[Comparative trial between traditional cesarean section and Misgav-Ladach technique].

Background: The cesarean section was designed to extract to the neoborn, when the childbirth becomes difficult by the natural routes. The institutional obstetrical work demands long surgical time and high raw materials; therefore, simpler procedures must be implemented.

Objective: To compare traditional cesarean section vs Misgav-Ladach technique to assess surgical time, and hospital stay and costs.

[Comparison between Robert Jones dressing and "U" splint in ankle fractures].

Objective: To compare the Robert Jones bandage with the "U" splint in edema control of ankle fractures.

Material And Methods: A prospective, longitudinal study, open, comparative and randomized made in 32 male patients (72%) and 16 female patients (28%), the average age was 36.9 years.

Abetimus sodium for renal flare in systemic lupus erythematosus: results of a randomized, controlled phase III trial.

Objective: To investigate whether treatment with abetimus delays renal flare in patients with lupus nephritis. Secondary objectives included evaluation of the effect of abetimus on C3 levels, anti-double-stranded DNA (anti-dsDNA) antibody levels, use of high-dose corticosteroids and/or cyclophosphamide, and major systemic lupus erythematosus (SLE) flare.

Methods: We conducted a randomized, placebo-controlled study of treatment with abetimus at 100 mg/week for up to 22 months in SLE patients.

Role of neuroendoscopy in the treatment of large viable cysticerci in the brain parenchyma.

Neuroendoscopy has never been used for diagnosis-making and removal of large parenchymal viable parasites associated with severe mass effect. Satisfactory and complication-free removal of the parenchymal cysticerci was achieved after neuroendoscopical diagnosis in a patient with parenchymal parasites, with immediate remission of clinical alterations related to raised intracranial pressure.

The impact of neuroendoscopy in the emergency setting--a retrospective study of imaging, intraoperative findings, and surgical outcome in 55 patients.

Objectives: To assess whether neuroendoscopy is an improved and effective diagnostic as well as therapeutic tool in the emergency setting compared with neuroimaging studies.

Patients And Methods: Sixty-two preoperative computed tomography (CT) and magnetic resonance (MR) scans from 55 adult patients admitted in the emergency ward were compared with equal number of neuroendoscopy observations by independent observers, who included cases of raised intracranial pressure related to hydrocephalus, shunt dysfunction, intracranial cysts, brain tumours, subdural effusions, etc.

Results: According to the results obtained, three groups were formed.

[Clinical utility of specialized immunologic testing in rheumatology in a secondary level hospital in Mexico].

Introduction: Laboratory tests have an important role in rheumatology for evaluation, diagnosis and follow up in several diseases. Specialized tests such as antinuclear antibodies (ANA), anti single or double stranded DNA antibodies (anti DNA) and anticardiolipin antibodies (AcACL) are frequently used and its diagnostic performance is well known in tertiary care centers. Our setting is a secondary care center that implemented these tests two years ago.

Steroid therapy in clinically stable but serologically active systemic lupus erythematosus prevents severe disease flares.

Evaluation of: Tseng CE, Buyon JP, Kim M et al. The effect of moderate-dose corticosteroids in preventing severe flares in patients with serologically active, but clinically stable, systemic lupus erythematosus: findings of a prospective, randomized, double-blind, placebo-controlled trial. Arthritis Rheum.

[Effect of alpha dihydroergocryptine in patients with fibrocystic breast disease].

Objective: To evaluate the effectiveness of alpha dihidroergocriptine in patients with fibrocystic mastopathy.

Patients And Methods: Patients with diagnosis of fibrocystic breast disease were included in a prospective longitudinal blind double, controlled with placebo study. Patients were randomly assigned to one of two treatment groups: of treatment group A: Alpha dihidroergocriptine tablets of 10 mg, group B: Placebo, during 6 months.

First Latin American position paper on the pharmacological treatment of rheumatoid arthritis.

Background: Rheumatoid arthritis (RA) is a chronic, systemic inflammatory disease that involves synovial joints, resulting in severe dysfunction or burden for individual patients, families and society. Latin American Rheumatology Associations have acknowledged its relevance and recognized multiple limitations for its diagnosis and treatment in Latin America and the Caribbean. This document underscores issues regarding the impact and relevance of this disease in these countries.

Abetimus sodium: a new therapy for delaying the time to, and reducing the incidence of, renal flare and/or major systemic lupus erythematosus flares in patients with systemic lupus erythematosus who have a history of renal disease.

The safety and efficacy of abetimus sodium (abetimus) has been evaluated in 13 controlled and uncontrolled clinical trials involving > 800 patients or subjects. The two pivotal trials enrolled a total of 547 patients with systemic lupus erythematosus (SLE) who had a history of lupus nephritis. Evidence of clinical effectiveness of abetimus comes from analyses of data from patients with SLE and high-affinity antibodies to the DNA epitope of abetimus at baseline; a retrospective subgroup in the pivotal Phase II/III LJP-394-90-05 trial (90-05 trial) and the intent-to-treat population in the Phase III LJP-394-90-09 trial (90-09 trial).

Minimally invasive electrodiagnostic monitoring in epilepsy surgery.

A new method of obtaining electrographic recordings from endoscopically-based intraventricular monitoring was performed in three patients with intractable epilepsy, who subsequently underwent open resective neurosurgery. As a minimally invasive procedure, it was associated with no peri-operative complications, and electrical intraoperative monitoring of the epileptogenic focus yielded excellent results.

Candesartan Cilexetil is not Associated with Cough in Patients with Enalapril-induced Cough.

Treatment with angiotensin-converting enzyme (ACE) inhibitors is frequently associated with persistent dry cough. This side effect is thought to be due to the non-specific action of ACE inhibitors, which, in addition to suppressing the renin-angiotensin system (RAS), leads to the accumulation of kinins, encephalins and other biologically active peptides. Candesartan cilexetil is a new, long-acting angiotensin II type 1 (AT 1 ) receptor blocker, which offers a more specific means of suppressing the RAS than can be achieved with ACE inhibitors.

Effects of a vegetarian diet vs. a vegetarian diet enriched with avocado in hypercholesterolemic patients.

To determine the effects of a vegetarian diet with avocado as a source of monounsaturated fat on serum lipids, thirteen patients with phenotype II (twelve with IIa and one with IIb) dyslipidemia were included in a prospective, transversal and comparative study in which three four-week diets randomly assigned were assessed. One vegetarian diet (ALVD) was composed of 70% carbohydrates, 10% proteins and 20% lipids. Another was composed of 60% carbohydrates, 10% proteins and 30% lipids, 75% of which was supplied by avocado (AVD).

Differences in basal nocturnal, meal-stimulated, and pentagastrin-stimulated gastric secretion values in a sample of healthy volunteers in basal conditions and under ranitidine influence.

The gastric secretion values from 16 healthy male volunteers are reported. A nasogastric tube was positioned in the gastric antrum and 10-min gastric secretion samples were obtained hourly by continuous suction. Basal nocturnal, meal-stimulated, and pentagastrin-stimulated gastric acid secretion were measured.

[Effects of avocado on the level of blood lipids in patients with phenotype II and IV dyslipidemias].

To examine the effects of avocado on plasma lipid concentrations a two-diet trial involving 8 phenotype IV and 8 phenotype II dyslipidemia patients was carried out. A diet rich in monounsaturated fatty acids (DRCA) using the avocado as their major source (30% of the total calories were consumed as fat, 75% of the total fat from the avocado), with restriction of saturated fat and less of 300 mg of cholesterol per day was evaluated. Patients also were in a low-saturated fat diet without avocado (DRSA).

Plasmacytoid myoepithelioma of the laryngeal region: a case report.

The first case of plasmacytoid myoepithelioma of the laryngeal region is presented. The tumor showed immunoreactivity for the S-100 protein, low molecular weight cytokeratin, and vimentin. Staining was negative with muscular actin and glial fibrillar acid protein.

[Inhibition of lactation with lisuride. CLinical evaluation].

Lactation in humans requires the collaboration of neural and endocrine systems. During pregnancy and after parturition prolactin and also sex steroids, corticoids, growth hormone and human placental lactogen are necessary for lactogenesis. In an open, simple and prospective study, 50 women with normal delivery or cesarean section, between 34 and 41 weeks of gestation, were treated with lisuride, 0.

[Effect of rapeseed from different distributors on the rat liver].

In previous papers it was reported that rapeseed could prevent the development of cirrhosis induced by carbon tetrachloride and at the same time can induce liver regeneration in the rat. In such experiments rapeseed was always obtained from the same distributor "Semillas Berentsen". When reseed of different distributors was used, neither cirrhosis prevention or liver regeneration was observed.

[McIndoe operation in a case of vaginal agenesis. Considerations on the subject].

Congenital absence of the vagina depends on partial or complete failure of Müllerian duct development. The ovaries develop normally and the fimbrial ends of the tubes are vestigial but there is no uterus, cervix or vagina. The urinary and genital systems and some skeletal portions developing from Müllerian ducts are so closely linked embryologically that congenital abnormality of kidney and bones is said to accompany genital defects in approximately 20% of cases.

Rapeseed diet and hepatocyte hypertrophy: an experimental morphometric study.

A previous study suggested that a rapeseed diet induced hepatocellular hypertrophy in normal albino rats. In the present study morphometry confirmed that a rapeseed diet produces hepatocytic hypertrophy which, according to cytological findings, is primarily due to an increase in the cytoplasmic area. A combination of a rapeseed diet and the administration of carbon tetrachloride (CCl4) also led to hepatocellular hypertrophy but the histological picture of the cirrhosis was similar to the one in control animals receiving CCl4 alone.

Effects of avocado as a source of monounsaturated fatty acids on plasma lipid levels.

To examine the effects of avocado on plasma lipid concentrations, a three-diet trial involving 16 healthy volunteers was carried out. A diet rich in monounsaturated fatty acids using avocado as their major source (30% of the total energy was consumed as fat: 75% of the total fat from the avocado), with restriction of saturated fats and less than 300 mg of cholesterol per day was evaluated. Subjects also were in a free-diet period with the addition of the same amount of avocado.

[Septic shock in obstetrics].

Septic shock in obstetrics is a major cause of mortality. Postpartum endometritis is often the first step of bacterial colonization inside the uterus which becomes the nidus of infection. Rapid spread into general circulation is favoured by hemodynamics patterns of pregnancy.