PubMed Health⌕ Search

Biomedical subjects

S Quintero

Publications and source records attributed to S Quintero.

At least 19 recordsLinked to original sources
PubMed1999

Nipple care, sore nipples, and breastfeeding: a randomized trial.

Sore and cracked nipples are common and may represent an obstacle to successful breastfeeding. In Italy, it is customary for health professionals to prescribe some type of ointment to prevent or treat sore and cracked nipples. The efficacy of these ointments is insufficiently documented. The incidence of sore and cracked nipples was compared between mothers given routine nipple care, including an ointment (control group), and mothers instructed to avoid the use of nipple creams and other products (intervention group). Breastfeeding duration was also compared between the two groups. Eligible mothers were randomly assigned, after informed consent, to one of the two groups. No difference was found between the control (n = 96) and the intervention group (n = 123) in the incidence of sore and cracked nipples and in breastfeeding duration. However, several factors were associated with sore nipples and with breastfeeding duration. The use of a pacifier and of a feeding bottle in the hospital were both associated with sore nipples at discharge (p = 0.02 and p = 0.03, respectively). Full breastfeeding up to 4 months postpartum was significantly associated with the following early practices: breastfeeding on demand, rooming-in at least 20 hours/day, non-use of formula and pacifier, no test-weighing at each breastfeed. The incidence of sore and cracked nipples and the duration of breastfeeding were not influenced by the use of a nipple ointment. Other interventions, such as providing the mother with guidance and support on positioning and latching, and modifications of hospital practices may be more effective in reducing nipple problems.

Adult↗
PubMed1998

Kangaroo mother care for low birthweight infants: a randomized controlled trial in different settings.

A randomized controlled trial was carried out for 1 y in three tertiary and teaching hospitals, in Addis Ababa (Ethiopia), Yogyakarta (Indonesia) and Merida (Mexico), to study the effectiveness, feasibility, acceptability and cost of kangaroo mother care (KMC) when compared to conventional methods of care (CMC). About 29% of 649 low birthweight infants (LBWI; 1000-1999 g) died before eligibility. Of the survivors, 38% were excluded for various reasons, 149 were randomly assigned to KMC (almost exclusive skin-to-skin care after stabilization), and 136 to CMC (warm room or incubator care). There were three deaths in each group and no difference in the incidence of severe disease. Hypothermia was significantly less common in KMC infants in Merida (13.5 vs 31.5 episodes/100 infants/d) and overall (10.8 vs 14.6). Exclusive breastfeeding at discharge was more common in KMC infants in Merida (80% vs 16%) and overall (88% vs 70%). KMC infants had a higher mean daily weight gain (21.3 g vs 17.7 g) and were discharged earlier (13.4 vs 16.3 d after enrolment). KMC was considered feasible and presented advantages over CMC in terms of maintenance of equipment. Mothers expressed a clear preference for KMC and health workers found it safe and convenient. KMC was cheaper than CMC in terms of salaries (US$ 11,788 vs US$ 29,888) and other running costs (US$ 7501 vs US$ 9876). This study confirms that hospital KMC for stabilized LBWI 1000-1999 g is at least as effective and safe as CMC, and shows that it is feasible in different settings, acceptable to mothers of different cultures, and less expensive. Where exclusive breastfeeding is uncommon among LBWI, KMC may bring about an increase in its prevalence and duration, with consequent benefits for health and growth. For hospitals in low-income countries KMC may represent an appropriate use of scarce resources.

Breast Feeding↗
PubMed1991

Rigid gas-permeable contact lenses for myopia control: effects of discontinuation of lens wear.

Conventionally fitted Paraperm O2plus contact lenses were worn for 44 months by 23 myopic children, who discontinued lens wear for 2.5 months and then resumed lens wear with Fluoroperm 30 lenses for a period of 8 months. Mean changes in myopia were: (1) an increase of 0.76 D during the initial 44 months of lens wear, (2) a further increase of 0.27 D during the 2.5 months when lenses were not worn, and (3) a decrease of 0.02 D during the 8-month period of Fluoroperm 30 lens wear. These results show that the effect of rigid gas-permeable lenses on myopia progression is diminished if lens wear is discontinued; however, the mean increase in myopia for these children was significantly less than would have been expected if glasses had been worn for the entire 54.5-month period. The results after discontinuation and then resumption of lens wear show that the effect of contact lenses in controlling the progression of myopia could not be accounted for entirely on the basis of corneal flattening as measured by the keratometer, therefore reinforcing the conclusion that corneal flattening due to rigid lens wear takes place primarily at the corneal apex, rather than in the zone of the cornea measured by the keratometer.

Adolescent↗
PubMed1990

Silicone-acrylate contact lenses for myopia control: 3-year results.

One hundred myopic children between the ages of 8 and 13 years were fitted with Paraperm O2plus silicone-acrylate contact lenses. After 3 years of lens wear, the mean increase in myopia for the 56 subjects remaining in the study was 0.48 D (+/- 0.70) D as compared with 1.53 (+/- 0.81) D for a group of spectacle-wearing myopes matched for initial age and initial refractive error. The mean change in corneal refracting power for the contact lens wearers was a decrease (corneal flattening) of 0.37 (+/- 0.32) D. Assuming that little or no corneal change would have occurred in the absence of the contact lenses, we may conclude that corneal flattening (as measured by the keratometer) accounts for less than half of the effect of contact lenses in controlling myopia progression. A possible explanation for this disparity is that although the keratometer provides a valid measurement of corneal refracting power for a "normal" cornea, it fails to provide a valid measurement for a cornea that has been flattened by wearing a contact lens.

Acrylates↗
PubMed1989

Use of silicone-acrylate contact lenses for the control of myopia: results after two years of lens wear.

Although a number of reports have been published concerning the use of polymethyl methacrylate (PMMA) contact lenses for the control of myopia, there have been no reports of the use of gas permeable contact lenses for this purpose. In the study reported here, 100 myopic children between the ages of 8 and 13 years were fitted with Paraperm O2 plus silicone-acrylate contact lenses to be worn for a period of 3 years. Lenses were fitted by the alignment method, most lenses having diameters from 8.5 to 9.0 mm. At the end of 2 years 60 subjects remained in the study, 53 of whom were wearing their lenses on a regular basis and the other 7 were irregular wearers. Mean increases in myopia during the 2-year period were found to be 0.28 D for the subjects who wore their lenses regularly and 0.93 D for the irregular wearers, compared to 0.80 D for a group of 31 age-matched single vision spectacle lens wearers. Mean corneal refracting power was found to decrease (the cornea flattened) 0.33 D for the regular wearers as compared to an increase of 0.14 D for the irregular wearers and a decrease of 0.13 D for the spectacle wearers. Mean changes in axial length were an increase of 0.1 mm for the regular wearers, an increase of 0.4 mm for the irregular wearers, and an increase of 0.6 mm for the spectacle wearers.(ABSTRACT TRUNCATED AT 250 WORDS)

Acrylates↗
PubMed1988

Predicting refractive astigmatism: a suggested simplification of Javal's rule.

In the period of almost 100 years since Javal proposed an empirically determined rule for the prediction of refractive astigmatism on the basis of corneal astigmatism, many authors have made suggestions for the modification of "Javal's Rule." These modifications, rather than being based on clinical data, have been based on concepts of mechanisms that can contribute to refractive astigmatism, but in most cases the modifications do nothing more than complicate the process of predicting refractive astigmatism, with the result that only Javal's original rule is widely used. In this paper, keratometric and refractive data for three groups of subjects are used to demonstrate that a simplified version of Javal's rule is more effective in predicting refractive astigmatism than is Javal's rule itself.

Adolescent↗
PubMed1986

Perioperative blood transfusion associated with infectious complications after colorectal cancer operations.

We prospectively studied 168 consecutive patients with colorectal cancer to identify perioperative determinants of infectious complications. All patients received preoperative bowel preparation with laxatives, enemas, oral neomycin and erythromycin base, and intravenous cefazolin. Age, sex, admission hematocrit value, operative procedure, specimen length, duration of operation, blood loss, transfusions, tumor size, tumor differentiation, nodal status, and Dukes' stage were evaluated in relation to infectious complications using multivariate analysis. Infectious complications developed in 24 of the 168 patients in the study (14 percent) and these accounted for the four deaths. Blood transfusion (p = 0.0100) and admission hematocrit value (p = 0.0191) were significantly related to postoperative infectious complications. Low admission hematocrit values appeared to protect patients from infectious complications. Patients who had postoperative infectious complications received 2.14 +/- 2.75 units of blood compared with 0.82 +/- 1.37 units in patients without infectious complications (p = 0.0005). Although blood transfusion was associated with high operative blood loss, prolonged procedures, and large specimens (p less than 0.005), none of these factors was significantly associated with infectious complications (p greater than 0.10). Blood transfusion is immunosuppressive in other clinical situations and may be a more significant factor affecting postoperative immune function and susceptibility to infectious complications than previously recognized.

Blood Pressure↗
PubMed1985

The effects of compounds related to gamma-aminobutyrate and benzodiazepine receptors on behavioural responses to anxiogenic stimuli in the rat: punished barpressing.

Rats were trained to press a bar for sucrose reward on a random-interval (RI) schedule and footshock punishment was then introduced for 3-min intrusion periods (signalled by a tone) on an independent RI schedule. Shock intensity was individually adjusted to produce stable intermediate levels of response suppression during the tone for each animal. Groups of animals were then allocated to a number of separate experiments in which they were systemically injected with anxiolytics (chlordiazepoxide HCl or sodium amylobarbitone), GABA antagonists (picrotoxin or bicuculline), the GABA (A) agonist muscimol, the GABA(B) agonist baclofen, an antagonist (RO 15-1788) at the benzodiazepine receptor and, an inverse agonist (FG 7142) at this receptor. The results showed that the alleviation of punishment-induced suppression of barpressing produced by chlordiazepoxide was blocked or partially blocked by RO 15-1788, picrotoxin and bicuculline but not by FG 7142; that picrotoxin (but not FG 7142) increased the suppression of responding by punishment; that neither muscimol nor baclofen affected responding on their own, but their combination weakly but reliably released punished responding from suppression; and that the anti-punishment effect of amylobarbitone was unaffected by either picrotoxin or bicuculline, though the barbiturate reversed the punishment-enhancing effect of picrotoxin. These results are discussed in the light of the hypothesis that anxiolytic behavioural effects are due to increased GABAergic inhibition.

Amobarbital↗
PubMed1985

The effects of compounds related to gamma-aminobutyrate and benzodiazepine receptors on behavioural responses to anxiogenic stimuli in the rat: choice behaviour in the T-maze.

Two methods were used to test rats' responses to novelty in the T-maze: (1) a test of spontaneous alternation allowing separate measurement of place and body turn alternation; and (2) a test of entry into an arm of changed brightness ("response to stimulus change"). Chlordiazepoxide reduced spontaneous alternation by specifically weakening body turn alternation and eliminated the response to stimulus change. These findings are similar to those previously reported for the barbiturate sodium amylobarbitone. The same pattern of change in the two tests was seen after a low dose of the GABAA agonist muscimol (0.00125 mg/kg); when the dose of muscimol was raised (0.01 and 0.25 mg/kg), place alternation was also reduced. Picrotoxin but not bicuculline (both GABAA blockers) reversed the effects of muscimol and partially those of chlordiazepoxide on the response to stimulus change; in the spontaneous alternation test picrotoxin only marginally affected the response to 0.25 mg/kg muscimol and actually enhanced the effect of 0.000125 mg/kg. The GABAB agonist baclofen (1 mg/kg) acted in the test of response to stimulus change like chlordiazepoxide and muscimol; however, when baclofen was combined with muscimol, the two drugs tended to show mutual blocking. These results are generally consistent with the hypothesis that GABAergic mechanisms play a role in anxiolytic behavioural activity, but many details are difficult to explain.

Animals↗
PubMed1985

Septal driving of hippocampal theta rhythm: role of gamma-aminobutyrate-benzodiazepine receptor complex in mediating effects of anxiolytics.

In free-moving male rats, when the hippocampal theta rhythm is artificially driven by stimulation in the septum at frequencies between 5 and 10 Hz, the function relating frequency to the threshold current required to drive the theta rhythm has a minimum at 7.7 Hz. This minimum is eliminated by anxiolytic drugs. Dose-response curves for this effect are reported for chlordiazepoxide, diazepam and meprobamate. The effect of meprobamate was reversed by two gamma-aminobutyrateA antagonists, picrotoxin and bicuculline, which have previously been shown to be without effects of their own. The gamma-aminobutyrateB agonist, baclofen, also without effect on its own, blocked the elimination of the 7.7-Hz minimum caused by the gamma-aminobutyrateA agonist, muscimol. The beta-carboline, ethyl-beta-carboline-3-carboxylate, had mixed agonist/antagonist properties, blocking the effects of chlordiazepoxide, diazepam and muscimol (though not sodium amylobarbitone) but itself acting like a benzodiazepine. Coupled with earlier data, these findings support a role for gamma-aminobutyrate receptors in mediating the effects of anxiolytic drugs.

Animals↗
PubMed1985

Ammoniacal silver staining of lymph node cells. II. Reactive follicular hyperplasia and its relationship with Hodgkin's disease.

Lymph node biopsy specimens from 150 cases of reactive follicular hyperplasia, 52 cases of Hodgkin's disease and 30 cases of chronic lymphadenitis were studied. Clinical follow-up of cases for a period of two years at least was also considered. Formalin fixed and paraffin embedded tissues were stained with hematoxylin and eosin, and ammoniacal silver. Cytoplasmic accumulations of basic proteins were evidence in 30 out of 150 cases, but only 27 of these cases presented new lymph nodes with histological setting of Hodgkin's disease. The data suggest possible relationship between reactive follicular hyperplasia and Hodgkin's disease. However this relationship is not absolute as documented by two cases that being negative for the ammoniacal silver staining, were later diagnosed as Hodgkin's disease. Different types of atypical cells occurring in lymph nodes of reactive follicular hyperplasia were also studied. The potential use of ammoniacal silver staining in the early diagnosis of Hodgkin's disease is discussed.

Hodgkin Disease↗
PubMed1985

Houston Myopia Control Study: a randomized clinical trial. Part I. Background and design of the study.

The Houston Myopia Control Study is a 3-year randomized clinical trial in which each of 213 myopic children was placed in either a single vision (standard treatment) group, a +1.00 D add treatment group, or a +2.00 D add treatment group, on the basis of a randomized procedure. Subjects for the three treatment groups were matched on the basis of sex, age, and the initial amount of myopia. The study involves two groups of investigators: an evaluation team, whose task has been to evaluate candidates before entering the study and to reevaluate each subject on a yearly basis for the 3-year period, and a patient care team, whose task has been to prescribe glasses for each subject as well as to counsel subjects and their parents in the correct use of the glasses and to provide a follow-up examination every six months for the duration of the study. Once the glasses had been prescribed, members of the evaluation team were not permitted to know which subjects wore single vision lenses and which wore bifocals. In the interest of good patient care, members of the patient care team knew which subjects wore single vision lenses and which wore +1.00 D add or +2.00 D add bifocals. In this report, the authors discuss theories concerning the etiology of myopia, methods that have been used in an attempt to control the progression of myopia, and the design of the current study. Further reports will present the results of the study on the basis of the data collected by each of the two study teams.

Adolescent↗