1126
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Wagner L. Catastrophic proposals stir debate on need for long-term care plans. MODERN HEALTHCARE 1987; 17:46. [PMID: 10311950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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1127
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Wagner L. HCFA pressured to extend "social HMO" test deadline. MODERN HEALTHCARE 1987; 17:136. [PMID: 10311949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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1128
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Utley K, Bromberger P, Wagner L, Schneider H. Management of primary herpes in pregnancy complicated by ruptured membranes and extreme prematurity: case report. Obstet Gynecol 1987; 69:471-3. [PMID: 3808528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
A case of primary herpes simplex vaginitis during pregnancy became complicated by rupture of membranes at 25.5 weeks' gestation. The patient was treated with intravenous acyclovir shortly after rupture, and managed expectantly. Genital lesions rapidly abated, and the infant was delivered by cesarean section at 26.5 weeks' gestation after labor ensued. Transplacental passage of acyclovir was documented. The infant then was treated with a ten-day course of intravenous acyclovir. The infant has remained culture negative for 12 months after delivery.
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1129
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Wagner L. 'Rebasing' payment rate data could slash reimbursements. MODERN HEALTHCARE 1987; 17:51-2. [PMID: 10311870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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1130
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Wagner L. VA hikes long-term care spending 11%. MODERN HEALTHCARE 1987; 17:17. [PMID: 10311869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
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1131
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Wagner L. Ex-military man fights elderly's cause. MODERN HEALTHCARE 1987; 17:72. [PMID: 10316151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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1132
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Wagner L. Insurers cautiously offer policies for home health, long-term care. MODERN HEALTHCARE 1987; 17:42. [PMID: 10311794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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1133
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Baldwin MF, Wagner L. Members of Congress, industry groups hit proposed Medicare, Medicaid cuts. MODERN HEALTHCARE 1987; 17:8-9. [PMID: 10301224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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1134
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Wagner L. [Development project. The nursing home is closed down in Skaevinge. Interview by Ulla Danielsen]. SYGEPLEJERSKEN 1986; 86:4-8. [PMID: 3639630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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1135
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Wagner L. [Urinary tract infection]. REVUE DE L'INFIRMIERE 1986; 36:40-3. [PMID: 3634431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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1136
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Petersen S, Ibsen KK, Jansson P, Wagner L. [Psychosis as a symptom of hypertension in a 15-year-old girl]. Ugeskr Laeger 1985; 147:3904-5. [PMID: 4082328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
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1137
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Oesterle S, Sahines T, Tucker C, Tickner EG, Rasor J, Kernoff R, Kantrowitz N, Billingham M, Wagner L, Popp RL. A new method for assessing right-sided heart pressures using encapsulated microbubbles--a preliminary report. West J Med 1985; 143:463-8. [PMID: 3937336 PMCID: PMC1306370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
A new noncatheter method for measuring pressures of the right side of the heart uses specially manufactured microbubbles of carbon dioxide injected into the peripheral venous system. Sudden expansion of these bubbles in the cardiac chambers causes bubble oscillations at a frequency that is primarily a function of surrounding pressure. The oscillations are recordable by a microphone on the chest wall. The preliminary experience has been in dogs and further development is needed before we can begin clinical testing of the method. In its current form, the potential for measuring higher systolic pressures seems better than that for lower diastolic pressures.
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1138
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Pittenger G, Vinik AI, Fiddian-Green RG, Wagner L. A dual role of calcium in release of somatostatin from canine gastric antral mucosa. THE AMERICAN JOURNAL OF PHYSIOLOGY 1984; 246:E361-8. [PMID: 6144272 DOI: 10.1152/ajpendo.1984.246.4.e361] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
We have examined the factors regulating the mucosal release of somatostatin-like immuno-reactivity (SRIF-LI) from 1-cm2 sheets of isolated canine gastric antral mucosa mounted in a Ussing chamber. SRIF-LI was released predominantly into the luminal perfusate, was maximal at pH 2.5, 1,987 +/- 319 pg X ml-1 X h-1, and reached a nadir at pH 6.0 of 89 +/- 24 pg X ml-1 X h-1. Increasing extracellular Ca2+ to 10 mM stimulated the release of SRIF-LI at both high and low pH. The Ca2+ ionophore A23187 had no apparent effect at either pH 2.5 or 7.0. LaCl3 stimulated the release of SRIF-LI at pH 7.0 but not at pH 2.5. Ouabain and TMB-8 had no significant effect on the release of SRIF-LI. At pH 7.0, trifluoperazine (TFP) stimulated release of SRIF-LI (80 +/- 10 pg X ml-1 X h-1). EGTA stimulated release of SRIF-LI at pH 2.5 (1,134 +/- 137 pg X ml-1 X h-1) and at pH 7.0 (300 +/- 57 pg X ml-1 X h-1), which was reversed by replacement of Ca2+ (22 +/- 6 pg X ml-1 X h-1). Thus Ca2+ appears to exert a dual effect on the release of SRIF-LI: both an increase and depletion of extracellular Ca2+ release SRIF-LI.
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1139
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Wagner L, Giesen M, Zahn H. Histochemical localization of high-sulfur keratins with silver nitrate. Colloid Polym Sci 1983. [DOI: 10.1007/bf01413944] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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1140
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Schmid G, Wagner L, Weiss DG. Rapid axoplasmic transport of free leucine. JOURNAL OF NEUROBIOLOGY 1983; 14:133-44. [PMID: 6188802 DOI: 10.1002/neu.480140205] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
Axoplasmic transport of free 3H-leucine has been studied in vivo in the pike olfactory nerve following application of labeled leucine to the olfactory mucosa. A considerable amount of free 3H-leucine is transported at constant velocity along the axon in the form of a distinct peak. The maximum transport velocity for free 3H-leucine is the same as for rapidly transported 3H-protein (130 and 135 mm/day, respectively, at 19 degrees C). Microtubule inhibitors block or significantly reduce the amount of free 3H-leucine transported, but do not influence the transport velocity. Disruption of the oxygen supply abolishes free 3H-leucine transport, so that this phenomenon cannot be explained by diffusion. The amount of free leucine in the rapidly moving peak decreases with time and distance along the axon and is not detectable after 5 h or more. The transported 3H-leucine is not derived from the circulation or from proteolysis of rapidly transported proteins. This study may help to resolve the controversy over the axoplasmic transport of free amino acids since it shows that free 3H-leucine is transported rapidly but does not travel by rapid axoplasmic transport to the end of axons longer than about 30 mm.
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1141
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Vinik AI, Gaginella TS, O'Dorisio TM, Shapiro B, Wagner L. The distribution and characterization of somatostatin-like immunoreactivity in epithelial cells, submucosa, and muscle of the rat stomach and intestine. Endocrinology 1981; 109:1921-6. [PMID: 6118256 DOI: 10.1210/endo-109-6-1921] [Citation(s) in RCA: 39] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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1142
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Vinik AI, Levitt NS, Pimstone BL, Wagner L. Peripheral plasma somatostatin-like immunoreactive responses to insulin hypoglycemia and a mixed meal in healthy subjects and in noninsulin-dependent maturity-onset diabetics. J Clin Endocrinol Metab 1981; 52:330-7. [PMID: 6109733 DOI: 10.1210/jcem-52-2-330] [Citation(s) in RCA: 64] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
We have measured peripheral plasma immunoreactive somatostatin (SRIF-LI) in 10 healthy subjects and 10 noninsulin-dependent maturity-onset diabetics (NIDDM). The mean (+/-SE) basal level of SRIF-LI in NIDDMs of 185 +/- 27 was similar to that of 174 +/- 23.5 pg/ml in age-, weight-, and sex-matched healthy subjects. Insulin hypoglycemia of equivalent magnitude induced a 113 +/- 15.8 pg/ml increase in SRIF-LI 40 min after injection in healthy subjects and no significant change in the NIDDMs. Ingestion of a mixed meal induced a biphasic rise with a mean peak of 75 +/- 30 pg/ml above basal at 15 min and a later peak of 130 +/- 35 pg/ml above basal at 120 min in healthy subjects. In NIDDM, there was no significant rise above basal, and the differences were significant at 15 and 120 min. Our findings are compatible with deficient SRIF release in these NIDDM in whom the deficient SRIF secretion may contribute to the hyperglycemia.
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1143
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Wagner L, Polse K, Mandell R. Tear pumping and edema with soft contact lenses. Invest Ophthalmol Vis Sci 1980; 19:1397-1400. [PMID: 7429777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
Abstract
The effect of the contact lens--cornea bearing relationship on tear pumping and corneal swelling (edema) which accompanies hydrogel lens wear was determined by monitoring corneal thickness and tear replenishment rates when the base curve (back surface curvature) was varied from 7.8 to 9.0 mm. The lens movement is dependent on the bearing relationship; however, the degree of corneal swelling and the replenishment rate of tears under the lens are independent of the bearing relationship. These results indicate that the corneal edema which accompanies gel lens wear cannot be reduced by altering the lens-cornea bearing relationship.
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1144
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Nielsen K, Wagner L. [The question is not whether it is superior or inferior]. SYGEPLEJERSKEN 1980; 80:12. [PMID: 6905366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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1145
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Rethel R, Hoffmann U, Hoffmeister AW, Seyfried J, Wagner L, Walker G, Weiss H, Willig F. [Pancreatic metabolism of sulfamethoxazole and trimethoprim]. DIE MEDIZINISCHE WELT 1980; 31:991-4. [PMID: 7421533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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1146
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Wagner L. [Parallel action to survive as a group within the nursing home sector]. SYGEPLEJERSKEN 1980; 80:27-8. [PMID: 6901356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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1147
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Torgyán S, Wagner L, Neumann T, Pakuts B, Csányi M. A comparative study with indomethacin and combined indomethacin sodium-salicylate in rheumatoid arthritis. INTERNATIONAL JOURNAL OF CLINICAL PHARMACOLOGY AND BIOPHARMACY 1979; 17:439-41. [PMID: 389838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
A double-blind cross-over clinical trial was performed to compare clinical effectiveness of indomethacin (3 x 25 mg/day) alone to that of a combination of indomethacin + sodium-salycylate (3 x 25 mg/day and 3 x 250 mg/day, respectively) in rheumatoid arthritis. It was established that enteral blood loss was significantly reduced by combined treatment as determined by Cr51 labelled erythrocytes in comparison to that after treatment with indomethacin alone. Therapeutic effect was maintained in both groups, no significant disparities were observed. Occurrence of subjective complaints was less frequent in the combined treatment group. It was concluded that the combined preparation consisting of indomethacin and sodium-salicylate has a favourable effect in rheumatoid arthritis.
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1148
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Wagner L, Gorely M. [Body image and patients experiencing alopecia as a result of cancer chemotherapy]. Cancer Nurs 1979; 2:365-9. [PMID: 261039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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1149
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Nelson G, Aceto T, Keppen M, Wagner L. Multiple endocrine neoplasia, type 2B, with medullary thyroid carcinoma: a diagnostic potential for dentistry. Pediatr Dent 1979; 1:125-8. [PMID: 298752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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1150
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Torgyán S, Ady E, Wagner L, Neumann T, Béres G, Csányi M. Reduction of indomethacin-induced gastrointestinal blood loss by sodium salicylate in man. INTERNATIONAL JOURNAL OF CLINICAL PHARMACOLOGY AND BIOPHARMACY 1978; 16:610-1. [PMID: 365801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
The gastrointestinal bleeding during treatment with indomethacin, aspirin, phenylbutazone and sodium salicylate in healthy human subjects was determined. Gastrointestinal blood loss was determined by the Cr51-labelled erythrocyte method. The method was modified by us. Collected stool was incinerated and radioactivity of ashes was determined. Furthermore, rheumatic patients were treated for 4 weeks with indomethacin alone or with indomethacin combined with sodium salicylate. The gastrointestinal blood loss was determined on the last 4 days of treatment. It was found that blood loss was significantly reduced by combined treatment in comparison to monotherapy with indomethacin, while combined treatment had a marked anti-rheumatic effect.
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