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At least 1,135 records · Page 63Linked to original sources
PubMed1991

Comparison of oxygen consumption measurements: indirect calorimetry versus the reversed Fick method.

OBJECTIVE: To compare measurement of oxygen consumption (VO2) by spirometry and the reversed Fick method. DESIGN: Within-patient comparison using simultaneous measurements by the two methods, one previously calibrated on a metabolic simulator. PATIENTS: Twenty sets of observations on eight patients (57 to 83 yrs) requiring mechanical ventilation in a critical care unit. INTERVENTIONS: None during or immediately before the measurements. MEASUREMENTS AND MAIN RESULTS: Duplicate pairs of measurements of VO2 were made with a previously validated spirometric technique and the reversed Fick method (Qt[CaO2 - CVO2]), where Qt is cardiac output, CaO2 is arterial oxygen content, and CVO2 is mixed venous oxygen content. The coefficient of variation of the difference between duplicate measurements by the former technique was only 2.53% compared with 10.4% for the latter. The mean VO2 measurement by the spirometric method was 285.7 +/- 40.7 (SD) mL/min standard temperature and pressure, dry (STPD) and for the reversed Fick method, the mean VO2 measurement was 249.3 +/- 38.5 mL/min STPD. The mean difference was 36.4 +/- 28.5 mL/min STPD (p less than .001). CONCLUSIONS: The repeatability of the spirometric method was four times better than the reversed Fick method. The latter gave a significantly lower value that probably, in part, reflects the VO2 of the lung, which is included in the spirometric method but not in the reversed Fick measurement.

Aged↗
PubMed1999

Effects of ventilator resetting on indirect calorimetry measurement in the critically ill surgical patient.

OBJECTIVE: To evaluate the effect of acute changes in minute ventilation (VE) on oxygen consumption (VO2), carbon dioxide production (VCO2), respiratory quotient, and energy expenditure during volume-controlled mechanical ventilation in the critically ill surgical patient. The effects on some oxygen transport variables were assessed as well. DESIGN: Prospective, randomized clinical study SETTING: Adult surgical intensive care unit of a university teaching hospital. PATIENTS: Twenty adult critically ill surgical patients were studied during volume-controlled mechanical ventilation. INTERVENTIONS: After a basal period of stability (no changes over time in body temperature, energy expenditure, blood gases, acid-base status, cardiac output, and ventilatory parameters), VE was then randomly either increased or reduced (+/-35%) by a change in tidal volume (VT), while respiratory rate and inspiratory/expiratory ratio were kept constant. Settings were then maintained for 120 mins. During the study, patients were sedated and paralyzed. MEASUREMENTS AND MAIN RESULTS: VO2, VCO2, and respiratory quotient were measured continuously by a Nellcor Puritan Bennett 7250 metabolic monitor (Nellcor Puritan Bennett, Carlsbad, CA). Hemodynamic and oxygen transport parameters were obtained every 15 mins during the study. Despite large changes in VE, VO2 and energy expenditure did not change significantly either in the increased or in the reduced VE groups. After 15 mins, VCO2 and respiratory quotient changed significantly after ventilator resetting. VCO2 increased by 10.5 +/- 1.1% (from 2.5 +/- 0.10 to 2.8 +/- 0.12 mL/min/kg, p< .01) in the increased VE group and decreased by 12.4 +/- 2.1% (from 2.7 +/- 0.17 to 2.4 +/- 0.16 mL/min/kg, p< .01) in the reduced VE group. Similarly, respiratory quotient increased by 16.2% +/- 2.2% (from 0.87 +/- 0.02 to 1.02 +/- 0.02, p< .01) and decreased by 17.2% +/- 1.8% (from 0.88 +/- 0.02 to 0.73 +/- 0.02, p< .01). VCO2 normalized in the reduced VE group, but remained higher than baseline in the increased VE group. Respiratory quotient did not normalize in both groups and remained significantly different from baseline at the end of the study. Cardiac index, oxygen delivery, and mixed venous oxygen saturation increased, while oxygen extraction index decreased significantly in the reduced VE group. Neither of the mentioned parameters changed significantly in the increased VE group. CONCLUSIONS: We conclude that, during controlled mechanical ventilation, the time course and the magnitude of the effect on gas exchange and energy expenditure measurements caused by acute changes in VE suggest that VO2 and energy expenditure measurements can be used reliably to evaluate and quantify metabolic events and that VCO2 and respiratory quotient measurements are useless for metabolic purposes at least for 120 mins after ventilator resetting.

Aged↗
PubMed2003

Structural analysis by X-ray crystallography and calorimetry of a haemagglutinin component (HA1) of the progenitor toxin from Clostridium botulinum.

Botulism food poisoning is caused primarily by ingestion of the Clostridium botulinum neurotoxin (BoNT). The 1300 amino acid BoNT forms a progenitor toxin (PTX) that, when associated with a number of other proteins, increases its oral toxicity by protecting it from the low pH of the stomach and from intestinal proteases. One of these associated proteins, HA1, has also been suggested to be involved with internalization of the toxin into the bloodstream by binding to oligosaccharides lining the intestine. Here is reported the crystal structure of HA1 from type C Clostridium botulinum at a resolution of 1.7 Angstrom. The protein consists of two beta-trefoil domains and bears structural similarities to the lectin B-chain from the deadly plant toxin ricin. Based on structural comparison to the ricin B-chain lactose-binding sites, residues of type A HA1 were selected and mutated. The D263A and N285A mutants lost the ability to bind carbohydrates containing galactose moieties, implicating these residues in carbohydrate binding.

Amino Acid Sequence↗
PubMed2001

Thermal and urea-induced unfolding in T7 RNA polymerase: calorimetry, circular dichroism and fluorescence study.

Structural changes in T7 RNA polymerase (T7RNAP) induced by temperature and urea have been studied over a wide range of conditions to obtain information about the structural organization and the stability of the enzyme. T7RNAP is a large monomeric enzyme (99 kD). Calorimetric studies of the thermal transitions in T7RNAP show that the enzyme consists of three cooperative units that may be regarded as structural domains. Interactions between these structural domains and their stability strongly depend on solvent conditions. The unfolding of T7RNAP under different solvent conditions induces a highly stable intermediate state that lacks specific tertiary interactions, contains a significant amount of residual secondary structure, and undergoes further cooperative unfolding at high urea concentrations. Circular dichroism (CD) studies show that thermal unfolding leads to an intermediate state that has increased beta-sheet and reduced alpha-helix content relative to the native state. Urea-induced unfolding at 25 degrees C reveals a two-step process. The first transition centered near 3 M urea leads to a plateau from 3.5 to 5.0 M urea, followed by a second transition centered near 6.5 M urea. The CD spectrum of the enzyme in the plateau region, which is similar to that of the enzyme thermally unfolded in the absence of urea, shows little temperature dependence from 15 degrees to 60 degrees C. The second transition leads to a mixture of poly(Pro)II and unordered conformations. As the temperature increases, the ellipticity at 222 nm becomes more negative because of conversion of poly(Pro)II to the unordered conformation. Near-ultraviolet CD spectra at 25 degrees C at varying concentrations of urea are consistent with this picture. Both thermal and urea denaturation are irreversible, presumably because of processes that follow unfolding.

Calorimetry↗
PubMed1997

Indirect calorimetry during treadmill walking--a study of two methods.

Walking is a complex process and the physiotherapist must focus on physical signs as well as functional and practical tests to evaluate treatment. Measurement of energy expenditure during level walking is a useful objective parameter for assessing walking as being a valuable supplement to evaluate the outcome of physiotherapy. This study had two purposes. The first purpose was to investigate whether sampling and measurement of oxygen consumption were reproducible when using two different devices during walking on a treadmill. A second purpose was to find out whether the measurements were sensitive enough to reveal differences in energy expenditure and respiratory quotient (RO) during different walking speeds. Ten healthy students (mean age 22 years; range 20-25 years) volunteered in the test-retest of a slightly adjusted Deltatrac metabolic monitor. Thirteen volunteers (mean age 45 years; range 31-57 years) participated in the test-retest of Sensormedics 2900. In the first test, the subjects walked for 10 min in order to get a steady state both at an individual comfortable speed and at a preset speed. The retest was done with the same design and within 2 weeks. Nobody experienced any discomfort during the tests. The repeatability of measuring energy expenditure and RQ was acceptable for both methods and the methods were sensitive in revealing differences in energy expenditure during different walking speeds. The RQ were, however, too low when using the Deltatrac monitor, probably as a result of low air flow. We therefore conclude that only the method using Sensormedics 2900 may be used for the evaluation of energy expenditure during walking on a treadmill.

Adult↗
PubMed1991

Mechanisms of protein conservation during xylitol infusion after burn injury in rats: isotope kinetics and indirect calorimetry.

In order to study the mechanisms by which nutrients influence post-trauma metabolism, Sprague-Dawley rats received a 25% full-thickness burn and were randomly assigned to receive 12.5 g kg-1 bodyweight (BW) per day amino acids (AA) only, AA and 14.7 g hydrous glucose kg-1 BW per day or AA and 14.7 g hydrous xylitol kg-1 BW per day. After 4 days of hypocaloric feeding, rats receiving xylitol had a cumulative nitrogen balance of +213 +/- 82 mg N, which was significantly (P less than 0.001) better compared with either the AA with only -493 +/- 61 mg N or the AA and glucose group (P less than 0.01) with -160 +/- 101 mg N. During glucose infusion reduction of insulin-mediated fat oxidation was partially compensated by an increase in glucose oxidation. Xylitol infusions resulted in increased glucose oxidation compared with the amino acid only group without simultaneously reduced fat oxidation. Although glucose and xylitol are calorically similar, their protein sparing properties and metabolic action after injury cannot be based entirely upon their caloric equivalent.

Amino Acids↗
PubMed1980

The use of differential scanning calorimetry for the evaluation of dental materials. I. Cements, cavity lining materials and anterior restorative materials.

Thermal changes occurring during the setting of restorative materials have been measured accurately using a differential scanning calorimeter. The results were used to evaluate setting characteristics. The heat of reaction and rate of heat output may be significant in determining thermal damage to the pulp. The heat capacity is related to thermal insulation properties. These properties have been determined and their effect on the efficacy of restorative materials discussed.

Calorimetry↗
PubMed1980

The use of differential scanning calorimetry for the evaluation of dental materials. Part II. Denture base materials.

The presence of thermal transitions within the working range of denture base polymers may have a drastic effect on the dimensional stability of the material. The glass transition temperatures of fifteen denture base polymers have been measured and their significance discussed. The effect of thermal contraction and polymerization contraction on dimensional stability is not fully understood at the present time. An attempt has been made to explain the dimensional changes which occur in denture bases with the aid of transition temperatures and inferred thermal contraction and polymerization contraction values.

Calorimetry, Differential Scanning↗