To investigate the relationship between pulmonary diffusion limitation, ventilation-perfusion (VA/Q) mismatch, pulmonary transit times (PTT) and pulmonary gas exchange during exercise, 10 highly trained male athletes (age=26.4±4.4 years, Height=185.5±5.3cms, Weight=78.2±8.6 kg, V 02max=5.15±0.521-min-1) under went exercise testing at rest (R) and 150W, 300W and maximal exercise (372±22W), corresponding to an oxygen consumption (V0₂) of 0.41±0.09, 2.16±0.17, 4.32±0.35 and 5.13±0.50 1-min-1respectively, while trace amounts of six inert gases were infused via a peripheral vein. Arterial blood samples, mixed expired gas samples and metabolic data were obtained. Observed alveolar arterial difference ([A-a]D0₂(0)was calculated according to the alveolar gas equation. Indices of VA/Q mismatch: LogSDi and Log SDa and predicted [A-a]D0₂([A-a]DO₂(p)) were derived from 50 compartment model analysis of retentions and excretions of the inert gases. Additional indices of '/A/I,) mismatch: DISPR*, DISPE and DISPR*_E and inert gas alveolar difference ([A-a]D, R(A-a)D and E(A-a)D) were obtained directly from the inert gas data. One to two weeks later, the subjects underwent first pass radionuclide angiography using a Siemens ZLC wide field of view gamma camera. Following in vitro labeling with 99mTechnecium, 5-10 ml of the subject's blood, containing 10-20 mCi of activity, were injected at rest. First pass and post-static data were obtained on an ADAC 3003 computer and cardiac output was calculated using the Stewart Hamilton equation. PTT was determined using deconvolution and centroid methods. Gated radionuclide angiography was then performed at rest, 150, and 300W. On a separate occasion, first pass cardiac outputs and pulmonary transit times were obtained at maximal exercise. Mean arterial partial pressure of 0₂ (Pa0₂) decreased significantly from rest to 150W , and from 150 to 300W to a low value of 86±9 torn, before increasing to near resting values at maximal exercise. [A-a]D0₂(3) increased across each exercise levels however only the increase from 150 to 300 W was significant. The overall and perfusion-related indices of VA/Q mismatch showed a significant increase with exercise, mainly as a result of increasing perfusion of areas of high VA/Q [A-a]D0₂(0 was greater than predicted, becoming significant during heavy exercise, indicating diffusion limitation. Cardiac output increased from 6.9±0.9 1-min-1 (R) to 25.2±2.5 1-min-1 at 300W and 33.3±3.7 1-min-1 at maximal exercise. End diastolic volume increased from R to heavy exercise (p < 0.001), accompanied by a decrease in end systolic volume (p =0.05). Stroke volume and ejection fraction also increased significantly from R to 300W (p <0.001). Deconvolution PTT decreased from 9.32±1.41 s at rest to 2.91±0.30 s during max exercise and was highly correlated with centroid PTT both at rest (r=0.99, p<0.001) and during maximal exercise (r=0.96, p<0.001). PTT during maximal exercise was significantly correlated with Pa0₂ (1=0.65, p<0.05) and [A-a]D0₂(0)_[A-a]D0₂(p) (r=-0.60, p<0.05). Calculated pulmonary blood volume increased during maximal exercise by 57% over resting values to over 25% of total blood volume and when corrected for body surface area correlated significantly with Pa0₂ (r=0.69, p<0.05). There was a significant correlation between (A-a)D, PTT, the ventilatory equivalent for CO₂ and Pa0₂ during maximal exercise (r=0.94, p<0.01) allowing prediction of over 80% of the variance in Pa0₂ between subjects. These data indicate that highly trained athletes develop VA/Q mismatch accompanied by diffusion limitation during maximal exercise. Observed decrease in Pa0₂2 during high intensity exercise is the result of a complex interaction between VA/Q mismatch, hypoventilation and diffusion limitation secondary to shortened pulmonary transit. / Graduate and Postdoctoral Studies / Graduate

Thesis (MScIng)--Stellenbosch University, 2008. / ENGLISH ABSTRACT: Conventional pulse oximetry has limited accuracy in measuring blood oxygen saturation in low saturation and perfusion scenarios. This limits the application of pulse oximetry in patients su ering from peripheral vascular a ictions. A novel pulse oximetry system is presented in this study which proposes solutions to these low saturation and perfusion issues. The presented system was designed to overcome the low perfusion issues by inducing an arti cial pulse in the detected photoplethysmograph. A novel arterio-venous hypothesis was formulated to extract arterial and venous saturation data from this arti cial photoplethysmograph using arterial-to-venous compliance ratios. Sensor wavelengths were selected to provide high and low saturation accuracy, followed by an in vitro sensor calibration procedure. System performance was validated by means of in vivo human studies. In vivo results indicate good accuracy for high saturation, with limited accuracy in low saturation scenarios. The arterio-venous hypothesis was validated, indicating that venous saturation information can be extracted from the arti cial PPG. Although inconclusive, results indicate that the proposed system might be able to accurately monitor arterial and venous saturation in severe hypoperfusion scenarios with recommended hardware and calibration modi cations. It is recommended that further studies into the presented system's performance are conducted. / AFRIKAANSE OPSOMMING: Konvensionele 'pulse oximetry' sisteme het beperkte akkuraatheid tydens die meting van bloed suurstof saturasie in lae saturasie en perfusie gevalle. Dit beperk die bruikbaarheid van 'pulse oximetry' in pasiënte wat ly aan perifere vaskulêre siektes. 'n Nuwe 'pulse oximetry' sisteem, wat oplossings vir hierdie lae saturasie en perfusie beperkings voorstel, word in hierdie studie aangebied. Die voorgestelde sisteem is ontwerp om die lae perfusie beperkings te oorkom deur 'n kunsmatige polsslag in die 'photoplethysmograph' te induseer. 'n Nuwe arterio-veneuse hipotese is geformuleer om arteriële en veneuse saturasie inligting uit hierdie kunsmatige polsslag te onttrek deur middel van 'n arteriële-teenoor-veneuse styfheids verhouding. Die gol engtes wat gebruik is in die sensors, is spesi ek gekies om hoë en lae saturasie akkuraatheid te verskaf. 'n In vitro kalibrasie prosedure is gevolg om die sensors vir hoë en lae saturasie te kalibreer, waarna die werkverrigting van die sisteem getoets is deur middel van 'n in vivo validasie prosedure. Die in vivo resultate toon goeie akkuraatheid vir hoë saturasie, met beperkte akkuraatheid vir lae saturasie. Die arterio-veneuse hipotese is gevalideer, wat aandui dat veneuse saturasie wel uit die kunsmatige 'photoplethysmograph' onttrek kan word. Alhoewel die resultate wat in hierdie studie aangebied word nie omvattend of beslissend is nie, dui dit egter aan dat die voorgestelde sisteem dalk in staat kan wees om arteriële en veneuse saturasie in uiters lae perfusie gevalle te meet. Verbeteringe sal egter aan die sisteem aangebring moet word in terme van hardeware en kalibrasie, om 'n meer gestandardiseerde metings metode te verseker. Verdere navorsing oor die werkverrigting van die voorgestelde sisteem word ook voorgestel.

Orientador: Flávio Dutra de Resende / Banca: Danilo Domingues Millen / Banca: Laura Franco Prados / Banca: Ivanna Moraes de Oliveira / Banca: Ricardo Andrade Reis / Resumo: O objetivo no trabalho foi avaliar o desempenho e as características de carcaça e carne de bovinos Nelore em confinamento, com utilização de monensina sódica como modulador de consumo de matéria seca. Foram utilizados 250 bovinos da raça Nelore, com peso médio de 363 kg. Os animais foram alojados em 35 baias coletivas equipadas com seis metros lineares de cocho de alimentação de concreto e bebedouros de 1500L de água. Os animais foram blocados através do peso, assim ficou disposto de forma que cada baia alojava 7 animais, sendo que o último bloco (5 baias finais) estava alojado 8 animais. De cada baia foi sorteado dois animais no início do experimento, afim de classificar os animais que seria feito coletas de sangue e coleta de dados no abate comercial, totalizando 70 animais para tais coletas. O experimentou foi de 148/156 dias no total, dividido em período de adaptação e terminação. Foram utilizadas três dietas, como os mesmos ingredientes, bagaço de cana-de-açúcar, milho grão, polpa cítrica, farelo de algodão e núcleo mineral, mas com relação a proporção de volumoso:concentrado diferente, sendo que a adaptação era 22:78; transição 17:83 e terminação 12:88 O fornecimento era feito pela manhã e durante a tarde, sendo dois fornecimentos de 50% cada um. Em todas as dietas era acrescido no núcleo mineral 25 mg/kg MS de virginiamicina e de acordo com os tratamentos era adicionado monensina sódica na dose de 20 mg/kg MS. Foram avaliados cinco tratamentos: VM - Uso de virginiamici... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The aim was evaluation the performance and the characteristics of the carcass of Nelore beef in feedlot, with the use of sodium monensin as a modulator of dry matter intake. A total of 250 Nellore cattle were used, with a mean weight of 363 kg. The animals were housed in 35 collective pens equipped with six linear meters of concrete feeding trough and water troughs of 1500L. The animals were blocked by weight, so they were arranged so that each pen 7 animals, and the last block (5 final pens) housed 8 animals. From each pen, 2 animals were randomly selected at the beginning of the experiment, in order to separate the animals that carried out blood collection and data collection in slaughterhouse, totaling 70 animals for such collections. The experiment was 148/156 days in total, in the period of adaptation and termination. The types of diet, such as the ingredients themselves, sugar cane bagasse, corn grain, citrus pulp, cottonseed meal and mineral, but with regard to a proportion of bulky: a different, being a 22:78 adaptation; transition 17:83 and termination 12:88 The supply was made in the morning and during the afternoon, two supplies of 50% each. In all diets, 25 mg/kg MS of virginiamycin was added to the mineral core and according to treatments sodium monensin was added at a dose of 20 mg/kg DM. Five treatments were applied: VM - Use of virginiamycin throughout the experimental period, without addition of sodium monesin in the diet (Control); 34d - Use sodium monesin f... (Complete abstract click electronic access below) / Doutor

Diss. (sammanfattning) Uppsala : Sveriges lantbruksuniv., 2008. / Härtill 5 uppsatser.

Thesis (M.S.)--University of Michigan, 1980.

Thesis (M.S.)--University of Michigan, 1980.

This purpose of this study was to evaluate the contribution of post-dive peripheral tissue warming to the production of venous gas emboli (VGE) in divers. Inert gas elimination from the tissues is limited by both perfusion and diffusion. If changes in diffusion are matched by corresponding perfusion (vasoactive) changes, decompression should be asymptomatic (within allowable exposure limits). Under conditions when the diffusion of inert gas from the tissues is not matched by blood perfusion, VGE will ensue. Increasing tissue temperature will decrease inert gas solubility and thus diffusion into the blood. It has been demonstrated that problems may arise during rapid changes in peripheral temperature, as often occurs post-dive, when divers previously exposed to cold water actively rewarm themselves in showers or baths. The effect of moderate rewarming, however, may be to increase the rate of inert gas elimination without the formation of VGE since increased perfusion is encouraged. The effect of mild post-dive warming was investigated. Ten male subjects, between the ages of 21 and 29 years completed two dry chamber dives to 70 feet for 35 minutes (no decompression limit of the Canadian Forces Air Diving tables). Each dive was followed by a 30 minute head-out immersion in either a thermoneutral (28°C) or warm (38°C) bath. Non-invasive Doppler ultrasonic monitoring was then carried out at 30 minute intervals for the next 150 minutes to assess measurable VGE. Subjects did not display VGE formation in either the control or experimental conditions. Our findings suggest that: 1) the Canadian Forces table limits (for the profile employed) provide safe no-decompression limits not compromised by mild post-dive warming, and 2) mild peripheral warming, since not bubble generating, may be a useful adjunctive therapy in the management of decompression sickness by increasing the rate of inert gas elimination. / Education, Faculty of / Curriculum and Pedagogy (EDCP), Department of / Graduate

An arterialblood gas analysis which is conducted in critical care areas contributes to the assessment of a patient's ventilatory status and acid -base balance. The purpose of this research was to determine the relationship of time delays and temperature on the result of a blood gas analysis. The objective was to either accept or refute the null hypothesis, that there is no relationship between temperature and time delays and an arterial blood gas result Fifteen subjects were randomly selected. The researcher drew three samples of arterial blood from each subject. Ethical principles were observed. An inferential non-parametric statistic was used. The chi-squared test was used to test the hypothesis and the Friedman and the Wilcoxon signed ranks test were used to test the differences between the means. The results revealed that there was a relationship between time delays, temperature and the arterial blood gas result. The null hypothesis was rejected. / Health Stusies / M.A. (Health Studies)

Licentiatavhandling (sammanfattning) Uppsala : Sveriges lantbruksuniversitet. / Härtill 3 uppsatser.

An arterialblood gas analysis which is conducted in critical care areas contributes to the assessment of a patient's ventilatory status and acid -base balance. The purpose of this research was to determine the relationship of time delays and temperature on the result of a blood gas analysis. The objective was to either accept or refute the null hypothesis, that there is no relationship between temperature and time delays and an arterial blood gas result Fifteen subjects were randomly selected. The researcher drew three samples of arterial blood from each subject. Ethical principles were observed. An inferential non-parametric statistic was used. The chi-squared test was used to test the hypothesis and the Friedman and the Wilcoxon signed ranks test were used to test the differences between the means. The results revealed that there was a relationship between time delays, temperature and the arterial blood gas result. The null hypothesis was rejected. / Health Stusies / M.A. (Health Studies)