[Evaluation of the risk of the clinical-surgical and pathology study findings in newborns with necrotizing enterocolitis who have received surgical treatment]. / Valoración de riesgo de los hallazgos clínico-quirúrgicos y de anatomía patológica en neonatos con enterocolitis necrotizante que han recibido tratamiento quirúrgico.

INTRODUCTION: Despite advances in neonatal care between 20% and 63% of children with necrotizing enterocolitis (NEC) require surgery. The aim was correlation the risk factors of infants with NEC "IIB / IIIA / IIIB" Bell and the clinical, surgical and pathological findings. METHOD: In the children with diagnosis of NEC surgically treated, were analyzed of variables: clinical, surgical and pathological findings. We studied two groups: control (n=5) and NEC group (n=12). Comparisons were made between groups using the Mann-Whitney U- and the Spearman coefficient (r). To assess the risk of morbidity / mortality associated with the extent of intestinal resection we applied the Cox regression. RESULT: We found differences (p < 0.05) between control group and the NEC group regarding Bell, the mean height of villi, Chiu and the number of goblet cells. In the NEC group we find correlations (p < 0.05) from Bell, regarding Chiu (r = 0.761), resection of the colon (r = 0.687), pneumatosis / perforation (r = 1) and the mean height of villi (r = -0.878). The gut reseccion was at 26 cm (3-107). We observed a risk of 1.04 in the neonatal period (p > 0.05) of mortality or consequence post-enterocolitis associated with the extent of bowel resection. CONCLUSION: The decrease in the average height of villi, the highest level of microscopic intestinal injury and reduced goblet cell population contributes to a greater extent of intestinal resection, which favors the risk of death or developing consequence post-enterocolitis.

Relationship between toxicokinetics of carbaryl and effect on acetylcholinesterase activity in Pomacea patula snail.

The 96-h LC(50) value of carbaryl was 14.6 microg/mL for the snail Pomacea patula. Organisms were exposed for 72 h to a low sublethal concentration (0.1 of LC(50)) using a semistatic contamination system; bioconcentration and elimination experiments were performed evaluating simultaneously acetylcholinesterase (ACHase) activity. The inhibition of the digestive gland ACHase reached 76% when the carbaryl concentration in tissue was 3.2 microg/g. The increased enzyme inhibition was observed concomitantly with the bioconcentration of carbaryl until 7 h. ACHase inhibition was linearly dependent on the uptake and bioconcentration of carbaryl (r(2)=0.87). The transfer of snails to carbaryl-free water after 72 h of exposure was followed by rapid monophasic elimination with a half-life of 1.0 h. However, ACHase activity levels never returned to control values. These results revealed that the bioconcentration might play a critical role in contributing to the toxicity of carbaryl.

Ocular linguatuliasis in Ecuador: case report and morphometric study of the larva of Linguatula serrata.

Linguatula serrata is a pentastomid, a cosmopolitan parasite belonging to the Phylum Pentastomida. Humans may act as an intermediate or accidental definitive host of this parasite, manifesting the nasopharyngeal or visceral form, with the latter having been described more frequently. The occurrence of ocular linguatuliasis is extremely rare, but it has been reported in the United States and Israel. The objective of the present paper was to report the first case of ocular linguatuliasis in Ecuador and to extend the morphologic study of L. serrata by morphometric analysis. The patient studied was a 34-year old woman from Guayaquil, Ecuador who complained of ocular pain with conjunctivitis and visual difficulties of two-months duration. Biomicroscopic examination revealed a mobile body in the anterior chamber of the eye. The mobile body was surgically removed. The specimen was fixed in alcohol, cleared using the technique of Loos, stained with acetic carmine, and mounted on balsam between a slide and a coverslip. It was observed with stereoscopic and common light microscopes in combination with an automatic system for image analysis and processing. The morphologic and morphometric characteristics corresponded to the third-instar larval form of L. serrata. To our knowledge, ocular linguatuliasis has not been previously described in South America, with this being the first report for Ecuador and South America. The present study shows that computer morphometry can adequately contribute both to the morphologic study and to the systematic classification of Pentastomids, and L. serrata in particular.

[Acid-base balance in the newborn infant. II. 3 technics of sample collection and the difference between amniotomy]. / El equilibrio ácido-base en el recién nacido normal (II. Tres técnicas de obtención de muestras y diferencia entre amniotomía.

The study included 32 healthy newborns to evaluate the acid-base balance between two groups of newborns whose mothers underwent early or late amniotomy. The results were compared to the first study finding important differences, unquestionable due to amniotomy and age. Significant difference was found only in PO2 between arterial blood and arterialized capillary showing difference in pH, PCO2 and CO2 between the two capillaries. With the criterion pointed out in this work, the usefulness of late amniotomy and the stabilization of acid-base balance is established in newborns under 4 hours of age. Arterial blood is still being proposed to obtain an "ideal" acid-base balance and the arterialized capillary as a practical and useful method.

[Early and late ligature of the umbilical cord and the acid-base equilibrium of the newborn infant]. / Ligadura temprana y tardía del cordón umbilical y el equilibrio ácido-base del recién nacido.

A comparative study was made between two groups of healthy newborns. In the first group (A), partial placental transfusion was propitiated and in the second group (B), the umbilical cord was ligated previous to the first inspiration. The behavior of the internal means was investigated carrying out a study of its acid-base equilibrium in umbilical vessels and in arterial blood of the newborn at 30 minutes of independent life. The analysis of the results confirmed significant statistical differences between both groups under study and the usefulness of one minute partial placental transfusion was substantiated. It verified besides that, although both groups showed similar behavior, the group where placental transfusion was propitiated showed a greater metabolic resource which was statistically confirmed. This circumstance propitiated a better accomplishment of homeostasis.

[Acid-base equilibrium in healthy newborns. Pattern of normality in Mexico City]. / Equilibrio ácido-base en recién nacidos sans. Patrón de normalidad para la ciudad de México

During their spontaneous recovery after birth, the acid-base balance was studied in 32 healthy newborns. The observation period lasted for 4 hours. Determinations were carried out, both in umbilical vessels as in central arterial blood. The most outstanding phenomenon was an increase in acidosis at 30 minutes of life. The metabolic component predominating over the respiratory was a definitely evident fact. At the end of four hours, the acid-base balance reached figures considered normal for the adult.