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C Rivero

Publications and source records attributed to C Rivero.

16 recordsLinked to original sources

Analysis of behavior-related excitatory inputs to a central pacemaker nucleus in a weakly electric fish.

Gymnotid electric fish explore their environment and communicate with conspecifics by means of rhythmic electric organ discharges. The neural command for each electric organ discharge arises from activity of a medullary pacemaker nucleus composed of two neuronal types: pacemaker and relay cells. During different behaviors as in courtship, exploration and agonistic interactions, these species display specific electric organ discharge frequency and/or waveform modulations. The neural bases of these modulations have been explained in terms of segregation of inputs to pacemaker or relay cells, as well as differential activation of the glutamate receptors of these cells. One of the most conspicuous electric organ discharge frequency modulations in Gymnotus carapo results from the activation of Mauthner cells, a pair of reticulospinal neurons that are involved in the organization of sensory-evoked escape responses in teleost fish. The activation of Mauthner cells in these animals produces a prolonged increase in electric organ discharge rate, whose neural mechanisms involves the activation of both N-methyl-D-aspartate (NMDA) and metabotropic glutamatergic receptors of pacemaker cells. Here we provide evidence which indicates that pacemaker cells are the only cellular target of the synaptic inputs responsible for the Mauthner cell initiated electric organ discharge modulation at the medullary pacemaker nucleus. Additionally, although pacemaker cells express both NMDA and non-NMDA ionotropic receptors, we found that non-NMDA receptors are not involved in this synaptic action which suggests that NMDA and non-NMDA receptor subtypes are not co-localized at the subsynaptic membrane. NMDA receptor activation of pacemaker cells seems to be an efficient neural strategy to produce long-lasting enhancements of the fish sampling capability during Mauthner cell-initiated motor behaviors.

Action Potentials↗

Initial immunosuppression in liver transplant recipients with impaired renal function.

Acute renal failure (ARF) after liver transplantation is a factor of poor prognosis associated with a high mortality. Selection of the donor, recipient, and intraoperative and postoperative treatment has crucial importance in the management of these critical patients. Thus, optimization of the use of calcineurin inhibitors (CNI), the main nephrotoxic substances in the immediate postoperative period, may decrease ARF incidence, allowing for early recovery of renal function in this period. Most protocols are based on the reduction or late introduction of CNI, based on the use of mycophenolate mofetil (MMF) with/without antiCD25 (basilximab/daclizumab). Recently, thymoglobulin (ATG) is also being tested to further delay the use of the CNI. A 20%-30% acute rejection incidence with the usual protocols allows recovery of renal function in more than 80% of patients without increasing the incidence of infections or adverse effects. However, it is still unknown whether there is a long-term negative effect of chimeric-humanized monoclonal antibodies and MMF combination on reinfection with hepatitis C virus in transplant recipients.

Acute Kidney Injury↗

A model for self-directed learning in a military facility.

Continuing education for health care providers presents an ongoing challenge in an environment of personnel limitations and budget constraints. Learning is a constant requirement for safe and effective health care practice; in addition, it is often a requirement for licensure. The purpose of this article is to review a model of distance learning as a method of education to meet the needs of a multidisciplinary staff, applicable to all services and types of personnel. The model was implemented in the Department of Nursing at Madigan Army Medical Center. The results were deemed highly successful after 1 year, considering the large number of contact hours completed and the relatively low cost invested. The conclusion indicates that distance learning provides a high level of knowledge attainment available 24 hours a day, even at remote military settings and outlying facilities.

Education, Distance↗

Regeneration of nerve fibres in the maxillary sinus mucosa after experimental surgery. An immunocytochemical double-labelling study in the rabbit.

Nerve fibre regeneration in the maxillary sinus mucosa after surgery was studied in 10 New Zealand White rabbits. Four and 8 weeks following unilateral removal of the mucosa, the animals were fixed by perfusion, and the nose-sinus complexes were frozen and cut on a cryostat equipped with a tungsten-hardened knife. A double-labelling immunocytochemical procedure was developed with commercially available antibodies to protein gene product (PGP) 9.5 and tyrosine hydroxylase (TH) or neuropeptide Y (NPY). The study revealed that the maxillary sinus mucosa in rabbit is reinnervated at 4 and 8 weeks postoperatively. Furthermore, the regenerated lamina propria showed increased TH immunoreactivity (TH-IR) and NPY-IR, compared with the contralateral, non-operated side. Many of the fibres were seen in close proximity to newly formed vessels. These findings add further to the explanation of the altered vasoreactivity found earlier in regenerated sinus mucosa 1 month after surgery. This study also showed that demineralization of the nose-sinus complexes is not necessary if a hardened metal knife is used.

Adrenergic Fibers↗

Acute Chagas' disease in western Venezuela: a clinical, seroparasitologic, and epidemiologic study.

A clinical, parasitologic, and serologic study carried out between 1988 and 1996 on 59 acute-phase patients in areas of western Venezuela where Chagas' disease is endemic showed 19 symptomatic patterns or groups of symptoms appearing in combination with different frequencies. The symptomatic pattern with the highest frequency was that showing simultaneously fever, myalgia, headache, and Romaña's sign, which was detected in 20% of the acute-phase patients. Asymptomatic individuals and patients with fever as the only sign of the disease made up 15% and 11.9% of the total acute cases, respectively. Statistical correlation analysis revealed that xenodiagnosis and hemoculture were the most reliable and concordant of the five parasitologic methods used; these two methods also showed the highest proportions in detecting any clinical symptomatic pattern in acute-phase patients. A similar high reliability and concordance was obtained with a direct agglutination test, an indirect immunofluorescent antibody test, and an ELISA as serologic tests, which also showed a higher proportion of positive detection of clinical patterns than parasitologic methods (P < 0.001). It is recommended that individuals coming from endemic areas showing mild and/or severe clinical manifestations should be suspected of being in contact or having been in contact with Trypanosoma cruzi, be referred for parasitologic and serologic evaluations to confirm the presumptive clinical diagnosis of acute Chagas' disease, and start specific treatment. The epidemiologic implications of the present findings are discussed and the use of similar methodology to evaluate other areas where Chagas' disease is endemic is suggested.

Acute Disease↗

Effects of experimental Mycoplasma pulmonis infection on sensory neuropeptides and airway mucosa in the rat.

The effect of airway infection on neurogenic inflammation is not known. The present study examines the effect of Mycoplasma pulmonis infection on the sensory neuropeptides substance P (SP) and calcitonin gene-related peptide (CGRP) in the trigeminal ganglion and in the mucosa of the nose and trachea in rats. We compared germ-free (GF), conventionally raised (CV) and specific pathogen-free (SPF) rats. The concentrations of SP and CGRP in the nasal mucosa were assessed with immunohistochemistry, and their prohormonal transcripts in the trigeminal ganglion were assessed with Northern blot. Mucosa was also processed for light microscopy and electron microscopy. SP-like immunoreactivity was greater in the nasal mucosa of infected animals than in uninfected controls. CGRP-like immunoreactivity was greater in the nasal septum, but not in the nasal turbinate, of infected than uninfected animals. In contrast, no change was evident in the expression levels of the prohormonal transcripts in the trigeminal ganglion. Infected nasal and tracheal mucosa was oedematous and locally infiltrated with inflammatory cells. In the nose of uninfected GF rats, subepithelial lymphoid aggregations were scarce and appeared inactive. We conclude that Mycoplasma pulmonis infection results in increased immunoreactivity of substance P, probably within nerves. There was no clear evidence of increased synthesis of the precursors of substance P and calcitonin gene-related peptide.

Animals↗

[Retrocaval ureter (apropos of a case)].

The authors are reporting a case of lumbar pain secondary to a retrocaval ureter. Pathogeny, diagnostic implications and treatment of this entity is discussed.

Adult↗

Paraquat poisoning in children: survival of three cases.

Five children with paraquat poisoning are presented. Three were diagnosed early, treated and survived; the other 2 arrived 1-2 days after paraquat ingestion and died subsequently from respiratory failure due to pulmonary fibrosis.

Accidents↗

[Central modulation of a sensory system by a motor command. One intention with two results].

INTRODUCTION AND DEVELOPMENT: Neuronal mechanisms that underlie diverse sensory motor integration processes (SMI) are essential for the motor control and determine the general organization of the nervous system. Spinal cord, sensory relay nucleus of brainstem and thalamus as well as higher motor control structures are some of the levels, of increasing complexity, at which several processes of SMI occurs during the execution of a motor act. The mechanisms that underlie SMI strategies operating at higher hierarchical levels of motor control are poorly understood. Escape response in teleosts fish is an advantageous experimental model for the analysis of the neural basis of behavior and of the mechanisms and functional consequences of diverse strategies of ISM. We describe several levels of ISM that operate in the neural system that organize this response in most teleosts and we deal with a detailed description of a novel strategy that occurs in Gymnotus carapo, a South American weakly electric fish. In this species, the activation of the Mauthner cell, a command neuron for the initial phase of escape, produces a powerful modulation of the sensory system responsible for active electrorreception, its main sensory modality. CONCLUSION: The neural basis of behavior, even those relatively simple, exhibit several strategies of complex SMI that determine its performance and whose cellular mechanisms begin to be unraveled.

Animals↗