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Biomedical subjects

J P McCarthy

Publications and source records attributed to J P McCarthy.

At least 19 recordsLinked to original sources
PubMed2001

Hemoglobin, muscle oxidative capacity, and VO2max in African-American and Caucasian women.

PURPOSE: The purpose of this paper was to determine whether differences in hemoglobin (Hb) and muscle aerobic capacity exist between African-American (AA) and Caucasian (CA) premenopausal women and to determine whether Hb and aerobic capacity of the muscle are associated with the racial differences in maximum oxygen uptake (VO2max). METHODS: 43 AA and 46 CA sedentary premenopausal women were subjects. Percent body fat was determined by four-compartment model, leg lean tissue by dual energy x-ray absorptiometry, VO2max during a graded exercise test, aerobic capacity of the calf muscle by 31P magnetic resonance spectroscopy, and serum Hb by the cyanide method. RESULTS: AA women had reduced VO2max (AA 29.3 +/- 3.0 vs CA 33.6 +/- 5.6 mL.kg(-1) bdw(-1).min, P < 0.01), reduced muscle aerobic capacity (AA 24.3 +/- 5.8 vs CA 21.3 +/- 4.8 s, P = 0.01, where lower values indicate higher aerobic capacity), and reduced Hb (AA 11.8 +/- 1.3 vs CA 12.9 +/- 0.8 g.dL(-1), P < 0.01). The racial difference in VO2max persisted whether the values were unadjusted or adjusted for fat-free mass or leg lean tissue. Multiple regression analysis revealed that both Hb and muscle aerobic capacity were related to VO2max after adjusting for each other, race, and either fat-free mass or leg lean tissue. Being AA was associated with reduced VO2max in mL O2.kg leg lean tissue(-1).min(-1) (zero-order simple Pearson-product correlation -0.60, P < 0.01). When multiple regression was used, the correlation between race and VO2max decreased but persisted (-0.40, <0.01) after adjusting for Hb and muscle aerobic capacity. CONCLUSIONS: These data suggest that differences in Hb and aerobic capacity of muscle are related to reduced VO2max in AA women. However, Hb and aerobic capacity of the muscle can only partially explain the racial differences in VO2max.

Adult↗
PubMed1998

Total extrathoracic cardiopulmonary support with kinetic assisted venous drainage: experience in 50 patients.

Extrathoracic cardiopulmonary bypass is used in special situations when normal access to the right atrium and aorta is difficult or not practicable. Femero-femoral bypass using gravity drainage is effective for partial cardiopulmonary support, but cannot usually provide adequate venous drainage for full circulatory support. Kinetic assisted venous drainage (KAVD) is the process of applying a controlled suction on the venous line with a kinetic pump to augment venous drainage. KAVD has been used in 50 patients where femero-femoral bypass was selected as the mode of circulatory support. These cases included: redo-operations with significant sternal adhesions (15), minimally invasive port-access cardiac surgery (12), haemodynamic instability (10), left thoracotomy (10), and others (3). In 11 cases, a second venous catheter was added because of protocol. No appreciable increase in venous return occurred with the addition of a second drainage catheter. All patients were adequately supported and a 20-40% increase in venous return was observed once KAVD was implemented. A wide variety of different venous catheters have been used with KAVD. Optimal use relates to having a thin-walled catheter with multiple side holes, not exerting an excessive negative pressure with the pump and positioning the catheter tip at the right atrio-superior vena cava junction. Optimal catheter tip placement is enhanced by using transoesophageal echocardiography. KAVD is best regulated by measuring the siphon generated by the kinetic pump. When the inlet pressure is properly monitored and controlled, KAVD can provide adequate venous drainage to completely support the circulation on a single femoral venous cannula.

Adolescent↗
PubMed1997

Resistance exercise training and the orthostatic response.

Resistance exercise has been suggested to increase blood volume, increase the sensitivity of the carotid baroreceptor cardiac reflex response (BARO), and decrease leg compliance, all factors that are expected to improve orthostatic tolerance. To further test these hypotheses, cardiovascular responses to standing and to pre-syncopal limited lower body negative pressure (LBNP) were measured in two groups of sedentary men before and after a 12-week period of either exercise (n = 10) or no exercise (control, n = 9). Resistance exercise training consisted of nine isotonic exercises, four sets of each, 3 days per week, stressing all major muscle groups. After exercise training, leg muscle volumes increased (P < 0.05) by 4-14%, lean body mass increased (P = 0.00) by 2.0 (0.5) kg, leg compliance and BARO were not significantly altered, and the maximal LBNP tolerated without pre-syncope was not significantly different. Supine resting heart rate was reduced (P = 0.03) without attenuating the heart rate or blood pressure responses during the stand test or LBNP. Also, blood volume (125I and 51Cr) and red cell mass were increased (P < 0.02) by 2.8% and 3.9%, respectively. These findings indicate that intense resistance exercise increases blood volume but does not consistently improve orthostatic tolerance.

Adult↗
PubMed1995

Calcium entry blockers and activators: conformational and structural determinants of dihydropyrimidine calcium channel modulators.

Dihydropyrimidines 4, 6, and 15, uniquely designed to unambiguously establish structural and conformational determinants for DHP receptor occupation and for modulation of calcium channel function, were prepared and examined for calcium channel modulation. Our results confirm and firmly establish a preference for syn-orientation of an unsymmetrically substituted aryl moiety at the DHP receptor (15d vs 15e). We propose a normal vs capsized DHP boat model to explain structural and conformational requirements for modulation of calcium channel function that requires an obligatory left-hand side alkoxy cis-carbonyl interaction for maximal DHP receptor affinity, the effect of channel function being determined by orientation of the 4-aryl group. Enantiomers having an up-oriented pseudoaxial aryl group (normal DHP boat) will elicit calcium antagonist activity, whereas enantiomers having a down-oriented pseudoaxial aryl group (capsized DHP boat) will elicit calcium agonist activity. Single enantiomers of macrocyclic lactone 15b demonstrate opposite channel activity. Antagonist activity resides in enantiomer 15b-A (S-configuration, left-hand side alkoxy cis-carbonyl with up-oriented pseudoaxial aryl group and normal DHP boat), whereas agonist activity resides in enantiomer 15b-B (R-configuration, left-hand side alkoxy cis-carbonyl with down-oriented pseudoaxial aryl group and capsized DHP boat). Moreover, this model is consistent with and provides a rational explanation of previous literature in this area, most notably the observation of chiral inversion and potency diminution upon replacement of ester by hydrogen in the Bay K 8644 series.

Animals↗
PubMed1995

Compatibility of adaptive responses with combining strength and endurance training.

Impairment in strength development has been demonstrated with combined strength and endurance training as compared with strength training alone. The purpose of this study was to examine the effects of combining conventional 3 d.wk-1 strength and endurance training on the compatibility of improving both VO2peak and strength performance simultaneously. Sedentary adult males, randomly assigned to one of three groups (N = 10 each), completed 10 wk of training. A strength-only (S) group performed eight weight-training exercises (4 sets/exercise, 5-7 repetitions/set), an endurance-only (E) group performed continuous cycle exercise (50 min at 70% heart rate reserve), and a combined (C) group performed the same S and E exercise in a single session. S and C groups demonstrated similar increases (P < 0.0167) in 1RM squat (23% and 22%) and bench press (18% for both groups), in maximal isometric knee extension torque (12% and 7%), in maximal vertical jump (6% and 9%), and in fat-free mass (3% and 5%). E training did not induce changes in any of these variables. VO2peak (ml.kg-1.min-1) increased (P < 0.01) similarly in both E (18%) and C (16%) groups. Results indicate 3 d.wk-1 combined training can induce substantial concurrent and compatible increases in VO2peak and strength performance.

Adaptation, Physiological↗
PubMed1993

Effects of consumption of milk and milk constituents on plasma concentrations of gastric inhibitory polypeptide and metabolites in preruminant goat kids.

Plasma concentrations of gastric inhibitory polypeptide (GIP) were measured in preruminant goat kids before and after consumption of milk, skimmed milk or solutions of milk fat, lactose, glucose or casein plus lactose. GIP concentrations increased significantly within 1 h of consumption of milk or milk fat, and were elevated for the remainder of the 5-h sampling period. The integrated mean change in GIP concentration during this period did not differ between these two meals. GIP levels were slightly increased above basal values 5 h after skimmed milk consumption, probably reflecting the absorption of a small amount of fat, but overall there was no significant GIP response to this or to any of the other test meals. The marked increase in GIP concentration after a milk feed indicates a physiological role for the hormone in preruminants but, in contrast to the situation in simple-stomached animals, carbohydrate absorption does not elicit GIP secretion in the preruminant goat. The data strongly suggest that fat is the major nutrient to stimulate GIP secretion in these animals.

Administration, Oral↗
PubMed1992

Changes in the plasma concentration of gastric inhibitory polypeptide and other metabolites in response to feeding in sheep.

Plasma concentrations of gastric inhibitory polypeptide (GIP)-like activity were determined in sheep before and after refeeding following a 48-h fast. Plasma concentrations increased significantly after feeding, from about 250 pg/ml to about 550 pg/ml. Other metabolites in plasma also increased at this time, reflecting the absorption of nutrients from the gastrointestinal tract. Significant increases were observed in the plasma concentrations of acetate, beta-hydroxybutyrate and triacylglycerol. By comparing the time-courses of the changes in concentration of GIP and other metabolites in plasma, possible sites of secretion and secretagogues of GIP in ruminant animals are proposed. The results demonstrate that GIP is secreted in response to nutrient absorption in adult ruminants and that, as in simple-stomached animals, the absorption of long-chain free fatty acids plays an important role in this secretion.

3-Hydroxybutyric Acid↗
PubMed1990

Exercise intensity does not affect the composition of diet- and exercise-induced body mass loss.

The effect of caloric restriction (1200 kcal/d intake) in combination with high (High) (80-90% of peak VO2) or low (Low) (40-50% of peak VO2) exercise work rates on the composition of lost body mass was determined in 27 obese women (percent fat, 36.7 +/- 4.2%; mean +/- SD). All subjects trained 3 d/wk for 8 wk, with the High (n = 14) and Low (n = 13) groups exercising for 25 and 50 min/d, respectively. After posttesting there were no differences between the groups with respect to pre- to posttest changes (mean of combined groups) in body mass (-7%), fat-free mass (-10%), fat mass (-16%), percent fat (-10%), and sum of five skinfold-thickness measurements (-16%). This study suggests that with regard to conservation of fat-free mass, the selection of an exercise intensity for a diet and exercise regimen may be left to the preference of the clinician and/or dieter.

Adult↗
PubMed1985

Varying fat and protein in diets of growing large white turkeys.

Two series of three consecutive 4-week experiments with a total of 1,370 Large White turkeys between 8 and 20 weeks of age were conducted to determine the effects of varying levels of dietary fat and protein on body weight gain and feed efficiency. Diets containing 0, 5, and 10% added fat and 18, 20, 22, and 24% protein in a 3 X 4 factorial were each fed to a total of three pens of males and three pens of females. At the end of each 4-week period, the turkeys were rerandomized to form 12 new equivalent groups, and similar diets with 2% less protein were fed. As part of this study, two fats, varying in fatty acid composition, were also compared but found not to affect significantly body weight gain or feed efficiency. Interaction effects of fat and protein on body weight gain, feed consumption, or feed efficiency were not significant. Body weight gain increased .5, .6, and 1.1%, feed consumption decreased 1.1, 1.0, and .9%, and feed efficiency increased 1.7, 1.8, and 2.2% for each 1% added fat during the 8 to 12-, 12 to 16-, and 16 to 20-week periods, respectively. The greater-than-expected increase in feed efficiency from added fat to diets of older turkeys is postulated to be due to stimulated feed consumption and body weight gain rather than to an extra caloric content of fat per se.

Aging↗
PubMed1981

Lysine and protein requirements of growing turkeys.

A study was conducted with 1,751 Large White turkeys divided into 36 pens of males and 36 pens of females between 8 and 24 or 20 weeks of age, respectively, to determine the requirements of protein and lysine for turkeys. Diets were composed of ground yellow corn, dehulled soybean meal, 6% stabilized fat, 4% meat and bone meal, .4% methionine, minerals, and vitamins. A 3 X 3 factorial design of nine diets varying in protein (18, 21, and 24%) and added lysine (0, .1, and .2%) was used between 8 and 12 weeks of age. Birds were reassigned to new balanced pens at the end of each 4-week period, and protein levels were reduced by 3.0%. The addition of 3 and 6% protein, which provides .22 and .44% lysine, to diets of turkeys between 8 and 20 weeks of age increased body weight gains 18.3 and 24.7%, respectively, in contrast to an increase of only 2.2 and 3.6% from .1 and .2% added L-lysine per se. the minimum protein requirements of large White male turkeys at 10, 14, and 18 weeks of age are 21.3, 19.5, and 17.6% and for female turkeys 21.7, 18.4, and 15.0%, respectively. The minimum lysine requirements of large White turkeys to 12, 16, and 20 weeks of age are about 1.4, 1.2, and.9%, respectively, or 4.5, 3.7, and 3.0 g/kcal metabolizable energy. Another amino acid appears to be equally or more deficient than lysine in diets used in this study.

Aging↗
PubMed1980

Differential alterations in host peripheral polymorphonuclear leukocyte chemiluminescence during the course of bacterial and viral infections.

Previous studies have shown that stimulation of the oxidative metabolism in polymorphonuclear leukocytes (PMN) by in vitro phagocytosis of various microorganisms results in photon emission, termed chemiluminescence (CL). Studies were conducted to determine whether bacterial and viral infections induce enhanced basal endogenous host peripheral PMN CL in the absence of in vitro phagocytic stimulation. Nonimmune rats and guinea pigs as well as immune rats were inoculated with various doses (10(5) to 10(7)) of live vaccine strain Francisella tularensis (per 100 g of body weight). In addition, nonimmune guinea pigs were inoculated with 40,000 plaque-forming units of Pichinde virus. Luminol-assisted endogenous PMN CL was measured at various time intervals after inoculation of microorganisms. Enhanced endogenous PMN CL was detected as early as the appearance of fever (12 h) in nonimmune animals infected with F. tularensis. Addition of sodium azide, N-ethylmaleimide, superoxide dismutase, or catalase to the CL reaction mixture containing PMN from infected animals significantly decreased the CL response. Immune rats challenged with F. tularensis exhibited resistance to infection and a decreased PMN CL compared with nonimmune rats 24 and 48 h after inoculation. However, the CL response from immune rats was significantly elevated, compared with control values. In contrast to the results obtained with the model bacterial infection, PMN isolated from guinea pigs inoculated with Pichinde virus failed to exhibit enhanced CL, compared with controls, despite significant viremia and fever. Results suggest that enhanced endogenous CL during bacterial infection occurs through mechanisms involving increased PMN oxidative metabolism and the subsequent generation of microbicidal forms of oxygen. Further, measurement of endogenous PMN CL may have diagnostic and prognostic value in infectious diseases.

Animals↗
PubMed1979

Transitional cell carcinoma of bladder in patients under thirty years of age.

Seventy-nine cases of transitional cell carcinoma of the bladder in the age group under thirty years have been reviewed. The diagnosis and treatment are the same as in the older age group. The tumors are usually of low grade and low stage, but they can become more aggressive and more malignant. Contrary to previously held beliefs that transitional cell tumors in the younger age group rarely if ever recur, this series had a recurrence rate of 13.9 per cent with several patients having multiple recurrences. Therefore, the follow-up care of these patients must be vigilant and persistent.

Adolescent↗
PubMed1979

The determination of oxalic acid in urine by high performance liquid chromatography with electrochemical detection.

A system for the determination of oxalic acid in human urine using ion exchange-ion pair, high performance liquid chromatography with electrochemical detection (HPLCEC) is described. Urine is acidified with HCl, and excess CaCl2 is added to precipitate oxalate ion. The precipitate is isolated, redissolved in dilute sulfuric acid, and separated on a strong cation exchange column using an acetic acid-solium acetate-tetrabutylammonium tetrafluoroborate mobile phase adjusted to pH 2.8. Using an electrochemical detector at 1.25 volts vs. the saturated calomel electrode (SCE), oxalic acid exhibits a linear dynamic range from 1 to 1000 mg/liter with a detection limit of 0.1 mg/liter. Quantitative data are obtained by the method of standard addition in the clinically significant range from 5 to 40 mg/liter. Percentage recovery for spiked urine samples was 97.8% with a relative standard deviation of 2.5%.

Chemical Precipitation↗
PubMed1979

Cauterising iris scissors.

The cauterising iris scissors described here are a modification achieved by suitably insulating the standard De Wecker's iris scissors. This modification provides in addition to cutting an advantageous cauterising effect, which could prove useful in the surgery of eye conditions with high risk of bleeding or metastasis. It utilises the optimum electric current range of 20-40 mA.

Animals↗