A5101778997- Pneumonia and Respiratory Infections
- Respiratory viral infections research
- Pesticide Exposure and Toxicity
- Influenza Virus Research Studies
- Chronic Disease Management Strategies
- Emergency and Acute Care Studies
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Blood Pressure and Hypertension Studies
- Pneumocystis jirovecii pneumonia detection and treatment
- Neonatal Respiratory Health Research
- Pesticide and Herbicide Environmental Studies
- Health Systems, Economic Evaluations, Quality of Life
- Smoking Behavior and Cessation
- Patient Satisfaction in Healthcare
- School Health and Nursing Education
- Pediatric health and respiratory diseases
- Bacterial Infections and Vaccines
- Nursing Diagnosis and Documentation
- Cystic Fibrosis Research Advances
- Musculoskeletal pain and rehabilitation
- Health Promotion and Cardiovascular Prevention
- Tracheal and airway disorders
- Frailty in Older Adults
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Health disparities and outcomes
Centre international de recherche sur le cancer
2024
Conservatoire Botanique National Méditerranéen de Porquerolles
2023
University of French Polynesia
2023
Hospital Universitario Virgen de las Nieves
2016-2022
Universitat Autònoma de Barcelona
2012-2020
Columbia University Irving Medical Center
2013-2020
Institut Universitari d'Investigació en Atenció Primària Jordi Gol
2010-2019
Hospital Universitario Son Espases
2019
Universidad de Navarra
2016-2017
Vall d'Hebron Hospital Universitari
2006-2016
Introduction: Burnout is a very prevalent type of stress among health professionals. It affects their well-being, performance, and attitude toward patients. This study assessed the effectiveness training program for primary care professionals designed to reduce burnout mood disturbance, increase empathy, develop mindfulness. Methods: Pragmatic randomized controlled trial with pre- postintervention measurements 68 (43 in intervention 25 control group) Spain. The consisted presentations...
The 23-valent polysaccharide pneumococcal vaccine (PPV) is currently recommended for elderly persons and who are at high risk of infection. However, the effectiveness PPV remains controversial. We assessed this in older adults.A prospective cohort study was conducted from January 2002 through April 2005; it included all community-dwelling individuals aged >or=65 years were assigned to 1 8 primary health care centers Tarragona, Spain (11,241 subjects). outcomes invasive disease, pneumonia,...
<b>Objective:</b> To describe trends in mortality from coronary heart disease (CHD) and cerebrovascular accidents (CVAs) over the period 1970 to 2000 Americas. <b>Methods:</b> Age standardised rates were derived World Health Organization database grouped according <i>International classification of diseases</i>, ninth revision. Joinpoint analysis was used identify changes trends. <b>Results:</b> In USA Canada, CHD declined by about 60% both sexes. Latin America, falls observed for Argentina,...
The benefits of using the 23-valent pneumococcal polysaccharide vaccine (PPV23) are controversial. This study assessed clinical effectiveness PPV23 in preventing community-acquired pneumonia (CAP) among general population aged ≥ 60 years.This was a population-based cohort involving 27 204 individuals years Tarragona, Spain, who were prospectively followed from 1 December 2008 until 30 November 2011. Primary outcomes hospitalization for CAP (bacteremic and nonbacteremic cases) all-cause CAP....
The burden of chronic conditions and multimorbidity is a growing health problem in developed countries. study aimed to determine the estimated prevalence patterns urban areas Catalonia, stratified by sex adult age groups, assess whether socioeconomic status use primary care services were associated with multimorbidity. A cross-sectional was conducted Catalonia. Participants adults (19+ years) living areas, assigned 251 teams. Main outcome: (≥2 conditions). Other variables: (male/female),...
The aim was to compare multimorbidity patterns identified with the two most commonly used methods: hierarchical cluster analysis (HCA) and exploratory factor (EFA) in a large primary care database. Specific objectives were: (1) determine whether choice of method affects composition these (2) consider potential application each clinical setting.Cross-sectional study. Diagnoses were based on 263 corresponding blocks International Classification Diseases version 10. Multimorbidity using HCA...
What is already known about this subject • Knowledge of prescription patterns in primary health care an important tool rational drug therapy. Age and gender are the principal determining factors cost variability between medical practices, due to prescriptions. relation therapeutic group. study adds This provides specific information on use drugs environment Catalan Health System, differences observed analyzed with respect age population receiving care. The shows that there a high prevalence...
Although there is general agreement for the recommendation of influenza vaccine to elderly and high-risk adults, magnitude clinical effectiveness benefit from annual vaccination controversial. In this study, we have assessed effects on winter mortality in older adults with chronic heart disease.Cohort study that included 1340 Spanish community-dwelling individuals 65 years or who had disease (congestive failure coronary artery disease) followed January 2002 April 2005. Annual status was a...
Abstract Background The 23-valent polysaccharide pneumococcal vaccine (PPV) is currently recommended in elderly and high-risk adults. However, its efficacy preventing infections remains controversial. This study assessed the clinical effectiveness of vaccination against invasive disease (IPD) among people over 60 years. Methods Population-based case-control that included 88 case patients years-old with a laboratory-confirmed IPD (bacteraemic pneumonia, meningitis or sepsis) 176 outpatient...
Concurrent diseases, multiple pathologies and multimorbidity patterns are topics of increased interest as the world's population ages. To explore impact on affected patients consequences for health services, we designed a study to describe by sex life-stage in large sample assess association with acute morbidity, area residency use services. A cross-sectional was conducted Catalonia (Spain). Participants were 1,749,710 aged 19+ years (251 primary care teams). Primary outcome: Multimorbidity...
Objective The purpose of this study was to identify clusters diagnoses in elderly patients with multimorbidity, attended primary care. Design Cross-sectional study. Setting 251 care centres Catalonia, Spain. Participants Individuals older than 64 years registered participating practices. Main outcome measures Multimorbidity, defined as the coexistence 2 or more ICD-10 disease categories electronic health record. Using hierarchical cluster analysis, multimorbidity were identified by sex and...
Process orientation is one of the essential elements quality management systems, including those in use healthcare. Business processes hospitals are very complex and variable. BPMN (Business Modelling Notation) a user-oriented language specifically designed for modelling business (organizational) processes. Previous experiences this notation within Pathology Spain or another country not known. We present our experience elaboration conceptual models processes, as part global programmed...
Pancreatic neuroendocrine tumors (pNETs) are notoriously resistant to currently available chemotherapy agents. Preclinical data has suggested synergy between temozolomide and capecitabine.To report a retrospective on the efficacy safety of capecitabine (CAPTEM regimen) in patients with metastatic pancreatic who have failed prior therapies.We reviewed medical records 7 pNETs had progressive cancer treatment despite therapy, including long-acting release octreotide (60 mg/month), hepatic...
To evaluate the effectiveness in primary care of a stepped smoking cessation intervention based on transtheoretical model change.Cluster randomized trial; unit randomization: basic (family physician and nurse who for same group patients); intention-to-treat analysis.All interested units (n = 176) that worked 82 centres belonging to Spanish Preventive Services Health Promotion Research Network 13 regions Spain.A total 2,827 smokers (aged 14-85 years) consulted centre any reason, provided...
Evaluar la efectividad a largo plazo de un programa entrenamiento en mindfulness dirigido profesionales atención primaria el burnout, estado emocional, empatía y conciencia plena. Estudio medidas repetidas antes-después. Participaron 87 primaria. Se midieron burnout (Inventario Maslach), alteración emocional (POMS), (Jefferson) (FFMQ), adherencia intervención los cambios actitudes. Las mediciones se realizaron al inicio, las 8 semanas 6 12 meses. La duró 1 año, con dos fases: una intensiva...
The present study assessed the effectiveness of 23-valent pneumococcal polysaccharide vaccine to prevent pneumonia and death in older adults a first-time report between January December 2002. A prospective cohort was conducted including all individuals ≥65 yrs age assigned one eight primary care centres Tarragona, Spain (n = 11,241). outcomes were community-acquired (hospitalised or outpatient) from pneumonia. All pneumonias validated by checking clinical records. association vaccination...
Conflicting results have been recently reported evaluating the relationship between pneumococcal vaccination and risk of thrombotic vascular events. This study assessed clinical effectiveness 23-valent polysaccharide vaccine (PPV23) against acute myocardial infarction ischaemic stroke in older adults. Population-based prospective cohort conducted from December 1, 2008 until November 30, 2009, including all individuals ≥ 60 years-old assigned to nine Primary Care Centres Tarragona, Spain (N =...