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Biomedical subjects

R Orueta Sánchez

Publications and source records attributed to R Orueta Sánchez.

6 recordsLinked to original sources

[Eating disorders among secondary students in a health area].

OBJECTIVES: To study the prevalence of eating disorders among adolescent in a health area. Design. Cross-sectional descriptive study.Setting. The primary care centres of secondary education. PARTICIPANTS: Students with age between 13-16 years. MEASUREMENTS: The validation of the Spanish translation of the Eating Attitudes Test-40 was administered to students, previous authorization of their parents. In the positive cases, we reported with a letter to their parents. The date were incorporate to a data base and in order to their treatment tools of analytic and descriptive statistic they were used. RESULTS: There were 503 valid questionnaires (95% students of the health area). The absolute mean score was 13.42 points (CI, 12.57-14.28), in women 14.71 points and in man 11.82 points. According to age groups, the mean score for 13, 14.15 and 16 years was 14.05, 13.85, 13.08 and 12.60 points respectively. 16.97% presented >= 20 points (sensitivity, 91%; specificity, 69.2%) and 16.97% of the sample >= 30 points (sensitivity, 67,9%; specificity, 85.9%). There were more positive cases in women than men (2 = 22.4; p < 0.001). The age variable did not show statistically significant differences (2 = 3.379; p > 0.05). CONCLUSIONS: There is a high prevalence of eating disorders among secondary students, being more frequently among women. We think it is necessary to make preventive services task in these problems and seek positive cases.

Adolescent↗

[Causes of non-compliance and associated factors in non-attendance of scheduled consultation].

OBJECTIVE: To find the degree of non-attendance at scheduled consultations and associated factors, with the aim of introducing the necessary corrective measures. DESIGN: An analytic observational study. SETTING: Sillería Health Centre, Toledo. PATIENTS: People on a medical list with scheduled medical and/or nursing appointments over the period of a year. MEASUREMENTS AND MAIN RESULTS: There were 253 cases of non-attendance (13.16%) out of a total of 1,922 scheduled consultations. Different variables were analysed, with statistically significant results being found in user's age and profession (p < 0.01), season of the year (p = 0.00067), the number of previous appointments (p < 0.01) and the number of previous non-attendances (p < 0.001). A profile of the non-attender emerged as: a young person, unemployed or student, single or separated, with average or higher education and who makes an appointment for control of risk factors cardiovascular, to open a medical history or for pregnancy monitoring. CONCLUSIONS: The level of attendance using present appointment methodology is acceptable. Nevertheless we believe a change of strategy, which would involve the community more both in preventive activities and in taking responsibility for their own attendance is needed.

Adolescent↗

[The family characteristics of overusers of primary care health services].

OBJECTIVE: To discover the family characteristics of overusers of a family medical practice. DESIGN: Descriptive study. SETTING: Sonseca Health Centre (Toledo). PARTICIPANTS: Overusers of the health services at a family medical practice. Variables of structure, family function and their use were studied. MEASUREMENTS AND MAIN RESULTS: The family type of the overusers was described as a nuclear family (61.11%), formed by 2-4 members (76.39%) in a period of decline in their life cycle (72.22%), with a certain level of familial dysfunction (13.4%) and overuse of the health services (70.49%). All these findings concurred with data published on the question. CONCLUSIONS: The study demonstrated the importance of tackling the family as a whole within the primary care field and the relevance of studies which investigate the relationship between family variables and use of services.

Adult↗

[Occupational health in the province of Toledo: comparison with national data].

OBJECTIVE: To gain some preliminary understanding of the health situation in the workplace and to strengthen this field at the Primary Care level. DESIGN: A retrospective and analytical study into the period 1985 to 1988, both inclusive. SITE. Pathologies at work (accidents and work-derived illnesses) declared in Toledo province and in the rest of Spain during the period stated above. MAIN MEASUREMENTS AND RESULTS: A lower rate of accidents at work was observed in Toledo than in the rest of Spain (47.68 per 1,000 workers as against 66.44 per 1,000; chi 2 = 806.45). However Toledo showed higher mortality (0.35% as against 0.20%; chi 2 = 40.71) and a higher percentage of time off work (81.56% as against 68.77%; chi 2 = 483.93). Looking at work accidents in relation to sectors of activity, industry and construction, we found more in Industry and Construction than in Agriculture and Services. Work-derived illnesses made up a low percentage of work pathology (0.33% in Toledo and 0.39% in Spain). The main illnesses were: dermatosis, bursitis, illness caused by vibrations and disease arising from lead and its derivatives. CONCLUSIONS: It is essential to study much more thoroughly both health at work and the more general work context, emphasising the key importance of Primary Care and the need to improve the present system for notifying pathologies at work.

Accidents, Occupational↗

[Results of a continuing education program using teaching consultations].

The results of a continued education program for PCS in the clinical area by means of a method using teaching interconsultations are reported. The program was carried out in the Toledo province in the first six months of 1988. Its initial aims were the development of the program and the approaching between the different levels of health care. The program was carried out with the active participation of the members from PCS, who specified the areas of interest to be developed. The overall expense were 946,540 pesetas, with a mean expense per session and interconsultation of 6,352.6 pesetas. The degree of fulfillment of the program was 79.6% (149 of the programmed 187 interconsultations), with a mean of 3.3 interconsultations/health center/months (planned mean 4.1). In addition, the degree of compliance of each PCS and cooperating specialists was evaluated, with an analysis of the causes of noncompliance. It was concluded that continued education programs for PCS are necessary and that the method of teaching interconsultations is valid with limitations in health areas of small size.

Education, Medical, Continuing↗