Search PubMed⌕ Search

Biomedical subjects

C A Murphy

Publications and source records attributed to C A Murphy.

66 records · Page 4Linked to original sources
PubMed1986

Continuous intrathecal hydromorphone and clonidine for intractable cancer pain.

The use of hydromorphone and clonidine, delivered intrathecally by an implanted infusion pump, is described in a patient with intractable cancer pain. The patient was a 48-year-old woman with uterine cervical cancer-related pain that was poorly responsive to conventional oral narcotics. Hydromorphone was used because of the patient's history of morphine intolerance. When progressive intrathecal hydromorphone dosages were required, intrathecal clonidine (an alpha 2 adrenergic agonist) was infused concomitantly. Intrathecal hydromorphone and clonidine successfully controlled this patient's pain without the necessity to resort to destructive neurosurgery.

Carcinoma↗
PubMed1983

Medical student education in life-support skills.

A life-support skills course designed to facilitate competent decision making during emergency care situations has been developed for third-year medical students at the University of North Carolina at Chapel Hill School of Medicine. The objective of the one-week course is to combine the knowledge acquired in the basic sciences with the performance skills required in the clinical setting. This is achieved through the use of a variety of instructional strategies, including lectures, reading periods, and laboratory exercises. A scientific approach to the teaching of life-support skills is incorporated, educational objectives are defined, methods of achieving the educational objectives are provided, and an evaluation system is used to determine the effectiveness of teaching. After successful completion of the training program, the student is better able to deliver competent emergency medical care.

Clinical Competence↗
PubMedDate not supplied

Analysis of Na+/Ca2+ exchange activity in human brain: the effect of normal aging.

Na+/Ca2+ exchange activity and passive permeability to Ca2+ were analyzed in plasma membrane vesicles (PMV) purified from whole rat brain and three regions of human brain: frontal cortex, temporal cortex, and cerebellum. Accumulation of Ca2+ due to Na+/Ca2+ exchange activity showed a characteristic pattern of an initial rapid rise in Ca2+ content followed by a stable plateau in both rat and human brain. Total Ca2+ accumulation in rat brain PMV was on average three-fold higher than in human brain. Passive permeability to Ca2+ was measured as the rate of Ca2+ release from PMV first loaded with 45Ca by Na+/Ca2+ exchange and then exposed to 1 mM EGTA. The Ca2+ permeabilities of human and rat brain PMV were similar. Ca2+ release from rat brain PMV was faster overall and was resolved into fast and slow components while in human brain a single slow component was found. Post mortem delay up to 4 h had no effect on Na+/Ca2+ exchange Km for Ca2+, Vmax, and peak uptake and Ca2+ release rate in rat brain PMV. Human frontal cortex was shown to have a greater Na+/Ca2+ exchange activity than that found in the cerebellum. The frontal cortex, temporal cortex and cerebellum had similar Ca2+ permeabilities. Age-related effects on Na+/Ca2+ exchange activity and Ca2+ permeability were determined in 15 tissues from human frontal cortex (age at death 21 to 93 years). No significant age related effects were seen.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMedDate not supplied

Preparation and pharmacokinetics of samarium(III)-153-labeled DTPA-bis-biotin. Characterization and theoretical studies of the samarium(III)-152 conjugate.

The complex(153)Sm(III)DTPA-bis-biotin was prepared with a 99% radiochemical purity and a specific activity of 370 MBq/mg employing a molar ratio of DTPA-bis-biotin/Sm from 2 to 4 at pH 8.0. In vitro studies demonstrated that the complex is stable after dilution in saline and in human serum. Avidity of labeled biotin for avidin was not affected by the labeling procedure. Pharmacokinetic data of (153)Sm(III)DTPA-bis-biotin in normal mice showed that blood clearance is biexponential during the time interval from 0 to 24 h and that 3 h postinjection 92 +/- 4.32% of the dose is eliminated in the urine. To have further evidence which could sustain that (153)Sm(III)DTPA-bis-biotin is stable in solution as a real coordination complex, (152)Sm(III)DTPA-bis-biotin was obtained in macroscopic quantities and its characterization was done by IR, TGA, and conductivity measurements. The results indicated that the complex was chemically pure, where the Sm(3+) ion is neutralized by three carboxylate groups of the DTPA-bis-biotin ligand and coordinated to it. Using the Force Field method followed by ab initio calculations, the DTPA-bis-biotin and the Sm(III)DTPA-bis-biotin molecules were done. Accordingly, the coordination sphere of Sm(III) was totally satisfied with nitrogen and oxygen donors; the best coordination number was 9. The conformation geometry of both compounds is presented.

Analysis of Variance↗
PubMedDate not supplied

The lobster parasite Anophryoides haemophila (Scuticociliatida: Orchitophryidae): nuclear 18S rDNA sequence, phylogeny and detection using oligonucleotide primers.

We have determined the nucleotide sequence of the nuclear gene encoding small-subunit ribosomal ribonucleic acid of the ciliate Anophryoides haemophila, a parasite of the American lobster Homarus americanus. The gene is 1763 bp in length, and has a guanosine-plus-cytosine content of 43.9%. Inferred phylogenetic frameworks strongly support the monophyly of the scuticociliates, and suggest that order Scuticociliatida should be elevated to at least subclass rank. Oligonucleotide probes based on A. haemophila ssurDNA can discriminate between DNAs of A. haemophila and other investigated hymenostome ciliates, and effectively prime polymerase chain reaction-based detection of A. haemophila deoxyribonucleic acid against at least a 1600-fold excess of total deoxyribonucleic acid from H. americanus. GENBANK/U51554

Animals↗
PubMedDate not supplied

Pretest and post-test attitudes of nursing personnel toward a patient care information system.

This 3-year study was conducted for the following purposes: 1) to develop and to test an instrument to assess the attitudes of nursing personnel toward a patient care information system; 2) to collect pretest data regarding attitudes and selected demographic variables; and 3) to collect post-test attitude data to evaluate a computer-based training program and the actual transition into the computerized clinical information system. While several studies have been undertaken to understand more about the attitudes of nurses toward computer applications in the hospital setting and the variables that influenced them, no studies were identified that investigated the attitudes of nurses before and after transition into an automated system. A total of 224 nursing personnel participated in the two phases of data collection between 1990 and 1993. Factor analysis supported a 12-item general attitude scale with an alpha reliability value of 0.92. While respondents indicated positive attitudes at the outset, their attitudes became less positive during the actual start-up of the system. Specific attitude items receiving the highest and lowest mean ratings and narrative comments of respondents were used to identify areas requiring additional attention and problem solving.

Adult↗