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Biomedical subjects

C Colomer Revuelta

Publications and source records attributed to C Colomer Revuelta.

At least 19 recordsLinked to original sources

[A hearing in prison: health needs perceived by women deprived of freedom].

OBJECTIVE: To identify the perceived necessities and proposals for health action of women committed to a detention centre. DESIGN: A study of needs through a method of social intervention, the hearing. SETTING: The detention centre of the penitentiary of Valencia (Picassent). The area of application is primary care in the penitentiary. PARTICIPANTS: 38 women were chosen on criteria of proportional representation in line with the profile of the total number of women (112) who lived in module 8 of the centre, and according to agreed defining variables such as age, ethnic background and drugs consumption. RESULTS: The women's replies showed they had an integrated view of the concept of health. They identified HIV/AIDS infection, drugs and food as the health problems that most concerned them; and formulated proposals aiming at actions on these and other aspects such as personal relationships, psychological problems and their surrounds. CONCLUSIONS: The method employed was shown to be useful for identifying the needs and proposals of women deprived of liberty. This information could certainly be used to discuss and rework with the inmates themselves, so as to win their participation in the actions decided on.

Female↗

[Women's opinion about their health: a qualitative study].

OBJECTIVE: To find out what urban low and middle class women think about the relationship between health and daily behaviours, their social and family situation and the setting in which they live. DESIGN: Qualitative methodology and the focus group technique. SETTING: Urban population. PARTICIPANTS: Low and middle class women aged between 25 and 45. MEASUREMENTS AND MAIN RESULTS: For the sample design homogeneity variables (applicable to the whole group) such as socio-economic level and age were chosen and for heterogeneity variables (only applicable to some of the group's participants) motherhood and paid work outside the home. Two focus groups were conducted. For the analysis the opinions expressed by the women were identified, and were classified according to the scheme that the study group had made previously. Opinions were identified on the importance of food and information about it, concern for their children and for the options provided for the establishment of healthy lifestyles. Only the group of low socioeconomic level identified money as relevant for access to health services. No reference was made to smoking and alcohol. Mental health aspects were predominant. CONCLUSIONS: The opinions of women about aspects which influence their health differ according to social class. The factors identified by scientific literature are not a priority for them. They are not necessarily concerned about health problems with highest mortality and morbility.

Adult↗

[Volunteerism and the reorientation of health services].

UNLABELLED: Volunteers are increasingly viewed as health agents. This seems to be linked to the reorientation towards primary health care and the current reforms in the health services. Seen as a way of breaking down social and cultural barriers between the formal health care system and the client community it also claims to cut the cost of services. OBJECTIVE: To know the roles of volunteers in promoting health and the practical aspects of implementation and evaluation. DESIGN: This paper is based on a review of published and sentinel papers from the bibliographic databases, MEDLINE (1991-1995), ERIC (1982-1995) and ERIC INTERNATIONAL (1965-1995). We have also reviewed the IME (until 1997) and the Spanish journals in MEDLINE to know the Spanish context (from 1995-98). RESULTS: The practical experiences from developing countries, the USA and the UK were reviewed within the framework of health promotion. A wide variety of experiences exist. There is a striking difference between activities in these countries, depending of the health service provision. In developing countries the aim is to bring primary health care services to areas with few professional resources. In developed countries, however, experiences have developed in response to failings in the formal health care system, to facilitate illness prevention and health promotion. The settings are different but the process is the same, factors fundamental to performance have therefore been identified in: recruitment, training, monitoring, continuing support and evaluation. The impact on health improvements and the quality of services in both systems, developed and developing countries, seems to be positive. We haven't found too much details from the Spanish experience, then, it emphasizes the need to know abroad experiences. CONCLUSIONS: Finally, the benefits and constraints derived from this type of voluntary action in the health field have been raised. Some specific social changes and health care system reforms contribute to establish volunteering in the health system, but we have to remark organization, coordination and community participation.

Community Health Services↗

[Health visit to the newborn].

Each child's medical record was reviewed to pick out any health problems detected in 1) the Newborn Checkup, 2) the first 15 days of life, and 3) during the child's first year. The number of visits was also recorded. Each mother was interviewed about the acceptability/usefulness of these checkups. The newborn checkup facilitates compliance with programmed checkups in the health plan for a healthy child. This program is useful to detect health problems precociously, to increase the knowledge mothers possess, to build confidence in nurses, and in general, to build up links with the pediatrics services of a health center.

Adult↗

[The duration of breast feeding and work activity].

The objective of this work was to study the influence of working conditions and socio-demographic, personal and social support factors on the duration of breast-feeding. The study population consisted of primiparous or secundiparous women who have had a child in a Valencian public hospital and who have carried out a professional activity during their pregnancy. Information was collected by means of a face-to-face interview in the maternity ward two days after childbirth, a telephone interview five months later and a postal questionnaire one hear after childbirth. A total of 545 surveys were obtained. A simple analysis of the data was carried out. A total of 64% of the mothers reported after one year that they had breast-fed. Seventeen percent breast-fed for one month or less, 13.3% for two months, 24.8% for three months, 12.7% for four months and 32.3% for 5 or more months. The duration of breast-feeding was longer among women over 25 years of age, among secundiparous women and among those who did not return to work after childbirth. It was shorter among those whose maternity leave was shorter and among those whose husbands work without a contract. Therefore, among women who carry-out paid work, the main factor which limits the duration of breast-feeding is the return to work after childbirth. The application of certain measures which favour maintaining breast-feeding (reduction of working day, flexibility in work hours, etc.) should be done so with caution and always with the mother's consent and without this implying a risk for the continuity in work and professional promotion.

Adult↗

[Promotion of mother-infant health: a comparative study of legislation of pregnancy protection].

OBJECTIVE: To describe the legislative measures aimed at protecting working women during pregnancy, which exist in France, Italy, the United Kingdom and Spain. DESIGN: The aspects studied were employment protection and modifications in work conditions for the pregnant woman. Existing Spanish legislation, the third Programme of Community Action for Equal Opportunities and some relevant scientific articles were reviewed. MEASUREMENTS AND MAIN RESULTS: Regarding protection of pregnant women from dismissal, legislation is more explicit in France and Italy, where protection covers the whole of the pregnancy, extending in France until 4 weeks after the end of the period off-work for the birth and in Italy until the child is one year old. Likewise, both in France and Italy, there is a long list of jobs which a pregnant woman is not allowed to do, with the possibility of a change of post if necessary. In Spain there is a Health at Work draft law, where measures relating to this question have been assembled. CONCLUSION: In general, the legislation referring to the protection of pregnant women at work is not widely known and leaves without protection those women in a more vulnerable work situation. Health professionals could support the equality and health of working women by informing them adequately of their rights.

Adolescent↗

[Hospital admissions of children for conditions treatable by ambulatory care in the community of Valencia].

OBJECTIVE: To describe the importance which ambulatory care sensitive conditions (ACSC) have for the child population of the Valencia Community during the period 1980 to 1988, taken from the Hospital Morbidity Survey (HMS). DESIGN: Descriptive, retrospective study. SETTING: Hospital discharges collected in the HMS from the Valencia Community. PATIENTS: Children under 15 years old. MEASUREMENTS AND MAIN RESULTS: The total percentage of hospital discharges from ACSC observed were 16, 13.2 and 10% for the provinces of Valencia, Castellón and Alicante respectively. The highest percentage was shown in the 1 to 4 year old age group (19%). The proportion of discharges for ACSC was higher in girls (15%) than in boys (13%). Children under one year old show the highest rates. Valencia has for the whole period the highest rate ratio than 1 of being hospitalised for ACSC. CONCLUSIONS: The magnitude of these conditions is important and suggest the possibility of their use as a monitoring instrument of certain health care activities.

Adolescent↗

[Epidemiology of mental deficiency. The Safor study (II): age at detection, person making the diagnosis, medical studies].

As part of an epidemiological study on Mental Deficiency which was carried out in an area of the region of Valencia, a study has been made of the age when Mental Deficiency can be detected, who made this discovery, and which children have been the object of a medical study. 12% of the cases were detected at birth, 16% before the age of 3, 7% at 3, and 64% after the age of 4. In 16% of the cases the deficiency was detected by the family, in 20% of the cases a doctor and a psychologist in 62% of the cases. A medical study to discovered the causes of the Mental Deficiency was only carried out in 44% of the cases.

Age Factors↗

[Epidemiology of mental deficiency. The study of Safor (I): prevalence and etiology].

An epidemiological study of Mental Deficiency was carried out in an area of the region of Valencia. A prevalence of children between 0-14 years old were found to have an IQ of below 70; 14,10 every 1,000 over a period from september 1987 to june 1988. This prevalence increases gradually according to age, reaching a high point at 10 and another at 14. These fluctuations are due to extreme and less serious cases. 29% of the cases can be attributed to prenatal causes. 9% are perinatal, and 49% are a postnatal origin. In 57% of the cases no cause has been found, and can be considered of unknown etiology.

Child↗

[Potential years of life lost in Spain because of cancer. Social importance of childhood tumors].

The potential years of life lost are computed for deaths due to cancer in Spain an the results compared with those obtained using traditional mortality rates. Applying potential years of life lost the perception of the most important tumors is different, so the typically paediatric cancers as leukemias, lymphomas and central nervous system tumors, which are not among the 5 most frequent rumors in Spain, are the 4th and the 5th, if we perform a classification by the potential years of life lost. To analyze mortality data in this way may be useful to emphasize the importance of paediatric diseases because the potential years of life lost index take into account the social value of the premature deaths.

Age Factors↗