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J Gisbert Mestre

Publications and source records attributed to J Gisbert Mestre.

2 recordsLinked to original sources
PubMed2004

[Hypernatremic dehydration associated with breast-feeding].

BACKGROUND: During the last 10 years the number of publications reporting a rise in the incidence of hypernatremia in children who are exclusively breast-fed has increased. OBJECTIVE: To report the results of a series of cases detected in a district hospital in the last 6 years in order to better delineate the clinical characteristics of infant hypernatremia, its optimal treatment and preventive measures. MATERIAL AND METHODS: The selection criteria for our study included all neonates aged less than 30 days with serum sodium concentrations equal to or greater than 150 mEq/mL who were exclusively breast fed. Cases were identified through the departmental database. RESULTS: Twelve newborns were identified who presented the following characteristics: mean gestational age of 39.5 weeks, mean birth weight of 3440 grams, mean percentage of weight loss from birth 13.7 % and mean serum sodium value 152.75 mEg/mL. Five neonates (42 %) were admitted from the maternity unit and seven (58 %) from the emergency department. The presenting complaints included weight loss in nine infants, irritability in six, fever in six, poor feeding in five and jaundice in two. Most of the neonates had more than one symptom. Ten of the mothers (83.33 %) were primiparous and two (16.67 %) were secundiparous. CONCLUSIONS: Hypernatremia due to breast-feeding is a consequence of inadequate breast-feeding technique in inexperienced mothers. A possible solution would be for health professionals to provide mothers with greater support.

Blood Chemical Analysis↗
PubMed2003

[Neuropediatric practice in Spanish hospitals: supply and demand].

BACKGROUND: No reports have been published of country-wide neuropediatric practice. OBJECTIVE: To determine neuropediatric practice in Spanish hospitals by studying supply and demand throughout the country. MATERIALS AND METHODS: A survey was performed of Spanish hospitals in 2001. Private hospitals with no state funding and hospitals without a pediatric unit were excluded. The parameter used to study supply was the existence of neuropediatric beds and that used to study demand was the annual consultation rate per 1000 inhabitants aged from 0 to 14 years. RESULTS: A questionnaire was sent to 277 hospitals and 106 (38.27 %) responded. Sixty percent of Spanish hospitals had neuropediatric beds. The mean neuropediatric consultation rate was 31 consultations per 1000 inhabitants aged from 0 to 14 years. CONCLUSIONS: In Spain, the supply of neuropediatric services is fairly widespread. The greater the number of pediatric beds, the higher the probability of neuropediatric beds. However, 42 % of small hospitals provides this service. In contrast with previously reported results on morbidity in primary care, our results show that most children with neurological processes are referred to hospital.

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