Pulmonary tuberculosis in renal transplant patients.
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Biomedical subjects
Publications and source records attributed to J S Hanson.
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To study the capacity for moderate endurance exercise and change in metabolic fuel utilization during adaptation to a ketogenic diet, six moderately obese, untrained subjects were fed a eucaloric, balanced diet (base line) for 2 wk, followed by 6 wk of a protein-supplemented fast (PSF), which provided 1.2 g of protein/kg ideal body wt, supplemented with minerals and vitamins. The mean weight loss was 10.6 kg. The duration of treadmill exercise to subjective exhaustion was 80% of base line after 1 wk of the PSF, but increased to 155% after 6 wk. Despite adjusting up to base line, with a backpack, the subjects' exercise weight after 6 wk of dieting, the final exercise test was performed at a mean of 60% of maximum aerobic capacity, whereas the base-line level was 76%. Resting vastus lateralis glycogen content fell to 57% of base line after 1 wk of the PSF, but rose to 69% after 6 wk, at which time no decrement in muscle glycogen was measured after >4 h of uphill walking. The respiratory quotient (RQ) during steady-state exercise was 0.76 during base line, and fell progressively to 0.66 after 6 wk of the PSF. Blood glucose was well maintained during exercise in ketosis. The sum of acetoacetate and beta hydroxybutyrate rose from 3.28 to 5.03 mM during exercise after 6 wk of the PSF, explaining in part the low exercise RQ. The low RQ and the fact that blood glucose and muscle glycogen were maintained during exhausting exercise after 6 wk of a PSF suggest that prolonged ketosis results in an adaptation, after which lipid becomes the major metabolic fuel, and net carbohydrate utilization is markedly reduced during moderate but ultimately exhausting exercise.
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The capabilities of a mini-computer-oriented permanent pacemaker information system are described. Extensive patient and pacer functional data are maintained in readily accessible files which may be displayed on a CRT terminal or printed out. Selective sorting of stored information may be accomplished according to any desired set of inclusive or exclusive criteria. Intelligent, comprehensive patient follow-up has been greatly facilitated through application of the system. In view of the rapidly expanding pacemaker population, it is suggested that cooperative regional networks operating with comparable information storage and retrieval structures will provide the only means for adequate patient surveillance and compilation of necessary pacemaker data.
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The full graphic capabilities of a minicomputer have been applied to rapid and versatile analysis of long-term electrocardiographic tape recordings. Interfaced to a standard Avionics tape analyzer, the system's multiple display options provide a powerful tool for arrhythmia detection in a reasonable amount of time. Detection accuracy of the system compares very favorably with previously published figures for computer EKG monitoring. Quantitation of arrhythmic beats is an integral feature of the tape scanning. A method for analog display of randomly selectable EKG complexes is also described.
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Cardiac output was assessed in 16 children without evidence of cardiovascular shunts from simultaneously recorded earpiece and cuvette densitometric tracings. The earpiece set-up was calibrated by the end-tail method. Both instruments gave linear response to dye concentrations used. There was a close correlation between cardiac output figures recorded by the two methods (r equal to 0.95) and no systematic difference occurred. It is concluded that in infants and children earpiece densitometry constitutes a rapid and accurate method for quantitative circulatory studies.
Various physiologic parameters were examined during submaximal and maximal treadmill exercise in nine members of the U.S. Nordic Ski Team prior to and following three months of on-snow ski training. In addition, four of this group were re-tested at the conclusion of the competitive skiing season. Results indicate a perceptible increase in training effect during the fall and early winter before starting on the European race circuit with subsequent decline in this effect as measured in the spring. It is suggested that this latter phenomenon occurs at least in part due to lack of adequate training time during the period of long-distance travel and racing.
Non-infiltrating (T1), and superficially infiltrating (T2), vesical neoplasms can be treated satisfactorily by transurethral resection. Some T3 neoplasms can be treated this way, but most will require radiotherapy. The assessment and treatment of 840 cases are presented. Survival rates of 62% in T1 cases, 59% in T2 cases, and 20% in T3 cases are reported in 465 cases followed up for 5 years.
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