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C V Perrier

Publications and source records attributed to C V Perrier.

21 records · Page 2Linked to original sources
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[Demography and medicine in Switzerland: medical manpower and project "DEMOMED"].

The situation as regards medical manpower in Switzerland in 1975 is characterized by high enrollment in the medical schools and a doubling time for the number of physicians in practice of approximately twenty years. A federal commission concerned with problems related to medical studies (CEPREM) conducted a study aiming at defining an optimum figure for intake of students into the medical schools. A survey of the international literature and a statistical study of availability of physician services region by region in Switzerland were conducted. The results show that it is impossible to define with precision an optimum "medical density" for Switzerland. The system of health and the functions of its various professions are not defined, and powers of decision in this field are not uniformly attributed. In the national survey, the most striking feature was disparity between various regions as regards access to medical or paramedical services. This disparity is parallel to state of economical development, and unlikely to be corrected even by an excess of overall medical manpower. Four hypotheses are presented on the consequences of increase, decrease, or stable enrolment in the medical schools. We conclude that there is no technical basis for defining an optimal medical density, but that it would be reasonable to decrease the number of second-year students by a factor of the order of 25% on the basis of a political decision.

Physicians↗
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Physiological disposition and metabolism of 5-(2',4'-difluorophenyl)salicyclic acid, a new salicylate.

5-(2'4'-Difluorophenyl) [carboxy-14C]salicyclic acid (MK-647) was quickly and completely absorbed in rats, dogs, and man. Peak levels of plasma radioactivity occurred in 1-2 hr after oral administration. The dose was 10 mg/kg in rats and dogs, and 50 or 500 mg in man. Most of the drug in plasma was intact MK-647 which was extensively bound to plasma protein. In man the peak concentration following the 500-mg dose was approximately 10 times that after the lower dose, which suggests that absorption rates of both doses were similar. Elimination of drug from plasma was dose-dependent. The area under the curve for MK-647-14C in plasma was 18 times higher following the 500-mg dose than the 50-mg dose. Dogs given 10 mg/kg orally or intravenously excreted 44% of the dose in the urine and 42% in the feces in 72 hr. Rats given the same dose level by either route of administration excreted 80% in the urine and 11% in the feces. In man approximately 95% of a 50- or 500-mg oral dose was excreted in the urine and 3% in the feces, in 96 hr. MK-647 and two metabolites were present in the urine of three species. The ether and ester glucuronides were identified in human urine. The latter metabolite was also identified in rat and dog urine. The glycine conjugate of MK-647 was not observed in the urine of the three species. No interaction was observed between MK-647 and bishydroxycoumarin in the prothrombin time test nor with tolbutamide in the glucose tolerance test. A significant lowering of hexobarbital sleeping time was observed in female, but not male rats after four consecutive daily doses of MK-647. After repeated daily administration of MK-647 (12.5-100 mg/kg), the diurnal plasma level in dogs was not significantly altered, indicating that no saturation, induction, or inhibition of its own metabolism took place.

Animals↗