The human milk donation experience: motives, influencing factors, and regular donation.

The aim of this investigation was to identify factors that influenced or motivated women (N = 737) to donate human milk to human milk banks in Alagoas, Brazil. The most common characteristics of a regular donor were having 4 to 7 pregnancies (relative risk [RR] = 1.9285; 95% confidence interval [CI] = 1.0388-3.5800) and having obtained a higher education level (RR = 2,0625; 95% CI = 1.0097-4.2130). The most commonly reported reasons for donating were "encouragement of a health professional" (61.3%), followed by "the needs of the babies the banks serve" (25.3%). Most of the donors (49.9%) were introduced during their stay in the hospital to the human milk bank to which they donated, and 25.8% chose the bank recommended by a health professional. Health professionals play an indispensable role in motivating mothers to become human milk donors.

Relaciones del Plexo Braquial con la Segunda Parte de la Arteria Axilar / Brachial Plexus Relationships whith the Second Part of Axillary Artery

Analizamos 62 axilas, 32 derechas y 30 izquierdas de cadáveres humanos, con el objetivo de hacer un estudio detallado de las relaciones topográficas de los cordones del plexo braquial (PB) en relación a la 2 parte de la arteria axilar (Aa) (parte retropectoral de la axila). Notamos que algunos cordones del PB pierden su identidad a lo largo de dicha porción, por este motivo, el análisis de ellos fue hecha en el comienzo de la región retropectoral y se limitó a los casos en que se presentaban al mismo tiempo los tres cordones (36 casos, 58%). Se comprobó que en el 27,42% de los casos, los cordones del PB circundaban la 2 parte de la Aa y estaban situados en conformidad con sus nombres ­ lateral (CL), medial (CM) y posterior (CP) ­ siendo ésta la disposición más citada en la literatura. En 16,13% de los casos, se observó el CM y el CP dispuestos posteriormente a la Aa, estando el CL lateral. En 6,46% de los casos, el CP estaba ubicado postero-lateral, el CM estaba posterior y el CL se ubicaba lateralmente a la Aa. En 3,23% de los casos, el CL y el CM estaban situados anteriormente, y el CP posteriormente a la Aa; en el mismo porcentaje todos los cordones del PB estaban ubicados lateralmente a la Aa. Sólo en el 1,62%, fueron encontrados los CM y CP relacionados con la Aa conforme a sus nombres, y el CL ubicado anteriormente a la Aa. En la mayoría de los casos donde los cordones estaban presentes, éstos se ubicaban de modo diferente a como se presenta en la literatura analizada.

62 axillas, 32 on the right upper limb and 30 on the left one were analyzed aiming a more detailed study of the topographic relationship between the brachial plexus' (BP) cords and the second part of the axillary artery (Aa). Once the second part of the Aa was determined (retropectoral part of the axilla) the authors observed that some of the BP's cords lost their identity during the length of the above-mentioned part of the axilla, so, the analysis of these cords and their relationship with the Aa was effected on the beginning of the retropectoral region. It was verified that in 27,42% of the cases, PB's cords surrounded the 2nd part of the Aa positioned according to their names ­ lateral cord (LC), medial cord (MC) and posterior cord (PC) ­ being this the most mentioned disposition in literature. In 16,13% of the cases, it was observed that MC and PC were disposed posteriorly to the Aa, while LC was situated laterally to the artery. In 3,23 % of the cases, LC and MC were found anteriorly, and PC posteriorly to the Aa; in the same percentage of cases, all the cords were situated laterally to the Aa. Only in 1,62%, MC and PC were situated according to their names, and the LC was anterior to the Aa. The majority of cases in which the cords were present, they disposed themselves differently of what the analyzed literature shows.