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Biomedical subjects

A Linares

Publications and source records attributed to A Linares.

77 records · Page 5Linked to original sources

Hepatitis C virus infection in patients with acute hepatitis B.

The prevalence of antibodies to hepatitis C virus (anti-HCV) was studied using a second-generation ELISA test in 121 patients with self-limiting acute hepatitis B, including 63 intravenous drug addicts (IVDA). Within the first month after the onset of illness, 47.1% of the patients were anti-HCV positive, this figure reaching 52.1% six months later. The prevalence in the sixth month was significantly higher in the IVDA (93.6%) than in the non-IVDA (6.9%) (p < 0.00001). Among the IVDA, anti-HCV was more frequent in those with (100%) than in those without hepatitis delta virus (HDV) coinfection (84.6%) (p = 0.004). Of the 63 anti-HCV positive patients, 36 (57.1%) continued to exhibit abnormal transaminase levels for more than six months, while this was not observed in anti-HCV negative patients. These results show a high prevalence of infection by hepatitis C virus (HCV) in IVDA with acute B hepatitis. As a rule, infection by HCV occurred prior to the hepatitis B infection, although occasionally simultaneous infections were observed. HCV appears to be the agent responsible for chronic liver disease in patients with acute B hepatitis who become HBsAg negative.

Acute Disease↗

Diurnal rhythm of the in vivo acetate metabolism to CO2 and nonsaponifiable lipids by neonatal chick.

The in vivo incorporation of acetate into nonsaponifiable lipids was studied in different tissues from 14-day-old chick. Total nonsaponifiable lipids (nmol/30 min/g tissue) were mainly synthesized in testicles and liver. The in vivo CO2 production from acetate by 1-day-old chick did not exhibit diurnal variations. However, in 14-day-old chick, a maximal value was observed in the middle of the light period, while a minimal value was found 9 h after the start of the dark period. No significant diurnal differences were detected in the in vivo acetate incorporation into nonsaponifiable lipids by liver and duodenal mucosa from 1-day-old chick. Nevertheless, a clear diurnal rhythm was found in liver and duodenal mucosa from 14-day-old chick, but not in brain and kidney from animals of the same age. Distribution of radioactivity from (1-14C)acetate among the different constituents of the nonsaponifiable fraction has been also studied at 3-h intervals. Cholesterol was the major sterol formed from acetate by chick liver at any time of day. In duodenal mucosa and kidney, maximal values in the percentage of cholesterol synthesized were observed during the light period.

Acetates↗

[Etiology and epidemiology of 547 episodes of acute viral hepatitis diagnosed in adults in a general hospital (1983-1994)].

The etiology and epidemiology of 547 consecutive episodes of acute viral hepatitis in adults and diagnosed in a general hospital over 12 years (1983-1994) were prospectively analyzed as were the changes observed during the two halves of the study period. Of the 547 episodes, 25.4% were of type A, 41.1% type B, 21.9% type C, 6.6% non A, non B, non C, 2.4% type D, 1.1% by cytomegalovirus and 1.4% by the Epstein-Barr virus. The proportion of hepatitis A increased from 21.5% from 1983-1988 to 34.1% from 1989-1994 (p = 0.002), while hepatitis C decreased from 24.9% to 15.3% (p = 0.01) during the same periods. The proportion of hepatitis B observed in intravenous drug addicts fell from 56.1% in the first period to 39.3% in the second period (p = 0.03), while sexually transmitted hepatitis B rose from 7.3% to 22.9% (p = 0.002). A decrease was observed in the cases of hepatitis C in both periods in the intravenous drug addict cases (60.6% vs. 34.6%; p = 0.03) with an increase being observed in the C virus transmitted by unapparent mechanisms (2.1% vs. 23.1%; p = 0.001). These results suggest that modifications may currently be observed in the epidemiology of the viral hepatitis in Spain and that these trends should be taken into account when planning preventive strategies.

Adolescent↗