[Colonic lavage prior to colonoscopy: comparable outcomes of two polyethylene-glycol preparations and a sodium-phosphate solution]. / Lavage van het colon voor coloscopie: overeenkomstige uitkomsten van twee polyethyleenglycolpreparaten en een natriumfosfaatoplossing.

OBJECTIVE: Comparison of three cleansing solutions for bowel preparation prior to colonoscopy. DESIGN: Prospective, randomized. METHOD: 140 outpatients referred for colonoscopy were randomized into three groups for cleansing with 4 litres PEG 4000, 4 litres PEG 3350 or with 90 ml sodium phosphate with an additional 2.5 litres of fluid. Between cleansing and colonoscopy, patients filled in a questionnaire concerning taste, abdominal cramps and tolerance to the procedure. Blinded to the type of cleansing the endoscopist scored the effects on the colon and rectosigmoid, and made the endoscopic diagnosis. RESULTS: All data were available for 127 of the 140 patients (50 men, 77 women), mean age 51 years (range 18-96). Comparison between the three groups showed no statistically significant difference in the opinion of the patients concerning taste, abdominal cramps and tolerance of lavage. The endoscopist's scoring of total colon cleansing showed a small reduction in colon cleanliness when using sodium phosphate compared to PEG 3350 (p = 0.03). No differences were found between the two PEG solutions. Combining both PEG solutions and comparing them with the sodium-phosphate solution showed fewer abdominal cramps (p = 0.07) with sodium phosphate and a cleaner colon with PEG (p = 0.07). Women complained slightly more of abdominal cramps and were slightly less tolerant of the procedure than men. Previous colonic surgery did not influence the results. Patients with diverticula were older, but no other effect of cleansing was found. CONCLUSION: The three preparations are comparable in their cleansing effect and tolerance by the patient.

Energetic cost of foraging in free-diving emperor penguins.

Hypothesizing that emperor penguins (Aptenodytes forsteri) would have higher daily energy expenditures when foraging for their food than when being hand-fed and that the increased expenditure could represent their foraging cost, we measured field metabolic rates (FMR; using doubly labeled water) over 4-d periods when 10 penguins either foraged under sea ice or were not allowed to dive but were fed fish by hand. Surprisingly, penguins did not have higher rates of energy expenditure when they dove and captured their own food than when they did not forage but were given food. Analysis of time-activity and energy budgets indicated that FMR was about 1.7 x BMR (basal metabolic rate) during the 12 h d(-1) that penguins were lying on sea ice. During the remaining 12 h d(-1), which we termed their "foraging period" of the day, the birds were alert and active (standing, preening, walking, and either free diving or being hand-fed), and their FMR was about 4.1 x BMR. This is the lowest cost of foraging estimated to date among the eight penguin species studied. The calculated aerobic diving limit (ADL(C)), determined with the foraging period metabolic rate of 4.1 x BMR and known O(2) stores, was only 2.6 min, which is far less than the 6-min ADL previously measured with postdive lactate analyses in emperors diving under similar conditions. This indicates that calculating ADL(C) from an at-sea or foraging-period metabolic rate in penguins is not appropriate. The relatively low foraging cost for emperor penguins contributes to their relatively low total daily FMR (2.9 x BMR). The allometric relationship for FMR in eight penguin species, including the smallest and largest living representatives, is kJ d(-1)=1,185 kg(0.705).

Field metabolic rate of lactating female Galápagos fur seals (Arctocephalus galapagoensis): the influence of offspring age and environment.

Galápagos fur seals, Arctocephalus galapagoensis, live in a seasonal environment which varies strongly in productivity from year to year. We measured how the field metabolic rates (FMR) of lactating females varied with season, pup age and year. Energy expenditure was measured using doubly labeled water (DLW) during the cold seasons of 1984 and 1985 in 9 mothers of 1-3-month-old pups and 5 mothers of yearlings, and during the 1986 warm season in 8 mothers of 6-month-old pups. Young pups gained 0.84% mass/day during the cold season, but larger pups during the warm season lost 1.25% mass/day. During the warm season, females had lower relative total body water than during the cold season suggesting higher fat content during the warm, less productive season, but the effect was even more marked when comparing different years of the study: fat content was high in 1984 and 1986 and low in 1985. The FMR of mothers varied from 134 to 167 W but did not show significant differences between any of the pup age-groups. Among the years of the study, FMR showed only a trend towards low energy expenditure of mothers of young pups in 1984. The mean FMR was lower than for other otariids. Mothers may limit energy expenditure independent of pup age and season to minimize their own risk of starvation in an environment of comparatively low productivity, varying unpredictably due to frequent El Niño events.

Effects of training on forced submersion responses in harbor seals.

In several pinniped species, the heart rates observed during unrestrained dives are frequently higher than the severe bradycardias recorded during forced submersions. To examine other physiological components of the classic 'dive response' during such moderate bradycardias, a training protocol was developed to habituate harbor seals (Phoca vitulina) to short forced submersions. Significant changes were observed between physiological measurements made during naive and trained submersions (3-3.5 min). Differences were found in measurements of heart rate during submersion (naive 18+/-4.3 beats min(-1) versus trained 35+/-3.4 beats min(-1)), muscle blood flow measured using laser-Doppler flowmetry (naive 1.8+/-0.8 ml min(-1) 100 g(-1) versus trained 5.8+/-3.9 ml min(-1) 100 g(-1)), change in venous P(O(2)) (naive -0.44+/-1.25 kPa versus trained -1.48+/-0.76 kPa) and muscle deoxygenation rate (naive -0.67+/-0.27 mvd s(-1) versus trained -0.51+/-0.18 mvd s(-1), a relative measure of muscle oxygenation provided by the Vander Niroscope, where mvd are milli-vander units). In contrast to the naive situation, the post-submersion increase in plasma lactate levels was only rarely significant in trained seals. Resting eupneic (while breathing) heart rate and total oxygen consumption rates (measured in two seals) were not significantly different between the naive and trained states. This training protocol revealed that the higher heart rate and greater muscle blood flow in the trained seals were associated with a lower muscle deoxygenation rate, presumably secondary to greater extraction of blood O(2) during trained submersions. Supplementation of muscle oxygenation by blood O(2) delivery during diving would increase the rate of blood O(2) depletion but could prolong the duration of aerobic muscle metabolism during diving. This alteration of the dive response may increase the metabolic efficiency of diving.

Energetics of surface swimming in Brandt's cormorants (Phalacrocorax penicillatus brandt).

The energy requirements of Brandt's cormorants (Phalacrocorax penicillatus) during surface swimming were measured in birds swimming under a metabolic chamber in a water flume. From the oxygen consumption recordings, we extrapolated the metabolic rate and cost of transport at water speeds ranging from 0 to 1.3 m s(-)(1). In still water, the birds' mean mass-specific rate of oxygen consumption ( V(O2)) while floating at the surface was 20.2 ml O(2 )min(-)(1 )kg(-)(1), 2.1 times the predicted resting metabolic rate. During steady-state voluntary swimming against a flow, their V(O2) increased with water speed, reaching 74 ml O(2 )min(-)(1 )kg(-)(1) at 1.3 m s(-)(1), which corresponded to an increase in metabolic rate from 11 to 25 W kg(-)(1). The cost of transport decreased with swimming velocity, approaching a minimum of 19 J kg(-)(1 )m(-)(1) for a swimming speed of 1.3 m s(-)(1). Surface swimming in the cormorant costs approximately 18 % less than sub-surface swimming. This confirms similar findings in tufted ducks (Aythya fuligula) and supports the hypothesis that increased energy requirements are necessary in these birds during diving to overcome buoyancy and heat loss during submergence.

Diving physiology of birds: a history of studies on polar species.

Our knowledge of avian diving physiology has been based primarily on research with polar species. Since Scholander's 1940 monograph, research has expanded from examination of the 'diving reflex' to studies of free-diving birds, and has included laboratory investigations of oxygen stores, muscle adaptations, pressure effects, and cardiovascular/metabolic responses to swimming exercise. Behavioral and energetic studies at sea have shown that common diving durations of many avian species exceed the calculated aerobic diving limits (ADL). Current physiological research is focused on factors, such as heart rate and temperature, which potentially affect the diving metabolic rate and duration of aerobic diving.

Development of diving capacity in emperor penguins.

To compare the diving capacities of juvenile and adult emperor penguins Aptenodytes forsteri, and to determine the physiological variables underlying the diving ability of juveniles, we monitored diving activity in juvenile penguins fitted with satellite-linked time/depth recorders and examined developmental changes in body mass (Mb), hemoglobin concentration, myoglobin (Mb) content and muscle citrate synthase and lactate dehydrogenase activities. Diving depth, diving duration and time-at-depth histograms were obtained from two fledged juveniles during the first 2.5 months after their depature from the Cape Washingon colony in the Ross Sea, Antarctica. During this period, values of all three diving variables increased progressively. After 8-10 weeks at sea, 24-41 % of transmitted maximum diving depths were between 80 and 200 m. Although most dives lasted less than 2 min during the 2 month period, 8-25 % of transmitted dives in the last 2 weeks lasted 2-4 min. These values are lower than those previously recorded in adults during foraging trips. Of the physiological variables examined during chick and juvenile development, only Mb and Mb content did not approach adult values. In both near-fledge chicks and juveniles, Mb was 50-60 % of adult values and Mb content was 24-31 % of adult values. This suggests that the increase in diving capacity of juveniles at sea will be most dependent on changes in these factors.

Myoglobin in pelagic small cetaceans.

Although myoglobin (Mb) is considered to contribute significantly to the oxygen and diving capacity of marine mammals, few data are available for cetaceans. Cetacean by-catch in the tuna driftnet fisheries in the Sulu Sea, Philippines, afforded the opportunity to examine Mb content and distribution, and to determine muscle mass composition, in Fraser's (Lagenodelphis hosei) and spinner (Stenella longirostris) dolphins and a pygmy killer whale (Feresa attenuata). Age was estimated by body length determination. Stomach contents were analyzed for the presence or absence of milk and solid foods. It was hypothesized (a) that Mb concentration ([Mb]) would be higher in Fraser's and spinner dolphins than in other small cetaceans because of the known mesopelagic distribution of their prey, (b) that [Mb] would vary among different muscles according to function during diving, and (c) that [Mb] would increase with age during development. The results were as follows. (1) Myoglobin concentrations of the longissimus muscle in adult Fraser's (6.8-7.2 g 100 g-1 muscle) and spinner (5-6 g 100 g-1 muscle) dolphins and in an immature pygmy killer whale (5.7 g 100 g-1 muscle) were higher than those reported previously for small cetaceans. (2) [Mb] varied significantly among the different muscle types in adult dolphins but not in calves; in adults, swimming muscles had significantly higher [Mb] than did non-swimming muscles, contained 82-86 % of total Mb, and constituted 75-80 % of total muscle mass. (3) Myoglobin concentrations in Fraser's and spinner dolphins increased with size and age and were 3-4 times greater in adults than in calves. The high Mb concentrations measured in the primary locomotory muscles of these pelagic dolphins are consistent with the known mesopelagic foraging behaviour of Fraser's and spinner dolphins and suggest that the pygmy killer whale is also a deep-diving species. The high Mb concentrations in epaxial, hypaxial and abdominal muscle groups also support the primary locomotory functions suggested for these muscles in other anatomical studies. As in other species, the increase in [Mb] during development probably parallels the development of diving capacity.

The physiological basis of diving to depth: birds and mammals.

There is wide diversity in the animals that dive to depth and in the distribution of their body oxygen stores. A hallmark of animals diving to depth is a substantial elevation of muscle myoglobin concentration. In deep divers, more than 80% of the oxygen store is in the blood and muscles. How these oxygen stores are managed, particularly within muscle, is unclear. The aerobic endurance of four species has now been measured. These measurements provide a standard for other species in which the limits cannot be measured. Diving to depth requires several adaptations to the effects of pressure. In mammals, one adaptation is lung collapse at shallow depths, which limits absorption of nitrogen. Blood N2 levels remain below the threshold for decompression sickness. No such adaptive model is known for birds. There appear to be two diving strategies used by animals that dive to depth. Seals, for example, seldom rely on anaerobic metabolism. Birds, on the other hand, frequently rely on anaerobic metabolism to exploit prey-rich depths otherwise unavailable to them.

Structural and biochemical characteristics of locomotory muscles of emperor penguins, Aptenodytes forsteri.

Structural and biochemical characteristics of the primary muscles used for swimming (pectoralis, PEC and supracoracoideus, SC) were compared to those of leg muscles in emperor penguins (Aptenodytes forsteri). The mass of PEC-SC was four times that of the leg musculature, and mitochondrial volume density in PEC and SC (4%) was two-thirds that in sartorius (S) and gastrocnemius. The differences in muscle mass and mitochondrial density yielded a 2.2-fold greater total mitochondrial content in PEC-SC than leg muscles, which appears to account for the 1.8-fold greater whole-body highest oxygen consumption previously recorded in emperor penguins during swimming compared to walking. Calculation of maximal mitochondrial O2 consumption in PEC-SC and leg muscle yielded value of 5.8-6.9 ml O2 ml-1 min-1, which are similar to those in locomotory muscles of most mammals and birds. A distinct feature of emperor penguin muscle was its myoglobin content, with concentrations in PEC-SC (6.4 g 100 g-1 among the highest measured in any species. This resulted in a PEC-SC O2 store greater than that of the entire blood. In addition, ratios of myoglobin content to mitochondrial volume density and to citrate synthase activity were 4.4 and 2.5 times greater in PEC than in S, indicative of the significant role of myoglobin in the adaptation of muscle to cardiovascular adjustments during diving.

Post-dive blood lactate concentrations in emperor penguins, Aptenodytes forsteri.

In order to determine an aerobic diving limit (ADL) in emperor penguins (Aptenodytes forsteri), post-dive blood lactate concentrations were measured in penguins foraging at an isolated sea ice hole. Resting lactate concentrations were 1.2-2.7 mmol l-1. Serial samples revealed that lactate level usually peaked within 5 min after dives and that 7-12 min was required for lactate concentrations to decrease from 5-8 mmol l-1 to less than 2.5 mmol l-1. Post-dive lactate level was not elevated above 3 mmol l-1 for dives shorter than 5 min. Two-phase regression analysis revealed a transaction at 5.6 min in the post-dive lactate level versus diving duration relationship. All dives longer than 7 min were associated with lactate concentrations greater than 5 mmol l-1. We conclude that the ADL in emperor penguins ranges between 5 and 7 min. These are the first determinations of post-dive lactate concentrations in any free-diving bird and are currently the only physiological assessment of an ADL in an avian species.

Prey ingestion revealed by oesophagus and stomach temperature recordings in cormorants.

We examined the accuracy of both stomach and oesophagus temperature sensors-deployed on captive Brandt's cormorants-for determination of the mass of food ingested and the number of prey items swallowed. The oesophageal temperature sensor was a better detector of all feeding events, including that of small prey which were missed by the stomach sensor. Adapted to free-ranging animals (and coupled to data loggers for recording seawater temperature), oesophagus temperature recorders, in conjunction with both recordings of energy expenditure (e.g. doubly labelled water, heart rate) and determination of position (e.g. Argos transmitter, time/depth recorder), should provide further important insights into the foraging success of marine endotherms.

Heart rate and plasma lactate responses during submerged swimming and trained diving in California sea lions, Zalophus californianus.

California sea lions, Zalophus californianus, were trained to elicit maximum voluntary breath holds during stationary underwater targeting, submerged swimming, and trained diving. Lowest heart rate during rest periods was 57 bpm. The heart rate profiles in all three protocols were dominated by a bradycardia of 20-50 bpm, and demonstrated that otariid diving heart rates were at or below resting heart rate. Venous blood samples were collected after submerged swimming periods of 1-3 min. Plasma lactate began to increase only after 2.3-min submersions. This rise in lactate and our inability to train sea lions to dive or swim submerged for periods longer than 3 min lead us to conclude that an aerobic limit had been reached. Due to the similarity of heart rate responses and swimming velocities recorded during submerged swimming and trained diving, this 2.3-min limit should approximate the aerobic dive limit in these 40-kg sea lions. Total body O2 stores, based on measurements of blood and muscle O2 stores in these animals, and prior lung O2 store analyses, were 37-43 ml O2 kg-1. The aerobic dive limit, calculated with these O2 stores and prior measurements of at-sea metabolic rates of sea lions, is 1.8-2 min, similar to that measured by the change in post-submersion lactate concentration.

Emperor penguin oxygen consumption, heart rate and plasma lactate levels during graded swimming exercise.

Oxygen consumption (VO2), heart rate and blood chemistry were measured in four emperor penguins, Aptenodytes forsteri (Gray), during graded swimming exercise. The maximum VO2 obtained, 52 ml O2 kg-1 min-1, was 7.8 times the measured resting VO2 of 6.7 ml O2 kg-1 min-1 and 9.1 times the predicted resting VO2. As the swimming effort rose, a linear increase in surface and submerged heart rates (fH) occurred. The highest average maximum surface and submersion heart rates of any bird were 213 and 210 beats min-1, respectively. No increase in plasma lactate concentrations occurred until VO2 was greater than 25 ml O2 kg-1 min-1. At the highest VO2 values measured, plasma lactate concentration reached 9.4 mmol l-1. In comparison with other animals of approximately the same mass, the aerobic capacity of the emperor penguin is less than those of the emu and dog but about the same as those of the seal, sea lion and domestic goat. For aquatic animals, a low aerobic capacity seems to be consistent with the needs of parsimonious oxygen utilization while breath-holding.

Muscle temperature and swim velocity profiles during diving in a Weddell seal, Leptonychotes weddellii.

Locomotory muscle temperature and swim velocity profiles of an adult Weddell seal were recorded over a 21 h period. The highest temperatures occurred during a prolonged surface period (mean 37.3 degrees C, S.D. 0.16 degrees C). Muscle temperature averaged 36.8 and 36.6 degrees C (S.D. 0.25 degrees C, 0.19 degrees C) during two dive bouts and showed no consistent fluctuations between dive and interdive surface intervals. Swim velocities were also constant, near 1.3 m s-1. These data indicate that past records of low aortic temperatures (35 degrees C) during and after prolonged dives are not indicative of whole-body temperature changes, and that muscle temperature, even during dives as long as 45 min, remains near 37 degrees C.

Heart rates and swim speeds of emperor penguins diving under sea ice.

Heart rate during overnight rest and while diving were recorded from five emperor penguins with a microprocessor-controlled submersible recorder. Heart rate, cardiac output and stroke volume were also measured in two resting emperor penguins using standard electrocardiography and thermodilution measurements. Swim velocities from eight birds were obtained with the submersible recorder. The resting average of the mean heart rates was 72 beats min-1. Diving heart rates were about 15% lower than resting rates. Cardiac outputs of 1.9-2.9 ml kg-1 s-1 and stroke volumes of 1.6-2.7 ml kg-1 were similar to values recorded from mammals of the same body mass. Swim velocities averaged 3 m s-1. The swim speeds and heart rates suggest that muscle O2 depletion must occur frequently: therefore, many dives require a significant energy contribution from anaerobic glycolysis.

Metabolic rates of freely diving Weddell seals: correlations with oxygen stores, swim velocity and diving duration.

The metabolic rates of freely diving Weddell seals were measured using modern methods of on-line computer analysis coupled to oxygen consumption instrumentation. Oxygen consumption values were collected during sleep, resting periods while awake and during diving periods with the seals breathing at the surface of the water in an experimental sea-ice hole in Antarctica. Oxygen consumption during diving was not elevated over resting values but was statistically about 1.5 times greater than sleeping values. The metabolic rate of diving declined with increasing dive duration, but there was no significant difference between resting rates and rates in dives lasting up to 82 min. Swimming speed, measured with a microprocessor velocity recorder, was constant in each animal. Calculations of the aerobic dive limit of these seals were made from the oxygen consumption values and demonstrated that most dives were within this theoretical limit. The results indicate that the cost of diving is remarkably low in Weddell seals relative to other diving mammals and birds.

Pinniped splenic volumes.

Splenic volume was measured by computerized axial tomography in three harbor seals (Phoca vitulina) and two California sea lions (Zalophus californianus). Volumes ranged from 228 to 679 ml, representing 0.8-3.0% of calculated percentage body mass. Despite possible variation in the state of splenic contraction during the examination, these values are in the upper range of reported mammalian splenic volumes (as % of body mass). This reinforces the pinniped splenic erythrocyte storage concept.

Fuel homeostasis in the harbor seal during submerged swimming.

1. The turnover rates and oxidation rates of plasma glucose, lactate, and free fatty acids (FFA) were measured in three harbor seals (average mass = 40 kg) at rest or during voluntary submerged swimming in a water flume at 35% (1.3 m.s-1) and 50% (2 m.s-1) of maximum oxygen consumption (MO2max). 2. For seals resting in water, the total turnover rates for glucose, lactate, and FFA were 23.2, 26.2, and 7.5 mumols.min-1.kg-1, respectively. Direct oxidation of these metabolites accounted for approximately 7%, 27%, and 33% of their turnover and 3%, 7%, and 18% of the total ATP production, respectively. 3. For swimming seals, MO2max was achieved at a drag load equivalent to a speed of 3 m.s-1 and averaged 1.85 mmol O2.min-1.kg-1, which is 9-fold greater than resting metabolism in water at 18 degrees C. 4. At 35% and 50% MO2max, glucose turnover and oxidation rates did not change from resting levels. Glucose oxidation contributed about 1% of the total ATP production during swimming. 5. At 50% MO2max, lactate turnover and anaerobic ATP production doubled, but the steady state plasma lactate concentration remained low at 1.1 mM. Lactate oxidation increased 63% but still contributed only 4% of the total ATP production. Anaerobic metabolism contributed about 1% of the total ATP production at rest and during swimming. 6. The plasma FFA concentration and turnover rate increased only 24% and 37% over resting levels, respectively, at 50% MO2max. However, the oxidation rate increased almost 3.5-fold and accounted for 85% of the turnover.(ABSTRACT TRUNCATED AT 250 WORDS)