[Home care and family care in tackling the chronic illnesses of the elderly].
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Biomedical subjects
Publications and source records attributed to J M Espinosa Almendro.
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OBJECTIVES: The overall objective is to prioritize health care for women and children at higher social risk. DESIGN: Intervention study. SETTING: An urban health centre. PATIENTS: Women and children using a programme for mothers and infants at greater social risk. Infant health (IH): immigrant children, low social and economic level and conflictual family relationships. Family planning (FP) and young adult (YA): previous abortion, low social and economic level, immigrants. Pregnancy monitoring (PM): pregnancies in women under 20, immigrants, unwanted pregnancy. Vaccinations: living in an area of social risk, child of immigrants. INTERVENTIONS: 1) Preferential focus on risk groups, specific markers in records and archives. 2) Checking attendance at appointments and recouping. 3) Early referral to the social worker (and midwife in risk pregnancy). 4) Analysis of reasons for leaving programme and improving access. MEASUREMENTS AND MAIN RESULTS: The number of people with a greater risk criterion. CONCLUSIONS: The follow-up procedures of the mother and child programme, specific to those at higher social risk, are useful for recouping those who leave the programme and for positive discrimination in the care delivered to these groups.
An inductively coupled plasma atomic emission spectrometric method for the determination of trace amounts of cadmium after extraction of the metal into isobutyl methyl ketone containing 1,5-bis(di-2-pyridylmethylene) thiocarbonohydrazide is described. The optimum extraction conditions were evaluated from a critical study of the effects of pH, concentration of extractant, shaking time and ionic strength. The detection limit for cadmium is 0.1 ng ml-1 and the calibration is linear from 0.2 to 140 ng ml-1. The relative standard deviation for ten replicate measurements is 2.9% for 2 ng ml-1 of cadmium. Results from the analysis of some certified biological reference materials are given.
This study was carried out with the aim of evaluating the handicapped care quality in a Primary Health Care Centre. This was a two phase evaluation (both of a year): first evaluation with 4 quality indicators and 142 patients; and the reevaluation with 10 quality indicators and 203 patients. We used explicits and normatives indicators of basic medical care procedure. The main carried out results were: annual medical exploration 62% (evaluation) and 70% (reevaluation), bringing up to date problems paper 65% and 53%, to plan nurses activities 61% and 62%, and carrying out nurses activities 57% and 68%. We detected we have to improve these patients medical care quality.