5,210 research outputs found
Hemoglobin Mass and Blood Volume in Patients With Altitude-Related Polycythemia
Patients with chronic mountain sickness (CMS) have a high hemoglobin concentration [Hb] due to increased hemoglobin mass (Hbmass) and possibly reduced plasma volume (PV). The values of Hbmass, PV and blood volume (BV) have been described differently, and the relationships between [Hb] and Hbmass or PV are poorly understood. This study obtained representative Hbmass, PV and BV data from healthy, high-altitude residents and CMS patients and quantified the dependency of [Hb] on Hbmass and PV. Methods: Eighty-seven subjects born at high altitude (∼3,900 m) were enrolled. Thirty-four had CMS (CMS), 11 had polycythemia without CMS (intermediate, IM), 20 were healthy highlanders (HH), and 22 living near sea level (SL, 420 m) served as the sea level (SL) control group. Hbmass, PV and BV were determined using a CO-rebreathing method modified for assessing polycythemia patients. Furthermore, [Hb], hematocrit (Hct), plasma erythropoietin concentration [EPO] and blood gas and acid–base status were determined. Results: In the HH group, Hbmass was 27% higher (940 ± 105 g) than in the SL group (740 ± 112 g) and 72% (1,617 ± 265 g) lower than in the CMS group. The PV in the HH group was similar to that in the SL group (−6%) and 15% higher than that in the CMS group (p < 0.001). In the HH group, the BV (5,936 ± 673 ml) did not differ from that in the SL group and was 28% lower than in the CMS group (7,606 ± 1075 ml, p < 0.001). Log [EPO] was slightly increased in the CMS group relative to the HH group (p < 0.01). All values in the IM group were between those in the HH and CMS groups. Hbmass and BV were positively correlated, and PV was negatively correlated with peripheral O(2) saturation. Increased Hbmass and decreased PV contributed approximately 65 and 35%, respectively, to the difference in [Hb] between the HH (17.1 ± 0.8 g/dl) and CMS (22.1 ± 1.0 g/dl) groups. Conclusions: In CMS patients, the decrease in PV only partially compensated for the substantial increase in Hbmass, but it did not prevent an increase in BV; the decrease in PV contributed to an excessively high [Hb]
Effect of Periodontal Therapy on Alveolar Bone as Measured by Subtraction Radiography
Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/141973/1/jper0633.pd
Cardiac stroke volume in females and its correlation to blood volume and cardiac dimensions
We aimed to continuously determine the stroke volume (SV) and blood volume (BV) during incremental exercise to evaluate the individual SV course and to correlate both variables across different exercise intensities. Twenty-six females with heterogeneous endurance capacities performed an incremental cycle ergometer test to continuously determine the oxygen uptake (V̇O(2)), cardiac output (Q̇) and changes in BV. Q̇ was determined by impedance cardiography and resting cardiac dimensions by 2D echocardiography. Hemoglobin mass and BV were determined using a carbon monoxide-rebreathing method. V̇O(2max) ranged from 32 to 62 mL·kg(−1)·min(−1). Q̇(max) and SV(max) ranged from 16.4 to 31.6 L·min(−1) and 90–170 mL, respectively. The SV significantly increased from rest to 40% and from 40% to 80% V̇O(2max). Changes in SV from rest to 40% V̇O(2max) were negatively (r = −0.40, p = 0.05), between 40% and 80% positively correlated with BV (r = 0.45, p < 0.05). At each exercise intensity, the SV was significantly correlated with the BV and the cardiac dimensions, i.e., left ventricular muscle mass (LVMM) and end-diastolic diameter (LVEDD). The BV decreased by 280 ± 115 mL (5.7%, p = 0.001) until maximum exercise. We found no correlation between the changes in BV and the changes in SV between each exercise intensity. The hemoglobin concentration [Hb] increased by 0.8 ± 0.3 g·dL(−1), the capillary oxygen saturation (ScO(2)) decreased by 4.0% (p < 0.001). As a result, the calculated arterial oxygen content significantly increased (18.5 ± 1.0 vs. 18.9 ± 1.0 mL·dL(−1), p = 0.001). A 1 L higher BV at V̇O(2max) was associated with a higher SV(max) of 16.2 mL (r = 0.63, p < 0.001) and Q̇(max) of 2.5 L·min(−1) (r = 0.56, p < 0.01). In conclusion, the SV strongly correlates with the cardiac dimensions, which might be the result of adaptations to an increased volume load. The positive effect of a high BV on SV is particularly noticeable at high and severe intensity exercise. The theoretically expected reduction in V̇O(2max) due to lower SV as a consequence of reduced BV is apparently compensated by the increased arterial oxygen content due to a higher [Hb]
Relative Oscillation Theory, Weighted Zeros of the Wronskian, and the Spectral Shift Function
We develop an analog of classical oscillation theory for Sturm-Liouville
operators which, rather than measuring the spectrum of one single operator,
measures the difference between the spectra of two different operators.
This is done by replacing zeros of solutions of one operator by weighted
zeros of Wronskians of solutions of two different operators. In particular, we
show that a Sturm-type comparison theorem still holds in this situation and
demonstrate how this can be used to investigate the finiteness of eigenvalues
in essential spectral gaps. Furthermore, the connection with Krein's spectral
shift function is established.Comment: 26 page
Structure and expression of the human globin genes and murine histocompatibility antigen genes
String-like Clusters and Cooperative Motion in a Model Glass-Forming Liquid
A large-scale molecular dynamics simulation is performed on a glass-forming
Lennard-Jones mixture to determine the nature of dynamical heterogeneities
which arise in this model fragile liquid. We observe that the most mobile
particles exhibit a cooperative motion in the form of string-like paths
(``strings'') whose mean length and radius of gyration increase as the liquid
is cooled. The length distribution of the strings is found to be similar to
that expected for the equilibrium polymerization of linear polymer chains.Comment: 6 pages of RevTex, 6 postscript figures, uses epsf.st
Suppression of quantum oscillations and the dependence on site energies in electronic excitation transfer in the Fenna-Matthews-Olson trimer
Energy transfer in the photosynthetic complex of the Green Sulfur Bacteria
known as the Fenna-Matthews-Olson (FMO) complex is studied theoretically taking
all three subunits (monomers) of the FMO trimer and the recently found eighth
bacteriochlorophyll (BChl) molecule into account. We find that in all
considered cases there is very little transfer between the monomers. Since it
is believed that the eighth BChl is located near the main light harvesting
antenna we look at the differences in transfer between the situation when BChl
8 is initially excited and the usually considered case when BChl 1 or 6 is
initially excited. We find strong differences in the transfer dynamics, both
qualitatively and quantitatively. When the excited state dynamics is
initialized at site eight of the FMO complex, we see a slow exponential-like
decay of the excitation. This is in contrast to the oscillations and a
relatively fast transfer that occurs when only seven sites or initialization at
sites 1 and 6 is considered. Additionally we show that differences in the
values of the electronic transition energies found in the literature lead to a
large difference in the transfer dynamics
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