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J Anselmo

Publications and source records attributed to J Anselmo.

18 recordsLinked to original sources
PubMed1991

[Direct intraperitoneal insemination. Authors' experience].

We present our experience with the method of Direct Intraperitoneal Insemination (DIPI) in cases of infertility during 56 cycles with ovarian stimulation in 15 women 53.3% of our cases are primary sterility cases. The principal indication for DIPI was male factor (six cases), endometriosis three cases, cervical hostility, three cases and compound cases the other ones. The average age was 33.7% years. Always we used the induction of ovulation according to the protocol of Frydman with clinical monitorization. The seminal fluid was treated with the swim-up method and was placed in the pelvic peritoneum with a spinal needle by direct transvaginal puncture, during the ovulatory period. We have obtained five pregnancies (33.3%) one of them ectopic (6.66). We have been successful in all cases of cervical hostility and in one case of compound etiology. There are no complications in this series with DIPI. It is discussed the place of DIPI among the technology of assisted fertilization.

Adult↗
PubMedDate not supplied

[Chronic hypoparathyroidism: review of 5 clinical cases].

In 5 patients with a long clinical evolution of tetany and/or convulsions and with documented hypocalcaemia and hyperphosphatemia, low or inappropriate values of parathormone were detected. Only two of the patients had a history of subtotal thyroidectomy and all presented with basal ganglia calcification, bilateral subcapsular cataracts and prolonged QTc interval in the ECG. After one month of oral therapy with calcium and calcitriol, the values of calcaemia and phosphatemia were in a near-normal range with the exception of a patient in which that normalization was much slower and only occurred after correction of magnesaemia. In this last patient statistical correlation between QTc interval in the ECG and the calcaemia was statistically significant (P less than 0.001). We conclude that the QTc interval can be a useful and accessible index in acute situations of symptomatic hypocalcaemia.

Adult↗
PubMedDate not supplied

[Influence of body fat topography on glucose homeostasis and serum lipids].

Predominant fat distribution in the upper body segment evaluated by waist to hip circunference ratio (WHR) has been associated with diabetes mellitus and cardiovascular morbidity excess. To investigate metabolic alterations underlying this risk excess, we selected 2 groups of 10 obese women without history of hypertension, menstrual irregularities or oral contraceptives, matched according to age (mean +/- SD): 30.5 +/- 5.3 vs 30.6 +/- 5.8 years and BMI 35.5 +/- 6.5 vs 35.7 +/- 6.7 Kg/m2. Each matched pair had a difference in WHR superior to 0.15 (0.83 +/- 0.04 vs 1.02 +/- 0.05). Insulin and C peptide were determined during an oral glucose tolerance test (75 g). At 30, 60, 90 and 120 minutes differences were significant for glycaemia, insulinaemia and C peptide. Fasting triglycerides were 103 +/- 48 in the lower WHR group vs 164 +/- 84 mg/dl (p less than 0.05); total cholesterol 186.5 +/- 31 vs 215.2 +/- 29.4 mg/dl (p less than 0.05); LDL cholesterol/HDL cholesterol 2.46 +/- 0.89 vs 3.18 +/- 0.96 (p less than 0.05). No significant differences were found in androgenic activity. We conclude that preferential fat distribution in the upper segment is, by itself, an aggravating factor of metabolic alterations associated with obesity, particularly dyslipidaemia and hyperinsulinaemia.

Adipose Tissue↗