PubMed Health⌕ Search

Biomedical subjects

J R Suarez

Publications and source records attributed to J R Suarez.

15 recordsLinked to original sources

Antiviral activity of the human immunodeficiency virus type 1-specific nonnucleoside reverse transcriptase inhibitor HBY 097 alone and in combination with zidovudine in a phase II study. HBY 097/2001 Study Group.

The safety and antiviral activity of the second-generation nonnucleoside inhibitor HBY 097 was investigated in asymptomatic or mildly symptomatic human immunodeficiency virus (HIV)-1-infected patients in a randomized, double-blinded, dose-escalation study. Mean maximum virus load decreases ranged from -1.31 log10 copies/mL of plasma at week 1 in the group receiving HBY 097 monotherapy (250 mg three times daily) to -2.19 log10 copies/mL at week 4 in the group receiving zidovudine plus HBY 097 (750 mg three times daily). After 12 weeks, these patients had viral RNA copy numbers 1.05 log10 below baseline. Genotypic analysis of resistance development revealed reverse transcriptase K103N variants in most patients, which was associated with less durable efficacy of HBY 097 treatment. Fewer patients receiving combination therapy with high-dose HBY 097 developed the K103N variant (P<.01). HBY 097 caused pronounced acute suppression of HIV-1 replication both in combination with zidovudine and alone. Therefore, sustained antiviral activity can be expected from multiple combination therapy regimens including a quinoxaline derivative.

Adult↗

Tall cell papillary thyroid cancer: incidence and prognosis.

BACKGROUND: The tall cell variant (TCV) of papillary thyroid cancer is reported to have a poor prognosis. This study examines the incidence and end result of surgical treatment of TCV. METHODS: In this study, 240 thyroid cancers treated over a 23-year period at two hospital centers are reviewed. A total of 153 patients with papillary cancer were available for follow-up. All microscopic slides were re-examined. RESULTS: Of the total 183 papillary cancers, 19 (10.4%) were TCV. The remainder were usual papillary or other papillary cancer variants. Patient age, tumor size, lymph node and soft-tissue involvement, recurrence, and death rates were evaluated. Multivariate statistical analysis disclosed that TCV histology, as well as age and tumor size, were significant predictors of recurrence. CONCLUSION: Despite a high rate of recurrence in TCV cases over age 50 (6/9), there were no recurrent TCVs in cases under age 50 (0/8). Pathologists and surgeons must develop an increased awareness of this entity and implications for more radical treatment in the older age group.

Adult↗

Giant cervical polyp.

A giant cervical polyp occurring in a 56-year-old multiparous woman is described. Although the polyp was benign, total hysterectomy and bilateral salpingo-oophorectomy were carried out because of incidental cystic and adenomatous hyperplasia of the endometrium.

Female↗

Herpes simplex in gynecology and obstetrics.

The problems of herpes simplex in gynecology and obstetrics are reviewed. There were 40 patients showing the characteristic cellular changes of herpetic infection among the 79,357 Papanicolaou smears taken. Four patients, with cytologic evidence of herpes virus, also had cervical dysplasia. The relationship between herpes virus and dysplasia, carcinoma in situ, and invasive carcinoma is discussed. The use of a properly timed Papanicolaou smear to alert the physician to the danger of an infected birth canal is described. Three cases of neonatal herpes are cited.

Adolescent↗

The placenta: a diagnostic tool in sickle cell disorders.

Examination of the placenta for the presence of sickling is an accurate, simple, inexpensive, and readily available technique for determining the presence of sickle cell disorders. There were 24 placental specimens out of 904 which showed evidence of sickling. The importance of this confirming procedure can be seen in the uncovering of two cases of false negative reports from conventional testing.

Anemia, Sickle Cell↗

Real-time imaging with a new ultrasonic camera: part I, in vitro experimental studies on transmission imaging of biological structures.

Results are described of in vitro biological experimentation using a new through-transmission ultrasonic camera system developed at the Stanford Research Institute. The camera system produces real-time focused, orthographic images of a 15 times 15 cm field. The in vitro studies, which demonstrate the diagnostic potential of the new technique, include transmission images of selected excised organs such as liver, kidney, spleen, and uterus. In addition, preliminary studies evaluating ultrasonic image quality and the effect of out-of-focus structures are discussed.

Animals↗

Real-time imaging with a new ultrasonic camera: part II, preliminary studies in normal adults.

A new transmission ultrasound camera system has provided focused images in real time through the abdomen of adult volunteers at average incident sound intensity levels of less than 1 mW/cm-2. The camera uses a unique acousto-mechanical lens/deflection system and a linear array of piezoelectric transducers to detect the ultrasound image. BONY STRUCTURES AND COSTAL CARTILAGES WERE CLEARLY SEEN. The colon was regularly seen and the kidney could be outlined in several subjects. The stomach and duodenal bulb were demonstrated and peristalsis was observed using a barium contrast material. The camera has the potential of extending the use of ultrasound in clinical medicine by providing an ultrasound soft tissue imaging system analogous to an x-ray fluoroscope. The need for further clinical evaluation and research to improve the images is emphasized.

Adult↗