Creación del distintivo Soludable / Creation of the "Soludable" Sun Protection Accreditation Program

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Predictors of developing a new need for long-term care of older adults aged ≥70 years: Results from a population-based cohort study in Taiwan.

AIM: To determine the characteristics associated with developing a new need for long-term care among older Taiwanese adults. METHODS: We analyzed the 1999 and 2003 datasets of the Taiwan Longitudinal Survey on Aging. A total of 1986 persons who were aged ≥70 years and had no disability in activities of daily living or need for long-term care at the baseline served as the study participants. We first identified the potential variables associated with developing a need for long-term care in demographic, socioeconomic, anthropometric, functional status, mental health, medical and global domains based on the literature and our earlier studies. We then carried out univariable logistic regression analyses to identify the variables most strongly associated with developing a new need for long-term care within each domain. Variables showing the strongest association were further analyzed in a forward stepwise multivariable logistic regression model to determine the significant predictors. RESULTS: The multivariable model identified age, sex, doing heavy housework, walking 200 m, carrying out calculation, appetite status, frequency of hospitalizations during the past 12 months, living arrangement and weight loss as significant (P < 0.05) predictors. CONCLUSIONS: The present study identified nine characteristics that predict the subsequent 4-year new need for long-term care of ≥70-year-old Taiwanese adults. Age, sex and functional status are the most powerful predictors. The results are useful for identifying older individuals at risk of developing a new need for long-term care within the next 4 years, enabling implementation of preventive strategies or timely care planning. Geriatr Gerontol Int 2019; 19: 641-646.

Certificate of need.

Certificate of Need (CON) programs represent a patchwork of state regulatory programs across the United States that regulate the availability of selected health care services. Thirty-six states maintain laws designed to ensure access to health care services, maintain or improve quality, and control capital expenditures on health care services and facilities by limiting unnecessary health facility construction and checking the acquisition of major medical equipment. This article discusses the history of CON and explores controversies surrounding the current state of CON regulations.

Carnet de Salud Infantil, ¿Cuanto saben los padres? / Children health card, How much does the parents know?

En el Hospital La Paz, durante los meses de mayo-junio de 1994 se arealizo una encuesta de conocimientos e interpretacion del CARNET DE SALUD INFANTIL (CSI) a 391 padres de ninos menores de 5 anos, procedencia urbano marginal, en su mayoria madres, amas de casa, con niveles de educacion bajo y un promedio de 2 hijos. Fue llamativo que solo el 29.92 por ciento conocia el motivo principal de tener el CSI y que mas del 90 por ciento no sabian interpretar las figuras concernientes a espacio intergenesico, tiempo de lactancia materna, inicio de alimentacion complementaria, calendario de vacunacion y curva de crecimiento. Solo el 49.36 por ciento sabia interpretar el mensaje referente a rehidratacion oral. Estos hallazgos se correlacionan dramaticamente con el hecho de que al 92 por ciento de la poblacion nunca la explicaron para que sirve y como se interpreta el CSI. Se concluye senalando algunas posibles causas para esta situacion y remarcando la necesidad de corroborar o refutar estos hallazgos con otros trabjaos referidos al CSI.

What physicians need to know: new state CON law.

In past years, Pennsylvania's certificate of need law applied mostly to hospitals and other health care institutions. But the commonwealth's new law also targets physicians--especially those planning to establish MRI or ambulatory surgical facilities.