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Biomedical subjects

J G Panduro Baron

Publications and source records attributed to J G Panduro Baron.

5 recordsLinked to original sources

[Guillain-Barré syndrome and pregnancy].

Guillain-Barré syndrome is a rare occurrence in pregnant women. We describe the case of a 21-year old woman, seen at "Nuevo Hospital Civil de Guadalajara" with a term pregnancy, who presented with limbs weakness and paresthesias, drowsiness and malaise. Her vital signs were normal but she was quadriparetic, there was muscular atrophy in the extremities and deep tendon reflexes were decreased. Spinal fluid analysis revealed a protein of 71.2 mg/dl, glucosa 48 mg/dl and no white cells and both Gram stain and routine cultures were negative. EMG studies reported poliradiculoneuritis; a C-section was done, and both the mother and a newborn girl did very well. Guillain-Barré syndrome should be suspected in similar cases in order to offer prompt intervention.

Adult↗

[Abnormal cervical cytology. Management without colposcope].

From 1980 to 1987 we analyzed prospectively 30 cases of abnormal cytology at the Hospital Civil de Guadalajara without colposcopy. We practice cervical biopsy with Schiller test and according to result we practiced cervical conization. The cytologic results analyzed were: class V 20 (66.6%), class IV 6 (20%), persistent class III 2 (6.6%) and class II with clinical lesion suspicious of cancer 2 (6.6%). From all the patients, in 12 (40%) we found invasive cancer so that we didn't practice conization; in 10 patients (33.3%) we found the same results in the biopsies that in the conization, but in 8 patients (26.6%) the conization results were worse than the biopsies. We had one cytology class V false positive.

Adult↗

[Routine antibiotic therapy in cesarean section?].

From August 1988 to January 1989 at the Obstetrical service of the "Nuevo Hospital Civil de Guadalajara" we studied 150 patients with cesarean section without risk of infection. Three groups of 50 patients each were formed. Group A: had no antibiotics; Group B: antibiotic prophylaxis with penicillin, and Group C: ampicillin plus gentamicin for 7 to 10 days. The results were similar in the three groups as to patient's age, obstetrical history, cesarean section's indication, type of amniotic fluid, sex-weight and Apgar of the newborn, curve of body temperature, white blood cells and bands intrahospital. Only one patient had infection of the wound of the group A and other patient of the group C; from group B had a subaponeurotic hematoma (p less than 0.7). We concluded that the antibiotics must not use routinely, only when the patients have an infection risk.

Adult↗

Psychological reaction due to failure using the Lamaze method.

From 1972-1982 we selected 50 patients who had a normal delivery without the use of anesthesia (group A) and 50 patients who had abnormal deliveries (group B). Both groups were following the Lamaze method. All patients answered a questionnaire to detect depressive syndrome. In group A, 5 patients (10%), and in group B, 40 patients (80%) had depressive syndrome. The Chi square, P and Z were statistically significant. It is imperative to prepare our patients who are training for the Lamaze method for the possibility of an abnormal birth.

Depression↗