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Biomedical subjects

G Cassidy

Publications and source records attributed to G Cassidy.

13 recordsLinked to original sources
PubMed1999

The management of epilepsy in a hospital for people with a learning disability.

The study examined changes in the use of antiepileptic drugs (AEDs) in a large hospital for people with a learning disability over a 2 year period, the use of investigations, and the presence of medication side-effects. The surveys were carried out in 1993 and 1995/6. In 1993, 27% of patients were being treated for epilepsy and in 1995/6, 30.1%. Ninety percent and 82.4% of patients, respectively, were receiving one or two AEDs. In the second survey there were fewer prescriptions for phenobarbitone (5.8% vs. 12.5%) and an increase in the use of lamotrigine (21.6% vs. 5%), gabapentin (5.8% vs. 0) and vigabatrin (3.9% vs. 2.5% in 1993). Side-effects were recorded in 6 (11.8%) patients. Seven (21.2%) patients receiving carbamazepine were found to have hyponatraemia. Of the 54 electroencephalograms (EEGs) requested, 41 (76%) were reported as abnormal. Six CT brain scans had been conducted, of which five were abnormal. People receiving antipsychotic drugs had fewer seizures than average.

Acetates↗
PubMed1996

Development of spontaneous locomotor behaviors in the opossum, Monodelphis domestica.

The development of spontaneous locomotor behaviors was studied in the opossum Monodelphis domestica. The newborn opossum performs alternate, rhythmic movements with its forelimbs to crawl on the mother's belly where it attaches to a nipple, and its hindlimbs are little more than embryonic buds. The forelimbs retain the above movements for about 3 weeks, while the hindlimbs begin to move late in the second week. When detached from the nipple at 2-3 weeks, the pup can support its weight on the forelimbs and pivot around its hindquarter. Around the fourth week, the young can detach from the mother, its hindlimbs can support weight and linear locomotion appears, but the four limbs are not well coordinated. However, it can swim with coordinated movements of all limbs. Coordination when walking appears around the sixth week. During development, the duration of the step cycle decreases significantly. The durations of the stance and swing phases of the step cycle decrease in absolute terms, but swing increases as a percentage of the step cycle. The results are discussed in relation to the development of nervous and skeletomuscular components as well as sensorimotor reflexes.

Animals↗
PubMed1995

Effects of temperature on bleeding time and clotting time in normal male and female volunteers.

OBJECTIVE: This study was done to assess the effects of temperature on bleeding time and clotting time in normal male and female volunteers. DESIGN: Open study utilizing normal volunteers. SETTING: University research laboratory. SUBJECTS: Fifty-four healthy male and female volunteers, ranging in age from 19 to 35 yrs, who were not receiving medications. The study was done and the samples of venous blood and shed blood collected at the template bleeding time site were obtained at a convenient time for each volunteer. INTERVENTIONS: Skin temperature was changed from +20 degrees to +38 degrees C and blood samples were obtained from the antecubital vein of each volunteer. MEASUREMENTS AND MAIN RESULTS: The effect of local skin temperature ranging from +20 degrees to +38 degrees C on bleeding time was evaluated in 38 normal volunteers (19 male and 19 female). Skin temperature was maintained at +20 degrees to +38 degrees C by cooling or warming the forearm. At each temperature, measurements were made of complete blood count, bleeding time, and thromboxane B2 concentrations in shed blood collected at the template bleeding time site and in serum and plasma isolated from blood collected from the antecubital vein. Clotting time studies were measured in 16 normal volunteers (eight male and eight female) at temperatures ranging from +22 degrees to +37 degrees C. At +32 degrees C, the bleeding time was longer and hematocrit was lower in female than in male volunteers. However, at local skin temperatures of < +32 degrees C, both the males and females exhibited significantly increased bleeding times, which were associated with a reduction in shed blood thromboxane B2. Each 1 degree C decrease in temperature was associated with a 15% decrease in the shed blood thromboxane B2 concentration. Clotting times were three times longer at +22 degrees C than at +37 degrees C. Each 1 degree C reduction in the temperature of the clotted blood was associated with a 15% reduction in the serum thromboxane B2 concentration. CONCLUSION: Our data indicate that during surgical procedures, it is important to maintain normothermia to ensure that platelets and clotting proteins function optimally.

Adult↗
PubMed1994

The development of sensorimotor reflexes in the Brazilian opossum Monodelphis domestica.

The development of a number of sensorimotor reflexes was studied in the Brazilian opossum Monodelphis domestica. At birth, an opossum's forelimbs execute rhythmic, alternate movements which resemble swimming, whereas the hindlimbs are little more than embryonic buds that do not move independent of the trunk. It is possible, therefore, to witness the entire development of hindlimb motility, the advent of coordination between forelimbs and hindlimbs, and the development of ambulation. The following sequence in the appearance and maturation of the reflexes was observed: rooting, an innate reflex in mammals which disappears over time; withdrawal of the forelimbs followed by withdrawal of the hindlimbs; crossed extension of the forelimbs and then of the hindlimbs; grasp, the forelimbs preceding the hindlimbs; body righting on a surface; forward hopping of the forelimbs followed by the hindlimbs; lateral and medial hopping of the forelimbs, then the hindlimbs; chin tactile placing; body righting in the air; and, finally, visual placing. Limb tactile placing is not significantly expressed, even in the adult. This behavioral sequence generally matches the sequence of somatic (trunk, limbs, head) and neural (spinal cord and brain) structures involved in the control of these behaviors.

Age Factors↗
PubMed1993

The development of the long descending propriospinal projections in the opossum, Monodelphis domestica.

The origin of the long descending propriospinal (LDP) projections have been studied in adult and developing opossums, Monodelphis domestica. This species has been chosen because of the considerable immaturity of the hindlimbs at birth, the postnatal appearance of their motility and the late development of coordination between them and the forelimbs. Neuroanatomical tracing has indicated that some LDP projections form postnatally. The ones present at birth arise from the regions of the cord where they are the most numerous in the adult opossum, presumptive laminae VII and VIII of the brachial enlargement. Subsequently, LDP projections arise from neurons located in adjacent laminae (IV to VI and IX and X) and at more rostral cervical levels. The origin of LDP projections in the adult opossums generally matches that reported for other mammals. These long propriospinal projections are in place well before the behavioral appearance of coordination between the hindlimbs and the forelimbs, but the timing of their synaptogenesis is not yet known.

Aging↗
PubMed1993

Prevalence, symptom profile, and aetiology of depression in dementia sufferers.

Ninety-two consecutive attenders at a day hospital for the assessment of dementia were assessed using the CAMDEX schedule. The prevalence of depression in the 58 dementia sufferers who fulfilled the entry criteria for the study was 24.1%. The prevalence of depression was similar in patients with senile dementia of Alzheimer's type and those with vascular dementia. Patients with minimal dementia were significantly more likely to suffer from depression than those with mild or moderate dementia but there was no significant association with insight. The symptom profile of patients with minimal dementia was significantly correlated to that of patients with mild dementia and both were similar to the symptom profiles previously described amongst the elderly with functional depression. Physical illness was not associated with depression in the current sample. The implications of the findings are discussed.

Aged↗
PubMed1993

The ontogenic development of sensorimotor reflexes and spontaneous locomotion in the Mongolian gerbil (Meriones unguiculatus).

Most behavioral studies on the ontogeny of sensorimotor reflexes and locomotion were done in quadrupedal species with equally developed forelimbs (FL) and hindlimbs (HL). In contrast, the Mongolian gerbil has long and strong HL but relatively small FL, indicating their differential use for locomotion. We have used the gerbil to study the ontogeny of a number of reflexes and locomotor acts to see if their sequence of appearance, their maturation, as well as their intensity of expression, differed from some other mammals. The following sequence was observed: forward FL hopping, FL grasp, forward HL hopping, surface body righting, chin tactile placing, lateral FL hopping, lateral HL hopping, medial FL hopping, medial HL hopping, visual placing, air body righting, and FL and HL tactile placing. When comparing FL and HL, a given reflex does not necessarily appear earlier in the limb that expresses it more strongly. The results are discussed in relation to the development of the central nervous system, the limb, and the locomotor behavior.

Animals↗
PubMed1993

Infusion of stroma-free cross-linked hemoglobin during acute gram-negative bacteremia.

Twelve dogs were divided into two groups of six each, and were infused with bis-3,5-dibromosalicyl fumarate stroma-free hemoglobin (DBBF-Hb) or albumin. Their responses to an intravenous bolus of Escherichia coli were followed for 4 hr. Bacterial clearance from the blood stream was studied using standard colony counting methodology as well as blood counts, blood chemistries, and clotting factor analysis. There was a significant difference in mean arterial pressure (MAP) over time between DBBF-Hb-treated dogs and those treated with albumin (P < 0.02). While the DBBF-treated dogs had a higher MAP during the 10 min of bacteremia, after 1 hr, there were no longer any appreciable differences between septic dogs treated with DBBF-Hb vs. albumin. Consumption of clotting and natural anticoagulant factors was observed to be similar in both groups, as were endotoxin levels. Blood urea nitrogen (BUN) increased slightly in both groups, while white blood cell counts and clotting factor levels fell in both groups in a similar fashion. There was a more pronounced fall (P < 0.04) in platelet counts in the animals treated with DBBF-Hb. In the dogs treated with DBBF-Hb, there was also a late rise in pCO2 (P < 0.01), a more pronounced fall in pO2, and greater acidosis, which suggested that ventilation perfusion abnormalities may have been exacerbated by DBBF-Hb treatment. Since the exacerbation of respiratory abnormalities was not related to diminished bacterial or endotoxin clearance, the possibility is raised that DBBF-Hb interferes with compensatory respiratory changes during sepsis.

Acute Disease↗
PubMed1992

The ontogenesis of sensorimotor reflexes in the Mongolian gerbil Meriones unguiculatus.

The ontogeny of a number of sensorimotor reflexes has been studied in the Mongolian gerbil. In contrast to a number of other mammals, the gerbil has relatively long and strong hindlimbs but small forelimbs, indicating their different importance for a number of locomotor acts, and during the developmental period studied, the hindlimbs grow at a much faster rate than the forelimbs. The following sequence of appearance and maturation of the reflexes was observed: rooting, forelimb hopping, surface body righting, forelimb grasp, hindlimb hopping, chin tactile placing, visual placing, air body righting and, at the same time, forelimb and hindlimb tactile placing. This sequence concords with the general gradient of development and maturation of the spinal and brain centers subserving these reflexes, as evaluated from Nissl preparations. The results indicate that there is no clearcut rostro-caudal gradient of postnatal maturation of the spinal cord and the spinally mediated reflexes, but that there is a general caudo-rostral gradient of brain maturation and of the brain-mediated reflexes. Comparisons with other mammals are made.

Aging↗
PubMed1987

Reduced coronary vasoconstrictor activity of hemoglobin solutions purified by ATP-agarose affinity chromatography.

Stroma-free hemoglobin (Hb) solutions are being developed as blood substitutes. We previously described coronary vasoconstrictor activity of Hb solutions prepared by conventional methods. In the present study we assessed the constrictor activity of unmodified and covalently modified Hb solutions purified by ATP-agarose affinity chromatography. The starting material was a red cell lysate, partially purified by ultrafiltration. Coronary constrictor activity was measured as increased perfusion pressure in isolated rabbit hearts perfused at constant coronary flow rate with buffer containing various concentrations of added Hb. The starting material increased perfusion pressure by 35 +/- 7 mmHg at 50 mg/dl. Purified Hb, retained by the affinity column, increased perfusion pressure by only 18 +/- 2 mmHg at 50 mg/dl. Hemoglobin covalently linked to ATP or pyridoxal phosphate, then purified by affinity chromatography, also had less constrictor activity than the starting material. Thus, a substance, removed by affinity chromatography but not by conventional purification, contributes to the vasoconstrictor activity of Hb solutions.

Adenosine Triphosphate↗
PubMed1987

Hypothermia-induced reversible platelet dysfunction.

Baboons that were subjected to systemic hypothermia at 32 C had an arm skin temperature of 27.3 C and bleeding time of 5.8 minutes. With local warming of the arm skin to 34 C, the bleeding time was 2.4 minutes. In normothermic baboons with arm skin temperature of 34.6 C, the bleeding time was 3.1 minutes. Local cooling of the arm skin to 27.6 C produced a bleeding time of 6.9 minutes. Increasing the skin temperature of the arm in hypothermic baboons to 38.9 C and in normothermic baboons to 40.1 C reduced bleeding times to 2.1 and 2.3 minutes, respectively. In both hypothermic and normothermic baboons there was a negative and significant correlation between the bleeding time and the arm skin temperature and the thromboxane B2 level in the shed blood obtained at the template bleeding time site. There was a significant positive correlation between the thromboxane B2 level in the shed blood and the arm skin temperature. Both in-vivo and in-vitro studies have shown that the production of thromboxane B2 by platelets is temperature-dependent, and that a cooling of skin temperature produces a reversible platelet dysfunction. Data also suggest that when a hypothermic patient bleeds without surgical cause, skin and wound temperature should be restored to normal before the administration of blood products that are not only expensive but may also transmit disease.

Animals↗
PubMed1986

Coronary constrictor effect of stroma-free hemoglobin solutions.

A coronary vasoconstrictor effect of human stroma-free hemoglobin (SFH) was identified in isolated rabbit hearts perfused with Krebs-Henseleit buffer or whole rabbit blood at a constant coronary flow rate. In buffer-perfused hearts, SFH in concentrations of 5 to 200 mg/dl produced dose-related increases of coronary perfusion pressure. At a concentration of 150 mg/dl, SFH, equilibrated with CO to form carboxyhemoglobin, caused an increase in perfusion pressure (55 +/- 7 mmHg), similar to that observed with oxyhemoglobin (57 +/- 6 mmHg); addition of potassium ferricyanide to form methemoglobin reduced the increase of perfusion pressure to 34 +/- 5 mmHg (P less than 0.05). The vasoconstrictor activity could not be eliminated by dialyzing against the perfusion buffer. Human SFH prepared by different methods had similar vasoconstrictor activity. Rabbit SFH and human SFH were equi-effective in the rabbit heart. Less constrictor activity of SFH was evident in rat and guinea pig heart. Polymerized, pyridoxalated SFH had greatly reduced constrictor effect compared with unmodified or pyridoxalated tetramer SFH. In blood-perfused hearts, increasing plasma hemoglobin to 1.6 +/- 0.1 g/dl, without changing total hemoglobin or arterial O2 content, increased coronary perfusion pressure by 36 +/- 13 mmHg (P less than 0.05). We conclude that stroma-free hemoglobin solutions exert a coronary vasoconstrictor effect that is unrelated to O2 delivery.

Animals↗