[Quality control applied to commercial kits for the radioimmunoassay of insulin].
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Biomedical subjects
Publications and source records attributed to T Quesada.
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The purpose of the present study was to examine the role of the renin-angiotensin and the sympathetic nervous systems during the chronic phase (greater than 16 weeks) of two-kidney, one-clip hypertension in conscious unrestrained rats. During this phase, the mean arterial pressure (MAP) (p less than 0.001) and plasma angiotensin II (31.9 +/- 1.5 to 125.8 +/- 19.9 pg/ml, p less than 0.005) were significantly increased as compared to normotensive group. Converting enzyme inhibition by captopril produced a significant decrease of MAP (181.2 +/- 8.2 to 140.0 +/- 5.5 mmHg, p less than 0.001). This hypotensive response was similar when aprotinin (a Kallikrein inhibitor) and captopril were infused simultaneously. Alpha 1-adrenergic receptor blockade by phenoxybenzamine (POB) significantly decreased but did not normalize MAP (179.8 +/- 12.4 to 135.8 +/- 10.4 mmHg, p less than 0.001). However, when infused after POB, captopril induced a further decrease of MAP to 86.7 +/- 9.4 mmHg (p less than 0.001). This MAP level was not different from that found in normotensive rats after infusion of the two drugs (83.2 +/- 5.3 mmHg). These results suggest that both the renin-angiotensin system and the sympathetic nervous system, by activating peripheral alpha 1-adrenergic receptors, maintain the high blood pressure during the chronic phase (greater than 16 weeks) of two-kidney, one-clip hypertension in conscious rats.
The current situation of the telemetry unit of Vigil de Quiñones Hospital was studied. Telemetry indications, results, and problems observed since the unit was inaugurated were studied to determine the usefulness of telemetric heart rate monitoring and centralized surveillance in an intensive care unit (ICU) in detecting severe arrhythmias, controlling antiarrhythmic treatment, and evaluating why and to what extent telemetry is clinically useful. In our center, telemetry is used to monitor patients with well-established needs. In most cases, arrhythmias are monitored, most frequently premature ventricular complexes, sinus bradycardia and supraventricular tachycardia. Telemetry was useful in arrhythmia treatment and the follow-up of patients with temporary or permanent pacemakers. In a significant percentage of patients (8.62%), telemetry was the key to their ICU admission and, possibly, their survival. There were generally few problems with signal transmission.
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