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Biomedical subjects

M Cuesta

Publications and source records attributed to M Cuesta.

30 records · Page 2Linked to original sources
PubMed1987

Extensive disobliteration of the aorto-iliac and common femoral arteries using the LeVeen plaque cracker.

In 1978 LeVeen et al. described an original technique for extended aortobifemoral disobliteration using a retroperitoneal approach. This technique was introduced to Europe by Widdershoven and Willekens in 1977 and was adopted in Belgium by Suy and Nevelsteen in 1982 and in Spain by Cuesta and Bengoechea in 1984. A group of 228 patients treated by the LeVeen's method from 1982 to 1987 were followed-up for a mean of 21 months (1-54). Disabling claudication (66%) or more advanced ischaemia (34%) was the indication for treatment. An aorto-bifemoral endarterectomy was performed in 124 patients. Aorto-biiliac endarterectomy in 39, unilateral aortofemoral endarterectomy with a contralateral aorto-iliac endarterectomy in 17 and unilateral iliofemoral endarterectomy in 48 cases. There were seven postoperative deaths (3%) and an early thrombectomy had to be performed in 8 patients. There were 14 late deaths. Occlusion occurred in 11 patients giving a 3-year-patency rate of 97%. There were no late complications related to the technique. It is concluded that disobliteration using the LeVeen technique compares well with prosthetic grafting. Since this method does not require the use of foreign material the patient is protected from the complications sometimes seen after the insertion of prosthetic grafts.

Aorta, Abdominal↗
PubMed1978

Fatal compulsive water drinking.

In two cases of psychogenic polydipsia, water intoxication developed and contributed to the patient's death. The treatment of the patient with psychogenic polydipsia has been based on the presumed reversibility of the condition. Treatment of such patients must be reconsidered in light of these deaths.

Adult↗
PubMedDate not supplied

Pneumococcal septic arthritis as the first manifestation of multiple myeloma.

In this paper we report a 47 year old woman with septic arthritis due to Streptococcus pneumoniae. No known predisposing factor was found. After an extensive workup a multiple myeloma was discovered. In our case septic arthritis was the first manifestation of multiple myeloma.

Arthritis, Infectious↗
PubMedDate not supplied

Joint symptoms in relapsing polychondritis.

OBJECTIVE: To study articular symptoms in relapsing polychondritis (RP) and their relationship to other clinical manifestations and prognosis. METHODS: Fourteen patients who met the diagnostic criteria proposed by Damiani and Levine for RP were studied. Clinical symptoms were recorded and laboratory and radiologic examinations were carried out. In one patient a synovial histology was obtained. RESULTS: Twelve patients had joint symptoms affecting the peripheral joints (9), the chondrocostal junctions (5), or both sites together (2). Peripheral arthritis was the most frequent finding, affecting 6 patients, while peripheral arthralgia was the only articular manifestation in 3 patients. The development of joint symptoms (arthralgia, arthritis and costochondritis) was unrelated to the appearance of chondritis at other sites and no correlation was found between articular involvement and age at onset, duration of the disease, number of flares, or severity of the disease, either in terms of the number of organs involved or fatal outcome (p > 0.05). However, when articular symptoms were analysed separately arthritis was associated with a longer duration (50 months vs 30), more affected organs (4.5 vs 3.3) and a poorer prognosis compared with patients with arthralgias alone or chondrocostal symptoms. CONCLUSION: Articular symptoms are common in RP but the presence of peripheral arthritis is associated with widespread disease and a poorer prognosis.

Adolescent↗
PubMedDate not supplied

[Characteristics of tobacco use among the primary health care personnel in Guadalajara].

BACKGROUND: Tobaccoism is one of the most important social and health problems that exists. Given the role of Health Profesionals as educators and their example within the community, this particular group of people are vital in preventing and controlling tobaccoism. The purpose of this study was to identify the number and type of smokers working as professional health personnel in the Guadalajara Primary Medical Care Services, as well as their attitudes and knowledge in relation to the problem. METHODS: A descriptive cross-sectional study was carried out by means of a survey of all Guadalajara Primary Medical Care Personnel (doctors, nurses and other professionals). Data was compiled on social and demographic factors as well as the use of tobacco and awareness, attitudes and opinions: results were then analysed according to age, sex, occupation, working environment and degree of addiction. RESULTS: The rate of response was 86.1%. 38.2% claimed to be smokers (34.9% men and 41.2% women). Single male doctors living in urban areas showed the lowest rate of tobaccism. The majority of smokers did so at work, however not in front of patients, 63.2% had tried to give up smoking. The main cause of failure was attributed to lack of willpower (45.9%). 79.7% of ex-smokers had given up the habit after diagnosis of a health problem or illness. With respect to awareness and attitude, it was the medical profession and not tobaccoism itself that provided the most effective information and created less permissiveness in relation to the habit. Over 90% are in favour of initiating anti-smoking programs in Health Departments. CONCLUSIONS: A significant number of smokers in the sector was recorded, however attitudes towards the problem were positive.

Adult↗