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

Ice hockey is characterized by high intensity intermittent skating, rapid changes in velocity and duration, and frequent body contact. The typical player performs for 15 to 20 minutes of a 60-minute game. Each shift lasts from 30 to 80 seconds with 4 to 5 minutes of recovery between shifts. The intensity and duration of a particular shift determines the extent of the contribution from aerobic and anaerobic energy systems. The high intensity bursts require the hockey player to develop muscle strength, power, and anaerobic endurance. The length of the game and the need to recover quickly from each shift demands a good aerobic system. Physical characteristics of elite players show that defensemen are taller and heavier than forwards probably due to positional demands. Hockey players are mesomorphic in structure. They are relatively lean since excess mass is detrimental to their skating performance. There is a large interindividual variability in VO2 during skating. Both the aerobic and anaerobic energy systems are important during a hockey game. Peak heart rates during a shift on the ice exceed 90% of HRmax with average on-ice values of about 85% of HRmax. Blood lactate is elevated above resting values confirming the anaerobic nature of the game. Glycogen depletion studies show a preferential utilisation of glycogen from the slow twitch fibres but also significant depletion from the fast twitch fibres. Elite hockey players display a muscle fibre composition similar to untrained individuals. Physiological profiles of elite hockey teams reveal the importance of aerobic endurance, anaerobic power and endurance, muscular strength and skating speed. Training studies have attempted to improve specific components of hockey fitness. Using traditional laboratory tests, a season of hockey play shows gains in anaerobic endurance but no change in aerobic endurance. On-ice tests of hockey fitness have been recommended as an essential part of the hockey player's physiological profile. Existing training procedures may develop chronic muscular fatigue in hockey players. Lactic acidosis is associated with the onset and persistence of muscle fatigue. Muscle force output remains impaired throughout the hockey player's typical cycle of practices and games. A supplementary programme of low-intensity cycling during the competitive phase of training was unsuccessful in altering VO2max. Strength decrements during the hockey season are attributed to a lack of a specifically designed strength maintenance programmes. On-ice and off-ice training programmes should focus on the elevation of aerobic endurance, anaerobic power and endurance, muscular strength and skating speed.
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PMID:Physiology of ice hockey. 328 Dec 10

Of over forty known epileptogenic mechanisms, some eight involve transient conditions, the regulation of which necessarily involves the understanding cooperation of the patient/parents. Tension states, alterations of the wake-sleep cycle, fatigue and sleep deprivation, CNS stimulation by sensory or drug means, and shifts of the water and acid-base balances constitute the bulk of such seizure-inducing factors. The relative lack of CNS homeostatic control, due to immature development of the blood-brain barrier and cerebral maturation, serve to exaggerate these problems in childhood. In a referred group of 150 refractory epileptic children, the seizure-inducing mechanisms were found to be important (50% reduction of seizure incidence) in 20% and to be of "crucial" importance (complete control) in an additional 14%. These results indicate the importance of such mechanisms in selected children with epilepsy, who were only marginally or inadequately controlled by drug therapy. Reviews of the literature have suggested that this more comprehensive approach to the therapeutic management of epilepsy has not been adequately exploited.
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PMID:The importance of seizure-inducing factors in youth. 329 27

Although Giardia lamblia cysts are an important contaminant of surface water supplies, only one swimming pool outbreak, involving an infant and toddler swim class, has been reported. We describe an outbreak of giardiasis associated with a hotel's new water slide pool which was cleansed by both bromination and sand filtration. Among the 107 hotel guests and their visitors surveyed, 29 probable and 30 laboratory-confirmed cases of Giardia infection were found. Cases ranged from 3 to 58 years of age, with a mean age of 21 years. The 5-year modal age grouping was 5 to 10 years of age. Symptoms in the 59 cases included: diarrhea (48), cramps (38), foul smelling stools (29), loss of appetite (23), fatigue (20), vomiting (18), greasy stools (15), fever (11) and weight loss (10). Four children and 2 adults were hospitalized. Significant associations were found for staying at the hotel, using the water slide pool and swallowing pool water. A possible contributing factor was the emptying of an adjacent toddlers' wading pool, a potential source of fecal material, into the water slide pool. Transmission of Giardia can occur in water slide pools and therefore should be considered in cases of protracted diarrhea among users of such pools.
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PMID:Giardiasis associated with the use of a water slide. 334 75

The rabbit masseter is composed of mainly fast fatiguable type IIB fibers which give a positive mATPase reaction at pH 9.3. To study the effect of fatigue on the distribution of some crucial elements, the masseter was stimulated electrically for 45 minutes. The contralateral muscle served as a control. Control and experimental tissues were rapidly excised, and frozen in isopentane cooled to -150 degrees C in liquid nitrogen. Sections were cut in a cryostat and prepared by freeze-drying. Water content of fatigued muscle was significantly higher than controls: 79.3% versus 77.3%. The fatigued state was verified by glycogen depletion viewed in PAS-stained sections. Ice crystal artifacts were more prominent in stimulated muscle, suggesting cytoplasmic edema and/or a change in water state. Element analysis of myofibers, using an scanning electron microscope equipped with a computer assisted energy dispersive X-ray spectrometer was performed at 15 kV for 100 seconds. Counts were recorded for Na, Mg, P, S, Cl, K and Ca (Mg and Ca counts were too low to evaluate). Counts were converted to concentrations using a gelatin element standard. The most striking finding in fatigued muscle was a decrease in K concentration (33%) and an increase in Na (100%) and Cl (75%). P and S values were slightly lower. An interpretation of these findings is made in relation to a) changes in water structure and b) conformational changes in myofibril macromolecules.
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PMID:The effect of fatigue on essential element distribution in the rabbit masseter. 336 64

Breath-holding subjects often exhibit involuntary contractions of respiratory muscles which are much stronger and faster than the efforts they would make during unrestricted breathing at the same level of CO2 and O2. To gain a better understanding of the genesis of these contractions, we compared them with the respiratory response to external elastic loading. Normal men rebreathed a mixture of 8% CO2 in oxygen against no load, elastic loads of 25 and 75 cm H2O/L, and held their breath, equivalent to an elastic load of 226 cm H2O/L. At iso-CO2, increasing loads led to progressively smaller tidal volumes, inspiratory flow rates and ventilation. However, respiratory muscles were progressively activated by the loads, as indicated by increasing occlusion pressure, so that inspiratory flow rate and ventilation were defended much better than could be expected if no neural compensation occurred. The pattern of respiratory muscle activity in breath-holding was qualitatively similar to that in elastic loading, and seemed quantitatively to be an extreme form of reaction to a large load. The reduction in inspiratory time and therefore of peak inspiratory pressure and ratio of inspiratory to total time with very large loads could be viewed as an adaptive response to limit respiratory muscle fatigue.
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PMID:Similarities between behavior of respiratory muscles in breath-holding and in elastic loading. 337 9

During the early stages of fracture healing, rigid internal fixation maintains alignment and promotes primary osseous union. Unfortunately, as healing progresses rigid fixation from bone plating can cause bone in the region of the plate to undergo stress protection atrophy. This can result in significant loss of bone mass and osteoporosis. Refracture of the bone upon device removal is a widely reported complication. In an effort to minimize or eliminate stress protection atrophy, we have designed a partially absorbable, fiber-reinforced bone plate. Ideally, such a plate gradually loses rigidity as the fracture heals, increasingly transferring stress to the bone. Stress protection may be avoided and removal of the device after healing may be unnecessary. Composite theory was used to determine an optimum fiber layup for a composite bone plate. Composite analysis suggested the mechanical superiority of a 0 degree/ +/ -45 degree laminae layup. Given this laminated design, a thermoplastic absorbable polymer (polylactic acid polymer) was reinforced with high-modulus carbon fiber to produce a semiabsorbable composite. Implant evaluation included optimizing fabrication techniques, thorough mechanical device testing, and implantation on canine femurs to determine biocompatibility and efficacy. The composite design proved to have superior static and fatigue properties to laminated or random fiber designs used previously. Two techniques for hole fabrication were tested. The production of screw holes during the molding process rather than machining postmolding, improved the mechanical integrity of the finished plate. Although the 0 degree/ +/- 45 degree carbon/polylactic acid composite possessed superior mechanical properties, it was unsuccessful in the in vivo environment. Water absorption and subsequent delamination made the plate flexible. Hypertrophic nonunions developed. Further development to prevent water intrusion and premature loss of mechanical properties is necessary.
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PMID:The design and analysis of a laminated partially degradable composite bone plate for fracture fixation. 342 70

Six male subjects performed intensive cycle exercise to exhaustion after cooling their legs in water at 10-12 degrees C (muscle temperature (Tm) 28 +/- 2.6 degrees C, mean +/- SD). Exercise at exactly the same rate and duration (370 +/- 34 W, 1.5 +/- 0.2 min) was then repeated by each subject 2-5 weeks later at normal Tm (35 +/- 1.0 degrees C). Muscle biopsies were taken from the vastus lateralis muscle at rest and after exercise. The muscle tissue was freeze-dried and fragments of single fibres were dissected out. The fibres were classified and pooled into groups of type I and type II. Analyses of glycogen, glucose 6-phosphate, lactate and phosphagens were performed on pools of type-identified fibres. After exercise at reduced Tm, all subjects had higher concentrations of glucose 6-phosphate and lactate in both type I and type II fibres, and in most subjects the concentrations of ATP and phosphocreatine were lower as compared with the findings after exercise at normal Tm. During exercise the glycogen content of both fibre types decreased to a greater extent at reduced than at normal Tm in most subjects. The results suggest that during intensive dynamic exercise at reduced Tm there is a higher degree of glycolysis from glycogen in the muscle than in the normal situation. In some subjects the cause of fatigue may be related to a more rapid accumulation of lactate in the cold muscle, while in others fatigue may be related to alternative factors, e.g. low levels of ATP and phosphocreatine.
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PMID:Influence of reduced muscle temperature on metabolism in type I and type II human muscle fibres during intensive exercise. 344 42

Fatigue in ceramics refers to the subcritical growth of cracks, aided by the combined influence of water and stress. The dynamic fatigue (constant stressing rate) method was used to obtain subcritical crack growth parameters for three dental ceramics: a feldspathic porcelain, an aluminous porcelain, and a fine-grain, polycrystalline core material. The constant stressing rate experiments were carried out at 37 degrees C for all three ceramics in distilled water, and, for the feldspathic porcelain, in artificial saliva as well. Considerable differences were found in the value of the crack growth exponent (n) among the three ceramics. The feldspathic porcelain was lowest in n-value, while the fine-grain ceramic had the highest n-value. No differences were found for the feldspathic porcelain with respect to n measured in water and in the artificial saliva. Lifetime prediction curves in 37 degrees C water, constructed from the n-values and inert strengths, showed that fatigue failure within five years is a good possibility for feldspathic porcelain specimens at stress levels which can reasonably be anticipated to occur in the oral environment. Little likelihood of failure was perceived for the fine-grain ceramic. The aluminous porcelain was intermediate between these two materials with respect to failure probability.
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PMID:Fatigue of dental ceramics in a simulated oral environment. 345 62

Hexsyn is the Goodyear Tire and Rubber Company tradename for a polyolefin rubber synthesized from 1-hexene with 3-5% methylhexadiene as the source of residual double bonds for vulcanization. Under license from Goodyear, this same polymer has been manufactured by Lord Corporation for the hinge portion of finger joint prostheses using the tradename Bion. This rubber is currently licensed to the University of Akron and to the Cleveland Clinic Foundation for use in biomedical applications, and is being used primarily for biocompatible and highly fatigue resistant rubber components in ventricular assist and artificial heart systems. Results are presented from the physical, mechanical, and biological characterization of Hexsyn. Procedures are described for the synthesis, compounding, and post-molding extraction for Hexsyn. The physical testing of Hexsyn reported includes determinations of its density at 23 and 37 degrees C, initial hardness and hardness after aging in oxygen, blood, pseudoextracellular fluid and polyethylene glycol 600, typical molecular weights determined by gel permeation chromatography/low angle laser light scattering and intrinsic viscosity, thermal analyses by differential scanning calorimetry of Hexsyn gum, and vulcanized Hexsyn after exposure to blood and blood/fatigue conditions. Also reported are results of differential thermal analyses, thermomechanical analyses of virgin and annealed samples, and thermogravimetric analyses conducted in helium and in air. Dynamic mechanical analyses of Hexsyn include Clash-Berg and Rheovibron tests. Swelling was conducted to determine lot-to-lot and sheet-to-sheet variation for quality control and also a number of solvents were used so that the polymer-solvent interaction parameters could be determined. The permeability of Hexsyn to water, water vapor, and a variety of gases is reported. The permeability by contact angle measurements, refractive index, residual solvent analyses, migration of blood components into Hexsyn, melt rheology by Monsanto Rheometer, resistance to acids, and typical mold shrinkage for Hexsyn are reported. Mechanical testing of Hexsyn includes tensile strength, elongation, and tensile stress (modulus) at 23 and 37 degrees C and after conditions including exposure to blood, pseudoextracellular fluid, polyethylene glycol, oxygen, 100% relative humidity, and fatigue testing. Stress/strain calibration curves, flexural rigidity after aging in blood, tension set, compression set, stress relaxation, and the effect of repeated cycling on the elastic modulus are presented along with the results of Pico abrasion, skid resistance tests on wet concrete.(ABSTRACT TRUNCATED AT 400 WORDS)
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PMID:Characterization of Hexsyn, a polyolefin rubber. 350 71

The purpose of this study was to determine whether the postponement of fatigue in subjects fed carbohydrate during prolonged strenuous exercise is associated with a slowing of muscle glycogen depletion. Seven endurance-trained cyclists exercised at 71 +/- 1% of maximal O2 consumption (VO2max), to fatigue, while ingesting a flavored water solution (i.e., placebo) during one trial and while ingesting a glucose polymer solution (i.e., 2.0 g/kg at 20 min and 0.4 g/kg every 20 min thereafter) during another trial. Fatigue during the placebo trial occurred after 3.02 +/- 0.19 h of exercise and was preceded by a decline (P less than 0.01) in plasma glucose to 2.5 +/- 0.5 mM and by a decline in the respiratory exchange ratio (i.e., R; from 0.85 to 0.80; P less than 0.05). Glycogen within the vastus lateralis muscle declined at an average rate of 51.5 +/- 5.4 mmol glucosyl units (GU) X kg-1 X h-1 during the first 2 h of exercise and at a slower rate (P less than 0.01) of 23.0 +/- 14.3 mmol GU X kg-1 X h-1 during the third and final hour. When fed carbohydrate, which maintained plasma glucose concentration (4.2-5.2 mM), the subjects exercised for an additional hour before fatiguing (4.02 +/- 0.33 h; P less than 0.01) and maintained their initial R (i.e., 0.86) and rate of carbohydrate oxidation throughout exercise. The pattern of muscle glycogen utilization, however, was not different during the first 3 h of exercise with the placebo or the carbohydrate feedings. The additional hour of exercise performed when fed carbohydrate was accomplished with little reliance on muscle glycogen (i.e., 5 mmol GU X kg-1 X h-1; NS) and without compromising carbohydrate oxidation. We conclude that when they are fed carbohydrate, highly trained endurance athletes are capable of oxidizing carbohydrate at relatively high rates from sources other than muscle glycogen during the latter stages of prolonged strenuous exercise and that this postpones fatigue.
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PMID:Muscle glycogen utilization during prolonged strenuous exercise when fed carbohydrate. 352 2


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