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INTRODUCTION: Atopic dermatitis is a common and increasingly prevalent disorder. The International Study of Asthma and Allergies in Childhood (ISAAC) made a major contribution to the understanding of its epidemiology. OBJECTIVES: The aim of this study was to estimate the prevalence and severity of atopic dermatitis in a representative sample of 6 to 7-year-old and 13 to 14-year-old children from the province of Granada, Spain, using validated questionnaires and to analyze potential differences between coastal and inland regions. MATERIAL AND METHODS: This was a descriptive cross-sectional observational study of schoolchildren from Granada, Spain, aged between 6 and 7 years and 13 and 14 years. The main instrument was the core questionnaire module for dermatitis used in phase I of the ISAAC study. RESULTS: Statistically significant differences were found in Granada schoolchildren aged 6 to 7 years in terms of prevalence of dermatitis at some time, typical site, resolution in the last 12 months, and diagnosis of atopic dermatis. No significant differences were observed on comparison of the prevalence of atopic dermatitis between coastal and inland populations. Finally, in the comparison of schoolchildren aged 6 to 7 years, we observed almost significant differences for dermatitis at some time, resolution in the last 12 months, and diagnosis of atopic dermatitis on considering age and geographic location of the study population. CONCLUSIONS: The prevalence of atopic dermatitis is similar in the coastal population and the provincial capital. In terms of clinical symptoms and disease course, atopic dermatitis tends to stabilize with age.

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Es comun la ocurrencia de fenomenos tromboembolicos en pacientes con cancer, y una de las principales controversias es su prevencion y tratamiento. La patogenesis de la trombosis en las neoplasias malignas es multifactorial y sus mecanismos involucran liberacion de procoagulantes por las celulas tumorales, factores comorbidos predisponentes y drogas anticancer. Varios ensayos clinicos han demostrado que el uso de heparinas de bajo peso molecular, y la heparina no fraccionada estandar, previenen el tromboembolismo venoso en pacientes con cancer llevados a cirugia. No obstante, existe poca evidencia disponible sobre metodos profilácticos en centros de cirugia ambulatoria de pacientes con cancer. Se encuentra solamente un estudio que demuestra la utilidad, eficacia y seguridad del uso de heparina de bajo peso molecular (HBPM) en la prevencion de tromboembolismo en pacientes con cancer de seno metastásico que reciben quimioterapia. Los esquemas de anticoagulacion con warfarina (1 mg diario) o HBPM, pueden prevenir la trombosis con motivo del acceso venoso central. Asi, los resultados sobre el uso de terapia anticoagulante estandar intravenosa seguida por anticoagulacion oral en pacientes con trombosis venosa profunda (TVP) establecida, han demostrado que la HBPM, puede ser usada con seguridad y eficacia para tratar los estados agudos de trombosis venosa profunda en los pacientes con cancer sometidos a terapia ambulatoria o en el domicilio.

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BACKGROUND: The deformability of the red blood cell is a important factor in the blood viscosity and it is related with the blood viscosity and it is modified by the plasma biochemical characteristics and the composition of hemoglobin in the red blood cell. In this study, we want to compare the rheologic characteristics in the blood of cord umbilical in term and preterm newborns during the first 24 hours of life and we want to evaluate that hemorheologic modifications are explained because of the different gestational age. METHODS: We studied 191 newborns in our maternity from 1989 until 1990. We analyzed four groups: In the first group (n = 40) of preterm newborn (gestational age < 37 weeks); in the second group (n = 72) of term newborns (gestational age > 37 weeks); the samples were obtained from umbilical artery immediately after the umbilical cord clamp; in the third group (n = 38) of preterm newborn and the fourth group of term newborns (n = 41) was studied during 24 hours after delivery. We analyzed the plasma viscosity, the viscosity of red blood cell (RBC) content and the RBC rigidity calculated by Taylor's coefficient. RESULTS: The RBC rigidity is greater during the post-delivery period, which could be in relation with the greater values of plasma viscosity and the RBC content during the postnatal period. The comparisons between umbilical cord of term and preterm newborn they did not show differences for the RBC content viscosity and the relative viscosity. The plasma viscosity of the umbilical cord was discretely greater in the term newborn though in meaning limits statistics. In umbilical cord the hematocrit does not defer significantly between term and preterm newborns. CONCLUSIONS: Following our data we can make firm that the RBC rigidity is increased after the delivery in term and preterm newborns and the greater relative viscosity observed in newborn to term during the first life extrauterine days in related fundamentally to the corporal liquids readjustment that occurs after of delivery.

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Authors make a retrospective study in 18 children with kala-azar, considering in every case the following epidemiological aspects: age, sex, situation, time of the year and lethality. They have also studied the vector of this disease in some points in Granada and after an adequate study concluded that the main vector of the kala-azar in the investigated zone is "Phlebotomus perniciosus". They have detected as well a new species in Spain, "Plebotomus longicuspis", with a slight epidemiological interest. Finally both investigations are compared finding two zones in Granada (the town and the coast) where most of the cases of kala-azar, are agglutinated and where main species of the vectors were found.

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