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  1. Article: Impacto sociosanitario en pacientes con enfermedades raras (estudio ERES).

    Avellaneda Fernández, Alfredo / Layola, Miquel / Izquierdo Martínez, Maravillas / Guilera, Magda / Badia Llach, Xavier / Ramón, José R

    Medicina clinica

    2007  Volume 129, Issue 17, Page(s) 646–651

    Abstract: Background and objective: The impact and burden of disease of the rare diseases (RD) is not known, also the type of disability that entail. The objective of the work is to analyze the socio-sanitary impact of the RD in Spain.: Patients and method: ... ...

    Title translation Sociosanitary impact on patients with rare diseases (ERES study).
    Abstract Background and objective: The impact and burden of disease of the rare diseases (RD) is not known, also the type of disability that entail. The objective of the work is to analyze the socio-sanitary impact of the RD in Spain.
    Patients and method: This is a nationwide study. The dimensions used were mobility, personal care and daily activities of the EUROQoL-5D questionnaire to analyze the degree of dependency of the patient with RD.
    Results: 714 surveys were analyzed. 51.2% were men; 21.1% were children and 78.9% adults. The more frequent laboral status were: retired/pensioner, active and student (35.3%; 29.2%, and 17.1% respectively). In the last quarterly 8.4% of the patients were in situation of transitory labor incapacity: 5.7% men and 11.9% women (p < 0.005). The patients referred disability (slight or moderate degree) in the areas: physical (87.7%), emotional (83.6%), social (75.6%) and sensorial (53%). They presented severe mixed disability (sensorial and physic) in 6.4%. Patient organisations, physicians and Internet (80.1%; 48.2% and 47.3% respectively) were the used sources of information. The patients were more satisfied with doctor's care than social worker's (47% and 2.4% respectively), considering doctors more accessible than social workers (32.4% and 13.1% respectively).
    Conclusions: RD present a high percentage of disability and dependency, being both more severe in children. The patient organisations are the main source of information. Patients are more satisfied and consider the doctor more accessible than the social worker. This work might serve to make decisions in the socio-sanitary assistance for RD.
    MeSH term(s) Adolescent ; Adult ; Aged ; Child ; Cost of Illness ; Cross-Over Studies ; Data Interpretation, Statistical ; Disabled Persons ; Female ; Humans ; Male ; Marital Status ; Middle Aged ; Patient Education as Topic ; Patient Satisfaction ; Quality of Life ; Rare Diseases/economics ; Rare Diseases/therapy ; Socioeconomic Factors ; Spain ; Surveys and Questionnaires
    Language Spanish
    Publishing date 2007-01-11
    Publishing country Spain
    Document type Comparative Study ; English Abstract ; Evaluation Studies ; Journal Article
    ZDB-ID 411607-0
    ISSN 1578-8989 ; 0025-7753
    ISSN (online) 1578-8989
    ISSN 0025-7753
    DOI 10.1157/13112096
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Necesidades de formación en enfermedades raras para atención primaria.

    Avellaneda Fernández, Alfredo / Izquierdo Martínez, Maravillas / Luengo Gómez, Santiago / Arenas Martín, Javier / Ramón, José R

    Atencion primaria

    2006  Volume 38, Issue 6, Page(s) 345–348

    Abstract: Objectives: The problem of the need for primary care (PC) training in rare diseases (RD) is approached through a qualitative research study that tries to define its relevance and to identify the need for RD training in PC.: Methods: By means of ... ...

    Title translation Need for primary care training in rare diseases.
    Abstract Objectives: The problem of the need for primary care (PC) training in rare diseases (RD) is approached through a qualitative research study that tries to define its relevance and to identify the need for RD training in PC.
    Methods: By means of naturalistic research methods (in-depth interviews and group dynamics), we tried to discover the personal and professional connotations of PC training in RD in the rural and urban areas of the Community of Madrid, Spain. The areas explored by means of structured interview were: challenges and RD definition; professional experience with RD; relevance of PC for RD; training and information in RD; needs and demands for RD in PC.
    Results: We found no differences between the rural and urban groups nor between different professional categories. The RD concept was relatively unknown and difficulties arose in understanding the magnitude and overall importance of these diseases. Nor did the RD concept express the severity or the repercussions of these diseases. RDs awoke little professional interest, in contrast with the human interest aroused.
    Conclusions: The professionals interviewed thought that undergraduate training was sufficient, and rejected postgraduate training as unnecessary and unfeasible. The search for active information through Internet was the best way to obtain data to optimize criteria for patient referral. As such, the Information System for Rare Diseases in Spanish (Sistema de Información de Enfermedades Raras en Español, SIERE) (http://iier.isciii.es/er) meets the demands for information.
    MeSH term(s) Education, Medical ; Humans ; Physicians, Family/education ; Primary Health Care ; Rare Diseases ; Spain
    Language Spanish
    Publishing date 2006-11-06
    Publishing country Spain
    Document type English Abstract ; Journal Article
    ZDB-ID 1200787-0
    ISSN 1578-1275 ; 0212-6567
    ISSN (online) 1578-1275
    ISSN 0212-6567
    DOI 10.1157/13093372
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Malformations of the craniocervical junction (chiari type I and syringomyelia

    García-Ramos Rocío / Fernández de Gamboa Fernández de Araoz Marta / Escribano Silva Mercedes / Chesa i Octavio Ester / De la Cruz Labrado Javier / Barrón Fernández Javier / Amado Vázquez María Eugenia / Izquierdo Martínez Maravillas / Isla Guerrero Alberto / Avellaneda Fernández Alfredo / García Ribes Miguel / Gómez Carmen / Insausti Valdivia Joaquín / Navarro Valbuena Ramón / Ramón José R

    BMC Musculoskeletal Disorders, Vol 10, Iss Suppl 1, p S

    classification, diagnosis and treatment)

    2009  Volume 1

    Abstract: Abstract Chiari disease (or malformation) is in general a congenital condition characterized by an anatomic defect of the base of the skull, in which the cerebellum and brain stem herniate through the foramen magnum into the cervical spinal canal. The ... ...

    Abstract Abstract Chiari disease (or malformation) is in general a congenital condition characterized by an anatomic defect of the base of the skull, in which the cerebellum and brain stem herniate through the foramen magnum into the cervical spinal canal. The onset of Chiari syndrome symptoms usually occurs in the second or third decade (age 25 to 45 years). Symptoms may vary between periods of exacerbation and remission. The diagnosis of Chiari type I malformation in patients with or without symptoms is established with neuroimaging techniques. The most effective therapy for patients with Chiari type I malformation/syringomyelia is surgical decompression of the foramen magnum, however there are non-surgical therapy to relieve neurophatic pain: either pharmacological and non-pharmacological. Pharmacological therapy use drugs that act on different components of pain. Non-pharmacological therapies are primarly based on spinal or peripheral electrical stimulation. It is important to determine the needs of the patients in terms of health-care, social, educational, occupational, and relationship issues, in addition to those derived from information aspects, particularly at onset of symptoms. Currently, there is no consensus among the specialists regarding the etiology of the disease or how to approach, monitor, follow-up, and treat the condition. It is necessary that the physicians involved in the care of people with this condition comprehensively approach the management and follow-up of the patients, and that they organize interdisciplinary teams including all the professionals that can help to increase the quality of life of patients.
    Keywords Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Internal medicine ; DOAJ:Medicine (General) ; DOAJ:Health Sciences ; Diseases of the musculoskeletal system ; RC925-935
    Subject code 610
    Language English
    Publishing date 2009-12-01T00:00:00Z
    Publisher BioMed Central
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Malformations of the craniocervical junction (Chiari type I and syringomyelia: classification, diagnosis and treatment).

    Fernández, Alfredo Avellaneda / Guerrero, Alberto Isla / Martínez, Maravillas Izquierdo / Vázquez, María Eugenia Amado / Fernández, Javier Barrón / Chesa i Octavio, Ester / Labrado, Javier De la Cruz / Silva, Mercedes Escribano / de Araoz, Marta Fernández de Gamboa Fernández / García-Ramos, Rocío / Ribes, Miguel García / Gómez, Carmen / Valdivia, Joaquín Insausti / Valbuena, Ramón Navarro / Ramón, José R

    BMC musculoskeletal disorders

    2009  Volume 10 Suppl 1, Page(s) S1

    Abstract: Chiari disease (or malformation) is in general a congenital condition characterized by an anatomic defect of the base of the skull, in which the cerebellum and brain stem herniate through the foramen magnum into the cervical spinal canal. The onset of ... ...

    Abstract Chiari disease (or malformation) is in general a congenital condition characterized by an anatomic defect of the base of the skull, in which the cerebellum and brain stem herniate through the foramen magnum into the cervical spinal canal. The onset of Chiari syndrome symptoms usually occurs in the second or third decade (age 25 to 45 years). Symptoms may vary between periods of exacerbation and remission. The diagnosis of Chiari type I malformation in patients with or without symptoms is established with neuroimaging techniques. The most effective therapy for patients with Chiari type I malformation/syringomyelia is surgical decompression of the foramen magnum, however there are non-surgical therapy to relieve neuropathic pain: either pharmacological and non-pharmacological. Pharmacological therapy use drugs that act on different components of pain. Non-pharmacological therapies are primarily based on spinal or peripheral electrical stimulation. It is important to determine the needs of the patients in terms of health-care, social, educational, occupational, and relationship issues, in addition to those derived from information aspects, particularly at onset of symptoms. Currently, there is no consensus among the specialists regarding the etiology of the disease or how to approach, monitor, follow-up, and treat the condition. It is necessary that the physicians involved in the care of people with this condition comprehensively approach the management and follow-up of the patients, and that they organize interdisciplinary teams including all the professionals that can help to increase the quality of life of patients.
    MeSH term(s) Arnold-Chiari Malformation/classification ; Arnold-Chiari Malformation/complications ; Arnold-Chiari Malformation/diagnosis ; Arnold-Chiari Malformation/psychology ; Arnold-Chiari Malformation/therapy ; Humans ; Syringomyelia/etiology
    Language English
    Publishing date 2009-12-17
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 2041355-5
    ISSN 1471-2474 ; 1471-2474
    ISSN (online) 1471-2474
    ISSN 1471-2474
    DOI 10.1186/1471-2474-10-S1-S1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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