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Biomedical subjects

E Jakob

Publications and source records attributed to E Jakob.

8 recordsLinked to original sources

Ski-flying: related catecholamine excretion compared with cross-country skiing.

We examined the catecholamine excretion and its performance-diagnostic relevance in athletes of the German National Team during ski-flying and cross-country skiing. Five athletes were examined during the 1986 World Championship ski-flying competition and eight athletes during a 24-km cross-country qualification test. There is little doubt that the special competitive conditions have considerable influence on the usefulness of these data. We decided to publish the results anyway since the results may expand our knowledge about the performance-diagnostic relevance of catecholamine excretion under competitive conditions. During cross-country skiing, the average noradrenaline elimination (1166 pmol.min-1) was about 150% higher and the average adrenaline elimination (243 pmol.min-1) about 30% lower than during ski-flying. The noradrenaline-adrenaline ratio was about 4.8 in cross-country skiing and 1.3-1.5 in ski-flying. Catecholamine excretion does, as expected, therefore permit differentiation of the various strains on the organism. The impression with respect to performance-diagnostic relevance arises that successful athletes show a more stable and lower excretion of noradrenaline under competitive conditions. This can only be a preliminary statement; it should serve to stimulate discussion and further investigations of the problem.

Catecholamines

[The effect of temazepam on the functional capacity and metabolic and cardiocirculatory parameters in consideration of the "jet lag" syndrome].

In a double-blind placebo controlled study, 14 male healthy volunteers were examined the morning after they had received an evening dose of 20 mg temazepam (Planum) with regard to functional capacity, cardial, cardiovascular and respiratory regulation as well as neuromuscular excitability and metabolic changes. After being exposed to the bicycle ergometer load, oxygen uptake, carbon dioxide output, glucose and lactate concentration were determined; furthermore the neuromuscular excitability of the musculus vastus medialis, musculus rectus femoris and musculus quadrizeps femoris was estimated. Despite unimportant capacity reductions (p greater than 0.05) concerning the maximum capacity (2.2%) as well as the maximum oxygen uptake (4.3%) under treatment with temazepam, there could not be proved any significant changes regarding cardiopulmonary and metabolic functions. On eastern and western flights, top athletes showed a very fast adaptation to the day-night rhythm without hang-over.

Adult

[Effect of vitamins and iron on performance and recovery in humans and in sports anemia].

In sports, vitamins along with minerals, particularly iron, and the energy nutrients such as carbohydrates, are considered especially important. Frequently single or multiple vitamins in combination with other active substances such as iron, other minerals or carbohydrates are administered. In sports, vitamins are added to carbohydrate mixtures or electrolytes enriched with vitamins are offered and frequently used. There is no doubt that due to the numerous effects of vitamins, a connection must exist between the vitamin status and athletic performance capability. It can be concluded that vitamin deficiencies have a negative effect on physical and mental performance. The release of energy can only attain its maximum output when the organism has the required substances at its disposal. Iron is of central importance among these active substances, since its presence in haemoglobin is essential for the transport of oxygen and carbon dioxide, makes it possible for myoglobin to function as an oxygen supply depot and guarantees the functioning of internal respiration in the respiratory chain and various key enzymes. Muscle training increases not only the respiratory chain but also several other iron-rich enzymes. This makes even more astonishing the fact that a variety of recently published articles report on iron deficiency among athletes. The effect of the iron deficiency with anaemia (sports anaemia) is manifest in a reduction of aerobic capacity with an increase in lactate acidosis, greater fatigue, loss of appetite, muscular cramps and vasomotor disturbances.

Anemia, Hypochromic

[Pyogenic hepatic abscess].

Ten patients, 6 men and 4 women, with a mean age of 53 years, having pyogenic liver abscess, were studied to review the principal features of the clinical and bacteriological diagnosis. In 9 cases the abscess was located in the right hepatic lobe. Bacteriological diagnosis was made in 6 cases: the etiology was nonmicrobian in 3 and two microorganisms were found in the other 3 cases. The isolated pathogens were: Escherichia coli (3 cases), Staphylococcus sp (3 cases), Enterobacter agglomerans (1 case), Citrobacter sp (1 case), Streptococcus sp (1 case). The basic clinical pattern included fever in 9 patients, pain in upper right side of the abdomen in 8, jaundice in 5 and respiratory symptoms in 5. In 2 cases the diagnosis was confirmed by ultrasonography, in 2 by scintigraphy and in 3 both methods were used. Surgical drainage was practiced in 7 patients, with favorable course in 6. Three patients were not operated; 2 died and the third was cured with medical treatment. The importance of the clinical suspicion even with few data is pointed out, specially prolonged fever with painful syndrome in upper right side of the abdomen. The aid of the diagnosis imaging is valuable for verification. The precise bacteriological diagnosis by culture of the material obtained in surgery or by percutaneous drainage of the abscess allows the selection of the most suitable antibiotic therapy.

Adult

[Free and conjugated plasma catecholamines, lactate behavior and oxygen uptake at rest and in staged physical exertion as well as alpha receptor density in intact thrombocytes in trained athletes].

The influence of chronic static training on free and conjugated plasma catecholamines was investigated in 8 statically trained athletes (21 +/- 2 years of age) at rest and during incremental ergometric cycling. Plasma catecholamines are seen as biochemical indicators of the over-all sympathetic activity. Alpha-2-adrenoreceptors were additionally determined as one parameter of the organism's sensitivity to catecholamines. During modest and heavy exercise, free plasma noradrenaline and adrenaline are comparably low in statically and endurance trained athletes. They are lower than in untrained subjects. During exhaustion, however, free adrenaline responses of the statically trained athletes only amount to 30-50% of the concentrations observed in endurance trained athletes and untrained subjects. Free plasma dopamine and conjugated plasma catecholamines do not show any significant changes during ergometric exercise. Free and conjugated catecholamines correlate positively. Positive correlations are also observed between blood pressure and plasma catecholamines. These correlations however are clearer between conjugated catecholamines and blood pressure. This is also recognizable for the negative correlation between alpha-2-receptor density on intact platelets (1078 +/- 323 binding sites per cell) and conjugated catecholamines. In conclusion, statically trained athletes also show an alteration of sympathetic tone (catecholamines) comparable to that observed in endurance trained athletes. Maximal adrenaline responses however are lower in statically trained athletes than in endurance trained or untrained subjects. The alpha-adrenoreceptor density on intact thrombocytes seems to be increased in statically trained athletes.

Adult