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Biomedical subjects

J L Borland

Publications and source records attributed to J L Borland.

8 recordsLinked to original sources

Retraining in endoscopy.

This article outlines a program developed by the American Society for Gastrointestinal Endoscopy (ASGE) for training gastroenterologists in endoscopy techniques that had not been introduced at the time of their fellowships. Discussed are prerequisites for students, criteria for teachers, elements for the teaching program, and methods for documenting the experience. Problems to be anticipated are highlighted and include liability, justification of an attenuated training experience, and the acceptability of such a program for purposes of obtaining privileges. Also considered is ASGE's experience with this program and the potential for its use in other nontraditional teaching situation, for example, managed care.

Education, Professional, Retraining

Opiate effects on isolation stress in domestic fowl.

In an attempt to examine the role of opioid system functioning in social attachment and isolation stress in young domestic fowl, the effects of morphine (5.0 mg/kg) and naloxone (5.0 mg/kg) were evaluated on distress vocalizations, thermal nociception, thermoregulation, and respiration following 15 min of isolation in 7-day-old White-Leghorn cockerels. Morphine decreased and naloxone increased distress vocalizations in isolated chicks. Isolation produced an increase in jump response latencies (i.e., hypoalgesia) on a standard hot-plate test. In general, morphine decreased and naloxone increased mean jump latencies in both isolated and nonisolated chicks. Isolation produced an increase in core body temperature (i.e., hyperthermia); morphine decreased and naloxone increased core body temperatures independent of the isolation manipulation. Social isolation did not affect respiration. However, morphine depressed respiration in both isolated and nonisolated chicks. These results support the notion that opioid systems modulate social attachment and isolation stress.

Analgesia

Rational management of peptic ulcer disease.

If the goal of treatment is healing of the ulcer, then success is usually achieved - repeatedly. In order to avoid recurring episodes, it is essential that both the physician and the patient learn to regard the ulcer as the result of a chronic disease process. This means that management becomes a lifelong undertaking, with antacids and meals used according to schedules that keep gastric pH above ulcerogenic levels.

Antacids