Abstract：
OBJECTIVES:To assess the usefulness of measuring in primary care the intraocular pressure (IOP) of diabetics as a glaucoma screening test, validating the Schiörtz tonometer for this end. To analyse the prevalence of glaucoma and associated risk factors in our diabetic population. DESIGN:An observational crossover study. SETTING:Primary Care. Concentaina Health Centre. PATIENTS:144 patients in our centre's diabetes mellitus health programme. MEASUREMENTS AND MAIN RESULTS:There were 31 cases of IOP over 20 mmHg measured with the Schiörtz tonometer, on whom the ophthalmologist repeated the measurement with the Perkins tonometer, i.e. viewing the back of the eye to confirm the existence of papillary cupping consistent with the presence of Glaucoma. We chose a group with normal IOP, homogeneous with the group with high IOP to validate the Schiörtz tonometer, using as confirmation the results obtained by the ophthalmologist with the Perkins tonometer; and as confirmation in the detection of glaucoma, finding papillary excavation in the binocular ophthalmoscopy. Prevalence of glaucoma was 11%, which was 75% in the newly diagnosed cases. The positive predictive value of the Schiörtz tonometer in detecting increases in IOP was 87.1%, and with respect to the detection of glaucoma, it was 35.5%. CONCLUSIONS:The high prevalence of glaucoma in diabetic patients justifies the systematic study of this risk factor. The Schiörtz tonometer is a useful and valid method, that can be used in primary care for glaucoma screening in this population group.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Sarrión Ferre MT,Hervás JM,Blanquer Gregori JJ,Mulet Pons MJ,Marín Rueda N,Barea Montoro Asubject
Has Abstractpub_date
1996-01-01 00:00:00pages
18-22issue
1eissn
0212-6567issn
1578-1275journal_volume
17pub_type
临床试验,杂志文章abstract：OBJECTIVES:Ascertain what effect post-natal visits have on recruiting involvement in the mother and child programme of activities. Identify the profile of mothers and children with little involvement in these activities. Ascertain how suitable the register is. DESIGN:Study of cohorts of previous years. The term expose...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-09-15 00:00:00
abstract：OBJECTIVE:To estimate the importance of the working environment in sickness absence, as well as to show possible relationships with clinical-work variables. DESIGN:A descriptive observational study. SITE: Medical Inspection of an Andalusian province. PARTICIPANTS:A total of 1016 workers on certified sick leave due to...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2017.03.011
更新日期：2018-04-01 00:00:00
abstract：OBJECTIVE:To find the relevance of analytic tests requested by the Primary Care doctor. DESIGN:A descriptive crossover study. Relevance was decided by the definition of criteria through consensus techniques. SETTING:Three urban Health Centres in Area 4 of the City of Valencia. PARTICIPANTS:All the requests for analy...
journal_title：Atencion primaria
pub_type： 杂志文章,多中心研究
doi：
更新日期：1996-06-30 00:00:00
abstract：:To assess the prevalence of the hepatitis B virus carrier status in pregnant women from the population of Alicante and to evaluate the need of screening studies in future programs of attention to pregnant women, 550 women at the final stage of their pregnancies who were admitted to the Alicante Hospital were evaluated...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1989-04-01 00:00:00
abstract：:A sample of 360 people was analyzed. They had received the protocol of preventive activities of the "Unitat Docent de Medicina Familiar i Comunitària de Barcelona" during 1989. The results of those activities directed to the prevention of cardiovascular risk and to the detection of excessive alcohol intake are reporte...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1991-04-01 00:00:00
abstract：OBJECTIVE:Preparation of a map of medication errors reported by health professionals outside hospitals within the framework of Medication Errors Reporting for the Community of Madrid during the period 2008-2009. DESIGN:Retrospective observational study. LOCATION:Notification database of medication errors in the Commu...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2010.10.003
更新日期：2011-12-01 00:00:00
abstract：OBJECTIVES:To assess the impact of the Law 42/2010, on the health measures on smoking, on the prevalence of the exposure to environmental tobacco smoke (ETS), the repercussions in frequently visited places, and support of the new legislation. DESIGN:A before-after evaluation by comparing two cross-sectional studies th...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2012.02.010
更新日期：2012-10-01 00:00:00
abstract：OBJECTIVE:To describe a method of carrying out an early detection programme (EDP) for breast cancer in a health area, as a coordinated activity between the primary care teams (PCTs) and specialist care. DESIGN:A descriptive, longitudinal study. SETTING:Area II of the Principality of Asturias. This is a predominantly ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-10-31 00:00:00
abstract：OBJECTIVE:Empathy is one of the basic skills in medicine that promotes better doctor-patient relationship, best professional competition and less professional stress. We don't found studies in our area. This study aims to measure the degree of empathy in medical students in our area and associated factors. DESIGN:Cros...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2014.12.012
更新日期：2016-01-01 00:00:00
abstract：AIMS:To determine the attitudes of community-dwelling elderly patients about the possibilities for cure of urinary incontinence. DESIGN:Cross-sectional study. INTERVENTIONS:A specific questionnaire on urinary incontinence and the Barthel Index Modified by Shah. LOCATION:Basic Health Zone of Cabra (Córdoba, Spain). ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78708-7
更新日期：2000-10-31 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 assess the precision of the Sickness Certificate (SC) issued for Temporary Unfitness for Work (TUW). To measure the percentage of TUW where the diagnoses in the medical records and in the TUW Sickness Certificate do not coincide. To seek objective criteria to determine TUW. DESIGN:A descriptive, prospecti...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1993-05-31 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 identify and analyse the "theory" expressed by family doctors on the essential features of an effective and functional doctor-patient relationship and on how to achieve one ("stated theory" of Argyris and Schon). DESIGN:Qualitative, based on discourse analysis. SETTING:Primary care. METHOD:Interviews re...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13106284
更新日期：2007-06-01 00:00:00
abstract：OBJECTIVES:To describe the type of relationship between primary care family doctors (PCDs) and the pharmaceutical industry (PI) and its representatives in Aragon, to describe doctors' attitudes to this relationship and to find out how doctors behave towards offers from the industry. DESIGN:Descriptive cross-sectional ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(04)70840-9
更新日期：2004-09-30 00:00:00
abstract：OBJECTIVE:For purposes of the present study of people over 65 attending a particular Health Centre, we aimed to discover and inter-relate their morbidity due to chronic illnesses, their frequency of attendance, and the total average outlay of drugs on them. DESIGN:Descriptive crossover study. Information on the clinic...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1992-07-01 00:00:00
abstract：OBJECTIVES:To analyze the degree of utilization of generic drugs in Spain and Catalonia. To determine real savings and scope for further savings due to the use of generic drugs. DESIGN:Descriptive, crossover study. SETTING:Public health prescription in Spain and Catalonia in June of 1999 and in Catalonia from January...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78649-5
更新日期：2000-09-15 00:00:00
abstract：OBJECTIVES:To find whether the variables age, gender, speciality, training and type of contract of primary care doctors, as well as the size of their patient lists and the sort of centre where they work, affect their absenteeism, as measured by time off work sick. DESIGN:An observational, crossover study. SETTING:Nou...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1996-03-15 00:00:00
abstract：OBJECTIVE:To evaluate the effectiveness of the implementation of a mindfulness and self-care program to treat common mental health disorders in primary care. DESIGN:Quasi-experimental non-controlled, non-randomised study, with repeated measurements. SETTING:Seven health centres, in area v of the Principality of Astur...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2019.05.015
更新日期：2020-01-01 00:00:00
abstract：OBJECTIVE:To analyse the appropriateness of specific immunotherapy treatment (IT) to indications based on scientific evidence. DESIGN:Cross-sectional, descriptive study. SETTING:Primary care in a health district of about 12,000 inhabitants. PATIENTS:166 patients for whom IT was prescribed in the period between Janua...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/s0212-6567(00)78635-5
更新日期：2000-07-01 00:00:00
abstract：OBJECTIVE:To study the association between the potential inappropriate prescriptions (PIP) and the 30 and 180-day adverse event rate after discharge from a Short Stay Unit (SSU). METHODOLOGY:A retrospective cohort observational study was conducted on patients aged ≥75years discharged from an SSU from February to April...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1016/j.aprim.2017.03.018
更新日期：2018-10-01 00:00:00
abstract：OBJECTIVE:To evaluate the prescription of generic medicines by the primary care doctors in a health district after an intervention programme conducted by the area pharmacist. DESIGN:Intervention study. Two indicators were selected as indicators of pharmaceutical prescription of generics. SETTING:Primary care. Distric...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：10.1157/13087380
更新日期：2006-04-30 00:00:00
abstract：OBJECTIVES:To find out whether the system for issuing prescriptions is linked to the therapeutic compliance and control of the blood pressure of a group of hypertense patients, and to quantify compliance with hypertension treatment through an indirect measurement method (counting pills). DESIGN:Crossover, descriptive ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1999-09-30 00:00:00
abstract：OBJECTIVES:To find the evolution of consumption of self-analysis material used to control Diabetes (reactive strips of glucose) and the costs involved, in the metropolitan area of Málaga from July 1994 to the first quarter of 1996. DESIGN:Descriptive retrospective study. SETTING:Metropolitan area of Málaga (580, 586 ...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-02-15 00:00:00
abstract：OBJECTIVE:To describe trends and geographical distribution of breast cancer mortality in Andalusian women between 1976 and 1995. DESIGN:Descriptive study. SETTING:Andalusia. PATIENTS AND OTHER PARTICIPANTS:Deaths from breast cancer during the period 1976 to 1995 were obtained. MEASUREMENTS AND MAIN RESULTS:The foll...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1997-10-15 00:00:00
abstract：OBJECTIVE:Principally, to establish the prevalence of xerostomia in the general population and, second, to find the association of xerostomia with the consumption of tranquillizers and anti-depression, anti-allergy, anti-Hypertension and hypnotic drugs. DESIGN:A crossover study of prevalence. SETTING:The urban area o...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1998-03-15 00:00:00
abstract：OBJECTIVES:To evaluate our patients' knowledge of the effects of excess drinking; b) to compare this with their awareness of the effects of their day-to-day drinking habits. DESIGN:Descriptive, randomized, cross-sectional questionnaire-based study. Information on alcohol consumption was obtained from medical records. ...
journal_title：Atencion primaria
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0212-6567(03)79313-5
更新日期：2003-11-15 00:00:00
abstract：OBJECTIVE:To evaluate the dynamics and establish the emotional map of 8 primary care teams. DESIGN:Descriptive, cross-sectional and multi-site study. SETTING:Primary care centers in Granada, Cádiz and Málaga, Spain. PARTICIPANTS:Simple random sampling of 8 health centers and 272 primary care professionals. MAIN MEA...
journal_title：Atencion primaria
pub_type： 评论,杂志文章,多中心研究
doi：10.1016/j.aprim.2008.09.007
更新日期：2009-02-01 00:00:00
abstract：:Eight cases of monoclonal gammapathy of uncertain significance are reported. They were detected from routine analysis in patients from the general population who consulted for several diseases to a primary care center. One patient developed multiple myeloma and the rest remained stable. As there is no effective method...
journal_title：Atencion primaria
pub_type： 杂志文章
doi：
更新日期：1990-01-01 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
