PubMed Health⌕ Search

Biomedical subjects

A Sánchez Calso

Publications and source records attributed to A Sánchez Calso.

7 recordsLinked to original sources
PubMed2000

[Assessment of ophthalmologic control of the diabetic patient in primary care].

OBJECTIVE: To evaluate ophthalmic control in patients with diabetes mellitus (DM) in primary care (PC). DESIGN: Crossover observation study. SETTING: Hellín Health Centre (Albacete). PATIENTS: 137 diabetics selected at random, excluding pregnant women and children under 14. MEASUREMENTS AND MAIN RESULTS: The variables of age, sex, type of diabetes (DM1/DM2), years of evolution, ophthalmic control and appearance of diabetic retinopathy (DR) were studied. Mean age was 68.5 +/- 10.9 years. 52% were women (n = 72). 88% had DM2 (n = 121). Time of evolution from diagnosis was < 5 years in 46% (n = 63), 6-10 years in 23% (n = 32), 11-15 years in 14% (n = 19), > 15 years in 5% (n = 7) and nothing was recorded for 12% (n = 16). 41% (n = 56) of the patients had not had an ophthalmic evaluation. Of the 59% (n = 81) referred to the ophthalmology out-clinic (OOC), 65 patients followed recommendations of the Spanish Society of Retina and Vitreous Humour, and 16 were referred for other reasons, of which cataracts was the most common eye pathology. Of these 81 patients referred to the OOC, 29% did not have DR (n = 23), and 44% did (n = 36). Of this 44%, 14 were light, 15 moderate, 3 severe and 4 proliferating cases. The reports were not sent back to PC in 27% of cases (n = 22). CONCLUSIONS: Ophthalmic referral in PC is still deficient for a large number of DM patients. DR of varying degrees was detected in a high number of cases who did have an ophthalmic check-up. Communication between PC and ophthalmic care concerning diabetic patients must improve.

Aged↗
PubMed1998

[Psychologic morbidity in perimenopause. Concordance of its diagnosis between a primary care team and its referral mental health center].

OBJECTIVES: To determine the most common psychiatric diagnoses and the characteristics of women of menopausal age referred from a Health Centre to their Health Area's Mental Health Centre. DESIGN: A crossover observational study. SETTING: The Mental Health Centre (MHC) and Primary Care Team (PCT) at Barajas (Health Area 4, Madrid). PATIENTS: 88 women between 44 and 55, referred from the PCT to the MHC up to 1st June 1997. MEASUREMENTS AND MAIN RESULTS VARIABLES STUDIED: definitive diagnoses from the MHC (CIE-9), suspected diagnoses by the PCT, age, marital status, education, psychiatric antecedents (family and/or personal) and family problems. CONCLUSIONS: The commonest psychiatric pathologies were depression and anxiety. The patients' profile is: married woman, primary or lower educational level, without paid work and with family problems. The concordance found reflects the need to improve the psychiatric training of PC doctors.

Analysis of Variance↗