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Biomedical subjects

A W Missen

Publications and source records attributed to A W Missen.

10 recordsLinked to original sources

Oxidative hemoglobin breakdown induced by a rubber additive.

An antioxidant commonly present in black rubber, N-isopropyl-N'-phenyl-p-phenylenediamine (IPPD) caused very rapid oxidation and denaturation of purified hemoglobin. In the red cells, the reaction resulted in the formation of Heinz bodies, a decrease in reduced glutathione concentration, and stimulation of the hexose monophosphate shunt. IPPD appears therefore to have the potential to induce hemolysis in glucose-6-phosphate dehydrogenase deficiency. It would be expected to be more potent than most redox reagents of this type. It does not require further metabolism to be reactive, and its reactivity is similar to that of phenylhydrazine. But in particular since both IPPD and its oxidized form can oxidize hemoglobin it can act catalytically, and at low concentrations is much more effective than phenylhydrazine. Oxidation of blood stored in contact with rubber seals containing IPPD has been observed. It is also possible that prolonged contact of susceptible individuals either with rubber containing IPPD or to IPPD itself during rubber manufacture could result in hemolysis.

Anemia, Hemolytic↗

Diazepam, alcohol and drivers.

Fifteen hundred drivers' blood samples have been analysed for the drug diazepam (Valium) over a three-year period. Of 1000 hospitalised drivers whose blood samples were forwarded to DSIR for alcohol analysis, diazepam was detected in 2.0% and alcohol in over 90%. Diazepam was found to a lesser extent in blood samples from 370 fatally injured drivers, and from 130 apprehended drivers who returned low blood alcohol levels. The significance of the levels of diazepam and its major metabolite in blood are discussed in relation to the blood alcohol level and consequent driving impairment.

Accidents, Traffic↗