Situación de la salud materno-perinatal en 2 Centros de Salud de Bizkaia

Introducción: La salud reproductiva y, en concreto, todos los aspectos relacionados con los cuidados de salud durante el embarazo, son temas de especial relevancia, tanto para la sociedad como para los servicios sanitarios. De modo que es necesario asegurar una adecuada atención de la mujer durante el embarazo, parto y postparto. Objetivo: Analizar y determinar la satisfacción de las mujeres con el seguimiento de su embarazo (gestación, parto y postparto) y comparar las diferencias existentes entre los 2 Centros de Salud (C.S) en los que se ha realizado dicho seguimiento. Metodología: Se realizó un estudio a 32 mujeres atendidas en los C.S. de Bombero-Etxaniz y Arrigorriaga, en el periodo transcurrido entre el 15 de enero del 2013 y el 15 de marzo del 2013; las encuestas se llevaron a cabo en el primer trimestre postparto. Se desarrolló un análisis descriptivo de los datos y un estudio de asociación entre las diferentes variables. Resultados: La media de edad de las mujeres estudiadas se situó en 34,75; se encontró asociación entre la edad y los embarazos de riesgo. El 50% de los partos fueron eutócicos; se estableció relación con la edad y la paridad. A más del 50% de ellas se les realizó una episiotomía, buscando una relación con el hospital se halló que cuanto más grande era el hospital más episiotomías se realizaban. Así mismo las encuestadas mostraron una mayor satisfacción con la atención prestada por los centros hospitalarios privados; en referencia a los C.S. no se hallaron diferencias significativas, mostrando en ambos casos una satisfacción subjetiva percibida alta. Conclusiones: Los cambios sociales, culturales, económicos e ideológicos ocurridos han favorecido el aumento de la edad materna y consigo el aumento de embarazos de riesgo, además de la disminución de la media del número de hijos. Se aprecia una necesidad en materia de apoyo e información a las mujeres en el periodo postparto debido al gran cambio personal, físico, social y psicológico que puede suponer.

Improving coastal livelihoods through sustainable aquaculture practices in Hon Mun marine protected area, Nha Trang Bay, Vietnam: a report to the collaborative APEC Grouper Research and Development Network

This case study describes the present status and trends, and provides recommendations for the improvement of aquatic resources management within Hon Mun Marine Protected Area (MPA), Nha Trang Bay, Khanh Hoa Province, Vietnam. The case study also evaluates options for improving the livelihoods of local villagers through the development of ecologically sustainable aquaculture and fisheries, which include diversification following careful selection and trial of appropriate culture species, and application of “best practice” culture methods. (Pdf contains 43 pages).

Salud y desigualdades sociales en salud en la C. A. del País Vasco en el cambio de siglo : una visión desde las esperanzas de salud

328 p. : graf.

Aquaculture in the Baltic Sea area – A concept for joint research of Baltic Sea abutters

A concept for joint research on aquaculture in the Baltic Sea area is presented. It consists of three major parts, the promotion of an aquaculture-based-fisheries, the development of low-output land-based aquaculture systems, and the search for sustainably produced substances from aquatic organisms to be used for different processes. They include substitutes for feeding stuffs or products of importance for medical, biotechnological and industrial applications.

Effects of beach remourishment on the benthic macrofauna and the fishes of the nearshore zone at Sebastian Inlet State Recreation Area

Approximately 100,000 cubic yards of sand was transported to the ocean beach to renourish the eroded beach front during the period December 1985 through May 1986. The ocean beach at Sebastian Inlet SRA was previously studied in a project examining the benthic macrofauna and the fishes of the nearshore zone during 1981-1982 (Allenbaugh, 1984; Peters, 1984; Nelson, unpublished). In view of the existing data, the US Army Corps of Engineers provided funding to study the effects of the beach renourishment activities at Sebastian Inlet SRA on the benthic macrofauna and the fishes of the nearshore zone. This is the report on the results of this study.

Celiac disease in the Mediterranean area

Background: The World Gastroenterology Organization recommends developing national guidelines for the diagnosis of Celiac Disease (CD): hence a profile of the diagnosis of CD in each country is required. We aim to describe a cross-sectional picture of the clinical features and diagnostic facilities in 16 countries of the Mediterranean basin. Since a new ESPGHAN diagnostic protocol was recently published, our secondary aim is to estimate how many cases in the same area could be identified without a small intestinal biopsy. Methods: By a stratified cross-sectional retrospective study design, we examined clinical, histological and laboratory data from 749 consecutive unselected CD children diagnosed by national referral centers. Results: The vast majority of cases were diagnosed before the age of 10 (median: 5 years), affected by diarrhea, weight loss and food refusal, as expected. Only 59 cases (7.8%) did not suffer of major complaints. Tissue transglutaminase (tTG) assay was available, but one-third of centers reported financial constraints in the regular purchase of the assay kits. 252 cases (33.6%) showed tTG values over 10 times the local normal limit. Endomysial antibodies and HLA typing were routinely available in only half of the centers. CD was mainly diagnosed from small intestinal biopsy, available in all centers. Based on these data, only 154/749 cases (20.5%) would have qualified for a diagnosis of CD without a small intestinal biopsy, according to the new ESPGHAN protocol. Conclusions: This cross-sectional study of CD in the Mediterranean referral centers offers a puzzling picture of the capacities to deal with the emerging epidemic of CD in the area, giving a substantive support to the World Gastroenterology Organization guidelines.

Preliminary observations of some smaller fish of the freshwaters of the Calabar area

About 43 species of fish from sites within approximately 50 km north and 100 km northeast of Calabar are listed. Brief ecological and taxonomic data for some of the species are given

Ajuste psicológico y salud mental de la población inmigrante : influencia del género y la cultura

481 p.

The traditional fishery of Ibu project area on the northern portion of the Imo River, Nigeria

A survey carried out on the fishery of the northern portion of Imo basin (known as Ibu project area for the purpose of this study) provided some information on the number and type of fishermen cropping this portion of the Imo River, Nigeria. The population was found to be very mobile with many itinerant or seasonal fishermen. The type of gear in use was studied and a high number of traditional dug-out canoes recorded which shows the ability of the people to make their own canoes. The presence of freshwater shrimps crayfish and clupeids at this upper region of the Imo River was observed

Workshop on Customary Institutions in Indonesia: Do They Have a Role in Fisheries Coastal Area Management? Report 2-5 August 2009, Lombok, Indonesia

Sixty delegates from Indonesia, the Philippines, Thailand, Malaysia and India met at Lombok, Nusa Tenggara Barat (NTB, West Nusa Tenggara) province, Indonesia, during 2-5 August 2009, for the workshop on “Customary Institutions in Indonesia: Do They Have a Role in Fisheries and Coastal Area Management?”. The workshop was organized by the International Collective in Support of Fishworkers (ICSF), in co-operation with Indonesia’s Ministry of Marine Affairs and Fisheries (MMAF) and the Provincial Department of Fisheries and Oceans (DKP) of the Government of NTB. (PDF contains 68 pages)

Preliminary survey of parasites of Clarias in the Niger Delta area of Nigeria

A total of 160 Clarias lazera were collected with line hood between April and June 1984 from the Niger Delta area and observed for the presence of parasites. The results revealed the presence of three classes of endo-parasites: Trematodes (47%), nematodes (46%) and cestodes (7%). It was found that, the parasites have great affinity for the spleen (34%) and the liver (28.3%). Also, smaller fish habored more parasites than large fish. Though the investigation is still continuing, the study reveals the presence of parasites in Clarias and calls for measures to prevent wide-spread infestation in fish ponds and suggests treatment of infested fish