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Biomedical subjects

J Deniel Rosanas

Publications and source records attributed to J Deniel Rosanas.

11 recordsLinked to original sources
PubMed2002

[Levels of serum cholesterol in a catalan population. Evolution over a 6- year period (1994-1996)].

OBJECTIVE: To study the evolution of the serum levels of cholesterol in a population over 6 years. Design. cross-sectional observational study.Setting. Primary and specialist care in the county of Osona (Barcelona). PARTICIPANTS: Study of those patients attending for health consultations in the county, whether at primary or hospital level, and who had their cholesterol level determined. MAIN MEASUREMENTS: The levels of serum cholesterol of the 7882 patients studied during September to December 1994 was compared with those of the 10 319 patients analysed during the same months of 1999. RESULTS: The mean levels of cholesterol increased steadily in both sexes with age, up to the fifth or sixth decade of life, at which point a slow descent started. Cholesterolaemia was higher in men than in women in the third and fourth decades of life; but from this age on, mean levels are higher in women than in men. Cholesterol levels in both sexes were higher in the 1999 period studied than in 1994. During 1999, 52.7% of men and 52.3% of women had serum cholesterol levels above 200 mg/dL, whereas in 1994 these figures were 49.1% and 49.2%, respectively. CONCLUSIONS: Mean levels of serum cholesterol in the population under study are high and increased between the two sampling years. Preventive and hygiene-diet measures need to be fomented among the general population in order to improve control of cholesterolaemia.

Adult↗
PubMed1999

[Rationalization of the use and costs of primary care laboratories: protocolization of lab analysis requests].

OBJECTIVE: To present a multiple interventionist strategy, with a combined genesis, that may help improve the effectiveness and efficiency of Primary Care laboratory use. DESIGN: Retrospective observation study. SETTING: Three Health Districts in Barcelona province: Manlleu, Santa Eugènia de Berga and Sant Hipòlit de Voltregà. PATIENTS AND OTHER PARTICIPANTS: The study looked at 2,960 lab analysis requests in two months from professionals in three Health Districts. The requests were classified and codified in line with the most prevalent Primary Care health problems and conditions for which lab tests are necessary. An analytic protocol agreed by Primary Care and Laboratory professionals was worked out for each of these situations. The costs of analytic requests before (free request) and after (application of protocols) were compared. MEASUREMENTS AND MAIN RESULTS: The pathologies for which the greatest savings were achieved were: General Health Review, Hypertension and Lipaemia. Total saving was 1,862,226 pesetas in two months, equivalent to 11,173,356 pesetas per year. CONCLUSIONS: The strategy of protocolising lab requests involves savings which permit setting up an incentive system, based on compliance with the strategy, for the professionals involved.

Laboratories↗
PubMed1996

[The influence of unemployment on mental health problems].

OBJECTIVE: To evaluate the relationship between unemployment and mental health problems. DESIGN: Crossover study, using systematic sampling of medical records. SETTING: Health District in the province of Barcelona. PATIENTS AND OTHER PARTICIPANTS: 189 medical records from 1,549 unemployed people, and another 189 paired for age and gender of people in work, were included in the study. MEASUREMENTS AND MAIN RESULTS: The unemployed group had between 1.3% and 18.8% more people with mental health problems than the in-work group. There were no significant differences between the two groups as to their use of primary care health services. CONCLUSIONS: It was established that there is a connection between unemployment and mental health problems. Prospective studies to follow cases might contribute more data on the cause and effect relationship.

Adolescent↗
PubMed1991

[The results of the introduction of a protocol of preventive activities in a primary care center].

A sample of 360 people was analyzed. They had received the protocol of preventive activities of the "Unitat Docent de Medicina Familiar i Comunitària de Barcelona" during 1989. The results of those activities directed to the prevention of cardiovascular risk and to the detection of excessive alcohol intake are reported, as they are those with the easiest and widest implementation. Overall results include hypercholesterolemia in 43.9%, abnormal blood pressure in 10.5%, a rate of smokers of 31.7%, 7.7% with an excessive alcohol intake, and 51.9% of obese individuals. The results are also shown by age and sex groups. In the discussion, the results are compared with those expected for our population. It is concluded that preventive measures should be encouraged by primary health are teams.

Age Factors↗
PubMed1990

[Self-application of preventive measures in a primary health care team].

As the Program of Systematic Preventive Activities for the adult population is beginning to be operative, the authors have found it adequate to investigate the degree of compliance of the health care staff with the established preventive measures. One of the more relevant results was the low vaccination index (tetanus and influenza) among the health staff. Nearly one fifth of females was unaware of their protection against rubella, and one fourth of the surveyed population had never undergone tuberculin skin testing. Blood pressure and weight had been measured in most cases. 69.7% of the staff had had their plasma cholesterol measured following the protocol, with a significant female predominance. The rate of smokers was 47.4%, and the daily amount of consumed alcohol was minimal. Exfoliative cytology was carried out in four out of five females. In conclusion, the degree of compliance among health care staff was not as satisfactory as it should be.

Adolescent↗