Trastornos menstruales en tripulantes de cabina de pasajeros (TCP) / Menstrual disorders in flight attendants

INTRODUCCIÓN:El objetivo de este estudio es determinar la incidencia de alteraciones en el ciclo menstrual de las azafatas de una compañía aérea y su relación con factores propios del medio aeronaútico tales como, la exposición mantenida a un medio hipobárico y a un determinado ambiente de cabina, duración y recorrido de vuelos y otros factores como, ambiente de trabajo (estrés, cambios horarios...), edad, patología médico y/o ginecológica y toma de fármacos. MATERIAL Y MÉTODO: Realizamos un estudio mediante un cuestionario anónimo y voluntario entre las azafatas que pertenencían a la plantilla de la compañía Iberia. RESULTADOS: Respondieron a la encuesta 614 azafatas con edades comprendidas entre los 20 y 58 años siendo la media de 37,38 años. Del total de la muestra un 44,1 por ciento referían alteraciones menstruales. Encontramos una relación estadística significativa entre la presencia de transtornos menstruales y la edad, los años efectivos de vuelo y otros factores tales como el vuelo en aviones que realizan trayectos intercontinentales y continentales. Según los resultados obtenido la edad juega un papel fundamental en la presencia de estos trastornos (AU)

INTRODUCTlON: The aim of this study is to analyze the incidence of changes and disturbances in the menstrual cycle in a group of flight attendants (FA) in relation to aviation environmental factors such hipobaria exposure, cabin pressure, length and route of flight and other factors such occupational stress, age, medical, gynecological disturbances and use of medication. MATERIAL AND METHODS: We carried out a survey by voluntary and anonymous questionnaire among flight attendants currently assigned to the fleet of lBERIA Airlines. RESULTS: 614 FA answered the questionnaire. The average age of the FA was 37,38 (range 20-58). Of the 614 FA surveyed 44,1% reported menstrual disorders. We found a relation statistically significant between the presence of menstrual disorders and age, flying time, intercontinental and continental flights. The age is un important factor in menstrual disorders in night attendants (AU)

[Soft tissue infections with S. Lugdunensis. Presentation of 2 cases and general review]. / Infecciones de tejidos blandos por S. lugdunensis. Presentación de dos casos y revisión general.

Staphylococcus lugdunensis was first described in 1988 by Freney et al. Since that moment, it has been recognised as an important cause of endocarditis that is able to involve native valves and follow an aggressive, often fatal course. By now, we know only few potential virulence factors, but its ability to produce a wide range of human infections, varying from life threatening (such us endocarditis) to more benign ones, is unquestionable. Unlike other coagulase negative Staphylococci, S. lugdunensis is frequently implicated in soft tissue infections and affects commonly persons with clinical antecedents of neoplastic diseases. We report two new cases of deep tissue abscesses in patients that had history of uterine tumours. In both occasions we isolated coagulase negative Staphylococci that were markedly susceptible to all the antimicrobial agents tested. It is relevant to perform a detailed microbiological study in order to avoid misidentification of this species, since it differs significantly from other coagulase negative ones and may lead to important morbidity--and even mortality--. There are great differences in the rates of resistant strains between countries and, up-to-date, the lack of antibiotics susceptibility seems not to be a serious problem in Europe if we compare with the 30% american strains that are resistant via production of beta-lactamase.