Biomedical subjects

A Belli

Publications and source records attributed to A Belli.

At least 37 records · Page 2Linked to original sources

PubMed2002

Phase I clinical trial with the AMC-bioartificial liver.

UNLABELLED: Recently a bio-artificial liver (BAL) system has been developed at the Academic Medical Center (AMC) of Amsterdam to bridge patients with acute liver failure (ALF) to orthotopic liver transplantation (OLT). After successful testing of the AMC-BAL in rodents and pigs with ALF, a phase I study in ALF patients waiting for (OLT) was started in Italy. We present the safety outcome of the first 7 patients aged 21-56 years with coma grade III or IV The total AMC-BAL treatment time ranged from 8 to 35 hours. Three patients received 2 treatments with two different BAL's within three days. Six of the 7 patients were successfully bridged to OLT. One patient showed improved liver function after two treatments and did not need OLT. No severe adverse events of the BAL treatment were noted. CONCLUSION: Treatment of ALF patients with the AMC-BAL is a safe and feasible technique to bridge the waiting time for an adequate liver-graft.

Adult↗

PubMed2001

Validation of a new ergometer adapted to all types of manual wheelchair.

Research concerning the physiological and biomechanical parameters of wheelchair propulsion requires the use of an accurate and reproducible protocol. Although some research comparing different ergometers has been conducted, it is not easy to fulfil the requirements of the realistic simulation of propulsion together with the careful analysis of metabolic and biomechanical parameters of performance. The VP100H ergometer has been validated for this purpose by comparing the values of power output (W) and force exerted to accelerate the wheels (F) with the same measures obtained using a two-dimensional force transducer (platform). The reproducibility of the power was verified during a test re-test procedure. Ten sportsmen performed an incremental exercise. Maximal aerobic power (Waer,max), maximum oxygen uptake (VO2max), maximum heart rate (fcmax), % Waer,max/%VO2max relationship (aV) and %Waer,max/%fcmax relationship (aH) were calculated. Results indicated no significant differences (P > 0.05) in VP100H versus platform measurements for F and W. Errors of measured Fand W ranged from 0.89% to 7.56% and from 0.41% to 6.74%, respectively, depending upon the trunk muscles that participate in the propulsion. This corresponded to a maximum error of 4.9 W for W. No significant differences (P > 0.05) were observed during the test re-test procedure for Waer,max, VO2max, fcmax, aH and aV. The coefficient of variation of these values ranged from 1.4 to 9.5, and the correlation coefficient from 0.68 to 0.98. We conclude that the VP100H is valid for measuring W, and F, and that these values are reproducible (when tested 10 days later).

Adult↗

PubMed2001

A treadmill ergometer for three-dimensional ground reaction forces measurement during walking.

This report describes new treadmill ergometer designed to measure the vertical and horizontal ground reaction forces produced by the left and right legs during walking. It was validated by static and dynamic tests. Non-linearity was from 0.2% (left vertical force) to 1.4% (right antero-posterior force). The resonance frequency was from 219 (right vertical direction) to 58 Hz (left medio-lateral direction). A calibration "leg", an air jack in series with a strain gauge, was developed and used to produce force signals comparable to those obtained during human locomotion. The mean differences between the force measured by the calibration leg and treadmill ergometer at 5 km h(-1) were 3.7 N (0.7%) for the left side and 6.5 N (1.2%) for the right. Measurements obtained during human walking showed that the treadmill ergometer has considerable potential for analysing human gait.

Calibration↗

PubMed2001

Does endurance or sprint training influence the perception of the optimal pedalling rate during submaximal cycling exercise?

The purpose of this study was to investigate the effects of endurance and sprint training on the perception of the optimal pedalling rate during a submaximal cycling exercise. Six subjects specialized in endurance activities and 6 subjects trained in sprinting activities used the model of bicycling at various pedalling rates with the same power output (150W) on a cycle ergometer. Individual 2nd order polynomial relationships were determined between oxygen consumption (VO(2)) and velocity and between rate of perceived exertion (RPE) and velocity. Optimal velocity, with respect to minimum of VO(2) (OV(VO2)) and to minimum of RPE (OV(RPE)), were calculated for all subjects, respectively. The close similarity found between the VO(2)-velocity and the RPE-velocity curves confirmed that the overall RPE was mainly influenced by the central factor. As OV(RPE) and OV(VO2) were not significantly correlated and as OV(RPE) was significantly higher than OV(VO2), other factors than central may also have influenced the RPE. The significant higher OV(RPE) values (p<0.05) observed in the sprint vs. endurance groups suggested that different training background may have influenced the RPE. These differences could also be explained by a significantly higher OV(VO2) in sprint than in endurance groups, the subjects being sensitive to the pedalling rate for which the energy expenditure is minimal.

Adult↗

PubMed2001

Specific and transfer effects induced by arm or leg training.

The purpose of the present study was to examine both the specific and the transfer effects of a Square Wave Endurance Exercise Test (SWEET) and to investigate the determining factors of transfer effect. A control group (CG, n = 5) and 2 experimental groups were studied. Experimental groups completed 3 days/week a 45 min SWEET over 6 weeks, either with the arms using a wheelchair ergometer (AG, n = 5) or with the legs using a cycling ergometer (LG, n = 5). All subjects performed before and after training two maximal progressive tests: the first one with the arms and the second with the legs. During those tests oxygen uptake (VO(2)) and cardiorespiratory parameters were continuously measured. Specific effects (changes between the tests performed with trained limbs) were observed: the peak power output (W(p)) and VO(2) were significantly increased by both arm (+ 66 %, + 35 %) and leg (+ 17 %, + 14 %) training. At ventilatory threshold (VT), power output (W) and VO(2) were significantly increased with arm (+ 145 % and + 51 %) and leg (+ 53 % and + 46 %) training. Transfer effects (changes between pre and post tests performed with untrained limbs) were observed: W(p) and VO(2) were not increased in AG while W(p) was increased in LG (+ 11 %). At VT, W and VO(2) were increased with arm (+ 19 % and + 23 %) and leg (+ 33 % and + 46 %) training. For AG and LG the VO(2) expressed in percent of the VO(2) peak was increased (+ 19 % and + 33 %, respectively) and the O(2p) was also increased (+ 30 %) for LG. These results show that SWEET training induced specific and transfer effects. Moreover, the initial level of the subjects, the type and the intensity of the training seem to be the major factors for effective observable transfer effects.

Adolescent↗

PubMed2001

Biomechanical factors affecting running economy.

PURPOSE: The present study was designed to investigate kinematics, kinetics, and muscle activity for explaining running economy at different running speeds. METHODS: A total of 17 young endurance runners ran at 12-13 different running speeds. Respiratory gases were collected. Kinematic records were obtained by a high-speed video camera, and 3-D ground reaction forces (GRF) were measured simultaneously with telemetric EMG recordings of the selected leg muscles. In the analysis, joint moments and power were calculated by inverse dynamic methods. RESULTS: The oxygen consumption and energy expenditure increased quite linearly with increasing running speed. However, already at the slowest speed, interindividual differences in running economy were noticed, and they increased with increasing running speed. Simultaneously, the instantaneous joint moment-angular velocity curves of the ankle and knee joints shifted to the right and upward, thus increasing joint power in the push-off phase of contact. Most definitive was the increase in EMG-activity of the BF muscle and its correlation with energy expenditure (r = 0.48, P < 0.05). This two-joint muscle seems to be very active during the maximal running: its amplitude increased (P < 0.05) both in the swinging and contact phases with increasing running speed. CONCLUSIONS: The increased EMG of working muscles and the associated increase in power output may partly explain the increased energy expenditure with increasing running speed. Lower performances in running economy by some of the athletes may also be explained by poor running technique, such as unusually high braking and mediolateral forces, which may be caused by limited action of the hamstring muscles. However, no exclusive biomechanical parameters could be identified to explain the running economy.

Adolescent↗

PubMed2001

Postpartum pituitary hypophysitis.

The case of a young woman who developed lymphocytic hypophysitis 2 weeks after delivery of a healthy baby is reported. The patient presented with clinical features suggestive of a pituitary mass lesion, but surgery was avoided when other clinical and radiologic features were considered. The patient recovered with steroid treatment only. We review the literature on this increasingly recognized condition and argue that medical management may be more suitable than previously thought.

Adult↗

PubMed2000

Influence of fatigue on EMG/force ratio and cocontraction in cycling.

PURPOSE: The purpose of the present study was to observe force and power losses and electromyographic manifestations of fatigue during repeated sprints performed on a friction-loaded cycle ergometer. METHODS: Ten subjects performed 15 maximal 5-s sprints with 25-s rests between them. Power, velocity, and torque were measured during sprints 1 and 13 and during two submaximal constant-velocity (50 rpm) periods of cycling performed before and after the sprints. The EMG signals of five leg muscles were stored to determine the EMG/force ratio of power producer muscles and the coactivation of antagonist muscles. The power producer muscles were activated to the same level during sprints 1 and 13, despite a loss of force, whereas the vastus lateralis muscle was recruited more during the submaximal cycling period under fatigue conditions. RESULTS: This led to an increased EMG/force ratio for the power producer muscles, indicating the peripheral fatigue status of these muscles. Antagonist muscles were less activated during the sprints after fatigue; whereas they stayed unchanged during the last submaximal cycling period. CONCLUSIONS: This suggests that there is a decrease in coactivation as agonist force is lost. This decrease in coactivation under fatigue conditions has not been previously reported and is probably due to the training status of the subjects. Subjects may have learned to better use their antagonist muscles to efficiently transfer force and power to the rotating pedal. This coordination can be adapted to cope with fatigue of the power producer muscles.

Adult↗

PubMed2000

[Detection of antibodies against Trypanosoma cruzi in Somoto, Nicaragua, using indirect ELISA and IFI on blood samples on filter paper].

We standardized a solid-phase enzyme-linked immunosorbent assay (ELISA) in order to study the presence of Trypanosoma cruzi antibodies in asymptomatic persons who live in an area of Nicaragua endemic for Chagas' disease. The test was standardized to analyze filter-paper blood samples, which are easy to transport. In the first phase of our investigation, ELISA was used to study 18 samples of total serum and 18 eluates of blood from patients with chronic Chagas' disease; 30 samples of serum and 30 eluates of blood from healthy people, used as negative controls; and 14 samples of serum and 14 eluates of blood from patients with cutaneous or visceral leishmaniasis, which were used to study cross-reactions. Both with the total-serum and the blood-eluate samples, the ELISA test provided 100% sensitivity and 90% specificity. Cross-reactions in the patient samples were observed only with visceral leishmaniasis. The second phase of our investigation was a population study that included eight rural communities in the area of Somoto, Nicaragua. Through random sampling, filter-paper blood samples were collected from 2,434 people (1,335 men and 1,099 women) from the communities of Aguas Calientes, El Brocal, La Manzana, Las Playas, Los Canales, Santa Isabel, Santa Rosa, and Santa Teresa. Studied by ELISA and by indirect immunofluorescence (IIF), the samples included 260 found seropositive by ELISA (10.7%), of which 207 were positive according to IIF (8.5%). With both techniques, the majority of seropositives were among women, but the difference between men and women was not statistically significant. There was a high level of agreement between the results obtained with the two techniques. There was an upward trend with age, with 5.4% of those found seropositive by ELISA being persons 10 years of age or younger and 42.7% of those found seropositive being older than 50. The vast majority of the individuals analyzed were asymptomatic.

Adolescent↗

PubMed1999

Optimal pedalling velocity characteristics during maximal and submaximal cycling in humans.

The aim of this study was to compare optimal pedalling velocities during maximal (OVM) and submaximal (OVSM) cycling in human, subjects with different training backgrounds. A group of 22 subjects [6 explosive (EX), 6 endurance (EN) and 10 non-specialised subjects] sprint cycled on a friction-loaded ergometer four maximal sprints lasting 6 s each followed by five 3-min periods of steady-state cycling at 150 W with pedalling frequencies varying from 40 to 120 rpm. The OVM and OVSM were defined as the velocities corresponding to the maximal power production and the lowest oxygen consumption, respectively. A significant linear relationship (r2 = 0.52, P < 0.001) was found between individual OVM [mean 123.1 (SD 11.2) rpm] and OVSM [mean 57.0 (SD 4.9) rpm, P < 0.001] values, suggesting that the same functional properties of leg extensor muscles influence both OVM and OVSM. Since EX was greater than EN in both OVM and OVSM (134.3 compared to 110.9 rpm and 60.8 compared to 54.0 rpm, P < 0.01 and P < 0.05, respectively) it could be hypothesised that the distribution of muscle fibre type plays an important role in optimising both maximal and submaximal cycling performance.

Adult↗

PubMed1999

Widespread atypical cutaneous Leishmaniasis caused by Leishmania (L.) Chagasi in Nicaragua.

Leishmania chagasi, the causative agent of visceral leishmaniasis (VL) in the Americas, has recently been associated with atypical cutaneous leishmaniasis (ACL) in Central America; however, little comprehensive information about this disease is available. Clinical, epidemiologic, and parasitologic characteristics of 252 ACL cases and 44 VL cases in Nicaragua were analyzed. Visceral leishmaniasis is primarily associated with malnourished children less than five years of age, whereas ACL is found predominantly in children greater than five years of age and young adults. Genetically similar parasites are associated with both disease manifestations. The sand fly Lutzomyia evansi, in addition to Lu. longipalpis, may be involved in transmission of L. chagasi to humans. Our results indicate that ACL is more prevalent than previously thought, affecting up to 10% of a local population. The fact that the same parasite appears to cause both ACL and the potentially fatal visceral disease suggests that the host immune response is critical in determining the outcome of L. chagasi infection. The public health implications of the wide-spread presence of L. chagasi are discussed.

Animals↗

PubMed1999

PCR detection and identification of Leishmania parasites in clinical specimens in Ecuador: a comparison with classical diagnostic methods.

A simplified polymerase chain reaction (PCR)-based assay was used for detection and typing of Leishmania parasites in clinical specimens from patients suspected of cutaneous leishmaniasis. Using cultures as the reference standard, our PCR detection method was more sensitive (92%) than classical diagnostic techniques, including microscopy (42% sensitivity), histologic staining (33%), and IgG enzyme-linked immunosorbent (20%). The PCR assay was also 100% specific. Parasites in both lesion biopsies and isolates cultured from lesion aspirates were identified as Leishmania braziliensis by PCR. In this study, we have demonstrated the suitability of simplified PCR assays for the simultaneous diagnosis and typing of parasites causing cutaneous leishmaniasis in a developing country where leishmaniasis is endemic.

Adolescent↗

PubMed1998

The spring-mass model and the energy cost of treadmill running.

During running, the behaviour of the support leg was studied by modelling the runner using an oscillating system composed of a spring (the leg) and of a mass (the body mass). This model was applied to eight middle-distance runners running on a level treadmill at a velocity corresponding to 90% of their maximal aerobic velocity [mean 5.10 (SD 0.33) m x s(-1)]. Their energy cost of running (Cr). was determined from the measurement of O2 consumption. The work, the stiffness and the resonant frequency of both legs were computed from measurements performed with a kinematic arm. The Cr was significantly related to the stiffness (P < 0.05, r=-0.80) and the absolute difference between the resonant frequency and the step frequency (P < 0.05, r=0.79) computed for the leg producing the highest positive work. Neither of these significant relationships were obtained when analysing data from the other leg probably because of the work asymmetry observed between legs. It was concluded that the spring-mass model is a good approach further to understand mechanisms underlying the interindividual differences in Cr.

Biomechanical Phenomena↗

PubMed1998

Energy cost and running mechanics during a treadmill run to voluntary exhaustion in humans.

The aim of the present study was to examine the physiological and mechanical factors which may be concerned in the increase in energy cost during running in a fatigued state. A group of 15 trained triathletes ran on a treadmill at velocities corresponding to their personal records over 3000m [mean 4.53 (SD 0.28) m x s(-1)] until they felt exhausted. The energy cost of running (CR) was quantified from the net O2 uptake and the elevation of blood lactate concentration. Gas exchange was measured over 1 min firstly during the 3rd-4th min and secondly during the last minute of the run. Blood samples were collected before and after the completion of the run. Mechanical changes of the centre of mass were quantified using a kinematic arm. A significant mean increase [6.9 (SD 3.5)%, P < 0.001] in CR from a mean of 4.4 (SD 0.4) J x kg(-1) x m(-1) to a mean of 4.7 (SD 0.4) J x kg(-1) x m(-1) was observed. The increase in the O2 demand of the respiratory muscles estimated from the increase in ventilation accounted for a considerable proportion [mean 25.2 (SD 10.4)%] of the increase in CR. A mean increase [17.0 (SD 26.0)%, P < 0.05] in the mechanical cost (CM) from a mean of 2.36 (SD 0.23) J x kg m(-1) to a mean of 2.74 (SD 0.55) J x kg(-1) x m(-1) was also noted. A significant correlation was found between CR and CM in the non-fatigued state (r=0.68, P < 0.01), but not in the fatigued state (r=0.25, NS). Furthermore, no correlations were found between the changes (from non-fatigued to fatigued state) in CR and the changes in CM suggesting that the increase in CR is not solely dependent on the external work done per unit of distance. Since step frequency decreased slightly in the fatigued state, the internal work would have tended to decrease slightly which would not be compatible with an increase in CR. A stepwise regressions showed that the changes in CR were linked (r=0.77, P < 0.01) to the changes in the variability of step frequency and in the variability of potential cost suggesting that a large proportion of the increase in CR was due to an increase in the step variability. The underlying mechanisms of the relationship between CR and step variability remains unclear.

Adult↗

PubMed1998

A method for assessing muscle fatigue during sprint exercise in humans using a friction-loaded cycle ergometer.

This study investigated the mechanical changes induced by muscle fatigue caused by repeated sprints and determined whether a friction-loaded cycle ergometer has any advantages for assessing muscle fatigue. Nine subjects performed 15 sprints, each of 5 s with a 25-s rest, on a friction-loaded cycle ergometer. The averaged force, power and velocity of each push-off were calculated. Maximal power decreased by 17.9%, with a concomitant slowing of muscle contraction, but without any change in the maximal force. These results demonstrated that repeated sprints slow down muscle contraction, leading to a fall in maximal power without any loss of force. This would suggest that fast twitch fibres are selectively fatigued by repeated sprints. However, the ergometer used in the present study made it difficult to evaluate the relative influences of contraction velocity and sprinting time. This was certainly the most important limitation. On the other hand, it showed the advantage of measuring instantaneous power and total work dissipated in the environment simultaneously. It also permitted a force-velocity relationship to be obtained from a single sprint and this relationship is known to be closely related to the muscle fibre composition.

Adult↗

PubMed1998

External loading does not change energy cost and mechanics of rollerski skating.

The purpose of this study was to examine the effects of external loading on the energy cost and mechanics of roller ski skating. A group of 13 highly skilled male cross-country skiers roller skied at 19.0 ( SD 0.1) km x h(-1) without additional load and with loads of 6% and 12% body mass (mb). Oxygen uptake (VO2), knee and ankle joint kinematics, roller-ski electromyogram (EMG) of the vastus lateralis and gastrocnemius lateralis muscles, and roller ski velocity were recorded during the last 40 s of each 4-min period of roller skiing. One-way repeated measures ANOVA revealed that the VO2 expressed relative to total mass (mtot), joint kinetics, eccentric-to-concentric ratio of the integrated EMG, velocity changes within a cycle, and cycle rate did not change significantly with load. The subsequent analysis of the effect of load on each resistance opposing motion suggested that the power to sustain changes in translational kinetic energy, potential energy, and overcoming rolling resistance increased proportionately with the load. The lack of a significant change in VO2/mtot with external loading was associated with a lack of marked change in external mechanical power relative to mtot. The existence of an EMG signal during the eccentric phase prior to the thrust (concentric phase), as well as the lack of significant delay between the two phases, showed that a stretch-shortening cycle (SSC) occurs in roller ski skating. Taken together, the present results would suggest that external loading up to 12% mb does not increase storage and release of elastic energy of lower limb muscles during SSC in roller ski skating.

Adult↗

PubMed1998

Genetic variability among populations of the sand fly Lutzomyia (Lutzomyia) longipalpis (Diptera: Psychodidae) from Central America.

Eleven Central American populations of Lutzomyia longipalpis (Lutz & Neiva) were analyzed for genetic variation at 16 enzyme loci. The aim was to study the genetic structure among populations within this region and to identify demes that may represent different sibling species. Genotypic frequencies within populations agreed with Hardy-Weinberg expectations, indicating that there were no sympatric sibling species among these 11 populations. Levels of genetic distance between pairs of populations were very low (< 0.02). Some substructing was evident, because after genotypes of all populations mere pooled, 7 of the 16 enzyme loci deviated from Hardy-Weinberg expectations. Estimates of effective migration rates among populations (Nm) were low (3.7), indicating that gene flow was restricted. These data explained observed genetic substructuring when all genotypes were pooled.

Animals↗

PubMed1998

Single-step multiplex PCR assay for characterization of New World Leishmania complexes.

We have developed a PCR assay for one-step differentiation of the three complexes of New World Leishmania (Leishmania braziliensis, Leishmania mexicana, and Leishmania donovani). This multiplex assay is targeted to the spliced leader RNA (mini-exon) gene repeats of these organisms and can detect all three complexes simultaneously, generating differently sized products for each complex. The assay is specific to the Leishmania genus and does not recognize related kinetoplastid protozoa, such as Trypanosoma cruzi, Trypanosoma brucei, and Crithidia fasciculata. It correctly identified Leishmania species with a broad geographic distribution in Central and South America. The sensitivity of the PCR amplification ranged from 1 fg to 10 pg of DNA (0.01 to 100 parasites), depending on the complex detected. Crude extracts of cultured parasites, prepared simply by boiling diluted cultures, served as excellent templates for amplification. Crude preparations of clinical material were also tested. The assay detected L. braziliensis in dermal scrapings from cutaneous leishmanial lesions, Leishmania chagasi in dermal scrapings of atypical cutaneous leishmaniasis, and L. mexicana from lesion aspirates from infected hamsters. We have minimized the material requirements and maximized the simplicity, rapidity, and informative content of this assay to render it suitable for use in laboratories in countries where leishmaniasis is endemic. This assay should be useful for rapid in-country identification of Leishmania parasites, particularly where different Leishmania complexes are found in the same geographical area.

Animals↗