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Biomedical subjects

J Canela

Publications and source records attributed to J Canela.

29 records · Page 2Linked to original sources

[Social and health care factors and perinatal mortality in Spain--ecological study].

The results of the multiple regression and correlation analysis between perinatal mortality and social and health care variables in Spanish provinces between 1975 and 1979 are presented. Although the perinatal mortality rates of Spanish provinces correlate significantly with a series of socioeconomic variables (family income available per capita, percentage of active population in primary sector, educational level of women at childbearing age) and health care variables (active obstetricians per 1000 live births and active pediatricians per 1000 live births), the multiple correlation and regression analysis has shown that the most important variable is the family income available per capita: 44% of the variability of perinatal mortality in Spanish provinces can be accounted for by this factor. By regression analysis, it is also possible to predict a decrease of 0.065 points in perinatal mortality for every additional 1000 pesetas in the family income available per capita.

Child Health Services↗

Seroepidemiology of rubella in pregnant females in Catalonia (Spain).

The seroepidemiological study carried out on a random sample of pregnant females aged between 15 and 45 in Catalonia (Spain) showed that the prevalence of antibodies found in the survey (97.5 +/- 2) varies from that shown by studies performed in continental areas of Europe and North America in the pre-vaccination era (80-90%) and is similar to that currently found in certain continental areas of Asia and Africa (about 95%) where the prevalence of the virus seems to be very high, and in certain industrialized countries which have implemented effective vaccination programmes (95-97%). Although 28.8% of the females surveyed stated that they had been vaccinated against rubella, it has not been possible to find any statistically significant differences as regards the prevalence of antibodies between vaccinated and nonvaccinated females. This suggests that the high prevalence of anti-rubella antibodies shown by the survey is due not so much to the existence of effective vaccination programmes as to the fact that the wild virus is extremely widespread among the Catalonian population, similar to certain continental areas of Asia and Africa.

Adolescent↗

Cross-sectional growth study of the child and adolescent population of Catalonia (Spain).

A cross-sectional growth study was undertaken on a sample of 5472 school-children aged between 4 and 17. The sample was representative of the Catalan population. Results on height, weight and age at menarche are presented. Cross-sectional centile curves on height and weight were constructed using non-parametric methods. The height of Catalan children was compared with that of children from the United Kingdom (1965 and 1990), France, Greece and the Basque country (Spain). Until puberty Catalan children were similar in height to English (1990) and Greek children, and taller than children in the other studies mentioned. Only differences in final height compared with the English (1990) population were detected. Parents' place of birth and father's profession are associated with height. 'Probit analysis' revealed that the average age of menarche (12.31 years) was similar to that of other Mediterranean countries and lower than in other parts of Spain and northern European countries. There were differences in age at menarche according to the father's occupation. The secular trend of height of the Catalan child population has increased during the twentieth century, rising more than 2 cm per decade.

Adolescent↗

Mouthrinses: a comparative microbiological study.

This study was performed in order to evaluate the efficacy of different mouthrinses whose use is extended in Spain. Six different antiseptic mouthrinses were studied by means of determination of Minimal Inhibitory Concentration (MIC) values against Klebsiella pneumoniae, Serratia marcescens, Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus, Salmonella typhimurium, Bacillus subtilis, Streptococcus mutans, Prevotella intermedia, Porphyromonas gingivalis and Actinobacillus actinomycetemcomitans. Also in vivo experiments were carried out in volunteers by the use of mouthrinses and evaluation of bacterial populations before and after the treatment. Finally, the kinetics of bacterial death was determined. Results suggested that the determination of MIC values is not a reliable method to evaluate the antibacterial effect of such products. On the other hand those rinsing solutions based on the effect of oxygen, such as those containing carbamide peroxide have a greater efficacy against anaerobic bacteria compared with rinses whose active molecule is a disinfectant. Finally, the kinetics of bacterial death demonstrates that the essential oil rinse kills bacteria much faster. All tested mouthrinses were active as antibacterial although those based on oxygen production or essential oils were more active than solutions based on chlorhexidine and Triclosan.

Aggregatibacter actinomycetemcomitans↗

[Epidemiology of cognitive deterioration in geriatric population of 'Casals d' Avis' in the city of Barcelona].

The aim of the study is to carry out a clinico-epidemiological study of the part of Barcelona's population over the age of 65 that suffers from cognitive deterioration, users of 'Casal d'Avis' (Old-folks centres). 369 users of 'Casals d'Avis' were studied. A specific questionnaire was used to collect the following data: personal details, social and family situation, health profile and a quantification of their degree of cognitive degeneration using Lobo's cognitive test. The quantitative and qualitative variables were studied statistically, and the arithmetical average and standard deviation were found, as well as which bivariant hypothesis tests and multivariant analyses, using the logistic regression method, were carried out. The degree of cognitive deterioration is 8.67%. Age, female sex, being widowed or single, and illiteracy are associated with low scoring in the MEC. It is also associated with subjective loss of memory and hearing difficulties. The multivariant analyses are influenced by length of schooling, age and sex. Early detection of cognitive deterioration and the supply of resources and services oriented towards cognitive stimulation and social integration would, if well-planned, do away with the need for their confinement.

Age Factors↗

[Epidemiology of cognitive deterioration in the institutionalized geriatric population of the socio-sanitary centers in the city of Barcelona].

The aim of the study is to carry out a clinico-epidemiological study of the part of Barcelona's in-patients of 'Health-centers/Nursing-homes' elderly people that suffers from cognitive deterioration. 363 in-patients of 'Health-centers/Nursing homes' were studied. A specific questionnaire was used to collect the following data: Personal details, social and family situation, health profile and quantification of their degree of cognitive deterioration using Lobo's cognitive test. The quantitative and qualitative variables were studied statistically, and the arithmetical average and standard deviation were found, as well as which bivariant hypothesis tests and multivariant analyses, using the logistic regression method, were carried out. Adjusted degree of cognitive deterioration was 56%. The age, the fact that the patients were female, illiteracy and working as house-wives all made for low MEC ratings. Variables such as health, subjective memory loss, the presence of cerebral vascular pathology an hypercholesterolemia behaved in a similar fashion. Age, female sex, illiteracy and being a house-wife are associated with low scoring in the cognitive test, as well as subjective loss of memory, cerebral vascular pathology and hypercholesterolemia. The multivariant analyses are affected by: age and length of schooling. Were the in-patient group is concerned, functional remodelling of specific areas is indicated, and who have to be taken into care as a result of the seriousness of deterioration their dependence and their need for assistance.

Age Factors↗