ABSTRACT
Se describe una paciente con quilotórax bilateral asociado a embolismo de la rama inferior de la arteria pulmonar derecha. Este derrame se desarrolló como resultado de incremento en las presiones venosas centrales. El tratamiento definitivo se logró con streptokinasa (AU)
Subject(s)
Humans , Female , Middle Aged , Pleural Effusion/etiology , Pulmonary Embolism/complications , Chylothorax/etiology , Chylothorax/physiopathology , Arterial Occlusive Diseases/complications , Arterial Occlusive Diseases/diagnostic imaging , Pulmonary Artery/diagnostic imagingABSTRACT
Se describe una paciente con quilotórax bilateral asociado a embolismo de la rama inferior de la arteria pulmonar derecha. Este derrame se desarrolló como resultado de incremento en las presiones venosas centrales. El tratamiento definitivo se logró con streptokinasa
Subject(s)
Humans , Female , Middle Aged , Pleural Effusion/etiology , Pulmonary Embolism/complications , Arterial Occlusive Diseases , Arterial Occlusive Diseases/complications , Pulmonary Artery , Chylothorax/etiology , Chylothorax/physiopathologyABSTRACT
We performed upper gastrointestinal endoscopy in 258 children. We measured the distance from the teeth to cardias and pylorus and found, that height correlated with distance from then teeth to cardias.
Subject(s)
Cardia/anatomy & histology , Endoscopy, Gastrointestinal , Pylorus/anatomy & histology , Child , Child, Preschool , Humans , InfantABSTRACT
Children with encopresis (costiveness) have a social problem, and (BFB) offers them a valid therapeutic alternative. The present prospective study compares the advantages of this technique with conventional treatment in 21 patients, with average ages of 10.13 and 8.54 years in each group. The patients were studied by clinical, manometric and electromyographic parameters. Those treated with BFB showed clinical improvement, with manometric significant enhancement (p < 0.001) of the percentage of internal anal sphincter (IAE) relaxation, relaxation interval of the IAE and rectal sensation threshold (RST), on the other hand, patients treated by conventional therapy only improved the RST (p < 0.01). Biofeedback seems useful in the treatment of the child with encopresis.
Subject(s)
Biofeedback, Psychology , Encopresis/therapy , Anal Canal/physiopathology , Biofeedback, Psychology/methods , Child , Chronic Disease , Constipation/physiopathology , Constipation/therapy , Electromyography , Encopresis/physiopathology , Evaluation Studies as Topic , Female , Humans , Male , Manometry/instrumentation , Manometry/methodsABSTRACT
The redox dye 5-cyano-2,3-ditolyl tetrazolium chloride (CTC) was employed for direct epifluorescent microscopic enumeration of respiring bacteria in environmental samples. Oxidized CTC is nearly colorless and is nonfluorescent; however, the compound is readily reduced via electron transport activity to fluorescent, insoluble CTC-formazan, which accumulates intracellularly. Bacteria containing CTC-formazan were visualized by epifluorescence microscopy in wet-mount preparations, on polycarbonate membrane filter surfaces, or in biofilms associated with optically opaque surfaces. Counterstaining of CTC-treated samples with the DNA-specific fluorochrome 4',6-diamidino-2-phenylindole allowed enumeration of active and total bacterial subpopulations within the same preparation. Municipal wastewater, groundwater, and seawater samples supplied with exogenous nutrients yielded CTC counts that were generally lower than total 4',6-diamidino-2-phenylindole counts but typically equal to or greater than standard heterotrophic (aerobic) plate counts. In unsupplemented water samples, CTC counts were typically lower than those obtained with the heterotrophic plate count method. Reduction of CTC by planktonic or biofilm-associated bacteria was suppressed by formaldehyde, presumably because of inhibition of electron transport activity and other metabolic processes. Because of their bright red fluorescence (emission maximum, 602 nm), actively respiring bacteria were readily distinguishable from abiotic particles and other background substances, which typically fluoresced at shorter wavelengths. The use of CTC greatly facilitated microscopic detection and enumeration of metabolically active (i.e., respiring) bacteria in environmental samples.
Subject(s)
Bacteria/metabolism , Bacteria/isolation & purification , Fluorescent Dyes , Kinetics , Microscopy, Fluorescence , Oxidation-Reduction , Oxygen Consumption , Tetrazolium Salts , Water MicrobiologyABSTRACT
We undertook a prospective, randomized comparison of oral ciprofloxacin with standard parenteral therapies for the treatment of biopsy-proven osteomyelitis caused by susceptible organisms. Following surgical debridement, the ciprofloxacin patients received 750 mg twice a day, and the other patients received a broad-spectrum cephalosporin or a nafcillin-aminoglycoside combination intravenously (i.v.). There were 31 evaluable patients in the ciprofloxacin group, treated an average of 56 days, and 28 in the i.v. group, treated an average of 47 days. Clinical success rates were 24 of 31 (77%) for the ciprofloxacin group and 22 of 28 (79%) for the i.v. group. Of the seven failures in the ciprofloxacin group, one was due to a persistent Klebsiella pneumoniae infection and six were due to relapse of the infection within 1 year of therapy. Of the six failures in the i.v. group, one was due to an Enterobacter aerogenes strain which emerged resistant and five were due to relapse. The most troublesome etiology was polymicrobial osteomyelitis involving Pseudomonas aeruginosa, in which five of six (83%) regimens failed. Adverse reactions occurred infrequently, i.e., in 1 of 31 (3%) of the ciprofloxacin patients and in 4 of 28 (14%) of the i.v. patients, yet all reactions responded to therapy and none required protocol deviation. Our data indicate that oral ciprofloxacin monotherapy is as safe and effective as conventional parenteral therapy in cases of osteomyelitis caused by susceptible organisms.