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J Sellarès

Publications and source records attributed to J Sellarès.

3 recordsLinked to original sources
PubMed2005

[Assessment of the effectiveness of an instrument to identify health an social problems in an elderly population from a primary health care center].

OBJECTIVE: To assess the response rate to a multi-dimensional, self administered questionnaire in patients > or =75 years old attending a primary health care center and to establish the prevalences of problems in the following dimensions: socio-economical, cognitive, morbidity, polypharmacy, physical activity, falls, and activities of the daily living. DESIGN: Cross-sectional descriptive study based on a self-administered questionnaire posted by mail. SETTING: A primary health care center in Barcelona. PARTICIPANTS: A total of 1299 patients > or =75 years old. MAIN MEASUREMENTS: Social surroundings, activities of the daily living, sensorial problems, morbidity, physical symptoms including sphincter's incontinence, cognitive status, and medication use. RESULTS: The response rate was 68% (95% CI, 0.65-0.70). The average age of the women who participated was significantly greater than the one of the men (82.5+/-5.3 vs 81.6+/-5.0, respectively). A significantly greater proportion of women than of men lived single (38.2 vs 10.9%); they had difficulties to maintain its house cosy (15.6 vs 8.8%) and they had difficulties to make ends meet (18.0 vs 13.6%). Globally, there were a greater proportion of women than of men whom they had: medical problems, cognitive problems, depression, and difficulties to carry out activities of the daily living. Overall, subjects that have had difficulties to make ends meet had greater prevalences of problems in all the dimensions of this evaluation. On the other hand, subjects that lived single had lower prevalences of problems in all the dimensions except they had a greater prevalence of depression. CONCLUSION: The multidimensional evaluation in elderly patients by the postal method is an efficient procedure that allows identifying many socioeconomic and health problems. In addition, it is feasible to identify to most fragile subjects and latter on to carry out preventive and curative interventions on them as well as to make their follow up.

Aged↗
PubMed1999

[A comparative study of the evolution of caries in mentally retarded subjects of 5 years' duration].

OBJECTIVE: To study the evolution of caries in two groups of mentally retarded individuals. DESIGN: Longitudinal, prospective, non randomized study, with a five-years follow-up period, with intervention and control groups. SETTING: Community trial. Primary health care centre in Martorell. SUBJECTS: Mentally retarded individuals attending a workshop school (intervention group, N = 29) and living in a boarding school (control group, N = 25). INTERVENTION: One group was on a program of prevention and treatment of caries, the other one received the usual care and acted as a control group. MEASUREMENT AND MAIN RESULTS: The number of absent, filled and caries teeth were studied from 1992-1997. An analysis of the variance with repeated measures was carried out. The groups were comparable for most demographic characteristics and basal odontological parameters. While in the control group the number of caries increased (mean92 = 2.2; standard error [SE] = 0.5); mean97 = 3.3; SE = 0.5; p = 0.03) in the intervention group it did not change (mean92 = 1.8: SE = 0.4; mean97 = 1.7; SE = 0.2; p = 0.73). The variation over time was significantly different between the groups (p = 0.03). The mean of filled teeth increased in the intervention group (mean92 = 0.7; SE = 0.4; mean97 = 2.2; SE = 0.4; p < 0.0001) and it did not change in the control group (mean92 = 1.2; SE = 0.5; mean97 = 1.4; SE = 0.6; p = 0.48). There were statistical significant differences between the two groups in the variation over time (p = 0.017). CONCLUSIONS: Preventive and curative odontological intervention in mentally retarded individuals can be useful to improve the evolution of caries.

Adult↗