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Biomedical subjects

J Piqueras

Publications and source records attributed to J Piqueras.

At least 19 recordsLinked to original sources

[Test of a teleradiology network based on ATM (asynchronous transfer mode)].

The retain project (Radiological Examination Transfer on ATM Integrated Network) consisted in teleradiology trials focused on pediatric imaging between two university hospitals. Rennes (France) and Barcelona (Spain) using an integrated broadband communication network based on ATM (asynchronous transfer mode), as part of a European research program. The network used was a full 10 Mbits/s ATM network directly connected to local PACSs (medical imaging hospital networks). One important reason to explicitly consider ATM for medical imaging is that multimedia applications on such networks allow integration of digital data and person-to-person communication. The utility of broadband communication for teleradiology has been confirmed. High quality video and sound are important for both human communication and medical video transfer. The project led to guidelines regarding technical options still open to improvement.

Computer Communication Networks

Data interface between a radiology information system and a computed radiography system using a personal computer and standard software.

We describe the implementation of a simple data interface between a radiology information system and a computed radiography system that uses personal computers and standard software. The radiology information system was developed in house and runs in a local area network of personal computers. The computed radiography system is connected to a picture archiving and communication system. We have implemented a software data interface on a microcomputer, allowing automated transfer of patient data from the radiology information system program to the computed radiography scheduling program. The interface adds essential information used by the picture archiving and communication system to handle work lists, routing, and archiving algorithms. We have improved the user interface, shortened the scheduling time, enabled coherence of data bases, and eased the use of computed radiography and examination routing in the picture archiving and communication system. We have been using this interface for more than 1 year without difficulties. This custom solution addresses the problem of interconnecting existing equipment, avoiding proprietary restrictions or the lack of effective standards. This approach can be applied to any radiology environment that uses personal computers.

Humans

[Resistance to antivitamins K].

Resistance to oral anticoagulant is a rare phenomenon. We report the case of a 32-year-old woman who required anticoagulation due to a deep venous thrombosis. She gradually developed resistance to acenocumarol and warfarin. Although the HPLC (high performance liquid chromatography) method proved satisfactory acenocumarol levels in plasma, therapeutic anticoagulation was not achieved. The mechanisms of resistance are discussed.

Acenocoumarol

Fatal mushroom poisoning in Barcelona, 1986-1988.

In 1986-88, 46 poisonings (4 of which were fatal) caused by amatoxin mushroom were reported. The fatalities were males aged between 7 and 65 years. They all had gastrointestinal symptoms and three of the patients died of acute hepatic insufficiency. The fourth died as a result of an intestinal perforation. The clinical and pathological alterations are compared with the findings of other authors.

Adolescent

Hepatotoxic mushroom poisoning: diagnosis and management.

Hepatotoxic mushroom poisoning (due to Amanita, Lepiota and Galerina species) may be considered as a real medical emergency, since an early diagnosis and immediate treatment are required for a successful outcome. In this review the physio-pathological features and the clinical picture of amatoxin poisonings are described as the basis for diagnosis and therapeutic decisions. The treatment schedule proposed is analyzed in some points: Symptomatic and supportive measures, toxin removal and extraction procedures, and the possibility of using antidotes. Some parameters with prognostic significance are commented on. Finally, the mortality rate and its evolution throughout the present century is also considered.

Amanitins

Arachnoid cysts with intracystic and subdural haematoma.

Two cases of arachnoid cysts with acute intracystic and subdural haematomas are described. CT examination was performed in both cases, and showed a hyperdense expansion with thinning of the inner table of the skull. The different ways in which subdural haematomas associated with arachnoid cysts may be seen on CT are discussed.

Adolescent

Posttransfusion hepatitis in Spain. A prospective study.

The incidence of posttransfusion hepatitis was prospectively investigated in 230 cardiac surgery patients, 40 patients (17.4%) developed clinical and/or biological signs of hepatitis. In 10 cases (25%), the illness was due to hepatitis B virus infection. 1 patient (2.5%) had serological evidence of cytomegalovirus infection with clinical signs of hepatitis. In 29 cases (72.5%), the hepatitis was considered to be due to non-A, non-B agent(s). Of the 29 patients in this latter group, 16 have persistent transaminase elevations after 1 year, thus suggesting the development of chronic liver disease.

Cytomegalovirus Infections