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Objetivo: Este estudio tuvo como objetivo conocer características temporales, sociodemográficas y diagnósticas de usuarios asistidos psicológicamente en el Servicio de Guardia general del principal hospital de Jujuy. Métodos: El estudio fue transversal (20/01/18 al 13/09/18). Se analizaron variables temporales, sociodemográficas y diagnósticas (según la CIE-10) en 657 casos. Para los análisis de datos se usó RStudio. Se informaron frecuencias y estadísticos descriptivos. Se evaluaron diferencias en edad según sexo (mujeres-varones) y según categorías de edad (adolescentes-adultos) con prueba de W ilcoxon y diferencias en agrupaciones diagnósticas según sexo y edad con prueba de Kruskal-W allis. El error tipo I se fijó en ≤ 0.05. Resultados:Prevalecieron los casos asistidos durante fines de semana. Del total, el 57.53% fueron mujeres. La media de edad en ambos sexos fue de 34.35 años (±15.08; Mediana = 32). Hubo un patrón decreciente de casosdesde franjas etarias menores a mayores. No hubo diferencias en edad según sexo (p-valor= 0.22), pero sí según categorías de edad (p-valor< 0.001). Prevalecieron casos con estado civil soltero y ocupación laboral. Las agrupaciones diagnósticas generalesprevalentes fueron: Trastornos neuróticos, relacionados con el estrés y somatomorfos (31.51%); Trastornos debidos al uso de sustancias psicoactivas (12.48%); Lesiones autoinfligidas intencionalmente (10.20%); Agresiones (9.59%). Conclusiones:Se presenta el primer perfil diagnóstico de casuística asistida por urgencias en salud mental en Jujuy. Se destaca la necesidad de diseñar estrategias de prevención para trastornos relacionados con alcohol y otras sustancias, dirigidas principalmente a adolescentes y jóvenes. Se discuten otras implicancias de los resultados presentados. Aim: The objective of this study was to know temporal, socio-demographic and diagnostic features of psychologically assisted patients at the General Emergency Service of the major hospital in Jujuy. Methods: The study was transversal (01/20/2018 to 09/13/2018). Temporal, socio-demographic and diagnostic variables (according to ICD-10) were analyzed in 657 cases. For data analysis RStudio was used. Frequencies and descriptive statistics were reported. We evaluated differences in age according to sex (women-men) and according to age categories (adolescents-adults) with Wilcoxon Test, and differences in diagnostic clusters according to sex and age with Kruskal-Wallis Test. The type I error was set at ≤ 0.05. Results: Cases assisted during weekends prevailed. From the total, 57.53% were women. The mean age in both sexes was 34.35 years (±15.08; Median = 32). A decreasing pattern of cases from younger to older age groups were found. There were no differences in age according to sex (p-value = 0.22), but they were differences according to age categories (p-value < 0.001). Cases with single marital status and employment were prevalent. The prevalent general diagnostic groups were: Neurotic, stress-related and somatoform disorders (31.51%); Disorders due to psychoactive substance use (12.48%); Intentional self-harm (10.20%); Assault (9.59%). Conclusions: We present the first diagnostic profile of mental health emergency-assisted casuistry in Jujuy. We highlight the need to design prevention strategies for alcohol and other psychoactive substances related disorders, aimed primarily at adolescents and young people. We discuss further implications of the results. Objetivo: Este estudo teve como objetivo conhecer características temporais, sociodemográficas e diagnósticas de usuários psicologicamente atendidos no Serviço de Guarda Geral do principal hospital de Jujuy. Métodos: O estudo foi transversal (20/01/18 a 13/09/18). Variáveis temporais, sociodemográficas e de diagnóstico (de acordo com a CID-10) foram analisadas em 657 casos. O RStudio foi utilizado para análise dos dados. Frequências descritivas e estatísticas foram relatadas. As diferenças de idade foram avaliadas de acordo com o sexo (mulheres-homens) e de acordo com as categorias de idade (adolescentes-adultos) com o teste de Wilcoxon e as diferenças nos grupos de diagnóstico de acordo com o sexo e a idade com o teste de Kruskal-Wallis. O erro do tipo I foi definido como ≤ 0,05. Resultados: predominaram os casos atendidos nos finais de semana. Do total, 57,53% eram mulheres. A idade média em ambos os sexos foi de 34,35 anos (± 15,08; mediana = 32). Houve um padrão decrescente de casos de faixas etárias menores para as maiores. Não houve diferenças na idade de acordo com o sexo (valor de p = 0,22), mas de acordo com as categorias de idade (valor de p

Cesar Calvo-Lobo,1 Juan Manuel Vilar Fernández,2 Ricardo Becerro-de-Bengoa-Vallejo,3 Marta Elena Losa-Iglesias,4 David Rodríguez-Sanz,5 Patricia Palomo López,6 Daniel López López7 1Physical Therapy Department, Motion in Brains Research Group, Instituto de Neurociencias y Ciencias del Movimiento, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid; 2Modeling, Optimization and Statistical Inference Research Group, Universidade da Coruña, A Coruña; 3School of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, Madrid; 4Faculty of Health Sciences, Universidad Rey Juan Carlos, Madrid; 5Physical Therapy & Health Sciences Research Group, Facultad de Ciencias de la Salud, el Ejercicio y el Deporte, Universidad Europea de Madrid, Madrid; 6University Center of Plasencia, Universidad de Extremadura, Badajoz; 7Research, Health and Podiatry Unit, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, ACoruña, Spain Background and purpose: Nonspecific low back pain (LBP) is the most prevalent musculoskeletal condition in various age ranges and is associated with depression. The aim of this study was to determine the Beck Depression Inventory (BDI) scores in participants with nonspecific LBP and no-pain by age distribution.Methods: A case–control study was carried out following the Strengthening the Reporting of Observational Studies in Epidemiology criteria. A sample of 332 participants, divided into the following age categories: 19–24 (n=11), 25–39 (n=66), 40–64 (n=90), 65–79 (n=124), and ≥80 (n=41) years was recruited from domiciliary visits and an outpatient clinic. The BDI scores were self-reported in participants with nonspecific acute or subacute (≤3 months) LBP (n=166) and no-pain (n=166).Results: The BDI scores, mean ± standard deviation, showed statistically significant differences (p

Introducción: La demora en el diagnóstico de la infección por VIH mediante el recuento de LT CD4 es un problema de salud pública. Objetivo: Determinar la frecuencia y factores asociados al diagnóstico tardío (DT) y enfermedad avanzada (EA) de infección por VIH en pacientes atendidos en un hospital peruano. Materiales y Métodos: Estudio transversal analítico de datos secundarios de pacientes adultos con diagnóstico de infección por VIH atendidos durante el período 1999-2012. Resultados y Discusión: De 1.714 pacientes, 82,6% (1.416) tuvo DT y 64,5% (1.106) EA. Estuvieron asociados con una mayor frecuencia: el sexo masculino (DT: 17% y EA: 28%; p < 0,001), edad entre 41-60 años (DT: 9% y EA: 15%; p < 0,001), edad mayor a 60 años (DT: 14% y EA: 23%; p < 0,003), orientación bisexual (DT: 18% y EA: 43%; p < 0,001), orientación homosexual (DT: 8%; p < 0,001) y usuarios de drogas (DT: 24% y EA: 64%; p < 0,001). El ser heterosexual estuvo asociado a una menor frecuencia (DT: 12% y EA: 19%; p < 0,001). Conclusión: Se encontró una alta la frecuencia de DT y la EA, y los factores asociados a éstas fueron: sexo masculino, grupos sobre 40 años de edad, grupos sexuales de riesgo (homosexuales y bisexuales) y consumidores de drogas.

espanolProposito: Estudiar la distribucion por edades del melanoma de uvea y relacionarlo con la supervivencia. Metodo: Se ha realizado un estudio retrospectivo en pacientes diagnosticados de melanoma de uvea. Se han analizado entre otras las variables clinicas: edad, sexo, origen y tamano tumoral, tiempo de seguimiento, estado sistemico actual, fecha y causa de muerte. Resultados: Se han estudiado 303 pacientes afectos de melanoma de uvea. La edad media de los pacientes fue de 60,09 anos. La supervivencia en los pacientes EnglishPurpose: To study the age distribution and survival in patients with uveal melanoma. Methods: A retrospective study was performed on 303 patients diagnosed with uveal melanoma. We analysed the clinical characteristics: age, gender, tumor size and origin, follow-up time, systemic state, survival time and cause of death. Results: The median age of the patients was 60.09 years. The 2-, 5-, and 10-year survival of patients less than 50 years of age at diagnosis was 91.41%, 81.83% and 61.45% respectively. The 2-, 5- and 10-year survival of patients equal to or older than 50 years was 90.86%, 73.18% and 58.28% respectively. No significant difference was found between these two age groups. When we considered a possible relationship between the sex factor and survival, in patients equal to or older than 50 years of age, we found a higher survival in men than in women (log-rank test; p=0.038). Conclusions: Uveal melanoma in Spain has a similar age distribution to that of other countries, and it is not an infrequent diagnosis in patients under 40 years of age. Survival rates are also similar to that of other series. We have not found any significant difference between the age of our patients and the survival, although if we analysed the subgroups, we found that the men equal to or over 50 years of age had a better survival than the women of the same age.

Background The demographic structure has a significant influence on the use of healthcare services, as does the size of the population denominators. Very few studies have been published on methods for estimating the real population such as tourist resorts. The lack of information about these problems means there is a corresponding lack of information about the behaviour of populational denominators (the floating population or tourist load) and the effect of this on the use of healthcare services. The objectives of the study were: a) To determine the Municipal Solid Waste (MSW) ratio, per person per day, among populations of known size; b) to estimate, by means of this ratio, the real population in an area where tourist numbers are very significant; and c) to determine the impact on the utilisation of hospital emergency healthcare services of the registered population, in comparison to the non-resident population, in two areas where tourist numbers are very significant. Methods An ecological study design was employed. We analysed the Healthcare Districts of the Costa del Sol and the island of Menorca. Both are Spanish territories in the Mediterranean region. Results In the two areas analysed, the correlation coefficient between the MSW ratio and admissions to hospital emergency departments exceeded 0.9, with p < 0.001. On the basis of MSW generation ratios, obtained for a control zone and also measured in neighbouring countries, we estimated the real population. For the summer months, when tourist activity is greatest and demand for emergency healthcare at hospitals is highest, this value was found to be double that of the registered population. Conclusion The MSW indicator, which is both ecological and indirect, can be used to estimate the real population in areas where population levels vary significantly during the year. This parameter is of interest in planning and dimensioning the provision of healthcare services.

Objective:To describe the trends of self-reported past consumption of alcoholic beverages and ethanol intake from 1950 to 1995 within the European Prospective Investigation into Cancer and Nutrition (EPIC).Design:Data on consumption of beer/cider, wine and liqueur/spirits were obtained retrospectively at age 20, 30 and 40 years to calculate average consumption and ethanol intake for the time periods 1950–1975 (at age 20), 1960–1985 (at age 30) and 1970–1995 (at age 40). Regression analysis was conducted with the time period data to assess trends in past alcoholic beverage consumption and ethanol intake with time.Setting:The EPIC project.Subjects:In total, 392 064 EPIC participants (275 249 women and 116 815 men) from 21 study centres in eight European countries.Results:Generally, increases in beer/cider consumption were observed for most EPIC centres for 1950–1975, 1960–1985 and 1970–1995. Trends in wine consumption differed according to geographical location: downward trends with time were observed for men in southern European EPIC centres, upward trends for those in middle/northern European study centres. For women, similar but less pronounced trends were observed. Because wine consumption was the major contributor to ethanol intake for both men and women in most study centres, time trends for ethanol intake showed a similar geographical pattern to that of wine consumption.Conclusion:The different trends in alcoholic beverage consumption and ethanol intake suggest that information depicting lifetime history of ethanol intake should be included in analyses of the relationship between ethanol and chronic diseases, particularly in multi-centre studies such as EPIC.