Subject(s)
Irritable Mood/drug effects , Vitamin D/adverse effects , Vitamins/adverse effects , Humans , Infant, Newborn , MaleABSTRACT
INTRODUCTION: Since 2007, on a mandatory, pediatric residents (PR) have been obliged to rotate into primary health care centers for 3 months. On disagreeing with the type of rotation proposed, the teaching group of the Spanish Primary Care Pediatrics Association (AEPap) was raised to find out the views of Hospital Pediatricians (PH), Pediatrics Health Care (PHC) and PR in terms of need, length, year in which it should take place and rotation expectations. METHODOLOGY: Cross-sectional study using a 13 question validated questionnaire, which was distributed to the various AEPap associations, and completed via the website. The data was processed with SPSS 12.0 and analysed using the Chi(2) test. RESULTS: A total of 323 surveys from 13 Autonomous Regions were analysed, of which 56% were answered by PHC, 38.7% by PR and 5.3% by PH, 67.5% of which were women, with two age groups; one under 30 years old and the other between 41-50 years. Of the participants, 99% believed it was necessary to rotate, with a duration of 6 months proposed by the PHC (73.3%) while PR considered 1 or 2 months (56.9%), (P<0001), preferably performed in two periods (65.1% of PHC). Of the PHC, 75.5% believed that the PR who were going to work in Primary Care should work 6 months more in their last year of residency (P<0001). Of the PR, 63,9% hoped to improve their training in the rotation into Primary Health Care. CONCLUSIONS: The need to rotate into Primary Health Care was almost unanimous and three months are insufficient for the majority of respondents and PHC believe it should be 6 months. There appears to be two preferences for rotation: in a period in any year of residence or in two periods. Those PR who are thinking of working in a Primary Health Care should rotate 6 months during the fourth year of residency. The PR expect rotation to improve their training.
Subject(s)
Attitude of Health Personnel , Internship and Residency/organization & administration , Pediatrics/organization & administration , Primary Health Care/organization & administration , Adult , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Spain , Surveys and QuestionnairesSubject(s)
Ambroxol/adverse effects , Drug Eruptions/etiology , Erythema/chemically induced , Child , Humans , MaleSubject(s)
Anus Diseases/microbiology , Streptococcal Infections , Streptococcus pyogenes , Child , Child, Preschool , Humans , MaleABSTRACT
We describe one of four epidemic known outbreaks of type "A" hepatitis during the year 1987 in Jaén, and whose focal point was a day nursery placed in our sanitary area. We identify 75 cases; we followed 48 from a pediatric surgery (PS), 33 of them were from a day nursery (attack rate, 31.73%). To the 48 children from PS, antibodies IgM and IgG against type "A" hepatitis virus were detected. No case was treated with drugs and in every case it was suggested that hygienic rules be observed and a knowledge of the disease be given to the parents. It had a good evolution in all cases, and only two of them were hospitalized, one of the parents' request and the other with thrombopenia. The remaining cases till 75, were diagnosed in other surgeries (OS) and in Hospitals (H).