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Biomedical subjects

J D Armstrong

Publications and source records attributed to J D Armstrong.

At least 91 records · Page 5Linked to original sources
PubMed1986

Large airway size, lung size, and maximal expiratory flow in healthy nonsmokers.

It has been postulated that airway size and lung size may be dissociated because of developmental differences between the tracheobronchial tree and the pulmonary parenchyma (dysanapsis). To test this hypothesis, we compared measurements of airway size (diameters, cross-sectional area, length and volume of the trachea, diameter and cross-sectional area of the mainstem bronchi) and lung size (total lung capacity, thoracic diameters, lung length), as determined from plain chest radiographs in 79 male and 86 female healthy nonsmokers. In both groups of subjects, the correlation between indexes of airway size and lung size was low. Airway size was not significantly different between men and women, when standardized for lung size. Tracheal diameter and length tended to increase with age. To assess the value of airway size measurements in the prediction of maximal expiratory flow, we compared tracheal and bronchial size with FVC, FEV 0.5, FEV1, and mean forced expiratory flow during the middle half of VC. The correlation between airway size and spirometric indexes was very low. Multiple regression analysis showed that the use of airway size variables in addition to the age and height variables did not substantially improve the prediction of maximal expiratory flow. Our results are consistent with the dysanapsis hypothesis, but they suggest that the introduction of radiologic estimates of large airway size in the prediction equations relating maximal expiratory flow to age and height is not justified, at least in the general population.

Female↗
PubMed1986

Seasonal differences in function of the hypothalamic-hypophysial-ovarian axis in weaned primiparous sows.

Primiparous sows were fed to appetite during lactations that occurred during winter or summer, and 11.4 +/- 0.4 pigs per litter were weaned at 23.5 +/- 0.1 days of age. Sows were slaughtered at 0 or 72 h after weaning or blood samples were collected until 24 h after onset of oestrus. Sows that lactated during summer consumed less food and lost more (P less than 0.05) weight, heartgirth and backfat than those that lactated during winter. Weaning-to-oestrus interval was greater (P less than 0.05) in summer (224 +/- 25 h) than in winter (93 +/- 13 h). Content of GnRH in the hypothalamus and concentrations of LH in the anterior pituitary and serum were lower (P less than 0.05) after weaning in summer than winter. The numbers of visible ovarian follicles less than 5 mm in diameter at weaning were lower (P less than 0.05) in summer than in winter. In contrast to LH, FSH concentration in serum was higher (P less than 0.10) in summer than winter, but FSH values in the anterior pituitary were lower (P less than 0.05) in summer than in winter. Post-weaning patterns of secretion of oestradiol and follicular development differed between winter and summer. For example, in some sows weaned during the summer, transient surges of oestradiol occurred repeatedly during 0 to 280 h after weaning without provoking surges of LH. These results indicate that the period of post-weaning anoestrus in summer is prolonged because of altered activity of the hypothalamic-pituitary axis, possibly because of changes in sensitivity to the feedback of oestradiol. Lower feed intake during lactations that occur during summer may predispose the endocrine system to the aberrations.

Animals↗
PubMed1986

Body condition of sows across parities and relationship to reproductive performance.

Weight, heartgirth, backfat and body condition of sows was monitored in a commercial, farrow-to-finish unit during 1 yr. Measurements were obtained during the third, ninth and fifteenth week of gestation and the day after weaning. Litter performance and rebreeding rate also were recorded. Body weight and heartgirth increased (P less than .01) over parities because gestational gains were larger than lactational losses. Backfat tended to be lower in later parities. Body weight, heartgirth and backfat, but not condition score, declined from weaning to the third week of the subsequent gestation in both first and second litter sows. Correlations among measures of body condition were low (less than .45), except the overall correlation between body weight and heartgirth. Number of pigs born alive increased and interval to estrus decreased in later parities. There were no significant relationships between changes in body condition and rebreeding performance of sows. These results suggest that changes in body condition typically observed in sows housed in commercial production units may be too subtle to have an effect on reproductive performance.

Adipose Tissue↗
PubMed1986

Effect of restriction of energy during lactation on body condition, energy metabolism, endocrine changes and reproductive performance in primiparous sows.

Seventeen Landrace X Large White primiparous sows that farrowed in August 1982 were fed ad libitum (AL, n = 8) or their intakes were restricted (R, n = 9) during lactation. Litter sizes were equalized after farrowing and pigs were not allowed creep feed. Pigs were weaned 23.8 +/- .4 d postpartum. On d 6, 12 and 20 postpartum, all sows were fasted for 16 h and blood samples were collected prior to feeding for analysis of plasma glucose (GLU), urea nitrogen (UN), free fatty acids (FFA), prolactin (PRL) and serum insulin (INS). On d -2, 2 and 4 from weaning, sows were fasted for 16 h and then blood samples were collected hourly from 0 to 6 postprandial for analysis of GLU, UN, FFA, PRL and INS. Serum for analysis of luteinizing hormone (LH), progesterone and estradiol was collected every 6 h from 1 d before until 12 d after weaning. Samples for LH were also collected at 15-min intervals for 3 h at -18, -6, 6, 18, 78, 102, 126, 150, 240 and 480 h from weaning. After weaning all sows were fed 1.8 kg X d-1, and were checked for estrus twice daily. Daily intakes of metabolizable energy (ME) during lactation were greater in AL (12,194 +/- 465 kcal) than in R sows (8,144 +/- 90 kcal). Compared with AL sows, R sows lost more weight and backfat during lactation and had higher postprandial UN levels 2 d before and 4 d after weaning. Reproductive performance and reproductive hormones were not affected by restriction of energy, but frequency of episodic release of LH prior to weaning was greater in sows that exhibited estrus after weaning (n = 12) than in anestrous sows (n = 5). After weaning, LH and estradiol concentrations were similar between estrous and anestrous sows until onset of the preovulatory increase in estradiol in the sows that exhibited estrus. Energy intake, body condition and productivity were similar between anestrous sows and sows that exhibited estrus. On d 12 and 20 of lactation, preprandial levels of GLU were greater and FFA were lower in anestrous than estrous sows. We conclude that restriction of feed intake during lactation affected body condition and metabolism of primiparous sows, but reproductive performance and productivity were not affected. Aberrations in partitioning of energy during lactation may predispose primiparous sows to postweaning anestrus, but the mechanisms by which this occurs have yet to be defined.

Animals↗
PubMed1986

Determinants of estrous behavior in lactating Holstein cows.

The objective was to determine factors that affect the expression of estrus. Thirteen lactating Holstein cows were ovariectomized about 4 to 6 wk postpartum and then challenged repeatedly with progesterone and estradiol benzoate to induce estrus six times during the postpartum period. Each challenge included 5 d when the cow was primed with progesterone through insertion of a progesterone-impregnated, foam rubber pessary. Estradiol benzoate (1 mg) was injected intramuscularly 36 h after removal of the pessary. Groups of two to three cows each began the experiment at 3-mo intervals to avoid confounding treated simultaneously. Observations for estrous behavior were at 8-h intervals following each challenge. A minimum of three sexually active cows were always observed together to avoid differences in estrous behavior caused by having too few sexually active animals in the group. Observations for estrous behavior were at 8-h intervals following each challenge. During each observation, cows were observed for 30 min on dirt and for 30 min on concrete. Standing behavior was not influenced by postpartum interval, season of year, or milk yield. Mounting behavior increased from the first to the sixth postpartum challenge, but it was not affected by season of year or milk yield. Duration of estrus, mounting activity, and standing activity were greater on dirt than on concrete. These results indicate that the surface on which cows were observed had a profound effect on sexual behavior; however, postpartum interval, season of year, and milk yield were of minor importance.

Animals↗
PubMed1985

Pulsatile administration of gonadotropin-releasing hormone to anestrous sows: endocrine changes associated with GnRH-induced and spontaneous estrus.

This experiment determined whether pulsatile administration of gonadotropin-releasing hormone (GnRH) would induce estrus and ovulation in seasonally anestrous primiparous sows and compared endocrine responses of GnRH-induced sows with those of primiparous sows that exhibited spontaneous estrus after weaning. Seventeen primiparous Landrace X Large White sows farrowed in August 1982, lactated 23.8 +/- 0.4 days (mean +/- SEM), and weaned 9.0 +/- 0.3 pigs per litter. Blood for determination of progesterone, luteinizing hormone (LH), and estradiol-17 beta (E) was collected every 6 h from 1 day before to 12 days after weaning. Twelve sows exhibited spontaneous estrus 135 +/- 9 h after weaning, and these sows were considered to be normal. Five sows were anestrous for at least 23 days postweaning and failed to ovulate, as indicated by concentrations of progesterone that were less than 1.0 ng/ml in blood samples collected daily during this period. From Day 0 to Day 30 postweaning, levels of estradiol in anestrous sows varied between 3 and 30 pg/ml, concentrations of LH were low, and preovulatory-like LH surges did not occur. Beginning on Day 30 postweaning, four anestrous sows were given 1.5 micrograms GnRH (i.v.) hourly until onset of estrus and blood was collected every 6 h during GnRH treatment. The average interval from beginning of GnRH treatment to onset of estrus was 84 +/- 5 h (range 72 to 96 h). Patterns of estradiol and LH secretion around estrus were similar in normal sows and those treated with GnRH.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1985

Control of follicular development during and after lactation in sows.

Follicular development during early lactation in the sow is characterized by a large population of small-sized follicles and a small population of medium-sized follicles. As lactation progresses there is a gradual shift in number of follicles into medium- or large-sized categories and the percentage of follicles classified as atretic declines. Weaning at birth often leads to aberrant follicular development, apparently because the positive feedback response of LH to oestradiol does not occur during the first week post partum. Secretion of LH during lactation is primarily controlled by suckling intensity of the litter while FSH is controlled by a nonsteroidal ovarian factor, presumably inhibin. Suckling apparently limits secretion of GnRH and weaning leads to an increase of GnRH within the hypothalamus coincident with an increase of LH in the anterior pituitary and plasma and increased follicular growth. Follicular development during both lactation and post-weaning anoestrus can be stimulated by exogenous gonadotrophins and pulsatile administration of GnRH. Factors such as nutrition, season, boar exposure, litter size and split weaning affect follicular development during lactation and after weaning, probably because they affect secretion of LH.

Animal Nutritional Physiological Phenomena↗
PubMed1984

Thoracic neoplasms: imaging requirements for diagnosis and staging.

This article reviews the pathophysiology of thoracic neoplasms and discusses current imaging recommendations for diagnosis and staging of these tumors. Particular emphasis is given to primary lung cancers, which comprise a variety of tumors of differing histologic type and behavior. The development of cost-effective diagnostic/staging sequences with continually changing imaging technology continues to be a challenging goal. Our recommendations are based on the TNM system and data from the current literature employing the experience from our institution.

Adenocarcinoma↗
PubMed1983

Circannual changes in immune function.

Adrenocortical activity varies on a circannual basis with increased secretion in the winter and decreased secretion in the summer. One consequence of this variation is a circannual pattern in immune function. Adrenal corticosteroids, especially glucocorticoids, depress cellular immune function and seem to be more effective against T-suppressor cells. Thus, when adrenocortical activity is elevated, T-cell activity is depressed and B-cell activity is elevated. To the extent that T-cell "surveillance" is depressed in winter, there should be increased lymphoproliferative cancer risk during winter and in regions characterized by cold climates. This article presents data which suggest: (1) a winter, adrenal-corticoid induced, depression of T-cell function which is accompanied by elevated B-cell function; (2) elevated serum immunoglobulin levels in the winter; and (3) an inverse relationship between ambient temperature and serum immunoglobulin levels. The circannual pattern in immune function could help explain increased lymphoproliferative cancer risk, as a side effect of immunosuppression therapy during organ transplants, and as a function of latitude.

Adrenal Cortex Hormones↗
PubMed1983

Clinical evaluation of unsharp masking and slit scanning techniques in chest radiography.

Conventional, unsharp masking, and slit-mask (combining slit radiography and unsharp masking) techniques were compared in a clinical nodule detection study in cancer patients who were at risk for metastatic lung disease. Unsharp masking improved detection rates for nodules located in poorly penetrated areas of the chest (25% vs. 52%), with no difference in detection rates for other areas of the image and no change in false-positive detection rates. Results with the slit-mask technique did not differ significantly from those obtained with conventional techniques. In general, the differences in nodule detection rates noted between different techniques in the clinical study were less than had been observed in earlier phantom-nodule detection studies. Possible reasons for these findings are discussed.

Clinical Trials as Topic↗
PubMed1982

Lung tissue volume estimated by simultaneous radiographic and helium dilution methods.

The pulmonary total tissue volume (blood, extravascular water, and dry tissue volume) was measured by finding the difference between the radiographic displacement volume of the thorax (RDVT) and the lung gas volume. Simultaneous determinations of RDVT and gas volume were made in 10 healthy subjects sitting upright. RDVT was determined from posteroanterior and lateral chest radiographs, a computerised modification of the Barnhard method being used; and gas volume was measured by helium dilution with each radiographic exposure. At functional residual capacity pulmonary total tissue volume was 843 +/- 110 ml (1 SD). The density of the lung (ml tissue per ml tissue and gas) was 0.19 +/- 0.03 (1 SD). This method, different in principle from indicator-dilution and acetylene rebreathing studies, provides measurements of total tissue volume.

Adult↗
PubMed1981

Dual energy film subtraction technique for detecting calcification in solitary pulmonary nodules.

A simple film subtraction technique has been devised that isolates calcium image contrast and mutes tissue image contrast. Two exposures are required. The first is made on XL film using a 65 kVp beam filtered with 2 mm aluminum. The second is made on OG (high contrast) film using a 130 kVp beam filtered with 2 mm copper and 2 mm aluminum. The effective energies of these two beams are approximately 45 keV and 83 keV, respectively. A subtraction image is made, using the low energy image for the mask. With this technique it is possible to detect concentrations of 125 mg/cm3 of diffuse calcification in a chest nodule 1 cm in diameter. If the presence of diffuse calcification is found to be an indicator of benignancy in solitary pulmonary nodules, this technique may have diagnostic value for the detection of such calcification. Computerized tomographic findings are discussed and related to this technique.

Calcinosis↗
PubMed1981

Venous thromboembolism in decompensated chronic obstructive pulmonary disease. A prospective study.

Largely on the basis of postmortem studies, pulmonary emboli have been implicated as an etiologic factor in the acute and chronic respiratory failure of chronic obstructive pulmonary disease (COPD). The diagnosis of pulmonary embolism clinically or by tests directed at the lungs (except pulmonary angiography) is likely to be inaccurate in the presence of COPD because of the underlying abnormalities. We reasoned that by directing tests at the lower extremities to determine the presence or absence of deep venous thrombosis (DVT), we might obtain an accurate reflection of the presence of pulmonary emboli (PE), since virtually all PE are believed to arise in those deep veins. Accordingly, in a group of 45 patients with decompensated COPD, we performed ascending contrast venography (12 patients), 125I-labeled fibrinogen scanning (6 patients), or both (27 patients). Only 2 patients had proximal DVT, which was probably present on admission (4.4%). Two other patients developed DVT (limited to the calf) while hospitalized, (overall incidence of 8.9%). Another patient developed superficial thrombophlebitis during the study but before venography. Noninvasive tests for DVT (Doppler ultrasound and impedance plethysmography) were performed in 40 subjects. A negative result had a high predictive value (94% for each), but contrary to findings in other settings, a positive test had a poor predictive value (Doppler = 33%, IPG = 25%).

Aged↗
PubMed1981

Krypton-81m ventilation scanning: acute respiratory disease.

From experience with 700 patients undergoing ventilation and perfusion lung scanning with krypton-81m/technetium-99m technique, 34 patients suffering from nonembolic acute respiratory disease were selected for review. In 16 patients with pneumonia, all had defects of ventilation corresponding to, or larger than, the radiologic consolidation. In 13 patients there were some preservation of perfusion in the consolidated region. In two of the three patients with matched defects, the pneumonia was of long standing. In seven patients with collapse or atelectasis and in 11 patients with acute reversible bronchial obstruction and normal volume lungs, a similar pattern of ventilation and perfusion was observed.

Adult↗
PubMed1978

Case report: Recurrent postictal pulmonary edema.

A 32-year-old man with a long history of grand mal seizures but otherwise good health had recurrent episodes of postictal pulmonary edema when he failed to take anticonvulsant medication regularly. This case illustrates most of the features observed in other reported cases of postictal pulmonary edema. Symptoms include dyspnea and cough with production of various quantities of mucoid fluid that may be copious and frankly hemorrhagic. Blood pressure is normal, and temperature may be normal also but is frequently elevated to 100 or 101 F. No cardiac irregularities are heard on auscultation, and the ECG is often normal, but a wide range of abnormalities may be seen. Considerable arterial hypoxemia may occur, and leukocytosis (11,000 to 14,000 cells per cubic millimeter) is common. Rales and rhonchi are audible, and chest films often show bilateral upper and middle lobe infiltrates. The patient is usually clinically improved within 24 hours and the pulmonary edema completely cleared in three to five days.

Adult↗
PubMed1978

131I-labeled fibrinogen in the diagnosis of deep vein thrombosis of the lower extremities.

Autologous 131I-labeled fibrinogen was administered to 17 patients during 19 episodes of suspected lower extremity deep vein thrombosis in an attempt to assess its diagnostic accuracy. Serial rectilinear scanning and probe counting of the lower extremities and pelvis were performed and compared with ascending contrast venography. The sensitivities of imaging and counting were 67% and 47%, respectively, and both had a specificity of 95%. The experience with evaluation of deep vein thrombosis of the pelvic and iliac veins was small but suggested that 131I fibrinogen will be of limited use in those vessels.

Fibrinogen↗