Extensive extradural pneumorrhachis related to obstetric analgesia.

Iatrogenic extradural pneumorrhachis is a rare clinical entity, but anesthesiologists should be aware of this possibility when using the air technique for the identification of epidural space. Although in most published cases extradural pneumorrhachis is asymptomatic, relevant neurological consequences have been described, such as meningeal irritation, radicular pain, unilateral lower extremity weakness, cauda equina syndrome, paraplegia, and tetraplegia.We describe a very extensive extradural pneumorrachis (T9-S1), related to obstetric analgesia, in a patient with severe and atypical perineal pain after forceps-assisted delivery. Our aim is to synthesize and organize the available scientific evidence, analyzing preventive measures and summarizing the most appropriate diagnostic, follow-up and therapeutic techniques for symptomatic conditions, among which high concentrations of inspired oxygen, hyperbaric oxygen therapy and percutaneous or surgical decompression have been described.

Estudio de las campañas de vacunación antigripal 2005 y 2006 a trabajadores del Area 2 de Madrid / No disponible

La vacunación antigripal es la medida más eficazpara prevenir la gripe. Dentro de los colectivos laborales en los que se recomienda su inoculación, seencuentran los trabajadores sanitarios.Objetivos:, Estudiar si existen diferencias significativas entre las Campañas del 2005-06 y 2006-07dirigidas a los trabajadores del área sanitaria 2 de laComunidad de Madrid.Metodología: Estudio descriptivo de ambas campañasen el área sanitaria 2 de la Comunidad de Madrid. Se realiza un análisis univariante y se construye un modelo de Regresión Logística cuya variable dependiente son las dos campañas. Comovariables independientes se incluyeron: edad, categoría, servicio, centro de trabajo, vacunación de la gripe en el año anterior, efectos secundarios en año el anterior, enfermedad crónica, medicación, fumador y procesos alérgicos.Resultado:. En la Campaña 2005 se vacunaron más en servicios centrales, hostelería y administración.Se declararon más efectos secundarios, se vacunaron más sanitarios y más trabajadores declararon tomar algún tipo de medicación. Sin embargo en la Campaña 2006 se vacunaron más en el H. U. Princesa, en la primera semana de campaña, en los servicios médicos y más trabajadores declararon tener algún tipo de enfermedad crónica.Conclusiones: Las coberturas vacunales han sidoiguales o inferiores a años anteriores en los distintoscentros excepto en el Hospital U. de la Princesadonde fue mayor

The vaccination against the influenza is the mosteffective way of preventing this illness. Workers inthe Sanitary sector are ones of the most recommendedto be vaccinated against the flu.Objectives: To study whether there are significantdifferences between the 2005-2006 and 2006-2007Campaigns addressed to the workers in the Sanitaryarea nº 2 in the Madrid Community.Methodology: Descriptive study of both campaignsin the Sanitary area nº 2 in the Madrid Community.A uni-variant analysis is carried out to builda Logistic Regression model in which the two campaignsare the dependant variables. The followingindependent variables were also included: age, professional category, service, working center, previousyear anti-flu vaccination, side effects in previousyear, chronic diseases, medication taken, smokinghabits and allergic processes.Results: In the 2005 campaign, vaccination wasmore intense in central services, catering and administration. There were more side effects, more sanitary workers were vaccinated and more workersdeclared to have taken any sort of medication. However,in the 2006 campaign there were more vaccinationsin the “H.U. la Princesa”, within the first weekof campaign, in the medical services, and more workersdeclared to suffer any type of chronic disease.Conclusions: The coverage of the vaccination hasbeen equal or lower than in previous years in all workingcenters, with the exception of the “H.U. la Princesa”,where the coverage was higher

Role of prevention in the contention of the obesity epidemic.

Obesity has become one of the major health burdens of the westernized world with an increasing number of people affected at any age. Although genetic factors explain around 40% of individual susceptibility to the disease, obesity may and should be controlled through interventions on the individual behaviour and on the social environment. Very promising to this aim is the role of prevention. Several levels of action have been established as well as different types of interventions according to the targeted population. Of special importance is the contention of childhood obesity with home and school as privileged settings for intervention. Despite a general acknowledging of the urgency for effective preventive measures at social, economic and political level to contrast the increasing prevalence of obesity, no clear nationwide policies have yet been established, and the educational and public health measures adopted so far lack that coordination and integration that the magnitude of the situation requires.