[Prevalence of dementia in the elderly aged above 65 in a district in the Basque Country]. / Prevalencia de la demencia en mayores de 65 años en una comarca del País Vasco.

AIM: To estimate the prevalence of dementia in the population aged above 65 in the district of Mungialde, Vizcaya. SUBJECTS AND METHODS: We conducted a two-phase door-to-door populational study. The Minimental State Examination and the Pfeiffer questionnaire were used in the screening phase. The Clinical Dementia Rating scale, the Diagnostic and statistical manual of mental disorders and the conventional criteria employed for the different types of dementia were used in the diagnostic confirmation phase. RESULTS: The first phase involved 1931 individuals and 175 cases of dementia were identified. Total prevalence was 9.1%. Prevalence was higher in females (11.8% in females versus 5.6% in males), in those over the age of 85 (34.7% versus 2% in the group with ages between 65 and 69) and in the illiterate (14.6% versus 3.4% in the group with higher education qualifications). According to the logistic regression analysis, prevalence depends on sex, age and schooling. Alzheimer's disease was the most frequent (76%) and prevalent (6.9%) dementia. It was followed by vascular dementia and dementia-Parkinson. Our study shows that the prevalence of dementia in the Basque country stands at an intermediate level in comparison to other studies carried out in our setting. CONCLUSIONS: This is the first door-to-door epidemiological study conducted in the Basque Country to estimate the prevalence of dementia. It is similar to other previously reported studies. Alzheimer's disease is the most frequent form of dementia.

Prevalencia de la demencia en mayores de 65 años en una comarca del País Vasco / Prevalence of dementia in the elderly aged above 65 in a district in the basque country

Estimar la prevalencia de las demencias en la población mayor de 65 años de la comarca de Mungialdeen Vizcaya. Sujetos y métodos. Estudio poblacional puerta a puerta de dos fases. En la fase de detección se utilizaron el MinimentalState Examination y el cuestionario de Pfeiffer. En la fase de confirmación diagnóstica se utilizaron la escala Clinical Dementia Rating, los criterios del Manual diagnóstico y estadístico de los trastornos mentales y los convencionales para los diferentestipos de demencia. Resultados. Participaron 1.931 individuos en la primera fase y se identificaron 175 casos de demencia. La prevalencia total fue del 9,1%. La prevalencia fue mayor en mujeres (un 11,8% en mujeres frente a un 5,6% enhombres); en mayores de 85 años (un 34,7% frente a un 2% en el grupo de 65 a 69 años) y en analfabetos (un 14,6% frente a un 3,4% en el grupo con estudios superiores). Según el análisis de regresión logística, la prevalencia depende del género, edad y escolaridad. La enfermedad de Alzheimer fue la demencia más frecuente (76%) y prevalente (6,9%). Siguieron la demencia vascular y la demencia-Parkinson. Nuestro estudio muestra que la prevalencia de demencia en el País Vasco estaría en un nivel intermedio en comparación con otros estudios realizados en nuestro medio. Conclusiones. Éste es el primer estudio epidemiológico puerta a puerta realizado en el País Vasco para estimar la prevalencia de la demencia. Ésta es similar a estudios publicados previamente. La enfermedad de Alzheimer constituye la demencia más frecuente

To estimate the prevalence of dementia in the population aged above 65 in the district of Mungialde, Vizcaya.Subjects and methods.We conducted a two-phase door-to-door populational study. The Minimental State Examination and thePfeiffer questionnaire were used in the screening phase. The Clinical Dementia Rating scale, the Diagnostic and statisticalmanual of mental disorders and the conventional criteria employed for the different types of dementia were used in thediagnostic confirmation phase. Results. The first phase involved 1931 individuals and 175 cases of dementia were identified.Total prevalence was 9.1%. Prevalence was higher in females (11.8% in females versus 5.6% in males), in those over the age of 85 (34.7% versus 2% in the group with ages between 65 and 69) and in the illiterate (14.6% versus 3.4% in the group withhigher education qualifications). According to the logistic regression analysis, prevalence depends on sex, age and schooling. Alzheimer’s disease was the most frequent (76%) and prevalent (6.9%) dementia. It was followed by vascular dementia anddementia-Parkinson. Our study shows that the prevalence of dementia in the Basque country stands at an intermediate level in comparison to other studies carried out in our setting. Conclusions. This is the first door-to-door epidemiological studyconducted in the Basque Country to estimate the prevalence of dementia. It is similar to other previously reported studies. Alzheimer’s disease is the most frequent form of dementia

[Laparoscopic surgery in gynecology. Experience at the Luis Castelazo Ayala Hospital]. / Cirugía ginecológica laparoscópica. Experiencia en el Hospital Luis Castelazo Ayala.

The purpose of the present study was to demonstrate the various applications of the laparoscopic surgery in the field of gynecology. 40 patients who were submitted to laparoscopic surgery were studied and divided into 5 groups accordingly to the surgical procedure: adhesiolysis, surgery of ovarian tumors, hysterectomy, surgery of the Fallopian tube and myomectomy. All the patients had a preoperative study and once completed they were selected for laparoscopic surgery. The laparoscopic procedure was able to solve the gynecologic pathology. The mean overall surgical time was of 66.8 min with a maximum time of 180 and a minimum of 30 min, accordingly to the groups the surgical mean times were as follows: 1) adhesiolysis 111 min 2) ovarian surgery 69 min 3) hysterectomy 113 min 4) tubal surgery 60 min and 5) myomectomy 58 min. There were no surgical complications and they all had a brief hospitalization period and a fast return to active life. All procedures were done with a bipolar cautery. We conclude that laparoscopic surgery is a useful resource for the resolution of the majority of the benign gynecologic pathology and when indicated in the proper way there is no rise in the morbid-mortality, and offers a short hospitalization period and a quick return to active life.