PubMed Health⌕ Search

Biomedical subjects

J Canela Soler

Publications and source records attributed to J Canela Soler.

At least 19 recordsLinked to original sources
PubMed2003

[Pulmonary symptomatic tuberculosis' diagnostic delay study].

OBJECTIVE: To study symptomatic pulmonary tuberculosis (PTB) diagnostic delay. PATIENTS AND METHODS: Prospective study of new symptomatic PTB cases (aged > or = 15 years) by structured interview with the patients and their families. The main variables analyzed were patient's delay (PD), doctor's delay (DD), diagnostic process delay (DPD), health care system delay (HCSD) and total delay between the onset of symptoms and start of treatment (TD). Univariate and multivariate statistical analyses were performed for each component of delay. RESULTS: Two hundred eighty-seven patients were studied. The mean delays in days standard deviations were TD 81.8 77.3; PD 43.3 55.7; DD 28.4 59.6; DPD 10.0 17.7, and HCSD 38.5 62.5. CONCLUSIONS: Patients are responsible for 50% of excess delay in diagnosing symptomatic PTB. Patients in the health care system experienced diagnostic delays over 60 days in 18.5% of cases, doctors being responsible for 75% of the diagnostic delay attributable to the system.

Adolescent↗
PubMed2000

[Analysis of the claims in a specialist primary care center].

OBJECTIVE: To analyze the written claims attended at a specialists unit of a Primary Health Care Center in Nou Barris, Barcelona. DESIGN: Evaluative observational study. SETTING: Health Care District of Nou Barris, with a population of 170,849. Period of study covers claims attended between 1-6-1996 to 31-12-1998. PARTICIPANTS: 220 claims registered at a specialist unit of a primary health care center. MEASUREMENTS: Claimer's age and gender, heath care net of origin, claim's motive, claimed person or service and health care activity. Statistical analyses performed included descriptive techniques and Khi-square (chi 2) tests (alpha = 0.05). RESULTS: Cumulative incidence of claims was 4.03 per 10,000 person-year in 1996, 4.70 in 1997 and 5.88 in 1998 (p = 0.0128). 220 claims were analyzed, 53.1% of them came from women. Mean age was 51.12 +/- 15.8 years. 60% of claims came from people using the traditional health care net, and 40% from reformed health care net. Mean time of response was 12.3 +/- 12.7 days. Ophthalmology was the most claimed service (18.64%), followed by "the system" (13.64%), and "the center" (13.64%). 64% of claims pointed to specialists, and don't adjusted with their health care activity (p = 0.0001). Relative risk of being claimed at the specialists unit was 2.91, compared to the rest of the primary health care centers of Nou Barris in 1998. CONCLUSIONS: Health care user's claims become useful to detect some difficult aspects. However, improvements in the methodology of their evaluation are needed.

Adult↗
PubMed1998

[Diagnosis of maternal and infant health in Palestine].

OBJECTIVE: To describe the health situation of the target population (women between 15 and 45 and children from 0 to 3), living in the towns on the West Bank in which the 12 dispensaries of the Palestine NGO Health Services Council were located, in order to plan a programme of support activities for that NGO. DESIGN: Crossover survey. Descriptive analysis of the data. SETTING: 12 towns in the 5 districts of the West Bank (Palestine) between May and July 1994. PARTICIPANTS: Women of a fertile age (15 to 45) and children between 0 and 3 living in the towns where the 12 dispensaries of the NGO Health Services Council were located. MEASUREMENTS AND MAIN RESULTS: Social, demographic and health variables of the population group involved, the availability of primary care services and the pattern of health service use were studied. Worthy of mention were the average fertility of fertile women of 4.55 deliveries (CI 95%, 4.30-4.80), the use of family planning methods by 61% of the women surveyed, the low indices of mother and infant malnutrition, and the frequency of episodes of acute respiratory infections and diarrhoea in the under-3s. The availability of health services in these communities is wide. The non-governmental and private Palestinian services were preferred for antenatal control, whereas the Israeli government services were preferred for deliveries, as these services had more resources. CONCLUSIONS: The findings were typical of an intermediately developed society, similar to neighbouring countries. The multiplicity of health services available and their lack of coordination could make the application of a unitary health policy in the area difficult.

Adolescent↗
PubMed1998

[Assessment of an interventional study on iodine deficiency in Burkina Faso, 1990-1993. Direction de la Santé de la Famille (Burkina Faso)].

OBJECTIVES: To find how the urinary parameters of iodine excretion evolved in a community with deficiencies, after administering iodine orally and IM in two provinces in Burkina Faso; to recommend a national strategy to tackle iodine deficits. Design. A longitudinal survey before and after the iodine was given (12 months). Descriptive analysis of the data. SETTING: Provinces of Namentenga and Passoré in Burkina Faso. PARTICIPANTS: The general population of the two provinces who satisfied age-sex criteria: males from 0 to 25, females from 0-45. Randomised two-stage sampling. 423 people in all took part (210 in Namentenga and 213 in Passoré). INTERVENTIONS: The administration of 1 ml of iodised oil (Lipiodol) orally in Namentenga and IM in Passoré. MEASUREMENTS AND MAIN RESULTS: The urinary parameters of micrograms of iodine per gr. of Creatinine, and micrograms of iodine per dl of urine, were used. Figures for normalisation of the urinary parameters 12 months after iodisation was significantly higher in Passoré province, where iodine was administered IM. CONCLUSIONS: The intramuscular pathway has more longlasting effects, but the characteristics of Burkina Faso's health system and the feasibility of a medium or long-term intervention make it advisable that iodine supplements be administered orally.

Adolescent↗
PubMed1996

[Factors conditioning absenteeism among primary care physicians].

OBJECTIVES: To find whether the variables age, gender, speciality, training and type of contract of primary care doctors, as well as the size of their patient lists and the sort of centre where they work, affect their absenteeism, as measured by time off work sick. DESIGN: An observational, crossover study. SETTING: Nou Barris, sub-division of Barcelona City, primary care (PC) district during 1994. PARTICIPANTS: Doctors. MEASUREMENTS AND MAIN RESULTS: In the PC district there were 121 doctors, counting PC teams (PC), traditional system (TS) and specialists. Bivariant epidemiological and statistical techniques were used to verify the relationships between variables. Alpha risk was 5%. 40% of the District's doctors had some time off sick during the year. There were 79 occasions of time off (74 were for short-term sickness and 5 for maternity). Total days lost were 2,477, an average of 31.35. Time off work was related to the age of the doctors and the number of patients attending. Centres where the reform had been implemented had very few cases of time off. CONCLUSIONS: Cases of time off work for sickness among primary care doctors are mainly concentrated in the non-reformed network. It would be useful to study ways of increasing these doctors' motivation.

Absenteeism↗
PubMed1994

[An approach to the study of excess weight in health professionals using observational data].

BASIS: Overweight is a public health problem in Catalonia as well. Quetelet's body mass index (BMI) is the most commonly used measurement in epidemiology for obesity quantification. This study was designed to assess its prevalence among the Catalonian health professionals. MATERIAL AND METHODS: We used a self-evaluated anonymous questionnaire which was filled up by 176 health professionals (75 men, 101 women) attending several training programmes in public health. More than 90% of the were between 25 and 38 years of age. RESULTS: Overweight prevalence (BMI > or = ) was of 15% (10% - 10% - 20%), significantly greatest among men (29%) than among women (5%). In both cases, it was mainly mild overweight. CONCLUSIONS: Overweight prevalence is highest among male health professionals, although globally, it is lower than in the general adult population of Catalonia for similar age groups.

Adult↗
PubMed1993

Retrospective evaluation of the efficacy of the BCG vaccination campaign of newborns in Barcelona, Spain.

The efficacy of the BCG vaccination campaign of neonates in Barcelona, carried out in the period 1966-1974, was evaluated with a study of cases and controls made during the period 1978-1988 in patients between the ages of 4 and 21 years. It shows that the efficacy of this vaccination campaign was 32%, that it was greater in men than women and that it decreased with the passage of time. The number of cases of tuberculosis prevented by this campaign is calculated at 13.4%. Given that the vaccine used offered maximum guarantees, the authors consider that this poor efficacy must be attributed to operational deficiencies in the vaccination campaign itself.

Adolescent↗
PubMed1993

Evaluation of the efficacy of health education on the compliance with antituberculosis chemoprophylaxis in school children. A randomized clinical trial.

Chemoprophylaxis against tuberculosis with isoniazid for 1 year is very useful, but patient compliance is very low. A controlled clinical trial was performed to evaluate the efficacy of three alternative health education strategies and to observe which of them improves compliance with antituberculosis chemoprophylaxis in healthy tuberculin-reactor children. Although all three strategies achieved positive, statistically significant results as compared with the control group, that performed by nursing personnel at the patient's home is the most effective, followed by that performed by the same health professionals by telephone. The least effective strategy by far was that performed by the physician in his surgery.

Child↗
PubMed1990

[Influence of health education on compliance with antituberculous chemoprophylaxis in children: a community trial].

Antituberculous chemoprophylaxis with isoniazide during a period of one year is very useful although it is not readily accepted. A community trial is designed in order to test if three health education interventions increase patients compliance with such treatment in case of tuberculin positive children who are not ill. The two interventions performed by nurses, one by phone, and the second one by a home visit, resulted in statistically significant difference when compared to the control group. This did not occur, however, with the intervention performed by the doctor in his office. A cost-effectiveness study demonstrates that the most efficient intervention has been the phone call.

Child↗
PubMed1989

[Pilot study of arterial blood pressure in the school children of Girona and its province].

UNLABELLED: The arterial blood pressure was measured in 1,494 school children (810 boys and 684 girls) 5 to 14 years old who attended 46 schools in the province of Girona. OBJECTIVE OF THE STUDY: to establish the distribution of arterial blood pressure in school children in our community in empirical percentiles according to chronologic and anthropometric variables (age, height, weight and body surface). In our study the systolic arterial blood pressure increased significantly (p less than 0.001) in both sexes in all the variables studied. The simple correlations in decreasing order were, in boys: body surface, weight, height and age, and in girls: weight, body surface, height and age. However, there was no correlation between the diastolic arterial blood pressure in either sex with the variables studied.

Adolescent↗