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Biomedical subjects

A Carrillo

Publications and source records attributed to A Carrillo.

65 records · Page 4Linked to original sources
PubMed1978

Advancement of the orbits and the midface in one piece, combined with frontal repositioning, for the correction of Crouzon's deformities.

We describe the use of radical craniofacial osteotomies, to improve the correction of exorbitism and to obtain better esthetic results in children with Crouzon's syndrome. We suggest some minor modifications to improve the fixation and the mechanical stability of the mobilized segments of the skull. Our procedure consists, essentially, of advancement of both orbits and the midface in one piece, plus advancement and reshaping of the frontal area. The results obtained by this technique, in children with a Crouzon's deformity without open bite, have been most satisfactory. We believe the satisfactory resultant appearance will be maintained during and after growth of the face, although these children have not been followed long enough yet to ascertain this with certainty.

Adult↗
PubMedDate not supplied

Evaluation of 3D image registration as applied to MR-guided thermal treatment of liver cancer.

There are many potential applications of three-dimensional (3D) image registration in MR-guided radiofrequency (RF) thermal ablation of tumors. For example, after registration of image volumes obtained before and after thermal ablation, a variety of quantitative and visual assessments of therapy were performed. For liver tumors, the accuracy of rigid body, manual registration on 19 pairs of image volumes was evaluated, almost all of which were obtained during thermal treatment sessions. Registration error was estimated as a distance between anatomical landmarks, including both internal vascular structures as well as the surface of the liver. Over all image pairs and throughout a large portion of the liver, the registration error was 3.1 mm (mean + 1 SD). From the bottom to the top of the liver, error increased on the order of 13%, probably because of liver motion and deformation resulting from respiration. Although probably insufficient for blind guidance of therapy, registration accuracy was undoubtedly sufficient for interesting applications in the planning, assessment, and optimization of interventional MR-guided thermal treatment of liver tumors.

Catheter Ablation↗
PubMedDate not supplied

Low dosages of exogenous growth hormone and its effect on growth in an animal model of suboptimal nutrition.

In a previous study, weight gain, insulin growth factor-1 (IGF-1) and insulin growth factor binding protein-3 (IGFBP-3) were increased in rats fed suboptimal levels of energy and administered 0.1 mg/100 g of body weight of recombinant human growth hormone (rhGH). Our objective was to determine whether these anabolic effects were still obtained with lower dosages of rhGH in similarly fed rats. Three groups of male, prepubertal Sprague-Dawley rats were administered rhGH and three groups of similar rats were given normal saline solution daily (0.05 mg/100 g of body weight subcutaneously). All rats were fed a balanced 1:1 carbohydrate:fat ratio diet for 4 wk. Restricted rats within each treatment were pair fed 80% and 60% ad libitum. Daily body weight, food intake, and efficiency were recorded. After 4 wk, serum IGF-1 and IGFBP-3, body fat, fat-free mass, and total body water were determined. Total weight gain and serum IGFBP-3 were significantly higher, with a tendency for increased body fat, in rats treated with rhGH and fed at 60% ad libitum. However, within each treatment, energy restriction caused decreased body fat and total body water. These results suggest that lower dosages of rhGH provide anabolic effects during suboptimal energy intake.

Animals↗
PubMedDate not supplied

Continuous venovenous renal replacement therapy using a conventional infusion pump.

To evaluate continuous venovenous hemofiltration and hemodiafiltration with a conventional infusion pump in a pediatric sized animal model. Fourteen Maryland pigs weighing 8 to 13 kg were used. A conventional infusion pump (IVAC 571), with a flow of 900 ml/h and a pediatric hemofilter of 0.22 m2 were used. Ringer's solution was used for both the dialysate and the replacement fluid. Each experiment included 1 hour of hemofiltration and 1 hour of hemodiafiltration. Heart rate, arterial blood pressure, pH, Na, K, Cl, and hematocrit were measured every 30 minutes. Mean ultrafiltrate flow was 249.7 +/- 100.3 ml/hr, 240.5 +/- 109.5 ml/hr with hemofiltration and 271 +/- 101.1 ml/hr with hemodiafiltration, the differences not being significant. No significant changes were seen in heart rate, blood pressure, hematocrit, electrolytes, or pH. Pressure in the circuit rose from 107.7 +/- 70.3 mm Hg at the beginning of the experiment to 234.2 +/- 118.1 mm Hg after 2 hours (p < 0.05). The technique was well tolerated by all the pigs. Continuous venovenous hemofiltration and hemodiafiltration with a conventional infusion pump is a possible alternative to conventional methods of extrarenal replacement therapy in neonates and infants.

Animals↗
PubMedDate not supplied

Nuclear receptors are involved in the enhanced IL-6 production by melatonin in U937 cells.

This report shows that melatonin enhances IL-6 production by U937 cells via a nuclear receptor-mediated mechanism. Resting U937 cells only express membrane (mt1) melatonin receptors. In these cells, melatonin did not modify basal production of IL-6 or when activated by PMA plus lipopolysaccharide, a treatment that downregulates the expression of mt1 receptor. However, in U937 cells activated with IFN-gamma, which induces the expression of the ROR alpha 1 and ROR alpha 2 nuclear receptors and represses the expression of the mt1 receptor, melatonin can activate IL-6 production. These results show that the expression of nuclear melatonin receptor but not membrane receptors is sufficient for melatonin to activate cytokine production in human lymphocytic and monocytic cell lines.

Down-Regulation↗
PubMedDate not supplied

Cisplatin nephrotoxicity: symptomatic hypomagnesemia and renal failure.

Cisplatin is an inorganic platinum compound used in the treatment of solid tumors. Clinical trials have proved its efficacy whilst recognising the nephrotoxicity of the drug. We report the case of a 14 1/2 year old female with an epidermoid carcinoma of the lung, who developed acute renal failure following two courses of Cisplatin. The predominant features were symptomatic hypomagnesaemia, hypocalcaemia and hypokalaemia which were corrected following the administration of intravenous magnesium. Renal failure persisted for several months and the patient died due to her primary disease. Electrolyte disturbances should be anticipated when high dose Cisplatin is used.

Acute Kidney Injury↗
PubMedDate not supplied

Lower circulating insulin-like growth factor I and 1,25-dihydroxyvitamin D levels in preeclampsia.

OBJECTIVE: To assess whether the circulating levels of insulin-like growth factor I (IGF-I) are lower in preeclamptic than in normotensive pregnant women and whether serum concentrations of IGF-I are associated with those of 1,25 dihydroxyvitamin D (1,25-(OH)2D). STUDY DESIGN: The study was cross-sectional and was done at 26.7 to 39.7 weeks of pregnancy. The results obtained from preeclamptic women were compared with those obtained from normotensive pregnant women with the same gestational age (control group). SETTING: All the volunteers were patients attending the General Hospital of Mexico City and all laboratory measurements were done at the National Institute of Nutrition Salvador Zubiran, Mexico City. SUBJECTS: The study included 26 preeclamptic women and 26 normotensive pregnant women. All participated voluntarily and signed an informed consent. PROCEDURE: The following measurements were done: serum concentrations of IGF-I, 1,25-(OH)2D, intact parathyroid hormone (PTH), inorganic phosphorus, creatinine, and total and ionic calcium and magnesium. Also urinary calcium and creatinine clearance were measured and dietary and anthropometric data were obtained. All determinations were done blindly. Comparisons between groups were done using the Mann-Whitney U-test. Associations between variables were tested using the Spearman rank correlation and stepwise regression. RESULTS: Serum IGF-I levels were 26.1 +/- 10.2 nmol/L (mean +/- SD) in the preeclamptic group and 40.9 +/- 14.3 in the normotensive group (p = 0.0003); serum 1,25-(OH)2D levels were 43.6 +/- 8.2 pg/mL in the preeclamptic group and 52.1 +/- 10.2 in the normotensive group (p = 0.005). Serum intact PTH was similar in both groups. Serum levels of IGF-I, 1,25-(OH)2D, and intact PTH correlated significantly in the control group. In the preeclamptic group correlation was found only between IGF-I and 1,25-(OH)2D. CONCLUSIONS: Our study brings out two interesting observations. First, that serum IGF-I levels were significantly lower in preeclamptic than in control pregnant women; and second, the existence of a significant correlation between serum IGF-I and 1,25-(OH)2D concentrations in both preeclamptic and normotensive pregnant women.

Adult↗
PubMedDate not supplied

[Transrectal recatheterization under echocardiography control].

We present the case of a 36 years-old woman, in whom antegrade mitral intraluminal valvulotomy was performed under transesophageal echocardiography control. Inadvertently, we retired the Inoue's catheter to the right atrium from the left atrium, before the dilation of the mitral valve was accomplished. Under echocardiographic control we reintroduced the transseptal catheter across the former septal orifice, avoiding a new septal puncture, and its possible complications. Now a days, the antegrade intraluminal mitral valvulotomy is easy performed, because the transesophageal echocardiography monitoring. The transesophageal echocardiography has modified the transseptal catheterization contraindications.

Adult↗