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Biomedical subjects

E R Young

Publications and source records attributed to E R Young.

At least 37 records · Page 2Linked to original sources
PubMed1990

Acute chest pain during dental treatment--a case report.

Acute chest pain is one of the most common and potentially serious medical emergencies seen in hospital emergency departments. Because the elderly population is generally living to an older age, is more ambulatory, and is seeking more sophisticated dental care, an acute episode of chest pain in the dental office is a potential possibility. This paper will discuss a typical case report with emphasis not only on prevention, but on a step-by-step method for stabilizing any emergency situation that may occur in the dental environment.

Aged↗
PubMed1989

Sensitivity to the anticonvulsant effects of ethanol and pentobarbital in mouse lines genetically selected for ethanol sensitivity.

Mouse lines genetically selected for susceptibility [long sleep (LS)] or resistance [short sleep (SS)] to the acute hypnotic effects of ethanol were tested for sensitivity to maximal electroshock seizures. LS mice were slightly more sensitive than SS mice. Ethanol or pentobarbital pretreatment elevated seizure thresholds in both lines. LS and SS mice were approximately equally protected by ethanol, but LS mice were somewhat more protected than SS mice by pentobarbital. These studies do not provide evidence that sensitivity to the anticonvulsant effect of ethanol is mediated by substantially the same genes as those mediating sensitivity to EtOH's hypnotic effects. However, sensitivity to pentobarbital's anticonvulsant effects may be genetically correlated.

Animals↗
PubMed1989

The use of pulse oximetry in the immediate recovery phase following dental extractions under general anesthesia in children.

Over the past decade, an array of monitoring devices have been developed to continuously assess patient oxygenation. While actual tissue oxygenation is the most desirable measurement, the pulse oximeter offers a non-invasive method of measuring oxygenation of arterial blood. In this study, the arterial oxygen saturation (SaO2) of children presenting for oral surgical procedures under general anesthesia was continuously monitored. We were particularly interested in the saturation during the period from termination of anesthesia until arrival in the recovery room, a potentially critical 2-3 minutes. This study showed that 22.5 per cent of children significantly desaturated (SaO2 less than 90 per cent) during this period - a figure which is in complete agreement with several similar studies done recently. This desaturation preceded not only hemodynamic changes, but frequently changes in tissue and blood colour as well. The authors conclude that children should receive supplemental oxygen in the immediate recovery phase following general anesthesia.

Adolescent↗
PubMed1989

The thyroid gland and the dental practitioner.

The thyroid gland has an important function in almost every aspect of human physiology. As well, its location in the neck allows for easy evaluation by the dentist. Part I of this paper reviews the normal functions of the thyroid gland as well as systemic effects caused by abnormal function. This is supplemented by easily-acquired methods of physical examination of the thyroid gland suitable for the dental practitioner. Part II is a case report highlighting the potential adverse effects of dental treatment of a patient who had poorly controlled thyroid function following total thyroidectomy.

Dentists↗
PubMed1989

An allergic reaction following injection of local anesthetic: a case report.

The practice of dentistry necessitates the administration of numerous drugs by the oral route or by injection. This paper presents a case report in which a patient experienced an acute allergic reaction following mandibular block with articaine hydrochloride for dental extraction. It also reviews the pathophysiology of allergy and the office protocol required to successfully manage such a potentially life-threatening reaction.

Adult↗
PubMed1989

Some clinical properties of Octocaine 200 (2 per cent lidocaine with epinephrine 1:200,000).

This study utilizes healthy volunteers to determine, via electronic pulp tester, such basic clinical parameters as time of onset and duration of action for an infiltration and mandibular block utilizing the recently available local anesthetic preparation, 2 per cent lidocaine with 1:200,000 epinephrine (Octocaine 200). This study showed Octocaine 200 to be both safe and efficacious, producing times of onset and duration within the clinically useful range. The rationale for vasoconstrictor use in dentistry is also reviewed.

Adolescent↗
PubMed1989

Oral sedation in dentistry.

This review of oral sedation in dentistry will examine the objectives, indications, advantages and disadvantages of oral sedation and will present some of the basic guidelines for its safe use. It will also review the properties, precautions and contraindications (both absolute and relative) of some of the currently popular sedative agents.

Anesthesia, Dental↗
PubMed1988

Environmental variables differentially affect ethanol-stimulated activity in selectively bred mouse lines.

Low doses of ethanol (EtOH) stimulate activity in an open field in many strains of laboratory mice. We are selectively breeding two lines of mice to exhibit a large (FAST) response on this test, and two other lines to exhibit a small (SLOW) response (Crabbe et al. 1987). The lines initially diverged in response to EtOH, but despite continued selection pressure, the difference between each pair of FAST and SLOW lines has not increased over generations as much as expected. Our practice has been to test animals on the 1st day after saline injection, and repeat the test after EtOH injection 24 h later. Lister (1987) recently demonstrated that the order in which an animal was exposed to EtOH and saline influenced the magnitude of the response to EtOH, with animals tested initially after EtOH having greater stimulation. Middaugh et al. (1987) recently demonstrated that the magnitude of EtOH stimulation was greater under conditions of relatively bright light than under dim light. Using non-selected Swiss mice, the current experiments essentially confirmed Lister's findings. Using FAST and SLOW mice, the predictions of both groups were tested. Both hypotheses were confirmed. Additionally, these experiments demonstrated that the magnitude of the difference between FAST and SLOW mice was greater under bright light than under dim light. The line difference was also greater when tested in the EtOH-Saline order. In experiments with Swiss mice, the possible role of peritoneal irritation in the EtOH effect was eliminated, and the optimal dose and time for demonstrating the effect was determined.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1987

Mice genetically selected for differences in open-field activity after ethanol.

Starting from a population of genetically heterogeneous mice, selective breeding is being used to develop lines differing in sensitivity to ethanol-induced open-field activity. Mice are tested twice for 4 min in an open field. The first test is between min 2-6 after injection of saline. Twenty-four hr later, a similar test is performed after injection of ethanol (1.5 g/kg). Two independent FAST lines are being selected for ethanol-induced increases in activity, and two independent SLOW lines are being selected for ethanol-induced decreases. After four generations of selection, the lines have diverged significantly. These lines should be useful for exploring the neuropharmacological basis for the activating and rewarding properties of ethanol.

Animals↗
PubMed1987

Genetic selection of mouse lines sensitive (cold) and resistant (hot) to acute ethanol hypothermia.

Using the technique of within-family selective breeding, we have generated mouse lines that differ genetically in sensitivity to the acute hypothermia induced by injection of 3 g/kg ethanol (EtOH). After 5 generations of selection, the difference in maximal hypothermic response between COLD and HOT lines was 1.6 degrees C in the first replicate and 1.2 degrees C in the second replicate. Estimates of realized heritability were h2 = .17 in each replicate. No differences in EtOH metabolism have developed, so the differences between HOT and COLD mice are presumably in neurosensitivity. These lines of animals should be useful for studying the biological mechanisms underlying neurosensitivity to EtOH. In conjunction with other selectively bred lines, they should improve our understanding of the genetic relationships among EtOH neurosensitivity, tolerance and physical dependence.

Animals↗
PubMed1986

Genetic differences in anticonvulsant sensitivity in mouse lines selectively bred for ethanol withdrawal severity.

WSP (withdrawal seizure-prone) mice exhibit approximately 10-fold more severe withdrawal convulsions than WSR (withdrawal seizure-resistant) mice after identical chronic ethanol exposure. Although WSP and WSR mice do not differ in threshold for seizures elicited by electroconvulsive shock (ECS), WSR mice are more sensitive to ethanol-induced elevation of ECS seizure thresholds. The current experiments demonstrated that WSR mice showed more ECS-induced seizure threshold elevation than WSP mice when tested after the administration of C1-C5 straight-chain alcohols. Whereas the brain concentrations of the C1 and C2 alcohols did not differ between the lines, WSP mice tended to have higher brain concentrations than WSR mice of the C3-C5 alcohols, even though they exhibited the smaller behavioral response in all cases. Thus, the difference between WSP and WSR mice was one of neurosensitivity and could not be attributed to pharmacokinetic differences. The WSR line was also more sensitive to ethchlorvynol, methyprylon, barbital, phenobarbital, pentobarbital, diazepam, valproic acid and phenytoin in this test. Examining loss of righting reflex (RR), we found that WSP and WSR mice did not differ in ED50, latency to lose RR or duration of loss of RR. Thus, the genetic anticonvulsant sensitivity difference is not simply a genetic difference in sensitivity to central nervous system depression between the lines. In summary, WSR mice were more sensitive to the anticonvulsant effects of a variety of compounds than WSP mice, suggesting that some genes influence both ethanol withdrawal seizures and ethanol's anticonvulsant effects.

Alcohol Withdrawal Delirium↗