Hyperglycemia affects proximal gastric motor and sensory function during small intestinal triglyceride infusion

1996 ◽  
Vol 271 (5) ◽  
pp. G814-G819 ◽  
Author(s):  
G. S. Hebbard ◽  
M. Samsom ◽  
W. M. Sun ◽  
J. Dent ◽  
M. Horowitz
Keyword(s):  
Gastric Emptying ◽  
Normal Subjects ◽  
Sensory Function ◽  
Gastric Distension ◽  
Visceral Sensation ◽  
Gastric Tone ◽  
Intraduodenal Infusion ◽  
Basal Pressure ◽  
Normal Individuals ◽  
Patients With Diabetes

Hyperglycemia slows gastric emptying in normal individuals and patients with diabetes mellitus and may affect both somatic and visceral sensation. The effects of hyperglycemia on proximal gastric motility and sensation during intraduodenal infusion of a triglyceride emulsion were evaluated using a barostat in six normal subjects during euglycemia and hyperglycemia (approximately 15 mmol/l). Isobaric distension induced greater bag volumes during hyperglycemia compared with euglycemia at 3 (452 +/- 26 vs. 343 +/- 12 ml, P< 0.05) and 4 mmHg (600 +/- 55 vs. 497 +/- 50 ml, P < 0.05) above basal pressure. During isovolumetric distension, intrabag pressure was less during hyperglycemia at 500 (2.5 +/- 0.3 vs. 3.5 +/- 0.5 mmHg above basal pressure, P < 0.05) and 600 ml (3.0 +/- 0.4 vs. 4.5 +/- 0.5 mmHg above basal pressure, P < 0.05). Perception of nausea (P < 0.05) and fullness (P < 0.05) was increased during hyperglycemia compared with euglycemia. We conclude that hyperglycemia 1) reduces proximal gastric tone during intraduodenal triglyceride infusion, an effect that may contribute to delayed gastric emptying, and 2) increases the intensity of nausea and fullness during intraduodenal triglyceride infusion and proximal gastric distension, indicative of an effect on visceral sensation.

Physiological changes in blood glucose do not affect gastric compliance and perception in normal subjects

1999 ◽  
Vol 276 (3) ◽  
pp. G761-G766 ◽  
Author(s):  
M. A. M. T. Verhagen ◽  
C. K. Rayner ◽  
J. M. Andrews ◽  
G. S. Hebbard ◽  
S. M. Doran ◽  
...  
Keyword(s):  
Blood Glucose ◽  
Gastric Emptying ◽  
Glucose Concentration ◽  
Blood Glucose Concentration ◽  
Random Order ◽  
Normal Subjects ◽  
Gastric Distension ◽  
Physiological Changes ◽  
Physiological Range ◽  
Visual Analog Scales

Marked hyperglycemia (blood glucose ∼14 mmol/l) slows gastric emptying and affects the perception of sensations arising from the gut. Elevation of blood glucose within the physiological range also slows gastric emptying. This study aimed to determine whether physiological changes in blood glucose affect proximal gastric compliance and/or the perception of gastric distension in the fasting state. Paired studies were conducted in 10 fasting healthy volunteers. On a single day, isovolumetric and isobaric distensions of the proximal stomach were performed using an electronic barostat while the blood glucose concentration was maintained at 4 and 9 mmol/l in random order. Sensations were quantified using visual analog scales. The blood glucose concentration had no effect on the pressure-volume relationship during either isovolumetric or isobaric distensions or the perception of gastric distension. At both blood glucose concentrations, the perceptions of fullness, nausea, bloating, and abdominal discomfort, but not hunger or desire to eat, were related to intrabag volume ( P ≤ 0.002) and pressure ( P ≤ 0.01). We conclude that, in the fasted state, elevations of blood glucose within the physiological range do not affect proximal gastric compliance or the perception of gastric distension.

Magnesium metabolism in human beings: studies with Mg28

1960 ◽  
Vol 15 (3) ◽  
pp. 503-507 ◽  
Author(s):  
Jerry K. Aikawa ◽  
Gerald S. Gordon ◽  
Eloise L. Rhoades
Keyword(s):  
Technical Assistance ◽  
Normal Subjects ◽  
Fecal Excretion ◽  
Human Beings ◽  
Hepatic Diseases ◽  
Normal Individuals ◽  
Patients With Diabetes ◽  
Exchangeable Magnesium ◽  
Total Body ◽  
Kinetics Of

Mg28 was used to explore the kinetics of magnesium distribution in 9 normal individuals and in 16 patients with various diseases. When Mg28 was given in 12–30 mEq of stable magnesium intravenously, plasma disappearance was rapid within the first several hours. In normal subjects a mean of 19.8% of the injected radioactivity was accounted for in the urine within 24 hours. Fecal excretion was negligible, although equilibration of Mg28 in bile occurred within 18 hours. The specific activities of plasma and urine stabilized by the 18th hour, and showed only a gradual decrease thereafter. Exchangeable magnesium contents in normal subjects ranged between 2.6 and 5.3 mEq/kg of body weight—less than 16% of the estimated total body content of magnesium. Mg28 exchanged very slowly with the stable ion in bone, muscle and erythrocytes. The results in patients with diabetes mellitus and hepatic diseases showed no striking differences from those obtained in normal subjects. Note: (With the Technical Assistance of Dale R. Harms and Jacqueline Z. Reardon) Submitted on October 5, 1959

Auditory Selective Attention in Cerebral-Palsied Individuals

1985 ◽  
Vol 16 (4) ◽  
pp. 260-266 ◽  
Author(s):  
Lee Ann Laraway
Keyword(s):  
Selective Attention ◽  
White Noise ◽  
Normal Subjects ◽  
Auditory Selective Attention ◽  
Normal Individuals ◽  
Significant Difference

The purpose of this study was to determine whether there is a statistically significant difference between the auditory selective attention abilities of normal and cerebral-palsied individuals. Twenty-three cerebral-palsied and 23 normal subjects between the ages of 5 and 21 were asked to repeat a series of 30 items consisting of from 2 to 4 digits in the presence of intermittent white noise. Results of the study indicate that cerebral-palsied individuals perform significantly poorer than normal individuals when the stimulus is accompanied by noise. Noise was not a significant factor in the performance of the normal subjects regardless of age.

Desmopressin Stimulates Parallel Norepinephrine and Tissue Plasminogen Activator Release in Normal Subjects and Patients with Diabetes Mellitus

1988 ◽  
Vol 59 (02) ◽  
pp. 269-272 ◽  
Author(s):  
M B Grant ◽  
C Guay ◽  
R Lottenberg
Keyword(s):  
Diabetes Mellitus ◽  
Plasminogen Activator ◽  
Tissue Plasminogen Activator ◽  
Time Course ◽  
Vascular Endothelial Cells ◽  
Normal Subjects ◽  
Plasma Norepinephrine ◽  
Endogenous Catecholamine ◽  
Tissue Plasminogen ◽  
Patients With Diabetes

SummaryDesmopressin acetate administration markedly stimulates release of tissue plasminogen activator (t-PA) from vascular endothelial cells. The mechanism for this effect is unknown. Because infusion of epinephrine has been shown to increase t-PA levels, we examined the role of endogenous catecholamine mediation of t-PA release by desmopressin. Intravenous desmopressin acetate (0.3 μg/kg) was infused over 30 min in 9 controls and 11 subjects with diabetes mellitus, a condition associated with abnormalities of the fibrinolytic system. Plasma was collected in the supine, overnight fasted state at 15 min intervals (0-60 min) for measurement of t-PA activity, t-PA antigen and fractionated catecholamines. t-PA activity peaked at 30-45 min and subsequently decreased. The norepinephrine levels paralleled the t-PA activity. t-PA activity increased 10-fold from 0.14 ± .12 to 1.49 ± 0.79 IU/ml (Mean ± SD) and plasma norepinephrine increased 2- fold from 426 ± 90 to 780 ± 292 pg/ml. However, epinephrine and dopamine levels did not change significantly. The response to desmopressin of control and diabetic subjects was not shown to differ and their data were combined. We conclude that desmopressin increases plasma norepinephrine in addition to t-PA and that the parallel time course of change suggests a possible role for norepinephrine in mediating endothelial cell t-PA release.

Absence of increasing cortical fMRI activity volume in response to increasing visceral stimulation in IBS patients

2004 ◽  
Vol 287 (2) ◽  
pp. G425-G435 ◽  
Author(s):  
Harjot Sidhu ◽  
Mark Kern ◽  
Reza Shaker
Keyword(s):  
Cognitive Processes ◽  
Cortical Activity ◽  
Neural Circuitry ◽  
Sensory Function ◽  
Visceral Sensation ◽  
Control Subjects ◽  
Healthy Female ◽  
Irritable Bowel ◽  
Brain Fmri ◽  
Stimulation Of

Cerebral cortical activity associated with perceived visceral sensation represents registration of afferent transduction and cognitive processes related to perception. Abnormalities of gut sensory function can involve either or both of these processes. Cortical registration of subliminal viscerosensory signals represents cerebral cortical activity induced by stimulation of intestinal sensory neurocircuitry without the influence of perception-related cortical activity, whereas those associated with perception represent both neural circuitry and cognitive processes. Our aims were to determine and compare quantitatively cerebral cortical functional magnetic resonance imaging (fMRI) activity in response to subliminal, liminal, and nonpainful supraliminal rectal distension between a group of irritable bowel syndrome (IBS) patients and age/gender-matched controls. Eight female IBS patients and eight age-matched healthy female control subjects were studied using brain fMRI techniques. Three barostat-controlled distension levels were tested: 1) 10 mmHg below perception (subliminal), 2) at perception (liminal), and 3) 10 mmHg above perception (supraliminal). In control subjects, there was a direct relationship between stimulus intensity and cortical activity volumes, ie., the volume of fMRI cortical activity in response to subliminal (3,226 ± 335 μl), liminal (5,751 ± 396 μl), and supraliminal nonpainful stimulation (8,246 ± 624 μl) were significantly different ( P < 0.05). In contrast, in IBS patients this relationship was absent and fMRI activity volumes for subliminal (2,985 ± 332 μl), liminal (2,457 ± 342 μl), and supraliminal nonpainful stimulation (2,493 ± 351 μl) were similar. Additional recruitment of cortical fMRI activity volume in response to increasing stimulation from subliminal to liminal and supraliminal domains is absent in IBS patients, suggesting a difference in the processing of perceived stimulation compared with controls.

Total CO2, Pco2, and pH in human spinal fluid

1961 ◽  
Vol 16 (3) ◽  
pp. 485-487 ◽  
Author(s):  
Carl R. Merril ◽  
Harry W. Seipp ◽  
Peter C. Luchsinger
Keyword(s):  
Confidence Interval ◽  
Normal Subjects ◽  
Spinal Fluid ◽  
Marked Individual ◽  
Arterial Blood ◽  
Normal Individuals ◽  
Individual Variations ◽  
Hasselbalch Equation

The relationships between pH, CO, tension and total CO2 in spinal fluid and arterial blood were explored in 12 normal individuals and 15 patients with various diseases. It was found that, in the normal subjects, the pH in the spinal fluid was constant, with a mean of 7.31 and 99 % confidence interval of 7.29–7.33. The pH in the spinal fluid was lower than that of the arterial blood in all patients studied, whereas the CO2 tension was found to average 4 mm Hg higher in the spinal fluid than in the arterial blood in most of the normal subjects studied. The pK1' was calculated for each patient's spinal fluid and arterial blood by the Henderson-Hasselbalch equation. In contrast to tonometry experiments, pK1' showed marked individual variations. The factors responsible for these variations are delineated. Submitted on November 7, 1960

scholarly journals Comparison of the Effects of Intravenous Papaverine Hydrochloride and Oral Pavabid HP Capsulets on Regional Cerebral Blood Flow in Normal Individuals

1983 ◽  
Vol 3 (4) ◽  
pp. 442-447 ◽  
Author(s):  
Lawrence C. McHenry ◽  
David A. Stump ◽  
George Howard ◽  
Thomas T. Novack ◽  
Don H. Bivins ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Regional Cerebral Blood Flow ◽  
Normal Subjects ◽  
Normal Male ◽  
Regional Cerebral Blood ◽  
Normal Individuals ◽  
Left And Right ◽  
Male Subjects ◽  
Papaverine Hydrochloride

A single-blind study was conducted in 13 right-handed normal male subjects to compare the effects of oral and i.v. papaverine on regional cerebral blood flow (rCBF). Six xenon-133 inhalation rCBF measurements were performed on each subject; three tests—baseline, placebo, and drug evaluations—were carried out on each of two separate days. The oral and i.v. drugs were randomized for first-day administration. rCBF, measured as flow gray (FG), increased significantly (p ≤ 0.001) from baseline with both drug forms. Increases of 10.53% and 13.94% (left and right hemispheres, respectively) were demonstrated 90 min after a single 600-mg dose of oral papaverine. Increases of 5.09% and 8.69%, respectively, were recorded immediately after a single 100-mg dose of i. v. papaverine. FG also increased significantly (p ≤ 0.001) for both drug forms when compared to that of placebo. Placebo produced only a slight increase (not significant) with both the oral and i.v. groups. The data show that both oral and i.v. papaverine are equally effective in increasing rCBF in normal subjects.

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