Leslie H Boobis

Leslie H Boobis
City Hospitals Sunderland NHS Foundation Trust · Department of Surgery

MD, MB ChB, FRCS

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75
Publications
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Publications

Publications (75)
Article
Full-text available
The development of the percutaneous muscle biopsy technique is recognized as one of the most important scientific contributions in advancing our understanding of skeletal muscle physiology. However, a concern that this procedure may be associated with adverse events still exists. We reported the incidence of adverse outcomes associated with percuta...
Article
Full-text available
The existence of an acetyl group deficit at or above 90% of maximal oxygen uptake (VO(2max)) has proved controversial, with contradictory results likely relating to limitations in previous research. The purpose of the present study was to determine whether the "acetyl group deficit" occurs at the start of exercise at 90%VO(2max) in a well-controlle...
Article
Full-text available
Acute appendicitis is a common surgical problem however the diagnosis is often overlooked when it presents as a small bowel obstruction. In this report we present two cases of elderly patients who presented with small bowel obstruction and raised inflammatory markers. Both patients were successfully treated with a laparotomy, adhesiolysis and appen...
Article
Summary The study reviews the treatment of patients with critical ischaemia in a District General Hospital over a 10 month period and assesses patient outcome over a 2 year follow-up period. A limb salvage rate of 82% was achieved using radiological intervention as the first line treatment in the majority of patients. Surgical treatment was used wh...
Article
Full-text available
An assumption of clinical competency is no longer acceptable or feasible in routine clinical practice. We sought to determine the feasibility, practicability and efficacy of undertaking a formal assessment of clinical competency for all postgraduate medical trainees in a large NHS foundation trust. FY1 doctors were asked to complete a questionnaire...
Article
To examine the influence of ingesting a carbohydrate-electrolyte (CHO-E) solution on muscle glycogen use and intermittent running capacity after consumption of a carbohydrate (CHO)-rich diet. Six male volunteers (mean +/- SD: age 22.7 +/- 3.4 yr; body mass (BM) 75.0 +/- 4.3 kg; V O2 max 60.2 +/- 1.6 mL x kg(-1) x min(-1)) performed two trials separ...
Article
Colonic gallstone is an uncommon entity with high morbidity and mortality due to various reasons. It remains a diagnostic challenge because of delayed and non-specific presentations, especially in the elderly population, often with multiple co-morbidities. We present a case of 81-year-old woman who had a large bowel obstruction due to colonic galls...
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Full-text available
Muscle carnosine synthesis is limited by the availability of β-alanine. Thirteen male subjects were supplemented with β-alanine (CarnoSyn™) for 4 wks, 8 of these for 10 wks. A biopsy of the vastus lateralis was obtained from 6 of the 8 at 0, 4 and 10 wks. Subjects undertook a cycle capacity test to determine total work done (TWD) at 110% (CCT110%)...
Article
Full-text available
Beta-alanine in blood-plasma when administered as A) histidine dipeptides (equivalent to 40 mg . kg(-1) bwt of beta-alanine) in chicken broth, or B) 10, C) 20 and D) 40 mg . kg(-1) bwt beta-alanine (CarnoSyn, NAI, USA), peaked at 428 +/- SE 66, 47 +/- 13, 374 +/- 68 and 833 +/- 43 microM. Concentrations regained baseline at 2 h. Carnosine was not d...
Article
Nine unacclimatized university sportsmen performed a prolonged, intermittent, high-intensity shuttle running test in hot (HT) (33 degrees C, dry bulb temperature, approximately 28 %, relative humidity) and moderate (MT) (17 degrees C, 63 %) environmental conditions. Subjects performed 60 m of walking, a 15-m sprint, 60 m of cruising ( approximately...
Article
Resistance training is associated with periods of acute intracellular hypoxia with increased H(+) production and low intramuscular pH. The aim of this study was to investigate the possible adaptive response in muscle carnosine (beta-alanyl-L-histidine) in bodybuilders. Extracts of biopsies of m. vastus lateralis of 6 national-level competitive body...
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Full-text available
utilization during subsequent exercise muscle glycogen storage at rest but augments its Ingestion of a high-glycemic index meal increases You might find this additional information useful...2/707#BIBL 1 other HighWire hosted article: This article has been cited by [PDF] [Full Text] [Abstract] , August 1, 2006; 84 (2): 354-360. Am. J. utilization du...
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Recent investigations have suggested that highly trained athletes may be less responsive to the ergogenic effects of b-alanine (BA) supplementation than recreationally active individuals due to their elevated muscle buffering capacity. We investigated whether training status influences the effect of BA on repeated Wingate performance. Forty young m...
Article
To test the hypothesis that muscle fiber recruitment patterns influence the oxygen uptake (VO2) kinetic response, constant-load exercise was performed after glycogen depletion of specific fiber pools. After validation of protocols for the selective depletion of Type I and II muscle fibers, 19 subjects performed square-wave exercise at 80% VT (moder...
Article
This study examined the effect of carbohydrate (CHO) intake during a 4 h recovery from prolonged running on muscle glycogen metabolism during subsequent exercise. On 2 occasions, 7 male subjects ran for 90 min at 70 % maximum oxygen uptake VO(2 max) on a motorized treadmill (R1) followed by a 4 h rest period (REC) and a 15 min run (R2) consisting o...
Article
Full-text available
1. The aim of this study was to examine the effect of carbohydrate (CHO) ingestion on changes in ATP and phosphocreatine (PCr) concentrations in different muscle fibre types during prolonged running and relate those changes to the degree of glycogen depletion. 2. Five male subjects performed two runs at 70 % maximum oxygen uptake (.V(O2,max)), 1 we...
Article
One mechanism by which prior exercise decreases the plasma triacylglycerol (TG) response to dietary fat may involve enhanced clearance of TG-rich lipoproteins. The purpose of the present study was to examine the influence of moderate intensity exercise on postprandial lipemia and muscle lipoprotein lipase (LPL) activity. Eight physically active, no...
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The aims of the present study were twofold: first to investigate whether TCA cycle intermediate (TCAI) pool expansion at the onset of moderate-intensity exercise in human skeletal muscle could be enhanced independently of pyruvate availability by ingestion of glutamine or ornithine alpha-ketoglutarate, and second, if it was, whether this modificati...
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This study examined the effect of pre-exercise carbohydrate (CHO) ingestion on pyruvate dehydrogenase complex (PDC) activation, acetyl group availability and substrate level phosphorylation (glycogenolysis and phosphocreatine (PCr) hydrolysis) in human skeletal muscle during the transition from rest to steady-state exercise. Seven male subjects per...
Article
The purpose of this study was to examine the effects of ingesting a carbohydrate-electrolyte beverage or a noncarbohydrate placebo on muscle glycogen utilization during 90 min of intermittent high-intensity running. Six trained games players (age 24.6 +/- 2.2 yr; height 179.6 +/- 1.9 cm; body mass 74.5 +/- 2.0 kg; VO2max 56.3 +/- 1.3 mL x kg(-1) x...
Article
The purpose of the present study was to examine whether the magnitude of the changes in the concentration of muscle metabolites influences the recovery of power output following short-term maximal intensity cycle exercise performed at different average pedalling rates. In part A of the study eight female subjects performed four trials on a cycle er...
Article
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The present study examined the influence of training, followed by a short period of detraining, on postprandial lipaemia. Fourteen normolipidaemic, recreationally active young adults aged 18-31 years participated, in two self-selected groups: three men and five women (BMI 21.7-27.6 kg/m2) completed 13 weeks of running training, after which they ref...
Article
Full-text available
On two separate days eight male subjects performed a 10- or 20-s cycle ergometer sprint (randomized order) followed, after 2 min of recovery, by a 30-s sprint. Muscle biopsies were obtained from the vastus lateralis at rest, immediately after the first sprint and after the 2 min of recovery on both occasions.The anaerobic ATP turnover during the in...
Article
The aim of this study was to examine the effect of carbohydrate (CHO) ingestion on glycogen degradation in type I and type II muscle fibers during prolonged running by using a quantitative biochemical method. To this end, eight male subjects ran at 70% maximal oxygen uptake to exhaustion on a motorized treadmill on two occasions, 1 wk apart. On eac...
Article
Full-text available
This study examined the contribution of phosphocreatine (PCr) and aerobic metabolism during repeated bouts of sprint exercise. Eight male subjects performed two cycle ergometer sprints separated by 4 min of recovery during two separate main trials. Sprint 1 lasted 30 s during both main trials, whereas sprint 2 lasted either 10 or 30 s. Muscle biops...
Article
1. The effect of carbohydrate (CHO) ingestion on muscle glycogen utilization during exercise was examined on seven male subjects completing two 60 min treadmill runs at 70% maximum oxygen uptake (VO2,max), 1 week apart. On each occasion the subjects consumed either water or a 5.5% CHO-electrolyte solution immediately before and during exercise. Mus...
Article
Surgeons have identified a role for percutaneous endoscopic gastrostomy (PEG) in selected patients with upper aerodigestive tract cancer, but little is known about the patient's acceptance and perception of PEG. Nineteen patients with upper aerodigestive tract cancer had placement of a PEG and were asked about their perceptions via a series of desc...
Article
Full-text available
1. The recovery of power output and muscle metabolites was examined following maximal sprint cycling exercise. Fourteen male subjects performed two 30 s cycle ergometer sprints separated by 1.5, 3 and 6 min of recovery, on three separate occasions. On a fourth occasion eight of the subjects performed only one 30 s sprint and muscle biopsies were ob...
Article
1. Muscle biopsy samples were obtained from the vastus lateralis of six healthy volunteers before and after 30 s of treadmill sprinting. A portion of each biopsy sample was used for mixed-fibre metabolite analysis. Single fibres were dissected from the remaining portion of each biopsy and were used for ATP, phosphocreatine (PCr) and glycogen determ...
Article
Full-text available
Eight male subjects volunteered to take part in this study. The exercise protocol consisted of ten 6-s maximal sprints with 30 s of recovery between each sprint on a cycle ergometer. Needle biopsy samples were taken from the vastus lateralis muscle before and after the first sprint and 10 s before and immediately after the tenth sprint. The energy...
Article
Sixteen subjects volunteered for the study and were divided into a control (4 males and 4 females) and experimental group (4 males and 4 females, who undertook 8 wk of sprint training). All subjects completed a maximal 30-s sprint on a nonmotorized treadmill and a 2-min run on a motorized treadmill at a speed designed to elicit 110% of maximum oxyg...
Article
Full-text available
The purpose of the present study was to assess fitness and running performance in a group of recreational runners (men, n = 18; women, n = 13). 'Fitness' was determined on the basis of their physiological and metabolic responses during maximal and submaximal exercise. There were strong correlations between VO2 max and treadmill running speeds equiv...
Article
There are three recognised variations of gas within the wall of the stomach (interstitial emphysema, cystic pneumatosis and emphysematous gastritis). Only 26 cases of interstitial emphysema have been described, with an overall mortality of 42%, and we report the first known case of this rare phenomenon associated with acute appendicitis. A descript...
Article
There are three recognised variations of gas within the wall of the stomach (interstitial emphysema, cystic pneumatosis and emphysematous gastritis). Only 26 cases of interstitial emphysema have been described, with an overall mortality of 42%, and we report the first known case of this rare phenomenon associated with acute appendicitis. A descript...
Article
We have previously shown that single-leg training results in improved endurance for exercise with the untrained leg (UTL) as well as for exercise with the trained leg (TL). The purpose of this study was to see whether the improved endurance of the untrained leg could be explained on the basis of changes in muscle metabolism. Exercise time to exhaus...
Article
Biopsy samples were obtained from vastus lateralis of eight female subjects before and after a maximal 30-s sprint on a nonmotorized treadmill and were analyzed for glycogen, phosphagens, and glycolytic intermediates. Peak power output averaged 534.4 +/- 85.0 W and was decreased by 50 +/- 10% at the end of the sprint. Glycogen, phosphocreatine, and...
Article
An assay for the determination of glycerol concentration in blood or other biological materials is described. The method is based on the conversion of glycerol to dihydroxyacetone in the presence of NAD, the reaction being catalysed by the enzyme glycerol dehydrogenase. The NADH which is formed in stoichiometric quantities during the reaction is es...
Article
The prevalence of symptomatic arterial disease of the lower limbs is 2 per cent of the population aged 45-60, but it has a relatively benign course, with 70 per cent of patients requiring no therapy. Of the numerous drugs used in the treatment of the disease, there is no evidence to suggest that antilipaemic drugs, anticoagulants, vasodilators or r...