1,406 results match your criteria Revista espanola de salud publica[Journal]


[Crisis, Public Spending on Health and Policy].

Rev Esp Salud Publica 2019 Feb 22;93. Epub 2019 Feb 22.

Cátedra de Economía de la Salud y Uso Racional del Medicamento. Departamento de Farmacología y Terapéutica Clínica. Instituto de Investigación Biomédica de Málaga (IBIMA). Universidad de Málaga. Málaga. España.

Objective: The Spanish economic crisis began in 2008 and according to the Ministry of Economy, Industry and Compe- titiveness it concluded in 2014. During the crisis the main macroeconomic indicators had an adverse evolution and the effects have lasted for more than six years to the present. Aim: To assess the influence on public spending (health and pharmaceutical) that the governing policies have had and the time of crisis suffered. Read More

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February 2019

[Skin to skin contact after cesarean delivery.Theme update and actuation proposal].

Rev Esp Salud Publica 2019 02 19;93. Epub 2019 Feb 19.

Facultad de Ciencias de la Salud. Universidad de La Laguna. Tenerife. España.

Skin to skin contact (SSC) between mother and child immediately after birth is now considered to be an indicator of good clinical practice as it offers multiple benefits for both: it reduces stress levels of the mother, it facilitates affective bonding, breastfeeding and the newborns adaptation to extra-uterine life. However, in the vast majority of hospitals, mother and child are separated until complete recovery following a caesarean section, which can be several hours. In this article the advantages of SSC after a caesarean section, were analyzed, as well as the main difficulties in order to carry it out, which include maternal or neonatal instability and the reticence of the professionals themselves. Read More

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February 2019

[Trichinellosis outbreaks in Aragón (1998-2017)].

Rev Esp Salud Publica 2019 Feb 15;93. Epub 2019 Feb 15.

Sección de Vigilancia Epidemiológica. Servicio Provincial de Sanidad de Zaragoza. Gobierno de Aragón. Zaragoza. España.

Objective: In Aragon, official veterinary controls to detect the presence of Trichinella in meat products have allowed trichinosis to be a low-incidence disease in the form of outbreaks associated with family consumption of meat products that are not sanitarily controlled. The aim of the work was to describe the epidemiological characteristics of the trichinosis outbreaks that occurred in Aragon during the study period and the action measures carried out, which served as a basis for redesigning and strengthening prevention and control measures.

Methods: Descriptive study of the characteristics of time, place, person, food implicated, etiological agent and control measures implemented in the outbreaks identified by the Epidemiological Surveillance Network of Aragón from 01/01/1998 to 31/12/2017. Read More

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February 2019

[Errors of prescription, transcription and administration according to pharmacological group at hospital].

Rev Esp Salud Publica 2019 Jan 31;93. Epub 2019 Jan 31.

Gerencia de atención Integrada de Talavera de la Reina (SESCAM). Toledo. España.

Objective: Most studies of medication errors are focused only on finding global prevalence by patients, by phases or according to a certain group of medication. It's just a partial view of the problem. To analyze and compare the prevalence of errors in prescription, transcription and administration, and their clinical repercussions in different pharmacological groups in a third-level hospital. Read More

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January 2019
3 Reads

[Educational intervention in Primary Care to reduce and improve the adequacy of pediatric consultations].

Rev Esp Salud Publica 2019 Jan 29;93. Epub 2019 Jan 29.

Centro de Salud Medina del Campo. Valladolid. España.

Objective: Many parents visit paediatric health services due to unimportant reasons (ignorance of health problems of their children and psychosocial and emotional conditionings). The objective was to determine the effectiveness of a health education program, on the number and adequacy of pediatric consultations, in the first 6 months of the child´s life.

Methods: Quasi-experimental study of an educational intervention aimed at pregnant women in the last trimester of pregnancy and their partners. Read More

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January 2019
1 Read

[Gender inequalities in the impacts of informal elderly caregiving in Gipuzkoa: CUIDAR-SE study].

Rev Esp Salud Publica 2019 Jan 28;93. Epub 2019 Jan 28.

Escuela Andaluza de Salud Pública. Granada. España.

Objective: The provision of informal care determines the existence of health inequalities, as well as gender inequalities, because of women being the most frequent caregivers. The objectives of this study were to characterize the informal caregivers of elderly dependents in Gipuzkoa, to know the impact of caring on health and health related quality of life (HRQoL), and to explain the relationship between sex and consequences attributable to care.

Methods: Cross-sectional study analyzing health (self-perceived health and GHQ-12) and HRQoL (EQ-5D-5L) data of 123 women and 103 men who took care of a dependent elderly and participated in the first wave of the CUIDAR-SE study in Gipuzkoa. Read More

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January 2019
2 Reads

[Primary health care teams management models according to the supplier and the effects on its dynamics in Catalonia].

Rev Esp Salud Publica 2019 Jan 21;93. Epub 2019 Jan 21.

Consorci Castelldefels Agents de Salut d'Atenció Primària Castelldefels. Barcelona. España.

Objective: The catalan primary care (PC) management model is differentiated from the rest of regional autonomies because it has a greater diversity of providers The objective was to explore and compare management models according to the primary care provider in Catalonia based on the professionals' vision.

Methods: An online survey was carried out on February 1st 2017 to March 17th 2017 and structured in 6 sections that explored filiation, organization, accessibility, resolution, leadership and commitment. The analysis compares the answers grouped by entity providing Primary Health Care (PHC) services in Catalonia: Institut Català de la Salut (ICS), Public Consortium (CP), Public Consortium that also manages Hospital (CPH), Associative Base Entities (EBA) and Private Entities. Read More

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January 2019

[Salutogenesis and community self-care: also a nurse responsibility].

Rev Esp Salud Publica 2018 Dec 19;90:e1-e4. Epub 2018 Dec 19.

Facultat d'Infermeria i Podologia. Universitat de València. València. España.

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December 2018

[Construction of a deprivation index by Basic Healthcare Area in Aragon using Population and Housing Census 2011].

Rev Esp Salud Publica 2018 Dec 10;92. Epub 2018 Dec 10.

Dirección General de Salud Pública. Gobierno de Aragón. Zaragoza. España.

Objective: The measurement of inequalities using composite indicators facilitates the prioritization and implementation of public health actions. The most commonly source of information used for this has been the Population and Housing Census of 2011 (PCH_2011).The objective of this study was to evaluate the use of PHC_2011 and develop a deprivation index (DI) by Basic Healthcare Area (BHA) and to analyse its association with mortality in Aragon. Read More

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December 2018

[Zoonoses and occupational health in the veterinary profession].

Rev Esp Salud Publica 2018 Dec 3;92. Epub 2018 Dec 3.

Grupo de investigación Sanidad de Rumiantes. Departamento de Sanidad Animal. Facultad de Veterinaria. Campus de Excelencia Internacional 'Campus Mare Nostrum'. Universidad de Murcia. Murcia. España.

The veterinary profession implies a greater risk of infection by zoonotic pathogens than the overall population. The aim of the present work was to evaluate the impact of zoonoses on the occupational health of veterinarians reviewing the published surveys addressing this subject. Following these inquiries, between 4% and 64. Read More

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December 2018
7 Reads

[Socioeconomic health inequalities in the Catalan population aged 50+ during the last economic crisis].

Rev Esp Salud Publica 2018 Nov 28;92. Epub 2018 Nov 28.

Centre d'Estudis Demogràfics. Universitat Autònoma de Barcelona. Bellaterra. Barcelona. España.

Objective: The short- and medium-term consequences of the economic crisis since 2008 has become a cause of concern for population health. The study's objective was to analyse health inequalities according to the socioeconomic profile of the Catalan population aged 50 year and older.

Methods: Cross-sectional study using data from the Catalan Health Survey (ESCA) for the periods 2006 (N=6667), 2010-12 (N=4458) y 2013-15 (N=5469). Read More

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November 2018
2 Reads

[Olive Oil and Body Weight. Systematic Review and Meta-Analysis of Randomized Controlled Trials].

Rev Esp Salud Publica 2018 Nov 21;92. Epub 2018 Nov 21.

Departamento de Ciencias de la Salud. Universidad de Jaén. Jaén. España.

Background: Olive oil, as fundamental fat in the Mediterranean diet, has contributed to a decrease in obesity in several epidemiological studies. It is unknown whether olive oil itself can decrease the weight independently of the diet used. The objective of this work was to determine the efficacy of olive oil in reducing weight. Read More

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November 2018
9 Reads

[Evolution and spatial analysis of leishmaniasis cases in a rural area bordering a community outbreak in Madrid: 2001-2017].

Rev Esp Salud Publica 2018 Nov 20;92. Epub 2018 Nov 20.

Sección de Sanidad Ambiental Área 10 de Salud Pública. Dirección General de Salud Pública. Consejería de Sanidad. Comunidad de Madrid. Madrid. España.

Objective: Leishmaniasis is a zoonotic disease, widely spread all over the world, and an endemic disease in some Spanish regions. Within the Autonomous Region of Madrid, some south populations were affected by an outbreak from 2009. This outbreak had special features and implications related to epidemiology, reservoir and environment intervention. Read More

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November 2018
1 Read

[Implementing a population-based rare diseases registry in Spain: the Navarre´s experience].

Rev Esp Salud Publica 2018 Nov 19;92. Epub 2018 Nov 19.

Sección del Observatorio de la Salud Comunitaria. Servicio de Promoción de la Salud Comunitaria. Instituto de Salud Pública y Laboral de Navarra. Pamplona. España.

In 2012, the Spanish Rare Disease Registries Research Network (Spain-RDR) was consolidated with the aim of creating a Spanish population-based Rare Diseases Registry. In order to achieve this, each of the 17 Spanish Regions had to develop its own regional registry with a common agreed methodology. The Population-based Rare Disease Registry of Navarre was created in 2013 and, since then, its implementation is been carried out. Read More

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November 2018
7 Reads

[Zika virus epidemic. The Public Health response in Spain].

Rev Esp Salud Publica 2018 Nov 15;92. Epub 2018 Nov 15.

Centro de Coordinación de Alertas y Emergencias Sanitarias. Ministerio de Sanidad, Consumo y Bienestar Social. Madrid. España.

By mid-2015, an increase in the number of cases of microcephaly among newborns and neurologic disorders was detected in the Northwest of Brazil, which was possibly associated with Zika virus infection. Later on, this phenomenon was also observed in several Latin-American countries. In February 2016, the World Health Organization (WHO) on this basis, declared a Public Health Emergency of International Concern. Read More

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November 2018
17 Reads

[Knowledge in child safety for parents of children 1 to 4 years old].

Rev Esp Salud Publica 2018 Nov 14;92. Epub 2018 Nov 14.

Servicio de Pediatría. Hospital Sant Joan de Déu Barcelona. Esplugues de Llobregat. Barcelona. España.

Objective: Unintentional injuries are the leading cause of child morbidity and mortality, Emergency Services can be a good place to influence their prevention, guiding and anticipating risk situations. The objective of this work was to determine the knowledge and attitude of parents-caregivers of children from one to four years old about child safety. We evaluate if there are differences according the consultation was for unintentional injury or not. Read More

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November 2018
8 Reads

[Inequities in mental health: admissions for psychosis in public hospitals of the Comunitat Valenciana (2008-2015)].

Rev Esp Salud Publica 2018 Nov 12;92. Epub 2018 Nov 12.

Dirección General de Salud Pública/ FISABIO. Área de Desigualdades en Salud. Generalitat Valenciana. Valencia. España.

Objective: The prevalence of mental health problems is increasing throughout the world. Certain population groups have more probability to suffer mental disorders, which may generate inequities in health. The main of this paper is analyze the differences in the frecuency of hospital admissions according to different inequities dimensions (age, sex and country of birth) of the populaion between 15 and 49 years old between 2008 and 2015 in the Comunitat Valenciana (Spain). Read More

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November 2018
14 Reads

[Comprehensive Care Home Unit: reduction of hospital resources during influenza outbreaks].

Rev Esp Salud Publica 2018 Nov 2;92. Epub 2018 Nov 2.

Servicio de Geriatría. Complejo Hospitalario Universitario de Albacete. Albacete. España.

Objective: The Comprehensive Care Home Unit of the General Hospital of Villarrobledo is a unit formed by a geriatrician who sees people in nursing homes to improve their quality of care. The activity of the Unit has been analyzed, mainly with the objective of avoiding referral to the emergency room, avoiding hospital admissions, avoiding hospital readmissions and reducing the number of hospital admission days.

Methods: We retrospectively described the clinical activity of the Unit during the influenza outbreak of 2017 and 2018. Read More

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November 2018
6 Reads

[Content of official addressed to women informative documents about breast cancer screening in Spain].

Rev Esp Salud Publica 2018 Oct 29;92. Epub 2018 Oct 29.

Consultorio Rural Mirabel. Mirabel. Cáceres. España.

Objective: There are several methods to promote informed decision making before undergoing a screening program. This research aimed to analyze the contents of official documents about breast cancer screening programs.

Methods: A descriptive research was performed. Read More

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October 2018

[Current concepts and contents of Veterinary Public Health and Veterinary Health Polic].

Rev Esp Salud Publica 2018 Oct 24;92. Epub 2018 Oct 24.

Centro de Vigilancia Sanitaria Veterinaria (VISAVET) / Departamento de Sanidad Animal. Facultad de Veterinaria de la Universidad Complutense de Madrid. Madrid. España.

Human and veterinary medicine obviously share most concepts and contents. However, both academic and scientific issues and the daily practice of many health disciplines can differ largely between human and veterinary medicine. Such differences can easily go unnoticed among other healthcare collectives or the general public. Read More

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October 2018

[How to increase the health staff adherence to the hands hygiene protocol?]

Rev Esp Salud Publica 2018 Oct 19;92. Epub 2018 Oct 19.

Programa de Farmacia Social. Universidad de Granada. Granada. España.

Objective: Nosocomial infection is a frequent adverse event in health care. Hand hygiene (HH) reduces cross-transmission, but staff adherence is not always adequate. The objectives of this work were evaluating the effectiveness of the HH technique applied in the workplace and monitoring the adherence of the healthcare staff of a Hospital of Medium-Long Stay to the HH protocol. Read More

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October 2018
10 Reads

Cost-effectiveness of vaccines for the prevention of seasonal influenza in different age groups: a systematic review

Rev Esp Salud Publica 2018 10 17;92. Epub 2018 Oct 17.

Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC). Madrid. España.

Background: Given the economic burden of seasonal influenza for the healthcare system, we performed a systematic review aiming to update available evidence on the cost-effectiveness of vaccination of seasonal influenza in different age groups, including children.

Methods: A systematic review of the literature on economic evaluations of seasonal influenza vaccination programs in children and adults was carried out. The following databases were searched (January 2013 - April 2018): Medline and PREMEDLINE, EMBASE, EconLit and databases of the Centre for Reviews and Dissemination (DARE, HTA, NHS EED). Read More

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October 2018
2 Reads

[Technical assistance in crisis times: Brucelosis in the country programs for Spain of the world health organization (1951-1972)].

Rev Esp Salud Publica 2018 Oct 17;92. Epub 2018 Oct 17.

Facultad de Medicina y Odontología. Universidad de Valencia. Comunidad Valenciana. España.

Objective: Brucellosis was one of the most important health problems in post-Civil War Spain and in subsequent years. The objective of the study was to reconstruct the first programs that the WHO set up in this country, to address this problem, between 1951 and 1972 and their main outcomes.

Methods: On the basis of primary sources of diverse origin, especially unpublished reports on Spain from foreign experts, from the WHO Historical Archive, the contents related to the disease were analyzed, contextualizing them within the framework of both the history of Spanish Public Health during the period studied and the international public health strategies for the prevention and control of brucellosis between 1951 and 1972. Read More

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October 2018
4 Reads

[Evaluation of variety and quality in the school menus of Asturias. 2015/2016].

Rev Esp Salud Publica 2018 Oct 9;92. Epub 2018 Oct 9.

Programa de Alimentación Saludable y de Producción Ecológica en los Comedores Escolares de Asturias. Asturias. España.

Objective: Since the first evaluation in 2011 of the "Healthy Eating and Ecological Production Program in School Meals of Asturias", the improvement of the menus has been analyzed in terms of frequencies in the food group offer. The objective of this study was to evaluate the culinary quality of the menus, in order to complement this analysis.

Methods: Transversal descriptive study with a sample for convenience of the 243 Primary Education centers of Asturias, that is, 195 in the 2015-16 academic year. Read More

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October 2018
10 Reads

[What works in selective prevention of alcohol and cannabis use among vulnerable young people?]

Rev Esp Salud Publica 2018 Oct 8;92. Epub 2018 Oct 8.

Agència de Salut Pública de Barcelona. Barcelona. España.

Objective: Selective prevention tackle vulnerable factors associated to problem consumption and social exclusion. There are few effective programs in our context. Study aims were first to identify selective programs of alcohol and cannabis consumption for youths between 16-21, and second, to review intervention, evaluation and effects quality. Read More

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October 2018

[Epidemiology of invasive pneumococcal disease in Tarragona, Spain, 2012-2015: incidence, lethality and serotype-coverage for distinct antipneumococcal vaccine formulations].

Rev Esp Salud Publica 2018 Oct 2;92. Epub 2018 Oct 2.

Servicio de Otorrinolaringología. Hospital Universitario Joan XXIII. Tarragona. España.

Objective: Nowadays, after licensure of the second generation new pneumococcal conjugate vaccines (PCV10/PCV13). The epidemiology of the pneumococcal disease must be re-evaluated. The present study described incidence, lethality and serotype distribution of invasive pneumococcal disease (IPD) in the general population of Tarragona's region (Spain) after licensure of these vaccines. Read More

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October 2018
7 Reads

[Study of conizations of the cervix after five years of cervical cancer screening with co-testing].

Rev Esp Salud Publica 2018 Oct 2;92. Epub 2018 Oct 2.

Atención Primaria del Sector Barbastro. Barbastro. Huesca. España.

Objective: Uterine Cervical Cancer (UCC) screening has changed with the introduction of the High Risk Human Papilloma Virus test (HRHPV) and its evaluation is necessary. The objective of this study is to analyze the effectiveness of UCC screening with activities aimed at early detection and treatment to modify the natural history of the process and improve its prognosis.

Methods: Cytology and HR-HPV (co-testing) were performed according to the SEGO protocol of 2010 between 2011 and 2015 with follow-up until 2017. Read More

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October 2018
3 Reads

Physical activity as a tool to reduce disease-related work absenteeism in sedentary employees: A systematic review

Rev Esp Salud Publica 2018 10 1;92. Epub 2018 Oct 1.

GENUD (Growth, Exercise, Nutrition and Development) Research Group. Universidad de Zaragoza. Zaragoza. España.

Background: Physical Activity (PA) programs have been suggested to lower absenteeism due to illness in sedentary employees. The aim of this review was to examine available scientific literature in order to study PA effects in workplace absenteeism taking the program design into consideration.

Methods: A search through 4 databases (Medline, Sportdiscus, Web of Science and Embase), from inception to December 2017, was conducted to identify control intervention and observational studies about PA and absenteeism published in either English or Spanish language using PRISMA procedures. Read More

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October 2018
5 Reads

[Impact of place of residence on the presentation of cardiovascular events and all-cause mortality in a cohort with metabolic syndrome].

Rev Esp Salud Publica 2018 Sep 26;92. Epub 2018 Sep 26.

IISPV Pere Virgili. Universitat Rovira i Virgili. Reus. Tarragona. España.

Objective: In order to clarify the relation between deprivation and morbillity and mortality, in function of different residence places, we design this study. Main objective is to analyze the influence of place of residence on the incidence of cardiovascular events (CVD) and general mortality from any cause, in a cohort with metabolic syndrome.

Methods: Prospective study to determine the incidence of CVD according to the place of residence (rural, urban) in individuals with different combinations of clinical features of Metabolic Syndrome (MS). Read More

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September 2018
12 Reads

[Use of the theory of the social representations to understand discriminatory attitudes towards HIV/AIDS].

Rev Esp Salud Publica 2018 Sep 26;92. Epub 2018 Sep 26.

Departamento de Educación. Facultad Ciencias de la Educación. Universidad de Huelva. Huelva. España.

Objective: The Theory of Social Representation (TSR) is a widely used approach to understanding attitudes towards HIV/AIDS in diverse cultures and contexts. However, there are few studies that offer a articulate view of the problem, and that also focus on the role of future educators. This research aimed to understand the extent to which knowledge and social representations about HIV/AIDS determine attitudes towards HIV/AIDS in a population of educators in training. Read More

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September 2018
2 Reads

[Ethnicity and health policy: Building equitable solutions in the face of ethnic inequalities].

Rev Esp Salud Publica 2018 09 26;92. Epub 2018 Sep 26.

Departamento de Sociología, Trabajo Social y Salud Pública. Universidad de Huelva. España.

Background: The evidence highlights the importance of working with ethnicity in relation to the social determinants of health for the progressive achievement of universal access to health and universal health coverage. This implies that all people and communities have access, without any kind of discrimination, to comprehensive, appropriate and timely, quality health services, while ensuring that the use of these services does not expose users to financial hardship. The Pan American Health Organization (PAHO / WHO) recognized the need for a political commitment and a consensual strategic framework to advance towards equity in health. Read More

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September 2018
1 Read

[Changes attributed to a program based on the action-training of health agents. What do the associations say?]

Rev Esp Salud Publica 2018 Sep 24;92. Epub 2018 Sep 24.

Asociación ACOEC. Programa MIHSALUD. Valencia. España.

Objective: Interventions aimed at improving health must take into account the health inequalities and the target the population in need. The mihsalud program (Women, Children and Men creating health) promotes health in vulnerable populations through engaging and collaborating with the local third sector. The objective of the study was to describe the changes attributed to the mihsalud programme and the process of action-training of community-based health volunteers (ASBC in Spanish) as perceived by the local organizations where they work or volunteer. Read More

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September 2018

[Advanced Practice Nursing in emergency care, a proposal for the change: Systematic review].

Rev Esp Salud Publica 2018 Sep 10;92. Epub 2018 Sep 10.

Departamento de Enfermería y Fisioterapia. Facultad de Ciencias de la Salud. Universidad de León. León. España.

Background: Advanced Practice Nursing is an unknown role in our country. The aim of the study is to show the results of this model in emergency services for its future implementation in the Spanish health system.

Methods: Revisión sistemática de las bases de datos de The Cochrane Controlled, Web Of Science, Cinahl, Cuiden, LILACS, Guía Salud y Cochrane Database of Systematic Reviews. Read More

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September 2018
11 Reads

[Public health competencies and contents of Nursing degree programs in Spanish universities].

Rev Esp Salud Publica 2018 Sep 12;92. Epub 2018 Sep 12.

Centros de Investigación Biomédica en Red en Epidemiología y Salud Pública (CIBERESP). Madrid. España.

Objective: The Forum of Public Health University Teachers aims to update the Public Health training in the degree studies. The aim was to determine the competences and basic contents of Public Health of Nursing Degree in Spain according to the criterion of the university academic staff.

Methods: Qualitative study, based on the nominal group technique. Read More

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September 2018
2 Reads

[Characteristics of asthma cases reported as a suspected occupational disease in Navarra. Period 2010-2015].

Rev Esp Salud Publica 2018 Sep 7;92. Epub 2018 Sep 7.

Unidad Docente de Medicina del Trabajo de Navarra. Pamplona. España.

Objective: Although, occupational asthma (OA) causes great work disability, due to its diagnostic complexity, it is difficult to have it recognized by the official registration systems. To improve its detection, suspected systems have been developed. After years of experience in Navarre, we set out to characterize the suspected cases and compare them with those declared as an occupational disease (OD). Read More

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September 2018
11 Reads

Causal association of antibiotic use and resistant tuberculosis infection: Casecontrol meta-analysis

Rev Esp Salud Publica 2018 09 7;92. Epub 2018 Sep 7.

Escuela de Microbiología. Universidad de Antioquia UdeA. Facultad de Medicina. Universidad Cooperativa de Colombia. Medellín. Colombia.

Background: In the world scientific literature, analytical research on tuberculosis has not been meta-analyzed. The objective of this study was to identify risk factors for tuberculosis infection with drug resistance and meta-analyze the causal relationship of prior antibiotic use.

Methods: Systematic review with meta-analysis of case-control studies, in five databases. Read More

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September 2018
13 Reads

[Improvement of students' physical condition and health after a physical activity breaks program].

Rev Esp Salud Publica 2018 Sep 5;92. Epub 2018 Sep 5.

Colegio de Educación Infantil y Primaria Curros Enríquez. Orense. España.

Objective: Obesity is one of the main pandemics of the 21st century and the 5th risk factor for death in the world. Every year more than 2.8 million people die due to this disease. Read More

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September 2018
11 Reads

[HIV in Spain 2017: policies for a new management of chronicity beyond virological control].

Rev Esp Salud Publica 2018 Sep 6;92. Epub 2018 Sep 6.

Fundación Gaspar Casal. Madrid. España.

The analysis of the available databases related to HIV/AIDS confirms a paradigm shift in the patient's life expectancy: now HIV has become a chronic disease, so patients are aging. However, this advance is accompanied by a negative counterpart: due to the increase in the number of years of life gained, there is a prevalence of comorbidities greater than the general population and at an earlier age. Reducing the risk associated with all the comorbidities that the ageing patient with HIV/AIDS may develop, must now be a health objective; it must be added to the traditional objectives that until now were part of the strategy to reduce the impact of the HIV infection. Read More

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September 2018
17 Reads

[Imminent out-of-hospital birth assistance. Actions during this process and care for the mother and the newborn].

Rev Esp Salud Publica 2018 Sep 4;92. Epub 2018 Sep 4.

Hospital Universitario de Ceuta. UD de Matronas de Ceuta. Ceuta. España.

Assisting an unexpected birth that occurs quickly in a setting that is not a specialized health center is always a stressful situation, basically for two reasons; firstly, because the people involved in this type of care, although they are used to urgent health care, are not usually specialists in obstetrics and the management of the same and, secondly, because an imminent delivery within such a scenario involves a potential risk for both the life of the mother and the newborn if there is no quick and safe action; hence the usefulness of an updated guide for the assistance and administration of care to pregnant women who give birth outside the hospital environment, both to her and the newborn. Read More

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September 2018

[72-month evaluation of an oral health prevention strategy in schoolchildren].

Rev Esp Salud Publica 2018 Aug 31;92. Epub 2018 Aug 31.

Universidad Autónoma de Manizales. Colombia.

Objective: Given the high prevalence of caries and periodontal disease globally, and its cumulative process from an early age, effective strategies are required to influence healthy habits that are formed in a sustainable manner, taking advantage of common spaces such as school. The objective was to evaluate for 72 months an oral health prevention strategy in schoolchildren.

Methods: This quasi-experimental study considered an initial sample of 350 students with similar cultural and socioeconomic conditions, which was later reduced to 220, after the 72 months. Read More

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[Endocrine disruptors and hypospadias in Gran Canaria island (2012-2015)].

Rev Esp Salud Publica 2018 Aug 29;92. Epub 2018 Aug 29.

Universidad de las Palmas de Gran Canaria. Gran Canaria. España.

Objective: Hypospadias represents the most frequent male congenital malformation in children, with a prevalence of 1 in 200-300 new born or 4-6 in 1000 male new born. Genetic and environmental factors play a strong role on developing this virilization defect acting as endocrinal disruptors (ED). The objective of the present study was to evaluate the environmental factors that may have influenced the development oh hypospadias in children treated at the Maternal and Child University Hospital od Las Palmas of Gran Canaria Island during the years 2012-2015. Read More

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[Outbreak of Ébola in Lunsar. Effectiveness of a socio-sanitary intervention].

Rev Esp Salud Publica 2018 Aug 30;92. Epub 2018 Aug 30.

Escuela de Enfermería La Fe. Universidad de Valencia. Valencia. España.

Objective: Ebola Virus Disease (EVD) is a severe and, often fatal illness. Ebola spread is fast among human beings. Monitoring and surveillance of contacts is an effective measure to stop an epidemic. Read More

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[Future prevalence evolution of the diabetes mellitus. Analysis in the Spanish case].

Rev Esp Salud Publica 2018 Aug 28;92. Epub 2018 Aug 28.

Universidad de Extremadura. Badajoz. España.

Objective: Frequently, the projections on the prevalence of diabetes point to a scenario of continued, not encouraging, increase; however, although it could be very early to say this is a consolidated trend, the latest data gathered could show a more optimistic future. The aim in this work was to exhaustively detail the possible scenarios on the future evolution of diabetes mellitus prevalence. Each one of them was statistically tested to assess the available data and to contrast three theoretical hypotheses about the probability of the disease increase or evolution. Read More

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August 2018
11 Reads

[Impact of the financial crisis on activity and efficiency at a high-technology university hospital].

Rev Esp Salud Publica 2018 Aug 27;92. Epub 2018 Aug 27.

Comité de dirección 2007-2012. Hospital Universitario de Bellvitge. L'Hospitalet de Llobregat. Barcelona.España.

Objective: The financial crisis that begun in 2008 significantly decreased the budget of the public health system on Spain. The aim of this study was to evaluate the impact of the financial crisis on the activity, quality and efficiency of a high-technology university hospital.

Methods: We retrospectively analyzed the outcomes of four sets of hospital management indicators between 2007 and 2016 (A: activity; B: quality and complexity of inpatientcare; C: staff, global production and budget expenses; D: patients satisfaction survey). Read More

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August 2018
14 Reads

[Compliance of latent tuberculosis infection treatment in a cohort of TB contacts].

Rev Esp Salud Publica 2018 08 27;92. Epub 2018 Aug 27.

Servicio de Vigilancia Epidemiológica. Agencia de Salud Pública de Cataluña. Lleida. España.

Objective: Compliance with the treatment of Latent Tuberculous Infection (ITL) is a determining factor in the control of tuberculosis. The objective of this study was to estimate the acceptance and compliance of the ITL treatment, and associated factors in contacts of patients with tuberculosis in Lleida.

Methods: Epidemiological analytical observational study, of a retrospective cohort follow-up, since the 1 January 2015 to 31 December 2016. Read More

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[Social costs of diseases: How relevant are they for economic evaluations?]

Rev Esp Salud Publica 2018 Aug 22;92. Epub 2018 Aug 22.

Universidad de Castilla La-Mancha. Departamento de Análisis Económico y Seminario de Economía y Salud. Toledo. España.

Background: In the field of the economic evaluation (EE), there is an open debate on the most appropriate perspective to apply. Despite the relevance of the topic, there are hardly any studies that have analyzed the practical consequences of applying the social perspective vs. health care funder. Read More

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August 2018
4 Reads

[Wastewater-based epidemiology: applications towards the estimation of drugs of abuse consumption and public health in general. The Spanish network ESAR-Net].

Rev Esp Salud Publica 2018 Aug 20;92. Epub 2018 Aug 20.

Departamento de Química Analítica, Nutrición e Bromatoloxía, IIAA. Instituto de Investigacións e Análises Alimentarias. Universidade de Santiago de Compostela. Santiago de Compostela. España.

This manuscript introduces Wastewater-Based Epidemiology (WBE) and its potential in the assessment of diverse aspects related to public health. This methodology can provide data in a relatively short temporal and local scale (typically dialy-weekly at the municipal level) on consumption patterns of illicit drugs (e.g. Read More

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August 2018
26 Reads

[Effect of employment and domestic load on fetal development and length of gestation in a birth cohort study].

Rev Esp Salud Publica 2018 Aug 17;92. Epub 2018 Aug 17.

Centros de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP). Madrid. España.

Objective: Published studies are not conclusive on the impact of certain occupational exposures in pregnancy, stressing the need to consider the double role, professional and family, of women. The objective of this study is to evaluate the effect of employment and domestic load on the duration of pregnancy and fetal development.

Methods: Using Univariate and Multivariate regression models, we studied the association of preterm deliveries (PPT) (<37 weeks), full term newborns with low weight (BPT) (<2500g) and small for their gestational age (PEG) (<10th percentile) in weight, length and head circumference according to work situation (employment/non-employment) and domestic load (low/ medium/ high) in 2506 women. Read More

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August 2018
1 Read

[Analysis of proton pump inhibitors anti-ulcer drugs use in the Araba district primary care area].

Rev Esp Salud Publica 2018 Aug 16;92. Epub 2018 Aug 16.

Área de Farmacia y Tecnología Farmacéutica. Facultad de Farmacia. Universidad del País Vasco (UPV/EHU). Vitoria-Gasteiz. España.

Objective: The proton pump inhibitors (PPI) anti-ulcer drugs are one of the most prescribed pharmacological groups in primary care. The objective of the work was to know the prescription of PPI in a Primary Care Area, the Araba district of the Basque Health Service, to advise family doctors about its correct use, and encourage the prescription of the most efficient PPIs.

Methods: Descriptive study of 200 family doctors PPI prescription at the Araba district of the Basque Health Service. Read More

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August 2018
2 Reads