Intrauterine growth retardation: etiology, Ultrasound diagnosis, management.

Objetive: a) To determine residual estrogen plasma levels seven days after conclusion of estrogen administration in postmenopausal women. b) To confirm if there is any difference in plasma levels between oral (0, 625mg conjugated estrogen) and transdermal (50 mg 17 beta estradiol) administration. c) To assess the clinical impact of residual plasma levels with the Blatt Kupperman Postmenopausal Index (BKMI). MATERIAL AND METHODS: Measurements of estrogen plasma levels were done previous to treatment, and in the seventh day following two or four months treatment with oral and transdermal administration. Symptoms were assessed in each three instances. RESULTS: Estrogen plasma levels remain above basal levels aftertwo and fourmonths treatment. The BKMI decreases 70% independently of estrogen plasma levels and route of administration. Conclusions: Estrogen plasma levels remain above basal lev...

OBJECTIVE: To determine estrogen plasmatic levels and clinical effects after oral and transdermal estrogen administration to postmenopausal women. MATERIAL AND METHODS: Prospective, longitudinal, deliberate intervention, sequential, crossed and simpleblinded study. Group 1 (n=22) consisted of two cycles of oral treatment and two cycles of transdermal. Group 2 (n=25), inverse sequence. Three estradiol measurements: basal, at 8 and 16 weeks. RESULTS: The estradiol (E2) plasmatic levels were greater in the oral therapy than in the transdermal; in both cases E2 did not return to basal levels after 7 days of treatment conclusion; the clinical improvement is independent of estrogen administration. CONCLUSION: Better levels are achieved with natural conjugated estrogens than with 17betaestradiol. The period without treatment after each cycle must be rol than 7 days.

Estrogen therapy is increasing and this requires an adequate knowledge of the mechanism of action of steroids, being known when transport and metabolism. Therefore we discuss the molecular aspects of estrogen action at the level of nuclear receptors, specifying the structure and operation thereof. Transcription factors is reviewed, describing their DNA binding domains and activation. Transcription accuracies, the paper polymerase II and general transcription factors, forming the transcription initiation complex. Culminates exposing how the regulation of receptor concentration through the mechanism of filling and pointing out some clinical implications. Estrogen therapy is increasing and is appropriate for use is the result of a proper understanding of the mechanism of action of estrogen in the target cell; This knowledge allows us to understand biomolecular individual or group response t...

Objetive: a) To determine residual estrogen plasma levels seven days after conclusion of estrogen administration in postmenopausal women. b) To confirm if there is any difference in plasma levels between oral (0, 625mg conjugated estrogen) and transdermal (50 mg 17 beta estradiol) administration. c) To assess the clinical impact of residual plasma levels with the Blatt Kupperman Postmenopausal Index (BKMI). MATERIAL AND METHODS: Measurements of estrogen plasma levels were done previous to treatment, and in the seventh day following two or four months treatment with oral and transdermal administration. Symptoms were assessed in each three instances. RESULTS: Estrogen plasma levels remain above basal levels aftertwo and fourmonths treatment. The BKMI decreases 70% independently of estrogen plasma levels and route of administration. Conclusions: Estrogen plasma levels remain above basal lev...

Estrogen therapy is increasing and this requires an adequate knowledge of the mechanism of action of steroids, being known when transport and metabolism. Therefore we discuss the molecular aspects of estrogen action at the level of nuclear receptors, specifying the structure and operation thereof. Transcription factors is reviewed, describing their DNA binding domains and activation. Transcription accuracies, the paper polymerase II and general transcription factors, forming the transcription initiation complex. Culminates exposing how the regulation of receptor concentration through the mechanism of filling and pointing out some clinical implications. Estrogen therapy is increasing and is appropriate for use is the result of a proper understanding of the mechanism of action of estrogen in the target cell; This knowledge allows us to understand biomolecular individual or group response t...

OBJECTIVE: To determine estrogen plasmatic levels and clinical effects after oral and transdermal estrogen administration to postmenopausal women. MATERIAL AND METHODS: Prospective, longitudinal, deliberate intervention, sequential, crossed and simpleblinded study. Group 1 (n=22) consisted of two cycles of oral treatment and two cycles of transdermal. Group 2 (n=25), inverse sequence. Three estradiol measurements: basal, at 8 and 16 weeks. RESULTS: The estradiol (E2) plasmatic levels were greater in the oral therapy than in the transdermal; in both cases E2 did not return to basal levels after 7 days of treatment conclusion; the clinical improvement is independent of estrogen administration. CONCLUSION: Better levels are achieved with natural conjugated estrogens than with 17betaestradiol. The period without treatment after each cycle must be rol than 7 days.

Este resumen presenta un proceso administrativo de ejecución coactiva llevado a cabo por la Municipalidad Distrital de Miraflores contra María Angélica Sánchez Flores. Durante una inspección en su restaurante picantería "La Comadrita", se constató la falta de licencia de funcionamiento, certificado de defensa civil, carnet de salud y licencia de anuncio y propaganda. Como resultado, se impuso una clausura del local y una multa de S/. 5500.00 (Cinco Mil Quinientos con 00/100 Soles). La resolución fue reconsiderada y apelada, pero finalmente se inició la ejecución coactiva. La obligada presentó un recurso contencioso administrativo solicitando la revisión del procedimiento de ejecución coactiva y la suspensión del mismo, la cual fue inicialmente aceptada pero luego rechazada debido a la improcedencia de la demanda. La Municipalidad confirmó la sanción y embargó los bienes ...

Se realiza el estudio” Demanda y oferta de la atención del aborto incompleto en el Hospital Goyeneche de Arequipa. 2005 “con los siguientes objetivos: 1) determinar la característica de la demanda de la atención del aborto incompleto en el Hospital Goyeneche (HG) 2) Precisar las características de la oferta de la atención del aborto incompleto en el HG 3) Relacionar la demanda y la oferta de la atención del aborto incompleto en el HG. La Hipótesis planteada es :” Dado que la salud reproductiva significa un equilibrio con su entorno ecológico, político y social , para el desarrollo sostenido y sustentable, cuya ruptura ocasiona morbimortalidad materna , la cual se ve incrementada por situaciones imprevistas como el aborto; y quién padece esta situación vive una problemática compleja, no solo médica sino social, y acuden a los hospitales , para ser atendidas , solo cuand...