[Bone mineral density in climacteric. Identification of patients with risk of developing osteoporosis]. / Densidad mineral ósea en el climaterio. Identificación de pacientes con riesgo de desarrollar osteoporosis.

The bone mineral density (BMD) of the lumbar spine was determined by dual photon absorptiometry in 98 normal females: 26 premenopausal between 40 and 48 years of age and 72 unselected women 1 to 20 years after the onset of menopause, all of them attending the Menopause Clinic of the Hospital. The results were as follows: Premenopause 1.20 +/- 0.09; Postmenopause: 1.8 years: 1.16 +/- 0.10; 5.3 years: 1.10 +/- 0.12; 9.0 years: 1.06 +/- 0.12; 15.1 years: 1.01 +/- 0.11 g/cm2. The total bone loss during the period of observation was 16%. The cross-sectional data appears to fit an exponential curve with approximate diminution of 2.0%/year at the onset and 1%/year 10 years after the menopause. The individual values obtained in 45 females between 1 and 10 years postmenopause are plotted in Figure 2. Two patients with BMD below 0.9 g/cm2 were specially studied. One of them had asymptomatic primary hyperparathyroidism and the other overt osteoporosis with a crush fracture of a dorsal vertebra. Following the average bone loss of the group and assuming that the BMD should not fall at age 65 below the theoretical threshold for spine fractures (0.98 g/cm2) a risk curve was designed: 58% of the women were above and 42% below. This percentage is similar to the number of females who suffer osteoporotic fractures at age 70. Considering the Quetelet index (weight in kg/height in m2) the females were divided in 3 groups: above 30, between 30 and 23 and below 23.(ABSTRACT TRUNCATED AT 250 WORDS)

Densidad mineral ósea en el climaterio. Identificación de pacientes con riesgo de desarrollar osteoporosis. / [Bone mineral density in climacteric. Identification of patients with risk of developing osteoporosis]

The bone mineral density (BMD) of the lumbar spine was determined by dual photon absorptiometry in 98 normal females: 26 premenopausal between 40 and 48 years of age and 72 unselected women 1 to 20 years after the onset of menopause, all of them attending the Menopause Clinic of the Hospital. The results were as follows: Premenopause 1.20 +/- 0.09; Postmenopause: 1.8 years: 1.16 +/- 0.10; 5.3 years: 1.10 +/- 0.12; 9.0 years: 1.06 +/- 0.12; 15.1 years: 1.01 +/- 0.11 g/cm2. The total bone loss during the period of observation was 16

. The cross-sectional data appears to fit an exponential curve with approximate diminution of 2.0

/year at the onset and 1

/year 10 years after the menopause. The individual values obtained in 45 females between 1 and 10 years postmenopause are plotted in Figure 2. Two patients with BMD below 0.9 g/cm2 were specially studied. One of them had asymptomatic primary hyperparathyroidism and the other overt osteoporosis with a crush fracture of a dorsal vertebra. Following the average bone loss of the group and assuming that the BMD should not fall at age 65 below the theoretical threshold for spine fractures (0.98 g/cm2) a risk curve was designed: 58

of the women were above and 42

below. This percentage is similar to the number of females who suffer osteoporotic fractures at age 70. Considering the Quetelet index (weight in kg/height in m2) the females were divided in 3 groups: above 30, between 30 and 23 and below 23.(ABSTRACT TRUNCATED AT 250 WORDS)

Resultados obtenidos en el seguimiento de embarazadas hipertensas. / Results of the following plan of pregnant hypertensive women

Se realiza una breve introduccion considerando los actuales conceptos etiopatologicos de la hipertension arterial inducida por el embarazo. Se efectua una revision de los casos de preeclampsia-eclampsia atendidos en el Servicio de Obstetricia del Hospital de Clinicas "Jose de San Martin", desde el 1 de enero de 1981 al 30 de junio de 1982. Sobre un total de 3.278 partos se analizaron 217 embarazadas hipertensas, significando una incidencia del 6,61%. La frecuencia de cesareas fue del 40%.Hubo un porcentaje de recien nacidos de bajo peso de 25%. La mortalidad perinatal especifica fue del 18,4 por mil. No hubo morbimortalidad materna. El manejo clinico de la embarazada hipertensa fue normatizada en base a reposo, dieta, hipotensores e interrupcion del embarazo en los casos graves que no cedieron al tratamiento

Resultados obtenidos en el seguimiento de embarazadas hipertensas. / Results of the following plan of pregnant hypertensive women

Se realiza una breve introduccion considerando los actuales conceptos etiopatologicos de la hipertension arterial inducida por el embarazo. Se efectua una revision de los casos de preeclampsia-eclampsia atendidos en el Servicio de Obstetricia del Hospital de Clinicas "Jose de San Martin", desde el 1 de enero de 1981 al 30 de junio de 1982. Sobre un total de 3.278 partos se analizaron 217 embarazadas hipertensas, significando una incidencia del 6,61%. La frecuencia de cesareas fue del 40%.Hubo un porcentaje de recien nacidos de bajo peso de 25%. La mortalidad perinatal especifica fue del 18,4 por mil. No hubo morbimortalidad materna. El manejo clinico de la embarazada hipertensa fue normatizada en base a reposo, dieta, hipotensores e interrupcion del embarazo en los casos graves que no cedieron al tratamiento