Do low-risk nulliparous women with abnormal uterine artery Doppler in the third trimester have poorer perinatal outcomes? A longitudinal prospective study on uterine artery Doppler in low-risk nulliparous women and correlation with pregnancy outcomes.

OBJECTIVE: To evaluate uterine artery (UtA) Doppler over the course of pregnancy in low-risk nulliparous women and to analyze whether an abnormal uterine artery pulsatility index (UtA-PI) at a 32-34 week' scan implies poorer perinatal outcomes. METHODS: An observational prospective study was carried out including 616 low-risk nulliparous women. Women with any of the following were excluded: fetal abnormalities, multiple pregnancy, and heparin, metformin or hypotensive treatment. Maternal characteristics, mean arterial pressure measurements and UtA Doppler findings were recorded longitudinally. RESULTS: Complete pregnancy data were available for 489/616 women (79.3%). Of these, 385 women had a normal UtA-PI throughout pregnancy (Group 0), while 50 (10.1%) had an UtA-PI > 95th percentile in the first or the second trimester that normalized in the third trimester (Group 1), and 56 (11.4%) had an abnormal UtA-PI in the third trimester (Group 2). We found that the rate of pre-eclampsia (PE) was higher in Group 2 (7/56 versus 4/435, p = 0.003) as was the rate of intrauterine growth restriction (IUGR) (6/56 versus 14/435, p = 0.02). CONCLUSIONS: Low-risk nulliparous women with abnormal UtA Doppler findings in the third trimester are at a higher risk of developing PE and having a baby with IUGR.

Actualización en terapéutica antiparasitaria. I. Parasitosis intestinales / Update on treatment of intestinal parasitic infections

Las infecciones parasitarias presentan una distribución mundial. El incremento en los viajes internacionales, la inmigración, el uso de fármacos inmunosupresores y la difusión del SIDA han provocado que los profesionales sanitarios puedan detectar infecciones causadas por parásitos infrecuentes actualmente. Esta revisión incluye una actualización de los fármacos de primera elección y alternativas terapéuticas frente a la mayoría de las parasitosis intestinales

Parasitic infections are found throughout the world. With increasing travel, immigration, use of immunosuppressive drugs and the spread of AlDS, physicians anywhere may see infections caused by previously unfamiliar parasites. This paper includes an updated summary of the current drug therapies (first-choice and altemative drugs) for most intestinal parasitic disease

Relación entre burnout e inteligencia emocional y su impacto en salud mental, bienestar y satisfacción laboral en profesionales de enfermería / Reationship between burnout and emotinal intelligence and its influence onmetnal health, wll-being and work satisfaction among nursing proffesionals

El presente estudio analiza la relacion entre Intelgenica Emocional Percibida (IEP), y el Burnout en profesionales de enfermería. Analizamos la capacidad predictiva de la IEP para explicar los niveles de burout y salud mental en la práctica de la enfermería. Los anáisis de correlación mostraron asociaciones significativas entre Atención que se relacionó positivamente con Despersonalización. Claridad se asoció positivamente con realización personal, con buena salud metnal yalta satifacción en el rabajo. Ls análisis de regresión jerárquica confiraron estos resultados e indicaron que la IEP EXPLICA PARTE DE LA VIARIANZA DE Burnut no explicada or variables sociodemográficas Además la IEP influyó de dos manera diferentes sobre el burnout: directamente sobre las dimensiones del síndrome e indirenctamete vía escala afecto. Por último, comprobamos que tener bajas puntuaciones en el síndrome influye en unmayor bienestar y satisfacción con el trabajo. Estos hallazgos evidencian que ciertos factores cognitivos y emocionales deben ser tenido en cuenta para explicar el síndrome burnout en los profesionales de enfermería(AU)

In this study, we analize the relationship between Perceived Eotinal Intelligence (PEI) and Burnout among nrsing proffesionals. Specifically, we analize the PEI predictive capacity to explan burnout levels and emntal health among nursing professionals Correlational anayses yielded positivite significant relationships between Emotional Attntion and Despersonalization. Emotional Clarity was positively correlated to Personal accomplishment, mental health and work satisfation. On the other hand, regression analyses verified these results and showed that PEI explained part of the vairance that was not explained by sociodemographic variables. Moreover. PEI influenced burnout in two different ways: a directly on burnout dimensions and inderectly by the affect scale. Finally, we found that a lower score on burnout mplied being more satisfied with work and higher bell-being than a higher score. These findings demosntrate that certain cognitives and emotional factors should be considered to exlain burnout in nursing professionals(AU)

Fibroelastosis endocárdica: diagnóstico y pronóstico / Endocardial fibroelastosis: diagnosis and prognostic

La fibroelastosis endocárdica es una enfermedad cardíaca poco conocida. La mayoría de los pacientes progresan a fallo cardíaco y muerte. Presentamos un caso de diagnostico en la semana 20 de gestación, con hiperefringencia endocárdica y mala visualización de válvula mitral. El estudio doppler demuestra pobre función del VI con estenosis crítica valvular aórtica sin flujo anterógrado e insuficiencia mitral severa. Es importante en todos los casos de diagnóstico morfológico realizar eco-doppler que permite confirmar el diagnóstico y evaluar un pronóstico

Endocardial fibroelastosis is a little know cardiac disease. The majority of patients progress to cardiac failure and death. Here we present a case diagnosed at 20 weeks of gestation, with high endocardic echogenicity and a badly visualized Mitral valve. Doppler studies demonstrated poor function of the Left Ventricle with a critical aortic valvular stenosis, with no flow and with a severe Mitral incompetence.. A doppler- Ecography is important on all morphological diagnostic cases thus confirming the diagnosis and considering a prognosis