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Biomedical subjects

E Fernandez

Publications and source records attributed to E Fernandez.

At least 163 records · Page 9Linked to original sources
PubMed1994

Trends in pancreatic cancer mortality in Europe, 1955-1989.

Trends in death certification rates from pancreatic cancer over the period 1955-1989 were analyzed for 25 European countries (excluding the former Soviet Union and a few smaller countries). In 1985-1989, rates for males ranged between 5.3/100,000 (age-standardized world population) in Spain and 10.3/100,000 in Hungary and Czechoslovakia. Other high-mortality areas were located in Northern Europe (Finland, Iceland, Ireland, Denmark) and Central Europe (Austria, Poland, Germany), whilst mortality was lower in Southern Europe (Portugal, Greece). Between 1955 and 1989, mortality rates increased in all the countries considered, the change ranging between 6% in Scotland and 279% in Spain; the rises were higher in the Mediterranean and Eastern European countries than in Northern Europe. Among females, Nordic countries such as Iceland, Sweden and Denmark had the highest mortality rates in 1985-1989 (over 6/100,000) and, as for males, Southern Europe (Spain, Portugal, Greece) appeared as a low-mortality area (around 3/100,000). During the 1955-1989 period, upward trends were observed in all the countries studied, with the highest increase in Greece, Italy, Bulgaria, Poland and Spain. A negative correlation was observed between the percent change in mortality rates between 1955-1959 and 1985-1989 and the rate in 1955-1959 among both males (r = -0.95, p < 0.001) and females (r = -0.81, p < 0.001). Thus, a systematic levelling of rates was observed in most countries, with the exception of the UK and some Nordic countries, whose rates were already high in the late 1950s. Tobacco smoking and dietary factors could account for some of the generalized upward trends. Improved diagnostic and death certification of the disease might also partially explain the observed figures.

Age Factors↗
PubMed1994

Are there three types of horizontal cell in the human retina?

Golgi-impregnated horizontal cells (HCs) as viewed in whole mount human retinas have been studied by light microscopic (LM) techniques. Impregnated HCs have been drawn by camera lucida and by the Eutectics neuron tracing method to provide quantitative data on dendritic tree sizes, dendritic tree shapes, and dendritic terminals for statistical treatment and cluster analysis. In addition, fractal analyses of HC dendritic branching patterns have been performed. Three significantly different HCs can be classified on both subjective and objective morphological criteria in central and peripheral human retina. In the fovea all HCs are so small that it is difficult to achieve a clear separation of the subtypes, although they can be distinguished by the experienced observer. HI types are the classic HCs of Polyak (The Retina, Chicago: University of Chicago Press, 1941) with distinct dendritic terminal clusters going to cones and a fan-shaped axon terminal consisting of large numbers of rod-destined terminals. HII cells have profusely branched, overlapping dendrites, with poorly defined terminals going to cones and a short curled axon bearing small terminals also going to cones. The HIII types exhibit larger diameter, more asymmetrically shaped dendritic trees and 30% more dendritic terminal clusters than HI cells at any location on the retina. Many HIII cells appear to emit a process from the cell body in the inner nuclear layer (INL) that descends into the outer strata of the inner plexiform layer (IPL). The axon of the HIII cell may end in a loosely organized, sprawling arborization. Fractal dimensions of the horizontal cells also show significant differences between the three groups. HII cells exhibit the highest fractal dimension followed by HI and HIII cells with lower and lowest fractal dimensions, respectively. The fractal dimension of HII cells of rhesus monkey, as determined from drawings by other authors in other publications, are the same as HII cells of human retina.

Dendrites↗
PubMed1994

Trinucleotide (CAG) repeat expansion in chromosomes of Spanish patients with Huntington's disease.

Huntington's disease (HD) is a neurodegenerative and hereditary disease characterized by progressive movement disorders and mental and behavioral abnormalities. The HD gene is an expanding and unstable trinucleotide repeat (CAG repeat sequences). We studied 77 individuals from 38 families with HD in an attempt to obtain information for genetic counselling and differential diagnosis. Our results indicate that individuals with more than 40 repeats will be affected by the disease, whereas those with fewer than 30 will be healthy. There can be some overlap between 30 and 40 repeats, and one should be careful when interpreting these results.

Adolescent↗
PubMed1994

Demand characteristics underlying differential ratings of sensory versus affective components of pain.

In several investigations, differential ratings of sensory and affective components of pain can be explained by the expectations conveyed to subjects to provide different ratings for each pain component under conditions where they could readily recall their ratings. In Experiment I, such demand characteristics were controlled in one group by having subjects rate each pain component in a separate session 1 week apart, so as to minimize recall. This group failed to differentiate between sensory and affective pain; however, another group with demand characteristics left uncontrolled, provided disparate and parallel functions for the two pain components. These results imply that recall during concurrent ratings of the two pain components contributes to a spurious separation of ratings for each component. In the second study, with demand characteristics controlled, a medication placebo led to ratings of affective pain that were significantly lower than those for sensory pain, and a divergence between the functions for each component. This offers an approach to the veridical separation of sensory and affective components of pain.

Analysis of Variance↗
PubMed1994

Cancer survival and the duration of symptoms. An analysis of possible forms of the risk function. ISDS II Project Investigators.

The time interval between onset of symptoms and the diagnosis of cancer [symptom to diagnosis interval (SDI), or duration of symptoms] is a highly complex variable reflecting patient behaviour, the clinical course, the functioning of the health system and tumour biology. In order to assess possible forms of the risk function of SDI upon cancer survival whilst taking into account the effects of age, sex, tumour site and stage at diagnosis, 1887 symptomatic cases of lung, breast, stomach, colon, rectal, bladder cancer and lymphomas registered in the Tumour Registry of the Hospital del Mar (Barcelona) were analysed by means of survival curves and Cox proportional hazards regression. Subjects (mean age 64 years) were followed for a median length of 15 months after diagnosis (follow-up rate 93.5%). SDI showed a weak relationship with tumour stage at diagnosis and with survival: out of the seven sites studied, only in breast cancer was tumour extension at diagnosis significantly influenced by duration of symptoms, and only lung and rectal cancers showed a detectable form of the risk function of SDI upon survival; neither was linear, and for rectal cancer the relationship was complexly related with tumour stage. Hence, results show that forms of the risk function of duration of symptoms on cancer survival are specific to tumour sites, and that the interval should not be represented as a linear, continuous term. Studies analysing more complex sets of factors, processes and forms of the SDI function are needed.

Age Distribution↗
PubMed1994

Control of larval Aedes aegypti (Diptera: Culicidae) by cyclopoid copepods in peridomestic breeding containers.

Mesocyclops longisetus (Thiébaud), Mesocyclops thermocyclopoides Harada, Mesocyclops venezolanus Dussart, and Macrocyclops albidus (Jurine) were tested for their effectiveness in controlling Aedes aegypti (L.) larvae in a variety of containers around homes in El Progreso, Honduras. All four cyclopoid species killed > 20 larvae per cyclopoid per d under container conditions. M. longisetus was most effective, not only because it was the most voracious predator, but also because it survived best in the containers. M. longisetus maintained long-term populations in 200-liter drums, tires, vases, and cement tanks (without drains), providing the cyclopoids were not dried or poured out. M. longisetus reduced third- and fourth-instar Ae. aegypti larvae by > 98% compared with control containers without cyclopoids. M. longisetus should be of practical value for community-based Ae. aegypti control if appropriate attention is directed to maintaining it in containers after introduction.

Aedes↗
PubMed1994

Sensory and affective predictors of overall pain and emotions associated with affective pain.

OBJECTIVE: Psychological scaling techniques consistently produce separate ratings for sensory and affective components of pain. This study examines the relative contributions of these components to pain as a whole and the contributions of different emotions to the affective component of pain. DESIGN: The design was correlational. Visual analogue scales were used to quantify overall pain, sensory pain, affective pain, and individual emotions. These data lent themselves to regression techniques for expressing pain as a function of sensation and affect as a function of emotion types. SETTING: Data were collected at the Pain Clinic within the Department of Physical Medicine at the Ohio State University. PATIENTS: Subjects were 40 chronic pain sufferers admitted to an inpatient pain management program. RESULTS AND CONCLUSIONS: Ratings of overall pain were not a simple summation of sensory and affective ratings, but a linearly additive function of both component ratings each with a unique weighting. The affective component of pain was a function of three differentially weighted sets of emotions, anger, fear, and sadness being most salient. Implications arise for the broader assessment of chronic pain and the treatment of specific emotions that may be particularly associated with the pain.

Adult↗
PubMed1994

Hydroxymalonate inhibits lactate uptake by the rabbit hindlimb.

Lactate uptake by skeletal muscle occurs under diverse conditions, including hypoxia and electrical stimulation. A possible metabolic fate of lactate in resting muscle is its conversion to pyruvate followed by carboxylation to malate in the cytosolic malic reaction. To test this hypothesis, we measured hindlimb lactate uptake in hypoxic mechanically ventilated rabbits. Rabbits were given intravenous infusions of hydroxymalonate, an inhibitor of the malic reaction (200 mM; n = 7), or normal saline (n = 7) at 1.1 ml/min. Hindlimb lactate uptake/release was calculated as femoral blood flow times the arteriovenous lactate difference. Saline or hydroxymalonate was infused continuously during sequential 30-min periods of normoxia (arterial PO2 approximately 150 Torr), hypoxemia (arterial PO2 approximately 30 Torr), and reoxygenation (arterial PO2 approximately 150 Torr). Hindlimb O2 transport decreased with hypoxemia, but O2 consumption remained unchanged in both groups. During hypoxemia there was net uptake of lactate by the hindlimb of the group given normal saline [4.5 +/- 0.9 (SE) mumol/min]. The hindlimb of the hydroxymalonate group continued to release lactate (-0.5 +/- 1.0 mumol/min). The inhibition of lactate uptake by hydroxymalonate supports the hypothesis that the malic reaction plays a major role in the metabolism of lactate by resting rabbit skeletal muscle.

Animals↗
PubMed1993

Transcriptional regulation of the isocitrate lyase encoding gene in Saccharomyces cerevisiae.

In this work, we studied the transcriptional regulation of isocitrate lyase synthesis. In Northern blot analyses we first showed that the steady-state ICL1 mRNA levels depend on the carbon source used for growth. In addition, we determined the kinetics of transcriptional repression upon a shift of ethanol-grown cells to glucose and of the induction when cells were transferred from glucose to ethanol. By deletion analyses as well as by studying the influence on expression of different fragments cloned into the heterologous CYC1 promoter lacking its own UAS sequences, we defined UAS and URS elements in the ICL1 promoter. A region mediating the control by CAT3, a gene also involved in the control of expression of other genes subject to carbon catabolite repression, was found to overlap with one of these UAS elements.

Base Sequence↗
PubMed1993

Two structural genes are encoding malate synthase isoenzymes in Saccharomyces cerevisiae.

We report on the isolation of a gene encoding yeast malate synthase. A yeast genomic library was screened using a probe homologous to the yeast enzyme obtained by the polymerase chain reaction. The nucleotide sequence of the cloned gene was determined. Computer analysis showed that the isolated gene is identical to the one previously described as DAL7, which is involved in allantoin metabolism [Mol. Cel. Biol. 9 (1989) 3231-3243]. Enzymatic activities of multicopy transformants, Southern analysis and disruption mutants predict the existence of two genes encoding malate synthases that are differentially regulated at the transcriptional level.

Amino Acid Sequence↗
PubMed1993

Juvenile turtles for mosquito control in water storage tanks.

Juvenile turtles, Trachemys scripta, provided highly effective control of mosquito larvae in cement tanks (pilas) where water was stored for household cleaning. When single turtles were introduced to tanks with histories of high mosquito production, nearly all turtles remained in good health and no mosquito larvae survived to the pupal stage. Families welcome turtles in their water storage containers in Honduras. Humane conditions for turtles can be assured by providing small quantities of table scraps to supplement their diet and by placing a small floating platform in the tank for basking. Although turtles can serve as alternate hosts for Salmonella, available evidence suggests that turtles in tanks should not be a source of human infection. Further confirmation that there is no Salmonella hazard should precede routine use of turtles for mosquito control.

Animals↗