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Biomedical subjects

G Javier

Publications and source records attributed to G Javier.

At least 19 recordsLinked to original sources

The role of ants, especially the fire ant, Solenopsis geminata (Hymenoptera: Formicidae), in the biological control of tropical upland rice pests.

Predatory ants are omnipresent year-round in upland (dryland) rice fields in the Philippines. At least 14 species were identified of which the very aggressive Solenopsis geminata (Fabricius) and also Tapinoma sp. nr indicum Forel usually predominated. Some highly aggressive species, notably Pheidolegetonspp. and Bothriomyrmex dalyi Forel were localized. Solenopsis geminata flourished within many fields, not only during the crop season but also throughout dry season fallows where they remained aggressively predatory. Rice plants infested with brown planthopper Nilaparvata lugens (Stål) were usually found within a few hours and S. geminata workers were quickly recruited to N. lugens aggregates. Predation was usually incomplete and workers began to solicit the few remaining late instar or adult N. lugens survivors. These oviposited but no second generation nymphs appeared. There was a surge of recruited ants at the time of N. lugens egg hatch when surviving adults were also killed. Initially, S. geminataalone killed N. lugens aggregates less quickly than with the whole predator complex but ultimately its sole effect was as great as that of the complex. Scattered N. lugens adults, corresponding to numbers that initially colonize rice plants, were eliminated as quickly by S. geminata alone as by the predator complex. Tapinoma indicum occurring separately or with S. geminataon the same plant contributed to predation of N. lugens especially on young nymphs. Solenopsis geminataattacked other insects on rice notably leaffolders of which 97% mortality was recorded when they were exposed throughout egg and larval stages. The role of S. geminataas a predator of upland rice pests is discussed in the context of known biological control of pests of non-rice dryland crops in the tropics and sub-tropics by S. geminata and other Solenopsis spp.

Animals↗

[Radio-guided surgery with MIBG in a case of abdominal neuroblastoma].

Radio-guided surgery is a new technique which can provide benefits for pediatric oncology, as in our patient with neuroblastoma in stage IV, that after a chemotherapy, surgical, radiotherapy and autologous bone marrow transplant treatment kept showing, at 2 years, residual tumoral fragments and increase of catecholamines. Radio-guided surgery allowed an easy and exact location. This technique decreases surgery time and let us find residual tumoral tissue no matter how small. With radio-guided surgery we can obtain higher survival and even cure the patient.

3-Iodobenzylguanidine↗

Wilms' tumours with intracaval involvement.

Since Gross established the basic rules for nephrectomy in Wilms' tumour (WT) in 1953, the management of nephroblastoma has been more straightforward. However, some cases with intravascular involvement, currently detected by ultrasound (US), may represent a daunting challenge for the surgeon. Inferior vena cava with tumour thrombus, induced by WT, can be asymptomatic and, if undetected, can contribute to poorer prognosis for two main reasons: possible neoplastic cells inside the thrombus and higher morbidity risk of surgery. From 1979 to 1993, 81 WT were studied by routine US. Intracaval thrombosis was diagnosed in four (5%), in one of which the thrombus extended to the right atrium. In our experience, the surgical strategy in each of the four cases (100% survival) depended on the length of the thrombus and whether or not it infiltrated the vena cava wall. If the thrombus can be easily removed: complete resection. However, in cases of atrial thrombus, and more particularly if the thrombus involves the intima, we suggest the thrombus not be touched since the problem may be solved by preoperative and postoperative chemotherapy. Thus the favourable prognosis would be maintained and superfluous risky surgery avoided.

Chemotherapy, Adjuvant↗

Anti-neutrophil cytoplasmic auto-antibodies-associated vasculitis with pulmonary and renal involvement.

We present a 13-year-old boy with a rapidly progressive glomerulonephritis and pulmonary haemorrhage with perinuclear anti-neutrophil cytoplasmic auto-antibodies (pANCA) corresponding to anti-myeloperoxidase antibodies. The diagnosis of microscopic polyarteritis was made on the basis of the clinical features, the positivity of pANCA, and the histological finding of a pauci-immune crescentic glomerulonephritis. He responded excellently to corticosteroids and cyclophosphamide therapy and complete clinical remission persists 1 year after withdrawal of treatment. We emphasize the usefulness of ANCA antibody assays to establish a prompt diagnosis and adequate treatment in systemic vasculitis in children.

Adolescent↗

[Ewing's tumor].

Explore the source record for details and available documents.

Adolescent↗

[Acute lymphoblastic leukemia in children. Long survivals obtained with protocols C2-72 and D-74 (1972-1977)].

Between 1972-1977, 92 patients with acute lymphoblastic leukemia, between 0 and 14 years of age, were treated with C2-72 and D-74 protocols. Induction treatment consisted of prednisolone (PRED)-vincristine (VCR) with the addition of daunorubicin (prot. C2-72) or asparaginase (prot. D-74). In both protocols, preventive therapy on the CNS consisted of cranial irradiation (24 Gy) and 5 doses of methotrexate i.t. (MTX). For the maintenance phase in protocol C2-72, three combinations: mercaptopurine (MP)-MTX, MP-Ara.C and MTX-cyclophosphamide, were sequentially administered for 3 years, with reinductions of PRED-VCR every three months. In protocol D-74, only MP-MTX was used for 3 years; the random half of the patients also received "reinductions". In protocol C2-72, BCG was administered by scarifications for 2 years to patients in remission after 36 months; in D-74, the random-half patients received BCG and irradiated allogeneic blasts for one year. The other half of the patients received no other treatment. The overall disease-free survival rate is 45.6% with a duration of between 84 and 156 months. Only one death occurred after 7 years. In protocol C2-72, 9 of 26 initial patients (34.6%) and in protocol D-74, 33 of 66 initial patients (50%) are still alive, off treatment and with no sign of disease. Ten patients (10.8%) died in continuous remission of infection (8) or toxic encephalopathy (2); five deaths were caused by "Pn. carinii". The incidence of meningeal relapse was 11% and isolated testicular relapse in males 15.7%; moreover, in 6 of the 22 boys in remission, programmed testicular biopsy showed interstitial leukemic infiltrates. Analysis of initial risk factors permitted the establishment of a risk index (r.i.): in cases with a r.i. below 3 (76% of cases) the survival rate was 53%; in the group with a higher r.i. (24%), it was 22%. Further conclusions of this study were: the lack of effectivity of "reinductions" and immunotherapy and proof of a higher rate of relapses in males mainly owing to isolated testicular relapse.

Adolescent↗