Xavier Allué

Universitat Oberta de Catalunya, CIENCIAS DE LA SALUD, Faculty Member

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International Migrations and Health Care Policy in SPAIN1

mac.com

Page 1. 1 INTERNATIONAL MIGRATIONS AND HEALTH CARE POLICY IN SPAIN1 Josep M. Comelles* Federico B... more

Some Health Care Experiences for Foreign Migrants in Spain

Health for all, all in …, 2000

... Manlleu, Cambrils, Riudoms, Alcarrás, Olot, Mollerusa, Sant Pere de Reus, Sant Andreu de la B... more

Del hospital de pobres a la cultura hospitalo-céntrica. Economía política y cambio cultural en el sistema hospitalario catalán / From the poor hospital to the hospital-centric culture. Political economy and cultural change in the Catalan hospital system

Kamchatka. Revista de análisis cultural., 2017

Resumen: En el presente artículo se describe la evolución del sistema sanitario catalán utilizand... more Resumen: En el presente artículo se describe la evolución del sistema sanitario catalán utilizando, para ello, el desarrollo de un concepto cultural –el hospitalo-centrismo– clave para entender la hegemonía de la institución hospitalaria en los dispositivos de salud actuales. A tales efectos y utilizando dos perspectivas complementarias como son la historia antropológica y la antropología médica, el artículo analiza un case study a partir de tres ejemplos: la demanda de urgencias hospitalarias asociadas a una concepción cultural de lo que es “grave” y al embodiment de su eficacia por los ciudadanos; la necesidad del rol de asilo en las enfermedades crónicas o terminales; y la conversión del cuidado doméstico como “hospitalización doméstica” en el caso de la salud mental. Palabras clave: hospital-centrismo, sistema sanitario, historia de hospitales, urgencias, cuidados crónicos, salud mental. : This article describes the evolution of the Catalan Health System, using the development o...

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Oculoauriculovertebral Dysplasia (Goldenhar's Syndrome)

Clinical Pediatrics, 1973

Goldenhar's syndrome or oculoauriculovertebral dysplasia is characterized by the triad of epi... more Goldenhar's syndrome or oculoauriculovertebral dysplasia is characterized by the triad of epibulbar dermoids and lipodermoids, abnormalities of the external ears (auricular appendages), and vertebral anomalies. This syndrome seems to be produced through faulty differentiation during embryonic life, rather than being a genetic abnormality.

[Diaper use and expenditure in a neonatal unit]

Revista de enfermería (Barcelona, Spain), 1986

[Death caused by designer drugs]

Anales españoles de pediatría, 2000

To draw pediatrician's attention to the risks of the use of designer drugs among adolescents ... more To draw pediatrician's attention to the risks of the use of designer drugs among adolescents and to review the problem. We report the case of a 15-year-old girl admitted for seizures, who rapidly developed acute liver failure and died. Clinical and pathological details are reviewed. The use of designer drugs has increased considerably amongst Spanish adolescents and has been related to deaths in young adults with a variety of symptoms. Differential diagnosis should be made with the adverse effects of recreational drugs when clinical symptoms are confusing and in any unexplained deaths. Information on the effects of designer drugs should be disseminated among the population.

[Pediatric care in rural hospitals. Two years' experience (author's transl)]

Anales españoles de pediatría, 1981

Rural hospitals have an increasing importance in pediatric hospital care as the organization of P... more Rural hospitals have an increasing importance in pediatric hospital care as the organization of Public Health is becoming more rational in our country. There is little information about the possibilities for adequate care in rural hospitals. Statistics for admissions, occupancy, morbidity, etc. of two years experience are reported as a base line for guidance in the planning of this type of centers. From data reported, evidence is that neonatal pathology contributes with about one half of hospital admissions. On the other hand infectious diseases represent the largest single cause group of hospital admissions for infants and older children. Mortality is mainly due to that of premature infants with weights under 1.500 grams and low gestational age.

Las vacunas en la historia, o una historia de las vacunas

Anales de Pediatría, 2013

A mas de 215 a˜nos del empleo de la primera vacuna, ycon la constancia de millones de vidas salva... more A mas de 215 a˜nos del empleo de la primera vacuna, ycon la constancia de millones de vidas salvadas, el uso dela prolaxis activa contra las enfermedades infecciosasde la infancia resulta cuestionado, criticado y, lamentable-mente, obviado en ni˜nos de nuestro pais.No podemos evitar considerar que las voces en contrade las vacunas proceden de gente que nunca conocio lascatastrofes de la epidemias de hace solo unas decadas.La renuncia a vacunar a los ni˜nos esta produciendo enfer-medad y muerte en nuestra poblacion infantil, como se hapodido constatar en los brotes epidemicos de sarampion deGranada en 2010 y la creciente incidencia de esa enferme-dad en la Comunidad de Madrid.Parece hacer cierta la frase de Edmund Burke referentea los pueblos, que decia que los que no conocen su historiaestan obligados a repetirla.En el momento en que una enfermedad terrible comoes la poliomielitis espinal epidemica esta practicamenteerradicada y cuando existen estrategias regionales, comola puesta en marcha en las Americas para erradicarlo alli,nos ha venido a la memoria el brote epidemico de poliomie-litis que tuvo lugar en la ciudad desde donde escribimos enel ya lejano a˜no de 1969. La revista

Adopciones transnacionales. Cuestiones médicas y éticas

Anales de Pediatría, 2000

Objetivo: Aportar la experiencia en los problemas que generan las adopciones transnacionales de n... more Objetivo: Aportar la experiencia en los problemas que generan las adopciones transnacionales de niños, los planteamientos y su manejo. Material y Método: Revisión de casos asistidos en el Servicio de Pediatría y revisión de la literatura. Comentario: la adopción de niños procedentes de otros países está aumentando en el nuestro. Los problemas que plantean los niños adoptados incluyen enfermedades infecciosas, nutricionales y psicoemocionales. Además deben tenerse en cuenta factores condicionantes de índole ética que el pediatra debe conocer y comentar con los padres adoptantes.

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Muerte por drogas de diseño

Anales de Pediatría, 2000

Objetivo Llamar la atención de los pediatras sobre los riesgos del consumo de drogas de diseño en... more Objetivo Llamar la atención de los pediatras sobre los riesgos del consumo de drogas de diseño entre los adolescentes y revisar el problema. Material y método Se presenta el caso clínico de una adolescente de 15 años que ingresa con un cuadro convulsivo y desarrolla una insuficiencia hepática aguda con evolución fatal. Se revisan los detalles clínicos y anatomopatológicos. Comentario El consumo de drogas de diseño se ha extendido considerablemente entre la población joven en nuestro país. El consumo de drogas de diseño se ha relacionado con casos de muerte entre jóvenes adultos con manifestaciones diversas. Se debe establecer el diagnóstico diferencial con los efectos secundarios de las drogas recreativas en las situaciones en que la clínica no sea clara y ante cualquier muerte inexplicada. Se debe extender la información sobre las drogas de diseño y sus efectos.

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[Etiology of acute respiratory infection in hospitalized children (author's transl)]

Anales españoles de pediatría

Incidence of respiratory tract infection represents 23% of the total number of admissions between... more Incidence of respiratory tract infection represents 23% of the total number of admissions between 1-24 months of age, during a period of 18 months. The diagnosis were: bronchiolities, 143 cases; bronchopneumonia, 134 cases; tracheobronchitis, 50 cases; laryngitis, four cases, and bacterial pneumonia, 61 cases. Monthly incidence was maximal in December of each year. From the total group, 144 cases were included in the present study to determine etiology of the infection. In 19% of the cases a serological diagnosis was posible. The adenovirus group was the most frequently found, followed by mycoplasma pneumoniae, parainfluenza 2, RS virus and M. parotiditis. RS virus was associated with a clinical picture of bronchopneumonia, mycoplasma pneumoniae with one of bronchiolitis and adenovirus was indistinctly associated with features either bronchopneumonia or bronchiolitis. In two cases it was detected a mixed infection by two virus: influenza 2 and mycoplasma pneumoniae. In four cases a ...

Health Care Services. A toolkit to fight discrimination against immigrants

Migraciones y salud

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Cultural competence in Medicine

AM. Rivista della Società Italiana di Antropologia Medica, Oct 1, 2001

It is only recently that the biomedical universe has become concerned with cultural diversity as ... more It is only recently that the biomedical universe has become concerned with cultural diversity as a factor in health and disease. The growing tide of immigration from Third World countries into the First World has brought the subject to the attention of medical institutions such as the American Medical Association and the American Academy of Pediatrics (1998, 1999). Various factors play a role in this subject. Just as health care is understood as a right and, in European countries, is regulated as universal and paid for by taxes, the concern about the peculiarities of minorities, how they gain access to care and how these peculiarities affect the management of disease processes becomes important. Across the ocean, in the managed care system of the US, the proper use of resources calls for a continuous concern for efficiency. Curiously enough for a country built on successive waves of immigrations throughout the 20 th century, the United States of America has only recently begun to consider cultural diversity. Even more, most references on the subject are related to the questions arising from Hispanic, Latin-American, immigrants (Committee on Pediatric Workforce, 1999, Fox, 2000). All the other immigrants in the past, mostly of European extraction, did not have distinctive cultural backgrounds of significant influence in their health, and health histories. Recently, the American Government Office for Minority Health made an effort to assure cultural competence in health care through a well-researched set of recommendations and guidelines (OMH, 2000) known as the standards for Culturally and Linguistically Appropriate Services (CLAS). These standards deal with the following points, among others: providing care that is respectful and compatible with cultural beliefs and given in the preferred language; recruiting staff representative of the demographic characteristics of the area; educating and training staff in cultural diversity; employ

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Blood Sampling From Scalp Arteries

Pediatrics, 1974

I would like to offer a comment to Schlueter et al. regarding their report on blood sampling from... more I would like to offer a comment to Schlueter et al. regarding their report on blood sampling from scalp in the January 1973 issue of Pediatrics. One should not be discouraged by the occasionally sluggish blood flow from a scalp artery. Letting it flow through the butterfly infusion set without applying pressure to the syringe, we have been able invariably to fill, at least, the infusion set system. We then replace the cap, withdraw and bend the needle, and send the butterfly set to the laboratory.

Treatment of the Idiopathic Respiratory-Distress Syndrome with Continuous Positive Airway Pressure

New England Journal of Medicine, 1971

... Physical therapy (percussion and drainage) of the chest and suctioning of the airway were ...... more

[Intravenous indomethacin in the treatment of patent ductus arteriosus. A new form of preparation]

Anales españoles de pediatría, 1987

VII Reunión de la Sociedad Española de Urgencias de Pediatría

Anales de Pediatría, 2002

El texto completo de las comunicaciones y las ponencias se encuentra disponible como libro electr... more

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[Treatment of idiopathic respiratory distress syndrome (author's transl)]

Anales espanoles de pediatria, 1974

Triglyceride Levels After Intralipid Infusion in Children With Cystic Fibrosis

Pediatrics, 1978

Infusions of soybean oil emulsion (Intralipid) have been reported to correct essential fatty acid... more Infusions of soybean oil emulsion (Intralipid) have been reported to correct essential fatty acid (EFA) deficiency in patients with cystic fibrosis of the pancreas (CF).1 The Intralipid dosage used by Elliot1 was 2 gm/kg of body weight given over a period of four hours. This article reports the immediate effects of Intralipid infusion in patients with CF in an attempt to ascertain through biochemical data whether the use of Intralipid at the reported dose is free of untoward effects. MATERIALS AND METHODS Six patients with CF were placed in a protocol that called for periodic infusions with soybean oil emulsion containing EFAs.

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