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Biomedical subjects

C Isanta Pomar

Publications and source records attributed to C Isanta Pomar.

10 recordsLinked to original sources
PubMed2001

[Risk factors for asthma, allergy and bronchial hyperresponsiveness in children aged 6-8 years old].

OBJECTIVE: To determine risk factors for asthma, allergy and bronchial hyperresponsiveness in children aged 6-8 years old from Huesca (Spain). PATIENTS AND METHODS: Cross-sectional study of asthma, rhinitis and atopic dermatitis, using the prick test and bronchial hyperresponsiveness (free-running test, forced expiratory volume in 1 sec) in a random sample (n = 309) of children aged 6-8 years oldfrom an urban area (n = 1,051). To evaluate differences in the study variables between asthmatics and non-asthmatics, allergic and non-allergic children and BHR-positive and BHR-negative children, a bivariate analysis was performed using the Chi-squared test and Fisher's exact test. Multiple regression analysis was used to study the association between asthma, allergy and BHR and the study variables. Beta-coefficients and their corresponding standard deviations were calculated according to the maximum verisimilitude method using the SPSS program. RESULTS: The theoretical sample included 305 children and informed consent was requested from 357 parents or guardians. The participation rate was 86.55 % (n = 309). The results of the multivariate analysis were as follows: (1) risk factors for asthma were a history of asthma in the immediate family (OR: 5.17; 95 % CI: 21.82-1.23), cutaneous sensitization to aeroallergens (OR: 8.49; 95 % CI: 30.52-2.37) and recurrent bronchitis during the first 2 years of life (OR: 4.68; 95 % CI: 17.76-1.24); (2) risk factors for allergy were symptoms of atopic dermatitis (OR: 10.87; 95 % CI: 38.63-3.06), a history of asthma in the immediate family (OR: 6.11; 95 % CI: 27.68-1.38) and male sex (OR: 4.53; 95 % CI: 19.55-1.05); (3) risk factors for BHR were recurrent bronchitis during the first 2 years of life (OR: 4.56; 95 % CI: 20.24-1.02), symptoms of atopic dermatitis (OR: 4.15; 95 % CI: 16.28-1.06) and cutaneous sensitization to aeroallergens (OR: 3.43; 95 % CI: 10.91-1.08). CONCLUSIONS: The risk factors for asthma, allergy and BHR have been determined in children aged 6-8 years old from Huesca.

Asthma↗
PubMed1993

[The degree of agreement in the radiological interpretation of the growth of left cardiac cavities between the radiologist, the family physician and residents in family and community medicine].

OBJECTIVE: To discover the level of agreement about the radiological interpretation of the growth of left-side cardiac cavities, between the referring radiologist (Rx), a family doctor (FD) and three interns studying the third year of family and community medicine (IFCM). DESIGN: Observational crossover study. SETTING: Primary Care (PC). The Perpetuo Socorro Health Centre in Huesca. PATIENTS AND OTHER PARTICIPANTS: Hypertense patients included in the programme of one of the general medicine sections. MEASUREMENTS AND MAIN RESULTS: There were 69 thorax radiographies (TXR), 10 of which were repeated in order to assess the level of agreement between different evaluations by the same observer (intra-observer). Out of these 69, there was agreement between observers in 39 cases (66.10%) with Kappa Index (KI) 0.39 +/- 0.12 for two IFCMs (2 and 3); in 44 (74.57%), with KI 0.55 +/- 0.12 for the first IFCM; and in 40 (67.10%), with KI 0.39 +/- 0.12 for the FD. The intra-observer agreement was 80% with KI 0.50 +/- 0.29, 60% with KI 0.20 +/- 0.23 and 90% with KI 0.80 +/- 0.23 for the three IFCM's. It was 70% with KI 0.34 +/- 0.27 for the FD and 80% with KI 0.48 +/- 0.29 for the Rx. CONCLUSIONS: Both the inter- and intra-observer agreement levels were insufficient. We propose that our training during the period of specialisation should be strengthened on the most useful questions from the PC point of view. Studies of this sort need to be carried out in PC in order to obtain maximum benefit from these complementary tests.

Adult↗
PubMedDate not supplied

[Characteristics of those individuals requesting to be seen by a physician without first having made an appointment ahead of time].

BACKGROUND: Waiting time to see a physician is considered to be an indicator of user satisfaction. Non-emergency visits made without an appointment ahead of time result in longer waiting times for the patients who have appointments, resulting in the consequent in satisfaction thereof. The purpose of this study is aimed at conducting a quantitative assessment of this type of visits and at ascertaining the characteristics thereof for the purpose of putting measures into practice for the correction and rationalization thereof. METHODS: Descriptive study. A record was made which would gather the characteristics of those patients seeing physicians without having made an appointment, such as age, gender and the characteristics related to the visit (reason, modality, working hours and whether made directly or indirectly). RESULTS: No appointment had been made ahead of time for 14.19% of all non-emergency patient-requested visits. Based on the factorial analysis of multiple correlations, two visit profiles are identified, that is, the direct visits requested by young patients due to illness or red tape at the end of the physician's morning hours, said young patients being present, and the indirect visits during the visits for which appointments have been made ahead of time by patients requesting prescriptions. CONCLUSIONS: There are a large number of visits for which no appointment has been made ahead of time. Measures must be taken for the purpose of channeling the use of the appointment organization system and of improving those situations involving a lack of accessibility for the end purpose of improving the degree of satisfaction of those using the public health care services.

Adult↗