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Biomedical subjects

A Germano

Publications and source records attributed to A Germano.

At least 19 recordsLinked to original sources

Energy budget of juvenile fat snook Centropomus parallelus fed live food.

The fat snook Centropomus parallelus is a tropical estuarine species with importance for recreational and commercial fisheries and further aquaculture potential. Considering ingested energy (C) is channeled into growth (P), metabolic expenditure (R), excretion (U) and feces (F), a balanced energy budget was established for isolated and grouped juvenile C. parallelus (5.18 to 10.25 g wet mass) by experimental quantification of each of these parameters. Fish were fed live prawn (Macrobrachium sp.) at 25 degrees C and 20 per thousand for 19 days and daily energy budgets could be calculated. Energy content of food (live prawn), fish whole body and feces were 17.7, 14.5 and 6.1 KJ g(-1) dry mass (DW), respectively. Mass-specific rates of oxygen consumption and ammonia-N excretion were 0.271 and 0.0082 mg of O(2) or NH(3)-N g(-1) wet mass (WW) h(-1), respectively, resulting in O:N=23.4. Daily ingestion (C) was dependent on the amount of food offered and ranged between 4.9% to 7.4% of initial wet weight. Growth (P) was positively correlated with initial mass varying from 0.008 to 0.104 g day(-1). Feces release also correlated to fish mass and averaged 9.53 mg dry mass day(-1). The components of energy budget showed mean values of 2.39 (C), 0.24 (P), 1.96 (R), 0.11 (U) and 0.06 (F) KJ ind(-1) day(-1). As percentage of ingested energy, C. parallelus channeled 10% in growth (P), 82% in metabolism (R), 4.6% in excretion (U) and 2.5% in feces (F). Gross (K(1)) and net (K(2)) growth efficiencies were 9.2% and 9.9%, respectively. On the course of this period of juvenile development, K(1) and K(2) increased significantly. Partitioning of ingested energy in P, R, U and F was significantly different in individually and group maintained fish (P<0.05). Energy budget of C. parallelus fed a highly digestible diet (live prawn) revealed poor growth and growth efficiencies (K(1) and K(2)) possibly associated with an elevated metabolic demand and a high channeling of metabolized energy (P+R) into metabolism (R) in both isolated and grouped fish. Data can be applied to ecosystem modeling and may contribute to identify species potential to aquaculture.

Animal Feed↗

Posterior fusion and implantation of the SOCON-SRI system in the treatment of adult spondylolisthesis.

Surgery for adult patients with lumbar and lumbosacral spondylolisthesis is reserved for those with intractable radiculopathy, claudication, or symptomatic spinal instability. Internal fixation, in which posterior fusion, transpedicular screw fixation, and implantation of titanium devices are performed, has been advocated to improve fusion rates and clinical results. Fourteen consecutive patients with Grade II to III lumbar and lumbosacral spondylolisthesis who underwent posterior decompression, reduction, autologous posterior facet joint arthrodesis, and SOCON-SRI implantation are retrospectively reviewed. All patients underwent complete preoperative clinical and neuroradiological evaluation. Treatment consisted of posterior decompressive surgery and implantation of the SOCON-SRI system (transpedicular screws, prebent longitudinal rods, and one locking-screw clamps). Distraction of the interbody space and rotation were performed to achieve an optimum spinal realignment. The facet joints were fused by using autologous bone graft. The authors obtained detailed clinical, functional, economic, and neuroradiological follow-up data for up to 14 months (range 8-18 months). The efficacy of the treatment was evaluated by comparing pre- and postoperative data. Pain was decreased in all cases, neurological dysfunction ameliorated in 50%, and functional and economic status was improved in 78% and 100%, respectively. No cases of fusion failure or instrumentation-related complications occurred. The authors describe their results of treating patients with spondylolisthesis in the light of the rationale for surgery and the more recent pertinent literature.

Journal Article↗

Anterior thoracic intradural arachnoid cysts. Case report and review of the literature.

Anterior thoracic intradural arachnoid cysts (ATIACs) are a rare cause of spinal cord and nerve root compression, for which different treatment strategies have been proposed. Although ATIAC represents a well-known clinical entity, the choice of surgical method has not been uniform, and no study has been specifically designed to compare the results of the different treatment options adopted. The authors report the case of a 40-year old man with a 1-year history of dorsal pain, weakness in the lower extremities, gait disturbance, and mild sexual and urinary dysfunction. On neurological examination spastic paraparesis, lower-extremity hypertonia, and hypesthesia below T-2 were demonstrated. Magnetic resonance imaging revealed the presence of an ATIAC at the T-2 level. The patient underwent complete microsurgical removal of the cyst. The authors conducted a Medline search of the relevant literature from 1966 to 1998 and also obtained data on other cases in which patients underwent surgical treatment of ATIAC. The literature search yielded five such cases. Treatment strategies were complete excision and fenestration followed by placement of a shunt. In addition, one case was characterized by intraoperative cyst rupture during retraction of the spinal cord. Correct preoperative workup coupled with microneurosurgical technique allow for successful removal of the lesion and excellent outcome. Based on the literature review and the results in our case, the complete excision of ATIAC is associated with an excellent outcome, which is different from results achieved using other surgical strategies.

Journal Article↗

Effect of experimental subarachnoid hemorrhage on CSF eicosanoids in the rat.

A simple and inexpensive experimental model of subarachnoid hemorrhage (SAH) was developed in the rat. Based on accumulating data indicating the important role of arachidonic acid metabolites in the etiology of delayed cerebral vasospasm, we investigated changes induced by SAH on cerebrospinal fluid (CSF) levels of prostaglandin E2 (PGE2), F2 alpha (PGF2 alpha), and thromboxane B2 (TXB2). SAH was produced by the cisternal injection of blood via percutaneous suboccipital puncture. SAH rats (n = 200) were injected with 300 microliters of fresh autologous arterial blood; Control rats (n = 100) received the same volume of mock CSF. In 60 additional animals, no injections were made. To follow the changes induced by SAH on both the spectrum and time course of CSF eicosanoids, cisternal CSF samples were collected under basal conditions, 6, 12, and 36 after cisternal injection. PGE2, PGF2 alpha, and TXB2 were assayed in aliquots of CSF obtained by pooling samples from each experimental group. Eicosanoids were assayed using radioimmunoassay techniques. Arterial spasm was verified in parallel groups of SAH and control rats by comparison of the angiographic diameters of the basilar arteries (BA) and middle cerebral arteries (MCA) to that of the stapedial artery. CSF levels of all three eicosanoids were significantly higher in the SAH groups compared to both noninjected and mock-CSF injected control rats. These increases in concentrations of eicosanoids were accompanied by a decrease in the mean vascular diameter (77.5-82.0% of control) on day 2 following cisternal injection. We conclude that marked elevations of spasmogenic eicosanoids in the CSF are associated with experimental SAH.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

[Intralesional therapy using recombinant interferon alpha 2 B in lesions of the uterine cervix caused by human papilloma virus].

A clinical study on 20 patients with uterine cervix Human Papilloma Virus (HPV) lesions treated with intralesional recombinant alpha 2b interferon (3 millions I.U.) three times a week for three weeks where possible, is presented. After one year from treatment, lesions were cured or stabilized in 18 Patients (90%); progression was observed in 2 patients (10%) for which reason traditional surgical therapy was performed.

Adult↗

Uterine carcinosarcoma. Case report.

The authors describe the clinical and pathologic features of uterine carcinosarcoma. In the case of a 45 year old patient the rarity of this double tumor is pointed out.

Carcinosarcoma↗

Immunological abnormalities in patients with cervical carcinoma.

The cellular immune response of 58 patients affected by cervical cancer was evaluated with the aim of investigating abnormalities in T-cell populations. Subjects were divided into three groups: severe dysplasia or carcinoma in situ, microinvasive carcinoma, and invasive carcinoma. T cells were assessed by a spontaneous rosette formation test with sheep red blood cells and by reactivity with specific monoclonal antibodies of OKT series (OKT4 and OKT8 positive lymphocytes). A significant T-cell depression was observed in all patient groups; the lowest T-cell level was observed in group (b), which revealed an inverted OKT4+/OKT8+ ratio too. The results support the hypothesis that cell-mediated immunity is a key factor in premalignant status and in the early development of cervical cancer.

Adult↗

[Histophenotypical variants of squamous cell carcinoma of the skin].

Cutaneous squamous cell carcinoma (SCC) is, in its most frequent presentation, a moderately aggressive neoplastic disease. It can, however, present in a moltitude of clinico-pathological variants, some of which are characterized by a more malignant attitude. It is important to determine which tumors, among the various histophenotypes, are high risk in order to establish the appropriate treatment and follow-up. Histologic subtype has been considered as a possible variable in determining the prognosis of cutaneous SCC. We report our experience with 3 cases of peculiar variants of cutaneous SCC.

Adult↗