PubMed Health⌕ Search

Biomedical subjects

A Lifshitz-Guinzberg

Publications and source records attributed to A Lifshitz-Guinzberg.

16 recordsLinked to original sources
PubMed1998

Survival after massive (>2000) Africanized honeybee stings.

We report the clinical case of a man who survived a massive attack of Africanized bees (>2000 bee stings). The man experienced anaphylactic shock and multisystem organ failure (neurologic, hepatic, renal, and hematologic failure). He was treated with administration of dopamine hydrochloride, antihistaminic agents, corticosteroids, fluid and electrolyte replenishment, peritoneal dialysis, and plasmapheresis. No sequelae have been observed during follow-up.

Adult↗
PubMed1981

Effects of lithium carbonate on leucocytes of hepatic cirrhosis patients.

So as to assess the effects of lithium carbonate on peripheral leucocyte levels of hepatic cirrhosis patients, 10 cirrhotic patients were studied with less than 4,500 leukocytes per cubic ml and without contraindications for lithium salts that were administered for three weeks at a dose of 90 mg daily. At the end of each week total peripheral leukocytes, differential formula, platelet count and serum lithium concentration determinations were made. In the basal stage, total leukocyte average was 3,400 +/- 527 (X +/- DE) and granulocyte average was 2,090 +/- 341. After the first week of lithium treatment a significant increase was observed in total leukocyte and granulocyte levels whose averages at the end of the third week of treatment were 4,800 +/- 1,052 (p less than 0.01) and 3,694 +/- 1,003 (p less than 0.001) respectively. There was no correlation between the magnitude of leukocyte increase and serum lithium levels obtained that ranged from 0.28 and 1.32 mEq/l. Three patients showed transient gross tremor and two suffered hepatic coma. We can conclude that lithium carbonate increases peripheral leucocytes at the expense of neutrophilia in patients with secondary granulocytopenia and hypersplenism resulting in liver cirrhosis.

Aged↗
PubMed1980

Use of the excreted fraction of the filtered sodium (Fe Na) in the early diagnosis of acute renal failure.

A prospective study was made in 20 patients in the oliguric phase of acute renal failure, 20 patients with prerenal uremia (functional renal failure); 20 patients hospitalized due to different diseases but without renal problems and 20 healthy individuals. In all patients osmolar clearance, free water clearance, urinary sodium and excreted fraction of sodium tests were made. These four parameters could differentiate acute renal failure from prerenal uremia. However differences in urinary sodium concentrations in patients with prerenal uremia was found to be in the borderline for statistical significance and osmolar and free water clearance determinations require strict measurements of urinary volume in a time unit. Excreted sodium fraction requires only simultaneous blood and urine samples for sodium and creatinine quantification.

Acute Kidney Injury↗
PubMedDate not supplied

[Migrant erythema as clinical presentation of cutaneous larva migrans in Mexico City].

Cutaneous larva migrans (CLM) is a ubiquitous self-limited skin eruption, most frequently caused by the larvae of dog and cat hookworms. Although CLM is most frequent in tropical climates, the infection is becoming more common in urban areas. CLM has been frequently misdiagnosed and/or treated inappropriately, and mimics rheumatic, infectious, vascular, or dermatologic diseases. We here in report the clinical presentation and management of 18 cases of CLM.

Adolescent↗
PubMedDate not supplied

[Reflexions on some dilemmas in bioethics for the millennium].

With the end of the millennium, several proposals or propositions have been made about politics, culture, and economics for the world society. Science cannot be isolated from this well-recognized globalization process. Information through the Internet allows the spread of scientific data and knowledge among professional and no professional users to be exchanged and non shared, with the possibility of storing that information in a very fast manner. However, there are important differences in the availability and quality the information, especially in developing countries. On the other hand, it is clear that advances in technology in recent years are higher and faster than development in humanistic and philosophical areas. This situation points to the necessity of using some basic bioethical principles to deal with very important dilemmas such as euthanasia, assisted suicide, and new bioethical dilemmas such as technified death, restriction of economic resources in health care institutions, cloning and genetic manipulation, among others.

Attitude to Death↗
PubMedDate not supplied

[Captopril reduction of albuminuria in type-II diabetics with diabetic nephropathy].

This study was to search if captopril (C) reduces albuminuria in a group of type II diabetics with diabetic nephropathy (DN). Eleven type II diabetics with DN and hypertension, with albuminuria over 0.30 g/L/24th, fasten blood glucose under 250 mg/dL, serum albumin over 3 g/dL, without infection, cardiac failure or diuretic treatment, were treated with C for six months, as the only treatment for hypertension and albuminuria. Every month, albuminuria in a 24h urinary collection, medium arterial pressure (MAP), serum creatinine and fasten blood glucose were measured. Ten women and one man with 60 (50-70) years of average age (0 to 100th percentile), with 18 (8-35) years of diabetic disease, and 4 (1-7) years of clinic hypertension were studied. Before the treatment with C they had albuminuria of 6.9 (0.7 to 12.5) g/L/24h, MAP of 119.7 (93.2 to 139) mmHg, serum creatinine of 2.2 (0.7 to 7.5) mg/dL and glucose of 168 (78 to 250) mg/dL. After 6 months with C, they had albuminuria of 3.5 (0.2 to 9.6) g/L/24h (p less than 0.01), MAP of 113.4 (92.9 to 132.4) mmHg (p = 0.5), serum creatinine of 2.3 (0.5 to 6.4) mg/dL (p = 0.23) and glucose of 133 (87.5 to 239) mg/dL (p = 0.32). The MAP showed a predictive relation over albuminuria (p = less than 0.004). During the six months of study, C reduced albuminuria in type II diabetics with hypertension and diabetic nephropathy.

Albuminuria↗
PubMedDate not supplied

[A reconsideration of postoperative fever due to pulmonary atelectasis].

Atelectasis has been reported as a common cause of fever in the first 48 hours after surgery. A group of one hundred patients programmed for elective abdominal surgery were studied with chest roentgenograms, both before and 48 hours after surgery. Thirty-one of them developed atelectasis and eighteen developed fever. Four of the patients with and fourteen without atelectasis, had fever. Five cases had unexplained fever, three of them with pulmonary atelectasis. These findings suggest that atelectasis can cause postoperative fever, but it is not the most common cause of fever in the first 48 hours after surgery.

Abdomen↗
PubMedDate not supplied

[Thyroid function tests in a sample of hospitalized patients].

In a sample of hospitalized patients, serum levels of T3, T4 and TSH were measured on the next day after admission. We included 26 patients admitted to Internal Medicine ward (group I) and 27 patients admitted to the intensive care unit (group II), comparing the results with those of 25 normal volunteers (group I). Mean values of T3 and T4 tend to be lower in patients than in healthy subjects, especially in those patients more aggravated, but differences were not statistically significant. In group II there were 5 patients with low T3, 4 with low T4 and two with both alterations. In group III, two patients had low T3, three had low T4 and 10 had both low T3 and low T4. The ratio between normal and abnormal results was significantly different between sick and healthy individuals, and between patient in the intensive care unit and the Internal Medicine ward, suggesting a correlation with gravity. 52.8% of patients hospitalized studied showed almost one alteration in the thyroid function tests.

Humans↗
PubMedDate not supplied

Higher prevalence of diabetes in hypertensive subjects with upper body fat distribution.

OBJECTIVE: To analyze the association of hypertension and upper body fat distribution on the occurrence of non-insulin-dependent diabetes mellitus in Mexicans. MATERIAL AND METHODS: It was a population-based cross-sectional study in Cuajimalpa, a district of Mexico City. A total of 1066 subjects were home interviewed, and attended our clinic for fasting plasma glucose sampling, blood pressure and anthropometric measurements. Diabetes was defined according to the World Health Organization criteria, and hypertension as a blood pressure equal to or greater than 140/90. The ratio of upper to lower body skinfolds was used to estimate body fat distribution. RESULTS: The prevalence of diabetes was 12.0%. There was a significant positive trend in the age and sex adjusted prevalence of diabetes according to the magnitude of hypertension (p = 0.0006) and upper body fat distribution (p = 0.007). The age and sex adjusted prevalence in normotensive subjects with lower body fat distribution was 7.1% (95% confidence interval 5.9-8.2) whereas it was 19.9% (CI 17.0-22.8) in those with hypertension and upper body fat distribution. The prevalence of diabetes in Mexicans was high and it may be related to a genetic susceptibility for an insulin resistance syndrome. CONCLUSIONS: These results indicate that there is a dose response effect in the association of hypertension and upper body fat distribution with diabetes in Mexicans, and that there may be an interaction in the effect of hypertension and body fat distribution in this syndrome.

Adipose Tissue↗