Ana RODES MONEGAL - Academia.edu (original) (raw)
Papers by Ana RODES MONEGAL
Medicina clínica, Jan 14, 1995
Anales españoles de pediatría, 1992
The basic epidemiological characteristics of HIV infection and AIDS among children are described ... more The basic epidemiological characteristics of HIV infection and AIDS among children are described with a particular reference to HIV vertical transmission. The HIV transmission pattern identified in our community is described according to the WHO classification scheme. To describe the epidemic, as well as its temporal evolution, 1.933 cases reported to the population based registry of Catalonia and 287 seropositive children and their mothers are used. We have quantified the importance of intravenous drug usage by the parents in relationship to HIV transmission; 54.7% of the mothers of HIV positive children were intravenous drug users. We predict that during the coming years there will be a continuous increase in AIDS cases as a result of vertical transmission.
Medicina clínica, Jan 12, 1992
Most programs for the control of the acquired immunodeficiency syndrome (AIDS) contemplate the re... more Most programs for the control of the acquired immunodeficiency syndrome (AIDS) contemplate the registry of cases as the principal source of information. Despite the fact that these data have permitted important epidemiologic and clinical aspects of the disease to become known epidemiologic surveillance systems should be developed based on the detection of infection by the human immunodeficiency virus (HIV). The prevalence and the epidemiologic profile of patients who underwent an anti-HIV test were studied in 17 hospitals in Catalonia in 1989. In addition, a questionnaire concerning demographic and epidemiologic variables was completed by all the patients in whom an ELISA test had been carried out during 4 periods of 15 days. During this period 33,012 serologic tests were performed in 17 centers with a global prevalence of positive results of 20.7% (IC 95% = 20.2%-21.1%). The greatest number of positive serologies corresponded to the collective of intravenous drug users (IVDU), cons...
The Journal of tropical medicine and hygiene, 1994
To assess the impact of the human immunodeficiency virus type 1 (HIV) infection on the patients t... more To assess the impact of the human immunodeficiency virus type 1 (HIV) infection on the patients treated at the Medicine Department of the Hôpital Albert Schweitzer (HAS) in Haiti and the economic costs to this institution that their medical care caused, a group of HIV infected patients was followed and compared to a control group of non-infected patients. Infected patients had a significantly higher number of diagnoses suggestive of HIV infection and of sexually transmitted diseases (STDs) and also had a higher rate of mortality during the follow-up period. Infected patients attended the out-patient Medicine Clinic and were hospitalized more frequently than non-infected patients. The yearly cost of treating an HIV patient was estimated to be about US $860. We suggest that a wider use of HIV testing might be beneficial among patients such as ours for providing adequate care for them if the necessary resources are made available.
Tuberculosis, 2013
Immigrants may not transmit tuberculosis (TB) more than indigenous patients. The objective was to... more Immigrants may not transmit tuberculosis (TB) more than indigenous patients. The objective was to study the prevalence of TB infection among contacts of immigrant and indigenous TB patients and the risk factors associated with latent TB infection. Contacts of TB cases recorded in 2005 and 2006 were surveyed using a standardized Health Department questionnaire. Infections were diagnosed using the tuberculin skin test (TST) (cut-off ≥ 5 mm). The risk of infection was determined by multivariate logistic regression and the adjusted odds ratios (aOR) with the 95% confidence intervals (CI) were calculated. The study of contacts was completed in 1329 cases of TB. The prevalence of infection was 32.3% (3038/9406) in all contacts, 41.4% in contacts of immigrant cases and 29.2% in contacts of indigenous cases. In the multivariate analysis, immigrant index cases were not associated with an increased risk (aOR = 0.9; 95%CI: 0.8-1.0). The prevalence of TST conversion was 10.0% (296/2969) in all contacts, 11.2% in immigrant contacts and 9.7% in indigenous contacts (p = 0.158). Immigrants do not transmit TB more than indigenous TB patients. Infections which may have occurred in the countries of origin of immigrants were detected by the systematic study of contacts.
Revue d'épidémiologie et de santé publique, 1990
The early response rate in the first MONICA-Catalonia population survey was 52.7% and the final r... more The early response rate in the first MONICA-Catalonia population survey was 52.7% and the final response rate was 73.8%. The intensity of recruitment effort in this survey led to a considerable increase in response rate (20%), with the extra cost per late respondent being relatively low ($13.9). Added recruitment effort was most effective in the youngest age group, 25-34 years. It was also more effective among women living in urban areas than among those from rural areas. In men, early respondents had a higher proportion of smokers than late respondents, and in women, early respondents had higher systolic and diastolic blood pressure levels and were more aware of their history of high blood pressure than late respondents. Non-respondents were less educated than respondents in both sexes, and this was more marked in women. No differences were found in the proportion of smokers between respondents and non-respondents. Respondents were more aware of their high blood pressure history th...
Gaceta sanitaria, Jan 11, 2016
The Ebola outbreak in Guinea Conakry was notified to the World Health Organization (WHO) in March... more The Ebola outbreak in Guinea Conakry was notified to the World Health Organization (WHO) in March 2014. It is the most complex Ebola outbreak to date, affecting Guinea Conakry as well as the surrounding countries and with a risk of the disease spreading outside Africa. For this reason, the World Health Organization declared this Ebola outbreak an international public health emergency in August 2014. The Public Health Agency of Catalonia, through the Spanish Alert and Emergencies Coordination Network, initiated public health actions in March 2014, developing a single protocol of action to be applied by all the health care providers in the whole Catalan territory, advice for travellers and voluntary workers arriving from affected countries and a weekly newsletter addressed to health professionals. At the same time, the Ebola Analysis and Monitoring Committee and the Ebola Scientific and Advisory Committee were established. More than 9600 professional health workers attended training s...
Gaceta sanitaria / S.E.S.P.A.S
In 1993, a cross sectional study was carried out on the sexual behaviour of a sample of homosexua... more In 1993, a cross sectional study was carried out on the sexual behaviour of a sample of homosexual men recruited in saunas, sex shops and a gay community-beased organisation of Catalonia. A total of 551 men with an average age of 34 years and a high educational level sent in an anonymous questionnaire. In the previous 6 months the mean number of male sexual partners was 6 and for penetrative partners 3. In the previous month, 94% had had oral sex (22% with ejaculation) and 76% anal intercourse (38% without a condom and 21% with ejaculation). During sex, 51% used alcohol, 34% nitrite inhalants, 20% hashish and 10% cocaine, 61% had had the HIV test, with a self-reported HIV prevalence of 21%. 86% stated that they knew of one or more people infected by HIV or with AIDS. The high percentage of men who had unprotected anal intercourse and the high self-reported HIV prevalence highlights the need to increase efforts in AIDS prevention and research in this group. Monitoring HIV associated ...
Atencion primaria / Sociedad Española de Medicina de Familia y Comunitaria, 1996
To assess primary care professionals' understanding and acceptance of a periodic information ... more To assess primary care professionals' understanding and acceptance of a periodic information leaflet on HIV/AIDS. Crossover. Primary care teams from the Institut Català de la Salut. A random sample of 300 doctors, qualified nurses and social workers. A self-administered, anonymous questionnaire returned by normal post. Questions covered the following thematic areas: clinical care of people infected by HIV/AIDS and requests for diagnostic tests for infection, perception of skills in the promotion of changes in patients' sexual behaviour and drug use, providing psychological support and guidelines for integrating HIV+ children in schools and information on social resources. 60% knew the publication. Thematic areas which aroused most interest were: psychological support for people affected, prevention of HIV infection in the health environment, clinical advice and diagnosis. 77% had received requests for diagnostic tests and 88% had attended infected people. In spite of the low...
The Journal of tropical medicine and hygiene, 1993
To estimate the prevalence of the human immunodeficiency virus type 1 (HIV-1) among the patients ... more To estimate the prevalence of the human immunodeficiency virus type 1 (HIV-1) among the patients attending the out-patient Medicine Clinic of the Hôpital Albert Schweitzer in Haiti, the serum samples of 535 consecutive patients were examined for HIV-1 antibodies by enzyme immunoassay. One hundred and twelve sera (20.9%) tested positive (19.3% of the in-district patients and 27.6% of the out-district patients). We concluded that HIV-1 infection has already spread to rural areas in Haiti and that we should prepare ourselves for the impact that the increasing number of infected patients will have.
![Research paper thumbnail of [Advice for the prevention of sexually transmitted diseases and AIDS]](https://attachments.academia-assets.com/86618987/thumbnails/1.jpg)
](Medicina clínica, 1994
The utility of Information and Communication Technologies (ICTs)has promoted the successof virtua... more The utility of Information and Communication Technologies (ICTs)has promoted the successof virtual campuses. This success has increased the number and complexity of virtual campuses worldwide. The Universidad Complutense de Madrid (UCM) is a big university with a fragmented organizational model, and with a heterogeneous acceptance degree of ICTs.The fast and wide use of the UCM Virtual Campus in the academic activity of the university is a sign of the success of the model of virtual campus implemented. This paper describes this model, the results of its implementationand the contributions with respect to other models.
Social Science & Medicine, 1997
European Journal of Clinical Microbiology & Infectious Diseases, 1995
Eurosurveillance, 2002
Recently, different studies among men who have sex with men (MSMs) have reported an increase in H... more Recently, different studies among men who have sex with men (MSMs) have reported an increase in HIV incidence and sexually transmitted infections, and an increase in sexual risk behaviour. But the optimism regarding anti-retroviral treatments may lead to a greater relaxation in protective measures in the near future.
Clinical Infectious Diseases, 2003
Revista Española de …, 2011
... Después, la incidencia semanal bajó de forma brusca situándose en la semana del 21 de diciemb... more ... Después, la incidencia semanal bajó de forma brusca situándose en la semana del 21 de diciembre otra vez por debajo del dintel epidémico (figura 1). La incidencia, en el pico de la ola, fue muy ... 15. Izurieta HS, Thompson WW, Kramarz P, Say DK, Davis RL, Destefans F et al. ...
![Research paper thumbnail of [Characteristics of cases hospitalized for severe pandemic (H1N1) 2009 in Catalonia]](https://attachments.academia-assets.com/75956507/thumbnails/1.jpg)
](Revista española de salud pública
Influenza pandemics may cause more severe cases. The objective was to determine the characteristi... more Influenza pandemics may cause more severe cases. The objective was to determine the characteristics of hospitalized severe cases of pandemic influenza in Catalonia and to study risk factors for admission to intensive care unit (ICU). A prospective epidemiologic study of new cases of pandemic influenza hospitalized by their severity between June 2009 and May 2010. Hospitals were asked to declare laboratory confirmed pandemic influenza cases that met the case specific case definition for severe case. A standardized epidemiological survey was conducted to collect information on demographics, clinical characteristics, risk factors, treatment and outcome. Differences between the cases in ICU compared to other severe cases were studied with the odds ratio (OR), which were adjusted using a logistic regression model. We detected total of 773 pandemic influenza (H1N1) 2009 severe cases; 465 (60.2%) of them had at least one risk factor and the most prevalent were: pregnancy 19 (13%), asthma 8...
Gaceta sanitaria / S.E.S.P.A.S
To determine the prevalence of HIV-risk behaviours among high-school adolescents, and the associa... more To determine the prevalence of HIV-risk behaviours among high-school adolescents, and the association with HIV-related knowledge, attitudes and risk perception. In 1992-93 a questionnaire was administered to the students of a convenience sample of 30 classes, previously to an AIDS education intervention. 1,213 questionnaires corresponding to 12 to 21 years-old respondents were analyzed. The mean age of the sample was 16 years and 61.6% were females. The use of drugs inhibiting the capacity to avoid risk situations was frequent (alcohol: 61.7% and hashish: 11.6%). 18.5% of the respondents were sexually active, of whom 18.1% reported at least one unknown sexual partner during the former year. 3.7% and 9.8% of the sexually active males reported a sexual intercourse with a male or with a prostitute, respectively. Condoms were consistently used by 51.3% of the sexually active students. Knowledge and risk perception were not related to risk behaviours, whereas less positive attitudes towa...
Medicina clínica, Jan 14, 1995
Anales españoles de pediatría, 1992
The basic epidemiological characteristics of HIV infection and AIDS among children are described ... more The basic epidemiological characteristics of HIV infection and AIDS among children are described with a particular reference to HIV vertical transmission. The HIV transmission pattern identified in our community is described according to the WHO classification scheme. To describe the epidemic, as well as its temporal evolution, 1.933 cases reported to the population based registry of Catalonia and 287 seropositive children and their mothers are used. We have quantified the importance of intravenous drug usage by the parents in relationship to HIV transmission; 54.7% of the mothers of HIV positive children were intravenous drug users. We predict that during the coming years there will be a continuous increase in AIDS cases as a result of vertical transmission.
Medicina clínica, Jan 12, 1992
Most programs for the control of the acquired immunodeficiency syndrome (AIDS) contemplate the re... more Most programs for the control of the acquired immunodeficiency syndrome (AIDS) contemplate the registry of cases as the principal source of information. Despite the fact that these data have permitted important epidemiologic and clinical aspects of the disease to become known epidemiologic surveillance systems should be developed based on the detection of infection by the human immunodeficiency virus (HIV). The prevalence and the epidemiologic profile of patients who underwent an anti-HIV test were studied in 17 hospitals in Catalonia in 1989. In addition, a questionnaire concerning demographic and epidemiologic variables was completed by all the patients in whom an ELISA test had been carried out during 4 periods of 15 days. During this period 33,012 serologic tests were performed in 17 centers with a global prevalence of positive results of 20.7% (IC 95% = 20.2%-21.1%). The greatest number of positive serologies corresponded to the collective of intravenous drug users (IVDU), cons...
The Journal of tropical medicine and hygiene, 1994
To assess the impact of the human immunodeficiency virus type 1 (HIV) infection on the patients t... more To assess the impact of the human immunodeficiency virus type 1 (HIV) infection on the patients treated at the Medicine Department of the Hôpital Albert Schweitzer (HAS) in Haiti and the economic costs to this institution that their medical care caused, a group of HIV infected patients was followed and compared to a control group of non-infected patients. Infected patients had a significantly higher number of diagnoses suggestive of HIV infection and of sexually transmitted diseases (STDs) and also had a higher rate of mortality during the follow-up period. Infected patients attended the out-patient Medicine Clinic and were hospitalized more frequently than non-infected patients. The yearly cost of treating an HIV patient was estimated to be about US $860. We suggest that a wider use of HIV testing might be beneficial among patients such as ours for providing adequate care for them if the necessary resources are made available.
Tuberculosis, 2013
Immigrants may not transmit tuberculosis (TB) more than indigenous patients. The objective was to... more Immigrants may not transmit tuberculosis (TB) more than indigenous patients. The objective was to study the prevalence of TB infection among contacts of immigrant and indigenous TB patients and the risk factors associated with latent TB infection. Contacts of TB cases recorded in 2005 and 2006 were surveyed using a standardized Health Department questionnaire. Infections were diagnosed using the tuberculin skin test (TST) (cut-off ≥ 5 mm). The risk of infection was determined by multivariate logistic regression and the adjusted odds ratios (aOR) with the 95% confidence intervals (CI) were calculated. The study of contacts was completed in 1329 cases of TB. The prevalence of infection was 32.3% (3038/9406) in all contacts, 41.4% in contacts of immigrant cases and 29.2% in contacts of indigenous cases. In the multivariate analysis, immigrant index cases were not associated with an increased risk (aOR = 0.9; 95%CI: 0.8-1.0). The prevalence of TST conversion was 10.0% (296/2969) in all contacts, 11.2% in immigrant contacts and 9.7% in indigenous contacts (p = 0.158). Immigrants do not transmit TB more than indigenous TB patients. Infections which may have occurred in the countries of origin of immigrants were detected by the systematic study of contacts.
Revue d'épidémiologie et de santé publique, 1990
The early response rate in the first MONICA-Catalonia population survey was 52.7% and the final r... more The early response rate in the first MONICA-Catalonia population survey was 52.7% and the final response rate was 73.8%. The intensity of recruitment effort in this survey led to a considerable increase in response rate (20%), with the extra cost per late respondent being relatively low ($13.9). Added recruitment effort was most effective in the youngest age group, 25-34 years. It was also more effective among women living in urban areas than among those from rural areas. In men, early respondents had a higher proportion of smokers than late respondents, and in women, early respondents had higher systolic and diastolic blood pressure levels and were more aware of their history of high blood pressure than late respondents. Non-respondents were less educated than respondents in both sexes, and this was more marked in women. No differences were found in the proportion of smokers between respondents and non-respondents. Respondents were more aware of their high blood pressure history th...
Gaceta sanitaria, Jan 11, 2016
The Ebola outbreak in Guinea Conakry was notified to the World Health Organization (WHO) in March... more The Ebola outbreak in Guinea Conakry was notified to the World Health Organization (WHO) in March 2014. It is the most complex Ebola outbreak to date, affecting Guinea Conakry as well as the surrounding countries and with a risk of the disease spreading outside Africa. For this reason, the World Health Organization declared this Ebola outbreak an international public health emergency in August 2014. The Public Health Agency of Catalonia, through the Spanish Alert and Emergencies Coordination Network, initiated public health actions in March 2014, developing a single protocol of action to be applied by all the health care providers in the whole Catalan territory, advice for travellers and voluntary workers arriving from affected countries and a weekly newsletter addressed to health professionals. At the same time, the Ebola Analysis and Monitoring Committee and the Ebola Scientific and Advisory Committee were established. More than 9600 professional health workers attended training s...
Gaceta sanitaria / S.E.S.P.A.S
In 1993, a cross sectional study was carried out on the sexual behaviour of a sample of homosexua... more In 1993, a cross sectional study was carried out on the sexual behaviour of a sample of homosexual men recruited in saunas, sex shops and a gay community-beased organisation of Catalonia. A total of 551 men with an average age of 34 years and a high educational level sent in an anonymous questionnaire. In the previous 6 months the mean number of male sexual partners was 6 and for penetrative partners 3. In the previous month, 94% had had oral sex (22% with ejaculation) and 76% anal intercourse (38% without a condom and 21% with ejaculation). During sex, 51% used alcohol, 34% nitrite inhalants, 20% hashish and 10% cocaine, 61% had had the HIV test, with a self-reported HIV prevalence of 21%. 86% stated that they knew of one or more people infected by HIV or with AIDS. The high percentage of men who had unprotected anal intercourse and the high self-reported HIV prevalence highlights the need to increase efforts in AIDS prevention and research in this group. Monitoring HIV associated ...
Atencion primaria / Sociedad Española de Medicina de Familia y Comunitaria, 1996
To assess primary care professionals' understanding and acceptance of a periodic information ... more To assess primary care professionals' understanding and acceptance of a periodic information leaflet on HIV/AIDS. Crossover. Primary care teams from the Institut Català de la Salut. A random sample of 300 doctors, qualified nurses and social workers. A self-administered, anonymous questionnaire returned by normal post. Questions covered the following thematic areas: clinical care of people infected by HIV/AIDS and requests for diagnostic tests for infection, perception of skills in the promotion of changes in patients' sexual behaviour and drug use, providing psychological support and guidelines for integrating HIV+ children in schools and information on social resources. 60% knew the publication. Thematic areas which aroused most interest were: psychological support for people affected, prevention of HIV infection in the health environment, clinical advice and diagnosis. 77% had received requests for diagnostic tests and 88% had attended infected people. In spite of the low...
The Journal of tropical medicine and hygiene, 1993
To estimate the prevalence of the human immunodeficiency virus type 1 (HIV-1) among the patients ... more To estimate the prevalence of the human immunodeficiency virus type 1 (HIV-1) among the patients attending the out-patient Medicine Clinic of the Hôpital Albert Schweitzer in Haiti, the serum samples of 535 consecutive patients were examined for HIV-1 antibodies by enzyme immunoassay. One hundred and twelve sera (20.9%) tested positive (19.3% of the in-district patients and 27.6% of the out-district patients). We concluded that HIV-1 infection has already spread to rural areas in Haiti and that we should prepare ourselves for the impact that the increasing number of infected patients will have.
Medicina clínica, 1994
The utility of Information and Communication Technologies (ICTs)has promoted the successof virtua... more The utility of Information and Communication Technologies (ICTs)has promoted the successof virtual campuses. This success has increased the number and complexity of virtual campuses worldwide. The Universidad Complutense de Madrid (UCM) is a big university with a fragmented organizational model, and with a heterogeneous acceptance degree of ICTs.The fast and wide use of the UCM Virtual Campus in the academic activity of the university is a sign of the success of the model of virtual campus implemented. This paper describes this model, the results of its implementationand the contributions with respect to other models.
Social Science & Medicine, 1997
European Journal of Clinical Microbiology & Infectious Diseases, 1995
Eurosurveillance, 2002
Recently, different studies among men who have sex with men (MSMs) have reported an increase in H... more Recently, different studies among men who have sex with men (MSMs) have reported an increase in HIV incidence and sexually transmitted infections, and an increase in sexual risk behaviour. But the optimism regarding anti-retroviral treatments may lead to a greater relaxation in protective measures in the near future.
Clinical Infectious Diseases, 2003
Revista Española de …, 2011
... Después, la incidencia semanal bajó de forma brusca situándose en la semana del 21 de diciemb... more ... Después, la incidencia semanal bajó de forma brusca situándose en la semana del 21 de diciembre otra vez por debajo del dintel epidémico (figura 1). La incidencia, en el pico de la ola, fue muy ... 15. Izurieta HS, Thompson WW, Kramarz P, Say DK, Davis RL, Destefans F et al. ...
Revista española de salud pública
Influenza pandemics may cause more severe cases. The objective was to determine the characteristi... more Influenza pandemics may cause more severe cases. The objective was to determine the characteristics of hospitalized severe cases of pandemic influenza in Catalonia and to study risk factors for admission to intensive care unit (ICU). A prospective epidemiologic study of new cases of pandemic influenza hospitalized by their severity between June 2009 and May 2010. Hospitals were asked to declare laboratory confirmed pandemic influenza cases that met the case specific case definition for severe case. A standardized epidemiological survey was conducted to collect information on demographics, clinical characteristics, risk factors, treatment and outcome. Differences between the cases in ICU compared to other severe cases were studied with the odds ratio (OR), which were adjusted using a logistic regression model. We detected total of 773 pandemic influenza (H1N1) 2009 severe cases; 465 (60.2%) of them had at least one risk factor and the most prevalent were: pregnancy 19 (13%), asthma 8...
Gaceta sanitaria / S.E.S.P.A.S
To determine the prevalence of HIV-risk behaviours among high-school adolescents, and the associa... more To determine the prevalence of HIV-risk behaviours among high-school adolescents, and the association with HIV-related knowledge, attitudes and risk perception. In 1992-93 a questionnaire was administered to the students of a convenience sample of 30 classes, previously to an AIDS education intervention. 1,213 questionnaires corresponding to 12 to 21 years-old respondents were analyzed. The mean age of the sample was 16 years and 61.6% were females. The use of drugs inhibiting the capacity to avoid risk situations was frequent (alcohol: 61.7% and hashish: 11.6%). 18.5% of the respondents were sexually active, of whom 18.1% reported at least one unknown sexual partner during the former year. 3.7% and 9.8% of the sexually active males reported a sexual intercourse with a male or with a prostitute, respectively. Condoms were consistently used by 51.3% of the sexually active students. Knowledge and risk perception were not related to risk behaviours, whereas less positive attitudes towa...