[Lesson from a forest doctor (Albert Schweitzer)].
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Ethics, Medical↗
Biomedical subjects
C Rodriguez
Publications and source records attributed to C Rodriguez.
Metabolic effects of cloprednol-a new systemic corticosteroid.
The short-term metabolic effects of cloprednol, a new short-acting synthetic corticosteroid, were evaluated in four normal subjects. Cloprednol, 12.5 mg/day, in one subject had no appreciable effect on urinary excretion of sodium, potassium, nitrogen, or calcium. Cloprednol, 20 mg/day, in three subjects had no significant effect on mean daily urinary sodium and potassium excretion, although mild, transient sodium retention and kaliuresis were observed. One subject had increased nitrogen excretion and all three had a small increase in calcium excretion. Prednisolone, 40 mg/day, a dose with antiinflammatory potency equivalent to 20 mg/day cloprednol, given subsequently to two subjects under identical conditions resulted in sodium and potassium excretion results similar to those of cloprednol, 20 mg/day, but produced a much greater increase in nitrogen and calcium excretion. These results suggest that, like prednisolone, cloprednol lacks the sodium-retaining properties of hydrocortisone and raise the possibility that cloprednol has less of a deleterious effect on nitrogen and calcium excretion than prednisolone.
Adult↗
Endocarditis due to ampicillin-resistant nontyphoid Salmonella: cure with a third-generation cephalosporin.
A case of ampicillin-resistant salmonella bacteremia complicated by endocarditis in a 78-year-old man is presented. Previous rheumatic valvular heart disease and the lack of response to initial treatment with chloramphenicol prompted us to consider this diagnosis. There was a good clinical response after treatment with ceftriaxone alone and corresponding improvement on the echocardiogram. This case demonstrates the possible endovascular complications of salmonella bacteremia in elderly people and that endocarditis should be included among the invasive infections due to ampicillin-resistant Salmonella that could potentially be treated with the newer cephalosporins.
Aged↗
Gametic associations between inversion and allozyme polymorphisms in Drosophila buzzatii.
Gametic disequilibria between second chromosome polymorphic arrangements and seven linked allozyme loci were estimated in seven populations of Drosophila buzzatii from Argentina. Significant and consistent associations across populations were detected for Est-1, Est-2, Aldox, and XDH: Phenograms based on Nei's genetic distance showed that chromosomes carrying the 2ST arrangement were more similar to each other, irrespective of the population from which they were extracted, than to chromosomes carrying the derived 2J and 2JZ3. Restriction of recombination in heterokaryotypes seems to be the best explanation for the significant linkage disequilibria between inversions and the loci located inside the rearranged segments, for example, Est-1 and Aldox, or close to the break points, for example, Est-2. However, epistatic interactions between Xdh, which is outside the inversions and not near the break points, and loci tightly linked to the inversions, is the most likely explanation for the association between Xdh and chromosomal arrangements. Some of the associations detected in endemic Argentinean populations are coincident with data obtained in colonizing populations of the Old World and Australia. Thus historical processes that took place in the original area of the species' distribution can account for these linkage disequilibria in colonized populations of D. buzzatii.
Animals↗
Transesophageal echocardiography in stroke.
Fifteen to twenty percent of all ischemic strokes are of cardioembolic origin. Since the introduction of transesophageal echocardiography (TEE) in 1976, its clinical application in the diagnosis of cardioembolic stroke has expanded greatly. Comprehensive literature has accumulated showing TEE as an invaluable tool for the diagnosis of cardioembolic stroke because it allows superior visualization of established embolic stroke risk factors (apical thrombus, endocarditis) as well as the identification of newer factors (patent foramen ovale, aortic arch plaques, etc.). In this article, we summarize the present status of TEE in the diagnostic workup of stroke.
Aorta, Thoracic↗
The sterol composition of Trypanosoma cruzi changes after growth in different culture media and results in different sensitivity to digitonin-permeabilization.
Respiration, oxidative phosphorylation. and the corresponding changes in membrane potential (deltapsi) of Trypanosoma cruzi epimastigotes grown either in liver infusion-tryptose (LIT) or brain heart infusion (BHI) culture medium were assayed in situ using digitonin to render their plasma membrane permeable to succinate, ADP, safranine O, and other small molecules. When the cells were permeabilized with 64 microM digitonin, a concentration previously used with epimastigotes, the ability of the cells grown in LIT medium to sustain oxidative phosphorylation was demonstrated by the detection of an oligomycin-sensitive decrease in mitochondrial membrane potential induced by ADP. In contrast, the cells grown in BHI medium were not able to sustain a stable membrane potential and did not respond to ADP addition. Analyses of oxygen consumption by these permeabilized cells indicated that the rate of basal respiration, which was similar in both cell types, was significantly decreased by 64 microM digitonin. Addition of ADP to the permeabilized cells grown in LIT medium promoted an oligomycin-sensitive transition from resting to phosphorylating respiration in contrast to the cells grown in BHI medium, whose respiration decreased steadily and did not respond either to ADP or CCCP. Titration of the cells grown in BHI medium with different digitonin concentrations indicated that their mitochondria have higher sensitivity to digitonin than those grown in LIT medium. Analysis of the sterol composition of epimastigotes grown in the two different media showed a higher percentage of cholesterol in total and mitochondrial extracts of epimastigotes grown in BHI medium as compared to those grown in LIT medium, suggesting the involvement of this sterol in their increased sensitivity to digitonin-permeabilization.
Animals↗
Attenuated nocturnal rise in pineal and serum melatonin in a genetically cardiomyopathic Syrian hamster with a deficient calcium pump.
Day and nighttime melatonin production in the pineal gland was compared in normal and cardiomyopathic (polydystrophic) adult male Syrian hamsters. These strains of hamsters were selected for comparison because the cardiomyopathetic hamster displays a deficient transmembrane Ca(2+)-pump in a number of tissues, and intracellular CA2+ concentrations ([Ca2+]i) play a central role in the nocturnal increase in pineal melatonin synthesis. Daytime levels of all constituents measured, i.e., pineal N-acetyltransferase (NAT) activity, pineal and serum melatonin levels, and pineal 5-hydroxytryptophan (5-HTP), serotonin, and 5-hydroxyindole acetic acid (5-HIAA) contents, were comparable in control and dystrophic hamsters. In contrast, the nighttime rises in pineal NAT activity and pineal and serum melatonin levels were significantly attenuated in the dystrophic hamsters. By comparison, the pineal contents of 5-HTP, serotonin, and 5-HIAA were essentially the same in both groups of hamsters with both pineal serotonin and 5-HIAA values exhibiting the usual nighttime drop. It is presumed that the alterations in nocturnal melatonin production in the pineal gland of the cardiomyopathic hamster may relate to a generalized deficiency in the Ca(2+)-pump in pinealocyte plasma membranes, which leads to unusually high [Ca2+]i, causing a depression of NAT activity; this leads to the commensurate decline in pineal and serum melatonin levels. Harderian gland NAT activity and melatonin levels were essentially similar in the two groups of animals, although NAT activity was slightly depressed in the dystrophic hamsters killed during the day. The reduced amounts of intrascapular brown fat in the cardiomyopathic hamster is speculated to be a result of the diminished amount of melatonin produced in these animals.
Animals↗
Susceptibility of Helicobacter pylori to metronidazole in a Brazilian population.
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Brazil↗
[Study of the morphological and histological changes in a transplanted tooth germ in the albino rat].
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Animals↗
Simultaneous determination of ascorbic acid and acetylsalicylic acid in pharmaceutical formulations.
A direct, simple, and practical first-derivative spectrophotometric method is described for simultaneous determination of ascorbic acid and acetylsalicylic acid. The effects of the solvent, excipients, and spectral variables on the analytical signal were investigated. The drugs were determined simultaneously with a 0.01 M methanolic hydrochloric acid solution as the solvent, and the signals were evaluated directly by using the zero-crossing method at 245.0 and 256.0 nm for acetylsalicylic acid and ascorbic acid, respectively. The method allows the simultaneous determinations of acetylsalicylic acid and ascorbic acid in the ranges of 6.6 x 10(-6) to 1.5 x 10(-4)M and 3.4 x 10(-6) to 2.0 x 10(-4)M, respectively, with standard deviation of <2.0%. The proposed method was applied to determinations of these drugs in tablets.
Anti-Inflammatory Agents, Non-Steroidal↗
[Activity of 14 antimicrobials against Eikenella corrodens].
Eikenella corrodens is a gram-negative bacillus that colonizes as normal flora of the mouth, the upper respiratory tract and the gastrointestinal tract. The aim of this study was to determine the susceptibility patterns against fourteen antibiotics of 25 E. corrodens strains isolated at our hospital. MICs were determined by the agar dilution technique using Müeller-Hinton agar with sheep blood (5% v/v) to penicillin, ampicillin, ampicillin-sulbactam, cephalotin, cefoxitin, ceftiaxone, colistin, gentamicin, amikacin, erythromycin, rifampin, ciprofloxacin and clindamycin. The most active antibiotics were ciprofloxacin and ceftriaxone (MIC90 = 0.008 and 0.125 microgram/ml, respectively), whereas eritromycin, gentamicin and amikacin showed less activity. Only one strain was beta lactamase positive, and it was inhibited by sulbactam. Erithromycin, gentamicin and amikacin had poor activity (MIC90 = 16.8 and 64 micrograms/ml, respectively), whereas all the strains were uniformly resistant to clindamycin (MIC > or = 32 micrograms/ml). We suggest about the need of periodical surveys of E. corrodens susceptibility patterns, since strains have been found with decreased susceptibility against antibiotics which are currently being used for the treatment of infectious diseases.
Anti-Bacterial Agents↗
Effect of weight loss on insulin sensitivity and cardiovascular risk factors in glucose tolerant and intolerant obese subjects.
We observed 170 obese patients during 55 weeks in order to study the influence of insulin resistance and insulin sensitivity on cardiovascular risk factors in such patients as well as the changes occurring on these subjects as a result of weight loss. At the beginning of the study, the patients were divided into two groups, according to the results of an oral glucose tolerance test (OGTT) performed with 75 g of glucose: Group A, glucose tolerant subjects (n = 81), Group B, glucose intolerant subjects (n = 89). Initially Group B patients showed higher values for fasting blood glucose, 2 h after OGTT, systolic and diastolic blood pressure, cholesterol, triglycerides and cholesterol/HDL-cholesterol ratio when compared to Group A patients (p less than 0.05). Fasting and 1 h-post glucose load serum insulin levels in both Group A and Group B patients were higher than those found out in non over-weight tolerant subjects, but there were no differences between both groups. The serum glucose descent slope after an insulin tolerance test (ITT) was lower for group B than for group A (p less than 0.05), whereas both groups demonstrated lower descent slopes than non overweight tolerant subjects (p less than 0.05). After a 55 weeks follow-up period, the patients in Group A had lost 4.6 +/- 0.7 kg and those in Group B 6.2 +/- 1.1 kg. In both groups, the values for SBP, DBP, FBG, triglycerides and cholesterol/HDL-cholesterol ratio had dropped significantly, with a rise in the HDL-cholesterol level.(ABSTRACT TRUNCATED AT 250 WORDS)
Adult↗
Programme of education for obese patients. Preliminary results after one year.
We have evaluated the effects of a Programme of education for Obese Patients with a duration of 12 hours on weight loss and the modification of other indices for cardiovascular risk in 88 obese patients, during the first year of therapy. The BMI dropped from 33.1 +/- 0.2 Kg/m2 to 31.7 +/- 0.7 (p less than 0.01) and 30.9 +/- 0.7) (p less than 0.01) at 5 and 10 weeks respectively, stabilizing subsequently at 35 and at 55 weeks. This was accompanied by a decrease of the triglycerides levels (141 +/- 9 vs 111 +/- 6 mg/dl; p less than 0.01) and of the total cholesterol/HDL-cholesterol ratio (4.7 +/- 0.3 vs 4.2 +/- 0.12; p less than 0.05), as well as of the values for systolic blood pressure (143 +/- 3 vs 121 +/- 3 mm Hg; p less than 0.05) and diastolic blood pressure 81 +/- 2 vs 64 +/- 1 mm Hg; p less than 0.01) at the end of the study. In terms of OGTT, initially 23 patients were classified as diabetic (BMI 32 +/- 0.9 Kg/m2), 25 presented intolerance to carbohydrates (BMI 34.1 +/- 1.6 Kg/m2) and 40 were normal (BMI 33.2 +/- 1.2 Kg/m2). The weight loss in the first 5 weeks was less in patients with diabetes then in those with carbohydrate intolerance and in the normal patients (2.2 vs 3.7 vs 5.9 Kg; p less than 0.01). From the 10th week on no differences were recorded.(ABSTRACT TRUNCATED AT 250 WORDS)
Blood Pressure↗
[Gastrointestinal bacteriology of the earthworm Eisenia foetida grown in composted broiler litter].
The high animal concentration in intensive production brings about problems due to the volume of excreta and environmental pollution with the consequent risk for animal and human health. Therefore, previous to the application of any strategy of organic wastes recycling it is necessary to know possible sanitary risks. Farm organic wastes can be recycled through the intensive breeding of earthworms from species Eisenia foetida (Annelida, Oligochaeta) which can break down the consumed organic substance into humus. E. foetida is able to accelerate biodegrading wastes decomposition. It has been selected for recycling because its self productivity, its capacity to live in high concentrations, its feeding habits as well as its resistance to stress. The aim of this work is to study the microbial flora potentially pathogenic and their survival in the intestinal tract in sexually mature earthworms cultivated in composted broiler litter. Total coliforms, faecal coliforms, Salmonella, Pseudomonas and other enteric bacteria were sought in accordance with the recommended methodology. In E. foetida no positive results were obtained in the MPN/g (most probable number) of total coliforms, faecal coliforms, Salmonella, Pseudomonas and other Enterobacteriaceae family bacteria. These results suggest an antimicrobial response upon Gram negative bacteria from the gizzard and through the intestinal tract.
Animal Husbandry↗