Jose Luis Hernandez | Shiv Nadar University (original) (raw)
Papers by Jose Luis Hernandez
Http Dx Doi Org 10 2460 Ajvr 76 5 467, Apr 24, 2015
OBJECTIVE To compare pursestring, Witzel (seromuscular inversion), and seromuscular incision jeju... more OBJECTIVE To compare pursestring, Witzel (seromuscular inversion), and seromuscular incision jejunostomy tube placement techniques in vitro. SAMPLE Jejunal specimens from 10 dogs. PROCEDURES Jejunal segments (50 cm) were harvested immediately prior to euthanasia from 10 mixed-breed dogs Specimens were harvested with the orad and aborad ends clamped and stored in saline (0.9% NaCl) solution-soaked towels during instrumentation. Three jejunostomy tubes were placed via 3 techniques (pursestring, Witzel, and seromuscular incision), and 2 double lumen central venous catheters were placed at each intestinal end for luminal filling and leak testing. Intestinal luminal area was measured ultrasonographically with specimens suspended in a warm undyed saline solution bath with the intestinal lumen filled with dyed saline solution (intraluminal pressure, 6 mm Hg). Leak testing was performed by means of infusion of dyed saline solution (4 mL/min) until each jejunostomy site failed. Intestinal luminal area and leakage pressure were compared between the 3 tube placement techniques. RESULTS The Witzel and seromuscular incision techniques decreased the intestinal luminal area measured at the tube insertion site, albeit nonsignificantly. For the seromuscular incision technique, a significant decrease in intestinal luminal area at the intraluminal site of measurement was found. For 2/30 specimens (1/10 pursestring and 1/10 seromuscular incision), failure occurred at pressures within the range of previously reported peak peristaltic pressure for dogs. Failure occurred at supraphysiologic peristaltic pressures for the remaining 28 specimens, including all 10 specimens for the Witzel technique. CONCLUSIONS AND CLINICAL RELEVANCE In this in vitro study, all specimens for the Witzel technique withstood physiologic peristaltic pressures during leak testing. Both tunneling techniques (Witzel and seromuscular incision) created a decrease in intestinal luminal area. Further investigation, including in vivo testing, is indicated to evaluate the clinical relevance of these findings.
Revista De Psicologia Universidad De Antioquia, Jun 1, 2014
Medicina Clinica, Oct 29, 2013
Region Y Sociedad, Apr 1, 2014
Revista De Humanidades Tecnologico De Monterrey, 2001
International Journal of Child Health and Nutrition, Dec 5, 2014
The objective of this study was to examine child, mother, and environmental factors associated wi... more The objective of this study was to examine child, mother, and environmental factors associated with undernutrition in children less than five years old in a Maya community in Yucatan, Mexico. This investigation was designed as a case-control study. All cases (n=42) of undernutrition were included, and a sample of 52 controls was randomly selected from the study population. The frequency of investigated exposure factors was compared between cases and controls by using logistic regression. Undernutrition was associated with child's age (> 36 months old; OR = 3.53; 95% CI = 1.04, 18.40) and mother's marital status (married; OR = 0.29; 95% CI = 0.09, 0.90). The odds of undernutrition were 2.81 times higher in children infected with Giardia spp, but this association was not significant (P = 0.18) after controlling for child's age and mother's marital status. In conclusion, child's age and mother's marital status were associated with child undernutrition in study subjects. Futures studies on undernutrition in children should examine more carefully how mother's marital status alone or in combination with other factors (e.g. socio-economic, psychological factors) can influence child nutrition.
Boletin De La Sociedad Geologica Mexicana, Apr 1, 2011
Es bien conocido que la extracción en los campos geotérmicos está frecuentemente acompañada por s... more Es bien conocido que la extracción en los campos geotérmicos está frecuentemente acompañada por subsidencia, que alcanza docenas de centímetros por año. La subsidencia causada por la extracción de fluidos geotermales en el campo geotérmico Cerro Prieto, localizado en el Valle de Mexicali, alcanza una tasa de 18cm/año y afecta la infraestructura de carreteras, vías de tren, canales de irrigación y terrenos de los poblados y campos agrícolas. Se usaron datos de Interferometría Diferencial de Radar de Apertura Sintética (DInSAR, por sus siglas en inglés) y se compararon con datos históricos de nivelación de precisión, observaciones continuas de instrumentos geotécnicos instalados en la zona y resultados de reconocimiento geotectónico del área de estudio para definir la zona, fronteras y tasa de subsidencia. El resultado del estudio permite distinguir que el área de subsidencia está limitada por las fallas: Imperial, Cerro Prieto, Saltillo y Morelia, zona conocida también como cuenca Cerro Prieto, siendo una zona de subsidencia más grande que el área del campo geotérmico Cerro Prieto. La comparación de las tasas de subsidencia obtenidas para 1994-1997 por nivelación y para 2006-2007 por el método de DInSAR permite determinar la dinámica del proceso de subsidencia en el área de estudio y relacionarla con los cambios en extracción de fluido en el campo geotérmico Cerro Prieto.
Mutation Research/Environmental Mutagenesis and Related Subjects, 1996
Tinidazole is an antiparasitic drug belonging to the 5-nitroimidazole family. It is prescribed ag... more Tinidazole is an antiparasitic drug belonging to the 5-nitroimidazole family. It is prescribed against protozoal infestations and is widely used in Mexico as well as other underdeveloped countries where infectious diseases are the first cause of children mortality. The drug is a direct mutagen in Salmonella typhimurium TA100 strain and the presence of S9 mixture did not modify its mutagenic effect. At low doses no mutagenicity was detected with strains TA100NR, TA98 or UTH8414 (Uvr+ derivative of TA100). Urine from four patients under tinidazole treatment exhibited a mutagenic activity on strain TA100, greater than the expected from the tinidazole concentrations determined by high-performance liquid chromatography (HPLC). Components from the urine samples were separated on thin-layer chromatography (TLC) plates, and their mutagenic effects tested by direct application of the Salmonella assay onto sections of the developed chromatoplate. The Rf of one component (0.62) corresponded to the one obtained for a tinidazole standard and showed the expected mutagenicity, while a second component with an Rf=0.39, exhibited a mutagenic potency slightly greater than the observed for tinidazole; however, as in the case of the drug itself, reduction of the nitro group was necessary for a mutagenic activity.
Journal of the American Animal Hospital Association
Linear-circular hybrid fixators were used to stabilize humeral and femoral fractures in 21 dogs a... more Linear-circular hybrid fixators were used to stabilize humeral and femoral fractures in 21 dogs and five cats. Twenty-two of 24 fractures with sufficient follow-up radiographic evaluation obtained union. Time to radiographic union ranged from 25 to 280 days (mean +/- standard deviation [SD] 110+/-69 days; median 98 days). Eleven animals developed minor and two dogs developed major pin and/or wire tract inflammation. Functional outcome was rated as excellent (n=16), good (n=5), and fair (n=3) at the time of final long-term assessment (range 4.5 to 60.0 months; mean +/- SD 28.4+/-15.4 months; median 28.5 months). Follow-up information was unavailable for two animals. Hybrid fixators were useful constructs for stabilization of humeral and femoral fractures, particularly fractures with short, juxta-articular fracture segments.
European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, Jan 25, 2014
Paravertebral block (PVB) with infusion of local anaesthetic (LA) through a paravertebral cathete... more Paravertebral block (PVB) with infusion of local anaesthetic (LA) through a paravertebral catheter is an effective alternative to epidural analgesia in the management of post-thoracotomy pain. PVB can be done in two ways: either through administration of a bolus dose of the LA or continuous infusion via an infusion pump; currently, there is no consensus on which route is best. Our objective was to compare the efficacy of the PVB for post-thoracotomy pain control using bolus doses versus a continuous infusion pump. We performed a prospective randomized study of 80 patients submitted to thoracotomy. Patients were divided into two independent groups (anterior thoracotomy-ANT-and posterolateral thoracotomy-POST). At the conclusion of the surgery, a catheter was inserted under direct vision in the thoracic paravertebral space at the level of the incision. In each group, patients were randomized to receive levobupivacaine 0.5% every 6 h ('Bolus' group) or levobupivacaine 0.25% in ...
Journal of feline medicine and surgery, Jan 21, 2014
&... more 'Valentine' heart shape is a common qualifier used in veterinary radiology to describe a cardiac silhouette with focal enlargement at the level of the base of the heart in feline patients. Anecdotally, this sign has been thought to be related to biatrial enlargement and also to hypertrophic cardiomyopathy (HCM). However, to our knowledge, there has been no study performed to assess the association between cardiac chamber enlargement and cardiac disease with the 'valentine'-shaped heart. The aim of this study was to verify the association between the…
Journal of Dairy Science, 1997
A vaccine was developed against bovine mastitis based on inactivated, highly encapsulated Staphyl... more A vaccine was developed against bovine mastitis based on inactivated, highly encapsulated Staphylococcus aureus cells; a crude extract of Staph. aureus exopolysaccharides; and inactivated, unencapsulated Staph, aureus and Streptococcus spp. cells. This vaccine was tested on 30 heifers during a 7-mo period. The 30 heifers were randomly assigned to three groups of 10 heifers each. The prepartum group received two injections of the vaccine at 8 and 4 wk before calving, and the postpartum group received two injections at 1 and 5 wk after calving. The control group received two injections of a placebo at 8 and 4 wk before calving. The vaccine or the placebo was administered subcutaneously in the brachiocephalicus muscle of the neck. The frequencies of intramammary infections caused by Staph. aureus were reduced from 18.8% for heifers in the control group to 6.7 and 6.0% for heifers in the prepartum and postpartum groups, respectively. This protective effect was maintained for at least 6 mo. The relative risk of mastitis caused by Staph. aureus was 0.31 and 0.28 for heifers in the prepartum and postpartum groups, respectively, compared with that for heifers in the control group. The results of the trial indicated the effectiveness of the vaccine in decreasing the incidence of intrammammary infections caused by Staph. aureus. A slight but nonsignificant increase occurred in fat production in the milk of vaccinated cows. The vaccine had no observable effect on somatic cell count or streptococcal infections.
Revista Panamericana de Salud Pública, 2000
Se realizó un estudio de cohorte prospectivo cuasi experimental que incluyó a los grupos en riesg... more Se realizó un estudio de cohorte prospectivo cuasi experimental que incluyó a los grupos en riesgo de enfermar de leptospirosis en la provincia de Holguín para evaluar la efectividad de la vacuna contra la leptospirosis humana. Se incluyeron 118 018 personas de 15 a 65 años que presentaban un riesgo permanente o temporal de contraer la enfermedad; de estas, 101 137 fueron inmunizadas con dos dosis de 0,5 mL por vía intramuscular profunda en el músculo deltoides del brazo no dominante, con un intervalo de 6 semanas, constituyendo la cohorte de vacunados, mientras que 16 881 personas no inmunizadas pasaron a integrar la cohorte de no vacunados. A los 21 días de aplicada la segunda dosis, el universo de estudio (previamente censado en un registro de modelo) fue seguido por el sistema local de vigilancia epidemiológica con el objetivo de detectar la enfermedad. El criterio de caso sospechoso y confirmado se conservó durante todo el período de estudio. En el presente trabajo se exponen los resultados al año de haber comenzado el período de vigilancia epidemiológica. La efectividad calculada fue de 97%. Se estima que se logró prevenir 8 de cada 10 casos que se hubieran presentado en esta provincia de no haberse realizado la vacunación. También se midió la reactogenicidad de la vacuna en una submuestra de 1 500 voluntarios de 15 a 65 años de edad. La sintomatología observada fue baja, siendo el dolor ligero en el sitio de la inyección el síntoma más referido (25%). Los resultados del estudio aportan elementos que prueban la utilidad de la nueva vacuna para la prevención de la leptospirosis en personas expuestas al riesgo, por lo que en este grupo se recomienda su aplicación.
Medicina Clínica, 2014
Mujer de 47 añ os de edad, sin antecedentes de interé s, que consultó por la aparició n de una tu... more Mujer de 47 añ os de edad, sin antecedentes de interé s, que consultó por la aparició n de una tumoració n de crecimiento progresivo en la regió n cervical izquierda baja de 2 meses de evolució n, sin otra sintomatología asociada. La exploració n física reveló la presencia de una masa en la regió n supraclavicular izquierda de consistencia elá stica, indolora, no pulsá til ni adherida a planos profundos, de 5 cm de diá metro ( ). La tomografía computarizada mostró una masa quística de 5,7 Â 2,8 cm por debajo del mú sculo esternocleidomastoideo ( , sin adenopatías cervicales ni otras lesiones de interé s, compatible con el diagnó stico de linfangioma cervical. Se propuso a la paciente para cervicotomía y exé resis ( , confirmando el estudio anatomopatoló gico posterior el diagnó stico clínico de linfangioma quístico. El postoperatorio transcurrió sin incidencias, dá ndose de alta hospitalaria a las 24 h para posterior seguimiento ambulatorio, en el que no se han evidenciado signos de recidiva.
HPB Surgery, 1999
Background Hemorrhagic portal hypertension, secondary to both intrahepatic and extrahepatic porta... more Background Hemorrhagic portal hypertension, secondary to both intrahepatic and extrahepatic portal hypertension, is an uncommon entity. In this condition, the extrahepatic and the intrahepatic obstruction of the portal vein, due to chronic liver disease, produce a more severe form of hemorrhagic portal hypertension that is more difficult to control. The results of surgical treatment (modified Sugiura-Futagawa operation) in this subset of patients is analyzed.
Theriogenology, 2006
The perinuclear theca (PT) is involved in several important sperm functions leading to fertilizat... more The perinuclear theca (PT) is involved in several important sperm functions leading to fertilization. The objective of this study was to investigate the effect of cryopreservation of bull spermatozoa on the integrity of the PT and the relationship between PT integrity and semen characteristics. Semen from seven bulls was evaluated before and after cryopreservation, comparing the integrity of the plasma membrane (hypo-osmotic test), percentage of live and dead spermatozoa (triple stain), acrosome integrity (triple stain) and the integrity of the PT (negative stain by electron microscopy). Cryopreservation of bull semen caused substantial damage to the PT; the proportion of spermatozoa with a damaged PT was 15.2% versus 52.5% (P < 0.05) in fresh versus frozenthawed spermatozoa, respectively. Furthermore, on average, 67.4% (range, 64-72%) of fresh spermatozoa were live, compared to 53.1% (range, 49-58%) for frozen-thawed spermatozoa; there was an inverse correlation between the percentage of live spermatozoa and the percentage with damage to the PT. Although 59.1% of frozen-thawed spermatozoa had an intact acrosome, only 43.7% of them still remained alive. In frozen-thawed semen, there was a high correlation (r = 0.69) between live spermatozoa with an intact acrosome and spermatozoa that maintained an intact PT. In conclusion, freezing/thawing of bull spermatozoa altered the PT and maintaining PT integrity may be necessary to maintain acrosome integrity. #
The American Journal of Surgery, 1986
Phosphorus, Sulfur, and Silicon and the Related Elements, 2011
Metal-coordinating heteroaryl sulfonyl groups, such as the 2-pyridylsulfonyl and the 8-quinolylsu... more Metal-coordinating heteroaryl sulfonyl groups, such as the 2-pyridylsulfonyl and the 8-quinolylsulfonyl group, allow the control of the reactivity and stereoselectivity of a great variety of metal-mediated reactions. This concept is rather general and has been applied for the activation of vinyl sulfones and N-sulfonyl imines, as well as in the direct C‒H functionalization of N-H heterocycles. In particular, this kind of coordinating group has played a key role in the enantioselective Rh-catalyzed addition of boronic acids and Cu-catalyzed reduction of 2-pyridyl vinyl sulfones, the Cu-catalyzed addition of organozinc reagents, and the direct Mannich reaction of glycinate imines to N-heteroarylsulfonyl imines. In addition, a general procedure for the Pd-catalyzed C-2 alkenylation of N-(2-pyridylsulfonyl)indoles and pyrroles has been developed.
Journal of the American Veterinary Medical Association, 2010
Journal of Membrane Biology, 2002
We prepare an extract of dog urine (DLU) that, when applied to monolayers of MDCK cells (epitheli... more We prepare an extract of dog urine (DLU) that, when applied to monolayers of MDCK cells (epithelial, derived from a normal dog), enhances the transepithelial electrical resistance (TER) in a dosedependent manner. This increase is not re¯ected in variations of the linear amount of TJ nor in changes of the pattern of junctional strands as observed in freeze fracture replicas, nor in the distribution of claudin 1 (a membrane protein of the TJ) nor ZO-1 (a TJ-associated protein). A preliminary characterization of the active component of DLU indicates that it weighs 30±50 kDa, bears a net negative electric charge, and is destroyed by type I protease but not by 10-min boiling. DLUs prepared from human, dog, rabbit and cat are eective on MDCK cells. However, dog DLU increases TER in MDCK (dog) as well as LLCPK 1 (pig) monolayers, but not in other epithelial cell lines such as LLCRK 1 (rabbit), PTK 2 (kangaroo) and MA-104 (monkey), nor in the endothelial cell line CPA 47 (cow). Given that in its transit from the glomerulus to the urinary bladder the ®ltrate increases its concentration by more than two orders of magnitude, the substance(s) we report may act at increasingly higher concentrations in each segment, and aord a potential clue to the progressive increase of TER across the walls of the nephron from the proximal to the collecting duct.
Http Dx Doi Org 10 2460 Ajvr 76 5 467, Apr 24, 2015
OBJECTIVE To compare pursestring, Witzel (seromuscular inversion), and seromuscular incision jeju... more OBJECTIVE To compare pursestring, Witzel (seromuscular inversion), and seromuscular incision jejunostomy tube placement techniques in vitro. SAMPLE Jejunal specimens from 10 dogs. PROCEDURES Jejunal segments (50 cm) were harvested immediately prior to euthanasia from 10 mixed-breed dogs Specimens were harvested with the orad and aborad ends clamped and stored in saline (0.9% NaCl) solution-soaked towels during instrumentation. Three jejunostomy tubes were placed via 3 techniques (pursestring, Witzel, and seromuscular incision), and 2 double lumen central venous catheters were placed at each intestinal end for luminal filling and leak testing. Intestinal luminal area was measured ultrasonographically with specimens suspended in a warm undyed saline solution bath with the intestinal lumen filled with dyed saline solution (intraluminal pressure, 6 mm Hg). Leak testing was performed by means of infusion of dyed saline solution (4 mL/min) until each jejunostomy site failed. Intestinal luminal area and leakage pressure were compared between the 3 tube placement techniques. RESULTS The Witzel and seromuscular incision techniques decreased the intestinal luminal area measured at the tube insertion site, albeit nonsignificantly. For the seromuscular incision technique, a significant decrease in intestinal luminal area at the intraluminal site of measurement was found. For 2/30 specimens (1/10 pursestring and 1/10 seromuscular incision), failure occurred at pressures within the range of previously reported peak peristaltic pressure for dogs. Failure occurred at supraphysiologic peristaltic pressures for the remaining 28 specimens, including all 10 specimens for the Witzel technique. CONCLUSIONS AND CLINICAL RELEVANCE In this in vitro study, all specimens for the Witzel technique withstood physiologic peristaltic pressures during leak testing. Both tunneling techniques (Witzel and seromuscular incision) created a decrease in intestinal luminal area. Further investigation, including in vivo testing, is indicated to evaluate the clinical relevance of these findings.
Revista De Psicologia Universidad De Antioquia, Jun 1, 2014
Medicina Clinica, Oct 29, 2013
Region Y Sociedad, Apr 1, 2014
Revista De Humanidades Tecnologico De Monterrey, 2001
International Journal of Child Health and Nutrition, Dec 5, 2014
The objective of this study was to examine child, mother, and environmental factors associated wi... more The objective of this study was to examine child, mother, and environmental factors associated with undernutrition in children less than five years old in a Maya community in Yucatan, Mexico. This investigation was designed as a case-control study. All cases (n=42) of undernutrition were included, and a sample of 52 controls was randomly selected from the study population. The frequency of investigated exposure factors was compared between cases and controls by using logistic regression. Undernutrition was associated with child's age (> 36 months old; OR = 3.53; 95% CI = 1.04, 18.40) and mother's marital status (married; OR = 0.29; 95% CI = 0.09, 0.90). The odds of undernutrition were 2.81 times higher in children infected with Giardia spp, but this association was not significant (P = 0.18) after controlling for child's age and mother's marital status. In conclusion, child's age and mother's marital status were associated with child undernutrition in study subjects. Futures studies on undernutrition in children should examine more carefully how mother's marital status alone or in combination with other factors (e.g. socio-economic, psychological factors) can influence child nutrition.
Boletin De La Sociedad Geologica Mexicana, Apr 1, 2011
Es bien conocido que la extracción en los campos geotérmicos está frecuentemente acompañada por s... more Es bien conocido que la extracción en los campos geotérmicos está frecuentemente acompañada por subsidencia, que alcanza docenas de centímetros por año. La subsidencia causada por la extracción de fluidos geotermales en el campo geotérmico Cerro Prieto, localizado en el Valle de Mexicali, alcanza una tasa de 18cm/año y afecta la infraestructura de carreteras, vías de tren, canales de irrigación y terrenos de los poblados y campos agrícolas. Se usaron datos de Interferometría Diferencial de Radar de Apertura Sintética (DInSAR, por sus siglas en inglés) y se compararon con datos históricos de nivelación de precisión, observaciones continuas de instrumentos geotécnicos instalados en la zona y resultados de reconocimiento geotectónico del área de estudio para definir la zona, fronteras y tasa de subsidencia. El resultado del estudio permite distinguir que el área de subsidencia está limitada por las fallas: Imperial, Cerro Prieto, Saltillo y Morelia, zona conocida también como cuenca Cerro Prieto, siendo una zona de subsidencia más grande que el área del campo geotérmico Cerro Prieto. La comparación de las tasas de subsidencia obtenidas para 1994-1997 por nivelación y para 2006-2007 por el método de DInSAR permite determinar la dinámica del proceso de subsidencia en el área de estudio y relacionarla con los cambios en extracción de fluido en el campo geotérmico Cerro Prieto.
Mutation Research/Environmental Mutagenesis and Related Subjects, 1996
Tinidazole is an antiparasitic drug belonging to the 5-nitroimidazole family. It is prescribed ag... more Tinidazole is an antiparasitic drug belonging to the 5-nitroimidazole family. It is prescribed against protozoal infestations and is widely used in Mexico as well as other underdeveloped countries where infectious diseases are the first cause of children mortality. The drug is a direct mutagen in Salmonella typhimurium TA100 strain and the presence of S9 mixture did not modify its mutagenic effect. At low doses no mutagenicity was detected with strains TA100NR, TA98 or UTH8414 (Uvr+ derivative of TA100). Urine from four patients under tinidazole treatment exhibited a mutagenic activity on strain TA100, greater than the expected from the tinidazole concentrations determined by high-performance liquid chromatography (HPLC). Components from the urine samples were separated on thin-layer chromatography (TLC) plates, and their mutagenic effects tested by direct application of the Salmonella assay onto sections of the developed chromatoplate. The Rf of one component (0.62) corresponded to the one obtained for a tinidazole standard and showed the expected mutagenicity, while a second component with an Rf=0.39, exhibited a mutagenic potency slightly greater than the observed for tinidazole; however, as in the case of the drug itself, reduction of the nitro group was necessary for a mutagenic activity.
Journal of the American Animal Hospital Association
Linear-circular hybrid fixators were used to stabilize humeral and femoral fractures in 21 dogs a... more Linear-circular hybrid fixators were used to stabilize humeral and femoral fractures in 21 dogs and five cats. Twenty-two of 24 fractures with sufficient follow-up radiographic evaluation obtained union. Time to radiographic union ranged from 25 to 280 days (mean +/- standard deviation [SD] 110+/-69 days; median 98 days). Eleven animals developed minor and two dogs developed major pin and/or wire tract inflammation. Functional outcome was rated as excellent (n=16), good (n=5), and fair (n=3) at the time of final long-term assessment (range 4.5 to 60.0 months; mean +/- SD 28.4+/-15.4 months; median 28.5 months). Follow-up information was unavailable for two animals. Hybrid fixators were useful constructs for stabilization of humeral and femoral fractures, particularly fractures with short, juxta-articular fracture segments.
European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, Jan 25, 2014
Paravertebral block (PVB) with infusion of local anaesthetic (LA) through a paravertebral cathete... more Paravertebral block (PVB) with infusion of local anaesthetic (LA) through a paravertebral catheter is an effective alternative to epidural analgesia in the management of post-thoracotomy pain. PVB can be done in two ways: either through administration of a bolus dose of the LA or continuous infusion via an infusion pump; currently, there is no consensus on which route is best. Our objective was to compare the efficacy of the PVB for post-thoracotomy pain control using bolus doses versus a continuous infusion pump. We performed a prospective randomized study of 80 patients submitted to thoracotomy. Patients were divided into two independent groups (anterior thoracotomy-ANT-and posterolateral thoracotomy-POST). At the conclusion of the surgery, a catheter was inserted under direct vision in the thoracic paravertebral space at the level of the incision. In each group, patients were randomized to receive levobupivacaine 0.5% every 6 h ('Bolus' group) or levobupivacaine 0.25% in ...
Journal of feline medicine and surgery, Jan 21, 2014
&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;... more &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;Valentine&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39; heart shape is a common qualifier used in veterinary radiology to describe a cardiac silhouette with focal enlargement at the level of the base of the heart in feline patients. Anecdotally, this sign has been thought to be related to biatrial enlargement and also to hypertrophic cardiomyopathy (HCM). However, to our knowledge, there has been no study performed to assess the association between cardiac chamber enlargement and cardiac disease with the &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;valentine&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;-shaped heart. The aim of this study was to verify the association between the…
Journal of Dairy Science, 1997
A vaccine was developed against bovine mastitis based on inactivated, highly encapsulated Staphyl... more A vaccine was developed against bovine mastitis based on inactivated, highly encapsulated Staphylococcus aureus cells; a crude extract of Staph. aureus exopolysaccharides; and inactivated, unencapsulated Staph, aureus and Streptococcus spp. cells. This vaccine was tested on 30 heifers during a 7-mo period. The 30 heifers were randomly assigned to three groups of 10 heifers each. The prepartum group received two injections of the vaccine at 8 and 4 wk before calving, and the postpartum group received two injections at 1 and 5 wk after calving. The control group received two injections of a placebo at 8 and 4 wk before calving. The vaccine or the placebo was administered subcutaneously in the brachiocephalicus muscle of the neck. The frequencies of intramammary infections caused by Staph. aureus were reduced from 18.8% for heifers in the control group to 6.7 and 6.0% for heifers in the prepartum and postpartum groups, respectively. This protective effect was maintained for at least 6 mo. The relative risk of mastitis caused by Staph. aureus was 0.31 and 0.28 for heifers in the prepartum and postpartum groups, respectively, compared with that for heifers in the control group. The results of the trial indicated the effectiveness of the vaccine in decreasing the incidence of intrammammary infections caused by Staph. aureus. A slight but nonsignificant increase occurred in fat production in the milk of vaccinated cows. The vaccine had no observable effect on somatic cell count or streptococcal infections.
Revista Panamericana de Salud Pública, 2000
Se realizó un estudio de cohorte prospectivo cuasi experimental que incluyó a los grupos en riesg... more Se realizó un estudio de cohorte prospectivo cuasi experimental que incluyó a los grupos en riesgo de enfermar de leptospirosis en la provincia de Holguín para evaluar la efectividad de la vacuna contra la leptospirosis humana. Se incluyeron 118 018 personas de 15 a 65 años que presentaban un riesgo permanente o temporal de contraer la enfermedad; de estas, 101 137 fueron inmunizadas con dos dosis de 0,5 mL por vía intramuscular profunda en el músculo deltoides del brazo no dominante, con un intervalo de 6 semanas, constituyendo la cohorte de vacunados, mientras que 16 881 personas no inmunizadas pasaron a integrar la cohorte de no vacunados. A los 21 días de aplicada la segunda dosis, el universo de estudio (previamente censado en un registro de modelo) fue seguido por el sistema local de vigilancia epidemiológica con el objetivo de detectar la enfermedad. El criterio de caso sospechoso y confirmado se conservó durante todo el período de estudio. En el presente trabajo se exponen los resultados al año de haber comenzado el período de vigilancia epidemiológica. La efectividad calculada fue de 97%. Se estima que se logró prevenir 8 de cada 10 casos que se hubieran presentado en esta provincia de no haberse realizado la vacunación. También se midió la reactogenicidad de la vacuna en una submuestra de 1 500 voluntarios de 15 a 65 años de edad. La sintomatología observada fue baja, siendo el dolor ligero en el sitio de la inyección el síntoma más referido (25%). Los resultados del estudio aportan elementos que prueban la utilidad de la nueva vacuna para la prevención de la leptospirosis en personas expuestas al riesgo, por lo que en este grupo se recomienda su aplicación.
Medicina Clínica, 2014
Mujer de 47 añ os de edad, sin antecedentes de interé s, que consultó por la aparició n de una tu... more Mujer de 47 añ os de edad, sin antecedentes de interé s, que consultó por la aparició n de una tumoració n de crecimiento progresivo en la regió n cervical izquierda baja de 2 meses de evolució n, sin otra sintomatología asociada. La exploració n física reveló la presencia de una masa en la regió n supraclavicular izquierda de consistencia elá stica, indolora, no pulsá til ni adherida a planos profundos, de 5 cm de diá metro ( ). La tomografía computarizada mostró una masa quística de 5,7 Â 2,8 cm por debajo del mú sculo esternocleidomastoideo ( , sin adenopatías cervicales ni otras lesiones de interé s, compatible con el diagnó stico de linfangioma cervical. Se propuso a la paciente para cervicotomía y exé resis ( , confirmando el estudio anatomopatoló gico posterior el diagnó stico clínico de linfangioma quístico. El postoperatorio transcurrió sin incidencias, dá ndose de alta hospitalaria a las 24 h para posterior seguimiento ambulatorio, en el que no se han evidenciado signos de recidiva.
HPB Surgery, 1999
Background Hemorrhagic portal hypertension, secondary to both intrahepatic and extrahepatic porta... more Background Hemorrhagic portal hypertension, secondary to both intrahepatic and extrahepatic portal hypertension, is an uncommon entity. In this condition, the extrahepatic and the intrahepatic obstruction of the portal vein, due to chronic liver disease, produce a more severe form of hemorrhagic portal hypertension that is more difficult to control. The results of surgical treatment (modified Sugiura-Futagawa operation) in this subset of patients is analyzed.
Theriogenology, 2006
The perinuclear theca (PT) is involved in several important sperm functions leading to fertilizat... more The perinuclear theca (PT) is involved in several important sperm functions leading to fertilization. The objective of this study was to investigate the effect of cryopreservation of bull spermatozoa on the integrity of the PT and the relationship between PT integrity and semen characteristics. Semen from seven bulls was evaluated before and after cryopreservation, comparing the integrity of the plasma membrane (hypo-osmotic test), percentage of live and dead spermatozoa (triple stain), acrosome integrity (triple stain) and the integrity of the PT (negative stain by electron microscopy). Cryopreservation of bull semen caused substantial damage to the PT; the proportion of spermatozoa with a damaged PT was 15.2% versus 52.5% (P < 0.05) in fresh versus frozenthawed spermatozoa, respectively. Furthermore, on average, 67.4% (range, 64-72%) of fresh spermatozoa were live, compared to 53.1% (range, 49-58%) for frozen-thawed spermatozoa; there was an inverse correlation between the percentage of live spermatozoa and the percentage with damage to the PT. Although 59.1% of frozen-thawed spermatozoa had an intact acrosome, only 43.7% of them still remained alive. In frozen-thawed semen, there was a high correlation (r = 0.69) between live spermatozoa with an intact acrosome and spermatozoa that maintained an intact PT. In conclusion, freezing/thawing of bull spermatozoa altered the PT and maintaining PT integrity may be necessary to maintain acrosome integrity. #
The American Journal of Surgery, 1986
Phosphorus, Sulfur, and Silicon and the Related Elements, 2011
Metal-coordinating heteroaryl sulfonyl groups, such as the 2-pyridylsulfonyl and the 8-quinolylsu... more Metal-coordinating heteroaryl sulfonyl groups, such as the 2-pyridylsulfonyl and the 8-quinolylsulfonyl group, allow the control of the reactivity and stereoselectivity of a great variety of metal-mediated reactions. This concept is rather general and has been applied for the activation of vinyl sulfones and N-sulfonyl imines, as well as in the direct C‒H functionalization of N-H heterocycles. In particular, this kind of coordinating group has played a key role in the enantioselective Rh-catalyzed addition of boronic acids and Cu-catalyzed reduction of 2-pyridyl vinyl sulfones, the Cu-catalyzed addition of organozinc reagents, and the direct Mannich reaction of glycinate imines to N-heteroarylsulfonyl imines. In addition, a general procedure for the Pd-catalyzed C-2 alkenylation of N-(2-pyridylsulfonyl)indoles and pyrroles has been developed.
Journal of the American Veterinary Medical Association, 2010
Journal of Membrane Biology, 2002
We prepare an extract of dog urine (DLU) that, when applied to monolayers of MDCK cells (epitheli... more We prepare an extract of dog urine (DLU) that, when applied to monolayers of MDCK cells (epithelial, derived from a normal dog), enhances the transepithelial electrical resistance (TER) in a dosedependent manner. This increase is not re¯ected in variations of the linear amount of TJ nor in changes of the pattern of junctional strands as observed in freeze fracture replicas, nor in the distribution of claudin 1 (a membrane protein of the TJ) nor ZO-1 (a TJ-associated protein). A preliminary characterization of the active component of DLU indicates that it weighs 30±50 kDa, bears a net negative electric charge, and is destroyed by type I protease but not by 10-min boiling. DLUs prepared from human, dog, rabbit and cat are eective on MDCK cells. However, dog DLU increases TER in MDCK (dog) as well as LLCPK 1 (pig) monolayers, but not in other epithelial cell lines such as LLCRK 1 (rabbit), PTK 2 (kangaroo) and MA-104 (monkey), nor in the endothelial cell line CPA 47 (cow). Given that in its transit from the glomerulus to the urinary bladder the ®ltrate increases its concentration by more than two orders of magnitude, the substance(s) we report may act at increasingly higher concentrations in each segment, and aord a potential clue to the progressive increase of TER across the walls of the nephron from the proximal to the collecting duct.