Search PubMed⌕ Search

Biomedical subjects

C Gonzalez

Publications and source records attributed to C Gonzalez.

334 records · Page 19Linked to original sources
PubMedDate not supplied

Osteoarticular mycobacterial infections in patients with the human immunodeficiency virus.

OBJECTIVE: Data about the characteristics of patients with the human immunodeficiency virus (HIV) and concomitant mycobacterial skeletal infection are scarce. Thus, our aim was to describe this condition in a cohort of 11 patients. METHODS: A review of the records of 11 HIV-positive individuals with microbiological confirmation of mycobacterial osteoarticular infection was conducted. The studied data included: age, sex, risk factor for the HIV days between the onset of symptoms and diagnosis, evidence of previous tuberculosis, location of the infection, isolated organism, diagnostic method, laboratory data (erythrocyte sedimentation rate, haemoglobin, leukocyte count), number of CD4+ lymphocytes, anti-retroviral therapy, treatment and outcome. RESULTS: Eight patients were men and 3 were women. The median age was 34.2 years (range 20-46 years). Previous tuberculosis was present in 5 cases. Mean days between the onset of symptoms and diagnosis was 124 (range 20-365 days). Infections involved the knee (4 cases), spine (3 cases), hip (2 cases), elbow (1 case) and tibia (1 case). ESR was frequently elevated. The CD4 count ranged from 0.03 to 0.779 x 10(9)/l (mean 0.245 x 10(9)/l). M. tuberculosis was the responsible organism in 9 cases, Mycobacerium tuberculosis plus Staphylococcus aureus in one case and M. Kansasii in one case. Patients received specific treatments with good results. Surgery was necessary in 4 cases. No deaths occurred. Four patients were anti-retroviral naive at the moment the diagnosis was made. The remainder 8 were on zidovudine therapy. CONCLUSION: The immunologic status of patients with HIV and concomitant mycobacterial skeletal infections is quite variable. The outcome of this condition seems to be good.

AIDS-Related Opportunistic Infections↗
PubMedDate not supplied

[Four year follow-up of social adjustment of a cohort of schizophrenic patients].

Sixty-seven first episode schizophrenic patients (PSE-Catego criteria) have been included in this study in order to evaluate their prognosis and the factors predictive of their evolution. Potential predictive factors consisted of anamnestic and demographic data, scores on the Disability Assessment Schedule (DAS-WHO) and relatives' Expressed Emotion index (EE), measured by the Camberwell Family Interview (CFI). The outcome was assessed monthly by the Global Assessment Scale (GAS/DSM III-R). At four years, 39 patients (58%) were still being followed. 33% of the patients presented a good evolution (EGF > or = 51) and 67% of the patients a bad evolution (EGF < 51). Four factors predictive of the psychosocial adaptation were extracted using regression analysis: premorbid psychosocial evolution, EE, sex and psychiatric family history. These 4 factors predicted correctly 85% of cases. Moreover, the monthly follow-up of these patients pointed to three types of evolution: the patients presenting a good and stable evolution (22%), those presenting a bad and stable evolution (33%) and those presenting an oscillating evolution which fluctuated between good and bad periods (44%). However, no predictive factors of the psychosocial adaptation of these oscillating patients could be identified through the statistical analysis. These results take all their importance regarding the treatment of schizophrenic patients, for whom the therapeutic plans which have to be settled should take into account their prognosis in the most precise manner. Moreover, the predictive value of EE on psychosocial adaptation for a 4 years period is confirmed.

Adolescent↗
PubMedDate not supplied

Determination and degradation of methomyl in tomatoes and green beans grown in greenhouses.

A liquid chromatographic (LC) method using UV detection at 233 nm was used to study the degradation of methomyl in tomatoes and green beans grown in greenhouses. A liquid-liquid extraction with CH2Cl2-methanol (90 + 10, v/v) and a cleanup step with Florisil were combined with LC to isolate, recover, and quantitate the pesticide. Average recoveries obtained at spike levels of 0.03 and 0.40 mg/kg were 83.2-84.7% for tomatoes and 83.3-87.5% for green beans. Determination limits were 0.03 mg/kg for tomatoes and 0.01 mg/kg for green beans. Levels of methomyl residues were studied in tomatoes and green beans grown in an experimental greenhouse to establish the effect of the kind of greenhouse, application dose, species grown, and climatic conditions on the degradation of this pesticide. Analysis of variance showed that doses did not affect the response. The half-life, however, is greater in a flat-roof greenhouse than in an asymmetric-roof greenhouse and is significantly longer for green beans than for tomatoes and longer in winter than in spring. A preharvest time of about 5 days may be suitable for green beans sprayed with methomyl. Tomatoes show residue levels at the time of application lower than Spanish minimum residue levels.

Agriculture↗
PubMedDate not supplied

[Effect of a coordinated management program on the outcome of a cohort of ambulatory psychiatric patients].

This study describes a one year follow-up study of 53 ambulatory patients treated with case management oriented care. These patients, characterized by a chronic evolution for an average of 10 years, presented after a one year period a significant improvement of different symptomatic parameters (positive and negative psychotic symptoms). Psychosocial adaptation was also improved for their dependency, their activity and the amount of their social contacts. These results underline the usefulness of case management, which permits an optimal use of available therapeutic facilities. Moreover, the setting of such a program allows a more specifical treatment of this category of patients.

Adult↗