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24-08-2008
New drug
A new drug has just been approved for use in Australia. SITAGLIPTIN (Januvia) is an oral drug for type 2 Diabetes mellitus. It is a new class of drug, a dipeptidyl peptidase (DPP-4) inhibitor. Sitagliptin is an 'incretin enhancer' that increases the levels of active incretin by inhibiting their metabolism by DPP-4, thus prolonging their effect in stimulating insulin release and decreasing glucagon secretion.
24-08-2008
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21-08-2008
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The first meeting of the Fellowship Affairs Committee was held on Friday, 15 August 2008. Chaired by Dr Margaret Cowling, the Committee oversees all matters directly pertinent to Fellows, including CPD, annual scientific meetings, Regional CME and SIG events, communications and professional issues
20-08-2008
RFT for Australian Clinical Quality Registries pilot projects
The Australian Commission on Safety and Quality in Health Care is seeking tenders from relevant organisations to test and validate the draft 'Operating Principles and Technical Standards for Australian Clinical Quality Registries'.
20-08-2008
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You might wonder whether turning off the lights when not required actually saves energy. Thanks to the efforts of College staff, we have saved a massive 15 per cent greenhouse gas emissions over the last six months compared to last year. A lot of this can be attributed to turning off lights and switching to energy efficient flourescent light globes. The impact has been significant.
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Cross talk between the vanilloid and cholinergic receptors in guinea pig ileum. is capsaicin a partial cholinergic agonist

Adebayo Tawo Jolayemi

Department of Anaesthesia, Portland District Hospital, Portland City, Victoria, Australia

Aim: The activity of Capsaicin in Guinea Pig ileum was investigated and compared to the effects of Acetylcholine.

Methods: Tubular segments (3-4 cm) from distal ileum of Dunkin-Hartley guinea-pigs (n=12) weighing 300'450g of either sex were suspended under standard physiological state in 30-ml Two-Chambered Organ Baths in two parallel, control and study groups. Incremental doses of either Capsaicin alone or with Acetylcholine or Atropine were added to the bath-fluid and washed out three-to-five times after the maximum responses of the tissues were attained. Concentrations of Capsaicin (and other drugs used) were repeated where appropriate at regular intervals of 20'30 minutes after the last washing. Capsaicin (and other drugs-) induced contractions and responses of the isolated ileal muscle preparations were recorded isometrically by means of force displacement transducers, 2-Channel "Gemini" Recorder, and pen-recording microdynamometers (model 7070).

Results: There was a concentration-dependent increase in the basal tone and the contracted guinea pig isolated ileal muscle preparations by Capsaicin (5-150 ug/ml) which was inhibited by atropine at P<0.02. The contraction of the ileum by acetylcholine was in turn inhibited by Capsaicin at (P<0.05).

Conclusion: Capsaicin has biphasic effects on smooth muscles of the GIT. There is a cross talk between the vanilloid and cholinergic receptors. Further work needs to be done to elucidate the perioperative uses of this interaction.

Reference:

  1. Herbert, M.K., Holzer, P., and Roewer, N. (editors-1999) Problems of the Gastrointestinal Tract in Anesthesia, the Perioperative Period, and Intensive Care. Springer, Berlin, Germany.
  2. Rang, H. P., Urban, L. (1995) New molecules in analgesia British Journal of Anaesthesia; 75: 145-156.