Abstract:
OBJECTIVE:Among the lesions produced by the professional use of the voice since 2007, the Vocal Nodules (VN) are recognized in Spain as an Occupational Disease. With the aim of promoting its notification in Navarre, the Sentinel Program was incorporated in 2013 and, with this study, we seek to verify its efficacy. METHODS:The study population were voice professionals reported for dysphonia as sentinel events during the years 2013 to 2015 in Navarre. Its effectiveness was validated by the cumulative incidence of 100,000 workers for each of the years and Positive Predictive Value as an indicator of suspicion. The declaration was verified as an occupational disease. RESULTS:In the period April 2013 to December, 110 cases were reported, 71 nominal and 39 non-nominal. The annual incidence increased from 9.0 cases per 100,000 to 13.4. Of the cases investigated, 63 were women and 8 men. The mean age was 40.8 years (38.5-43.1 95% CI). 58 cases (81.7%) corresponded to teachers. In 22 of the 71 nodules (31%) and 9 coincidences were notified as an occupational disease. We found a greater presence of nodules in professionals with extra work use of voice (OR 4.2 IC 1.3-14.3) and better evolution of pathologies other than VN (OR = 2.5 CI 1.1-5.8 ). The suspicion was confirmed as occupational in 54 cases (positive predictive value 76.1%). CONCLUSIONS:The centinel program is effective in reporting dysphonia although it is important to highlight the low declaration as occupational disease of the cases detected. OBJETIVO:De las lesiones producidas por el uso profesional de la voz, los nódulos de cuerdas vocales (NCV) se reconocen en España como enfermedad profesional desde el año 2007. Con el objetivo de fomentar su notificación en Navarra se incorporaron en el año 2013 al sistema centinela del Instituto de Salud Pública y Laboral de Navarra (ISPLN) las disfonías en personas con uso profesional de la voz. El objetivo de este estudio fue comprobar la eficacia de este programa. METODOS:La población a estudio fueron los profesionales de la voz notificados por disfonía como sucesos centinela durante los años 2013 al 2015 en Navarra. Se validó la eficacia del sistema mediante el cálculo de la incidencia acumulada por 100.000 trabajadores para cada uno de los años y el valor predictivo positivo como indicador de sospecha. Se comprobó la declaración como enfermedad profesional. RESULTADOS:En el período abril 2013 diciembre 2015 se notificaron 110 casos, 71 nominales y 39 no nominales. La incidencia anual se incrementó de 9,0 casos por 100.000 a 13,4. De los casos nominales, 63 fueron mujeres y 8 hombres. La media de edad fue 40,8 años (38,5-43,1 IC 95%). 58 casos (81,7%) correspondieron a docentes. En 22 de los 71 casos se diagnosticaron nódulos (31%) y hubo 9 casos con partes de enfermedad profesional. Encontramos mayor presencia de nódulos en profesionales con uso extralaboral de la voz (OR 4,2 IC 1,3-14,3) y mejor evolución de las patologías diferentes a NCV (OR=2,5 IC 1,1-5,8). Se confirmó la sospecha como laboral en 54 casos (Valor Predictivo Positivo 76,1%). CONCLUSIONES:El sistema centinela es eficaz para la notificación de disfonías, aunque es importante destacar la baja declaración como enfermedad profesional de los casos detectados.
journal_name
Rev Esp Salud Publicajournal_title
Revista espanola de salud publicaauthors
Arrizabalaga Baigorri S,García López Vsubject
Has Abstractpub_date
2017-07-07 00:00:00eissn
1135-5727issn
2173-9110journal_volume
91pub_type
杂志文章abstract:OBJECTIVE:Hospital costs associated with Chronic Hepatitis C (HCC) arise in the final stages of the disease. Its quantification is very helpful in order to estimate and check the burden of the disease and to make financial decisions for new antivirals. The highest costs are due to the decompensation of cirrosis. METHO...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2018-04-23 00:00:00
abstract::Performance measurement, in their different meanings--either balance scorecard or outputs measurement--have become an essential tool in today's organizations (World-Class organizations) to improve service quality and reduce costs. This paper presents a performance measurement system for the hospital supply chain. The ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2001-07-01 00:00:00
abstract::Although various measures have been implemented in Spain with the aim to modifying the behavior of motor vehicle users, it has not been observed a descending trend in traffic accident and injuries from traffic accident. This article considers the question of whether the measures taken to reduce motor vehicle crash-rel...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2002-03-01 00:00:00
abstract:BACKGROUND:The evaluation of the process is an essential condition to correctly measure the impact of educational interventions on behaviour, its psychosocial determinants and the state of change, in the context of health promotion. The aim was to evaluate the quality of the implementation of the FAPACAN Programme, des...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
abstract:BACKGROUND:the prevalence of chronic viral hepatitis in Spain could vary because of the immigrants coming from countries having an elevated with a higher endemicity of hepatitis B and C virus. Hepatitis B and hepatitis C virus infections are an important health problem worldwide taking into account their chronic conseq...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.4321/S1135-57272014000600012
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVE:Only very few instruments have been developed to assess sexual knowledge and practices. Most of the research to date has been carried out with adolescent samples, but not with university students, who are also at a particularly risky stage. The aim of this study was to design and validate a brief questionnair...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2018-06-01 00:00:00
abstract::Not only are there large number of guides, protocols and other support tools available for the clinical decision-making process in the Spanish National Health System, but there is also a major degree of variability among them, reflecting inconsistencies and low quality of those documents. This study is aimed at conduc...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272004000400004
更新日期:2004-07-01 00:00:00
abstract::In March 2020, the World Health Organization declared the 2019 coronavirus disease (COVID-19) outbreak a pandemic, with the coronavirus disease spreading worryingly fast. In this context, information systems, digital health (electronic health, mobile health), the Internet of things, play a key role, since they can con...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2021-01-21 00:00:00
abstract:BACKGROUND:Most patient classification systems have been designed in the United States for the purpose of availing of a tool providing a means of gauging the use of resources. This study was aimed at calculating the mean relative weights (MRW's) for the cost of care at several primary care health facilities as compared...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272006000100006
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Research concerning the prevalence of Parkinson's disease in our community was scarce. In addition, this had been carried out using different methodologies. Therefore it was not possible to determine its true impact on public health in our community. Research into the consumption of specific and compulsory d...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1995-11-01 00:00:00
abstract:OBJECTIVE:Terminal patients and their relatives must know their real situation, and be treated according to the principle of autonomy, to establish therapeutic objectives adapted each one, according to their needs and decisions. The objective of this study is to identify the sufficient existence of records in the Medic...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-05-05 00:00:00
abstract:BACKGROUND:Calcium supplements and vitamin D are involved in current debates of health, as cardiovascular safety of calcium, and correction of vitamin levels. The aim is to review the possibilities of making better use of supplements marketed in Spain, depending on their availability, information and related epidemiolo...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,评审
doi:10.4321/S1135-57272012000500002
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVE:Ocular infections caused by human adenovirus are highly contagious and can cause outbreaks, especially in nursing homes. In this work, we describe the epidemiological and analytical research as well as the control measures carried out for a conjunctivitis outbreak. METHODS:Descriptive epidemiological study. ...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2020-09-08 00:00:00
abstract:BACKGROUND:To determine the short-term impact of air pollution on mortality in the city of Valencia throughout the 1994-1996 period by employing the analysis method of the Spanish multicenter study with regard to the relationship between air pollution and the mortality (EMECAM Project). METHODS:The daily levels of bla...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,多中心研究
doi:
更新日期:1999-03-01 00:00:00
abstract:BACKGROUND:Olive oil, as fundamental fat in the Mediterranean diet, has contributed to a decrease in obesity in several epidemiological studies. It is unknown whether olive oil itself can decrease the weight independently of the diet used. The objective of this work was to determine the efficacy of olive oil in reducin...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章,meta分析
doi:
更新日期:2018-11-21 00:00:00
abstract:BACKGROUND:This study assesses the effectiveness of the palliative home care for the purpose of ascertaining whether terminal cancer patients treated by Homecare Support Teams have a better quality of life than those treated by Primary Care Teams. METHODS:A quasi-experimental prospective study conducted in Madrid Heal...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
abstract:BACKGROUND:Tuberculosis continues to be a major public health problem. Knowing the incidence, trend and geographical spread of reported tuberculosis may serve to evaluate the prevention and control measures implemented and point to further needs. METHODS:Retrospective study of the reported cases of tuberculosis in the...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2002-05-01 00:00:00
abstract:BACKGROUND:During the summer of 2009, Spain experienced the circulation of the novel influenza (H1N1)2009 virus, beyond the usual period of influenza activity, increasingly evolving up to the presentation in the early autumn of the first wave of the pandemic virus. The objectives of this study are to describe the evolu...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272010000500009
更新日期:2010-09-01 00:00:00
abstract::The following article shows the evolution of the schools contribution to the Health Education of children and young people. Moving on from the traditional concept of health, today, Health Education has a general and global meaning, which encompasses all of the physical, psychological and social aspects of health. Thes...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2001-11-01 00:00:00
abstract:BACKGROUND:Diabetic Education is a basic part of treating Diabetes Mellitus and is intended to improve a patient's quality of life. An analysis was made of the effectiveness of a diabetic education program at the Algeciras Regional Hospital. METHODS:Results achieved by the Diabetic Education Unit were measured accordi...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:The aim of this study was to evaluate the screening strategy (quantitative immunological test vs biochemical test) in a population-based screening program for colorectal cancer (CRC) in Catalonia. METHODS:The fourth round of a screening program for CRC with a fecal occult blood test was implemented in Hospi...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/S1135-57272011120000008
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:In order to move to a system in which formal medical-social care is a priority, in which the institutions play a greater role, it is advisable to analyze the different actual situations of those individuals who are dependent. The objective of this study consists of classifying the dependent Spanish populatio...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/s1135-57272006000400005
更新日期:2006-07-01 00:00:00
abstract:BACKGROUND:Regular physical exercise is not a widespread habit among the population. Early childhood in a crucial stage for acquiring this habit. The objective of this study was that of ascertaining the behavior of school-age children with regard to the degree of physical activity they do and to examine the factors inv...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1998-05-01 00:00:00
abstract:BACKGROUND:Physical inactivity remains a public health problem worldwide. The purpose of this study was to determine compliance with physical activity (PA) recommendations developed by the World Health Organization (WHO) and to analyze the association with different cardiovascular risk factors (CVRF) and sociodemograph...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.4321/S1135-57272015000500003
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:The purpose of this work is to analyze the fertility of the hydatid cysts from ovine, animal species of great epidemiological interest in the hydatid disease, and the ability of the gerbil (Meriones unguiculatus) as model experimental for the study "in vivo" of this hidatyd disease as preliminary phase of th...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1997-09-01 00:00:00
abstract:BACKGROUND:To identify epidemiological aspects of the osteoporotic hip fractures (OHF) in the province of Zamora in 1993, and the basic and standardised accumulative incidence rates amongst the Spanish population. METHODS:215 OHF cases were studied in the province throughout 1993, 203 were admitted to hospital, 188 of...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:1997-07-01 00:00:00
abstract:OBJECTIVE:The Basque Government (Spain) approved a population based Colorectal Cancer Screening Programme in 2008 with its base on Primary Healthcare. Since then, a coverage of 100% of the population and an average participation rate of 68.4% have been achieved. General Practitioners and nurses play a central role on i...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:
更新日期:2021-01-26 00:00:00
abstract:BACKGROUND:The aim of this study was to analyze the impact on tobacco consumption among working population of the Law 42/2010, which amends smoking regulations in Spain. METHODS:Data were obtained from 413,473 Occupational Health check-ups, conducted between July of 2009 and June of 2011, in the Society for Prevention...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/S1135-57272012000200006
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:Directive 98/8/EC harmonizes and regulates in the European market authorization and registration of biocides and establishes a period of 14 years for review of active substances. This study analyzes the most significant changes produced in the registry of biocides used as disinfectants registered since the p...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.1590/S1135-57272011000200006
更新日期:2011-03-01 00:00:00
abstract::The spread of Aedes albopictus by Eastern Spain has been constant since its first finding in 2004. Currently the species has been collected in the coastal provinces of Girona, Barcelona, Tarragona, Castellón, Alicante and Murcia. The high synanthropism of the species, together with its anthropophilic behaviour and vec...
journal_title:Revista espanola de salud publica
pub_type: 杂志文章
doi:10.4321/S1135-57272012000400002
更新日期:2012-07-01 00:00:00