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R Lucas Sánchez

Publications and source records attributed to R Lucas Sánchez.

6 recordsLinked to original sources

[Viral hepatitis].

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Hepatitis, Viral, Human↗

[Impact of the development of a rural health center on the demand for emergency care].

The new legislation on Primary Health Care (PHC) has reorganized the implementation of services. We have evaluated the impact on the demand of emergency attention in the rural town of Almodóvar del Pinar (Cuenca); this attention was previously given by the APD physician and now partially depends from the Health Center. Overall 97 cases were assisted, as compared with 229 in the preceding period (p less than 0.001). The motives for consultation remained unchanged, as well as the timing of the demand. The home visits were significantly reduced (p less than 0.05). The reduction might be explained on the basis of the moving away of the clinic location and the increased health education. The reduction in home visits might be accounted for by a higher attendance to the Health Center as this is believed to be better equipped. Hospital referral remained unchanged, 90% of cases being managed at local level. The emergency attention facilities in rural areas should be better equipped.

Adolescent↗

[Child vaccination coverage in a rural community: prevalence and related factors].

In the rural environment investigations on vaccination coverage during the daily consultation of Primary Care is feasible. For knowing the real levels and improve the situation, infant vaccination coverage was studied in a rural township with hamlet (small villages) by interviewing the parents and checking the vaccination card. Demographics variables were also analysed looking for different coverage according to these characteristics. One hundred and five children from 0 to 14 years were studied. Relative risks were calculated for the situation of no vaccination. The 69% have got vaccination card. Vaccination rates for Tetanus, Oral Polio, Triple Virus (Measles, Rubella, Mumps) and Rubella (73.3%, 73.3%, 75.5% and 83.3% respectively) were not enough for its eradication. The older children and those who have the biggest family size, showed less rates. Those who live in hamlets have a greater risk to not to be vaccinate, being able to perform "bags" of the deficient vaccination. This survey has allowed to get a complete register of infant vaccination coverage and start correcting actions of the deficiencies noticed.

Adolescent↗