Premature monomelic physeal closure. A case report.
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Adolescent↗
Biomedical subjects
M Aguirre
Publications and source records attributed to M Aguirre.
Phylogenetic analysis of Alloiococcus otitis gen. nov., sp. nov., an organism from human middle ear fluid.
The partial 16S rRNA sequence of an unknown bacterium that was originally isolated from middle ear fluids of children with persistent otitis media was determined by reverse transcription. A comparison of this sequence with sequences from other gram-positive species having low guanine-plus-cytosine contents revealed that this bacterium represents a new line of descent, for which the name Alloiococcus otitis gen. nov., sp. nov., is proposed. The type strain is strain NCFB 2890.
Base Composition↗
Phylogenetic analysis of some Aerococcus-like organisms from urinary tract infections: description of Aerococcus urinae sp. nov.
Partial 16S ribosomal ribonucleic acid sequences of five Aerococcus-like organisms originally isolated from patients with urinary tract infections were determined using reverse transcriptase in order to clarify their taxonomic position. Analysis of the sequence data revealed that the clinical isolates represent a hitherto unknown line of descent within the genus Aerococcus. A new species, Aerococcus urinae, is proposed for these isolates. The type strain is NCFB 2893.
Base Sequence↗
Globicatella sanguis gen.nov., sp.nov., a new gram-positive catalase-negative bacterium from human sources.
Phylogenetic studies were performed on some Gram-positive catalase-negative cocci from human clinical sources of uncertain taxonomic position. 16S rRNA sequence analysis demonstrated that the isolates represent a hitherto unknown line of descent within the low G+C Gram-positive bacteria for which the name Globicatella sanguis gen.nov., sp.nov. is proposed.
Base Sequence↗
Development of a polymerase chain reaction-probe test for identification of Alloiococcus otitis.
A rapid polymerase chain reaction test was developed for specific identification of the human middle ear pathogen Alloiococcus otitis. Primers for the enzymatic amplification reaction were designed from highly specific sequences within the 16S rRNA gene. In addition, a confirmatory test based on hybridization of the polymerase chain reaction products to a specific internal probe was developed.
Bacteriological Techniques↗
[Role of echography in septic arthritis of the hip in the newborn].
Pyogenic arthritis of the hip in neonates remains a serious problem. The sequelae of delay in diagnosis and treatment can be crippling. Five hips, in four neonates, with a presumed diagnosis of septic arthritis were examined with ultrasonography. In two hips ultrasonography found intracapsular effusion. In the remaining three hips there were no pathological findings. In the two hips with joint effusion an arthrotomy was performed, dislodging pus in both cases. Follow-up radiographs and ultrasonographies of the five hips showed normal joint anatomy. In neonates, ultrasonography provides an early and reliable evaluation of hips in which septic arthritis is suspected.
Arthritis, Infectious↗
Condylocephalic nailing in pertrochanteric fractures.
Because of the spectacular increase in the number of fractures of the proximal end of the femur, especially in the elderly, there is a great interest to find surgical techniques that are simple, decrease mortality, and restore early the functional status of the patients, thus reducing the hospital stay. From 1969 until 1989, 2660 fractures were treated with the Küntscher condylocephalic (KC) nail. The mean age of patients was 79 years, and the general condition was considered to be good in only 23%. Death in the ensuing three months occurred in 12.5%. Complications of the technique were supracondylar fractures (1.8%) and migrations of the nails (17.4%). Bone healing occurred at eight to 12 weeks. Only 15% of patients failed to walk. Mean cervicodiaphyseal postoperative angle was 155 degrees. As compared with other surgical techniques, the KC nail was easier to insert, in relatively less operating time, and knee problems of Ender's nail operations can be avoided. The KC nail was most suitable for the treatment of pertrochanteric fractures in elderly patients.
Aged↗
[Yellow nail syndrome: presentation of a case and review of the literature].
We discuss the yellow nails syndrome which is constituted by yellow nails, pleural effusion and lymphedema. After reviewing the literature, it can be said that nail disorders are an early and constant sign, and its absence could put in doubt the diagnosis of this syndrome. The most frequent pleuro-pulmonary disorder is the pleural effusion, chylous or exudative type. It is believed that the origin of this disease could be a congenital hypoplasia of the lymphatic vessels. Lymphography and the morphologic study performed show a diminution in the number and size of the lymphatics vessels (lymphedema) which are hypoplastic, varicosities and tortuous dilations are sometimes observed.
Aged↗
Specific and intraspecific molecular typing of lactococci based on polymorphism of DNA encoding rRNA.
The rRNA gene restriction patterns or species of the genus Lactococcus were determined. Chromosomal DNA was digested with endonucleases and probed with radiolabelled DNA complementary to rRNA synthesized by random oligonucleotide priming using reverse transcriptase. Highly discriminatory restriction patterns were obtained which served to distinguish the five currently recognized lactococcal species. In addition the observed variations in the patterns at intra-specific level indicate that rRNA gene restriction fingerprinting may be of value in distinguishing the individual strains for epidemiological studies, and monitoring and checking authenticity of starter strains.
Blotting, Southern↗
[Hypoglycemia simulating acute cerebrovascular disease].
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Acute Disease↗
Importance of venodilatation in prevention of left ventricular dilatation after chronic large myocardial infarction in rats: a comparison of captopril and hydralazine.
In rats with large myocardial infarctions, we compared the effects of captopril, a presumed arterial and venous vasodilator, with hydralazine, which is thought primarily to be an arterial vasodilator. To determine if the effects of captopril were dependent on the pathophysiological consequences of heart failure, we also studied a group of noninfarcted rats treated with captopril. In noninfarcted rats treated with captopril, left ventricular (LV) systolic and mean aortic pressures decreased from 132 +/- 12 to 107 +/- 15 mm Hg and 122 +/- 1 to 100 +/- 2, respectively (p less than 0.01). In noninfarcted rats, captopril decreased LV weight, LV weight/body weight, and total heart weight/body weight but produced no effects on the peripheral venous circulation. Rats subjected to coronary artery ligation were selected by ECG criteria to have large myocardial infarctions and were treated for 4 weeks with captopril (n = 8), hydralazine (n = 5), or placebo (n = 9). In infarcted rats treated with captopril, LV systolic, mean aortic pressures and LV end-diastolic pressure (LVEDP) decreased (p less than 0.01) from 115 +/- 4 to 86 +/- 3 mm Hg, 106 +/- 4 to 74 +/- 3 mm Hg, and 23 +/- 2 to 11 +/- 2 mm Hg, respectively. Mean circulatory filling pressure decreased (p less than 0.05) from 11.2 +/- 0.6 to 8.7 +/- 0.8 mm Hg and venous compliance increased (p less than 0.05) from 2.04 +/- 0.07 to 2.70 +/- 0.20 ml/mm Hg/kg. Blood volume decreased (p less than 0.05) from 67.3 +/- 0.9 to 58.2 +/- 1.8 ml/kg.(ABSTRACT TRUNCATED AT 250 WORDS)
Animals↗
Tuberculosis of the knee. Surgical or conservative treatment?
This report presents the clinical histories and the radiological, histologic and bacteriological findings of nine patients with tuberculosis of the knee, diagnosed and treated between 1974 and 1980. The authors review the results of the medical and surgical treatments.
Adult↗
A comparison of multiple and single sleep latency and cerebral evoked potential (P300) measures in the assessment of excessive daytime sleepiness in narcolepsy-cataplexy.
A direct comparison was made between the amplitude of evoked potential (EP) component P3 (by the P300 paradigm), a known sensitive EP correlate of sleepiness, and sleep latency measures (both to stage 1 or rapid eye movement [REM] and to stage 2 or REM) of the Multiple Sleep Latency Test (MSLT) in 11 untreated narcoleptics and matched controls. Repeated P3 measures were performed immediately prior to standard MSLT naps at 10:00 a.m., 12:00 noon, 2:00 p.m., 4:00 p.m., and 6:00 p.m. Using discriminant analysis and F tests, all three measures (P3 and both by MSLT) were found to distinguish the two groups for collapsed five-nap data, and all showed essentially parallel circadian time-of-day effects, with greatest sleepiness in the midafternoon. The MSLT, however, was somewhat more powerful for collapsed data. Both tests misclassified some subjects as belonging to the other group, with greater misclassification for both tests in the control group and more overall for the P3 measure. Adding the two sleep onset REM period (SOREMP) criteria on MSLT for narcolepsy, one patient was still classified as normal. Analysis of data from individual naps indicated that the MSLT was considerably more powerful in discriminating groups than was P3 amplitude, and it did so for all five naps.
Adult↗
Effects of 10- to 12-day treatment with L-thyroxine in rats with myocardial infarction.
The effects of treatment with L-thyroxine (T4) for 10-12 days on left ventricular (LV) function and myosin isoenzyme content in rats with LV dysfunction after myocardial infarction were studied. Electrocardiogram (ECG) criteria were used to select animals with large myocardial infarctions. These animals were divided into six groups: control and five treatment groups that received daily subcutaneous injections of T4 (1.5, 3, 6, 10, or 15 micrograms/100 g body wt) for 10-12 days. Intravascular pressures were then measured with micromanometer-tipped catheters, and the hearts were analyzed for myosin isoenzyme distribution. The lowest dose of T4 (1.5 micrograms) produced no changes in heart rate, LV pressure or aortic pressure (AoP), myosin isoenzyme composition, or serum T4 levels. Larger doses of T4 (3, 6, 10, and 15 micrograms) produced increases in LV rate of pressure development (dP/dt), heart rate, and T4 levels but did not change LV pressure or AoP. Myosin isoenzyme composition in the control group showed increases in the proportion of the V3 form and decreases in the V1 form compared with the normal pattern. T4 administration produced dose-dependent increases in the V1 myosin isoform and corresponding decreases in the amount of the V2 and V3 forms. Heart rate increases observed with larger doses of T4 could be prevented by addition of propranolol (500 mg/l) to the drinking water. However, in rats treated with T4 and propranolol, LV pressure, AoP, LV dP/dt, and myosin isoenzyme composition were unchanged compared with T4-treated rats.(ABSTRACT TRUNCATED AT 250 WORDS)
Animals↗
Serial changes in left ventricular relaxation and chamber stiffness after large myocardial infarction in rats.
To determine the time course of changes in left ventricular diastolic properties after a large myocardial infarction, we serially measured left ventricular relaxation, chamber stiffness, and the ratio of left ventricular cavity to wall volume (V/VW) after coronary artery ligation in rats. Left ventricular relaxation was measured during the occlusion and then both relaxation and chamber stiffness were measured at 3 hr, 24 hr, and 3, 5, and more than 22 days after infarction. Left ventricular pressures and left ventricular dP/dt were recorded with micromanometer-tipped catheters. Left ventricular relaxation was measured by computer digitization of the left ventricular pressure tracings and averaged over 100 to 150 cardiac cycles. Five chamber stiffness constants were calculated from pressure-volume curves that were obtained ex vivo. We found ventricular relaxation prolonged for the first hour after coronary occlusion; relaxation was maximally prolonged at 10 to 15 min after onset of occlusion. After 1 hr relaxation returned to normal. However, by 5 days ventricular relaxation was again prolonged. Left ventricular stiffness constants were increased at 3 and 24 hr, resulting in a shift of the left ventricular pressure-volume relation to the left. At 3 days after coronary artery ligation, all stiffness constants and the pressure-volume relation returned to normal. At more than 22 days the pressure-volume relation was shifted to the right and the stiffness constant for low filling pressures was decreased. V/VW was significantly decreased from 0.603 +/- 0.021 at 3 and 24 hr to 0.379 +/- 0.024 and 0.362 +/- 0.032, respectively. V/VW was significantly increased at more than 22 days (0.921 +/- 0.094).(ABSTRACT TRUNCATED AT 250 WORDS)
Animals↗
Variability of the thymidine labeling index in squamous cell carcinoma of the head and neck.
Tritiated thymidine (3HTdR) labeling is the standard technique for determining the kinetic activity of tumors. This method has been used to label multiple sections of tumor specimens obtained from seven patients with advanced squamous cell carcinoma of the head and neck. Considerable variability was observed in the labeling index in different sites from the same specimen. To reduce the large sampling error due to heterogeneity, we recommend that an average value be determined from multiple sections when employing this technique.
Carcinoma, Squamous Cell↗
Complex event-related potentials (P300 and CNV) and MSLT in the assessment of excessive daytime sleepiness in narcolepsy-cataplexy.
The P300 and contingent negative variation (CNV) evoked potential (EP) paradigms were performed by 12 untreated narcoleptics and controls immediately prior to each nap of the Multiple Sleep Latency Test (MSLT) in order to assess whether they might hold promise as rapid quantitative techniques to assess excessive daytime sleepiness. The Stanford Sleepiness Scale (SSS) was also completed across test days and immediately before and after both the evoked potential recordings and MSLT naps. MSLT findings confirmed shorter sleep latencies and frequent SOREMPs in narcoleptics and a strong mid-afternoon increase in sleepiness based upon pressure for NREM sleep in both groups. On SSS narcoleptics were sleepier and they showed greater increase in sleepiness induced by the EP tests and greater sleepiness reduction by the MSLT naps. In the P300 paradigm, narcoleptics showed smaller component P3 amplitudes and larger P1 amplitudes. In the CNV paradigm, N1 latencies were greater in narcoleptics to both S1 and S2 and the post-CNV negative component was larger: but no significant differences were seen for the main CNV measures of negativity amplitude in the first or second halves of the response. The P300 paradigm but not the CNV, therefore, appeared to be a sensitive EP measure of sleepiness. Finally, EP components in both the P300 and CNV paradigms showed time-of-day (circadian) differences between narcoleptics and controls.
Acoustic Stimulation↗
Differences between REM and NREM sleepiness measured by event-related potentials (P300, CNV), MSLT and subjective estimate in narcolepsy-cataplexy.
Differences between 'REM sleepiness' and 'NREM sleepiness' states in wakefulness studied respectively prior to REM-containing and NREM-only multiple sleep latency test (MSLT) naps were compared by complex evoked potentials (P300, CNV), subjective estimate (Stanford Sleepiness Scale, SSS) and MSLT measures in 12 untreated patients with narcolepsy-cataplexy. The EP paradigms lasted about 7 min each and were done during the 10 min immediately before MSLT naps at 10.00, 12.00, 14.00, 16.00 and 18.00 h. SSS forms were completed immediately before and after the EP studies and MSLT naps. Patients were studied on 2 days and performed either the P300 or CNV paradigm on each day. 'REM sleepiness' was found to be subjectively and objectively (shorter mean sleep latency on MSLT) greater. Although subjects were sleepier in REM sleepiness, the subsequent REM nap was relatively more refreshing and reduced SSS estimates to levels equivalent to those after NREM-only naps. EP measures also showed differences between the 2 sleepiness states. REM sleepiness was associated with a significantly larger P2 component (in both the P300 paradigm and the CNV paradigm), a strong but not significant trend towards reduced amplitude of the P3 component, and almost total suppression of the slow negative components of the CNV. REM sleepiness and NREM sleepiness therefore appear to be district and differentiable cerebral states.
Adult↗