Confident Perception of Primary Care Physicians Correlates to the Attitude Toward Donation and Organ Transplantation: A Multicenter Study of Medical And Nursing Spanish Students.

A primary care physician (PCP) not only accompanies the patient in the process of an illness, but throughout his or her life. The confidence we have in these health professionals is fundamental, and their favorable attitude toward organ donation and transplantation (ODT) has a significant influence on the population. OBJECTIVE: To analyze trust in PCPs among Spanish medical and nursing students, the relationship with their attitude toward ODT, and the factors that condition it. METHODS AND DESIGN: A sociologic, multicenter, and observational study. POPULATION: medical and nursing students in Spanish universities. DATABASE: Collaborative International Donor Project, stratified by geographic area and academic course. A validated questionnaire (PCID-DTO-RIOS) was self-administered and completed anonymously. A sample of 9598 medical and 10,566 nursing students (99% confidence and precision of ±1%), stratified by geographic area and year of study. RESULTS: Completion rate: 90%. With respect to students' trust in their physician, 18% (n = 3267) of them totally trust (completely), 45% (n = 8101) trust enough, 30% (n = 5478) of them have not enough trust, and 7% not at all. Comparing groups, medical students totally trust more in PCPs than nursing students (55% vs 45%; P < .000), however, nursing students have less than enough trust in their PCP than medical students (53% vs 47%; P < .000). Students that totally trust in their PCP were more in favor toward ODT than students with not enough trust (83% vs 77%; P < .000). CONCLUSION: Only 18% of Spanish medical and nursing students totally trust in their PCP. Attitude toward ODT is related to a higher level of trust in PCPs among these students.

[Adolescent use of helmets moped riders in the city of Gerona, Spain, 2006]. / Uso del casco en adolescentes usuarios de ciclomotores en la ciudad de Gerona, 2006.

BACKGROUND: Cerebral injuries as a result of craniocerebral trauma are the most frequent cause of death in traffic collisions involving two-wheeled vehicles. In spite of the proven effectiveness of the use of the head protective devices to prevent injuries in the event of traffic collisions, some teenagers and youngsters do not use it. The main goal of this research is to identify the best predictors of helmet use among adolescents. METHOD: Transversal study of a population of 874 young students of Secondary Education during the academic year 2005-06. The population object of study were students of 3rd and 4th year of the 6 public secondary schools of Gerona and only those present in class in the day of the data capture participated in the study. The participation was 74.6%. The data capture was carried out by means of a self-devised survey. An analysis of hierarchical logistical regression was also carried out. RESULTS: Predictable variables of helmet use in motorcycle drivers: age (OR=0.56), safety as main reason for its use (OR=0.02), possession of driving license (OR=0.17), peer influence (OR=0.23) and family influence (OR=0.17). In passengers: age (OR=0.46), peer influence (OR=0.35) and safety as main reason for its use (OR=0.38). CONCLUSIONS: The variables that predict the use of the helmet in the motorcycles users are: age, being in possession of the license to drive motorcycles, wearing the helmet as a safety device and social reinforcement (friends and family).