Anaesthesia in Obstetrics

A CAJM article on Anaesthesia in Obstetrics in the 1950's.Anaesthesia for obstetrical cases is regarded by the general practitioner and occasionally even by the anaesthetist with great respect and a certain amount of fear; and rightly so, for in the hands of an inexperienced practitioner grave complications may occur to either the mother, the baby, or both. These difficulties do not arise when the anaesthetic is administered before the onset of labour, but once labour has become well established in the second stage, the anaesthetic becomes a more serious undertaking, and a certain amount of skill is required of the anaesthetist, together with a basic knowledge of the pharmacological and physiological properties of the various agents employed in anaesthesia. This article will not deal with the subject of analgesia in obstetrics but with anaesthesia for the more major obstetrical operations, and will, it is trusted, be of some guidance to those practitioners who may be landed with an obstetrical emergency and must administer an anaesthetic to a patient who is, more often than not, wholly unprepared for such administration, having just partaken of a meal, or whose stomach is full of glucose water which is so unfailingly given to women throughout labour

The muscle relaxants in anaesthesia

A CAJM article on muscle relaxants in anesthetic practice.It may be stated that the use of the muscle relaxants represents a tremendous advance in anaesthetic practice. Prior to their introduction, muscular relaxation, especially in abdominal surgery, was brought about by chloroform or ether anaesthesia. But the complications following on the use of these agents were so frequent as to warrant the use of other methods, including spinal analgaesia, nerve block and infiltration with local anaesthetic substances in order to produce the maximum amount of muscular relaxation. The introduction of curare and the closely related group of drugs known as the “muscle relaxants” into anaesthetic practice have eliminated these techniques

Efficient coupling to an optical resonator by exploiting time-reversal symmetry

The interaction of a cavity with an external field is symmetric under time reversal. Thus, coupling to a resonator is most efficient when the incident light is the time reversed version of a free cavity decay, i.e. when it has a rising exponential shape matching the cavity lifetime. For light entering the cavity from only one side, the maximally achievable coupling efficiency is limited by the choice of the cavity mirrors' reflectivities. Such an empty-cavity experiment serves also as a model system for single-photon single-atom absorption dynamics. We present experiments coupling exponentially rising pulses to a cavity system which allows for high coupling efficiencies. The influence of the time constant of the rising exponential is investigated as well as the effect of a finite pulse duration. We demonstrate coupling 94% of the incident TEM00 mode into the resonator.Comment: 7 pages, 5 figure

Exploration of 1,2-phenylenediboronic esters as potential bidentate catalysts for organic synthesis

Recently, we described the first inverse electron demand Diels-Alder reaction of 1,2-diazene catalyzed by a bidentate Lewis acid. Herein we investigate 1,2-phenylenediboronic esters as potential catalysts for this transformation offering higher stability and easier handling than the currently used boranthracene derivatives. Different 1,2-phenylenediboronic esters were prepared and their ability to form bidentate coordination complexes with phthalazine was analyzed. Although a 1:1 complex was observed, X-ray analysis revealed binding only in a monodentate fashion. Graphical abstrac

Synthesis and Characterization of Poly(hydrogen halide) Halogenates (–I)

Herein, we report the synthesis and characterization of a variety of novel poly(hydrogen halide) halogenates (−I). The bifluoride ion, which is known to have the highest hydrogen bond energy of ≈160 kJ mol−1, is the most famous among many examples of [X(HX)n]− anions (X=F, Cl) known in the literature. In contrast, little is known about poly(hydrogen halide) halogenates containing two different halogens, ([X(HY)n]−). In this work we present the synthesis of anions of the type [X(HY)n]− (X=Br, I, ClO4; Y=Cl, Br, CN) stabilized by the [PPh4]+ and [PPN]+ cation. The obtained compounds have been characterized by single‐crystal X‐ray diffraction, Raman spectroscopy and quantum‐chemical calculations. In addition, the behavior of halide ions in hydrogen fluoride was investigated by using experimental and quantum‐chemical methods in order to gain knowledge on the acidity of hydrogen halides in HF

Millimolar concentrations of free magnesium enhance exocytosis from permeabilized rat pheochromocytoma (PC 12) cells

The role of Mg2+ during the final steps of exocytosis was investigated using rat pheochromocytoma cells (PC12) permeabilized with bacterial pore forming toxins. Concentrations of free Mg2+ between 0.2 and 2 mM slightly lowered the basal but greatly enhanced the [3H]dopamine release elicited by 8 μM free Ca2+. Maximal effects were obtained at approximately 1 mM free Mg2+. At higher concentrations Mg2+ was less potent. Similar effects of Mg2+ were obtained in cells permeabilized either for small molecules (by α-toxin) or for large ones (by streptolysin O). It is concluded that millimolar concentrations of cytoplasmic Mg2+ play an important role in Ca2+ triggered exocytosis

Biological network comparison using graphlet degree distribution

Analogous to biological sequence comparison, comparing cellular networks is an important problem that could provide insight into biological understanding and therapeutics. For technical reasons, comparing large networks is computationally infeasible, and thus heuristics such as the degree distribution have been sought. It is easy to demonstrate that two networks are different by simply showing a short list of properties in which they differ. It is much harder to show that two networks are similar, as it requires demonstrating their similarity in all of their exponentially many properties. Clearly, it is computationally prohibitive to analyze all network properties, but the larger the number of constraints we impose in determining network similarity, the more likely it is that the networks will truly be similar. We introduce a new systematic measure of a network's local structure that imposes a large number of similarity constraints on networks being compared. In particular, we generalize the degree distribution, which measures the number of nodes 'touching' k edges, into distributions measuring the number of nodes 'touching' k graphlets, where graphlets are small connected non-isomorphic subgraphs of a large network. Our new measure of network local structure consists of 73 graphlet degree distributions (GDDs) of graphlets with 2-5 nodes, but it is easily extendible to a greater number of constraints (i.e. graphlets). Furthermore, we show a way to combine the 73 GDDs into a network 'agreement' measure. Based on this new network agreement measure, we show that almost all of the 14 eukaryotic PPI networks, including human, are better modeled by geometric random graphs than by Erdos-Reny, random scale-free, or Barabasi-Albert scale-free networks.Comment: Proceedings of the 2006 European Conference on Computational Biology, ECCB'06, Eilat, Israel, January 21-24, 200

Further Characterization of Dopamine Release by Permeabilized PC 12 Cells

Rat pheochromocytoma cells (PC 12) permeabilized with staphylococcal α-toxin release [3H]dopamine after addition of micromolar Ca2+. This does not require additional Mg2+-ATP (in contrast to bovine adrenal medullary chromaffin cells). We also observed Ca2+-dependent [3H]-dopamine release from digitonin-permeabilized PC 12 cells. Permeabilization with α-toxin or digitonin and stimulation of the cells were done consecutively to wash out endogenous Mg2+-ATP. During permeabilization, ATP was removed effectively from the cytoplasm by both agents but the cells released [3H]dopamine in response to micromolar Ca2+ alone. Replacement by chloride of glutamate, which could sustain mitochondrial ATP production in permeabilized cells, does not significantly alter catecholamine release induced by Ca2+. However, Mg2+ without ATP augments the Ca2+-induced release. The release was unaltered by thiol-, hydroxyl-, or calmodulin-interfering substances. Thus Mg2+-ATP, calmodulin, or proteins containing -SH or -OH groups are not necessary for exocytosis in permeabilized PC 12 cells