Abstract:
OBJECTIVES:To find the factors linked to erectile dysfunction, to evaluate this as a possible marker of health status, to analyse the evolution of clinical parameters of associated illnesses and the response to Viagra.Design. Intervention study without a control. SETTING:Alguazas Health Centre (Murcia). PARTICIPANTS:All the patients in the programme (125), with a figure on the sexual health in men index (SHIM) below 21.Interventions. Health education and administration of Viagra. MAIN MEASUREMENTS:Concomitant illnesses, pathologies previously unknown to the patient, changes in erectile function valued on the international index of erectile function (IIEF), and changes in blood pressure, glucaemia and lipids. RESULTS:Factors linked to erectile dysfunction were diabetes (50.4%), hypertension (33.6%), hypercholesterolaemia (22.4%), urological pathology (12.8%) and mental health disorders (33.6%). The hidden pathology detected was 15 cases of hypertension, 3 diabetes, 2 cardiopathies, 20 dyslipaemias, 3 depressions, 13 anxiety and 5 urological problems. The variations in clinical parameters at 3 months were: glucaemia, -38.3 mg (P<.001, Student s t=-5.186); HbA1c, -0.9 (P<.05, Student s t=-2.16); systolic blood pressure, -16 mm Hg (P<.01, Student s t=-3.486) and diastolic pressure -13 mm Hg (P<.001, Student s t=-4.594); and total cholesterol, -14.2% (P<.001, Student s t=7.01). Erectile function improved by 74% with Viagra. CONCLUSIONS:2 out of every 3 patients with erectile dysfunction presented associated diseases; one in every 3 were ignorant of their health problem. Monitoring of chronic illnesses improved significantly. Finally, 3 in every 4 responded to Viagra.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Guirao Sánchez L,García-Giralda Ruiz L,Sandoval Martínez C,Mocciaro Loveccio Adoi
10.1016/s0212-6567(02)79030-6subject
Has Abstractpub_date
2002-09-30 00:00:00pages
290-6issue
5eissn
0212-6567issn
1578-1275pii
13037453journal_volume
30pub_type
杂志文章abstract:OBJECTIVE:To ascertain the diagnosis associated with specific treatment for dementia in the Primary Care Electronic Clinical Record (PC-ECR) and to analyse the factors associated with the quality of registration. METHODS:Descriptive study of patients taking cholinesterase inhibitors or memantine registered in Database...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2015.03.002
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:An analysis of the impact of the commercialisation of intranasal administration on calcitonin consumption. DESIGN:Descriptive study. SETTING:Non-hospital ambit within the national health system. PATIENTS AND OTHER PARTICIPANTS:A protected population group within the national health system, with occupationa...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-03-15 00:00:00
abstract:OBJECTIVE:To quantify and to evaluate the reliability of Primary Care (PC) computerised medication records of as an information source of patient chronic medications, and to identify associated factors with the presence of discrepancies. DESIGN:A descriptive cross-sectional study. LOCATION:General Referral Hospital i...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2015.05.003
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVES:To find out the perceptions of family doctors (FD) and psychiatrists (PS) on their inter-relationships in the health care of patients with depression. DESIGN:Qualitative methodology. Exploratory design based on FD and PS discussion groups (DG). SETTING:Primary health care centres (PHCC) and mental health c...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2008.04.003
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:To determine the epidemiological and clinical characteristics of children with Cryptorchidism in our milieu. DESIGN:Crossover study. SETTING:Specialist care. PATIENTS:159 children referred from Primary Care for a Cryptorchidism study. MEASUREMENTS AND RESULTS:Average age of detection: 1.5-3 years. Lateral...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-11-15 00:00:00
abstract:OBJECTIVE:To evaluate the coverage of the programme of control and coverage of Hepatitis B among children doing their 7th year of EGB (basic) in Navarra. DESIGN:Descriptive study. SETTING:School centres in Navarra. PARTICIPANTS:7th-year EGB students in the 1992-3 school year. INTERVENTION:Vaccination of the suscept...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1995-02-28 00:00:00
abstract:OBJECTIVES:To identify diabetics not dependent on insulin (DNDI) who are carriers of clinical proteinuria and microalbuminuria susceptible to captopril treatment and to evaluate the evolution of the urinary excretion of albumin (UEA) rate after three years of follow-up. DESIGN:A prevalence study followed by an interve...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1997-09-30 00:00:00
abstract:OBJECTIVE:To analyse the opinion and satisfaction shown by a sample of primary care (PC) doctors about the patient discharge form (PDF) and to assess proposals for improvement. Design. Descriptive study of the result of a questionnaire. SETTING:All the health districts in the city of Mataró (Barcelona).Participants. 3...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(02)79106-3
更新日期:2002-11-30 00:00:00
abstract:OBJECTIVE:To describe the characteristics of the malignant and pre-malignant lesions found in the minor surgical interventions performed at a health centre. DESIGN:Retrospective, descriptive study. PARTICIPANTS:682 lesions: all the lesions extirpated and referred to pathology except for epidermal and trichilemmal cys...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(03)79334-2
更新日期:2003-12-01 00:00:00
abstract::Nurse demand management (NDM) is an emerging concept that requires some useful clarification, not only for professionals and users but also for managers. The NDM was born in 2009 after the need to reorganize the flow of demand, but it has become more than this. NDM is understood as a program led by the primary care nu...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2017.10.011
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVE:To compare portable coagulometer devices and conventional coagulometers. The clinical validity will be estimated via anticoagulation control (maintenance of therapeutic range), patient satisfaction, thrombotic or haemorrhagic events and mortality. Analytical validity will be studied in quality control terms. ...
journal_title:Atencion primaria
pub_type: 杂志文章,评审
doi:10.1016/j.aprim.2010.03.017
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVE:To evaluate the results of a programme of intervention into the monitoring of short-term unfitness for work of members of the Special Sea Regime at Cádiz during 1997. DESIGN:Quasi-experimental intervention study with a pre- and post-intervention group, formed by the doctors from the Instituto Social de la Ma...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1999-11-30 00:00:00
abstract:OBJECTIVES:To examine the attitudes of family doctors to patients' rights and to ascertain the social and professional variables that influence these views. DESIGN:Descriptive, cross-sectional study based on a questionnaire. SETTING:Primary care, Murcia, Spain. PARTICIPANTS:Two-hundred and twenty-seven family physic...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13098275
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVES:To find how suitable a semFYC guide is for the indication of bone densitometry in menopausal women; and how appropriate their Osteoporosis treatment is. DESIGN:Cross-sectional study.Setting. Girona-3 Health District. PARTICIPANTS:Women between 50 and 80 allocated to the Girona-3 Health District. Suffering ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(04)79391-9
更新日期:2004-03-15 00:00:00
abstract:OBJECTIVE:To know the usefulness and applicability of an information system for basic health areas put into operation 16 years ago. DESIGN:Descriptive study of selected indicators registered in 1994 and 2004. SETTING:Basic health areas of Barcelona, Spain. PARTICIPANTS:Population living in Barcelona, Spain, during 1...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13118058
更新日期:2008-04-01 00:00:00
abstract:OBJECTIVE:To evaluate the impact of the pilot experience of direct purchase and distribution of incontinence diapers in primary health care centres of the Balearic Islands after 10 months of implementation. DESIGN:Comparison of diapers's public expenditures and use during 10 months of pilot experience (9/1/1994-6/30/1...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1996-02-29 00:00:00
abstract:OBJECTIVE:To examine the perceptions and expectations about Family Practice (FP) and Primary Care (PC) in 1st, 3rd and 5th year students in medical schools. DESIGN:An observational study in two cross sections with intervals of two years. LOCATION:Spanish Medical Schools. PARTICIPANTS:1st, 3rd and 5th year students o...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2012.07.007
更新日期:2013-01-01 00:00:00
abstract:INTRODUCTION:Chronic diseases have become more central to Primary Care due to their greater prevalence and the difficulties of monitoring them. This complex problem requires a many-sided solution that affects patients' behaviour, health workers' approach and changes in how the health service is organised. OBJECTIVES:T...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(04)78910-6
更新日期:2004-09-15 00:00:00
abstract:OBJECTIVE:To compare the effectiveness of two interventions in the treatment of obese patients: hypocaloric diet and hypocaloric diet plus serotoninergic medication. DESIGN:Randomised clinical trial. SETTING:Primary Care. Out-patient Endocrinology clinic. PATIENTS:The trial included 60 obese adults, assigned at rand...
journal_title:Atencion primaria
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1995-10-15 00:00:00
abstract::The aim of the present study was to evaluate the prevalence of certain cardiovascular risk factors in the population of Asepeyo-Elche. The study sample was a working population of 697 persons (71.8% males and 28.2% females) with ages ranging from 15 to 65 years (mean age 34.7 +/- 13.2 years), seen during the first 6 m...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1991-06-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to identify multimorbidity patterns in patients from 19 to 44 years attended in primary care in Catalonia in 2010. DESIGN:Cross-sectional study. SETTING:251 primary care centres. PARTICIPANTS:530,798 people with multimorbidity, aged 19 to 44 years. MAIN OUTCOME MEASURES:Multimorb...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2015.10.006
更新日期:2016-08-01 00:00:00
abstract::Information on pharmaceutical assistance in health care can be obtained from different sources: pharmacies, medical records, market studies, and family interviews. These allow to evaluate whether the consumed drugs were prescribed or directly purchased, if they are stored at home, and the relation between these facts ...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1990-03-01 00:00:00
abstract:OBJECTIVE:To identify health professionals concerns on the organisational issues of a randomised clinical trial. DESIGN:A qualitative cross-sectional, descriptive study. SETTING:Primary Care Area 11, Madrid, Spain. PARTICIPANTS:Twenty-four doctors and nurses from 4 primary care teams. METHOD:Three planning meetings...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/s0212-6567(06)70527-3
更新日期:2006-10-31 00:00:00
abstract::We have evaluated the patients that were referred to the referencie hospital from the emergency service of our health center between July 1, 1988, and June 31, 1989, and we have followed them up after their arrival to the hospital. We had cared for 20,546 emergencies, particularly from internal medicine, pediatrics an...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVES:To determine the level of therapeutic inertia (TI), and the factors associated to the patient, doctor and the health organisation, in hypertensive patients treated in Primary Care (PC). DESIGN:Cross-sectional, multicentre study. SETTING:A sample of PC Teams from all over Spain. PARTICIPANTS:The study was ...
journal_title:Atencion primaria
pub_type: 杂志文章,多中心研究
doi:10.1016/j.aprim.2010.09.030
更新日期:2011-12-01 00:00:00
abstract:OBJECTIVE:To carry out a budget impact analysis (BIA) of olmesartan/amlodipine (20/5, 40/5 and 40/10mg) marketed as a fixed combination (FC) in its approved indication for the National Health System (NHS). DESIG:We developed a decision tree model in order to estimate usual hypertension treatment algorithm in Spanish c...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2010.04.017
更新日期:2011-07-01 00:00:00
abstract::We have evaluated the fulfillment of the aims of an integrated influenza vaccination program for a basic urban health area. We have focused the analysis on the vaccine coverage for age and sex groups, groups of risk modifiers and risk gradient. We have evaluated the most adequate method of call. Overall coverage was 6...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00
abstract:OBJECTIVE:To determine the validity of the Centor score (cervical adenopathy, tonsillar exudate, fever, and absence of catarrh symptoms) in diagnosing streptococcal pharyngitis (gold standard: throat swab). DESIGN:Descriptive study. SETTING:San Fernando 2 Health Centre, Madrid (outer urban area), Spain. PARTICIPANTS...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1157/13107724
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVES:Estimate the differences in the time of arrival at the Intensive Care Unite (ICU) among patients with previous++ infarction versus first infarction ones. DESIGN:Transversal retrospective study. SETTING:General Hospital of Elche. PATIENTS AND OTHER PARTICIPANTS:622 diagnosed of infarction between 1984-1990...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1993-10-15 00:00:00
abstract:OBJECTIVE:To describe the process of development of community health in a territory where the Primary Health Care board decided to include it in its roadmap as a strategic line. DESIGN:Evaluative research using qualitative techniques, including SWOT analysis on community health. Two-steps study. LOCATION:Primary care...
journal_title:Atencion primaria
pub_type: 杂志文章
doi:10.1016/j.aprim.2015.10.009
更新日期:2016-12-01 00:00:00