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Biomedical subjects

I D Mandel

Publications and source records attributed to I D Mandel.

At least 127 records · Page 7Linked to original sources
PubMed1981

Immunochemical quantitation of human submandibular-sublingual lysozyme.

A method for quantitating lysozyme by using carbamylated antiserum (commercially available) to human lysozyme in a electroimmunodiffusion technique has been developed. The method measures specific protein not lytic activity as the lyso-plate method does. We have applied this method to tears, parotid saliva, submandibular-sublingual saliva, nasal secretions, serum, and minor salivary gland secretions. We specifically selected submandibular-sublingual saliva for a comparison test with the lyso-plate method because of the known mucin content of the submandibular-sublingual saliva. Our findings indicate that no pretreatment is necessary for the electroimmunodiffusion technique. The lyso-plate method, on the other hand, requires pretreatment with Tris-acetate pH 4.5 to dissociate the mucin-lysozyme complex and give accurate values.

Humans↗
PubMed1981

Basal and reflex human tear analysis. II. Chemical analysis: lactoferrin and lysozyme.

Unstimulated basal tears and stimulated tears were collected from normal controls, keratoconjunctivitis sicca (KCS) patients, and contact lens (CL) wearers. Basal tear volume (Periopaper) and reflex tear volume (Schirmer Strip) were measured and tears eluted from their respective strip with a TMED-acetic acid buffer. Lactoferrin and lysozyme concentrations were measured in the eluates. Concentration of lysozyme in basal tears was: 65 +/- 43 mg% in normals; 44 +/- 26 mg% in KCS, and 81 +/- 50 mg% in CL wearers. Concentration of lysozyme in reflex tears was: 160 +/- 73 mg% in normals, 74 +/- 41 mg% in KCS, and 186 +/- 83 mg% in CL wearers. Concentration of lactoferrin in basal tears was 137 +/- 102 mg% in normals, 154 +/- 82 mg% in KCS, and 157 +/- 80 mg% in CL wearers. Concentrations of lactoferrin in reflex tears was: 327 +/- 187 mg% in normals; 171 +/- 69 mg% in KCS, and 302 +/- 160 mg% in CL wearers. The lactoferrin concentration in all tear samples was consistently higher (1.6-3.5 times) than lysozyme. In basal tears, lactoferrin concentrations were not significantly different in the three groups. In reflex tears, however, lactoferrin was significantly lower in KCS than normal or CL wearers. The concentration of lysozyme in both basal and reflex tears was significantly lower in the KCS when compared to normal or CL wearers. Lysozyme and lactoferrin concentrations in both basal and reflex tears were similar in CL wearers and normal controls. The sampling and elution of basal and reflex tears as described appears to be a feasible technique for analysis of lysozyme and lactoferrin concentrations by the electroimmunodiffusion technique and has potential diagnostic value.

Contact Lenses↗
PubMed1981

Basal and reflex human tear analysis. I. Physical measurements: osmolarity, basal volumes, and reflex flow rate.

Minimally stimulated, retained "basal' tears and stimulated reflex tears were collected from normal controls, keratoconjunctivitis sicca (KCS) patients, and contact lens (CL) wearers. Basal tear samples were collected on small filter paper strips (Periopaper) over a five-second period, and volume was measured by means of an electronic device (Periotron). Collected basal tear volumes for KCS patients (0.84 +/- 0.42 mul) were significantly lower (P less than 0.01) than normal controls (1.18 +/- 0.36) and CL wearers (1.24 +/- 0.27). Reflex tear flow rates were measured over a five-minute period on Schirmer strips. Volume was calculated by comparison of wet length with known volumes of 1% egg white lysozyme solution. The reflex tear flow rates in KCS patients (3.29 +/- 3.57 mul/minute) were significantly lower than normal controls (5.71 +/- 5.86) and CL wearers (6.96 +/- 6.07). The elevation in CL wearers was not statistically significant when compared to normals. KCS patients are deficient in both basal and reflex tears compared to normals but have a more significant deficiency of basal tears. Female normals and CL wearers over 40 years of age have a higher tear osmolarity than those under 41 years of age. Female KCS patients over 40 years of age have a tear osmolarity that is not significantly different from female KCS patients under 41 years of age.

Adult↗
PubMed1981

The effect of saliva on plaque pH in vivo.

The effect of saliva on plaque acidogenesis was studied in ten caries-resistant and ten caries-susceptible subjects. Plaque pH was measured in vivo following exposure to a sucrose substrate under varying conditions of salivary access. Our findings demonstrate that when there is no salivary access, plaque pH levels are similar in the CR and CS groups. As the access to saliva is increased, the observed pH minima increased to a greater degree in the CR subjects than was noted in the CS subjects. This indicates that saliva (notably stimulated saliva) plays a major role in modifying plaque pH and quantitatively reflects caries status.

Adult↗
PubMed1981

The effect of sucrose and hexitol--containing chewing gums on plaque acidogenesis in vivo.

Comparative quantitation of plaque organic acids formed in vivo in the course of chewing sucrose and sorbitol-mannitol containing gums disclosed that the hexitol gum did not generate any additional lactic, formic, butyric, propionic, acetic or pyruvic acid beyond baseline (0 time) values. In contrast, sucrose-containing gum produced significant increases in lactic and butyric acids. Quantitatively, acetic acid was the major acid in all plaque samples; the values were comparable for both gums at all times, suggesting it was mainly generated from endogenous sources.

Acids↗
PubMed1980

Sialochemistry in chronic recurrent parotitis: electrolytes and glucose.

The concentration of parotid fluid electrolytes and glucose was measured in: (a) a subject during an acute exacerbation of chronic recurrent parotitis and then at various stages of recovery following treatment with corticosteroids; (b) a group of seven patients seen during an acute exacertation and then when clinical symptoms had subsided; and (c) a group of 22 patients studied at various stages of parotitis. During acute exacerbations sodium and chloride concentrations were markedly elevated despite the very low flow rate and potassium was only half the normal salivary level. Phosphate concentration was also extremely low; glucose was very high. During recovery flow rate gradually increased while sodium, chloride and glucose levels fell. Potassium returned quickly to normal while the phosphate level rose very gruadually. The pattern of flow rate and sialochemistry during recovery was essentially the same for all patients. The pattern of flow rate and sialochemistry during recovery was essentially the same for all patients. In most subjects there was a residual effect, and elevated sodium and chloride and a decreased phosphate relative to flow rate. The degree of change from normal appeared to be a good indication of residual pathology within the gland. Sialochemistry should be useful to the clinician in the diagnosis and treatment of chronic recurrent parotitis.

Adult↗
PubMed1980

Growing concerns.

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Capital Financing↗
PubMed1980

Comparative periodontal status of caries resistant versus susceptible adults.

The periodontal status of a group of caries resistant and caries susceptible adult subjects was compared. Assessment was made of plaque accumulation, gingival inflammation and degree of periodontal destruction. When considered as a whole, there were no significant differences between the two groups. The female caries resistant subjects, however, exhibited a significantly lower gingival index, a lower level of periodontal destruction (borderline significance) but no difference in plaque index. The reason for the sex differences is not apparent. This study fails to support the view of an inverse relation between caries and periodontal disease.

Adult↗
PubMed1979

The crystal chemistry of submandibular and parotid salivary gland stones.

The mineral composition of 38 human salivary gland stones was described qualitatively on the basis of X-ray diffraction and chemical analysis. In 32 submandibular stones, hydroxyapatite was the most frequently observed phase with a magnesium-substituted whitlockite co-phase (octacalcium phosphate was rarely present). In six parotid gland stones, apatite, magnesium substituted whitlockite and octacalcium phosphate were noted to be the major crystalline phases. Brushite was rarely found in either submandibular or parotid stones. This is the first report of octacalcium phosphate in salivary gland stones. All stones had ash weights ranging from 75--80%, but their Ca/P ratios could not be used to predict the crystalline phases present. Whitlockite was observed more frequently in the central regions of the submandibular stones than in the outer crusts. Possible explanations for the presence of each of these phases are discussed.

Calcium Phosphates↗
PubMed1979

Periodontal status of patients with reduced immunocapacity.

The periodontal status of patients with reduced immunocapacity was assessed. Gingival inflammation, periodontal destruction, and plaque accumulation were compared in three groups--renal transplant patients, dialysis patients, and normal individuals. The levels of all parameters were similar in the three groups indicating that immunosuppression does not affect the clinical appearance of periodontal disease when measurements are made in a single examination. In the transplant group, however, there is a lack of correlation between P.I. and G.I. and between P.I. and P.D.I., indicating a dissociation between plaque accumulation and the tissue response. Long-term longitudinal studies of periodontal disease in such patients are needed in order to obtain more meaningful information on the role of the immune system in affecting the rate of periodontal destruction. This study suggests that nonimmune mechanisms such as the direct effect of bacterial products on supporting tissues can account for at least some of the clinical manifestations of periodontal disease.

Adult↗