[An analysis of domiciliary medical care in 7 health centers of Alicante Province]. / Análisis de la atención médica domiciliaria en siete centros de salud de la provincia de Alicante.

OBJECTIVE: To know the characteristics of medical care at home done by the doctor and to what extent it is justified. DESIGN: An observational, descriptive-prospective study. Form filled out by the doctor after completing the visit. SETTING: Outpatients, 7 hospitals in area 17 of the Valencian Community. PATIENTS: 188 different patients attended in February 1993 by 15 family doctors. The statistical tests used were ji-squared test, Student's t-test and Anova. MEASUREMENTS AND MAIN RESULTS: An average of 0.4 visits/doctor/day were made. Less than 2 hours/week/doctor were needed. 80.5% of the cases were resolved using usual means available in the doctors emergency briefcase. 64.5% of the patients attended were over the age of 65.66% of the visits were considered to be justified. CONCLUSIONS: 66% of medical care at home was considered justified and did not require excessive time. Elderly patients are the ones who most require medical care at home.

[Solitary adrenal gland hydatid cyst]. / Quiste hidatídico suprarenal solitario.

Presentation of one case of solitary suprarenal hydatid cyst. Clinical diagnosis was made from a right lumbar pain, achieving identification of the parasitic disease by radiological and biological means. Treatment combined mebendazole and surgery. Both therapeutical options are discussed.