Search PubMed⌕ Search

Biomedical subjects

R Moreno

Publications and source records attributed to R Moreno.

At least 19 recordsLinked to original sources
PubMed1992

[Prevalence of human immunodeficiency virus infection, hepatitis B virus and syphilis in full term pregnancy].

BACKGROUND: The estimation of the frequency of infection by HIV, hepatitis B virus and syphilis in unselected populations of full-term pregnancy is useful for epidemiologic surveillance of these diseases and for decision marking in prenatal detection. METHODS: A transversal study of 3,193 women who gave birth in the Hospital General de Elche between March 1989 and February 1990 was carried out. A blind survey was developed to avoid ethic problems and bias derived from the undertaking of HIV test without patient consent. RESULTS: The prevalence of HIV was 0.5/1,000 women (CI 95%, 0-1.5); HBV 8.9/1,000 (CI 95%, 4.6-13.2) and syphilis 1.5/1,000 (CI 95%, 0.9-2.1). CONCLUSIONS: The diffusion of the AIDS epidemic in Spain to the general population does not at present seems important although studies should be performed in the future to monitor the trend. The prevalence of syphilis in Spain is low in this study in comparison with the results of other Spanish studies which may be explained by greater quality of care in to pregnancy. The prevalence of HBV suggests the need for detection and vaccination of newborns.

Acquired Immunodeficiency Syndrome↗
PubMed1992

Sequence identification of 2,375 human brain genes.

We recently described a new approach for the rapid characterization of expressed genes by partial DNA sequencing to generate 'expressed sequence tags'. From a set of 600 human brain complementary DNA clones, 348 were informative nuclear-encoded messenger RNAs. We have now partially sequenced 2,672 new, independent cDNA clones isolated from four human brain cDNA libraries to generate 2,375 expressed sequence tags to nuclear-encoded genes. These sequences, together with 348 brain expressed sequence tags from our previous study, comprise more than 2,500 new human genes and 870,769 base pairs of DNA sequence. These data represent an approximate doubling of the number of human genes identified by DNA sequencing and may represent as many as 5% of the genes in the human genome.

Brain Chemistry↗
PubMed1992

Characterization of Trypanosoma cruzi isolates from Paraguay, using restriction enzyme analysis of kinetoplast DNA.

Eleven Paraguayan strains of Trypanosoma cruzi, from Chagas' disease patients and the bug vectors, were examined by restriction endonuclease analysis of kinetoplast DNA using Hae III, Msp I, Eco RI, HinfI, Taq I and Rsa I. Four schizodeme-profile groups were identified. Group 1 had much simpler profiles than groups 2, 3 and 4 and, although there were homogeneous profiles in the latter three groups, each group could be distinguished from the others. The profiles of group 1 could not be matched with any of the standard strains from Brazil, Chile and Columbia included in the schizodeme comparison. The profiles of groups 3 and 4 shared most features with those standards of the Brazilian Z2 zymodeme.

Adolescent↗
PubMed1992

[Paleodemography in mummies of prehispanic populations from Africa].

Mummies' demographic information of 10 prehispanic cultures that developed in the Arica region of Chile about 7000 years ago is analyzed and related to the present population structure. A paleoepidemiological analysis supports a relationship between cultural development and demographic structure. In chronological sequence, 4 demographic patterns can be distinguished: 1) archaic, a mature population with the highest life expectancy and the lowest dependence from prehispanic populations; 2) later archaic, a population in demographic explosion with its larger fraction under 15 years of age, elevated fertility rates and the greatest prehispanic dependence; 3) andean, a transition population with moderate fertility rates and dependence index; and 4) modern, an aging population with the highest proportion over 45 years of age and the highest life expectancy. The present demographic analysis may help to understand the relationships among disease, individual and culture from the perspective of genetic epidemiology.

Adolescent↗
PubMed1992

[Genetic evidence corroborates Negme's hypothesis about the greater mildness of American trypanosomiasis in Chile].

Chagas disease is present in northern and central Chile. Not more than 25% of infected individuals have had a pathologic condition presumably due to Trypanosoma cruzi. The majority of individuals with chronic infectious Chagas disease in Chile are asymptomatic in contrast to what has been observed in other South American countries. Historic and paleopathologic evidences suggest that this particular behavior could be explained by a genetic adaptation of Chilean aborigines to T cruzi. Associations between ethnic admixture, presence of Chagas disease, associated cardiac pathology and 4 blood groups (ABO, MNSs, Rh and Duffy) were investigated among inhabitants of San Pedro de Atacama in northern Chile. Cardiac pathology was determined by positive serologic reactions in individuals with abnormal electrocardiographic findings. Individuals with negative serologic results had a significantly greater aboriginal admixture (88%) compared to those with positive serology (66%). This findings supports the hypothesis of genetic adaptation explaining mildness of Chagas disease in Chile.

Adaptation, Physiological↗
PubMed1992

[Carcinoma of the lung. Review of a caseload of 12 years at a service of internal medicine].

The authors present a retrospective study of medical records of patients with lung cancer, admitted at the Service 1 of Internal Medicine of Santo António dos Capuchos Hospital during a 12 year period (1978-1989). Of the 112 selected patients, 50% had histologic diagnosis, the remaining had strong clinical radiographic, endoscopic and/or autopsic evidence of pulmonary malignancy or malignant cytology in sputum, bronchial secretions or pleural fluid. The clinical symptoms and means of diagnosis are presented and the advanced stage of the disease, at admission, the problems concerning the histologic diagnosis and the high mortality rate (55.4%) are emphasized.

Female↗
PubMed1992

[Surgical and trauma patients in a medical intensive care unit].

OBJECTIVE: to characterize and to assess in terms of severity the surgical and trauma patients admitted to a medical intensive care unit (ICU). DESIGN: retrospective study base on clinical records and the ICU computerized database. SETTING: the medical ICU of a tertiary hospital. RESULTS: of the 2468 patients admitted to the ICU in 1989, 289 (11.7%) were surgical or trauma ones. The more frequent reasons for admission were: the need for mechanical ventilation, metabolic problems, and depression of consciousness. Of these 289 patients, 48.1% required mechanical ventilation, 14.9 hemodialysis; 4.8% had a pulmonary artery catheter inserted. Mean APACHE II, TISS and MOF scores were high (20.09 +/- 9.29, 24.17 +/- 11.45 and 5.4 +/- 3.59); they were determined in 79.2, 88.2 and 43.9% of patients respectively. Both APACHE and TISS scores were correlated with mortality. When compared with medical patients, surgical/trauma ones although younger (52.9 +/- 20.7 years versus 55.9 +/- 20.2, p = 0.00152), had a longer mean stay in the ICU (7.63 +/- 12.7 days v. 3.64 +/- 7.61, p = 0.0001), and a higher mortality (also in the ICU) (28.7 v. 16.7, p = 0.0005. COMMENTS: these are seriously ill patients, who are frequently referred to the ICU in late stages of clinical evolution. We propose they should be closely followed, from the earliest possible stage, by medical-surgical teams, in order to benefit from a multidisciplinary approach.

Adult↗
PubMed1992

[Poisoning at a polyvalent intensive care unit].

A retrospective analysis was made concerning 1340 admissions to a multidisciplinary Intensive Care Unit over four years (1986-1989), because of acute poisoning. In 666 patients occurred 735 drug overdoses and in 674 patients, 691 non-drug intoxications. The drugs with main action in central nervous system were the most frequent in drug overdoses and the organophosphates insecticides in the non-drug intoxications. During the considered period there was an absolute and relative fall in the number of admissions for acute poisoning (480 vs 244, 15.1% vs 9.9%). The patients admitted were 698 men (289 in drug-overdoses and 409 in non-drug group) with a statistically significant difference between the type of intoxication and sex (p less than 0.001). Age mean was 40.2 +/- 19.6 years, almost the same in the two groups of intoxications. The peak incidence occurred from March to October. From the hospital area of Lisbon came 814 patients and outside of Lisbon 495 patients. The mean duration of stay in the ICU was 3.90 +2- 6.15 days, being 2.71 +/- 3.80 in the drug overdoses and 5.08 +/- 7.62 in non-drug intoxications (p less than 0.001). From the therapeutic measures we emphasize mechanical ventilation (29.5%), total parenteral nutrition (18.5%), dialysis (2.9%), Swan-Ganz catheter (2.8%) and pacemaker (1.2%). The mortality rate was 13.7%, higher in non-drug intoxications (23.0%) than in drug overdoses (4.4%) (p less than 0.0001).

Adolescent↗
PubMed1991

Nasal retinal dragging in X-linked retinoschisis.

X-linked retinoschisis is a disorder characterized by the presence of foveal schisis and often peripheral splitting of the retina in the nerve fiber layer. The accompanying complications include vitreous hemorrhage and retinal detachment, which can lead to blindness. In this report five patients who presented during infancy or early childhood had nasal retinal dragging.

Child↗
PubMed1991

A method for estimating the Young's modulus of complete tracheal cartilage rings.

Cartilage is primarily responsible for maintaining the stability of the large airways; yet very little is known about the mechanical properties of airway cartilage. This work establishes a technique whereby average values for the equilibrium modulus of excised tracheal cartilage rings can be obtained. An apparatus was designed to apply preset deformations to a tracheal segment and to monitor the deforming force. Segments of four human tracheae obtained postmortem and containing three rings were mounted in the apparatus after being stripped of posterior membrane. The load-deformation behavior was analyzed with a model on the basis of thin curved beam theory. Agreement between predicted deformed shapes and those observed was good in three of the four cases and in the case of a short length of longitudinally split rubber tube. The technique is suitable for comparing mechanical properties of cartilage before and after an intervention.

Biomechanical Phenomena↗
PubMed1991

Determination of Cd, Cr, Cu, Pb and Zn in human semen by graphite furnace atomic absorption spectrometry after microwave sample dissolution.

Human semen samples were analyzed by graphite furnace atomic absorption spectrometry, using L'vov platforms and the method of standard additions, to determine their Cd, Cr, Cu, Pb and Zn content. The samples were analyzed directly and after conventional and microwave wet acid dissolution. Matrix modification, using magnesium and palladium nitrates and ammonium biphosphate solutions, was evaluated for the analysis of the microwave-digested samples. The best results were obtained for Cr, Cu and Zn using Pd(NO3)2, and a mixture of Mg(NO3)2 and Pd(NO3)2 solutions. The direct analysis of water-diluted semen produced inaccurate results with unacceptably high standard deviations. The results obtained for the microwave-dissolved samples showed relative standard deviation values within the range 0.63-8.4%. The analysis of spiked semen solutions showed recoveries of the added analytes ranging from 96 to 104%. The accuracy of the measurements was checked against the NIST 1,577a, bovine liver, standard reference material. Sample dissolution time was drastically reduced from 3-4 hours, using the conventional method, to approximately 8 minutes using the microwave-assisted wet acid digestion procedure.

Cadmium↗
PubMed1990

How medical school faculty regard educational research and make pedagogical decisions.

The authors studied a group of professors at a large school of medicine in the western United States to determine the extent to which they were aware of past or current educational research, their feelings about the enterprise of educational research, and how they made pedagogical decisions. The study emphasizes a qualitative analysis of the data by using in-depth, confidential interviews; many typical responses are quoted. The authors found little or no knowledge of past or current educational research even among those professors who thought such research to be valuable. The possible reasons for this finding are discussed.

Academic Medical Centers↗
PubMed1990

A model of the mechanics of airway narrowing.

To examine the interaction between airway smooth muscle shortening and airway wall thickening on changes in pulmonary resistance, we have developed a model of the tracheobronchial tree that allows simulation of the mechanisms involved in airway narrowing. The model is based on the symmetrical dichotomous branching tracheobronchial tree as described by Weibel and uses fluid dynamic equations proposed by Pedley et al. to calculate inspiratory resistance during quiet tidal breathing. To allow for changes in lung volume, we used the airway pressure-area curves developed by Lambert et al. The model is easily implemented with a spreadsheet and personal computer that allows calculation of total and regional pulmonary resistance. At each airway generation in the model, provision is made for airway wall thickness, the maximal airway smooth muscle shortening achievable, and an S-shaped dose-response relationship to describe smooth muscle shortening. To test the validity of the model, we compared pressure-flow curves generated with the model with measurements of pulmonary resistance while normal subjects breathed air and 20% O2-80% He at a variety of lung volumes. By simulating progressive airway smooth muscle shortening, realistic pulmonary resistance vs. dose-response curves were produced. We conclude that this model provides realistic estimates of pulmonary resistance and shows potential for examining the various mechanisms that could produce excessive airway narrowing in disease.

Adolescent↗