Who cares about migraine? Pathways and hurdles in the European region - access to care III.

Background: Migraine is a highly prevalent primary headache disorder and a leading cause of disability. Difficulties in access to care during diagnostic and therapeutic journey contribute to the disease burden. Several target-specific drugs have reached the market in the past four years and have modified the treatment paradigm in migraine.

Stratification and management of cardiovascular risk in cancer patients. A consensus document of the SEC, FEC, SEOM, SEOR, SEHH, SEMG, AEEMT, AEEC, and AECC.

Both cancer treatment and survival have significantly improved, but these advances have highlighted the deleterious effects of vascular complications associated with anticancer therapy. This consensus document aims to provide a coordinated, multidisciplinary and practical approach to the stratification, monitoring and treatment of cardiovascular risk in cancer patients. The document is promoted by the Working Group on Cardio Oncology of the Spanish Society of Cardiology (SEC) and was drafted in collaboration with experts from distinct areas of expertise of the SEC and the Spanish Society of Hematology and Hemotherapy (SEHH), the Spanish Society of Medical Oncology (SEOM), the Spanish Society of Radiation Oncology (SEOR), the Spanish Society of General and Family Physicians (SEMG), the Spanish Association of Specialists in Occupational Medicine (AEEMT), the Spanish Association of Cardiovascular Nursing (AEEC), the Spanish Heart Foundation (FEC), and the Spanish Cancer Association (AECC).

Paintings From Spain's COVID-19 Pandemic.

Artist Francisca Lita Sáez considers experience of physicians during Spain's COVID-19 pandemic. Three acrylic and pastel paintings convey defenseless human beings' confrontations with the novel SARS-CoV-2 virus, which is not yet controlled, leaving suffering and death in its wake. A physician-artist collaboration offers a visual representation of the clinical and ethical magnitude of the pandemic and humanity's fight for survival.

Diabetes mellitus and work. Assessment and questionnaires revision.

Diabetes mellitus presents high prevalence, severe complications, clinical repercussions, costs and occupational implications. Their assessment requires the use of the medical history and support questionnaires. A literature review was conducted on the topic of clinical and occupational evaluation aspects of diabetes; the database searched was Medline.

[Alcohol consumption prevalence in civil servants].

Alcohol consumption is a concern for its effects on health and repercussions on the work environment. The objective of this study was to estimate the prevalence of alcohol consumption among civil servants and to examine its association with sociodemographic and occupational variables. A cross-sectional study was conducted among 1180 workers from January to November 2011.

[Atherogenic indices in workers of different occupational sectors of the Spanish Mediterranean area].

Introduction: Atherogenic indices predict cardiovascular disease, as they provide a good reflection of the clinical and metabolic interactions of lipid fractions.

Material And Method: A descriptive cross-sectional study was conducted on 60,798 workers in the Spanish Mediterranean area on whom different atherogenic indices (cholesterol/HDL, LDL/HDL, triglycerides/HDL) were determined, and the influence they have in the different productive work sectors.

Results: In women, the mean values of the different atherogenic indices are better in the health sector, while they are better in men in the primary sector.

[Prevalence of rhinitis and asthma respiratory symptoms in Spanish working population].

Objective: The aims were to examine the prevalence of respiratory symptoms associated with rhinitis and asthma in Spanish workers and its variations by age, sex, work sector, location in the workplace, smoking habits and the relationship between symptoms in the upper and lower respiratory tract.

Methods: The sample was of 2603 workers in different sectors and regions throughout the country. They agreed and answered the questions regarding respiratory symptoms, with the supervision of the company's physician.

[Evaluation of hearing loss parameters in workers and its relationship with fasting blood glucose levels].

Introduction: Hearing loss due to noise is considered within the prevention plans of the most common occupational diseases. In addition to evaluation of working conditions, other personal factors increasing the risk of hypoacusis, such as diabetes, should be taken into account.

Objectives: To explore hearing loss in the workplace and its relationship to impaired fasting baseline blood glucose levels.

Effectiveness of the Heart Age tool for improving modifiable cardiovascular risk factors in a Southern European population: a randomized trial.

Aims: To test whether communicating cardiovascular diseases (CVD) risk using a novel risk assessment tool (Heart Age) will be able to motivate a population to adopt healthier lifestyles and improve CVD risk profile over the use of a traditional percentage-based tool.

Methods: A single-blind randomized intervention study was carried out in a Caucasian population. A total of 3153 subjects were randomly allocated to one of three study groups: control (conventional medical advice was given to the subjects), Framingham REGICOR (10-year percentage risk score, calibrated to Spanish population was given to the subjects), or Heart Age group (Heart Age tool was administered to the subjects).

Effectiveness of Physical Therapy in Patients with Tension-type Headache: Literature Review.

Background: Tension-type headache (TTH) is a disease with a great incidence on quality of life and with a significant socioeconomic impact.

Objectives: The aim of this review is to determine the effectiveness of physical therapy by using manual therapy (MT) for the relief of TTH.

Data Sources: A review was done identifying randomized controlled trials through searches in MEDLINE, PEDro, Cochrane and CINAHL (January 2002 - April 2012).

Body adiposity index and cardiovascular health risk factors in Caucasians: a comparison with the body mass index and others.

Background: Several studies have shown a relation between the adipose tissue accumulation and a higher risk for developing metabolic and cardiovascular diseases. Thus, body fat content and, mainly, the fat distribution or adiposity could be considered as important indicators of health risk. In spite of presenting several limitations, BMI is the most widely used and accepted index for classifying overweight and obesity.

[Costs of temporary disability in Spain related to diabetes mellitus and its complications].

Introduction And Objectives: To ascertain the socioeconomic impact of diabetes, it is essential to estimate overall costs, including both direct and indirect costs (premature retirements, working hours lost, or sick leaves). This study analyzed indirect costs for temporary disability (TD) due to diabetes and its complications in Spain in 2011 by assessing the related ICD-9 MC codes.

Material And Method: For this purpose, the number of TD processes and their mean duration were recorded.

Phytate levels and bone parameters: a retrospective pilot clinical trial.

This study evaluated the relationship between phytate urinary levels and bone characteristics in a large population of postmenopausal women. The study population consisted of 180 postmenopausal women who participated in a descriptive cross-sectional study. A urine sample was collected from each subject to determine phytate levels and the volunteers were divided into two groups according to phytate urinary concentration (i.

The impact of a worksite migraine intervention program on work productivity, productivity costs, and non-workplace impairment among Spanish postal service employees from an employer perspective.

Background: Migraine is associated with a significant productivity loss to employers, who may benefit from making a migraine intervention available to their employees.

Objective: To evaluate changes in migraine-related productivity and non-workplace impairment associated with a migraine intervention program from the employer perspective.

Methods: This was a pre-test post-test study of Spanish Postal Service employees with migraine.