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Biomedical subjects

G E Lucier

Publications and source records attributed to G E Lucier.

18 recordsLinked to original sources

The role of medical instructional resources in a three-year systems-based curriculum.

This article focuses on a unique method of approaching medical education. It outlines the role of a service-based medical instructional resources unit within a three-year curriculum and emphasizes the consolidation of an instructional philosophy in one centralized learning resource center. This dynamic approach incorporates the evolving technological tools of communication and may serve as a model for other educational institutions considering a break from a traditional four-year rigid curriculum to a more flexible, self-paced learning environment.

Alberta

The inhibitory effect of halothane on the emetic response in the ferret.

Emesis and nausea are often associated with anaesthesia and continue to be a common clinical problem. Past clinical studies have demonstrated that halothane produces a higher incidence of vomiting compared with other anaesthetics, but some investigators have described an antiemetic effect. The purpose of this study was to investigate the effects of various doses of halothane on the emetic response in the decerebrate ferret. Following a control emetic response, a maximum of six increasing cumulative concentrations of halothane were delivered. At the end of each delivery period, the supradiaphragmatic vagal communicating branch, which has been shown to reproducibly elicit vomiting, was electrically stimulated and the emetic response was monitored. An increase in halothane concentration produced a marked depression of tongue, abdominal muscle, and diaphragm EMG activity as well as a decrease in central venous pressure. Licking, a prodromal response comparable to nausea in the human, appeared to be most sensitive. An increase in latency of the emetic response occurred as the concentration of halothane was increased. All phases of the response were observed at concentrations below 0.6 vol% halothane. At 0.6 vol% halothane, 75% of the animals vomited. At higher concentrations, the emetic response was completely abolished. One hour post-halothane, all latencies had returned to near control values. The methods utilized in this study provided a model that was not complicated by a large number of variables usually present in clinical studies. These data demonstrate that halothane exerts an inhibitory, concentration-dependent, and reversible effect on the emetic response in the ferret and provide further support that halothane alone does not possess emetic properties at clinical properties at clinical concentrations.

Animals

Characterization of cat nasal afferents and brain stem neurones receiving ethmoidal input.

Stimulation of the nasal mucous membrane can initiate protective reflexes, particularly sneezing and apnea. Very little is known about the receptors in the nasal cavity responsible for initiating these reflexes, which are thought to be mediated by trigeminal rather than olfactory pathways. In the cat, the ethmoidal branch of the ophthalmic division of V carries this afferent information. The objectives of the present study were to determine a set of adequate nasal receptor stimuli capable of initiating these protective reflexes; to characterize the types of information carried in the ethmoidal nerve afferents, by recording from single fibers dissected from the nerve; to determine the conduction velocities of these afferents, by recording from the cell bodies of ethmoidal afferents in the trigeminal ganglion; and to study the second-order neurones in the brain stem on which these afferents make contact. Results of single fiber recording indicated that, in addition to being tactile, approximately half of the neurones studied also responded to noxious chemical stimuli. The conduction velocity of the majority of these afferents were found to be in the A-delta range. Second-order neurones in spinal trigeminal nucleus which had an input from the ethmoidal nerve could be divided into two classifications: (i) low threshold mechanoreceptive (LTM) neurones which received light tactile input and did not respond to noxious chemical or mechanical stimuli applied to the nasal cavity, and (ii) wide dynamic range (WDR) neurones which responded to both noxious and nonnoxious chemical or mechanical stimuli applied to the nasal cavity.

Afferent Pathways

Connections of a vagal communicating branch in the ferret. II. Central projections.

There is increasing interest in the central mechanisms involved in the regulation of gastrointestinal function. The ferret is becoming widely used for research in this area. However, knowledge of the brain stem organization of this species is inadequate. As part of an on-going study designed to provide information regarding the site of termination of abdominal afferents, the central connections of a supradiaphragmatic vagal communicating branch were determined in the ferret through the use of the horseradish peroxidase (HRP) tracing technique. The branch was exposed using a thoracotomy and HRP crystals were applied to the cut ventral end of the branch. Following a 72 hour survival period, the animals were reanesthetized and perfused. The brain stem was removed and processed using the tetramethylbenzidine method. Afferent terminals were found bilaterally in the nucleus of the solitary tract (nTS), area postrema (AP), the dorsal motor nucleus of the vagus (DMV), the external cuneate nucleus (ECN) and the principal subnucleus of the inferior olive (IOP). This is the first study of a brain stem projection of a specific vagal branch in this species, and demonstrates the similarities and differences which exist between the ferret and other species.

Animals

Connections of a vagal communicating branch in the ferret. I. Pathways and cell body location.

In contrast to most other species, ferrets possess a single communicating branch connecting the dorsal and ventral vagal trunks immediately rostral to the diaphragm. This branch is being used in physiological studies of gastrointestinal function and emesis. However, the fibre routes which pass through this branch are not known. In this study, the afferent and efferent pathways within this supradiaphragmatic vagal communicating branch of the ferret were studied through the use of the horseradish peroxidase (HRP) tracing technique. The region of the branch was exposed using a thoracotomy and HRP crystals were applied to one of the following: (A) the ventral end of the communicating branch, (B) the dorsal end of the communicating branch, (C) the distal end of the dorsal vagal trunk rostral to the communicating branch or (D) the distal end of the ventral vagal trunk rostral to the communicating branch. Following a 72 hour survival period, the animals were reanaesthetized and perfused. The superior cervical and nodose ganglia and the brain stem were processed using the tetramethylbenzidine method. Following application of HRP to the cut ventral end of the communicating branch, labelled cell bodies were found in the left and right nodose ganglia and in the left dorsal motor nucleus of the vagus. After HRP application to the cut dorsal end of the communicating branch, labelled cells were found in the left and right nodose ganglia. No HRP containing cell bodies were found following HRP application to the cut distal end of either the dorsal or the ventral vagal trunk. These results indicate that several afferent pathways exist within the branch, although only one consistently labelled efferent pathway was found.

Afferent Pathways

Central projections of the ethmoidal nerve of the cat as determined by the horseradish peroxidase tracer technique.

The ethmoidal nerve innervates the nasal mucosa and constitutes the afferent limb of several upper airway protective reflexes. Protective reflexes, such as sneezing, coughing, and apnea, are those reflexes that either expel foreign substances from the respiratory tract or stop them from gaining access to the lungs. The afferents for nasal receptors are thought to be a part of the trigeminal system rather than olfactory in nature. The objective of this study was to localize the cell bodies of these ethmoidal afferents and to trace the central projections of these neurons. Horseradish peroxidase was applied to the ethmoidal nerve in 11 adult cats. Following a survival period of 48-72 hours, the animals were killed and the tissue was processed according to the tetramethylbenzidine method. Reaction product was localized in cell bodies within the trigeminal ganglion, concentrated caudal to the entrance of the ophthalmic trunk of the trigeminal nerve. Transganglionic projections to the spinal trigeminal nucleus were localized primarily in the subnucleus interpolaris and in layers I and II of the subnucleus caudalis. There was also reaction product in cell bodies within the mesencephalic trigeminal nucleus. These results are in keeping with projections of other ophthalmic division receptor afferents, such as the cornea and the supraorbital nerve.

Afferent Pathways

Projections of the internal branch of the superior laryngeal nerve of the cat.

The internal branch of the superior laryngeal nerve (iSLN) conveys sensory afferent information from receptors located in the laryngeal mucosa. The objectives of this study were: to determine the specific anatomical location of iSLN cell bodies within the nodose ganglion; to ascertain whether the jugular ganglion might also contain iSLN afferent bodies; to determine whether the iSLN contains sympathetic efferents originating in the cervical sympathetic ganglion; to determine whether the cell bodies of these efferents, if present, are localized within a specific region of this ganglion and to trace the transganglionic projection of iSLN afferents into the brain stem. Horseradish peroxidase was applied to the iSLN in ten adult cats. Following a survival period of 72 hours, the animals were sacrificed and the tissue was processed according to the tetramethylbenzidine method. Reaction product was localized in the rostral end of the nodose ganglion extending into the exiting vagus nerve, in the caudal end of the jugular ganglion and in the posterior portion of the cervical sympathetic ganglion. Transganglionic projections to the nucleus tractus solitarius were localized primarily in the dorsolateral subnucleus with substantial amounts of reaction product also in the intermediate and interstitial subnuclei. Except for a small bilateral projection observed in the commissural subnucleus, no other projections were seen to any other brain stem structures.

Afferent Pathways

Modification of motor output to compensate for unanticipated load conditions during rapid voluntary movements.

Mechanisms responsible for load compensation during fast voluntary movements were investigated in 20 normal subjects trained to carry out rapid wrist flexions against a standard load. When an unanticipated increase in load occurred, there was a compensatory increase in agonist EMG and decrease in antagonist EMG. Unanticipated decreases in load produced reciprocal changes with a decrease in agonist EMG and an increase in antagonist EMG. The latency of these EMG changes was quite short and compatible with a spinal reflex mechanism rather than a long loop response. The results suggest that mechanisms exist at the spinal level to allow rapid modification of motor programs when unanticipated load conditions are encountered on initiation of movement.

Adult

Effects of upper respiratory tract stimuli on neonatal respiration: reflex and single neuron analyses in the kitten.

Respiratory effects of electrical and chemical stimuli applied to nerves or sites associated with the respiratory tract were tested in kittens aged 6-70 days. Cessation of respiration occurred especially with superior laryngeal nerve stimulation and infusion of water and sodium bicarbonate into the larynx. The apneic reflex was more powerful and prolonged than that previously noted in adult cats and was sometimes irreversible. Brain stem respiratory neurons of the neonate also showed marked susceptibility to these stimuli: the respiratory-related rhythm of 80% could be powerfully suppressed, and only 25% received excitatory inputs. The susceptibility of the neonatal respiratory system to these stimuli may have physiopathological significance in conditions such as the sudden infant (crib) death syndrome.

Age Factors

Descending influences of periaqueductal gray matter and somatosensory cerebral cortex on neurones in trigeminal brain stem nuclei.

Single relay (to thalamus) and nonrelay neurones that responded to innocuous and/or noxious oral-facial stimuli were located in trigeminal brain stem nuclei oralis and caudalis. The responses of the cells and the digastric muscle to these stimuli were tested with conditioning stimulation of the periaqueductal gray matter (PGM) and somatosensory cerebral cortex in cats. A greater suppression of nociceptive responses with PGM stimulation was noted, and this effect may contribute to the profound analgesic action that has been reported to occur with PGM stimulation.

Analgesia

Why transcortical reflexes?

Experiments in humans and in monkeys have indicated that load perturbations, occurring during voluntary movements and postural activity, may be automatically compensated for. Overall muscle stiffness opposing load changes is determined by the visco-elastic properties of the muscle, by segmental reflex actions and finally by long-loop reflexes. Under certain circumstances, for instance when the subject or the experimental monkey is "prepared" to counteract perturbations which are unpredictable in time, the long-loop "reflexes" appear to be responsible for most of the corrective muscle tension. Experiments in anaesthetized monkeys revealed that signals from stretch afferents reach neurons of the motor cortex, possibly via a relay in the cortical area 3a. The latencies of these responses to well controlled muscle stretches were in the same range as motor cortical cell discharges recorded in alert monkeys subjected to load perturbations. Furthermore, these responses of cells in the motor cortex also had the appropriate timing to indicate a causal relationship with the long-latency electromyographic responses to load changes referred to above. These experimental results therefore strongly support the hypothesis, first proposed by Phillips (1969), of a transcortical servo-loop adjusting motor cortical output according to the load conditions in which movements are performed. The major advantage of transcortical regulations as opposed to segmental regulations, seems to be a powerful gain control acting at the cortical level; it was repeatedly shown that the long-loop reflexes are strongly modifiable and under voluntary control. It is suggested that an adaptive gain control at the cortical level is a prerequisite to preserve the complex capabilities of the motor cortex as the chief "executive" for skilled, preprogrammed movements. A loss of this adaptive gain control may be, at least partly, the cause of motor disorders such as rigidity in Parkinsonian patients, as reported by Tatton and Lee (1975). It is suggested that further investigations of the control of transcortical reflexes may aid in the understanding of the pathophysiology of motor disabilities.

Animals

Responses of neurones in motor cortex and in area 3A to controlled stretches of forelimb muscles in cebus monkeys.

1. The experiments were designed to investigate the effects of longitudinal muscle displacements on neurones of the motor cortex of anaesthetized Cebus monkeys and thus test the hypothesis that signals from muscle spindles may modify motor cortical output. The effects of sinusoidal stretching of the extensor digitorum communis (EDC) at frequencies varying from 6 to 300 Hz and of step and rhomboidal stretches were studied in neurones of the motor cortex. For comparison, neurones of the primary receiving area for low-threshold muscle afferents, cortical area 3a, were also included in this study. Neurones of the motor cortex were subdivided into corticospinal (PT) neurones and non-corticospinal (non-PT) neurones. 2. Threshold stretch amplitudes were clearly higher for neurones of area 4 (PT and non-PT) than for 3a neurones. However, a conspicuous fall in threshold stretch amplitude was observed for all three neurone populations when the frequency of sinusoidal stretching was increased (highest frequency: 300 Hz). A small number of non-PT and PT neurones responded to vibration amplitudes of less than 100 mum and some of these low-threshold cells of area 4 also responded to rhomboidal stretches of 8 mm/sec ramp velocity and 80 mum plateau amplitude. Increasing the stretch amplitude to twice threshold nearly doubled the output magnitude in all three cell types. Neurones of area 3a and non-PT neurones of area 4 had similar latencies, and these were significantly shorter than the latencies of PT neurones tested with trains of high frequency vibration. Dynamic response patterns were observed in all three cell types, but most frequently in 3a neurones. 3. It is concluded that, in Cebus monkeys, signals from both primary and secondary muscle spindle endings from forelimb muscles reach the motor cortex. Under the present experimental conditions, the input from the primaries to the motor cortex was effective only if these spindle receptors were driven maximally by vibratory stimuli. The particularly low probability of stretch-evoked discharges of cortico-spinal neurones in the anaesthetized preparation may be explained by a low gain in transmission from input to output cells of the motor cortex.

Animals

Evidence for the presence of substance P in cat nasal receptor afferents.

The afferents of the nasal receptors responsible for many upper airway protective reflexes are carried in the ethmoidal branch of the ophthalmic division of the trigeminal nerve. Previous electrophysiological studies indicate that a significant number of ethmoidal afferents respond to noxious stimuli applied to the nose. The objective of the present study was to identify ethmoidal nerve cell bodies within the trigeminal ganglion which demonstrated the presence of the neurotransmitter substance P (SP). SP is believed to be involved in the relay of nociceptive information. A double-labelling technique was employed and involved tracing the afferents to their cell bodies using horseradish peroxidase (HRP) and subsequent identification of SP-immunoreactivity within HRP-filled cells using monoclonal antibody immunohistochemistry. SP-immunoreactive cell bodies constituted 43 per cent-50 per cent of the total number of labelled ethmoidal cell bodies within the trigeminal ganglion. Although ethmoidal cell bodies were much smaller than the overall population of trigeminal ganglion cells, the size of SP-immunoreactive ethmoidal cell bodies was not significantly different from that of ethmoidal cell bodies not exhibiting SP-immunoreactivity.

Animals