Intrapartum synthetic oxytocin reduce the expression of primitive reflexes associated with breastfeeding.

Aim: Several synthetic peptide manipulations during the time surrounding birth can alter the specific neurohormonal status in the newborn brain. This study is aimed at assessing whether intrapartum oxytocin administration has any effect on primitive neonatal reflexes and determining whether such an effect is dose-dependent.

Materials And Methods: A cohort prospective study was conducted at a tertiary hospital.

Diagnosis of lesions of the acetabular labrum, of the labral-chondral transition zone, and of the cartilage in femoroacetabular impingement: Correlation between direct magnetic resonance arthrography and hip arthroscopy.

Objective: To determine the sensitivity and accuracy of direct MR arthrography in the diagnosis of intra-articular lesions associated with femoroacetabular impingement.

Material And Methods: We used direct MR arthrography to study 51 patients with femoroacetabular impingement who underwent arthroscopic hip surgery. Surgery demonstrated 37 labral tears, 44 lesions in the labral-chondral transitional zone, and 40 lesions of the articular cartilage.

Mode of delivery may influence neonatal responsiveness to maternal separation.

Introduction: Maternal-infant separation (MIS) is a highly stressful situation for the neonate.

Materials And Methods: A study was conducted to observe and describe the reactions of term neonates to brief maternal separation and restoration of skin contact within the first 48 h of life, and to assess whether the mode of delivery influences neonatal responsiveness. A brief maternal-infant separation situation was videotaped to observe the reactions of the newborns within the first 12-48 h of life.

[Validation of the Scale of Behavior Indicators of Pain (ESCID) in critically ill, non-communicative patients under mechanical ventilation: results of the ESCID scale].

Objective: To determine the reliability and validity of the "Scale of Behavior Indicators of Pain" (Escala de Conductas Indicadoras de Dolor: ESCID) as a tool to assess pain in the critically ill, non-communicative patients with mechanical ventilation.

Methods: An observational study of development and validation of this scale as an instrument for pain measurement in ICU patients over 18 years of age, who are uncommunicative and under mechanical ventilation. Their pain was assessed with the Behavioral Pain Scale (BPS) and the ESCID simultaneously, by two independent observers, when the painful maneuvers (PM), secretion aspiration and mobilization, were applied.

[Latency values of 248 H reflexes in 124 normal subjects].

Introduction: The Hoffmann reflex or H reflex is an electrical counterpart of the myotatic reflex. In normal adults is elicited with stimulating the tibial and the median nerves. It is useful as an adjunct study of neuroexamination and assesses the corresponding arc reflexes in their integrity.

[Prognosis of urinary tract infections with discordant antibiotic treatment].

Introduction: This study aims to evaluate the prognosis of urinary tract infections (UTI) treated empirically with inadequate antibiotic treatment.

Material And Methods: Prospective cohort study of patients over 18 years of age, attended in the hospital emergency service between 01/02 and 31/05 of 2007, due to micturation symptoms, accompanied by pyuria (>10 leukocytes/mm(3) of uncentrifuged urine) or positive reactive strip for nitrites-leukocytes and urine culture with >10(3) colony forming units. It was considered that the antibiotic treatment prescribed empirically was adequate if the bacteria isolated was sensitive and had been prescribed for the correct time.

[Analysis of Spanish scientific production in rare diseases: 1990-2000].

Background And Objective: To analyze the Spanish scientific production in a group of rare diseases selected during the period 1990-2000.

Material And Method: Analysis of the following disease groups: congenital anomalies, metabolism inborn errors and primary immunodeficiencies. Bibliometric tools were used to assess and analyze the evolution of research in this area.

[Prevalence and risk factors associated to malnutrition in elderly inpatients].

Background: Malnutrition is a frequent clinical finding in elderly inpatients that is deleterious to the physiologic function of several body's organs or systems that is accompanied of an increase of the length of hospitalization, economic burden and mortality. Protein-energy malnutrition risk factors in elderly patients are not well defined.

Method: A transversal study of inpatients over 70 years in a internal medicine ward was undertaken in order to know the protein-energy malnutrition's prevalence a possible risk factors.

[A pharmacoeconomic study of in-hospital treatment against community-acquired pneumonia].

Introduction: A computer-driven unit-dose drug-dispensing system allows for improved knowledge on pharmaceutical costs per DRG and clinical department, between-hospital pharmacoeconomic studies to be carried out, as well as deviation analysis.

Methods: A retrospective, cost-minimization study was undertaken to both analyze and compare prescriptions for a number of antibiotics and bronchodilators, and their costs in both 89 and 90 DRGs, as well as their cost per hospital stay in patients admitted to the Internal Medicine Departments of two hospitals in Areas 6 (HUPH) and 9 (SVO) in CAM (Autonomous Community of Madrid). A statistical analysis was performed using the Kolmogorov-Smirnov test, Student 's "t" test, Mann-Whitney test, and least squares method.

[Factors related to mortality of aged patients hospitalized with community-acquired pneumonia].

Background: Community-acquired pneumonia (CAP) frequently determines inpatient treatment and has a high mortality. It is desirable to know which factors predicts a favorable outcome of elderly patients with CAP. This fact could allow that a growing number of patients could be treated in their home.

[Colorectal carcinoma. Multifactorial analysis of prognostic factors following curative resection].

Cox regression analysis was used in the study of 151 cases of surgically treated colorrectal carcinoma. A "curative" resection was performed in all of them. Clinical data from medical records, histology, biochemical determinations, and intraoperative findings were assessed.

Automatic treatment of assay data by competitive protein binding and radioimmunoassay.

A method is devised for the automatic computation of data obtained from a series of determinations by radioimmunoassay or by competitive protein binding. The input data is introduced by means of an automatic paper tape punch attached to the sample counter. A series of programs is set up for a Hewlett Packard computer, model 2116B with 16K, which calculates bound and free fractions with control processes for varying possible errors.