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Biomedical subjects

M del Real Llorente

Publications and source records attributed to M del Real Llorente.

6 recordsLinked to original sources
PubMed1995

[Pediatric consultations at the second-opinion level].

OBJECTIVE: To study the inter-consultations made with the second level by two out-patient paediatrics clinics, with regard to the reliability of the information system and the characteristics of the people referred in relation to the requested specialties. DESIGN: Descriptive. SETTING: Urban health centre. PATIENTS AND OTHER PARTICIPANTS: All children for whom a second level opinion was sought during 1993. MEASUREMENTS AND MAIN RESULTS: An inter-consultation was requested for 493 children, with an average age of 7.5. 65% were in the 6 to 14 age group, 33.3% in the 10-14 group. 45.4 of each 100 consultations were for ophthalmology, which, together with infant traumatology, dermatology, ENT and allergy, made up 87.8% of all the inter-consultations. Broken down by specialty, the most common reasons were: defects of refraction in ophthalmology; hip disorders in nursing children and feet problems, both in traumatology; changes in nevi, resistant eczemas and skin infections, all in dermatology; relapse cases of otitis and adenoiditis in ENT; and seasonal rhinoconjunctivitis (RCJ) in allergy. The result of the referral was known in writing in 31.6% of cases. The reason for the referral was recorded in the clinical notes in 92.7% of cases. CONCLUSIONS: The total number of referrals depends on the limit of paediatric age. By children's ages, the referrals most requested were: less than one month to cardiology, from 1 to 12 months to traumatology, from 2 to 3 years to ENT, over 9 to allergy and over 12 to ophthalmology, traumatology and endocrinology. Almost half the consultations are for ophthalmology, the main reasons being problems in refraction and the check-ups engendered by this problem. An internal channel to return information needs to be established.

Adolescent↗
PubMed1990

[Platelet immunoglobulins and complement in idiopathic thrombocytopenic purpura. Specificity to the IIb/IIIa membrane complex].

Platelet-associated IgG, IgM and C3c was studied by an enzyme-linked immunosorbent assay (ELISA) procedure using polystyrene microter plates and solubilize platelets. At the time of investigation patients fell into the following disease categories: 24 chronic ITP, 10 acute ITP and 11 ITP in remission (normal platelet counts). A significant elevation of platelet IgG was found in acute and chronic ITP. The C3c was increased in acute categories and normal in the others. There was not significant difference in the immunoglobulins and complement values between ITP in remission and normal donors. The platelet specificity of IgG and IgM antibodies to IIb/IIIa membrane complex was positive in 20% from chronic ITP and in none from acute. It is concluded that an elevated platelet immunoglobulins or complement is usefull for ITP diagnosis but the difference between acute and chronic categories only is possible in some cases by the antibodies specificity.

Blood Platelets↗
PubMed1987

[Non-specific triggering factors in 197 non-pollenogenic asthmatics with an unfavorable outcome].

One hundred and ninety seven, non-pollenic, asthmatic patients showing asthma or other respiratory allergic symptoms 5 years after the date of the diagnosis, were studied. Several non-specific trigger factors which could be the cause of the inadequate outcome were investigated. In 93 cases (47%) had respiratory infections previous to asthmatic crisis; in 66 (33%) had home or climatic changes; in 54 (27%) there was impairment subsequent to physical exercise and 13 (7%) had irritants factors at home. Other interesting epidemiological data were the male sex (69%) and the allergic familial antecedents (55%). Among the 197 patients 53 were secondarily sensibilized to pollen during the 5 years follow-up, 20 did it to foods and 14 to danders. Children sensibilized to foods and epithelia allergens had a similar behaviour to the general group. Patients secondarily sensibilized to pollen showed differences: Respiratory infections and physical exercise climatic changes were more frequent. They also had a more lasting natural lactation.

Adolescent↗