Biomedical subjects

P G Serrano-Aguilar

Publications and source records attributed to P G Serrano-Aguilar.

6 recordsLinked to original sources

PubMed2006

Impact on health-related quality of life and perceived burden of informal caregivers of individuals with Alzheimer's disease.

This study assessed the impact on health-related quality of life (HRQL) and the perceived burden of informal caregivers of individuals with Alzheimer's disease (AD) on the Canary Islands (Spain). We utilized a multicenter, cross-sectional design, based on questionnaire responses of 237 informal caregivers of AD patients. Patients were classified according to the degree of severity utilizing the Clinical Dementia Rating Scale. Sociodemographic, HRQL (EQ-5D) and functional dependency data were gathered together with the degree of caregiver burden. Caregivers had a higher frequency of problems than did the general population for every EQ-5D dimension. Caregivers' HRQL was inversely associated with the subject dependency level and caregiver age. HRQL was higher for more educated caregivers. Variables with a negative and/or significant effect on caregivers' HRQL were high feelings of burden, more committed time to care, and older age. The caregiver burden quantified by the Zarit scale showed 83.3% of caregivers with a high level of burden.

Aged↗

PubMed2003

Preoperative assessment.

Although anaesthetic and surgical procedures should be individualised for every patient, in practice many preoperative protocols and routines are used generally. In this article, we aim to emphasise: why preoperative assessment is important; how it should be done, and by whom; what can be expected; and the importance of test selection based on patients' needs and on scientific evidence of effectiveness. We outline the roles of preoperative medical assessment in otherwise healthy patients. Clinical history, preoperative questionnaires, physical examination, routine tests, individual risk-assessment, and fasting policies are investigated by review of published work. Cost of routine preoperative assessment, the anaesthetist's legal responsibility, and patients'views in the preoperative process are also considered. A thorough clinical preoperative assessment of the patient is more important than routine preoperative tests, which should be requested only when justified by clinical indications. Moreover, this practice eliminates unnecessary cost without compromising the safety and quality of care. Education and training of medical doctors should be more scientifically guided, emphasising the relevance of effectiveness, and cost-effectiveness in clinical decision-making and complemented by audit.

Anesthesia↗

PubMed1992

Postnatal development of the dentate gyrus: a karyometric and topographic study.

We have analysed the postnatal development of the nuclear sizes of the granular cells of the dentate gyrus in 5- to 190-day-old male mice. The study was performed in three topographic levels: rostral, intermediate and caudal. Three subdivisions were analysed in each level: suprapyramidal blade, infrapyramidal blade and the transition between them, the angular zone. Additionally, each of these subdivisions was measured in its external and internal layer, separately. Three gradients of postnatal karyometric development can be described: external-to-internal, suprapyramidal-to-infrapyramidal, and caudal-to-rostral, indicating that the external, suprapyramidal and caudal cells show higher karyometric sizes than the other subdivisions. These gradients are related to the ontogenetic gradients of these neurons.

Aging↗

PubMed1987

Topographic organization of the karyometric response to neonatal castration of the male mouse in the paraventricular and ventromedial hypothalamic nuclei.

We have analysed the karyometric development of four topographic subdivisions of the paraventricular nucleus (rostral, medial, lateral and caudal) and three topographic subdivisions of the ventromedial nucleus (ventral, central and dorsal) of the hypothalamus in neonatally castrated male mice. Castration at birth produces a decrease of the nuclear sizes from the 10th to the 35th postnatal day, but after this age, no differences were detected in comparison with the sizes of the control male mice. Neonatal gonadal hormone deprivation also produces changes in the nuclear shape of the nuclei, that tend to be more spherical in both centres, as we could establish after the study of the form factor parameter (perimeter/area ratio). We have found differences in the response of both hypothalamic nuclei to neonatal castration and differences in the response of the topographic subdivisions of both of them.

Animals↗

PubMed1987

Effects of hormone deprivation on the karyometric development of the medial and lateral preoptic area of the male mouse. I. Neonatal castration.

We have analysed the karyometric development of the nuclear neuronal sizes in the medial and lateral preoptic area of male albino mice castrated within 24 hours of birth. We have analysed six different age groups of animals: 10th, 20th, 35th, 45th, 55th and 85th postnatal day, and we have compared our results to those of a control group of male mice. Both hypothalamic areas respond to neonatal castration showing lower values of the nuclear sizes than those of the control group. The reaction of these areas to gonadal hormone deprivation at birth is more striking than that obtained after prepuberal castration of the animals, studied in a previous report. Neonatal gonadal hormone deprivation also produces changes of the nuclear shape of the nuclei towards sphericity.

Aging↗

PubMed1985

Effects of gonadectomy on the karyometric development of the ventromedial nucleus of the hypothalamus in the mouse.

We studied the karyometric development of 3 subdivisions (ventral, central and dorsal) of the ventromedial nucleus in male albino mice from the 5th to the 190th day of life. All subdivisions exhibited a similar development pattern. Another group of animals were castrated at the 20th day of life and examined from the 25th to the 85th day. The increase of the nuclear size at the 35th day and the decrease at the 85th day, observed in the control group, were not present after castration.

Animals↗