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Ethoxzolamide and several derivatives (1-6) were synthesized and evaluated for carbonic anhydrase inhibition (CAI), solubility, pKa, distribution, and corneal permeability. The 6-hydroxy (5) and, particularly, the 6-chloro (6) analogues have the best combination of properties for penetrating the site of action and reducing intraocular pressure. Both 5 and 6 exhibited topical effectiveness in the normal rabbit, with 6 showing greater potency.
1. The purpose of this study was to investigate the topical and systemic anti-hyperalgesic effect of the newly-developed pseudopeptide B2 receptor antagonist, NPC 18688, in different models of nociception in mice. 2. Given systemically 30 min beforehand, NPC 18688 (10-300 nmol kg-1, i.p.) caused no agonist effect, but produced a dose-related and significant inhibition of abdominal constrictions caused by intraperitoneal injection of acetic acid (0.6%), acetylcholine (ACh, 4.5 mg kg-1) or kaolin (50 mg kg-1). The calculated mean ID50s and the percentages of maximal inhibitions (MI) for these effects were: 77, 34 and > 300 nmol kg-1 and 65 +/- 6, 70 +/- 5 and 40 +/- 3%, respectively. The anti-hyperalgesic effect of NPC 18688 (100 nmol kg-1, i.p.) occurred rapidly (30 min) and lasted for at least 150 min. Hoe 140 (3-30 nmol kg-1, i.p.) given 30 min beforehand also inhibited, in a graded manner, acetic acid and ACh-induced writhing, with mean ID50s and MI of 6 and 9 nmol kg-1 and 56 +/- 7 and 62 +/- 6%, respectively. 3. NPC 18688 (10-300 nmol kg-1, i.p.) caused a graded inhibition of both phases of formalin (2.5%)-induced pain, its effects being more potent in relation to the second phase of the formalin test. The calculated mean ID50s and the MI were > 300 and 60 nmol kg-1 and 20 +/- 3 and 60 +/- 5% against the first and second phases of formalin-induced nociception, respectively. NPC 18688 at the same doses also inhibited, in a dose-related manner, formalin-induced paw oedema (MI of 35 +/- 3%). 4. When injected locally in the mouse paw, NPC 18688 (2, 10 and 20 nmol/paw) had no agonist activity. However, when co-injected with formalin NPC 18688 (2-20 nmol/paw), it produced significant inhibition of both phases of formalin response, with MI of 40 +/- 3 and 33 +/- 2%, respectively. NPC 18688 at 10 nmol/paw also significantly inhibited formalin-induced paw oedema (25 +/- 2%). 5. Given intraperitoneally, NPC 18688 (30-300 nmol kg-1) determined a graded inhibition of the nociceptive response caused by intraplantar injection of capsaicin (1.6 micrograms/paw) (40 +/- 2%). However, NPC 18688 (up to 300 nmol kg-1, i.p.), given 30 min beforehand, had no significant analgesic effect when analyzed in the tail flick and in the hot plate pain models, nor did it change the performance of animals in the rota rod test. 6. The action of NPC 18688 was quite selective for the B2 receptor, and like Hoe 140, (1 to 100 nmol kg-1, i.p.) it caused graded inhibition of bradykinin (BK, 3 mol/paw)-induced increase in mouse paw volume, with mean ID50s of 61 and 6 nmol kg-1, respectively. In addition, at 100 nmol kg-1, the dose at which NPC 18688 significantly antagonized BK (3 nmol)-mediated rat paw oedema in naive animals, it had no significant effect on des-Arg9-BK (100 nmol/paw)-induced oedema in paws that had been desensitized to BK. NPC 18688 (210 nmol kg-1), like Hoe 140 (230 nmol kg-1) given s.c. 30 min beforehand, completely abolished BK (28 nmol)-induced hypotension, without affecting the fall of mean arterial blood pressure induced by i.v. injection of ACh (2 nmol kg-1). Finally, NPC 18688 (1 microM) did not affect ACh-mediated contraction in the guinea-pig ileum or toad rectus abdominii in vitro. 7. These results demonstrate that the newly-developed and selective pseudopeptide B2 receptor antagonist, NPC 18688, although less potent than the available second generation of B2 peptide BK receptor antagonists, exhibits topical and long-lasting systemic anti-hyperalgesic properties when analysed in several models of nociception in mice, making it a useful tool for investigating the participation of BK and related kinins in physiological and pathological processes. Finally, this new class of selective pseudopeptide B2 receptor antagonist may constitute a new strategy for developing the third generation of potent and long-lasting orally-active non-peptide BK antagonists, which may be useful for the management of clinical disorders involving BK and relate
A new antiinflammatory agent identified as 8-[C-beta-D-[2-O-(E)-cinnamoyl]glucopyranosyl]-2- [(R)-2-hydroxypropyl]-7-methoxy-5-methylchromone (1) has been isolated from Aloe barbadensis Miller. At a dose of 200 microg/mouse ear, 1 exhibited topical antiinflammatory activity equivalent to 200 microg/ear of hydrocortisone. There was no reduction in thymus weight caused by treatment with 1 for any of the doses tested, while 200 microg/ear of hydrocortisone resulted in a 50% decrease in thymus weight.
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In summary, the success of a health fair as a source of health education and promoter of healthful behaviors depends to a great extent upon the organizational expertise of the sponsor and cooperating forces. However, even more essential is the stimulation of health fair visitors' interest and participation, the provision of information and health status feedback and the reinforcement of positive health values. The health fair which best achieves these objectives will have a greater likelihood of also attaining its original preventive health goals and objectives. Although evaluation articles tend to stress the positive findings, this review does not imply that every health fair is a success or that every successful health fair is without criticism. Long waiting lines, unexpected equipment malfunctions, inadequate hours for visiting, understaffed activities, limited floor space and/or visual distractions and noise disturbances may still occur despite the most thorough organizational efforts. This review has attempted to synthesize from the existing sources on health fairs those essential organizational and evaluative factors necessary for a health fair to maximize its potential health education impact.
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A health fair is a community health strategy used to meet community members' needs for health promotion, education, and prevention. In this article we focus on the importance of partnerships in designing a health fair; essential components; and steps in planning, implementing, and evaluating a health fair. The Healthy People 2000 framework can be used to guide the development of objectives and content for a health fair. We present a list of topics for exhibits and a Health Fair Evaluation Questionnaire used to measure outcomes of a health fair on participants' health beliefs and practices. Implications for nursing practice, education, and research include increasing nurses' awareness of community problems, health beliefs, and practices; networking opportunities that provide knowledge of new resources; service learning experiences for students; and opportunities for research on how health fairs meet health care needs and promote changes in health knowledge, beliefs, and practices.
The libraries of the Capital Health System and York Hospital have been given the responsibility for collecting and maintaining the archival materials of their respective institutions. After an initial evaluation of donated items, each library researched methods of archival conservation, adapting them to their individual needs. Included in this article is an overview of these methods with many examples from the authors' experiences. Also included is an annotated bibliography of materials of value to anyone setting up a hospital archives.
The business of trade shows isn't what it used to be. Vendors are more selective about participating, hospitals don't have money to send as many representatives, and competing state, regional and national associations spread the market thin. Some shows are disappearing; others are surviving by targeting specific audiences, catering to vendors and hatching non-aggression pacts with would-be competitors.
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The nation's largest health information management trade show took place in late February. For the second year in a row, health care management and information technology consultant Peter Wenzlick reports on the state of the art.
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