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Biomedical subjects

J Mercier

Publications and source records attributed to J Mercier.

At least 145 records · Page 8Linked to original sources
PubMed1995

[Evolution of breathing pattern and ventilation at maximal exercise during growth. Definition of reference values].

The aim of the study was to define the changes of parameters of breathing pattern and ventilation (VE) as a function of age during maximal exercise in children. A multi-longitudinal survey was conducted in forty four untrained schoolboys, divided in three groups with initial age of 11.2 years for group I, 12.9 years for group II, and 14.9 for group III. These children were subsequently followed three years ago at the same period. The range age was thus 11.2 to 16.9 years. This study showed that, during growth, ventilation (VE max), tidal volume (VT max) and mean inspiratory flow (VT/TI max) increased significantly with age, that inspiratory frequency (f max) decreased, that inspiratory, expiratory and total time of the respiratory cycle (TI max, TE max, TTOT max) increased slightly and that the inspiration fraction (TI/TTOT max) was identical at 11 and 17 years. Furthermore we observed that the peak height velocity and peak tidal volume velocity took place at the same age, i.e., 14 years and that those of weight and VT/TI at the same age of 15 years. In conclusion, this study allowed us to define reference values for breathing pattern at maximal exercise in sedentary boys and to specify the relation between growth and parameters of breathing pattern in these children.

Adolescent↗
PubMed1995

[Effect of hypodynamia on initial speed of lactate transport in skeletal muscle sarcolemmal vesicles in rats].

Skeletal muscle sarcolemmal vesicles from control (C) and hindlimb suspended (S) rats were used to investigate the effect of unweighting on the lactate transporter activity. Sarcolemmal preparations were not different between the two groups. The efficiency of 4 weeks of hindlimb suspension was confirmed by a 40% decrease of citrate synthetase activity and a shift towards faster myosin isoforms in soleus muscle. The time course of 1 mM lactate uptake showed that the equilibrium was reached faster in group C (20 s) than in group S (40 s). The initial rate of 1 mM of lactate uptake decreased significantly (p < 0.05) after 4 weeks of hindlimb suspension. The initial rate of 50 mM lactate uptake did not differ significantly between the two groups. We conclude that 4 weeks of unweighting decreases significantly the skeletal muscle sarcolemmal lactate transport activity in rats. This result suggests that the level of physical activity probably plays a role on lactate transport regulation in muscle.

Animals↗
PubMed1995

[The Bichat ball. The surgical value of oro-sinus communications].

Bichat's ball is a mass of adipose tissue used to fill communications between the buccal cavity and the sinus. The anatomy of the structure is presented. it has a body and 6 extensions. A surgical technique is proposed in comparison with previously described methods. At 6 weeks, there has been no recurrence of buccal-sinus communication in a series of approximately 300 cases operated over a period of 15 years.

Adipose Tissue↗
PubMed1994

Energy expenditure and cardiorespiratory responses at the transition between walking and running.

We investigated whether the spontaneous transition between walking and running during moving with increasing speed corresponds to the speed at which walking becomes less economical than running. Seven active male subjects [mean age, 23.7 (SEM 0.7) years, mean maximal oxygen uptake (VO2max), 57.5 (SEM 3.3) ml.kg-1.min-1, mean ventilatory threshold (VTh), 37.5 (SEM3) ml.kg-1.min-1] participated in this study. Each subject performed four exercise tests separated by 1-week intervals: test 1, VO2max and VTh were determined; test 2, the speed at which the transition between walking and running spontaneously occurs (ST) during increasing speed (increases of 0.5 km.h-1 every 4 min from 5 km.h-1) was determined; test 3, the subjects were constrained to walk for 4 min at ST, at ST +/- 0.5 km.h-1 and at ST +/- 1 km.h-1; and test 4, the subjects were constrained to run for 4 min at ST, at ST +/- 0.5 km.h-1 and at ST +/- 1 km.h-1. During exercise oxygen uptake (VO2), heart rate (HR), ventilation (VE), ventilatory equivalents for oxygen and carbon dioxide (VE/VO2, VE/VCO2), respiratory exchange ratio (R), stride length (SL), and stride frequency (SF) were measured.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1994

Effects of 2-chloropropionate on venous plasma lactate concentration and anaerobic power during periods of incremental intensive exercise in humans.

We investigated the effects of a stimulation of pyruvate dehydrogenase (PDH) activity induced by 2-chloropropionate (2-CP) on venous plasma lactate concentration and peak anaerobic power (W an, peak) during periods (6 s) of incremental intense exercise, i.e. a force-velocity (F-v) test known to induce a marked accumulation of lactate in the blood. The F-v test was performed twice by six subjects according to a double-blind randomized crossover protocol: once with placebo and once with 2-CP (43 mg.kg-1 body mass). Blood samples were taken at ingestion of the drug, at 10, 20, and 40 min into the pretest period, at the end of each period of intense exercise, at the end of each 5-min recovery period, and after completion of the F-v test at 5, 10, 15, and 30 min. During the F-v test, venous plasma lactate concentrations with both placebo and 2-CP increased significantly when measured at the end of each period of intense exercise (F = 33.5, P < 0.001), and each 5-min recovery period (F = 24.6, P < 0.001). Venous plasma lactate concentrations were significantly lower with 2-CP at the end of each recovery period (P < 0.01), especially for high braking forces, i.e. 8 kg (P < 0.05), 9 kg (P < 0.02), and maximal braking force (P < 0.05). After completion of the F-v test, venous plasma lactate concentrations were also significantly lower with 2-CP (P < 0.001). The percentage of lactate decrease between 5- and 30-min recovery was significantly higher with 2-CP than with the placebo [59 (SEM 4)% vs 44.6 (SEM 5.5)%, P < 0.05]. Furthermore, W an, peak was significantly higher with 2-CP than with the placebo [1016 (SEM 60) W vs 957 (SEM 55) W, P < 0.05]. In conclusion, PDH activation by 2-CP attenuated the increase in venous plasma lactate concentration during the F-v test. Ingestion of 2-CP led to an increased W an, peak.

Adult↗
PubMed1994

Sickle cell trait as a limiting factor for high-level performance in a semi-marathon.

Of 1506 black males participating in the first Abidjan semi-marathon, 123 subjects with sickle cell trait (SCT) were detected, i.e., 8.7%. Twenty-nine of these subjects with hemoglobin S (HbS) were ranked among the first 332 participants to finish the race, a percentage of 8.2. These percentages did not significantly differ from the prevalence of SCT observed in the general Ivory Coast population (12.0%). Only one subject with SCT was found among the 22 internationally-ranked athletes. The concentration of HbS found in this athlete (37.7%), his mean globular volume (87 fl), and his hemoglobin concentration (13.8 g/100 ml) suggest the coexistence of alpha-thalassemia with SCT. These results indicate that the percentage of SCT individuals participating in a semi-marathon is equal to the prevalence of SCT found in the local population. Furthermore, the general ranking of SCT individuals is comparable to that of non-SCT individuals. Nevertheless, at the level of internationally-ranked performance, no subject with SCT only, was ranked; the one ranked subject with SCT presented an associated alpha thalassemia. We thus hypothesize that SCT may be a limiting factor for high level performance in a semi-marathon and alpha-thalassemia, an enhancing factor for subjects with SCT to succeed in long distance races.

Adolescent↗
PubMed1994

Balance of carbohydrate and lipid utilization during exercise: the "crossover" concept.

The "crossover" concept represents a theoretical means by which one can understand the effects of exercise intensity and prior endurance training on the balance of carbohydrate (CHO) and lipid metabolism during sustained exercise. According to the crossover concept, endurance training results in muscular biochemical adaptations that enhance lipid oxidation as well as decrease the sympathetic nervous system responses to given submaximal exercise stresses. These adaptations promote lipid oxidation during mild- to moderate-intensity exercise. In contrast, increases in exercise intensity are conceived to increase contraction-induced muscle glycogenolysis, alter the pattern of fiber type recruitment, and increase sympathetic nervous system activity. Therefore the pattern of substrate utilization in an individual at any point in time depends on the interaction between exercise intensity-induced responses (which increase CHO utilization) and endurance training-induced responses (which promote lipid oxidation). The crossover point is the power output at which energy from CHO-derived fuels predominates over energy from lipids, with further increases in power eliciting a relative increment in CHO utilization and a decrement in lipid oxidation. The contemporary literature contains data indicating that, after endurance training, exercise at low intensities (< or = 45% maximal O2 uptake) is accomplished with lipid as the main substrate. In contrast, the literature also contains reports that are interpreted to indicate that during hard-intensity exercise (approximately 75% maximal O2 uptake) CHO is the predominant substrate. Seen within the context of the crossover concept these apparently divergent results are, in fact, consistent.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1994

Cardiopulmonary exercise testing. Determinants of dyspnea due to cardiac or pulmonary limitation.

The aim of this study was to bring to light new and simple criteria, obtained during cardiopulmonary exercise testing, in order to demonstrate in patients the cardiac or the pulmonary origin of a comparable exertional dyspnea. Forty male subjects were compared, who exercised with a 30-W/3-min protocol and were divided into three groups: the cardiac heart failure (CHF) group (n = 15), the chronic obstructive lung disease (COLD) group (n = 15), and the control group (n = 10). The two groups of patients differed totally from the control group concerning their spirometric values at rest and a clear inability during effort which was confirmed by all the studied cardiopulmonary parameters at maximal exercise. The CHF and COLD groups differed slightly concerning their maximum symptom-limited oxygen uptake, only when related to body mass (13.26 +/- 0.69 ml/kg/min in CHF group, 17.05 +/- 1.59 ml/kg/min in COLD group; p < 0.05), and concerning their maximum ventilatory equivalent for oxygen which tended to be higher in the CHF group in comparison with the COLD group (p = 0.082). Furthermore, and as foreseen, the two groups of patients clearly differed at maximum exercise concerning the ventilatory reserve respiratory parameter (49.73 +/- 3.18 percent in CHF group, 8.38 +/- 5.85 percent in COLD group; p < 0.01). On the other hand, they did not differ concerning cardiac parameters or those considered as such (maximum heart rate [HR], HR reserve, HR response, maximum O2 pulse measurement). While their maximum ventilation was similar in the CHF and COLD groups, a difference in adaptation during exercise was found by observing their breathing pattern. In the CHF group, this was demonstrated by a significantly lower breathing frequency at maximum exercise (31.24 +/- 1.53 beats/min vs 37.75 +/- 2.24 beats/min; p < 0.05) and a tidal volume that tended to be higher at maximum exercise (p = 0.077) and significantly higher at 60-W work load (p < 0.05). This work shows that the study of ventilatory reserve and breathing pattern during exercise testing allows one to discriminate if dyspnea on exertion in patients is due to cardiac or respiratory disease.

Adult↗
PubMed1994

[Tooth extraction in hemophiliacs and patients with von Willebrand's disease. Therapeutic proposals apropos of 26 cases].

Extensive bleeding is an important complication of dental extractions in haemophiliacs. Based on 26 case reports, the different therapeutic possibilities are discussed. When general or regional anaesthesia is required, protocols can be proposed for coagulation factor supplementation or even treatment with Minirin. In cases with local anaesthesia, substitution is not required. The importance of mandatory local haemostatic measures combined with antifibrinolytic treatment is emphasized.

Adolescent↗
PubMed1994

[Changes in the periodontal alveolar bone after surgical restoration of the dental occlusion].

Alveolar cortical bone of 49 including teeth of patients with dento-facial deformities has been studied before and after procedures of orthognathic surgery, performed to give a correct occlusion of those teeth. Standardised radiographic technic was used to measure the width of cortical alveolar lamina. The width was increased in all teeth studied, in a variable degree. This augmentation was explained as morphologic changes to maintain physiologic conditions in teeth's function.

Adolescent↗
PubMed1993

Pulmonary gas exchange and breathing pattern during and after exercise in highly trained athletes.

Highly trained athletes (HT) have been found to show arterial hypoxaemia during strenuous exercise. A lack of compensatory hyperpnoea and/or a limitation of pulmonary diffusion by pulmonary interstitial oedema have been suggested as causes, but the exact role of each is not clear. It is known, however, that interstitial pulmonary oedema may result in rapid shallow breathing (RSB). The purpose of this study was therefore twofold: firstly, to determine the exact role of a lack of compensatory hyperpnoea versus a widened in ideal alveolar minus arterial oxygen partial pressure difference [PA(i)-aO2] in the decrease in partial pressure of oxygen in arterial blood (PaO2) and, secondly, to detect RSB during recovery in HT. Untrained subjects (UT) and HT performed exhausting incremental exercise. During rest, exercise testing, and recovery, breathing pattern, respiratory gas exchange, and arterial blood gases were measured. The PA(i)-aO2 and the difference in tidal volume (VT) between exercise and recovery for the same level of ventilation, normalized to vital capacity of the subject [delta VT(%VC)], were then calculated. A large positive delta VT(%VC) was considered to be the sign of RSB. HT showed a marked hypoxaemia (F = 11.6, P < 0.0001), higher partial pressure of carbon dioxide in arterial blood (F = 3.51, P < 0.05), and lower ideal partial pressure of oxygen in alveolar gas (P < 0.001). The relationship between PA(i)-aO2 and oxygen consumption was the same for the two groups. The widening PA(i)-aO2 persisted throughout recovery for both HT and UT. The RSB was observed in HT during recovery.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1993

Anaerobic and aerobic components during arm-crank exercise in sprint and middle-distance swimmers.

The purpose of this investigation was to compare anaerobic and aerobic components measured during arm exercise in sprint and middle-distance swimmers and to investigate whether the peak anaerobic power:peak aerobic power ratio (W(an),peak:Waer,peak) was related to specialization for the event and to performance. The W(an0,peak, force at zero velocity (F0), and velocity at zero-force (v0), Waer,peak, peak oxygen uptake (VO2peak), and ventilatory threshold (Thv) were compared during arm exercise tests in sprint (group I, n = 8) and middle-distance (group II, n = 9) competitive male swimmers. Anaerobic indices were estimated by the force-velocity test, an anaerobic test using incremental braking forces; aerobic indices were measured during an incremental aerobic exercise test (30 W.min-1). The W(an),peak and Waer,peak were greater in group I [828 (SEM 70) W; 236 (SEM 12) W] than in group II [678 (SEM 28) W; 230 (SEM 5) W], but the differences were not significant. There were also no significant differences observed between the mean values of F0, v0, VO2peak, and Thv. The W(an0,peak:Waer,peak, however, was significantly higher in sprint swimmers (t = 3.08, P < 0.01). In seven of the swimmers, who had recently performed both the 100-m and 400-m front crawl, a relationship existed between their swim time and the W(an),peak:Waer,peak (100 m: r = -0.80, P < 0.05 and 400 m: r = +0.75, P < 0.05). In conclusion, during arm-crank exercise, we did not observe significant differences in anaerobic and aerobic components between sprint and middle-distance swimmers.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1993

Ventilatory response of prepubertal boys and adults to carbon dioxide at rest and during exercise.

The aim of this study was to determine whether the greater ventilation in children at rest and during exercise is related to a greater CO2 ventilatory response. The CO2 ventilatory response was measured in nine prepubertal boys [10.3 years (SD 0.1)] and in 10 adults [24.9 years (SD 0.8)] at rest and during moderate exercise (VCO2 = 20 ml.kg-1.min-1) using the CO2-rebreathing method. Three criteria were measured in all subjects to assess the ventilatory response to CO2: the CO2 sensitivity threshold (Th), which was defined as the value of end tidal PCO2 (PETCO2) where the ventilation increased above its steady-state level; the reactivity slope expressed per unit of body mass (SBM), which was the slope of the linear relation between minute ventilation (VE) and PETCO2 above Th; and the slope of the relationship between the quotient of tidal volume (VT) and inspiration time (tI) and PETCO2 (VT.tI-1.PETCO2(-1)) values above Th. The VE, VT, breathing frequency (fR), oxygen uptake (VO2), and CO2 production (VCO2) were also measured before the CO2-rebreathing test. The following results were obtained. First, children had greater ventilation per unit body weight than adults at rest (P < 0.001) and during exercise (P < 0.01). Second, at rest, only VT.tI-1.PETCO2(-1) was greater in children than in adults (P < 0.001). Third, during exercise, children had a higher SBM (P < 0.02) and VT.tI-1.PETCO2(-1) (P < 0.001) while Th was lower (P < 0.02).(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1993

Respiratory gas exchange indices used to detect the blood lactate accumulation threshold during an incremental exercise test in young athletes.

The time course of changes in blood lactate concentration and ventilatory gas exchange was studied during an incremental exercise test on a cycle ergometer to determine if the lactate accumulation threshold (LT2) could be accurately estimated by the use of respiratory indices (VT2) in young athletes. LT2 was defined as the starting point of accelerated lactate accumulation. VT2 was identified by the second exponential increase in VE and the ventilatory equivalent for O2 uptake with a concomitant nonlinear increase in the ventilatory equivalent for CO2 output. Twelve trained subjects, aged 18-22 years, participated in this study. The initial power setting was 30 W for 3 min with successive increases of 30 W every minute except at the end of the test when the increase was reduced. Ventilatory flow (VE), oxygen uptake (VO2), carbon dioxide output (VCO2), and ventilatory equivalents of O2 and CO2 were determined during the last 30 s of every minute. Venous blood samples were drawn at the end of each stage of effort and analysed enzymatically for lactate concentration. After each test, LT2 and VT2 were determined visually by two investigators from the graphic results using a double-blind procedure. The results [mean (SEM)] indicate no significant difference between LT2 and VT2 expressed as VO2 [43.98 (1.70) vs 44.93 (2.39) ml.min-1 x kg-1], lactataemia [4.01 (0.28) vs 4.44 (0.37) mM.l-1], or heart rate [171 (3.36) vs 173 (3.11) min-1]. In addition, strong correlations were noted between the two methods for VO2 (r = 0.90, P < 0.001), lactataemia (r = 0.75, P < 0.01), and heart rate (r = 0.96, P < 0.001).(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1993

Multiplex polymerase chain reaction for detection and differentiation of the microbial insecticide Bacillus thuringiensis.

A rapid identification of Bacillus thuringiensis strains was established by using multiplex polymerase chain reaction (PCR). Primers of high homology specific to regions within genes encoding three major classes of B. thuringiensis crystal proteins were used to generate a PCR product profile characteristic of each strain of B. thuringiensis subsp. kurstaki. Differentiation among these strains was made on the basis of the electrophoretic pattern of the PCR products. Known B. thuringiensis subsp. kurstaki strains as well as unidentified strains isolated from insect cadavers were analyzed by PCR. Small amounts of crude sample lysates were assayed in a two-step PCR containing five primers capable of distinguishing between the strains giving products of 1,500, 858, and 653 bp for the CryIA(a) CryIA(b), and CryIA(c) genes, respectively. The method can be applied to rapidly detect the strains of B. thuringiensis subsp. kurstaki in commercial formulations and in the field.

Animals↗
PubMed1993

Detection of the pathogenic parasite Toxoplasma gondii by specific amplification of ribosomal sequences using comultiplex polymerase chain reaction.

Amplification of DNA sequences from ribosomal DNA (rDNA) was tested as a specific and sensitive method for the detection of small numbers of Toxoplasma gondii tachyzoite cells. We applied the polymerase chain reaction (PCR) on the basis of detection of the 110-fold repetitive rDNA as a target by using (i) DNA sequences within the small ribosomal subunit known to be universal and conserved in all eukaryotes and (ii) small ribosomal subunit and intergenic spacer rDNA sequences known to be T. gondii species specific. The level of sensitivity obtained from a crude cell lysate allowed the detection of as few as one parasite visualized directly as a specific PCR product in agarose gels. By using a combination of universal and T. gondii species-specific primers, we propose a comultiplex-based PCR approach as a new diagnostic tool. The combination of sensitivity, specificity, and built-in positive and negative PCR controls should make detection of the rDNA sequences by comultiplex PCR a useful clinical test for the diagnosis of toxoplasmosis and for epidemiological studies. Finally, the idea of a built-in positive control to support or counter the T. gondii-specific PCR result is novel and is a notable advance.

Animals↗