RESUMO
OBJECTIVES: To evaluate our patients' knowledge of the effects of excess drinking; b) to compare this with their awareness of the effects of their day-to-day drinking habits. DESIGN: Descriptive, randomized, cross-sectional questionnaire-based study. Information on alcohol consumption was obtained from medical records. SETTING: Primary care center in Chantrea (Navarra province, northern Spain). Participants. 351 persons older than 14 years who came to the health center. Outcome measures. Number of units of alcohol consumed per day that participants considered harmful to health, and number of units consumed per day according to information in their medical record. RESULTS: Perception of problems associated with excess drinking was good, particularly among women. In general, the participants' awareness (including excess drinkers) of the amounts of alcohol that could damage their health was good. Although younger persons tended to identify as harmful to health limits that were above the recommended figures, we found that their consumption was low but was overrecorded. Comparison of the intakes that persons identified as harmful with the amounts of alcohol they actually consumed showed that the latter was generally related with the former, although in 10% of the participants, recorded intake was higher than the limit they identified as harmful. This group contained 80% of the drinkers in our sample who were considered at risk. CONCLUSIONS: It appears necessary to increase the information given to young persons about harmful levels of alcohol intake; b) we found no clear evidence of risk drinking among younger persons; this will require questioning about their week-end drinking habits; c) risk drinkers know the limits of consumption that can damage their health, but their alcohol consumption is incongruent with this knowledge.
Assuntos
Consumo de Bebidas Alcoólicas/efeitos adversos , Conhecimentos, Atitudes e Prática em Saúde , Estudos Transversais , Feminino , Instalações de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e QuestionáriosRESUMO
Objetivos. a) Averiguar el conocimiento que tienen nuestros pacientes sobre el consumo excesivo de alcohol; b) comparar dicho conocimiento con el consumo habitual. Diseño. Estudio descriptivo transversal, aleatorizado, mediante cuestionario, en el que se recogieron también los datos de consumo de las historias. Emplazamiento. Atención primaria. Centro de Salud de Chantrea. Participantes. Un total de 351 personas consultantes, mayores de 14 años. Mediciones. Unidades de alcohol diarias que cada entrevistado considera límite perjudicial, y unidades de alcohol que figuran en sus historias como consumo habitual. Resultados. Hay una buena percepción de los problemas asociados al consumo excesivo, especialmente entre las mujeres. En general, hay buen conocimiento sobre las cantidades de alcohol perjudiciales, incluyendo a los bebedores excesivos. Aunque en jóvenes la tendencia es elevar el límite por encima de lo recomendado, hemos encontrado en ellos un bajo consumo y un llamativo subregistro de éste. Al comparar el límite que cada persona establece como perjudicial y su consumo, se aprecia que, en general, se consume en relación a lo que se cree perjudicial, aunque el 10 por ciento de la muestra bebe por encima de los límites marcados por ellos mismos; el 80 por ciento de los bebedores de riesgo de la muestra están incluidos en este grupo. Conclusiones a) Parece necesario aumentar la información a los jóvenes sobre los límites perjudiciales; b) no detectamos bien el consumo de riesgo en jóvenes, por lo que es necesario preguntar sobre el consumo durante el fin de semana; c) los bebedores de riesgo conocen dónde están los límites del consumo perjudicial, pero consumen de forma incongruente con este conocimiento (AU)
Assuntos
Pessoa de Meia-Idade , Masculino , Feminino , Humanos , Conhecimentos, Atitudes e Prática em Saúde , Inquéritos e Questionários , Estudos Transversais , Consumo de Bebidas Alcoólicas , Instalações de SaúdeRESUMO
The case of an 81-year-old ex-smoker male diagnosed with chronic bronchitis and undergoing treatment for pulmonary tuberculosis who presented a left iliac psoas abscess of torpid evolution is herewith reported. The detection of aerobic, anaerobic, fungal and mycobacterial microorganisms was repeatedly negative and was finally found to be an abscessed metastasis of epidermoid lung cancer. The aspects related to psoas abscess, muscular metastasis of bronchogenic carcinoma and the association between tuberculosis and lung cancer are discussed.