[Regeneration of the axotomised sciatic nerve in dogs using the tubulisation technique with Chitosan biomaterial preloaded with progesterone]. / Regeneracion del nervio ciatico axotomizado del perro mediante la técnica de tubulizacion con el biomaterial quitosana precargado con progesterona.

INTRODUCTION: Injuries to peripheral nerves can have different causes and may lead to disorders affecting mobility, sensitivity and loss of motor function as they progress. Weiss, in 1944, introduced tubulisation to promote the regeneration of a sectioned nerve. In this study the biomaterial Chitosan was used to induce and stimulate the regeneration of the sciatic nerve in dogs. At the same time, we took advantage of the characteristics offered by Chitosan to include the neurosteroid progesterone in its matrix, as a promoter of axonal growth. AIMS. The aim of our study was to determine the degree of regeneration of the sciatic nerve in dogs when axotomised tubulised with a Chitosan prosthesis steeped in the neurosteroid progesterone. MATERIALS AND METHODS: Young adult female dogs were used to evaluate the regeneration of the sciatic nerve induced at a standard of 15 mm; regeneration was determined by means of an axonal growth chamber. Nerve growth was studied through histological analysis and by electron microscope. RESULTS: The statistical analysis showed that there were no significant differences in the number of myelinated fibres between the experimental groups. The electron microscope images of the transmission in the regenerated nerves in the groups that were tubulised with Chitosan, with and without neurosteroid preloading, revealed an advanced regenerative process. This was evidenced by the fact that collagen fibres, elastin, Schwann cells and both myelinated and non myelinated fibres were observed in all cases. CONCLUSIONS: The regeneration of axotomised, tubulised nerves was achieved regardless of the treatment that was applied. The distal nerve segment that was analysed revealed a similar structure to that of a normal nerve.

Regeneración del nervio ciático axotomizado del perro mediante la técnica de tubulización con el biomaterial quitosana precargado con progesterona / Regeneration of the axotomixed sciatic nerve in dogs using the tubulisation technique with chitosan biomaterial preloaded with progesterone

Introducción. Los nervios periféricos se pueden lesionar por distintas causas, y causar en el curso de su evolución trastornos de movilidad, sensibilidad y pérdida de la función motora. Weiss, en 1944, introdujo la tubulización para promover la regeneración de un nervio seccionado. En este estudio se utilizó el biomaterial quitosana para inducir y estimular la regeneración del nervio ciático del perro, además de aprovechar la cualidad que presenta la quitosana para incluir en su matriz el neuroesteroide progesterona, como un promotor de crecimiento axónico. Objetivo. Determinar el grado de regeneración del nervio ciático del perro axotomizado-tubulizado con una prótesis de quitosana impregnada del neuroesteroide progesterona. Material y métodos. Se emplearon perros hembra adultos jóvenes para evaluar la regeneración del nervio ciático inducida a un defecto de 15 mm, y se determinó su regeneración a través de la cámara de crecimiento axónico. Los crecimientos nerviosos se estudiaron mediante un análisis histológico y por microscopía electrónica. Resultados. El análisis estadístico indicó que no hubo diferencias significativas en el número de fibras mielinizadas entre los grupos experimentales. La microscopía electrónica de transmisión de los nervios regenerados de los grupos tubulizados con quitosana, con y sin neuroesteroide precargado, indicaron un proceso regenerativo avanzado, puesto que en todos se apreciaron fibras de colágeno, elastina, células de Schwann y fibras mielinizadas y no mielinizadas. Conclusiones. La regeneración de los nervios axotomizados y tubulizados se logró con independencia del tratamiento aplicado. El segmento nervioso distal que se analizó evidenció una estructura similar a la de un nervio normal (AU)

[Primary cardiac tumors: a review of 29 cases]. / Tumores cardíacos primários: revisión de 29 casos.

A series of 29 cardiac tumors were operated in Asturias Central Hospital between 1974 and 1994. There were 23 benign and 6 malignant tumors. Among the benign neoplasms, 22 were myxomas and 1 lipoma; there were 6 remalignant tumors, one pulmonary artery sarcoma, two rhabdomyosarcoma, one mesothelioma and two lymphomas. We review the clinical findings of these patients. Long-term results were excellent in patients with benign lesions, and only one recurrence was found. In patients with malignant tumors, surgical procedures were only palliative and aimed at prolonging life; hence, prognosis remained unchanged.

Infective endocarditis of an interventricular patch caused by Acinetobacter haemolyticus.

A case of infective endocarditis caused by Acinetobacter haemolyticus affecting and interventricular patch is reported. The patient, a 21-year-old man with a Fallot's tetralogy who had undergone cardiovascular surgery several years before, received imipenem and gentamicin for 6 and 4 weeks respectively and showed a good response without needing surgical treatment. Endocarditis by Acinetobacter species is very unusual and, to our knowledge, this is the first reported case of infective endocarditis caused by A. haemolyticus. As the clinical characteristics and the response to antibiotics appear to be similar to those reported for infective endocarditis by Acinetobacter lwoffi, prosthetic infective endocarditis by A. haemolyticus is apparently not always an indication for surgical treatment.

[Study of associated risk factors and prevalence of heart diseases in patients with arterial hypertension]. / Estudio de los factores de riesgo asociados y la prevalencia de cardiopatía en pacientes con hipertensión arterial.

We studied the frequency of heart disease and association with other coronary risk factors in 243 consecutive patients (124 male and 119 female) suffering from arterial hypertension (Group HT). The mean age was 67.5 +/- 9.6 years. This group was compared to a group of 357 subjects (217 male and 140 female) without arterial hypertension (Group noHT) and mean age of 63.5 +/- 13 years. In our group the patients with arterial hypertension presented smoking habits in 35%, hypercholesterolemia in 22%, left ventricular hypertrophy (LVH) in 18%, alcoholic habits in 15%, hypertriglyceridemia in 12%, diabetes in 9% and hyperuricemia in 7%. 15% of the patients suffering from arterial hypertension turned out with coronary heart disease (62% angina and 38% myocardial infarction), 19% with atrial fibrillation and 13% with heart failure. Compared to the patients without hypertension we found significant statistical correlation with the age (67.5 +/- 9.6 HT and 63.5 +/- 13 no HT, p < 0.001), the LVH (18% HT and 4% no HT, p < 0.001) and number of coronary risk factors (2 +/- 1 HT and 1.1 +/- 0.9, p < 0.001). The percentage of people without cardiac disease is lower among the group with arterial hypertension (53% HT and 71% noHT, p < 0.001), showing as well a higher incidence of atrial fibrillation (19% HT and 11% noHT, p < 0.05) and heart failure (13% HT and 7% noHT, p < 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)

[A suicide attempt with oral verapamil: a case report]. / Intento de autólisis con verapamilo oral: presentación de un caso.

We report a case of a 29-years-old patient who tried to commit suicide by taking a high dose of verapamil (22 pills containing 240 mg, each, equivalent to 5.28 g). Ten hours after the ingestion he presented a complete atrioventricular heart block which was resolved with medical treatment presenting a normal ECG 36 hours later. To our knowledge this is the only published case of intoxication caused by such a high dose of verapamil.