{"id":14439,"date":"2018-03-09T09:01:08","date_gmt":"2018-03-09T09:01:08","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/intervencion-antialcoholica-en-bebedores-cronicos-en-la-atencion-primaria-estudio-y-seguimiento-de-su-funcion-muscular-esqueletica-y-carda%c2%adaca\/"},"modified":"2018-03-09T09:01:08","modified_gmt":"2018-03-09T09:01:08","slug":"intervencion-antialcoholica-en-bebedores-cronicos-en-la-atencion-primaria-estudio-y-seguimiento-de-su-funcion-muscular-esqueletica-y-carda%c2%adaca","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/intervencion-antialcoholica-en-bebedores-cronicos-en-la-atencion-primaria-estudio-y-seguimiento-de-su-funcion-muscular-esqueletica-y-carda%c2%adaca\/","title":{"rendered":"Intervenci\u00f3n antialcoh\u00f3lica en bebedores cr\u00f3nicos en la atenci\u00f3n primaria. estudio y seguimiento de su funci\u00f3n muscular esquel\u00e9tica y card\u00edaca"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Pere Larrosa Saez <\/strong><\/h2>\n<p>Introducci\u00f3n  la enfermedad alcoh\u00f3lica presenta una elevada preValencia en atenci\u00f3n primaria (ap). Una de sus complicaciones m\u00e1s relevantes es la afectaci\u00f3n muscular. Distintos estudios han demostrado la existencia de una correlaci\u00f3n entre la dosis total acumulada de alcohol (dta) y la aparici\u00f3n de miopatia. el diagn\u00f3stico precoz es muy importante dada su alta morbimortalidad y su reversibilidad con la abstinencia. Se ha demostrado la utilidad de las pruebas no invasivas (miometr\u00eda y ecocardiografia) para su diagn\u00f3stico y seguimiento.  objetivos  1,- estudiar la afectaci\u00f3n muscular esquel\u00e9tica y card\u00edaca en bebedores cr\u00f3nicos desde la ap.  2,- realizar una intervenci\u00f3n antialcoh\u00f3lica en estos pacientes y el seguimiento de su funci\u00f3n muscular.  3,- valorar la utilidad de las pruebas no invasivas en el diagn\u00f3stico y seguimiento de la miopat\u00eda desde la ap.  material  dise\u00f1o  estudio de intervenci\u00f3n sin asignaci\u00f3n aleatoria tipo \u00abantes-despu\u00e9s\u00bb.  \u00e1mbito  centro de ap urbano.  duraci\u00f3n  2 a\u00f1os  poblaci\u00f3n a estudio  bebedores de riesgo incluidos en el registro de edad y sexo del centro.  criterios de inclusi\u00f3n  sexo masculino, edad entre 20 y 60 a\u00f1os, consumo de 100 \u00f3 m\u00e1s gramos de alcohol al d\u00eda (gr\/d) durante, como m\u00ednimo, 2 a\u00f1os previos al inicio del estudio.  m\u00e9todos  citaci\u00f3n  derivaci\u00f3n directa, tel\u00e9fono y correo.  primera vista  a,- ananmnesis: antecedentes familiares y personales, consumo de alcohol, s\u00edntomas de miopat\u00eda y miocardiopat\u00eda.  b,- miometria: mediante el mi\u00f3metro de penny&amp;giles, a nivel del m\u00fasculo deltoides del brazo dominante (3 mediciones separadas 5 minutos, calculando la media, considerando patol\u00f3gico un resultado inferior a los 196 newtons.  c,- ecocardiograf\u00eda a todos los pacientes con miometr\u00eda patol\u00f3gica.  d,- intervenci\u00f3n antialcoh\u00f3lica (abordaje motivacional).  seguimiento  a,- control de la desintoxicaci\u00f3n y deshabituaci<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Intervenci\u00f3n antialcoh\u00f3lica en bebedores cr\u00f3nicos en la atenci\u00f3n primaria. estudio y seguimiento de su funci\u00f3n muscular esquel\u00e9tica y card\u00edaca<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Intervenci\u00f3n antialcoh\u00f3lica en bebedores cr\u00f3nicos en la atenci\u00f3n primaria. estudio y seguimiento de su funci\u00f3n muscular esquel\u00e9tica y card\u00edaca <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Pere Larrosa Saez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 13\/12\/2001<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Josep Mar\u00eda Grau Junyent<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: miquel Vilardell tarres <\/li>\n<li>alicia Rodr\u00edguez-martos dauer (vocal)<\/li>\n<li>antoni Gual  sol\u00e9 (vocal)<\/li>\n<li>amando Mart\u00edn zurro (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Pere Larrosa Saez Introducci\u00f3n la enfermedad alcoh\u00f3lica presenta una elevada preValencia en atenci\u00f3n primaria (ap). Una de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[951,932,9,139,7464,324,22372],"tags":[403,20063,46485,29494,13703,46484],"class_list":["post-14439","post","type-post","status-publish","format-standard","hentry","category-barcelona","category-cardiologia","category-ciencias-medicas","category-medicina-interna","category-psicofarmacologia","category-psicologia","category-tratamiento-de-la-drogadiccion","tag-alicia-rodriguez-martos-dauer","tag-amando-martin-zurro","tag-antoni-gual-sole","tag-josep-maria-grau-junyent","tag-miquel-vilardell-tarres","tag-pere-larrosa-saez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/14439","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=14439"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/14439\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=14439"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=14439"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=14439"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}