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Biomedical subjects

R L Hughes

Publications and source records attributed to R L Hughes.

At least 19 recordsLinked to original sources
PubMed1992

Actinomycetales infections in slender-horned gazelles: six cases (1987-1989).

Disseminated Actinomycetales infections were diagnosed in 6 slender-horned gazelles at a zoologic park over a 17-month period. Nocardia and Mycobacterium spp were isolated. Possible predisposing causes leading to infection were investigated. Environmental contamination where the gazelles were housed was not high, and other breeds of gazelles at the park did not become infected, indicating that environmental exposure was not the sole factor involved. Information gathered from questionnaires sent to other zoologic parks and personnel communications indicated that this was not an isolated incident. Investigation into the genetic lineage of the gazelles revealed substantial inbreeding in prior generations. These findings suggested inbreeding may have been an important predisposing factor leading to infection. Careful scrutiny to ensure maximal heterozygosity of future breedings is warranted.

Actinomycetales Infections↗
PubMed1992

Ultrastructure and distribution of epidermal sensory receptors in the beak of the echidna, Tachyglossus aculeatus.

Within the rostral one centimetre of the Echidna beak, three specialised receptors were found: a mucous sensory gland, a rod-like structure, and an innervated epidermal pit. The mucous sensory gland consists of a dermal mucous gland and a modified epidermal portion. Bulbous nerve terminals, similar to those reported for the Platypus, were found within the modified epidermal portion of the mucous gland. The rod-like structure contains four types of nerve terminals: Merkel cells, Paciniform corpuscles, and a central and a peripheral vesicle chain receptor. Apart from minor differences, the rod-like structure is similar to that previously reported for the Platypus. Preliminary results are presented for a third structure: an innervated epidermal pit. Topographical and ultrastructural analyses are used in the context of functional interpretation.

Animals↗
PubMed1991

Gentamicin and vancomycin removal by continuous venovenous hemofiltration.

The dispositions and dose requirements for vancomycin and gentamicin were investigated in a 58-year-old man who was receiving long-term continuous venovenous hemofiltration. Estimates of clearance were obtained using a Bayesian parameter estimation program and stayed remarkably consistent throughout the therapy. Single daily doses of both vancomycin and gentamicin generally maintained the profiles for both drugs around the target ranges of peak 5-10 mg/L (gentamicin) and 25-40 mg/L (vancomycin) and trough less than 2 mg/L (gentamicin) and less than 10 mg/L (vancomycin).

Bayes Theorem↗
PubMed1990

Impairment of theophylline clearance by a hypocaloric low-protein diet in chronic obstructive pulmonary disease.

The effect of a hypocaloric, low protein diet on theophylline kinetics was studied in a 70-year-old man with chronic obstructive pulmonary disease who lost 6.2 kg of weight. Total systemic clearance, unbound clearance, and intrinsic hepatic clearance fell dramatically. Theophylline elimination half-life rose from 8.4 to 17.1 h. Therefore, a diet deficient in both calories and protein can significantly impair theophylline clearance and prolong theophylline elimination half-life.

Aged↗
PubMed1990

Comparison of enflurane and halothane in hypotensive eye surgery.

Thirty patients undergoing elective eye surgery had anaesthesia induced with sodium thiopentone, suxamethonium and d-tubocurarine chloride. Patients were ventilated with nitrous oxide, oxygen and either halothane or enflurane. The volatile agents were used to decrease the systolic blood pressure to 80 mmHg. The volatile agent concentration in the blood was measured at 30 min intervals. Both agents were effective in producing hypotension, but enflurane was the more potent hypotensive agent in terms of MAC equivalents. There was no significant differences between the agents with respect to speed of recovery.

Adolescent↗
PubMed1989

Longer hospitalization at Veterans Administration hospitals than private hospitals. Verification and additional insights.

Utilizing 1,297 male patients under the primary care of an identical group of house officers and under treatment between 1985 and 1987 for ten common medical diagnoses, length of hospitalization was compared between a private sector (n = 481) and Veterans Administration (VA) (n = 816) facility, both affiliated with the same medical school. All patients were rated by the Horn Severity of Illness Index. After researchers controlled for diagnosis, severity of illness, age, race, and physician, results in this study indicate that an additional 3.2 days of hospitalization were associated with the VA facility. This finding is consistent with earlier reports of inappropriate hospitalization at the VA hospital and suggests that VA facility planners need to evaluate whether longer lengths of stay (LOS) are merited.

Adult↗
PubMed1989

Cerebral blood flow determination within the first 8 hours of cerebral infarction using stable xenon-enhanced computed tomography.

Cerebral blood flow mapping with stable xenon-enhanced computed tomography (Xe/CT) was performed in conjunction with conventional computed tomography (CT) within the first 8 hours after the onset of symptoms in seven patients with cerebral infarction. Six patients had hemispheric infarctions, and one had a progressive brainstem infarction. Three patients with very low (less than 10 ml/100 g/min) blood flow in an anatomic area appropriate for the neurologic deficit had no clinical improvement by the time of discharge from the hospital; follow-up CT scans of these three patients confirmed infarction in the area of very low blood flow. Three patients with moderate blood flow reductions (15-45 ml/100 g/min) in the appropriate anatomic area had significant clinical improvement from their initial deficits and had normal follow-up CT scans. One patient studied 8 hours after stroke had increased blood flow (hyperemia) in the appropriate anatomic area and made no clinical recovery.

Aged↗
PubMed1988

Effects of nadolol on arrhythmias during laparoscopy performed under general anaesthesia.

Cardiac arrhythmias are a well recognized complication of anaesthesia for laparoscopy. The effect of nadolol, given by mouth 12 h before operation, was compared with placebo on arrhythmias in 86 females undergoing laparoscopy. All types of arrhythmia were documented; there was a 97% incidence in the placebo group, but in the nadolol group there was a smaller incidence of supraventricular tachycardia, ventricular ectopics and atrioventricular dissociation (P less than 0.01). There was no significant difference in the incidence of sinus bradycardia. Nadolol may be recommended as a safe agent to be given by mouth before laparoscopy to reduce the frequency of cardiac arrhythmias during anaesthesia.

Adult↗
PubMed1988

Diet-induced changes in trough theophylline concentrations in an elderly asthmatic patient.

A 66-year old obese man with asthma was given a hypocaloric (1100 Kcal) and low protein (35 g) diet for nine days. While receiving theophylline (Theodur), 200 mg bid, his morning trough theophylline concentrations rose from 3.40 micrograms/ml to 12.7 micrograms/ml by day 9 of this diet. Following discontinuation, his theophylline concentration fell to 5.95 micrograms/ml by day 6 on home diet. The patient lost 3.67 kg during the nine-day study. Thus, a brief exposure to a hypocaloric, low protein diet in this elderly patient with asthma caused a dramatic rise in trough theophylline concentrations.

Aged↗
PubMed1986

The Eaton-Lambert (myasthenic) syndrome in association with systemic lupus erythematosus.

We describe a case of the Eaton-Lambert (myasthenic) syndrome (ELS) in a 56-year-old woman with systemic lupus erythematosus. Treatment with successive courses of plasmapheresis produced clinical and electrophysiologic improvement in her ELS, without affecting her systemic lupus erythematosus. This case supports both the association of ELS with autoimmune disorders, and the use of plasmapheresis in the treatment of ELS.

Female↗
PubMed1986

Effects of dietary protein on theophylline pharmacokinetics and caffeine and aminopyrine breath tests.

The effects of low- and high-protein diets on theophylline kinetics and the time course of changes in 13C-labeled caffeine and aminopyrine CO2 breath tests were examined in six young men. With a low-protein diet, mean theophylline clearance fell 21% (P less than 0.04) and the t1/2 rose from 8.0 to 10.6 hours (P less than 0.02). With a high-protein diet, mean theophylline clearance rose 26% (P less than 0.004) and the t1/2 shortened to 7.4 hours (P less than 0.03). Theophylline volume of distribution and protein binding did not change. Renal clearance of theophylline was lowered during the low-protein diet. Theophylline clearance correlated with caffeine breath test values during the low- (r = 0.73) and high- (r = 0.70) protein diets. Theophylline clearance correlated less well with the aminopyrine breath test values during the low- (r = 0.47) and high- (r = 0.55) protein diets. Thus dietary protein significantly influenced theophylline clearance, but the caffeine and aminopyrine breath tests showed a differential response to this important environmental factor.

Adult↗