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Biomedical subjects

B J Kirby

Publications and source records attributed to B J Kirby.

At least 19 recordsLinked to original sources

Extracting material parameters from x-ray attenuation: a CT feasibility study using kilovoltage synchrotron x-rays incident upon low atomic number absorbers.

The work reported here is a feasibility study of the extraction of material parameters from measurements of the linear x-ray attenuation coefficient of low atomic number absorbers. Computed tomography (CT) scans of small samples containing several liquids and solids were carried out with synchrotron radiation at the Australian National Beamline Facility (BL 20B) in Japan. Average values of the x-ray linear attenuation coefficient were extracted for each material for x-ray energies ranging from 11 keV to 20.5 keV. The electron density was estimated by applying results derived from a parametrization of the x-ray linear attenuation coefficient first developed by Jackson and Hawkes and extended for this work. Average estimates for the electron density of triethanolamine and acetic acid were made to within +5.3% of the actual value. Other materials examined included furfuraldehyde, perspex and teflon, for which average estimates of the electron density were less than 10% in excess of the calculated value.

Acetic Acid↗

Effect of training on peak oxygen uptake and blood lipids in 13 to 14-year-old girls.

UNLABELLED: The aim of this study was to investigate the effects of exercise training on the peak oxygen uptake (peak VO2) and blood lipid profile of 13 to 14-y-old postmenarcheal girls. Treadmill determined peak VO2, total cholesterol, high density lipoprotein cholesterol, low density cholesterol, and triglycerides were the outcome measures assessed at baseline and following exercise training. Twenty girls completed a 20-wk programme of exercise training which involved maintaining the heart rate at 75-85% maximum for 20 min, three times per week. Heart rate was rigorously monitored using telemetry throughout each training session. Eighteen girls acted as the control group. There were no significant (p > 0.05) changes in the outcome measures following the training programme. CONCLUSIONS: These findings suggest that exercise training of this frequency, intensity and duration for a period of 20 wk has no significant effect on either the peak VO2 or blood lipid and lipoprotein profile of normolipidaemic, postmenarcheal girls.

Adolescent↗

Longitudinal changes in young people's short-term power output.

PURPOSE: The influences of age, body size, skin-fold thickness, gender, and maturation on the short-term power output of young people were examined using multilevel modelling. METHODS: Subjects were 97 boys and 100 girls, aged 12.2 +/- 0.4 yr at the onset of the study. Sexual maturity was classified according to Tanner's indices of pubic hair. Peak power (PP) and mean power (MP) were determined on two occasions 1 yr apart using the Wingate Anaerobic Test (WAnT). The data were analyzed using multilevel regression modelling. RESULTS: Initial models identified body mass and stature as significant explanatory variables with an additional positive effect of age, which was smaller for girls' MP. A significant gender difference was apparent for both power indices with girls achieving lower values than boys. A significant incremental effect of later maturity (stages 4 and 5 for pubic hair development) was identified for MP only. Subsequent incorporation of sum of two skin-fold thicknesses into the model yielded significant negative parameter estimates for PP and MP and negated both the stature effects and the maturation influence upon MP. CONCLUSION: There are gender differences in the longitudinal growth of performance on the WanT. Regardless of gender differences, body mass and skin-fold thicknesses appear to be the best anthropometric predictors of WAnT determined PP and MP in young people.

Body Mass Index↗

Longitudinal changes in 11-13-year-olds' physical activity.

UNLABELLED: The influence of age, sex, maturity, body mass and body fatness on the physical activity (PA) of 11-13-y-olds was examined longitudinally. Body mass, triceps and subscapular skinfold thickness and pubic hair were recorded and 3-d continuous heart rate (HR) monitoring was used to estimate PA on each annual measurement occasion. At the onset, subjects were 11.0 (0.4)-y-old and data were available on 202, 143 and 160 subjects in years 1 to 3, respectively with an almost equal sex distribution. Multilevel regression modelling examined age-, sex- and maturity-related changes in time spent with HR above 139 (moderate activity) and 159 (vigorous activity) bpm. Sustained (10 or 20 min) periods of moderate or vigorous activity were not characteristic of PA patterns. Both PA measures declined with age, with a consistent sex difference reflecting the lower PA levels of girls. Body mass and fatness were not significant explanatory variables, but an additional decrement in activity was evident in late maturity. CONCLUSION: Few children experience extended bouts of PA, and from 11-13 y, PA decreases, with more girls than boys becoming inactive. The data emphasize the importance of promoting active lifestyles during youth.

Adolescent↗

Submaximal exercise and maturation in 12-year-olds.

The aim of this study was to examine the maturation responses of young people to submaximal treadmill exercise. Body mass was controlled using both the conventional ratio standard and allometric modelling. Ninety-seven boys and 97 girls with a mean age of 12.2 years completed a discontinuous, incremental exercise test to voluntary exhaustion. We measured peak oxygen uptake (VO2peak) and VO2 when running at 8, 9 and 10 km x h(-1). Sexual maturation was assessed visually using Tanner's indices of pubic hair. Peak VO2 was significantly higher in boys (P<0.001); this was still the case when the influence of body mass was covaried out. During submaximal exercise, no significant differences in absolute VO2 were observed between the sexes (P>0.05); however, values of VO2, expressed both in ratio with body mass and adjusted for body mass using allometry, were significantly greater in boys than in girls (P<0.001). For absolute VO2, significant main effects (P<0.05) were seen for maturity at each exercise stage. With the influence of body mass controlled using either the ratio standard or allometry, no significant main effects (P>0.05) for maturity were observed. Our results indicate that boys are less economical than girls while running at 8-10 km x h(-1) and that, independently of body mass, maturation does not influence the VO2 response to submaximal exercise.

Analysis of Variance↗

Modeling growth and maturation changes in peak oxygen uptake in 11-13 yr olds.

The influence of gender, growth, and maturation on peak O(2) consumption (VO(2 peak)) in 11-13 yr olds were examined by using multilevel regression modeling. Subjects were 119 boys and 115 girls, aged 11.2 +/- 0.4 (SD) yr at the onset of the study. Sexual maturation was classified according to Tanner's indexes of pubic hair. VO(2 peak) was determined annually for 3 yr. The initial model identified body mass and stature as significant explanatory variables, with an additional positive effect for age and incremental effects for stage of maturation. A significant gender difference was apparent with lower values for girls, and an age-by-gender interaction indicated a progressive divergence in boys' and girls' VO(2 peak). Subsequent incorporation of the sum of two skinfold thicknesses into the model negated stature effects, reduced the gender term, and explained much of the observed maturity effects. The body mass exponent almost doubled, but the age-by-gender interaction term was consistent with the initial model.

Aging↗

Analysis of the distribution of Cu, Fe and Zn and other elements in brindled mouse kidney using a scanning proton microprobe.

An analysis of the distribution of trace metals in the kidney cortex in normal and brindled male mice has been carried out with a scanning proton microprobe. Enzyme histochemical staining techniques were used to distinguish between proximal and distal tubules. Average copper levels were increased in brindled kidney tissue sections, with the above-normal Cu accumulation found to occur entirely within the proximal tubules. Therefore, the proximal tubule is now regarded as the location where the defect in Cu transport in brindled mice is manifested the most clearly. The distribution of Fe was found to be non-uniform with some tubule cross-sections exhibiting high concentrations in both genotypes. The distribution of Zn was found to be uniform, and the concentration was similar for each genotype.

Animals↗

Peak oxygen uptake and maturation in 12-yr olds.

The influences of gender and sexual maturation on the peak VO2 of 12-yr olds were examined. Subjects were 106 boys and 106 girls, ages 12.2 +/- 0.4 yr. The sexual maturity of 93 boys and 83 girls was classified according to Tanner's indices of pubic hair. No significant gender differences (P > 0.05) were detected in age, stature, or hemoglobin concentration. Peak VO2 was determined on a treadmill and boys' peak VO2 was significantly higher (P < 0.01) than girls' whether expressed in L x min(-1) (2.10 +/- 0.34 vs 1.92 +/- 0.28) or mL x kg(-1) x min(-1) (52 +/- 6 vs 44 +/- 5). With body mass controlled for using log-linear ANCOVA, the gender difference decreased from 18.2 to 17.1% but remained significant (P < 0.01). For peak VO2 (L x min[-1]) ANOVA revealed no significant interaction (P > 0.05) but significant (P < 0.01) main effects for both gender and maturation. For peak VO2 in ratio with body mass (mL x kg(-1) x min[-1]), ANOVA detected no significant interaction (P > 0.05) or significant main effect (P > 0.05) for maturation although the main effect for gender was significant (P < 0.01). Analysis of peak VO2 with body mass controlled for using log-linear ANCOVA revealed no significant interaction (P > 0.05) but main effects (P < 0.01) for both gender and maturation. Thus, gender differences, which are not simply explained by differences in body size or hemoglobin concentration, have been demonstrated in the peak VO2 of 12-yr olds. A log-linear scaling model has identified in both boys and girls a significant influence of maturation on peak VO2 independent of body mass. This effect may have been masked in previous studies by the inappropriate use of peak VO2 in ratio with body mass.

Age Factors↗

Exercise performance and magnetic resonance imaging-determined thigh muscle volume in children.

This study examined the relationships between thigh muscle volume (TMV) and aerobic and anaerobic performance in children. A total of 32 children, 16 boys and 16 girls, aged 9.9 (0.3) years completed a treadmill running test to exhaustion for the determination of peak oxygen uptake (peak VO2) and a Wingate Anaerobic Test (WAnT) for the determination of peak power (PP) and mean power (MP). The volume of the right thigh muscle was determined using magnetic resonance imaging. TMV was not significantly different in boys and girls [2.39 (0.29) l vs 2.18 (0.38) l, P > 0.05]. Peak VO2 and MP were significantly higher in boys than girls (P < 0.01) whether expressed in absolute, mass-related or allometrically scaled terms. Absolute PP was not significantly different in boys and girls but mass-related and allometrically scaled values were higher in boys (P < 0.01). TMV was correlated with absolute peak VO2, PP and MP in both sexes (r = 0.52-0.89, P < 0.01). In boys, mass-related PP was correlated with TMV (r = 0.53, P < 0.01), and in girls mass-related peak VO2 was correlated with TMV (r = -0.61, P < 0.01). However, in neither sex were allometrically scaled peak VO2, PP or MP correlated with TMV (P > 0.05). There were no significant differences between boys and girls in terms of peak VO2, PP or MP when expressed in a ratio to TMV or allometrically scaled TMV. In conclusion, this study has demonstrated that, when body size is appropriately accounted for using allometric scaling, TMV is unrelated to indices of aerobic and anaerobic power in 10-year-old children. Furthermore, there appear to be no qualitative differences in the muscle function of boys and girls in respect of aerobic and anaerobic function.

Child↗

Monochromatic microtomographic imaging of osteoporotic bone.

A monochromatic beam obtained from laboratory based instrumentation has been used for the first time to carry out a microtomographic x-ray scan of a small segment of osteoporotic bone. The resulting tomograph provides an accurate map of the x-ray linear attenuation coefficient at the characteristic energy for Cu K alpha x-rays. The bone segment was imaged in a variety of ways which are common to microtomography in order to compare the efficacy of different experimental configurations. A Si crystal monochromator was placed before the x-ray detector in order to reject radiation scattered by the sample. In addition, polychromatic scans were compared with monochromatic scans. The effects of multiple scatter can be seen upon comparison of scans with and without the second monochromator. The results indicate that beam-hardening and x-ray scattering can significantly alter an image, thereby distorting the interpretation of what is physically present in the specimen. An accurate, monochromatic tomographic scanning facility is being developed in an attempt to map meaningful physical constants for various materials.

Bone and Bones↗

Prepubescents' ventilatory responses to exercise with reference to sex and body size.

STUDY OBJECTIVES: To examine the ventilatory responses of prepubescent children to submaximal and peak exercise using appropriate allometric modeling to control for differences in body size. DESIGN: Cross-sectional study of a representative sample of children. SETTING: Middle schools (8 to 11 years) in Exeter, UK. PARTICIPANTS: We studied 101 boys and 76 girls aged 11.1 (0.4) years and classified Tanner stage 1 for pubic hair (no true pubic hair). MEASUREMENTS: At rest: stature, mass, sum of skinfolds, hemoglobin concentration, FVC, and FEV1. During treadmill exercise at 7, 8, 9, and 10 km/h, and at peak exercise: oxygen uptake (VO2), minute ventilation (VE), tidal volume (VT), and respiratory frequency (Rf). RESULTS: At peak exercise, boys' VO2, VE, and VT were significantly (p<0.01) higher than girls' values and remained so even when the influence of body size was controlled using allometric principles. There were no significant (p>0.05) sex differences in Rf or the ratios VT/FVC or VE/VO2. When data were compared at the same relative exercise intensity (ie, 70 to 75% or 80 to 85% peak VO2), no significant (p>0.05) sex differences in Rf, VT/FVC, or VE/VO2 were detected. Boys' higher (p<0.001) VO2 values were reflected by their higher VE which remained higher than values for girls at both submaximal levels even when the influence of body size was covaried out. CONCLUSIONS: Prepubescent boys demonstrate higher peak VO2 than girls and this is supported by a higher VE and VT, even when the influence of body size is accounted for using allometry. Other ventilatory responses to both peak exercise and exercise at the same relative intensity are remarkably similar in both boys and girls.

Analysis of Variance↗

Scaling peak VO2 for differences in body size.

This paper examined the influence of different statistical modeling techniques on the interpretation of peak VO2 data in groups of prepubertal, circumpubertal, and adult males (group 1M, N = 29; group 2M, N = 26; group 3M, N = 8) and females (group 1F, N = 33; group 2F, N = 34; group 3F, N = 16). Conventional comparisons of the simple per-body-mass ratio (ml.kg-1.min-1) revealed no significant differences between the three male groups (P < 0.05). In females, a decline in VO2 between group 2F and 3F was observed (P < 0.05). Both linear and log-linear (allometric) models revealed significant increases across all three male groups for peak VO2 adjusted for body mass (P < 0.05). In females these scaling models identified a significantly lower peak VO2 in group 1F versus groups 2F and 3F (P < 0.05). Based upon the common mass exponent identified (b = 0.80, SE = 0.04), power function ratios (y.mass0.80) were generated and the logarithms of these compared. Again, results indicated a progressive increase in peak VO2 across groups 1M to 3M (P < 0.05) and an increase between groups 1F and 2F (P < 0.05). Incorporating stature into the allometric equation reduced the mass exponent to 0.71 (SE = 0.06) with the contribution of the stature exponent shown to be 0.44 (SE = 0.20). These results indicate that conventional ratio standards do not adequately account for body size differences when investigating functional changes in peak VO2.

Adolescent↗

Coronary care follow-up study: acute care required immediately following thrombolytic therapy.

We carried out a prospective survey of the outcome of patients with 'suspected myocardial infarction', in order to determine where they should be nursed. The delay between onset, admission, transfer to the CCU, the sequelae and side-effects of thrombolytic therapy were noted and were documented prospectively. Of 217 admissions to CCU with a history of chest pain and suspected acute myocardial infarction during a four-month period (mean age was 62.8 years range 31 to 86 years) 202 fulfilled the criteria for suspected myocardial infarction. Streptokinase was given in 129 and alteplase in one patient. The delay between onset of pain and admission was < 4 h in 73, 4 to 12 h in 30 and > 12 h in 23. Elderly patients were just as likely as younger ones to receive thrombolytic therapy (Chi 2 = 3.6; P = 0.6). An eventual diagnosis of acute myocardial infarction was made in 133 of whom 100 received streptokinase. Dysrhythmia or shock was encountered in one-third of those given streptokinase and a quarter of the remainder. Reactions to streptokinase were recorded in 32 mainly hypotension or bradycardia alone or in combination. Forty-five per cent experienced either cardiac complications or drug reactions or both. During one month there were 57 admissions, 50 of whom arrived by ambulance. The mean delay between call out and arrival in the A&E department was 55 min. We concluded patients who are given thrombolytic therapy need close supervision and they should be nursed in a CCU or its equivalent.

Adult↗

The influence of the site of sampling and assay medium upon the measurement and interpretation of blood lactate responses to exercise.

UNLABELLED: This paper reports the findings of two investigations into methodological problems associated with the interpretation of blood lactate (BLa) in the sports sciences. In Experiment 1, brachial artery (A), antecubital venous (V) and fingertip capillary (C) blood samples were drawn simultaneously from nine subjects (mean age 21.1 +/- 1.3 years) during an incremental treadmill protocol and immediately assayed for BLa concentration. Experiment 2 investigated the extent of lactate concentration differences in whole blood (WB), lysed blood (LB) and plasma (P) measured using a YSI 23 AM analyser. In Experiment 1, a comparison of the mean BLa concentrations obtained from the three sites revealed no significant differences (P greater than 0.05). Correlations between BLa samples from different sites were very high, with r values ranging from 0.858 to 0.983. In Experiment 2, the mean lactate concentrations were: WB, 4.7 +/- 2.7 mM; LB, 5.0 +/- 3.0 mM; P, 7.0 +/- 3.8 mM. Plasma (P) values were significantly higher than WB and LB. Values from all sites were highly correlated with coefficients ranging from 0.963 to 0.987. IN CONCLUSION: (1) Significant arterial and venous BLa concentration differences do not exist during incremental treadmill exercise. (2) As capillary BLa concentrations reflect arterial values, their use in laboratory and field settings is recommended. (3) Lactate concentration differences in whole blood, lysed blood and plasma will influence the assessment of performance at fixed lactate reference values. (4) If the inter-laboratory test procedures are to be standardized and results compared, precise reporting of lactate sampling and assay techniques is critical.

Adult↗