[Primary care consultations: are they all by the doctor?].

Objectives: To find out the proportion of primary healthcare consultations that could be attended by another professional other than the doctor.

Design: multicentre cross-sectional study.

Location: Primary healthcare, west-gipuzkoa region, with 17 health centres taking part.

Automation of a spectrophotometric method for measuring L -carnitine in human blood serum.

A spectrometric method for the determination of L-carnitine has been developed based on the reaction of the 5,5' dithiobis-(2-nitrobenzoic) acid (DTNB) and adapted to a Technicon RA-2000 automatic analyser Química Farmacéutica Bayer, S.A.).

[Comorbidity, anemia and response to erythropoiesis stimulating agents in chronic hemodialysis].

Introduction: Patients treated with haemodialysis have a high prevalence of co-morbidity that induces a elevate mortality risk. On the other hand, these patients have anaemia whose treatment is based in erythropoiesis stimulating agents. To date there are not enough studies to determine if co-morbidity alters erythropoietin response and the relationship between co-morbidity, response to treatment of anaemia and resistance to erythropoiesis-stimulating agents.

[Membranous nephropathy associated to autoimmune thyroiditis, chronic pancreatitis and suprarrenal insufficiency].

A 33 year old female was admitted to the hospital to study aedema and bocio, A nephrotic syndrome was diagnosed and the renal biopsy demonstrated membranous glomerulonephritis, stage II. She was also diagnosed of Hashimoto's autoinmmune thyroiditis: TSH (41.5 uUl/ml), T4 (0.