Search PubMed⌕ Search

Biomedical subjects

J D White

Publications and source records attributed to J D White.

At least 109 records · Page 6Linked to original sources
PubMed1987

Rewarming in accidental hypothermia: radio wave versus inhalation therapy.

Anesthetized random-source dogs were cooled by refrigeration (3 C) to a stable core temperature of 25 C, and subsequently were rewarmed with warm, humidified inhalation (43 C, 450 mL of minute ventilation per kilogram) or radio frequency induction hyperthermia (4 to 6 watts/kg). The mean time required for core rewarming to 30 C was 231 +/- 3 minutes for warm, humidified ventilation and 106 +/- 32 minutes for radio wave therapy (P less than .01). These data suggest that radio wave heating is a more rapid noninvasive therapy for core rewarming of accidental hypothermia.

Animals↗
PubMed1987

High-yield roentgenographic criteria for cervical spine injuries.

All trauma patients undergoing cervical radiography at an urban referral teaching hospital emergency department during 12 consecutive months were analyzed for indications and results of cervical spine radiograph studies. Demographic characteristics of the study group were consistent with results in the literature (55% men, mean age, 27). Cases were reviewed for 27 commonly accepted indications in the literature for cervical spine studies under these circumstances. The following radiograph findings were considered as positive studies: fracture, subluxation, spondylolisthesis, straightening, spasm, foreign body, compression, fusion, narrowing, or soft tissue swelling. Seventeen percent of radiographs were positive. Motor vehicle accidents (P less than .009), a history of direct cervical trauma (P less than .002), loss of consciousness (P less than .001), cervical tenderness (P less than .05), and drug ingestion (P less than .08) were associated with or suggestive of positive radiographs. No patients wearing seatbelts had positive radiographs (P less than .001). Only 2.4% (18 of 749) of radiographic examinations revealed clinically significant findings, and no criteria were statistically correlated with clinically significant findings. While our study suggests up to two-thirds of radiographs might be deferred without missing a clinically significant injury using these high-yield criteria, a flexible approach to cervical roentgenographs is justified pending confirmation of our results by a large, multicenter, prospective study currently under way.

Accidents, Traffic↗
PubMed1987

Evaporation versus iced gastric lavage treatment of heatstroke: comparative efficacy in a canine model.

We compared the speed of cooling and treatment efficacy for evaporative cooling vs. iced gastric lavage in a canine heatstroke model. Nine random-source, mongrel dogs were anesthetized, shaved, and internally heated until the core temperature reached 43.0 degrees C. The animals were then randomly assigned to be cooled to 37 degrees C either by iced (1 degree C) tap water gastric lavage (n = 5200 ml/min) through a large (32-Fr) orogastric tube, or by spraying with tap water (n = 4, 15 degrees C, 12 L/min) before a large fan blowing room temperature air (23 degrees C) across the dog at 0.5 m/sec from a height of 50 cm. Temperatures were monitored by thermocouples in both tympanic membranes and the pulmonary artery. BP, pulse, and cardiac output were measured every 5 min. Evaporative cooling was twice as fast as iced gastric lavage (0.16 +/- .05 degree vs. 0.08 +/- .01 degree C/min X m2, p less than .01). Animals in the evaporatively cooled group also experienced a quicker and more complete return to baseline cardiac indices than the lavage-treated group. Moreover, all animals treated with evaporation survived and were neurologically intact 48 h later, while only one lavage-treated dog was neurologically intact over the same period. The others in the lavage group died one hour after cooling (n = 1), were grossly ataxic (n = 1), or were persistently comatose (n = 2). A simple evaporative cooling technique, readily available in the emergency department, appears to be the most rapid and effective means for cooling and treating heatstroke in the dog.

Animals↗
PubMed1987

Enkephalin biosynthesis and enkephalin gene expression are increased in hippocampal mossy fibers following a unilateral lesion of the hilus.

The biosynthesis and posttranslational processing of proenkephalin and the level of preproenkephalin mRNA were investigated in the mossy fiber system of the granule cells of the hippocampus in the presence or absence of a unilateral lesion of the hilus, a procedure that produces an episode of recurrent bilateral hippocampal seizures lasting several hours. Both immunocytochemistry and radioimmunoassay (RIA) have demonstrated that the hilus lesion leads to large bilateral increases in enkephalin immunoreactivity in the mossy fiber system. In the present study, RIA data indicate that following an initial decline in immunoreactivity, enkephalin content within the mossy fibers first begins to increase between 18 and 24 hr after lesioning. Using the technique of in vivo radiolabeling and high-performance liquid chromatographic purification of identified radiolabeled peptides, we observed a 14-fold increase in incorporation of radiolabeled methionine into Met5-enkephalin at 24-30 hr postlesion, as compared with control animals, when Met5-enkephalin was purified from the mossy fiber terminal fields. To examine the posttranslational proteolytic processing of proenkephalin, the biosynthesis of 5 additional Met5-enkephalin-containing peptides was also examined. We determined that the posttranslational processing of proenkephalin did not yield exclusively penta-, hepta-, and octapeptides but larger opioid peptides as well in both control and lesioned animals, and that the ratio of the enkephalin peptides was not altered following the lesion. Measurement of preproenkephalin messenger RNA levels in the granule cells by Northern analysis revealed a marked increase following the lesion. Compared with the control animals, preproenkephalin mRNA was 8.5-fold higher in the contralateral dentate gyrus at 12 hr postlesion and 14- to 15-fold higher by 24 hr.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1986

Rewarming in immersion hypothermia: radio-wave and inhalation therapy.

Anesthetized random source dogs were cooled by ice water immersion (1 degree C) to a stable core temperature of 25 degrees C, and subsequently rewarmed with warm humidified inhalation (43 degrees C, 450 cc of min ventilation/kg), radio wave induction hyperthermia (4-6 W/kg) or both therapies simultaneously. The mean time required for core rewarming to 30 degrees C was 262 +/- 29 min for humidified ventilation, 68.5 +/- 6 min for radio wave therapy (P less than 0.01), and 74.8 +/- 12 for both therapies combined (P less than 0.3 vs. radio wave). There was no tissue damage with these protocols. These data suggest radio wave heating alone is the most rapid non-invasive method for core rewarming in immersion hypothermia.

Animals↗
PubMed1986

In vivo biosynthesis and transport of oxytocin, vasopressin and neurophysin from the hypothalamus to the spinal cord.

The biosynthesis of oxytocin, vasopressin and their associated neurophysins were studied in the projection from the paraventricular nucleus of the hypothalamus to the spinal cord in individual freely-moving adult male rats. Neuropeptide biosynthesis was studied in vivo by the delivery of [35S]cysteine through stereotaxically implanted indwelling cannulae using an osmotic minipump delivery system. Following the appropriate chase times, the neural lobe and spinal cord segments T1-T4 and T12-L2 were removed from fresh tissue; in addition, the nucleus of the solitary tract was punched from frozen coronal sections. The radiolabeled peptides were purified from the tissue homogenates by sequential linear and exponential gradient elution from reverse-phase high performance liquid chromatography columns. This approach has allowed us to purify radiolabeled oxytocin and vasopressin from both the upper and lower spinal cord. However, the kinetics of oxytocin and vasopressin biosynthesis appeared to be remarkably different, as judged by their differential labeling with different pulse and chase times. Additionally, the use of different chase periods following the pulse of radiolabel has allowed us to determine that oxytocin reaches the spinal cord via the fast component of axonal transport (greater than 8 mm h-1). Using immunoprecipitation and purification by high performance liquid chromatography, we were also able to purify radiolabeled neurophysins from spinal cord tissue homogenates. These results lend further support to a role for oxytocin and vasopressin in the modulation of autonomic nervous system function and to the role of the paraventricular nucleus as an integration center for endocrine and autonomic function.

Animals↗
PubMed1986

High-yield radiographic considerations for cervical spine injuries.

A clinical and academic imperative has developed to define high-yield criteria for cervical radiography in the emergency department setting. Presented is a review of key literature, including discussions of epidemiologic and biomechanic considerations; previously derived criteria and their value; and the limitation of the radiograph as a diagnostic tool. We conclude that the identification of truly high-yield criteria will be defined in future prospective, multicenter studies.

Accidents, Traffic↗
PubMed1986

Proenkephalin is processed in a projection-specific manner in the rat central nervous system.

The biosynthesis and posttranslational proteolytic processing of proenkephalin was studied in three projection systems in the rat central nervous system--the caudate-putamen to the globus pallidus, the paraventricular nucleus of the hypothalamus to the median eminence, and the mossy fiber system of the granule cells of the hippocampus. By using the techniques of in vivo radiolabeling and sequential high-performance liquid chromatographic purification coupled with chemical modification, the biosynthesis of six radiolabeled [Met]enkephalin-containing peptides--[Met5]enkephalin, [Met5,Arg6,Gly7,Leu8]enkephalin, [Met5,Arg6,Phe7]enkephalin, metorphamide, peptide E, and BAM 18P--was followed. In each projection system, radiolabeled enkephalins were purified to constant radiochemical specific activity. However, the posttranslational processing of proenkephalin was found to differ between these three systems, as judged by the relative ratio of these peptides. These findings imply that specific, different physiologies and behaviors may be elicited by the enkephalins based upon the specific [Met]enkephalin-containing peptides that are cleaved from proenkephalin and released in synaptic terminal fields.

Animals↗
PubMed1986

Enkephalin biosynthesis and processing during lactation.

The biosynthesis of three Met-enkephalin-containing peptides was studied in the hypothalamo-hypophysial system of normal and lactating female rats by the techniques of in vivo radiolabeling and sequential high-performance liquid chromatographic purification of radiolabeled peptides. Met-enkephalin biosynthesis was stimulated in the lactating animals; however, the products derived from the post-translational processing of the enkephalin precursor appeared to remain constant between the two states, as judged by the ratio of radioactivity present in Met5-enkephalin, Met5Arg6Gly7Leu8-enkephalin and Met5Arg6Phe7-enkephalin. Additionally, 8-fold more radioactive enkephalin was harvested from the median eminence than the posterior pituitary. Measurement of preproenkephalin mRNA in the two states also revealed an increase during lactation. All of these data suggest a physiologically important role for the enkephalins in the regulation of anterior pituitary function.

Animals↗