Luis Palomo

Luis Palomo
Cáceres Central Health Center · Primary care

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122
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Publications

Publications (122)
Article
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22 nº 161 • Febrero 2022 salud2000 / SALUD PÚBLICA Resumen Los países con mayor proporción de su pobla-ción vacunada frente al coronavirus Sars-Cov-2 tienen tasas de mortalidad por la enfermedad mu-cho más bajas. También son más bajas las tasas de hospitalización y de ingresos en UCI. Para mante-ner y aumentar la confianza en la vacuna es nece-sari...
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Resumen Objetivo: Describir la experiencia de la atención sanitaria a pacientes con sospecha de COVID-19 en un centro de salud tipo durante el periodo de alarma. Diseño: Estudio observacional retrospectivo. Emplazamiento: Centro de salud “Zona Centro” de Cáceres. Participantes: Pacientes consecutivos atendidos por sospecha de infección COVID-19 del...
Article
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Casos sospechosos y confirmados de Covid-19 atendidos en una unidad de atención primaria. Diferencias entre atendidos en residencias y el resto y esfuerzo asistencial en 2 meses
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Resumen: La hipertensión arterial (HTA) es el principal factor de riesgo cardiovascular modificable. La HTA se puede relacionar con el consumo elevado de sal. Para medir la ingesta no todas las encuestas de alimentación son comparables y válidas. El procedimiento de referencia para valorar la ingesta de sal consiste en medir la excreción urinaria d...
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Resumen Introducción y objetivos Comparar el rendimiento de distintas funciones de riesgo cardiovascular propuestas para España, a partir del seguimiento de una cohorte poblacional de Extremadura, con el fin de proporcionar pruebas que respalden su uso. Métodos Se aplicaron las funciones REGICOR y FRESCO CI para la predicción de la cardiopatía is...
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Introduction COPD is a highly prevalent but underdiagnosed disease, due to the limited availability of forced spirometry (FS) in primary care (PC). Microspirometers are inexpensive, easy-to-use devices that can measure FEV6 and FEV1/FEV6, and may help reduce underdiagnosis. The aim of this study was to validate the Piko-6 COPD screening device by d...
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Introduction: COPD is a highly prevalent but underdiagnosed disease, due to the limited availability of forced spirometry (FS) in primary care (PC). Microspirometers are inexpensive, easy-to-use devices that can measure FEV6 and FEV1/FEV6, and may help reduce underdiagnosis. The aim of this study was to validate the Piko-6 COPD screening device by...
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Background: The MPOWER strategy encourages suitable monitoring of the tobacco epidemic among health professionals in all countries. Objective: To analyse the prevalence of and attitudes towards tobacco use among Spanish health professionals. Methods: A study was conducted based on an online survey. The study population consisted of health prof...
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Background: The influence of socioeconomic development is often disregarded in epidemiological studies into the prevalence of cardiovascular risk factors. Aim: To analyse the relationship between major cardiovascular risk factors and socioeconomic indicators. Design and setting: Cross-sectional, population-wide study in primary care practices...
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Home care is essential for dependent persons, in order to support the high levels of morbidity, for the elderly as well as their caregivers, as it enables patients to remain in their familiar environment as long as possible, fulfilling the wish expressed by most of the population. Home care is the activity that best represents the essential attribu...
Article
Home care is essential for dependent persons, in order to support the high levels of morbidity, for the elderly as well as their caregivers, as it enables patients to remain in their familiar environment as long as possible, fulfilling the wish expressed by most of the population. Home care is the activity that best represents the essential attribu...
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Objective: To determine the degree of implementation of recommended safety practices in the design and use of automated medication dispensing cabinets (ADCs) in Spanish hospitals. Methods: A descriptive study based on completion of the "Self- Evaluation Survey on the Safety of Automated Medication Dispensing Systems" from 10/10/2012 to 4/10/2013...
Article
Objetivo. Analizar la relación de la mortalidad de los enfermos crónicos recluidos en su domicilio con el riesgo de muerte predicho por el médico y con otras variables. Diseño. Estudio descriptivo longitudinal. Pacientes. Se estudian 223 pacientes a lo largo de 2 años. Mediciones y resultados principales. Se relaciona la supervivencia con las varia...
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Objective To show the opinions that doctors and nurses express on the organisation and competences of primary care nursing, and on inter-professional relations. Design Qualitative research study based on the group discussion technique known as Philips 66. Setting and participants Three discussion groups, one of nurses, one of doctors and a third...
Article
Objectives To find the number of drinkers, the relationship of their environment to the habit and attitudes to alcohol of Estremaduran children in the eighth year of EGB/second of ESO. Design Crossover descriptive study of a representative sample of the students in these school years. Setting All the schools in our autonomous community. Particip...
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Introduction The prognostic value of enzyme peaks, the sum of the ST segment and reperfusion arrythmias during myocardial infarction remains unclear. Objectives The aim of this study was to relate the early enzymatic peaks, the sum of the ST segment and reperfusion arrythmias after thrombolytic therapy with postinfarction angina, Killip class and...
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Background: The appropriateness of drug prescription is objective of the National Health System for the sanitary and economic repercussions linked. The main objective of this paper is to analyze the appropriateness of drug prescription on patients 65 years or older and identify the most prevalent prescribing errors. Design: Observational, descri...
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Primary care reforms started thirty years ago, but not fully developed their potential. Improvements should be suggested to be accompanied by adequate funding, operational capacity and organization and clinical skills adapt to upgrading and trivialized demand, bureaucracy and medicalization. Organizational-suggested reforms have not shown conclusiv...
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Alcohol has been associated with a lower risk of developing cardiovascular disease. It has been our objective to determine the prevalence of use of alcohol and its association with the presence of cardiovascular risk factors (CRF). Cross-sectional study. Don Benito-Villanueva de la Serena health area (Badajoz). We selected a random sample of 25 to...
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Resumen Objetivos: Determinar la prevalencia de consumo de alcohol por niveles de riesgo y su asocia-ción con la presencia de factores de riesgo cardiovascular (FRCV). Diseño: Estudio descriptivo transversal. Emplazamiento: Área de salud Don Benito-Villanueva de la Serena (Badajoz, España). Participantes: Muestra aleatoria entre 25 y 79 años de eda...
Poster
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La aplicación de incentivos económicos a los médicos que consiguen detener su crecimiento del gasto farmacéutico podría acompañarse también de mejoras en los indicadores de calidad de prescripción. El objetivo de este trabajo es analizar la variabilidad en los indicadores de prescripción de los médicos de atención primaria del área de salud de Cáce...
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Los resultados del consumo de antidepresivos obtenidos del presente estudio apuntan a que es relativamente bajo si se lo compara, por ejemplo, con algunas regiones de España 2. La falta de dispensación pública de antidepresivos en la localidad podría condicionar una falta de tratamiento o subestimación diagnóstica que afectan a los sectores más des...
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To examine the current status of safety practices for medication-use systems in Spanish hospitals and to identify major areas of risk. Those hospitals that completed the "Medication use-system safety self-assessment for hospitals" between June 1 and July 15, 2007, were included in the study. The survey contained 232 items for evaluation grouped int...
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Conocer la situación de las prácticas de seguridad de los sistemas de utilización de medicamentos en los hospitales españoles e identificar las áreas de mayor riesgo.
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To developed an evaluation of primary care (PC) from the analysis of the new differences in PC among the autonomous communities nowadays. Cross ecological study. Spain. The 17 autonomous communities. Indicators of service supplies, diagnostic and therapeutic resolution habilities, access to hospital diagnostic, relationship and access doctor-patien...
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Objectives To developed an evaluation of primary care (PC) from the analysis of the new differences in PC among the autonomous communities nowadays. Design Cross ecological study. Setting Spain. Participants The 17 autonomous communities. Measurements Indicators of service supplies, diagnostic and therapeutic resolution habilities, access to ho...
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This is an open study, with 5 years follow-up, of 502 smokers who received treatment according to their degree of physical nicotine dependence. Those least dependent (BCG) were not given nicotine replacement therapy (NRT), while those with the highest level of dependence (NRTG) used nicotine patches during a 12-week period. A total of 267 subjects...
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As patients live longer, and more illnesses become chronic, comorbidity rates increase. This increase shows in attended morbidity registers, and its importance is revealed by the use of services, treatments, the survival rates and the patients life quality. A frequent coexistence of illnesses, such as diabetes and depression, increases the cost of...
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As patients live longer, and more illnesses become chronic, comorbidity rates increase. This increase shows in attended morbidity registers, and its importance is revealed by the use of services, treatments, the survival rates and the patients’ life quality.A frequent coexistence of illnesses, such as diabetes and depression, increases the cost of...
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This multicenter, community-based, prospective, longitudinal study evaluated the safety of nicotine replacement therapy (NRT), bupropion, and combined therapy of NRT and bupropion for smokers seeking to quit, when these therapies were used under real-world conditions following a smoking cessation program. Participants were smokers aged 18 years or...
Article
ObjectiveTo assess the reliability of smokers' response as criteria for measuring abstinence and the necessity or not of confirming abstinence with carbon monoxide (CO) measurement.Patients and methodsA multicenter, prospective, longitudinal study was carried out on patients over 18 years of age from 5 smoking cessation clinics who underwent treatm...
Article
Objetivo: Valorar la fiabilidad de la respuesta del fumador como criterio de medida de abstinencia y el carácter de prescindible o indispensable de la determinación de monóxido de carbono (CO) para corroborar dicho criterio. Pacientes y métodos: Se ha realizado un estudio multicéntrico, prospectivo y longitudinal en pacientes mayores de 18 años que...
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Full-text available
To assess the reliability of smokers' response as criteria for measuring abstinence and the necessity or not of confirming abstinence with carbon monoxide (CO) measurement. A multicenter, prospective, longitudinal study was carried out on patients over 18 years of age from 5 smoking cessation clinics who underwent treatment with nicotine or bupropi...
Article
Correspondencia: Centro de Salud Plaza de Ángel.Pza. de Ángel, s/n. 1004 Cáceres.España
Article
Scientific advances applied to public health have increased survival of the persons and have improved the quality of human life, but some technological procedures offer reasonable doubts on their efficacy, safety and effectiveness. Thus, inadequate use converts great inventions in poor therapies (statins, for example), sometimes the clinical trials...
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The objective of the study was to evaluate the effectiveness of the pharmacological treatment of tobacco dependence according to the criteria established by SEPAR. Longitudinal, prospective and multicentre study. We included smokers aged more than 18 years who attended 5 smokers clinics and received nicotine replacement therapy (NRT), bupropion or...
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Full-text available
BACKGROUND AND OBJECTIVE: The objective of the study was to evaluate the effectiveness of the pharmacological treatment of tobacco dependence according to the criteria established by SEPAR. PATIENTS AND METHOD: Longitudinal, prospective and multicentre study. We included smokers aged more than 18 years who attended 5 smokers clinics and received ni...
Article
Background and objective The objective of the study was to evaluate the effectiveness of the pharmacological treatment of tobacco dependence according to the criteria established by SEPAR. Patients and method Longitudinal, prospective and multicentre study. We included smokers aged more than 18 years who attended 5 smokers clinics and received nic...
Article
To describe the social environment and to identify the health problems and the functional and mental ability of the elderly in the community. Cross-sectional, observational study by means of a questionnaire. 228 people over 71 and not living in an institution. Cáceres Health Area. Questionnaire on social and demographic details, main pathologies, s...
Article
Introduction We analyze aspects of impor-tance to primary care nursing practice Objective To reveal agreement and discrepan-cies between doctors and nurses on the organiza-tion, functions, efficiency and autonomy of nur-sing staff in primary care Methods A cross-sectional study was performed through a self-administered questionnaire Results Ther...
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La atención primaria en España ha pasado de una etapa de desarrollo florido, en la década de los ochenta, a otra de estancamiento en los noventa, caracterizada por la escasa creatividad, por la rutinización de las tareas y por la puesta en marcha de carteras de servicios y contratos programa. Por otra parte, los recientes cambios en la orientación...
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Arginase activity was measured in serum and biopsy from healthy individuals and colorectal cancer patients. Arginase activity in tumor samples (87 +/- 7.7 U/g tissue) was significantly higher than in controls (40.7 +/- 3.3 U/g tissue). However, serum arginase activity did not show any significant change in both groups. Finally, the micromethod used...
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Primary care in Spain has undergone a burgeoning phase in the 80's, followed by a decade of stagnation in the 90's, with little creativity, a routinisation of tasks, and the set up of service port-folios and program-contracts. On the other hand, the recent changes in the orientation of the research promoted by the health administration, in favor of...
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La atencion primaria ha contado, y cuenta, con el fervor oratorio de los politicos, pero lamentablemente sus palabras no se transforman en hechos. En la practica se toman decisiones que minan lentamente la consecucion de las caracteristicas basicas, porque atenta contra la atencion longitudinal y la estabilidad y confianza mutua en la relacion medi...
Article
The prognostic value of enzyme peaks, the sum of the ST segment and reperfusion arrythmias during myocardial infarction remains unclear. The aim of this study was to relate the early enzymatic peaks, the sum of the ST segment and reperfusion arrythmias after thrombolytic therapy with postinfarction angina, Killip class and mortality during the acut...