[Tuberculosis of the palate without lung involvement].
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Biomedical subjects
Publications and source records attributed to C Sierra.
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The effects of selected NRRL strains of Lactobacillus acidophilus, L. buchneri, L. cellobiosus and L. fermentum upon oligosaccharide, phytate and alkaloid contents, as well as on the nutritive value of lupine, were investigated. Lupine was processed to a 12% total solids suspension, inoculated with 1% (v/v) cultures and fermented until a final desired pH of 4.5. L. acidophilus B-2092 and L. buchneri B-1837 growth was related to a significant sucrose breakdown and decreases of phytates, whereas L. acidophilus B-1910 and L. fermentum B-585 reduced the content of flatulence oligosaccharides. The activity of L. acidophilus B-1910 was particularly associated with lowering of alkaloids and increase of riboflavin. Lactic acid fermentation produced slight changes in lysine and methionine contents. No significant differences in net protein ratio values and protein digestibility were found between fermented and unfermented lupine (P less than 0.05). A 1:1 ratio mixture of B-1910 and B-2092 strains of L. acidophilus lead to a final fermented lupine with nutritional advantages to those given by the individual cultures.
The purpose of this study was to increase the microbiological quality and yields of goat cheese prepared at farm level. For this purpose, appropriate technologies for the cheese-making process were designed, using a curd tank heated by gas, and cheese knives adjusted to the tank dimensions. Moreover, a low-cost table for whey draining and PVC moulds, were designed. Variables assayed were milk pasteurization, utilization of lactic acid starter by direct application, substitution of the kid rennet by commercial calf rennet, and cheese maturation for a one-month period. The control sample was goat cheese traditionally made by the small farmers. Processing and variables were evaluated by proximate chemical analysis, microbiological counts of aerobic mesophilic bacteria, total and fecal coliforms, and S. aureus; as well as by sensory evaluation of quality and acceptability. It was found that the cutting of curd with cheese knives significantly decreased solid losses in the whey. The addition of the starter and then the cheese maturation, as well as the use of the equipment previously described, increased the microbiological quality of cheese to standard sanitary regulation. Although pasteurization was the most effective treatment in decreasing bacteria contamination, this thermal treatment was difficult to be done under arid zones conditions. Commercial calf rennet did not differ significantly from kid rennet in the characteristics analyzed in this assay. Variables studied did not affect the normal sensory quality of goat cheese.
The selective multitest Technicon Chem 1 analyser was evaluated according to the guidelines of the 'Comisión de Instrumentación de la Sociedad Española de Química Clínica', and the protocols of the 'European Committee for Clinical Laboratory Standards' and 'Commission de validation de techniques' of the 'Société Française de Biologie Clinique'. The evaluation was performed in three steps: evaluation in routine conditions, assessment of the interferences and study of practicability. Under routine working conditions, eighteen constituents were studied. Within-run imprecision ranged from 0.6% (CV) for gamma-GT to 4.7% (CV) for AST. Between-run imprecision ranged from 1.6% (CV) for ion sodium to 5.5% (CV) for creatinine. Specimen related carry-over was not within the samples; specimen independent carry-over was found in some of the constituents studied. The relative inaccuracy is good for all the constituents assayed. Haemoglobin (290 mumol.l1) showed a positive interference with urate at three concentration levels (low, medium and high). Bilirubin (up to 300 mumol.l-1) caused a negative interference with creatinine at three concentration levels. Turbidity (trigliceride up to 4 mumol.l-1) stated a positive interference with creatinine at three concentration levels and with AST at two concentration levels (low and medium). Turbidity also caused a negative interference with urate at three concentration levels and with urea at two concentration levels (low and medium).
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A sanitary and technological diagnosis of the goat cheese rural process was carried out. The purpose was to obtain more information for the planning of a program aimed to the improvement of this small agroindustry. Samples of milk, curdle, dry abomasum, rennet, water and cheese of 10% of the small industries of two rural villages in two agricultural seasons, were taken. Moreover, dilutions of the utensils and goat udders were prepared. The samples were subjected to microbiological analysis of mesophilic aerobic bacteria count, most probable number of total and fecal coliforms, and detection of Staphylococcus aureus coagulase (+), Salmonella typhi and Brucella melitensis. Proximate chemical analysis and determinations of sodium chloride and titratible acidity in milk, cheese, dry abomasum and rennet, were carried out. Goat milk was also subjected to analysis of density. It was found that significant sanitary failures are present during th whole goat cheese process, although the highest bacteria contamination occurred at the milking, curdling and filling stages. These are characterized by excessive handling and absolute lack of hygiene. The pathogen B. melitensis was absent; therefore the causes of poisoning were attributed to the toxin produced by S. aureus and to the significant count of fecal coliforms found in the goat cheese. Even though the goats are fed under a poor feeding system, the milk presented a normal physical and chemical composition. Nevertheless, protein and fat matter losses occur during cheese preparation, as a result of handling practices and lack of process control.
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The research at the IIIA has produced over more than a decade two versions of a tool for developing knowledge-based systems: Milord and Milord II. This tool has been mainly used for the development of medical applications. In this paper we summarize the Milord II approximate reasoning approach based on fuzzy sets, and three medical applications: rheumatology diagnosis (Renoir), pneumonia diagnosis (Pneumon-IA) and pneumonia treatment (Terap-IA).
Feral pigs (Sus scrofa) cause different kinds of damage specially on oceanic islands. Pigs were introduced at Cocos Island, Costa Rica, during 1793 and bred successfully. I analyzed feral pigs diet, reproductive state, genetics and the effects of predation, in order to gather data on their ecology and impact on certain Cocos Island communities. The diet was studied, during a dry and a wet period, through stomach contents. The genetic variability was determined through PCR analysis on tissue samples which were taken from feral (Cocos Island) and domestic (mainland) pig ear-lobes. Pigs at Cocos were omnivorous, the most important diet category in both seasons was fruits. More pigs consumed fruits during the wet season but the fruits did occupy more somuch volume during the dry season. Feral pigs did not disperse exotic seeds nor prey on animal endemic species. 56% of the hunted pigs were males and 44% were females. From females in reproductive age, 46% were pregnant or suckling, and the average number of fetuses in a litter was 4.4. I confirmed a reproductive peak during January/February but could not demonstrate a reproductive peak during June/July. The low fetuses number per litter could be related with some levels of stress. The genetic variability for all the evaluated parameters within the feral population was low but not as low as expected. I suggest a compensatory mechanism were the inbreeding depression reduces consanguinity and a species susceptible to stocastic, demographic or environmental factors turns to be an adapted species with high resilience.
Feral pigs (Sus scrofa) are of the most damaging exotic vertebrates, specially on oceanic island native communities. Feral pigs inhabit Cocos Island since 1793 and there are around 400-500 individuals. In order to quantify the impacts of the feral pigs at Cocos Island. I calculated the effect of the rooting activity and its influence on the natural erosion. During one year I walked, monthly, 15 km on trails estimating rooted area by transect and rooting recurrence. During eight months I compared erosion rates with and without rootings. I estimated the annual rooting rate between 10 and 20% of the total island surface. The rooted area was the only measured variable which correlated with the soil erosion rate. The erosion rate without rootings was 23.6 kg/ha/year and with rootings was 200.4 kg/ha/year (P < 0.01). The disturbances provoked by the rootings were not scattered homogeneously through the island. The rootings, together with the natural landslides, dominate the soil disturbance pattern at Cocos Island. This study suggests that the presence of feral pigs produces more erosion than the one that would naturally occur without feral pigs at Cocos Island.
BACKGROUND: The aim of the study was to assess all patients with ENT symptoms whose histologic and/or microbiologic diagnosis confirmed tuberculosis. METHODS: All the anatomopathologic studies performed in the ENT unit in the authors' hospital in which the presence of acid-alcohol resistant bacilli were observed. All cases of cervical adenitis were not included. RESULTS: Eighteen patients with the following localizations were studied: 14 laryngeal tuberculosis and 4 extra-laryngeal tuberculosis (2 oropharyngeal, 1 otic and 1 sinusal). In the laryngeal forms, all patients were male except for one, and all were smokers. The duration of the symptoms was greater than 3 months in all the cases. Unilateral cord involvement was most commonly found, and in 2 cases this was associated with carcinoma of the vocal cord. Twenty-nine percent did not present with coincident pulmonary tuberculosis. None of the extra-laryngeal forms showed pulmonary involvement. All the patients were women and only 1 was smoker, the symptomatology was greater than 3 months in all cases and all required biopsy for achieving diagnosis. The evolution with medical treatment was favorable in all cases. During the same time period, 2300 cases of pulmonary tuberculosis were diagnosed in the authors' hospital. CONCLUSIONS: Tuberculosis of the upper respiratory tract is infrequent. Pulmonary involvement is common, although in this series this was only found in 71% of all laryngeal forms. Diagnosis is difficult, except in cases of coinciding pulmonary involvement and usually requires surgery for biopsy. Response to medical treatment is usually good.