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Biomedical subjects

R Ruiz

Publications and source records attributed to R Ruiz.

At least 19 recordsLinked to original sources

Stability of retinol in milk during frozen and other storage conditions.

The effect of storage temperature and storage time on the retinol content of four commercial unfortified whole UHT milk samples was studied by HPLC. Significant losses of retinol in these milks were observed after 1 month of storage at 30 degrees C. Losses generally increased with storage time. Increasing the storage temperature from 30 degrees C to 40 degrees C had a variable effect depending on the particular milk. Short periods of frozen storage (up to 60 days) had no effect on the retinol content. However, frozen storage time from 4 to 8 months led to significant (P < 0.05) losses in retinol content. The effect of water activity and temperature conditions during storage of unfortified whole milk powder on the stability of retinol was also studied. Increasing the activity of water and temperature of storage significantly lowered the retinol content in milk powder.

Animals

Cholesterol embolism to the skin.

The clinical features of a patient with cholesterol embolism are presented. Histopathological examination showed the typical clefts of cholesterol in the skin and renal vessels. We believe this entity is under-reported in the dermatological literature.

Cholesterol

[Abnormalities of the sensing function. Further contributions to the current classification].

With systemic unipolar pacemaker control by chest wall stimulation and interference we have obtained further data of the sensing function in more the 5000 clinical controls. A better classification of abnormal sensing function is important for a full electrocardiographic interpretation. We have established that the oversensing is always a primary evident or concealed phenomenon. Undersensing is a primary or secondary phenomenon provoked by a concealed oversensing in refractory period.

Electrocardiography

[Early prognostic risk factors in acute pancreatitis: study of a representative population from Peru].

Thirty-one patients with acute pancreatitis were prospectively evaluated using the Early Prognostic Risk Factors of Ranson and Bank & Wise, in order to assess severity of that condition. The purpose was to determine the usefulness of such factors as clues to orient diagnosis and treatment of acute pancreatitis, particularly in the most severe clinical forms; and the factibility of using them in our setting. The presence of 4 or more of Ranson's and/or 1 or more of Bank & Wise Factors fulfilling positive criteria, identified the patients with a high risk of complications and mortality. Hypocalcemia, leucocytosis and hyperuricemia were the most frequent findings in this group. The development of Early Objective Prognostic Risk Factors in acute pancreatitis, as a clinical concept, has improved the management of these patients. It allows to establish diagnosis and therapeutics upon objective basis.

Acute Disease

Quantitative automated latex nephelometric immunoassay for determination of myoglobin in human serum.

We have evaluated a new latex nephelometric test for the quantitation of myoglobin in human serum. The assay consists of incubating the diluted serum sample (20-fold) for 12 min at room temperature with latex particles covalently coated with anti-myoglobin antibodies and then quantifying the change of light-scatter produced. The assay is fully automated on the Behring nephelometer analyzer with a sampling rate of 150 samples/hour. There is no interference from bilirubin (up to 340 mumol/l), haemoglobin (up to 7,000 mg/l), or rheumatoid factor (up to 1,100 int. units/ml). Myoglobin standard curve extends from 20 to 380 micrograms/l. Assay detection limit lies around 6 micrograms/l. Coefficient of variation ranged from 2.7 to 7.6%. Correlation coefficient between latex immunoassay and an RIA method was 0.987, calculated from the assay of 37 samples. A statistically significant difference was found between the distribution for females and males. The serum level of myoglobin showed an age-dependent variation. Concentrations up to 60 micrograms/l are considered to be normal.

Adolescent

Fuzzy K-nearest neighbor classifiers for ventricular arrhythmia detection.

We report a study of the efficiency of 4 classifiers (the K-nearest-neighbor and single-nearest-prototype algorithms, each as parametrized by both Fuzzy C-Means and Fuzzy Covariance clustering) in the detection of ventricular arrhythmias in ECG traces characterized by 4 features derived from 7 spectral parameters. Principal components analysis was used in conjunction with a cardiologist's deterministic classification of 90 ECG traces to fix the number of trace classes to 5 (ventricular fibrillation/flutter, sinus rhythm, ventricular rhythms with aberrant complexes and 2 classes of artefact). Forty of the 90 traces were then defined as a test set; 5 different learning sets (numbering 25, 30, 35, 40 and 45 traces) were randomly selected from the remaining 50 traces; each learning set was used to parametrize both the classification algorithms using both fuzzy clustering algorithms and the parametrized classification algorithms were then applied to the test set. Optimal K for K-nearest-neighbor algorithms and optimal cluster volumes for Fuzzy Covariance algorithms were sought by trial and error to minimize classification differences with respect to the cardiologist's classification. Fuzzy Covariance clustering afforded significantly better perception of cluster structure than the Fuzzy C-Means algorithm, and the classifiers performed correspondingly with an overall empirical error ratio of just 0.10 for the K-nearest-neighbor algorithm parametrized by Fuzzy Covariance.

Algorithms

Ectopic thyroid tissue in the submandibular region.

This report describes an unusual location of ectopic thyroid gland tissue. A growth in the left submandibular area was surgically excised, and the microscopic examination of the specimen revealed thyroid tissue with colloid goiter. Because this entity cannot be clinically distinguished from a salivary gland tumor, ectopic thyroid tissue should be considered in the differential diagnosis of swellings involving the submandibular area.

Choristoma

Automated turbidimetry of rheumatoid factor without heat inactivation of serum.

We describe an improved turbidimetric procedure for rheumatoid factor measurement in human serum. Heat-aggregated human IgG is used as antigen. Interference produced by the complement component C1q, which required a previous heat pretreatment of sera, is avoided by the addition of the chemical inhibitor, poly(vinyl sulphonic acid). This inhibitor eliminates C1q interference without affecting the attachment of rheumatoid factor to the Fc part of IgG, thus permitting full automation of the assay. After studying the reactivity of different heat-aggregated IgG preparations, we optimized the procedure for preparing the antigen in order to attain maximal reactivity: IgG was heated at 63 degrees C until the absorbance at 340 nm of a 1/10 dilution of the antigen lay between 0.65 and 0.95 absorbance units. The study of antigen stability showed a maximum aggregation two weeks after preparation. The antigen was then stable and could be used in the assay. The standard curve extends from 30 to 500 x 10(3) IU/l. Intra- and inter-assay CV were less than 5.5%. Relative analytical sensitivity and specificity were 98.3% and 95.2%, respectively. The results agreed well with those obtained by the non-improved turbidimetric procedure (r = 0.996) and with nephelometry values on the Behring nephelometer analyser (r = 0.964). The correlation with an enzyme immunoassay was also good (r = 0.923).

Complement C1q

Extrinsic compression of the renal artery by diaphragmatic crus.

Extrinsic compression of the renal artery due to a fibromuscular band originating from the diaphragm was encountered in a 26-year-old patient who had systemic hypertension associated with stenosis and kinking of one of her renal arteries. After surgical decompression, the renal artery assumed a normal expansion with disappearance of hypertension. Six other cases of extrinsic compression of the renal artery have been found in the literature. Surgical treatment is mandatory in all cases because the mechanism that causes the lesion makes percutaneous transluminal angioplasty illusory.

Adult

Multimicroprocessor system for online monitoring in a CCU.

A real-time monitoring system for physiological signals, developed for patients in coronary care units (CCUs), is described. This system monitors the signals that have the greatest clinical value in a CCU environment (ECG and cardiovascular pressures), taking charge of detecting dangerous situations and of extracting information significant to the correct monitoring of the patient. The information it extracts, mainly from the ECG, is presented to the user in an ergonomic way using written reports and graphs which collect and compile the information, facilitating its interpretation. Some utilities have been developed to allow the user to modify certain monitoring conditions as well as to correct results derived from them, thereby improving the reliability of the monitoring process. The system uses a multimicroprocessor architecture (imposed by the need to perform a large number of tasks in real time) with a block based on the VME bus, charged with acquiring and processing the monitored signals, and an IBM-compatible PC/XT which is used as a system user interface and a massive storage device in which the information resulting from the monitoring of signals is stored.

Coronary Care Units

Fuzzy beat labeling for intelligent arrhythmia monitoring.

The performance in automatic diagnosis of cardiac rhythm based on the analysis of the electrocardiographic signal (ECG) is strongly conditioned by the correct classification of each beat detected. In this work we present a fuzzy classifier of beats that applies empiric criteria and that permits it to ignore the frequent lack of clarity in the information coming from previous stages within ECG processing. The classification of each beat is performed applying diffuse conditional statements which represent the knowledge of the cardiologist expert and that use a set of descriptions of the temporal and morphological attributes of the analyzed beat. The process of classification is completed with information derived from the consideration of "families," which group beats that have QRSs of similar morphology, and with information brought in by the user himself in the monitoring process. The modularity of the classifier that has been developed facilitates the incorporation of new descriptions and classification criteria in order to increase its reliability. The design process proposed has a structure that is transferable to other analysis and event classification processes.

Arrhythmias, Cardiac

Antinociceptive effect of taurine and its inhibition by naxolone.

1. We have tested the effect of taurine on nociceptive stimulation provoked by chemical agent (acetic acid) and by the hot-plate test. 2. In the acetic acid test, taurine exerts an antinociceptive effect at every dose and time assayed. The observed effect was dose-related. 3. Naxolone pretreatment antagonizes the antinociceptive effect of taurine in the acetic acid test. 4. The results obtained in hot-plate test show that taurine did not significantly affect latency time for paw licking.

Acetates

Cutis marmorata telangiectatica congenita and glaucoma.

A case of cutis marmorata telangiectatica congenita (CMTC) is described in association with congenital glaucoma. Approximately 68 cases of CMTC and only four cases associated with glaucoma have been reported. The type of glaucoma seems to be related to an abnormality of the filtration in the anterior angle, due to increased pressure in the episcleral vessels. The surgical treatment is trabeculectomy, and opening an alternative drainage pathway.

Glaucoma