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Biomedical subjects

R Gilman

Publications and source records attributed to R Gilman.

At least 91 records · Page 5Linked to original sources
PubMed1987

[Campylobacter pyloridis and socioeconomic levels].

The purpose of this study was to determine if there was any relationship between the socio-economic level of patients and the colonization of the stomach by Campylobacter pyloridis. We have studied 256 patients who underwent esophagogastroduodenoscopy because they had upper gastrointestinal symptoms of this group, 143 from Arzobispo Loayza Hospital (38 males and 105 females) and 122 from the private practice of three of the authors (77 males and 45 females). The ages ranged from 16 to 75 years (media 45.5 years). In each case biopsies of the antrum were taken and stained with hematoxylin-eosin and Warthin-Starry Silver Stein. We classified patients into 3 different groups based on where they lived: nuclear districts, intermediate districts, and peripheral districts. In Lima, the type of district from the patient strongly correlates with their socio-economic status. The hospital and private patients differed significantly in the distribution of which type of district their patients came from. In contrast there was a no marked similarity between these two patient groups in their rate of colonization by Campylobacter pyloridis. It appears that the socio-economic level of peruvian patients, presenting to clinic with symptomatic gastro-intestinal disease is not an important factor with pyloric campylobacter infection.

Adolescent↗
PubMed1986

[Detection of pyloric Campylobacter in patients with gastroduodenal diseases].

We report a study of 127 patients examined with esophago-gastroduodenoscopy and with a diagnosis of chronic gastritis (by biopsy), and gastric peptic ulcer and duodenal peptic ulcer (endoscopically). Brushing samples and biopsies were taken from the esophagus, stomach, and duodenum. Gram stains of brush-collected samples, culture of brush samples and biopsies were performed in order to detect the presence of PC. In cases of chronic active gastritis, PC was found in 91% of patients. It was found in 73% and 84%, respectively, of cases of gastric and duodenal ulcer. PC was found with equal frequency in the cardia and body as in the antrum of infected individuals, but no confirmed cases of colonization of the esophagus or duodenum were found. The most efficient methods for identifying PC colonization were (in descending order of efficiency), silver stain of biopsies, Gram stain of brushings, hematoxylin-eosin stain of biopsies, culture of biopsies, and culture of brushings. In some cases, we have identified PC in the esophagus and duodenum by gram stain and culture, but no not by silver stain or H&E stain of biopsies, suggesting that contamination from other areas of the stomach may be an occasional problem in sampling these areas for PC.

Adolescent↗
PubMed1983

Ketamine, catecholamines, and uterine tone in pregnant ewes.

Blood levels of ketamine, measured in both mother (1,230 ng/ml at 1 minute) and fetus (470 ng/ml at 1 minute) illustrate not only rapidly decreasing levels of the drug after its intravenous administration but also its transplacental passage. Concentrations of norepinephrine, epinephrine, and dopamine did not change in the mother or fetus after ketamine, with the exception of maternal levels of epinephrine, which were significantly higher at 45 minutes than control values (p less than 0.05). Maternal effects of ketamine consisted of increases in mean arterial pressure (7% p less than 0.05), cardiac output (16% p less than 0.01), and respiratory acidosis, all of which were slight and transitory. Although resting uterine tone increased (39% p less than 0.01), the uterine blood flow remained constant. None of the physiologic alterations could be correlated with changes in catecholamine levels. Therefore, the cardiovascular and uterine stimulating properties of ketamine at a dose of 0.7 mg/kg are small and are not the result of increased catecholamine levels in plasma. Further studies are necessary to elucidate the mechanism.

Acidosis, Respiratory↗
PubMed1982

A comparison of T4 and T7 dermatomal levels of analgesia for caesarean section using the lumbar epidural technique.

We compared analgesia to the T4 dermatomal level with analgesia to the T7 level with and without prophylactic intramuscular administration of ephedrine 25 mg to determine the adequacy and side effects of such analgesia for caesarean section. Unmedicated patients were prehydrated (727 +/- 303 ml of saline solution) and kept in a left lateral tilt position. Sufficient three per cent chloroprocaine was given to obtain analgesia to the T7 (T6-T8) dermatomal level (455 +/- 128 mg) or to the T4 (T3-T5) dermatomal level (758 +/- 168 mg). Patients who received analgesia to the higher level required less narcotic than those who received analgesia to the lower level (21 per cent versus 48 per cent) (p less than 0.05). The incidence of hypotension in patients with analgesia at the T4 level was 21 per cent for those receiving ephedrine and 64 per cent for those who did not receive ephedrine (p less than 0.05). Intramuscular administration of ephedrine 25 mg was not associated with increased plasma levels of norepinephrine, epinephrine or dopamine. There was no difference in Apgar score, behavioural test scores, neonatal acid-base status or oxygenation in children of mothers in the different groups. We conclude that a T4 dermatomal level of analgesia combined with intramuscular administration of ephedrine 25 mg, provides more maternal comfort than a T7 level of analgesia does, with or without ephedrine, and is without significant maternal or foetal side effects.

Acid-Base Equilibrium↗
PubMed1980

Comparison of conventional and immunofluorescent techniques for the detection of Entamoeba histolytica in rectal biopsies.

Two comparative studies of six staining techniques in detection of Entamoeba histolytica in rectal biopsies were performed. The techniques evaluated were direct and indirect fluorescent antibody technique, and four conventional stains: PAS, H & E, Trichrome, and PTAH). On ethanol-fixed tissue, the direct fluorescent antibody technique was the most sensitive, detecting amoebas in 84% of rectal biopsies from 19 aspirate-positive dysentery patients. PAS staining was specific, almost as sensitive, and amoebas could be rapidly detected. The other three conventional methods, however, detected amoebas in only 53--58% of the aspirate-positive patients and required considerable efforts to find the amoebas. The indirect fluorescent antibody technique performed on ethanol-fixed tissues was comparable to the direct technique. The same technique used on formalin-fixed tissues had high background staining, but amoebas could still be detected more efficiently than with conventional staining. Following 20 hr or more treatment with metronidazole, no patient had amoebas detectable in their rectal biopsies by any technique used. Patients with amoebic dysentery and necrotic ulcers on protoscopy had amoebas detected more frequently in rectal biopsy than did patients with mild disease as determined by proctoscopy. Entamoeba histolytica in rectal biopsies can be detected most easily in ethanol-fixed tissue stained with either a fluorescent antibody or with PAS. If amoebas are not detected in the rectal biopsy, amoebic colitis cannot be excluded.

Adult↗
PubMed1976

Coping with fatherhood: the first year.

Fantasy (thinking back to prebaby times) and holidays (going out alone with the wife) are examined here as methods of coping with parenthood for 93 white, first-time fathers. Results suggest that only the holiday coping mechanism is associated with maintaining or improving marital satisfaction. The use of fantasy actually decreases marital satisfaction. These data suggest that the discrepancies in the conclusions of previous "parenthood as crisis" studies may be accounted for through the analysis of coping mechanisms that various fathers utilize.

Adaptation, Psychological↗