Application of Teleonic Principles in the Search for Systemic Causes of Accidents in Anesthesia

Safety of patients in anesthesia has always been one of the major concerns of the anesthetist. It is clear from studies of safety in general that many accidents and critical incidents occur as the result of latent systemic failures to which a great number of factors contribute (Reason, 1990). An ideal way to approach this problem would be within a systemic framework, such as teleonics, developed by Járos and his co-workers (Cloete, 1999; Járos and Cloete, 1987, 1993). In this framework the events and procedures in anesthesia are considered to be part of a very complex network of process systems (teleons). It is postulated that teleonic uncertainty (telentropy) in this complex network is a factor that might lead to accidents. In a previous paper presented to the World Congress at Toronto in 2000, the principles of teleonics were described in a mathematico symbolic way (Horváth et al., 2000). This paper contains selected examples of application of these principles to the identification of possible systemic causes of accidents in anesthesia.     

ß-(p-hydroxyphenyl) ethanol in the chest gland secretion of a galago (Galago crassicaudatus)

Summary ß-(p-hydroxyphenyl)ethanol is present in the chest gland secretion of the galago Galago crassicaudatus.     

In vitro systems in the study of peroxisomal protein import

Our level of understanding of peroxisome biogenesis in comparison with other cellular organelles is rudimentary, yet the fragments of information available indicate that the targeting and import of peroxisomal proteins occur by fundamentally different mechanisms. Genetic studies have identified a number of genes required for peroxisome assembly, but in most cases the functions of the gene products remain unknown. In vitro protein translocation systems have played a prominent role in unravelling the biochemistry of protein translocation into other organelles. This review considers some of the requirements for establishing a bona fide peroxisomal import assay and discusses the findings which have emerged as a result of using such experimental systems.     

Effects of tranylcypromine on the concentrations of some trace amines in the diencephalon and hippocampus of the rat

Summary Concentrations of 4 trace amines in diencephalon and hippocampus of the rat were measured by integrated-ioncurrent mass spectrometry after administration of the antidepressant drug, tranylcypromine. Much larger increases were observed for 2-phenylethylamine and tryptamine than for m- and p-tyramine.Financial support has been provided by the Medical Research Council of Canada, the Psychiatric Services Branch, Province of Saskatchewan, the Alberta Mental health Research Fund, and the Special Services and Research Committee, University of Alberta Hospital.Acknowledgments. The authors wish to thank Dr B.A. Davis for synthesizing the deuterated internal standards and Dr D.A. Durden for supervising the mass spectral analyses. Expert technical assistance was provided by Mr R.C. Mag-Atas and Ms D.G. Calverley. The advice and encouragement of Professors W. G. Dewhurst and A. A. Boulton are gratefully acknowledged.     

The effects of secretin on urinary volume and electrolytes in normal subjects and patients with chronic pancreatic disease

Zusammenfassung Injektion von Sekretin ruft bei normalen Versuchspersonen Diuresis und Vermehrung der Natrium- und Alkali-Ausscheidung hervor. Diese Wirkungen sind vermindert bei Patienten mit chronischer Pankreaserkrankung. Der mögliche Mechanismus und die praktische Bedeutung dieser Beobachtungen werden diskutiert.

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Supported successively by grants from the Royal Free Hospital Endowment Fund.     

Three-dimensional structure of a complex of antibody with influenza virus neuraminidase

The structure of a complex between influenza virus neuraminidase and an antibody displays features inconsistent with the inflexible 'lock and key' model of antigen-antibody binding. The structure of the antigen changes on binding, and that of the antibody may also change; the interaction therefore has some of the character of a handshake.