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Ochoa E.M.,Regional Ministry of Health | Gomez-Acebo I.,University of Cantabria | Rodriguez-Cundin P.,Sierrallana Hospital | Navarro-Cordoba M.,Marques de Valdecilla Hospital | And 2 more authors.
Behavioral Medicine | Year: 2010

This article explores the relationship between family history of breast cancer (FHBC) and health-related behavior and medical management, using a cross-sectional analysis of 685 women, based on self-report. The influence of FHBC on lifestyle (alcohol use, physical activity, weight and diet) and medical management decisions (screening for chronic diseases) was assessed using odds ratios (OR) and 95% confidence interval (CI). Adjustment for confounders was performed using unconditional logistic regression. Sixty five women (9.5%) reported relatives with breast cancer. Women with FHBC are more likely to have had a mammography and colonoscopy or sigmoidoscopy. These women have about twice the probability of performing more intense physical exercise, contrasting with high-risk women whose consumption of fibre is lower and sweets is higher. No significant association was found between alcohol consumption or Body Mass Index and family history. Spontaneous behavioral change to a more preventive lifestyle in relatives of cancer patients is very low. © Taylor & Francis Group, LLC. Source


Snacken R.,U.S. Center for Disease Control and Prevention | Broberg E.,U.S. Center for Disease Control and Prevention | Beaute J.,U.S. Center for Disease Control and Prevention | Lozano J.E.,Regional Ministry of Health | And 2 more authors.
Epidemiology and Infection | Year: 2014

This paper summarizes influenza activity in the European Union/European Economic Area (EU/EEA) in 2012-2013. The influenza season 2012-2013 in Europe lasted from early December to late April. Overall the severity of the season could be described as moderate, based on the ILI/ARI consultation rates and the percentage of sentinel specimens positive for influenza compared to previous seasons. Both influenza A and B viruses circulating accounted for 47% and 53% of positive sentinel specimens, respectively, with both A(H1) and A(H3) varying for dominance. Compared to outpatients, the proportion of laboratory-confirmed influenza hospitalized cases infected by A(H1N1)pdm09 was significantly higher in middle-aged patients (33% vs. 17%, χ2 = 66.6, P < 0.01). Despite a relatively good match between vaccine and circulating strains, vaccine effectiveness was estimated to be moderate. Copyright © Cambridge University Press 2014. Source


Mayoral Cortes J.M.,Regional Ministry of Health | Perez Morilla E.,Regional Ministry of Health | Gallardo Garcia V.,Regional Ministry of Health | Navarro Mari J.M.,Andalusian Health Service | And 5 more authors.
Eurosurveillance | Year: 2012

On 7 January 2011, a six year-old child living in a Roma community near Seville, southern Spain, was hospitalised with measles. Contact tracing identified a probable index case with onset of symptoms on 20 December 2011 and several unreported cases among children under the age of 15 years in the same town. The outbreak initially spread in districts in the city of Seville with a high proportion of Roma residents, and later to other cities and towns in Andalusia. While some towns experienced wide spread of the disease with significant clusters of cases, most of the affected locations saw non-clustered cases or very few secondary cases. The outbreak resulted in 1,759 confirmed or probable cases of which 393 (19%) required hospitalisation. Measles virus of genotype D4 was diagnosed in more than half of the cases. Significant differences (p<0.0001) by age group were found between clustered and non-clustered cases. The highest proportion of clustered cases occurred in the age group of 5-14 yearolds, while the highest proportion of non-clustered cases was seen in those older than 29 years. The last confirmed case related to this outbreak was reported on 20 August 2011. Source

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