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Biomedical subjects

J M Lynch

Publications and source records attributed to J M Lynch.

121 records · Page 7Linked to original sources

Case report. Disseminated sporotrichosis presenting as sarcoidosis: electron microscopic and immunologic studies.

A 50-year-old black man with constitutional symptoms, cutaneous nodules, and bilateral hilar adenopathy was found to have non-caseating granulomata on bronchial biopsy. He was treated with corticosteroids for sarcoidosis. Within five months he was found to have disseminated sporotrichosis. Electron microscopy revealed mycelial forms of S. schenckii in superficial lesions and yeast forms from deep tissue sites: no novel forms were seen. Blood mononuclear cell studies revealed hyperactive suppressor cells with respect to non-specific T cell targets and the antigen specific target. Examination of the initial biopsy material after digestion with diastase before PAS staining revealed budding yeast consistent with S. schenckii. This case emphasizes the need for careful histopathologic examination of clinical material before a diagnosis of sarcoidosis is made, and reveals an immunologic abnormality which may account for the patient's anergic state and susceptibility to S. schenckii infection.

Bronchial Diseases↗

Influence of resistance training volume and periodization on physiological and performance adaptations in collegiate women tennis players.

Few data exist on the long-term adaptations to heavy resistance training in women. The purpose of this investigation was to examine the effect of volume of resistance exercise on the development of physical performance abilities in competitive, collegiate women tennis players. Twenty-four tennis players were matched for tennis ability and randomly placed into one of three groups: a no resistance exercise control group, a periodized multiple-set resistance training group, or a single-set circuit resistance training group. No significant changes in body mass were observed in any of the groups throughout the entire training period. However, significant increases in fat-free mass and decreases in percent body fat were observed in the periodized training group after 4, 6, and 9 months of training. A significant increase in power output was observed after 9 months of training in the periodized training group only. One-repetition maximum strength for the bench press, free-weight shoulder press, and leg press increased significantly after 4, 6, and 9 months of training in the periodized training group, whereas the single-set circuit group increased only after 4 months of training. Significant increases in serve velocity were observed after 4 and 9 months of training in the periodized training group, whereas no significant changes were observed in the single-set circuit group. These data demonstrate that sport-specific resistance training using a periodized multiple-set training method is superior to low-volume single-set resistance exercise protocols in the development of physical abilities in competitive, collegiate women tennis players.

Adolescent↗

The effect of a pneumatic leg brace on return to play in athletes with tibial stress fractures.

A total of 18 competitive and recreational athletes were enrolled in a randomized, prospective study looking at the effect of pneumatic leg braces on the time to return to full activity after a tibial stress fracture. All patients had positive bone scans and 15 had positive radiographic findings by Week 12. There were two treatment groups. The traditional treatment group was treated with rest and, after 3 pain-free days, a gradual return to activity. The pneumatic leg brace (Aircast) group had the brace applied to the affected leg and then followed the same return to activity guidelines. The guidelines consisted of a detailed functional progression that allowed pain-free return to play. The brace group was able to resume light activity in 7 days (median) and the traditional group began light activity in 21 days (median). The brace group returned to full, unrestricted activity in 21 +/- 2 days, and the traditional group required 77 +/- 7 days to resume full activity. The Aircast pneumatic brace is effective in allowing athletes with tibial stress fractures to return to full, unrestricted, pain-free activity significantly sooner than traditional treatment.

Adolescent↗

Role relationships: lesbian perspectives.

This questionnaire study of 140 lesbians, 70 couples who have lived together for one or more years, explores equality and role relationships. We predicted that lesbians would achieve partnerships characterized by equality and freedom from traditional butch-femme role playing. Financial sharing and decision-making were found to be characterized by high degrees of equality. Household responsibilities tended to be performed individually, but no role-playing was evident. Sexual intimacy items indicated less perceived equality than other areas. And overall, some partners were viewed as unequal. The variables of age, income, education, occupation, assets, and years living together did not explain the inequality observed.

Adult↗

Kjeldahl nitrogen analysis as a reference method for protein determination in dairy products.

Measurement of total nitrogen by Kjeldahl analysis is the historical reference method for determination of the protein content of dairy products and is used for both calibration and validation of alternative methods for protein determination. Accurate evaluation of alternative methods is not possible if there is large uncertainty regarding the reference values. When Kjeldahl analysis is used to establish reference values, the performance of the Kjeldahl testing must be verified and within established expectations. Advice is given for Kjeldahl system optimization, evaluation of test results, and trouble-shooting. Techniques for successful Kjeldahl nitrogen analysis of dairy products other than milk are discussed.

Animals↗

Determination of fat in raw and processed milks by the Gerber method: collaborative study.

The Gerber method is used worldwide as a simple and rapid method for determining fat in raw and processed milks. However, the volume of the test portion used in the method has not been internationally agreed upon. A collaborative study was conducted to evaluate performance of the Gerber method using either a weighed test portion (11.13 g) or by a 10.77 mL test portion delivered by pipet. For each method, laboratories received 10 test samples: 5 raw and 5 pasteurized homogenized milks, 2 of which were blind duplicate pairs. Eleven and 10 laboratories participated in the evaluation of aliquot addition by weight and pipet, respectively. Mojonnier ether extraction (Method 989.05) was used as the reference method. Interlaboratory study statistics were similar between methods of test portion addition and between raw and processed materials; therefore, summary interlaboratory study statistics were pooled. The fat content of milk samples ranged from 0.96 to 5.48%. Absolute reproducibility and repeatability were not affected by fat level, and pooled statistical performance (invalid and outlier data removed) was (g fat/100 g milk) s(r) = 0.026, s(R) = 0.047, r = 0.074, and R = 0.132. Relative standard deviations increased with decreasing fat content, and were summarized by fat level: 1-2% fat milk, mean = 1.437, RSD(r) = 1.809%, RSD(R) = 3.271%; 2-6% fat milk, mean = 4.156, RSD(r) = 0.626%, RSD(R) = 1.131%. Compared with ether extraction, test results by the Gerber method were slightly lower (0.02% fat) using a weighed test portion and significantly lower (0.06% fat) using a 10.77 mL volume addition by pipet. A trend toward underestimating fat content at lower fat concentrations (1-2% fat) was observed with the weighed test portion but not when a pipet was used. The Associate Referee recommends that the Gerber method using a weighed test portion be adopted as First Action with applicability limited to whole milk.

Animals↗

Effect of infrared analyzer homogenization efficiency on repeatability of uncorrected fat A and fat B signals.

Poor repeatability by infrared milk analyzers may be caused by inefficient homogenization as a result of light scattering and the Christiansen effect. The objectives of this study were to identify instruments with good and poor homogenization efficiency and to determine if a difference exists in repeatability performance between instruments with good vs poor homogenization efficiency. Unhomogenized and homogenized portions of the same milk were tested 20 times consecutively on 22 instruments. An instrument was considered to have poor homogenization efficiency if the mean difference in the uncorrected signal between unhomogenized and homogenized portions of the same milk was > or = 1.43% of the fat test (i.e., > or = 0.05% at 3.5% fat). Instruments were evaluated for repeatability by calculating the sample standard deviation and the range of the latter 19 uncorrected readings for unhomogenized and homogenized milks. When repeatability was evaluated as a function of homogenization efficiency, there was a significant (p = 0.001) correlation between poor homogenization efficiency and poor repeatability when testing unhomogenized milk but not when testing homogenized milk. Improved homogenizer performance within infrared milk analyzers is needed to improve the repeatability of raw milk testing.

Animals↗

Effect of infrared analyzer homogenization efficiency on linearity of uncorrected fat A and fat B signals.

The objective of the survey was to determine if poor homogenizer performance causes nonlinear behavior of the uncorrected fat A or fat B signal that is not detected when an instrument's residual nonlinearity is determined by using dilutions of homogenized milk instead of unhomogenized milk. Unhomogenized and homogenized (17238 kPa) portions of the same 6.1% fat milk were tested on 20 instruments to determine homogenization efficiency. Instruments with differences of > or = 0.087% fat between homogenized and unhomogenized portions of the same milk had inefficient homogenization, on the basis of criteria established in a previous study. Four and 12 instruments out of 20 demonstrated inefficient homogenization for the fat A and fat B channels, respectively. Uncorrected signal linearity for the fat channels was evaluated quantitatively by using a series of dilutions of homogenized (17238 kPa) and unhomogenized milks. Most instruments passed the linearity evaluation for dilutions of either homogenized or unhomogenized milk, even though many of the same instruments failed the homogenization efficiency evaluation. Thus, using dilutions of homogenized milk is valid for linearity evaluation of instruments being used for testing unhomogenized milk in the range of fat concentrations used for payment testing.

Animals↗

Comparison of Babcock and ether extraction methods for determination of fat content of cream: collaborative study.

A modified Mojonnier ether extraction method for determination of the fat content of cream was developed based on the method for milk (AOAC Official Method 989.05). The cream Babcock method (AOAC Official Method 920.111B-C) was modified to harmonize with the milk Babcock method (AOAC Official Method 989.04) and to clarify procedural details. Using the AOAC collaborative study format, 10 laboratories tested 9 pairs of blind duplicate heat-treated cream samples with a fat range of 30-45% using both methods. The statistical performance (invalid and outlier data removed) was as follows: mean % fat = 37.932, Sr = 0.125, SR = 0.151, RSDr = 0.330, RSDR = 0.398, r = 0.354, and R = 0.427 for the ether extraction method. For the Babcock method, mean % fat = 38.209, Sr = 0.209, SR = 0.272, RSDr = 0.548, RSDR = 0.712, r = 0.592, and R = 0.769. Average test results for fat from the Babcock method were 0.277% (absolute fat) greater than for the Mojonnier ether extraction method. The difference between methods, as a percentage of the average fat content of the samples, was 0.73%. This agrees with differences observed between the 2 methods for milk when 10 to 17 laboratories tested 7 milk samples in blind duplicate at bimonthly intervals over a 4-year period (average difference 0.029% fat, 0.78% as a percentage of average fat content). The Mojonnier ether extraction and Babcock methods for fat in cream have been adopted by AOAC INTERNATIONAL. The new Babcock method replaced the AOAC Official Method 920.111B-C.

Animals↗

Performance evaluation of direct forced-air total solids and Kjeldahl total nitrogen methods: 1990 through 1995.

Results from collaborative studies of the performance of the direct forced-air oven-drying method for determination of milk total solids content (AOAC Method 990.20) and the Kjeldahl total nitrogen method for determination of milk total nitrogen content (AOAC Method 991.20) were published in 1989 and 1990, respectively. Method performance was characterized by using the harmonized ISO/IU-PAC/AOAC guidelines for method validation, and the methods now have final action status. During 1990 through 1995, the split sample collaborative study format was used to monitor the performance of these methods as part of a multilaboratory quality assurance program. Seven blind duplicate milk materials were sent from a central laboratory once every 2 months to participating laboratories. Data were analyzed with the same statistical procedures used in the original collaborative studies. Compared with the original collaborative study, the repeatability and reproducibility of the oven-drying method improved over time. For the Kjeldahl total nitrogen method, within-laboratory repeatability improved slightly, whereas between-laboratory reproducibility was similar to but not always as good as in the original study. The results demonstrate that the statistical protocol for collaborative studies can be used effectively as the basis for a multilaboratory quality assurance program and that the method performance achieved in a collaborative study can be maintained and even improved with time.

Animals↗

Indirect and direct determination of the casein content of milk by Kjeldahl nitrogen analysis: collaborative study.

The classic method for determination of milk casein is based on precipitation of casein at pH 4.6. Precipitated milk casein is removed by filtration and the nitrogen content of either the precipitate (direct casein method) or filtrate (noncasein nitrogen; NCN) is determined by Kjeldahl analysis. For the indirect casein method, milk total nitrogen (TN; Method 991.20) is also determined and casein is calculated as TN minus NCN. Ten laboratories tested 9 pairs of blind duplicate raw milk materials with a casein range of 2.42-3.05% by both the direct and indirect casein methods. Statistical performance expressed in protein equivalents (nitrogen x 6.38) with invalid and outlier data removed was as follows: NCN method (wt%), mean = 0.762, sr = 0.010, sR = 0.016, repeatability relative standard deviation (RSDr) = 1.287%, reproducibility relative standard deviation (RSDr) = 2.146%; indirect casein method (wt%), mean = 2.585, repeatability = 0.015, reproducibility = 0.022, RSDr = 0.560%, RSDR = 0.841; direct casein method (wt%), mean = 2.575, sr = 0.015, sR = 0.025, RSDr = 0.597%, RSDR = 0.988%. Method performance was acceptable and comparable to similar Kjeldahl methods for determining nitrogen content of milk (Methods 991.20, 991.21, 991.22, 991.23). The direct casein, indirect casein, and noncasein nitrogen methods have been adopted by AOAC INTERNATIONAL.

Animals↗