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Query: UMLS:C0015672 (fatigue)
 51,768 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Closing volume was measured by the single breath nitrogen washout test in six normal subjects both before and after inspiratory resistive loading to fatigue. Subjects breathed through an inspiratory resistance until they could no longer maintain the required mouth pressure throughout inspiration. There was electromyographic evidence of diaphragmatic fatigue in all experiments. Closing volume (expressed as a percentage of vital capacity) after resistive loading to fatigue (10.1 +/- 1.9%) was not significantly different from that before resistive loading (10.5 +/- 1.7%). Because pulmonary edema increases closing volume, this study suggests that the very negative intrathoracic pressures generated during resistive loading do not cause pulmonary edema. Therefore, the rapid shallow breathing following inspiratory resistive loading to fatigue is not due to pulmonary edema but is probably a direct consequence of fatigue.
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PMID:Closing volume after inspiratory resistive loading to fatigue. 360 15

Measurements of seven self-reported emotional states (happiness, activity, fear, anger, depression, fatigue, and anxiety) and three physiological variables (heart rate, systolic blood pressure, and diastolic blood pressure) were made among 16 subjects under four conditions: all subjects breathing normobaric air; several days later, immediately after half the subjects had breathed 30% nitrous oxide and the other half had breathed nomobaric air; the following day, subsequent to exposure of all subjects to a simulated depth of 57 m on air in a hyperbaric chamber; and several weeks after the hyperbaric chamber exposure, with all subjects breathing nomobaric air. The results showed that the physiological responses of the group that breathed nitrous oxide did not differ significantly from the control group following the hyperbaric chamber exposure, while self-reported happiness was lower among the nitrous oxide group than among the control group following hyperbaric chamber exposure. Nitrous oxide does not appear to benefit emotional or physiological adaptation to nitrogen narcosis associated with breathing hyperbaric air, and may even impair emotional adaptation, at least under these experimental conditions.
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PMID:Emotional and physiological effects of nitrous oxide and hyperbaric air narcosis. 381 30

The objective was to determine the effect of daily s.c. injection of bovine growth hormone (bGH) on nitrogen and energy balance in six Hereford heifers. In addition, effects on urinary excretion of 3-methylhistidine and hydroxyproline and on serum mineral concentrations were monitored. A single reversal design was used with two 14-d injection periods of placebo or bGH (29.2 IU/d). Measurements were made on d 8-14 of each period. Injection of bGH did not alter apparent digestibility of dry matter, energy or nitrogen, nor urinary excretion of 3-methylhistidine or hydroxyproline. Serum concentrations of calcium, phosphorus and magnesium were normal with bGH treatment. Nitrogen retention was higher and urinary nitrogen excretion was lower when the heifers were injected with bGH than with the placebo demonstrating an effect of bGH on postabsorptive metabolism of nitrogen. Total energy balance was not altered by treatment. Energy retained as protein was higher after bGH treatment than after the placebo, implying decreased energy retained as fat and demonstrating a role for GH in altering energy partition in growing animals. Total heat production was not altered by treatment indicating no change in the gross efficiency of metabolizable energy use with bGH treatment.
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PMID:Effect of bovine growth hormone administration on metabolism of growing Hereford heifers: dietary digestibility, energy and nitrogen balance. 394 54

Divers breathing compressed air are restricted to 45 m depth because of the narcotic effects of nitrogen and toxic action of oxygen at increased pressures. Substitution of oxygen-helium for compressed air has permitted divers to reach 600 m. However, at depths greater than 160 m, signs and symptoms of the high pressure nervous syndrome (h.p.n.s.) occur, with tremors, myoclonic jerking, nausea, vomiting, fatigue, somnolence, e.e.g. changes, dyspnoea, and poor sleep with nightmares. It has been the objective of this Laboratory to ameliorate the symptoms of pressure-induced h.p.n.s. by the addition of small amounts of 'narcotic' nitrogen to the oxygen-helium mixture to form the Trimix breathing gas. In 1973, comparative experiments with oxygen-helium and the same divers, during compressions in only 33 min to 219.5 m and 305 m, showed such Trimix to be effective with 10% (by volume) nitrogen. Simulated dives, termed ATLANTIS, have been made with Trimix over the last 4 years to depths in excess of 610 m for 11 days, 650 m for 4 days and 686 m for 1 day. The objectives were to determine the effects of either slow or rapid rates of compression, and either 5% or 10% (by volume) nitrogen in Heliox, on the presence of h.p.n.s. or nitrogen narcosis. Measurements were made of intellectual and psychomotor performance, electrophysiological function of the brain and reflexes, lung and cardiovascular function, including arterial gas analysis at rest and work, blood chemistry and psychiatric and psychological status. The results permit the conclusion that divers may be compressed safely to depths as great as 686 m. The technique requires a slow exponential compression over days, with frequent stages lasting 14 h or more, the use of 5-8% (by volume) nitrogen in Heliox and careful selection of the divers.
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PMID:Probing the limits of human deep diving. 614 71

Skeletal muscle function, body composition (total body nitrogen and total body potassium) and standard parameters of nutritional assessment were measured in six severely depleted patients with primary anorexia nervosa, both on admission and during oral refeeding. The function of the adductor pollicis muscle was assessed by electrical stimulation of the ulnar nerve. On admission muscle function was markedly abnormal in the patients with anorexia nervosa (n = 6) compared with normal subjects (n = 22), with a significant increase in the force of contraction at 10 Hz, with a mean +/- SEM of 48.0 +/- 3.7% and 28.8 +/- 1.2%, respectively (p less than 0.001). There was slowing of the maximal relaxation rate, 6.6 +/- 0.6% and 9.6 +/- 0.2%, respectively (p less than 0.001) and increased muscle fatigue 18.6 +/- 5.9% and 3.5 +/- 0.8%, respectively (p less than 0.01). Initially, the mean serum albumin was normal (4.0 +/- 0.1 g/dl), although there was evidence of severe depletion of somatic protein stores, with a low total body nitrogen and creatinine-height index. Within 4 wk of oral refeeding, maximal relaxation rate and muscle fatigability were restored to normal, and within 8 wk all parameters of muscle function were normal. During the study total body nitrogen increased by only 13% and was still 19.4% below the predicted normal total body nitrogen, whereas total body potassium increased by 32% and body fat by 46%. Normalization of muscle function may be related to restoration of muscle electrolytes rather than repletion of body nitrogen.
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PMID:A comparison between muscle function and body composition in anorexia nervosa: the effect of refeeding. 688 Oct 81

Ellipticine and some derivatives are highly cytotoxic substances which kill L1210 cells at concentrations ranging form 10(-8) to 10(-6)M. Some compounds in this series bind with high affinity to DNA (affinity constant between 10(7) M-1 and 10(5) M-1) by intercalation between base pairs. The antitumoral properties of these derivatives are thought to be related to their DNA-binding ability. Both 9-hydroxylation of ellipticine and quaternarization of 2-pyridinic nitrogen tend to increase DNA binding and antitumor activity. 2-Methyl-9-hydroxyellipticine (NSC 264-137) was selected for a phase I and later for a phase II trial in human cancer. This drug does not affect blood cell counts in animals or in man. It is not mutagenic in the Ames' test nor teratogenic in mice, but is endowed with anti-inflammatory properties and induces a marked decrease of motoricity in mice. Transient bradycardia and decrease of blood pressure are the most noticeable cardiovascular effects in dogs. This compound administered at 80-100 mg/m2/week in 1-h intravenous (IV) infusion induces objective remissions in about 25% of patients suffering from advanced breast cancer refractory to all other treatment. These remissions, which occurred after 3-4 weeks, lasted for 1-18 months. This drug seems particularly to improve the condition of patients suffering from oesteolytic breast cancer metastasis. Activity against anaplastic thyroid carcinoma and ovarian carcinoma has also been observed in some cases. Toxic side effects are nausea and vomiting (one-third of the patients), hypertension (less than 10% of the patients), muscular cramp (one-third of the patients), fatigue which can be very pronounced (in most patients after 3 months of treatment), mouth dryness, and mycosis of the tongue and esophagus (less than 20% of the patients).
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PMID:Antitumor activity, pharmacology, and toxicity of ellipticines, ellipticinium, and 9-hydroxy derivatives: preliminary clinical trials of 2-methyl-9-hydroxy ellipticinium (NSC 264-137). 700 58

In 1978 a series of deep trimix (He-N2-O2) dives was initiated to establish the relationship between a given nitrogen percentage and the rate of compression required to prevent the high pressure nervous syndrome (HPNS) at 460 m (1509 ft) and to determine the effects of inspired gas density, hydrostatic pressure, and narcosis o various circulatory and respiratory parameter, including the presence of dyspnea. In 1979, three human subjects were compressed to 460 m in 12 h 20 min with 5% N2 in He-O2. This resulted in nausea, vomiting, fatigue, tremors, and other signs and symptoms of HPNS that were especially prominent on arrival at that depth but had much improved by Day 2. In March 1980 the same profile was repeated but with 10% N2 in He-O2. The divers arrived at 460 m with virtually no symptoms of HPNS, but the psychometric performance, as for Atlantis I, still was decreased by some 40% on Day 1 and recovered to some 15% by Day 2. After 5-6 days at 460 m further extension of the dive to 650 m (2132 ft) with a 7.7% N2 mixture for 24 h showed similar control of symptoms of HPNS, although inspiratory resting dyspnea was present in one subject. The results are discussed in relation to the interactions of nitrogen percentage and rate of compression.
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PMID:Control of HPNS in humans during rapid compression with trimix to 650 m (2131 ft). 726 42

Fecal energy (FE) loss was measured using bomb calorimetry in 30 patients; 14 had a history of malabsorption, while 16 had no history of intestinal dysfunction. Average digestibility (and range) of energy and FE loss were 73% (48 to 91%) and 493 kcal/day (177 to 927 kcal/day) in the group with malabsorption, compared to 96% (89 to 99%) and 74 kcal/day (8 to 146 kcal/day) in the group without malabsorption, respectively. Metabolizable energy supplied by the diet (intake kcal -- (fecal kcal + urinary kcal) was below the calculated daily energy requirement in five of seven patients with malabsorption; in three of these five subjects the combination of decreased energy intake and increased FE loss produced negative energy balance, while in the remaining two patients malabsorption alone caused negative energy balance. Inadequate metabolizable energy in these five patients was associated with weight loss and protein-energy malnutrition. The usual clinical laboratory tests applied to the study of malabsorption, including fecal fat, fecal nitrogen, and stool weight, were poor predictors of FE loss. These tests were also of limited value in assessing the effects of dietary modification on energy malabsorption. Contrastingly, bomb calorimetry provided a simple and accurate alternative in quantitatively assessing FE loss in the patient with malabsorption.
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PMID:Energy malabsorption: measurement and nutritional consequences. 728 20

The basic scientific achievements of the Department of Biochemistry of Muscles organized at the Academy of Sciences of Ukrainian SSR in 1944 are presented in this short historical overview. The basic guidelines for activities in the scientific field are as follows: study of biochemical processes in the working muscles as well as during misfunctions and disabilities, processes of adenine nucleotides exchange and ammonia creation, biochemical characterization of Ca2+ and H+ transport through the plasma and sarcoplasmic reticulum membranes. It is shown that creatine and creatine phosphate as well as adenine nucleotide content and metabolism affect the muscle functioning, glycogen metabolism proceeds simultaneously with the lowering of content of inorganic phosphate. The facts of glucose phosphorylation and its conversion via glycolytic pathways and the backward reaction of glycolysis (the aerobic synthesis of phosphopyruvate, glycogen synthesis from glucose in the presence of phosphorylase) were determined. After the muscle work up to tiredness adenine nucleotide depletion is not limited by its dephosphorylation, but goes up to formation of inosine acid and ammonia. Deamidation is shown to be in myofibrillar fraction and in sarcoplasmic reticulum of the skeletal muscle. Deamidation activity is not registered in myocardium myofibrillar fraction but it is registered in sarcoplasmic reticulum. AMP-phosphohydrolase and adenosine desaminase were found in membranes of the sarcoplasmic reticulum. The decrease in activity of all enzymes mentioned above is registered during myocardium hypertrophy, because of aorta narrowing. These data permit creating the methods for obtaining substance "adenosine phosphate" for treatment of cardiac pathologies. Glutaminase was found to be active in the muscles. This activity depended on the organism functioning. The ammonia usage by the muscle cells goes with glutamine synthesis and consumption of energy of ATP, e.g. protein amidation. The later is of all-biological significance and is used in the fields of medicine actualls concerned with the following fact: the velocity of hydrolysis of amidated protein is different for such pathology as epilepsia, tuberculosis, poisoning with manganese oxides. The methods for diagnostics of the above pathological states were developed on this basis. It is proved that glutamine nitrogen can be also used in the reaction of transamination, particularly during synthesis of purines, inosine acid and it is stored in a form of glutaminic acid. Changes in carbohydrate and phosphorus metabolism, in nitrogen and energetic exchanges and mitochondria overfilling with calcium were determined under E-avitaminosis dystrophy.(ABSTRACT TRUNCATED)
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PMID:[Department of the Biochemistry of Muscles]. 757 Oct 74

Seventeen patients undergoing elective open cholecystectomy were given conventional total parenteral nutrition either with (nine patients) or without (eight) glutamine supplementation of 20 g/day for 3 days after surgery and thereafter ordinary food for the following 27 days. Muscle protein synthesis, as assessed by the total concentration of ribosomes, decreased in control patients on day 3 following surgery and remained low on days 10, 20 and 30 (P < 0.05). In patients who received glutamine the total ribosome concentration was maintained on the third day after operation. Concurrently, the subjective feeling of fatigue increased on days 3 and 10 after surgery and the nitrogen balance was negative after operation in both groups, without any difference related to glutamine supplementation. Intravenous glutamine after surgery counteracts a decline in muscle protein synthesis only for as long as it is provided.
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PMID:Long-term effects of postoperative total parenteral nutrition supplemented with glycylglutamine on subjective fatigue and muscle protein synthesis. 782 Apr 92


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