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Biomedical subjects

A Rey

Publications and source records attributed to A Rey.

At least 181 records · Page 10Linked to original sources

[Regional hemodynamic and metabolic consequences of temporo-sylvian anastomosis. Study of 15 patients by positron emission tomography].

Cerebral Blood Flow (CBF), Oxygen Extraction Fraction, and Oxygen utilization (CMRO2) have been studied in 15 patients before and After Extra-Intracranial Arterial bypass (EIAB), using PET and 150 steady-State Inhalation technique. Fourteen patients had carotid artery obstructive lesions and the last one a middle cerebral artery occlusion. In the whole group of patients, both CBF and CMRO2 increased significantly on both cerebral hemispheres after the EIAB. This effect was more marked in patients with extensive occlusive disease of neck vessels. This metabolic improvement afforded by EIAB in our patients suggests that long-standing hemodynamic failure may induce a metabolic depression that's still potentially reversible by surgical revascularization. On the other hand, improvement of focal CBF abnormalities depends, in our patients, upon the preoperative coupling of CBF-CMRO2 (mainly misery perfusion syndrome) as reported earlier.

Adult↗

[Real-time cerebral echography in meningitis in the newborn infant and infants].

We report echographic findings in 17 patients with meningitis of which 16 were bacterial and the remaining one was due to toxoplasma. The signs more frequently observed have been ventricular dilatation and thickening of cortical sulci with increased echogenicity. Emphasis is made on the usefulness of realtime brain ultrasonography for monitoring of certain meningitis during the acute phase as well as for detection of sequelae later on the clinical course. One of our patients had tuberculous meningitis, and as far as we know, our sonographic follow-up is the first reported so far in this disease.

Cerebral Ventricles↗

[Encapsulated adrenal hemorrhage in the newborn infant. Study of 8 cases].

We report 8 cases of neonatal encapsulated adrenal haemorrhage clinically suspected and diagnosed in living newborns. Six of them were right-sided (75%), and only 2 left-sided (25%). Clinical manifestations were limited to the palpation of a flank mass and or the presence of jaundice of unknown cause. We comment on the etiology clinical picture, diagnosis, course and treatment of adrenal haemorrhage pointing out to the importance of ultra-sonography for diagnosis and follow-up, as opposed to IVP. In four patients we could sustain the presumption of normal adrenal function by means of a rapid ACTH stimulation test.

Adrenal Gland Diseases↗

Human autologous rosettes. IV. Their relation with interleukin 2 activity production and natural killer cells in cancer patients.

Peripheral blood lymphocytes (PBL) of solid-tumor-bearing cancer patients produced a lower interleukin 2 (IL-2) activity after lectin stimulation than did those from normal subjects. Moreover natural killer (NK) cell activity and autologous rosette forming (ARF) cell rate are found significantly correlated with IL-2 production in these patients. No direct relation is observed between ARF cell ratio and NK cell activity in a given patient. A central role for IL-2 in cancer patient immune dysfunctions is suggested. Two lines of pathogenetic mechanisms are documented. First, PBL exhibited cellular function defects, namely, autologous receptor expression, IL-2 production, and NK activity. Second, these dysfunctions involved, at least partly, plasma factors. The possibility of specific deficiency, (e.g., thymic factors) is not documented. Conversely it is demonstrated that patient plasma contain immunosuppressive factor(s) that block(s) IL-2 production and ARF cell expression. Involvement of ARF cell receptor in T-cell activation is discussed.

Adult↗

Neuroendocrine responses to apomorphine in depressed patients and healthy control subjects.

Increasing evidence implicates altered dopamine function in major affective illness. In the present study, growth hormone responses to the dopamine agonist apomorphine were not different for 14 male depressed patients and 16 healthy male volunteers. Baseline and post-apomorphine prolactin levels were lower for the depressed patients than the control subjects, but the percent decrease following apomorphine was not different for the two groups. Neuroendocrine responses were not significantly altered during chronic treatment with the dopamine agonist piribedil. These neuroendocrine results suggest that decreased baseline prolactin levels in depressed patients do not reflect altered postsynaptic receptor sensitivity in the tuberoinfundibular dopamine system.

Adult↗

Bone lithiasis or bone metaplasia?

A case in which bone has been found in the upper urinary tract is reported. Since the physiopathology and morphological characteristics of this tissue do not meet the requirements needed to be defined as a urolith, we believe this is a case of bone metaplasia and not urinary lithiasis.

Adult↗

Bromazepam ('Lexotanil') compared with placebo: a double-blind, crossover study.

A double-blind, crossover study was carried out in 126 out-patients, most of them neurotics, to compare the efficacy and tolerance of bromazepam and placebo. Patients received either 6 mg bromazepam or placebo daily for 3 weeks and were then crossed over to the alternative treatment for a further 3 weeks. Treatment sequence was randomized. Clinical ratings of the severity of individual symptoms and the Hamilton Anxiety Rating Scale were used to measure response to treatment at the end of each period. During the first period, both bromazepam and placebo produced improvement and there was no statistically significant difference between the two groups. During the second period after crossover, however, significantly better results were achieved in patients on bromazepam than those on placebo. The incidence of side-effects, mainly drowsiness, was similar with bromazepam and placebo.

Adolescent↗

The role of interleukin-2 in T colony formation by human pre-T cells (pTCFC).

Human T lymphocyte colonies may be grown in agar from pre-T peripheral blood cells. Pre-T cells giving rise to these colonies represent 0.5% of the non-adherent, E rosette and Leu 1 depleted mononuclear cell subpopulation. T colony formation is induced by PHA stimulation and only if media conditioned by PHA stimulated peripheral blood lymphocytes (PHA-LCM) is added. These media contained interleukin-2 (IL-2) and T colony promoting activity (TCPA) for pre-T cells. TCPA is co-eluted with IL-2 by gel filtration with an apparent molecular weight of 18,000 daltons. Moreover, when PHA-LCM are absorbed on IL-2-dependent cultured T cells, TCPA is removed as well as IL-2. In attempt to further demonstrate the role of IL-2 in T colony formation by the pre-T cells we used the anti-Tac monoclonal antibody directed against IL-2 receptor. We demonstrated that anti-Tac inhibits T colony formation in a dose-dependent manner in pre-T cells. We conclude that IL-2 is the essential exogenous factor contained in PHA-LCM which allows pre-T cell differentiation expression and proliferation in agar medium.

Antigens, Surface↗

[Diagnosis and follow-up of cerebral ventricle pathology using transfontanelle real-time echography].

Authors evaluate 36 patients with different degrees of cerebral ventricular dilation divided in three groups according with previous clinical features. Cerebral ultrasonography demonstrated to be a more accurate method than CAT in most of cases examined by these two procedures. Real time cerebral ecography is indicated in follow-up of conditions which need repetitive controls like hydrocephalus with ventriculo-peritoneal shunts, posthemorhagic ventricular dilations or daily follow-up o acute pathology like ill-course meningitis. Finally they describe situations in which ultrasonography may have a great value as cerebral screening test.

Cerebral Hemorrhage↗

[Intramedullary astrocytoma and ependymoma in the adult. Do therapeutic tactics influence the long-term results? Evaluation of 23 surgically treated cases and discussion of the literature].

The authors tried to determine the best treatment of intramedullary tumors nowadays. They studied a personal series of 23 intraspinal ependymomas and astrocytomas. 15 patients had a mean long term follow-up of 5 1/2 years. Among these, only patients with ependymomas were clinically cured or dramatically improved (30%). On the contrary, no patients operated on an astrocytoma received benefit of the surgical procedure. This study was compared to most of the recent series of the literature , the results of which are superimposable . Concerning an intraspinal ependymoma, a logical attitude is to proceed, under optic magnification, to the most complete excision as possible, as long as a well individualized plan of cleavage is visible. Radiotherapy is indicated only in case of incomplete excision or recidive. Concerning an astrocytoma, a total excision is almost always impossible since it is an infiltrating tumor. It appears more dangerous than advantageous to try to take off as much tumor as possible. Radiotherapy appears inefficient.

Adolescent↗

The role of interleukin 1 and interleukin 2 in human T colony formation.

We investigated the roles of interleukin 1 (IL1) and interleukin 2 (IL2) on T colony formation by PHA-stimulated peripheral blood lymphocytes (PBL). Purified T cells stimulated by PHA could not generate T colonies as did PBL. Media conditioned by PHA-stimulated PBL (PHA-LCM) contained IL2 and a T colony-promoting activity (TCPA) which induced T colony formation in PHA-stimulated purified T cells. IL2 and TCPA are coeluted in the same peak of 18,000 molecular weight after gel filtration chromatography. Moreover, TCPA present in the PHA-LCM could be absorbed on IL2-sensitive cells which possessed specific receptors for IL2. These results suggest that TCPA and IL2 are related entities. Monocytes or IL1 (a monokine released by activated monocytes) also induced T colony formation in purified T cells. Phorbol myristate acetate (PMA) could replace monocytes in the induction of T colony. Monocytes, IL1, or PMA are known to be crucial requirements for IL2 production by PHA-stimulated T cells. This combined with the fact that IL2 participates in T colony formation suggests that monocytes induce T colony formation through IL2 production.

Clone Cells↗

[Maternal iron and folate deficiencies. Effects on the newborn infant].

Three studies of materno-fetal iron and folate status are analyzed. Repercussions of maternal iron and folate deficiencies on neonates are investigated. The incidence of iron deficiency is high during pregnancy and increases in multiparous and alien women. Although no correlation was found between mothers' and neonates' ferritinemia, maternal iron deficiency was shown to influence fetal hemoglobin synthesis and iron stores. Folate deficiency in mothers had no obvious incidence on hematological parameters in neonates. However it does influence gestation duration and therefore birthweight.

Female↗

Diminished interleukin-2 activity production in cancer patients bearing solid tumors and its relationship with natural killer cells.

Interleukin-2 (IL-2) activity production by stimulated peripheral blood lymphocytes (PBL) from solid tumor bearing cancer patients was lower than in normal subjects. Natural-killer (NK) cell activity in the PBL of cancer patients was very significantly correlated to IL-2 activity production (P less than 0.001). These results might suggest a central role for IL-2 in the immune dysfunctions in cancer patients, and the possible use of IL-2 as an immunological response modifier in these patients.

Adult↗

Modulation of human T lymphocyte functions by isoprinosine.

Isoprinosine was shown to alter certain T cell functions. In vitro, it has previously been shown to induce suppressor cell activity in both mouse and human lymphocytes. Our in vitro results suggest that Isoprinosine acts on immune balance by increasing the number of non-suppressor T cells and, at least partially blocks Con A induced suppressor activity. In vitro NK activity remained unaltered.

Adjuvants, Immunologic↗