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Biomedical subjects

A Pacheco

Publications and source records attributed to A Pacheco.

50 records · Page 3Linked to original sources
PubMed1991

Long-term clinical follow-up of adult idiopathic pulmonary hemosiderosis and celiac disease.

A 22-year-old man with a history of repeated whole blood transfusions since the age of 7, was admitted to the hospital for dyspnea and blood-stained sputum. A complete blood cell count, a test for reticulin antibodies, an x-ray film of the chest, a transbronchial biopsy and a biopsy of the small bowel were performed and the results confirmed the diagnosis of IPH, associated with CD. The patient has been asymptomatic for four years on a gluten-free diet. In cases of IPH, it may be important to investigate the coexistence of CD because treatment of the latter could lead to a better prognosis.

Adult↗
PubMed1991

[Bacteriological quality of groundwaters in cemeteries].

Groundwater samples collected by piezometers from three cemeteries in geologically distinct areas of S. Paulo and Santos, Brazil, were analysed in order to determine their hygienic and sanitary conditions. Fecal coliformes, fecal streptococci, sulfite reducer clostridia and Salmonella were searched for the purpose of evaluating sanitary conditions, and total coliforms, heterotrophic bacteria, proteolitic and lipolitic microorganisms for evaluating hygienic conditions. In some samples, nitrate levels were also determined. It was discovered that these waters do not present adequate sanitary and hygienic conditions and that, in some cases, nitrate levels were extremely high (75.7 mg/l). In most samples, higher levels of fecal streptococci and sufite reducer clostridia than fecal coliforms were detected, which seems to show that the two former indicators would be more appropriate for evaluating the sanitary conditions of this kind of water. Salmonella were detected in only one of 44 samples analysed and coliphages in none. In the statistical analysis, the correlation matrix showed significant correlations among three fecal pollution indicators, as well as among anaerobic and aerobic heterotrophs and lipolitic bacteria. A direct relationship between the deterioration of water quality and the geological and hydrogeological conditions of the environment studied was observed. When cemeteries are constructed these conditions should, therefore, be taken into consideration.

Clostridium↗
PubMed1988

[Incontinentia pigmenti in 2 newborn infants].

Incontinentia pigmenti (IP) is a genodermatosis, which is of X-linked dominant transmission, uncommonly diagnosed in newborn babies. The skin lesions usually develop in 4 stages: inflammatory, hypertrophic, pigmentary and regressive. The authors report 2 cases of IP in female newborn babies who were previously treated for pyodermatitis.

Female↗
PubMedDate not supplied

Growth of children in two economically diverse Peruvian high-altitude communities.

The growth of children living in two high-altitude communities associated with an active copper mine in southern Peru was examined. In the community directly associated with mining operations, nutritional and health conditions were believed to be relatively favorable as a result of the substantial mine-related infrastructure that had developed over the previous 12 years. In contrast, few such benefits were available in the other community, which provides limited part-time labor at the mine. Anthropometric data, including measurements of height, weight, skinfold thicknesses, upper arm circumference, and chest dimensions, and determination of bone age, were collected from a total of 880 children between the ages of 4 and 18 years. There were significant differences between the two communities, with those in the mining community exhibiting significantly greater height and weight, a higher level of body fat, and more rapid skeletal development. Among children over the age of 12 years, a plateau in height was seen, suggesting that the benefits to growth resulting from mining-related development were more noticeable in younger children. Compared with Peruvian high-altitude populations examined during the 1960s, both samples from the present study were substantially taller and heavier, suggesting that despite local differences in socioeconomic conditions between the communities studied, overall conditions for growth are generally more favorable than those that existed among Peruvian high-altitude populations surveyed in the 1960s.

Adolescent↗
PubMedDate not supplied

Oxygen saturation and heart rate in healthy school children and adolescents living at high altitude.

This study was conducted to establish reference values for percent oxygen saturation of hemoglobin (SaO2, %) and heart rate (HR, bpm) in children living at high altitude (4,100 m) and to relate possible differences in the variables with ethnic origin. Healthy children from a mine-located school (Tintaya, n = 417), a nearby school (Marquiri, n = 474), and a rural Andean community (Nuñoa, n = 373) were investigated. The samples included different ethnic combinations, with the Nuñoa children having a predominant Quechua ancestry. Mean SaO2 for all ages was substantially lower in all high altitude children compared to values considered normal for sea level. Among the three samples, SaO2 was higher (91.3 +/- 2.7) and HR was lower (84.8 +/- 13.6) in Nuñoa than in Tintaya (SaO2, 89.8 +/- 2.5; HR, 91.7 +/- 14.9) and Marquiri (SaO2, 89.6 +/- 3.1; HR, 88.5 +/- 12.9) (P < 0.05). There was no sex difference and only a weak age-dependent trend for SaO2. Values considered abnormal at sea level were observed in all healthy high-altitude children. Higher SaO2 and lower HR in Nuñoa children may suggest a better degree of acclimatization to altitude.

Acclimatization↗
PubMedDate not supplied

[Mast cell hyperplasia in bone oxalosis].

BACKGROUND: To assess by means of histomorphometry the incidence of bone marrow mast cell hyperplasia in patients with chronic renal failure and oxalosis. MATERIAL AND METHODS: Eighteen individuals were assigned to three groups: 6 (4 males and 2 females, aged 26.31 +/- 2.5 yrs) had chronic renal failure (CRF) and oxalosis of bone; 6 (1 male and 5 females aged 22.1 +/- 3.56 yrs) had CRF and 6 normal (5 males and 1 female aged 23 +/- 2.78 yrs) individuals entered the control group. Quantitative histologic assessments were completed in undecalcified sections of plastic embedded iliac crest bone biopsies stained by the Toluidine Blue method for identification of mast cells. The number of mast cells (cell/mm2 tissue area, x +/- sd) was determined by a semiautomatic image-analyzing system. RESULTS: The number of mast cells was greater in patients with oxalosis of bone, 32.67 +/- 9.59, than in patients with CRF (20.84 +/- 5.04, p < 0.05) and than in the control group (3.26 +/- 1.03, p < 0.001). CONCLUSIONS: Oxalosis of bone is associated with substantial increases in the number of mast cells in the bone marrow. Such a change is not related to chronic renal failure per se and does not appear to represent a non-specific response to bone marrow fibrosis. Mast cell accumulation may contribute to the development of bone marrow fibrosis seen in this disorder.

Adult↗
PubMedDate not supplied

[Pseudo-Kaposi's syndrome of the left lower extremity. The Stewart-Bluefarb syndrome].

The authors relate one case of Stewart-Bluefarb syndrome in a 16 year old patient, showing cutaneous lesions with features of Kaposi angiosarcoma. Though there are no signs of direct arteriographic of arteriovenous communications (CAV). The other exams accomplished allow us to maintain CAV as an etiopathogenic hypothesis.

Adolescent↗