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Adams AA, Siard-Altman MH, Reedy SE, Barker D, Elzinga S, Sanz MG, Urschel K, Ireland JL. Evaluation of seasonal influences on adrenocorticotropic hormone response to the thyrotropin-releasing hormone stimulation test and its accuracy for diagnosis of pituitary pars intermedia dysfunction. Vet J 2023; 300-302:106035. [PMID: 37802466 DOI: 10.1016/j.tvjl.2023.106035] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Revised: 09/26/2023] [Accepted: 10/03/2023] [Indexed: 10/10/2023]
Abstract
Pituitary pars intermedia dysfunction (PPID) is an age-related neurodegenerative disorder, affecting >20 % of older horses. There is a need for improved endocrine tests for early disease detection, and the thyrotropin-releasing hormone (TRH) stimulation test has been recommended for diagnosis of early or mild cases. However, it is currently not recommended for year-round use due to marked seasonal variability. The aims of this cohort study were to evaluate effects of month and season on adrenocorticotropic hormone (ACTH) responses to TRH stimulation and to derive monthly cut-offs for PPID diagnosis. Sixty-three horses were assigned to control (n = 17), subclinical PPID (n = 21) and clinical PPID (n = 25) groups, based on a composite reference standard that combined clinical history and examination findings with endocrine test results. TRH stimulation tests were performed monthly for a 12-month period. Circannual changes were evaluated with one- and two-way repeated-measures analysis of variance and receiver operating characteristic curve analysis was used to derive cut-off values for basal and TRH-stimulated ACTH. TRH-stimulated ACTH concentrations were lowest in February-May and highest in August-October. Specificity of both basal and 30 min post-TRH ACTH was generally higher than sensitivity, and TRH stimulation had improved diagnostic accuracy compared to basal ACTH, although its sensitivity was not significantly greater year-round. TRH stimulation tests yielded considerably more positive results than basal ACTH in the subclinical group, but few additional positive results in clinical PPID cases. There were large differences between cut-offs that maximised sensitivity or specificity for TRH-stimulated ACTH, highlighting the importance of considering clinical presentation alongside test results in diagnostic decision-making.
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Affiliation(s)
- A A Adams
- Gluck Equine Research Center, Department of Veterinary Science, University of Kentucky, Lexington, KY 40546, USA
| | - M H Siard-Altman
- Equine Studies, Department of Science & Health, Asbury University, One Macklem Drive, Wilmore, KY 40390, USA
| | - S E Reedy
- Gluck Equine Research Center, Department of Veterinary Science, University of Kentucky, Lexington, KY 40546, USA
| | - D Barker
- Gluck Equine Research Center, Department of Veterinary Science, University of Kentucky, Lexington, KY 40546, USA
| | - S Elzinga
- Neurology Department, Michigan Medicine, University of Michigan, Ann Arbor, MI 48103, USA
| | - M G Sanz
- Washington Animal Disease Diagnostic Laboratory, Washington State University,1940 SE Olympia Ave, Pullman, WA 99164-7034, USA
| | - K Urschel
- Department of Animal and Food Sciences, University of Kentucky, Lexington, KY 40546-0215, USA
| | - J L Ireland
- Institute of Infection, Veterinary and Ecological Sciences, Faculty of Health and Life Sciences, The University of Liverpool, Leahurst Campus, Neston, Cheshire CH64 7TE, UK.
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Rodríguez Socarrás M, Ciappara M, García Sanz M, Pesquera L, Carrión DM, Tortolero L, Palou Redorta J, Cózar-Olmo JM, Esteban Fuertes M, Gómez Rivas J. Current status of young urologists and residents' activity and academic training in Spain. National survey results. Actas Urol Esp 2019; 43:169-175. [PMID: 30846289 DOI: 10.1016/j.acuro.2018.11.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2018] [Revised: 11/03/2018] [Accepted: 11/11/2018] [Indexed: 11/18/2022]
Abstract
OBJECTIVE To study the current status of the activity and academic training of residents and young urologists in Spain. MATERIAL AND METHODS From the working group of residents and young urologists of the Spanish Association of Urology (AEU), an anonymous survey of 32 questions was designed. Its aim was to evaluate the academic activity of residents, defined by: number of communications to congresses, publications in national and international journals, clinical rotations within Spain and abroad, master's degree, Doctorate (PhD), applications to the European Board of Urology exam and language competences. The survey was sent via email and disseminated through social networks. RESULTS Ninety-one respondents were obtained; 66% affirmed not having publications in scientific journals, 67% did not perform rotations abroad. Only 21% claimed to have taken the EBU exam. Only 2% of the respondents had completed a Fellowship. Although most of them (82%) had not done so, they would be interested. However, 67% of respondents believed that the relevance of academic/research activity is from high to very high. CONCLUSIONS Our results indicate that academic activity, scientific production and publication of articles of the residents and young urologists in Spain is low. Moreover, participation in the EBU exam, the completion of a master's degree, PhD, rotations and fellowship is low. In contrast, the assessment of scientific activity is considered to be very relevant.
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Affiliation(s)
- M Rodríguez Socarrás
- Grupo de Residentes y Jóvenes Urólogos de la Asociación Española de Urología; Fellowship Servicio de Urología, Ospedale San Raffaele Turro, Milán, Italia; European Training Center in Endourology (ETCE); Young Academic Urologist Urotechnology group (YAU-ESUT).
| | - M Ciappara
- Grupo de Residentes y Jóvenes Urólogos de la Asociación Española de Urología; Servicio de Urología, Hospital Clínico San Carlos, Madrid, España
| | - M García Sanz
- Grupo de Residentes y Jóvenes Urólogos de la Asociación Española de Urología; Servicio de Urología, Complejo Universitario Hospitalario de León, León, España
| | - L Pesquera
- Grupo de Residentes y Jóvenes Urólogos de la Asociación Española de Urología; Servicio de Urología, Hospital Clínico Universitario de Valladolid, Valladolid, España
| | - D M Carrión
- Grupo de Residentes y Jóvenes Urólogos de la Asociación Española de Urología; Servicio de Urología, Hospital Universitario La Paz, Madrid, España
| | - L Tortolero
- Grupo de Residentes y Jóvenes Urólogos de la Asociación Española de Urología; Servicio de Urología, IMED Hospitales, Levante, España
| | | | - J M Cózar-Olmo
- Servicio de Urología, Complejo Hospitalario Universitario de Granada, Granada, España
| | - M Esteban Fuertes
- Servicio de Urología, Hospital de Parapléjicos de Toledo, Toledo, España
| | - J Gómez Rivas
- Grupo de Residentes y Jóvenes Urólogos de la Asociación Española de Urología; Servicio de Urología, Hospital Universitario La Paz, Madrid, España; Young Academic Urologist Urotechnology group (YAU-ESUT)
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Nolazco Sassot L, Villarino NF, Dasgupta N, Morrison JJ, Bayly WM, Gang D, Sanz MG. The lipidome of Thoroughbred racehorses before and after supramaximal exercise. Equine Vet J 2019; 51:696-700. [PMID: 30600546 DOI: 10.1111/evj.13064] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2018] [Accepted: 12/23/2018] [Indexed: 01/06/2023]
Abstract
BACKGROUND A comprehensive study of the effect of supramaximal exercise in lipid homeostasis of Thoroughbreds provides the basis for future research on the role of lipids on energy metabolism in racehorses. OBJECTIVE To compare the plasma lipidome of Thoroughbreds before and after supramaximal exercise using an untargeted lipidomics approach. STUDY DESIGN Pilot experimental study. METHODS Four Thoroughbred horses were used. The maximal oxygen consumption (VO2 max ) was calculated for each horse. Horses then underwent treadmill exercise at the speed for which the oxygen requirements had been calculated to be 115% VO2 max . Plasma samples were obtained before (T0) and immediately (T1), 15 (T2) and 30 (T3) minutes post-exercise, and evaluated using liquid chromatography/mass spectrometry. Data analysis consisted of principal component analysis and one-way repeated measures analysis of variance. RESULTS A total of 933 plasma lipids were detected. Supramaximal exercise-induced significant changes in the signal intensity of 13 lipids; all ubiquitous in the organism as major components of biological membranes or energy substrates. MAIN LIMITATIONS A treadmill was used to replicate track conditions. Also, sample size involved only four horses and the statistical analyses failed to achieve the desired power of 80%. CONCLUSIONS The findings in this pilot study suggest that supramaximal exercise induces changes in specific plasma lipids in Thoroughbred racehorses. While the biological significance of these findings remains to be determined, these results provide baseline information for future studies in lipidomics applied to equine exercise physiology. Further research is warranted to better understand the role of lipids on energy metabolism in Thoroughbred racehorses.
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Affiliation(s)
- L Nolazco Sassot
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Ross University, Basseterre, St Kitts.,Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, Washington, USA
| | - N F Villarino
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, Washington, USA
| | - N Dasgupta
- Department of Mathematics and Statistics, College of Arts and Sciences, Washington State University, Pullman, Washington, USA
| | - J J Morrison
- Department of Mathematics and Statistics, College of Arts and Sciences, Washington State University, Pullman, Washington, USA
| | - W M Bayly
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Ross University, Basseterre, St Kitts
| | - D Gang
- Institute of Biological Chemistry, Washington State University, Pullman, Washington, USA
| | - M G Sanz
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, Washington, USA
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Sanz MG, Loynachan A, Horohov DW. Rhodococcus equi hyperimmune plasma decreases pneumonia severity after a randomised experimental challenge of neonatal foals. Vet Rec 2016; 178:261. [PMID: 26932206 DOI: 10.1136/vr.103095] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [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: 02/07/2016] [Indexed: 11/03/2022]
Abstract
Since a vaccine is not available against Rhodococcus equi, R equi-specific hyperimmune plasma (HIP) is commonly used, although its efficacy remains controversial. The objective of this study was to evaluate the ability of a commercially available HIP to prevent clinical rhodococcal pneumonia in neonatal foals after experimental challenge.
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Affiliation(s)
- M G Sanz
- Maxwell H. Gluck Equine Research Center, University of Kentucky, Lexington, KY, 40546-0099, USA
| | - A Loynachan
- Veterinary Diagnostic Laboratory, Department of Veterinary Science, University of Kentucky, Lexington, KY, 40546-0099, USA
| | - D W Horohov
- Maxwell H. Gluck Equine Research Center, University of Kentucky, Lexington, KY, 40546-0099, USA
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Sanz MG, Oliveira AF, Loynachan A, Page A, Svansson V, Giguère S, Horohov DW. Validation and evaluation of VapA-specific IgG and IgG subclass enzyme-linked immunosorbent assays (ELISAs) to identify foals with Rhodococcus equi pneumonia. Equine Vet J 2015; 48:103-8. [PMID: 25257622 DOI: 10.1111/evj.12363] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2014] [Accepted: 09/03/2014] [Indexed: 11/30/2022]
Abstract
REASONS FOR PERFORMING STUDY Rhodococcus equi (Rhodococcus hoagii/Prescottella equi) is a common cause of foal pneumonia, but its diagnosis remains a challenge for equine veterinarians. While the VapA-specific (virulence-associated protein A) immunoglobulin G (IgG) enzyme-linked immunosorbent assay (ELISA) has low sensitivity and specificity for detecting pneumonic foals, little is known about VapA-specific IgG subclasses. OBJECTIVES To evaluate the performance of VapA-specific ELISA for IgG and its subclasses IgGa, IgGb and IgG(T) in the early diagnosis of pneumonia caused by R. equi. STUDY DESIGN Assay validation followed by assessment of diagnostic performance using archived samples from animals of known status. METHODS Serum samples from exposed (n = 125) and nonexposed adult horses (n = 10) and from experimentally challenged and naturally infected foals were used for ELISA validation. Post mortem and tissue culture records of the last 24 years from the Institute for Experimental Pathology at the University of Iceland in Keldur, Iceland laboratory were evaluated to confirm the absence of R. equi cases in Iceland. The diagnostic performance of VapA-specific IgG and its subclasses was evaluated using banked serum samples from pneumonic (n = 21) and healthy foals (n = 80). To evaluate each IgG assay, a cut-off value was selected based on receiver operating characteristic curve analysis and used to calculate sensitivity and specificity. The intra- and interassay coefficients of variation were calculated for each ELISA. RESULTS Using sera from Iceland, where R. equi infection has not been reported, the VapA-specific IgG ELISA differentiated exposed from nonexposed horses. When used to identify infected foals, VapA-specific IgG, IgGa and IgGb had no diagnostic value. In contrast, IgG(T) had high sensitivity and specificity. CONCLUSIONS Horses from Iceland are not exposed to VapA(+) R. equi and can serve as negative controls. VapA-specific IgG subclasses, with the exception of IgG(T), are poor predictors of disease. Further investigation on the use of IgG(T) as a diagnostic tool in field conditions is needed.
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Affiliation(s)
- M G Sanz
- Maxwell H. Gluck Equine Research Center, Lexington, Kentucky, USA
| | - A F Oliveira
- Maxwell H. Gluck Equine Research Center, Lexington, Kentucky, USA
| | - A Loynachan
- Department of Veterinary Science, Veterinary Diagnostic Laboratory, Lexington, Kentucky, USA
| | - A Page
- Maxwell H. Gluck Equine Research Center, Lexington, Kentucky, USA
| | - V Svansson
- Institute for Experimental Pathology, University of Iceland, Reykjavík, Iceland
| | - S Giguère
- Department of Large Animal Medicine, University of Georgia, Athens, USA
| | - D W Horohov
- Maxwell H. Gluck Equine Research Center, Lexington, Kentucky, USA
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Sanz MG, Villarino N, Ferreira-Oliveira A, Horohov DW. VapA-specific IgG and IgG subclasses responses after natural infection and experimental challenge of foals with Rhodococcus equi. Vet Immunol Immunopathol 2015; 164:10-5. [PMID: 25681111 DOI: 10.1016/j.vetimm.2015.01.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2014] [Revised: 12/11/2014] [Accepted: 01/09/2015] [Indexed: 10/24/2022]
Abstract
Rhodococcus equi is a common cause of pneumonia in young foals worldwide and has considerable economic effects on the global equine industry. Despite ongoing efforts, no vaccine is currently available to prevent rhodococaal pneumonia. This is due, in part, to an incomplete understanding of the protective immune response to this bacterium. While antibodies to VapA, a lipoprotein produced by virulent R. equi, are useful in differentiating antibody production in response to pathogenic versus non-pathogenic strains, the significance of the humoral response of foals to this lipoprotein remains poorly defined. The objectives of this study were to evaluate changes in VapA-specific IgG and IgG subclasses after exposure and infection of neonatal foals. Experimental foals included those challenged with R. equi at 1 (n=18), 2 (n=4) and 3 (n=6) weeks of age. Confirmed naturally infected (n=7) and not infected (n=3) foals were also included. All foals were bled 24h after birth and weekly thereafter for a period of 8 weeks. Antibody changes over time were evaluated. Following birth, VapA-specific IgGs significantly (p<0.05) decreased over time in all foals as a result of normal decay of passively transferred antibodies. Both VapA-specific IgGa and IgG(T) significantly increased (p<0.05) after experimental challenge, however, the rise in IgG(T) occurred earlier. Only a significant (p<0.05) increase in VapA-specific IgG(T) over time was seen after natural infection. Whether VapA-specific IgG(T) can be used to differentiate rhodococcal from other pneumonias requires further investigation under field conditions.
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Affiliation(s)
- M G Sanz
- Maxwell H. Gluck Equine Research Center, Department of Veterinary Science, Kentucky,Lexington, KY 40546-009, United States
| | - N Villarino
- Washington State University, College of Veterinary Medicine, Pullman, WA 99164-6610, United States
| | - A Ferreira-Oliveira
- Maxwell H. Gluck Equine Research Center, Department of Veterinary Science, Kentucky,Lexington, KY 40546-009, United States
| | - D W Horohov
- Maxwell H. Gluck Equine Research Center, Department of Veterinary Science, Kentucky,Lexington, KY 40546-009, United States.
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Sanz MG, Oliveira AF, Page A, Horohov DW. Administration of commercial Rhodococcus equi specific hyperimmune plasma results in variable amounts of IgG against pathogenic bacteria in foals. Vet Rec 2014; 175:485. [PMID: 25117301 DOI: 10.1136/vr.102594] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Rhodococcus equi is the most common cause of pneumonia in young foals. A vaccine is not available and the use of R equi-specific hyperimmune plasma (HIP) is common. Despite its widespread use, the efficacy of HIP in preventing disease remains controversial. The objectives of this study were (1) to evaluate the virulence associate protein A (VapA)-specific IgG and IgG subclasses in commercially available R equi HIP and (2) to evaluate serum VapA-specific IgG and IgG subclasses in foals following administration of commercial R equi HIP. Three different lots from four commercial R equi HIP were sampled. VapA-specific IgG and IgG subclasses were evaluated in all samples using an ELISA. Serum was collected from newborn foals either after commercial R equi HIP was administered (n=97) or not (n=70). Serum was also collected from each mare. Administration of HIP significantly (P<0.001) increased VapA-specific IgGs in recipient foals, however, there was a marked variation in VapA-specific IgGs in foals receiving the same product. VapA-specific IgGs were significantly different (P<0.001) between products and varied between lots, with coefficients of variation ranging from 17 to 123 per cent. These results may explain previously reported disparities in HIP efficacy.
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Affiliation(s)
- M G Sanz
- Department of Veterinary Science, Maxwell H. Gluck Equine Research Center, Lexington, KY 40546-0099, USA
| | - A F Oliveira
- Department of Veterinary Science, Maxwell H. Gluck Equine Research Center, Lexington, KY 40546-0099, USA
| | - A Page
- Department of Veterinary Science, Maxwell H. Gluck Equine Research Center, Lexington, KY 40546-0099, USA
| | - D W Horohov
- Department of Veterinary Science, Maxwell H. Gluck Equine Research Center, Lexington, KY 40546-0099, USA
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Sanchez Teran AF, Rubio-Martinez LM, Villarino NF, Sanz MG. Effects of repeated intra-articular administration of amikacin on serum amyloid A, total protein and nucleated cell count in synovial fluid from healthy horses. Equine Vet J 2013:12-6. [PMID: 23447871 DOI: 10.1111/j.2042-3306.2012.00637.x] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
REASONS FOR PERFORMING STUDY Serum amyloid A (SAA) in synovial fluid has recently been used as a marker for septic arthritis in horses but the effects of repeated intra-articular (IA) administration of amikacin on synovial SAA concentrations are unknown. OBJECTIVES To report the effect of repeated IA administration of amikacin on SAA, total protein (TP), nucleated cell count (NCC) and differential NCC in synovial fluid of healthy equine joints. METHODS A controlled, 2 period crossover study was performed on 5 clinically healthy horses. Each intercarpal joint received one of 2 treatments every 48 h for 5 consecutive times: arthrocentesis alone (control group) or arthrocentesis combined with IA administration of 500 mg of amikacin (treatment group). Clinical and lameness examinations were performed daily. Serum SAA and synovial SAA, TP, NCC and differential NCC were measured and statistically compared. Significance level was set at P < 0.05. RESULTS Horses remained healthy and nonlame throughout the study. Baseline values for all variables were not significantly different between groups. Values for TP in the treatment group were significantly higher than in the control group after the first sample (P < 0.05). In both groups NCC increased significantly (P < 0.05) after the first sample. No significant changes were identified in differential NCC. In both groups, all synovial and most serum SAA concentrations remained below the lower limit of quantification. CONCLUSIONS Repeated IA administration of amikacin caused increased values of TP and NCC in synovial fluid, with some TP concentrations falling within the range reported for septic arthritis. In contrast, synovial SAA concentrations did not increase in either group. POTENTIAL RELEVANCE Synovial SAA could serve as a more reliable marker than TP and NCC when evaluating a joint previously sampled or treated with amikacin.
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Affiliation(s)
- A F Sanchez Teran
- Department of Companion Animal Clinical Studies, Faculty of Veterinary Science, University of Pretoria, Onderstepoort, South Africa
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Martinez-Ramos C, Sanz MG, Pardo P, Nuñez JR, Soriano E, Escobar ST. Denervation of the greater curvature in proximal gastric vagotomy. World J Surg 1983; 7:604-9. [PMID: 6636804 DOI: 10.1007/bf01655336] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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Alvárez Sánchez B, García Sanz M, Merino de Cos P, Caturla Such J, Fuster Lozano M, Serrano T, Soria Muñoz F, Aguado Pérez M. [Diagnosis of acute generalized tetanus using total CPK values. Prognostic-developmental correlates]. Rev Clin Esp 1982; 165:43-6. [PMID: 7122935] [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: 01/23/2023]
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Caturla Such J, Reig Saenz R, Ballenilla Antón F, García Sanz M, Fuster Lozano M, Alvarez Sánchez B, García Carlos E, Pedauye González J, García Roméu C. [Complications of implanted pacemakers. Breakage of the electrode cable with undamaged cover. Report of a case]. Rev Clin Esp 1980; 157:445-7. [PMID: 7414040] [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: 01/25/2023]
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Caturla Such J, Fuster Lozano M, Alvarez Sánchez B, Reig Saenz R, Pedauye González J, García Carlos E, García Roméu C, García Sanz M, Ballenilla Antón F. [A new case of heart rupture during acute myocardial infarct]. Rev Clin Esp 1979; 152:501-4. [PMID: 472407] [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: 12/15/2022]
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Martínez Ramos C, García Sanz M, Jerez Donate L, Cazenave Jiménez E, Pérez Flor A, Soro Gosalvez JA. [Our experience with the use of vagotomy in the treatment of duodenal ulcer. Preliminary results]. Rev Esp Enferm Apar Dig 1978; 54:21-40. [PMID: 725200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Soro Gosalvez JA, García Sanz M, Angulo Pérez F, Carranza Albarran G. [Mender's disease]. Angiologia 1976; 28:283-97. [PMID: 984499] [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: 12/25/2022]
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