Subject(s)
Device Removal/adverse effects , Hemothorax/etiology , Intubation, Intratracheal , Laryngismus/etiology , Postoperative Complications/etiology , Postoperative Hemorrhage/etiology , Pulmonary Edema/etiology , Vacuum , Adult , Airway Obstruction/etiology , Airway Obstruction/physiopathology , Diskectomy , Hemodynamics , Hemothorax/diagnostic imaging , Humans , Hypoxia/etiology , Laryngismus/physiopathology , Male , Postoperative Complications/diagnostic imaging , Pulmonary Edema/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
A comparative study of the voice with sustained phonation of the vowel /a/ was made in 3 groups of male patients: (1) 20 patients receiving total laryngectomy for epidermoid carcinoma of the larynx who had acquired good voice quality after a phonatory fistuloplasty with a Herrmann voice prosthesis; (2) 20 patients undergoing total laryngectomy for epidermoid carcinoma of the larynx who had learned esophageal speech; and (3) 20 subjects with normal voices. Statistical analysis yielded significant differences in fundamental voice frequency between the 3 groups, with the patients with phonatory prostheses revealing the closest to a normal voice. For other parameters used, such as jitter, shimmer, and harmonics/noise ratio, voice quality with a phonatory prosthesis was similar to that obtained with esophageal speech.
Subject(s)
Laryngectomy/rehabilitation , Larynx, Artificial , Voice Quality , Adult , Aged , Aged, 80 and over , Carcinoma, Squamous Cell/surgery , Humans , Laryngeal Neoplasms/surgery , Male , Middle Aged , Phonation , Speech Acoustics , Speech, EsophagealABSTRACT
An exhaustive search for the clinical records of patients diagnosed with tuberculous disease was done in the hospitals of the area under study, which involves 392,000 population. During the years 1992, 1993 and 1994. There were included: 1) patients who had positive bacilloscopy and/or positive Lowenstein's culture in any specimen: 2) patients younger than 35-years-old who had pleural effusion, significant Mantoux and adenosine deaminase (ADA) over 47 U/I in the pleural effusion. In total 814 patients remained in the study with an average age of 38.39(19.39 DE) in 1992, 39.02 (20.04 DE) in 1993, and 34.1 years-old (19.2 DE) in 1994, with extreme ages of 2 months and 87 years-old. The incidence/100,000 H was: in 1992: 67.86, in 1993: 66.58 and in 1994: 73.2. The contagious forms incidence/100,000 H was: 1.5 in 1992 and 1993; and 1.79 in 1994. The hospital mortality incidence/100,000 H was 2.04 in 1992, 2.30 in 1993 and 2.6 in 1994. We conclude that tuberculosis is endemic in our area with moderately high and stationary incidence.
Subject(s)
Tuberculosis/epidemiology , Adolescent , Adult , Age Factors , Aged , Aged, 80 and over , Child , Child, Preschool , Cohort Studies , Female , HIV Infections/complications , Humans , Infant , Male , Middle Aged , Sex Factors , Spain/epidemiology , Tuberculosis/complications , Tuberculosis, Meningeal/epidemiology , Tuberculosis, Pleural/epidemiology , Tuberculosis, Pulmonary/epidemiologyABSTRACT
Se implemento un método de producción de gamma globulina de oveja anti conejo, realizando inoculaciones semanales de 500 ug con adyuvantede Freund's completo y mensuales de 500 ug con adyuvante de Freund's incompleto de ovejas hembras. Se probó una buena producción de gamma globulina a partir delsegundo mes de iniciada la inmunización. Los títulos adecuados para ensayos en fase líquida de hormonas proteícas: LH, FSH, PRL, GH y tiroides T3 y T4 séricas fueron de 1/50. La disponibilidad de este reactivo producido dentro del marco del proyecto ARCAL VIII cubre actualmente los requerimientos de laboratorios nacionales y esta en capacidad de proveer este reactivo a nivel regional
