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Biomedical subjects

R E Pieroni

Publications and source records attributed to R E Pieroni.

At least 19 recordsLinked to original sources

Limitations to heavy work at 21 degrees C of personnel wearing the U.S. military chemical defense ensemble.

The purpose of this study was to determine the limitations to work of personnel performing heavy work at 21 degrees C (70 degrees F) while wearing the chemical defense ensemble (CDE) worn by all branches of the U.S. military. Male volunteers (N = 17) wearing the CDE performed an arm and leg work task yielding a time-weighted energy consumption rate of 450 W, under environmental conditions of 21 degrees C and 65-70% relative humidity. Each work bout was continued until one of the following limits occurred: volitional fatigue, rectal temperature (Tre) of 39 degrees C, or calculated heat storage (S) of 140 Wh. Subjects then rested until heat stored due to this work was lost, then repeated the work-rest cycles until refusal, or inability to restart work after a rest cycle. Over a total of 36 work cycles, subjects terminated work cycles for S on only two occasions, with the remainder almost equally divided between cumulative fatigue and high Tre. Intersubject variability was high for work and rest times, S, heat loss, and sweat production. U.S. Air Force Regulation (AFR) 355-8, which provides guidance for heat stress in the form of work/rest cycles, underestimated work tolerance under these study conditions.

Adult

Rubeola.

Although immunization practices have dramatically reduced the incidence of measles, several populations remain at risk of the disease. Modified measles may occur in those who received immune globulin in childhood. Atypical measles, often confused with Rocky Mountain spotted fever, may develop in those who received inactivated measles virus vaccine and were subsequently exposed to the natural disease. The diagnosis of measles requires a high index of suspicion and a careful immunization history.

Adult

Fatal digoxin-quinidine interaction in an elderly woman.

The medical records of an elderly woman revealed strong evidence of a lethal digoxin-quinidine interaction. This case and several problems contributing to digitalis toxicity are presented. Physicians should be more aware of the potential toxicities involved in cardioactive drug therapy in the elderly. Current concepts of the quinidine-digoxin interaction are discussed.

Aged

Tetanus and diphtheria immune status of patients in a family practice.

Sera obtained randomly from 37 patients seen at a family practice center were evaluated for protective antibodies against tetanus and diphtheria using in vivo toxin neutralization methods. The patients' ages ranged from 1 to 99 years. Seventy-four percent and 83 percent of patients were found to have protective antitoxin titers against tetanus and diphtheria, respectively. No significant differences in immune status were detected among different sexes or races. Whereas the mean age of subjects susceptible to tetanus was significantly greater than for those with protective antibody levels, this was not the case with diphtheria. It is postulated that natural diphtheria infection may be responsible for the high degree of protection noted among older subjects surveyed. Practical as well as educational benefits that may be obtained from a study of this nature are discussed.

Adolescent