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F Sanz Ortega

Publications and source records attributed to F Sanz Ortega.

11 recordsLinked to original sources

[Elderly population and campaigns for the prevention of hypercholesterolemia in Salamanca].

OBJECTIVE: To analyze the cardiovascular risk profile of the persons older than 65 years of age who participated in different "Days on Cholesterol and Atherosclerosis" organized during 1999 in different towns of the province of Salamanca. MATERIAL AND METHODS: The volunteers of any age were subjected to a questionnaire and to several clinical and laboratory measurements. RESULTS: The age of 267 volunteers (40.8% males) attending the campaign was > or = 65 years. The mean values of the studied parameters were: age = 72.3 +/- 6.5 years; body mass index (BMI) = 26.8 +/- 4.5 kg/m2; systolic blood pressure (SBP) = 139.8 +/- 20.6 mmHg; dystolic blood pressure (DBP) = 80.0 +/- 10.1 mmHg; and total cholesterol (TC) = 226.2 +/- 44.9 mg/dl. The percentage of smoking habit was 5.2%. The figures of SBP showed positive significant correlation with those of age (p < 0.05) and DBP (p < 0.01). Among males, the age evolved inversely to the numbers of TC (p < 0.01). Globally, 203 volunteers (76.0%) had concentrations of TC > or = 200 mg/dl; 78 (29.2%) > or = 250 mg/dl; and 12 (4.5%) concentrations > or = 300 mg/dl. We detected blood pressure levels of SBP > or = 140 mmHg in 143 (53.6%) individuals; SBP > or = 180 mmHg in 11 (4.1%); DBP > or = 90 mmHg in 72 (27.0%); and DBP > or = 110 mmHg in 4 (1.5%). The BMI was > or = 30 kg/m2 in 54 (20.2%) people of the study. 90.8% of the volunteers with previous cardiovascular disease carried, at least, another not controlled cardiovascular risk factor; 24.1% had at least two risk factors; and 9.1% had, at least, three. In 38.5% they showed high levels of TC and DBP, simultaneously. CONCLUSIONS: Our data, together with the current evidences about the benefit of the control of cardiovascular risk factors in the elderly, suggest the necessity to establish strategies for a better control of the cardiovascular risk in this group of age in our province.

Age Factors↗

[An epidemiological study of acute intoxications and provision of medical-cabinet antidotes].

OBJECTIVES: The aims of this work is to know first, the characteristics of the cases of acute intoxication seen in the emergency room of he "Hospital Clínico de Salamanca", Spain; and second, the existence of first-aid antidote kits, their location within the hospital, and their supplies in relation of the level of assistance being provided in hospitals in the region of "Castilla-León". METHODS: All cases of acute intoxication attended in the Emergency Room in he "Hospital Clínico de Salamanca" during one year (from June 1993 through May 1994) were studied prospectively. A descriptive analysis of several variables was performed including age, sex, monthly distribution, causes, toxic substances involved, route of exposure, clinical manifestations, treatment, department in witch patients were admitted and clinical evolution. Additionally, a questionnaire was sent to physicians in charge of emergency services of hospital in "Castilla-León" regarding the existence, location an equipment of first-aid antidote units. RESULTS: A total of 425 cases of acute intoxication were attended, representing 0.69% of all cases seen in the emergency room, during the mentioned period. The age range with the highest incidence was 20-30 years, representing 28.94% of the cases of acute intoxication. 51.3% of cases corresponded to male individuals, although in the 20-30 year range 63.11% were females. February was the month with the highest incidence. With regard to etiology, accidental exposure was the most common, representing 60.47% of cases, while among females 49.28% of cases of intoxication were self inflicted. The toxic substances most frequently involved were alcoholic drinks (23%) and benzodiazepines (17.16%). Recreation and opiate drugs represented 16.23% of the cases. The route of exposure was oral ingestion in 81% of cases and the most common clinical manifestation were of neurologic type which were present in 48% of patients attended. 25% of patients were admitted, representing 0.80% of admissions from the Emergency Room, with the intensive care unit and the Department of Psychiatry (32% of cases in each one) being the areas in which the highest number of patients were hospitalized. The number of patients that died was 2, which represents 0.47% of intoxicated patients attended. In 40% of hospital of the region there is a specific location within the Emergency Room for the first aid antidote drug kit. There is a good correlation between the levels of assistance of hospitals of Castilla-León and the supplies of the first aid antidote kit in the Emergency Room as well as in the Pharmacy Unit.

Acute Disease↗

[Fatal paraquat poisoning].

Paraquat is a potent bipiridilium herbicide, largely used by farmers. Is very toxic in the concentrated liquid form supplied. When ingested, even a minimum quantity, can be letal. We present a case of a 69 years old man who intencionaly ingested 60 ml of paraquat and 20 ml of NaOH. Tow hours after the ingestion, the patient wes admited to the emergency service. He was treated with gastrointestinal lavage, activated charcoal, füller's hearth, catárticos, fluid and electrolytes, mannitol, dopamine and haemoperfusion. Despite therapy, the patient developed a multiple organic failure and died fiveteen hours after admission. Clinical course and therapeutical management are described of this deliberale self poisoning infrequently reported in Spain.

Aged↗