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Biomedical subjects

J Florido

Publications and source records attributed to J Florido.

7 recordsLinked to original sources

A new photogrammetric method to measure fetal breathing movements.

OBJECTIVE: In most recent studies, fetal respiratory movements have been measured with real-time and Doppler echography. We describe an alternative approach using photogrammetry that provides more objective measurements. METHODS: Respiratory movements were studied in 28 women with uncomplicated pregnancies of 30-38 weeks' gestation. Fetal echographic images were recorded on videotape and digitized to obtain coordinates of the reference point (midpoint on the anterior abdominal wall of the fetus between the xiphoid process and the insertion of the umbilical vessels) and generate graphic representations of fetal movements in the anterior abdomen. RESULTS: The mean duration of a complete respiratory cycle was 1.194 s, the mean distance representing the extent of movement was 2.92 mm, the mean inspiratory velocity was 5.52 mm/s and the mean expiratory velocity was 5.06 mm/s. CONCLUSIONS: Photogrammetric analysis of images obtained with real-time echography provided accurate measurements of fetal breathing movements.

Abdominal Muscles↗

Plasma concentrations of beta-endorphin and adrenocorticotropic hormone in women with and without childbirth preparation.

We studied plasma concentrations of beta-endorphin (beta-EP) and adrenocorticotropic hormone (ACTH) during dilation, expulsion and immediate puerperium in 47 primiparous women with an uneventful pregnancy and spontaneous vaginal delivery. Twenty-five women had received childbirth preparation with the Lamaze method, and 22 had received no preparation. Mean concentrations of beta-EP from the beginning of labor until puerperium were higher in women who had received preparation, but there was no significant difference between the two groups. When behavior during labor was evaluated regardless of which group the patient was assigned to, women whose behavior was unsatisfactory has significantly higher concentrations of ACTH at all times during childbirth. We discuss the role of childbirth preparation as a way to enhance beta-EP secretion. Levels of ACTH, on the other hand, appear to be more closely related with behavior during labor, regardless of whether the mother received preparation.

Adrenocorticotropic Hormone↗

Plasma levels of beta-endorphin and ACTH during labor and immediate puerperium.

We measured concentrations of beta-endorphin (beta-EP) and adrenocorticotropic hormone (ACTH) in maternal peripheral plasma during dilation, the expulsive period and immediate puerperium, and in the umbilical vein. Plasma levels of both peptides increased markedly and were directly correlated during labor, and decreased 24 h after birth; they were no longer correlated during immediate puerperium. In the umbilical vein, beta-EP and ACTH were also directly correlated. Moreover, the concentration of each of the two peptides in maternal plasma during the expulsive period was correlated with the corresponding concentration in umbilical vein. We discuss the importance of placental corticotropin-releasing factor in the regulation of maternal and fetal stress.

Adrenocorticotropic Hormone↗

[Neonatal herpetic encephalitis. Current concepts concerning a case].

We describe a newborn patient with herpes simplex infection localized to the central nervous system. The diagnosis was suspected on clinical grounds and it was corroborated by tissue culture isolation of the virus and by herpes simplex glycoprotein B DNA detection by PCR in cerebrospinal fluid. We describe the clinical manifestations of this patient and we present some considerations regarding pathogenesis, diagnosis, prognosis and treatment of this viral infection in the newborn period.

Acyclovir↗