PubMed Health⌕ Search

Biomedical subjects

L Coughlin

Publications and source records attributed to L Coughlin.

12 recordsLinked to original sources

alpha 1d Adrenoceptor signaling is required for stimulus induced locomotor activity.

alpha 1 Adrenergic receptors mediate a variety of physiological responses and have been well studied in the cardiovascular and peripheral nervous system. However, their role in the central nervous system remains ill defined because of the lack of highly specific ligands to the alpha1 receptor subtypes. Here, we have employed gene targeting to elucidate the role of alpha 1d receptors in vivo. In addition to disrupting function, the insertion of the lacZ gene into the alpha 1d receptor locus enabled the specific identification of cells expressing the alpha 1d gene. These cells are localized in the cortex, hippocampus, olfactory bulb, dorsal geniculate and ventral posterolateral nuclei of the thalamus. Behaviorally, the alpha 1d(-/-) mice show normal locomotor activity during the subjective day, or resting phase of their cycle. However, during subjective night, or active phase, wheel-running activity is significantly reduced in mutant mice. Furthermore, these mice show a reduction in exploratory rearing behavior in a novel cage environment. Lastly, alpha 1d(-/-) mice show reduced hyperlocomotion after acute amphetamine administration. Together, these data reveal the functional importance of alpha 1d adrenoceptors in mediating a variety of stimulus-induced changes in locomotor behaviors. While the sensitivity of noradrenergic neurons to environmental stimuli has been well documented, our data demonstrate that at least some of these post-synaptic responses are mediated by alpha 1d adrenergic receptors.

Alleles↗

The value of Chlamydia trachomatis antibody testing as part of routine infertility investigations.

Laparoscopy is considered the gold standard for the evaluation of tubal disease but it is an invasive and costly procedure. Chlamydia trachomatis antibody testing is simple and inexpensive and causes minimal inconvenience to the patient. Using the micro-immunofluorescence technique we assessed the significance of positive serology. There was a marked association between the titre and the likelihood of tubal damage. In the group with low titres (1 in 32) there was only a 5% incidence of tubal damage; however, there was a progressive increase in the incidence of tubal damage in those with higher titres. Twenty out of 57 patients with titres higher than 1 in 32 had tubal damage (35%). The difference between the two groups was statistically significant (P < 0.0001, chi(2) test). By using C. trachomatis antibody testing more widely it may be possible to reduce the number of laparoscopies performed. It should therefore become an integral part of the fertility work-up.

Anti-Bacterial Agents↗

Surviving your first OSHA inspection.

With the inception of the bloodborne pathogens standard, home care agencies are more likely to undergo an inspection by the Occupational Safety and Health Administration. What should employers know, and how can they always be prepared for the startling announcement of an OSHA inspection?

Blood-Borne Pathogens↗

Hip fractures in patients with Parkinson's disease.

A series of patients with Parkinson's disease and hip disease over a period of 10 years was reviewed at 3 McGill University hospitals. There were 47 patients with 49 hip fractures. The mean age was 76 years. There were 27 subcapital fractures and 22 intertrochanteric fractures. The overall 6-month mortality was 47%. The mortality in the subcapital group was 60% and that in the intertrochanteric group 27%. The mortality in the patients with subcapital fractures treated with an endoprosthesis was 75%. The incidence of dislocation in the group treated with endoprosthesis was 37%, and all those patients died. The overall incidence of pressure sores was 49%. Internal fixation is recommended for treatment of hip fractures in patients with Parkinson's disease.

Aged↗

Knee bracing and anterolateral rotatory instability.

We reviewed the efficiency of bracing in 85 patients with anterolateral rotatory instability (ALRI). We were able to compare 18 patients using an antirotational brace with 67 using the AC brace (J. E. Hanger, Montreal, Canada). We found the AC brace to offer better overall stability, 71% compared to 50%.

Adult↗

Arthroscopic staple capsulorrhaphy for anterior shoulder instability.

We reviewed the results of the arthroscopic staple capsulorrhaphy on 47 patients with a followup of 4 years. Thirty-four of the 47 shoulders had a history of traumatic dislocation, while the remaining 13 had a history of subluxation. The recurrence rate was 25%, with 8 shoulders developing recurrent frank dislocation and 4 developing subluxation. Only 21 of the 47 patients were able to resume normal sporting activities after surgical repair. We had no cases of staple loosening within the joint, but we did have 3 patients whose staples were removed because of persistent pain in the shoulder.

Adolescent↗