Hernia enlargement and pancreatitis in a patient with short bowel syndrome treated with teduglutide Crecimiento de hernias y pancreatitis en una paciente con síndrome de intestino corto tratada con teduglutida

Introduction: teduglutide (TED) is indicated for the treatment of patients with short-bowel syndrome (SBS) who are dependent on parenteral support. Case report: we report the case of a 60-year-old woman with SBS treated with TED. She had previously undergone multiple surgical resections due to Crohn's disease. Her remnant bowel included only the duodenum and 50-60 centimeters of jejunum. The patient was dependent on intravenous fluids (2,320 mL/48 h) and had a high stoma output (3,000 mL/day). After four months of TED the jejunostomy output had decreased to 2,200 mL/day with a thicker consistency, and intravenous fluid therapy was reduced to 2,010 mL/48 h. TED was withdrawn due to acute pancreatitis and enlargement of two supraumbilical hernias with high strangulation risk. Discussion: pancreatitis has been reported in clinical studies, and determination of amylase and lipase is recommended in all patients receiving TED. In contrast, there are no recommendations for the surveillance of hernia enlargement in patients on TED therapy, but we suggest the need for surveillance based on this case report

Comparison of attitudes to breastbeeding among Spanish-born and Chinese-born postpartum women in Madrid

The aim of the study was to determine whether the attitude towards breastfeeding among Chinese postpartum women who have immigrated to Spain differs from that of Spanish-born postpartum women. Cross-sectional study, with between-group comparison, of 73 postpartum women admitted to the maternity units of the 12 de Octubre Hospital. Attitudes toward breastfeeding were analyzed using the Spanish of Chinese version of the Iowa Infant Feeding Attitude Scale (IIFAS). Chinese immigrant women obtained scores of approximately 9 points less when compared to Spanish-born women, after adjusting for different socioeconomic, educational and work-related factors.Sin financiación2.475 JCR (2018) Q1, 30/125 Pediatrics; Q2, 27/83 Obstetrics & Ginecology1.285 SJR (2018) Q1, 22/188 Obstetrics and Gynecology, 32/318 Pediatrics, Perinatology and Child HealthNo data IDR 2018UE

Relatos de Bibliotecas. Segundo Certamen Literario de la Biblioteca Universitaria de Granada

Primer premio: Enrique Trenado PardoAccésits en orden alfabético: Silvia Bellón Sánchez; David Cortés García; Ana Morilla Palacios; Juana Magdalena Olmedo CardeneteEl Jurado de este premio ha estado compuesto por los siguientes miembros: Antonio Sánchez Trigueros, Catedrático de Teoría de la Literatura y Literatura Comparada de la UGR; María Isabel Cabrera García, Directora de la Editorial de la UGR; Amelina Correa Ramón, Catedrática de Literatura Española de la UGR; Julia Olivares Barrero, Miembro de la Academia de las Buenas Letras de Granada y Bibliotecaria de la Diputación de Granada; Rocío Raya Prida, Bibliotecaria de la UGR.Contiene:Derecho Civil Dos (terror académico) / Enrique Trenado PardoCadáver exquisito / Silvia Bellón SánchezBolígrafos anónimos, sueños sin tinta... / David Cortés GarcíaGeorgina escritora / Ana Morilla PalaciosCartas de una estudiante desconocida / Juan Magdalena Olmedo CardeneteUniversidad de Granada. Springe

Adherence to initial exclusive breastfeeding among Chinese born and native Spanish mothers

Background Benefits of breastfeeding on the health of children, mothers and society are well known. However, breastfeeding rates vary according to the population examined. Chinese-born women migrated to high-income countries have shown low breastfeeding rates. Nevertheless, studies comparing breastfeeding rates of Chinese-born immigrants and natives are scarce. The aims of this study were therefore: 1) to compare the rate of exclusive breastfeeding at hospital discharge after giving birth between Chinese-born women resident in Spain and native Spanish women, 2) to assess the influence of the biological, socioeconomic, work-related and cultural factors on exclusive breastfeeding in women of Chinese origin. Methods A cross-sectional descriptive study with between group comparisons. This study included 73 postpartum women (33 Chinese-born and 40 native Spanish women). The association between exclusive breastfeeding and the country of origin was assessed by binary logistic regression. Results Native Spanish women showed a greater prevalence of exclusive breastfeeding (80%) compared to Chinese born immigrant women (36.4%) (adjusted for socioeconomic status, parental level of education, age, cesareans and birth weight) (OR = 0.21; 95% CI 0.05–0.91; p = 0.037). However, in other models that considered both work and cultural influences, no differences were observed. Discussion The classic biological and socioeconomic variables (educational and socioeconomic levels) do not seem to explain the lower rates of exclusive breastfeeding among Chinese immigrant women. This paradigm of inequity appears to be based on both the work conditions as well as cultural characteristics of Chinese born women in Spain, such as their overall attitude towards breastfeeding.Los beneficios de la lactancia materna en la salud de los niños, las madres y la sociedad son ampliamente conocidos. Sin embargo, las tasas de lactancia materna varían según la población estudiada. Las mujeres de origen chino que han inmigrado a países desarrollados muestran tasas muy bajas de lactancia materna. Los objetivos de la investigación son comparar las tasas de lactancia materna exclusiva tras el parto, al alta del hospital, entre mujeres de origen chino y de origen español, y evaluar la influencia de variables biológicas, socioeconómicas, relacionadas con el trabajo y culturales sobre las tasas de lactancia materna. Estudio descriptivo transversal con comparación entre grupos. Se incluyó a 73 puérperas (33 de origen chino y 40 españolas). La asociación entre lactancia materna y país de origen se evaluó utilizando regresión logística. Resultados: Las mujeres españolas mostraron una mayor prevalencia de lactancia materna exclusiva (80%) en comparación con las mujeres de origen chino (36,4%), ajustando por nivel socioeconómico, nivel educativo de los padres, edad de la madre, parto por cesárea y peso al nacer). Sin embargo, al construir otros modelos de regresión logística en los que se incluyó variables relacionadas con el trabajo de la madre, o la actitud respecto a la lactancia materna, las diferencias pasaban a ser no significativas. Discusión: Las variables clásicas biológicas y socioeconómicas no explican la diferencia en las tasas de lactancia materna entre mujeres de origen chino y españolas. Sin embargo, parece que esas diferencias están relacionadas con las condiciones laborales de las mujeres chinas (trabajan más mujeres, por cuenta propia, incorporándose antes al mundo laboral tras el parto...) y con aspectos culturales (actitud menos positiva hacia la lactancia materna).Sin financiación2.239 JCR (2019) Q2, 33/82 Obstetrics & Gynecology1.275 SJR (2019) Q1, 19/185 Obstetrics and GynecologyNo data IDR 2019UE

Relatos de Bibliotecas. Cuarto Certamen Literario de la Biblioteca Universitaria de Granada

Primer premio: Joaquín Carmona RodríguezAccésits en orden alfabético: Salvador Funes Garrido; Isabel Motos Fernández; Juana Olmedo Cardenete; José María Pérez-Muelas AlcázarEl Jurado de este premio ha estado compuesto por los siguientes miembros: Antonio Sánchez Trigueros, Catedrático de Teoría de la Literatura y Literatura Comparada de la UGR; María Isabel Cabrera García, Directora de la Editorial de la UGR; Amelina Correa Ramón, Catedrática de Literatura Española de la UGR; Julia Olivares Barrero, Miembro de la Academia de las Buenas Letras de Granada y Bibliotecaria de la Diputación de Granada; Rocío Raya Prida, Bibliotecaria de la UGR.Contiene:Chao, Chato Chiquín / Joaquín Carmona RodríguezEres utopía / Salvador Funes GarridoLos olvidos compartidos / Isabel Motos FernándezSegunda parte / Juana Olmedo CardenetePoemas con humo / José María Pérez-Muelas AlcázarUniversidad de Granada. Springe