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Biomedical subjects

S Martínez-Cairo Cueto

Publications and source records attributed to S Martínez-Cairo Cueto.

15 recordsLinked to original sources

[Asthma mortality trends in Mexico].

The objective of this cross-sectional study was to estimate mortality and morbidity from asthma in Mexico by federative entity (state) of residence, age, and sex during the period between 1960 and 1988. Statistics published by the National Institute of Statistics, Geography, and Information Science were reviewed, as were vital statistics and information from other sources. Data were selected on mortality, hospital admissions, and outpatient visits, as well as population by federative entity, age, and sex. Mortality and morbidity rates were adjusted for age using the direct method. From 1960 to 1987, mortality decreased for both sexes. The groups with the highest asthma mortality were those under 4 years of age and those over 50. From 1960 to the present, the state with the highest mortality was Tlaxcala. Hospitalizations increased from 10 to 140 per 100,000 population for the country as a whole. When both outpatient visits and hospitalizations were considered, the morbidity rates rose from 180 to 203.4 per 100,000 between 1960 and 1970. In 1970, hospital morbidity was higher among males than females. From 1960 up to the 1990s, the highest rates of hospitalization and outpatient visits were registered among those under 4 and those over 60. The states with the highest asthma hospitalization rates were Morelos, Baja California Sur, Nuevo León, Durango, and Tamaulipas. It is concluded that asthma mortality in Mexico is showing a downward trend, while morbidity is increasing considerably, especially among adolescents.

Adolescent↗

[Frequent allergies in Mexico Valley in children].

The incidence of skin test positively for 48 allergens have been evaluated in children with bronchial asthma. We studied the 347 cards of clinical file the allergic children a course 32 months. The most frequent allergens is Dermatophagoides pteronyssinus, cat and the other 24 allergens were less 10%. This allergen appears to present in Mexico Valley, the incidence to this allergen might be considered must frequent in allergic children who do reducing skin test for diagnostic allergic diseases.

Animals↗

[Spirometric pulmonary age and its correlation with the chronological age of asthma patients].

AIMS: Pulmonary age as a linear regression spirometric index, expresses pulmonary ventilatory function. OBJECTIVE: A pilot study was done to assess the differences of the values of the pulmonary age index and chronological age in patients with bronchial asthma and healthy volunteers. MATERIAL AND METHOD: We studies 111 subjects, 31 healthy and 80 with asthma. RESULTS: All of them underwent spirometry. Healthy individuals showed a mean chronological age of 35 years, and a pulmonary age of 26 years. Asthmatic patients showed a mean chronological age of 38 years, and a pulmonary age of 59 years. CONCLUSION: Both the time course and the severity of the disease increased pulmonary age.

Adult↗

[Quantification of number and function of mononuclear cells. Fc gamma receptors in children with protein-calorie malnutrition (PCM)].

Several kind of cells T membrane receptors have been recognized, between them immunoglobulins heavy chains receptors mu and gamma, they act in the antigen recognition, they are subpopulations-cells T surface-matched too. In the malnutrition protein-calorie (MPC) immunologic alterations were observed, in both cellular immune and humoral immune, for example: The immunoglobulins are increased and cellular response towards antigens is decreased. This failure can be due to dysfunction in the lymphocyte T-subpopulation. So we research if there are different number, percent and function of lymphocytes T subpopulations between children with MPC and health infant. We observed an increment of lymphocytes T gamma in number and percent in children with MPC compared with health infant (p < 0.05) However, the lymphocytes T and subpopulation gamma response to phytohemagglutinin was bad. These findings are concordant with the literature about increased in lymphocyte T gamma of children with MPC. Additionally we observed a dysfunction in this subpopulation.

Cell Count↗

[In vitro transfer of immunity against PPD with dialyzable extract of leukocytes from human colostrum].

The aim of this study is to demonstrate the transference of PPD hypersensibility in an in vitro model, with dialysable colostral leukocyte extract (DCLE) of PPD+ and PPD-mothers, through measurements of leukocyte migration inhibition factor activity (LIF) from blood obtained of the umbilical cord of newborns from PPD+ mothers. The results show that DCLE PPD+ incubated with leukocytes of newborns from PPD- mothers had inhibition of leukocyte migration compared with migration of leukocytes incubated with DCLE PPD-. These results suggest that in this in vitro model, DCLE transfers hypersensibility to PPD.

Adult↗

[Juvenile rheumatoid arthritis. Study of 46 cases].

Forty-six children with the diagnosis of juvenile rheumatoid arthritis (JRA) were studied according to the criterion of the American Rheumatism Association (ARA). No predominance was seen in terms of sex. Preschool age was preferably affected and the poliarticular form was the most frequent at the initiation. Sixty per cent of the cases followed a recurrent course. The routine clinical manifestations were fever, arthralgia, visceromegalia and exanthema. The knees were found to be the joints most frequently affected in one half of the cases. The laboratory tests showed in all of the cases, increased sedimentation rate, hypergammaglobulinemia and in 33% of the cases, the rheumatoid factor was positive. The most frequent X-ray changes were: increase of soft parts and osteoporosis in 38% of the cases, without radiological changes in 25% of them. Thirty-four percent of the patients remained without articular sequelae and approximately in one half of the cases, functional incapacity was minimal.

Adolescent↗

[In vitro effect of bacterial extracts of S. aureus in chemokinesis and chemotaxis of polymorphonuclear cells].

The purpose of the study was to determine if the extract of Staphylococcus aureus in vitro can modify chemokinesis and induce chemotaxis of polimorphonuclear (PMN) cells of peripheral blood in healthy donors. Chemocinesis and chemotaxis of PMN of peripheral blood in 30 healthy donors of either sex from 18 to 40 years old was measured. A 5 mL sample of peripheral blood was drawn. PMN were separated by Boyum's method and challenged with of Staphylococcus aureus extract and C5a as chemotactic factors, and Hank's solution chemokinesis. Chemokinesis was 54.6 +/- 8.8 microns, chemotactic response to C5a was 89 +/- 12.5 microns and with bacterial extract the response was 103 +/- 20.1 microns (p). In conclusion, complete extract of Staphylococcus aureus stimulates in vitro chemotaxis of PMN from healthy donors, and this stimulation is similar to known chemotactic factors as C5a.

Adolescent↗

[Descriptive study of morbidity and mortality due to asthma at a Health Sector institution].

The objective of this study was to determine the morbidity and mortality rate due to asthma from a Health Institution, which represents the majority of working population. Asthma data were obtained from the National Institute of Informatical, Geography and Statistics (INEGI), Mexican Health Secretary (SS) and Mexican Social Security Institute (IMSS). The underlying cause of death hospitalization or visit were obtained. Asthma was coded according to the International Classification of Disease (ninth revision). Asthma death rate was adjusted by age using direct method. In the IMSS, asthma death rate increased from 3.24/200,000 in 1980 to 12.76/100,000 in 1990. The asthma letality increased from 0.34 in 1980 to 1.23 in 1990. The average length of hospital stay was 3.96 days in 1990; there was noy significant differences by sex the most affected groups were children under 4 years of age and persons older than 65 years of age. In conclusion, from 1980 to 1990, the morbidity and mortality rate due to asthma in IMSS increased. It suggests that future health policy efforts should be focused to reduce the morbidity, mainly in high risk groups.

Adolescent↗

[Detection of heterozygotes for ataxia telangiectasia using sensitivity to ionizing radiation].

Recent research have demonstrated that homozygotic and heterozygotic patients with ataxia telangiectasia (AT) show chromosomal rupture. Taking in consideration this characteristic, a study was designed, inducing chromosomal breaks in granulocytes from patients with AT, and heterozygotic carriers of AT compared with a group of healthy individuals. The number of chromosomic ruptures induced by 14 doses of radiation at 125 KV and 125 mA, was measured in all of them. Results suggest significant differences in the number of chromosomal structural alterations induced by radiation in granulocytes from heterozygotic carriers of AT, similar to structural alterations in lymphocytes from patients with AT. It is demonstrated that these alterations occur preferentially in one group C chromosome, both in homozygotic and heterozygotic patients with AT.

Ataxia Telangiectasia↗

[Ethical principles of medical research using human subjects].

Medical research involving human beings has contributed to the advancement of knowledge about prevention, diagnosis, and treatment of the diseases. All researchers, independently of their working country, must always have in mind the international ethical principles as a guide in the solution for the ethical problems that they may face during the practice of research activities on human beings. Among the ethical principles more widely accepted in the western culture, three are of upstanding importance for clinical research in human subjects: a) the principle of respect for persons, based upon the conception of the individual as an autonomous being, capable of shaping and directing his own life; b) the principle of beneficence, that refers to the ethical obligation to maximize benefits and to minimize harms and wrongs; and c) the principle of justice, that refers to the ethical imperative to treat each person in accordance with what is morally right and proper. The application of these theoretical principles to the real life problems is not easy, especially in cases in which the research group belong to a developed country, and the group of participating subjects, to an underdeveloped one. It is worthy to ask if the three mentioned ethical principles are universally acknowledged, and whether in the Latin American and Caribbean region, these principles are recognized as the gold rules for the solution of the ethical problems of medical research involving human subjects.

Caribbean Region↗

[In vitro effect of disodium cromoglycate on phagocytic activity of polymorphonuclear cells of healthy asthmatic patients].

Disodium chromoglicate interferes cellular membrane transport, inhibits mediators release and activation of polymorfonuclear cells (PMN) by blocking intracellular free calcium increment. In order to assess if DC reduces in vitro phagocytic activity of PMN, these cells obtained from allergic asthmatic patients and healthy subjects were incubated with DC or Hanks solution (HS). Their phagocytic activity was measured with chemoluminiscence technique. There were not significant differences in phagocytic activity between the cells incubated with DC and those incubated with HS, nor between cells from asthmatic patients and healthy subjects. We conclude that DC has not in vitro effect on phagocytic activity of PMN from healthy and asthmatic subjects. There are no difference in PMN phagocytic capacity between healthy and asthmatic subjects.

Adolescent↗

[Epidemiologic aspects of bronchial asthma in the Mexican Republic].

This work was done to determine the mortality and morbidity rates secondary to asthma in Mexico, for age, gender, state of the country and time. Data were obtained from the Instituto Nacional de Estadística. Geografía e Informática. We calculated morbidity and mortality rates adjusting for age, by a direct method. In the results, there was a reduction in mortality rate in both genders, from 1960 to 1987. Age groups up to 4 years and older than 50 were the mainly affected. From 1960 to the present time, the state with highest mortality is Tlaxcala. The states with highest hospitalization rates were Morelos, Baja California Sur, Nuevo León, Durango and Tamaulipas. In conclusion, mortality rates secondary to asthma in Mexico show a decreasing trend, with a considerable rise in morbidity, especially in the adolescent group.

Adolescent↗