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Biomedical subjects

T Hale

Publications and source records attributed to T Hale.

At least 19 recordsLinked to original sources

Contributions of the inside and outside leg to maintenance of curvilinear motion on a natural turf surface.

Little is understood of the mechanisms of locomotion if human subjects are not moving in a straight path. The identification of contributory variables to curved motion would also underpin other non-linear actions such as cutting and turning. The performance of such tasks has relevance to both success in sports and exercise, and accident avoidance in an occupational setting. Comparison of ground reaction force values in successive footstrikes would allow an understanding of the contribution of each limb's movement to motion in a curved path. For ecological validity to field games, two natural-turf covered force platforms were located outdoors in a field. Six males (age 25+/-4.73 years; mass 79.7+/-7.17 kg) wearing standard six-stud soccer boots performed straight and curved trials (radius 5m) at velocities of 4.5 and 5.5 ms(-1). Ground reaction force measures were collected on successive footstrikes at 500 Hz, whilst kinematics of the lower extremity were measured at 50 Hz. Results for two successive footfalls showed greater average total force in straight motion (3.53BW versus 3.08BW), with the outside leg contributing most to the movement pattern in curvilinear motion. Ballistic airtime was reduced from straight to curvilinear motion, creating a greater proportional foot contact time during curved running. This, with lowered total force values, suggested a lower centre of gravity during curved motion to minimise drift towards the tangent of the curve. In curved motion, all vertical force measures were greater for the outside leg, with anterior-posterior forces showing the outside leg provided greater propulsion forces and impulse. Improvement in performance in curvilinear motion should therefore be focused at the outside limb.

Adult↗

Incidence of sports injuries in elite competitive and recreational windsurfers.

OBJECTIVE: To investigate the incidence of injury in windsurfing and to consider methods of prevention. METHODS: A total of 107 raceboard (RB) and wave/slalom (WS) national/international competitors and recreational (REC) windsurfers completed a questionnaire on injury incidence over two years. Recurrent injury, ability level, and any preventive measures taken were noted. RESULTS: Overall the injury incidence was 1.5/person/year. The WS group suffered more injuries (2.0/person/year) than the RB (1.0) or REC (1.2) group. The most common injury was muscle strain at 35% of new injuries, much higher than in earlier studies. Overall 45% of new injuries were muscle/tendon strains (RB 55%, WS 42%, and REC 43%) and 8% were ligament sprains. In the WS group cuts and abrasions were common. The WS and REC groups reported five and one case of concussion respectively. Nearly a quarter (22%) of new lower body injuries were lower back muscular strain, with 34% of recurrent injuries. Approximately 60% of the remaining lower body soft tissue injuries involved the knee or lower leg, with the ankle/foot most often involved. The shoulder, upper arm, and elbow were the sites of 41% of new upper body soft tissue injuries. The WS group reported 250% more recurrent muscular strains than the RB group. Recurrent ligament injuries (particularly knee) were most common in the WS group. The RB group reported recurrent serious bruising to the lower leg. CONCLUSION: The injury incidence was 1.5/person/year with a high incidence of new and recurrent muscular strain. Lower back muscular strain was prevalent, indicating the need for preventive measures. Wave/slalom was associated with more new and recurrent injuries and the need for head protection.

Adolescent↗

Optical resonant ultrasound spectroscopy for fluid properties measurement.

The properties of fluids are studied using unusually small containment spherical resonators. Proper identification of resonant fluid signatures allows determination of pressure and density of the internal gas with great accuracy using an appropriate equation of state (EOS). Low noise and high sensitivity detection of vibration are critical parameters to characterizing the contained gas when its pressure approaches 1 atm or less. The benefits of using spherical resonators to determine fluid properties are discussed, and some example calculations of sound speed are presented. In addition to measuring fluids, a comparative experimental approach is taken to explore and, eventually, to optimize vibration detection. In the experiments, two detection methods, a contact piezoelectric transducer (PZT) device and a non-contact optical device, are compared simultaneously and quantitatively. This is done in a unique manner without change in vibration coupling to the sample between tests. A commercially available resonant ultrasound spectroscopy system is used as the contact system, while another commercial device (used as the non-contact vibration detector) combined with the same excitation source (used in the contact system) comprises the other system. The non-contact detector is an optical interferometric receiver that provides adaptation to optically rough surfaces and high sensitivity to acoustic displacements through optical interference in photorefractive GaAs. Both vibration detection systems are compared with particular emphasis on displacement sensitivity, frequency response, and noise level. Furthermore, the results from comparing detection modalities are presented, and their effects on fluid properties measurement are discussed.

Journal Article↗

The effects of restricted energy and fluid intake on simulated amateur boxing performance.

This study examined the effects of serial reductions in energy and fluid intake on two simulated boxing performances separated by 2 days recovery. Eight amateur boxers (age: 23.6 +/- 3.2 years; height 175 +/- 5 cm; body mass [BM] 73.3 +/- 8.3 kg [Mean +/- SD]) performed two simulated boxing bouts (BB) under normal (N-trial) and restricted (R-trial) diets in a counterbalanced design over 5 days. The trials were separated by a 9-day period of normal dietary behavior (X-trial). BM was recorded on days 1, 3, and 5 of each trial. Simulated bouts of three, 3-min rounds with 1-min recovery were completed on days 3 (BB1) and 5 (BB2) of each 5-day trial. Punching force (N) was recorded from 8 sets of 7 punches by a purpose-built boxing ergometer. Heart rate (fC) was monitored continuously (PE3000 Polar Sports Tester, Kempele, Finland), and blood lactate (BLa) and glucose (BG) were determined 4-min post-performance (2300 StaPlus, YSI, Ohio). Energy and fluid intakes were significantly lower in the R-trial (p < .05). Body mass was maintained during the N-trial but fell 3% (p < .05) during the R-trial. There were no significant differences in end-of-bout fC or post-bout BG, but BLa was higher in the N- than the R-trial (p < .05). R-trial punching forces were 3.2% and 4.6% lower, respectively, compared to the corresponding N-trial bouts, but the differences did not reach statistical significance. These results suggest that energy and fluid restrictions in weight-governed sports do not always lead to a significant decrease in performance, but because of the small sample size and big variations in individual performances, these findings should be interpreted with care.

Adult↗

The effects in humans of rapid loss of body mass on a boxing-related task.

The physiological effects of strategies for a rapid loss of body mass immediately before weighing-in for competition in weight-governed sports are unclear. This study examined the effects of a 3%-4% loss in body mass on a boxing-related task. Seven novice amateur boxers completed three 3 min rounds of simulated boxing on a prototype boxing ergometer in an euhydrated state (E-trial) and after exercise-induced thermal dehydration (D-trial). All subjects lost body mass following dehydration-mean body mass fell 3.8 (SD +/- 0.3)% [77.3 (SD +/- 11.3) to 74.4 (SD +/- 10.7) kg, P<0.001] - but changes in plasma volume (PV) were inconsistent. Four subjects suffered reductions in PV between 15% and 30%, one subject maintained his E-trial value and two recorded an increase. The D-trial mean PV value was 8.0 (SD +/- 17.2)% lower but this fall was not statistically significant (P>0.05). Analysis of D-trial boxing performance showed one subject maintained his performance over the two trials and a second improved 17.8%. A two-way ANOVA (condition x time) with repeated measures on both factors showed no significant main effect differences for condition (F1,6 = 3.93 P>0.05), time (F1.83,48 = 1.12, P>0.05) or interaction between them (F1.93,48, P>0.05). Furthermore, neither heart rate nor blood lactate responses in the boxing task differed between trials. These data were affected by the small sample. Power and effect size analysis using eta(2) procedure and removing the outlier data produced a mean fall in boxing performance of 26.8%. However, some subjects appeared able to resist the deleterious effects of a rapid loss of body mass prior to competition and further research is needed to explain the mechanisms under-pinning this ability.

Adult↗

Simultaneous measurement of back and front foot ground reaction forces during the same delivery stride of the fast-medium bowler.

Six male cricket bowlers (mean +/- s(mean): age 23.5 +/- 1.3 years; height 1.83 +/- 0.04 m; body weight 826 +/- 20 N) performed their typical bowling action at a set of stumps positioned at standard pitch length (20.1 m). A specially designed force platform rig allowed the correct positioning of two force platforms to be achieved beneath an outdoor polyflex runway (0.017 m depth) for each player's delivery stride pattern. For the back foot, the peak vertical ground reaction force was 1.95 +/- 0.08 kN (2.37 +/- 0.14 BW) and the braking force was 0.77 +/- 0.12 kN (0.94 +/- 0.16 BW). For the front foot, the peak vertical force was 4.80 +/- 0.92 kN (5.75 +/- 0.98 BW) and the braking force was 2.93 +/- 0.56 kN (3.54 +/- 0.67 BW). The mean peak vertical loading rate for front foot contact was 205 +/- 52.8 kN x s(-1) (249 +/- 64 BW x s(-1)) with mean values ranging from 81 to 446 kN x s(-1) (98 to 540 BW x s(-1)). The range for back foot contact was much smaller, 25-70 kN x s(-1) (30-85 BW x s(-1)), with a mean of 41.7 +/- 7.10 kN x s(-1) (50.6 +/- 8.6 BW x s(-1)). Mean peak impact occurred 24 ms after touchdown for the back foot and 16 ms after touchdown for the front foot. At impact, mean peak loading rates were greater for the front foot at 246 kN x s(-1) (298 BW x s(-1)), with a range of 80-483 kN x s(-1) (98-534 BW x s(-1)), than for the back foot at 65 kN x s(-1) (79 BW x s(-1)), with a range of 40-84 kN x s(-1) (49-110 BW x s(-1)).

Adult↗

Development of a boxing dynamometer and its punch force discrimination efficacy.

The development of sport-specific dynamometers is an important step towards ecological validity in analysing athlete performance. Design limitations in previous punch-measuring devices have resulted in values which may not or cannot fully reflect the force and multidirectional components in a punch. In developing this boxing dynamometer, a triaxial force measurement system and a boxing manikin interface were combined. The repeatability and accuracy of the dynamomoter were assessed using simulated straight punches. Discrimination efficacy was assessed by comparison of the maximal punching force of seven elite, eight intermediate and eight novice boxers during simulated boxing, throwing straight punches. For the elite, intermediate and novice groups, respectively, the maximal straight punching forces (mean +/- s(mean)) were 4800 +/- 227 N, 3722 +/- 133 N and 2381 +/- 116 N for the rear hand, and 2847 +/- 225 N, 2283 +/- 126 N and 1604 +/- 97 N for the lead hand. For all groups, maximal forces were larger for the rear than the lead hand (P < 0.001). Maximal punching force was greater in the elite than the intermediate group, and greater in the intermediate than the novice group (P < 0.05). The boxing dynamometer discriminated effectively between punching performance at three standards of performance and between the punching force of the rear and lead hands.

Biomechanical Phenomena↗

Laser wire for crossing chronic total occlusions: "learning phase" results from the U.S. TOTAL trial. Total Occlusion Trial With Angioplasty by Using a Laser Wire.

The Prima laser guidewire system (Spectranectics Corp., Colorado Springs, CO) consists of an 0.018" hypotube containing a bundle of 45-microm optical fibers coupled to a pulsed excimer laser operating at a tip fluence of 60 ml/mm2 and a repetition rate ranging from 25-40 Hz. This laser guidewire was specifically designed to cross total occlusions refractory to passage with conventional wires. The Prima wire was evaluated in a feasibility study at 15 U.S. centers. Following failure to cross a total occlusion with approved guidewires, the Prima wire was utilized in 179 patients. Average age of subjects was 61 yr. Lesion locations included left anterior descending (36%), right (45%), and circumflex (19%) coronary arteries. Mean angiographic age of total occlusions was 70 wk (range, 2-1,020 wk, median, 14 wk). The use of the Prima wire either solely or in combination with conventional guidewires resulted in successful crossing in 61% of these previously impenetrable occlusions. Failure of the device was commonly related to length of the occlusion and tortuosity along the occluded pathway. Major complications included myocardial infarction in 7 patients (3.9%), tamponade in 3 (1.7%), and death in 2 (1.1%). This "learning phase" pilot study confirmed the feasibility of a laser guidewire in chronic total occlusions that are resistant to passage of conventional guidewires. An extended registry at these investigative sites is planned.

Adult↗

The effect of different calculation methods of flywheel parameters on the Wingate Anaerobic Test.

Researchers compared different methods of calculating kinetic parameters of friction-braked cycle ergometers, and the subsequent effects on calculating power outputs in the Wingate Anaerobic Test (WAnT). Three methods of determining flywheel moment of inertia and frictional torque were investigated, requiring "run-down" tests and segmental geometry. Parameters were used to calculate corrected power outputs from 10 males in a 30-s WAnT against a load related to body mass (0.075 kg.kg-1). Wingate Indices of maximum (5 s) power, work, and fatigue index were also compared. Significant differences were found between uncorrected and corrected power outputs and between correction methods (p < .05). The same finding was evident for all Wingate Indices (p < .05). Results suggest that WAnT must be corrected to give true power outputs and that choosing an appropriate correction calculation is important. Determining flywheel moment of inertia and frictional torque using unloaded run-down tests is recommended.

Acceleration↗

Clarification of the link between polyunsaturated fatty acids and Helicobacter pylori-associated duodenal ulcer disease: a dietary intervention study.

Epidemiological evidence has suggested that the declining prevalence of duodenal ulcer disease may be attributable to rising consumption of polyunsaturated fatty acids, a hypothesis supported by in vitro evidence of toxicity of such substances to Helicobacter pylori. The objective of the present study was to establish whether this association is causal. Forty patients with proven infection with H. pylori and endoscopic evidence of past or present duodenal ulcer disease were randomized to receive either polyunsaturated fatty acids (PUFA group), in the form of capsules and margarine, or a placebo (control). Both groups received concurrent H2 antagonist therapy. Efficacy of therapy was determined endoscopically by assessment of ulcer healing while H. pylori status was determined by antral biopsy, urease (EC 3.5.1.5) culture and histological assessment of the severity of H. pylori infection. Antral levels of prostaglandin E2 (PGE2) and leukotriene B4 (LTB4) were quantified. Compliance was monitored. Before treatment, both groups were comparable for severity of H. pylori infection, smoking status and levels of LTB4 and PGE2. Despite a significant difference in consumption of linoleic acid (19.9 (SE 1.6) g for PUFA group v. 6.7 (SE 0.8) g for controls (P < 0.01) and linolenic acid (2.6 (SE 0.2) g v. 0.6 (SE 0.03) g (P < 0.01) there was no significant change in either the severity of H. pylori infection or prostaglandin levels in either group at 6 weeks. Consumption of a considerable amount of PUFA does not inhibit the colonization of the stomach by H. pylori nor does this alter the inflammatory changes characteristic of H. pylori gastritis. We conclude that the association between duodenal ulceration and a low level of dietary PUFA is likely to be spurious, probably reflecting the effect of confounding factors such as affluence, social class or smoking.

Combined Modality Therapy↗

Determination of tablet coating distribution by deconvolution of uncoated and coated tablet weight distributions.

PURPOSE: The purpose of this research is to obtain the tablet coating distribution from weight distributions of uncoated and coated tablets. METHODS: The method of deconvolution with digital smoothing was used to calculate the distribution of coating applied to a tablet population from separate random measurements of individual uncoated and coated tablets. RESULTS: It was demonstrated that the calculated coating weight distribution agrees well with the measured distribution. The effect of the smoothing factor on the solution is illustrated. CONCLUSIONS: This method can be used during development to facilitate process scale-up/optimization. In routine production, the method can assess the reproducibility and consistency of a coating process.

Chemistry, Pharmaceutical↗

Chelation of organoarsenate with dimercaptosuccinic acid.

Alkane arsenate herbicides are available commercially, and their acute toxicity has been well documented in previous studies. Animal studies have indicated that dimercaptosuccinic acid (DMSA) can be used as an oral chelating agent. A 20-y-old white male cocaine addict attempted suicide by drinking approximately 500 ml of a 16% monosodium methanearsenate solution. He vomited 10 or more times and was admitted to the intensive care unit with impending shock and early liver and renal involvement. Four 5-day courses of 30 mg DMSA/kg/24 h were given. This brought the serum arsenic level from 2,871 micrograms/L to 6 micrograms/L, and his urine arsenic level from 78,920 micrograms/L to 21 micrograms/L in 30 d. Renal function tests returned to normal, with normal renal creatinine clearance, normal blood urea nitrogen and serum creatinine. However liver functions were abnormal, with elevation of serum transaminases, which later proved secondary to chronic hepatitis. No side effects of DMSA was encountered during the therapy. DMSA was successfully used to detoxify acute organoarsenate poisoning in a clinical setting, supporting experimental reports in the literature.

Administration, Oral↗

Fluoxetine doses.

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Depressive Disorder↗

Changes in alveolar mixing efficiency during exercise.

The increased alveolar-arterial oxygen gradient (A-aDO2) occurring at higher levels of exercise may reflect impaired gas mixing. This latter function was investigated using the multiple breath nitrogen washout technique in 30 physical training students (15 M, 15 F). They were examined at rest and at work loads of 50, 100 and 150 W, using a cycle ergometer. Measurements included tidal volume (VT), serial dead space (VDS) and from the washout alveolar dead space (VDA), lung volume as the end-expiratory volume (EEV) and alveolar gas mixing efficiency (AME). There were expected rises in mean V1 from 641 +/- 161 to 1650 +/- 248 ml and in minute ventilation (VE) from 11.1 +/- 3.1 to 47.1 +/- 5.2 L.min-1 at 150 W but EEV changed only slightly from 2555 +/-559 to 2321 +/- 585 ml at the same workload. Despite an increase in VDS from 156 +/- 33 to 258 +/- 35 ml and VDA from 139 +/- 40 to 305 +/- 73 ml, AME rose significantly with exercise from 72.5 +/- 5.0 to 78.3 +/- 3.3%. These results are discussed in relation to the morphology of the lung, and the stationary interface theory. They suggest that gas mixing improves at the onset of exercise only, so that the widening in A-aDO2 with increasing levels of exercise cannot be explained by impaired mixing efficiency alone, and is probably due to other factors such as critically rapid transit time of blood through the pulmonary capillaries as cardiac output increases.

Adolescent↗