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Marks TA, Rossanese M, Yale AD, Stewart S, Smallwood K, Rigas K, Guillén A. Prognostic factors and outcome in cats with thymic epithelial tumours: 64 cases (1999-2021). J Small Anim Pract 2024; 65:47-55. [PMID: 37800196 DOI: 10.1111/jsap.13675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Revised: 07/18/2023] [Accepted: 09/06/2023] [Indexed: 10/07/2023]
Abstract
OBJECTIVES To describe the clinical presentation, treatment and outcomes of cats diagnosed with thymic epithelial tumours and to determine prognostic factors for survival and recurrence. MATERIALS AND METHODS Clinical records of cats diagnosed with a thymic epithelial tumour between 1999 and 2021 at three referral institutions were retrospectively reviewed. RESULTS Sixty-four cats were included. Paraneoplastic syndromes were present in nine cats and metastatic disease was seen in two cats, one at diagnosis and one at the time of recurrence. Median tumour diameter was 6 cm (range, 2 to 15) and a cystic appearance was described on imaging in 25 cats. Surgical excision was attempted in 54 cats with a perioperative mortality rate of 11%. Median survival time for cats surviving to hospital discharge was 897 days (range, 21 to 3322). The 1-, 2- and 5-year survival rates for surgically treated thymic epithelial tumour were 86%, 70% and 66%, respectively. Survival was longer for cats with Masaoka-Koga stage I and II tumours compared to stages III and IV (1366 days versus 454 days; P=0.002). Masaoka-Koga stage was the only significant prognostic factor detected on multi-variable analysis, with stage III and IV tumours associated with increased risk of death (hazard ratio: 5.67, 95% confidence interval: 1.29 to 24.91, P=.021). Tumour recurrence occurred in 11 cats at a median of 564 days (range, 93 to 1095); no significant prognostic factors for recurrence were identified. CLINICAL SIGNIFICANCE Cats with thymic epithelial tumours had a good long-term prognosis following surgery. Tumour recurrence can occur late in the disease course and ongoing monitoring should therefore be considered. Masaoka-Koga stage may influence survival time and could be used to predict outcome.
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Affiliation(s)
- T A Marks
- Royal Veterinary College, Hatfield, AL9 7TA, UK
| | - M Rossanese
- Royal Veterinary College, Hatfield, AL9 7TA, UK
| | - A D Yale
- Royal Veterinary College, Hatfield, AL9 7TA, UK
| | - S Stewart
- Royal Veterinary College, Hatfield, AL9 7TA, UK
| | - K Smallwood
- North Downs Specialist Referrals, Bletchingley, RH1 4QP, UK
| | - K Rigas
- Southfields Veterinary Specialists, Basildon, Essex, SS14 3AP, UK
| | - A Guillén
- Royal Veterinary College, Hatfield, AL9 7TA, UK
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2
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Rogato F, Tanis JB, Pons Gil B, Pittaway C, Johnston CA, Guillén A. Clinical characterisation and long-term survival of paediatric and juvenile lymphoma in cats: 33 cases (2008-2022). J Small Anim Pract 2023; 64:788-796. [PMID: 37565270 DOI: 10.1111/jsap.13667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2023] [Revised: 05/19/2023] [Accepted: 07/12/2023] [Indexed: 08/12/2023]
Abstract
OBJECTIVES The aims of this study were to describe the clinical presentation, tumour characteristics, responses to chemotherapy protocols and toxicity in a cohort of cats with lymphoma up to 18 months of age. In addition, the probability of long-term (>2 years) survival was explored. MATERIALS AND METHODS The medical records of client-owned cats aged up to 18 months diagnosed with lymphoma between 2008 and 2022 at five UK-based veterinary referral hospitals were reviewed. RESULTS Thirty-three cats were included. The most common anatomical forms were mediastinal (42%), disseminated disease (30%) and renal (15%), with all cats having intermediate to large cell lymphoma. Three out of 29 cats tested were positive for FeLV but none for FIV. Twenty-six cats were treated with multi-agent chemotherapy protocols with complete and partial responses seen in 46% and 50% of cats, respectively. For this group, median progression-free survival was 133 days (95% confidence interval [Cl] 67 to 199) and median survival time was 268 days (95% Cl 106 to 430). Complete response to chemotherapy was associated with a longer progression-free survival. Seven cats were considered long-term survivors (>2 years). Chemotherapy was generally well tolerated with none of the long-term survivors suffering from chronic sequelae from cytotoxic treatment. CLINICAL SIGNIFICANCE Paediatric and juvenile cats with lymphoma showed a high response rate to multi-agent chemotherapy protocols with rare significant toxicities. The presence of long-term survivors may suggest a more favourable outcome in a subset of patients.
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Affiliation(s)
- F Rogato
- Department of Clinical Sciences and Services, Royal Veterinary College, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire, AL9 7TA, UK
| | - J B Tanis
- Institute of Systems, Molecular and Integrative Biology, Department of Molecular and Clinical Cancer Medicine, University of Liverpool, Liverpool, L69 7BE, UK
| | - B Pons Gil
- Southfields Veterinary Specialists, Basildon, SS14 3AP, UK
- Hospital Veterinario Anicura Aitana, Valencia, 46920, Spain
| | - C Pittaway
- Dick White Referrals, Six Mile Bottom, CB8 0UH, UK
| | - C A Johnston
- Southern Counties Veterinary Specialists, Ringwood, BH24 3JW, UK
| | - A Guillén
- Department of Clinical Sciences and Services, Royal Veterinary College, Hawkshead Lane, North Mymms, Hatfield, Hertfordshire, AL9 7TA, UK
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3
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Liébana-Cabanillas F, Herrera L, Guillén A. Variable selection for payment in social networks: Introducing the Hy-index. Computers in Human Behavior 2016. [DOI: 10.1016/j.chb.2015.10.022] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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4
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Sánchez-Montalvá A, Fernández-Luque A, Simeón CP, Fonollosa-Plà V, Marín A, Guillén A, Vilardell M. Anti-SSA/Ro52 autoantibodies in scleroderma: results of an observational, cross-sectional study. Clin Exp Rheumatol 2014; 32:S-177-82. [PMID: 25372801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2014] [Accepted: 07/31/2014] [Indexed: 06/04/2023]
Abstract
OBJECTIVES To date, the diagnostic utility of anti-SSA/Ro52 autoantibodies in scleroderma and the association of them with certain clinical manifestations, particularly inflammatory myositis, are still controversial. This paper aims to assess the correlation between the presence of anti-SSA/Ro52 antibodies and the demographic, clinical and prognosis characteristics of patients with systemic sclerosis (SSc). METHODS This is a retrospective, cross-sectional and observational study in patients with SSc. Baseline demographic and clinical characteristics were recorded. Presence of anti-SSA/Ro52, anti-SSA/Ro, anti-SSB/La, snRNP/Sm, anti-centromere, anti-Scl-70 and anti-PM-Scl were analysed by immunoblot, and antinuclear antibodies (ANA) by indirect immunofluorescence. Statistical analysis was performed with PASW Statics 18 software. RESULTS A total of 132 consecutive patients with analysis of anti-SSA/Ro52 antibodies were selected from a Spanish cohort of 408 patients with SSc, 87.1% of them being women. About half of patients had the limited form (51.5%), followed by diffused form (18.9%), sclerosis sine scleroderma (22.7%), and pre-scleroderma (6.8%). Prevalence of anti-SSA/Ro52 was 35.6%. No association between anti-SSA/Ro52 and clinical manifestations was found, while detection of anti-SSA/Ro52 was significantly associated with the presence of anti-Ro. CONCLUSIONS The results of our study show that anti-SSA/Ro52 antibodies are often found in SSc patients. No clinical manifestations, including inflammatory myopathy, were related with anti-SSA/Ro antibodies.
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Affiliation(s)
- A Sánchez-Montalvá
- Department of Internal Medicine, Hospital Universitario Vall d´Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.
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5
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Ferrer-Gallego PP, Roselló R, Guillén A, Laguna E, Gómez J, Peris B. Tipificación de dos nombres linneanos del género <em>Erigeron</em> L. (<em>Compositae</em>). Collect Bot 2014. [DOI: 10.3989/collectbot.2013.v32.214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
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6
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Balmori C, Guillén A, Montans J, Bronet F, García-Velasco JA. Successful ICSI in an azoospermic and kidney transplant man with type 1 primary hyperoxaluria and first histopathological testicular findings described in the literature. Andrologia 2014; 47:109-11. [PMID: 24456123 DOI: 10.1111/and.12230] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/27/2013] [Indexed: 01/17/2023] Open
Abstract
In this report, we describe for the first time a pregnancy using sperm retrieved from an azoospermic man with kidney transplant due to type I primary hyperoxaluria. It is the first case that we were able to find in the literature for both male infertility and hystopathologic findings.
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Affiliation(s)
- C Balmori
- IVI Madrid, Rey Juan Carlos University, Madrid, Spain
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7
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Ferrer-Gallego PP, Roselló R, Guillén A, Laguna E, Gómez J, Peris B. Tipificación de dos nombres linneanos del género <em>Erigeron</em> L. (<em>Compositae</em>). Collect Bot 2013. [DOI: 10.3989/collectbot.2013.v32.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Se presenta la lectotipificación del nombre Erigeron glutinosus L., con una ilustración de Barrelier de 1714 y de E. tuberosus L., con un ejemplar del herbario UPS-BURSER.
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Florido J, Pomares H, Rojas I, Guillén A, Ortuno F, Urquiza J. An effective, practical and low computational cost framework for the integration of heterogeneous data to predict functional associations between proteins by means of Artificial Neural Networks. Neurocomputing 2013. [DOI: 10.1016/j.neucom.2012.11.040] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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9
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Vilaragut JJ, Duménigo C, Delgado JM, Morales J, McDonnell JD, Ferro R, Ortiz López P, Ramírez ML, Pérez Mulas A, Papadopulos S, Gonçalves M, López Morones R, Sánchez Cayuela C, Cascajo Castresana A, Somoano F, Álvarez C, Guillén A, Rodríguez M, Pereira PP, Nader A. Prevention of accidental exposure in radiotherapy: the risk matrix approach. Health Phys 2013; 104:139-150. [PMID: 23274816 DOI: 10.1097/hp.0b013e3182680379] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Knowledge and lessons from past accidental exposures in radiotherapy are very helpful in finding safety provisions to prevent recurrence. Disseminating lessons is necessary but not sufficient. There may be additional latent risks for other accidental exposures, which have not been reported or have not occurred, but are possible and may occur in the future if not identified, analyzed, and prevented by safety provisions. Proactive methods are available for anticipating and quantifying risk from potential event sequences. In this work, proactive methods, successfully used in industry, have been adapted and used in radiotherapy. Risk matrix is a tool that can be used in individual hospitals to classify event sequences in levels of risk. As with any anticipative method, the risk matrix involves a systematic search for potential risks; that is, any situation that can cause an accidental exposure. The method contributes new insights: The application of the risk matrix approach has identified that another group of less catastrophic but still severe single-patient events may have a higher probability, resulting in higher risk. The use of the risk matrix approach for safety assessment in individual hospitals would provide an opportunity for self-evaluation and managing the safety measures that are most suitable to the hospital's own conditions.
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Guillén A, Bronet F, Liñán A, Ariza M, Nogales C, Martinez E, Velasco J. P47 Effect of advanced maternal age on the stability of a preimplantation genetic screening program through one year and 347 cycles. Reprod Biomed Online 2012. [DOI: 10.1016/s1472-6483(12)60264-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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11
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Fico G, Fioravanti A, Arredondo MT, Ardigó D, Guillén A. A healthy lifestyle coaching-persuasive application for patients with type 2 diabetes. Annu Int Conf IEEE Eng Med Biol Soc 2011; 2010:2221-4. [PMID: 21095691 DOI: 10.1109/iembs.2010.5626185] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Losing weight can be one of the toughest objectives related to diabetes treatment, especially for Type 2 diabetes mellitus. This paper describes a tool to set goals to achieve lifestyle behavioral changes, and keep track of the benefits derived from these changes. This strategy leans on the capability of evaluating users' compliance to treatment, identifying key points where the lack of motivation causes therapy dropping, and on the better resources that physicians will have to adjust the treatments and the prescriptions.
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Affiliation(s)
- G Fico
- Lifestyle Supporting Technologies Group, Technical University of Madrid, ES 28040, Spain.
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12
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Vicente R, Pajares A, Vicente JL, Aparicio R, Loro JM, Moreno I, Soria A, López A, Porta J, de la Fuente C, Herrera P, Tur A, Osseyran F, Guillén A, Martí F, Llagunes J, Mateo E, Aguar F, Peña JJ, Marqués JI, Ripoll A, Reina C, Ferrandis P, Muedra V, Llopis E, Cantó M, García C. [Mortality following cardiac surgery in the National Health Service Hospitals of the Community of Valencia in 2007: a descriptive analysis]. ACTA ACUST UNITED AC 2010; 57:79-85. [PMID: 20336998 DOI: 10.1016/s0034-9356(10)70168-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
OBJECTIVE To analyze clinical records of cardiac surgery patients in an attempt to identify factors associated with mortality in the postoperative critical care units of the public health service hospitals in the Community of Valencia, Spain, in 2007. METHODS Retrospective study of cases from January 1, 2007 to December 31, 2007. The charts of all patients who underwent cardiac surgery with or without extracorporeal circulation were reviewed. A data collection protocol was followed to obtain information on age, sex, body mass index (BMI), presurgical risk factors, type of surgery, duration of extracorporeal circulation, duration of ischemia, cause of death, and length of stay in the postoperative critical care unit. RESULTS The study population consisted of 2113 patients at 5 public hospitals; 124 patients (70 men, 54 women) died. The mean (SD) age was 70 (9.43) years (range, 36-91 years). The mean BMI was 28.19 kg/m2 (maximum, 42 kg/m2). The mean Euroscore was 21.92 (maximum, 94.29). Hypertension was present as a preoperative risk factor in most patients (74.2%); dyslipidemia was present in 51.6%, diabetes mellitus in 38.7%, stroke in 73%, and renal failure in 2.4%. It was noteworthy was that the group who underwent coronary revascularization had the highest mortality rate (nearly 35% of the 124 patients). The next highest mortality rate (19.4%) was in patients who had combined procedures (valve repair or substitution plus coronary revascularization). Mortality was 18.5% in the group undergoing aortic valve surgery and 11.3% in those undergoing mitral valve surgery. The mean duration of extracorporeal circulation was 148.63 minutes. The mean duration of myocardial ischemia was 94.91 minutes. The most frequent cause of death was cardiogenic shock (54.8%). This was followed by distributive shock (29.8%) and hemorrhagic shock (8.9%). The mean length of stay in the postoperative critical care unit was 13.6 days. Overall mortality was 5.87%. CONCLUSIONS The highest mortality rate among cardiac surgery patients in postoperative critical care units in hospitals in the Community of Valencia in 2007 was in patients who underwent coronary revascularization. The most prevalent preoperative risk factor was hypertension. Cardiogenic shock and distributive shock were the most frequent causes of death in these patients. A system for classifying risk is needed in order to predict mortality in critical care units and improve perioperative care.
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Affiliation(s)
- R Vicente
- Sección de Anestesiología y Cuidados Críticos de Cirugía Cardiaca en la Comunidad Valenciana.
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13
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Palacios-Espinosa A, Espinoza-Villavicencio J, de Luna R, Guillén A, Avila N. Extension model of lactation curves to evaluate the effect of the recombinant bovine somatotropin on milk yield in Holstein cows. ARQ BRAS MED VET ZOO 2010. [DOI: 10.1590/s0102-09352010000100017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
An extension model of lactation curves was used to determine the effect of recombinant bovine somatotropin (bST-r) on milk yield in Holstein dairy cattle. This model use the fitted values obtained by the Wood model, and was tested on the records of 66 cows. The milk yield predicted with the extension model and the observed yield were compared and no significant differences were observed (P>0.05). Once the extension model was validated, the milk yield tests of 199 cows were used. The cows received bST-r 500mg by subcutaneous injections. The injections were applied after 100 days in milk at 14-day intervals (seven injections). The observed milk yield was compared with the yield expected by the extension model. An increase of 5.3% was observed in milk yield in response to the bST-r. This increase is lower than that reported in the literature in response to the growth hormone in dairy cattle. It is concluded that extension model used in the present work is reliable for extending the lactation curve in Holstein cows, and the increase in milk yield in response to the application of bST-r, determined in the same animal using the extension model, was lower than that reported by other authors.
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Affiliation(s)
| | | | - R. de Luna
- Universidad Autónoma de Baja California Sur Carretera al Sur, México
| | - A. Guillén
- Universidad Autónoma de Baja California Sur Carretera al Sur, México
| | - N.Y. Avila
- Universidad Autónoma de Baja California Sur Carretera al Sur, México
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14
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del Moral F, Guillén A, del Moral L, O’Valle F, Martínez L, del Moral R. Duroc and Iberian pork neural network classification by visible and near infrared reflectance spectroscopy. J FOOD ENG 2009. [DOI: 10.1016/j.jfoodeng.2008.07.027] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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15
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Teixidor P, Guillén A, Cruz O, Costa J. El meningioma en edad pediátrica: Revisión de 10 casos. Neurocirugia (Astur) 2008. [DOI: 10.4321/s1130-14732008000500004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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16
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Teixidor P, Guillén A, Cruz O, Costa JM. [Intracranial meningiomas in children: report of 10 cases]. Neurocirugia (Astur) 2008; 19:434-439. [PMID: 18936860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
The occurrence of meningiomas in children is rare, accounting for less than 5% of tumors of the central nervous system in childhood. This is a retrospective study of 10 patients with CNS meningiomas. The goal of this study was to determine the epidemiology, clinical and radiological features, and long-term outcome of meningiomas. The results ware compared with those reported in the literature.
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Affiliation(s)
- P Teixidor
- Servicio de Neurocirugía, Hospital de Bellvitge, Barcelona
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17
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Guillén A, Aragonés M, Lobato G, Cabañes I, Bronet F, Rubio C, Garcí VJA. 9.003 Preimplantation genetic aneuploidy screening in women older than 42 years. Reprod Biomed Online 2008. [DOI: 10.1016/s1472-6483(10)61421-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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18
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Herrera L, Pomares H, Rojas I, Guillén A, Prieto A, Valenzuela O. Recursive prediction for long term time series forecasting using advanced models. Neurocomputing 2007. [DOI: 10.1016/j.neucom.2006.04.015] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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19
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Guillén A, González J, Rojas I, Pomares H, Herrera L, Valenzuela O, Prieto A. Using fuzzy logic to improve a clustering technique for function approximation. Neurocomputing 2007. [DOI: 10.1016/j.neucom.2006.06.017] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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20
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Herrera L, Pomares H, Rojas I, Guillén A, González J, Awad M, Herrera A. Multigrid-based fuzzy systems for time series prediction: CATS competition. Neurocomputing 2007. [DOI: 10.1016/j.neucom.2006.09.014] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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21
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Guillén A, Pacheco A, Midsuf A, Rabadán S, Requena A, Velasco JG. Does the Addition of Letrozole in a GnRH Antagonist Protocol Offer Any Benefit in Low Response? Fertil Steril 2005. [DOI: 10.1016/j.fertnstert.2005.07.852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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22
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Costa JM, de Reina L, Guillén A, Claramunt E. [Occipital dermal sinus associated to a cerebellar abscess. Case]. Neurocirugia (Astur) 2004; 15:480-3. [PMID: 15558207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
Abstract
Congenital dermal sinuses are tubular tracts which communicate the skin with deeper structures. It is a manifestation of defective separation of the ectoderm and neuroderm. The incidence is 1/2500-3000 births alive. Almost 10 % of congenital dermal sinuses are localized in the occipitocervical region. They are usually asymptomatic, unless an infectious process is concurrent (meningitis, abscess). We are presenting the case of a 12 months girl with unnoticed cutaneous stigmata in the occipital region, who was admitted with a meningeal syndrome and secondary neurological impairment. She had a cerebellar abscess and was treated with decompression by puncture of the abscess and antibiotics. When infection was resolved, congenital dermal sinus was excised. Process solves without morbidity. We reviewed the clinical and therapeutic features in cases reported previously in the literature.
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Affiliation(s)
- J M Costa
- Servicio de Neurocirugía, Hospital Sant Joan de Déu, Barcelona, Spain
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23
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Moreno L, Guillén A, Pacheco A, Mifsud A, Duque L, Garcia-Velasco J. Aromatase inhibitor letrozole improves implantation rate in poor responder IVF/ICSI patients. Fertil Steril 2004. [DOI: 10.1016/j.fertnstert.2004.07.312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Mierez R, Guillén A, Brell M, Cardona E, Claramunt E, Costa JM. [Growing skull fracture in childhood. Presentation of 12 cases]. Neurocirugia (Astur) 2003; 14:228-33; discussion 234. [PMID: 12872172 DOI: 10.1016/s1130-1473(03)70542-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Growing skull fractures (GSF) are rare complications of head injury (HI) in childhood. This entity consists of a skull fracture with an underlying dural tear that courses with a progressive enlargement of the fracture to produce a cranial defect. The pathophysiology and some aspects of its management are still controversial. In this review we present 12 patients diagnosedd and treated for a GSF at our institution between 1980 and 2002. 11 patients were under the age of 3 years and one patient was 5 years old at the moment of HI. The most common cause of injury was a fall from height. In the initial plain x-rayfilms, 11 patients showed a diastatic skull fracture and one patient only had a linear fracture. At this time, CT scan showed cortical contussion underlying the fracture in every case. The mean time between injury and presentation of GSF was 11.6 weeks. Diagnosis was made by palpation of the cranial defect and confirmed with skull x-rayfilms. The most frecuent location of GSF was in the parietal region. Associated lesions like hydrocephalus, encephalomalacia, lepto-menigeal cysts, brain tissue herniation and ipsilateral ventricular dilatation, were found in the preoperative CT or MRI. All patients underwent a dural repair with pericranium or fascia lata. The cranial defect was covered with local calvarial bone fragments in every case. Only one patient needed a cranioplasty with titanium mesh. Every child with a skull fracture must be followed until the fracture heals. Patients under the age of 3 years with a diastatic fracture and a dural tear, demostrated by TC or MRI, are more prone to develop GSF. In these cases, early repair must be adviced in order to prevent progressive brain damage.
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Affiliation(s)
- R Mierez
- Servicio de Neurocirugía. Hospital Sant Joan de Déu. Universidad de Barcelona, Barcelona. Spain
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Abstract
The most common complications after CSF shunting to treat hydrocephalus are shunt infection and obstruction. Although ventriculoperitoneal (VP) diversion of the CSF using artificial shunt devices is an accepted method for the management of hydrocephalus, high rates of various complications have been reported, ranging from 24% to 47%. Among these, abdominal complications account for approximately 25%. The incidence of bowel perforation by shunt-catheter is known to be as low as 0.1-0.7%. We describe a case of migration af a peritoneal catheter through a congenital hernia of Morgagni.
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Affiliation(s)
- A Guillén
- Servicio de Neurocirugía Pediátrica, Hospital Sant Joan de Déu, Barcelona
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26
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Abstract
Pott's puffy tumour is an infrequent entity characterised by one or more subperiosteal abscesses associated with frontal bone osteomyelitis. Although cases in patients of all ages have been reported, teenagers are the most frequently affected. Early diagnosis and aggressive treatment are essential because of the high risk of severe neurological complications, such as epidural abscess, subdural empyema, and secondary septic thrombosis of the dural sinuses. This paper describes the case of a patient with a subperiosteal abscess resulting from sinusitis, with orbital and intracranial extension, and subsequent neurological complications. Despite modern methods of diagnosis and treatment, 13 new cases have been published in the last 5 years; in at least 3 (23%) of these cases there were serious neurological complications. Upper respiratory infections and sinusitis are leading causes of visits to the emergency department in the paediatric age group; however, no risk factors for poor outcome have so far been identified in any of these patients.
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Affiliation(s)
- A Guillén
- Department of Paediatric Neurosurgery, Hospital Sant Joan de Déu, Barcelona, Spain
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27
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Abstract
A new paradigm appeared in Europe in the early 1990 s regarding the reform of health care systems. This paradigm has come to be known as the managed competition paradigm, among other terms. First introduced in Great Britain, it entails the separation of the financing/purchasing and providing functions, so that competition among providers is enhanced, while maintaining universal access and public financing, at least in principle. This article explores to what extent such paradigm has been emulated within the Greek, Italian, Portuguese and Spanish health care systems. Reform in the direction of managed competition may be ascertained in all four countries. However, each country has emphasized different aspects of the paradigm, and the degree and rhythm of implementation of reform has varied. The article considers the circumstances under which the new paradigm was born, and its main characteristics; analyzes actual reforms in Southern European countries; and provides a tentative explanation of the diffusion mechanisms. It concludes that the crucial factor explaining the different paths of policy adoption and adaptation is the character of the initial health care system.
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Affiliation(s)
- L Cabiedes
- University of Oviedo, Spain, Departamento de Economia Aplicada, Facultad de Ciencias Económicas.
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28
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García-Pérez M, Belda F, Lla J, Aguilar G, Soro M, Martí F, Guillén A. [Changes in chest wall and lung compliance during laparoscopic cholecystectomy]. Rev Esp Anestesiol Reanim 2001; 48:171-5. [PMID: 11333807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/19/2023]
Abstract
INTRODUCTION The performance of laparoscopic cholecystectomy leads to hemodynamic and gasometric changes as well as to mechanical changes in respiration. The last phenomenon has been less studied in spite of its impact on the patient during surgery. OBJECTIVE To study changes in chest wall compliance (Ccw) and lung compliance (CL) during laparoscopic cholecystectomy. Material and methods. Nine patients scheduled for laparoscopic cholecystectomy were enrolled. Tidal volume, plateau pressure (Pt) and esophageal (Pes) were measured and the data were used to calculate respiratory system compliance (Crs), Ccw and CL. Measurements were taken at three moments: T1, with the patients in supine decubitus position; T2, in anti-Trendelenburg position with pneumoperitoneum; T3, after withdrawal of pneumoperitoneum with the patient in supine decubitus position. RESULTS Pt was seen to increase 57%, with a 100% increase in Pes when the patient was placed in anti-Trendelenburg position and pneumoperitoneum was established. Crs changed 44%, with a greater increase taking place in Ccw (52%) than in CL (32%). Baseline values for both pressure and compliance were recovered by T3. CONCLUSIONS Reduced respiratory compliance occurs during laparoscopic cholecystectomy mainly at the chest wall, with much less reduction taking place in the lung. Thus, intrathoracic pressure increases will be greater than transpulmonary pressure increases.
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Affiliation(s)
- M García-Pérez
- Servicio de Anestesiología, Reanimación y Terapia del Dolor. Hospital Clínico Universitario de Valencia, Valencia, Médico adjunto
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29
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Guillén A, Cardona E, Claramunt E, Costa J. 3. Potts puffy tumour: una entidad no erradicada. Neurocirugia (Astur) 2001. [DOI: 10.1016/s1130-1473(01)70869-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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30
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García-Marcos L, Guillén JJ, Dinwiddie R, Guillén A, Barbero P. The relative importance of socio-economic status, parental smoking and air pollution (SO2) on asthma symptoms, spirometry and bronchodilator response in 11-year-old children. Pediatr Allergy Immunol 1999; 10:96-100. [PMID: 10478610 DOI: 10.1034/j.1399-3038.1999.00024.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The aim of this study was to evaluate the relative contribution of several risk factors to the prevalence of allergic respiratory symptoms, and the positivity of the bronchodilator test with fenoterol, and to establish the relative importance of these factors on the variability of FVC, FEV1, PEF, MEF25, MEF50 and MEF75. A total of 340 11-year-old children attending school in polluted and non-polluted areas of the city of Cartagena, Spain, were studied. The polluted area had had an annual mean of 75 microg/m3 of SO2 over the last 10 years and the non-polluted area had < 20 microg/m3 during this period. A questionnaire about allergic respiratory symptoms was completed by the parents. Specific questions about parental smoking habits and socio-economic level were included. Each child's performance in spirometry before and after administration of 0.2 mg of inhaled fenoterol was evaluated. The only significant predictive variables in the logistic regression (for suffering any symptom or a positive bronchodilator response) were male sex for nasal symptoms (RR 1.37; p = 0.04) and housing near heavy traffic for eye symptoms (RR 1.45; p = 0.01). Living in the polluted area reduced the risk of a positive bronchodilator response (RR 0.61; p = 0.004). Maternal smoking, even though not statistically significant, tended to increased the risk of suffering any symptom (RR 1.26; p = 0.07) or of having a positive bronchodilator response (RR 1.23; p = 0.1). None of the risk factors studied was of significant importance in explaining the variability of spirometry results. Although none of the risk factors were specifically determinant to the symptom questions, bronchodilator test or spirometric measurements, having a mother who smokes seems more important than living in a polluted area if statistically non-significant trends are considered.
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Affiliation(s)
- L García-Marcos
- Department of Pediatrics, Murcia School of Medicine, Cartagena, Spain
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31
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Margarit E, Guillén A, Rebordosa C, Vidal-Taboada J, Sánchez M, Ballesta F, Oliva R. Identification of conserved potentially regulatory sequences of the SRY gene from 10 different species of mammals. Biochem Biophys Res Commun 1998; 245:370-7. [PMID: 9571157 DOI: 10.1006/bbrc.1998.8441] [Citation(s) in RCA: 43] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
We have sequenced the 5' region of the SRY gene from human, chimpanzee, sheep, and mouse and from four additional mammalian species, not previously characterized (gorilla, gazelle, rat, and guinea pig). In order to identify conserved DNA elements potentially involved in the regulation of the SRY gene, the newly determined sequences were analyzed and compared to all mammalian SRY promoter sequences available at present. Ten highly conserved potential regulatory elements have been identified in all 10 species (AP1, Barbie, GATA, Gfi1, cMyb, vMyb, NF1, Oct1, Sp1, and SRY). The known function of several of these regulatory elements fits well with the known expression of the SRY gene. However, except for the highly conserved coding HMG motif, only a short region close to the initiation of transcription in the human SRY is conserved in the exact position along the gene in all the species analyzed. This lack of sequence identity at the orthologous positions is consistent with the suggested rapid evolution of the SRY gene. This relative lack of homology contrasts with a high sequence identity of the putative regulatory sequences found within each taxonomic group of species (primates, bovids, and rodents), which supports a common mechanism of SRY expression and possibly also a similar function.
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Affiliation(s)
- E Margarit
- Hospital Clínic, Institut de Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain
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32
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Abstract
A novel modified India ink technique for the diagnosis of Cryptococcus neoformans in cerebrospinal fluid specimens is described. It employs 2% chromium mercury and India ink. This technique allows a clear identification of some external and internal structures of the organism. Three layers from the outer capsule that have previously been discerned only by electron microscopy are distinguished.
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Affiliation(s)
- R Zerpa
- Universidad Nacional Mayor de San Marcos, Lima, Peru
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33
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Abstract
The adaptive response to endurance exercise of the catecholamine- and glucagon-sensitive adenylyl cyclase system was studied in rat liver plasma membranes. Endurance exercise enhanced adenylyl cyclase system activation by cellular agonists (glucagon, isoproterenol), by stimulators of the enzyme catalytic subunit (forskolin, Mn2+), and by Gs-protein activators (GppNHp, fluoride). In addition, endurance exercise increased the levels of G50, Gi alpha, and G beta subunits. These results show that the adenylyl cyclase system becomes sensitized in response to physical training.
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Affiliation(s)
- J L Nieto
- Departamento de Bioquímica y Biología Molecular I, Facultad de CC. Químicas, Universidad Complutense, Madrid, Spain
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Nieto JL, Laviada ID, Guillén A, Haro A. Adenylyl cyclase system is affected differently by endurance physical training in heart and adipose tissue. Biochem Pharmacol 1996; 51:1321-9. [PMID: 8787548 DOI: 10.1016/0006-2952(96)00040-8] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Adaptive changes in the beta-adrenergic adenylyl cyclase (AC) system in response to endurance training were studied in heart and adipose tissue. Training was performed by making male Wistar rats run on a motor-driven treadmill. The changes following exercise training were opposite in the two tissue studied. The density of beta-adrenergic receptors in left ventricular membranes of trained rats showed a marked decrease. Comparison of AC activities in cardiac membranes prepared from trained and sedentary rats revealed a depressing effect of endurance training on: 1. the beta-adrenergic stimulatory pathway and the inhibition of AC via receptor; 2. the Gs component and the Gs-adenylyl cyclase coupling, as shown by the response of adenylyl cyclase to GppNHp and NaF; and 3. the enzyme catalytic activity in the presence of Mn2+ or forskolin. The levels of Gsalpha subunits in the left ventricle, as measured in terms of ADP-ribosylated and immunologically reactive proteins, were decreased by endurance exercise, whereas immunodetectable levels of Gialpha2 increased in the membranes of trained myocardium. In contrast to the diminished sensitivity that characterizes the behavior of the cardiac beta-adrenergic-AC system, endurance physical training increased sensitivity of this signal transduction system in adipose tissue. Thus, the density of beta-ARs as well as AC activity and the beta-adrenergic stimulatory pathway were increased in adipose membranes of trained rats compared with the corresponding sedentary controls. In addition, the levels of Gsalpha subunits were higher in the adipose plasma membranes of trained rats. However, immunodetectable levels of Gi1alpha and Gi3alpha increased with training, whereas the amount of Gi2alpha decreased in membranes of trained rats. In conclusion, the present study shows that chronic exercise is associated with a tissue-specific adaptation of the beta-adrenergic AC system.
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Affiliation(s)
- J L Nieto
- Departamento de Bioquímica y Biología Molecular I. Fac. Químicas. UCM.Ciudad Universitaria, Spain
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35
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Pérez Caballero MC, Gimeno LA, Sánchez Celaya M, Cañas JM, Aznar MP, Guillén A. [Prescription of antibiotics in acute respiratory infections]. Aten Primaria 1996; 17:425-6. [PMID: 8672650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
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36
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Pérez-Baun JC, Galve I, Ruiz-Verdú A, Haro A, Guillén A. Octopamine-sensitive adenylyl cyclase and G proteins in Ceratitis capitata brain during aging. Neuropharmacology 1994; 33:641-6. [PMID: 7936099 DOI: 10.1016/0028-3908(94)90169-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
The loss of the ability in signalling transduction constitutes an attractive hypothesis to explain the age-related loss of functions in the nervous system. In this paper we have examined adenylyl cyclase and G proteins in Ceratitis capitata brain during aging. The intermediate level of complexity of the Mediterranean fruit fly and its short lifespan make it a particularly interesting system for aging studies. Adenylyl cyclase basal activity decreased in the course of aging. By contrast, neither guanine nucleotide-induced activation of adenylyl cyclase nor Gs protein levels were modified. However, adenylyl cyclase activation by octopamine, which is a major neurotransmitter, neuromodulator and neurohormone in insects, was lost during aging. This observation correlated with a decrease in octopamine binding to brain plasma membranes that was due to a decrease in both receptor affinity and binding sites. On the other hand, we observed an increase in the expression of C. capitata Go protein with age, as revealed by pertussis toxin-catalysed ADP-ribosylation and immunoblotting experiments, that was not correlated with an increase in beta subunit levels. This report constitutes the first direct evidence for the participation of a Go protein in aging in the nervous system.
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Affiliation(s)
- J C Pérez-Baun
- Departamento de Bioquímica y Biología Molecular I, Facultad de Ciencias Químicas, Universidad Complutense, Madrid, Spain
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37
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Guillén A, Ibáñez C, Pérez JL, Hernández LM, González MJ, Fernández MA, Fernández R. Organochlorine residues in Spanish common pipistrelle bats (Pipistrellus pipistrellus). Bull Environ Contam Toxicol 1994; 52:231-237. [PMID: 8123983 DOI: 10.1007/bf00198493] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Affiliation(s)
- A Guillén
- Institute of Organic Chemistry (CSIC), Madrid, Spain
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38
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Calvo MA, Guillén A, Toledo-Pereyra LH, Cejalvo D, Lloris JM. Forty-eight-hour liver preservation and subsequent testing of isolated hepatocytes: an evaluation of University of Wisconsin vs M-400 solutions. Transplant Proc 1993; 25:3020-1. [PMID: 8266436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Affiliation(s)
- M A Calvo
- Research Center, Valencia University General Hospital, Spain
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39
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Hernández LM, Ibáñez C, Fernández MA, Guillén A, González MJ, Pérez JL. Organochlorine insecticide and PCB residues in two bat species from four localities in Spain. Bull Environ Contam Toxicol 1993; 50:871-877. [PMID: 8495064 DOI: 10.1007/bf00209952] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Affiliation(s)
- L M Hernández
- Institute of Organic Chemistry (CSIC), Madrid, Spain
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40
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Nieto JL, Díaz-Laviada I, Guillén A, García-Barreno P, Haro A. Cardiac beta-adrenoceptors, G-proteins and adenylate cyclase regulation during myocardial hypertrophy. Cell Signal 1993; 5:169-79. [PMID: 8388701 DOI: 10.1016/0898-6568(93)90068-w] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
The role of the beta-adrenoceptor-G-protein-adenylate cyclase system in the pathogenesis of cardiac hypertrophy was studied. We have used a minipig model of pressure-overload cardiac hypertrophy secondary to aortic banding. Four groups of five animals were used: minipigs made hypertrophic were evaluated 2 months (CH2 group) and 9 months (CH9 group) later and compared to controls (C2 and C9 groups, respectively). A decrease in beta-adrenergic receptor density and an increase in antagonist affinity were shown in left ventricular membranes of hypertrophied animals compared with controls. In both groups, CH2 and CH9, an increase in EC50 for isoproterenol-stimulated adenylate cyclase activity, an increase in forskolin-stimulated adenylate cyclase activity and a diminished inhibition by carbachol of isoproterenol-stimulated adenylate cyclase were observed. In contrast, fluoride-stimulated adenylate cyclase activity was markedly increased only in the end stage of hypertrophy. alpha s-cholera toxin-catalysed ADP-ribosylation is increased in early hypertrophy and then decreases with late hypertrophy and a similar pattern is observed with alpha o pertussis toxin-catalysed ADP-ribosylation, whereas alpha i-ADP-ribosylation remains unchanged. Tissue content of Gs-, Gi- and Go-proteins, as assessed by specific antibodies, was found unchanged in CH9 and CH2 groups when compared with that in C9 and C2 control groups, respectively. Modifications in Gs functional activity in later hypertrophic stages, expressed as alterations in cholera toxin ADP-ribosylation and adenylate cyclase fluoride responsiveness, may be important in the pathogenesis of decompensation from compensated hypertrophy to cardiac failure.
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Affiliation(s)
- J L Nieto
- Departamento de Bioquímica y Biología Molecular I, Facultad de Ciencias Químicas, Universidad Complutense, Madrid, Spain
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41
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Guillén A, Homburger V, Pérez-Baun JC, Haro A. Differential effects of fluoride and a non-hydrolysable GTP analogue on adenylate cyclase and G-proteins in Ceratitis capitata neural tissue. Cell Signal 1993; 5:81-8. [PMID: 8452756 DOI: 10.1016/0898-6568(93)90010-j] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
We have examined the effects of fluoride on guanine nucleotide-binding regulatory proteins (G-proteins) in neural membranes from the dipterous Ceratitis capitata. Fluoride effects on the Gs-protein were monitored by determining adenylate cyclase activity and cholera toxin-catalysed ADP-ribosylation whereas those on the G(o)-protein were studied by measuring ADP-ribosylation with pertussis toxin. Data are discussed in relation to the effects of a non-hydrolysable GTP analogue. G-protein activation carried out by fluoride seems not to mimic, at least in insects, activation by non-hydrolysable GTP analogues, in opposition to that proposed for transducin, the G-protein of the mammalian visual system, and other G-proteins.
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Affiliation(s)
- A Guillén
- Departamento de Bioquímica y Biología Molecular I, Facultad de Ciencias Químicas, Universidad Complutense, Madrid, Spain
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42
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Sánchez Calle JM, de Mora Martín M, Hernández JM, García Peña R, Guillén A, Malpartida F. [Acute myocardial infarction in young adults. Analysis of risk factors and coronary angiography]. Arch Inst Cardiol Mex 1991; 61:225-9. [PMID: 1929670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Eighty patients aged under forty, survivors of an episode of acute myocardial infarction (AMI), were studied by means of angiography. Thirty five had anterior wall infarction, 26 diaphragmatic wall, 9 lateral side and 10 non Q AMI. Tobacco addiction (92% vs 71.9%) and hyperlipemia (34% vs 18.8% were higher (p less than 0.01) that in the total AMI population. They presented an average ejection fraction of 0.56 +/- 0.15 and only in three patients was under 0.30. One, 2 and 3 vessels disease respectively of 43%, 22% and 16%, similar to another series published. A 19% of patients with normal angiography coronaries was seen significantly higher (p less than 0.01) than the observed in AMI in older patients. In conclusion in spite of the good prognosis of this group of patients, is necessary to insist in primary preventive campaigns, mainly against tobacco addiction and hyperlipemia, in order to reduce the frequency of AMI in young people.
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Affiliation(s)
- J M Sánchez Calle
- Servicio de Cardiología, Hospital Regional Carlos Haya, Málaga, España
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43
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Abstract
G proteins are heterotrimeric proteins that play a key role in signalling transduction conveying signals from cell surface receptors to intracellular effector proteins. In particulate preparations from Drosophila melanogaster embryos, only one substrate of 39,000-40,000 molecular weight could be ADP-ribosylated with pertussis toxin. This substrate reacted in immunoblotting and immunoprecipitation experiments with a polyclonal antibody directed against the carboxy-terminal sequence of the alpha subunit of the mammalian Go protein. The Drosophila Go alpha protein was present at all stages of embryonic development; however, its expression markedly increased after 10 h embryogenesis, a period of time during which there is an active development of axonal tracts. Immunolocalization on whole mount embryos has indicated that this protein is principally localized in the CNS and is mainly restricted to the neuropil without any labelling of the cell bodies. In contrast, all the axon tracts of the CNS appeared to be highly labelled. The distribution of the Go alpha protein was also examined in several neurogenic mutants. The Go alpha protein expression was not altered in any of them but the pattern of labelling was disorganized as was the neuronal network. These results suggest a possible role for the Go protein during axonogenesis.
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Affiliation(s)
- A Guillén
- Centre CNRS-INSERM de Pharmacologie-Endocrinologie, Montpellier, France
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44
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Abstract
G proteins couple receptors for extracellular signals to several intracellular effector systems and play a key role in signalling transduction mechanisms. In particulate preparations of Drosophila melanogaster heads, only one substrate for pertussis toxin at 39-40 kd was detected. This substrate, which showed only one isoform when analysed by isoelectric focusing, was recognized by immunoblotting and immunoprecipitation techniques using a polyclonal antibody against the alpha subunit of the Go protein purified from bovine brain and can be thus considered as a Go-like protein. Antibodies obtained against a carboxy-terminal sequence of the alpha subunit of Go (but not of Gi1 or Gi2) and against an internal sequence shared by all the alpha subunits, were also able to cross-react with the alpha subunit of this protein in insects. We have also studied the Go-like protein in several D.melanogaster mutants, primarily in memory and learning mutants. In these mutants there was a sex-dependent enhancement in pertussis toxin-catalysed ADP-ribosylation with respect to the wild-type. This increase could be attributed in part to an increase in the alpha subunit of the Go-like protein, as revealed by immunoblotting with anti-Go alpha polyclonal antibody. This report constitutes the first evidence for the participation of a Go protein in learning and memory.
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Affiliation(s)
- A Guillén
- Centre CNRS-INSERM de Pharmacologie-Endocrinologie, Montpellier, France
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45
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Izquierdo C, Isanta C, Guillén A, Vecino R, Vallés C. [Recurrent oral aphthosis. Its treatment with colchicine]. Aten Primaria 1989; 6:358-9. [PMID: 2491591] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
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46
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Guillén A, Haro A, Municio AM. A possible new class of octopamine receptors coupled to adenylate cyclase in the brain of the dipterous Ceratitis capitata. Pharmacological characterization and regulation of 3H-octopamine binding. Life Sci 1989; 45:655-62. [PMID: 2505008 DOI: 10.1016/0024-3205(89)90052-0] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Octopamine exerts its effects in insects through interaction with at least two classes of receptors, designated octopamine-1 and octopamine-2. Octopamine-2 receptors are positively coupled to adenylate cyclase, while octopamine-1 receptors are not coupled to this enzyme system. Ceratitis capitata brain appears to have octopamine receptors as unique aminergic receptors coupled to adenylate cyclase. These receptors show some pharmacological analogies with respect to octopamine-2 receptors, however they should constitute a new class of octopamine receptors. C. capitata brain octopamine receptors have also been characterized by [3H]octopamine-binding studies, exhibiting similar regulatory mechanisms to other receptors coupled to adenylate cyclase activation.
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Affiliation(s)
- A Guillén
- Department of Biochemistry, Faculty of Chemistry, Universidad Complutense, Madrid, Spain
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47
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Abstract
Two membrane preparation containing glucan synthase activity were obtained by lysis of regenerating sphaeroplasts (enzyme A) or mechanical breakage (enzyme B) of yeast (Candida albicans) cells. The reaction products of both enzymes (glucans A and B respectively) were characterized as linear beta-1,3-linked glucans on the basis of chemical and enzymic analysis. In addition, two pools of glucan could be distinguished in glucan A preparations on the basis of their susceptibility to an exoglucanase. In no case were the reaction products synthesized de novo; rather the radioactive chains were added to the non-reducing end of non-radioactive preformed glucan chains or to an acceptor of a different nature. At least some of the performed chains of glucan A, but not those of glucan B, showed a free reducing terminal. Glucan A preparations were endowed with endoglucanase activity, which, under appropriate conditions, released glucose, laminaribiose and laminaritriose. These sugars were also found in cell-wall autolysates. On the basis of the origin of both enzyme preparations it is suggested that glucan molecules are synthesized while they are bound to a non-glucan acceptor that is subsequently excised, presumably by cell-wall-associated glucanases.
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48
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Guillén A, Leal F, Andaluz E, Larriba G. Endogenous factors that modulate yeast glucan synthetase in cell-free extracts. Biochim Biophys Acta 1985; 842:151-61. [PMID: 2932164 DOI: 10.1016/0304-4165(85)90197-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Yeast 1,3-beta-D-glucan synthetase (EC 2.4.1.34) activity is modulated by endogenous factors obtained by the extraction of different subcellular fractions with hot water. Cell wall fractions were enriched in activators while supernatant fractions also contained appreciable amounts of inhibitors. The action of these compounds requires the presence of EDTA. Maximal activation by the stimulatory material was reached when assayed in sonicated enzymatic preparations that had been obtained by mechanical breakage of cells in water. The activating material derived from cell wall fractions contained a mixture of low molecular weight compounds. They were found to be different from GTP as deduced from their resistance to alkaline phosphatase and different elution profile in gel filtration. The supernatant material was also heterogeneous with regard to both activators and inhibitors. The combined effect of GTP and activating material derived from cell wall fractions was supraadditive. The polymers synthesized in the absence and in the presence of the endogenous activator were characterized as beta-1,3-glucans on the base of their resistance to periodate and susceptibility to beta-glucanases. However, the length of the radioactive chains was greater when synthesized in the presence of the activator. This was mediated by an increase in the Vmax of the synthetase.
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Andaluz E, Guillén A, Cáceres P, Larriba G. Preliminary characterization of two glucan synthetase preparations and their reaction products from Candida albicans. Microbiologia 1985; 1:5-17. [PMID: 2978544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Two glucan synthetase preparations from Candida albicans were obtained by lysis of regenerating protoplasts (enzyme A) or mechanical breakage of yeast cells (enzyme B). Enzyme A was insensitive to EDTA or GTP but it was stimulated by a combination of both agents. Enzyme B was inhibited by EDTA, this inhibition being released by increasing the concentration of the chelating agent or by addition of GTP to the assay mixtures. Enzyme A was further activated by glycerol and sodium fluoride. The reaction products were characterized as linear beta-1,3-linked glucans on the basis of their resistance to periodate and susceptibility to beta-glucanases. In both cases the "in vitro" synthesized radioactive chains were added to the non-reducing end of cold, performed glucan or to and acceptor other than glucan. At least, part of the preformerd glucan chains of enzyme A, but no those of enzyme B, showed a free reducing terminal. On the basis of the origin of both enzyme preparations it is suggested that glucan molecules are synthesized while bound to an acceptor of a different nature which is subsequently excised.
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Affiliation(s)
- E Andaluz
- Departamento de Microbiología, Facultad de Ciencias, Universidad de Extremadura, Badajoz, Spain
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Guillén A, Haro A, Municio AM. Regulatory mechanisms of fatty acid isomers on adenylate cyclase activity from Ceratitis capitata brain. Mol Cell Biochem 1984; 65:83-8. [PMID: 6521731 DOI: 10.1007/bf00226022] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
The regulatory properties of saturated and unsaturated fatty acids on membrane-bound preparations of adenylate cyclase from Ceratitis capitata brains have been investigated. Saturated long-chain fatty acids do not exhibit any significant modification of the enzyme activity of the enzyme preparations but the presence of one, two or three double bonds in the 18C chain provokes an inhibitory effect. Binding of oleate and linoleate to the membrane enzyme preparation is non-specific and simply stoichiometric in the range of concentrations examined. Studies of cis and trans isomers of the double-bond isomers, 18:1(n-9) and 18:1(n-11), reveal the higher inhibitory effect of the cis isomers on membrane-bound adenylate cyclase of the insect brain. The inhibitory effect of cis-vaccinate in the basal conditions of the enzyme assay is identical to the effects obtained in the presence of GTP and octopamine. Insect membrane preparations were labeled with 1,6-diphenyl-1,3,5-hexatriene as fluorescent probe and treated with cis and trans 18:1(n-9) and 18:1(n-11). The fluorescence polarization parameter was measured, from which the microviscosity of the preparations was calculated; microviscosity of the membranes treated with both cis isomers decreased in a clear extent whereas it is not influenced by the trans isomers.
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