AbastractObjective: to discern the profile of the Spanish Emergency Contraceptive users (EC). Design:
systematic review of contraceptive use in the Spanish population. Data Source:
Spanish and international databases, between January 2006 - March 2011. Keywords: Contraceptives, Postcoital pills, emergency contraception, levonorgestrel, data
collection. Study selection: original papers, letters to the editor in which
stated aims were the description, prediction or measurement of variables related
to EC use. Twenty-two papers were retrieved and fourteen were finally selected,
all of which were descriptive. Data extraction: manuscripts were evaluated by two
independent reviewers. Results: Women requesting EC have ages between 21-24 years, mostly single and university
students; declare that they have not previously used EC, and attend an Emergency
department, at weekends and within 48 hours following unprotected sexual
intercourse. The reason is condom rupture. None of the studies reviewed measured
alcohol and other drug consumption, the number of sexual partners, nor any of the
studies performed a comparison with a group not using EC. Conclusions: lack of homogeneity and comprehensiveness of studied variables resulted in a
limited profile of Spanish EC users. Further studies are needed with a more
comprehensive approach if sexual health interventions are to be carried out in
possible users.
The work environment of an iron foundry involved a large number of exposures related to several health problems, mainly lung cancer. "Altos Hornos del Mediterráneo (AHM)" fron Sagunto is an iron industry that stopped its foundry plant production in 1984. The present paper shows the methodological problems merged during the reconstruction of AHM workers' cohort. From personnel files a male cohort was defined for 7,018 males who worked at least one year and started work between 1950 and 1970, following them through 1991. The cause of death was obtained from de Civil register, Life insurance and reference hospitals. By means of experts the work areas were rated in three exposure levels. 6% of cohort members were lost during the follow-up. 2786 deaths were reported and 88% causes of death were retrieved. The enterprise data files let us to reconstruct the cohort, but the availability of a National Death Index, as there is in other countries would have made easier the job and would have improved the data quality.
We found no relationship between the quality of the IF from PC and the reply from specialist care. Currently, the filling out of IFs continues to be deficient.
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