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J T Gomez

Publications and source records attributed to J T Gomez.

3 recordsLinked to original sources

Cluster analysis application to Class I malocclusion.

The purpose of this study was to obtain Class I malocclusion statistical subtypes by applying cluster analysis techniques, to assess clinical and cephalometric characteristics from different clusters, and to analyse sex and age effects on grouping patterns. Four-hundred-and-sixteen Spanish patients (243 females, 173 males) with Class I osseous and dental malocclusion (4 degrees > ANB > 0 degrees) between 8 and 16 years of age, with no previous orthodontic treatment, were analysed. Cluster analysis was applied to the information provided by 20 variables both clinical and cephalometric (Ricketts' analysis) per patient. The grouped individuals were defined in a statistically significant manner by a greater lower incisive proclination, greater lower labial protrusion, less dental crowding, and less pogonion-NB distance. So, only the protrusive traits were statistically expressed in the cluster analysis. The grouping pattern in Class I malocclusion was shown in a more defined form at younger age levels and disappeared with age. The clustering pattern was very similar in Class I malocclusion males and females.

Adolescent↗

Rapid streptococcal antigen detection in experimental keratitis.

We assessed the role of commercially available immunodiagnostic procedures in comparison to Gram stain and culture in experimental bacterial keratitis. Rabbit corneas were inoculated with Streptococcus pneumoniae, S. pyogenes, S. faecalis, or Haemophilus influenzae. Corneal scrapings were processed before and during antibacterial therapy using a coagglutination assay to detect pneumococcal capsular antigen (Phadebact Pneumococcus test) and an enzyme immunoassay to detect group A streptococcal cell-wall antigen (TestPack Strep A test). In untreated infected eyes, both immunoassays were highly specific and as sensitive as Gram stain for detection of the respective microorganisms. For S. pneumoniae keratitis, the sensitivity of coagglutination was 82% and Gram stain, 73%. For S. pyogenes keratitis, the sensitivity of enzyme immunoassay was 100% and Gram stain, 62%. Immunoassays and Gram stain were less sensitive than culture during antibacterial therapy. Successful clinical application of the coagglutination assay in a patient with pneumococcal keratitis permitted early use of specific cephalosporin treatment.

Animals↗

Comparison of acridine orange and Gram stains in bacterial keratitis.

We assessed the comparative sensitivities of acridine orange and Gram stains in the examination of corneal scrapings using an experimental model of Pseudomonas aeruginosa keratitis. Acridine orange was more sensitive than Gram stain, requiring concentrations of about 10(4) colony-forming units/mg of corneal tissue compared to approximately 10(5) colony-forming units/mg. Our clinical experience with 21 consecutive cases of suspected microbial keratitis showed a similar diagnostic accuracy of acridine orange and Gram stain. Acridine orange accurately predicted culture results in 15 of 21 specimens (71%) compared to a diagnostic accuracy of 62% (13 of 21 specimens) for Gram stain.

Acridine Orange↗