Biomedical subjects

T H Simpson

Publications and source records attributed to T H Simpson.

17 recordsLinked to original sources

PubMed1992

Audiometric test criteria in the detection of cisplatin ototoxicity.

Audiometric criteria establishing the ototoxic effects of cisplatin (CDDP) vary widely in the literature. Normal test-retest variability in audiometric thresholds resulting from serial audiometry is likely a confounding variable in the over-reporting of ototoxic effects. This study investigated the variability of serial audiometry for a group of 21 head and neck cancer patients receiving no known ototoxic drugs in an effort to establish guidelines for determining reasonable audiometric criteria for CDDP therapy. Comparison of this group to a similar group of 31 patients receiving high dose (100+ mg/m2) bolus administration of CDDP suggests that audiometric shift criteria developed from Receiver Operating Characteristic analysis and employing multiple frequency averaging above 1000 Hz may lead to more universally accepted audiometric criteria for ototoxicity, which should in turn lead to more reliable reports of disease incidence.

Acoustic Stimulation↗

PubMed1990

Flumazenil reverses sedation after midazolam-induced general anesthesia in ambulatory surgery patients.

Flumazenil, a specific competitive benzodiazepine antagonist, was evaluated for reversal of residual sedation after midazolam-induced ambulatory general anesthesia. Endotracheal anesthesia was begun with midazolam (mean +/- SD dose 12.4 +/- 2.4 mg), followed by nitrous oxide in oxygen, fentanyl, and succinylcholine, for gynecologic surgery lasting 38.6 +/- 12.5 min. After surgery, 29 women were given repeated injections of small amounts of either flumazenil or placebo until awake and calm. The mean flumazenil dose was 0.83 +/- 0.04 mg. Assessment of recovery was based on psychodiagnostic tests (visual analog sedation scale, Trieger dot, digit symbol substitution), pulse oxygen saturation, and end-expired carbon dioxide tension. Patients given flumazenil scored significantly better than did those given placebo on the psychodiagnostic tests for 5-60 min, but the groups were no longer different 120 and 180 min after the conclusion of surgery. All scores did not return to preoperative values by 180 min. Pulse oxygen saturation and end-expired carbon dioxide tension showed improvement from postoperative levels at 15 min after flumazenil injection. A controllable degree of midazolam reversal was achieved with flumazenil, but the duration of reversal was limited. Caution is needed to avoid premature discharge of ambulatory patients after midazolam-induced general anesthesia during the time that flumazenil is effective.

Adult↗

PubMed1986

The interrelationship of cortisol, gill (Na + K) ATPase, and homeostasis during the Parr-Smolt transformation of Atlantic salmon (Salmo salar L.).

Serum cortisol concentrations were measured in juvenile Atlantic salmon (Salmo salar L.) undergoing the parr-smolt transformation in fresh water, at either 1 year (S1 population) or 2 years (S2 population) after hatching. Serum cortisol levels were generally low (less than 10 ng ml-1), but during smoltification became significantly elevated in both populations. In addition, the S2 population showed a small cortisol peak in the autumn prior to smoltification. Simultaneous measurement of gill (Na + K) ATPase activity and serum cortisol concentrations in S2 salmon juveniles revealed that both features rose during smoltification in fresh water. The rise in gill (Na + K) ATPase activity was independent of cortisol levels, and preceded the rise in cortisol titer by approximately 1 month. After seawater transfer, gill enzyme levels remained high while cortisol titers fell sharply. Serum cortisol levels, but not gill (Na + K) ATPase activities, were progressively reduced by acclimation of smolts to increasing salinities. Linear regression studies indicated that, at any one level of gill (Na + K) ATPase, cortisol titer increased with increasing surface area: volume ratio. Extracellular fluid volume (sodium space) was found to decline with increasing gill (Na + K) ATPase activity, and to increase with serum cortisol titers. These results indicate that high serum cortisol levels represent a secondary response caused by the development of hypoosmoregulatory ability while still resident in fresh water. Cortisol does not appear to directly stimulate gill (Na + K) ATPase activity in Atlantic salmon smolts.

Animals↗

PubMed1978

A radio-gas chromatographic method for the determination of 11-oxotestosterone in fish plasma: its use in confirming estimations by radioimmunoassay.

A radio-gas chromatographic method has been devised for the estimation of 11-oxotestosterone (17beta-hydroxyandrost-4-ene-3, 11-dione) in fish plasma samples which provides an independent means of validating the radioimmunoassay described earlier. Estimates of the concentration of 11-oxotestosterone in a sample of male rainbow trout plasma by radio-gas chromatography using peak height and peak weight measurements were 6.9 microgram/100 ml and 7.4 microgram/100 ml respectively, in good agreement with that of 7.1 microgram/100 ml determined by radioimmunoassay.

Animals↗

PubMed1977

A radioimmunoassay for 11-oxotestosterone: its application in the measurement of levels in blood serum of rainbow trout (S. Gairdneri).

17beta-Hydroxyandrost-4-ene-3,11-dione was linked via its 3-(O-carboxymethyl) oxime to bovine serum albumin to give a conjugate which was used to generate antiserum in rabbits. The antiserum, at an overall dilution of 1 in 16,000, together with [1,2-3H] 17beta-hydroxyandrost-4-ene-3,11-dione synthesized from [1,2-3H] cortisone have been used to develop a radioimmunoassay for the parent steroid. The assay incorporates a purification step in which serum or plasma extracts are chromatographed on silica gel layers bound to plastic or aluminum sheets and the steroid containing zones cut out and eluted directly with assay buffer. The cross-reactivities of several steroids with the antiserum and the specificity, sensitivity, accuracy and precision of the assay are described. Blood sera from immature male rainbow trout contain ca 0.2-0.4 mature, serum levels rise sharply to reach values of 2 to greater than 9 microng/100 ml of 17beta-hydroxyandrost-4-ene-3,11 dione. As male fish mature, serum levels rise sharply to reach values of 2 to greater than 9 microng/100 ml. Levels in immature females rarely exceeded the assay sensitivity but serum from three ripe females showed low but detectable levels (ca 0.2 microng/100 ml) of steroid. The assay has found application in sexing live fish for experimental purposes.

Age Factors↗

PubMed1975