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Biomedical subjects

R Hakimi

Publications and source records attributed to R Hakimi.

At least 19 recordsLinked to original sources
PubMed2003

[On the tasks of the medical director in private German health insurance companies].

The tasks of the medical director in private German health insurance companies is largely unknown to the public and to physicians, and there is a lack of scientific literature about this subject, though medical directors have a long tradition in the German insurance system. The result of a representative sample of 826 enquiries to the medical director showed that most of the questions are about the medical necessity of medicines, duration of in-patient hospital treatment, alternative medicine, extensive laboratory diagnostics, physical therapy, the German fee system (GOA) and in recent time also about the demarcation of cosmetic surgery from medically necessary surgery, and about anti-aging therapy and artificial fertilisation. Risk management and consulting about case and disease management is also increasingly important.

Financial Management↗
PubMed2003

Competitive binding of Pu and Am with bone mineral and novel chelating agents.

Effective direct removal of actinides such as Pu and Am from bone in vivo has not been accomplished to date, even with the strong chelating agents CaNa3DTPA or ZnNa3DTPA. This study, using an established in vitro system, compared removal of Pu and Am bound to bone mineral by ZnNa3DTPA and 10 chelating agents designed specifically to sequester actinides, including Pu and Am. Ligands tested were tetra, hexa, and octadentate, with linear or branched backbones containing sulfocatechol [CAM(S)], hydroxycatechol [CAM(C)], hydroxipyridinone (1,2-HOPO, Me-3,2-HOPO), or hydroxamate functional groups. The wide range of Pu and Am removal exhibited by the test ligands generally agreed with their metal coordination and chemical properties. The most effective agents for Pu (100 microM concentration, 24-48 h contact) are all octadentate as follows: 3,4,3-LICAM(S) (54% unbound); 3,4,3-LICAM(C) (6.2%); 3,4,3-LI(1,2-HOPO) (3.8%); H(2,2)-(Me-3,2-HOPO) (2.2%) and DFO-(1,2-HOPO) (1.8%). The other ligands removed less than 1% of the bound Pu; and ZnNa3DTPA removed only 0.086%. The most effective ligands for Am removal (100 microM, 24-48 h contact) are as follows: octadentate H(2,2)-(Me-3,2-HOPO) (21% unbound); 3,4,3-LI(1,2-HOPO) (14.5%) and 3,4,3-LICAM(C) (5.9%); hexadentate TREN-(Me-3,2-HOPO) and TREN-(1,2-HOPO) (9.6%); and tetradentate 5-LIO(Me-3,2-HOPO) (5.2%). Am removal by ZnNa3DTPA was about 1.4%. Among the ligands presently considered for possible human use, only 3,4,3-LI(1,2-HOPO) removed potentially useful amounts of both Pu and Am from bone mineral.

Americium↗