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Biomedical subjects

G Clarke

Publications and source records attributed to G Clarke.

At least 145 records · Page 8Linked to original sources

The effects of anti-Parkinson drugs on cortical neurones.

1. The effects of a potential anti-Parkinson drug, benapryzine, have been compared with those of benzhexol, atropine and procaine on the excitatory responses induced by acetylcholine and L-glutamate on feline cortical neurones using the microiontophoretic technique.2. All the drugs tested reduced the excitatory responses evoked by acetylcholine and L-glutamate. However, benapryzine, benzhexol and procaine more effectively reduced the excitatory responses to L-glutamate than those to acetylcholine whereas atropine was more effective against acetylcholine-induced excitation.3. In the presence of procaine the amplitude of the extracellular spikes was decreased. This effect was also observed during applications of benapryzine and benzhexol.4. Tests on the isolated frog sciatic nerve indicated that benapryzine and benzhexol had local anaesthetic actions respectively greater than and equivalent to those of procaine.5. It was concluded that the effects of benapryzine and benzhexol on cortical neurones were probably related to their local anaesthetic properties. The possibility that a local anaesthetic action may account for the effects of these drugs and of many other commonly used anti-Parkinson drugs in Parkinson's disease is discussed.

Acetylcholine↗

Effects of a focal penicillin lesion on responses of rabbit cortical neurones to putative neurotransmitters.

1. Epileptogenic foci were generated in rabbit cerebral cortex by the topical application of penicillin.2. Responses to iontophoretically applied putative neurotransmitters were compared in cortical neurones firing spontaneously with those driven by applied excitant substances, both before and after establishing the penicillin focus.3. In the presence of the spiking focus, currents of gamma-aminobutyric acid, which normally produced 100% depression of neuronal firing, were ineffective.4. In the same situation, currents of (+/-)-homocysteic acid, glutamate and acetylcholine produced predominantly depolarization block responses, and hence depression of firing.5. It is concluded that an epileptogenic focus can alter the responses of rabbit cortical neurones to microiontophoretically applied neurotransmitter substances. Possible mechanisms for the spread of seizure activity are discussed.

Acetylcholine↗

Fistula-in-ano: a prospective study of 107 patients.

BACKGROUND: While the majority of fistulas-in-ano are anatomically simple and easy to treat, a significant number are high or anatomically complex and have the potential to become a major management problem. METHODS: One hundred and seven consecutive patients undergoing surgery for fistula-in-ano were studied prospectively with standardized anatomic diagrams. RESULTS: Fistulas were classified as superficial (15%), intersphincteric (43%), trans-sphincteric (35%) or 'high' (7%). Within each group fistulas were considered either simple or complex (high tracks, extra tracks or other complications). Trans-sphincteric fistulas were more often complex than intersphincteric fistulas (32 vs 6%). A prior history of perianal sepsis and surgery was more frequent among the trans-sphincteric and 'high' groups. An external fistula opening within a narrow are 30 degrees either side of the posterior midline was almost always associated with a simple superficial or intersphincteric fistula (97%). Anterior and especially posterolaterally located external openings were frequently associated with complex fistulas (16 and 47%, respectively) and often had trans-sphincteric or 'high' tracks (58 and 56%). Goodsall's Law was more accurate for posterior (91%) and intersphincteric (93%) fistulas than for anterior (69%) and trans-sphincteric (68%) fistulas. Histopathology of fistula material showed unremarkable fistula-in-ano in 87% of requests. Six patients had unexpected abnormal results, including three new diagnoses of Crohn's disease. CONCLUSIONS: The presence of additional anatomic complexity should always be anticipated in trans-sphincteric fistulas. Trans-sphincteric and 'high' fistulas are more likely to occur in females, and in patients with previous perianal sepsis or surgery for fistula. External openings close to the posterior midline almost always underlie simple fistulas, whereas posterolateral external openings are predictive of complex fistulas.

Adult↗

Mouth care and the hospitalized patient.

Despite its importance, there still appears to be some confusion among nurses regarding mouth care and the tools that should be used. This article reviews the literature and suggests the best possible approach.

Hospitalization↗