Biomedical subjects

P Alguacil Cubero

Publications and source records attributed to P Alguacil Cubero.

3 recordsLinked to original sources

PubMed1994

[An epidemiological study on unwanted pregnancy].

OBJECTIVE: To define the profile of the woman with an unwanted pregnancy (UWP) and to analyse differences between wanted pregnancies (WP) and UWP. DESIGN: Longitudinal and retrospective observation study. SETTING: La Chana Health Centre, Granada. PATIENTS: 511 pregnancies. MEASUREMENTS AND MAIN RESULTS: Pregnant women were grouped according to whether their pregnancy was WP or UWP. 29.4% of all pregnancies were UWP. 70.5% of pregnancies in under-19s and 75% in over-35s are UWP (chi2 = 12.24; p = 0.00046 regarding the 19 to 35 age group). Women with WP first attend for prenatal care before women with UWP (chi 2 = 10.5; p = 0.0018). CONCLUSIONS: There is a high proportion of UWP, especially among women under 19 and over 35. We defined two profiles of women at risk of UWP.

Adolescent↗

PubMed1993

[Thyroid function tests and their use by the general practitioner].

OBJECTIVE: We aimed to discover how thyroid function tests (TFTs) were used in general practice (GP) consultations. We would evaluate how many TFTs were requested, their efficiency, cost and their impact on referrals to endocrinology. DESIGN: This was a longitudinal, retrospective and observational study. SITE. At the Primary Care level, in the La Chana Health Centre, Granada. PATIENTS: 69 patients with possible Thyroid Disease, and who had a TFT performed by their GP, were surveyed. The test comprised parallel TSH, free T4 and free T3. MAIN MEASUREMENTS AND RESULTS: 2.46 TFTs per GP per year were requested. 14 showed positive (20.28%) and a definite diagnosis of Thyroid Function Disease (TFD) was made in 11 cases (15.94%). The cost per test was 1,718 pesetas; and per diagnosis, 8,467 pesetas. 78.26% of the cases were resolved by the GP without need of referral. CONCLUSIONS: The GPs carried out few FTFs; but those they did were very efficient. Cost was low and patients benefited from the fact that their GPs were able to use this technique. Endocrinology referrals were reasonable. All general practitioners should have use of TFTs.

Adolescent↗

PubMed1992

[Evaluation of the quality of prenatal care in primary care].

OBJECTIVE: Determine the quality of prenatal assistance by means of an audit. DESIGN: This is a retrospective and longitudinal observational study. SITE. At the Primary Attention level, at the "La Chana" Health Centre, Granada. PATIENTS: 514 mothers-to-be. MAIN MEASUREMENTS AND RESULTS: The completion rate of the programme was studied via twelve indicators. Gynecological examination during the first visit (37.74%), serology of infections and toxoplasma (32%) and AgHBs (14.28%) were the indicators least carried out. Gestatory age (98.84%) probable date of the birth (98.45%) and arterial blood pressure (96.7%) were those most frequently carried out. CONCLUSIONS: Motivation exists in the Primary Attention team to record complete medical histories. Need to: unify therapeutic diagnostic criteria, increase coordination between the different levels of attention, and carry out audits more often, to evaluate the quality of attention given objectively.

Humans↗