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Biomedical subjects

M L Barnett

Publications and source records attributed to M L Barnett.

At least 37 records · Page 2Linked to original sources
PubMed1996

Effects of sublethal exposure to an antiseptic mouthrinse on representative plaque bacteria.

Although the mechanism responsible for the clinical antiplaque efficacy of oral antiseptics is generally considered to be primarily one of bactericidal activity, it has been suggested that oral antiseptics may have additional effects on bacteria exposed to sublethal levels. Studies reported herein, investigated the effects of sublethal levels of an essential oil-containing antiseptic mouthrinse (Listerine Antiseptic, Warner-Lambert Co., Morris Plains, NJ) on selected activities of representative plaque microorganisms using in vitro models. These studies demonstrated that sublethal exposure to the tested oral antiseptic can have significant effects in reducing intergeneric coaggregation, increasing bacterial generation time, and extracting endotoxin from Gram-negative bacteria. These in vitro activities can be correlated with features of plaque formation and pathogenicity seen in vivo; however, additional studies will be necessary to confirm that these mechanisms are, in fact, operative clinically.

Aggregatibacter actinomycetemcomitans↗
PubMed1996

Suitability of gingival indices for use in therapeutic trials. Is bleeding a sine qua non?

A number of gingival indices have been described which include visual and invasive components, either separately or in combination. In selecting indices for use in gingivitis therapeutic trials, some investigators maintain that only invasive indices should be used, since indices that include a bleeding-on-provocation component are deemed to be the most objective. Other investigators, however, maintain that non-invasive indices are the more appropriate insofar as invasive procedures will not only disrupt the plaque at the gingival margin, but could also mildly traumatize the tissue and present an impediment to assessing examiner standardization and reproducibility. This paper discusses these aspects of gingivitis evaluation. The data indicate that all validated indices, whether invasive or non-invasive, have some degree of both objectivity and subjectivity. Therefore, the selection of an appropriate index will depend upon the ability of a given index to achieve the objectives of the clinical trial in which it is to be utilized.

Clinical Trials as Topic↗
PubMed1996

Assessing pre-procedural subgingival irrigation and rinsing with an antiseptic mouthrinse to reduce bacteremia.

In this controlled clinical study, the authors examined the effect of subgingival irrigation and rinsing with an antiseptic mouthrinse before ultrasonic scaling of a quadrant containing inflamed gingivae. The results showed that pre-procedural subgingival irrigation and rinsing can significantly reduce the level of bacteremia associated with ultrasonic scaling. These results support the American Heart Association's recommendation of adjunctive subgingival irrigation prior to invasive procedures in patients at risk of developing bacterial endocarditis.

Adult↗
PubMed1995

Ethical issues in sponsored clinical research.

In recent years, the relationship between industry and academic investigators has been strengthened and has become increasingly complex, creating a variety of situations which have the potential of leading to ethical compromises. Two categories of behavior have been the primary concern of those dealing with ethical issues in science, namely, scientific misconduct and conflict of interest. This paper presents an overview of emerging ethical concerns as well as institutional responses designed to manage the new relationships.

Biomedical Research↗
PubMed1993

Characterization of interleukin-8 receptors in human neutrophil membranes: regulation by guanine nucleotides.

Interleukin-8 (IL-8) is a polymorphonuclear leukocyte (PMN) chemoattractant and activator which mediates its effects through specific cell-surface receptors. Indirect evidence indicates that guanine nucleotide regulatory proteins (G proteins) are necessary for transmembrane signaling. The present study characterizes IL-8 receptors in isolated PMN membrane fractions and shows direct regulation of these receptors by guanine nucleotides. The binding of [125I]IL-8 to subcellular fractions of PMNs showed specific binding in a low-density membrane fraction containing alkaline phosphatase, but not in primary or secondary granules. The binding of [125I]IL-8 was rapid and reversible. The equilibrium dissociation constant (Kd) of the receptor ranged from 5.0-12.4 nM and there were 1.58-5.90 . 10(10) receptors/mg protein. The dose-response curves for the competitive binding of three different forms of IL-8 to the receptor labeled by [125I]IL-8 corresponded with their ability to produce chemotaxis and granule exocytosis in PMNs. Treatment of membranes with the nonhydrolyzable analogs of GTP, GMP-PNP and GTP gamma S, inhibited the binding of [125I]IL-8. GMP-PNP decreased the affinity of the IL-8 receptor by approx. 2-fold without altering the total receptor number. These findings demonstrate that IL-8 receptors in PMN membranes are of high affinity and are convertible to a low-affinity state in the presence of guanine nucleotides, suggesting a direct role for G proteins in transmembrane signaling by this cytokine.

Binding Sites↗
PubMed1993

Efficacy of meclofenamate sodium (Meclomen) in the treatment of rapidly progressive periodontitis.

This 6-month, double-blind, controlled clinical trial determined the efficacy of the non-steroidal anti-inflammatory drug, meclofenamate sodium (Meclomen), as an adjunct to scaling and root planing in the treatment of rapidly progressive periodontitis (RPP). 22 subjects (7 male, 15 female) aged 36.5 +/- 7.88 years with RPP and disease-active sites as determined by pretreatment bone scan had standardized radiographs at baseline and 6 months, and clinical measurements at baseline, 3 and 6 months. Following full-mouth scaling and root planing, subjects were randomly assigned to either a placebo, 50 or 100 mg meclofenamate sodium bid group. Bone change over the 6-month period as assessed by subtraction radiography was the primary efficacy determinant. Specialized software was used to isolate the lesion from the subtraction image and to measure bone change along the root surface. ANOVA using the subject as the unit of analysis revealed a significant dose response (p < 0.001) with the placebo group having a mean bone loss of 0.42 +/- 0.06 mm and the low and high dose groups having mean bone gains of 0.07 +/- 0.05 and 0.20 +/- 0.07 mm, respectively. These findings indicate that meclofenamate sodium may be a useful adjunct in the treatment of rapidly progressive periodontitis.

Adolescent↗
PubMed1993

Reduction of viable bacteria in dental aerosols by preprocedural rinsing with an antiseptic mouthrinse.

Two double-blind controlled clinical studies were conducted to determine the efficacy of preprocedural rinsing with Cool Mint Listerine Antiseptic mouthrinse on the level of viable bacteria recovered from dental aerosols when generated immediately after and 40 minutes after rinsing. Eighteen healthy subjects participated in each study. In the first study, following a 24-hour no-oral-hygiene period, subjects received a 10-minute ultrasonic scaling of a randomly chosen half mouth, rinsed with either Cool Mint Listerine or a control, and received an ultrasonic scaling of the remaining half mouth. During each scaling period, aerosolized bacteria were collected on a sterile filter using a modified air-sampling device. The filters were overlaid on culture media, incubated aerobically, and colonies were counted. The second study followed the same basic design except that ultrasonic scaling was done for 5 minutes, and the post-rinsing sampling was performed following a 40-minute simulated dental treatment period. Rinsing with Cool Mint Listerine resulted in a 92.1% reduction in viable bacteria in aerosols generated immediately after rinsing and a 91.3% reduction in aerosols generated 40 minutes after rinsing. These reductions were significantly greater than control (P = 0.0001). These studies suggest that preprocedural rinsing with Cool Mint Listerine Antiseptic may potentially reduce the risk of cross contamination in the dental operatory.

Adult↗