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154. Bioethics in Puerto Rico

Author

Santos y Vargas L, Lugo E, Ruiz-Quijano R, and Ferrer Jj

Subjects
Academic Medical Centers, Ethics Committees, Health (social science), Education, Medical, Anthropology, Health Policy, Puerto Rico, Bioethics, Hospitals, University, Issues, ethics and legal aspects, Ethicists, Political science, Ethics, Medical, Interdisciplinary Communication
Published
1996

162. Organ donation in the Hispanic population: dondé estan ellos?

Author

René, A. A., Viera, E., Daniels, D., and Santos, Y.

Subjects
Tissue and Organ Procurement, Humans, Hispanic or Latino, Tissue Donors, Research Article
Abstract

Few studies have investigated organ donation among Hispanics, although in major US cities, Hispanics, like African Americans, make up a large percentage of the general population. In fact, the 1990 census reports that of all Hispanics in the country, 90% live in urban areas. The tendency for Hispanics to use hospital emergency rooms rather than visit a physician's office may result in an inadequate exchange of information between minority patients and health-care providers. Hospitals that serve minority populations have been reported to have the lowest organ procurement rates. These hospitals are often funded by local, county, or state funds and are usually dedicated to a patient mix that is largely indigent. The heavy work load of health-care providers who often have limited resources does not lend itself to an adequate exchange of information between patients and health-care providers. The existence of this type of environment impacts on patient communication, increases the fear of complication, and may diminish the discussion of potential organ procurement. There are multiple individual and structural reasons for the high family refusal rates among Hispanics. Procurement specialists may see a proportionally small number of Hispanic families, mainly due to a lack of referrals from hospital staff concerning possible Hispanic donors. White procurement workers may not be familiar with the Hispanic family makeup and cultural attitudes. Organ procurement workers may not pursue the issue of donation with Hispanic families as much as they do with white families. Whatever the reason, if we are to increase organ donation in the Hispanic community, these complex issues will need to be addressed.

Published
1994

172. Immunohistochemical diagnosis of tenacibaculosis in paraffin-embedded tissues of Senegalese sole Solea senegalensis Kaup, 1858.

Author

Faílde, L D, Bermúdez, R, Losada, A P, Riaza, A, Santos, Y, and Quiroga, M I

Subjects
SOLEA senegalensis, VIRUS diseases in fishes, BACTERIAL antigens, IMMUNOHISTOCHEMISTRY, GRAM-negative bacteria, VACCINATION
Abstract

A sensitive and specific immunohistochemical technique was developed to improve the diagnosis of tenacibaculosis and to better understand its pathogenesis. Senegalese sole Solea senegalensis Kaup, 1858 were inoculated subcutaneously with a bacterial suspension of Tenacibaculum maritimum, and samples were taken at different hours post-inoculation. Sections from different organs were used as positive controls. In addition, a total of 128 field samples from different organs collected from tenacibaculosis outbreaks were used. Tenacibaculum maritimum antigens were detected in several organs of experimentally infected Senegalese sole and in at least one of the tissues from fish suffering from natural tenacibaculosis previously confirmed by culture and PCR-based methods. In fish collected during outbreaks, a strong positive reaction was detected in ulcerative skin areas. Moreover, bacterial antigen was identified inside scale pockets and in sites of the skin with mild lesion. In kidney and spleen, evident immunostaining of bacterial antigen was detected in both naturally and experimentally infected fish. Besides, the presence of T. maritimum in the intestinal tract without associated histological changes suggests that this organ may act as a reservoir for T. maritimum. The results of this study confirm the usefulness of IHC for the diagnosis of tenacibaculosis in paraffin-embedded tissues. [ABSTRACT FROM AUTHOR]

Published
2014
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185. HUMANITIES AND THE HEALTH SCIENCES: A COLLABORATIVE PROJECT FOR FACULTY DEVELOPMENT AND CURRICULAR REVISION: A PUERTO RICAN EXPERIENCE.

Author

Santos y Vargas, Leonides

Subjects
MEDICAL sciences, SCIENCE & the humanities, LIFE science education, UNIVERSITIES & colleges, TEACHER development
Abstract

A chapter from the book "Humanities and the Health Sciences: A Collaborative Project for Faculty Development and Curricular Revision" is presented. It introduces a series of articles on humanities and the health sciences as tackled in the Summer Institutes under the project funded by the USA National Endowment for the Humanities (NEH). These NEH-sponsored institutes were held at the Medical Sciences Campus of the University of Puerto Rico beginning in June 1, 1998 and ending on July 2000.

Published
2001

186. La gran velocidad ferroviaria en España: ancho de vía y duplo-red

Author

Luis Santos y Ganges

Abstract

La introducción del ancho internacional en España para las nuevas líneas de gran velocidad ferroviaria ha desembocado en el planteamiento gubernamental de disponer de dos futuras redes férreas separativas en el horizonte del año 2010. La cuestión del ancho de vía se resolverá aparentemente optando por una “duplo-red” basada en la especialización y forzando la dualidad entre dos sistemas técnicos, dos velocidades, dos tipos de servicios, dos redes, dos anchos.

Published
2002

187. Emigration and public health: the sanitary question in the control of Portuguese emigrants, 1890s-1950s

Author

Santos Yvette

Subjects
Social Sciences
Abstract

Human mobility represents a privileged field for analysing epidemic propagation, as well as identification and control practises at a world scale. Migrants are at the same time agents of disease dissemination and vulnerable persons highly exposed to epidemics in transit spaces such as city ports, ships, and settlement sites in the countries of origin. This paper aims to analyse how a country with a long and strong tradition in transatlantic and European migration, such as Portugal, incorporated concerns of Public Health in the policies and management of massive migration exits from the nineteenth century until the 1950s, particularly through the directives for the control and prevention of epidemics. In this way, we will analyse the intersection of two general state policies, epidemic control and migration surveillance.

Published
2022
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190. The sunburn sign and the suntan sign‐ two novel findings in Hispanic patients with dermatomyositis.

Author

Chavez‐Alvarez, S., Suro‐Santos, Y., Villarreal‐Martinez, A., Herz‐Ruelas, M.E., Galarza‐Delgado, D.A., Hernandez‐Galarza, I.J., Gomez‐Flores, M., Vazquez‐Martinez, O.T., and Ocampo‐Candiani, J.

Subjects
*SUNTAN, *DERMATOMYOSITIS, *SUNBURN
Abstract

Dermatomyositis is defined by characteristic skin features and proximal muscle weakness. One patient was diagnosed with breast cancer a year after DM diagnosis and the other patient was diagnosed with ovarian cancer 5 months after DM diagnosis. GLO:3NZ/01jan21:jdv16826-fig-0001.jpg PHOTO (COLOR): 1 Sunburn sign. gl GLO:3NZ/01jan21:jdv16826-fig-0002.jpg PHOTO (COLOR): 2 Suntan sign. gl Antimalarials have been associated with cutaneous adverse reactions in 20-30% of dermatomyositis patients who receive it. [Extracted from the article]

Published
2021
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