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Fundamentos. Las pandemias requieren una valoracin de su nivel de gravedad. El objetivo fue determinar las caracter sticas de la gripe pand mica en Catalu a. Métodos. Se reali un estudio de vigilancia sobre la incidencia de s ndromes... more
Fundamentos. Las pandemias requieren una valoracin de su nivel de gravedad. El objetivo fue determinar las caracter sticas de la gripe pand mica en Catalu a. Métodos. Se reali un estudio de vigilancia sobre la incidencia de s ndromes gripales y casos graves entre junio del 2009 y mayo del 2010. Una red de 55 m dicos notificaron los s ndromes gripales y recogieron frotis nasofar ngeos. La gravedad de la pandemia se valor a trav s de casos graves confirmados. Se calcularon la letalidad y las tasas de incidencia y de mortalidad. La existencia de diferencias se estudi con el Riesgo Relativo (RR) y su intervalo de confian a (IC) del 95%. Resultados: La incidencia de s ndromes gripales fue muy superior en el grupo de 5 a 14 y de 0 a 4 a os (1227,8 y 1048,4 respectivamente, en la semana de m xima incidencia). De las muestras positivas 477 (52,4%) fueron positivas a virus gripal y la mayor a, 456 (95,6%) lo fueron al virus gripal pand mico A (H1N1) 2009. La incidencia de casos graves fue de...
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Abstract: Many studies conducted during the last decade suggest the mental health benefits of green and blue spaces. We aimed to systematically review the available literature on the long-term mental health benefits of residential green... more
Abstract: Many studies conducted during the last decade suggest the mental health benefits of green and blue spaces. We aimed to systematically review the available literature on the long-term mental health benefits of residential green and blue spaces by including studies that used standardized tools or objective measures of both the exposures and the outcomes of interest. We followed the PRISMA statement guidelines for reporting systematic reviews and meta-analysis. In total 28 studies were included in the systematic review. We found limited evidence for a causal relationship between surrounding greenness and mental health in adults, whereas the evidence was inadequate in children. The evidence was also inadequate for the other exposures evaluated (access to green spaces, quality of green spaces, and blue spaces) in both adults and children. The main limitation was the limited number of studies, together with the heterogeneity regarding
s una satisfacción para Gaceta Sanitaria poder acoger, un año más, los resúmenes de las comunicaciones de la Reunión Anual de la SEE en el presente suplemento, cuyos contenidos también son accesibles en su integridad en la página web de... more
s una satisfacción para Gaceta Sanitaria poder acoger, un año más, los resúmenes de las comunicaciones de la Reunión Anual de la SEE en el presente suplemento, cuyos contenidos también son accesibles en su integridad en la página web de la revista (www.masson.es/gs), de manera complementaria a los de las reuniones de otras sociedades afiliadas a SESPAS que han tenido lugar en los dos últimos años. En esta ocasión, ello reviste una especial connotación, puesto que resulta de un acuerdo recientemente suscrito entre la SEE, SESPAS y Editorial Doyma para la publicación de los resúmenes de la Reunión Anual de SEE en Gaceta Sanitaria por un período de cuatro años. En nombre del equipo editorial, debo agradecer a la Junta directiva de la SEE y a los patrocinadores que prestan su apoyo esta nueva prueba de confianza y este estímulo a nuestro compromiso editorial para con la difusión de las aportaciones de la investigación y la práctica epidemiológicas.
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El 2001, el Banc Mundial va assenyalar que el problema mes gran que la humanitat afrontaria en el segle XXI seria la pobresa. Avui dia sabem que 1.200 milions de persones, aproximadament una cinquena part de la poblacio mundial, viuen amb... more
El 2001, el Banc Mundial va assenyalar que el problema mes gran que la humanitat afrontaria en el segle XXI seria la pobresa. Avui dia sabem que 1.200 milions de persones, aproximadament una cinquena part de la poblacio mundial, viuen amb menys d'un dolar al dia i que les malalties transmissibles continuen representant la meitat de les morts i gairebe dos tercos dels anys de vida ajustats per discapacitat (AVADs) entre el 20 % mes pobre de la poblacio mundial. Des d'una perspectiva de salut global, es tracta d'una bretxa d'equitat en salut inacceptable. Si els medicaments i les mesures preventives existents fossin mes accessibles, ara mateix podrien salvar milions de vides. Alhora, la investigacio de nous medicaments i vacunes, i llur desenvolupament clinic posterior, son essencials per a obtenir municio eficac contra les malalties que mantenen les persones en situacio de pobresa. A la vista d'aquests reptes per la salut global, cal que els potencials beneficis d...
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OBJECTIVES To investigate the effectiveness of brief interventions to reduce alcohol intake in traffic casualties with a positive blood alcohol concentration. METHODS Nine hundred forty-eight eligible casualties (97.6% of eligible... more
OBJECTIVES To investigate the effectiveness of brief interventions to reduce alcohol intake in traffic casualties with a positive blood alcohol concentration. METHODS Nine hundred forty-eight eligible casualties (97.6% of eligible casualties within a universe of 1106) were screened for alcohol and 126 (13.3%) were identified as positive. Interventions were performed in 85, randomly allocated to a minimal intervention (simple advice) or a brief intervention (motivational intervention). Telephone follow-up was scheduled for months 3, 6 and 12. The present study reports the results of follow-up at month 3. RESULTS Fifty-seven patients (67%) were followed up at month 3. A total of 73.7% had reduced their alcohol intake and this percentage was greater in the group who underwent the brief intervention (p = 0.06; effect size 0.5) and among heavy drinkers (p < 0.05). CONCLUSIONS The data indicate the effectiveness of the brief intervention, although the sample size does not allow definit...
Research Interests: Medicine, Humans, Alcoholism, Female, Male, and 4 moreAdult, Time Factors, Wounds and Injuries, and Accidents Traffic
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BACKGROUND AND OBJECTIVE The aim of this study was to conduct an investigation into an outbreak of gastroenteritis among health workers and residents (with different grades of dependence) at a nursing home. PATIENTS AND METHOD We detected... more
BACKGROUND AND OBJECTIVE The aim of this study was to conduct an investigation into an outbreak of gastroenteritis among health workers and residents (with different grades of dependence) at a nursing home. PATIENTS AND METHOD We detected an outbreak of gastroenteritis in a group of 52 health workers and 124 residents at a nursing home in Oliana, Lleida (Spain). A bidirectional prospective and retrospective cohort study was conducted into the consumption of water, food, grade of dependence (high, medium and low), and specific job. We studied the water supply and six food items. Faecal specimens from 30 patients were cultured and examined for Norovirus by polymerase chain reaction-reverse transcription. The possible implication of different factors associated with gastroenteritis was assessed by relative risk (RR) at 95% confidence intervals (CI). RESULTS We interviewed 97% of the patients (172/176). The overall attack rate was 53.3% (92/172). The symptoms were: diarrhoea 68.5% (63/9...
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Introduction In the current mobility and globalization context, there is a growing need to identify potential changes on the pattern of diseases in the European Union (EU)/European Economic Area (EEA) and provide accurate diagnosis and... more
Introduction In the current mobility and globalization context, there is a growing need to identify potential changes on the pattern of diseases in the European Union (EU)/European Economic Area (EEA) and provide accurate diagnosis and treatment for the population. The pattern of rare communicable diseases that can affect people returning to EU/EEA from travel abroad, visiting EU/EEA or establishing in the EU/EEA is of special relevance. The objective of this manuscript is to give an overview about the EURaDMoG study and discuss the feasibility of establishing a European network on rare communicable diseases and other rare conditions linked to mobility and globalization. Methods We undertook a three-steps process where we first conducted a narrative review to estimate the prevalence and incidence and to list rare communicable and non-communicable diseases linked to mobility and globalization in the EU/EEA; second, we organized an international consultation workshop with experts in t...
Background The Health Product Profile Directory (HPPD) is an online database describing 8–10 key characteristics (such as target population, measures of efficacy and dosage) of product profiles for medicines, vaccines, diagnostics and... more
Background The Health Product Profile Directory (HPPD) is an online database describing 8–10 key characteristics (such as target population, measures of efficacy and dosage) of product profiles for medicines, vaccines, diagnostics and other products that are intended to be accessed by populations in low- and middle-income countries. The HPPD was developed by TDR on behalf of WHO and launched on 15 May 2019. Methods The contents of the HPPD were downloaded into an Excel™ spreadsheet via the open access interface and analysed to identify the number of health product profiles by type, disease, year of publication, status, author organization and safety information. Results The HPPD contains summaries of 215 health product profiles published between 2008 and May 2019, 117 (54%) of which provide a hyperlink to the detailed publication from which the summary was extracted, and the remaining 98 provide an email contact for further information. A total of 55 target disease or health conditi...
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To describe strengths and weaknesses of peer reviews of manuscripts received in Gaceta Sanitaria in order to guide reviewers selection, to improve quality of peer reviews and to establish an internal system to be incorporated to the... more
To describe strengths and weaknesses of peer reviews of manuscripts received in Gaceta Sanitaria in order to guide reviewers selection, to improve quality of peer reviews and to establish an internal system to be incorporated to the editorial process of handling manuscripts. 100 peer reviews of 55 manuscripts received during 2000 and 2001 were included. A questionnaire containing closed questions assessing specific and general components of reviews&amp;amp;#39; quality was applied (answers Yes/No or on a 5-points scale). Descriptive and correlation analyses were performed for the different items in the questionnaire. An Index of Quality was obtained by adding the ratings on the items in the questionnaire measuring specific quality components. Peer reviews were rated high regarding completeness of the forms for reviewers (84%), constructiveness of the comments (reviews over 3: 63%), identification of the strengths and weaknesses of the method (reviews over 3: 59%) and substantiation of the reviewer comments (reviews over 3: 58%). Assessment of the manuscript&amp;amp;#39;s relevance (reviews over 3: 40%) or originality (reviews over 3: 35%) were less frequent. Quality of peer reviews in Gaceta Sanitaria is good. Some weaknesses in the reviews have been pointed out. It is possible to establish a systematic process for assessing peer reviewers using simple indicators such as general utility of the review for the editorial decision and general quality of the review.
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La salud publica (SP) es una de las lineas de actuacion prioritarias del nuevo gobierno tripartito de la Generalitat de Catalunya, tal y como manifestaba su Consejera de Salud, la Dra. Marina Geli, ya en su primera comparecencia en el... more
La salud publica (SP) es una de las lineas de actuacion prioritarias del nuevo gobierno tripartito de la Generalitat de Catalunya, tal y como manifestaba su Consejera de Salud, la Dra. Marina Geli, ya en su primera comparecencia en el Parlamento catalan en enero de 2004. Ello supone, de manera destacada, un compromiso con la modernizacion de la SP catalana a partir de dos ejes principales: la reforma de los dispositivos de provision de servicios de SP por un lado, y la formulacion e implantacion de politicas que incorporen de manera central las estrategias efectivas de promocion, prevencion y proteccion, con el apoyo de la vigilancia, la monitorizacion y la investigacion, por el otro. El presente articulo pretende describir de manera sintetica algunos de los planteamientos y perspectivas principales de dicho compromiso, abordando el contexto actual de los servicios de SP, describiendo la nueva estrategia de SP en Cataluna y muy especialmente las nuevas formas organizativas que esta previsto desplegar durante el actual mandato.
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Many studies conducted during the last decade suggest the mental health benefits of green and blue spaces. We aimed to systematically review the available literature on the long-term mental health benefits of residential green and blue... more
Many studies conducted during the last decade suggest the mental health benefits of green and blue spaces. We aimed to systematically review the available literature on the long-term mental health benefits of residential green and blue spaces by including studies that used standardized tools or objective measures of both the exposures and the outcomes of interest. We followed the PRISMA statement guidelines for reporting systematic reviews and meta-analysis. In total 28 studies were included in the systematic review. We found limited evidence for a causal relationship between surrounding greenness and mental health in adults, whereas the evidence was inadequate in children. The evidence was also inadequate for the other exposures evaluated (access to green spaces, quality of green spaces, and blue spaces) in both adults and children. The main limitation was the limited number of studies, together with the heterogeneity regarding exposure assessment. Given the increase in mental heal...
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Influenza pandemics may cause more severe cases. The objective was to determine the characteristics of hospitalized severe cases of pandemic influenza in Catalonia and to study risk factors for admission to intensive care unit (ICU). A... more
Influenza pandemics may cause more severe cases. The objective was to determine the characteristics of hospitalized severe cases of pandemic influenza in Catalonia and to study risk factors for admission to intensive care unit (ICU). A prospective epidemiologic study of new cases of pandemic influenza hospitalized by their severity between June 2009 and May 2010. Hospitals were asked to declare laboratory confirmed pandemic influenza cases that met the case specific case definition for severe case. A standardized epidemiological survey was conducted to collect information on demographics, clinical characteristics, risk factors, treatment and outcome. Differences between the cases in ICU compared to other severe cases were studied with the odds ratio (OR), which were adjusted using a logistic regression model. We detected total of 773 pandemic influenza (H1N1) 2009 severe cases; 465 (60.2%) of them had at least one risk factor and the most prevalent were: pregnancy 19 (13%), asthma 8...
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To present the main results of the investigation of an outbreak of Legionnaire's disease that occurred in an inner city district of Barcelona between 15 October and 15 November 2000. Epidemiological surveys of patients and... more
To present the main results of the investigation of an outbreak of Legionnaire's disease that occurred in an inner city district of Barcelona between 15 October and 15 November 2000. Epidemiological surveys of patients and environmental investigations were initiated on the day the first five cases were notified. Water samples and smears from cooling tower trays were taken for microbiological analysis. Maps of the distribution of cases and possible contamination foci were elaborated. Incidences were calculated for each census tract. A total of 54 patients related to the outbreak were identified, with a case fatality rate of 5.5%. Incidence rate in the area closest to the cooling tower (6.40/1000) was significantly higher than that of the rest of the neighbourhood (2.23/1.000, RR 2.87, 95%CI 1.37-6.12, P = 0.0035). Cultures positive for Legionella pneumophila serogroup 1, subtypes Pontiac, Philadelphia or Allentown, were obtained from eight patients. On the 39th day of the investi...
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To describe the characteristics of motor-vehicle (MV) injury cases admitted to Emergency departments (ED), and to assess factors related to injury severity and hospital admission. Subjects were MV injury patients, aged 16 or more,... more
To describe the characteristics of motor-vehicle (MV) injury cases admitted to Emergency departments (ED), and to assess factors related to injury severity and hospital admission. Subjects were MV injury patients, aged 16 or more, admitted to four EDs in the city of Barcelona (Spain), from July 1995 to June 1996. Cross-sectional design. The data analyzed were obtained from the information routinely transmitted from the EDs to the Municipal Institute of Health, based on the processing of ED logs. Severity was assessed with the Abbreviated Injury Scale and the Injury Severity Score. Univariate and bivariate descriptive statistical analyses were performed, as well as multiple logistic regressions. For the 3791 MV-injury cases included in the study period, a larger contribution of cases was noted for males (63.1%), for cases younger than 30 years (55.3%) and for motorcycle or moped occupants (47.1%). After adjusting for age, sex and the presence of multiple injuries, pedestrians, followed by moped and motorcycle occupants were at a higher risk of a more severe injury (OR: 1.77, 1.61 and 1.50 respectively). Correspondingly, these user groups also showed a higher likelihood of a hospital admission (OR: 2.03, 1.92 and 2.00 respectively), when attended to in an ED. Injury cases attended to in the ED during night hours (OR: 2.06) were also at a higher risk of a hospital admission. In Barcelona, pedestrians and two-wheel MV occupants, besides accounting for two-thirds of MV injury cases, are the user groups with a greater risk of a more severe injury. as well as a higher chance of a hospital admission, independently of demographic and health care factors.
Research Interests: Epidemiology, Health Care, Public Health, Adolescent, Medicine, and 15 moreLogistic Regression, Humans, Gravity, Female, Male, Patient Admission, Middle Aged, Adult, Cross Section, Logistic Models, Emergency Department, Injury Severity Score, Abbreviated Injury Scale, Hospital Admission, and Accidents Traffic
Influenza pandemics may cause more severe cases. The objective was to determine the characteristics of hospitalized severe cases of pandemic influenza in Catalonia and to study risk factors for admission to intensive care unit (ICU). A... more
Influenza pandemics may cause more severe cases. The objective was to determine the characteristics of hospitalized severe cases of pandemic influenza in Catalonia and to study risk factors for admission to intensive care unit (ICU). A prospective epidemiologic study of new cases of pandemic influenza hospitalized by their severity between June 2009 and May 2010. Hospitals were asked to declare laboratory confirmed pandemic influenza cases that met the case specific case definition for severe case. A standardized epidemiological survey was conducted to collect information on demographics, clinical characteristics, risk factors, treatment and outcome. Differences between the cases in ICU compared to other severe cases were studied with the odds ratio (OR), which were adjusted using a logistic regression model. We detected total of 773 pandemic influenza (H1N1) 2009 severe cases; 465 (60.2%) of them had at least one risk factor and the most prevalent were: pregnancy 19 (13%), asthma 8...
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Most of the studies of inequalities in mortality carried out in Spain have been ecological, due to the difficulty of obtaining good quality socioeconomic information at individual level. The objective of this study was to describe... more
Most of the studies of inequalities in mortality carried out in Spain have been ecological, due to the difficulty of obtaining good quality socioeconomic information at individual level. The objective of this study was to describe inequalities in mortality by social class, based on occupation, among men residents of Barcelona in 1993. A representative sample was obtained of men residents