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Biomedical subjects

A M Alvarez

Publications and source records attributed to A M Alvarez.

59 records · Page 4Linked to original sources

[Psychological approach in pediatric oncology (author's transl)].

An attempt to describe the procedures with fatally ill children, from a psychotherapeutic point of view is made. Special attention is paid to selecting nursing staff assigned to those children, requiring highly human and professional qualifications. Children with mild or severe psychopathological reactions, and/or their parents, are referred to Psychiatric Services for individual and/or family therapy. At the same time, group therapy is carried with parents. Finally, parents are followed in order to prevent unwanted psychopathological reactions after death of the child.

Attitude of Health Personnel↗

[Building of a genomic library of Leishmania amazonensis and its expression in BALB/c mice's muscle].

A genomic library of Leishaminia amazonensis was built through a pcDNA3 vector, with expression promoter in eukaryot cells, to contribute to the application of immunization technology with nucleic acids in leishmaniasis. To show the expression genomic library in the muscles of mice immunized with it, the indirect immunofluoresce technique was used. A mix of sera with high antileishmania titers from an area where L.braziliensis infection is predominant was used as primary antibody. A library of 80% recombinant clones was obtained. Antigen determinant expression was confirmed in immunized BALB/c mice's muscles, according to the results of immunofluorescence testing.

Animals↗

[Evaluation of the humoral immune response by Western Blot test in mice immunized with expression genomic library of Trypanosoma cruzi].

An expression genomic library of Trypanosoma cruzi was built by using plasmid pc DNA3 as a vector. This library served to immunize by intramuscular administration BALB/c inbred mice. A positive control group to which T. cruzi soluble antigens were administered and other group which was given the same plasmid used for the building of the genomic library were included in this study; another group was not immunized. Blood was extracted from the retrorbital plexus of all the mice two weeks after the third vaccination so as to study the specific antibody response to soluble parasite anigens through the Western Blot technique. The antibody response was shown in animals immunized with the expression genomic library and with soluble parasite antigens.

Animals↗

[Hospital acute respiratory infections].

To study the incidence of nosocomial respiratory tract infection along the first week after admission, 31 children under 2 years of age admitted to the pediatric wards of a general hospital at Metropolitan Santiago, Chile, with the diagnosis of lower respiratory tract infection, were studied for viral agents by immunofluorescence tests, viral isolation from pharyngeal aspirates, paired serum viral antibodies and bacterial cultures, all of them performed at admission and 4 to 5 days later from May through August 1988. In 13 out of 31 patients admitted because of acute lower respiratory tract infection at least one new virus (to a total of 18 viral isolates) was detected in the second sample, which could have been nosocomially acquired, as follows: adenovirus from 8 cases, respiratory syncytial virus from 5 patients and cytomegalovirus from 5 patients, in different combinations. No significant changes in bacterial cultures were found.

Acute Disease↗

[Fatal cases of adenovirus infection].

Sixteen fatal cases of adenovirus infection in infants (n:10 aged 1 to less than 12 months) and children (n:6 aged 1 to 3, 8/12 years) are reported. Diagnosis were confirmed by direct viral isolation, viral immunofluorescence or both in 15 patients, and by autopsy in 12 of them, including one without positive virological workup. Evidence of multisystemic compromise, particularly that of severe lower respiratory tract infection was observed and lead to death by acute respiratory failure in all cases. White blood cell counts and erythrocyte sedimentation rate did not help to label initially the etiology as either viral or bacterial. Chest roentgenograms showed pulmonary over-inflation and evidence of pneumonitis as well as extensive and rapidly progressive lung opacifications. Most prominent pathologic findings were necrotizing bronchitis, bronchiolitis and broncopneumonia. Several cells containing typical intranuclear inclusion bodies were documented in ten cases and pneumonitis was the only finding in two. Hepatic fat infiltration and lymphocitic depletion of thymus, spleen and lymphatic nodes occurred in all cases. The need of rapid diagnostic tools to avoid nosocomial spread of this kind of infections with such serious consequences is stressed.

Adenovirus Infections, Human↗