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Biomedical subjects

J Waterhouse

Publications and source records attributed to J Waterhouse.

At least 55 records · Page 3Linked to original sources

Near-infrared mass median particle size determination of lactose monohydrate, evaluating several chemometric approaches.

The influence of particle size on near-infra red (NIR) spectra is typically considered a 'nuisance factor' which many scatter correction methods attempt to eliminate, e.g., multiplicative scatter correction. However, particle size is a key issue in the formulation of many pharmaceutical products and has a profound effect on the behaviour of both raw materials and drug substances during formulation. NIR has already been demonstrated as a potential alternative particle sizing technique to current accepted methodology. This investigation assessed several chemometric approaches that model this information, using lactose monohydrate as the raw material. A variety of modelling techniques were applied to both zero order and second derivative spectra namely multiple linear regression, partial least squares, principal component regression and artificial neural networks. One further data transformation evaluated was polar coordinates, although no statistical data were generated. Typically, cross-validation root mean square errors of calibration and cross-validation root mean square errors of prediction of approximately 5 microns were calculated for all of the modelling techniques. These values are comparable to those associated with the reference technique (laser diffractometry). Correlation coefficients of approximately 0.98 for all techniques were also calculated. The predictive abilities for models generated using second derivative spectra were found to be comparable to those obtained using zero order spectra.

Data Interpretation, Statistical↗

The effects of age upon some aspects of lifestyle and implications for studies on circadian rhythmicity.

BACKGROUND: Most studies on lifestyle changes in old age have been transverse. We have conducted a longitudinal study. SUBJECTS: 112 non-institutionalized subjects were studied in 1984 and again 10 years later (ages in 1984 ranged from 53-82 years). PROTOCOL: On each occasion subjects recorded in a diary their times of retiring and rising and of taking meals, during a 'typical week'. They also recorded whether they lived alone or with somebody. ANALYSIS: The diaries were scored to establish any effects of age or living alone on the timing and variability of their lifestyle. RESULTS: Age was associated with changes in the sleep/wake schedule and mealtimes and a decrease of daily variation in these variables. When these changes were compared in subjects living alone and with somebody, the increase in time spent in bed and the decreases in variability of times of rising and meals were more marked in subjects living with somebody. CONCLUSIONS: A deteriorating body clock contributes to some of these changes, but an increasingly inflexible lifestyle will offset some of the effects of this decline in circadian rhythmicity.

Activities of Daily Living↗

Experimental separation of time of day and homeostatic influences on sleep.

The purpose of the present study was to evaluate the simultaneous effects on sleep of prior time awake (PRW) and time of day (TOD). Eight male subjects spent 13 days in an isolated sleep lab and had three 8-h baseline sleeps and then 18 4-h sleeps, distributed to provide three sleeps starting at 2400, 0400, 0800, 1200, 1600, and 2000. The three sleeps were preceded by 4, 8, and 12 h of PRW, respectively. ANOVA showed that TST and subjective sleepiness increased with PRW and with closeness to the trough of the circadian rhythm of rectal temperature, whereas sleep latency showed the opposite pattern, and rapid eye movement sleep (REM) latency strongly decreased with PRW and with closeness to the trough. Slow-wave sleep (SWS) increased with PRW, whereas SWS latency and final time awake decreased. REM sleep increased with closeness to the circadian trough, and time awake decreased. Multiple-regression analysis showed that REM latency was closely related to increased SWS in the first sleep cycle, reduced SWS latency, and increased PRW [a short PRW before sleep at noon yielded an extremely short (14 min) REM latency]. Sleep latency and final time awake showed almost exactly the same relationship to TOD and PRW. It is concluded that both homeostatic and circadian influences simultaneously affect sleep, that REM latency is very sensitive to the need for SWS, and that the circadian acrophase strongly interferes with sleep. It should be emphasized that the conclusions should not be extrapolated to longer (> 12 h) wake spans.

Analysis of Variance↗

The effect of one night's sleep deprivation on temperature, mood, and physical performance in subjects with different amounts of habitual physical activity.

Eleven healthy males were studied twice. On one occasion (control, C), they slept (night 1) and then underwent a battery of tests at 4 h intervals from 06:00 day 1 to 02:00 day 2; then, after a normal sleep (night 2), they were tested from 10:00 to 22:00 on day 2. On the second occasion (sleep deprivation, SD), the subjects remained awake during night 1. Each battery of tests consisted of measurements of tympanic membrane temperature, profile of mood states (POMS), muscle strength, self-chosen work rate (SCWR), perceived exertion, and heart rate (HR) while exercising on a stationary cycle ergometer. Subjects also kept a diary of their activities during the two days and answered a questionnaire about their habitual physical activity. Results showed a significant negative effect of sleep deprivation on most mood states on day 1, but no effect on the other variables. By day 2, mood had tended to recover, though muscle strength tended to be worse in both control and sleep-deprivation experiments. There was also a more general tendency for negative effects to be present at the end of day 1 (02:00) or at the beginning of day 2 (10:00). There was limited support for the view that subjects who were habitually more active showed less negative effects after sleep deprivation and responded less adversely to the poor sleep achieved on the university premises (night 2). These results stress the considerable interindividual variation in the responses to sleep loss and, therefore, the difficulty associated with giving general advice to individuals about work or training capability after sleep loss.

Adult↗

Diurnal trends in mood and performance do not all parallel alertness.

OBJECTIVES: This study examined the hypothesis that alertness can be used to predict time-of-day effects on performance. METHODS: For 6 or 7 days the volunteers (24, highly practiced young women) were required to retire to bed at 0000 and were awakened at 0800. A battery of mood and performance tests was completed every 2 hours while the women were awake; the result was 9 equally spaced measures per day. Measures of mood, serial reaction time, and memory scanning were recorded. Rectal temperature was recorded continuously. RESULTS: After omitting the data from the first day to avoid any carry-over from the "first-night" effect on sleep, average time-of-day functions were calculated for each subject, for each variable, and were then z-transformed. Cross-correlations between the pooled time-of-day trends indicated that, while alertness was a reasonably good "predictor" of the simple perceptual-motor speed measures, it fared less well for some of the other measures. Two-way analyses of variance indicated that the time-of-day trend for all measures differed from that for alertness, although the magnitude of this difference varied substantially and, for some measures, was very largely due to the last reading of the day (0000). CONCLUSION: It is clear from these results that, while alertness may successfully "predict" variations in some measures of performance capability, and especially those of simple perceptual motor speed, care should be exercised in extrapolating to other performance measures.

Adolescent↗

Jet-lag.

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Circadian Rhythm↗

Chronobiology and meal times: internal and external factors.

Although homeostatic mechanisms remain of utmost importance, rhythmic changes are present also. The main ones have a period of 24 h (circadian) or about 2-3 h (ultradian). Circadian rhythms are derived from a body clock, found in the base of the brain, and from the pattern of our sleep-wake cycle, including activity and meal times. These rhythms promote the regular changes between an active wake period and a recuperative sleep period. Ultradian rhythms are also widespread and reflect external (lifestyle) and internal factors. The internal factors include biochemical need and some sort of oscillator; but details of how many oscillators, and exactly where they are, remain to be established. Food intake, appetite, digestion and metabolism have been shown to illustrate these principles. Moreover, these principles become important when special circumstances exist as far as meal times are concerned; the particular difficulties of night workers is a good example.

Chronobiology Phenomena↗

Travel fatigue and jet-lag.

Travel across multiple time zones is a common feature of the lifestyle of contemporary international sport competitors. This entails a disruption of the body's circadian timing mechanisms. Symptoms of 'jet-lag' persist until circadian rhythms re-tune into local time. Exercise performance may be impaired during the period of adjustment to the new time zone. Behavioural and pharmacological strategies are available to help accelerate the resynchronization of circadian rhythms. It is recommended that sports administrators should consider the consequences of jet-lag and the time needed to overcome it when planning the international itineraries of travelling athletes.

Aircraft↗

Good sleep--its timing and physiological sleep characteristics.

The present study used short sleep episodes to explore the relation between subjective sleep quality, timing and physiological content of sleep. Eight subjects participated in 18 4-h sleep episodes to provide 4, 8, and 12 h of prior time awake before bedtimes at six different times of day in a sleep laboratory insulated from environmental disturbances. The results were analysed by ANOVAs and multiple regression techniques. Subjective sleep quality, calmness of sleep, ease of falling asleep, ability to 'sleep through', number of awakenings, and sleep latency showed a significant pattern of 'better' sleep with increasing prior time awake and with closeness to the circadian minimum (nadir) of rectal temperature (morning hours). 'Ease of awakening' in contrast, 'decreased' with increasing time awake and with closeness to the nadir/ morning hours. Multiple regression analysis showed that subjective sleep quality was predicted by subjective calmness of sleep and ease of falling asleep, among the subjective measures, and by total sleep time (TST) and slow-wave sleep (SWS - stages 3+4) among the physiological sleep measures. The subjective ease of awakening was predicted by slow-wave sleep (negatively) and the circadian maximum of rectal temperature. The results indicate that the duration of wakefulness prior to sleep and the timing of sleep determine its physiological expression, which in turn determines its subjective impression.

Analysis of Variance↗

Aging, rhythms of physical performance, and adjustment to changes in the sleep-activity cycle.

OBJECTIVES: Shiftwork causes disturbances of the normal sleep-wake cycle and circadian rhythm. There is concern that aging workers have more problems than younger counterparts when the human body clock is disrupted. This review considers issues relating to aging, the circadian body clock, and adjustment to altered sleep-wake schedules. METHODS: Reports on effects of aging on the human body clock were reviewed. Research concerned with adjustment to circadian phase shifts (as occurs in night work) was considered. RESULTS: With aging there is an increased tendency towards morningness which is linked with difficulties in sleeping. The peak time and amplitude of normal circadian rhythms are altered. Tolerance of shiftwork can be linked with social factors as well as adaptation of the body clock. CONCLUSIONS: People habituated to night work seem to have developed mechanisms which allow them to cope with disruptions to lifestyle and the endogenous body clock. Elderly people are more suited to phase advances, as occur in morning workshifts, than to phase delays such as nocturnal work.

Adult↗

Some comments on the measurement of circadian rhythms after time-zone transitions and during night work.

Adjustment of circadian rhythms to changed sleep/wake schedules, as after time-zone transitions and during night work, is not immediate. Different variables appear to adjust at different rates, and such external and internal dissociation is linked with a general malaise ("jet lag") after a time-zone transition. Work using "constant routines" and "purification" methods indicates that the internal dissociation results from differences between variables in the relative contribution of exogenous ("masking") effects to the measured rhythm. These results indicate, therefore, there is no need to postulate the presence of more than one body clock which is responsible for the endogenous component of a circadian rhythm, and that heavily masked circadian rhythms will be poor indicators of the rate of adjustment of this clock. Nevertheless, it will be the measured rhythm that describes most directly the disruption to circadian rhythmicity caused by changed sleep/wake schedules.

Aerospace Medicine↗

Dissociation of body-temperature and melatonin secretion circadian rhythms in patients with chronic fatigue syndrome.

Many patients with chronic fatigue syndrome (CFS) display features of hypothalamic dysfunction. We have investigated aspects of circadian rhythmicity, an important hypothalamic function, in 20 CFS patients and in 17 age- and sex-matched healthy control subjects. There were no differences between the two groups in the amplitude, mesor (mean value) or timing of the peak (acrophase) of the circadian rhythm of core temperature, or in the timing of the onset of melatonin secretion. However, the CFS patients showed no significant correlation between the timing of the temperature acrophase and the melatonin onset (P < 0.5), whereas the normal significant correlation was observed in the controls (P < 0.05). Dissociation of circadian rhythms could be due to the sleep deprivation and social disruption, and/or the reduction in physical activity which typically accompany CFS. By analogy with jet-lag and shift-working, circadian dysrhythmia could be an important factor in initiating and perpetuating the cardinal symptoms of CFS, notably tiredness, impaired concentration and intellectual impairment.

Adult↗

The difference between activity when in bed and out of bed. II. Subjects on 27-hour "days".

Nine healthy subjects have been studied while exposed to the normal alternation of light and dark, but with their sleep and activity pattern adjusted to a 27-h "day" for 17 imposed "days." Rectal temperature showed clearly the competing influences of 27-h and 24-h components, and these were separated by the method of "purification." The method indicated that the endogenous component had a constant amplitude throughout the experiment and remained entrained to solar (24-h) time; by contrast, the exogenous component followed the imposed 27-h "day" and increased rectal temperature in proportion to the amount of subjects' activity. Wrist movement was used to assess activity while in bed (attempting sleep) and out of bed (when naps were forbidden). While these results confirmed adherence of the subjects to the imposed 27-h "days," they also showed that the dichotomy between "out of bed" activity and "in bed" inactivity depended on the phase relationship between endogenous (24h) and exogenous (27h) components. Thus, the dichotomy was highest and was equal to that during control days (with a conventional 24-h life-style) when the two components were in phase and lowest when the solar and imposed day were in antiphase. This was due to changes in activity, both during time spent in bed and out of bed. We confirm that this protocol can produce valuable information about the properties of the circadian system in humans and the value of the process of purification of temperature data. We have established also that the very simple and noninvasive measurement of wrist movement, coupled with its use to calculate dichotomy indices, provides valuable information that both confirms and extends the results obtained from the more conventional (but also more invasive) measurement of rectal temperature.

Bed Rest↗

The difference between activity when in bed and out of bed. III. Nurses on night work.

Eight nurses have been studied during rest days and three successive night shifts. Measurements of wrist activity have been made and used to assess the extent to which the pattern of daily activity changes between control (rest) days and days involving night work. One analysis considered wrist activity during time spent in bed; this appears to decrease in parallel with the amount of time in bed that is lost during night work but, when this effect is corrected for, there is greater activity during time spent in bed in the daytime compared with control days (when time in bed is during the night). The dichotomy of activity (between lower values during time spent in bed and higher values when out of bed) also decreases if time in bed is during the daytime while on night shifts. These changes in the amount of wrist activity and the dichotomy between activity in and out of bed are related to the changed quality and quantity of sleep that has been measured by self-report questionnaires and the sleep EEG. It is concluded that results from wrist actimetry can provide valuable information regarding the process of adjustment to night work, and that its convenience (to subject and experimenter), coupled with the new analytical approaches described here, make it a viable method for field studies.

Adult↗

The difference between activity when in bed and out of bed. I. Healthy subjects and selected patients.

The activity records of five groups of healthy or ill subjects have been measured for 4-26 days by an accelerometer placed on the nondominant wrist. These data, together with a record of times retiring to/rising from bed, have been used to produce a series of dichotomy indices for comparing the amounts of activity when in bed and out of bed. Reliable differences between individuals were found, with healthy subjects showing a greater degree of dichotomy than one subject with delayed sleep phase syndrome or three subjects with colorectal cancer. The method is convenient for extended data collection and offers the possibility of describing an individual's activity profile in a variety of circumstances.

Adolescent↗

Circadian rhythm adjustment: difficulties in assessment caused by masking.

Measured circadian rhythms consist of endogenous (clock-driven) and exogenous (lifestyle-driven) components. The exogenous components cause difficulties of interpretation of phase and amplitude information. Such effects can be removed by "constant routines", but these protocols are restricted to the laboratory. By contrast, the process of "purification" of circadian rhythms uses the knowledge of an individual's normal lifestyle to separate a measured rhythm into its two components. This method has been shown to be practicable in a variety of circumstances and to provide a feasible alternative to constant routines.

Biological Clocks↗