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Biomedical subjects

W D Smith

Publications and source records attributed to W D Smith.

At least 145 records · Page 8Linked to original sources

A history of nitrous oxide and oxygen anaesthesia IVE: Henry Hill Hickman in his time.

More evidence is presented: a questionable letter from a grateful patient; Hickman's stewardship at a Charity Ball; the baptism of his children at Shifnal. The identities of "John" and "Glover", mentioned in Hickman's letter from Paris, and the marriage of one of Hickman's cousins to the son of a French emigré, are discussed. A recorded gift places Eliza in Paris with Henry on November 10, 1828. The need to assess the evidence in the context of its time and place is stressed.

Anesthesia, Inhalation↗

Allergic dermatitis due to a triacrylate in ultraviolet cured inks.

Investigation of a dermatitis incident involving the handling of UV type inks by press minders is described. Patch tests pinpointed one acrylic component of the UV ink (pentaerythritol triacrylate) as the causal sensitizer. Factors influencing the identification and incidence of sensitization to the same chemical in different work situations are discussed as are lessons in terms of prevention under the Health and Safety at Work Act 1974.

Acrylates↗

The transfer of circulating 131I IgG1 and 125I IgG2 to the nasal secretions of sheep.

Ovine IgG1 and IgG2 labelled with 131I and 125I respectively were injected intravenously into four sheep. Serum and nasal secretion samples were collected and fractionated by gel filtration on columns of Sephadex G100. Results showed that in serum more than 95 per cent of the radioactivity was associated with intact IgG molecules whereas in nasal secretion samples the percentage varied from five to 47. It was found that the concentrations of IgG1 and IgG2 in the nasal secretions were similar and were approximately 2 per cent of the serum concentrations. This finding indicates a lack of selective transfer of either IgG1 or IgG2 from blood to nasal secretions in sheep.

Animals↗

Anti-larval antibodies in the serum and abomasal mucus of sheep hyperinfected with Haemonchus contortus.

A radioimmunoassay technique was used to follow the anti-larval antibody response in the serum of sheep subjected to repeated dosing with Haemonchus contortus. The response was found to develop slowly and seemed to decline as soon as the sheep stopped receiving larvae. No immunological memory was observed after the sheep were challenged with 4000 larvae nine weeks after daily dosing was stopped. Examination of abomasal mucus collected from the sheep at slaughter revealed the presence of IgA and IgG antibodies. It is suggested that most of this mucus IgG was derived from blood whereas the IgA was locally produced.

Abomasum↗

The assessment in sheep of an inactivated vaccine of parainfluenza 3 virus incorporating double stranded RNA (BRL 5907) as adjuvant.

The serological responses of conventionally reared sheep were compared after vaccination with inactivated parainfluenza 3 (PI3) virus incorporated in three different adjuvants. Inactivated PI3 virus with the double-stranded RNA, BRL 5907 in an oil emulsion was shown to stimulate higher serum antibody titres over the first 5 weeks after vaccination than virus with and without BCG emulsified in oil. The ability of this vaccine to protect specific pathogen-free lambs against challenge with PI3 virus was examined in a second experiment. In this experiment the vaccine stimulated virus neutralizing and haemagglutination inhibiting antibodies in the serum. After intranasal and intratracheal inoculation with PI3 virus at challenge, vaccinated lambs showed no clinical illness and virus isolation was confined, except in one lamb, to the first two days. In contrast, unvaccinated lambs developed respiratory disease and virus was isolated daily for 7 days after challenge.

Adjuvants, Immunologic↗

A comparison in mice of naloxone and nalorphine as antagonists to neuroleptanalgesic drugs.

The effectiveness of naloxone and nalorphine in antagonizing the effects of fentanyl and droperidol on the hot plate reaction time and the respiratory rate of the mouse has been compared. Naloxone was superior to nalorphine, being a more effective antagonist, and was also free from significant agonist effects. However, neither antagonist was completely effective against the respiratory rate depression produced by combinations of fentanyl and droperidol. It is suggested that the duration of the antagonist effects of naloxone are shorter against respiratory depression than against analgesia.

Animals↗

Tetany, tetanus or drug reaction? A case report.

An 8-year-old child was given perphenazine to prevent vomiting after surgery and developed an acute dystonic reaction; There were features of both tetany and tetanus without any of the classical features of extrapyramidal disturbance. The diagnostic difficulties are discussed. The reaction was treated successfully with i.v. diazepam. The prescribing of anti-emetics after surgery is examined critically with special reference to children.

Antiemetics↗

Industrial rehabilitation of dermatitis patients.

Industrial rehabilitation is identified as an integral part of the process of patient resettlement. The organization of the Government-sponsored Employment Rehabilitation Service is described. The low incidence of dermatitis as seen by medical advisers in that Service is explained. Ways in which employment medical advisers can provide complementary support to consultant dermatologists is suggested.

Dermatitis, Contact↗

Blockade of the stress-induced decrease in blood GH by anti-somatostatin serum in rats.

To investigate the physiological role of somatostatin in the GH release mechanism, the effect of passive immunization with somatostatin on basal and poststress serum GH levels was examined in rats. Sheep antiserum to somatostatin or normal sheep serum (NSS) was injected iv into adult male rats 5 days, 3 days and 1 day before applying stressful stimuli. Thirty min after the first bleeding under ether, the mean serum GH level increased from 36.3 to 76.1 ng/ml in the antiserum-treated rats and decreased from 63.7 to 16.8 ng/ml in the NSS-treated rats, but the difference for either group was not significant due to the large variation. In another experiment, electroshock was applied to conscious rats. The mean poststress GH level in the rats pre-treated 3 h previously with the antiserum was 34.4 ng/ml, a value significantly higher than the GH level in the rats pretreated with NSS (0.9 ng/ml) or in non-treated rats (0.5 ng/ml). It was concluded that the stress-induced decrease of GH secretion in rats is at least partly due to an increased release of hypothalamic somatostatin and/or immunologically related GH release-inhibiting hormone(s). Persistent variation in serum GH levels after neutralization of endogenous somatostatin by the antiserum suggests that another regulator, probably GH releasing hormone, also plays a role in controlling GH secretion.

Animals↗

Maternal immunoglobulins and parainfluenza 3 virus inhibitors in the nasal and lachrymal secretions and serum of newborn lambs.

Concentrations of IgG, IgM and IgA were measured in the serum, nasal secretions and lachrymal secretions of suckled newborn lambs. The major immunoglobulin constituent of precolostral serum was IgM. Maternal immunoglobulins, of which IgG was predominant, reached peak values on day 1 of life and then declined over the next 3 weeks. Half lives were calculated as: IgG, 13-7 days; IgM, 4-1 days; and IgA 1-8 days. No immunoglobulin was detectable in nasal or lachrymal secretions prior to sucking but IgG was present in all samples of these secretions obtained approximately 24 hr after first sucking. IgG was present in nasal washings from suckled lambs, reared either naturally or on immunoglobulin-free milk substitute and levels declined as the lambs grew older. IgM and IgA did not appear consistently in the secretions until lambs were 2-3 weeks old. It was concluded, therefore, that colostral IgG reaches the nasal and lachrymal secretions of the newborn lamb. However, because the ewes in this experiment had only low serum titres, no maternal antibody to parainfluenza 3 virus (PI3) was detected in the nasal secretions of the lambs, although non-specific inhibitors were present. It is suggested, however, that low levels of maternal antibody in the secretions may play a valuable role in preventing respiratory virus infections of young ruminants before active local production of IgA and IgM begins at 2 to 3 weeks of age.

Animals↗

Immunoglobulins in the serum and nasal secretions of lambs following vaccination and aerosol challenge with parainfluenza 3 virus.

Serial changes in the concentrations of IgM, IgG and IgA were compared in specific pathogen free (SPF) lambs which had been vaccinated with live or inactivated parainfluenza 3 virus (PI 3) by either intramuscular (IM) or intranasal (IN) routes followed by aerosol challenge with PI 3. In the serum, an increase in IgM was associated with the primary antibody response to the aerosol challenge, whereas increased IgG was associated with the secondary antibody response. No changes in immunoglobulin concentrations were observed in the nasal secretions of lambs administered live or inactivated virus IM or IN without adjuvant. Marked increases in IgG were found in the serum and nasal secretions of lambs vaccinated IM with inactivated virus in Freund's complete adjuvant (FCA) and fractionation by gel filtration confirmed that the antibody was associated with IgG in both these fluids.

Administration, Intranasal↗