Este estudio ha tenido por finalidad determinar la prevalencia del Trastorno por Déficit de Atención con o sin Hiperactividad (TDAH) en la Comunidad Autónoma de Canarias, en la población de 6 a 12 años. Para ello, el muestreo utilizado fue polietápico estratificado y proporcional por conglomerados. Los estratos fueron el tipo de colegio, la y el nivel educativo, y los conglomerados fueron los colegios. A partir de una muestra de estudio de 118.467 alumnos escolarizados en centros ordinarios, se obtuvo una muestra al azar de 2.395 alumnos. Se utilizaron las escalas Attention-Deficit/Hiperactivity Disorder Rating Scales IV (ADHD RS-IV) modificadas para padres y maestros. Se encontró una tasa global de prevalencia del 4.9%, de los cuales el 3.1% fueron del subtipo inatento, el 1.1% hiperactivo, y el 0.7% combinado. Solo se encontraron diferencias significativas en función del sexo, donde la incidencia fue superior en varones. Las implicaciones educativas y socio sanitarias de los hallazgos encontrados nos sugieren la importancia de llevar a cabo una identificación, diagnóstico y tratamiento temprano, lo que ayudará a que los niños identificados con TDAH puedan desarrollar todo su potencial, y con ello una reducción importante del gasto público.
Prevalence of multiple medication in patients over 65 years is about 50% with wide variations between centres. The number of drugs per patient ratio was close to eight. A large majority of them were high risk cardiovascular patients.
Clinical medication review improves the appropriateness of antiplatelet treatment in the elderly on polypharmacy and with high risk of cardiovascular disease. No improvement in biochemistry measurements was found.
This study examines the relationship between stress and health in a sample of 1,566 women aged between 18 and 65 years. Multiple regression analyses were conducted using the scaled version of the General Health Questionnaire (GHQ‐28) scales as the dependent variables, and 21 personal and social variables as predictors. The women with more severe depression, anxiety, and somatic and social dysfunction symptoms were those who had a more emotional coping style and greater work role dissatisfaction. Moreover, depression, anxiety, and social dysfunction symptoms were predicted by low self‐esteem, while depression, anxiety, and somatic symptoms were predicted by chronic stress. The women with more symptoms of anxiety and depression were those who have experienced more life events and have low perceived social support. Women with Type‐A behavior patterns were found to suffer more anxiety and somatic symptoms. Women who exercise more hours per week had fewer somatic symptoms, and those with a more rational coping style suffered less social dysfunction.
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