ABSTRACT
Introducción: el aumento de la inmigración supone un reto para la Atención Primaria.El objetivo de este estudio es analizar las características sociofamiliares y sanitarias de losniños inmigrantes.Métodos: estudio: prospectivo observacional. Período: 01/01/02-31/12/03. Poblaciónde estudio: recién nacidos hijos de inmigrantes (RN) y niños inmigrantes (N) atendidos en elCentro de Atención Primaria (CAP) de Manlleu (Barcelona). Variables: país de procedencia;características sociofamiliares y sanitarias. Análisis estadístico SPSS®, comparación entre variables:test de χ2 y test de Fisher.Resultados: datos poblacionales: se atendió a 281 niños, 82% marroquíes; 139 del grupode RN y 142 del grupo N. El 34% de los recién nacidos fueron hijos de inmigrantes, el 93% deMarruecos. Procedencias del grupo N: 71,8% Marruecos, 17% América Latina y 7,7% paísesde Europa del Este. Datos sociofamiliares: padres: tiempo de inmigración mayor de 10 años:51,8% (RN) frente al 6,3% (N) (p < 0,01); necesidad de intérprete: 2,9% (RN) y 6,3% (N);trabajan el 84,2% (RN) y el 79,6% (N). Madres: necesidad de intérprete: 43,2% (RN) frente al57,7% (N) (p < 0,015); trabajan el 7,2% (RN) y el 17,6% (N) (p = 0,025); 3 hijos: 37,4%(RN) frente al 59,2% (N) (p < 0,01). Consanguinidad: 24% en ambos grupos. Vivienda enpropiedad: 44% (RN) frente al 27,5% (N) (p < 0,03).Datos sanitarios: caries: 46%; anemias: 13%; hepatitis A curada: 20%; infección por elvirus de la hepatitis B: 4%; parasitosis intestinales: 7%; prueba de tuberculina positiva: 4%;raquitismo: 0%. En total se detectó patología, excluyendo la caries, en el 28%, todos asintomáticos.Conclusiones: elevado porcentaje de recién nacidos hijos de inmigrantes. La principal procedenciaes Marruecos. Las diferencias observadas en las variables sociofamiliares sugierenque el grupo RN adquiere modelos similares a los de la población de acogida. Las patologíasmás prevalentes son las anemias y las enfermedades infecciosas
Introduction: the increase in immigration is a challenge for Primary Attention. The aimofthis study is to analyse the social and health characteristics of immigrant children.Methods: study: observational prospective. Period: 01/01/02-31/12/03. Study population:recently arrived children of immigrants (RN) and immigrant children (N) attended inthe Primary Care Centre (CAP) in Manlleu (Barcelona). Variables: country of origin; social,family and health characteristics. Statistical analysis SPSS®, comparison between variables:χ2 test and Fisher test.Results: population data: 281 children were attended, 82% Moroccan; 139 RN and 142 N.34% of the recent arrivals were the children of immigrants, 93% Moroccan. Origins of group N:71.8% Morocco, 17% Latin America and 7.7% countries of Eastern Europe. Social and familydata: fathers: immigration time > 10 years: 51.8% (RN) as opposed to 6.3% (N) (p < 0.01); needfor interpreters: 2.9% (RN) and 6.3% (N); in work 84.2% (RN) and 79.6% (N). Mothers: needfor interpreter: 43.2% (RN) as opposed to 57.7% (N) (p < 0.015); in work 7.2% (RN) and 17.6%(N) (p = 0.025); 3 children: 37.4% (RN) with respect to 59.2% (N) (p < 0.01). Consanguinity:24% in both groups. Dwelling owned: 44% (RN) as opposed to 27.5% (N) (p < 0.03).Health data: tooth decay: 46%; anaemia: 13%; hepatitis A cured: 20%; hepatitis B viralinfection: 4%; intestinal parasites: 7%; PPD positive: 5.6%; tuberculous illness: 1.4%; rickets:0%. Excluding tooth decay, pathologies were found in 28%, all asymptomatic.Conclusions: a large percentage of recently arrived children of immigrants. The mainoriginis Morocco. The differences observed in the social and family variables suggest that theRN group acquires models similar to those of the receiving population. The most preva-lentpathologies are anaemia and infectious illnesses (AU)
Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Transients and Migrants/statistics & numerical data , Primary Health Care/methods , Communicable Diseases/epidemiology , Socioeconomic Factors , Morbidity/trends , Prospective Studies , Birth Rate/trends , Population Surveillance , Population GroupsABSTRACT
Los tumores estromales gastrointestinales con localización extragastrointestinal son muy infrecuentes. Suelen diagnosticarse cuando presentan un gran tamaño. Su naturaleza benigna o maligna es difícil de determinar. Los mejores parámetros histológicos para evaluar su pronóstico son: un alto grado de celularidad, la presencia de necrosis tumoral y poseer más de dos mitosis por cincuenta campos. Presentamos el caso de una paciente asintomática que, por un control ecográfico rutinario por hepatopatía crónica por virus C, fue diagnosticada de un tumor mesentérico. La enferma fue tratada quirúrgicamente. El estudio inmunohistológico de la tumoración confirmó un tumor estromal gastrointestinal. El análisis del caso presentado y la bibliografía consultada sugieren unos hallazgos clínicos propios de esta entidad. Se revisa y actualiza la histogénesis de estas neoplasias y se destaca la utilidad de nuevos fármacos para el control de la progresión tumoral (AU)
Subject(s)
Middle Aged , Female , Humans , Mesentery , Peritoneal NeoplasmsABSTRACT
The gastrointestinal stromal tumor with extragastrointestinal location are very infrequent. We often diagnose them when they show a big size. Their bening or malignant nature is difficult to fix. The best histological parameters to evaluate their prognosis are a high cellularity, the tumor-like necrosis presence and having more than two mitosis per fifty high-power fields. We introduce an asyntomatic patient's case by a routine echographical control for chronic hepatitis by C virus, that has been diagnosed of a mesentery tumor. The patient has been treated surgically. The inmunohistological study of the tumor had confirmed a stromal gastrointestinal tumor. The showed case's analysis and the considered bibliography suggest some clinical discoveries characteristic of this entity. The histogenesis of these neoplasias are examined and made up to date and the usefulness of the new medication to control check the tumor-like progress is emphasized.
Subject(s)
Mesentery , Peritoneal Neoplasms , Female , Humans , Middle Aged , Peritoneal Neoplasms/diagnosis , Peritoneal Neoplasms/therapyABSTRACT
OBJECTIVE: To discover the prevalence of maternal lactation in the Manlleu Health Area and the variations in latency since the area was set up to the present day. DESIGN: Crossover study, based on the record-sheet of the health controls in the clinical notes, of maternal lactation for those recently-born babies monitored in the area between January 1988 and December 1991 (n = 686). SITE. The geographical boundaries of Manlleu Basic Health area (Barcelona). MAIN MEASUREMENTS AND RESULTS: The prevalence of maternal lactation progressively increased from the base of 1988 (lineal tendency chi 2 = 34.3 p < 0.0001). The number of mothers beginning maternal lactation went up from 62% in 1988 to 72% in 1991. Right from the first month duration also increased, but the differences were especially marked between the second and the fifth months (p < 0.05). The average time of lactation also increased, from 92 days in 1988 to over 114 days in 1991 (p = 0.02). CONCLUSIONS: Prevalence and duration of maternal lactation has improved substantially since the setting-up of the Basic Health Area. This improvement could be attributed to the publicity material that we made available at general health check-ups during the first 6 months.
