[Prevalence of hepatitis C virus and excessive consumption of alcohol in a nonhospital worker population]. / Prevalencia del virus de la hepatitis C y consumo excesivo de alcohol en una población laboral no hospitalaria.

The aim of the study was to know the prevalence of the hepatitis C virus (HCV) in a non hospital work population by ELISA 3.0 and PCR-Amplicor, as well as its relationship with excessive alcohol intake (more than 280 g/week in men and 168 g/week in women). A transversal seroepidemiologic study was carried out in 1,109 workers of the Empresa Nacional de Electricidad, S.A. (ENDESA). During the annual medical examinations (April 1993-October 1994) the amount of alcoholic beverages each worker had consumed over the 7 days prior to the medical examination was obtained by anamnesis together with a blood sample for different laboratory tests. Sixteen percent of the workers had had excessive alcohol intake. The prevalence of anti HCV antibodies in the study population was 2.4% being up to 4.6% in the workers declaring excessive alcohol consumption and 10.4% if they also presented an elevation in any of the transaminases. The prevalence of the potentially ineffective workers was 1.46%. The prevalence of anti C antibodies by ELISA 3.0 was greater than expected (2.4%) significantly increasing in the population group which declared excessive alcohol intake, thereby demonstrating the relationship between alcohol and hepatitis C.

Consentimiento informado en Implantología Oral. Propuesta de documentos / Informed consent in Oral Implantology. Proposal of documents

La Implantología es una de las áreas de la Odontoestomatología más afectadas por los problemas legales derivados de la Ley Básica Reguladora de la Autonomía del Paciente y ello por varias razones: por ser una actividad claramente quirúrgica, por haber sido encuadrada dentro de la llamada “medicina satisfactiva” y por pertenecer casi exclusivamente a la práctica privada de la odontoestomatología. Tiene además la peculiaridad de que los procedimientos quirúrgicos y prostodóncicos están íntimamente relacionados, y es, en ocasiones, muy complejo deslindar la responsabilidad que corresponde a cada uno de estos actos. En el presente artículo nos centraremos en las repercusiones que sobre esta área de la odontoestomatología tiene la reciente Ley Básica Reguladora de la Autonomía del Paciente en lo que a la información y al consentimiento se refiere. También haremos una propuesta de documentos que, a nuestro juicio, cumplen con los requisitos señalados por la legislación actual (AU)

The Implantology is one of the areas of the Odontoestomatology more affected by the legal problems derived from the Regulating Basic Law of the Autonomy of the Patient, and it for several reasons: for being a clearly surgical activity, for being fitted within the call ‘satisfactive medicine’ and to belong almost exclusively to the private practice of the Odontoestomatology. It has in addition the peculiarity of which the surgical and prosthodontics procedures intimately are related, and is sometimes, very complex to define the responsibility of corresponds to each one of these acts. In the present article we will be centred in the repercussions that on this area of the Odontoestomatology the recent Regulating Basic Law of the Autonomy of the Patient has in which to the information and the consent it talks about. Also we will make a proposal of documents that, in our opinion, fulfill the requirements indicated by the present legislation (AU)