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Biomedical subjects

C J Russell

Publications and source records attributed to C J Russell.

36 records · Page 2Linked to original sources

Mobile coronary care and community mortality from myocardial infarction.

Over a 15-month period all episodes of suspected myocardial infarction were documented in two similar communities in Northern Ireland. The hospital coronary-care facilities were similar but only one area had a mobile coronary-care service. The incidence of myocardial infarction was similar in the two areas but the community mortality at 28 days was lower in all age-groups in the area served by the mobile unit. The difference in mortality was more pronounced in younger age-groups. Among those aged less than 65 the mortality rates in the two areas were 55% and 34%. The treatment in the two areas differed only in that it was provided about 2 h earlier where mobile care was available. The results suggest that the impact of early pre-hospital coronary-care on community mortality has been seriously underestimated.

Adult↗

Automatic postural responses in the cat: responses to headward and tailward translation.

EMG responses, vertical and A-P shear forces and kinematics of "automatic postural responses" to unexpected translational perturbations in the headward and tailward directions were studied in cats. Muscles acting on the major joints of the forelimbs and hindlimbs were studied. Movement of the animals in response to perturbation were highly stereotyped and consisted of two phases: (1) motion of the feet during platform movement while the trunk remained relatively stationary followed by (2) active correction of posture by movement of the trunk in the direction of perturbation. Vertical force changes occurred after the perturbation was well underway (latency 65 ms) and were related to the displacement of the center of mass and active correction of trunk position. Shear forces showed both passive (inertial) and active components and suggested that the majority of the torque necessary for postural correction was generated by the hindlimb. EMG responses in forelimb and shoulder muscles were most correlated with increase in vertical force, showing a generalized co-contraction in tailward translation (when these limbs were loaded) and little activity when the forelimbs were unloaded. EMG responses in hindlimb showed reciprocal activation of agonists and antagonists during perturbation with strong synergies of thigh and foot flexors in tailward translation and thigh and foot extensors in headward translation. The forelimb EMG patterns were most consistent with the conclusion that the forelimb is used primarily for vertical support during perturbation. It was concluded that hindlimb EMG responses were appropriate for both vertical support and performance of the postural correction. The hindlimb muscle synergies observed during translation are the "mirror image" of those observed in humans by other workers.

Animals↗

Maintaining control.

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Interprofessional Relations↗

Central connections of the posterior lateral line lobe in mormyrid fish.

Primary electroreceptor afferents terminate in the posterior lateral line lobe (PLLL) in electroreceptive teleosts. This paper examines the central connections of PLLL in fish of the family Mormyridae using horseradish peroxidase and tritiated amino acid tracing techniques. Some connections of the closely related lobus caudalis of the cerebellum are also examined. There are three zones on each side of the mormyrid PLLL cortex. Two receive input from mormyromast receptors, and one from ampullary receptors. An intrazonal projection system, intrinsic to PLLL, connects neighboring points within each zone. It also joins corresponding zones on the two sides of the body via commissural fibers. An interzonal system connects the two mormyromast zones on the same side of the midline. Central structures which project to PLLL include lobus caudalis, nucleus paratrigeminalis lateralis, and nucleus praeeminentialis. Nucleus praeeminentialis projects bilaterally and somatotopically to the lower molecular layer of PLLL. PLLL cortex projects bilaterally and somatotopically to two major mesencephalic sites: n. praeeminentialis, and n. lateralis. Somatotopically corresponding points in each zone of PLLL cortex project to the same small region of n. lateralis. Nucleus lateralis has a large and somatotopically organized projection to n. praeeminentialis. The afferent and efferent connections of lobus caudalis are similar to those of PLLL, indicating its close association with the electrosensory system. The anatomical results show that there is ample opportunity for electrosensory information arising on left and right sides of the body to interact centrally. One can suggest that comparison of afferent input from the two sides would reduce the non-significant variability which affects both of them equally. The results also show the presence of several somatotopically organized feedback lops which return the results of higher order processing of electrosensory information to earlier stages.

Afferent Pathways↗

Electrosensory pathways to the valvula cerebelli in mormyrid fish.

The valvula cerebelli of mormyrid fish has been implicated in the electroreceptive capabilities of these animals. This study uses peroxidase and tritiated amino acid tracing techniques to examine the pathways by which electroreceptive information gains access to the valvula. Ampullary and mormyromast receptor information reaches the medial and ventrolateral portions of the valvula by means of a large, direct projection from n. lateralis, part of the midbrain electrosensory area. In addition, smaller indirect n. lateralis-valvular projections travel via a pretectal nucleus and the so-called postventral thalamic nucleus, Knollenorgan receptor information ends in the dorsolateral portion of the valvula. A small, relatively direct pathway runs via n. medialis ventralis, but most Knollenorgan information appears to travel via an indirect system involving n. extrolateralis pars posterior and n. isthmi. The lateral line processing areas of the valvula project back onto many of the midbrain electrosensory nuclei. These results indicate that much of the cerebellum of this family is devoted to sensory processing rather than motor functions.

Afferent Pathways↗

Effects on exercise tachycardia during forty-eight hours of a series of doses of atenolol, sotalol, and metoprolol.

Beta adrenoceptor blockers differ mainly in their plasma elimination half-lives (t 1/2 s). It has been assumed that drugs with longer t 1/2 will have a longer duration of effect on exercise tachycardia. Several factors may influence the duration of action of beta blockers; we have investigated the contribution of plasma elimination t 1/2 and dose by comparing the effects on an exercise tachycardia in healthy subjects of placebo, 25, 50, 100, and 200 mg of atenolol and of sotalol, and 50, 100, 200, and 400 mg metoprolol. Subjects exercised before and at 2, 3, 6, 8, 24, 33, and 48 hr after oral doses of each drug. Plasma samples for measurement of drug concentration were drawn before each exercise period. Twenty-four hours after 50, 100, and 200 mg atenolol and 50, 100, 200, and 400 mg sotalol there were reductions in an exercise tachycardia; at this time reductions were greater after the larger doses. The plasma elimination t 1/2s of atenolol were between 7.2 +/0 1.0 hr. Although 50, 100, and 200 mg metoprolol induced the same reductions in an exercise tachycardia 2 hr after drug as 25, 50, and 100 mg atenolol and 50, 100, and 200 mg sotalol, these doses were without effect at 24 hr. Metoprolol 400 mg reduced exercise tachycardia at 24 hr but the effect was less than that of the three largest doses of atenolol and sotalol. The plasma elimination t 1/2 for metoprolol was between 3.6 +/- 0.6 and 5.0 +/- 1.8 hr. These results show that duration of cardiac beta blocking of cardiac beta blocking activity of atenolol, sotalol, and metoprolol is determined by the elimination t 1/2 and dose.

Adolescent↗

Observation on the efficacy and pharmacokinetics of betaxolol (SL 75212), a cardioselective beta-adrenoceptor blocking drug.

1 Observations were made in five subjects who exercised before and at 2, 3, 6, 8, 24, 33 and 48 h after the oral administration of placebo and 5, 10, 20 and 40 mg betaxolol. 2 The exercise heart rate remained constant at all times after the placebo. All doses of betaxolol significantly reduced the exercise tachycardia at all times. The maximum effect (34.4 +/- 2.2%) occurred after 40 mg. 3 There was a small decline in effect from the peak to 24 h when 40 mg produced a 23.3 +/- 2.7% reduction and a further decline to 48 h when there was a 14.6 +/- 1.8% reduction. 4 Plasma levels of betaxolol were measured in these studies. The peak plasma concentration occurred between 3 and 8 h with different doses. The plasma elimination half-lives after 10, 20 and 40 mg were 11.4 +/- 2.5, 15.9 +/- 4.9 and 15.1 +/- 3.1 h. 5 The effects of 40 mg betaxolol, 200 mg atenolol, 160 mg propranolol, 160 mg oxprenolol, 400 mg sotalol and placebo on an exercise tachycardia were compared in five subjects who received all treatments in random order. 6 There was no significant difference in the maximum reduction produced in an exercise tachycardia by the different drugs. 7 The effect of all drugs decreased with time. The effect of oxprenolol had worn off at 24 h but at 48 h only atenolol and betaxolol produced significant reductions in the exercise tachycardia. 8 Plasma concentrations of the different drugs were measured and plasma elimination half-lives determined. The half-life for betaxolol was 24.5 h which was longer than that for any of the other drugs. 9 These observations show that betaxolol is a potent beta-adrenoceptor antagonist with a long duration of effect on an exercise tachycardia and a long plasma elimination half-life.

Adrenergic beta-Antagonists↗

Sotalol as a hypotensive agent in pregnancy.

Sotalol, a beta-adrenoceptor blocking drug, was administered to 12 hypertensive pregnant women. The concentration of the drug was assayed in samples of maternal plasma, amniotic fluid and mixed umbilical cord plasma at delivery and, in five mothers who elected to breast feed, in paired samples of maternal plasma and breast milk. Sotalol reduced blood pressure effectively at a mean daily dose of 433.1 +/- 54.1 mg but crossed the placental barrier. The mean maternal: fetal plasma concentration ratio was 1:1.05 and the mean amniotic fluid concentration was 7.0 +/- 2.7 microgram/ml. Delivery occurred at mean gestational age of 37.7 +/- 0.7 weeks; 12 infants were liveborn with a mean weight of 2.8 +/- 0.1 kg and eight of them had no significant neonatal problems. Of the other four, two died from severe congenital anomalies, one had perinatal asphyxia and one mild transient hypoglycaemia. High sotalol concentrations were found in breast milk (mean plasma: milk ratio was 1:5.4) raising the possibility of pharmacological effect in the newborn infant. The results suggest that sotalol adequately controls blood pressure in hypertension complicating pregnancy but because, unlike results from the pregnant ewe, it crosses the human placental barrier it offers no apparent advantages over other beta-adrenoceptor antagonists.

Adolescent↗

Termination of electroreceptor and mechanical lateral line afferents in the mormyrid acousticolateral area.

The projection regions of electroreceptor and mechanical lateral line afferents in electric fish of the mormyridae family are described. Electroreceptor afferents from the posterior dorsal skin run in the dorsal branch of the posterior lateral line nerve. Electroreceptor afferents from ventral skin and mechanical lateral line afferents and efferents run in the ventral branch of the nerve. Horseradish peroxidase (HRP) injections into each branch resulted in filling of its central terminals with the marker enzyme. The method yields a Golgi-like staining of afferent terminals, allowing some aspects of their morphology to be described. Comparison of results from dorsal and ventral branch injections shows the separate medullary regions to which electroreceptor and mechanical afferents project, and also demonstrates four separate somatotopic maps within the electroreceptor region. Mechanical afferents end predominantly ipsilaterally in nucleus anterior and eminentia granularis as has been suggested by others. Ipsilateral endings in nucleus octavius are also seen. Electroreceptor afferents end exclusively in the cortex and nucleus of posterior lateral line lobe (PLLL). Within the cortex there are three distinct maps of the skin surface which are separated from each other by discontinuities in the cellular layers. Somatotopic mapping is also present in the nucleus of PLLL though it is less precise than in the cortical zones. Large club endings of the cells of this nucleus are filled with HRP. Labeled cells are seen within a small midline nucleus located at the level of the eighth nerve just above the medial longitudinal fasciculus. These are probably the cell bodies of lateral line efferents.

Animals↗

Effect of electric organ discharge on ampullary receptors in a mormyrid.

(1) Afferents from ampullary receptors were shown to be strongly affected by the electric organ discharge (EOD) in the mormyrid Gnathonemus petersii. (2) Over a broad range of resistivities (4-60 komegacm) the response to the EOD was similar to the response to a brief (50-200 microsec) outside positive pulse, i.e. an initial acceleration of the discharge rate followed by a deceleration. (3) Brief biphasic positive-negative or negative-positive pulses where both phases were of equal amplitude and duration had no effect on ampullary afferents. Each phase had an effect, however, when given in isolation. These results suggest that a DC component in the EOD may cause the response in the ampullary afferent. (4) The response of ampullary afferents decreased sharply as resistivity was lowered below 10komegacm. Responses to the EOD in mormyromast afferents also decreased. These effects were probably due to loading of the EOD at low resistivities and to a more rapid spatial decay of EOD voltage. (5) Responses of ampullary afferents to the EOD were much less affected by external non-conducting objects than were the responses of mormyromasts. These observations plus other considerations indicate that mormyromasts must still be held to play the major role in active electrolocation. Unresponsiveness of ampullary afferents to the EOD can not be taken as a reason for this, however.

Afferent Pathways↗

Neuronal responses to electrosensory input in mormyrid valvula cerebelli.

1. We have examined a large portion of the valvula cerebelli of the mormyrid fish Gnathonemus petersii for responses related to the three known classes of electroreceptors. Evoked potential and extracellular single-unit records from curarized and non-curarized preparations show that a separate area of the valvula is related to each of the different electrosensory modalities. 2. The area related to ampullary receptors is also strongly affected by mechanical stimulation to the skin. In the mormyromast and Knollenorgan regions, responses to sensory stimuli depend on when they are given in relation to the command to fire the electric organ. In the Knollenorgan region the interaction is quite simple. Responses are completely blocked if the stimulus is given during a brief period when the electric organ discharge occurs. A greater variety of interactions is seen in the mormyromast region. 3. Large areas of the valvula do not appear to be clearly and strongly retated to any of the three electrosensory modalities, suggesting the possibility that much of the structure is not devoted to electrosensory processing.

Animals↗

Tetrodotoxin blocks a graded sensory response in the eye of Limulus.

The generalization that tetrodotoxin selectively blocks all-or none electrical activity of nerve and muscle but has negligible effect upon graded responses of sensory systeins does not appear to be valid for the Limulus eye. Tetrodotoxin reversibly blocks the graded transient component of this visual response, while the steady state component of the response is rela tively unaffected by the drug.

Animals↗