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Biomedical subjects

J C Bustos

Publications and source records attributed to J C Bustos.

15 recordsLinked to original sources

Intraoperative radiation therapy in malignant glioma: early clinical results.

Intraoperative radiation therapy (IORT) with high energy electron beams is a treatment modality that has been included in multimodal programs in oncology to improve local tumor control. From August 1991 to December 1993, 17 patients with primary (8) or recurrent (9) high grade malignant gliomas, anaplastic astrocytoma (4), anaplastic oligodendroglioma (6) and glioblastoma multiforme (7), underwent surgical resection and a single dose of 10-20 Gy intraoperative radiation therapy was delivered in tumor bed. Fourteen patients received either pre-operative (8) or post-operative (6) external beam radiation therapy. Primary gliomas: 18-months actuarial survival rate has been 56% (range: 1-21+ months) and the median survival time has not yet been achieved. Four patients developed tumor progression (median time to tumor progression: 9 months). Recurrent gliomas: 18-months actuarial survival rate and median survival time has been 47% and 13 months (range: 6-32+ months) respectively. The median time to tumor progression was 11 months. No IORT related mortality has been observed. IORT is an attractive, tolerable and feasible treatment modality as antitumoral intensification procedure in high grade malignant gliomas.

Adolescent↗

Stereotactic radiosurgery of the foramen magnum region and upper neck lesions: technique modification.

A modification of the stereotactic radiosurgical procedure to permit treatment of lesions in the foramen magnum and upper cervical regions is described. The modification consists of placing the frontal pins of the stereotactic head ring in the zigoma bone, with no changes in the position of the occipital pins, so the final BRW head ring is oblique to the orbito-meatal plane. In this new position there is room enough in the posterior part of the guide for the support scrubs. This is unhampered by the patient's shoulders and the lesion is far enough to permit setting the axial coordinate sufficiently above the head ring plane.

Foramen Magnum↗

[Biophysical profile in twin pregnancy: prospective study].

The biophysical profile is an excellent test for assessment of the fetoplacental unit, for analyze is value in twin gestation, we study prospectively 81 multiple gestations. The fetuses were examined weekly antepartum. We use the modified profile of Manning which include only the sonographic criteria: the figures for predict stillborn were: sensitivity of 66.7%, specificity of 98.8%, positive predictive value of 50% and negative predictive value of 99.4% and predict between distressed and healthy fetus of a pair; 94.6% of fetus perform good biophysical profile score twenty minutes. We conclude that the fetal biophysical profile is the elective tool in the assessment of twin gestations.

Adolescent↗

[Vesical filling for the management of umbilical cord prolapse].

A new method for management of the umbilical cord prolapse is presented: the bladder of the patient is filled with 500 to 700 ml of saline solution through a catheter, the bladder produce the upward displacement of the fetal head and soon proceed to cesarean section, this method reduce the maternal risks and the perinatal mortality. Four case reports are presented with good results.

Adult↗

[First arch syndrome: ultrasonic diagnosis].

A facial malformation was diagnosed by ultrasonography, the case correspond to First Arch syndrome, the findings are micrognathia, polyhydramnios, low-set ears and absence of stomach bubble. The heterogeneity of this syndrome and his relationship with environmental agents is analyzed.

Abnormalities, Drug-Induced↗

Continuous intracerebroventricular infusion of dopamine and dopamine agonists through a totally implanted drug delivery system in animal models of Parkinson's disease.

We studied the effect of intracerebroventricular infusion of dopamine and dopamine agonists in rat and primate models of Parkinson's disease as an experimental approach to the treatment of levodopa-induced fluctuations. The infusion of dopamine, lisuride, and pergolide into the ventricle ipsilateral to the lesion, by 6-hydroxydopamine, of the nigrostriatal pathway induced a contralateral rotation which was maximal 24-48 h after infusion and whose intensity progressively decreased over the period of 1 week. [3H]Spiperone binding was decreased by the infusion of dopamine but the responses to subcutaneous apomomorphine were unchanged. The infusion of dopamine also restored the levels of monoamines in the rat brain. In chronic reserpized rats, the infusion of dopamine restored brain levels of dopamine but did not reverse akinesia unless monoamine oxidase inhibitors were simultaneously administered, either systemically or intracerebroventricularly. Lisuride and pergolide proved much weaker than dopamine in reversing the effects of reserpine. Intracerebroventricular infusion of dopamine plus deprenyl reversed MPTP induced akinesia in monkeys but the pump used for the delivery was not well tolerated, because of its size, by the animals.

Animals↗