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Biomedical subjects

A Hernandez

Publications and source records attributed to A Hernandez.

At least 127 records · Page 7Linked to original sources
PubMed1991

Colonic motility: electric and manometric description of mass movement.

"Mass movement" was described at the beginning of the century by radiologists who occasionally observed how, during their explorations, barium was transported suddenly from one section of the colon to another. In the present study we wanted to center our attention on electromechanical activities accompanying large evacuations via the colostomy, as we believe that they are an expression in myoelectric and pressure terms of the "mass phenomenon" described by radiologists. To do this, we designed an electromyographic recording probe to which we attached a conventional microtransducer probe, joining them by suction. With this method we made 24-hour recordings in eight patients with sigmoid colostomy. We witnessed five large evacuations. When the electric and pressure activities that occurred a few minutes before the evacuation were analyzed, we observed that there were two clearly different phases. The first, which we call "Preliminary Phenomenon," consists of a series of contractions and spiking potentials averaging 5.6 minutes (SD 2.22); after this the "Big Contraction" appears, with mean pressure values of 127 mm Hg (SD 38.77) and mean electric values of 10.6 mV. The duration of this phenomenon averaged 24.93 seconds (SD 6.19), recorded almost simultaneously at the three recording sites studied. There is no doubt that these electro-pressure phenomena resulted in a mass transport, as we observed an intense evacuation via the colostomy in the five patients.

Colon↗
PubMed1991

Interleukin-1 beta: a possible mediator of lung inflammation and airway hyperreactivity.

Interleukin-1 (IL-1), a peptide released from monocytes/macrophages, plays an important role in the inflammatory and immune responses. Airway hyperreactivity and the underlying airway inflammation are common features in asthma pathology. We investigated and characterized the inflammatory alterations induced within the guinea-pig respiratory system by IL-1 beta. Injection of IL-1 beta (1-6 micrograms/animal) into the pleural space resulted in a dose-dependent inflammatory response, as shown by the formation of pleural exudate and leucocyte recruitment. A threshold dose of IL-1 beta (1 micrograms/animal) markedly potentiated the inflammatory reaction triggered by the classical proinflammatory agent croton oil, underlining the amplifying role of IL-1 beta in the inflammatory events. The inflammatory process induced by intrapleural injection of IL-1 beta (6 micrograms/animal) was associated with the development of a hyperreactive phenomenon which involved both the peripheral and large airways. In fact, increased contractile activity of histamine was evident in the tracheas and parenchymal strips isolated from guinea-pigs exposed to IL-1 beta. These results provide evidence for a possible role of IL-1 beta in the genesis of airway inflammation and bronchial hyperreactivity.

Animals↗
PubMed1991

Clinical aspects of bursae and tendon sheaths of the foot.

The evaluation and treatment of bursitis in the foot is a complex problem for the clinician. There is no one standard approach or set treatment for the patient who presents with pain suspected of being secondary to bursal involvement, primarily because there are myriad conditions and anatomical sites involved. Compounding this problem is the wide variation in the presence of these structures from patient to patient. Therefore, each distinct pathologic situation must be examined, diagnosed, and treated, based on its individual anatomical and etiologic factors. In the interest of completeness, the special anatomy of bursae and their specific pathologic conditions are reviewed.

Bursa, Synovial↗
PubMed1990

Beta-adrenoceptor desensitization induced by antigen challenge in guinea-pig trachea.

As beta-adrenoceptor function in the lung could be relevant in asthma, we carried out a functional and biochemical study of the possible occurrence of beta-receptor desensitization after the anaphylactic reaction induced in vitro in actively sensitized guinea-pig tracheas. The relaxing effect of epinephrine and vasoactive intestinal polypeptide (VIP) was tested in tracheal strips. Binding was studied with tracheal membranes and 125I-cyanopindolol. Antigen challenge resulted in a marked decrease of epinephrine-induced relaxation paralleled by a 50% reduction in beta-receptor number. The adrenergic system was specifically affected since VIP-induced relaxation was not modified by the anaphylactic reaction. In some experiments tissues were pretreated with hydrocortisone or indomethacin. Both these drugs prevented antigen exposure from impairing epinephrine relaxation, suggesting the involvement of eicosanoids in this phenomenon. Our data clearly indicate the occurrence of beta-receptor desensitization as a consequence of the anaphylactic reaction, thus impairment of the adrenergic system might play a role in asthma.

Animals↗
PubMed1990

The auditory P 300 correlates with specific cognitive deficits in Parkinson's disease.

An abnormally prolonged latency of the P 300 event-related potential has been reported in several types of dementing illnesses, including Parkinson's disease (PD). While some PD patients have dementia, a significant number of PD patients have less severe cognitive impairments. We examined the relationship between the auditory P 300 and a neuropsychological battery of 11 tasks in 43 PD patients. The quantitative relationship between the individual neuropsychological measures and the P 300 was examined using partial correlation and analysis of covariance techniques which controlled for age, education, and illness duration. The strongest correlations were between P 300 and both short-term memory and visual perception. Global cognitive deficits do not appear to relate to the abnormal P 300 responses in PD: instead, specific aspects of cognitive decline accounted for the electrophysiological abnormalities. An abnormally long or absent P 300 correlated with deficits on select cognitive tasks: those involving memory, visual perception, and abstract reasoning. The interactions between anatomical and neurochemical abnormalities in PD are discussed in light of the pattern of deficits seen in this study.

Adult↗
PubMed1990

Passive cigarette smoke exposure induces airway hyperreactivity to histamine but not to acetylcholine in guinea-pigs.

We have investigated the changes in airway reactivity induced in guinea-pigs by passive cigarette smoke exposure. In particular, we studied the development of airway hyperresponsiveness both in vivo and in vitro after passive exposure of the animals to cigarette smoke in a plexiglass box. Passive smoke exposure significantly (p less than 0.01) increased histamine induced bronchoconstriction. The dose-ratio calculated between histamine dose-response curves constructed in control and smoke exposed animals was 2.13 (95% confidence limits: 1.46-3.09). Acetylcholine induced bronchoconstriction was not potentiated after the same smoke exposure, indicating some specificity of the mediators involved in the airway hyperresponsiveness triggered by passive smoke exposure. The airway hyperreactivity induced by smoke exposure was associated with a specific increase in histamine contraction induced in vitro in lung parenchymal strips but not in tracheae or pulmonary arteries. Maximal histamine contraction in parenchymal strips taken from smoke exposed animals was significantly (p less than 0.01) enhanced by approximately 110% when compared to control. There was a significant (p less than 0.01) increase in the number of macrophages and eosinophils in the bronchoalveolar lavage fluid of animals passively exposed to cigarette smoke, but no mucus hypersecretion was evident. Our data demonstrate the occurrence of airway hyperreactivity induced by passive cigarette smoke exposure, which involves increased smooth muscle reactivity and cell recruitment.

Acetylcholine↗
PubMed1990

Airway hyperreactivity induced by active cigarette smoke exposure in guinea-pigs: possible role of sensory neuropeptides.

Exposure to cigarette smoke is associated with increased airway responsiveness to different stimuli, both in human and animal studies. However, the mechanisms involved in the pathogenesis of smoke-induced airway hyperreactivity are less clear. We investigated the development of airway hyperreactivity induced by active cigarette smoke exposure in anaesthetised guinea-pigs and the possible mechanisms involved. Active inhalation of cigarette smoke (15 s/min for 10 min) potentiated the broncho-contractile effect of acetylcholine (Ach), indicating the occurrence of airway hyperreactivity. This phenomenon appeared within 5 min and lasted up to 50 min after smoke exposure. Smoke induced airway hyperreactivity was a non-specific phenomenon, involving an enhanced responsiveness to both Ach and histamine (Hist). Recruitment of proinflammatory cells into the airway lumen, as revealed by the analysis of bronchoalveolar lavage fluid, paralleled the development of the hyperreactive phenomenon, suggesting a relationship between the inflammatory reaction and the genesis of smoke-induced airway hyperreactivity. Cervical bilateral vagotomy did not modify either the degree and the time-course of smoke induced airway hyperreactivity. Moreover, atropine treatment did not affect the increase in Hist response due to smoke inhalation. On the other hand, depletion of substance P due to capsaicin pretreatment almost completely prevented the capacity of cigarette smoke to potentiate Ach induced bronchoconstriction. Cyclo-oxygenase inhibition, by indomethacin pretreatment, reduced the time course of the hyperreactivity induced by smoke inhalation. Our results clearly demonstrate the occurrence of airway hyperreactivity triggered by active cigarette smoke exposure. Moreover, the data obtained suggest a predominant role for substance P and related peptides in the pathogenesis of smoke induced increase in airway responsiveness.

Acetylcholine↗
PubMed1990

The role of alternative splicing patterns of BCR/ABL transcripts in the generation of the blast crisis of chronic myeloid leukaemia.

Three major types of mRNA can be expressed as a result of the Philadelphia translocation, dependent on the position of the break within the BCR gene on chromosome 22. In addition, alternative splicing of the mRNA transcribed from the BCR/ABL fusion gene has been reported and it has been suggested that this may play a role in the generation of the acute phase of Philadelphia positive chronic myeloid leukaemia (CML). We have examined the fusion RNA present in 24 cases of chronic phase CML and 21 cases of patients with CML in blast crisis using the polymerase chain reaction. In no case was it possible to detect the presence of the e1a2 junction which encodes the p190 hybrid protein product. We conclude that the acquisition of the p190 does not play a significant role in the generation of the blast crisis of CML. Neither could we detect a significant difference in the number of cases which simultaneously express both b2a2 and b3a2 junction products in samples isolated from chronic phase and blast crisis. In the series analysed by ethidium bromide stained gels, there was, however, an increase in the percentage of cases expressing the b3a2 junction in the mononuclear cells of blast crisis patients as compared to the white blood cells of patients in chronic phase.

Base Sequence↗
PubMed1990

Frequency of the -alpha 3.7 thalassemia deletion in the non-white Cuban population.

DNA analysis of the alpha-globin gene cluster showed that the frequency of the -alpha 3.7 deletion in the non-white cuban population is about 0.12, in agreement with a 47% admixture of the original African slaves introduced in the island. In the S-S homozygotes the frequency is slightly higher (.18), probably due to a selective advantage produced by the presence of alpha-thalassemia in sickle cell patients.

Anemia, Sickle Cell↗
PubMed1990

Detection of the hybrid BCR/ABL messenger RNA in single CFU-GM colonies using the polymerase chain reaction.

In order to study which hemopoietic precursor cells express the hybrid BCR/ABL fusion mRNA we have developed a technique based on the polymerase chain reaction (PCR) for the examination of single hemopoietic colonies grown on semi-solid agar. The technique was developed by examining single CFU-GM colonies grown from newly diagnosed patients with chronic myeloid leukaemia (CML). RNA was isolated from individual 14 day colonies and reverse transcribed to a complementary DNA (cDNA) copy which formed the substrate for a PCR. We have studied 3 cases of CML using this method and have found that 5 out of 5, 9 out of 10 and 20 out of 23 colonies examined were positive. Thus we describe a simple and useful technique for the study of gene expression in a limited number of hemopoietic precursor cells.

Bone Marrow↗
PubMed1989

Bradykinin and substance P potentiate acetylcholine-induced bronchospasm in guinea-pig.

The interaction of threshold doses of bradykinin (BK) and substance P (SP) with acetylcholine (ACh)-induced bronchospasm was investigated in anaesthetized guinea-pigs. The two peptides potentiated the ACh-induced bronchospasm, an effect which did not seem to depend on prostaglandin release. On the other hand, vagotomy abolished the capacity of BK and SP to potentiate the ACh-induced bronchospasm. The present data suggest a possible involvement of BK and SP in the genesis of airway hyperreactivity.

Acetylcholine↗
PubMed1989

Active sensitisation modifies beta-adrenoceptor reactivity in guinea-pig trachea.

The occurrence of beta-adrenoceptor desensitisation in clinical experience, after long term therapy with specific beta 2-agonists, is still an open question, even if this phenomenon is easily observed in different experimental models. Since the majority of these experiments have been performed in normal animals, we investigated the possible occurrence of beta-adrenoceptor desensitisation in the ovalbumin actively sensitised guinea-pig model of experimental asthma. The isoproterenol concentration-response curves performed in pilocarpine contracted guinea-pig trachea in vitro were shifted to the right by the beta-adrenoceptor desensitisation procedure, which was achieved by the in vitro administration of isoproterenol (10(-5) M x 2 times x 20 min each) both in normal and ovalbumin sensitised tissues. The same desensitisation procedure markedly affected epinephrine-relaxing capacity in both normal and ovalbumin actively sensitised guinea-pig tracheae. However, the ovalbumin sensitised tissue seemed to be more sensitive than normal to the specific beta 2-agonist procaterol; in parallel the beta 2-mediated relaxation was more impaired by isoproterenol-induced beta-adrenoceptor down regulation in ovalbumin sensitised trachea when compared to normal. Similar results have been obtained using salbutamol as the beta 2-adrenoceptor desensitising agent. The changes in beta-adrenoceptor reactivity between normal and ovalbumin sensitised guinea-pig tracheae seemed to depend on the active sensitisation process. No difference in the degree of beta-adrenoceptor down regulation was observed in passively ovalbumin sensitised guinea-pig trachea as compared to normal. These data suggest that, in this model of experimental asthma, beta-adrenoceptor reactivity is in some way modified and that this phenomenon might contribute to the genesis of asthma.

Animals↗