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1.
Ann Gastroenterol ; 33(6): 638-644, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33162740

RESUMO

BACKGROUND: Inflammatory bowel disease (IBD), classified as Crohn's disease or ulcerative colitis, is a chronic inflammatory condition that affects the gastrointestinal tract. Fatigue is a common symptom of IBD, even in periods of inactive disease; however, the cause of this fatigue is unknown. Studies have suggested that altered sleep patterns may be associated with the fatigue experienced by IBD patients. The aim of our study was to assess the sleep quality of patients with inactive IBD who report fatigue. METHODS: We conducted a prospective observational pilot study that examined IBD outpatients with inactive disease who had complaints of fatigue. Upon enrolment, patients underwent Level 1 diagnostic polysomnography for one night to measure objective sleep parameters. Patients were also asked to complete 3 validated questionnaires to assess fatigue, depression levels, and subjective sleep quality. RESULTS: Fifteen patients (7 with CD, 8 with UC) were enrolled in the study; their mean age was 38.6±11.6 years. IBD patients had a mean spontaneous arousal index of 20.0±9.7 arousals /h. Patients spent an average of 6.6%, 60.4%, 15.2%, and 17.9% of their total sleep time in stages N1, N2, N3 and rapid-eye-movement sleep, respectively. Four (26.7%) patients had obstructive sleep apnea, and 7 (46.7%) patients experienced periodic limb movements of sleep. CONCLUSIONS: Patients with IBD experienced altered sleep patterns and high rates of sleep fragmentation. Further research is needed to determine how poor sleep quality can be treated in patients with IBD.

3.
J Exp Biol ; 223(Pt 9)2020 05 14.
Artigo em Inglês | MEDLINE | ID: mdl-32291323

RESUMO

In this study, we examined the thermal physiology of the endangered New Zealand rockwren (Xenicus gilviventris), a member of the Acanthisittidae, a family unique to New Zealand. This family, derived from Gondwana, is thought to be the sister taxon to all other passerines. Rockwrens permanently reside above the climatic timberline at altitudes from 1000 to 2900 m in the mountains of South Island. They feed on invertebrates and in winter face ambient temperatures far below freezing and deep deposits of snow. Their body temperature and rate of metabolism are highly variable. The rockwrens in our study regulated their body temperature at ca. 36.4°C, which in one individual decreased to 33.1°C at an ambient temperature of 9.4°C; its rate of metabolism decreased by 30% and its body temperature then spontaneously returned to 36°C. The rate of metabolism in a second individual twice decreased by 35%, nearly to the basal rate expected from its mass without a decrease in body temperature. The New Zealand rockwren's food habits, entrance into torpor and continuous residence in a thermally demanding environment suggest that it may hibernate. However, for that conclusion to be accepted, evidence of its use of torpor for extended periods is required. Acanthisittids are distinguished from other passerines by the combination of their permanent temperate distribution, thermal flexibility and a propensity to evolve a flightless condition. These characteristics may principally reflect their geographical isolation in a temperate environment isolated from Gondwana for 82 million years in the absence of mammalian predators.


Assuntos
Passeriformes , Torpor , Animais , Temperatura Corporal , Regulação da Temperatura Corporal , Metabolismo Energético , Nova Zelândia , Temperatura
4.
Sarcoidosis Vasc Diffuse Lung Dis ; 37(4): e2020014, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33597801

RESUMO

INTRODUCTION: Sarcoidosis is a multi-system disease reported to occur with a higher incidence in Alberta than many other health jurisdictions within and outside of Canada. The reasons for this higher incidence are currently not known. Exposure to beryllium can result in a clinically and radiologically identical disease to sarcoidosis. The purpose of our study was to identify patterns with potential occupational or environmental exposures to beryllium amongst individuals with sarcoidosis in Alberta through a tertiary referral center. METHODS: A prospective observational study was carried out at the University of Alberta Hospital. Patients with confirmed sarcoidosis (stages 0-4) were recruited from subspecialty clinics (Respirology, Cardiology, Neurology and Occupational Health). A predetermined list of industries thought to involve potentially relevant exposures for the development of sarcoidosis was used to capture current and previous exposure history. Results were entered into a database and where possible verified by comparing with existing electronic medical records (including histories, physical examination, diagnostic imaging and physiology). RESULTS: A total of 45 patients were recruited, 25 men and 20 women. Of these, 84% of participants reported working in or being exposed to an industry/environment suspected of contributing to development of sarcoidosis over their lifetime. The most frequently reported exposures were within farming and agriculture (27%), oil and gas (20%), metalworking and handling animals (18%). CONCLUSIONS: Amongst this cohort, a high proportion reported working with a potentially relevant exposure. Individuals being assessed for sarcoidosis should have their most responsible physician elicit a detailed work and environmental history. (Sarcoidosis Vasc Diffuse Lung Dis 2020; 37 (4): e2020014).

5.
J Exp Biol ; 222(Pt 15)2019 08 06.
Artigo em Inglês | MEDLINE | ID: mdl-31262787

RESUMO

The basal rate of metabolism (BMR) is the most reported estimate of energy expenditure in endotherms. Its principal determinant is body mass, but BMR also correlates with a variety of behavioral and ecological factors that do not determine basal rate: they are byproducts of the mechanisms that are its determinate. In mammals, mass-independent BMR increases when muscle mass is >40% of total body mass and BMR is then ≥100% of the value expected from body mass. Mammals with muscle masses <30% of body mass have lower BMRs, a diminished capacity to regulate body temperature and often have reduced activity levels. At muscle masses <42% of body mass, birds have body temperatures and basal rates higher than mammals with the same muscle mass. Their high basal rates derive from fast blood flow and increased mitochondrial density in their pectoral muscles. These enhancements also occur in the flight muscles of bats. Oxygen transport to the pectoral muscles of birds is facilitated by an increase in heart mass and hematocrit. This arrangement avoids transporting a large muscle mass to fuel flight, thereby reducing the cost of flight. Pectoral muscle masses <9% of body mass correlate with a flightless condition in kiwis, rails and ducks but some fruit pigeons have BMRs as low as those measured in kiwis, while remaining volant. The mass-independent BMRs of endotherms principally reflect changes of muscle activity and mass. An increase in muscle mass may have contributed to the evolution of endothermy.


Assuntos
Metabolismo Basal/fisiologia , Aves/metabolismo , Mamíferos/metabolismo , Animais , Composição Corporal , Regulação da Temperatura Corporal/fisiologia , Voo Animal/fisiologia , Músculo Esquelético/fisiologia
6.
J Comp Physiol B ; 188(5): 855-862, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-30039298

RESUMO

Compared to other birds, passerines, reflecting their small mass, have a narrow set of behavioral characteristics. One difference is that few enter torpor, especially in temperate environments. The few that do include swallows, none of which live throughout the year in cold-temperate environments, because their food, flying insects, is not available in winter and no passerine is known to hibernate. They seasonally migrate to warm-temperate and tropical environments. We present data on the energetics of the Rifleman (Acanthisitta chloris), a small, insectivorous member of the Acanthisittidae, a passerine family endemic to temperate New Zealand. This family is considered to be the sister taxon to all living passerines, which raises the question whether its physiological and behavioral characteristics reflect its evolutionary status in a manner that distinguishes it from other passerines. Only two of the eight known species in this family survive; four of the extinct species were flightless, a condition that evolved independently three times and is almost absent from other passerines. The Rifleman readily enters torpor, which is facilitated by its small mass. It enters torpor at ambient temperatures that are commonly encountered in its wet, cool-to-cold environment. As a result, its body temperature and rate of metabolism are highly variable. An estimate of the basal rate of metabolism is similar to that expected from body mass. Unlike some  torpor-prone birds, the Rifleman is a permanent resident in a temperate environment. This residency is possible, because the Rifleman gleans insect prey from surfaces, which does not require insects to have high body temperatures for activity. Its only living relative, the endangered, insectivorous Rock Wren (Xenicus gilviventris), is a permanent resident at altitudes from ca. 1000 to 2500 m in the mountains of South Island, New Zealand. There it faces severe winter conditions that are not avoided by descent to lower altitudes. Its response to these conditions may be an extended period of torpor. The repeated evolution of a flightless condition possibly reflects some distinctive property of the acanthisittids. The evolution of torpor and a flightless condition in acanthisittids may have facilitated their survival on a geographically isolated, temperate landmass, and these character states permitted by the absence of endemic mammalian predators.


Assuntos
Passeriformes/fisiologia , Torpor/fisiologia , Animais , Metabolismo Energético , Feminino , Masculino , Nova Zelândia , Temperatura
7.
Artigo em Inglês | MEDLINE | ID: mdl-29746908

RESUMO

We examine the impact of behavior on the short-term energy expenditures of the only terrestrial mammals endemic to New Zealand, two bats, the long-tailed (Chalinolobus tuberculatus, family Vespertilionidae), and the lesser short-tailed (Mystacina tuberculata, family Mystacinidae). Vespertilionidae has a world-wide distribution. Mystacinidae is restricted to New Zealand, although related to five neotropical families and one in Madagascar reflecting a shared Gondwanan origin of their Noctilionoidea superfamily. Both species have highly variable body temperatures and rates of metabolism. They feed on flying insects, which requires them to be torpid in shelters during cold, wet periods. In dry weather Mystacina is active in winter at ambient temperatures as low as -1.0 °C, foraging for terrestrial invertebrates in leaf litter, even in the presence of snow, and consuming fruit, nectar, and pollen from endemic plants that bloom in winter. The behavior of Mystacina expands its presence in a cool, wet, temperate forest in a manner unlike any other bat, another example of the distinctive characteristics of the endemic New Zealand fauna. The use of torpor generally depends on a series of factors, including body mass, ambient temperature, latitude, reproductive cycle, sociality, and fat deposits. These factors result in a diversity of responses that range along a continuum from short-term torpor to hibernation.


Assuntos
Comportamento Animal , Quirópteros/fisiologia , Metabolismo Energético/fisiologia , Hibernação/fisiologia , Torpor/fisiologia , Animais , Quirópteros/classificação , Nova Zelândia , Filogenia , Estações do Ano
8.
Artigo em Inglês | MEDLINE | ID: mdl-28668499

RESUMO

Brain mass has been suggested to determine a mammal's energy expenditure. This potential dependence is examined in 48 species of bats. A correlation between characters may be direct or derived from shared correlations with intervening factors without a direct interaction. Basal rate of metabolism in these bats increases with brain mass: large brains are more expensive than small brains, and both brain mass and basal rate increase with body mass. Basal rate and brain mass also correlate with food habits in bats. Mass-independent basal rate weakly correlates with mass-independent brain mass, the correlation only accounting for 12% of the variation in basal rate, which disappears when the combined effects of body mass and food habits are deleted. The correlation between basal rate and brain mass seen in this and other studies usually accounts for <10% of the variation in basal rate and often <4%, even when statistically significant, a minimalist explanation for the level the basal rate. This correlation probably reflects the intermediacy of secondary factors, as occurred with food habits in bats. Most biological correlations are complicated and must be examined in detail before assurance can be given as to their bases.


Assuntos
Encéfalo/anatomia & histologia , Quirópteros/metabolismo , Metabolismo Energético , Tamanho do Órgão , Animais , Quirópteros/classificação , Quirópteros/fisiologia , Comportamento Alimentar , Especificidade da Espécie
9.
Artigo em Inglês | MEDLINE | ID: mdl-26456419

RESUMO

Whether passerines collectively have a higher mean mass-independent basal rate of metabolism than the mean of other birds has been controversial. The conclusion that no difference exists was based on phylogenetic analyses. Higher basal rates, however, have been repeatedly seen in passerines and demonstrated by ANCOVA analyses. Several studies indicated that the mean mass-independent basal rate of passerines is >30% higher than the collective mean of other birds. Yet, at least three non-passerine orders of 25 have mean mass-independent basal rates equal to that of passerines. They are Anseriformes, Charadriiformes, and Procellariiformes, all characterized by an active lifestyle, including migratory and pelagic habits. In contrast, sedentary ducks endemic to islands have low basal rates. The high basal rates in temperate passerines correlate with migratory habits and life in cool to cold environments, the absence of these factors being partly responsible for the lower basal rates in most tropical passerines. The principal difference in energetics among non-passerines, between passerines and most non-passerines, and among passerines reflects the frequency of habits associated with high or low mass-independent energy expenditures, the habits correlating with body composition. The mean mass-independent basal rate in tropical passerines is slightly lower than in temperate passerines which implies that the collective mean in passerines would be somewhat lower if tropical passerines were included in proportion to their diversity. However, their inclusion will not eliminate the difference presently seen between passerines and other birds because the difference between tropical and temperate passerines is less than that between passerines and other birds.


Assuntos
Metabolismo Basal/fisiologia , Patos/fisiologia , Metabolismo Energético/fisiologia , Animais , Peso Corporal
10.
Oecologia ; 164(1): 13-23, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20364270

RESUMO

The tendency of mammals to increase or decrease body size with respect to geography or time depends on the abundance, availability, and size of resources. This dependency accounts for a change in mass with respect to geography, including latitude (Bergmann's rule), a desert existence, and life on oceanic islands (the island rule), as well as in a seasonal anticipation of winter (Dehnel's phenomenon) and a tendency for some lineages to increase in mass through time (Cope's rule). Such a generalized pattern could be called the "resource rule," reflecting the controlling effect of resource availability on body mass and energy expenditure. The correlation of mammalian size with geography and time reflects the impact of temperature, rainfall, and season on primary production, as well as the necessity in the case of some species to share resources with competitors. The inability of the constituent "rules" to account for all size trends often results from unique patterns of resource availability.


Assuntos
Tamanho Corporal , Ecossistema , Geografia , Mamíferos/crescimento & desenvolvimento , Animais , Clima Desértico
11.
Chest ; 138(2): 257-63, 2010 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-20173052

RESUMO

BACKGROUND: Home diagnosis and therapy for obstructive sleep apnea (OSA) may improve access to testing and continuous positive airway pressure (CPAP) treatment. We compared subjective sleepiness, sleep quality, quality of life, BP, and CPAP adherence after 4 weeks of CPAP therapy in subjects in whom OSA was diagnosed and treated at home and in those evaluated in the sleep laboratory. METHODS: A randomized trial was performed consisting of home-based level 3 testing followed by 1 week of auto-CPAP and fixed-pressure CPAP based on the 95% pressure derived from the auto-CPAP device, and in-laboratory polysomnography (PSG) (using mostly split-night protocol) with CPAP titration; 102 subjects were randomized (age, 47.4 +/- 11.4 years; 63 men; BMI, 32.3 +/- 6.3 kg/m(2); Epworth Sleepiness Scale [ESS]: 12.5 +/- 4.3). The outcome measures were daytime sleepiness (ESS), sleep quality (Pittsburgh Sleep Quality Index [PSQI]), quality of life (Calgary Sleep Apnea Quality of Life Index [SAQLI], 36-Item Short-Form Health Survey [SF-36], BP, and CPAP adherence after 4 weeks. RESULTS: After 4 weeks of CPAP therapy, there were no significant differences in ESS (PSG 6.4 +/- 3.8 vs home monitoring [HM] 6.5 +/- 3.8, P = .71), PSQI (PSG 5.4 +/- 3.1 vs HM 6.2 +/- 3.4, P = .30), SAQLI (PSG 4.5 +/- 1.1 vs HM 4.6 +/- 1.1, P = .85), SF-36 vitality (PSG 62.2 +/- 23.3 vs HM 64.1 +/- 18.4, P = .79), SF-36 HM (PSG 84.0 +/- 10.4 vs HM 81.3 +/- 14.9, P = .39), and BP (PSG 129/84 +/- 11/0 vs HM 125/81 +/- 13/9, P = .121). There was no difference in CPAP adherence (PSG 5.6 +/- 1.7 h/night vs HM 5.4 +/- 1.0 h/night, P = .49). CONCLUSIONS: Compared with the home-based protocol, diagnosis and treatment of OSA in the sleep laboratory does not lead to superior 4-week outcomes in sleepiness scores, sleep quality, quality of life, BP, and CPAP adherence. TRIAL REGISTRATION: clinicaltrials.gov; Identifier: NCT00139022.


Assuntos
Pressão Positiva Contínua nas Vias Aéreas , Polissonografia , Apneia Obstrutiva do Sono/diagnóstico , Apneia Obstrutiva do Sono/terapia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Monitorização Ambulatorial , Qualidade de Vida , Sono , Resultado do Tratamento
12.
Proc Natl Acad Sci U S A ; 106(29): 12184-8, 2009 Jul 21.
Artigo em Inglês | MEDLINE | ID: mdl-19581600

RESUMO

Some dinosaurs reached masses that were approximately 8 times those of the largest, ecologically equivalent terrestrial mammals. The factors most responsible for setting the maximal body size of vertebrates are resource quality and quantity, as modified by the mobility of the consumer, and the vertebrate's rate of energy expenditure. If the food intake of the largest herbivorous mammals defines the maximal rate at which plant resources can be consumed in terrestrial environments and if that limit applied to dinosaurs, then the large size of sauropods occurred because they expended energy in the field at rates extrapolated from those of varanid lizards, which are approximately 22% of the rates in mammals and 3.6 times the rates of other lizards of equal size. Of 2 species having the same energy income, the species that uses the most energy for mass-independent maintenance of necessity has a smaller size. The larger mass found in some marine mammals reflects a greater resource abundance in marine environments. The presumptively low energy expenditures of dinosaurs potentially permitted Mesozoic communities to support dinosaur biomasses that were up to 5 times those found in mammalian herbivores in Africa today. The maximal size of predatory theropods was approximately 8 tons, which if it reflected the maximal capacity to consume vertebrates in terrestrial environments, corresponds in predatory mammals to a maximal mass less than a ton, which is what is observed. Some coelurosaurs may have evolved endothermy in association with the evolution of feathered insulation and a small mass.


Assuntos
Tamanho Corporal , Dinossauros/anatomia & histologia , Dinossauros/fisiologia , Metabolismo Energético , Anfíbios/anatomia & histologia , Animais , Clima Desértico , Lagartos/anatomia & histologia , Modelos Anatômicos
13.
Artigo em Inglês | MEDLINE | ID: mdl-18805499

RESUMO

The basal rate of metabolism (BMR) in 533 species of birds, when examined with ANCOVA, principally correlates with body mass, most of the residual variation correlating with food habits, climate, habitat, a volant or flightless condition, use or not of torpor, and a highland or lowland distribution. Avian BMR also correlates with migratory habits, if climate and a montane distribution is excluded from the analysis, and with an occurrence on small islands if a flightless condition and migration are excluded. Residual variation correlates with membership in avian orders and families principally because these groups are behaviorally and ecologically distinctive. However, the distinction between passerines and other birds remains a significant correlate of avian BMR, even after six ecological factors are included, with other birds having BMRs that averaged 74% of the passerine mean. This combination of factors accounts for 97.7% of the variation in avian BMR. Yet, migratory species that belong to Anseriformes, Charadriiformes, Pelecaniformes, and Procellariiformes and breed in temperate or polar environments have mass-independent basal rates equal to those found in passerines. In contrast, penguins belong to an order of polar, aquatic birds that have basal rates lower than passerines because their flightless condition depresses basal rate. Passerines dominate temperate, terrestrial environments and the four orders of aquatic birds dominate temperate and polar aquatic environments because their high BMRs facilitate reproduction and migration. The low BMRs of tropical passerines may reflect a sedentary lifestyle as much as a life in a tropical climate. Birds have BMRs that are 30-40% greater than mammals because of the commitment of birds to an expensive and expansive form of flight.


Assuntos
Metabolismo Basal/fisiologia , Aves/fisiologia , Ecossistema , Animais , Aves/classificação
14.
Artigo em Inglês | MEDLINE | ID: mdl-19049825

RESUMO

The metabolic rate of harp (Pagophilus groenlandicus), harbor (Phoca vitulina), and ringed seals (Pusa hispida) was measured at various temperatures in air and water to estimate basal metabolic rates (BMRs) in these species. The basal rate and body composition of three harp seals were also measured throughout the year to examine the extent to which they vary seasonally. Marine mammalian carnivores generally have BMRs that are over three times the rates expected from body mass in mammals generally, both as a response to a cold-water distribution and to carnivorous food habits with the basal rates of terrestrial carnivores averaging about 1.8 times the mean of mammals. Phocid seals, however, have basal rates of metabolism that are 30% lower than other marine carnivores. Captive seals undergo profound changes in body mass and food consumption throughout the year, and after accounting for changes in body mass, the lowest rate of food intake occurs in summer. Contrary to earlier observations, harp seals also have lower basal rates during summer than during winter, but the variation in BMR, relative to mass expectations, was not associated with changes in the size of fat deposits. The summer reduction in energy expenditure and food consumption correlated with a reduction in BMR. That is, changes in BMR account for a significant portion of the seasonal variation in energy expenditure in the harp seal. Changes in body mass of harp seals throughout the year were due not only to changes in the size of body fat deposits, but also to changes in lean body mass. These results suggest that bioenergetics models used to predict prey consumption by seals should include time-variant energy requirements.


Assuntos
Metabolismo Energético , Focas Verdadeiras/metabolismo , Estações do Ano , Ar , Animais , Ingestão de Energia , Reprodutibilidade dos Testes , Especificidade da Espécie , Temperatura , Água
15.
Artigo em Inglês | MEDLINE | ID: mdl-18617429

RESUMO

The factors influencing the basal rate of metabolism (BMR) in 639 species of mammals include body mass, food habits, climate, habitat, substrate, a restriction to islands or highlands, use of torpor, and type of reproduction. They collectively account for 98.8% of the variation in mammalian BMR, but often interact in complex ways. The factor with the greatest impact on BMR, as always, is body mass (accounting for 96.8% of its variation), the extent of its impact reflecting the 10(6.17)-fold range of mass in measured species. The attempt to derive mathematically the power relationship of BMR in mammals is complicated by the necessity to include all of the factors that influence BMR that are themselves correlated with body mass. BMR also correlates with taxonomic affiliation because many taxa are distinguished by their ecological and behavioral characteristics. Phylogeny, reflecting previous commitments, may influence BMR either through a restriction on the realized range of behaviors or by opening new behavioral and ecological opportunities. A new opportunity resulted from the evolution by eutherians of a type of reproduction that permitted species feeding on high quality resources to have high BMRs. These rates facilitated high rates of gas, nutrient, and waste exchange between a pregnant eutherian and her placental offspring. This pattern led to high rates of reproduction in some eutherians, a response denied all monotremes and marsupials, thereby permitting eutherians to occupy cold-temperate and polar environments and to dominate other mammals in all environments to which ecologically equivalent eutherians had access.


Assuntos
Metabolismo Basal/fisiologia , Mamíferos/fisiologia , Animais , Peso Corporal , Ecossistema , Comportamento Alimentar , Mamíferos/classificação , Filogenia
16.
Can Respir J ; 14(3): 159-63, 2007 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-17464380

RESUMO

BACKGROUND: Standard practice in obstructive sleep apnea (OSA) management requires that a positive diagnostic, overnight polysomnography (PSG) test be obtained before initiating treatment. However, long waiting times due to lack of access to PSG testing facilities may delay the initiation of definitive treatment for OSA. OBJECTIVES: To evaluate the response of patients who had a high clinical suspicion for OSA and who were waiting for a PSG test to an empirical continuous positive airway pressure (CPAP) trial. METHODS: A retrospective study of all patients who had been offered empirical CPAP therapy for suspected OSA was conducted. After outpatient assessment, 183 patients with a high pretest probability of having OSA began empirical CPAP testing using an arbitrary CPAP pressure. The presence of OSA, the accuracy of empirical CPAP pressure prescription, the adherence to empirical CPAP and the improvement in daytime somnolence were evaluated at the time of PSG. RESULTS: Of 183 patients on a CPAP trial, 91% had OSA, which was at least moderate (more than 15 apneas and hypopneas per hour of sleep) in 75% of the patients. Eighty per cent of the patients had significant daytime somnolence (Epworth Sleepiness Scale [ESS] greater than 10, mean +/- SD ESS 14+/-5), which improved with CPAP (ESS 9.0+/-5, P<0.01). In 40% of the patients, the arbitrary CPAP pressure was lower than that determined by manual titration. Adherence to a trial of CPAP (longer than 2 h/night) predicted OSA with a sensitivity of 82% and a specificity of 41%; the positive and negative predictive values were 92% and 22%, respectively. CONCLUSIONS: At the time of PSG testing, OSA was present in 91% of the patients who had received empirical CPAP. An empirical CPAP provided satisfactory interim treatment for excessive somnolence, despite the fact that the CPAP pressure was suboptimal in 40% of the patients.


Assuntos
Pressão Positiva Contínua nas Vias Aéreas , Apneia Obstrutiva do Sono/terapia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Polissonografia , Sensibilidade e Especificidade , Apneia Obstrutiva do Sono/diagnóstico , Terapêutica
17.
Comp Biochem Physiol A Mol Integr Physiol ; 145(3): 295-311, 2006 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-16632395

RESUMO

Data are presented on the standard energetics of six flighted and five flightless species of rails (Aves: Rallidae). The factors influencing these data and those from three additional species available from the literature, one of which was flightless, are examined. Basal rate of metabolism correlates with body mass, residency on islands or continents, volant condition, pectoral muscle mass, and food habits, but not with climate. The greatest capacity (96.2%) to account for the variation in basal rate of metabolism in 15 populations that belong to the 14 species occurs when body mass, volant condition, and food habits are combined. Then flighted species have basal rates that average 1.38 times those of flightless species and herbivorous rails have basal rates that are 1.37 times those of omnivorous species, which means that, independent of body mass, flighted gallinules have basal rates that are 1.9 times those of flightless, omnivorous rails. Distribution, pectoral muscle mass, and flight ability cannot be combined in the same analysis because they code for similar information. The evolution of a flightless condition in rails requires the absence of eutherian predators, but has occurred in the presence of marsupial predators. Each of the six studied flightless rails independently evolved a flightless condition and a low basal rate, whereas the evolution of herbivory and an associated high basal rate evolved at least twice in these species. Flightless rails on islands have clutch sizes that are only about one-half those of flighted rails living on continents, the reduction in clutch size correlating with a reduction in basal rate of metabolism. Thermal conductance in rails is correlated with body mass and food habits: herbivorous rails had conductances that were 1.43 times those of omnivores, i.e., conductances are highest in species with the highest basal rates.


Assuntos
Aves/metabolismo , Tamanho da Ninhada , Metabolismo Energético , Voo Animal , Animais , Metabolismo Basal , Aves/classificação , Peso Corporal , Feminino , Geografia , Masculino , Músculo Esquelético/fisiologia , Consumo de Oxigênio
18.
Artigo em Inglês | MEDLINE | ID: mdl-16616536

RESUMO

A relationship exists among the calculated rate of metabolism of an animal enclosed in a chamber, chamber volume and air flow rate. A "critical" flow rate, defined as the minimal flow rate that produces a complete mixture of chamber gases, characterizes each chamber/animal combination. At flow rates below the critical flow rate, calculated rates of metabolism decrease with flow rate and approach zero as flow rate approaches zero. These calculated rates are unreliable estimates of rate of metabolism. At flow rates greater than the critical flow rate, calculated rates of metabolism are independent of flow rate because a reciprocal relationship exists between flow rate and the differential in oxygen content found between the air entering and exiting the chamber; they represent an accurate estimate of the animal's rate of metabolism under the conditions to which the animal is exposed. The critical flow rate increases with chamber volume, the animal's rate of metabolism and with any factor that increases rate of metabolism, including body mass, activity and in endotherms ambient temperatures below thermoneutrality, although chamber volume is its single most important determinant. Some evasions of the critical flow rate are discussed.


Assuntos
Aves/metabolismo , Metabolismo Energético , Mamíferos/metabolismo , Consumo de Oxigênio , Animais , Câmaras de Exposição Atmosférica , Gases/metabolismo , Temperatura
19.
Integr Comp Biol ; 46(6): 1159-68, 2006 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21672815

RESUMO

The energy expenditure of endotherms, through its impact on the rate of reproduction, affects their ability to withstand competition, to tolerate environmental disturbances, and to endure predation. The fecundity of eutherian mammals increases with rate of metabolism because the post-natal growth rate increases and the gestation and conception-to-weaning periods decrease with a mass-independent increase in basal rate of metabolism. These correlations account for the observation that species that have large population fluctuations have high rates of metabolism and reproduction. Species with high rates of metabolism out-compete species with low rates when using resources that permit consumers to have high rates of metabolism, which explains why eutherian carnivores replace marsupial carnivores, none of which have high basal rates as a result of their form of reproduction. Fecundity in birds also appears to correlate with energy expenditure, which may account for the huge die-off of birds endemic to oceanic islands after the invasion of humans: island endemics, many of which have low rates of metabolism, are unable to increase fecundity in response to a human-based increase in mortality. The long-term protection for endotherms characterized by low rates of energy expenditure requires their isolation from high levels of predation and competition, conditions that are likely to occur only on islands free from eutherian predators and with low species diversity. Such endotherms may survive on continents if they are ecologically isolated from the general fauna.

20.
J Comp Physiol B ; 175(2): 117-32, 2005 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-15645236

RESUMO

Basal rates of metabolism, minimal thermal conductances, and body temperatures are reported for 13 species of birds of paradise that belong to nine genera. Body mass alone accounts for 91.7% of the variation in their basal rates. Basal rate in this family also correlates with food habits and the altitudinal limits to distribution. Species that feed almost exclusively on fruit have basal rates that average 79.4% of species in which >10% of the diet is insects, and species restricted to altitudes <1,000 m have basal rates that are 90.6% of those found at higher altitudes. The combination of body mass, food habits, and altitudinal distribution accounts for 99.0% of the variation in basal rate in the species studied. The application of food habits to a cladogram of the studied Paradisaeidae implies that frugivory and low basal rate were plesiomorphic in this family. The evolution of omnivory, defined as including >10% of the diet as insects, appears to have occurred at least twice, and in each case was associated with an increase in basal rate of metabolism. Basal rate increased at least thrice with a movement into the highlands. Basal rate, however, does not correlate with plumage dimorphism or with reproductive behavior. The basal rates of metabolism in manakins and birds of paradise, i.e., passerine frugivores, are greater than those found in nonpasserine frugivores. Thermal conductance correlates with body mass, which accounts for 85.8% of its variation in this family. Body temperature in paradisaeids, the mean of which was 40.2 degrees C, may correlate with basal rate of metabolism.


Assuntos
Metabolismo Basal , Evolução Biológica , Temperatura Corporal , Dieta , Passeriformes/fisiologia , Adaptação Fisiológica , Animais , Regulação da Temperatura Corporal , Feminino , Humanos , Masculino , Caracteres Sexuais
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