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Thermal stability of PNA/DNA and DNA/DNA duplexes by differential scanning calorimetry.

Thermodynamics of the thermal dissociation transitions of 10 bp PNA/DNA duplexes and their corresponding DNA/DNA duplexes in 10 mM sodium phosphate buffer (pH 7.0) were determined from differential scanning calorimetry (DSC) measurements. The PNA/DNA transition temperatures ranged from 329 to 343 K and the calorimetric transition enthalpies ranged from 209 +/- 6 to 283 +/- 37 kJ mol(-1). The corresponding DNA/DNA transition temperatures were 7-20 K lower and the transition enthalpies ranged from 72 +/- 29 to 236 +/- 24 kJ mol(-1). Agreement between the DSC and UV monitored melting (UVM) determined transition enthalpies validated analyzing the UVM transitions in terms of a two-state transition model. The transitions exhibited reversibility and were analyzed in terms of an AB = A + B two-state transition model which yielded van't Hoff enthalpies in agreement with the transition enthalpies. Extrapolation of the transition enthalpies and free energy changes to ambient temperatures yielded more negative values than those determined directly from isothermal titration calorimetry measurements on formation of the duplexes. This discrepancy was attributed to thermodynamic differences in the single-strand structures at ambient and at the transition temperatures, as indicated by UVM measurements on single DNA and PNA strands.

Base Sequence↗

A study of heat of formation of acetyl-alpha-chymotrypsin intermediate by stopped flow calorimetry.

The catalytic hydrolysis of p-nitrophenyl acetate by alpha-chymotrypsin was studied by stopped-flow calorimetry and spectrophotometry at pH 8.0 and 25 degrees C. The initial burst and subsequent steady state of the reaction were observed by rapid calorimetry and spectrophotometry. Based on the three-step mechanism established for the enzymatic reaction, E + S in equilibrium ES leads to acetyl-E + P1 (p-nitrophenol) leads to E + P1 + acetic acid, the enthalpy change of formation of the acetyl enzyme from ES complex was estimated to be -29 kJ . mol-1.

Calorimetry↗

Indirect calorimetry in the mechanically ventilated patient.

We used indirect calorimetry to measure oxygen consumption (VO2) and carbon dioxide production in 29 mechanically ventilated patients. These data were compared to VO2 measured simultaneously by a standard thermodilution technique. A good correlation was demonstrated between the methods, but VO2 measured by indirect calorimetry was 15% higher than VO2 measured by thermodilution.

Adolescent↗

Measurement of alveolar ventilation and changes in deadspace by indirect calorimetry during mechanical ventilation: a laboratory and clinical validation.

OBJECTIVE: To validate the assessment of changes in alveolar ventilation and deadspace by indirect calorimetry. DESIGN: An open comparison of two methods using a criterion standard. METHODS: Simultaneous measurement of minute ventilation with a metabolic monitor and a pneumotachometer during controlled and synchronized intermittent mandatory ventilation in intensive care patients (n = 14). Measurement of a change in alveolar ventilation with three different tidal volume values in a single-compartment lung model using an added external deadspace. Alveolar ventilation and deadspace/tidal volume were calculated from Bohr's equation using end-tidal PCO2 for the alveolar PCO2 value. RESULTS: The mean differences between minute ventilation measured by a metabolic monitor and minute ventilation measured by a pneumotachometer during controlled and synchronized intermittent mandatory ventilation were -0.04 +/- 0.61 (SD) L and 0.01 +/- 0.85 L, respectively. No significant difference was observed between measurements at the endotracheal tube and the expiratory port of the ventilator. In studies using the lung model, the external deadspace represented 6% to 19% of the three tidal volume measurements. The mean difference between the actual and measured deadspace was 3 +/- 9 mL (8.2 +/- 4.7%), with a slightly, but not significantly, lower precision at the high tidal volume. CONCLUSIONS: Changes in alveolar ventilation and deadspace can be accurately measured by combined use of indirect calorimetry and end-tidal CO2 analysis.

Calorimetry, Indirect↗

Should indirect calorimetry be used as part of nutritional assessment?

The use of indirect calorimetry in the design of nutritional support regimens is poorly appreciated by clinicians, who fail to recognize the importance of providing a sufficient volume of enteral feeding to critically ill patients. In contrast to the overfeeding that routinely occurred in the past with the provision of total parenteral nutrition, patients placed on the enteral route of support tend to be underfed because of problems with intolerance and frequent cessation. Clearly identifying and coming as close as possible to the caloric goal may be required to achieve the therapeutic endpoints of enteral tube feeding (which include maintenance of gut integrity, attenuation of the stress response, prophylaxis against stress-induced gastropathy, and stimulation of immune function). Indirect calorimetry is a convenient, accessible, and highly accurate instrument for the measurement of caloric requirements and is a valuable tool for the optimization of nutritional support in the intensive care unit.

Calorimetry, Indirect↗

Use of indirect calorimetry in the nutritional management of burned patients.

The use of indirect calorimetry in assessing and monitoring nutritional support in burn patients is reported. Twenty-nine patients with a mean burn size of 35% TBSA were monitored with 228 measurements of resting energy expenditure (REE), calculations of respiratory quotient (RQ), and substrate metabolism. Daily weights, nitrogen balance determinations, and routine laboratory tests were also obtained. Oxygen consumption (VO2) was 186 +/- 39 ml/min/M2, corresponding to REE of 2,506 +/- 543 kcal/day. REE varied during the course of wound healing, demonstrating a biphasic course. Metabolic rate was also significantly increased with the performance of routine procedures such as dressings and surgery. Measurements of REE were a mean 76% of predictions based on the Curreri formula, and 1.47 times basal energy expenditure (BEE) calculated by the Harris-Benedict equation. Neither formula provided for the great variations observed in daily, and individual, measurements of REE. During the study, patients consumed 2,900 +/- 811 kcal/day, which exceeded REE by 1.14. This was associated with mean weight loss of 3.2% (range, -16 to 9%). RQ was less than 0.85 in 9% of determinations, but exceeded 1.0 24% of the time. Protein accounted for 17 +/- 3% of total metabolism, corresponding to a calorie:nitrogen ratio of 128:1. Practically, however, provision of this much protein proved difficult. Routine use of indirect calorimetry permits tailoring of nutritional support for burn patients, and is valuable in the early detection of significant under- or overnutrition.

Adolescent↗

The use of indirect calorimetry in critically ill patients--the relationship of measured energy expenditure to Injury Severity Score, Septic Severity Score, and APACHE II Score.

The nutritional needs of critically ill septic patients or patients with multiple injuries are often difficult to estimate. Indirect calorimetry can simply and accurately determine individual caloric and nutritional needs, especially in cases of critically ill patients with complicated injuries. This prospective study compared the measured energy expenditures of 30 patients using indirect calorimetry with their predicted basal energy expenditure according to the Harris-Benedict equation, or their calculated energy expenditure derived from basal energy expenditure times, an activity factor, and a stress factor. These numbers were then used to evaluate the relationship between measured energy expenditure, measured energy expenditure per kilogram, and four specific scoring systems--the Septic Severity Score (SSS), the Injury Severity Score (ISS), the Trauma Score (TS), and APACHE II. The results showed the severity of sepsis or trauma correlated with the measured energy expenditure per kilogram of body weight. Among the 15 septic patients, in whom the measured energy expenditure per kilogram was 42.2 +/- 2.6 kcal/kg, the SSS provided a better predictor of energy needs and closer correlation with measured energy expenditure per kilogram (r = 0.69, Y = 1.41 + 0.72 X). Their stress factors could be modified as "0.97 + 0.0125 x SSS" to get a more accurate Harris-Benedict calculation. For the 15 patients with multiple injuries in whom the measured energy expenditure per kilogram was 34.9 +/- 1.6 kcal/kg, the ISS offered the best correlation with measured energy expenditure per kilogram (r = 0.84, Y = -31.47 +/- 1.73 X). Their stress factors could be modified as "1.04 + 0.0077 x ISS" to get a more accurate Harris-Benedict calculation.

Adult↗

Energy cost of activity assessed by indirect calorimetry and a 13CO2 breath test.

PURPOSE: The aim of this study was to assess the accuracy of a 13CO2 breath test for the prediction of short-duration energy expenditure. METHODS: Eight healthy volunteers walked at 1.5 km.h-1 for 60 min followed by 60-min recovery. During this time, the energy cost of physical activity was measured via respiratory calorimetry and a 13C bicarbonate breath test. A further eight subjects were tested using the same two methods during a 60-min cycle at 0.5 kp, 30 rpm followed by a 60-min recovery. The rate of appearance of 13CO2 (RaCO2) was measured and the mean ratio, VCO2/RaCO2, was used to calculate energy expenditure using the isotopic approach. RESULTS: As would be expected, there was a significant difference in the energy cost of walking and cycling using both methods (P < 0.05). However, no significant differences were observed between respiratory calorimetry and the isotope method for measurement of energy expenditure while walking or cycling. CONCLUSIONS: These data suggest that the 13C breath test is a valid method that can be used to measure the energy cost of short duration physical activity in a field setting.

Adult↗

Indirect calorimetry--a review of recent clinical applications.

There has been a resurgence of interest in the information provided by indirect calorimetry. In the past calorimetry was considered a research technique, but technological advances have made it applicable in many clinical situations. Recent clinical applications of this technique have been examined in this review.

Acquired Immunodeficiency Syndrome↗

Indirect calorimetry: can this technology impact patient outcome?

This review of 23 papers involving indirect calorimetry published over the past 18 months shows how our understanding of the metabolic response to injury has changed, highlights the problems introduced by use of predictive equations and alterations in indirect calorimetry testing protocol, and emphasizes the need to monitor cumulative energy balance by comparing daily caloric intake to energy expenditure.

Calorimetry, Indirect↗

Interaction of gymnemic acid with cyclodextrins analyzed by isothermal titration calorimetry, NMR and dynamic light scattering.

The physiological phenomenon that the antisweet taste effect of gymnemic acid (GA) is diminished by application of gamma-cyclodextrin (gamma-CD) to the mouth was evaluated at the molecular level using isothermal titration calorimetry, NMR and dynamic light scattering. These analyses showed that GA specifically binds to gamma-CD. Thermodynamic analysis using isothermal titration calorimetry revealed that the association constant of GA and gamma-CD is 10(5)-10(6) m(-1) with favorable enthalpy and entropy changes. The heat capacity change was negative and large, despite the change in accessible surface area upon binding being small. These thermodynamics indicate that the binding is dominated by hydrophobic interactions, which is in agreement with inclusion complex formation of gamma-CD. In addition, NMR measurements showed that in solution the spectra of GA are broad and sharpened by the addition of gamma-CD, indicating that unbound GA is in a water-soluble aggregate that is dispersed when it forms a complex with gamma-CD. Dynamic light scattering showed that the average diameter of unbound GA is > 30 nm and that of GA and gamma-CD complex is 2.2 nm, similar to unbound gamma-CD, supporting the aggregate property of GA and the inclusion complexation of GA by gamma-CD.

Calorimetry↗

Total calorimetry and temperature regulation in the nine-banded armadillo.

Cold exposure in the nine-banded armadillo causes vigorous shivering and a rise in core temperature (Tc). The increase in metabolic rate and Tc depends upon exposure temperature, but may be as much as six times and 3 degrees C respectively (Johansen 1961). These findings might indicate an insensitivity to Tc, which is puzzling since internal temperature is thought to be the primary and regulated variable. It is suggested that positive feedback may play a role in temperature regulation in these animals. To investigate this problem two series of experiments were performed in the same species. Series 1. Measurements of changes in heat loss (direct calorimetry) and heat production (indirect calorimetry) following transferral from a thermoneutral to a cold environment. The difference between these measurements determines whether heat storage is positive due to the increased core temperature or negative due to reduction in the size of the core with the increased temperature. Series 2. Investigation of core thermosensitivity (body core cooling using colonic thermode) under different environmental conditions. The results of the first series showed that the rise in Tc was accompanied by positive heat storage in the body. The second series demonstrated core thermosensitivities similar to those previously reported for a variety of other homeothermic mammals.

Animals↗

Heat killing of bacterial spores analyzed by differential scanning calorimetry.

Thermograms of the exosporium-lacking dormant spores of Bacillus megaterium ATCC 33729, obtained by differential scanning calorimetry, showed three major irreversible endothermic transitions with peaks at 56, 100, and 114 degrees C and a major irreversible exothermic transition with a peak at 119 degrees C. The 114 degrees C transition was identified with coat proteins, and the 56 degrees C transition was identified with heat inactivation. Thermograms of the germinated spores and vegetative cells were much alike, including an endothermic transition attributable to DNA. The ascending part of the main endothermic 100 degrees C transition in the dormant-spore thermograms corresponded to a first-order reaction and was correlated with spore death; i.e., greater than 99.9% of the spores were killed when the transition peak was reached. The maximum death rate of the dormant spores during calorimetry, calculated from separately measured D and z values, occurred at temperatures above the 73 degrees C onset of thermal denaturation and was equivalent to the maximum inactivation rate calculated for the critical target. Most of the spore killing occurred before the release of most of the dipicolinic acid and other intraprotoplast materials. The exothermic 119 degrees C transition was a consequence of the endothermic 100 degrees C transition and probably represented the aggregation of intraprotoplast spore components. Taken together with prior evidence, the results suggest that a crucial protein is the rate-limiting primary target in the heat killing of dormant bacterial spores.

Bacillus megaterium↗

Interactive videodisc calorimetry simulations for exercise physiology laboratories.

Six interactive videodisc lessons for college-level exercise physiology classes were developed. The six lessons were written using TenCore for the IBM M-Motion technology. The focus of the laboratories is on exercise metabolism measured by indirect calorimetry. The six lessons are as follows. 1) Environmental measures: determines whether conditions are favorable for exercise. Dry bulb, wet bulb, and black globe temperatures are obtained to calculate relative humidity, STPD gas volumes, and the wet bulb-globe temperature index. 2) Basal metabolism: emphasizes the mechanics of calculating energy expenditure through indirect calorimetry. Lying, sitting, and exercise metabolism are compared. 3) Submaximal metabolism: compares the energy cost of walking a mile and running a mile. Steady-state exercise, oxygen debt, and oxygen deficit are explored. 4) Maximal metabolism: assesses maximal oxygen consumption using the Bruce protocol. 5) Hormonal responses to prolonged exercise: demonstrates the effect of hormonal levels on %fat and %carbohydrate utilization during 1 h of exercise. 6) Metabolic responses to supramaximal exercise: estimates anaerobic power using the Wingate test.

Calorimetry↗

Energy expenditure in children predicted from heart rate and activity calibrated against respiration calorimetry.

The purpose of this study was to predict energy expenditure (EE) from heart rate (HR) and activity calibrated against 24-h respiration calorimetry in 20 children. HR, oxygen consumption (VO2), carbon dioxide production (VCO2), and EE were measured during rest, sleep, exercise, and over 24 h by room respiration calorimetry on two separate occasions. Activity was monitored by a leg vibration sensor. The calibration day (day 1) consisted of specified behaviors categorized as inactive (lying, sitting, standing) or active (two bicycle sessions). On the validation day (day 2), the child selected activities. Separate regression equations for VO2, VCO2, and EE for method 1 (combining awake and asleep using HR, HR2, and HR3), method 2 (separating awake and asleep), and method 3 (separating awake into active and inactive, and combining activity and HR) were developed using the calibration data. For day 1, the errors were similar for 24-h VO2, VCO2, and EE among methods and also among HR, HR2, and HR3. The methods were validated using measured data from day 2. There were no significant differences in HR, VO2, VCO2, respiratory quotient, and EE values during rest, sleep, or over the 24 h between days 1 and 2. Applying the linear HR equations to day 2 data, the errors were the lowest with the combined HR/activity method (-2.6 +/- 5.2%, -4.1 +/- 5.9%, -2.9 +/- 5.1% for VO2, VCO2, and EE, respectively). To demonstrate the utility of the HR/activity method, HR and activity were monitored for 24 h at home (day 3). Free-living EE was predicted as 7,410 +/- 1,326 kJ/day. In conclusion, the combination of HR and activity is an acceptable method for determining EE not only for groups of children, but for individuals.

Body Composition↗

Heart rate recording method validated by whole body indirect calorimetry in 10-yr-old children.

The aim of the study was to validate the heart rate (HR) recording method against whole body indirect calorimetry in prepubertal children. Nineteen 10.5-yr-old healthy children (10 boys, 9 girls) participated in this study. HR and energy expenditure (EE) were recorded through laboratory tests. Individual relationships between HR and EE were computed (equation established in laboratory). Several models were tested and validated from 24-h measurements of EE and HR by whole body indirect calorimetry. The best fit was obtained with individual polynomial relationships. Mean differences between predicted (equation established in laboratory) and measured total daily EE averaged 7.6 +/- 20.1%. The causes of the differences and the means of improving the accuracy of the prediction equation are discussed.

Calorimetry, Indirect↗

Reducing the time period of steady state does not affect the accuracy of energy expenditure measurements by indirect calorimetry.

Achievement of steady state during indirect calorimetry measurements of resting energy expenditure (REE) is necessary to reduce error and ensure accuracy in the measurement. Steady state is often defined as 5 consecutive min (5-min SS) during which oxygen consumption and carbon dioxide production vary by +/-10%. These criteria, however, are stringent and often difficult to satisfy. This study aimed to assess whether reducing the time period for steady state (4-min SS or 3-min SS) produced measurements of REE that were significantly different from 5-min SS. REE was measured with the use of open-circuit indirect calorimetry in 39 subjects, of whom only 21 (54%) met the 5-min SS criteria. In these 21 subjects, median biases in REE between 5-min SS and 4-min SS and between 5-min SS and 3-min SS were 0.1 and 0.01%, respectively. For individuals, 4-min SS measured REE within a clinically acceptable range of +/-2% of 5-min SS, whereas 3-min SS measured REE within a range of -2-3% of 5-min SS. Harris-Benedict prediction equations estimated REE for individuals within +/-20-30% of 5-min SS. Reducing the time period of steady state to 4 min produced measurements of REE for individuals that were within clinically acceptable, predetermined limits. The limits of agreement for 3-min SS fell outside the predefined limits of +/-2%; however, both 4-min SS and 3-min SS criteria greatly increased the proportion of subjects who satisfied steady state within smaller limits than would be achieved if relying on prediction equations.

Aged↗

Use of indirect calorimetry in clinical nutrition.

The tremendous variability in resting energy expenditure makes efforts to predict caloric requirements difficult. Indirect calorimetry has provided a valuable tool in assessing energy expenditure, evaluating the way in which the body uses nutrient fuel, and designing nutritional regimens that best fit the clinical condition of the patient. The many indirect calorimetric instruments available vary in their application to clinical nutrition. The best metabolic studies are achieved by controlling the testing environment, accounting for the many clinical factors that may affect measurements, and eliminating potential sources for error. Although indirect calorimetry would seem to reduce the likelihood of complications from overfeeding, its greatest effect may be in cost savings by avoiding unnecessary nutritional support and in providing a means for clinical research.

Bias↗