Biomedical subjects
J Ruedy
Publications and source records attributed to J Ruedy.
Comparative bioavailability of three brands of ampicillin.
The relative biological availability (bioavailability) of three brands of ampicillin trihydrate capsules marketed in Canada was studied by means of a crossover experimental design and was evaluated by analysis of variance. After administration of a single oral dose (500 mg.) to volunteer subjects, the mean peak ampicillin serum concentration and the area under the time ampicillin serum concentration curve (AUC) were higher for one of the products than for the other two. A second study utilizing the same experimental design revealed no differences in these parameters when different production lots of the more available product were compared. Product bioavailability was not related to the in vitro dissolution time of the capsules. The experimental design and methods of statistical analysis are discussed.
Severe lithium intoxication: management without dialysis and report of a possible teratogenic effect of lithium.
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Hemodynamic effects of ethacrynic acid in anephric dogs.
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Treatment of hypertension with hydrochlorothiazide and spironolactone.
A comparison was made of the antihypertensive effect of a daily dose of 150 mg. of hydrochlorothiazide (HCT) with one of 150 mg. of spironolactone (SL) in 48 patients with essential hypertension.The blood pressure values after six weeks of therapy with HCT were not significantly different from those after SL. Treatment of 25 of these patients with the two agents combined did not reduce the blood pressure further. Blood urea nitrogen concentrations increased with both HCT and SL treatment.With combined treatment there was a further increase in blood urea nitrogen concentration and a decrease in serum sodium concentrations without weight loss beyond that achieved with either HCT or SL alone.
Determination of glomerular filtration rate with 57Co-B12 and plasma protein binding of cyanocobalamin.
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The use of a binding agent, polyvinylpyrrolidone, in the treatment of experimental barbiturate intoxication in rabbits.
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Adverse reactions during hospitalization.
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Adverse drug reactions during hospitalization.
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The concentration of cephaloridine in the cerebrospinal fluid of rabbits with experimental meningitis.
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The use of cephaloridine in adult patients with renal failure.
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Therapeutic response to oral dosage forms.
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A method of determining patterns of use of antibacterial drugs.
A hospital chart review system using standard IBM punch cards was designed to review patterns of use of antibacterial drugs in a large Canadian general hospital. Review of the charts of 4894 patients during an eight-month period showed that this method provided an inexpensive and accurate summary of many of the details of use of antibacterial drugs, including indications accepted for drug use, specific drugs selected, the manner in which the drugs were used and the precautions taken to avoid adverse reactions. This method of review should be valuable in delineating drug misuse and overuse, and hence in the continuing education of the physician.
A clinical trial of cephaloridine.
Cephaloridine, a cephalosporin derivative, was administered to 30 selected patients, including 19 with moderate to severe impairment of renal function. This antibiotic eradicated infections due to Staphylococcus pyogenes, and urinary tract infections due to a single member of the species Escherichia coli or Aerobacter aerogenes, which were sensitive to the drug on bacteriological testing. The drug failed in mixed urinary tract infections.No adverse effects were observed except for the development of superinfection in patients with urinary tract infections. No allergic reactions were noted in 10 patients who had reported previous reactions to penicillin.From these studies in patients with renal disease, approximations can be made concerning dose requirements in these special cases. Because of the apparent absence of dose-related toxic effects in humans, cephaloridine was particularly useful in the treatment of patients with renal disease and infections due to susceptible bacteria.
The effects of peritoneal dialysis on the physiological disposition of oxacillin, ampicillin and tetracycline in patients with renal disease.
Seven patients with acute or chronic renal failure who were receiving intermittent peritoneal dialysis and who required parenteral oxacillin, ampicillin or tetracycline were studied to determine the disposition of these antibiotics in severe renal disease and the effects of peritoneal dialysis. While severe renal impairment markedly prolongs persistence in the serum of ampicillin and tetracycline, there is little effect on oxacillin. Whereas required doses of ampicillin and tetracycline are lower in the presence of severe renal disease, oxacillin should be given in doses equivalent to those used for patients with normal renal function. Peritoneal dialysis does not alter these dosage requirements.Four patients receiving ampicillin or tetracycline in the infusing solution during peritoneal dialysis were studied to determine the amount of systemic absorption. Local prophylaxis alone is not achieved with this method of administration, since small amounts of both antibiotics are absorbed systemically from the infusing solution. The serum concentration of tetracycline attained is inadequate for treatment of systemic infections but is probably significant, with repeated use in intermittent dialysis, in causing adverse effects. Tetracycline should be abandoned in the local prophylaxis of peritonitis during peritoneal dialysis.
A comparative clinical trial of guanoxan and guanethidine in essential hypertension.
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Comparison of glaphenine and codeine in postoperative dental pain.
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