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Hunt AP, Pagnussat AS, Lehn A, Moore D, Schweitzer D, Laakso EL, Hennig E, Morris ME, Kerr G, Stewart I. Evidence of heat sensitivity in people with Parkinson's disease. Int J Biometeorol 2024:10.1007/s00484-024-02658-w. [PMID: 38602550 DOI: 10.1007/s00484-024-02658-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Revised: 02/28/2024] [Accepted: 03/13/2024] [Indexed: 04/12/2024]
Abstract
Examining how heat affects people with Parkinson's disease is essential for informing clinical decision-making, safety, well-being, and healthcare planning. While there is evidence that the neuropathology associated with Parkinson's disease affects thermoregulatory mechanisms, little attention has been given to the association of heat sensitivity to worsening symptoms and restricted daily activities in people with this progressive disease. Using a cross-sectional study design, we examined the experiences of people diagnosed with Parkinson's disease in the heat. Two-hundred and forty-seven people completed an online survey (age: 66.0 ± 9.2 years; sex: male = 102 (41.3%), female = 145 (58.7%)), of which 195 (78.9%) reported becoming more sensitive to heat with Parkinson's disease. Motor and nonmotor symptoms worsened with heat in 182 (73.7%) and 203 (82.2%) respondents, respectively. The most commonly reported symptoms to worsen included walking difficulties, balance impairment, stiffness, tremor, fatigue, sleep disturbances, excess sweating, difficulty concentrating, and light-headedness when standing. Concerningly, over half indicated an inability to work effectively in the heat, and nearly half reported that heat impacted their ability to perform household tasks and social activities. Overall, heat sensitivity was common in people with Parkinson's disease and had a significant impact on symptomology, day-to-day activities and quality of life.
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Affiliation(s)
- Andrew P Hunt
- School of Biomedical Sciences, Faculty of Health, Queensland University of Technology (QUT), Brisbane, 4059, Australia.
| | - Aline Souza Pagnussat
- Department of Physical Therapy, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Brazil
- Department of Physical Therapy, Georgia State University, Atlanta, USA
| | - Alexander Lehn
- Princess Alexandra Hospital, Brisbane, QLD, Australia
- School of Medicine, The University of Queensland, Brisbane, QLD, Australia
| | - Daniel Moore
- School of Exercise and Nutrition Sciences, Faculty of Health, Deakin University, Melbourne, Australia
| | - Daniel Schweitzer
- School of Medicine, The University of Queensland, Brisbane, QLD, Australia
- Centre for Neurosciences, Mater Hospital, Brisbane, QLD, Australia
- Wesley Hospital, Brisbane, QLD, Australia
| | - E-Liisa Laakso
- Mater Research Institute, The University of Queensland, Brisbane, QLD, Australia
- Menzies Health Institute Queensland, Griffith University, Gold Coast, QLD, Australia
| | - Ewald Hennig
- School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology (QUT), Brisbane, 4059, Australia
| | - Meg E Morris
- The Victorian Rehabilitation Centre and ARCH, La Trobe University, Bundoora, 3086, Australia
| | - Graham Kerr
- School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology (QUT), Brisbane, 4059, Australia
| | - Ian Stewart
- School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology (QUT), Brisbane, 4059, Australia
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Brearley M, Berry R, Hunt AP, Pope R. A Systematic Review of Post-Work Core Temperature Cooling Rates Conferred by Passive Rest. Biology (Basel) 2023; 12:biology12050695. [PMID: 37237510 DOI: 10.3390/biology12050695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/04/2023] [Revised: 05/04/2023] [Accepted: 05/05/2023] [Indexed: 05/28/2023]
Abstract
Physical work increases energy expenditure, requiring a considerable elevation of metabolic rate, which causes body heat production that can cause heat stress, heat strain, and hyperthermia in the absence of adequate cooling. Given that passive rest is often used for cooling, a systematic search of literature databases was conducted to identify studies that reported post-work core temperature cooling rates conferred by passive rest, across a range of environmental conditions. Data regarding cooling rates and environmental conditions were extracted, and the validity of key measures was assessed for each study. Forty-four eligible studies were included, providing 50 datasets. Eight datasets indicated a stable or rising core temperature in participants (range 0.000 to +0.028 °C min-1), and forty-two datasets reported reducing core temperature (-0.002 to -0.070 °C min-1) during passive rest, across a range of Wet-Bulb Globe Temperatures (WBGT). For 13 datasets where occupational or similarly insulative clothing was worn, passive rest resulted in a mean core temperature decrease of -0.004 °C min-1 (-0.032 to +0.013 °C min-1). These findings indicate passive rest does not reverse the elevated core temperatures of heat-exposed workers in a timely manner. Climate projections of higher WBGT are anticipated to further marginalise the passive rest cooling rates of heat-exposed workers, particularly when undertaken in occupational attire.
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Affiliation(s)
- Matt Brearley
- Thermal Hyperformance, Hervey Bay, QLD 4655, Australia
- National Critical Care and Trauma Response Centre, Darwin, NT 0800, Australia
- School of Allied Health, Exercise & Sports Sciences, Charles Sturt University, Albury, NSW 2640, Australia
| | - Rachel Berry
- School of Biomedical Sciences, University of New South Wales, Sydney, NSW 2052, Australia
| | - Andrew P Hunt
- School of Biomedical Sciences, Faculty of Health, Queensland University of Technology (QUT), Brisbane, QLD 4059, Australia
| | - Rodney Pope
- School of Allied Health, Exercise & Sports Sciences, Charles Sturt University, Albury, NSW 2640, Australia
- Tactical Research Unit, Bond University, Robina, QLD 4229, Australia
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Hunt AP, Brearley M, Hall A, Pope R. Climate Change Effects on the Predicted Heat Strain and Labour Capacity of Outdoor Workers in Australia. Int J Environ Res Public Health 2023; 20:ijerph20095675. [PMID: 37174195 PMCID: PMC10178543 DOI: 10.3390/ijerph20095675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2023] [Revised: 04/13/2023] [Accepted: 04/23/2023] [Indexed: 05/15/2023]
Abstract
Global heating is subjecting more of the planet to longer periods of higher heat stress categories commonly employed to determine safe work durations. This study compared predicted worker heat strain and labour capacity for a recent normal climate (1986-2005) and under commonly applied climate scenarios for the 2041-2080 period for selected Australian locations. Recently published heat indices for northern (Darwin, Townsville, and Tom Price) and south-eastern coastal and inland Australia locations (Griffith, Port Macquarie, and Clare) under four projected climate scenarios, comprising two representative concentration pathways (RCPs), RCP4.5 and RCP8.5, and two time periods, 2041-2060 and 2061-2080, were used. Safe work durations, before the threshold for core temperature (38.0 °C) or sweat loss (5% body mass) are attained, were then estimated for each scenario using the predicted heat strain model (ISO7933). The modelled time to threshold core temperature varied with location, climate scenario, and metabolic rate. Relative to the baseline (1986-2005), safe work durations (labour capacity) were reduced by >50% in Port Macquarie and Griffith and by 20-50% in northern Australia. Reaching the sweat loss limit restricted safe work durations in Clare and Griffith. Projected future climatic conditions will adversely impact the predicted heat strain and labour capacity of outdoor workers in Australia. Risk management strategies must adapt to warming conditions to protect outdoor workers from the deleterious effects of heat.
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Affiliation(s)
- Andrew P Hunt
- School of Biomedical Sciences, Faculty of Health, Queensland University of Technology (QUT), Brisbane, QLD 4059, Australia
| | - Matt Brearley
- Thermal Hyperformance, Hervey Bay, QLD 4655, Australia
- National Critical Care and Trauma Response Centre, Darwin, NT 0800, Australia
- School of Allied Health, Exercise & Sports Sciences, Charles Sturt University, Albury, NSW 2640, Australia
| | - Andrew Hall
- Gulbali Institute, Charles Sturt University, Albury, NSW 2640, Australia
| | - Rodney Pope
- School of Allied Health, Exercise & Sports Sciences, Charles Sturt University, Albury, NSW 2640, Australia
- Tactical Research Unit, Bond University, Robina, QLD 4229, Australia
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Maley MJ, Hunt AP, Stewart IB, Weier S, Holland J, Leicht CA, Minett GM. Hot water immersion acutely reduces peripheral glucose uptake in young healthy males: An exploratory crossover randomized controlled trial. Temperature (Austin) 2023; 10:434-443. [PMID: 38130658 PMCID: PMC10732630 DOI: 10.1080/23328940.2022.2161242] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Accepted: 12/18/2022] [Indexed: 01/10/2023] Open
Abstract
Whether glucose concentration increases during heat exposure because of reduced peripheral tissue uptake or enhanced appearance is currently unknown. This study aimed to report glucose concentrations in both capillary and venous blood in response to a glucose challenge during passive heating (PH) to assess whether heat exposure affects glucose uptake in healthy males. Twelve healthy male participants completed two experimental sessions, where they were asked to undertake an oral glucose tolerance test (OGTT) whilst immersed in thermoneutral (CON, 35.9 (0.6) °C) and hot water (HWI, 40.3 (0.5) °C) for 120 min. Venous and capillary blood [glucose], rectal temperature, and heart rate were recorded. [Glucose] area under the curve for HWI venous (907 (104) AU) differed from CON venous (719 (88) AU, all P < 0.001). No other differences were noted (P > 0.05). Compared with CON, HWI resulted in greater rectal temperature (37.1 (0.3) °C versus 38.6 (0.4) °C, respectively) and heart rate (69 (12) bpm versus 108 (11) bpm, respectively) on cessation (P < 0.001). An OGTT results in similar capillary [glucose] during hot and thermoneutral water immersion, whereas venous [glucose] was greater during HWI when compared with CON. This indicates that peripheral tissue glucose uptake is acutely reduced in response to HWI. Abbreviations: AUC: Area under the curve; CON: Thermoneutral immersion trial; HWI: Hot water immersion trial; OGTT: Oral glucose tolerance test; PH: Passive heating; T - m s k : Mean skin temperature; Trec: Rectal temperature.
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Affiliation(s)
- Matthew J. Maley
- Environmental Ergonomics Research Centre, Loughborough School of Design and Creative Arts, Loughborough University, Loughborough, UK
- Queensland University of Technology, Faculty of Health, School of Exercise and Nutrition Sciences, Kelvin Grove, QLD, Australia
| | - Andrew P. Hunt
- Queensland University of Technology, Faculty of Health, School of Exercise and Nutrition Sciences, Kelvin Grove, QLD, Australia
- Queensland University of Technology, Faculty of Health, School of Biomedical Sciences, Brisbane, QLD, Australia
| | - Ian B. Stewart
- Queensland University of Technology, Faculty of Health, School of Exercise and Nutrition Sciences, Kelvin Grove, QLD, Australia
| | - Steven Weier
- Queensland University of Technology, Faculty of Health, School of Biomedical Sciences, Brisbane, QLD, Australia
| | - Justin Holland
- Queensland University of Technology, Faculty of Health, School of Exercise and Nutrition Sciences, Kelvin Grove, QLD, Australia
| | - Christof A. Leicht
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK
| | - Geoffrey M. Minett
- Queensland University of Technology, Faculty of Health, School of Exercise and Nutrition Sciences, Kelvin Grove, QLD, Australia
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Hunt AP, Potter AW, Linnane DM, Xu X, Patterson MJ, Stewart IB. Heat Stress Management in the Military: Wet-Bulb Globe Temperature Offsets for Modern Body Armor Systems. Hum Factors 2022; 64:1306-1316. [PMID: 33861157 DOI: 10.1177/00187208211005220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
OBJECTIVE The aim of this study was to model the effect of body armor coverage on body core temperature elevation and wet-bulb globe temperature (WBGT) offset. BACKGROUND Heat stress is a critical factor influencing the health and safety of military populations. Work duration limits can be imposed to mitigate the risk of exertional heat illness and are derived based on the environmental conditions (WBGT). Traditionally a 3°C offset to WBGT is recommended when wearing body armor; however, modern body armor systems provide a range of coverage options, which may influence thermal strain imposed on the wearer. METHOD The biophysical properties of four military clothing ensembles of increasing ballistic protection coverage were measured on a heated sweating manikin in accordance with standard international criteria. Body core temperature elevation during light, moderate, and heavy work was modeled in environmental conditions from 16°C to 34°C WBGT using the heat strain decision aid. RESULTS Increasing ballistic protection resulted in shorter work durations to reach a critical core temperature limit of 38.5°C. Environmental conditions, armor coverage, and work intensity had a significant influence on WBGT offset. CONCLUSION Contrary to the traditional recommendation, the required WBGT offset was >3°C in temperate conditions (<27°C WBGT), particularly for moderate and heavy work. In contrast, a lower WBGT offset could be applied during light work and moderate work in low levels of coverage. APPLICATION Correct WBGT offsets are important for enabling adequate risk management strategies for mitigating risks of exertional heat illness.
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Affiliation(s)
- Andrew P Hunt
- 139261 Queensland University of Technology, Brisbane, Australia
- 111604 Defence Science and Technology Group, Melbourne, VIC, Australia
| | - Adam W Potter
- 20041 U.S. Army Research Institute of Environmental Medicine, Natick, MA, USA
| | - Denise M Linnane
- 111604 Defence Science and Technology Group, Melbourne, VIC, Australia
| | - Xiaojiang Xu
- 20041 U.S. Army Research Institute of Environmental Medicine, Natick, MA, USA
| | - Mark J Patterson
- 111604 Defence Science and Technology Group, Melbourne, VIC, Australia
| | - Ian B Stewart
- 139261 Queensland University of Technology, Brisbane, Australia
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Hunt AP, Mack GW. Editorial: Methods and applications in exercise physiology. Front Physiol 2022; 13:970615. [PMID: 35936914 PMCID: PMC9355465 DOI: 10.3389/fphys.2022.970615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Accepted: 06/28/2022] [Indexed: 11/24/2022] Open
Affiliation(s)
- Andrew P. Hunt
- School of Biomedical Sciences, Faculty of Health, Queensland University of Technology (QUT), Brisbane, QLD, Australia
- *Correspondence: Andrew P. Hunt,
| | - Gary W. Mack
- Department of Exercise Sciences, Brigham Young University, Provo, UT, United States
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Anderson CAJ, Stewart IB, Stewart KL, Linnane DM, Patterson MJ, Hunt AP. Sex-based differences in body core temperature response across repeat work bouts in the heat. Appl Ergon 2022; 98:103586. [PMID: 34560338 DOI: 10.1016/j.apergo.2021.103586] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 09/03/2021] [Accepted: 09/08/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE To investigate the effects of repeated work bouts in the heat on peak body core temperature and to explore sex-based differences in body core temperature responses. METHODS Fourteen males and fifteen females performed four work bouts (two heavy and two moderate, alternating) in 32.5 °C Wet Bulb Globe Temperature (WBGT), each separated by 30-min seated rest in 28.0 °C WBGT. Participants wore a military combat uniform with body armour and helmet (10 kg load) during the work bouts, removing the vest and helmet during recovery periods. RESULTS Body core temperature elevation over time was faster in the first compared with subsequent work bouts of each intensity. Body core temperature elevation was similar between males and females during the first heavy work bout, then remained significantly lower in females for the reminder of the trial. CONCLUSIONS Contrary to the assumed progressive elevation in strain, but in agreement with recent literature, a gradual reduction in heat storage in subsequent exercise bouts prevented a cumulative increase in heat strain in the conditions tested.
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Affiliation(s)
- Christopher A J Anderson
- School of Exercise and Nutrition Science, Queensland University of Technology, Brisbane, Queensland, Australia; Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Ian B Stewart
- School of Exercise and Nutrition Science, Queensland University of Technology, Brisbane, Queensland, Australia; Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Kelly L Stewart
- School of Exercise and Nutrition Science, Queensland University of Technology, Brisbane, Queensland, Australia; Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Denise M Linnane
- Defence Science and Technology Group, Department of Defence, Melbourne, Victoria, Australia
| | - Mark J Patterson
- Defence Science and Technology Group, Department of Defence, Melbourne, Victoria, Australia
| | - Andrew P Hunt
- School of Exercise and Nutrition Science, Queensland University of Technology, Brisbane, Queensland, Australia; Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia; Defence Science and Technology Group, Department of Defence, Melbourne, Victoria, Australia.
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Lehnert N, Kim E, Dong HT, Harland JB, Hunt AP, Manickas EC, Oakley KM, Pham J, Reed GC, Alfaro VS. The Biologically Relevant Coordination Chemistry of Iron and Nitric Oxide: Electronic Structure and Reactivity. Chem Rev 2021; 121:14682-14905. [PMID: 34902255 DOI: 10.1021/acs.chemrev.1c00253] [Citation(s) in RCA: 82] [Impact Index Per Article: 27.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
Nitric oxide (NO) is an important signaling molecule that is involved in a wide range of physiological and pathological events in biology. Metal coordination chemistry, especially with iron, is at the heart of many biological transformations involving NO. A series of heme proteins, nitric oxide synthases (NOS), soluble guanylate cyclase (sGC), and nitrophorins, are responsible for the biosynthesis, sensing, and transport of NO. Alternatively, NO can be generated from nitrite by heme- and copper-containing nitrite reductases (NIRs). The NO-bearing small molecules such as nitrosothiols and dinitrosyl iron complexes (DNICs) can serve as an alternative vehicle for NO storage and transport. Once NO is formed, the rich reaction chemistry of NO leads to a wide variety of biological activities including reduction of NO by heme or non-heme iron-containing NO reductases and protein post-translational modifications by DNICs. Much of our understanding of the reactivity of metal sites in biology with NO and the mechanisms of these transformations has come from the elucidation of the geometric and electronic structures and chemical reactivity of synthetic model systems, in synergy with biochemical and biophysical studies on the relevant proteins themselves. This review focuses on recent advancements from studies on proteins and model complexes that not only have improved our understanding of the biological roles of NO but also have provided foundations for biomedical research and for bio-inspired catalyst design in energy science.
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Affiliation(s)
- Nicolai Lehnert
- Department of Chemistry and Department of Biophysics, University of Michigan, Ann Arbor, Michigan 48109-1055, United States
| | - Eunsuk Kim
- Department of Chemistry, Brown University, Providence, Rhode Island 02912, United States
| | - Hai T Dong
- Department of Chemistry and Department of Biophysics, University of Michigan, Ann Arbor, Michigan 48109-1055, United States
| | - Jill B Harland
- Department of Chemistry and Department of Biophysics, University of Michigan, Ann Arbor, Michigan 48109-1055, United States
| | - Andrew P Hunt
- Department of Chemistry and Department of Biophysics, University of Michigan, Ann Arbor, Michigan 48109-1055, United States
| | - Elizabeth C Manickas
- Department of Chemistry and Department of Biophysics, University of Michigan, Ann Arbor, Michigan 48109-1055, United States
| | - Kady M Oakley
- Department of Chemistry, Brown University, Providence, Rhode Island 02912, United States
| | - John Pham
- Department of Chemistry, Brown University, Providence, Rhode Island 02912, United States
| | - Garrett C Reed
- Department of Chemistry and Department of Biophysics, University of Michigan, Ann Arbor, Michigan 48109-1055, United States
| | - Victor Sosa Alfaro
- Department of Chemistry and Department of Biophysics, University of Michigan, Ann Arbor, Michigan 48109-1055, United States
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Sweeny EA, Hunt AP, Batka AE, Schlanger S, Lehnert N, Stuehr DJ. Nitric oxide and heme-NO stimulate superoxide production by NADPH oxidase 5. Free Radic Biol Med 2021; 172:252-263. [PMID: 34139309 PMCID: PMC8355125 DOI: 10.1016/j.freeradbiomed.2021.06.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Revised: 06/04/2021] [Accepted: 06/09/2021] [Indexed: 01/05/2023]
Abstract
Nitric oxide (NO) is a ubiquitous cell signaling molecule which mediates widespread and diverse processes in the cell. These NO dependent effects often involve activation (e.g. NO binding to the heme group of soluble guanylyl cyclase for cGMP production) or inactivation (e.g. S-nitrosation) of protein targets. We studied the effect of NO and heme-NO on the transmembrane signaling enzyme NADPH oxidase 5 (NOX5), a heme protein which produces superoxide in response to increases in intracellular calcium. We found that treatment with NO donors increases NOX5 activity through heme-dependent effects, and that this effect could be recapitulated by the addition of heme-NO. This work adds to our understanding of NOX5 regulation in the cell but also provides a framework for understanding how NO could cause widespread changes in hemeprotein activity based on different affinities for heme v. heme-NO, and helps explain the opposing roles NO plays in activation and inactivation of hemeprotein targets.
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Affiliation(s)
- Elizabeth A Sweeny
- Department of Inflammation and Immunity, Lerner Research Institute, The Cleveland Clinic, Cleveland, OH 44195, USA
| | - Andrew P Hunt
- Department of Chemistry, University of Michigan, Ann Arbor, MI, 48109, USA
| | - Allison E Batka
- Department of Chemistry, University of Michigan, Ann Arbor, MI, 48109, USA
| | - Simon Schlanger
- Department of Inflammation and Immunity, Lerner Research Institute, The Cleveland Clinic, Cleveland, OH 44195, USA
| | - Nicolai Lehnert
- Department of Chemistry, University of Michigan, Ann Arbor, MI, 48109, USA
| | - Dennis J Stuehr
- Department of Inflammation and Immunity, Lerner Research Institute, The Cleveland Clinic, Cleveland, OH 44195, USA.
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Potter AW, Yermakova II, Hunt AP, Hancock JW, Oliveira AVM, Looney DP, Montgomery LD. Comparison of two mathematical models for predicted human thermal responses to hot and humid environments. J Therm Biol 2021; 97:102902. [PMID: 33863455 DOI: 10.1016/j.jtherbio.2021.102902] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Revised: 03/02/2021] [Accepted: 03/03/2021] [Indexed: 11/28/2022]
Abstract
PURPOSE We compared the accuracy and design of two thermoregulatory models, the US Army's empirically designed Heat Strain Decision Aid (HSDA) and the rationally based Health Risk Prediction (HRP) for predicting human thermal responses during exercise in hot and humid conditions and wearing chemical protective clothing. METHODS Accuracy of the HSDA and HRP model predictions of core body and skin temperature (Tc, Ts) were compared to each other and relative to measured outcomes from eight male volunteers (age 24 ± 6 years; height 178 ± 5 cm; body mass 76.6 ± 8.4 kg) during intermittent treadmill marching in an environmental chamber (air temperature 29.3 ± 0.1 °C; relative humidity 56 ± 1%; wind speed 0.4 ± 0.1 m∙s-1) wearing three separate chemical protective ensembles. Model accuracies and precisions were evaluated by the bias, mean absolute error (MAE), and root mean square error (RMSE) compared to observed data mean ± SD and the calculated limits of agreement (LoA). RESULTS Average predictions of Tc were comparable and acceptable for each method, HSDA (Bias 0.02 °C; MAE 0.18 °C; RMSE 0.21 °C) and HRP (Bias 0.10 °C; MAE 0.25 °C; RMSE 0.34 °C). The HRP averaged predictions for Ts were within an acceptable agreement to observed values (Bias 1.01 °C; MAE 1.01 °C; RMSE 1.11 °C). CONCLUSION Both HSDA and HRP acceptably predict Tc and HRP acceptably predicts Ts when wearing chemical protective clothing during exercise in hot and humid conditions.
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Affiliation(s)
- Adam W Potter
- Biophysics and Biomedical Modeling Division, U.S. Army Research Institute of Environmental Medicine, 10 General Greene Avenue, Bldg 42 Natick, Massachusetts, 01760-5007, USA.
| | - Irena I Yermakova
- International Research-Training Centre for Information Technologies and Systems, National Academy of Sciences, Kiev, Ukraine.
| | - Andrew P Hunt
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, QLD, 4059, Australia; Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, 4059, Australia.
| | - Jason W Hancock
- Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, 4059, Australia.
| | - A Virgilio M Oliveira
- ADAI, LAETA, Department of Mechanical Engineering, University of Coimbra, Pólo II, 3030 - 788, Coimbra, Portugal; Coimbra Polytechnic - ISEC, Rua Pedro Nunes, Quinta da Nora, 3030-199, Coimbra, Portugal.
| | - David P Looney
- Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, 4059, Australia.
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McRae JN, Nielsen BM, Gay CJ, Hunt AP, Nigh AD. Utilizing Drones to Restore and Maintain Radio Communication During Search and Rescue Operations. Wilderness Environ Med 2021; 32:41-46. [PMID: 33518495 DOI: 10.1016/j.wem.2020.11.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 11/09/2020] [Accepted: 11/10/2020] [Indexed: 11/25/2022]
Abstract
INTRODUCTION The ability of rescuers to maintain contact with incident command (IC) and each other is a critical component of search and rescue (SAR) operations. When rescuers lose radio communication with operation leaders, the effectiveness of operations may be substantially affected. This often occurs owing to the limitations of standard communications equipment in difficult terrain or when victims are beyond line-of-sight. This study investigates the viability of using an aerial drone-repeater system configuration to restore and maintain radio communications between IC and deployed rescuers. METHODS SAR operators in Southern Utah identified 10 areas where radio communication is compromised during live rescue operations. Trained SAR personnel were deployed to these areas in a mock exercise. After confirmed loss of communication, a repeater-equipped aerial drone was piloted 122 m above IC to restore communication. Once restored, communication was assessed at regular intervals for the duration of the mock deployment. RESULTS In all 10 areas tested, communication was successfully restored. In all cases, once communication was restored, no additional loss of radio contact occurred. The time between communication loss and restoration across the 10 scenarios was 6.5±1.1 (4.4-9.3) min (mean±SD with range). CONCLUSIONS This method of restoring radio communication among SAR personnel could drastically improve the ability to assist victims and help mitigate the risks faced by rescuers. SAR leaders should be made aware of the useful applications of drones during SAR operations, especially in instances where communication is compromised.
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Affiliation(s)
- Jake N McRae
- Rocky Vista University College of Osteopathic Medicine, Ivins, UT.
| | | | | | - Andrew P Hunt
- Rocky Vista University College of Osteopathic Medicine, Ivins, UT
| | - Andrew D Nigh
- Rocky Vista University College of Osteopathic Medicine, Ivins, UT
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MacLean BL, MacLean K, Stewart IB, Hunt AP. Monitoring heat strain: the effect of sensor type and location on single-site and mean skin temperature during work in the heat. Int Arch Occup Environ Health 2020; 94:539-546. [PMID: 33184687 DOI: 10.1007/s00420-020-01600-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Accepted: 10/21/2020] [Indexed: 10/23/2022]
Abstract
PURPOSE Elevations in skin temperature and heat strain reduce tolerance to work in the heat. This study assessed agreement between mean (eight sites) and single-site skin temperature, measured by a conductive or infrared sensor, during exercise in the heat. METHODS Twelve males (age: 24.2 ± 3.7 years; height: 180 ± 6.5 cm; body mass: 82.9 ± 9.5 kg; body fat: 16.0 ± 6.5%) volunteered to participate in two trials. Thirty minutes of seated rest was followed by 60 min of treadmill walking (4.5 km·h-1, 1%) inside an environmental chamber (35.5 ± 0.2 °C dry bulb, 50.7 ± 2.5% relative humidity) wearing either an athletic (ATH: t-shirt, shorts, shoes) or a chemical protective ensemble (CPE: ATH plus coverall and respirator). Skin temperature was measured on the axilla with a conductive sensor (Tsk-C) and an infrared sensor (Tsk-I) and compared to mean skin temperature ([Formula: see text] 8-site conductive sensors). Rectal temperature and heart rate were measured and used to calculate the adaptive physiological strain index (aPSI). RESULTS Skin temperature on the chest, scapula, and thigh showed acceptable agreement with [Formula: see text] (mean difference < 0.5 °C and limits of agreement ± 1.0 °C) in both ATH and CPE. Skin temperature on the axilla overestimated [Formula: see text] in ATH (Tsk-C: 1.5 ± 0.8 °C; Tsk-I: 2.2 ± 1.2 °C) and CPE (Tsk-C: 1.1 ± 0.9 °C; Tsk-I: 1.8 ± 1.1 °C). Significant differences (p < 0.001) were observed in aPSI using Tsk-I (ATH: 5.7 ± 1.0, CPE: 8.3 ± 1.1) and Tsk-C (ATH: 5.4 ± 1.0, CPE 7.8 ± 1.0) compared to [Formula: see text] (ATH: 5.2 ± 1.0, CPE: 7.4 ± 1.0). CONCLUSION The overestimate of mean skin temperature had a significant influence on the aPSI, which has important implications for real-time monitoring and risk management of personnel working in hot environments.
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Affiliation(s)
- Benjamin L MacLean
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Victoria Park Road, Brisbane, QLD, 4059, Australia
| | - Kendal MacLean
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Victoria Park Road, Brisbane, QLD, 4059, Australia
| | - Ian B Stewart
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Victoria Park Road, Brisbane, QLD, 4059, Australia.,Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia
| | - Andrew P Hunt
- School of Exercise and Nutrition Sciences, Queensland University of Technology, Victoria Park Road, Brisbane, QLD, 4059, Australia. .,Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia. .,Department of Defence, Defence Science and Technology Group, Melbourne, VIC, Australia.
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Hunt AP, Stewart IB, Billing DC. Correspondence: Indices of physiological strain for firefighters of the Australian Defence Forces. J Occup Environ Hyg 2020; 17:D13-D14. [PMID: 32600161 DOI: 10.1080/15459624.2020.1772977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
- Andrew P Hunt
- School of Exercise and Nutrition Science, Queensland University of Technology, Institute of Health and Biomedical Innovation, Brisbane, QLD, Australia
- Land Human Systems, Land Division, Defence Science and Technology Group, Fisherman's Bend, VIC, Australia
| | - Ian B Stewart
- School of Exercise and Nutrition Science, Queensland University of Technology, Institute of Health and Biomedical Innovation, Brisbane, QLD, Australia
| | - Daniel C Billing
- Land Human Systems, Land Division, Defence Science and Technology Group, Fisherman's Bend, VIC, Australia
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14
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Hunt AP, Samanta S, Dent MR, Milbauer MW, Burstyn JN, Lehnert N. Model Complexes Elucidate the Role of the Proximal Hydrogen-Bonding Network in Cytochrome P450s. Inorg Chem 2020; 59:8034-8043. [DOI: 10.1021/acs.inorgchem.0c00245] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Andrew P. Hunt
- Department of Chemistry and Department of Biophysics, University of Michigan, Ann Arbor, Michigan 48109-1055, United States
| | - Subhra Samanta
- Department of Chemistry and Department of Biophysics, University of Michigan, Ann Arbor, Michigan 48109-1055, United States
| | - Matthew R. Dent
- Department of Chemistry, University of Wisconsin, Madison, Wisconsin 53706, United States
| | - Michael W. Milbauer
- Department of Chemistry, University of Wisconsin, Madison, Wisconsin 53706, United States
| | - Judith N. Burstyn
- Department of Chemistry, University of Wisconsin, Madison, Wisconsin 53706, United States
| | - Nicolai Lehnert
- Department of Chemistry and Department of Biophysics, University of Michigan, Ann Arbor, Michigan 48109-1055, United States
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15
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Fuller M, Moyle GM, Hunt AP, Minett GM. Injuries during transition periods across the year in pre-professional and professional ballet and contemporary dancers: A systematic review and meta-analysis. Phys Ther Sport 2020; 44:14-23. [PMID: 32339996 DOI: 10.1016/j.ptsp.2020.03.010] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2020] [Revised: 03/04/2020] [Accepted: 03/30/2020] [Indexed: 12/26/2022]
Abstract
OBJECTIVE To consider the association of injuries with transition periods in the dance year, i.e., when dancers return at the start of the year, and when they transition from rehearsal to performance periods. METHODS Six electronic databases were searched to November 2019. All English language peer-reviewed studies, of any study design investigating ballet and contemporary pre-professional and professional dance populations were included. Only those studies reporting on the timing of injury were included. RESULTS Fifteen cohort and two case-series studies were included. A meta-analysis of seven studies revealed the rate of injuries to be significantly higher for the second and third months (1.52; 95% confidence interval [CI]:1.11-2.08; 1.26; 95%CI:1.07-1.48 respectively) after the return to dance. Two further studies report more injuries up to Week 13 of the year. One study showed an increase in injured dancers at three and four weeks after transition from rehearsals to a performance season. Four studies show an increase in injuries at performance times. CONCLUSIONS Meta-analyses of seven studies shows the second and third months after returning to dance have a significantly higher rate of injuries. More research is needed to quantify training loads in dance. Practitioners should be cognisant of the higher injury rates during periods of transition and consider modifying load, as it is a potential contributing factor.
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Affiliation(s)
- M Fuller
- School of Creative Practice, Creative Industries Faculty, Queensland University of Technology, Kelvin Grove, QLD, Australia.
| | - G M Moyle
- School of Creative Practice, Creative Industries Faculty, Queensland University of Technology, Kelvin Grove, QLD, Australia
| | - A P Hunt
- School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Kelvin Grove, QLD, Australia; Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, QLD, Australia
| | - G M Minett
- School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Kelvin Grove, QLD, Australia; Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, QLD, Australia
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16
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Hunt AP, Minett GM, Gibson OR, Kerr GK, Stewart IB. Could Heat Therapy Be an Effective Treatment for Alzheimer's and Parkinson's Diseases? A Narrative Review. Front Physiol 2020; 10:1556. [PMID: 31998141 PMCID: PMC6965159 DOI: 10.3389/fphys.2019.01556] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2019] [Accepted: 12/10/2019] [Indexed: 12/11/2022] Open
Abstract
Neurodegenerative diseases involve the progressive deterioration of structures within the central nervous system responsible for motor control, cognition, and autonomic function. Alzheimer's disease and Parkinson's disease are among the most common neurodegenerative disease and have an increasing prevalence over the age of 50. Central in the pathophysiology of these neurodegenerative diseases is the loss of protein homeostasis, resulting in misfolding and aggregation of damaged proteins. An element of the protein homeostasis network that prevents the dysregulation associated with neurodegeneration is the role of molecular chaperones. Heat shock proteins (HSPs) are chaperones that regulate the aggregation and disaggregation of proteins in intracellular and extracellular spaces, and evidence supports their protective effect against protein aggregation common to neurodegenerative diseases. Consequently, upregulation of HSPs, such as HSP70, may be a target for therapeutic intervention for protection against neurodegeneration. A novel therapeutic intervention to increase the expression of HSP may be found in heat therapy and/or heat acclimation. In healthy populations, these interventions have been shown to increase HSP expression. Elevated HSP may have central therapeutic effects, preventing or reducing the toxicity of protein aggregation, and/or peripherally by enhancing neuromuscular function. Broader physiological responses to heat therapy have also been identified and include improvements in muscle function, cerebral blood flow, and markers of metabolic health. These outcomes may also have a significant benefit for people with neurodegenerative disease. While there is limited research into body warming in patient populations, regular passive heating (sauna bathing) has been associated with a reduced risk of developing neurodegenerative disease. Therefore, the emerging evidence is compelling and warrants further investigation of the potential benefits of heat acclimation and passive heat therapy for sufferers of neurodegenerative diseases.
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Affiliation(s)
- Andrew P. Hunt
- School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia
- Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia
| | - Geoffrey M. Minett
- School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia
- Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia
| | - Oliver R. Gibson
- Centre for Human Performance, Exercise and Rehabilitation, College of Health and Life Sciences, Brunel University London, Uxbridge, United Kingdom
- Division of Sport, Health and Exercise Sciences, Department of Life Sciences, College of Health and Life Sciences, Brunel University London, Uxbridge, United Kingdom
| | - Graham K. Kerr
- School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia
- Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia
| | - Ian B. Stewart
- School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia
- Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia
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17
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Dent MR, Milbauer MW, Hunt AP, Aristov MM, Guzei IA, Lehnert N, Burstyn JN. Electron Paramagnetic Resonance Spectroscopy as a Probe of Hydrogen Bonding in Heme-Thiolate Proteins. Inorg Chem 2019; 58:16011-16027. [DOI: 10.1021/acs.inorgchem.9b02506] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Affiliation(s)
- Matthew R. Dent
- Department of Chemistry, University of Wisconsin-Madison, 1101 University Avenue, Madison, Wisconsin 53706, United States
| | - Michael W. Milbauer
- Department of Chemistry, University of Wisconsin-Madison, 1101 University Avenue, Madison, Wisconsin 53706, United States
| | - Andrew P. Hunt
- Department of Chemistry, University of Michigan, 930 North University Avenue, Ann Arbor, Michigan 48109, United States
| | - Michael M. Aristov
- Department of Chemistry, University of Wisconsin-Madison, 1101 University Avenue, Madison, Wisconsin 53706, United States
| | - Ilia A. Guzei
- Department of Chemistry, University of Wisconsin-Madison, 1101 University Avenue, Madison, Wisconsin 53706, United States
| | - Nicolai Lehnert
- Department of Chemistry, University of Michigan, 930 North University Avenue, Ann Arbor, Michigan 48109, United States
| | - Judith N. Burstyn
- Department of Chemistry, University of Wisconsin-Madison, 1101 University Avenue, Madison, Wisconsin 53706, United States
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Abstract
High levels of exertion and physiological strain are the leading cause of fireground injuries. The Physiological Strain Index (PSI) provides a rating of strain based on body core temperature and heart rate; however, it may underestimate the strain of workers in protective clothing as skin temperature may be elevated. This study aimed to examine the relationship between the PSI and an Adaptive Physiological Strain Index (aPSI) that incorporates skin temperature, among firefighters wearing protective clothing. Nine male firefighters of the Australian Defence Force volunteered to participate. Participants conducted scenario-based activities while wearing turnout gear and breathing apparatus. Working in teams of four, participants would respond to a situation around and within a small building with several rooms that could be filled with smoke, however, no live fire was present. Heart rate, gastrointestinal temperature, and skin temperature were monitored throughout work and rehabilitation. Physiological strain was estimated via the PSI and aPSI. Absolute peak PSI and aPSI ratings were significantly different during work (PSI: 7.3 ± 1.6; aPSI 8.2 ± 2.0; p < 0.001). The aPSI produced higher ratings of physiological strain, >0.5 above PSI, progressively from a moderate level of strain (>6). The aPSI may provide a more accurate indication of a level of "maximal strain" for encapsulated workers than the original PSI, coincident with the occupational limits for body core temperature of 38.0 °C for general occupational groups, or 38.5 °C for selected and acclimatised personnel.
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Affiliation(s)
- Andrew P Hunt
- School of Exercise and Nutrition Science & Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Queensland, Australia
- Land Human Systems, Land Division, Defence Science and Technology Group, Victoria, Australia
| | - Ian B Stewart
- School of Exercise and Nutrition Science & Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Queensland, Australia
| | - Daniel C Billing
- Land Human Systems, Land Division, Defence Science and Technology Group, Victoria, Australia
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Hunt AP, Batka AE, Hosseinzadeh M, Gregory JD, Haque HK, Ren H, Meyerhoff ME, Lehnert N. Nitric Oxide Generation On Demand for Biomedical Applications via Electrocatalytic Nitrite Reduction by Copper BMPA- and BEPA-Carboxylate Complexes. ACS Catal 2019; 9:7746-7758. [PMID: 31592338 DOI: 10.1021/acscatal.9b01520] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Intravascular (IV) catheters are essential devices in the hospital that are used to monitor a patient's blood and for administering drugs or nutrients. However, IV catheters are also prone to blood clotting at the point of insertion and infection by formation of robust bacterial biofilms on their surface. Nitric oxide (NO) is ideally suited to counteract both of these problems, due to its antimicrobial properties and its ability to inhibit platelet activation/aggregation. One way to equip catheters with NO releasing properties is by electrocatalytic nitrite reduction to NO by copper complexes in a multi-lumen configuration. In this work, we systematically investigate six closely related Cu(II) BMPA- and BEPA-carboxylate complexes (BMPA = bis-(2-methylpyridyl)amine); BEPA = bis-(2-ethylpyridyl)amine), using carboxylate groups of different chain lengths. The corresponding Cu(II) complexes were characterized using UV-Vis, EPR spectroscopy, and X-ray crystallography. Using detailed cyclic voltammetry (CV) and bulk electrocatalyic studies (with real-time NO quantification), in aqueous buffer, pH 7.4, we are able to derive clear reactivity relations between the ligand structures of the complexes, their Faradaic efficiencies for NO generation, their turnover frequencies (TOFs), and their redox potentials. Our results show that the complex [Cu(BEPA-Bu)](OAc) is the best catalyst with a high Faradaic efficiency over large nitrite concentration ranges and the expected best tolerance to oxygen levels. For this species, the more positive redox potential suppresses NO disproportionation, which is a major Achilles heel of the (faster) catalysts with the more negative reduction potentials.
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Affiliation(s)
- Andrew P. Hunt
- Department of Chemistry, University of Michigan, 930 North University Avenue, Ann Arbor, Michigan 48109, United States
| | - Allison E. Batka
- Department of Chemistry, University of Michigan, 930 North University Avenue, Ann Arbor, Michigan 48109, United States
| | - Marjan Hosseinzadeh
- Department of Chemistry, University of Michigan, 930 North University Avenue, Ann Arbor, Michigan 48109, United States
| | - Jordan D. Gregory
- Department of Chemistry, University of Michigan, 930 North University Avenue, Ann Arbor, Michigan 48109, United States
| | - Halima K. Haque
- Department of Chemistry, University of Michigan, 930 North University Avenue, Ann Arbor, Michigan 48109, United States
| | - Hang Ren
- Department of Chemistry, University of Michigan, 930 North University Avenue, Ann Arbor, Michigan 48109, United States
| | - Mark E. Meyerhoff
- Department of Chemistry, University of Michigan, 930 North University Avenue, Ann Arbor, Michigan 48109, United States
| | - Nicolai Lehnert
- Department of Chemistry, University of Michigan, 930 North University Avenue, Ann Arbor, Michigan 48109, United States
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20
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Fuller M, Moyle GM, Hunt AP, Minett GM. Ballet and Contemporary Dance Injuries When Transitioning to Full-Time Training or Professional Level Dance: A Systematic Review. J Dance Med Sci 2019; 23:112-125. [DOI: 10.12678/1089-313x.23.3.112] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Melanie Fuller
- School of Creative Practice, Queensland University of Technology, Kelvin Grove, Queensland, Australia;,
| | - Gene M. Moyle
- School of Creative Practice, Queensland University of Technology, Kelvin Grove, Queensland, Australia
| | - Andrew P. Hunt
- School of Exercise and Nutrition Sciences, and Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Queensland, Australia
| | - Geoffrey M. Minett
- School of Exercise and Nutrition Sciences, and Institute of Health and Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Queensland, Australia
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21
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McRae JN, Gay CJ, Nielsen BM, Hunt AP. Using an Unmanned Aircraft System (Drone) to Conduct a Complex High Altitude Search and Rescue Operation: A Case Study. Wilderness Environ Med 2019; 30:287-290. [DOI: 10.1016/j.wem.2019.03.004] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2018] [Revised: 03/01/2019] [Accepted: 03/16/2019] [Indexed: 10/26/2022]
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Hunt AP, Buller MJ, Maley MJ, Costello JT, Stewart IB. Validity of a noninvasive estimation of deep body temperature when wearing personal protective equipment during exercise and recovery. Mil Med Res 2019; 6:20. [PMID: 31196190 PMCID: PMC6567444 DOI: 10.1186/s40779-019-0208-7] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2018] [Accepted: 05/24/2019] [Indexed: 01/06/2023] Open
Abstract
BACKGROUND Deep body temperature is a critical indicator of heat strain. However, direct measures are often invasive, costly, and difficult to implement in the field. This study assessed the agreement between deep body temperature estimated from heart rate and that measured directly during repeated work bouts while wearing explosive ordnance disposal (EOD) protective clothing and during recovery. METHODS Eight males completed three work and recovery periods across two separate days. Work consisted of treadmill walking on a 1% incline at 2.5, 4.0, or 5.5 km/h, in a random order, wearing EOD protective clothing. Ambient temperature and relative humidity were maintained at 24 °C and 50% [Wet bulb globe temperature (WBGT) (20.9 ± 1.2) °C] or 32 °C and 60% [WBGT (29.0 ± 0.2) °C] on the separate days, respectively. Heart rate and gastrointestinal temperature (TGI) were monitored continuously, and deep body temperature was also estimated from heart rate (ECTemp). RESULTS The overall systematic bias between TGI and ECTemp was 0.01 °C with 95% limits of agreement (LoA) of ±0.64 °C and a root mean square error of 0.32 °C. The average error statistics among participants showed no significant differences in error between the exercise and recovery periods or the environmental conditions. At TGI levels of (37.0-37.5) °C, (37.5-38.0) °C, (38.0-38.5) °C, and > 38.5 °C, the systematic bias and ± 95% LoA were (0.08 ± 0.58) °C, (- 0.02 ± 0.69) °C, (- 0.07 ± 0.63) °C, and (- 0.32 ± 0.56) °C, respectively. CONCLUSIONS The findings demonstrate acceptable validity of the ECTemp up to 38.5 °C. Conducting work within an ECTemp limit of 38.4 °C, in conditions similar to the present study, would protect the majority of personnel from an excessive elevation in deep body temperature (> 39.0 °C).
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Affiliation(s)
- Andrew P Hunt
- School of Exercise and Nutrition Sciences & Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia.
| | - Mark J Buller
- United States Army Research Institute of Environmental Medicine, Natick, MA, USA
| | - Matthew J Maley
- School of Exercise and Nutrition Sciences & Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia.,Extreme Environments Laboratory, Department of Sport and Exercise Science, University of Portsmouth, Portsmouth, UK
| | - Joseph T Costello
- School of Exercise and Nutrition Sciences & Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia.,Extreme Environments Laboratory, Department of Sport and Exercise Science, University of Portsmouth, Portsmouth, UK
| | - Ian B Stewart
- School of Exercise and Nutrition Sciences & Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia
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Potter AW, Hunt AP, Cadarette BS, Fogarty A, Srinivasan S, Santee WR, Blanchard LA, Looney DP. Heat Strain Decision Aid (HSDA) accurately predicts individual-based core body temperature rise while wearing chemical protective clothing. Comput Biol Med 2019; 107:131-136. [DOI: 10.1016/j.compbiomed.2019.02.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2018] [Revised: 02/07/2019] [Accepted: 02/08/2019] [Indexed: 11/16/2022]
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Tejero J, Hunt AP, Santolini J, Lehnert N, Stuehr DJ. Mechanism and regulation of ferrous heme-nitric oxide (NO) oxidation in NO synthases. J Biol Chem 2019; 294:7904-7916. [PMID: 30926606 DOI: 10.1074/jbc.ra119.007810] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2019] [Revised: 03/27/2019] [Indexed: 12/12/2022] Open
Abstract
Nitric oxide (NO) synthases (NOSs) catalyze the formation of NO from l-arginine. We have shown previously that the NOS enzyme catalytic cycle involves a large number of reactions but can be characterized by a global model with three main rate-limiting steps. These are the rate of heme reduction by the flavin domain (kr ), of dissociation of NO from the ferric heme-NO complex (kd ), and of oxidation of the ferrous heme-NO complex (k ox). The reaction of oxygen with the ferrous heme-NO species is part of a futile cycle that does not directly contribute to NO synthesis but allows a population of inactive enzyme molecules to return to the catalytic cycle, and thus, enables a steady-state NO synthesis rate. Previously, we have reported that this reaction does involve the reaction of oxygen with the NO-bound ferrous heme complex, but the mechanistic details of the reaction, that could proceed via either an inner-sphere or an outer-sphere mechanism, remained unclear. Here, we present additional experiments with neuronal NOS (nNOS) and inducible NOS (iNOS) variants (nNOS W409F and iNOS K82A and V346I) and computational methods to study how changes in heme access and electronics affect the reaction. Our results support an inner-sphere mechanism and indicate that the particular heme-thiolate environment of the NOS enzymes can stabilize an N-bound FeIII-N(O)OO- intermediate species and thereby catalyze this reaction, which otherwise is not observed or favorable in proteins like globins that contain a histidine-coordinated heme.
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Affiliation(s)
- Jesús Tejero
- From the Department of Pathobiology, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, Ohio 44195 and
| | - Andrew P Hunt
- the Department of Chemistry and Department of Biophysics, University of Michigan, Ann Arbor, Michigan 48109
| | - Jérôme Santolini
- From the Department of Pathobiology, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, Ohio 44195 and
| | - Nicolai Lehnert
- the Department of Chemistry and Department of Biophysics, University of Michigan, Ann Arbor, Michigan 48109
| | - Dennis J Stuehr
- From the Department of Pathobiology, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, Ohio 44195 and
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Affiliation(s)
- Andrew P. Hunt
- Department of Chemistry, University of Michigan, 930 North University Avenue, Ann Arbor, Michigan 48109, United States
| | - Nicolai Lehnert
- Department of Chemistry, University of Michigan, 930 North University Avenue, Ann Arbor, Michigan 48109, United States
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26
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Maley MJ, Hunt AP, Stewart IB, Faulkner SH, Minett GM. Passive heating and glycaemic control in non-diabetic and diabetic individuals: A systematic review and meta-analysis. PLoS One 2019; 14:e0214223. [PMID: 30901372 PMCID: PMC6430508 DOI: 10.1371/journal.pone.0214223] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2018] [Accepted: 03/08/2019] [Indexed: 01/22/2023] Open
Abstract
Objective Passive heating (PH) has begun to gain research attention as an alternative therapy for cardio-metabolic diseases. Whether PH improves glycaemic control in diabetic and non-diabetic individuals is unknown. This study aims to review and conduct a meta-analysis of published literature relating to PH and glycaemic control. Methods Electronic data sources, PubMed, Embase and Web of Science from inception to July 2018 were searched for randomised controlled trials (RCT) studying the effect of PH on glycaemic control in diabetic or non-diabetic individuals. To measure the treatment effect, standardised mean differences (SMD) with 95% confidence intervals (CI) were calculated. Results Fourteen articles were included in the meta-analysis. Following a glucose load, glucose concentration was greater during PH in non-diabetic (SMD 0.75, 95% CI 1.02 to 0.48, P < 0.001) and diabetic individuals (SMD 0.27, 95% CI 0.52 to 0.02, P = 0.030). In non-diabetic individuals, glycaemic control did not differ between PH and control only (SMD 0.11, 95% CI 0.44 to -0.22, P > 0.050) and a glucose challenge given within 24 hours post-heating (SMD 0.30, 95% CI 0.62 to -0.02, P > 0.050). Conclusion PH preceded by a glucose load results in acute glucose intolerance in non-diabetic and diabetic individuals. However, heating a non-diabetic individual without a glucose load appears not to affect glycaemic control. Likewise, a glucose challenge given within 24 hours of a single-bout of heating does not affect glucose tolerance in non-diabetic individuals. Despite the promise PH may hold, no short-term benefit to glucose tolerance is observed in non-diabetic individuals. More research is needed to elucidate whether this alternative therapy benefits diabetic individuals.
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Affiliation(s)
- Matthew J. Maley
- Institute of Health and Biomedical Innovation, School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, Australia
- Department of Sport and Exercise Science, University of Portsmouth, Portsmouth, United Kingdom
- * E-mail:
| | - Andrew P. Hunt
- Institute of Health and Biomedical Innovation, School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, Australia
| | - Ian B. Stewart
- Institute of Health and Biomedical Innovation, School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, Australia
| | - Steve H. Faulkner
- Department of Engineering, School of Science and Technology, Nottingham Trent University, Nottingham, United Kingdom
| | - Geoffrey M. Minett
- Institute of Health and Biomedical Innovation, School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, Australia
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Hunt AP. The maximum evaporative potential of constant wear immersion suits influences the risk of excessive heat strain for helicopter aircrew. PLoS One 2018; 13:e0196606. [PMID: 29723267 PMCID: PMC5933755 DOI: 10.1371/journal.pone.0196606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2017] [Accepted: 04/16/2018] [Indexed: 11/18/2022] Open
Abstract
The heat exchange properties of aircrew clothing including a Constant Wear Immersion Suit (CWIS), and the environmental conditions in which heat strain would impair operational performance, were investigated. The maximum evaporative potential (im/clo) of six clothing ensembles (three with a flight suit (FLY) and three with a CWIS) of varying undergarment layers were measured with a heated sweating manikin. Biophysical modelling estimated the environmental conditions in which body core temperature would elevate above 38.0°C during routine flight. The im/clo was reduced with additional undergarment layers, and was more restricted in CWIS compared to FLY ensembles. A significant linear relationship (r2 = 0.98, P<0.001) was observed between im/clo and the highest wet-bulb globe temperature in which the flight scenario could be completed without body core temperature exceeding 38.0°C. These findings provide a valuable tool for clothing manufacturers and mission planners for the development and selection of CWIS's for aircrew.
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Affiliation(s)
- Andrew P. Hunt
- School of Exercise and Nutrition Science, Queensland University of Technology, Brisbane, Australia
- Institute of Heath and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia
- Physical Ergonomics Group, Land Human Systems, Land Division, Defence Science and Technology Group, Melbourne, Australia
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Maley MJ, Costello JT, Borg DN, Bach AJE, Hunt AP, Stewart IB. An Overt Chemical Protective Garment Reduces Thermal Strain Compared with a Covert Garment in Warm-Wet but Not Hot-Dry Environments. Front Physiol 2017; 8:913. [PMID: 29170644 PMCID: PMC5684487 DOI: 10.3389/fphys.2017.00913] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2017] [Accepted: 10/27/2017] [Indexed: 11/23/2022] Open
Abstract
Objectives: A commercial chemical, biological, radiological and nuclear (CBRN) protective covert garment has recently been developed with the aim of reducing thermal strain. A covert CBRN protective layer can be worn under other clothing, with equipment added for full chemical protection when needed. However, it is unknown whether the covert garment offers any alleviation to thermal strain during work compared with a traditional overt ensemble. Therefore, the aim of this study was to compare thermal strain and work tolerance times during work in an overt and covert ensemble offering the same level of CBRN protection. Methods: Eleven male participants wore an overt (OVERT) or covert (COVERT) CBRN ensemble and walked (4 km·h−1, 1% grade) for a maximum of 120 min in either a wet bulb globe temperature [WBGT] of 21, 30, or 37°C (Neutral, WarmWet and HotDry, respectively). The trials were ceased if the participants' gastrointestinal temperature reached 39°C, heart rate reached 90% of maximum, walking time reached 120 min or due to self-termination. Results: All participants completed 120 min of walking in Neutral. Work tolerance time was greater in OVERT compared with COVERT in WarmWet (P < 0.001, 116.5[9.9] vs. 88.9[12.2] min, respectively), though this order was reversed in HotDry (P = 0.003, 37.3[5.3] vs. 48.4[4.6] min, respectively). The rate of change in mean body temperature and mean skin temperature was greater in COVERT (0.025[0.004] and 0.045[0.010]°C·min−1, respectively) compared with OVERT (0.014[0.004] and 0.027[0.007]°C·min−1, respectively) in WarmWet (P < 0.001 and P = 0.028, respectively). However, the rate of change in mean body temperature and mean skin temperature was greater in OVERT (0.068[0.010] and 0.170[0.026]°C·min−1, respectively) compared with COVERT (0.059[0.004] and 0.120[0.017]°C·min−1, respectively) in HotDry (P = 0.002 and P < 0.001, respectively). Thermal sensation, thermal comfort, and ratings of perceived exertion did not differ between garments at trial cessation (P > 0.05). Conclusion: Those dressed in OVERT experienced lower thermal strain and longer work tolerance times compared with COVERT in a warm-wet environment. However, COVERT may be an optimal choice in a hot-dry environment. These findings have practical implications for those making decisions on the choice of CBRN ensemble to be used during work.
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Affiliation(s)
- Matthew J Maley
- Institute of Health and Biomedical Innovation, School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, QLD, Australia
| | - Joseph T Costello
- Institute of Health and Biomedical Innovation, School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, QLD, Australia.,Extreme Environments Laboratory, Department of Sport and Exercise Science, University of Portsmouth, Portsmouth, United Kingdom
| | - David N Borg
- Institute of Health and Biomedical Innovation, School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, QLD, Australia
| | - Aaron J E Bach
- Institute of Health and Biomedical Innovation, School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, QLD, Australia
| | - Andrew P Hunt
- Institute of Health and Biomedical Innovation, School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, QLD, Australia
| | - Ian B Stewart
- Institute of Health and Biomedical Innovation, School of Exercise and Nutrition Sciences, Queensland University of Technology, Brisbane, QLD, Australia
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Qin Y, Zajda J, Brisbois EJ, Ren H, Toomasian JM, Major TC, Rojas-Pena A, Carr B, Johnson T, Haft JW, Bartlett RH, Hunt AP, Lehnert N, Meyerhoff ME. Portable Nitric Oxide (NO) Generator Based on Electrochemical Reduction of Nitrite for Potential Applications in Inhaled NO Therapy and Cardiopulmonary Bypass Surgery. Mol Pharm 2017; 14:3762-3771. [DOI: 10.1021/acs.molpharmaceut.7b00514] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Affiliation(s)
- Yu Qin
- Department of Chemistry and ‡Department of
Surgery, University of Michigan, Ann Arbor, Michigan 48109, United States
| | - Joanna Zajda
- Department of Chemistry and ‡Department of
Surgery, University of Michigan, Ann Arbor, Michigan 48109, United States
| | - Elizabeth J. Brisbois
- Department of Chemistry and ‡Department of
Surgery, University of Michigan, Ann Arbor, Michigan 48109, United States
| | - Hang Ren
- Department of Chemistry and ‡Department of
Surgery, University of Michigan, Ann Arbor, Michigan 48109, United States
| | - John M. Toomasian
- Department of Chemistry and ‡Department of
Surgery, University of Michigan, Ann Arbor, Michigan 48109, United States
| | - Terry C. Major
- Department of Chemistry and ‡Department of
Surgery, University of Michigan, Ann Arbor, Michigan 48109, United States
| | - Alvaro Rojas-Pena
- Department of Chemistry and ‡Department of
Surgery, University of Michigan, Ann Arbor, Michigan 48109, United States
| | - Benjamin Carr
- Department of Chemistry and ‡Department of
Surgery, University of Michigan, Ann Arbor, Michigan 48109, United States
| | - Thomas Johnson
- Department of Chemistry and ‡Department of
Surgery, University of Michigan, Ann Arbor, Michigan 48109, United States
| | - Jonathan W. Haft
- Department of Chemistry and ‡Department of
Surgery, University of Michigan, Ann Arbor, Michigan 48109, United States
| | - Robert H. Bartlett
- Department of Chemistry and ‡Department of
Surgery, University of Michigan, Ann Arbor, Michigan 48109, United States
| | - Andrew P. Hunt
- Department of Chemistry and ‡Department of
Surgery, University of Michigan, Ann Arbor, Michigan 48109, United States
| | - Nicolai Lehnert
- Department of Chemistry and ‡Department of
Surgery, University of Michigan, Ann Arbor, Michigan 48109, United States
| | - Mark E. Meyerhoff
- Department of Chemistry and ‡Department of
Surgery, University of Michigan, Ann Arbor, Michigan 48109, United States
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Hunt AP, Bach AJE, Borg DN, Costello JT, Stewart IB. The Systematic Bias of Ingestible Core Temperature Sensors Requires a Correction by Linear Regression. Front Physiol 2017; 8:260. [PMID: 28496414 PMCID: PMC5406512 DOI: 10.3389/fphys.2017.00260] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2017] [Accepted: 04/10/2017] [Indexed: 11/21/2022] Open
Abstract
An accurate measure of core body temperature is critical for monitoring individuals, groups and teams undertaking physical activity in situations of high heat stress or prolonged cold exposure. This study examined the range in systematic bias of ingestible temperature sensors compared to a certified and traceable reference thermometer. A total of 119 ingestible temperature sensors were immersed in a circulated water bath at five water temperatures (TEMP A: 35.12 ± 0.60°C, TEMP B: 37.33 ± 0.56°C, TEMP C: 39.48 ± 0.73°C, TEMP D: 41.58 ± 0.97°C, and TEMP E: 43.47 ± 1.07°C) along with a certified traceable reference thermometer. Thirteen sensors (10.9%) demonstrated a systematic bias > ±0.1°C, of which 4 (3.3%) were > ± 0.5°C. Limits of agreement (95%) indicated that systematic bias would likely fall in the range of −0.14 to 0.26°C, highlighting that it is possible for temperatures measured between sensors to differ by more than 0.4°C. The proportion of sensors with systematic bias > ±0.1°C (10.9%) confirms that ingestible temperature sensors require correction to ensure their accuracy. An individualized linear correction achieved a mean systematic bias of 0.00°C, and limits of agreement (95%) to 0.00–0.00°C, with 100% of sensors achieving ±0.1°C accuracy. Alternatively, a generalized linear function (Corrected Temperature (°C) = 1.00375 × Sensor Temperature (°C) − 0.205549), produced as the average slope and intercept of a sub-set of 51 sensors and excluding sensors with accuracy outside ±0.5°C, reduced the systematic bias to < ±0.1°C in 98.4% of the remaining sensors (n = 64). In conclusion, these data show that using an uncalibrated ingestible temperature sensor may provide inaccurate data that still appears to be statistically, physiologically, and clinically meaningful. Correction of sensor temperature to a reference thermometer by linear function eliminates this systematic bias (individualized functions) or ensures systematic bias is within ±0.1°C in 98% of the sensors (generalized function).
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Affiliation(s)
- Andrew P Hunt
- Faculty of Health, School of Exercise and Nutrition Sciences, Institute of Health and Biomedical Innovation, Queensland University of TechnologyBrisbane, QLD, Australia
| | - Aaron J E Bach
- Faculty of Health, School of Exercise and Nutrition Sciences, Institute of Health and Biomedical Innovation, Queensland University of TechnologyBrisbane, QLD, Australia
| | - David N Borg
- Faculty of Health, School of Exercise and Nutrition Sciences, Institute of Health and Biomedical Innovation, Queensland University of TechnologyBrisbane, QLD, Australia
| | - Joseph T Costello
- Extreme Environments Laboratory, Department of Sport and Exercise Science, University of PortsmouthPortsmouth, UK
| | - Ian B Stewart
- Faculty of Health, School of Exercise and Nutrition Sciences, Institute of Health and Biomedical Innovation, Queensland University of TechnologyBrisbane, QLD, Australia
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Hunt AP, Tofari PJ, Billing DC, Silk AJ. Tactical combat movements: inter-individual variation in performance due to the effects of load carriage. Ergonomics 2016; 59:1232-1241. [PMID: 27677344 DOI: 10.1080/00140139.2015.1132780] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
An examination into the effects of carried military equipment on the performance of two tactical combat movement simulations was conducted. Nineteen Airfield Defence Guards performed a break contact (five 30-m sprints) and a fire and movement simulation (16 6-m bounds) in five load conditions (10-30 kg). Heavier loads significantly increased movement duration on the break contact (0.8%/kg load) and fire and movement (1.1%/kg). Performance deterioration was observed from the beginning to the end of the series of movements (bounds or sprints) with deterioration becoming significantly greater in heavier load conditions. Inter-individual variation between slower and faster participants showed a range in load effects; 0.6, 0.8%/kg for fast and 1.0, 1.4%/kg for slow (break contact, fire and movement, respectively). Velocity profiles revealed that the initial acceleration and peak velocity were the primary determinants of performance. As the duration of these tactical combat movements reflects periods of heightened vulnerability, these findings highlight important implications for commanders. Practitioner Summary: Increasing amounts of carried military equipment impairs the performance of tactical combat movements. Examination of inter-individual variation in velocity profiles identified that the initial acceleration and the peak velocity achieved during sprints and bounds are key determinants of overall performance.
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Affiliation(s)
- Andrew P Hunt
- a Land Division , Defence Science and Technology Organisation , Melbourne , Australia
| | - Paul J Tofari
- a Land Division , Defence Science and Technology Organisation , Melbourne , Australia
| | - Daniel C Billing
- a Land Division , Defence Science and Technology Organisation , Melbourne , Australia
| | - Aaron J Silk
- a Land Division , Defence Science and Technology Organisation , Melbourne , Australia
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Hunt AP, Billing DC, Patterson MJ, Caldwell JN. Heat strain during military training activities: The dilemma of balancing force protection and operational capability. Temperature (Austin) 2016; 3:307-317. [PMID: 27857960 PMCID: PMC4965006 DOI: 10.1080/23328940.2016.1156801] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2016] [Revised: 02/16/2016] [Accepted: 02/17/2016] [Indexed: 11/02/2022] Open
Abstract
Military activities in hot environments pose 2 competing demands: the requirement to perform realistic training to develop operational capability with the necessity to protect armed forces personnel against heat-related illness. To ascertain whether work duration limits for protection against heat-related illness restrict military activities, this study examined the heat strain and risks of heat-related illness when conducting a military activity above the prescribed work duration limits. Thirty-seven soldiers conducted a march (10 km; ∼5.5 km h-1) carrying 41.8 ± 3.6 kg of equipment in 23.1 ± 1.8°C wet-bulb globe temperature. Body core temperature was recorded throughout and upon completion, or withdrawal, participants rated their severity of heat-related symptoms. Twenty-three soldiers completed the march in 107 ± 6.4 min (Completers); 9 were symptomatic for heat exhaustion, withdrawing after 71.6 ± 10.1 min (Symptomatic); and five were removed for body core temperature above 39.0°C (Hyperthermic) after 58.4 ± 4.5 min. Body core temperature was significantly higher in the Hyperthermic (39.03 ± 0.26°C), than Symptomatic (38.34 ± 0.44°C; P = 0.007) and Completers (37.94 ± 0.37°C; P<0.001) after 50 min. Heat-related symptom severity was significantly higher among Symptomatic (28.4 ± 11.8) compared to Completers (15.0 ± 9.8, P = 0.006) and Hyperthermic (13.0 ± 9.6, P = 0.029). The force protection provided by work duration limits may be preventing the majority of personnel from conducting activities in hot environments, thereby constraining a commander's mandate to develop an optimised military force. The dissociation between heat-related symptoms and body core temperature elevation suggests that the physiological mechanisms underpinning exhaustion during exertional heat stress should be re-examined to determine the most appropriate physiological criteria for prescribing work duration limits.
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Affiliation(s)
- Andrew P Hunt
- Land Division, Defense Science and Technology Group, Department of Defence , Fishermans Bend, Australia
| | - Daniel C Billing
- Land Division, Defense Science and Technology Group, Department of Defence , Fishermans Bend, Australia
| | - Mark J Patterson
- Land Division, Defense Science and Technology Group, Department of Defence , Fishermans Bend, Australia
| | - Joanne N Caldwell
- Land Division, Defense Science and Technology Group, Department of Defence, Fishermans Bend, Australia; Centre for Human and Applied Physiology, School of Medicine, University of Wollongong, Wollongong, NSW, Australia
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Taylor NA, Burdon CA, van den Heuvel AM, Fogarty AL, Notley SR, Hunt AP, Billing DC, Drain JR, Silk AJ, Patterson MJ, Peoples GE. Balancing ballistic protection against physiological strain: evidence from laboratory and field trials. Appl Physiol Nutr Metab 2016; 41:117-24. [DOI: 10.1139/apnm-2015-0386] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
This project was based on the premise that decisions concerning the ballistic protection provided to defence personnel should derive from an evaluation of the balance between protection level and its impact on physiological function, mobility, and operational capability. Civilians and soldiers participated in laboratory- and field-based studies in which ensembles providing five levels of ballistic protection were evaluated, each with progressive increases in protection, mass (3.4–11.0 kg), and surface-area coverage (0.25–0.52 m2). Physiological trials were conducted on volunteers (N = 8) in a laboratory, under hot-dry conditions simulating an urban patrol: walking at 4 km·h−1 (90 min) and 6 km·h−1 (30 min or to fatigue). Field-based trials were used to evaluate tactical battlefield movements (mobility) of soldiers (N = 31) under tropical conditions, and across functional tests of power, speed, agility, endurance, and balance. Finally, trials were conducted at a jungle training centre, with soldiers (N = 32) patrolling under tropical conditions (averaging 5 h). In the laboratory, work tolerance was reduced as protection increased, with deep-body temperature climbing relentlessly. However, the protective ensembles could be grouped into two equally stressful categories, each providing a different level of ballistic protection. This outcome was supported during the mobility trials, with the greatest performance decrement evident during fire and movement simulations, as the ensemble mass was increased (–2.12%·kg−1). The jungle patrol trials similarly supported this outcome. Therefore, although ballistic protection does increase physiological strain, this research has provided a basis on which to determine how that strain can be balanced against the mission-specific level of required personal protection.
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Affiliation(s)
- Nigel A.S. Taylor
- Centre for Human and Applied Physiology, School of Medicine, University of Wollongong, Wollongong, NSW 2522, Australia
| | - Catriona A. Burdon
- Centre for Human and Applied Physiology, School of Medicine, University of Wollongong, Wollongong, NSW 2522, Australia
| | - Anne M.J. van den Heuvel
- Centre for Human and Applied Physiology, School of Medicine, University of Wollongong, Wollongong, NSW 2522, Australia
| | - Alison L. Fogarty
- Land Division, Defence Science and Technology, Melbourne VIC 3207, Australia
| | - Sean R. Notley
- Centre for Human and Applied Physiology, School of Medicine, University of Wollongong, Wollongong, NSW 2522, Australia
| | - Andrew P. Hunt
- Land Division, Defence Science and Technology, Melbourne VIC 3207, Australia
| | - Daniel C. Billing
- Land Division, Defence Science and Technology, Melbourne VIC 3207, Australia
| | - Jace R. Drain
- Land Division, Defence Science and Technology, Melbourne VIC 3207, Australia
| | - Aaron J. Silk
- Centre for Human and Applied Physiology, School of Medicine, University of Wollongong, Wollongong, NSW 2522, Australia
| | - Mark J. Patterson
- Land Division, Defence Science and Technology, Melbourne VIC 3207, Australia
| | - Gregory E. Peoples
- Centre for Human and Applied Physiology, School of Medicine, University of Wollongong, Wollongong, NSW 2522, Australia
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Hunt AP. Protecting aircrew from cold stress elevates heat stress. Extrem Physiol Med 2015. [PMCID: PMC4580779 DOI: 10.1186/2046-7648-4-s1-a18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Hunt AP, Caldwell JN, Billing DC, Patterson MJ. Managing risk by the weakest link: Are we training effectively in the heat? Extrem Physiol Med 2015. [PMCID: PMC4580881 DOI: 10.1186/2046-7648-4-s1-a101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Billing DC, Silk AJ, Tofari PJ, Hunt AP. Effects of Military Load Carriage on Susceptibility to Enemy Fire During Tactical Combat Movements. J Strength Cond Res 2015; 29 Suppl 11:S134-8. [DOI: 10.1519/jsc.0000000000001036] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Abstract
The question of why mammalian systems use nitric oxide (NO), a potentially hazardous and toxic diatomic, as a signaling molecule to mediate important functions such as vasodilation (blood pressure control) and nerve signal transduction initially perplexed researchers when this discovery was made in the 1980s. Through extensive research over the past two decades, it is now well rationalized why NO is used in vivo for these signaling functions, and that heme proteins play a dominant role in NO signaling in mammals. Key insight into the properties of heme-nitrosyl complexes that make heme proteins so well poised to take full advantage of the unique properties of NO has come from in-depth structural, spectroscopic, and theoretical studies on ferrous and ferric heme-nitrosyls. This Account highlights recent findings that have led to greater understanding of the electronic structures of heme-nitrosyls, and the contributions that model complex studies have made to elucidate Fe-NO bonding are highlighted. These results are then discussed in the context of the biological functions of heme-nitrosyls, in particular in soluble guanylate cyclase (sGC; NO signaling), nitrophorins (NO transport), and NO-producing enzymes. Central to this Account is the thermodynamic σ-trans effect of NO, and how this relates to the activation of the universal mammalian NO sensor sGC, which uses a ferrous heme as the high affinity "NO detection unit". It is shown via detailed spectroscopic and computational studies that the strong and very covalent Fe(II)-NO σ-bond is at the heart of the strong thermodynamic σ-trans effect of NO, which greatly weakens the proximal Fe-NHis (or Fe-SCys) bond in six-coordinate ferrous heme-nitrosyls. In sGC, this causes the dissociation of the proximally bound histidine ligand upon NO binding to the ferrous heme, inducing a significant conformational change that activates the sGC catalytic domain for the production of cGMP. This, in turn, leads to vasodilation and nerve signal transduction. Studies on ferrous heme-nitrosyl model complexes have allowed for a quantification of this thermodynamic σ-trans effect of NO, through the use of high-resolution crystal structures, binding constant studies, single-crystal vibrational spectroscopy and density functional theory (DFT) calculations. These studies have further identified the singly occupied molecular orbital (SOMO) of the NO complexes as the key MO that mediates the thermodynamic σ-trans effect of NO. In comparison to ferrous heme-nitrosyls, ferric heme-nitrosyls display thermodynamically much weaker Fe-NO bonds (from NO binding constants), but at the same time much stronger Fe-NO bonds in their ground states (from vibrational spectroscopy). Using spectroscopic investigations coupled to DFT calculations, this apparent contradiction has been rationalized with the involvement of at least three different electronic states in the binding/dissociation of NO to/from ferric hemes. This is of key significance for the release of NO from NO-producing enzymes like NOS, and further forms the basis for ferric hemes to serve as NO transporters in biological systems.
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Affiliation(s)
- Andrew P. Hunt
- Department
of Chemistry, University of Michigan, Ann Arbor, Michigan 48109, United States
| | - Nicolai Lehnert
- Department
of Chemistry, University of Michigan, Ann Arbor, Michigan 48109, United States
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McQuarters AB, Wolf MW, Hunt AP, Lehnert N. 1958-2014: nach 56 Jahren Forschung endlich eine Erklärung für die Reaktivität von Cytochrom P450. Angew Chem Int Ed Engl 2014. [DOI: 10.1002/ange.201402404] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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McQuarters AB, Wolf MW, Hunt AP, Lehnert N. 1958-2014: after 56 years of research, cytochrome p450 reactivity is finally explained. Angew Chem Int Ed Engl 2014; 53:4750-2. [PMID: 24711286 DOI: 10.1002/anie.201402404] [Citation(s) in RCA: 73] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2014] [Indexed: 11/07/2022]
Abstract
Nature's wisdom in enzyme design: Compounds I and II in the catalytic cycle of the Cytochrome P450 enzymes have been trapped and characterized recently. This work has provided further insight into the electronic structure and reactivity of these crucial intermediates, and key questions regarding the mechanism of these enzymes have finally been answered.
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Affiliation(s)
- Ashley B McQuarters
- Department of Chemistry, University of Michigan, 930 N. University, Ann Arbor, MI 48109 (USA)
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Hunt AP, Orr RM, Billing DC. Developing Physical Capability Standards That are Predictive of Success on Special Forces Selection Courses. Mil Med 2013; 178:619-24. [DOI: 10.7205/milmed-d-12-00347] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Hunt AP, Feigl B, Stewart IB. The intraocular pressure response to dehydration: a pilot study. Eur J Appl Physiol 2011; 112:1963-6. [PMID: 21877145 DOI: 10.1007/s00421-011-2143-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2011] [Accepted: 08/18/2011] [Indexed: 10/17/2022]
Abstract
The aim of this study was to determine the intraocular pressure response to differing levels of dehydration. Seven males participated in 90 min of treadmill walking (5 km h(-1) and 1% grade) in both temperate (22 °C) and hot (43 °C) conditions. At baseline and 30 min intervals intraocular pressure, nude body mass, body temperature and heart rate were recorded. Statistically significant interactions (p < 0.05) were observed for intraocular pressure (hot condition: baseline 17.0 ± 2.9, 30 min 15.6 ± 3.5, 60 min 14.5 ± 3.7 and 90 min 13.6 ± 2.9 mmHg; temperate condition: baseline 16.8 ± 2.7, 30 min 16.5 ± 2.6, 60 min 15.8 ± 2.5 and 90 min 15.7 ± 1.8 mmHg) and body mass loss (hot condition: 30 min -1.07 ± 0.35, 60 min -2.17 ± 0.55 and 90 min -3.13 ± 0.74%; temperate condition: 30 min -0.15 ± 0.11, 60 min -0.47 ± 0.18 and 90 min -0.78 ± 0.25%). Significant linear regressions (p < 0.05) were observed for intraocular pressure and body mass loss (adjusted r(2) = 0.24) and intraocular pressure change and body mass loss (adjusted r(2) = 0.51). In conclusion, intraocular pressure was progressively reduced during a period of exercise causing dehydration, but remained relatively stable when hydration was maintained. The present study revealed a moderate relationship between dehydration (body mass loss) and intraocular pressure change.
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Affiliation(s)
- Andrew P Hunt
- Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane 4059, Australia
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Stewart IB, Hunt AP. Negligible heat strain in armored vehicle officers wearing personal body armor. J Occup Med Toxicol 2011; 6:22. [PMID: 21801453 PMCID: PMC3157446 DOI: 10.1186/1745-6673-6-22] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2010] [Accepted: 07/31/2011] [Indexed: 11/13/2022] Open
Abstract
Objectives This study evaluated the heat strain experienced by armored vehicle officers (AVOs) wearing personal body armor (PBA) in a sub-tropical climate. Methods Twelve male AVOs, aged 35-58 years, undertook an eight hour shift while wearing PBA. Heart rate and core temperature were monitored continuously. Urine specific gravity (USG) was measured before and after, and with any urination during the shift. Results Heart rate indicated an intermittent and low-intensity nature of the work. USG revealed six AVOs were dehydrated from pre through post shift, and two others became dehydrated. Core temperature averaged 37.4 ± 0.3°C, with maximum's of 37.7 ± 0.2°C. Conclusions Despite increased age, body mass, and poor hydration practices, and Wet-Bulb Globe Temperatures in excess of 30°C; the intermittent nature and low intensity of the work prevented excessive heat strain from developing.
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Affiliation(s)
- Ian B Stewart
- Institute of Health and Biomedical Innovation, Queensland University of Technology 60 Musk Avenue, Kelvin Grove, QLD 4059, Australia.
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Stewart IB, McDonald MD, Hunt AP, Parker TW. Physical capacity of rescue personnel in the mining industry. J Occup Med Toxicol 2008; 3:22. [PMID: 18847510 PMCID: PMC2584090 DOI: 10.1186/1745-6673-3-22] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2008] [Accepted: 10/12/2008] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The mining industry has one of the highest occupational rates of serious injury and fatality. Mine staff involved with rescue operations are often required to respond to physically challenging situations. This paper describes the physical attributes of mining rescue personnel. METHODS 91 rescue personnel (34 +/- 8.6 yrs, 1.79 +/- 0.07 m, 90 +/- 15.0 kg) participating in the Queensland Mines Rescue Challenge completed a series of health-related and rescue-related fitness tasks. Health-related tasks comprised measurements of aerobic capacity (VO2max), abdominal endurance, abdominal strength, flexibility, lower back strength, leg strength, elbow flexion strength, shoulder strength, lower back endurance, and leg endurance. Rescue-related tasks comprised an incremental carry (IC), coal shovel (CS), and a hose drag (HD), completed in this order. RESULTS Cardiovascular (VO2max) and muscular endurance was average or below average compared with the general population. Isometric strength did not decline with age. The rescue-related tasks were all extremely demanding with heart rate responses averaging greater than 88% of age predicted maximal heart rates. Heart rate recovery responses were more discriminating than heart rates recorded during the tasks, indicating the hose drag as the most physically demanding of the tasks. CONCLUSION Relying on actual rescues or mining related work to provide adequate training is generally insufficient to maintain, let alone increase, physical fitness. It is therefore recommended that standards of required physical fitness be developed and mines rescue personnel undergo regularly training (and assessment) in order to maintain these standards.
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Affiliation(s)
- Ian B Stewart
- Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia.
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Hunt AP, Frier M, Johnson RA, Berezenko S, Perkins AC. Preparation of Tc-99m-macroaggregated albumin from recombinant human albumin for lung perfusion imaging. Eur J Pharm Biopharm 2006; 62:26-31. [PMID: 16154332 DOI: 10.1016/j.ejpb.2005.06.005] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2005] [Revised: 06/15/2005] [Accepted: 06/15/2005] [Indexed: 11/28/2022]
Abstract
Human serum albumin (HSA) extracted from pooled blood taken from human donors is used in the production of (99m)Tc-labelled macroaggregated albumin (MAA) for lung perfusion imaging. However, concerns for the safety of blood-derived products due to potential contamination by infective agents (e.g. new variant CJD), make alternative production methods necessary. Recombinant DNA technology is a promising method of albumin production avoiding problems associated with human-derived HSA. This paper presents results comparing MAA prepared from recombinant human albumin (rHA, Recombumin) (rMAA) with in-house produced HSA MAA (hMAA) and commercially available MAA (cMAA). (99m)Tc-MAA was prepared using previously published production methods by heating a mixture of albumin and stannous chloride in acetate buffer (pH 5.4) at 70 degrees C for 20 min. Parameters investigated include aggregate size, radiolabelling efficiency, radiochemical and aggregate stability at 4 degrees C and in vitro (in whole human blood) at 37 degrees C and biodistribution studies. Results showed that rMAA could be produced with similar morphology, labelling efficiency and stability to hMAA and cMAA. Our findings confirm that rHA shows significant potential as a direct replacement for HSA in commercially available MAA.
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Affiliation(s)
- A P Hunt
- Department of Medical Physics, University Hospital, Nottingham, UK
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Foley TH, Jones NF, Barraclough MA, Cranston WI, Hunt AP. The renal excretion of cephaloridine in man. Postgrad Med J 1967; 43:Suppl 43:85-7. [PMID: 6052336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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