RESUMO
The mortality rate of prematures of gestational age less than or equal to 32 weeks during hospitalization in the neonatal intensive care unit of the University Hospital in Fort-de-France (Martinique, French Caribbeans) decreased from 69% in 1980 to 32% in 1987-1988 and to 20% in 1989. The mortality of small for gestational age children during the cumulated years 1987-1988-1989 was twice that of babies with normal birth weight. The various factors responsible for these facts were reviewed: caesarean section rates increased from 15% in 1980 to 42% in 1989, percentage of children submitted to assisted ventilation increased from 35% in 1980 to 78% in 1989 and mortality rate related to hyaline membrane disease decreased from 100% in 1980 to 33% in 1989. The comparison with a survey performed in 1985 in the Paris area showed no significant difference with the mortality rate of premature infants of gestational age greater than or equal to 27 weeks born in the University Hospital in Fort-de-France. Therefore an important effort remains necessary concerning mostly children under 27 weeks of gestational age.
Assuntos
Mortalidade Infantil , Recém-Nascido Prematuro , Idade Gestacional , Humanos , Recém-Nascido , Recém-Nascido Pequeno para a Idade Gestacional , Martinica/epidemiologiaRESUMO
This is a report of a limy bile syndrome in a little girl aged 21 months, whose gall-bladder is spontaneously visible on the abdominal X Ray, with a biliary stone inside. The limy bile syndrome is very rare in infancy and childhood and is found more exceptionally in new-born. Only 12 cases were found out in medical literature among children aged from 3 to 15. The pathogenesis of the disease is unknown, but its diagnosis is very easy. The treatment is surgical and consists in cholecystectomy with per-operative cholangiography although drainage of the biliary mould can happen.
Assuntos
Doenças da Vesícula Biliar/diagnóstico por imagem , Calcinose/diagnóstico por imagem , Calcinose/etiologia , Calcinose/cirurgia , Carbonato de Cálcio/análise , Colelitíase/análise , Colelitíase/diagnóstico por imagem , Colelitíase/etiologia , Colelitíase/cirurgia , Feminino , Doenças da Vesícula Biliar/etiologia , Doenças da Vesícula Biliar/cirurgia , Humanos , Lactente , Radiografia , SíndromeRESUMO
An epidemiological and clinical survey of rheumatic fever was carried out in Martinique. The clinical manifestations, portal of entry and socio-economic facilitating factors appeared to be the same as those observed in metropolitan France when the disease occurred with a similar frequency. The prevalence and severity of rheumatic fever in Martinique are still high (in 1982, 49 new cases in a population of 300,000, including 12 with severe carditis), but they tend to diminish as the eradication campaign goes on. The reasons for the persistence of the disease and the problems encountered in the eradication campaign are discussed in the light of epidemiological data collected during the last 3 years.