Evaluation of diclofenac sodium 0.1% ophthalmic solution in the treatment of ocular symptoms after bilateral radial keratotomy.

PURPOSE: Patients frequently have ocular pain, photophobia, foreign-body sensation, and burning/stinging after radial keratotomy. This study was a prospective, randomized, double-masked, multicenter, fellow-eye comparison of diclofenac sodium (Voltaren Ophthalmic, 0.1% solution) and placebo for controlling these ocular symptoms after bilateral radial keratotomy. METHODS: Patients who were pain free in both eyes before surgery were randomly assigned to treatment with diclofenac sodium in one eye and placebo in the other. One drop of each masked trial medication was administered 30-60 min before surgery, 5 min and 6 h after surgery, at bedtime on the day of surgery, and four times daily for 2 additional days. Patients evaluated ocular symptoms in each eye 0.5, 1, 2, 4, 6, 24, and 48 h after surgery and provided a global evaluation 6, 24, and 48 h after surgery. For each assessment, the difference in scores between eyes was analyzed by using a paired t test. RESULTS: Diclofenac sodium was significantly (p < 0.001) superior to placebo in controlling each ocular symptom at each interval after surgery and for patient global assessments 6, 24, and 48 h after surgery. CONCLUSION: Diclofenac sodium 0.1% ophthalmic solution is clinically effective in controlling adverse ocular symptoms occurring after bilateral radial keratotomy.

Interleukin-1 beta and tumor necrosis factor-alpha stimulate the cat-2 gene of the L-arginine transporter in cultured vascular smooth muscle cells.

The production of nitric oxide (NO) from L-arginine by nitric oxide synthase (NOS) in cytokine-stimulated vascular smooth muscle cells (VSMC) is thought to play an important role in the pathophysiology of several vascular disease states including septic shock. This study examines the relationship between cytokine-stimulated NO production and L-arginine transport in cultured VSMC. Cultured VSMC from rat aorta were stimulated with interleukin-1 beta, tumor necrosis factor-alpha, and/or angiotensin II (Ang II); and the accumulation of nitrite, a stable product of NO metabolism, in the culture media and the rates of net L-arginine uptake were measured. Interleukin-1 beta and tumor necrosis factor-alpha, alone or in combination, stimulated both the uptake of L-arginine and the accumulation of nitrite in the culture media in a dose-dependent manner. Inhibition of NOS activity by substituted analogues of L-arginine had no effect on cytokine-stimulated L-arginine transport. Ang II in the presence of cytokines up-regulated L-arginine transport while inhibiting nitrite accumulation. Two forms of the L-arginine transporter, cat-1b and cat-2, are expressed in VSMC. Northern analysis revealed that the cytokine-stimulated increase in L-arginine transport coincided with increased levels of cat-2 mRNA. In contrast, cat-1b does not appear to be regulated by cytokines at the mRNA level, although significant increases in response to Ang II were observed. These results show that, while cytokines can stimulate both NOS activity and L-arginine uptake, NO production is not required to signal the increase in L-arginine transport. Furthermore, Ang II and cytokine stimulation of L-arginine uptake involves the differential regulation of the cationic amino acid transporter (cat) genes.

Effects of light environment and population density on growth performance of male turkeys: 2. Physiological changes.

This study was designed to determine the effects of intermittent white light [2 h of light (L) followed by 2 h of dark (D) repeated six times per day] vs. diurnal white, blue, and red light (12L:12D), light intensities of 86.1 lx (high) vs. 5.4 lx (low) at high and low population densities, and season of the year on changes in the pineal, pituitary, and adrenal glands and testes of male turkeys. Pineal gland weights were unaffected by any of the factors under study. Pituitary gland weights significantly increased only in 12-wk-old males reared during the fall and winter compared with those reared during the spring and summer, but were unaffected by the imposed light environments or population density. Adrenal glands were significantly larger in males reared under high population density conditions in comparison with those reared under low density housing. The different light environments were ineffective in altering the effects of population density on adrenal response. Intermittent, high intensity light caused precocious sexual development when males were between 12 and 23 wk of age. White light and red-filtered light stimulated testes activity and seminiferous tubule development, whereas blue-filtered light was nonstimulatory.

Alcoholism and the consultation-liaison psychiatrist.

This article hopes to remind the practitioner that alcohol abuse and dependence is the most common of psychiatric disorders, impacts on the general hospital at a variety of levels, repels our referrant-colleagues, and is difficult to diagnose but is eminently treatable. Because both clinicians and their patients are subject to alcohol abuse and dependence, the consultation-liaison psychiatrist is in an ideal position to impact therapeutically on alcoholism at all levels of presentation. Alcoholism is a natural object of a consultation-liaison psychiatrist's time, interest, and energy.

Effects of light environment and population density on growth performance of male turkeys.

This study was designed to determine the effects of various light environments on the growth performance of male turkeys reared under two extremes of population density. Environmental lighting had subtle but persistent effects on growth performance. Low-intensity illumination consistently improved body weight gains during early growth periods while high-intensity illumination improved body weight gains during the later growth period. Intermittent lighting, especially at a light intensity of 86.1 1x, caused precocious sexual development and appeared to stimulate growth after 18 weeks of age during cool weather and after 12 weeks during warmer weather. Diurnal, blue-filtered light improved weight gains during early growth periods compared to either white- or red-filtered diurnal light, while white- or red-filtered light tended to improve weight gains during the later growth period. Floor space allowances studied had no significant effect on growth or feed efficiency prior to 12 weeks of age. At that time, high population density caused lower body weight gains, lower feed efficiency, poorer feathering, a higher incidence of downgrading, and higher mortality than did a relatively low population density. Different light environments [intermittent (2L:2D) white light and diurnal (12L:12D), white-, red-, or blue-filtered light] were ineffective in altering the responses of turkeys to crowding. There was, however, a significant interaction of light intensity with population density. This interaction indicated that high light intensity allowed maximum expression of growth potential in a low population density environment but reduced growth under high population density pressures.