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J Alvarez Alvarez

Publications and source records attributed to J Alvarez Alvarez.

3 recordsLinked to original sources

[Breast feeding and length of hospitalization].

One of the important tasks for a nurse is to insure that the newborn receives all the nourishment that it needs. A well fed baby is healthier, experiences a shorter hospital stay and develops a stronger bond with its mother. To prove this point a study was performed on a group of low birth weight newborns (free of other pathological symptoms) to compare nutrition against hospitalization time. 85 children of both sexes were divided into 3 groups: premature but of normal gestational size, premature but small for gestational size, and full term but small for gestational size; all had a birth weight superior to 2 kilos and were examined postpartum on their first and third week. The groups were then subdivided into 2 groups: one received only artificial milk formula and the other group received their mothers' milk through a bottle. The children that drank the maternal milk required fewer days in the hospital (18 +/- 6 days versus 27 +/- 7 days for those drinking only formula) and had a smaller percentage of weight loss after birth (3.7 +/- 2.0% versus 5.2 +/- 2.9%), demonstrating a significant difference in their overall health.

Breast Feeding↗

Fluconazole response patterns in HIV-infected patients with oropharyngeal candidiasis.

A prospective study to assess the efficacy of fluconazole in oropharyngeal candidiasis in patients with HIV was conducted. A cohort of 30 HIV-positive persons with clinical and microbiologic confirmed oropharyngeal candidiasis (Candida albicans > 1000 CFU/ml) received fluconazole 100 mg daily for 7 days. In vitro antifungal susceptibility tests demonstrated a lack of fluconazole resistances. Cultures of mouth swabs were performed at the end of therapy and 2 weeks later. There was a clinical and microbiologic cure in 26 patients (87%). In 10 of these 26, cultures remained negative after 2 weeks; most of them had CD4 lymphocyte count > 400/ml. In the other 16 patients (53%), cultures showed a microbiologic relapse 2 weeks after treatment. In spite of clinical improvement, treatment failure was observed in four patients, all of them with CD4 lymphocyte count < 50 ml.

CD4 Lymphocyte Count↗

Functional consequences of partial glossectomy.

The postsurgical deglutition, oral suction, and speech capabilities of 11 patients who had undergone partial glossectomy for squamous cell carcinoma of the lateral aspect of the tongue were compared with that of 20 healthy control subjects. Volume swallowed per second and speech quality were significantly correlated with the area of tongue removed. Three patients subjected to a second operation to improve the mobility of the residual tongue regained almost normal speech intelligibility. In general, functional performance was better than expected, which justifies a radical surgical approach to this kind of tumor.

Aged↗