Search results for "spain"

showing 10 items of 2556 documents

Hospital admissions trends for severe hypoglycemia in diabetes patients in Spain, 2005 to 2015.

2020

Abstract Aims To analyze hospital admissions trends, inpatient mortality, and mean length of hospital stay due to hypoglycemia in patients with diabetes in Spain from 2005 to 2015. Methods National Institute of Statistics provided information on hospital discharge and mortality. Hospital admissions due to severe hypoglycemia were identified using ICD-9 codes. Age-adjusted admission and mortality rates were stratified by sex and year. Joinpoint regression models were used to estimate trends. Results Admissions rates per 100,000 population were higher for men than women in 2005 (30.2, 95%CI:29.3, 31.0 versus 21.5, 95%CI:20.9, 22.1) and 2015 (23.7, 95%CI:23.0, 24.4 versus 13.2, 95%CI:12.7, 13.…

Malemedicine.medical_specialtyEndocrinology Diabetes and MetabolismPopulation030209 endocrinology & metabolismHypoglycemiaHistory 21st CenturyDiabetes Complications03 medical and health sciences0302 clinical medicineEndocrinologyDiabetes mellitusInternal MedicinemedicineHospital dischargeDiabetes MellitusHumansIn patient030212 general & internal medicineeducationAgedRetrospective Studieseducation.field_of_studyInpatientsbusiness.industryMortality rateGeneral Medicinemedicine.diseaseSevere hypoglycemiaSurvival AnalysisHypoglycemiaHospitalizationSpainEmergency medicineFemalebusinessHospital stayDiabetes research and clinical practice
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Energy Balance and Risk of Mortality in Spanish Older Adults

2021

Clinical data on the direct health effects of energy deficit or surplus beyond its impact on body weight are scarce. We aimed to assess the association with all-cause, cardiovascular and cancer mortality of (1) sustained energy deficit or surplus, calculated according to each individual’s en-ergy intake (EI) and theoretical energy expenditure (TEE), and (2) mid-term change in total EI in a prospective study. In 7119 participants in the PREDIMED Study (PREvención con DIeta MEDi-terránea) with a mean age of 67 years, energy intake was derived from a 137-item food frequency questionnaire. TEE was calculated as a function of age, sex, height, body weight and physical ac-tivity. The main exposur…

Malemedicine.medical_specialtyEpidemiologyEnergy balance030204 cardiovascular system & hematologyLower riskDiet SurveysArticlePersones grans03 medical and health sciences0302 clinical medicineCause of DeathNeoplasmsEpidemiologyRisk of mortalityMortalitatMedicineHumansTX341-641030212 general & internal medicineProspective StudiesMortalityProspective cohort studyEpidemiologiaCardiovascular mortalityAgedProportional Hazards ModelsNutrition and Dieteticsbusiness.industryNutrition. Foods and food supplyHazard ratioenergy balancemortalityDietCardiovascular DiseasesSpainCohortepidemiologyFemaleOlder peoplebusinessEnergy IntakeEnergy MetabolismFood ScienceDemography
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A comparative study of mortality in agricultural and industrial areas in Spain.

1995

The three main causes of contamination in the industrialized world are energy production, and industrial and agricultural activities. The aim of the present study was to examine changes in cause of death in order to contrast causes of death between agricultural and industrial areas. To this effect we have selected four zones — two predominantly industrial and two mainly agricultural — within the Valencian Community. Mortality figures were gathered corresponding to the same period 1976–1989, published by the Conselleria de Sanitat i Consum of the Generalitat Valenciana (Valencian Community health authorities). Thirty large groups of causes of death were established for posterior analysis. Mo…

Malemedicine.medical_specialtyEpidemiologyRisk FactorsEnvironmental healthCause of DeathNeoplasmsEpidemiologymedicineHumansIndustryMortalityCause of deathbusiness.industryPublic healthMortality rateAgriculturemedicine.diseaseMale genital disorderConfidence intervalAgricultural Workers' DiseasesOccupational DiseasesAgricultureSpainRelative riskFemalebusinessEuropean journal of epidemiology
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Postoperative Costs Associated With Outcomes After Cardiac Surgery With Extracorporeal Circulation: Role of Antithrombin Levels

2012

Objective: To study the impact on postoperative costs of a patient's antithrombin levels associated with outcomes after cardiac surgery with extracorporeal circulation. Design: An analytic decision model was designed to estimate costs and clinical outcomes after cardiac surgery in a typical patient with low antithrombin levels (= 63.7%). The data used in the model were obtained from a literature review and subsequently validated by a panel of experts in cardiothoracic anesthesiology. Setting: Multi-institutional (14 Spanish hospitals). Participants: Consultant anesthesiologists. Measurements and Main Results: A sensitivity analysis of extreme scenarios was carried out to assess the impact o…

Malemedicine.medical_specialtyExtracorporeal Circulationextracorporeal circulationCardiotonic AgentsMyocardial InfarctionAntithrombinsDrug Costslaw.inventionPostoperative ComplicationsDrug TherapylawSurveys and QuestionnairesThromboembolismAtrial FibrillationmedicineCardiopulmonary bypassHumansBlood TransfusionCardiac Surgical ProceduresCardiothoracic anesthesiologyAverage costAgedPostoperative Carebusiness.industryAntithrombinExtracorporeal circulationDecision TreesAntithrombin ActivityLength of StayMiddle AgedSurgeryCardiac surgeryStrokeIntensive Care UnitsantithrombinAnesthesiology and Pain MedicineTreatment OutcomeSpainHealth Care SurveysEmergency medicineCosts and Cost AnalysisFemaleKidney DiseasesCardiology and Cardiovascular Medicinebusinesscardiopulmonary bypassHospital staymedicine.drug
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Frequency of Renal Dysfunction and Frailty in Patients ≥80 Years of Age With Acute Coronary Syndromes.

2019

While a significant association between renal function and outcomes in patients with acute coronary syndromes (ACS) has been consistently described, little information exists about the magnitude of this association in patients at older ages. No study assessed the prognostic role of renal function according to frailty in patients with ACS. The LONGEVO-SCA registry included unselected ACS patients aged≥80 years. Frailty was asessesed by the FRAIL scale, and baseline creatinine clearance was calculated by the Cockroff-Gault formula. We evaluated the impact of renal function on mortality or readmission at 6-months according to frailty status by the Cox regression method. A total of 473 patients…

Malemedicine.medical_specialtyFrail ElderlyRenal function030204 cardiovascular system & hematology03 medical and health sciences0302 clinical medicineInternal medicinemedicineHumansIn patient030212 general & internal medicineProspective StudiesRegistriesAcute Coronary SyndromeProspective cohort studyGeriatric AssessmentAged 80 and overFrailtyProportional hazards modelbusiness.industryRiñonesMean ageEnfermedadesMulticenter studySpainMortalidadCardiologyObservational studyFemaleKidney DiseasesCardiology and Cardiovascular MedicinebusinessEnfermedadGlomerular Filtration RateThe American journal of cardiology
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Effectiveness of a transdiagnostic internet-based protocol for the treatment of emotional disorders versus treatment as usual in specialized care: st…

2015

Emotional disorders (depression and anxiety disorders) are highly prevalent mental health problems. Although evidence showing the effectiveness of disorder-specific treatments exists, high comorbidity rates among emotional disorders limit the utility of these protocols. This has led some researchers to focus their interest on transdiagnostic interventions, a treatment perspective that might be more widely effective across these disorders. Also, the current way of delivering treatments makes it difficult provide assistance to all of the population in need. The use of the Internet in the delivery of evidence-based treatments may help to disseminate treatments among the population. In this stu…

Malemedicine.medical_specialtyGeneralized anxiety disorderTime FactorsEmotionsPsychological interventionMedicine (miscellaneous)AnxietyStudy ProtocolClinical ProtocolsSurveys and QuestionnairesmedicineHumansPharmacology (medical)PsychiatryComputer-delivered psychotherapyPsychiatric Status Rating ScalesTransdiagnosticExtraversion/behavioral activationDepressive DisorderInternetbusiness.industryDepressionPanic disorderSocial anxietyEmotional disordersmedicine.diseaseNeuroticism/behavioral inhibitionNeuroticismAnxiety DisordersIntention to Treat AnalysisPsychotherapyTreatment OutcomePatient SatisfactionResearch DesignSpainRandomized controlled trialTherapy Computer-AssistedQuality of LifeAnxietyFemalemedicine.symptombusinessDelivery of Health CareAnxiety disorderAgoraphobiaClinical psychologyTrials
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Importance of HDL cholesterol levels and the total/ HDL cholesterol ratio as a risk factor for coronary heart disease in molecularly defined heterozy…

2001

Aims To assess the relationship of the lipid profile to coronary heart disease in a group of heterozygous familial hypercholesterolaemic subjects with similar age, sex, body mass index, prevalence of angiotensin converting enzyme DD genotype and type of low density lipoprotein receptor mutation. Methods and Results A total of 66 molecularly defined heterozygous familial hypercholesterolaemic subjects, 33 of whom had coronary heart disease, were studied. Clinical features, cardiovascular risk factors and lipid parameters were compared in both groups. Familial hypercholesterolaemic patients with coronary heart disease showed significantly lower values of mean plasma HDL cholesterol and a high…

Malemedicine.medical_specialtyGenotypeCoronary DiseasePeptidyl-Dipeptidase AHyperlipoproteinemia Type IIchemistry.chemical_compoundRisk FactorsStatistical significanceInternal medicinemedicineHumansRisk factorReceptors Lipoproteinbiologymedicine.diagnostic_testCholesterolbusiness.industryCholesterol HDLCase-control studyAngiotensin-converting enzymeMiddle AgedEndocrinologyBlood pressurechemistrySpainCase-Control StudiesMutationCardiologybiology.proteinRegression AnalysisFemalelipids (amino acids peptides and proteins)Cardiology and Cardiovascular MedicinebusinessLipid profileBody mass indexEuropean Heart Journal
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Time trends, characteristics, and evidence of scientific advances within the legal complaints for alleged sexual HIV transmission in Spain: 1996-2012.

2014

This article quantifies and characterizes existing legal complaints for the sexual transmission of HIV in Spain, describes temporal trends and whether advance of scientific knowledge is reflected in charging decisions, judicial reasoning, and sentences. Sentences and writs dictated by Spanish penal and civil jurisdictions between 1981 and 2012 were obtained through legal databases systematic search. Sixteen sentences and 9 writs belonging to 19 cases were included; 17 judged by penal and two by civil jurisdictions. The first sentence was pronounced in 1996, 3 between 1999 and 2000, 4 between 2001 and 2005, and 18 between 2006 and 2012. In 10 (53%) cases there was effective HIV transmission,…

Malemedicine.medical_specialtyHealth Knowledge Attitudes PracticeHealth (social science)Sexual transmissionSocial PsychologySexual BehaviorHIV InfectionsMen who have sex with menCondomsCriminalizationmedicineHumansHiv transmissionPsychiatrySubstance Abuse IntravenousHealth policyCrime VictimsPlaintiffSocial Responsibilitybusiness.industryPublic Health Environmental and Occupational HealthJudicial opinionSexual PartnersSpainFemalebusinessSocial psychologySentenceAIDS care
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What do Spanish adolescents think about obsessive-compulsive disorder? Mental health literacy and stigma associated with symmetry/order and aggressio…

2017

Obsessive-compulsive disorder (OCD) is a frequent and disabling disorder with a long delay in seeking help that could partly be due to poor mental health literacy and stigmatizing attitudes. This study analyzes the mental health literacy and stigma associated with symmetry/order and aggression-related OCD in a Spanish adolescent sample. This age group was chosen because adolescence is a vulnerable period for the development of OCD, and adolescents are often reluctant to seek professional help. One hundred and two non-clinical adolescents read two vignettes describing symmetry/order and aggression-related OCD. Then, referring to these two vignettes, they answered questions related to problem…

Malemedicine.medical_specialtyHealth Knowledge Attitudes PracticeObsessive-Compulsive DisorderAdolescentmedia_common.quotation_subjectSocial Stigmabehavioral disciplines and activities03 medical and health sciences0302 clinical medicineObsessive compulsivePerceptionmental disordersmedicineHumansPsychiatryMental health literacyBiological Psychiatrymedia_commonAggressionMental healthhumanities030227 psychiatryHealth LiteracyAggressionPsychiatry and Mental healthMental HealthSpainFemalemedicine.symptomPsychology030217 neurology & neurosurgeryClinical psychologyPsychiatry research
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Impact of Nurses’ Intervention in the Prevention of Falls in Hospitalized Patients

2020

Background: Clinical safety is a crucial component of healthcare quality, focused on identifying and avoiding the risks to which patients are exposed. Among the adverse events that occur in a hospital environment, falls have a large impact (1.9&ndash

Malemedicine.medical_specialtyHealth Toxicology and MutagenesisNurseslcsh:MedicineNurse's RoleArticle03 medical and health sciencesPatient safety0302 clinical medicineIntervention (counseling)Acute careHealth caremedicinepatient safetyHumans030212 general & internal medicineAdverse effectaccident preventionnursing education researchAged030504 nursingbusiness.industryIncidence (epidemiology)lcsh:RPublic Health Environmental and Occupational HealthBayes TheoremMiddle AgedFalling (accident)SpainEmergency medicineFemaleaccidental fallsmedicine.symptom0305 other medical sciencebusinessEducational programhospitalizationInternational Journal of Environmental Research and Public Health
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