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Introduction
Skills and Expertise
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September 2005 - December 2007
September 2001 - September 2005
December 2007 - present
Publications
Publications (77)
The geographical distribution of mortality has frequently been studied. Nevertheless, those studies often consider isolated causes of death. In this work, we aim to study the geographical distribution of mortality in urban areas, in particular, in 26 Spanish cities. We perform an overall study of 16 causes of death, considering that their geographi...
Resumen
Objetivo
Presentar la metodología seguida en el diseño y la implementación de un índice de privación por sección censal, y describir la situación socioeconómica en España en 2011.
Método
La unidad de análisis fue la sección censal (N = 35.960). Los datos proceden del Censo de Población y Viviendas de 2011. Teniendo en cuenta el carácter m...
Introducción: En la preadolescencia se experimentan transformaciones biológicas, sociales y cognitivas que permitirán afrontar las necesidades intelectuales posteriores. El preadolescente con obesidad se enfrenta a mayor riesgo de fracaso escolar y social. Los hábitos de sueño son factores frecuentes y evitables que pueden repercutir sobre la obesi...
Introducción: El horario y la duración del sueño inadecuados son factores comunes y evitables que pueden aumentar el riesgo cardiovascular al promover el incremento del peso y del perímetro abdominal (P.A.), presentando un mayor impacto en niños que en adultos. Objetivos: Estudiar la asociación entre hábitos de sueño, Índice de Masa Corporal (IMC)...
Objectives:
This study aims to review the published literature on the health of the Roma population in Spain, particularly that which describes health interventions and outcomes.
Design:
A scoping review of published articles/reports on Roma population health was carried out in Spain for publications between 2002 and 2014. Articles in Spanish or...
El objetivo de la encuesta es por tanto tratar de contribuir por un lado a conocer
en cierta medida el grado en el que se ha realizado tal proceso de integración de la perspectiva de género al sistema de salud, y por otro a identificar las necesidades formativas del personal sanitario y sus recomendaciones en cuanto a programas y actividades con es...
El presente informe plantea un abordaje de análisis de género de la Cartera de Servicios de Atención Primaria del Servicio Cántabro de Salud –SCS-, ampliando la reflexión al modelo de atención primaria del sistema de salud de Cantabria.
An increase in the mortality due to motor neuron disease (MND) has been reported in Spain over the past 30-40 years. It has been suggested that this increase is due to the cohort effect, but his hypothesis has not been proven.
The motor neuron disease (MND) mortality statistics by age and by gender were furnished from the Spanish National Institute...
INTRODUCCIÓN: El envejecimiento de la población ha producido en las últimas décadas un cambio demográfico sin precedentes que obliga a los sistemas sanitarios a adaptarse, con nuevos modelos organizativos y de provisión de servicios. A esto hay que añadir: una creciente demanda de servicios sanitarios, un rápido desarrollo de las nuevas tecnologías...
This qualitative study was carried out to better understand factors that determine the subjective social status of Latin Americans in Spain. The study was conducted following a theoretical framework and forms part of broader study on subjective social status and health. Ten immigrant participants engaged in semi-structured interviews, from which da...
Objective
To determine the use of area-level socioeconomic indicators in epidemiological studies in Spain.
Methods
We included studies analyzing the association of area-level socioeconomic indicators and health indicators in Spain published in peer-reviewed journals. An electronic search was conducted in PubMed-Medline, SCI-Expanded, SSCI, Embase,...
to explore the relationship between socioeconomic status and subjective social status and explain how subjective social status predicts health in immigrant women.
cross-sectional study based on data from 371 Latin American women (16-65 years old) from a total of 7,056 registered immigrants accesse through community parthers between 2009-2010. Socio...
Desde la Unidad de Obesidad Infantil del Servicio de Pediatría del Hospital Universitario Marqués de Valdecilla hemos desarrollado un programa de tratamiento biopsicosocial para el abordaje del exceso de peso en la etapa infanto-juvenil. En este estudio tratamos de verificar la eficacia de este programa a través de la reducción del Índice de Masa C...
El artículo explora el impacto el estatus socioeconómico y la posición social percibida en la salud de las mujeres inmigrantes latinoamericanas residentes en Cantabria
To assess whether iron and folic acid supplementation reduce the risk of low birthweight (LBW) in women without anaemia.
Case-control study.
University Hospital of Cantabria.
Cases were 322 mothers without anaemia delivering a singleton infant of less than 2500 g. Controls were 934 mothers without anaemia delivering a term non-small-for-gestational...
Objetivo: Comprobar si las variables meteorológicas justifican el gradiente norte-sur en la mortalidad por esclerosis múltiple (EM) en España. Métodos: La tasa de mortalidad por EM ajustada por edad en cada provincia de 1975 a 1998 se correlacionó con la media anual de diferentes variables meteorológicas. Resultados: Las temperaturas mínima, media...
To determine whether weather conditions explain the North-South gradient in multiple sclerosis (MS) mortality described in Spain.
The age-adjusted MS mortality rate by Spanish provinces from 1975 to 1998 was correlated with several climatic variables.
MS mortality was negatively correlated with minimum, average and maximum temperatures, the mean nu...
Spanish women seem to have low cervical cancer mortality rates and some studies suggest the trend is stationary; however, this fact remains unclear because a great number of uterine cancer cases are classified as site unspecified. The main goal in this paper is to study mortality trends due to cancer of the cervix in young Spanish women. The percen...
The CarboMedics "Top-Hat" supraannular prosthesis was designed to permit the implantation of a larger prosthesis. We evaluated the outcome at 10 years in patients with this prosthesis.
Between June 1993 and May 2001, 269 patients (average age, 63.9 years) received a CarboMedics "Top-Hat" supraannular aortic prosthesis. Primary valve replacement was...
The objective of the study reported here was to analyze relationships between levels of air pollutants and emergency admissions for cardiorespiratory disease. Admission data from January 1, 1992, to December 31, 1995, were obtained from the Marques de Valdecilla University Hospital Admission Service; meteorological data (rainfall, temperatures wind...
Objective: To study the impact of competing risks on Hardy-Weinberg equilibrium and their consequences in case-control studies of gene-late onset disease association. Methods: Based on a population born in Hardy-Weinberg equilibrium for a particular gene, the genetic composition when the gene is associated with a lethal early-onset disease and its...
To study the impact of competing risks on Hardy-Weinberg equilibrium and their consequences in case-control studies of gene-late onset disease association.
Based on a population born in Hardy-Weinberg equilibrium for a particular gene, the genetic composition when the gene is associated with a lethal early-onset disease and its consequences on a la...
To study the quality of controlled clinical trials on glaucoma.
Two hundred and twenty-six clinical trials published between 1980 and 1999 were selected from seven international ophthalmological journals. Their quality was assessed by four researchers with epidemiological skills using a structured questionnaire.
Sample size was pre-estimated in 34...
To analyse the geographical distribution of multiple sclerosis in Spain from 1975 to 1998.
Age-adjusted mortality rates by province were obtained by the indirect method using the whole Spanish population as the reference. Then, standardised mortality ratios (SMRs) and their 95% confidence intervals were estimated.
For both men and women, provinces...
Trends of multiple sclerosis mortality in Spain from 1951 to 1997 are examined. Age-adjusted mortality strongly decreased from 3.08 per 100,000 women in 1951-1967 to 0.59 in 1968-1980 (similar figures were obtained for men). This decrease seems to be due to an artifact produced by changes in codification of causes of death. An age-period-cohort ana...
Objetivo: Comparar la calidad de los ensayos clínicos realizados sobre glaucoma, en función de si evalúan la eficacia de tratamientos médicos o quirúrgicos. Método: Se seleccionaron los ensayos clínicos sobre glaucoma publicados en ocho revistas internacionales entre enero de 1980 y diciembre de 1999. Los artículos fueron revisados por investigador...
To compare the quality of clinical trials on glaucoma between those evaluating the effectiveness of medical treatments and those evaluating surgical treatments.
Clinical trials on glaucoma published in seven international journals between January 1980 and December 1999 were selected. The papers were revised by researchers with a background in epide...
The main objective was to analyze the influence of social factors on the interval from diagnosis to treatment in a cohort of 217 patients with digestive tract cancer. From the clinical charts data were obtained for: date of the beginning of illness, dates of medical attendance, type and date of diagnostic tests, characteristics of the disease (symp...
To evaluate the quality of clinical trials on asthma published in Spanish journals in comparison with those published in European or North American English-language journals.
Clinical trials were identified by searching MEDLINE and the Spanish Medical Index (Indice Médico Español), and by manual searches for trials mentioned in the bibliographies o...
Objectives
To evaluate the quality of clinical trials on asthma published in Spanish journals in comparison with those published in European or North American English-language journals.
Method
Clinical trials were identified by searching MEDLINE and the Spanish Medical Index (Índice Médico Español), and by manual searches for trials mentioned in t...
To find out whether bathing in sewage polluted waters implies a danger to bathers' health and to determine the best microbiological indicator to predict the relation between bathing and the appearance of some symptoms.
Cohort study.
City of Santander (north of Spain).
From the people going to four Santander beaches in the period from 1 July to 16 S...
The main objective of this cohort study was to analyze the influence of social factors on the interval from the onset of symptoms to diagnosis in the 217 patients with digestive tract cancer. From the clinical charts, the following information was extracted: date of the beginning of illness, dates of medical attendance, type and date of diagnostic...
To compare the ability of the Study of the Efficacy of Nosocomial Infection Control (SENIC) and the National Nosocomial Infection Surveillance (NNIS) indices to predict the development of nosocomial sepsis in subjects undergoing surgery.
1-year prospective case-control study.
A tertiary-care center in Spain.
Cases were surgical patients with nosoco...
FUNDAMENTO: Analizar el efecto que tiene la elección de una población de referencia sobre diferentes indicadores derivados de las tasas de mortalidad ajustadas por edad. MÉTODOS: Las tasas de mortalidad por diferentes causas de muerte en España de 1971 a 1992 son ajustadas empleando cuatro poblaciones de referencia: poblaciones españolas de 1971 y...
El índice de Gini se ha utilizado como medida de la concentración de diferentes variables, incluyendo los ingresos económicos, la distribución de la mortalidad y la distribución de médicos. Se describe el uso del índice de Gini para medir las desigualdades en la edad de muerte a partir de los datos de mortalidad actuariales. Para ello se emplean lo...
Objective
To analyse lung cancer mortality trend in Spain from 1968 to 1995, distinguishing effects due to environmental and competing factors.
Methods
Age-standardised mortality rates from lung cancer are estimated using a world standard population. A graphical analysis of age, period, and cohort effects is made. Environmental and competing facto...
In order to know the prevalence and risk factors for coinfections by human immunodeficiency virus (HIV), hepatitis B virus (HBV) and hepatitis C virus (HCV) among injecting drug users (IDUs), a cross-sectional study was carried out in two prisons of the province of Cantabria, northern Spain. Three hundred and sixty-two IDU inmates were recruited. A...
FOUNDATIONS: In this work, multiple sclerosis mortality trend in Spain from 1951 to 1992 is displayed. The purpose is to identify the pattern of age-adjusted mortality evolution and to measure the effect of environmental factors.
Multiple sclerosis mortality is standardized by age using the world standard population. In each year from 1951 to 1992,...
A cross-sectional study was conducted in prisons of Cantabria (northern Spain) from June 1992 to December 1994. Inmates were asked to participate in a survey on prevalence and risk factors for monoinfections and coinfections with HIV, HBV and HCV. Crude and multiple odds ratios of risk factors were calculated (by polychotomous logistic regression)....
The trend in cervical cancer mortality in Spain from 1951 to 1991 is examined.
Analysis of national mortality statistics calculating age standardised mortality rates and an age-period cohort analysis. A fit to the Gompertz function was made to estimate the influence of the environmental factors on the mortality rates evolution.
The age standardised...
FUNDAMENTO: Se ha descrito un aumento en la mortalidad por enfermedad de la motoneurona (EMN) en España en las últimas décadas; se ha sugerido que este aumento se debe a un efecto de cohorte, pero esta hipótesis no ha sido comprobada. MÉTODOS: Los datos de mortalidad por edad y sexo debido a la EMN se han obtenido del Instituto Nacional de Estadíst...
Introduction and objectives
In Spain ischemic heart disease mortality was increasing prior to 1975 and has decreased since 1975. This trend is common to both genders. The goal of this paper is to separate the genetic, environmental and competitive risk factors influencing this evolution.
Methods
The Gompertz function was adjusted cross-sectionally...
In Spain ischemic heart disease mortality was increasing prior to 1975 and has decreased since 1975. This trend is common to both genders. The goal of this paper is to separate the genetic, environmental and competitive risk factors influencing this evolution.
The Gompertz function was adjusted cross-sectionally to age-specific mortality due to isc...
To analyse the interindividual inequalities in mortality in Spain through the 20th century using the Gini coefficient, widely used as an income concentration index.
Age mortality data were obtained from official publications of vital statistics and age and sex compositions were obtained from population census. The Gini coefficient was estimated. It...
Mortality data from Spain, 1900 to 1992, were analyzed using Gompertzian and Weibull functions. Longitudinal Gompertzian analysis demonstrated that annual age-specific mortality rate distributions were determined by a fixed intersection point (in men: 84.3 years, in women: 89.3 years). Two methods of longitudinal Gompertzian analysis were applied....
