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Biomedical subjects

M Luján

Publications and source records attributed to M Luján.

At least 19 recordsLinked to original sources
PubMed1999

Final results of a screening campaign for prostate cancer.

OBJECTIVE: To detect curable prostate cancer in a male Spanish population. The results of screening 2,576 men are reported. PATIENTS AND METHODS: Patients underwent digital rectal examination (DRE) and serum prostate-specific antigen (PSA) determination. Any patient with suspicious DRE or PSA > 4 ng/ml was further evaluated with transrectal ultrasonography (TRUS) and biopsy. The sensitivity, specificity and predictive value of the tests or combinations of tests were determined. RESULTS: Mean age was 59.9 years (median 58 years). Ninety-four patients (3.6%) had abnormal DRE while PSA was > 4 ng/ml in 169 patients (6.5% of the total). We needed 6.8 biopsies to prove one cancer. PSA had the highest sensitivity (93%), whereas DRE had the highest specificity (97%). The positive predictive value rose to 78.9% when both DRE and PSA were abnormal. Clinically advanced tumor stages (> or = T3) were commoner (39.4%) than in similar series. CONCLUSIONS: PSA should be the first diagnostic test in a screening program for prostate cancer. Neither DRE nor TRUS are necessary in patients with PSA < 4 ng/ml. In the light of our findings, we cannot encourage screening programs for prostate cancer for the time being.

Aged↗
PubMed1999

Reliability of the routine cytological diagnosis in bladder cancer.

OBJECTIVES: To establish the reliability of three cytopathologists for cytological diagnosis of primary bladder tumors. METHODS: Preoperative voided urine specimens of 71 patients with bladder cancer and 55 noncancer controls were retrospectively and blindly reviewed by 3 independent cytologists, and their results compared. The estimation of the interobserver agreement was calculated using the weighted kappa coefficient. A multivariate analysis was carried out to identify the factors associated with the disagreement between the three observers. The sensitivity and specificity for each of the participants was calculated in order to clearly identify the origin of the disagreement, in terms of the performance of the diagnostic test in the hands of each observer. A comparison of the overall diagnostic performance was made by plotting sensitivity versus 1-specificity. RESULTS: The weighted kappa coefficient among the 3 observers was 0.46. The multivariate analysis did not identify any variable that could have caused such disagreement. Vast differences in sensitivity and specificity were detected between observer 1 (sens. 0.90, spec. 0.45) and observers 2 (sens. 0.67, spec. 0.72) and 3 (sens. 0.71, spec. 0.80), but the overall diagnostic performance (sensitivity vs. 1-specificity) was superimposable in the 3 cases (p = NS). CONCLUSIONS: Simple, reproducible and agreed-on-diagnostic criteria should be established to yield reliable results in a group of cytologists. The consideration of individual diagnostic performances can give a false idea of homogeneity between observers. In this field, concordance analysis makes quality control reliable and should be a routine procedure of any pathology department.

Carcinoma, Transitional Cell↗
PubMed1998

Role of autonomic innervation in rat prostatic structure maintenance: a morphometric analysis.

PURPOSE: To analyze the effects of major pelvic ganglion (MPG) excision on the structure of rat prostate. MATERIALS AND METHODS: We studied 80 Sprague-Dawley rats (300-350 gm. weight). Forty-two were anesthetized and the right MPG excised. After 28-30 days, the same-side prostatic ventral lobe (VL) was obtained for macroscopic, light (LM), and transmission electron microscopy (TEM) evaluation. A computerized morphometric analysis was performed on epithelial and muscle cells. Results were compared with 38 right VL of non-operated, same-aged rats. RESULTS: A 36.6% reduction (0.14 gm.) of VL fresh weight was found in the denervated group (p <0.001). Mean tissue proportions observed in the LM study were 27.9% (epithelial), 48.3% (stromal), and 51.8% (glandular) in the non-operated group, versus 14.8% (p <0.001), 55.7%, and 44.4% (not significant) respectively, after MPG excision. No difference was found regarding the vascular pattern. In the denervated rats, TEM analysis found a significant reduction in total and supranuclear cell height (change in cell polarity), as well as in cytoplasm, Golgi and endoplasmic reticulum areas. Secretory granule count, total area (p <0.001), and density of apical microvilli were also reduced. On the other hand, only an increase in the area of cytoplasm ribosomal aggregates was detected in the smooth muscle cell analysis. CONCLUSIONS: Our study demonstrated a rat prostatic VL atrophy in the denervated side, due to a shrinkage in the epithelial component of the gland. Ultrastructural findings also suggest an overall decrease of epithelial cell secretory activity. Finally, the increase of ribosomal aggregates found in stromal smooth muscle could reflect an activation of these cells after denervation.

Animals↗
PubMed1998

[Focal nodular liver hyperplasia of atypical presentation].

Focal nodular hyperplasia is a benign hepatic tumor that usually appears in young women. Diagnosis of focal nodular hyperplasia is often incidental when an ultrasonography or computed tomography is performed by other reasons, because its course is generally asymptomatic; the presence of a central fibrous scar is characteristic. Management in focal nodular hyperplasia must be conservative, with ultrasonographic follow-up, and it only must be treated when patients are symptomatics or in case of tumoral enlargement. We report a case of FNH in which symptomatic presentation and the absence of central stellate scar in ultrasonography, computed tomography and magnetic resonance leads to a misdiagnostic of hepatic adenoma, that conditioned a surgical resection. The later examination was diagnostic of focal nodular hyperplasia.

Adenoma↗
PubMed1994

Actions of sciatic nerve ligature on sexual behavior of sexually experienced and inexperienced male rats: effects of frontal pole decortication.

The action of the hyperalgesia produced by the loose ligature of the sciatic nerve on the sexual behavior of two groups of sexually experienced and inexperienced male rats was studied. The putative changes in the behavior induced by this manipulation were attempted to be counteracted by the removal of the anterior frontal cortex. Independently of the sexual experience, the ligature of the sciatic nerve did not modify any parameter of the sexual behavior, except for a slight prolongation of the intromission latency. Surprisingly, the removal of the cortical frontal pole resulted in drastic changes in the sexual behavior of sexually inexperienced male rats such as an increase in the intromission and ejaculation latencies and the postejaculatory interval. These changes were not observed in the sexually experienced group. Interestingly, the sciatic nerve ligature prevented the changes in the copulatory behavior produced by the frontal cortex removal. These results suggest that the hyperalgesia induced by the sciatic nerve ligature was unable to alter the sexual behavior. By contrast, the frontal cortex removal produced important changes in the sexual behavior that depend upon the previous sexual experience. All results are discussed on the bases of the neural control underlying the possible relationships between algesia and male sexual behavior.

Animals↗
PubMed1992

Adipsic, but not anorectic, effect of fluprazine hydrochloride in rats.

The present experiment explored the anorectic and adipsic effects of fluprazine hydrochloride, a phenylpiperazine compound. Thirty-eight albino rats were randomly assigned either to a control saline group (six rats) or to groups (eight subjects each) receiving an IP dose of fluprazine in saline (1.25, 2.5, 5 or 10 mg/kg). No anorectic effect of the drug doses was observed 30, 60, 90, 120, 180 and 240 min, and 24 h after drug injection. However, water drinking was significantly decreased 30 min after drug administration, with 5 and 10 mg/kg, compared to saline.

Analysis of Variance↗
PubMed1988

Electrocardiographic alterations induced by repeated electrical stimulation of the heart at low intensity.

Repeated, low-intensity electrical stimulation of the heart gradually leads to the development of electrocardiographic abnormalities that culminate in cardiac arrhythmias, mainly A-V block in the isolated heart frog and ventricular and supraventricular tachyarrhythmias in the canine heart in situ. The pattern of development of these alterations shows some characteristics similar to the kindling phenomenon. Blockade of adrenergic influences on the heart offered complete protection against the development of cardiac arrhythmias. These results support the idea that a kindling-like effect can be induced by the periodic electrical stimulation of structures other than the CNS.

Animals↗
PubMed1987

Kindling-like convulsive activities in the isolated ileum of the guinea pig. I. Electrical stimulation.

A kindling-like convulsive activity model produced by subthreshold, iterative electrical stimulation of the isolated male guinea pig ileum is described. In this model, the mechanical activity of the longitudinal muscular fibers of the ileum was systematically quantified in terms of the basic frequency, tonus, amplitude, and transient amplitude increments (A, n spikes/20 min) of "normal" contractions and presence of high-amplitude, paroxysmal, "epileptiform" contractures (B, n spikes/20 min). Changes in these parameters were statistically compared through consecutive stages of the same stimulated male ileum (I = initial activation, II = initial inhibition. IIIA = late activation, and IV = late inhibition) and equivalent stages of stimulated female and nonstimulated male ilea where "kindling-like" activities were only occasionally observed. Basic tonus, amplitude, and number of A spikes showed significant changes through consecutive stimulated male ileum "kindling" stages: increased from baseline to stage I, decreased from I to II, increased from II to III and from III to IIIA, and decreased from IIIA to IV. The number of B spikes significantly increased from II to III, III to IIIA, and IIIA to IV. No significant changes in baseline frequency were found through all stages nor in tonus, amplitude, A and B spikes between stage IV and the self-sustained activity observed 120 min after stimulation. In addition, there were significant correlations between B spikes vs. basic tonus and amplitude and A spikes when the stimulated male ileum shifted from stage II to IIIA (positive correlations) and from IIIA to IV (negative correlations). Basic tonus during stage I, basic amplitude during IIIA, A spikes during self-sustained activity and B spikes during III, IIIA, IV, and self-sustained activity were in the stimulated male ileum larger than those in both the stimulated female and the nonstimulated male ilea. Tonus and A spikes during III and IIIA in the stimulated male ileum were larger than in the nonstimulated, whereas tonus during IV and self-sustaining activity and amplitude during II in the stimulated male ileum were smaller than in the female stimulated ileum.

Animals↗
PubMed1986

Kindling-like phenomenon in the isolated ileum of the guinea-pig.

Repeated bursts of low voltage electrical stimulation of the isolated ileum of the guinea-pig gradually leads to the development and progressive intensification of the tissue basal activity, culminating in spontaneous, sudden strong contractions of the preparation, which persist for several hours after the stimulation has been discontinued. The magnitude of these alterations are determined by the parameters of the stimulation, mainly by the number of electrical stimulations, the frequency of stimulation, and the interstimulus interval. Maximal alterations are obtained with periods of stimulation of 20 Hz for 10 sec, pulses of 3.0 msec, repeated every 20 min for 15 times. Phenytoin, flunitrazepam, diazepam, phenobarbital and carbamazepine effectively inhibited the fully developed phenomenon in the tissues. The effect described in this report may be related to kindling in the brain.

Animals↗
PubMed1984

Pertussis toxin blocks the action of morphine, norepinephrine and clonidine on isolated guinea-pig ileum.

Administration of pertussis toxin (60 micrograms/kg i.p.) to guinea-pigs blocked the ability of morphine, norepinephrine and clonidine to inhibit electrically stimulated contractions in the isolated ileum. The toxin reached its maximum effect 6 days after its administration. The effect of the toxin was reversible; a slow but full recovery of the response to morphine was observed in ilea from guinea-pigs treated with toxin 18 days before the experiment. It is suggested, based on the known action of pertussis toxin, that inhibition of adenylate cyclase through Ni (guanine-nucleotide regulatory protein) is involved in the acute action of morphine, norepinephrine and clonidine in the motoneurons of the myenteric plexus of the ileum.

Adenylate Cyclase Toxin↗