J.M González Ruiz

• University of Salamanca

Objetivo El objetivo de este estudio fue analizar el proceso diagnóstico de los pacientes con fibrosis pulmonar idiopática en España, desde el inicio de los síntomas hasta el diagnóstico y tratamiento antifibrótico, en relación con la publicación de las sucesivas guías de práctica clínica. Material y métodos Estudio multicéntrico, observacional, a...

Introduction Domiciliary oxygen therapy (DOT) is a treatment that requires a high level of cooperation from patients due to the time it takes every day. A high level of non-compliance has been determined among patients receiving DOT. The aim of our study was to assess the level of non-compliance and the influence of active tobacco consumption on co...

Resumen Introducción La oxigenoterapia crónica domiciliaria (OCD) es un tratamiento que exige una colaboración muy importante por parte de los pacientes debido al elevado número de horas que debe realizarse. Se conoce que existe un elevado nivel de incumplimiento entre los pacientes con OCD. El objetivo de nuestro estudio ha sido valorar el nivel...

We examined the possible relationships between pollutant concentrations and mortality at seven different locations of Castilla-León, Spain, and the relationships between such concentration levels and emergency admissions (morbidity) at four hospitals in the region, taking into account the possible masking effect of other atmospheric variables. The...

Objetivo: Estudio de los factores clínicos y demográficos asociados a las demoras diagnósticas del cáncer de pulmón (CP). Pacientes y métodos: Estudio prospectivo de dos años de evolución de pacientes ingresados en la planta de neumología por sospecha de CP. Se estudiaron variables demográficas, de atención sanitaria, hábitat y demoras en las explo...

We show the experience of 6 years in laparoscopic surgical therapy of esophageal achalasia, performing of the Heller-Dor or Heller-Toupet operation, with particular regard to the technical aspect. One hundred and ten laparoscopic interventions were done between November 1995 and December 2001. We studied operative time in hiatus approach, esophagoc...

Several new studies published over the past decade have demonstrated a link between ambient air pollution and several adverse effects on human health even at the lower concentrations typically observed in North America and Europe today, suggesting that air pollution may pose a risk to public health. The effects on human health of gaseous air pollut...

Although the Roux-en-Y hepaticojejunostomy is the most common surgical procedure for the treatment of bile duct strictures, providing durable long-term results in most patients, when a stricture is present, the management is more difficult, and a reoperation generally will be proposed. However, balloon dilation and endoscopic stenting using the per...

We study the utility of intraoperative endoscopic control, in laparoscopic surgical treatment of the typical Achalasia of Esophagus. 81 patients were intervened surgically in Centro de Cirugia Endoscopica. Hospital Universitario Calixto Garcia in a five year-old period. All patients received intraoperative endoscopic evaluation to guarantee the eff...

We study the utility of intraoperative endoscopic control, in laparoscopic surgical treatment of the typical Achalasia of Esophagus. 81 patients were intervened surgically in Centro de Cirugia Endoscopica. Hospital Universitario Calixto Garcia in a five year-old period. All patients received intraoperative endoscopic evaluation to guarantee the eff...

The prevalence of tobacco consumption in scholars has been determined by self-governed inquiries, methodology that presents limitations of reliability and validity. This obstacle has been endeavoured to overcome through methodological inspections such as the test-retest valuation. On the contrary, the available analytical methods (i.e., determinati...

BACKGROUD: The prevalence of tobacco consumption in scholars has been determined by self-governed inquiries, methodology that presents limitations of reliability and validity. This obstacle has been endeavoured to overcome through methodological inspections such as the test-retest valuation. On the contrary, the available analytical methods (i. e.,...

The objective of our work was to know the relationship between carbon monoxide (CO) levels in expired air and smoking habits among school youths and the relationships that can be established between CO level and some peculiar attitudes regarding consume by youths, such as the number of cigarettes, inhaling technique and time elapsed since the last...

Studies carried out in the past ten years have found the prevalence or smoking among children and adolescents to be high, with the greatest increase observed for girls and young women, indicating increasing gender-related differences. The aim of our study was to determine the prevalences and differences among children and adolescents of both sexes...

Correspondencia: Servicio de Neumología. Hospital Universitario. P.° de San Vicente, 58-182. 37007 Salamanca.

To study carboxyhemoglobin levels (HbCO) associated with use of different types of home heating and to evaluate the usefulness of measuring hemoglobin oxygen saturation. Nonsmoking patients with chronic respiratory insufficiency who were initially prescribed home oxygen therapy were enrolled in the study. One hundred four patients were studied in w...

Correspondencia: Arcediano, 7. 37008 Salamanca.

The prevention of nicotine addiction involves a wide range of measures, including writing laws to preserve public health by protecting nonsmokers from smoke and discouraging smokers from consumption. Also important are campaigns to educate both parties (smokers and nonsmokers) about the negative effects of tobacco. The main antismoking law in Spain...

Correspondencia: Servicio de Neumología. Hospital Universitario. P.° de San Vicente, 58-182. 37007 Salamanca.

Nowadays, the laparoscopic cholecystectomy has been accepted as the more effective and safe procedure for the treatment of symptomatic gallstones. The present issue shows the initial result in the management of 1300 patients undergoing laparoscopic cholecystectomy, by a surgical team integrated by experienced endoscopist and surgeons. The diagnosis...

We define in this paper different modalities of endoscopic treatment as well as the criteria for this procedure. Endoscopic drainage were done through cystoenterostomy and nasocystic drainage and enterocystic prosthesis plus sphincterostomy of the principal pancreatic and biliary duct, in all patients, but only in eleven of them we implanted the pr...

This study was designed to evaluate the gasometric and functional respiratory responses in chronic bronchitic patients with chronic respiratory insufficiency (CRI) under ambulatory oxygen therapy (AOT) with almitrine bismesylate (AB). It was a double-blind, placebo-controlled, randomized, prospective study which lasted three months and with a dosag...

We present 6 cases of patients diagnosed of Primary Sjögren's Syndrome (PSS) according to Fox's criteria (1986). Our goal was to document the pulmonary affection with bronchoalveolar lavage, transbronchial biopsy and respiratory functional assessment. We verified the double affection described for PSS: interstitial and airways. In all the cases, in...

A 75 year old patient with respiratory infections since childhood, bronchiectasis and situs inversus is presented. Fiberoptic bronchoscopy was performed obtaining samples of bronchial mucosa which allowed the observation of the existence of ultrastructural lesions such as ciliary fusion, changes in the form of the cilia, microtubular changes and ch...

We present a case of non-fistulated, non-fissured arteriosclerotic pseudoaneurysm of the aorta in a patient with massive hemoptysis. The condition was resolved by resection, with the breach repaired with a Dacron patch. The diagnosis of thrombotic false aneurysm of the aorta was suspected after inspection of the digital angiograph and aortograph ob...

Arch Bronconeumol 1994: 30:212-214 Massive hemoptysis in a patient with false aneurysm of the aorta We present a case of non-fistulated, non-fissured arteriosclorotic pseudoaneurysm of the aorta in a patient with massive hemoptysis. The condition was resolved by resection, with the breach repaired with a Dacron patch. The diagnosis of thrombotic fa...

Almitrine bimesylate (AB) improves hypoxemia in an undetermined number of patients with respiratory failure. Our objective was to try to identify the patients likely to benefit from this treatment. We undertook a double blind study of AB (50-100 mg/day) vs placebo in 21 randomly chosen patients diagnosed as having chronic obstructive bronchitis who...

El bismesilato de almitrina (BA) mejora la hipoxemia en un numero indeterminado de enfermos con insuficiencia respiratoria. Nuestro objetivo en este trabajo ha sido tratar de identificar los pacientes que podian beneficiarse de este tratamiento. Se realizo un estudio a doble ciego, aleatorio con 21 enfermos, diagnosticados de bronquitis cronica obs...

We performed this study in order to assess the degree of insulin secretion, both in moderate and severe obesity, and its relationship with body mass index (BMI). During fasting, we did not observe, in general, any modification in the hepatic clearance of insulin, both the moderate and severe obesity groups. After oral overload of glucose (OOG), the...

The aim of this study was to know about the plasmatic variations of insulin and its potential origin in the obesity with or without abnormal tolerance to glucose. Obese patients with normal tolerance to glucose showed normal and hypersecretion of insulin during fasting and after oral overdose of glucose (OOG). Fasting hyperinsulinism in patients wi...

We have studied the use of Oxygen (O2) in our hospital, evaluating the prescription criteria and also the control and degree of therapeutic compliance. The study was completed with an opinion survey to physicians and nurses on different aspects of oxygen-therapy at the hospital. 50 inpatients under treatment with O2 have been studied. Clinical reco...

La oxigenoterapia continua domiciliaria (OCD) forma parte esencial del tratamiento de la insuficiencia respiratoria cronica en pacientes con EPOC avanzada. Existe un interes creciente por esta terapeutica durante los ultimos anos, pero diversos estudios sugieren serios errores de prescripcion y control con una mala relacion coste/beneficio. Se ha r...

Whipple's disease is a rare, systemic disorder characterized by arthritis, serositis, diarrhea, malabsorption, lymphadenopathies, weight loss, fever, cutaneous hyperpigmentation and central and peripheral nervous system disorders. There are approximately 60 published cases with pulmonary involvement, in general pleuritis, hilar adenopathies and int...

In LCH extended disease CNS involvement in is not infrequent. Diabetes insipidus, due to the affectation of hypothalamus-hypophysis axis, is its most frequent finding. The solitary affectation of hypothalamus-hypophysis axis is exceptional. At times, it's a difficult diagnosis and could precede the diagnosis of LCH several years. Usually, CAT and N...

Almitrin bismesylate (AB) is a piperazine derivative classified as a peripheral chemoreceptor agonist. It was initially considered as a respiratory stimulant, but its mechanism of action is currently attributed to improvement of pulmonary ventilation-perfusion. Its chief clinical indications are alveolar hypoventilation and both acute and chronic r...

In spite of antibiotic treatment, mortality due to pneumonia caused by Streptococcus pneumoniae is still considerable and it is related to the presence of bacteremia. Prophylaxis with 23-polyvalent anti-pneumococcus vaccine would prevent severe processes in high risk populations. We present in this work the current status of our knowledge about thi...

Tuberculin test was first used as a diagnostic test of tuberculous infection during the first decades of this century. From the up to date, no other method has proven to be more efficient for this task. In the present work we try to explain what the test consists of, what is its use, how it is interpreted, and which are the indications for the Mant...

Although all Actinomyces species are capable of producing primary pulmonary pathology, actinomycosis is a rare entity which is infrequently diagnosed. The clinician's lack of knowledge of the disease is frequently blamed for this, and it is estimated that its incidence in our environment is greater than suspected. We present our experience consisti...