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Biomedical subjects

I Melnick

Publications and source records attributed to I Melnick.

At least 19 recordsLinked to original sources

In vitro development of vertebrate central synapses.

This article deals with basic determinants of synaptic efficacy during development of glutamatergic and GABAergic synaptic transmission: location and number of release sites, release probability and single cell-activated (unitary) conductances. We hypothesize that both types of neuronal connections differ in major aspects of synaptogenesis. Disregarding the fact that various test models and cell types could render diverging results, it can be observed that glutamatergic terminals display a preference for dendrites, whereas GABAergic terminals select soma locations at initial stages of development. Glutamatergic synapses are characterised by receptor accumulation in the region of terminal apposition, whereas in GABAergic synapses receptor concentration is weak, if present at all. The expression of glutamate receptors (GluRs), but not GABAA receptors is under control of interneurons. Developmental changes in glutamatergic synaptic transmission have not yet been assessed by quantal analysis. For GABAergic synapses, first results are now available from a culture preparation of the rat superior colliculus. In general terms, functional maturation seemed to lag behind the formation of structurally differentiated release sites. Compound binomial analysis revealed that during in vitro development a considerable fraction of GABAergic terminals remained in a low efficacy release state (p < 0.2). A developmental increase in synaptic strength was reached by the appearance of singular highly effective release sites. Presynaptic maturation could be manipulated by long-term drug treatment. Addition of GluR antagonists significantly increased amplitudes and decreased the coefficients of variations of evoked inhibitory postsynaptic currents. Thus, the strength of inhibitory synaptic transmission could be influenced by the status of heteronymous synaptic input.

Animals

The computer and your practice.

A sophisticated computer system allows a urology practice to run more efficiently and provides better control. All problems were not solved with the installation of such a system, and we developed a few problems that did not exist before computerization. However, this system has allowed our practice to grow with fewer additions to the office staff than would have been possible previously, and it has been our experience that the benefits far outweigh the problems.

Computers

Vesical exstrophy with epispadias. Twenty-year follow-up.

A case we believe to be the longest with successful anatomic closure of exstrophy and epispadias witholt reflux or incontinence is reported. The persistence of the squamous metaplasia in the bladder despite twenty years of "turn-in" is noteworthy. The original method of closure reveals no "secret" to account for the success. The method of repair of traumatic rupture is presented.

Adolescent

Delayed transection of urethra by mersilene tape.

This report is of a patient with complete urethral transection after undergoing a mersilene sling urethral suspension. This unusual complication eventually presented as anterior urethral pseudodiverticulum containing the mersilene tape with a secondary calculus.

Adult