Impact of a primary-based telemonitoring programme in HRQOL, satisfaction and usefulness in a sample of older adults with chronic diseases in Valencia (Spain).

Background: Chronic patients are frequent users of healthcare services and are prone to hospital admissions. In Valencia (Spain) the Valcronic programme aims to manage chronic patients through different levels of telemonitoring and telecare. This paper examines the impact of the Valcronic programme on self-perceived HRQOL in a one-year period and on perceptions of satisfaction and usefulness in a sample of older adults with chronic diseases.

[Case management as a methodology for connecting the health and social care systems in Spain].

Objective: The aim of this paper is to present the assessment of a case management project, implemented with chronic patients in Valencia, for the integration of health and social care. This project is linked with the 'Sustainable Socio-Health Model'.

Location: Health department 06 in Valencia.

[Application of the Community Assessment Risk Screen in Primary Care centres of the Valencia Health System].

Objective: Application of The Community Assessment Risk Screen (CARS) tool for detection of chronic elderly patients at risk of hospital readmission and the viability study for its inclusion in health information systems.

Design: Retrospective cohort study.

Location: Health Departments 6, 10, and 11 from the Valencia Community.

Iterative reconstruction of CT images on GPUs.

Although widely used in nuclear medicine (gamma-camera, single photon emission computed tomography (SPECT), positron emission tomography (PET)), iterative reconstruction has not yet penetrated in CT. The main reason for this is that data sets in CT are much larger than in nuclear medicine and iterative reconstruction then becomes computationally very intensive. Graphical Processing Units (GPUs) provide the possibility to reduce effectively the high computational cost of their implementation.

Medical image restoration with different types of noise.

The images obtained by X-Ray or computed tomography (CT) in adverse conditions may be contaminated with noise that can affect the detection of diseases. A large number of image processing techniques (filters) have been proposed to remove noise. These techniques depend on the type of noise present in the image.

Fast parallel algorithm for CT image reconstruction.

In X-ray computed tomography (CT) the X rays are used to obtain the projection data needed to generate an image of the inside of an object. The image can be generated with different techniques. Iterative methods are more suitable for the reconstruction of images with high contrast and precision in noisy conditions and from a small number of projections.

Estimated radiation dose reduction using non-linear diffusion method in computed radiography.

In this paper we use a non-linear diffusion method to filter the inherent noise in a Computed Radiography (CR) for reducing the dose absorbed by the patients especially children in pediatric applications, related with the exposure mAs. The method is implemented in order to create a lower CR dose based on the selection of lower X-ray exposure and with a reduction of the noise using a non-linear diffusion method. The impact of several milliAmpere-seconds (mAs) setting on image quality has been studied using the RANDO phantom.

The care of the informal caregiver's burden by the Spanish public system of social welfare: a review.

This work analyzes the public social services system developed in Spain to attend dependent persons and their informal caregivers, examining in a more detailed way the current capacity of the Spanish public In-Home Help Service (HHS) to meet the demands of dependent elderly persons and its impact on their informal caregiver's burden. We begin with a brief introduction of the services by the Spanish public social services system developed to attend dependency; next, the evolution of the Spanish public HHS is described in a thorough way to identify the pros and cons of this service regarding the informal caregivers' burden of dependent elders. Finally, recommendations are proposed to redesign and restructure this public in-home service to lessen the informal caregiver's burden.

A review of programs to alleviate the burden of informal caregivers of dependent persons.

The review of interventions currently available to alleviate the burden of informal caregivers of dependent persons has both social and political relevance considering the increasing number of elderly dependent persons. Respite services and programs for psycho-social intervention are the main methods of dealing with this burden. Study of the main research carried out to date on such interventions enables us to organize more efficient services, especially considering the enactment of the Law on Dependence in Spain in January 2007 and the need for other European and international governments to establish systems to meet the needs of the growing dependent population.

The informal caregiver's burden of dependent people: theory and empirical review.

This paper reviews the main theories and results of the existing research to date about the concept of the informal caregiver's burden. The explanation of the burden concept, the theoretical approaches which attempt to explain it, the variables which have emerged in the investigation, the predictors of its appearance, as well as the intervention programs developed to relieve burden, allow us to approach the appropriate solutions to deal with the current social and political reality of this problem. In this sense, the psycho-educational intervention programs framed within the respite services jointly with the knowledge of the determining variables of the burden can comprise the first optimal approach in order to effectively deal with the burden problem of the informal caregivers of dependent senior citizens.

Variables related to the informal caregivers' burden of dependent senior citizens in Spain.

The study aims at analyzing the psychosocial variables associated with the informal caregivers' burden of dependent older people. A sample of 296 dependent people and their informal caregivers (n=153) was randomly selected among users and non-users of the Spanish public In-Home Help Service (HHS) in an autonomous Spanish region (Comunidad Valenciana). Diverse variables in reference to the care context and the caregiver as well as the care recipient show major associations with the burden: those associated to disease and the social situation of the dependent person, the greater frequency and intensity of care, and the low frequency in which the caregiver receives help from others.

Evaluation of the home help service and its impact on the informal caregiver's burden of dependent elders.

Aim: This study looks at the objective and subjective characteristics of home respite service provision and its impact on the informal care burden of dependent elders.

Method: A sample of 296 dependent people and their informal caregivers was randomly selected among users and non-users of the Home Help Service (HHS) in an autonomous Spanish region (Comunidad Valenciana). An experimental design was used and a field study was carrying out that collected information on sociodemographic variables of the dependent person and his/her caregiver, HHS characteristics and the assessment of the services delivered by this resource as well as the informal caregivers'burden.

Suitability of the health and social care resources for persons requiring long-term care in Spain: an empirical approach.

The objective of this paper is to examine the suitability of specific facilities for dependent persons for meeting users' needs. A total of 1265 users of social and health facilities for dependent persons were interviewed in a study carried out in a typical southern European region with a Mediterranean welfare system: the Valencia Autonomous Region in Spain. Data were obtained on users' socio-demographic profile, health, functional dependence, cognition, social support and housing suitability.

Towards a new welfare state: the social sustainability principle and health care strategies.

In this paper we propose a social and health care model that offers alternatives to three problems arising in converging European welfare states, particularly in the southern nations: the rise in demand for services and features linked to the ageing process, the increase in dependency and the crisis of informal support. Development of the principles of social sustainability implies re-formulation of the regulatory, care, economic, administrative, cultural, and axiological framework enabling a response to the needs of long term care without compromising the welfare of future generations. Together with this principle, quality of life elevated to a subjective right directs attention towards the sphere closest to citizens, eliminating all barriers, which hamper exercise of this right.