Resum dels microorganismes declarats a l’SNMC durant l’any 1999

Vigilància epidemiològica; Malalties infeccioses; EnteritisVigilancia epidemiológica; Enfermedades infecciosas; EnteritisEpidemiological surveillance; Infectious diseases; EnteritisEl sistema de notificació microbiològica de Catalunya (SNMC) és un sistema sentinella que forma part de la Xarxa de Vigilància Epidemiològica de Catalunya i que recull les declaracions dels microorganismes que tenen transcendència en salut pública.El sistema de notificación microbiológica de Cataluña (SNMC) es un sistema centinela que forma parte de la Red de Vigilancia Epidemiológica de Cataluña que recoge las declaraciones de los microorganismos que tienen trascendencia en salud pública.The Microbiological Reporting System of Catalonia (SNMC) is a sentinel system that is part of the Epidemiological Surveillance Network of Catalonia, which collects reports on microorganisms that have an impact on public health

Infeccions víriques de transmissió sexual a Catalunya

Condyloma acuminatum; Genital herpes; Molluscum contagiosumCondilomas acuminados; Herpes genital; Molusco contagiosoCondilomes acuminats; Herpes genital; Mol·lusc contagiósEn aquest article es descriu el comportament de dues de les principals infeccions de transmissió sexual víriques, els condilomes acuminats i l’herpes genital, juntament amb el del mol·lusc contagiós transmès suposadament per via sexual, segons el registre de les malalties ateses a les unitats de prevenció i control de les infeccions de transmissió sexual de Catalunya des de 1996 fins al desembre de 2002.This article describes the behavior of two major viral sexually transmitted infections, condylomata acuminata and genital herpes together with molluscum contagiosum supposedly transmitted through sexual contact, according to the record of disease attended in prevention and control units of sexually transmitted infections in Catalonia from 1996 to December 2002.En este artículo se describe el comportamiento de dos de las principales infecciones de transmisión sexual víricas, los condilomas acuminados y el herpes genital, junto con el del molusco contagioso transmitido supuestamente por vía sexual, según el registro de las enfermedades atendidas en las unidades de prevención y control de las infecciones de transmisión sexual de Cataluña desde 1996 hasta diciembre de 2002

Dissemination of periodic mammography and patterns of use, by birth cohort, in Catalonia (Spain)

<p>Abstract</p> <p>Background</p> <p>In Catalonia (Spain) breast cancer mortality has declined since the beginning of the 1990s. The dissemination of early detection by mammography and the introduction of adjuvant treatments are among the possible causes of this decrease, and both were almost coincident in time. Thus, understanding how these procedures were incorporated into use in the general population and in women diagnosed with breast cancer is very important for assessing their contribution to the reduction in breast cancer mortality. In this work we have modeled the dissemination of periodic mammography and described repeat mammography behavior in Catalonia from 1975 to 2006.</p> <p>Methods</p> <p>Cross-sectional data from three Catalan Health Surveys for the calendar years 1994, 2002 and 2006 was used. The dissemination of mammography by birth cohort was modeled using a mixed effects model and repeat mammography behavior was described by age and survey year.</p> <p>Results</p> <p>For women born from 1938 to 1952, mammography clearly had a period effect, meaning that they started to have periodic mammograms at the same calendar years but at different ages. The age at which approximately 50% of the women were receiving periodic mammograms went from 57.8 years of age for women born in 1938–1942 to 37.3 years of age for women born in 1963–1967. Women in all age groups experienced an increase in periodic mammography use over time, although women in the 50–69 age group have experienced the highest increase. Currently, the target population of the Catalan Breast Cancer Screening Program, 50–69 years of age, is the group that self-reports the highest utilization of periodic mammograms, followed by the 40–49 age group. A higher proportion of women of all age groups have annual mammograms rather than biennial or irregular ones.</p> <p>Conclusion</p> <p>Mammography in Catalonia became more widely implemented during the 1990s. We estimated when cohorts initiated periodic mammograms and how frequently women are receiving them. These two pieces of information will be entered into a cost-effectiveness model of early detection in Catalonia.</p

Hospital emergency department utilisation rates among the immigrant population in Barcelona, Spain

<p>Abstract</p> <p>Background</p> <p>The recent increase in the number of immigrants of Barcelona represents a challenge for the public healthcare system, the emergency department being the most used healthcare service by this group. However, utilisation rates in our environment have not yet been studied. We aimed to compare emergency department utilisation rates between Spanish-born and foreign-born residents in a public hospital of Barcelona.</p> <p>Methods</p> <p>The <it>s</it>tudy population included all adults residing in the area of study and visiting the emergency department of Hospital del Mar in 2004. The emergency care episodes were selected from the Emergency Department register, and the population figures from the Statistics Department of Barcelona. Emergency care episodes were classified into five large clinical categories. Adjusted rate ratios (RR) of utilisation among foreign-born vs. Spanish-born residents were assessed through negative binomial regression.</p> <p>Results</p> <p>The overall utilisation rate was 382 emergency contacts per 1,000 persons-years. The RR for foreign-born versus Spanish-born residents was 0.62 (95% CI: 0.52; 0.74%). The RR was also significantly below one in surgery (0.51, 95% CI: 0.42; 0.63), traumatology (0.47, 95% CI: 0.38; 0.59), medicine (0.48, 95% CI: 0.38; 0.59) and psychiatry (0.42, 95% CI: 0.18; 0.97). No differences were found in utilisation of gynaecology and minor emergency services.</p> <p>Conclusion</p> <p>The overall lower utilisation rates obtained for foreign-born residents is consistent with previous studies and is probably due to the "healthy immigrant effect". Thus, the population increase due to immigration does not translate directly into a corresponding increase in the number of emergency contacts. The lack of differences in minor and gynaecological emergency care supports the hypothesis that immigrants overcome certain barriers by using the emergency department to access to health services. The issue of healthcare barriers should therefore be addressed, especially among immigrants.</p

Assessment of a primary and tertiary care integrated management model for chronic obstructive pulmonary disease

<p>Abstract</p> <p>Background</p> <p>The diagnosis and treatment of patients with chronic obstructive pulmonary disease (COPD) in Spain continues to present challenges, and problems are exacerbated when there is a lack of coordinated follow-up between levels of care. This paper sets out the protocol for assessing the impact of an integrated management model for the care of patients with COPD. The new model will be evaluated in terms of 1) improvement in the rational utilization of health-care services and 2) benefits reflected in improved health status and quality of life for patients.</p> <p>Methods/Design</p> <p>A quasi-experimental study of the effectiveness of a COPD management model called COPD PROCESS. The patients in the study cohorts will be residents of neighborhoods served by two referral hospitals in Barcelona, Spain. One area comprises the intervention group (n = 32,248 patients) and the other the control group (n = 32,114 patients). The study will include pre- and post-intervention assessment 18 months after the program goes into effect. Analyses will be on two datasets: clinical and administrative data available for all patients, and clinical assessment information for a cohort of 440 patients sampled randomly from the intervention and control areas. The main endpoints will be the hospitalization rates in the two health-care areas and quality-of-life measures in the two cohorts.</p> <p>Discussion</p> <p>The COPD PROCESS model foresees the integrated multidisciplinary management of interventions at different levels of the health-care system through coordinated routine clinical practice. It will put into practice diagnostic and treatment procedures that are based on current evidence, multidisciplinary consensus, and efficient use of available resources. Care pathways in this model are defined in terms of patient characteristics, level of disease severity and the presence or absence of exacerbation. The protocol covers the full range of care from primary prevention to treatment of complex cases.</p

Centres de la Xarxa d'Atenció a les Drogodependències: Catalunya 1991. [1a ed.]

1 full d'un atlas. Núm. de pàgina: 7. - Dins d'un atlas en 14 fulls no relligats, presentats originàriament dins una carpeta blanca. - Conté 11 mapes 1:500 000, en 1 full) i 11 mapes 1:1 150 000 o 1:13 000 000 (4 en 1 full)1:500 000Núm. de pàgina:

Centres i Serveis de Planificació Familiar: Catalunya 1991. [1a ed.]

1 full d'un atlas. Núm. de pàgina: 5. - Dins d'un atlas en 14 fulls no relligats, presentats originàriament dins una carpeta blanca. - Conté 11 mapes 1:500 000, en 1 full) i 11 mapes 1:1 150 000 o 1:13 000 000 (4 en 1 full)1:500 000Núm. de pàgina:

Organització territorial sanitària: Sectors Sanitaris i Àrees Bàsiques de Salut: 1991. [1a ed.]

1 full d'un atlas. Núm. de pàgina: 1. - Dins d'un atlas en 14 fulls no relligats, presentats originàriament dins una carpeta blanca. - Conté 11 mapes 1:500 000, en 1 full) i 11 mapes 1:1 150 000 o 1:13 000 000 (4 en 1 full)1:500 000Núm. de pàgina:

Centres i Serveis de Planificació Familiar: Catalunya 1991. [1a ed.]

1 full d'un atlas. Núm. de pàgina: 5. - Dins d'un atlas en 14 fulls no relligats, presentats originàriament dins una carpeta blanca. - Conté 11 mapes 1:500 000, en 1 full) i 11 mapes 1:1 150 000 o 1:13 000 000 (4 en 1 full)1:500 000Núm. de pàgina:

Assistència de la Insuficiència Renal Crònica ; [i 4 mapes més]: Catalunya 1991. [1a ed.]

1 full d'un atlas. Núm. de pàgina: 9-12. - Dins d'un atlas en 14 fulls no relligats, presentats originàriament dins una carpeta blanca. - Conté 11 mapes 1:500 000, en 1 full) i 11 mapes 1:1 150 000 o 1:13 000 000 (4 en 1 full)1:1 150 000Núm. de pàgina: 9-1