Luis A Pérula

Luis A Pérula
University of Córdoba | UCO

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39
Publications
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Introduction
Eficacia de intervenciones preventivas en atención primaria Comunicación y salud Educación médica Validación de instrumentos de medida

Publications

Publications (39)
Article
Objective This study explores whether an Experiential Training Programme (ETP) in communication skills (CS) improves students' ability to identify patients clues compared to those who follow a non-experiential training throughout their medical studies. Method Intervention Group (IG): 85 4th-year medical students who received the ETP and Control Gr...
Article
Full-text available
Objective: To evaluate whether a training program offered by family physicians in the official medical curriculum on principles and strategies to help patients change risk behaviours (HPCRB), produces changes in perceptions, opinions, and attitudes regarding this type of intervention. Design: Quasi-experimental before-after study. Setting: A S...
Article
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Objective: To examine the degree of knowledge and management of automated devices for office blood pressure measurement (AD), home blood pressure monitoring (HBPM) and ambulatory blood pressure monitoring (ABPM) in primary care in Spain. Methods: Online self-administered survey sent between May 2016 and February 2017 to 2221 primary-care physici...
Article
Introduction: The objective of the present study is to study the prevalence, as well as the clinical and epidemiological characteristics of hypothyroid disease in adults using the computerised clinical records. Material and methods: Observational, descriptive and cross-sectional study. The target population was the patients of the health centres...
Article
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Objective: To evaluate the acceptability and feasibility of the opportunistic search of HIV according to primary care doctors' experience. To set up the profile of the physician involved in this study. Design: Observational, transversal study. Location: Primary Care Centers of the National Health System. Participants: General practitioners a...
Article
Resumen Objetivo La litiasis renal se asocia con trastornos hormonales y metabólicos, factores comunes a la disfunción eréctil. Algunos trabajos han estudiado la asociación entre la disfunción eréctil y la urolitiasis; sin embargo, los datos son todavía escasos. El objetivo del presente estudio fue estudiar la asociación entre la disfunción erécti...
Article
Objectives: To increase medical students' ability to detect contextual and emotional cues and to respond empathetically to patients. Methods: a training course in communication skills and patient-centered care with different teaching activities (didactic, reflective and interactive: workshops and encounters with simulated patients) was delivered...
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Resumen Introducción En los pacientes, asegurar una correcta técnica inhalatoria es el principal objetivo para un tratamiento efectivo. Es primordial que el personal sanitario posea los conocimientos necesarios para enseñarles. Sin embargo, los pocos estudios existentes demuestran que los sanitarios presentan conocimientos insuficientes. Objetivo...
Article
INTRODUCTION Atrial fibrillation (AF) is the most frequent arrhythmia in clinical practice and has important prognostic implications. The objective of this study was to demonstrate the validity and the reliability of taking the arterial pulse (TAP) in patients over 65 years for detecting in AF and other rhythm disorders. MATERIALS AND METHODS A de...
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Objective: To assess the acceptability of opportunistic search for human immunodeficiency virus (HIV). Design: Cross-sectional, observational study. Location: Primary Care Centres (PCC) of the Spanish National Health Care System. Participants: patients aged 18 to 65 years who had never been tested for HIV, and were having a blood test for ot...
Article
Peripheral artery disease in the lower limbs (PAD) is a prevalent condition that entails high morbidity in diabetic patients; this study assesses PAD in these patients and its socio-demographic and clinic associated variables.
Article
Introduction Peripheral artery disease in the lower limbs (PAD) is a prevalent condition that entails high morbidity in diabetic patients; this study assesses PAD in these patients and its socio-demographic and clinic associated variables. Material and methods Descriptive study in a systematic sample of diabetic patients (DM2) aged 50-80 years, in...
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Background: Adolescence is a critical time for the establishment of healthy eating habits. The objective was to analyze food consumption patterns among adolescents and their relationship with family and social factors. Methods: Multicentre observational cross-sectional descriptive study using a food frequency questionnaire for the last week. It...
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Background. Adolescence is a critical time for the establishment of healthy eating habits. The objective was to analyze food consumption patterns among adolescents and their relationship with family and social factors. Methods. Multicentre observational cross-sectional descriptive study using a food frequency questionnaire for the last week. It was...
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Objective: To translate and adapt the Medication Appropriateness Index (MAI) to our country's context, and assess the internal consistency and test-retest reliability. Methods: Observational validation study of questionnaire. After translating and adapting the questionnaire, a study was piloted in 12 elderly patients over 65 years. Assessments were...
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Full-text available
Objective: To determine the effectiveness of a multifactorial intervention program to prevent falls among older adults as compared with a brief intervention. Design: Randomized controlled trial. Setting: Eleven health centers located in Córdoba, Spain. Participants: People over 70 years old (N=404), who are residents in the community. Inter...
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The non-pharmacological approach to cholesterol control in patients with hyperlipidemia is based on the promotion of a healthy diet and physical activity. Thus, to help patients change their habits, it is essential to identify the most effective approach. Many efforts have been devoted to explain changes in or adherence to specific health behaviors...
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Full-text available
Objective: To reduce vascularisation before surgery through the application of topical vasoconstrictors, decreases the rate of intraoperative bleeding, improves the dynamics of the surgery and reduces the difficulty in surgical performance. Methods: Only patients with primary pterygium were included in the study. A prospective randomized clinical t...
Article
Objectives Calculate the prevalence of domestic violence (DV) in patients seen in health care centers, based on socioeconomical level, and the relationship existing with the degree of family cohesion. Material and methods Observational study of prevalence, two basic health zones (BHZ), 167 individuals of both genders, ages between 18 to 65 years,...
Article
Introduction. The Spanish Family Medicine National Joint Commission is proposing a new trainee evaluation system type portfolia In Spain, there is not previous experience that can guide about how this kind of formative assessment can be developed and we do not known about its usefulness in the trainees education. Materials and methods. Qualitative...
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Full-text available
To use transcranial Doppler (TCD) sonography to determine if patients with migraine without aura have interictal hemodynamic abnormalities compared with patients who have episodic tension-type headache (TH). Thirty-six migraine patients without aura and 51 TH patients (age range, 16-50 years) who were diagnosed according to the criteria of the Inte...
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Chronic diseases represent a challenge for health systems and the professionals most involved in chronic care. Despite biomedical advances, the results of care for chronic problems are not as good as they should be. To find out what doctors and patients think of care for some of the main chronic illnesses; to detect concrete areas of deficit and la...
Article
Background Chronic diseases represent a challenge for health systems and the professionals most involved in chronic care. Despite biomedical advances, the results of care for chronic problems are not as good as they should be. Objective To find out what doctors and patients think of care for some of the main chronic illnesses; to detect concrete a...
Article
Aim To determine the effectiveness of medical counseling for alcohol abuse, when it is provided in primary care centers. Design Quasi-experimental, open, multicenter before-after study. Setting 14 primary care physician's practices (7 rural, 7 urban) in the province of Córdoba (Spain). Participants 306 patients of both sexes, recruited with a ca...
Article
Background: To determine alcohol consumption amongst schoolchildren, and to discover the factors which are associated with the said consumption Methods: a cross-sectional study, by means of a health questionnaire administered to 548 schoolchildren in the 6th and 8th years of Primary Education (EGB) in schools within the Basic Health Area of Cordoba...
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Full-text available
FUNDAMENTO: Determinar el consumo de alcohol entre los escolares y conocer los factores que se encuentran asociados a dicho consumo. MÉTODOS: Estudio transversal, por encuesta de salud a 548 escolares de 6º y 8º de Enseñanza General Básica de los colegios de una Zona Básica de Salud de Córdoba, con un promedio de edad de 12,4 años (límites:10-15 añ...
Article
Objective: To estimate the prevalence, reasons and the pattern of drug use among teenager students. Design: An observational cross-sectional study. Setting: Teenagers at high schools in Cordoba (N=11.28). Participants: 1103 subjects random selected by multietapic sampling. Interventions: A self- report questionnaire. Results: The smoker prevalence...
Article
One hundred and thirty-six patients attending for local anaesthetic procedures in the trigeminal area were assigned to four groups. Each group was injected with the anaesthetic solution at temperatures 10 degrees C, 18 degrees C, 37 degrees C and 42 degrees C, respectively. Measurement of pain during injection was made on a numeric scale. The resul...
Article
The massification of pediatric hospital emergency departments (PED) is due to bad use of the same by a large number of users. The causes related with this inadequate use have not been properly evaluated. A sample representative of the population demanding medical care in a PED of a regional hospital was studied with the motives and sociodemographic...
Article
BACKGROUND: The massification of pediatric hospital emergency departments (PED) is due to bad use of the same by a large number of users. The causes related with this inadequate use have not been properly evaluated. METHODS: A sample representative of the population demanding medical care in a PED of a regional hospital was studied with the motives...

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