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 47,337 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Different endodontic post systems--Permador metal posts, GT posts, Para posts, and Erlangen posts--have been compared with each other in a study. After casting a Pd-Ag-Sn-In-alloy to the posts, these experimental post-retained cores were fixed with zinc phosphate cement in the prepared root canals of extracted premolars and subjected to fatigue tests. With the parameters selected, the forces could be reduced to 22.5N, thus approximating physiological conditions. This test was followed by a thorough inspection of the material (EDS analysis, metallographic preparations, SEM). The Permador post showed the highest dynamic strength, while the Erlangen post material was found to be unsuitable for casting to two different palladium-base alloys.
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PMID:[Dynamic strength of cast endodontic post systems]. 270 Jul 6

With a view to investigating how vibration affects dynamic working capacity, exercise tests were performed both with and without superimposed vibration. The performance of 8 healthy, non-smoking 20-year-old males exercising on a cycle ergometer at a constant load was studied on four occasions, with and without vibration in a randomly chosen order. The frequency of the vibration, which was applied vertically through the pedals, was 20 Hz and the acceleration was 20 m/s2 RMS. The handlebars and saddle of the cycle were insulated from the vibration. The exercise time averaged 47 min with vibration and 60 min without. The vibratory stress reduced the exercise time by 13 +/- 2.9 min (mean +/- SEM) (P less than 0.005). The average heart rate when the exercise was stopped was 180.3 beats/min with vibration and 180.7 beats/min without. The systolic blood pressure after 20 min averaged 188 mm Hg with vibration and 187 mm Hg without vibration. Both with and without vibration, 6 of the 8 subjects stated that leg fatigue was the cause of their inability to continue pedalling longer. Our conclusion is that in the performance of dynamic muscular work endurance may decrease under the influence of vibration.
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PMID:Influence of vibration on work performance during ergometer cycling. 271 39

The influence of exercise intensity on the accumulation of inosine monophosphate (IMP) in human skeletal muscle has been investigated. Ten men cycled at workloads corresponding to 40%, 75% and 100% of their maximal oxygen uptake (VO2 max). Muscle IMP was below the detection limit (less than 0.01 mmol kg-1 dry wt) at rest and after exercise at 40% of VO2 max, but increased to 0.26 +/- 0.06 (mean +/- SEM) and 3.50 +/- 0.51 mmol kg-1 dry wt after exercise at 75% and 100% of VO2 max respectively. Accumulation of IMP corresponded to a similar decrease in the total adenine nucleotide content. The muscle content of IMP was positively related to lactate and negatively related to phosphocreatine (PCr). IMP was formed in both fibre types, but the IMP content at fatigue was about twice as high in type II fibres as in type I fibres. It was concluded that the IMP content of human skeletal muscle is very low at rest and after low-intensity exercise, but increases after moderate and high-intensity exercise. In contrast to rat muscle, where deamination of AMP predominantly occurs in the fast-twitch muscle fibres, IMP is formed during exercise in both fibre types in human muscle. Accumulation of IMP appears to reflect an imbalance between the rate of utilization and the rate of regeneration of ATP.
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PMID:Formation of inosine monophosphate (IMP) in human skeletal muscle during incremental dynamic exercise. 278 92

Although beta blockers are effective for the treatment of angina pectoris, chronic adverse effects produced by these agents--including lethargy, fatigue, and male impotence--can adversely affect patient acceptance and treatment compliance. To assess the clinical effects of switching from anti-anginal treatment with beta blocker only (phase I) to half-dose beta blocker plus the calcium blocker nifedipine (phase II) or nifedipine alone (phase III), 18 patients with chronic stable angina pectoris and side effects to beta blockers were evaluated in a 12-week, open-label trial. Three patients did not complete the study, one secondary to new unstable angina and two secondary to nifedipine side effects. Of the 15 patients completing the trial (13 men and two women; mean age, 54 +/- 5 [SEM] years), all sequentially participated in the one-month phases. Weekly angina frequency assessed from patient diaries was significantly less for treatment with nifedipine only (phase III) as compared with beta blocker (phase I) (1.7 +/- 1 versus 3.9 +/- 1 episodes per week), while phase II was not significantly different. Exercise test time was maintained throughout all phases (phase I, 457 +/- 39; phase II, 458 +/- 40; and phase III, 498 +/- 48 seconds, p not significant). All 15 patients in phase I (100 percent) had side effects to beta blockers, but these side effects were lessened in 12 patients (80 percent) in phase II and 13 patients (86 percent) in phase III, with total alleviation of symptoms in two patients (13 percent) in phase II, and eight patients (53 percent) in phase III. Thus, in patients with side effects to beta blockers, switching to nifedipine is associated with a significant reduction in beta blocker adverse symptoms and equal anti-anginal efficacy.
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PMID:Alternative medical treatment for patients with angina pectoris and adverse reactions to beta blockers. Usefulness of nifedipine. 287 34

Subjective feeling of fatigue was quantified before and 20 days after elective uncomplicated abdominal surgery in 16 otherwise-healthy patients and compared with changes in heart rate and various hormonal and substrate responses to a 10-minute bicycle exercise (65% of preoperative maximal work capacity) preoperatively and postoperatively. Postoperatively, fatigue increased (p less than 0.001) from 3.0 +/- 0.5 to 5.3 +/- 0.5 arbitrary units (mean +/- SEM). Heart rate, plasma catecholamines, and serum growth hormone, lactate, alanine, and glycerol values always increased, whereas serum insulin values decreased in response to exercise (p less than 0.01). During exercise, only heart rate (p less than 0.01) and lactate (p less than 0.05) values were higher postoperatively compared with preoperatively. Increase in fatigue postoperatively correlated significantly to increase in heart rate (p less than 0.01) and correlated positively, but not significantly, to increase in plasma levels of noradrenaline (p = 0.08), growth hormone (p = 0.09), and alanine (p = 0.08) during exercise, but not to increase in serum lactate values (p greater than 0.8). Thus, after uncomplicated surgery, there was increased fatigue and amplified metabolic and cardiovascular response to a given absolute work load. These findings are similar to those observed during detraining and suggest a therapeutic role of exercise in the treatment of postoperative fatigue.
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PMID:Fatigue and cardiac and endocrine metabolic response to exercise after abdominal surgery. 291 3

The purpose of this study is to examine the changes in mechanical strength of two bioactive ceramics in living tissue. An aging test and dynamic fatigue test were performed using apatite-wollastonite-containing glass ceramics (A X W-GC) and dense hydroxyapatite (HA). Specimens (5 mm X 5 mm X 25 mm, abraded with No. 2000 Al2O3 powder) were implanted into subcutaneous tissue of rats for varying periods of time. The bending strength of aged samples was measured by the three-point loading method. The bending strength of A X W-GC was greater than that of HA (P less than 0.001). There was no reduction in bending strength for both A X W-GC and HA in living tissue. The n value of both A X W-GC and HA did not decrease significantly after implantation as assessed by the results of the dynamic fatigue test according to analysis of covariance. SEM-EPMA showed that Si and Mg contents decreased, Ca content did not change, while P content increased in the surface of A X W-GC. The area where x-ray intensity changed increased moderately after implantation. There were no changes in Ca and P at the interface between HA and soft tissue. In macroscopic and microscopic observations, specimens were found to be encapsulated with a thin layer of connective tissue. Foreign body giant cells, osteoblasts, or osteoclasts were not observed in the soft tissue. There was no bonding between ceramics and soft tissue.
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PMID:Aging test and dynamic fatigue test of apatite-wollastonite-containing glass ceramics and dense hydroxyapatite. 303 11

We studied the effects of propranolol on respiratory muscle performance during inspiratory threshold-loaded endurance breathing in eight normal subjects. Propranolol (mean daily dose = 160 + 17 mg, SEM) reduced loaded 15-second MVV (92 versus 81 L/min;P = .01) and maximal sustainable ventilatory capacity (52.3 versus 44.5 L/min, P = .02) but did not affect the fraction of MVV, which was sustainable. Maximal static inspiratory pressures were reduced at two of three lung volumes, whereas maximal static expiratory pressures were unaffected by propranolol. The reduction in inspiratory muscle performance in the whole population could be accounted for almost entirely by four subjects who developed symptoms of "tiredness" and easy fatigability while receiving propranolol. There was no significant difference in propranolol dose, in degree of beta-receptor blockade, or in physical fitness in symptomatic and asymptomatic groups, and in neither group did propranolol alter pulmonary function test results. Propranolol directly depresses inspiratory muscle strength in subjects who develop drug-induced symptoms of fatigue by a mechanism probably unrelated to beta-adrenergic-receptor blockade.
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PMID:Propranolol and inspiratory muscle performance in normal subjects. 321 29

Whether caloric restriction can alter the efficiency of muscular work raises important questions regarding the control of energetic coupling processes and the efficacy of exercise as a treatment for obesity. To address these issues, oxygen uptake (VO2) was determined at rest and during incremental cycle ergometry in 13 moderately obese (133 +/- 3% ideal body weight, means +/- SEM) women during weight maintenance and after 3 wk of caloric restriction (800 kcal/d). Work efficiency was calculated from the linear portion of the VO2-work rate relationship. Caloric restriction decreased body weight 4.0 +/- 0.4 kg (p less than 0.05), VO2 at rest 32 +/- 3 mL/min (p less than 0.05), and VO2 during unloaded (0 W) cycling 47 +/- 14 mL/min (p less than 0.05). However, work efficiency was unchanged (ie, -0.3 +/- 1.2%, NS). We conclude that, despite metabolic adaptations resulting in decreased energy expenditure at rest and during zero Watt cycling, acute caloric restriction does not alter work efficiency.
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PMID:Effect of acute caloric restriction on work efficiency. 333 33

The biomaterials used in endoprosthesis are subject to great dynamic and tribologic stress which they are not always able to withstand. Wear and fatigue fractures may ensue. The SEM is a valuable tool for controlling quality and determining the nature of faults in the material. Examination of the surfaces of a fatigue fracture usually reveals the cause of the fracture. The presence of manufacturing faults shows that the producer's quality control (the non-destructive-method) was not always sufficient. The SEM is also valuable for examining the polished surfaces of the prosthesis before and after load bearing in order to evaluate wear damages.
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PMID:[Morphologic analysis of endoprosthesis materials with scanning electron microscopy]. 343 10

Muscle and plasma amino acids, subjective fatigue and body weight were studied in 16 patients before and 20 days after uncomplicated elective abdominal surgery. Fatigue increased from a mean (+/- SEM) preoperative level of 2.4 +/- 0.4 arbitrary units to 4.4 +/- 0.5 on postoperative day 20, while body weight fell from 67.3 +/- 2.5 to 64.7 +/- 2.9 kg (both differences p less than 0.001). Correlation was found between increase in fatigue and fall in body weight (r = 0.56, p less than 0.05). Plasma amino acids showed little change after surgery. In muscle, the nonessential amino group taurine, asparagine, glutamate and glycine increased and histidine and arginine decreased (both p less than 0.05) postoperatively. No correlation was found between postoperative fatigue and weight loss versus changes in muscle amino acids. Some of the well-defined immediate postoperative changes in muscle amino acids thus persisted into late, otherwise uncomplicated convalescence, but postoperative fatigue was related only to weight loss--not to changes in muscle or plasma amino acids.
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PMID:Fatigue and muscle amino acids during surgical convalescence. 343 98


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