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Biomedical subjects

V Navarro

Publications and source records attributed to V Navarro.

At least 163 records · Page 9Linked to original sources

[Candida esophagitis treated with a single dose of fluconazole in patients with HIV: presentation of 11 cases].

We have reviewed the efficacy of the use of fluconazole in patients with definitely proven Candida esophagitis (CE) associated with human immunodeficiency virus (HIV) infection, using a single 400 mg oral dose of fluconazole and evaluating the patient three days afterwards. This drug showed to be effective for the clinical and endoscopic cure in all patients (100%), and with microbiological cure in ten cases. There was no clinical feature of toxicity. The only side effect was an increased alkaline phosphatase and transaminase activity without hyperbilirubinemia, but this finding was not statistically significant (p greater than 0.05). Fluconazole, given in a single 400 mg dose, was absolutely effective to cure esophagitis in AIDS, thus permitting to avoid parenteral amphotericin.

Adult↗

Why some countries have national health insurance, others have national health services, and the U.S. has neither.

This article presents a discussion of why some capitalist developed countries have national health insurance schemes, others have national health services, and the U.S. has neither. The first section provides a critical analysis of some of the major answers given to these questions by authors belonging to the schools of thought defined as 'public choice', 'power group pluralism' and 'post-industrial convergence'. The second section puts forward an alternative explanation rooted in an historical analysis of the correlation of class forces in each country. The different forms of funding and organization of health services, structured according to the corporate model or to the liberal-welfare market capitalism model, have appeared historically in societies with different correlations of class forces. In all these societies the major social force behind the establishment of a national health program has been the labor movement (and its political instruments--the socialist parties) in its pursuit of the welfare state. In the final section the developments in the health sector after World War II are explained. It is postulated that the growth of public expenditures in the health sector and the growth of universalism and coverage of health benefits that have occurred during this period are related to the strength of the labor movement in these countries.

Capitalism↗

Regulation of steroid hormone synthesis by human corpora lutea: failure of follicle-stimulating hormone to support steroidogenesis in vivo and in vitro.

The authors studied the role of follicle-stimulating hormone (FSH) in luteal steroidogenesis by replacing gonadotropin-releasing hormone (GnRH) infusion with pure FSH 48 hours after ovulation in two hypogonadotropic patients. Plasma progesterone (P) and estradiol (E2) decreased after FSH administration. Human luteal cells were cultured for 48 hours in the presence and absence of FSH, human chorionic gonadotropin (hCG), testosterone (T), or dibutyryl cyclic adenosine monophosphate (Bu2cAMP). In the presence of T, E2 synthesis increased significantly, indicating an active aromatase system in these cells. Human chorionic gonadotropin as well as Bu2cAMP significantly increased E2, T, and P synthesis. Follicle-stimulating hormone did not stimulate luteal E2, T, or P synthesis. The authors conclude that FSH does not sustain luteal steroidogenesis. Moreover, the in vitro findings reveal that hCG modulation of luteal E2 synthesis is mediated principally by an increase in androgen precursors. These in vivo and in vitro results confirm a crucial role for luteinizing hormone (LH) in the maintenance of luteal steroidogenesis.

Adult↗

Race or class, or race and class.

In 1987, The Milbank Quarterly published two special supplements on the health status of blacks in the United States. Dr. Vicente Navarro wrote a letter concerning the issues raised in these publications to the editor of The Milbank Quarterly, but the decision was made not to print it. Because of the importance of the subject involved, the letter is published here, with the hope of opening a debate on the issues discussed in The Milbank Quarterly's supplements and in Navarro's letter. Professor Miller, a major contributor to the supplements, will reply to Navarro's comments in an upcoming issue of this journal.

Black or African American↗

The Jackson National Health Program.

In this position paper we outline the major problems that exist in the U.S. health care system and present a proposal for addressing them. This paper contains the major health proposal put forward by the Jesse Jackson 1988 Campaign, calling for the establishment in the United States of a universal and comprehensive National Health Program (NHP) that will be federally funded and administered and be equitably financed. We also discuss how the NHP will affect patients, unions, corporations and employers, practitioners and other health workers, hospitals, and the insurance industry. Specific proposals are made for the transition from the current system to the proposed NHP, with a discussion of the major differences between national health proposals put forward by the two major Democratic contenders for the U.S. Presidency. This position paper also includes a brief appendix sketching some of the major differences between the U.S. and the Canadian medical care systems.

Cost-Benefit Analysis↗

The rediscovery of the National Health Program by the Democratic Party of the United States: a chronicle of the Jesse Jackson 1988 campaign.

This report chronicles the major developments in the Jesse Jackson 1988 Campaign and their consequences for the establishment of a national health program in the United States. It describes the characteristics of the Jackson 1988 Campaign, and the set of events that led to the rediscovery of the national health program by the Democratic Party of the United States.

Health Benefit Plans, Employee↗

[Respiratory distress in an addict on parenteral drugs with tricuspid endocarditis due to Staphylococcus aureus and with Pneumocystis carinii pneumonia].

A case of a female, intravenous (I.V.) drug user with respiratory distress syndrome as first manifestation 24 hours after admission, is presented. The clinical suspicion of tricuspid valve endocarditis associated to Pneumocystis carinii pneumonia arose because this patient was a member of a high-risk AIDS group. An empiric treatment was applied and the diagnosis was made posterior to this. We comment on the unusual coincidence of both pathologic states, highlighting the early diagnosis and treatment.

Adolescent↗