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Biomedical subjects

A L Schneider

Publications and source records attributed to A L Schneider.

14 recordsLinked to original sources
PubMed1998

Divalproate augmentation in lithium-resistant rapid cycling mania in four geriatric patients.

This report describes four geriatric patients, with rapid cycling bipolar disorder, who were treated successfully with divalproex sodium in combination with lithium carbonate, noting that both drugs were necessary for clinical remission of symptoms. Divalproex sodium may actually enhance the sensitivity to lithium carbonate in this population, potentially leading to treatment with lower lithium concentrations. This strategy has an advantage in enabling a greater safety range in the use of lithium carbonate in elderly patients. This report further raises questions as to the nature of rapid cycling illness in the "old-old" population.

Age Factors↗
PubMed1998

One step partial purification of beta-D-galactosidase from Kluyveromyces marxianus CDB 002 using STREAMLINE-DEAE.

The intracellular enzyme beta-D-galactosidase provides interesting applications in the dairy industry, which are able to solve problems related to product processing, or can alleviate lactose intolerance in some populations. In order to obtain a technical enzyme, yeast cells of Kluyveromyces marxianus CDB 002 were disrupted by high pressure homogenization and an innovative chromatographic technique was tested for the recovery of beta-D-galactosidase. A STREAMLINE 25 column, containing 65 ml STREAMLINE-DEAE was equilibrated with 50 mM potassium phosphate buffer pH 7.5 at an upward flow of 250 cmh-1. 100-200 ml cell homogenate were applied onto the expanded gel. After unbound proteins and cellular debris were washed out, the bed was allowed to sediment and beta-D-galactosidase was eluted with a downward flow of 0.2 M NaCl in the same buffer. A 6-fold purification factor was achieved with 63% activity recovery, while removing cell debris at a single step, thus avoiding a centrifugation step. Concentration and volume of the applied sample affected purification and gel performance. The results presented show STREAMLINE-DEAE chromatography to be an interesting method for the production of beta-D-galactosidase as a technical enzyme, since it can also be applied on a large scale without much modification.

Biotechnology↗
PubMed1998

Use of guide planes and implant supported bar overdentures: a case report.

A stable occlusal plane is achieved with the combination of two maxillary, implant-supported milled bars securing an overdenture and bilateral, mandibular-fixed partial dentures. Overdenture retention is enhanced with attachments. Guide planes assure proper alignment of the overdenture for easy patient insertion and improved prosthesis stability. A reliable technique for verifying the accuracy of the master cast is also presented.

Aged↗
PubMed1996

Increasing ethnic diversity and managed care: how will they influence research patient recruitment in the nineties?

The challenge of research patient recruitment is intensifying in the 1990s. Relevant factors include the often negative impact of the press, increasing competition for patients, an increasingly ethnically diverse population, and a pervasive trend toward managed care. Based on preliminary findings from a patient focus group, 550 patients were contacted by mail and asked to complete a 25-item questionnaire. Survey results indicate that for most study patients initial telephone contact with a health care professional is not as important as the perception of a genuinely caring (i.e., "non-guinea pig") environment. Office location and other intangibles also affect recruitment; furthermore, several of the benefits sought by volunteers transcend ethnicity. The trend toward managed care will not impede and may enhance research patient recruitment. This research provides information and data that will enable investigators and sponsors to better meet the challenges of patient recruitment in the 1990s.

Adult↗
PubMed1992

Technology assessment. An American Medical Association perspective.

The contemporary practice of medicine depends on the use of a wide array of technologies that did not exist 40 years ago. An exponential increase in our scientific knowledge base, and the subsequent application of this new information to clinical practice, have dramatically extended longevity, enhanced the quality of life, and improved the overall health status of the American public. Clinical medicine has become "a set of technologies for diagnosis, prevention, treatment, and rehabilitation."

American Medical Association↗
PubMed1983

Experimental observations on peritoneal transport in rabbits.

Peritoneal transfer kinetics of substances differing in molecular size and lipophilic properties were studied in anuric adult rabbits with ligated ureters. In conscious animals, the dialysate/plasma concentration ratios of creatinine (Cr) and inulin (In) rose exponentially up to 200 min of dwelling. Peritoneal CIn was 0.24 ml/min/kg, and CCr was 0.10 ml/min/kg of body wt. The transfer rate for dipropyl acetic acid (VPA) was higher than for its more lipophilic analogue dibutyl acetic acid (DBA); the apparent equilibrium of the dialysate/plasma concentration ratio for VPA was 0.3 to 0.6 and 0.15 to 0.20 for DBA. Correspondingly, the peritoneal CVPA was higher (0.08 to 0.16 ml/min/kg) than CDBA (0.04 to 0.05 ml/min/kg); peritoneal clearances were 8% vs. 1.5% of the plasma clearances. The addition of nitroglycerin, dopamine, isoprenalin, fenoterol, and nitroprusside sodium to the dialysate did not increase significantly the peritoneal CCr and CIn during 30-min cycles. In conclusion, the peritoneal transport kinetics of creatinine, inulin, and protein are qualitatively similar to clinical data, but of different magnitude. The efficiency of peritoneal dialysis depends on the lipophilic characteristics of the substance to be transferred. The vasoactive drugs studied seem not to be promising for increasing the efficiency of peritoneal transport.

Animals↗
PubMedDate not supplied

Bar overdentures utilizing the Locator attachment.

Implant-retained overdentures are a restorative option for both the fully and partially edentulous arches. A new attachment, the Locator, which features a reduced interarch requirement and the advantage of built-in guide planes providing precise insertion, is described. The Locator is an advancement in attachment technology, with an improved design combined from the best features of a ball attachment, an ERA attachment, and a cap attachment.

Aged↗