PubMed Health⌕ Search

Biomedical subjects

G Sydnes

Publications and source records attributed to G Sydnes.

17 recordsLinked to original sources

[Evaluation of symptoms and clinical findings in patients in the oral surgery/medicine department in a university clinic].

The paper present a survey of data of 353 outpatients from the Department of oral surgery and oral medicine, Dental faculty, and the Department of maxillofacial surgery, Haukeland Hospital, University of Bergen, collected and evaluated during two separate weeks (weeks 9 and 47) in 1985. The patients are described according to age, sex, risk factors due to general diseases, symptoms and clinical findings. Out of a total of 353 patients 15 were hospitalized, 3 of them needing urgent help and 12 treated according to long-time plans. The remaining patients were all treated as outpatients. A relatively high frequency of risk patients was found, especially among patients above 50 years of age. This group of patients is expected to increase in the future. The authors emphasize the importance of accurate anamnestic data, especially in regard to drug-treatment and -consumption. Hence, it should be emphasized that accurate anamnestic data and critical evaluation of patients within oral surgery and oral medicine are of increasing importance to the dentist.

Adolescent↗

Effects of exercise and CO2 inhalation on the breathing pattern in man.

Conflicting opinions exist concerning the breathing pattern in man during resting and stimulated ventilation. Some but not all investigators have reported the existence of an abrupt change, a 'breakpoint', in the relation between mean tidal volume and mean inspiratory time. Different opinions exist as to whether the slope and the intercept for the relation between mean minute ventilation and mean tidal volume are identical regardless of the mode of stimulating the ventilation. We have studied 10 subjects, at rest and during graded stimulation of ventilation by CO2 inhalation and exercise. No breakpoint was observed in the relations between (1) mean tidal volume and mean inspiratory time and (2) mean tidal volume and mean expiratory time, even if a wide range of tidal volumes was achieved in our subjects. Carbon dioxide inhalation (normoxic or hyperoxic) and exercise gave different regression lines for the relation between mean minute ventilation and mean tidal volume in 8 out of 10 subjects with a larger slope during exercise. At exercise inspiratory time decreased with any increase in tidal volume, while during CO2 breathing no consistent change in inspiratory time was seen. Mean inspiratory flow was linearly related to exercise load and apparently also to arterial carbon dioxide pressure. We conclude that CO2 breathing gives a breathing pattern which is different from that obtained with exercise in the majority of normal subjects. Furthermore, we could not confirm the existence of breakpoints in relations describing the breathing pattern of normal man.

Adult↗

CO2 sensitivity in humans breathing 1 or 2% CO2 in air.

Ventilation increases when the concentration of CO2 in the inspired gas is increased, thereby limiting the increase in alveolar and arterial PCO2. The extent of this compensation at low levels of inspired CO2 has been debated. In five healthy humans, we have measured arterial PCO2, arterial pH and ventilation during exposure to 1 and 2% CO2 in the inspired gas. Each exposure lasted at least 7 min and arterial blood was sampled over at least 30 s during the last minute of each period. The ventilation was measured in the sixth and seventh min. The protocol included the sequences: control-test-control and test-control-test with 'test' representing CO2 loading and 'control' 0% CO2, respectively. We found that arterial PCO2 increased and pH decreased at both levels of inspired CO2. The mean increase in arterial PCO2 was 0.09 and 0.25 kPa, at CO2 1 and 2%, respectively. Three subjects were exposed to 1% CO2 in the inspired gas for 28 min flanked by similar control periods. In each period arterial blood samples were taken at 2- or 3-min intervals. Arterial PCO2 remained elevated for at least 20 min during the CO2 loading. The sensitivity to CO2 (ratio of increase in ventilation to increase in arterial PCO2) was within the range described by others at higher levels of inspired CO2. Arterial PCO2 increased by about 10% of the imposed load. We conclude that the increase in ventilation provides only incomplete compensation for exposure to CO2: arterial CO2 is increased and arterial pH decreased also at very low levels of inspired CO2.

Adult↗

Arterial P CO2 and lung ventilation in man exposed to 1-5% CO2 in the inspired gas.

Conflicting results have been published on the shape of the curve relating the change in lung ventilation to the change in alveolar or arterial PCO2 induced by increased inspired CO2 (the CO2 sensitivity). In this study eight human subjects with in-dwelling arterial cannulae were each exposed to five different levels of increased inspired CO2 (1-5%). Arterial PCO2 and ventilation were measured in the 7th minute of each period of CO2 exposure. Each CO2 exposure period was flanked by control periods in which similar measurements were carried out during air breathing. We found non-linear increases in both ventilation and arterial PCO2 with increasing levels of inspired CO2. When 5% CO2 in air was inspired the arterial PCO2 increased by about 15% of the inspired CO2 load. There was no significant non-linearity in the relation between change in alveolar ventilation (normalized to body surface) and change in arterial PCO2. The inter-individual variation in CO2 sensitivity was less when alveolar ventilation was normalized to the CO2 output rather than to body surface area. We conclude that the sensitivity to CO2 is close to constant within the range 0-5% CO2 in the inspired gas.

Adult↗

Transfer properties of the slowly adapting stretch receptor of the crayfish abdomen.

The slowly adapting stretch receptor in the abdomen of freshwater crayfish (Astacus fluviatilis) was investigated to determine its properties under dynamic conditions. An in situ preparation was used; the necessary dissection did not involve the receptor organ or its immediate surroundings. Sinusoidal variations in the angle of flexion in the joint to which the receptor organ was connected, were generated by a feed-back controlled stretcher. Nerve spiked recorded from the axon of the receptor neurone and information about angle of flexion in the joint obtained by position transducers, were fed into a computer. Fourier transforms were performed on both input and output data to determine the amplitude of the 0. and 1. harmonic together with the phase of the 1. harmonic. The receptor organ was investigated for linearity up to 1.5 degrees input amplitude, and proved to be surprisingly linear within this range. In addition, the transfer function of the receptor organ was determined by stimulating it with small-amplitude sinusoidals with different frequencies. With a steady flexion of 35-40 degrees in the joint, the gain of the receptor organ increased 5-6 times when the modulation frequency of the input signal was increased from 0.1 to 5 cycles/s. A maximum in gain was constantly found at about 5 cycles/s, with a rapid fall towards 0 when the modulation frequency was increased further. A change in phase lead from positive (leading output) to negative with change in sign about 1 cycle/s was also found. These results resemble the results found by investigators of isolated preparations. A "hold" property is probably a part of the overall property of the receptor organ together with an element of Maxwell type. An element of the form h(s) = ksn with n approximately 0.45 is also a part of the transfer function of the receptor organ, although the physiological parallel to this element is uncertain.

Abdomen↗

Studies on the duration of local anaesthesia: a possible mechanism for the prolonging effect of dextran on the duration of infiltration anaesthesia.

The mechanism of the prolonged effect of dextran on the duration of local anaesthesia has been studied. Using radio-active mepivacaine it was found that dextran prolonged the duration of infiltration anaesthesia in guinea-pigs by delaying the absorption of the local anaesthetic agent. Experiments in vitro indicate that molecular complexes between the local anaesthetic and dextran may be formed and it is assumed that the delayed absorption might be due to the formation of such molecular complexes. This hypothesis was strengthened by experiments in which dental infiltration anaesthesias were performed in healthy volunteers.

Adult↗

Studies on the duration of local anaesthesia: structure/activity relationships in a series of homologous local anaesthetics.

When the number of carbon atoms on the piperidine-nitrogen of the mepivacaine molecule was increased up to four or five carbons, the toxicity of the compounds and the duration of their local anaesthetic effects were increased. With longer N-alkyl-chains, the general toxicity and the local anaesthetic potency - but not the tissue toxicity - were reduced. In dental infiltration anaesthesia only the short-chain compounds offered an acceptable local anaesthesia. In these tests, the medium-chain compounds had a very unfavourable quotient between dental anaesthesia and soft tissue anaesthesia, while the long-chain compounds could not be tested at all in man because of their tissue irritating properties.

Adult↗

An inhibitory effect of polyphloretin phosphate (PPP) on local anaesthesia.

In the present investigation it is shown that administration of polyphloretin phosphate (PPP) together with local anaesthetics decreased the duration of infiltration anaesthesia in guinea-pigs. Furthermore, it is shown that in infiltration anaesthesias the local anaesthetic effect was terminated within a few minutes by administration of PPP. In experiments with high- and low-molecular fractions of PPP, the "anti-local anaesthetic" effect of PPP was not due to the antiprostaglandin activity of PPP. There was no effect of PPP on the duration of the nerve-blocking activity of mepivacaine in rats. Neither did the administration of PPP influence the toxic effects of mepivacaine in rabbits.

Anesthesia, Local↗