towards the compliant thoracic bed may conceal a part of hypovolaemia that developed in the course of the session.
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PMID:Cardiovascular changes induced by cold water immersion during hyperbaric hyperoxic exposure. 1769 22

TE may contribute to morbidity and mortality after LT. The objectives were to determine the incidence of early TE post-pediatric LT and compare differences between children with and without TE. A retrospective review of 88 transplanted children (January 2002-October 2007) was performed to determine the incidence of Doppler-confirmed DVT and ATE in the first month post-LT. Fourteen (16%) patients developed TE: DVT in seven (8%) and ATE in seven (8%) patients. Six of 88 (6.8%) developed symptomatic CVL-related DVT. Median (range) time post-LT to DVT and ATE were 7 (4-18) and 8 (1-31) days, respectively. There was no significant difference in age/body weight at LT between patients with or without DVT and ATE. There was no significant difference between patients with or without HAT in age and weight at LT, cold ischemic time, duration of surgery, hematocrit levels, whole-organ graft type, intraoperative FFP, high-risk CMV status, or early acute cellular rejection. In conclusion, the incidence of early TE post-pediatric LT was 16%, including DVT in 8%. Prospective studies are necessary to evaluate the role of prophylactic anticoagulation and potential modifiable risk factors post-pediatric LT.
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PMID:Thrombotic events after pediatric liver transplantation. 2115 11


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