To examine the contralateral repeated bout effect(CL-RBE)on muscle damage markers and motor unit(MU)control strategies,seventeen healthy adults performed two bouts of 60 eccentric contractions with elbow flexor(EF gro...To examine the contralateral repeated bout effect(CL-RBE)on muscle damage markers and motor unit(MU)control strategies,seventeen healthy adults performed two bouts of 60 eccentric contractions with elbow flexor(EF group;n=9)or index finger abductor(IA group;n=8)muscles,separated by 1 week.All participants randomly performed eccentric exercise on either the right or left arm or hand muscles,and muscle damage markers and submaximal trapezoid contraction tests were conducted pre,post,1-and 2-day post eccentric protocol.One week after the first bout,the same exercise protocol and measurements were performed on the contralateral muscles.Surface electromyographic(EMG)signals were collected from biceps brachii(BB)or first dorsal interosseous(FDI)during maximal and submaximal tests.The linear regression analyses were used to examine MU recruitment threshold versus mean firing rate and recruitment threshold versus derecruitment threshold relationships.EMG amplitude from BB(bout 1 vs.bout 2=65.71%±22.92%vs.43.05%±18.97%,p=0.015,d=1.077)and the y-intercept(group merged)from the MU recruitment threshold versus derecruitment threshold relationship(bout 1 vs.bout 2=7.10±14.20 vs.0.73±16.24,p=0.029,d=0.513)at 50%MVIC were significantly different between two bouts.However,other muscle damage markers did not show any CL-RBE in both muscle groups.Therefore,despite changes in muscle excitation and MU firing behavior,our results do not support the existence of CL-RBE on BB and FDI muscles.展开更多
Background Severity scoring systems are useful tools for measuring the severity of the disease and its outcome. This pilot study was to verify and compare the prognostic performance of the Simplified Acute Physiology ...Background Severity scoring systems are useful tools for measuring the severity of the disease and its outcome. This pilot study was to verify and compare the prognostic performance of the Simplified Acute Physiology Score II （SAPS II） and Glasgow Coma Scale （GCS） in neuro-intensive care unit （N-ICU） patients. Methods A total of 1684 patients consecutively admitted to the N-ICU at Xuanwu Hospital between January 1, 2005 and December 31, 2011 were enrolled in this study. The data-base included admission data, at 24-, 48-, and 72-hour SAPS II and GCS. Repeated measure data analysis of variance, Logistic regression analysis, the Hosmer-Lemeshow goodness-of-fit statistic, and the area under the receiver operating characteristic were used to evaluate the performance. Results There was a significant difference between the SAPS II or GCS score at four time points （F=16.110, P=0.000 or F=8.108, P=0.000）. The SAPS II scores or GCS score at four time points interacted with the outcomes with significant difference （F=116.771, P=0.000 or F=65.316, P=0.000）. Calibration of the SAPS II or GCS score at each time point on all patients was good. The percentage of a risk estimate prediction corresponding to observed mortality was also good. The 72-hour score have the greatest consistency. Discriminations of the SAPS II or GCS score at each time were all satisfactory. The 72-hour score had the greatest discriminative power. The cut-off value was 33 （sensitivity of 85.2% and specificity of 74.3%） and 6 （sensitivity of 70.6% and specificity of 65.0%）. The SAPS II at each time point on all patients showed better calibration, consistency and discrimination than GCS. The binary Logistic regression analysis identified physiological variables, GCS, age, and disease category as significant independent risk factors of death. After the two variables including underlying disease and type of admission were excluded, we built the simplified SAPS II model. A correlation was suggested between the simplified SAPS II sco展开更多
文摘To examine the contralateral repeated bout effect(CL-RBE)on muscle damage markers and motor unit(MU)control strategies,seventeen healthy adults performed two bouts of 60 eccentric contractions with elbow flexor(EF group;n=9)or index finger abductor(IA group;n=8)muscles,separated by 1 week.All participants randomly performed eccentric exercise on either the right or left arm or hand muscles,and muscle damage markers and submaximal trapezoid contraction tests were conducted pre,post,1-and 2-day post eccentric protocol.One week after the first bout,the same exercise protocol and measurements were performed on the contralateral muscles.Surface electromyographic(EMG)signals were collected from biceps brachii(BB)or first dorsal interosseous(FDI)during maximal and submaximal tests.The linear regression analyses were used to examine MU recruitment threshold versus mean firing rate and recruitment threshold versus derecruitment threshold relationships.EMG amplitude from BB(bout 1 vs.bout 2=65.71%±22.92%vs.43.05%±18.97%,p=0.015,d=1.077)and the y-intercept(group merged)from the MU recruitment threshold versus derecruitment threshold relationship(bout 1 vs.bout 2=7.10±14.20 vs.0.73±16.24,p=0.029,d=0.513)at 50%MVIC were significantly different between two bouts.However,other muscle damage markers did not show any CL-RBE in both muscle groups.Therefore,despite changes in muscle excitation and MU firing behavior,our results do not support the existence of CL-RBE on BB and FDI muscles.
文摘Background Severity scoring systems are useful tools for measuring the severity of the disease and its outcome. This pilot study was to verify and compare the prognostic performance of the Simplified Acute Physiology Score II （SAPS II） and Glasgow Coma Scale （GCS） in neuro-intensive care unit （N-ICU） patients. Methods A total of 1684 patients consecutively admitted to the N-ICU at Xuanwu Hospital between January 1, 2005 and December 31, 2011 were enrolled in this study. The data-base included admission data, at 24-, 48-, and 72-hour SAPS II and GCS. Repeated measure data analysis of variance, Logistic regression analysis, the Hosmer-Lemeshow goodness-of-fit statistic, and the area under the receiver operating characteristic were used to evaluate the performance. Results There was a significant difference between the SAPS II or GCS score at four time points （F=16.110, P=0.000 or F=8.108, P=0.000）. The SAPS II scores or GCS score at four time points interacted with the outcomes with significant difference （F=116.771, P=0.000 or F=65.316, P=0.000）. Calibration of the SAPS II or GCS score at each time point on all patients was good. The percentage of a risk estimate prediction corresponding to observed mortality was also good. The 72-hour score have the greatest consistency. Discriminations of the SAPS II or GCS score at each time were all satisfactory. The 72-hour score had the greatest discriminative power. The cut-off value was 33 （sensitivity of 85.2% and specificity of 74.3%） and 6 （sensitivity of 70.6% and specificity of 65.0%）. The SAPS II at each time point on all patients showed better calibration, consistency and discrimination than GCS. The binary Logistic regression analysis identified physiological variables, GCS, age, and disease category as significant independent risk factors of death. After the two variables including underlying disease and type of admission were excluded, we built the simplified SAPS II model. A correlation was suggested between the simplified SAPS II sco
