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Biomedical subjects

D Garfinkel

Publications and source records attributed to D Garfinkel.

At least 127 records · Page 7Linked to original sources
PubMed1969

Construction of biochemical computer models.

This paper described methods for constructing (digital) computer models of biochemical systems when the main object is to investigate the system itself, and not to fit experimental data (e.g., from tracer kinetics) to a set of equations. The author describes model-building as an art which is difficult to communicate, but nevertheless gives valuable tips on the conceptual and practical aspects, from his own considerable experience.

Journal Article↗
PubMedDate not supplied

Improvement of sleep quality by controlled-release melatonin in benzodiazepine-treated elderly insomniacs.

Benzodiazepines are widely used in the elderly population for the initiation of sleep. However, very frequently, complaints about poor sleep maintenance persist despite benzodiazepine treatment. Melatonin, a hormone produced by the pineal gland at night, is involved in the regulation of the sleep/wake cycle. Melatonin production decreases with age and can also be inhibited by benzodiazepines. We have recently reported on the association between insomnia and impaired melatonin output in the elderly. In the present study we have investigated the efficacy of melatonin replacement therapy in improving sleep in 21 elderly subjects who have been taking benzodiazepines and had low melatonin output. In a randomized, double-blind, crossover designed study the subjects were treated for three weeks with 2 mg per night of controlled-release melatonin and for 3 weeks with placebo, 2 h before desired bedtime with a 1-week washout period between treatment periods. Subjects' sleep was assessed by wrist actigraphy. Melatonin treatment significantly increased sleep efficiency and total sleep time and decreased wake after sleep onset, sleep latency, number of awakenings and fragmental index, as compared to placebo. The results of our study indicate that melatonin replacement therapy can improve sleep quality in the elderly and that the beneficial effects are augmented in the presence of benzodiazepines.

Clinical Trial↗