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Biomedical subjects

J McHugh

Publications and source records attributed to J McHugh.

10 recordsLinked to original sources

Irreversible inhibition of sodium current and batrachotoxin binding by a photoaffinity-derivatized local anesthetic.

We have synthesized a model local anesthetic (LA), N-(2-di-N-butyl-aminoethyl)-4-azidobenzamide (DNB-AB), containing the photoactivatable aryl azido moiety, which is known to form a covalent bond to adjacent molecules when exposed to UV light (Fleet, G.W., J.R. Knowles, and R.R. Porter. 1972. Biochemical Journal. 128:499-508. Ji, T.H. 1979. Biochimica et Biophysica Acta. 559:39-69). We studied the effects of DNB-AB on the sodium current (INa) under whole-cell voltage clamp in clonal mammalian GH3 cells and on 3[H]-BTX-B binding to sheep brain synaptoneurosomes. In the absence of UV illumination, DNB-AB behaved similarly to known LAs, producing both reversible block of peak INa (IC50 = 26 microM, 20 degrees C) and reversible inhibition of 3[H]-BTX-B (50 nM in the presence of 0.12 microgram/liter Leiurus quinquestriatus scorpion venom) binding (IC50 = 3.3 microM, 37 degrees C), implying a noncovalent association between DNB-AB and its receptor(s). After exposure to UV light, both block of INa and inhibition of 3[H]-BTX-B binding were only partially reversible (INa = 42% of control; 3[H]-BTX-B binding = 23% of control) showing evidence of a light-dependent, covalent association between DNB-AB and its receptor(s). In the absence of drug, UV light had less effect on INa (post exposure INa = 96% of control) or on 3[H]-BTX-B binding (post exposure binding = 70% of control). The irreversible block of INa was partially protected by coincubation of DNB-AB with 1 mM bupivacaine (IC50 = 45 microM, for INa inhibition at 20 degrees C, Wang, G.K., and S.Y. Wang. 1992. Journal of General Physiology. 100:1003-1020), (post exposure INa = 73% of control). The irreversible inhibition of 3[H]-BTX-B binding also was partially protected by coincubation with bupivacaine (500 microM, 37 degrees C) (post exposure binding = 51% of control), suggesting that the site of irreversible inhibition of both INa and 3[H]-BTX-B binding is shared with the clinical LA bupivacaine.

Affinity Labels

A double blind clinical trial to assess the value of aprotinin in third molar surgery.

The bovine derived polypeptide, aprotinin, inhibits the activation of certain chemical mediators of acute inflammation. These mediators are responsible for causing pain and swelling in traumatised tissue. The properties of aprotinin were assessed in patients requiring surgical removal of third molars, a procedure which often results in considerable postoperative pain and swelling. A double blind clinical trial compared the effects of local infiltration of 1 ml of saline on one side of the mouth and aprotinin (10,000 international units) on the other, in patients requiring extraction of both mandibular third molars. Pain scores were assessed with a visual analogue scale, and swelling was subjectively assessed. The results, when analysed statistically, showed that aprotinin significantly reduced postoperative pain and swelling on the side of the mouth on which it was used, as compared to the control side (0.01% significance).

Administration, Oral

Aerobic fitness and susceptibility to motion sickness.

Susceptibility to motion sickness was evaluated in 29 males having high, moderate, and low levels of aerobic fitness. Subjects underwent Coriolis (cross-coupled) vestibular stimulation on a Stille-Werner rotator during a 10 min modification of the Brief Vestibular Disorientation Test (BVDT). Variables evaluated were: spin time before aborting (ST), heart rate (HR), respiratory rate (RR), mean skin temperature (Tsk), subject observation values (SV), and observation values (OV). Aerobic fitness and ST for the total population were inversely related (r = -0.506, p less than 0.01). Difference in ST was significant (F(2.26) = 6.67, p less than 0.01), with the high aerobic group demonstrating an earlier ST and greater SV than the low aerobic group (Student-Newman-Keuls; alpha = 0.05). Analysis of HR, RR, and Tsk between groups revealed limited differences. Based on these data, men with high aerobic fitness appear to have an increased susceptibility to motion sickness.

Heart Rate

Physical and mental defect of chromosomal origin in four individuals of the same family. Trisomy for the short arm of 9.

A family with the reciprocal translocation t(9;22)(q13;q11) segregating in genetically balanced and unbalanced form is identified. The clinical features of four members with trisomy for the short arm of 9, and the proximal part of the long arm of 9, are described in detail. Features in common are summarized and compared with developmental abnormality observed in other examples of trisomy for the short arm of 9. An attempt is made to delineate further the clinical features commonly seen in trisomy for the short arm of 9.

Adult

Mandatory continuing education relevancy for nurses with advanced preparation.

This descriptive study reports a survey of states on their regulations mandating continuing education for relicensure of professional nurses. The findings reveal that mandates are useful for a minority of unmotivated nurses, but problematic for nurses in advanced practice, education, and research.

Education, Nursing, Continuing