- Antequera (Málaga) Spain
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Partiendo de la vision global de la hospitalizacion psiquiatrica en la Comunidad Autonoma Andaluza, el presente estudio pretende profundizar sobre la evolucion diagnostica de los Trastornos de Personalidad y su impacto sobre el uso de... more
Partiendo de la vision global de la hospitalizacion psiquiatrica en la Comunidad Autonoma Andaluza, el presente estudio pretende profundizar sobre la evolucion diagnostica de los Trastornos de Personalidad y su impacto sobre el uso de dispositivos sanitarios. Se planteo un estudio observacional retrospectivo y analitico de los pacientes ingresados en las Unidades de Hospitalizacion Psiquiatrica, recogidos mediante el registro CMBD a lo largo de diez anos (1995-2004). El numero de pacientes, asi como de ingresos, con al menos un diagnostico de Trastorno de Personalidad esta aumentando, pero no igual en todos los subtipos. El Trastorno Limite de Personalidad es el que experimenta el mayor aumento, igualmente asociado a altas tasas de rehospitalizacion
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Profundizar en los fundamentos teóricos de la propia especialidad es algo necesario para la labor asistencial de cualquier facultativo en Medicina. Ante las ya inminentes nuevas clasificaciones sobre las enfermedades mentales, hacemos un... more
Profundizar en los fundamentos teóricos de la propia especialidad es algo necesario para la labor asistencial de cualquier facultativo en Medicina. Ante las ya inminentes nuevas clasificaciones sobre las enfermedades mentales, hacemos un breve repaso de la historia de los trastornos de personalidad y nos planteamos las principales dificultades que se ponen de manifiesto al hacer el diagnóstico de trastorno de personalidad siguiendo los actuales criterios DSM−IV/ CIE−10.
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3rd International Congress on Neurobiology, Psychopharmacology & Treatment guidance (May 30th - June 2nd, 2013)
Citizens and scientists can work together to improve the collective well-being, if citizens are inspired to help the advancement of science, and researchers motivated to listen to the voices of citizens. The benefits of such collaboration... more
Citizens and scientists can work together to improve the collective well-being, if citizens are inspired to help the advancement of science, and researchers motivated to listen to the voices of citizens. The benefits of such collaboration are increasingly recognized by both citizens and scientists, as reflected in the growing number of related publications and initiatives. This is especially relevant for emerging areas of research, where early involvement of citizens could help to envision, prioritize, and plan prospective studies. The Problematic Usage of the Internet (PUI) is one such area, which is fast becoming a public mental health concern. However, there remains a lack of clarity regarding the practical guidelines and ethical requirements for citizen involvement at the earliest stages of PUI. In our paper, we propose a conceptual framework and a template for initial involvement of citizens in PUI. They are derived from our community case studies, conducted in six European cou...
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The objective of this study was to explore what motivates pregnant and breastfeeding women to make changes in their diet, specifically to examine how their perceptions regarding diet facilitate or act as obstacles to introducing healthy... more
The objective of this study was to explore what motivates pregnant and breastfeeding women to make changes in their diet, specifically to examine how their perceptions regarding diet facilitate or act as obstacles to introducing healthy eating habits. For the optimal development of the mother, the fetus, or breastfeeding baby, it is important to avoid foods containing substances, such as persistent toxic substances (PTSs), that are harmful to health during pregnancy and after the baby's birth. This study used a qualitative research methodology, based on semi-structured individual interviews, food diaries, free lists, and focus groups with 111 pregnant and breastfeeding women in Spain. This approach was followed by a systematic and exhaustive exploitation of the qualitative data obtained, following the methodological principles of grounded theory. From the study results, we conclude that the motivation for a change in diet to avoid PTSs is based on the desire to promote good heal...
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We aimed to assess the influence of long-term exposure to POPs on the risk of metabolic syndrome, combining a cross-sectional with a 10-year longitudinal follow-up design. Residues of eight POPs were quantified in adipose tissue samples... more
We aimed to assess the influence of long-term exposure to POPs on the risk of metabolic syndrome, combining a cross-sectional with a 10-year longitudinal follow-up design. Residues of eight POPs were quantified in adipose tissue samples from 387 participants recruited between 2003 and 2004 in Granada province (Spain). The outcome (" metabolically compromised ") was defined as having ≥1 diagnosis of type 2 diabetes, hypertension, hypertriglyceridemia, and/or low HDL cholesterol. The cross-sectional analysis was conducted in the initial cohort, while the 10-year longitudinal analysis was conducted in those 154 participants free of any of the so-mentioned metabolic diseases and classified as " metabolically healthy " at recruitment. Statistical analyses were performed using single and multi-pollutant approaches through logistic and Cox regression analyses with elastic net penalty. After adjusting for confounders, β-hexachlorocyclohexane (β-HCH) and hexachlorobenzene (HCB) were independently associated with an increased risk of being metabolically compromised (unpenalized ORs = 1.17, 95% CI = 1.01–1.36 and 1.17, 95% CI = 0.99–1.38, respectively). Very similar results were found in the 10-year longitudinal analysis [HRs = 1.28, 95% CI = 1.01–1.61 (β-HCH); 1.26, 95% CI = 1.00–1.59 (HCB)] and were in line with those obtained using elastic net regression. Finally, when the arithmetic sum of both compounds was used as independent variable, risk estimates increased to OR = 1.25, 95% CI = 1.03–1.52 and HR = 1.32, 95% CI = 1.02–1.70. Our results suggest that historical exposure to HCB and β-HCH is consistently associated with the risk of metabolic disorders, and that these POPs might be partly responsible for the morbidity risk traditionally attributed to age and obesity.
Research Interests: Endocrinology, Environmental Science, Epidemiology, Persistent Organic Pollutants, Metabolism, and 17 moreDiabetes, Epidemiology Methods, Environmental Health, Endocrinology & Metabolism, Metabolic syndrome, Adipose tissue, Hypertension, Lipid metabolism, Environmental Endocrine Disrupting Compounds, Endocrine Disruption, Epidemiology and Public Health, Elastic Net, Endocrine Disrupting Chemicals, The Endocrine System Function, Epidemiology and biostatistics, Type 2 Diabetes Mellitus, and Persistent Organic Pollutants (POPs
Objectives: We aimed to study the risk of developing post-traumatic stress disorder (PTSD) symptoms in people who resided in an affected area by an extremely severe flood, and sociodemographic risk factors associated with this condition.... more
Objectives: We aimed to study the risk of developing post-traumatic stress disorder (PTSD) symptoms in people who resided in an affected area by an extremely severe flood, and sociodemographic risk factors associated with this condition. Study design: A geographic information system (GIS) was used to distribute the rainfall data. A case-control study was developed to study the relationship between PTSD and socio-demographic risk factors. Methods: To delineate the areas affected by the flood and the intensity of this rainfall in comparison with historical hydrological data, we employed geographical information systems (GIS). Then, we recruited a representative sample of the affected population and another population sample that lived at the time of this disaster in adjacent geographical areas that were not affected. Both groups were randomly selected in primary care practices , from December 1st 2012 to January 31st 2013. All participants, 70 from the affected areas and 91 from the non-affected, filled a sociodemographic questionnaire and the trauma questionnaire (TQ) to identify and rate PTSD symptoms. Results: Our GIS analysis confirmed that the amount of precipitation in 2012 in the areas affected by the flood was exceptionally high compared with historical average rainfall data (461l per square metre vs 265). Individuals who resided in the affected areas at the time of the flood were at much higher risk of developing PTSD symptoms (OR: 8.18; 95% CI: 3.99e17.59)
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Resumen: La obesidad se ha convertido en una prioridad para las políticas de salud pública en España. Basándose en el aumento de su prevalencia ha sido catalogada como una epidemia. A pesar de estas afirmaciones, las investigaciones no... more
Resumen: La obesidad se ha convertido en una prioridad para las políticas de salud pública en España. Basándose en el aumento de su prevalencia ha sido catalogada como una epidemia. A pesar de estas afirmaciones, las investigaciones no parecen siempre tan concluyentes. El objetivo de este artículo es revisar algunas de las 'verdades' en torno a la obesidad: a) que la obesidad va en aumento y es una epidemia en España; b) que existe una relación directa entre peso y salud; y c) que la obesidad tenga su consecuencia única en el desequilibrio entre gasto y consumo energético. Además, dado que las ideas vertidas en torno a la epidemia de la obesidad, y el modo exagerado y alarmista en que se produce, pueden tener consecuencias dañinas e impredecibles sobre la salud de las personas, un segundo objetivo es delinear algunos de los posibles riesgos de estas prácticas de comunicación. Resumo: A obesidade tornou-se uma prioridade para as políticas de saúde pública na Espanha. Com base no aumento da prevalência foi classificada como uma epidemia. Apesar dessas afirmações, as investigações nem sempre parecem tão conclusivas. O objetivo deste artigo é analisar algumas das 'verdades' sobre a obesidade: a) que a obesidade está aumentando e é uma epidemia em Espanha; b) existe uma relação direta entre peso e saúde; e c) que a obesidade tenha uma consequência única em um desequilíbrio entre gasto e consumo de energia. Além disso, uma vez expressas as ideias sobre a epidemia da obesidade, a maneira exagerada e alarmista que ocorre pode ter consequências imprevisíveis sobre a saúde das pessoas; um segundo objetivo é delinear alguns dos possíveis riscos dessas práticas de comunicação. Abstract: Obesity has become a top priority for public health policies in Spain. Based on increasing prevalence, it has been classified as an epidemic. Despite these claims, research does not always seem so conclusive. The purpose of this article is to review some of the 'truths' about obesity: a) that it is on the rise and is an epidemic in Spain; b) that there is a direct relationship between weight and health; c) that its sole effect is the imbalance between energy expenditure and intake. In addition, since the ideas expressed about the obesity epidemic and the exaggerated and alarmist way they are produced might have harmful and unpredictable consequences on people's health, a second aim is to point out some of the possible risks inherent in those communication practices.
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Several studies have shown that anxiety in children prior to surgical interventions has a negative effect on post-hospitalization recovery. The objective of the proposed project is to reduce anxiety in children prior to major outpatient... more
Several studies have shown that anxiety in children prior to surgical interventions has a negative effect on post-hospitalization recovery. The objective of the proposed project is to reduce anxiety in children prior to major outpatient surgery using non-pharmacological measures (costumes, games, magic tricks, jokes). These measures are to be used from the moment the children are admitted to hospital (the same morning of the surgery) until anaesthetic induction in the operating room. According to our results, the use of hospital clowns has been proven to reduce psychological discomfort in children in a hospital setting.
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There are few high-quality instruments to evaluate the participation and social functioning of fibromyalgia patients. The Fibromyalgia Participation Questionnaire (FPQ) is a questionnaire that evaluates these aspects with high reliability... more
There are few high-quality instruments to evaluate the participation and social functioning of fibromyalgia patients. The Fibromyalgia Participation Questionnaire (FPQ) is a questionnaire that evaluates these aspects with high reliability and validity in its German original version. The aim of this work was to describe the translation and cross-cultural adaptation process of the FPQ into Spanish and its validation to ensure the equivalence against the original version. The questionnaire will be translated according to the FACIT methodology, and it will be tested in the Clinical Management Unit of North Almeria Health Area. This methodology includes several stages: double forward translation, reconciled version, back-translation, review of the previous versions and development of the prefinal version for the pretest. Once the pretest ends, the final version of the questionnaire will be developed, which will be subjected to a validation process to study its psychometric properties. Re...
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Objective: To discern health-related quality of life of patients with type 2 diabetes mellitus in a rural area of south-eastern Spain. Methodology: A transversal descriptive study in which we analysed the link between development of the... more
Objective: To discern health-related quality of life of patients with type 2 diabetes mellitus in a rural area of
south-eastern Spain.
Methodology: A transversal descriptive study in which we analysed the link between development of the type
2 diabetes mellitus disease process and the quality of life of these patients. The SF-36 health survey was used as a
tool during our study. A simple random sampling was carried out on diabetic patients (N=491), sample size precision
3%, confidence level 95% and 15% compensation for loss resulting in a sample of N=169. The data was analysed
with SPSS 18.0 software.
Results: The type 2 diabetic population has a quality of life score of more than 50 in most of the survey’s
aspects. We found the lowest scores for the aspect of “Bodily Pain” (48.5). Extremely high scores were found for the
aspects: “Physical Functioning” (75.5), “Role-Physical” (87.8) and “Role-Emotional” (84.7). Statistically significant
differences were observed between men and women for “Bodily Pain” and “Social Functioning” (p<0.001). Patients
over 60 have higher scores for “Bodily Pain” (p<0.001).
Conclusions: Type 2 diabetes mellitus is associated with poor self-perceived health-related quality of life
(HRQOL). The HRQOL of female diabetic patients is especially affected. Diabetic patients perceive a decrease in
satisfaction with their health as their age increases.
south-eastern Spain.
Methodology: A transversal descriptive study in which we analysed the link between development of the type
2 diabetes mellitus disease process and the quality of life of these patients. The SF-36 health survey was used as a
tool during our study. A simple random sampling was carried out on diabetic patients (N=491), sample size precision
3%, confidence level 95% and 15% compensation for loss resulting in a sample of N=169. The data was analysed
with SPSS 18.0 software.
Results: The type 2 diabetic population has a quality of life score of more than 50 in most of the survey’s
aspects. We found the lowest scores for the aspect of “Bodily Pain” (48.5). Extremely high scores were found for the
aspects: “Physical Functioning” (75.5), “Role-Physical” (87.8) and “Role-Emotional” (84.7). Statistically significant
differences were observed between men and women for “Bodily Pain” and “Social Functioning” (p<0.001). Patients
over 60 have higher scores for “Bodily Pain” (p<0.001).
Conclusions: Type 2 diabetes mellitus is associated with poor self-perceived health-related quality of life
(HRQOL). The HRQOL of female diabetic patients is especially affected. Diabetic patients perceive a decrease in
satisfaction with their health as their age increases.
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Objectives: The aim of this study is to analyze the evolution of diagnoses of personality disorders and their subtypes. Method: We studied the total population of patients diagnosed with personality disorder (PD) and admitted to acute... more
Objectives: The aim of this study is to analyze the evolution of diagnoses of personality disorders and their subtypes.
Method: We studied the total population of patients diagnosed with personality disorder (PD) and admitted to acute psychiatric units in all general hospitals, a total of 19 hospitals in Andalusia (south Spain), between 1995 and 2004. The Andalusian Public Healthcare System provides services to universal coverage, so our results are representative of general population.
Results: We analyzed the use of each diagnosis in the clinical practice and discussed the observed change in their trends. During this period, there was an increase in borderline, narcissistic, avoidant and dependent PDs, while antisocial, schizoid, obsessive-compulsive and non-specific PDs remained stable and there was a decline in the numbers of histrionic, paranoid and schizotypal PDs.
Conclusion: We developed a statistical model reflecting the use of PD diagnoses in a clinical setting, a model that could be used to classify such diagnoses in the future.
Method: We studied the total population of patients diagnosed with personality disorder (PD) and admitted to acute psychiatric units in all general hospitals, a total of 19 hospitals in Andalusia (south Spain), between 1995 and 2004. The Andalusian Public Healthcare System provides services to universal coverage, so our results are representative of general population.
Results: We analyzed the use of each diagnosis in the clinical practice and discussed the observed change in their trends. During this period, there was an increase in borderline, narcissistic, avoidant and dependent PDs, while antisocial, schizoid, obsessive-compulsive and non-specific PDs remained stable and there was a decline in the numbers of histrionic, paranoid and schizotypal PDs.
Conclusion: We developed a statistical model reflecting the use of PD diagnoses in a clinical setting, a model that could be used to classify such diagnoses in the future.
Research Interests:
The approach to Problematic Internet Use must start from previous levels of intervention, such as prevention and health promotion. Young people are a very susceptible group to work with in the early stages of this disorder. Our aim is... more
The approach to Problematic Internet Use must start from previous levels of intervention, such as prevention and
health promotion. Young people are a very susceptible group to work with in the early stages of this disorder. Our
aim is to develop an intervention model based on prevention, aimed at adolescents in high school. This intervention
has been carried out 26 occasions in a total of 22 high schools in an area of 150.000 inhabitants, estimating a global
intervention in 1200 students. Acceptance by centers, professionals and students has been high, its continuation
being requested in Health Promotion programs
health promotion. Young people are a very susceptible group to work with in the early stages of this disorder. Our
aim is to develop an intervention model based on prevention, aimed at adolescents in high school. This intervention
has been carried out 26 occasions in a total of 22 high schools in an area of 150.000 inhabitants, estimating a global
intervention in 1200 students. Acceptance by centers, professionals and students has been high, its continuation
being requested in Health Promotion programs
Research Interests:
Profundizar en los fundamentos teóricos de la propia especialidad es algo necesario para la labor asistencial de cualquier facultativo en Medicina. Ante las ya inminentes nuevas clasificaciones sobre las enfermedades mentales, hacemos... more
Profundizar en los fundamentos teóricos de la propia especialidad es
algo necesario para la labor asistencial de cualquier facultativo en
Medicina. Ante las ya inminentes nuevas clasificaciones sobre las enfermedades mentales, hacemos un breve repaso de la historia de los
trastornos de personalidad y nos planteamos las principales dificulta
-
des que se ponen de manifiesto al hacer el diagnóstico de trastorno
de personalidad siguiendo los actuales criterios DSM−IV/ CIE−10
algo necesario para la labor asistencial de cualquier facultativo en
Medicina. Ante las ya inminentes nuevas clasificaciones sobre las enfermedades mentales, hacemos un breve repaso de la historia de los
trastornos de personalidad y nos planteamos las principales dificulta
-
des que se ponen de manifiesto al hacer el diagnóstico de trastorno
de personalidad siguiendo los actuales criterios DSM−IV/ CIE−10