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Biomedical subjects

Z Friedman

Publications and source records attributed to Z Friedman.

At least 109 records · Page 6Linked to original sources

Correction of essential fatty acid deficiency in newborn infants by cutaneous application of sunflower-seed oil.

Two newborn infants receiving long-term, fat-free parenteral nutrition developed essential fatty acid (EFA) deficiency. Biochemical evidence of EFA deficiency was documented in plasma, red blood cells, and adipose tissue and included a decrease in arachidonic and linoleic acids, an increase in 5,8,11-eicosatrienoic acid, palmitoleic and oleic acids and a trienoic/tetraenoic ratio of more than 0.4. Cutaneous application of sunflower-seed oil, a source rich in the essential fat linoleic acid, rapidly reversed the clinical and biochemical manifestations of deficiency in plasma.

Adipose Tissue↗

Effect of retinal detachment surgery on the course of preexisting open-angle glaucoma.

In 11 of 12 eyes with chronic simple glaucoma after surgery for retinal detachment, intraocular pressures were decreased for one to 5 1/2 years without any antiglaucomatous treatment. No further deterioration in the state of the optic disks or the visual fields occurred in any of these eyes. In all 12 fellow eyes antiglaucomatous treatment is still being administered. The operation employed in nine of the 11 cases consisted of an encircling silicone rubber band shortened by 15 to 20% of its length when placed around the eyeball before tapping subretinal fluid. An episcleral silicone implant was placed under the encircling ban in seven of these eyes. Kinking and possibly narrowing of the long posterior ciliary arteries by the encircling silicone band probably caused the ciliary hyposecretion and the resultant hypotony.

Aged↗

Fellow eye in angle-closure glaucoma.

118 consecutive patients with angle-closure glaucoma (ACG) were investigated. The primarily affected eye presented with acute ACG in 71 patients, with intermittent or chronic ACG in 41, and with acute ACG secondary to intumescent cataract in six. ACG was demonstrated in the fellow eye in 85 of the 118 patients (72 per cent.), including 72, 71, and 83 per cent. respectively of the three groups distinguished above. In 27 fellow eyes, ACG was demonstrable only by provocative testing. Eleven patients failed to return for follow-up investigation. A routine prophylactic peripheral iridectomy in the fellow eye is justified in patients who are unlikely to attend for follow-up examinations,, but may be avoided in about 23 per cent. of patients who attend regularly.

Dark Adaptation↗

Posterior vitreous detachment after cataract extraction in non-myopic eyes and the resulting retinal lesions.

A series of 54 non-myopic aphakic eyes with no signs of posterior vitreous detachment and 63 non-myopic aphakic eyes with various stages of posterior vitreous detachment was followed-up for a period of 6 months to 6 years. Over half of the eyes with no vitreous detachment when first examined developed various stages of posterior vitreous detachment during the follow-up period; in 10 eyes this was accompanied by entopsies with or without photopsies and three eyes developed five new retinal tears. In over half of the eyes with partial vitreous detachment when first examined, the vitreous detachment continued to progress causing retinal detachment in one eye. Late vitreous detachment in non-myopic aphakia or the completion of a partially-detached vitreous could account for the higher incidence of retinal tears in this group of eyes.

Aged↗

Myopia-aphakia. II. Vitreous and peripheral retina.

Biomicroscopical examination of the vitreous and peripheral retina was performed on 103 aphakic eyes with myopia of at least -6-0 dioptres. Retinal breaks were found in 19 eyes (18-4 per cent). Posterior vitreous detachment was present in all but one of the eyes. The high prevalence of retinal breaks in aphakic eyes with high myopia is compatible with the high incidence of retinal detachment in such eyes.

Adult↗

Ionized calcium in exchange transfusion with THAM-buffered ACD blood.

In 20 exchange transfusions with THAM-buffered ACD blood 5 ml. of 2% calcium gluconate (8 mg. elemental calcium) was injected after each 100 ml. of blood exchanged. Plasma ionized calcium decreased significantly during the procedure, although after each injection of calcium gluconate, levels returned briefly to normal. Ten minutes after the end of exchange ionized calcium had returned to pre-exchange levels and remained there until at least 30 mins. postexchange.Total calcium also increased significantly. Short periods of extreme hypercalcemia (between 7 and 8 mEq./l.) were noted after each injection of calcium gluconate.The amount of calcium gluconate was insufficient to counteract the calcium-chelating effect of citrate. If no heparinized blood is available we suggest adding heparin and calcium chloride to THAM-buffered ACD blood to avoid the repeated sudden fluctuations between low and high calcium ion activity.

ABO Blood-Group System↗

Phosphorylation of skeletal muscle microsomes by acetylphosphate.

The phosporyl group of acetylphosphate is transferred to the membranal protein of the sarcoplasmic vesicles during active calcium transport. Although the phosphoprotein formed cannot be distinguished from that obtained in the presence of ATP, the conditions for ATP and acetylphosphate hydrolysis are different from each other.

Journal Article↗

Indomethacin disposition and indomethacin-induced platelet dysfunction in premature infants.

Indomethacin failed to produce permanent ductal closure in any of four premature infants with patent ductus arteriosus to whom the drug was given. Indomethacin half-lives measured in two premature infants were 21 and 24 hours, respectively, much longer than in full-term newborns or adults. Platelet function, as measured by platelet aggregation, was grossly abnormal for two to four days after indomethacin administration, normal values returning only by the ninth and tenth days. Gastrointestinal bleeding and transient renal dysfunction occurred in one infant. Measurement of plasma indomethacin concentrations in sick, low-birthweight infants could help guide indomethacin dose and dosage interval, prevent drug accumulation, and reduce toxicity. Further studies of potential toxicity seem to be indicated before instituting widespread indomethacin administration for ductal closure in premature infants.

Blood Platelet Disorders↗

Changes in uterine artery doppler velocimetry in pregnant patients undergoing glucose tolerance test may predict adverse outcome in later pregnancy: a preliminary study.

OBJECTIVE: Previous studies have demonstrated that high glucose levels often cause increased placental resistance to blood flow. The present study was undertaken to assess whether any changes in placental vascular resistance would occur following a standard glucose tolerance test. METHODS: Doppler velocimetry of uterine, intraplacental and umbilical vessels was performed before and after administration of glucose tolerance test. RESULTS: The uterine circulation demonstrated abnormal indices in patients that later developed placental insufficiency. CONCLUSION: This preliminary study demonstrated that following a glucose tolerance test significant changes seem to occur in the uteroplacental but not in the fetoplacental circulation of pregnancies destined to develop preeclampsia or intrauterine growth restriction.

Arteries↗