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Biomedical subjects

J Garcia

Publications and source records attributed to J Garcia.

At least 379 records · Page 21Linked to original sources
PubMed1984

The value of computerized tomography in fractures of the pelvic ring.

Thirty four fractures of the pelvic ring were examined by computerized tomography and the findings compared with those obtained with conventional radiography. CT scanning enabled precise delineation of the fracture sites in the posterior ring. A new classification is proposed which defines five patterns of fracture of the posterior ring. Computerized tomography is a valuable aid in planning operation in these injuries.

Adolescent↗
PubMed1984

In vitro fertilization in Norfolk, Virginia, 1980-1983.

Three years of progress of the Vital Initiation of Pregnancy (VIP) Program in Norfolk is reported. No conception resulted from 41 oocyte aspirations during spontaneous menstrual cycles in 1980. An average of 3.7 oocytes per cycle, or a 73.5% recovery rate, resulted in 362 human menopausal gonadotropin/human chorionic gonadotropin-induced cycles from January 1981 to March 1983. Forty percent of the oocytes recovered from these cycles were preovulatory, 35% atretic, and 25% immature. Immature oocytes were often matured in vitro, fertilized, and found to produce pregnancies. A total of 62 pregnancies occurred, which represents a 17 or 23% pregnancy rate, based on laparoscopies or embryo transfers, respectively. There were 11 preclinical and 7 clinical miscarriages. Twenty-nine normal babies have been delivered, including a set of twins. The remainder appears to be normally progressing pregnancies. Polyspermia was observed in 8.8% of the fertilizable oocytes.

Adult↗
PubMed1984

A methoxyflurane delivery system for stereotaxic surgery.

Methoxyflurane (2,2-dichloro-1,1-difluro-ethyl methyl ether; Metofane) is a potent general inhalation anesthetic that is well-suited for small animal surgery. Methoxyflurane is particularly attractive as an anesthetic agent in neurological stereotaxic surgery, because methoxyflurane does not markedly attenuate the rate of anterograde or retrograde transport of horseradish peroxidase, or reduce the consistency and/or extent of excitatory neurotoxin damage. Methoxyflurane also is non-flammable when mixed with O2 or air at anesthetic concentrations. The use of methoxyflurane anesthesia in stereotaxic surgery has been limited because methoxyflurane must be delivered via a vaporizer system that will easily interface with standard stereotaxic headholders. The present report describes a simple, reliable and inexpensive methoxyflurane delivery system for stereotaxic surgery.

Anesthesia, Inhalation↗
PubMed1984

Urinary D-lactate excretion in infants with necrotizing enterocolitis.

Urinary D-lactate excretion, expressed as the molar D-lactate/creatinine ratio, was measured serially in nine term and premature infants with necrotizing enterocolitis, 15 healthy term infants, and eight term and premature infants sick but without NEC. The mean (+/- SD) uDL/CR of the infants with NEC was 1.63 +/- 1.09, significantly greater than the mean uDL/CR of the healthy infants (0.16 +/- 0.04) or the sick infants without NEC (0.43 +/- 0.32). The uDL/CR of infants with NEC rose coincident with the onset of disease, reached peak values at an average of 5.8 days, and subsided to baseline levels on recovery. Seven of the nine infants with NEC reached or exceeded a peak uDL/CR of 1.47; no infant without NEC reached this ratio. We conclude that uDL/CR is increased in infants with NEC and demonstrates the increased enteric bacterial activity in this disease.

Creatinine↗
PubMed1984

Neonatal ablations of the gustatory neocortex in the rat: taste aversion learning and taste reactivity.

Rats sustaining ablations of gustatory neocortex (GN) at 2, 10, 20, or 60 days of age were compared with control rats in the acquisition and extinction of a learned taste aversion; in addition, these rats were tested for taste preference across five concentrations of sodium chloride solution. Results indicated that GN ablation disrupted aversion acquisition and extinction regardless of age at surgery. Taste response functions for the sodium chloride solutions shown by all GN groups of rats mirrored those of control rats: preference (relative to water baseline) for middle concentrations and rejection of the strongest salt concentration. There was a suggestion that the 20- and 60-day-old GN rats were hyperresponsive to the suprathreshold concentrations of NaCl (except the strongest concentration). The increased response to salt solutions in the 20- and 60-day GN rats may have been related to the significant decreases in water consumption relative to that of normal rats. Water consumption of control rats and GN rats in the 2-day and 10-day groups was essentially equal. It is concluded that infant ablation of the GN does not spare normal taste aversion learning and that rats with GN ablations, regardless of age at surgery, respond in a normal manner to the hedonic aspects of sodium chloride solutions.

Age Factors↗
PubMed1984

Taste potentiation of poisoned odor by temporal contiguity.

The synergistic interaction between odor and taste in flavor-toxicosis conditioning was tested in two experiments. The temporal interval between a 2-min odor and a 2-min taste was varied for thirsty rats licking at a water spout. In the first experiment, taste was presented at time zero, and odor was presented at -10, -1, 0, 1 and 10 min to independent groups in a simple compartment. In the second experiment, taste was presented at 0, and odor was presented at -5, -2, and 0 min in a "wind tunnel" apparatus. The results indicated that odor alone is an ineffective conditioned stimulus for a toxic unconditioned stimulus under our conditions, simultaneous (0-min) presentation of odor with taste potentiates the odor component so that it becomes more effective than the taste component, a 2-min interval between odor and taste attenuates potentiation, and a 5-min interval disrupts the effect, and the interaction in asymmetrical, that is, odor has no such systematic effect on the conditioning of taste.

Animals↗
PubMed1984

Concentrations of cefmetazole in plasma and tissue resulting from peri-incisional administration before appendectomy.

The levels of cefmetazole in plasma and tissue were determined after injection of a dose of 30 mg/kg into the zone of the wound of each of 15 patients undergoing appendectomy. The mean plasma levels of cefmetazole at the start and end of surgery (8.9 +/- 2.4 and 31.7 +/- 6.4 min after dosage) were 21.1 and 59.0 micrograms/ml, respectively; concentrations of the drug were 14.6 and 4,486.9 micrograms/g in skin, 9,165.0 and 1,756.4 micrograms/g in subcutaneous tissue, and 8,669.6 and 2,022.9 micrograms/g in muscle.

Administration, Topical↗
PubMed1984

Typhoid fever in Santiago, Chile: a study of household contacts of pediatric patients.

We obtained clinical, epidemiological, and laboratory data (including three stool cultures) from 155 (96%) of 161 household contacts of 24 patients less than 16 years old with culture-confirmed typhoid fever; these 24 patients represented approximately 40% of such patients seen in three hospitals in Santiago during a 12-week period. A chronic typhoid carrier was identified in only one household, with concurrent or secondary cases seen in two other households. When index cases were matched with household members nearest in age, no specific risk factors for illness could be identified. There was evidence of generalized exposure to enteric pathogens within these households, with nine persons from seven different households culture-positive for non-typhoidal Salmonella, and nine, from eight different households, culture-positive for Shigella; transmission of these pathogens within households did not appear to be common since no household had more than one family member with the same serotype or species of either pathogen.

Adolescent↗
PubMed1984

Treatment of exacerbations of chronic bronchitis. A comparative double-blind study with cotrimoxazole and cefadroxil.

A double-blind, randomized study was carried out in 40 chronic bronchitic patients, to evaluate the effectiveness of cefadroxil as compared with cotrimoxazole in the treatment of the exacerbation stage. The patients were in hospital while the study lasted and received cotrimoxazole at doses of 160 mg of trimethoprim and 800 mg of sulfamethoxazole twice a day, or cefadroxil 500 mg twice a day, for seven days. To evaluate the response the following parameters were used: clinical improvement, reduction in volume of sputum, reduction in purulence of the sputum and eradication of germs from the sputum. All the parameters improved in both groups of patients without any significant difference between the two types of treatment.

Adult↗
PubMed1984

Cobalt therapy prophylaxis of recurrence of T1 bladder cancer.

Eighteen patients with T1 transitional cell carcinoma of the urinary bladder were submitted to transurethral resection of the tumor, followed by Cobalt therapy (5,500 rads to the pelvis and 6,500 rads to the bladder in six weeks). The recurrence rate at three years follow-up was 33% (6/18). Recurrence of transitional cell carcinoma of the urinary bladder is a well known condition in stage O and A, even when low grade is present. Recurrence rates at one year as high as 84% (Loening et al., 1983) are reported in the current literature. In recent years many studies have been performed which were oriented to the use of intravesical chemotherapy in order to reduce the recurrence rate (Adolphs and Bastian, 1983; Huland, 1983; Loening et al., 1983; National Bladder Cancer Collaborative Group A, 1977; Rodriguez and Caserta, 1983; Zincke et al., 1983) of this tumor. We started a protocol on treatment of the transitional cell carcinoma of the urinary bladder in 1963. The protocol calls for transurethral resection of the tumor followed by Cobalt therapy. This is an interim report on stage T1 (stage A) with such a treatment.

Adult↗
PubMed1984

[Chlamydia trachomatis pneumopathies in infants].

The systematic serological examination of 174 infants aged between 0 and 12 months in a paediatric pneumology unit over a period of 12 months revealed that 59 infants (33%) had antibodies and that at least 15 (8.6%) were infected. Based on the experience gained in this department and on data from the literature, the authors recall the clinical and laboratory features of Chlamydia trachomatis interstitial pneumonia in infants, its treatment, pathophysiology and epidemiology.

Antibodies, Bacterial↗
PubMed1984

[Bronchiolitis].

Explore the source record for details and available documents.

Bronchiolitis, Viral↗
PubMed1984

Evidence for the presence of CFU-E with increased in vitro sensitivity to erythropoietin in sickle cell anemia.

To investigate the cellular events that accompany erythroid hyperplasia, we studied several effects of erythropoietin (Epo) on marrow CFU-E in sickle cell anemia (SCA). We measured CFU-E number, CFU-E growth as a function both of Epo exposure time and of Epo concentration, and suppression of Epo-induced CFU-E formation by anti-Epo antiserum. With 0.5 U Epo/ml, the number of CFU-E was elevated in SCA (1,087 +/- 520) compared to normal (430 +/- 130). CFU-E were formed even when Epo was immediately neutralized by a 1/150 dilution of anti-Epo. After 40 hr of Epo exposure, only 2% of total CFU-E were expressed in normal marrow, whereas 12%-40% of CFU-E were expressed in SCA. Inhibition of CFU-E growth required at least 1/50 dilution of anti-Epo in SCA and a 1/300 dilution in normal marrow. In contrast to normal, a small number (5%-20%) of CFU-E were expressed in the absence of added Epo in SCA, and this pool required a 1/150 dilution of anti-Epo for inhibition. The Epo dose-response curve in SCA revealed a peak in colony formation around 0.1 U Epo/ml and 0.5 U Epo/ml, whereas only one peak at 0.5 U Epo/ml was seen in normals. These data strongly suggest that, in response to the demands of chronic erythroid hyperplasia in SCA, a pool of CFU-E is present characterized by increased in vitro sensitivity to Epo.

Anemia, Sickle Cell↗
PubMed1984

Alcohol-ingestive habits. The role of flavor and effect.

We propose that alcohol is a food and that drinking alcohol is fundamentally a feeding habit. Many feeding habits are acquired by Pavlovian conditioning in which the flavor of food [conditioned stimulus (CS)] is adjusted by the aftereffects of the ingested meal [unconditioned stimulus (US)]. Thus, repletion of nutritive deficits or recuperation from illness enhances flavor palatability, whereas toxicosis or nausea reduces it. After reviewing the major functional and neurophysiological features of this homeostatic conditioning process, we relate them to the flavor (CS) and effect (US) of alcohol. We present evidence suggesting that the caloric effects of low-dose alcoholic drinks may help to establish and maintain alcohol habits through conditioned palatability changes. Included is a general treatment of the antagonistic interactions between such homeostatic conditioning and the behavioral mechanisms used to defend again peripheral insults such as electric shock. In closing, we discuss the implications for modifying alcoholic habits.

Alcohol Drinking↗
PubMed1983

Vi serology in detection of chronic Salmonella typhi carriers in an endemic area.

A passive haemagglutination assay measuring antibody to highly purified Vi antigen, known to be sensitive and specific for the detection of chronic Salmonella typhi carriers in a non-endemic area, was assessed in an endemic area. A reciprocal serum Vi antibody titre of 160 was found to have a sensitivity of 75%, specificity of 92%, and a high predictive value in screening for chronic S typhi carriers in high-risk population group (eg, women over 40 years). This simple assay can screen for chronic S typhi carriers even in areas where typhoid fever is highly endemic.

Adolescent↗