Central nervous system effects of methyl methacrylate vapor.

Inhalation experiments were conducted by exposing mature male Sprague-Dawley rats to methyl methacrylate (MMA) monomer vapor in air. The effects upon central neuronal activity associated with acute exposures of chloralose-urethanized rats to monomeric MMA vapor concentrations are summarized in this report. The most remarkable and readily apparent phenomenon was the depression of multiple-unit electrical activity in the lateral hypothalamus and ventral hippocampus of rats which were exposed to 400 ppm of MMA in air for 60 min. In marked contrast, recordings made from the parietal cortex, cerebellum, dorsal hippocampus, medial amygdala, ventral medial hypothalamus, anterior hypothalamus, septum, and mammillary body following comparable exposures showed insignificant changes in multiple-unit electrical activity.

GI motor inhibition associated with acute exposure to methyl methacrylate vapor.

A mixture of monomeric methyl methacrylate vapor in air was delivered into the breathing air of chloralose-urethan anesthetized dogs. Fixed length exposures to 2000-ppm doses of the vapor resulted in a transient drop in arterial blood pressure and a marked inhibition of ongoing GI motor activities. Motor inhibition always continued for a variable time (approximately 10-15 min) subsequent to the cessation of methyl methacrylate vapor administration. This inhibitory response was not blocked by bilateral vagotomy, spinal transection, splanchnectomy, or the intravenous administration of tetraethylammonium chloride. Another series of experiments determined that the administration of blood from a dog receiving methyl methacrylate vapor produced GI motor inhibition in another dog not connected to the experimental gas mixture. Therefore, it is concluded that, aside from any reflex effects produced, methyl methacrylate vapor in sufficient concentration probably exerts a direct inhibitory effect upon GI smooth muscle that is mediated by the cardiopulmonary systems.

GI pharmacology of polyethyleneimine I: effects on gastric emptying in rats.

Experiments were conducted to determine the effect of ingested polyethyleneimine upon gastric emptying of the fasted rat. Emptying was evaluated by the phenolsulfonphthalein and resin bead methods. The two techniques gave comparable results; both showed that this agent inhibited gastric emptying. A delay in gastric emptying could be detected within 15 min of intubation. The effect was dose related, quite long lasting (approximately 4 hr), and reversible. Commercially available, branched polyethyleneimines were highly active, but the linear polyethyleneimine was without observable effect. A branched polyethyleneimine derivative with all primary amine sites selectively acetylated also was inactive.

GI pharmacology of polyethyleneimine II: motor activity in anesthetized dogs.

The effects of orally and intravenously administered doses of polyethyleneimine were observed in 18 chloralose-urethan-anesthetized dogs. Polyethyleneimine produced an initial augmentation of rhythmic segmenting gastric antral contractions, a copious flow of gastric mucus, increased segmenting and propulsive activities of the small and large intestines, and occasional micturition and defecation. The gastric corpus and fundic regions became relaxed and enlarged. These events were associated with the prompt appearance of retching. The retching response to oral administration could only be abolished by bilateral vagotomy or bilateral sympathectomy. The skeletal muscle component of retching was blocked by tubocurarine. Intravenous administration of chlorpromazine blocked the retching response and gastric corporal atonia to either intravenous or oral doses of polyethyleneimine. Either oral or intravenous administration of polyethyleneimine produced no detectable changes in the lead II ECG but was associated with marked transient reductions in both mean and pulsatile arterial blood pressures. These depressor effects showed clear tachyphylaxis. In all cases where GI effects were noted, respiration was augmented and erratic in a manner associated with the retching responses.

Potential of information technology in dental education.

The use of information technology (IT) in dentistry is far ranging. In order to produce a working document for the dental educator, this paper focuses on those methods where IT can assist in the education and competence development of dental students and dentists (e.g. e-learning, distance learning, simulations and computer-based assessment). Web pages and other information-gathering devices have become an essential part of our daily life, as they provide extensive information on all aspects of our society. This is mirrored in dental education where there are many different tools available, as listed in this report. IT offers added value to traditional teaching methods and examples are provided. In spite of the continuing debate on the learning effectiveness of e-learning applications, students request such approaches as an adjunct to the traditional delivery of learning materials. Faculty require support to enable them to effectively use the technology to the benefit of their students. This support should be provided by the institution and it is suggested that, where possible, institutions should appoint an e-learning champion with good interpersonal skills to support and encourage faculty change. From a global prospective, all students and faculty should have access to e-learning tools. This report encourages open access to e-learning material, platforms and programs. The quality of such learning materials must have well defined learning objectives and involve peer review to ensure content validity, accuracy, currency, the use of evidence-based data and the use of best practices. To ensure that the developers' intellectual rights are protected, the original content needs to be secure from unauthorized changes. Strategies and recommendations on how to improve the quality of e-learning are outlined. In the area of assessment, traditional examination schemes can be enriched by IT, whilst the Internet can provide many innovative approaches. Future trends in IT will evolve around improved uptake and access facilitated by the technology (hardware and software). The use of Web 2.0 shows considerable promise and this may have implications on a global level. For example, the one-laptop-per-child project is the best example of what Web 2.0 can do: minimal use of hardware to maximize use of the Internet structure. In essence, simple technology can overcome many of the barriers to learning. IT will always remain exciting, as it is always changing and the users, whether dental students, educators or patients are like chameleons adapting to the ever-changing landscape.

Update on the toxicity of inhaled methyl methacrylate vapor.

The current threshold limit value (TLV) of 100 ppm for methyl methacrylate vapor was originally set because it was considered to be a value sufficiently low to preclude either systemic toxicological effects or discomfort from irritation in workers chronically exposed to the vapor. Shortly after this limit was proposed we became interested in evaluating the toxicological properties of methyl methacrylate vapor and, subsequently, of providing experimental data which would be useful in evaluating the adequacy of this TLV. The purpose of this article is to review some of the more relevant literature prior to 1976 which pertains to inhalation exposure and to summarize our more recent data which resulted from statistically designed studies employing acute and subchronic exposures to known concentrations of the vapor including the near-TLV value of 116 ppm.

A dual mechanism for intestinal motor effects of methyl methacrylate vapor.

The influence of methyl methacrylate (MMA) vapor on the motor activity of the isolated guinea pig ileum is summarized in this report. MMA vapor was delivered to innervated and denervated strips via the tissue bath air supply at a concentration of 755 +/- 38 ppm. Innervated strips usually showed spontaneous motor activities (sma) which developed shortly after the muscle was mounted. None of the denervated strips exhibited sma. Upon exposure to MMA vapor, there was a rapid and significant decrease in sma and in the contractile responses to electric field stimulation and 0.01 mg acetylcholine administration. Denervated strips demonstrated a similar reduction in response magnitude to electric field and drug stimulation but required a longer time period. The persistence of the MMA-induced inhibitory response of the denervated strips indicates that the inhibitory effect is partly due to a direct action of the agent upon the contractile mechanism of the small intestine.

Particulate inhalation during the removal of amalgam restorations.

An aerosol that contains amalgam particles is created when a high-speed hand-piece is used to remove an existing amalgam restoration. Those particles smaller than 10 microns are considered to be fully respirable. This means that a significant percentage of the particles have the potential to travel to the terminal alveoli, where they may become lodged. Long-term exposure to fully respirable particles may compromise a person's respiratory function. Amalgam restorations were placed in the typodont teeth of a mannequin designed to simulate the head and the respiratory tract of a patient. The amalgam restorations were removed under three experimental conditions: dry cut (control), wet cut (water spray) with high-velocity evacuation, and wet cut with high-velocity evacuation and a rubber dam. Particulate exposure was evaluated in the simulated respiratory tracts of the patient and the dentist that were equipped with ambient particle sizing samplers. Use of water spray and high-velocity evacuation significantly reduced patient exposure to particles. The use of a rubber dam, together with water spray and high-velocity evacuation, was responsible for a further significant reduction of exposure to particles when compared with water spray and high-velocity evacuation alone. The dentist, however, was exposed to moderate levels of fully respirable particles for all conditions tested. It is therefore recommended that all dental personnel wear face masks while removing existing amalgam restorations.