Proceso de adaptación cultural del "Questionnaire for Assesing the Childbirth Experience (QACE)" / Spanish Cultural Adaptation of the Questionnaire for Assessing the Childbirth Experience (QACE)English

INTRODUCCIÓN: Las experiencias negativas durante el parto se han asociado con desempoderamiento de la mujer, depresión postparto, trastorno por estrés postraumático y bajas tasas de lactancia maternal, entre otros. El Questionnaire for Assessing the Childbirth Experience (QACE) es una herramienta de 23 ítems útil para identificar mujeres que han tenido una mala experiencia en su proceso de parto y evitar así futuras complicaciones en embarazos posteriores o en la relación de pareja. OBJETIVO: El objetivo general consiste en adaptar el Questionnaire for Assessing the Childbirth Experience (QACE) a la población española y obtener sus características psicométricas. METODOLOGÍA: El proceso de adaptación cultural ha consistido en la traducción y retro traducción al español, evaluación de la equivalencia conceptual por un comité de jueces, evaluación de la comprensibilidad y una entrevista cognitiva a un grupo de mujeres puérperas. Las características psicométricas se han obtenido mediante el análisis factorial, los test de Kaiser-Meyer-Olkin (KMO) y Bartlett y el alfa de Cronbach. RESULTADOS: Tras el proceso de adaptación transcultural, el grupo de expertos realizó las modificaciones necesarias para conseguir una mayor compresión del cuestionario en la población española, evitar malentendidos y palabras ofensivas en la lengua de destino. Se necesitaron 138 participantes para obtener el análisis factorial. El KMO (0,838) y el test de Bartlett (p < 0,001) confirmaron la adecuación del análisis factorial y el grafico de sedimentación mostró 6 factores con un poder predictivo del 73,75% del total de la varianza. La consistencia interna se obtuvo mediante un alfa de Cronbach de 0,896. CONCLUSIONES: Los datos obtenidos en este estudio demuestran que la versión española del QACE es una herramienta válida y fiable para medir la experiencia en el nacimiento en la población española

BACKGROUND: Negative experiences during delivery are associated with women disempowerment, postpartum depression, post-traumatic stress disorder, and low breastfeeding rates. The Questionnaire for Assessing the Childbirth Experience (QACE) is a 23-item screening tool useful for discovering women with a negative experience in their birth process and avoids future complications in following pregnancies or couple's relationships. OBJECTIVE: The general objective is to adapt the Questionnaire for Assessing the Childbirth Experience (QACE) to the Spanish population and to obtain its psychometric characteristics. METHODOLOGY: The cultural adaptation process consisted of forwarding translation and back translation into Spanish, conceptual equivalence evaluation by a committee of judges, comprehensibility evaluation and cognitive interview to a postpartum group. Psychometric characteristics were obtained throughout the factorial analysis, Kaiser-Meyer-Olkin (KMO) and Bartlett's test of sphericity and Cronbach alpha level. RESULTS: After complete the adaptation process, the committee of judges made several adjustments to achieve a better comprehension in the Spanish population, avoid misunderstandings or offensive words in the target language. 138 participants were needed to calculate factor analysis. The KMO (0.838) and Bartlett test (p < 0.001) confirmed the adequacy of factor analysis and the Scree plot showed 6 factors with the predictive power of 73.75% supported total variance. Internal consistency was assured using a Cronbach α of 0.896. CONCLUSIONS: Data from this study demonstrate that the Spanish version of QACE is a valid and reliable measure of childbirth experience in the Spanish population

Correlated responses on growth traits after two-stage selection for ovulation rate and litter size in rabbits.

Rabbit commercial maternal lines are usually selected for litter size (LS) and paternal lines for growth rate (GR). Line OR_LS was selected by ovulation rate (OR) and LS to improve LS more efficiently. In this study, growth traits of line OR_LS were evaluated by estimating the correlated response on weaning weight (WW), slaughter weight (SW) and GR during fattening period as well as their variability (DWW, DSW and DGR, respectively). Data were analyzed using Bayesian inference methods. Heritability estimates were low for growth traits (0.09, 0.13 and 0.14 for WW, SW and GR, respectively) and negligible for growth traits variability (0.01, 0.004 and 0.01 for DWW, DSW and DGR, respectively). Moderate common litter effect ratio (c2; 0.35, 0.28 and 0.27) and low maternal effect ratio (m2; 0.11, 0.05 and 0.01) were obtained for WW, SW and GR, respectively. Both c2 and m2 were lower at slaughter than at weaning. In addition, low common litter effect and negligible maternal effect were observed for growth traits variability. Genetic correlations between LS and both growth traits and their variability were close to zero. Positive genetic correlations were observed between OR and growth traits (0.19, 0.38 and 0.36 for WW, SW and GR, respectively) as well as between OR and growth traits variability (0.35, 0.62 and 0.20 for DWW, DSW and DGR, respectively). Positive correlated responses in both periods were obtained for growth traits, WW, SW and GR (0.037, 0.156 and 0.110 kg, respectively). The correlated response found in growth traits might be due to the positive genetic correlations between OR and these traits. However, selection for OR and LS using independent culling levels did not modify the growth traits variability. Therefore, no negative consequences on growth traits can be expected in current commercial maternal lines.

Correlated responses on litter size traits and survival traits after two-stage selection for ovulation rate and litter size in rabbits.

Farmer profit depends on the number of slaughter rabbits. The improvement of litter size (LS) at birth by two-stage selection for ovulation rate (OR) and LS could modify survival rate from birth to slaughter. This study was aiming to estimate direct and correlated response on LS traits and peri- and postnatal survival traits in the OR_LS rabbit line selected first only for OR (first period) and then for OR and LS using independent culling levels (second period). The studied traits were OR, LS measured as number of total born, number of kits born alive (NBA) and dead (NBD), and number of kits at weaning (NW) and young rabbits at slaughter (NS). Prenatal survival (LS/OR) and survival at birth (NBA/LS), at weaning (NW/NBA) and at slaughter (NS/NW) were also studied. Data were analysed using Bayesian inference methods. Heritability for LS traits were low, 0.07 for NBA, NW and NS. Survival traits had low values of heritability 0.07, 0.03 and 0.03 for NBA/LS, NW/NBA and NS/NW, respectively. After six generations of selection by OR (first period), a small increase in NBD and a slight decrease in NBA/LS were found. However, no correlated responses on NW/NBA and NS/NW were observed. After 11 generations of two-stage selection for OR and LS (second period), correlated responses on NBA, NW and NS were 0.12, 0.12 and 0.11 kits per generation, respectively, whereas no substantial modifications on NBA/LS, NW/NBA and NS/NW were found. In conclusion, two-stage selection improves the number of young rabbits at slaughter without modifying survival from birth to slaughter.

Impacto económico de las exacerbaciones agudas en EPOC / No disponible

Objetivo: Sintetizar la información disponible acerca de estudios económicos relacionados con las exacerbaciones agudas asociadas a la EPOC publicados en España durante los últimos 5 años. Material y Métodos: Revisión ordenada de la literatura (MedLine/Pubmed, Cochrane Library, ISI WOK y Google Scholar) sobre estudios económicos referentes a la EPOC y las exacerbaciones agudas (EA-EPOC) en los últimos 5 años (2011-2015). Se incluyeron artículos originales y revisiones de costes directos, uso de recursos o evaluaciones económicas desde la perspectiva del SNS español. Los costes fueron actualizados a €, 2016. Resultados: Se identificaron 8 artículos de costes y uso de recursos, además de evaluaciones económicas de la EPOC y exacerbaciones realizados en España. La presencia de EA-EPOC se asoció a unos peores resultados clínicos, mayor uso de recursos, así como a un mayor coste medio anual por paciente (3.200,4 €vs. 1.403,1 €). El coste directo anual por exacerbación osciló entre 347,7 € y 482,8 €, de los cuales, más del 70% estaban asociados a las hospitalizaciones. Asimismo, existe una tendencia al aumento en el coste directo en pacientes de EPOC en España en los últimos años (2006-2010), por aumento de costes por paciente ingresado (p<0,001). Conclusiones: En nuestro país, el manejo de las EA-EPOC, y más específicamente, de las hospitalizaciones asociadas, constituye la mayor parte de los costes directos y uso de recursos atribuibles a la EPOC. La introducción de estrategias preventivas podría reducir de manera considerable los costes directos y el uso de recursos asociadas a las EA-EPOC en España

Objective: To review and synthesize the available information on economic evaluations related to acute exacerbations of COPD published in Spain during the last 5 years. Material and Method: A comprehensive review of the literature (MedLine/Pubmed, Cochrane Library, ISI WOK y Google Scholar) on economic evaluations related to COPD and acute exacerbations in Spain between 2011 and 2015 was performed. Original articles and reviews of the literature on direct cost, resource use and economic evaluations from the Spanish NHS perspective were included. Costs were update to Spanish €, 2016. Results: A total of 8 studies regarding direct cost, use of resources and economic evaluations of COPD published in Spain during the last 5 years were identified. The presence of exacerbations in COPD patients was associated with worse clinic outcomes together with an increase in use of resources and mean cost per COPD patient and year (3,200.4 € vs. 1,403.1 €) compared with patients without exacerbations. The average direct cost of an exacerbation ranged from 347.7 € and 482.8 €. The highest proportion of this cost (70%) was attributable to hospitalizations. In addition, there is a trend towards an increase in the mean cost per COPD patient in Spain during the last years (2006-2010), as the mean cost per hospitalized patient has risen during this period (p<0.001). Conclusion: In Spain, exacerbations-associated hospitalizations account for the largest portion of COPD expenses. The introduction of preventive strategies may reduce considerably healthcare costs and resource use related to COPD exacerbations

Ecological connectivity shapes quasispecies structure of RNA viruses in an Antarctic lake.

RNA viruses exist as complex mixtures of genotypes, known as quasispecies, where the evolution potential resides in the whole community of related genotypes. Quasispecies structure and dynamics have been studied in detail for virus infecting animals and plants but remain unexplored for those infecting micro-organisms in environmental samples. We report the first metagenomic study of RNA viruses in an Antarctic lake (Lake Limnopolar, Livingston Island). Similar to low-latitude aquatic environments, this lake harbours an RNA virome dominated by positive single-strand RNA viruses from the order Picornavirales probably infecting micro-organisms. Antarctic picorna-like virus 1 (APLV1), one of the most abundant viruses in the lake, does not incorporate any mutation in the consensus sequence from 2006 to 2010 and shows stable quasispecies with low-complexity indexes. By contrast, APLV2-APLV3 are detected in the lake water exclusively in summer samples and are major constituents of surrounding cyanobacterial mats. Their quasispecies exhibit low complexity in cyanobacterial mat, but their run-off-mediated transfer to the lake results in a remarkable increase of complexity that may reflect the convergence of different viral quasispecies from the catchment area or replication in a more diverse host community. This is the first example of viral quasispecies from natural aquatic ecosystems and points to ecological connectivity as a modulating factor of quasispecies complexity.

Coste directo de la Enfermedad Pulmonar Obstructiva Crónica asociado a variaciones en adherencia y persistencia / No disponible

Objetivo: Estimar los costes evitables por paciente/año como consecuencia de mejorar la adherencia y persistencia a los tratamientos de la EPOC en el ámbito sanitario público español. Material y Método: Revisión ordenada de la literatura (MedLine/PubMed, Cochrane Library, ISI WOK, MEDES, IBECS, CSIC y Google Académico) sobre adherencia y persistencia relacionadas con costes directos de la EPOC en España entre 2002 y 2012. Se incluyeron artículos originales y revisiones de costes directos y uso de recursos asociados a la gravedad de EPOC, adherencia y persistencia. Se calculó la diferencia en el coste directo anual/paciente según la adherencia o no al tratamiento y estadio de la EPOC. Los costes fueron actualizados en Euros, 2012. Resultados: Se identificaron 6 artículos referidos a costes directos de la EPOC en España. No se encontraron artículos que relacionaran la adherencia y persistencia con costes de la enfermedad. La diferencia del coste directo anual entre el paciente adherente/no adherente, dependiendo de la fuente utilizada, varió entre 43 Euros y 601 Euros, alcanzando una reducción de entre 89 Euros y 1.674 Euros por paciente en la población con EPOC grave. La diferencia en costes directos anuales entre el paciente persistente/ no persistente fue de entre 47 Euros y 666 Euros, reduciéndose estos valores entre 99 Euros y 1.855 Euros por paciente en los casos graves. Conclusiones: Favorecer la adherencia y persistencia a los tratamientos de la EPOC mediante la indicación de terapias de seguimiento sencillo por el paciente se traduciría en una reducción en los costes directos de la patología

Objective: To assess the influence that changes in the rates of adherence and persistence to medications can exert over the estimated direct costs of COPD in the Spanish Public National Health System. Material and Method: A comprehensive review of the literature (MedLine/PubMed, Cochrane Library, ISI WOK, MEDES, IBECS, CSIC y Google Scholar) on adherence and persistence in relation with direct COPD costs in Spain between 2002 and 2012 was performed. Original articles reviews of the literature on direct cost, use of resources associated with COPD severity, adherence and persistence were included. The difference between mean annual direct cost per patient according to the adherence to treatment and COPD severity was estimated. Costs were update to spanish Euros, 2012. Results: 6 studies regarding direct costs of COPD in Spain were identified. Articles relating adherence and persistence with costs were not available. Differences of mean annual direct costs per patient amongst adherent/non adherent subjects ranged from 43 Euros to 601 Euros, depending on the source utilized, increasing this difference up to €89 - 1,674 per patient in severe cases. Differences of mean annual direct costs per patient between persistent/non persistent subjects ranged from 47 Euros to 666 Euros, incrementing from 99 Euros to 1,855 per patient in severe COPD. Conclusion: Increasing the adherence and persistence to COPD treatments by prescribing easy to follow treatments to patients could traduce into a reduction of COPD direct costs

[Evidence on the prevention of cancer]. / Evidencias sobre la prevención del cáncer.

Cancer is one of the main health problems. It includes a set of diseases with multi-causal origins. The tumours with the greatest impact on the health of men are lung, prostate and colorectal cancers, while for women they are breast and colorectal tumours. The best strategies for preventing cancer are ones based on primary prevention and early diagnosis. It is estimated that about to 80-90% of cancers are preventable. As regards primary prevention, there is considerable evidence to suggest that not smoking, regular physical exercise and a diet rich in fruit and vegetables, along with the control of some environmental and occupational risk factors can reduce the incidence of cancer. The early diagnosis of breast, colorectal and cervical cancer is recommended for some groups of the population in a context of organised programs with adequate quality guarantees.

Identification of differentially expressed genes in the oviduct of two rabbit lines divergently selected for uterine capacity using suppression subtractive hybridization.

Suppressive subtractive hybridization libraries from oviduct at 62 h post-mating of two lines of rabbits divergently selected for uterine capacity were generated to identify differentially expressed genes. A total of 438 singletons and 126 contigs were obtained by cluster assembly and sequence alignment of 704 expressed sequence tags (ESTs), of which 54% showed homology to known proteins of the non-redundant NCBI databases. Differential screening by dot blot validated 71 ESTs, of which 47 showed similarity to known genes. Transcripts of genes were functionally annotated in the molecular function and the biological process gene ontology categories using the BLAST2GO software and were assigned to reproductive developmental process, immune response, amino acid metabolism and degradation, response to stress and apoptosis terms. Finally, three interesting genes, PGR, HSD17B4 and ERO1L, were identified as overexpressed in the low line using RT-qPCR. Our study provides a list of candidate genes that can be useful to understanding the molecular mechanisms underlying the phenotypic differences observed in early embryo survival and development traits.

Evidencias sobre la prevención del cáncer / Evidence on the prevention of cancer

El cáncer es uno de los principales problemas de salud. Engloba a un conjunto de enfermedades que tienen un origen multicausal. Los tumores con mayor impacto en la salud son pulmón, próstata y colorrectal en los hombres y mama y colorrectal en las mujeres. Las mejores estrategias para evitar el cáncer son las basadas en la prevención primaria y en el diagnóstico precoz. Se estima que entre el 80-90% de los canceres son prevenibles. Respecto a la prevención primaria hay fuerte evidencia que no fumar, realizar ejercicio físico regular, y una dieta rica en frutas y verduras junto con el control de algunos factores de riesgo ambientales y laborales, puede disminuir la incidencia del cáncer. Está recomendado el diagnóstico precoz de cáncer de mama, cuello de útero y de cáncer colorrectal en algunos grupos de población en el contexto de programas organizados con la adecuada garantía de calidad (AU)

Cancer is one of the main health problems. It includes a set of diseases with multi-causal origins. The tumours with the greatest impact on the health of men are lung, prostate and colorectal cancers, while for women they are breast and colorectal tumours. The best strategies for preventing cancer are ones based on primary prevention and early diagnosis. It is estimated that about to 80-90% of cancers are preventable. As regards primary prevention, there is considerable evidence to suggest that not smoking, regular physical exercise and a diet rich in fruit and vegetables, along with the control of some environmental and occupational risk factors can reduce the incidence of cancer. The early diagnosis of breast, colorectal and cervical cancer is recommended for some groups of the population in a context of organised programs with adequate quality guarantees (AU)

Investigation of the oviductal glycoprotein 1 (OVGP1) gene associated with embryo survival and development in the rabbit.

An association study was performed in rabbits between early embryo survival and development, and the nonconservative SNP 12944C>G located in exon 11 and the triallellic microsatellite [(GT)(15)T(G)(5), (GT)(14)T(G)(5), and (GT)(11)T(G)(7))] located in the promoter region of the oviductal glycoprotein 1 (OVGP1) gene. We analyzed an F(2) cross of 2 lines of rabbits divergently selected for uterine capacity. A total of 172 and 159 females were slaughtered at 48 and 72 h of gestation, respectively, to determine whether OVGP1 influences ovulation rate, fertilization rate, early embryo survival, and embryonic stage of development. The results of the SNP indicated that all genotypes showed similar early embryo survival and a similar embryonic stage of development at 48 h of gestation. However, at 72 h of gestation, the GG genotype showed greater early embryo survival than the CC genotype (0.56 embryos) and their embryos presented less embryonic development. Analysis of the microsatellite was performed to ascertain the presence or absence of the allele (GT)(14)T(G)(5). At both stages of gestation, the (GT)(14)T(G)(5)/(GT)(14)T(G)(5) genotype showed greater early embryo survival (0.94 and 1.54 embryos at 48 and 72 h of gestation, respectively) and less embryonic development than the homozygous genotypes without the allele (GT)(14)T(G)(5).

Expression of progesterone receptor related to the polymorphism in the PGR gene in the rabbit reproductive tract.

The association of the 2464G > A SNP found in the promoter region of the rabbit progesterone receptor gene with progesterone receptor (PR) expression was evaluated by Western blot analysis. This SNP was associated with 2 lines divergently selected for uterine capacity, the high line selected to increase uterine capacity and the low line selected to decrease uterine capacity. Two progesterone isoforms were obtained using a commercial monoclonal antibody: the PR-B isoform described previously in rabbits, and the PR-A isoform, not described previously in rabbits. The GG genotype, the genotype more frequent in the high line, showed less PR-B and PR-A expression than the AA genotype in the oviduct (GG/AA(PR-B) = 0.81 and GG/AA(PR-A) = 0.73) and uterus (around 0.70 in both isoforms). The GA genotype showed similar PR-A expression in both tissues and also similar PR-B expression in the oviduct to the GG genotype. Conversely, the GG genotype showed less PR-B expression than the GA genotype in the uterus (GG/GA(PR-B) = 0.79). Similar expression of both PR isoforms was found in the uterus at d 2 and 3 of gestation; meanwhile, an increase of both isoforms was observed in the oviduct. Similar PR-A expression was observed in the ampulla and isthmus; meanwhile, the PR-B expression in the isthmus was double that in the ampulla.

Candidate gene analysis for reproductive traits in two lines of rabbits divergently selected for uterine capacity.

The objective of this work was to analyze 3 functional candidate genes for reproduction in 2 lines of rabbits divergently selected by uterine capacity. Both lines were selected for 10 generations. The selection was then relaxed until the 17th generation, when it was compounded by 61 and 63 does of the High and Low lines, respectively. We sequenced the SCGB1A1 gene, which encodes the main protein secreted by the rabbit in the uterus and seems to play an important role in implantation. We found 6 SNP in the promoter region cosegregating in 2 haplotypes in both lines with similar frequency. We also analyzed IGF1 mRNA because of its effects on embryo development, but we did not find any polymorphism between individuals of the 2 lines. The third gene analyzed was the TIMP1, which encodes a protein involved in many biological processes related to reproduction. We determined the sequence of its promoter region and found 1 SNP (g.1423A>G) segregating with different frequencies in both lines (0.60 for allele A in the High line and 0.82 for allele G in the Low line). The association study performed in an F(2) population (n = 598) generated by the cross of the 2 lines of rabbits revealed that the AA genotype had 0.88 embryos more than the GG genotype at 72 h of gestation. The difference increased to 2.23 embryos at implantation, but no difference was found between genotypes at birth. These results suggest that TIMP1 could be a candidate gene for embryo implantation and embryo survival.

[Review of the economic evidence on the use of deep brain stimulation in late stage Parkinson's disease]. / Revisión de la evidencia económica sobre el uso de la estimulación cerebral profunda en la enfermedad de Parkinson avanzada.

INTRODUCTION: The purpose of this article is to present the results of a systematic review on the costs and the efficiency of Deep Brain Stimulation (DBS) on patients suffering advanced Parkinson's disease. MATERIAL AND METHOD: A systematic review is performed using databases such as Medline, NHS EED and HTA del Centre for Reviews and Dissemination and Google Scholar from January 2001-2008. RESULTS: Ten articles meet the criteria; one cost description, four cost analyses and five economic evaluations. The scientific evidence shows a reduction in the pharmaceutical costs of those patients treated with DBS. Regarding the direct medical costs, the same statement cannot be made. While some studies estimate the equivalent annual cost of DBS is 54,7% higher than that of traditional therapy, other studies, which include indirect costs such as productivity losses or informal care, claim DBS costs 34,7% less. The incremental cost-effectiveness ratio per QALY is slightly above euro30.000 in 1998 in both the cost-utility analyses where the time horizon was 5 years or more. In the third cost-utility analysis, DBS is the dominant option when the equivalent annual cost was computed. CONCLUSIONS: The available evidence is not strong enough to conclude whether DBS' direct medical costs are higher or lower than the costs of traditional therapy. Key words: Parkinson's disease. Deep brain stimulation. Subthalamic stimulation. Cost analysis. Economic evaluation.

Analysis of the oviductal glycoprotein 1 polymorphisms and their effects on components of litter size in rabbits.

The objective of this work was to study the effect of the oviductal glycoprotein 1 (OVGP1) genotype and mRNA expression on litter size and other fertility measures, as OVGP1 has positive effects on fertilization and early embryo development. We have analysed an F(2) cross of two lines of rabbits divergently selected for uterine capacity. The OVGP1 mRNA expression was analysed in both lines, but no differences were observed between them. The promoter region and mRNA were sequenced in the F(0) generation, and 17 polymorphic sites were found to co-segregate in three haplotypes (A, B and C). An association study was performed between several reproductive traits and a triallelic microsatellite identified in the promoter region as well as a non-synonymous SNP located in exon 11 [g.12944C>G (p.Arg468Gly)]. The alleles g.12944G and g.325(GT)(14)T(G)(5) of the B haplotype have a positive effect on the total number of kits born, number born alive, number of implanted embryos and foetal and prenatal embryo survival.

Identification of single-nucleotide polymorphism in the progesterone receptor gene and its association with reproductive traits in rabbits.

A total of 598 F2 does from a cross between the high and low lines selected divergently for uterine capacity during 10 generations were used in a candidate gene analysis. The presence of major genes affecting the number of implanted embryos and uterine capacity has been suggested in lines divergently selected for uterine capacity. Uterine capacity is a main component of litter size. The progesterone receptor gene was tested as a candidate gene to determine whether polymorphisms explain differences in litter size and its components. Fragments of the promoter region and exons 1-8 were amplified and sequenced. One SNP was found in the promoter region, 2464G>A, three SNPs in the 5'-UTR exon 1, and a silence SNP in exon 7. The first four SNPs were segregated in two haplotypes. The allele G found in the promoter region was found in 75% of the high-line parental animals and in 29% of the low-line parental animals. The GG genotype had 0.5 kits and 0.5 implanted embryos more than the AA genotype. At 48 hr of gestation, the difference in early embryo survival and embryonic stage of development was small. However, at 72 hr of gestation, the GG genotype had 0.36 embryos more than the AA genotype and also had a more advanced embryonic stage of development, showing a lower percentage of compacted morulae and a higher percentage of blastocysts. The difference in litter size between the GG and GA genotypes was similar to the difference found between homozygote genotypes; however, differences in implanted embryos, early embryo survival, and embryo development were not detected between the GG and GA genotypes.

Early embryonic survival and embryo development in two lines of rabbits divergently selected for uterine capacity.

The aim of this work is to study early embryo survival and development in 2 lines divergently selected for high and low uterine capacity throughout 10 generations. A total of 162 female rabbits from the high line and 133 from the low line were slaughtered at 25, 48, or 62 h of gestation. There were no differences in ovulation rate and fertilization rate between lines in any of the 3 stages of gestation. Embryo survival, estimated as the number of normal embryos recovered at a constant ovulation rate, was similar in both lines at 25 and 48 h. Embryo survival was greater in the high line [D (posterior mean of the difference between the high and low lines) = 0.57 embryos] at 62 h of gestation. There was no difference in embryonic stage of development at 25 h, but at 48 and 62 h of gestation, the high line, compared with the low line, had a greater percentage of early morulae (83 vs. 72%) and compacted morulae (55 vs. 38%). Divergent selection for uterine capacity appeared to modify embryo development, at least from 48 h of gestation, and embryo survival from 62 h.

Problemas de salud y motivos de preocupación percibidos por las puérperas antes del alta hospitalaria / Health problems and causes of concern perceived by mothers, in postpartum, before the hospital discharge

Objetivo. Conocer los problemas de salud y los motivos de preocupación de las mujeres durante el puerperio precoz, antes del alta hospitalaria. Diseño. Estudio transversal descriptivo. Ámbito del estudio. Sala de puérperas del Hospital de la Santa Creu y Sant Pau. Participantes. Se seleccionaron de forma consecutiva 164 puérperas durante los meses de marzo a junio de 2002. Mediciones principales. Se analizaron variables relacionadas con los problemas de salud y preocupaciones relacionadas con el bienestar físico de la madre, el recién nacido, aspectos psicoemocionales y aspectos sociales, que fueron identificadas por las mujeres como fuente de preocupación durante este periodo. Resultados principales. Los problemas de salud maternos más frecuentes son el dolor (72, 44 por ciento) y los problemas en las mamas (85, 52 por ciento). Respecto al recién nacido, los aspectos señalados con más frecuencia como preocupantes fueron la alimentación (98, 60 por ciento) y el peso (84, 51 por ciento). Los aspectos psicoemocionales preocupaban a más mujeres primíparas, en especial, la percepción sobre la capacidad de cuidar y la sensación de pérdida de autonomía. Conclusiones. Los aspectos que más preocupan a las madres antes del alta hospitalaria son los relacionados con el recién nacido (AU)

[Intersectorial activities for traffic accident prevention]. / Actividades intersectoriales en la prevención de accidentes de tráfico.

We describe priority issues and some of the results obtained from the implementation of the Prevention and Reduction of Traffic Accident Injuries program in a health area. Since 1999 the public health center has made a priority of identifying and recruiting partners from other sectors (the local police association and the local education authority), increasing its capacity for working together, and setting up an intersectorial working group. Teaching activities and meetings were held. A network of people was created from 17 of a total of 39 town halls that participate in activities supported by the intersectorial group. Ten are involved in educational activities and a further seven focus on ensuring compliance with the law. The intersectorial group promoted their visibility through the local media. These activities are not aimed at reducing injuries from road traffic accidents, but rather at creating an action framework through which all the sectors involved can be mobilized. The aim is to strengthen commitment among political, technical and civil sectors by focussing on social values of respect for a healthier life.

Actividades intersectoriales en la prevención de accidentes de tráfico / Intersectorial activities for traffic accident prevention

Se describen las líneas de trabajo priorizadas y algunos resultados obtenidos en la implantación del programa de prevención y reducción de lesiones por accidentes de tráfico en un área de salud. A partir de 1999 el Centro de Salud Pública priorizó la identificación y búsqueda de aliados en otros sectores (Asociación de policías locales y educación), la construcción de la capacidad de trabajo conjunta y la formación de un grupo intersectorial. Se llevaron a cabo actividades docentes y jornadas. Se formó una red de personas en 17 de un total de 39 ayuntamientos que participan con actividades en el grupo intersectorial. Un total de 10 de estos ayuntamientos participaron con actividades educativas y siete, además, exigieron al cumplimiento de la legislación. El grupo intersectorial potenció la visibilidad de sus actividades a través de los medios de comunicación local. Estas actividades no están dirigidas a reducir las lesiones por tráfico, sino a crear un marco de trabajo para la movilización de los sectores implicados. Se pretende potenciar más el compromiso entre los niveles políticos, técnicos y civiles incidiendo en valores sociales de respeto para una vida más saludable (AU)

A new report of mesomelic camptomelia, polydactyly and Dandy-Walker complex in siblings.

Two male siblings with several malformations are reported. The anomalies detected in both fetuses were mesomelic camptomelia, postaxial hexadactyly and Dandy-Walker complex. There was only one similar previous report in the literature. This combination could represent a specific pattern of malformation or a new syndrome, with different variants. The parents' consanguinity and the recurrence in a subsequent pregnancy suggest an autosomal recessive inheritance pattern.