Pediatría Militar en España. Presente y futuro / Military Pediatrics in Spain. Present and Future

Se examina la situación de la pediatría militar en España y en otros países. Se revisa su historia, el funcionamiento de los servicios en los hospitales, la presencia de los facultativos en las misiones de ayuda humanitaria internacionales y finalmente se realiza un análisis crítico sobre la necesidad de la presencia de pediatras en el ejército actual (AU)

The situation of Military Pediatrics in Spain is examined. We review its history, the functioning of hospital departments, the participation of specialists in humanitarian support missions abroad and finally we do a critical analysis about the need for pediatricians in today’s Armed Forces (AU)

[Neurologic alert signals in one-year-old infants: relation to signs of intrapartum hypoxia]. / Signos neurológicos de alerta al año de vida: relación con los signos de hipoxia intraparto.

As a method to evaluate the neurologic evolution and to establish if there exists any differences in the relation with the signs of intrapartum hypoxia, we have explored the neurologic "alert signs" at a certain age (12 months of life) in 80 full-term newborn infants with normal weight and without criteria of neurologic risk. We did not find statistically significant differences in the presence of alert signs in regards to sex, gestational risk, type of amniotic fluid, way of delivery, one-minute and five-minute Apgar scores or acid-base state in the umbilical artery at birth. We did find a significant increase in the number of alert signs in patients with cardiotocographic patterns that were suspicious or not tranquil in relation to those whose cardiotocographic patterns were tranquil.

[The cardiorespirogram in the first 12 hours of life. Relation to the form of termination of labor]. / Estudio del cardiorrespirograma en las primeras doce horas de vida. Relación con la forma de terminación del parto.

Cardiorespirography is a method of monitoring which establishes a correlation between cardiac and respiratory activity. During the first twelve hours following birth cardiorespirographic parameters undergo a series of evolutionary modifications, becoming stable between the sixth and twelfth hours. Authors analyse how the manner in which birth is terminated influences parameters during first twelve hours. In the case of caesarean births they find only one instance of diminishing accelerations during the first hour, and in spontaneous births, a reduced number of instances of decelerations are registered during first and sixth hour. They believe that these findings are due to drugs administered during birth rather than to the manner in which this was achieved.

[Cardiorespirographic parameters in the first 12 hours of life. Influence of the administration of thiopental and diazepam plus thiopental on labor]. / Parámetros cardiorrespirográficos en las primeras doce horas de vida. Influencia de la administración de tiopental y diacepam más tiopental en el parto.

Cardiorespirographic parameters undergo a series of evolutionary modifications during first hours of life, becoming stable between the sixth and twelfth. The authors analyse how these parameters are influenced by the administration to the mother of thiopental and diazepam plus thiopental during birth. They observed a significant reduction, during the first hour after birth, in the range and frequency of accelerations in the newborn babies whose mothers had been administered one of the drugs. Also, they observed a greater number of cases of decelerations in the newborns who were given drugs. No significant differences were observed in other parameters, and after the twelfth hour no differences were observed at all.