Nicardipine HCl oral doses (10-40 mg) were administered sequentially to six healthy subjects. For each regimen the capsule dose was administered every 8 hours (q 8 h) for 3 days and the plasma profiles of nicardipine and its pyridine analogue (M5) were determined following the last dose on day 4. Steady-state plasma concentrations of nicardipine for each subject were fitted very well by the Michaelis-Menten equation. An intravenous tracer dose (0.885 mg nicardipine HCl) was administered simultaneously with the final oral dose on the fourth day of the 30 mg q 8 h regimen. The steady-state bioavailability of nicardipine was shown to be dose-dependent and averaged 19 per cent (10 mg), 22 per cent (20 mg), 28 per cent (30 mg), and 38 per cent (40 mg). Nicardipine undergoes linear first-pass metabolism to M5. Other metabolic pathways are responsible for the saturable first-pass metabolism observed for nicardipine.

Administration, Oral↗

PubMedDate not supplied

The spa and sexually transmitted diseases.

Explore the source record for details and available documents.

Balneology↗

PubMedDate not supplied

Sexually transmitted diseases as seen by general practitioners in Ireland: use of a telephone survey.

A telephone survey of one of every five general practitioners in the Republic of Ireland was carried out in July 1978 for the purpose of establishing the frequency of diagnosis of venereal diseases during the preceding year. In addition, information was obtained on the subsequent management of the diseases. This type of survey was found to be economical and quick, and the response rate (98.6%) was excellent. The national frequency of diagnosis (per 100,000 population) was estimated from the sample to be 7.7 for syphilis, 97 for gonorrhea, and 2,000 for nonspecific venereal diseases. The rates of reporting of these diseases were less than or equal to 24.3%, 9.8%, and 3.1%, respectively, of the estimated frequencies. Sixty-nine percent of the general practitioners treated the patients themselves; 51% treated on the basis of clinical diagnosis alone.

Family Practice↗

PubMedDate not supplied

Scanning and light microscopic study of irrigated and nonirrigated joints following burr surgery performed through a small incision.

Research was conducted on young, adult male rabbits where osseous burr surgery was performed through a small incision using two methods of joint debris extrusion. Surgical joint debris was found in all specimens at 1 week following surgery. Also, 1 week postoperatively, the surgically untouched chondral and subchondral joint aspects were intact in both irrigated and nonirrigated specimens. There was, however, subchondral bone inflammation in all specimens but the nonirrigated population had a greater inflammatory subchondral infiltrate. The synovium was more inflamed in the nonirrigated group. Bone particles, observed with scanning electron microscopy, generally appeared to be only slightly more evident in the nonirrigated group. Metal particles were observed in several specimens. By 28 weeks, joint debris was practically undetectable. In the irrigated specimens the chondral and subchondral portions presented with occasional degenerative focal loss of the chondral and subchondral layers. In comparison, the nonirrigated group demonstrated not only occasional but moderate-to-frequent focal loss with fissuring in the chondral and subchondral layers in addition to extrinsic repair of the cartilage surface. Subchondral bone inflammation was also more severe in the nonirrigated group. Observations from this project confirm that joint debris is removed through intrinsic joint processes and further suggests that the postoperative course of inflammation is not a totally abrasion-related phenomenon. The findings support the use of intraoperative irrigation as opposed to debris extrusion without irrigation in order to reduce both immediate and chronic postsurgical inflammation.

Animals↗

PubMedDate not supplied

Changing attitudes toward marriage and single life.

Attitudes about the primacy of marriage as a way of life have changed markedly over the past two decades. The legitimacy of singleness as a life-style is increasingly recognized by young people and their parents; most Americans no longer regard getting married as necessarily better than remaining single and do not disapprove of those who eschew marriage. Although most young people interviewed in the 1980 Study of American Families say that they would be bothered at least a little by failure to marry, relatively few say they would be greatly bothered by that outcome. It is somewhat surprising that the mothers of these young people also report fairly evenhanded attitudes regarding marriage for their children, suggesting that the younger generation will probably not experience much parental pressure to marry. Although the imperative to marry has weakened and the perceived advantages of marriage as compared to single life have declined, marriage continues to be valued by the majority of young Americans as shown in several studies of attitudes toward marriage. More than 90 percent expect to marry and there has been almost no decline in that proportion since 1960. What is more, despite the high levels of divorce, most young people say that they expect their marriages to be lasting. What has changed about marriage plans has been the rising age at which young people, especially young women, expect to marry--an expectation reflected in the increasing age at which Americans are actually marrying. There also seems to be a widespread desire not to let marriage interfere with education and to obtain some work experience before marriage. Marriage continues to be more important to young women than young men, despite recent trends toward more egalitarian sex roles. There is some evidence that experience with divorce increases negative attitudes about marriage and favorable ones about singleness as a way of life.

Adolescent↗