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F J Mena Martín

Publications and source records attributed to F J Mena Martín.

10 recordsLinked to original sources
PubMed2006

[Type 2 diabetes mellitus and health-related quality of life: results from the Hortega Study].

OBJECTIVE: To evaluate which health-related quality of life (HRQOL) aspects are affected by type 2 diabetes mellitus (DM) and influence of glycemic control and associated cardiovascular risk factors (CVRF). METHOD: A descriptive cross-sectional study was carried out in the health coverage area of our hospital. Following a multiphase sampling a final sample of 495 people, representative of the general population, was analyzed. HRQOL was evaluated with the Short-Form 36 (SF-36). RESULTS: After adjustment for sociodemographic variables (age, sex, education level, marital status, number of persons residing together, labor situation, social class and rural or urban ambience), comorbidity and CVRF (smoking, systolic blood pressure, LDL-cholesterol level and body mass index), the patients with DM presented lower scores on four SF-36 scales: physical function, bodily pain, general health and vitality. Among people with diabetes systolic blood pressure, body mass index and glycosylated hemoglobin, but not lipid levels, were negatively correlated to some SF-36 scores. CONCLUSIONS: In our population patients with DM present a poorer HRQOL, specifically in the physical dimensions, but neither their social function nor their mental health was affected. Hypertension, obesity and poor glycemic control are associated with worst subjective state of health.

Aged↗
PubMed2003

[Cardiovascular risk factors in diabetic patients. Cross-sectional study in general population: Hortega study].

OBJECTIVE: To find in our population with diabetes mellitus (DM) the prevalence of other cardiovascular risk factors, as well as their degree of control. METHOD: A cross-sectional study was carried out in 15-82 years population of our health coverage area, by means of a mailed survey sent to a simple random sample composed of 33,022 individuals, and a interview with collection of exploration and analitic data to a 495 people sub-sample. RESULTS: Among patients with DM 47/ have history of hypertension, and 58/ blood pressure =140/90 mmHg. Only 33/ have values <130/85 mmHg, and the percentage of patients with controlled blood pressure is significantly inferior between the women. There is history of hipercholesterolaemia in 45 210 / of diabetic patients versus 19/ of non-diabetic population; in the former group the total and LDL cholesterol levels are significantly lower. Smoking affects equally to both groups, while obesity and central obesity are more frequent between diabetic patients, although only in the case of women. CONCLUSIONS: In our diabetic population blood pressure control is limited: two third parts of the patients show values above recommended. This fact forms a contrast with a high degree of dyslipidemia control. We should pay a greater attention to hypertension treatment in patients with diabetes, mainly in women, and promote smoking cessation interventions essentially in males.

Adolescent↗
PubMed2001

[Smoking in the general population: a description of prevalence, degree of consolidation and phase of cessation].

Smoking is a risk factor associated with high and preventable mortality and morbidity. An understanding of smoking consolidation and the desire to quit in specific subgroups of the general population will facilitate appropriate planning of health care resource utilization. We performed a multistage, random, stratified cross-sectional study in the general population of Valladolid (Spain) during 1998 and 1999 as part of a cardiovascular disease risk survey. Data collected by questionnaire and interview included number of cigarettes smoked per day, nicotine dependence and stage in the process of smoking cessation. Venous carboxyhemoglobin was also measured. The percentage of reported smokers in the general population was 29.3% (95% CI: 25.7-32.9%). Prevalence was 41.8% (95% CI: 39.2-44.5%) in the 26-to-45-year-old age group and fell to 6% (95% CI: 5.6-6.5%) among subjects over 66 years of age. Analysis by sex, 31.2% (95% CI: 26.1-36.4%) of men and 27.4% (95% CI: 24.1-30.7%) of women were smokers. In rural areas the percentage of smokers was 26.9% (95% CI: 20.2-33.5%) whereas the percentage in urban areas was 31.2% (95% CI: 26.1-36.4%). The number of cigarettes/day, venous carboxyhemoglobin and nicotine dependence differed by age range, sex and place of residence and helped to describe the degree of consolidation of smoking by strata. Phases of cessation were distributed similarly by age range but not by sex. The prevalence of smoking is still high, particularly among young people and women, although it is tending to decrease. Smoking is better established in the 26-45 year-old age range, among men, among those living in rural areas and among older smokers who, probably, can not quit smoking alone.

Adolescent↗
PubMed2000

[Adverse reactions to antihypertensive drugs].

OBJECTIVE: In chronic therapies, the less number of adverse effects (AE) to drugs is decisive to improve the rate of performance and reach the protective objective. We can make comparisons in the rate of tolerance of antihypertensive drugs (AD) if we study all of them with the same method in patients with real hypertension. METHODS: Analyzed 922 hospitalized hypertensive patients looking for adverse effects (AE) reported systematically and spontaneously form, the causality must to excel in two algorithms the uncertain grade. RESULTS: 13.47% of antihypertensive drugs presented an AE, beta-blockers presented more AE than diuretics and angiotensin-converting enzyme (ACE) inhibitors. CONCLUSIONS: The AD haven't the same AE neither feature nor frequency. If to dependent on a poor fulfillment, we lose the protective effectiveness, the application independently of the economic cost isn't right.

Aged↗
PubMed1998

[Preliminary report of an epidemic tularemia outbreak in Valladolid].

We make here a preliminary report of the first 65 cases of tularemia diagnosed at our hospital pertaining to an epidemic outbreak occurred in the area served by the hospital. Diagnosis was made by the presence of a consistent clinical picture and the following laboratory criteria: antibody titre to. Francisella tularensis (tube agglutination) higher than or equal to 1/160, seroconversion or recovery of the microorganism from biological material. The mean age of our patients was 53.8 +/- 13.5 years and female sex predominated (45 women). Fever, lymph node enlargement, cutaneous ulcers, asthenia, and weight loss were the most common symptoms. The presentation clinical forms included: ulceroganglionar (69%), typhoidal (14%), ganglionar (12.5%), pneumonic (1.5%), oculoganglionar (1.5%) and atypical (1.5%). The analytical data did not show significant changes with the exception of erythrocyte sedimentation rate. Streptomycin was the antibiotic of choice, followed by ciprofloxacin and gentamicin. The failure rate was 22%, and ciprofloxacin was used for retreatment in twelve occasions and ofloxacin in 1 occasion with a good response. Tularemia is an infective disease which can become endemic in Spain and that should be considered by clinicians, particularly when unilateral enlarged lymph nodes, prolonged febrile syndromes, pharyngitis with negative culture, poor response to beta-lactams and atypical pneumonia are present.

Adult↗
PubMed1997

[Mitral insufficiency simulating aortic stenosis].

We report a patient with a mitral insufficiency due to myxomatous valve change, with a regurgitation murmur heard principally at aortic area and radiating to the neck base. Even though the topography of the murmur seemed to suggest aortic stenosis, the other auscultation findings and the initial clinical tests clearly supported its source in a mitral insufficiency. The echocardiography allowed us not only to confirm our suspicion, but also to explain this auscultation finding mechanism, to show a severe mitral insufficiency with a anterior and medial jet, which struck the aorta and atrial septum. The surgery found a clear aortic vibration, which disappeared after implanting the mitral protheses. Our case illustrates the value of new diagnostic image techniques to complement the semiologic findings.

Aortic Valve Stenosis↗