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Biomedical subjects

L Castro

Publications and source records attributed to L Castro.

At least 91 records · Page 5Linked to original sources
PubMed1982

Three daily exchanges on continuous ambulatory peritoneal dialysis. 8 months of treatment in 6 patients.

After the first report by Popovich et al., continuous ambulatory peritoneal dialysis (CAPD) is widely becoming another challenge for end-stage renal disease (ESRD) treatment. Trials to confirm the first results in a longer follow-up are in course in many countries. In this paper we showed our experience with three daily exchanges in 6 patients treated for more than 8 months. This modification of the technique allows better compliance of the patient and reduces the cost of treatment. During this period of time, CAPD, three daily exchanges, was an adequate procedure for an unselected group of patients. In our experience, peritonitis episodes were the main complication. For this reason, 33% of the patients were switched to hemodialysis. The use of plastic bags and strict adherence to aseptic measures will improve the results.

Adolescent↗
PubMed1982

Visceral larva migrans-like syndrome caused by Angiostrongylus costaricensis.

In two cases of ectopic localization of Angiostrongylus costaricensis adult worms and eggs were seen in the liver, causing a granulomatous inflammatory reaction with dense eosinophilic infiltration and necrosis. In the first case, although antibodies for A. costaricensis had been demonstrated, a clinical diagnosis of visceral larva migrans was recorded; however, further examination of a liver biopsy revealed eggs of A. costaricensis. In the second case, severity of the intestinal pathology masked the presence of lesions and an adult A. costaricensis that were discovered in a retrospective study of the liver 13 years later. A close similarity between the visceral larva migrans syndrome and ectopic localization (liver) of A. costaricensis is established.

Angiostrongylus↗
PubMed1978

The effects of arteriovenous shunts on cardiac function in renal dialysis patients--an echocardiographic evaluation.

To estimate the flow rate in arteriovenous dialysis fistulae and its effect on cardiac function we investigated 7 dialysis patients (1 woman, 6 men, mean age 33 +/- 3 years) echocardiographically before and after 10 minutes occlusion of the arteriovenous shunt. Cardiac index was signigicantly raised (4.31 +/- 0.23 l/min/m2) and fell significantly into the normal range to 3.89 +/- 0.11 l/min/m2 after occlusion of the AV fistula. This reduction was mainly due to a fall in heart rate from 82 +/- 4 beats/min to 76 +/- 5 beats/min. The estimated AV fistula flow rate (0.71 +/- 0.17 l/m) has been similarly reported in invasive hemodynamic studies. Parameters of cardiac contractility were in the lower range of normal with an average of 1.16 +/- 0.10 circ/sec for the mean velocity of fiber shortening (Vcf) and 65 +/- 4% for the ejection fraction. These decreased minimally after fistula occlusion. The single echocardiographic measurements of Vcf and ejection fraction showed good correlation (r=0.97) and revealed evidence that only these patients with poor left ventricular function and septal hypertrophy showed improved cardiac performance after occlusion of the arteriovenous fistula. Thus echocardiography may offer the opportunity to select those patients who need small AV-fistulae for optimal renal and cardiac treatment.

Adult↗
PubMed1976

Regulation of carbohydrate permeases and adenylate cyclase in Escherichia coli. Studies with mutant strains in which enzyme I of the phosphoenolpyruvate:sugar phosphotransferase system is thermolabile.

Carbohydrate uptake and cyclic adenosine 3':5'-monophosphate (cyclic AMP) synthesis were studied employing mutant strains of Escherichia coli in which Enzyme I of the phosphoenolpyruvate:sugar phosphotransferase system was heat-labile. Partial loss of Enzyme I activity, which resulted from incubation of cells at the nonpermissive temperature, depressed the rate and extent of methyl alpha-glucoside uptake. Temperature inactivation of Enzyme I also rendered cyclic AMP synthesis and the uptake of several carbohydrates (glycerol, maltose, melibiose, and lactose) hypersensitive to inhibition by methyl alpha-glucoside. Protein synthesis did not appear to be required for these effects. The parental strains and "revertant" strains in which Enzyme I was less sensitive to temperature did not exhibit heat-enhanced regulation. Inhibition was abolished by the crr mutation. The results suggest that Enzyme I functions as a catalytic component of the regulatory system. Simple positive selection procedures are described for the isolation of bacterial mutants which are deficient for either Enzyme I or the heat-stable protein of the phosphotransferase system.

Adenylyl Cyclases↗
PubMed1975

Adrenal cyst.

Explore the source record for details and available documents.

Adrenal Gland Diseases↗
PubMed1973

High dose frusemide in established acute renal failure.

The results of treatment with frusemide in 105 patients with established acute renal failure admitted during the past six years were reviewed and compared with control groups. Daily doses of 2,000 mg of frusemide administered from the day of admission onwards produced a significant increase in the number of patients who attained a diuresis and decreased the duration of oliguria.The reduction in the time spent in hospital and in the number of dialyses required suggests that the use of frusemide in these large doses is indicated in patients with severe established acute renal failure.

Acute Kidney Injury↗
PubMedDate not supplied

Onchocerciasis hyperendemic in the Unturán mountains: an extension of the endemic region in southern Venezuela.

A new region with human onchocerciasis is reported in the Unturán mountains, South Venezuela, affecting Yanomamö populations not surveyed in previous studies conducted in the Venezuelan-Brazilian border area. Its distribution probably extends towards the Upper Toototobi endemic area in Brazil. The age-standardized prevalence of Onchocerca volvulus microfilariae (mf) (67%), the prevalence of infection in those aged > or = 20 years (86%), and the community microfilarial load (CMFL) (24 mf/mg), are consistent with hyperendemic transmission. Both prevalence and mean intensity increased monotonically with age without reaching a plateau, the highest values being recorded in the > or = 45 years age class (respectively, 95% and 42 [geometric mean of Williams] or 172 [arithmetic mean] mf/mg). The degree of parasite overdispersion (measured by the variance/mean ratio) also increased with host age. The CMFL value, the presence of sclerosing keratitis, hanging groin, and severe skin lesions, indicated that the infection poses an important public health problem in the region.

Adolescent↗