Modern dentistry for seniors. New directions in implant technology.
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Biomedical subjects
Publications and source records attributed to R Goodlin.
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A patient with the syndrome of hemolysis, elevated liver enzymes, and low platelet count and hyponatremia is described. Hyponatremia could explain the central nervous system symptoms sometimes seen in cases of toxemia.
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We describe seven patients with idiopathic facial (VII) nerve palsy commencing primarily in late pregnancy or in the immediate postpartum period. One patient had recurrent Bell's palsy in three consecutive pregnancies. Three women developed bilateral palsy. The occurrence of such otherwise rare manifestations of Bell's palsy supports the suggestion that physiologic changes occurring in late pregnancy or the immediate puerperium predispose to Bell's palsy.
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The pellicles formed on fragments of human dental enamel worn on a palatal appliance for 1 min to 24 h were removed by acid extraction and the total amounts of protein and of acidic proline-rich proteins were determined. The percentage of total extracted protein constituted by the proline-rich proteins increased during the first hour of formation to about 37 per cent. Little difference was seen in total proline-rich protein between pellicles formed in a 1 and a 24-h period, but there was a gradual degradation of the proteins. There was no preferential retention of the N- or C-terminal parts of the proteins. Extracts of old acquired dental pellicle contained less than 0.1 per cent proline-rich proteins and pellicles more than 24 h old showed degradation of the adsorbed proline-rich proteins; there is no indication that the N-terminal part which contains the known biological activities was retained to a greater extent than the C-terminal part.
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Colloid osmotic pressure (COP) was measured in maternal serum of normal and hypertensive gravidae, and in their amniotic fluid. Both normal and hypertensive gravidae in the third trimester at bed rest and those treated for hypertension have low COP. Likewise, postpartum women may have low serum COP values apparently unrelated to any disease process. Amniotic fluid COP is low in both normal and hypertensive gravidae. COP Measurements therefore, seemingly offers little information regarding the health of pregnant women. Serum COP may increase in some hypertensive gravidae receiving saline infusion, probably reflecting abnormal renal function and hypovolemia. High serum triglyceride values coexisting with low COP may represent hepatic efforts to produce other colloid osmotic-active substances in the semi-chronic situation, although our findings in the acute situation did not support this hypothesis.
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A case of successful conservative surgical and obstetric management of chronic pancreatitis and pancreatic pseudocyst in a pregnant Pima Indian is presented. In addition, the correlated studies of maternal serum and amniotic fluid amylase values and their relation to fetal maturity are discussed.
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